1708 E. Willow St. 2nd Unit
BUILDING PER":!J NO. BLD2004-00737
1
T'(PEOF PERMIT
New Residential Construction C I TV
DATE: 12/21/2004
JOB ADDRESS: 1708 E WILLOW ST2ND UNIT
LEGAL DESCRIPTION: N TR 1565 LOT 212
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BUILDING DIVISION
200 S. ANAHEIM BLVD.
(714) 765.5153
INSPECTION REQUESTLINE:
(714) 765.4626
CENSUS CODE: 434
QUARTER SECTION: 1Q3 J..;;""
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APPLICANT: JOSE BARRERA
OWNER1NFORtvlATION:
;10 se l Barrera
1706 E Willow St . .ii;.
Anahelm: CA 92805 '. . i
JOB DESCRIPTIONNew Residential Construction, Add naw 5508f de~che\~_~~d uniL (Origiilally issued 8s:.1706)
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VALUATION: 37,015.00 . . }J' . .... PROCESSED BY: GAQ'
L . OWNER'E\UiLOE~'QEClARATION. '. ~-c--i
I hereby affirm under penalty-of perjury that I ::m _ eX,empt from the conlioctoi'f UC,Bnsp."l,aw for i,he foHowing reason (Sec. 7031.5 ~usiness and
Professions Cbde: any atY .or ccuntywhich require:> a permit tnconstn.:ct. af'l,r;,inlprOVe,"demoIJsh one-pair any struc:'ture, prior to it.c; lss'uance, alSO
requ'ires:.the applicant for suGh permit to. file a Sig.l"';ed staterl\ef1(~I'\dti1i! i,s lic):~jse~ purs~ar:t to, the pro'Asions ofthe:,,,Gontrach)!'s License Law {Chapter
9).(commencing with Section 7000 of Division 31)f the 8usiness~n~ Pr(';fGes)~~s....COde) 0rthat he is ex:empt therefrom an~ the.basis for th~ alleged
exemption." AIT'J violbtlon of,Section 70~1.5 by any applicant fO~,ap~tmlt ~ucjf:!Ct!; the applicant-to a dvi! pe"altyqf not more th~!"! five hundred dollars
($500). . . . . . ..j~> '., " .'. .
0" ,I, as owner.of pr'Jperty, or my empJoy~es \f..'ith wages as tije:r ~rJ!'3 conT,}.?ftS8tiQ:=:;<o-"/lW do the work,:ar.d. !he structure is :lot intended c( offered for
.saJ~' (~ec",7044 Business 8(id ProfE~ssionsCode: The. Contractor's L!c~nse~~.....;dce.s"r.ot aprlyto~c.n:c~Nn~( ,)f ~roperty wh9 builds or improves
.,thereon,a,nd who dc.:;s such worJ',hirnself or hefself ar throug~1 his.Of hef"o\"r'I::emPI()i~es"prOVided,that.su~h impro'Jcmenl$Cl:W not int~nded or
. offered for sate. If, !;.1wever, tile buildi:'1g or imorovernent. issqld vvi~n bf'~'y~~#r of.corrip:!etinn, the owner__bwlder wili h::lve the burdeaaf orovin~ that he
~ltl ctbulldorir,.,pro\:.::forth,~purposeofsale). . . ;~ .. .
f I, as the ':.lwner of toe ~rona;iy, am exctu~" ly cvntmcting WIth l::;.en;;.~.(a;n1rn.ctf:rS to construct th<;l ~rojecl.lSec. 7.044 8\JsiIlASS ~l1d Professions
o =>: 1 he Contractor's License law does fn6 apply to an owner of propert:.~"yho r5tiild~ or jmproY.'~s ~h€.reot"", ard who oor;tracts fOI s:Jct'! IY.O)ecL<:, ,~!ith
fl-5fontraci:or(sj licel1sed 'pursuant to the C 'nt cter's ,&''Ce~ns~ law). . .1; . ~
IU~mexe:nP,undersec. , &P -:foeth.",""s.?", __B,...+.:.._________
Dat .v;...,:r,f~r Owner: L~ .I,Y__ _ ._
. _ WORKJ'~.Qm- liON DECL....RATION -cr---- ._J L' UCE~ISED CONTRACTORS DECLARATIQN j
I hereby?,frirm tmder penalty of perJurY. ne of ,e following dec};:;ratjoris:,'"..;:.' ",- I f hereb>' affirm unde,. penaity of perjUry 1i'lat"1 am
o I haveaT1d will maintain a certificate ofco~sent to se:f~jnswe,foT w.orkt3~tid;~~mpen~ati;~. 11i~e"0$Ga ~r,d~r provjs.io~s ~)f chaptel 9 (co~rner.dng
as: provided far by $ection 3700. of the La!:>or Cede," fer the pe,forman(:G ,1)'1 t~.~~~ VJOl'K for which ," 'Nlth S~~t\()n lCOO) of Dl\Isltln 3 of t.h<e=,B.usmess ,and
th!.S permitis issued. , ", ", ..", ."~t _ .", Professions Code.
