6163 E. Paseo Rio Verde
CONTRACTOR INfORM/-TION:
ROBERT D FRAKES II '
32 DEERFIELD PL (
TRABUCO CANYON, CA 91.6790000
BUSINESS PHONE: 949 45~.9211
JOB DESCRIPTION New 2 story SFD' 259351 Iiving/94sf porch & 60751 9ar2.,,, (Plan 1)
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VALUATION: 254,343.00 .'
I OWNER-BUILDERhECCARATION
I hereby affirm un"der penalty of perjury tnat I am exempt from the Conhacto(ii.:Jicense Law for the following reason (Sec. 7031.5 Business and
Professions Code: any city or county which requires a,permit to construct a'trfl',:, improve, demolishor repair any structure, prior to its iSsuance, also.
'retju ires the applica nt for such permit to file a sign~d statemef'lt that he is nc~t$.~d pursuant t~_ the- provisions of, the Contract9r's License. Law'(Chap~er
9}(commencing with Section 7000 of Division 3 of the Business and Protes~;(;h~~Code) or that he is. exempt therefrom and the basis for th,e alleged
exemption. Any violation of Section 7031,,5 by any applica;-;t fora'perrnit SUb.!~:'?ts t~e applicant to a Civil pe?alty of not more than fiv~ hundred dollars
($500) . . . I')" ."
DI, as owner of property, or my employees with wages as thei(soj~ COITl pFi)',$'ation, ' wiU do the work,and the structure is not intended or offered for
sale tSec, 7044 Business'and Professions Code: The Contra~tor's tjcens~.I.~i~vd~es not apply to a'n owner of property who 9Uilds or improves'
thereon, and who does such v/ark himself or herself or through his or her O'ff,i;~Q1pjOyees, -provided that such improvements C!re not intended or., .
. offeretl for sale. If, however, thl1 "[llJild ing or improvement is sold with one yeo.i:0f completion; the owner-builder will have the burden of. proving t~at he .
did not bu,ild or improve fOithe purpose of sale). .,_-~-~.,' '."<, . .
l-l.l':,as tl1e.owner of the prooerty, am exclksivety contracting'with liCenS(~d'1)~htractors to construct ihe project (Sec. 7044 Business -and Professions
Cod~:'T~e Cont~actor's Li.cense' Law does net apply to en owner oi propeltY?l{'Po buUds.or imj),roves thereon, and who contracts .fo; sud'! projects with
~LQ.ontrador(s),lice.n.sed pursuant to the Contractor's LicensE: Law). . ~r\'~
LJ lam exempt under Sec. ' ,B & P.C. for this reason: --1:F'
fat:: "WOR~;;'~ COMPENSATION DECLARATimJ4. --.J I
l" ilereby affirrrl underpena!ty~of pe;juty one of the foilo'A'ingdedarations; .~::.:., I,
Ll I have' and will maintain a certificate of consent to self-insure for wQrkerJ~ompensation,
as provided for by SecNcn 3700 :of the labor Code, for the performance of th':fwcrk for whidl'
this permit is issued. . ,. ~
o I have' ar:d wiWmainh:lin worker's compensation insurance, as reqGirad nYlSection 3700 of
. the.Laber Code, for the performance of the work for which this perm:t:js iSSU2(1. My worker's
Compensation insur.:mce carrier and polic.y are: ':~'
Carrier: . Policy Number.. EXEMPT~
. ,
This section need not be completed if the pennit is for on~. hundred dollars ($1 OD:~pr iess.
[] I certify that in the perfonnance of the 'Nork for which this pen':1itis issue~t I shall not .
emplo,Y any person in any m~nner so as to become. subject to, the w~rker's cCTpe~sation .laws
of Califomla, and ::3gree that If I should become subject to the won<ers compe:...sation
provisionsof Section 3700 of the Labor ,0 e: I shall forthwit'P9"m y with th<~e provisions,
Date: 9/10/2004 . Applicant: ~ r. ~. .
'.' 1", ,,..
. WARNING: FAiLURE TO SECURE WO KER'S COMPENSATION (;OV~RAt;EIS'
UNLAWFUL, AND SHALL SUBJECT AN EMPLOYER TO CRIMI1'I,A.L PENALj-I"S'.AND CiVIL
FiNESUPTO ONE HUNDRED THOUSAND DOLLARS ($100,000), IN ADDF;,QNTO THE
COST OF COMPENSATION, DAMAGES AS PROVIDED FOR IN SECTtON h060F THE
LABOR CODE, INTEREST AND ATTORNEY'S FEES. ' .
;,1
I CONSTRUCTION LENDING AGENCY ~;~
I hereby affirm under pena Ity of perjury that there is a construction lend ing agc~i!cy for the
peiformance of the work for which this permit is issued (Sec..3097.Civ.C); .if'
Lender's Information: "
I"i~
----.df::"ttff.T1rldi I .la'v~ r'i:::lc:j-tf;l~ oPPlic.iolllVn ana ~(ale t.tatfr'f,3'dci'ove'i;lf6r'rf;s~i0'rtr..7~o(r-eti.-'1 ---,-~:;:~~
agree to comply with all 'city ordinances and state laws relating to building construction, and
hereby a rize representive,f this city to enter upon the above mentioned property for
inspectio r ses. /}.A - '. / .
