342 S. Whitestone Dr.
CONTRACTOR INFOmiA TION:
VICTORY GARDEN LAK)SCAPE INC
1531 BEACON RIDGE WAY
CORONA, CA 928830000
BUSINESS. PHONE: 9092';8-1307
JOB DESCRIPTION: Canslruct 700 sq ft-deck. (HIH) . '1
VALUATION: 30,000.00
I OWNER-BUILDEH DECLARATION
.1 hereby affirm under,penalty .of perjury that-I am exempt from the Contracto:,,'s license Law for tt;\e following reason (Sec. 7031.5 Bl!siness and
Professions Code: any city or county which requires a permit to construct, a~~er, 'improve, d,erriOlish or repair any structure, prior to its-IsSuance, -also
require.':) the appncant for,such permit to file. ~-__signed statement th.athe isllc~~nSed' pursuant to the provisions of the Contractor's License Law (Chapter
9){commencing with Section 7000 ,of Division 3 of the Business and Profesebns Code) or that he is exempt therefrom and the basis for the alleged
. exemption. Any violation-of Section 70,31.5 by any applicant for a permit suhjects the applicant to advil penalty of f)Ot more than five hundred dollars
($500). .
. 0 , l; as owner of property " or my 'employees with, wages as their sole cOIn i)ensation, will clothe work. and the structure is not intend ed araffered far
sale (Sec.-7044 _Business, and ProfessiOns Code: The Contractor's Ucens.e Law does not apply to an owner of property who builds or il1JproVes
the~eon,and Who does such w6r.k himself or herself or through his or her ov::) employees, provided that suef, improvements are not, intended or
offered for sale. If, however. the building or improvement is sold with one Y/JC)r ofcompJetion, the 'owner-builder will have the burden of proving that he
did. no"t buildor improve for tile purpose of. sale}. .. " . . .
tJ I, as the owner of the property, am eXdusively cOiitracting with licensel:'~ cont:-actors tQ construct the project (See. 7044 Business 'and ,ProfesSions
Code: The Contractor's'Lice~se lawdoes no! apply to. an owner of propert~::who buikls or improves thereon. and who Contracts for such projects with
fUrontrador($) Hceos.ed pursuant to.the Contractor's Ucense Law).,- j , . .
U I am ex~mpt under Sec. . . B & P.C. for this r!3a50n':--:1 . __' ' , , _
~ate: ' Owner:
'1 . WORKER'S COMPENSATION DECLARATION
, hereby affirm under penalty of.perjury one ofthe following declarations: ;
O' 'have,and.will maintain a certificat.e of consent to self~insure for workelts compensation,
as 'provided for by 5ecflon' 3700 of t":le Labor Code, f<?rthe performance of tEe walk for which
this permit is' issued. ': .
'0' have and will maintain worker's compeflSation insurance,. as required ~!Y Section 37000f
the Labor Code, ,for the performance of the work for which this permit.is iSS:.'ed. Myworker's
Compensation insurance carrier and poliCy are: .
Carrier: EVEREST NA1l0NAL . Policy Number. 380000',081-041
This section need not be completediflhe permit is for (me hundred dollars ($lC)1 or I","s.
o t certify.thafin the petfor:manceofthework for'whlchthis permit is issu.:; , shall.~ot.
, employ any, person in any manner s? as.to become SUbject to.the worker' p'rlpensation laws
of Califomia, and agree that if I shoUld-become subject to the worker's'f" ,snsa~on
pro'lisions'of Section 3700 of th.e labor C sharrf~ith c m '. ~)o~e Provisions.
l:\UILDING PERMIT NO. BLD2004-00617
.
TYPE OF PERMIT
.' Residential Remodel CITY
DATE: 31812004
JOB ADDRESS: 342 SWHITESTONE DR
LEGAL DESCRIPTION:
APPLICANT: BRIAN FARIS
OWNER INFORMATION:
Den nis. Ponzio
326 S Whitestane Dr
Anaheim, CA 92807
BUILDING DIVIS10N
200 S. ANAHEIM BLVD.
(714) 765 - 515:!
. INSPECTION REQUEST LINE:
(714) 765 - 4626
CENSUS CODE: 434
QUARTER SECTION: 197
. ARCHITECT/ENGINEER INFORMATION:
PROCESSED BY: MJF.