[j I have alld will rTl6lntain worker's compensation lns(lrance, as bq:.tirerf.J::'.y SE!r.~ion.3700 oflV27/2C05
'the LaborGode. for .the performance of the work fer which ~his permit is ,i!;Su'f.'(;:'. !'J~y\\,'crl(ei"'s r Oelte':
Compensation inr.ur:ancecarrierand policy are:' .' t:.. . I
Carrier: :. PdJh:..y Numoer. L.: NUM3SR
~hi ,section ~ed not be~mp~eted ifthe~~~i5for one hur,dred dOllarS,!$1C~r.vir:-is" ',' ."TYPE
I certify that in the pelfanna.nce of th.e'"'Work for whlchtl1is permit is jSS!J~~o, ! ~hall. not
, emp y ,any person in any manner so a~(to bj3come subject to tha.wor!<.er's..~~'npensation laws
of Califomia, and -agree that jf ~ should.' bec0me su 'ed to the worker's com~l{.nsation I
provisions of Section 3700 of the La.! or de; I ~ aU fortl1Wit!i cmph~' ~ith H;:ls~" pt,o....isibn&. I Construcfon Types:
., 1';" V N,:,
Date: 1/27/2005 Applican.t . Occupancy Groups:
WARNING: FAiluRE TO SECU 'R3, . , ,
UNLAWFUL, AND SHALL SUB' CT EMPLOYER TO CR!MINAL ?EW,i.TlE8 AND CIV;L Fire Sprinklered? NO
'FINESUPTO,()NSJ:lUl\JORETHOUSANP DOLLARS ($100,OCO};,II-J ADl;~110~.J TO THE "\i'Oi.V€llinQ Units: " . 1.
COST ~OF :COMPENS/\TfotJ~.~PAMP"~r::$_~S ~eQYJ~!;_QJQR 'I!i S.ECT~r~:"~~~?~Q2,Ot"TtLE"~ . ,_!i:i.~q.~~~~._ _~~ _.__~__~ ~5Q__:_
".-LAf:vr<:Z~di)~:Ti~~rt:KE~;:(A\JD A-f'TOr<NEY'S FE~S. " ,
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CONTRACTOR INFORMknOH:
ARCHITECT/ENGiNEER INFORMATION:
~"
Contractor
EXPIRATION DATE
CONSTRUCTION LENDING AGENCY
I herebyaffirm underpEma.lty of perjury thatthere is a construction lending aGency for the
performance of the work for whid1 this permit is issue.d (See. 3097 .Civ .C):
Lender's Information:
~,
J certify tha,t I have read this application and state that the above information \scorrect. I
agree to m ly with all city or.dinances and state laws relating to building c:o:lsti"uction, and
.beri?b auth riZe r presentives of this' City to enter upon the abovementioned property for
insp ion rpo ~.
Date: 1/27/2005
Signature 0 App~cant or Agent "
er shall expire by limitation and become null and void if the building or
k 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:
2.642.68
INSPECTION
DATE
FINAL INSPECTIONS
INSPECTOR I. Electrical final
Plumbing Final
INSPECTION RECORD
, Temporary Power Pole
" Plumbing (Drain/Waste Pipe) Z, l-~"}
" Electrical Ground Electrode/Ufer 'V.(t. ~
SetbacklForinslTrenches (Footings) , ' 'V ((. ~., .
Do not install $Ubfloor or pour floor slab until the
foJlowing applicable items have been signed:
Plumbing (Water Plpe.Sprinkler Valves\
Mechanical (GrOUndwork) .
Electri,cal (Underground Conduit)
Pnl-slab (CompactionfMembrane.Reinf.
Underpinnlng{lOIeoc.JojstlGinlers) , ....1.t.~> OlM (~
Do not CJ:)ver or conceal the work below 'untirthe, ;'
following applicable items have been signed: , L .
1st Floor Shear' -t.,e;::ifI ,'7JI. $t4..
FiresprinkJer (Rough) " , ,\ '
,2nd Floor Shear ' .7.
Roof (Sheathh'llllDiaphrallmlftame) '~' wl?;;tft, 7/'~ "
Masonry (ReinfJBond BeamfPre-Gl'QlIt) /1 ~
R o,ug hPlumbing (TopOut) ~ .,.~~' "
Rough Mechanical ' .;~. ": :z.. ^
Rough E1ectrlCalllJry wall) ,1 1.. "I~' , ..-n./
Rl!ughElectrlcal '~ .,
framing' (OnlyafterPlbg"Elec"Mech ,and Fi'e) '-'3~, ~/,. :.....
Insulation (SoundlEilergy) '. ti,.' If'
Do not tape or plaster until the fol/owing applicable ,- / ,'- ,
items have been signed: ' ,/? -6--/ ; ..
Drywall ',' , ' ' " " ',', ,..~ .'r ,,~' . "
Penetrations (fire Rated) Electrical ',./ ' \.
Penetratil!ns (Fire Rated) Mechanical
Pertetrations(Fire Rated) Pluillbing
Interior Lath , '
Exterior Lath "
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GENERAL ITEMS,
Exterior Plaster (Brown Coat) , 15/.r7/",
T -Bar Electrical '
T-Bar Mechanical
T-Bar Structural
Sewer '3 ' ft1'}S
Wat,er Engineering Backfll!w
Water Service
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Engineering/Grading Final 765-5126
Fire Dept. Final 765-4040
Water Engineering 765~5268
$ub ListlBusiness License 765-519
Zoning '765-5139
Buildin, g Final {lasllnspeetion- Only . "',_ 0-'" ,
" After Above Completel ......:>
PARTIAL INSPECTIONS
Buildinqlnspections
Mechanical Inspections
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Plumbina Inspections
Electrical Inspections
1> ~2.,'Z~t:8 UNeEIL