_ I~' Date: 9/10/2004
Signature of Applicant or Agent
The permit shall expire by lim~ation and become null and void if the building or
work has not passed final inspection 365 days from the date of permit issuance, A
new permit is required to commence or continue work. .
'.
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BU!LDING PERM!TNO, BLD2003-04138
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TYPE OF PERMIT
Ne~ Residential Construction
CITY
DATE: 9/1 0/2004
JOB ADDRESS: 6163 E PASEO RIO VERDE
LEGAL DESCRIPTION:
APPLICANT:
OWNER INFORMATION:
Ruitson Ouyang
8641 Hillcrest Rd
Buena Park, CA .90621 0000
BUILDING DIVISION
200 S. ANAHEIM BLVD,
(714) 765 - 5153
INSPECTION REQUEST LINE:
(714) 765 - 4626 .
CENSUS COD.E: 101
QUARTER SECTION: '190
ARCHITECT/ENGINEER INFORMATION:
CHARLES D STEICHEN
1801 E. EDINGER AVE. #225
SANTA ANA, CA 927050000
PROCESSED BY: KBT
LICENSED CONTRACTORSDECLARATIOE]
I he"eby affirm under penalty of perjury thet I am
licensed under provisions of chapter 9 (commencing
with Section 7000 f Divsion 3 of the Business and
Professions Cod ~ /
9/10/2004 VL--
Date:
NUMBER
619012
TYPE
TYPE
Contractor
.'
EXPIRATION DATE
8/31/2005
A
B
Construcion Types:
V 1HR, , .
Occupancy Groups:
R3, U1" ,
Fire Sprinklered?
~wellinQ Units:
Living Area:
GaraQe Area
Patio Area:
NO
1
2,593
607
94
- - " '. ,
.,.--:-'--.-,-,..'~__......~.~~~,~..,.,..~~,~~,_oo_,'.... .......,""..-:c.,__
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Fees paid for Permit: .
Total:
6,218,25.
INSPECTION RECORD
. INSPECTION DATE. 'INSPECTOR.
T empo:rary !='ower Pole /l.
Plumbing (DrainlWaste.Pipe) . !I-I?""
Electrical Ground Electrode/uter ./
. SetbacklFormsfTrenches (FootingS).
Do not install subflooror pour floor slab lfntil the
following applicable items have been SIgned': .
Plumbing (Water Plpe.Sprinkler Valves)
Mechanical (Groundwork)
Electri.cal (Underground Conduit) ;
Pre-slab (CompactionlMembrane.Rei nt. ~ 1M' I
'/~
Underpinning (Floor Joist/Gilders) I I .
Do nOlcover or conceal the work below until the -
following apP'lic~ble items have,been signed:".' ." ,
lstFloorSh~ar.. .. ... /-Y4:.,,7! k./.. A :.,
l
FireSprinkler (Rough) . .
.,,-: A
2nd Floor Shear - /- It'/-~ . .
.'
Roof (Sheathing/Diaphragm/Frame)' ~
Masonry (ReinfJBOnd BeamlP..re-G1O\J1 .
Rough Plumbing (Top Oul) \ ti.....~ 3~.(.or .':t7 I..
Rough Mechanical .y.() l.
RoUQh E1ectriCallllrY Wall) ... . . ~I
Rough Electrical ., '. . '1",,= ~~ :--
Framing (Only after Plbg.. Elec.: Mech and Fire). 1,...'1_f>< '.. ~.
Insulation (SoundlEnergy) .
Do not tape or plaste.r. until the following applicable
items have been signed: .' '. .. I.
Drywall .:;;< ,
. .
.Penetrations (Fire Rated) Electrical
Penetrations (Fire Rated) Mechanical
Penetrations (Fire Rated) PlUmbing . . .
Interior Lath. .., ,,/
Exterior Lath . .. .. .,~. L.
. . GENERAL IT MS ",
,
Exterior Plaster (Brown Coat) .'1 ~Oc.
T -Bar E.lectrical . : . . . . .
T -Bar Mechanical . . . .
T -Bar'Structural
'Sewer
Water Engineering Backflow . . . ...
Water Service .. .
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FINAL INSPECTIONS
Electrical Final
Plumbing Final
Mechanical Finai .
Gas Test
Dale
(elZtloy
.cJUlb'S'"
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EngineeringtGrading Final 765-5126
Fire Dept.. Final 765-4040
Water E.ngineering 765-5268
Sub L.isilBusiness License 765-519
Zoning 765-5139
Building Final (Last tnspection- Only .
. After Above Complete)
'....1.... e> . '!>ARTIAL INSP.ECTIONS
-z. ......0 ~ Cos;.. t~ .
Buildma Inspections . . .... . ,
~!6--(), .8q:;-r: INSl/L ,e>Nl.lj ~.
Mechanical Inspections
~
Plumbinalnspvctions
'~/~o~ . j(,(j ot::-
..~4
ElectricallnsDections