1000 N. Ventura St.
--. -'
TYPE OF. PERMIT C TY
Residential Addition . I .
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Q~$j~\ril~H ElM
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BUILDING DIVISION
200 S. ANAHEI~fl 81 VD.
(714) 765 - 5153
INSPECTION REQUEST LINE:
(714) 765 - 4626
CENSUS CODE: .434
QUARTER SECTION: 31
BUILDING ?ERMIT NO. DLD2!104-02686
DATE 7/7/2004
JOB ADDRESS: .1000 N VENTURA ST
LEGAL DESCRIPTION: N TR 1202 LOT 137
APPLICANT: MARK ROJAS
OWNER INFORMATION:
MarkO Rojas
1000 N Ventura St
. Anaheim,. CA 92801
JOB DESCRIPTION:New detached garage with iaundry room.
,
VALUATION: 16.BOO.00 i. PROCESSED BY: FAi\l
L . OWNER-BUILDElIPECLARI\TION. . .
I hereby affirm ur.der p~nalty of perjury that I am exempt from the Contractor;) License Law for the. tcliowing reason (Sec, 7031.5 Business and
. Profess\oos Code: af'lY city or cotmtywhlch requires a permit to cOf!strllcl, ::ll!;~r. improve, deJll0lish or repair'-any structure, ,prior to il.:: issuance, also
requ Ii es ,the applicant for such_permit to me a signed statement that n~ 1$ 'i~!5ff'S'3d p: Ir~uant to thf; provisions of thtJ Contractor's License Law (Chapter
9)(commenpinQ witttSection. 7000 of DiVIsion 3 or the' Business and Profes3:..~nsCode) or ti;-etl1e is exempt therefrom and the b;::lsis fur tbealleg,ed',
exenwtion. .Any violatiorr of Section 7C31.5 by any applicant for a pe(mirsubi~cts tJ,e tl!~p;:o.;~:nt to 'a c,j\tll penaltyo[ not mere than five hundred dollars:
J$500}: . ...... ..:'. ." . . .
r,.d'l as owner of property; or my employees W!tli Wd.ges'as the; sole COIT1f.;~n$ation, wlll do the work, ~ndth~ strU{:ture ;$ nof iilte;'lded oroftered for
sa~e (Sec. 7044 Bt;..;,in'~ss and Profession,> C(.de: . The Contr~dor's U~~~so Hii\V do~,s r':ot apply to ~n owner.of propertv \^;ho ,builds or improves .
~ thereon, and who doeS,3Uch.wcrk,himsclf or hem~jf of'through his 01 nt:::r t"\"I~emplo'y~es, provided that such improv<i;~r.ts ore no'iintend~ .or
offered 'for S3le,lf,.ho~ever, the building Of improvement is sold with onE-:! ye:qr of completion. tJ,e owher':'build~r wHl ~1ave tr,e .blirdefl of orovif1t-! that-h~
.ciid not l2uildvr impr6~-efor the PUrP~)S~ of sale). ,.1.)':,:'\' .' .
o 1,"8S. the owner.o(tf'ie'-prcperfy, am exr;lu-siveiy c<":ltraeJng \vith li(:(:l'"',SedV,ntract0rs .~~ construpt tne proj(>cl (Sec.,71,)4-~:-5USi,ness QIlC ~roje~lons
Code: The Cont(ac.;!Qr~ license L~"t does not apply ki an owr.~r ot ~topGrt;,:r1/~ builes ('~. ir:1proves ther:.:'!-On, and \'Jho t::lntracts for such projects with
~io'!tradOr(.sJhGa:n$ed. Pl~~suant to tht::: .contra.ctor's L!cE-:nw law). ,:i- ~.' N ,;.,';> .
LJ. I am exempt uuderSec. ,B \~ P.C, ~or thi~ reaSQrr J
Oat~: '. ,. . . ONn-;r:--~ ---A;':-;----.
L-----WORKER'S COMPENSATION DECLARATION. -1--- -J
'- - - - -- - - - - --~--, - -', - -- ---.~"._-
I he'r~by -affirm .tlilder ,pena:ty' o'f perjIJ.r-j one of the to~l'1'.~Tlgdeclarations:. 1.
~1 1 have and W.itl rl"\3intair. a certific~t~ of o:m&er;tto se\f-imufl3 ,for:.worker'{ <:r.mpr>!l$3tron,
as provided jorby Secti~n. 3700 of the '--~b(';r <';od~, for the performailce ,-,f t~,): W;}lk, for which
tt:Hs perMit i~ issued. __ ,
0....) h~ve and will ,.r.aintain worker's Gumpensr:!tiC'!i.if'lsurance, as ref1ui:"~t1 bJ S-'?0tior. '3700 oJ 7!-7/2004'. __,_~__..,.
the Labor_Code,for the performance ot the, work fur which this permit :s is''q:5;~_.. .My lIVo_rl\e('s
Compensation insurar.ce ca.rrier and policy am: ' :
C:::3rrier: . . Policy Numb~r: . ~. ';,.
This'section need not be completed jf thepermit is for Cl"e hundred dOilar'5- {$1lJ~;~t.. less.
