112-118 W. Santa Ana St.
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SU\LOING PERMiT NO.
,;ILp2004-o0332
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BUILDINGDIVISI9N.
200 S ANAHEIM BLVD.
(714)765-'5153
INSPECTION REQUEST LINE:
(714) 765 - 4626
CENSUS CODE: 104
QUARTER SECTION: 84
TiPE.OF PERMIT .
New Residential Construcllori
DATE: 10/14/2004
JOB ADDRESS: 112118WSANTAANAST
LEGAL DESCRiPTION:
APPLICANT: JOE RICHTER
OWNER INFORMATION:
Distributi S City
. 2011 E Carson St .
'Carson, CA 90810.
CONTRACTOR INFORMATION: ARCHITECT/ENGINEER INF.oRMATION:
WATT RESIDENTIAL CC,NSTRUCTION, IN<tlEBRA S WRIGHT
895 OOVE ST #200;' 151 KALMUS AVE. C-230.
NEWPORT BEACH, CA 9'?660 0000 COSTA MESA. CA 92626
BUSINESSPHONE: 9492:Ec-2400
.J,OB DESCR1PTION;New,4 unit condo -"Building 2~' . t
~. .
. VALUATION: 435,186.00 ,
-~
i OWNER-BUILD;;'.!;: DECLARATION .
lhere~y affirm under penalty.of perjury that I am exempt from the C.ontras::~::rs License law for the following reason {Sec. 7031.5 Busif},ess C"!,nd . .
Professions Code: any city or countywhichrequlres a'perm!! to coP~~..uct; fl.~~.)mpro:....e, dernol!sh or repair .?ny structure, pr:or toit~.issuance, als~
require_$ the ~pplic::a.nt for .such permit t~ ~I~ a sign~d state.ment th~t::e :sl:;C;$r:."?ed pUi~ua,~t to tile. proVisions of the Contractor's .li~ens.e L~w'(Chapte~
9)(commenc_lng \~'lth Section 7000 of DIVISion 3 of lhe_ BUSiness a_nj5~~c;fes~rr,s'Codercr-that he IS exempt therefrom and the baSIS for~~e ~I.leged
exemption. 'Any violation of Se~tion 7031.5 by any applicant for apG~'nlits(1t:J..'?01;c; t,tI~.a.RpJic.:3nt _*0-3 dvil penalty of not more thGin five hu.ndrAddoU<'l!'s
cOf,)~s ov~per:of pro~rty, or ~y emPIOyea~ with wages,fls th~ir 's;sifco:~~~t:1Satlpn,.~;l1 do th~ work, a~d t~~ structure is not~;intend~~r offer ed ;~r
sale (Sec:7044 Businessand Professions Code: ~he,Co{ttract(Jr's Lice'1s.e.~~':N do~_:~ notapRiy to an owner of property .Wi10 blJildsOTim,pro\les .
thereon, and W1'"IO does such worl<_ himself or herseM or through hiS:,./?r her O\.{;:'einbloyees, tJrovtded that. ~uch improver:~ents are r10t lnta{'ld-:::do(
~ffere.d for sale.. . If, however, the building or lmproveillent is sold \,lit~o~cY~I~!',yf. oJmp:et:_(,n, ,~l1e_owr.er-bu:lder wil! have the burden-of pr~\'ing that he.
;tJid rv..._t build or improve-for the purpos~ of sale);. . ""-,,;:,-:q";. . . ,'.. .. ..' ,:. . . .".' _ .,0'
L1 \, a:::;thl3, OWner of the property, a.m.F:xdusively contractinG wlt.nncerls:edtcontractors to ccnstruct the proj13ct !Sec. 7044 2usil1ess and Profe<>sions
C.Ode: :rho e cem. tractor's Lice.n. se law does .not apply to an owne,.;:J,f.,:BiOpert._/!....~hotH.!i!9S 9" i.rt:PiC." lies thereon. and who (;:.)ntro.cts for SI.iGh projects with
F_~ontractor(s) Hcensed pursuant to the Cont;al?tor's Li<.~r~->e La~}~; .',> .,_' . .. . _
:....:J. l <:1m exempt under Sec,,--' , , ,.6& p,e, for,tflis reason: .~-:J.___-..;S.~_~,_ ___,__.-:.___""----____
tie. , . WOR:::'~ COMPENSATION DECLAAAT!91t__~~'> I j LlC-ENSED CONTRAGTORS DECL;:';;';-CN""l
I.hereby"affirm under penaity of perjury one of the following deC!~i~lk~n~:- ... 1-:._----,..," . i~hereby affirm under pen8_ny of perjury that 18J:1l .
0, I have and will maintain a certificate of cpnsen't to::;eif-in$Ur~f~)r\"I0rke;.W...'Cbl..'"tpe.,r,~at!o. !'l;. ),: lic~r;s,ed ~nder.p.ro'Jjsic~s?t diCipter 9(CO~m.er.Cing.
as provided for' by Section 3700 of the lal;>or Code,., for the Pt:r:fo~~::tj1ce of t.5\?''!vcih. for '.vhj,r;;" !Wltn Se~t!On 0 of Ol'lsron 3 he l:3u.slr:ess ~r.d' '
'j'thi perrnit.is isslied. . ..'-....:, ~ 1~ . . _:.' {PrCfeSslons d .
