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510 N. West St. BUJ.LDlNG PERMIT.NO. BLD2003-04890 :I"'~; ",.,<.' ~:_---~... TYPE OF PERMiT Resic.:entlai :\ddit!on i'$..if'T"( /,r~~:\ CITY ~~'f:~~~E'IM . "~" <, ~ :t c'" ~ '. >'Y::,zr7~ '::::~ If '~;:: ;,-""<~~_1' ~ ,"r " - ::.~.. '3: .. \,_')~;' BUILDING C'!VIS;ON 200 S. ANAHEIM BLVD. (714)765,5.153 INSPECTION REQUEST!.INE: (714) 765, 4626 . CENSUS CODE: 434 QUARTER SECTION: 62 DATE: 6/23/2004 JOB ADDRESS: 510 N WEST 8T . , . LEGAL DESCRIPTION: VINEY ARDLOTS LOT B, 7 SLY '75 FT NL Y APPLICANT: LEO . RAMIREZ f OWNER INFORMATION: CONTRAcTOR INFORM,:.'nON: . ARCHITECT/ENGINEER INfORMATION: Leocadio Ramirez ' ! 510 N W%t St ' ; ANAHEIM, CA 92801 0000 : .' .' '. J .- '. .. .' .' , .1 JO~ DESCRIPTIONAdd 865sf family room;, 2~beQr~oms and Cl bath. Convf!ii ('::ist. bsd:-oom -1od.en 'VALUATION: 58,215.00 PROCESSED BY:'MJ~ . r-' '. . . . . . . OWNEn-B!JIL[;FR:i:;r:CLARATiGi'j.. "'~r~' .' .....J fhereby affirm, under'penalty of perjury, that I amexeiop1 from theC(jj"1.~ral7.~(:~ Ut;:sqse lp.wfor the fol.lowrng reason !Sec-lp31..5Business and:. Prof~ssion$ Code: any'.:;jty orcountywhich require::s,g perrnitTo con~:nJi.I, ?:.+., irr,prc"v'C, C:emoHsh or rep~ir anys~ru~ture.'prior ,f,;, its i~uance, t:;lso, requires. t~'e app.!icant for f~uch permit to, m~ ~ $lg~ed s::';ten~e;:1t that 1;(,';:; ij;,:'}<;>::.d o:)r5uant to the pn..ivi,sion.s rJf tile Cont~~~or'~ Li<?ens~'Law (Ch,ap~er. ,9)(commencin9wil~.Sect:c;n 7000 0;- DiviS;nn ~ c; t'h,::-' DUS!n8S$ c:nG ?rofes,';:-".{iS Cod~) 0r-t~i3lh'~ is'~(i;pt t~..~ro.fr(),m and the b-a~fs:, for th,e~~l)eged ',;.~...-.,' exemption. Any viotu~ion cf Sectio:,..'031-.5 b:,';~,"'lY appj;cani~or ~ permit sl.:b~;~ts the aprl.icant'to:3 dvit .penal~yof-"iotmo,e 'th~n'fiye hU,na,etM:Ic,lla.rs'r~ '-::1.;, !t. 0). j - . ' . I, as ovmer of property, or my employees with \/Voges <:33 t~eir $Ole CCjo:r-t~&C!ticn, ...:~: co) he \".'O.~k, <3t'10 ihe ::-tructure IS net Intend~d or offered for sa e (Sec. 7044 Business and Professions Code: The COf'ltr~r.tor's Lice;-:f.,;,,! -f~.. ::.!:.;Jf><> ."""r 'P:}::I ~o 3-:'"); ". "'!" of VOt?erty '-'!ho btlild!:: or improves then:lon, and who docs such work himself cr herself or tnrollgh nls cr hE'. :-:\,I ~i"il;:;IOYCE::;, provic!.ed fh ~'s'Jch-in,.,lOvemsnts are I ,ottrltend ed or c-ffered for salp.. If, however, the bUildIng or IMprovement i:; sold with one y:~ , 0f ccm~,i~tio'"!, ~:-f: 0",(jrr ;"!jlr;!or "/111 h-,)\,~ !hl: bU.(:!:?f! of Proving that h;~ dicjnot buUdorimprove for thepl:llpose of:>:~le). . . i.''' . , ',' .. , ' .... . . .. ." "'., . . o i, as; the o~ner 'of.tl'le, pr.QI:i~rt~, ,an~ ~xdlJsiv'ely C~i1tractjni1 'wit~ 11~C~~>S." 