2228 E. Redwood South Dr.
~~O~~F PERMIT CITY
DATE: 41712005
JOB ADDRESS: 2228 E SOUTH REDWOOD DR
LEGAL DESCRIPTION: N TR 2491 LOT 1
ElM
BUILDING DIVISION
200 S, ANAHEIM BLVD,
(714) 765 - 5153
INSPECTION REQUEST LINE:
(714) 765 - 4626
CENSUS CODE: 555
, QUARTER SECTION: 112
BUILDING PERMIT NO. BLD2005-00953
APPLICANT: MEHRNOOSH ASADf
OWNER INFORMATION: CONTRACTOR INFORtvlI\TION: ARCHITECT/ENGINEER INFORMATION:
MEHRNOOSH ASADI
2178 CANYON DRIVE C
COSTA MESA, CA 92806 , ,
J?B .DESqRIPTION: Tear off existing and fe-root ,27 ~quares.of composition~~hi~gres.
'VALUATION: 6,000,00 PROCESSED BY: 'JNJ
I OWNER-BUILDER DECLARATION
I hereby affirm under penalty of perjury .that I ani exempt from the Contractor's Ucense. Law for the following reason (Sec. 7031.5 ~usinessand
Professions Code: any city or,countywhichrequires a permit to construct, alter, improve,demofish or repair any structure, prior to its issuance, also .
requires the appHcant-forsuch permit to file a signed statement that he is licenSed pursuant to the provisions of the Contractor's License'Law_(Chapte(".'o,
9)(commencing with Section 7000 of Division 3 of the Business and ProfesstohsCode) or that he is exempt therefrom and the basis for the alleged
e~emption. Any violation of Seetion 7031.5 by any. ap'plicant for a permit sub)~ts the applicant to a civil" penalty of n,ot m<?re, than five ,hundreq.d,ollars"
.1Jff~)~s oW,ne,r of pr~p,erty, or my employees wit,h ";ages as their sole comp,~n,sation, will do the work, and the structure is not intended or offered';~~
~. (Sec. 70M Business and Professions Code: The Contractor's License Law does not apply to an owner of property who builds or improves'
,thereon, and who does such work himself or herself or thro':!gh his or her owntemployees, provided that such improvement~a~e noti~tended or , .
offered tor sale. If, however, the building or improvement is sold with o,ne ye'arof completion, the owner-buil~er will'have the burden of proving that he'.
did not build or improve for the pl!rpose of sale).,' ,., \_, .
D I, as the owner of the property, am exclusively contracting with Hcense.d cOntractors to construct the project (Sec. 7044 Business and Ptofessions'"
Code: The Contractor's License Law does not apply to an owner of property who builds or improyes thereon, and who contracts forsuch projects' with
~o.ntractor(s) licensed pursuant tothe C~ntra<?t~r's License Law). . .
U I am exempt under Se9. ,B P.C. or this reason:
, Date: Owner: ' .
WORKER'S C LARATION
I hereby affirm under penalty of -perjury ne of t,h~ followin~f declarations:
D, . I have and will maintain a certificate .of consent to self-insure for worker's compensation,
as provided for by Sectio~ 3700 of the Labor Code, for the performance of the ~ork f.or which
this permit is issued.
o I have and will maintai'n worker's compensation insurance, as ~quired by Section 3700 of
the Labor Code, for the performance'of the work for which this p~rmit is issued. Myworker's
Compensation insurance carrier and Rolicy are: .
Carrier: . . Policy Number:
.This section need not be completed if 1"e pennit is for one hundred dollars ($1 00) or less., TYPE
~I certify that in the performance of the work for which this permit ~:jssued, ,I shall not, .
, oy any person in any manner so'as' to become subject to theworker's_compensation laws
, f California, and agree that if I should become subject to the worker's gompensation
provisions of Section 3700 of the Labor Code, I all forthwith comply jith those provisions. Construcion Tvpes:
.v N, ,
LICENSED CONTRACTORS DECLARATION
I hereby affirm unc;:ter penalty of perjuryt<hat 'I am
licensed under provisions of chapter 9 (commencing
. with Section 7000) of Divsio'n 3 of the Business and
Professions Code. .