I !lave a nd wi II maintai n wo rker's compe.r1sation inS=jr~nce,:a:~ Il)qu!red ~y S ect!o,:" '370C. or 110/14/200
. ,the Labor Cod.e,-fo~ the performance of the work foe whichttlj~-~errnit is i~su!rJ~_ fv.'iY\'{O(k~r's . . Date:
Compensation insurance carrierand:policy are: "_.' .:f I
Carrier:- ZURICH MfERICAN INSUR. Policy f'juf.!1ber. WC~~;~..940G , NUMBER
~hl$ ,section need 001.00 .completed if the ~Imit is for one hundr~,do~la~s_.~~l~~~f:f:_!~SS. I ~~~~~6
o .l_~~rtify that in the performance of1he. work for which thfs.p~rm;t- is !$:;,.:,~.~~r'_S~d!! not 'TYPE
flmp!oya.ny person in'any manner so as to become sCbje6t tc th~ wor\,e(s.!~~;~~l?an$atjon,iaws I
qf Cal~o~ia~ .and agree that if I should become .subject tc the worker'::Gqn:-"~~~i~~~tion . r-:-
provisions of Section 3700 of the Labo, e, I sr,a" fo i~Wlih t:~\;IiprOVisio"s I ~~~~t'~cion Tyoes:.
Date: 10/14/2004 Applicant: ~ .--. -,;; ,." '. I occuBancv Groups:
WARNING: FAILURE TO SECURE E S COMPENSATION COVEF.'\GEIS R1, 1",
UNLAWFUL, ANP SHALL SUBJECT, EMPLOYEI'{ TO CR1MIN.4,L PENf-'TIES AND CIVIL DweJ;!nQ Units:
F1NESUPTO ONE HUNDRED TH U AND DOLLARS ($100,OGO).)N 1'1lj-;i'lI()NTO-THE . .';V':1,;!\r$o:
'COST OF COMPENSATION. DAM ,ES AS PROVIDED FOR IN SECT10l',.3~QqOF THE GaraQe Area
LABOR CODE, INTEREST AND ATTORNEY'S FEES. . -- .
r CONSTRUCTlON LENDING AGENCY' ",.:
_:~1~rebY a_~.ir.rn ~.~d. er.~e~:. Ity..Of. .R,erjul"'..:~.~._~!..!!1,er,~:is ~. .c. o~._~t.!UC~ip~J~.f,ldinq.{iJ.r_~}Z,;~.:.~~~~ci~__~.:-,,-_.
~_.._,.........~-..... .....~ .-.u,,~ .....! ....."'. u"<>iJt;"'.;\.<:>I~~...-.... \...........:}>j-;;jI.Vh..V). I". ~~~._~.____~..-:"'---s..:::..:...::_~~~_~~'
Lender's Infcrmation: .
PROCESSED BY: DUe
I
,
A
fl
EXP!RAT!ON DATE
4/:\iJf2Q03
4
5,776
1.900
I certify that I have read this application and state that the above information's correct. I .
agree to oomply wITh.al! city ordinances and state laws relating to building construction, and
h,E?r byauthorize.representiv of this City to enter upon the above mentlonec property for.
cti.n urposes. ( IJ . _
I '-..-/ Date: 10/14/2004
ignature of Applicant or Agent
t sh I expire by limitation and become null and void if the building or
not passed final inspection 365 days from the date of permit issuance.
mit is required to commence or continue work.
Fees paid for: Permit:
Total:
15.084.40
AI
.s-
Electrical F,inal ,
INSPECTION RECORD
FINAL INSPECTIONS.
,INSPECTION '
, , Temporary powet Pole'
Plumbing (DrainlWaste Pipe)
Electrical Gl'ound Electrodelurer '
SelbacklFotmslTrench..s (Footings), 2-~7-<>" Ot.../I' /L-'
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.Rei nf.
'Underpinning (Floor JoisllGirtlers)
Do not cover or conceal the worK below. until the '
following app.lic"ble items have been signed:" ,
1st F!oor Shear' "
FireSprinlller (Rough) /
,2nd FioorShear ' ' ,~_I";~ ~ B
Roof (Sheathing/DiaphragrnlFrane) ~2Z-o:. ',~" "It.
Masonry (ReinfJBond BeamlPrll'Gl'O\It) ~ I If
Rough Plumbing (Top Out). ~-I-oS'~ "12;
Rough Mechal)ical ' ',. -( - Q(' r.
""ugh'~ectriCaI (DryWall) _I 7c-
Rough Electrical' '-1 .'","i?/": /:-'K. ' /.
Framing (On~ after Plbg, Elec" Mech and Fire) _/.-00 .~ hi:.;// ( .,
Insulation (SoundlEnergy) ("/V'''~,' 1
Do not tape or, plaster until the following applicable . ~'/ M
items have been signed: ' .' ',', /' 1-
DryWall -1'1'''IS r Q'. 7~
Penetrations (Fire Rated) Electrical ' ' / )
Penetrations (Fire Rated) Mechanical ' c....--:-
Penetrations (Fire Rated) Plumbil19
Interior, Lath , ' , , , ' ...; ','
Exterior Lath . 6 -16 -<0 -,. p-L-,
, ' ' GENERAL ITEMS . , '
Exterior Plaster (BlOWn Coat) ,~-:z.'ZJ'<; -, ,"' r-z
T-Bar Electrical ',' I / '
T -Bar Mechanical,' , " ~
T -Bar 'Structural ," , '
Sewer, ,',
Water Engineering Backflow
Water Service
" '
DATE'
INSPECTOR
, , 'C:
Plumbing Final
,
Mechanical Final
,/
Gas Test
Engineering./Grading Final 765-5126
Fire Dept. Final 76S04040
Water E,ngineering 765.5268
,
, Sub lisllBusiness license 765-519
Zoning 765-5139
Building Final {Last Inspection- Only ,
, , After Above Comple I
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ElectricallnSDections
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