[J.-:-rcertify thai i,. tr'~ performance ofthe= work t6rw'hrch-th~ permit is-i~~J~,~':'-,~ :,h~11 ne:t
. employ any person in any manner soas to become stlbj ct to'the worke"r's cu,T~pe .S;)tio~llaws
of Califo'Tlia. and agree that if I should become subje 0 the worker'~ COrTlr.j~:~i.a or: '.
prOV.~i~S of Se ction 3700. of the Labor CQ~e, I. ~1 ort:~ith~~,IY w~~tt~:\;iS.iO._,~~:. '. I.~o~~tr~cio.n :yoes:
Dale: 7,7/2004 Appiicant: -_......(,.._,;...:- G.r3QeArea
WARNING: FAILURE TO SECURE WORKER'S COMPENSATiON COVEP';'~'. ...
UNLAWFUL. AND SHALL SUBJECT AN EMPLOYER TO CRIMINAL PEN.4.,:-;ES AND CIViL .
fiNES UP TO ONE HUNDRED 1HOUSAND DOLLARS ($100.000), IN AO[;I"ON TO THE
COST OF' COMPENSATiON, DAMAGES AS PROVIDED FOR IN SECT.QN:ic6 OF nlE
LABOR CODE, INTEREST AND ATTORNEY'S FEES.
., . CONSTRUCTION LENDING AGENCY
:I hereby affirm under pen,alty of perjury that there is a construction !er.din;J-;:!g;:._~ytor the
performanc;:e of the work for which this permit:s iswed (Sec.3097.C:v.cj:
_~_c;.~!l~"0ofo~~k.ri' ___~~___~____~__.-
CONTRACTOR INFOf{M-'TION:
ARCHITECT/ENGINEER INFORMATION:
. JAMES HOPPE
" 1072 TOWNHOUSE DR.
! UCENSED CONTRACTORS DECLARATiON!
.j-~i:'!reby affirm under rJf:1nalty of perjurytf:lat lim=!
. licensed uride(provi.c:iQr:8 of 'chapter 9 (commehcirlg'
with Section.700n) of Divsion 3 of the 8usiness ano
Professions C-:d.-:.
date:
. Contractor
nUMBER
F.XPIRA TION DA T(
TYPE
672
..,;;,0.
I .
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l certify that 1 have read this application and state.that-the_above informa'tion i'-> correct. J
agree to ~mply witt) all city ordinanc and state laws. relating 'building:eoLstruction, and
hereby au. thorize re~resentives of dty to. ent~r. upon e ab "Je mentioned property for
inspection purposes. . .'
. ~.---'-' .
~. - . ,c",''''_ . Date: 71712004
. "Sigriatu 0 AppncantorAg~nt . .~ '. .
The permit shall expire 6y limitation and become 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 comlllence or continue work.
.Fees .paid for Permit:
Tolal: .
512.12
INSPECTION RECORD
, ' INSPECTION D!\TE INSPECTOR
Temporaty Power Pale ' ,
Plumbill!i (DrninIWaste Pipe) . . .
Electrical Ground Electrode/uter ' '
SetbacklForms"renches (Footings) I ewJ.I
Do.nol instaU subfloor or, pour floor slab until the' / ,
following applicable'items have been signed:
,Plumbing (Water Plpe.Sprinkler Valves)
Mechanical (Groundwork) ,
Electrical (Underground Conduit)
, Pre-slab (Compaction/Membrane.Reinf.
Underpinning (Floor Joist/Girders)
p<? not cover or conceal the work below until the
following applicable items have been signed: , , . ' '
1st Floor Shear . (R'" 1'.1 \..t.U.f
Firesprinkler (Rough) ,
2nd Floor Shear, ' " . ,',
Roof ISheathing/Diaohl3gm1Framel '. .l<-WJ1 ,
Masonry (ReinfJaond BeamlPre-Grout) I
Rough Plumbing (Top Out) , ,
Rough Mechanical
R6ugn t:Iectrical (Ory vvall) I,
,Rough Electrical '
Framing.'.(OnJy after Plbg., Elec..-Mech.. and Fire) 1"I\lnWI~'
Insulation (SoundlEnergy) ../'/'",d,
Do not tape or plaster until the following applicable
items have been signed: .' - . -. . .'
Drywall ' " 0 IIcJ1'tA ,
,
Penetrations (Fire Rated) Electrical I ,
Penetrations (Fire Rated) Mechanical
Penetrations (Fire Rated) Plu!1lbing , , ,
Interior Lath ,
Exterior Lath ""\\~WV I "';!'-'W
, , ' GENERAL ITEMS ',' v '
Exterior Plaster (Brown COat) ~ ~
T -Bar Electrical "," J
T -Bar Mechanical' , .
T ,Bar Structural . '
,Sewer , , "
Water Engineering Backflow ,
Water Service ,
FINAL INSPECTIONS
Electrical Final
piumbing Final
Mechanical 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
Building Final lLast Inspection. Only , I _"'"
After Above Complete} ..,
PARTIAL INSPECTI NS 0
BuildinQlnSDections
I!'--:
MechanicallnSDections
Plumbina Inspections
, '
ElectricallnsDections