4/7/2005
Date:
Contractor
NUMBER
EXPIRATION DATE'
Date: 4/7/2005 Applicant:
WARNING: FAILURE TO SECUR 'S COM ION COVERAGE IS
UNLAWFUL, AND SHALL SUBJECT AN EMPLOYER TO CRIMINAL PENALTIE$ AND CIVIL
FINES UPTO ONE' HUNDRED THOUSAND DOLLARS ($100,000), IN ADDITION TO THE
COST OFCOMPENSATIOjIJ, DAMAGES AS PROVIDED FOR IN SECTION 3706 OF THE
LABOR CODE, INTEREST'AND ATTORNEY'S FEES, ,<
CONSTRUCTION LENDING AGENCY
I hereby affirm under penalty of perjury that there is a,construction lending ag~ncyfor.the
performance of the work for which this permit is issued (Sec.3097,.Civ.C):
Lender's^l~formation: -~._-~-' .. - - -----.-
I certify that I have read this applic.ation and state that the above information is correct. I
agree to oomply with all city ordinances and state laws relating to building construction, and
her~by'authorize representives of this city to enter upon the above mentioned property for
insp,ection~urp s.
y, '
," -K ~al' ".-6! Applicant or Agent Date: 4/7/2005
The permit shall expire by Iimitation,and becoll1l! 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. '
Fees paid for Permit:
Total:
235,43
INSPECTION
.
T empQrary PQwer PQle
Plumbing (Drain/Waste Pipe)
Electrical Gmund Electrode/lifer
.5etbacklFormsfTrenches (Footings) .
Do not install subflooror pour floor slab until the
following applicable items have been signed:
Plumbing (Water Pipe,Sprinkler Valves)
Mechanical (Groundwork) .'
Electrical (Underground Conduit)
Pre-slab (Compaction/Membrane.Reinf.' .
Underpinning (Floor,Joist/Girders)
Do not cover or conceal the work below until the
following applicable items. have been signed:
1 st FIQQr Shear .
Firesprinkler (Rough) .
2nd FIQ . ,
Roof{Sheath~aphraamlFrame) 'i-I
Mas~(ReinfJBond BeamlPre-Grout)
RQugh Plumbing (TQP Out) .
Rough Mechanical
Rough t:Iectncal
Rough Electrical
Framing (Only after Plbg.. Elec.. Mech.. and Fire)
Insulation (SoundlEnergy)
00 not tape or plaster until the folio. wing applicable - .:.
items, have been signed: . - .
Drywall .
PenetratiOns (Fire Rated) .Electrical
Penetrations (Fire Rated) Mechanical
Penetrations (Fire Rated) Plumbing
Interior Lath ' . .
Exterior Lath . .
GENERAL ITEMS
Exterior Plaster (BlOINn Coal) .
T -Bar. Electrical . .
T-Bar Mechanical
.T -Bar Structural
Sewer ."
Water Engineering Backflow
Water Service .
INSPECTION RECORD
DATE
'.
aliI
INSPECTOR,
.
. .'
.
.
,~, -"
--:t'
I
.
FINAL INSPECTiONS Date '. Inspector
Electrical Final
Plumbing'Final . ..
Mechanicat Final
Gas Test
Engineering/Grading Final 765-5126 .
Fire Dept. Final 765-4040 . .
Water Engineering 765.5268 "
Sub List/Business License 765-519 .
.
Zoning 765.5139 . J! A
Building Final jl-ast Inspection. Only 1t~/Tr I: VI Ykl..
, . fler Above Complete) L"C;(..';.v..Ik
PARTIAL INSPECTIONS
Buildina Insoections
I
Mechanicallnsoections
Plumbina Insoections
Electricallnsoections