'i'~~~rClci.,}rs.. ~6'~"Jn$t~'uct tti?'9~oJect (S~(~,':',,',,~t:, s~:i$ii"\essp'vJ P.?fes.~jo,~t; Code: TneContractcr'~ ,License. Law .does n:lt 3pply iO, ar; O','o'Iidcr vr p~0;:~rty ~t1:: oLJjh:J<:;,::.r .nr,ro'~.cs th.e'r:?t?r.,:a.nd who ~il.l!"ac}.s for's~cJ:1 ,pr~..)lects ',vllh ;tJ~on~racl?r(S)I:CenSed purs~a~t.t()t~e~on~ractur'~~i~r:s~ Law). ..' .?'. ',,'" "'. .' ".' ",; ,L. . l:::lrnex~mptunder.scc. ',_ .~.r.~.J!?.C~fOv{h~J:~~SW ..---..l..---:...~.-c....-. _..~' ,'... "". __~.':._.,:,..' . Date: ..'.. Owner:". ... 'W4f.~{L'!1l~;g.~_~_~.._..___~:__--..:..:;...__.~", .. C . - _ WOR~F.R'SCOMPENSATI(jN DECL.\RA1l0N ' ~j~~==-' 'J r' LiCeNSED (;ONTRACT')RS DECLARATIt)~--l ~ ,,'I,tlere~y'affirm under penalty of perjLJiY..l)n~ of the, follQwing:dec!arations: it:'.,... -. __,I./Jerel)}<atf[r,r:' tln7~:~per:aity <;>f p~rjury mat -: ~m ..., .0,.1 have and. will inarntair, a certific:ute of consdnt to self~!{:sLl'!'e for "'W)..t,.:'t'1'~:j;!",;}::!";-:::;.~tIO'"!, , " !!cenl'>&d::.:nder:. riro~is;c~:::v.f.chapter,'9 (cormnencing '.' . ~s provided for by'S6dion 3700 of the Labor Code,for tl-.-e p~rformar.~ r::;'.:~' ,q:..,;;~o:;" ;;p"".riich 'I with !'cct:on (qQO) 'J; piyslcn 3 of tbe l3usiness :?r1d. .this te~m1t is issued.-. . . . " '.".J" . .' ?:o.f'.-,.~Ions C;Ode~ D) 'nave a'nd ~i!~ rrialn.t~inw9rk'er's c~rnpe~ation insurance, as':requir:9tF'I, ,:.>;;ur, 3700 CH.I' 6/2.3/2004 -the labor CO.de, for the performance of tftework for which thiS. penna is is'~~:':-:'~~.' \l~" .....:\";ri\e\'s 'I' Dalp.: ',Golilra'ctor Corr:pensationiJ1SUran~ carrier and polley are: ,. '~.' Carrier: . , , Pohc,,! Number. '. ' ~; I NUMBER EXPIRAT'lONDATE' . this section need notl?e.Co'TIPleted:ifth~ pennit is for on€ ilundn~d dollars ($10('~~'~ less. TYPE lV I certify that in the performance of the work for wtli,:h this permit is ;SS~I:::lJ. I shali not ~p[oy any person in any manner so as to becom.e subject to lhe worker's ('.c;:1~,,;en:sation laws ')f Califomia, and agree that if I sh,ould becom'3 subject to the wol"ker'3 comcc ,:;;"tJon ....I -~"'--.::')' . . provi$lons of se.ction3700 of the ~abor Code. I shall fO~ith comp'l\Vi'htt.t~PrOVisions.: .1 so~~tr~clonTvpes: Date: 6/23/2004 'APPhcant:~~"/Jf( :.. .._i'i' 'Occupanc"Gro:lDS: WARN ING: FAILURE TO SECURE WORKER'SCOMPEN SA TIOi'! CO~;." d ";E IS. .' R3.". '. UNLAWFUL, AND.SHALL SU\3JECT w,: EMPLOYER TO CRIMINAL ?I;NP,:.i'lii ANp CIVil F,,~ Spnnkle,ed? NO FINES UP TO ONE HUNDRED THOUSAND DOLLARS ($100,000), IN ADC!jWN rqTHE' Dwellina Units: 1 COSTOFCCMPENSATION, DAMAGES AS PROVIDED FOR IN S~CrICiN 1.706'OFTHE Livina Area: 865 LABOR CODE; INTEREST AND ATTORNEY'S FEES. . .. I. . CONSTRUCTION LENDING AGENCY .