---1
I
LICENSED CONTRACTORS DECLARATION I
herebyaffi(~ under penalty of perjury tha I am
licensed under provisions of.chapter9 (com r:1cing
with Section 7000) of Divsion 3 of the . ess and
Professions C e.
31812004
Date:
NUMBER
. 707927
TYPE
TYPE
C27
'HIC
EXPIRATI N DATE
. 212812005 .
Construcion Types:
VN" -,
Balcony 1 Deck Area:
Date: 31812004 Appiican -4..;.... :
WARNING: FAILURE TO SECURE MPEN A ON COve,:',;GeIS
UNLAWFUL, AND SHALL SUBJECT AN. EMPLOYER TO M INAL PENP Lit/::$ AND CIVIL
FINES UP TO ONE HUNDRED 11-IOUSAND DOLLARS ( O,OOO). IN AOlJln.9N TOTHE
COST OF COMPENSATION, DAMAGES AS PROVIDE;D FOR /N"SECTIOll 3706 OF THE
LABOR CO[)E, INTEREST AND ATTORNEY'S FEES. . ;
I CONSTRUCTIoN LENDING AGENCY
I hereny affirm under penalty of.pe_rjury that there ~ a,'construction lendinQ:~I~::~~cyfQrthe
__t'....r(.....,.m:;:l~~ ('~fh":" "'0~'"' h!' ...!~!~~_t,hj<~.:--~~!'~!~ !~.!~.~')":"'} {S-~~.3~~q .C::.:-;):;.-~L-:':_~:
lender's Information:
-!
I certify th~{lhave read this application arid state that the above j
aQree to comply with all city ordinances and state laws relating
~ereby .aut . . s'of t~_to enter upon the
., /On pur
tion is correct. I
ldlng c( nstruction, and
e mentione.j property for
700
Oat,,: 31812004
0.00
. Signature of Appiica r Agent
The permit shall expire by limitation and b null and vofd if thl> building or
work has not passed final inspection 365 from the date of permit issuance. A
new permit is required tei commence or continue work.
Fees paid for Permit:
Total:
INSPECTION RECORD
.... - . ...
, " INSPECTION. , DATE INSPECTOR
Temporary Power Pale
Plumbing (DrainIWaste Pipe) .
,Electrical Ground Electrode/uter .'
SelbacklFormsrrrenches (Footings). ~ 104- (1Lf '
Do not install sub floor or pour fl<;lOr slab until tfle
following applicable items have been signed:
,Plumbing (Water Pipe.Sprinkler Valves) . . .
Mechanical (Groundwork)
Electrical (Underground Conduit)
. Pre-slab (Compaction/Membrane.Rei nf.
Underpinning (Floor Joist/Girdersl ,
[.!Xl not cover ,or conceal the work below until the .
following applicable ileiTIs have been signed:
1st Floor Shear .., . .
Firesprinkler (Rough) ,
2nd Floor Shear . .
Roof (Sheathing/DiaphragmfFrane) .
MaSonry (ReinfJBond BearnlPre,Grout) .
RoughPlumbina ,(Top Out)
Rough Mechanical
I KOugn t:Iectncal (ury wall) .
Rough Electrical
Framing (Only after Plbg" Elee,. Meeft, and',t"ire)
Insulation (SoundlEnergy) . ..,
Do not tape or plaster until the following 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 (arown Coal) . '
T -Bar Electrical . .
T'Bar Mechanical
T-Ba,r Structural' . .
Sewer
Water Engineering aackfiow .
Water Service , .
FINAL INSPECTIONS . . Date ,Inspector .
Electrical. Final . '
Plumbing Final . . ' .
Mechani,cal Final
Gas Test ' . . .
.
Engineering/Grading Final 765-5126
Fire 'Dept. Final 765-4040 , .
Water Engineering 765.5268. . ' , .
Sub Lisll6usiness License 765-519> . , .
Zonir\!l765-5139
Building Final ~ast Inspection. Only . .
Iter Above Completel' ...
PARTIAL INSPECTIONS,
BuildinQ Inspections
Mechanicalll1spections
Plurnbina Inspections
Electrical Inspections
t:I::.RMIT EXPIRED
INSPECTION'
NOT COMPLETED
DA'iE:J}-ln\o~,
, "'-',"", - '. .., ..!.