445 S. Westridge Cir.
TYPE OF'PERMIT
Residential Remodel
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BUILDING DIVISION
200 S. ANAHEIM BLVD,
(714) 765 - 5153
INSPECTION REQUESTLINE:
(714) 765-4626
CENSUS CODE: 434
QUARTER SECTION: 180
BUILDING PERMIT NO. 'BLD2005.00053
DATE: 1/10/2005'
, JOB ADDRESS: 445 S WESTRIDGE CIR
LEGAL DESCRIPTION: ,N TR 7569 LOT 1
CONTRACTOR INFORMATION:
DIAL ONE WINDOW REP,ACEMENT Sf'>'
1621 EST ANDREW PL
SANTA ANA, CA 927054932
6USINESS PHONE: 714558'U678
JOB DESCRIPTION:lnstall new sliding door to replace window. '
VALUATION: 3,500,00 j
I OWNER.BUILDERPECI.ARATION
I hereby affirm unde(penalty of perjury that lam exempt from the.Contractor"'~UcensE:i Law fOf the following reason (Sec. 7031.5 Business and.'
Professions Code:~ny City orcountywhich requires a,.permit to construct, ait~'IK improve, demolish or repair any structure, prior to i'ts:)Ssuance: also
requires the.applica,nt for such permit to file a signed st~te.'Tl:entthat he is Hcet;:s~d pursuant 19 theproyisionsofthe Contractor's License Law (Chapter
9){commencing with Section 7000 of-Division 3 of the, Buslne~s'and Professrchs Code) or that heJs ex_empt therefrom and the basis for the alleged
exelT'!pti<~>n. Any 'Jiol.ation of Section 7031.5 oy any applicant f9r"a per~it sUbj-:",cts the applit:.an11o a dv~ pena1ty of not more ,tha n,five hundred donars
($500). , , ' '. .
o I; ~as_owner of property, or. my empioyees with wages as thei!">j,<>O!e'c()m~-(:;1-S-aUon,_ will do the; work, and the siructure is no~ intended or offered for
sale (See, 7044 Business and Profes:sions Code: The Contractor's l,..icE~nse,~L~w does not apply to an owner of property who buHdsor improves .~
thereon, and who does sum work himself or he~elf or through his or her ovm'ernployees, provided that such improvements are not intended or
offered for sale. If, however, the building or improvement is sold with one yec;(' d ccmpletion, the ownei'-builcterwill have the burden of piOvlng that he
tjid not build or improve 'for the pUl'pose of sale). . ,",',,__, .. , . .
o . I, as'the owner of the- property, amf)xdusiyely cor.tJ:a~jng, 'withU?,enSed A-mtractors to construct the project (Ser;. 7044 Business and' ProfessIons
Code:' The Contractor's: License Law does .not apply to -an'o~~6otp~operty~:t;c bullds~2(ir:nproves thereon, and who. rontractS for such projects with
~~o,ntrador(s) licensed pursuant to the Cc:>ntractor's License Law)": -; .
. LJ 13m exempt under Sec. ,B & P.C. fQrthis reason:
. Date: Owner::
r WORKER'S COMPENSATION DECLARATI0N:
I hereby affirm.under penalty of perjury ~me of the following deciarati()~s;~' ~"~::O
o I have andwill maintain a certificate of oonsentto self-jnsllre;.(~rwork~r's,~o(l1pe(!Sa'tion,
as provided for by Section 3700-ofthe Labor Code, for !heperforrflarrCe of fht:: \111"01".< for which
this Jermit Isissued. .,' F
I have andwill maintain worker's compensation insurance.. as re,qtsired by Sectlcn 3700 of
the Labor Code, for the performance,of the work for which this ~(mit is'isevcii. Myworker's
Compensation-insuran~ carrier and policy are,: '
Carrier: STATE FUND ,PoliC'(,'\I~mbeJ::8673-20Cf
This s,ection need. not be completed if ~e p.e~it is for one - hundred dollars' {$1 00) '(ir_ ~~~.
o I certifY thatin',1he perforrnanceof the work for whIch thIS permit is iss~:I-~.!an_ not .
.employ any person in any manner so as tq-become subjectto theworke(s'con~pel1sation laws
of Califomia, and agree that if I should become subject to the worker's compe.~IS~tibn
provisions ofSectiprl 3700 of the Labor Code, I shall forthwit~ comply with.theSe provisions.
APPLICANT: MIKE BOOHER
OWNER INFORMATION:
Coy D Me
445 S WestridgeCir
Anaheim, CA 92807
ARCHITECT/ENGINEER INFORMATION:
PROCESSED BY: KBT
~==:J
LICENSED CONTRACTORS DECLARATION i
I ~eteQY affirm LInder penalty of perjury that I am
licensed.under provisions of chapter 9 (commencing
with Section 7000) of Oivsion.3 ofthe BUsiness' and
p"'fessions~
1/10/2005 . '
OatE1::. . . . Contractor
NUMBER'
523043
TYPE
TYPE
TYPE
,EXPIRATION DATE
1/31/2006
C39
B
D24
Date: 1/10/2005 Applicant:
WARNING: FAILURE TO SECUR WORKER'S COMPENSATION COVERAGE,IS
UNLAWFUL, AND SHALL SUBJECT AN EMPLOYER TO CRIMINAJ;'PENAlnES'ANO CIVIL
FINES UPTO ONE HUNDRED 1l-!OUSAND OOLLARS ($100,060),.INADDli)ON TO TI:JE
COST OF COMPENSATION, DAMAGES AS PROVIDED FOR IN:.SECTION 3706 OF THE
LABOR CODE, INTEREST AND ATTORNEY'S FEES, '
'I CONSTRUCTION LENDING AGE~1::t .
I h~reby affirm under penalty of perjury that there is a construction lendina i:7'~:C:Y. for the___.
. j)-:::fiOtiliC:lflC$ of tne worinor which this-permit is issued (Sec.3097,Civ.C);
Lender's Information:
Construcion Tvpes:
VN, .
Fire SprinKlered?
NO
I certify that' have read this application and state that the above informatIon is correct. I
agree to oomply with all city ordinances and state laws relating to' bunding construction, and
heret;ly authorize r~presentjves of this ~ty to enter upon the above mentioned property for
insp io uses.
Dale: 1/10/2005
Fees paid for Permit:
Total:
148.87
Signature of Applicant or Agent
The perll)it shall expire bylimitation'and become null and void if the building or
work has not passed final inspection 365 days from the date of permil issuance. A
new permit is required to commence or continue Work.
INSPECTION RECORD
INSPECTION DATE INSPECTOR
Temporary Power Pole' .
Plumbing (OrainlWaste Pipe).
Electrical Ground Electrode/Ufer
l>eibacklFormsfTrenches (Footings) .
00 not install. subfloor or pour floor slab until the
fOllowing applicable items: have been signed:
Plumbing (Water Plpe.Sprinkler Valves)
Mechanical (GroUndwork)
Electrical (Underground Conduit)
PI1!-slab (CompactionlMembrane.Reim.;
Underpinning (Floor Joist/Girders)
00 not cover or conceal the work. below until the
following applicable items have been signed:
1st Floor Shear .
FlI1!$prinkler (Rough) .
2rul Floor Shear
Roof (She.hina/DiaphraamlFrarnel
MalIonry (ReinfJBOnd BearnlPreoGrout) .
RcSughPlumbing (Top Out) .
Rough Mechanical
Rough ~ectrlCallury wall) . .
Rough Electrical
Framing '{Only after Pfbg.. Elec.. Mech.~ and Fire} .
Insulation (SoundlEnergy) . .
Do not tape or plaster .until the following applicable
items have been signed: ... .
Drywall ..
Penetrations (Fire Rated) Electrical
Penetrations (Fire Rated) Mechanical .
Penetr.ions (Fire Rated) Plumbing
Interior Lath
Exterior Lath
GENERAL ITEMS
Exterior Plaster (Brown Coat)
T -Bar Electrical
T-Bar .Mechanical . . .
T -Bar Structural
Sewer
Water Engineering Backflow
Water Service .
FINAL INSPECTIONS
Electrical Final.
Plumbing Final
Mechanical Final
Gas Test
Date
Inspector
Engineering/Grading Final 765-5126
Fire Dept: Final 76S-4040,
Water Engineering 765-5268
Sub List/Business License 765~519
Zo~ing765-5139
Building Final. fLastlnspection- Only
After Abo~e Completel
PARTIAL INSPECTIONS
. Buildina Inspections
Mechanical. Inspections
. Plumbina InsDections
ElectricallnSDections