~~ . I he.r.'::!by aff.irm under penalty a," perjury that there is a con.s~.ruction.le:'1d!p.g 3;';,.::,~' f't~r,t:-,e pflrformance'ofthe work.forwhich this permit 15 issued'($ec:30$7 .C:,f.:.G):: ~_1..~0~~:": td"...~,,~.~c:.....~."'-,___"'--',_____'"_.___ . __~, ___ i'_,,~ " " . I certify that I have re~d this applicatlo~'and stat~ that the above information i~;correct. I agree: to romply,with,all city ordinances and state laws relating to bU"ding cOt1':;truction,"and h,ere~y authorize.representives of this, city, to enter upon the above mentioned property'for 'inspe io urposes. Date: S/23/2004 Fees.'paid for Permit: Total: 1,892.36 Signature of Appl canl or Agenl The permit Shall expire by limitation and b null and void if.the ~)tiildingor 'work has nOt pasSed final inspection 365 days from the date of permit iSsuance. A new permit is required to commence orcontimie. work. '. INSPECTION RECORD' . .' FINAL INSPECTIONS . Date Inspect r ; If;lectrical Final ~k<\7". ',. INSpECTION DATE . INSPECTOR' . '. , ~ 4Jt~iS?r' 11{(.,;iQ{. . .. Temporary power pole '. 1"IumbingFinal .P. <~(-r" '-t.s. -!!b .. Plumbing (DrainIWaste Pipe) . . "lItMl:r'1 ~echanii:al Fin~1 . . . '. . \'l:/c.r.<r Sf?d~cdr? ...... Electrical Grciund ElecU<<lelUfer , . . . . . . Gas Test . .', . Setllack/FprmslTrendles (Footings) MI1.lhk' A'.d, .' ;, .' . . I 00 notinstaH subfloor or pOUr floor slab until the .' . I Engineeri"9'Grading Final 765<6126'. . '. following applicable ite.ins havetieen signed! . .. . . .' .. '.' . Plumbi ngIWaterPlpe.$prinkler ""lves) ..' . Fire Dept. Final 7654040 .< . Mechank:a1 (GrOundwOrk) . . . ;. t Water Engineering 765-5268 . . . .. !:lectticallUnderground Conduit) . SUb i':;sll$usiness License 765-5.19 ' P/(I{\j'0 Pre-slab (CompllCtionlMembrane.Reinf. i11~1~'K. x,;,,,. . . 'TFG'.' I undflFpinning (RoorJOisIlGirders)' . . /. Zoning 765-5l39 '. . '. '. . . ool)ot cover or conceal the. work below Until the ,; .' . Building Final' \l:"st InspectiOn. Only \-q010\' $OL.A .' following applicable'items have been signed:.. ; '. I 1stFloor.Shear .' '.' .... (VUlT '. . '. Iter Above Completel . . ". .' . . PARTIAL INSPECTIONS Firesprinkler' (Rough). . .. ; '.BUildinQln~. 2ndFloorShear.... " . ".::. ~. . . b0 tJ<w-J ~. . .!mar (SheathiI1li1DiaphraQrnlFrame) . . . .ct-.J/;'i/;S"'. ..' 0_ . /lA.,A-.- MasonrY (~infJBond Beam/Pre,Grout) .o~l . . . . . . ". . . RpughPlumbinQ (Top Out) . 211. ~~ '. Rough Mechanical .:.. tzz-(J >04' . l .' . .. '. . ". .. Rougn t:IectriClll ( 'wanl" . 1..\'iI ~.. .......... .. . . . . '. . Rough Electrical" .. . . . . , I' f). . . ,Framing' (Only afterPlbg., Elee.. ~'eGh.. and FI,.} . ~ 1 . , . '. . InsUlation (SoundlEnergy) . .' 1li1J<tlp ...1 oS ~ A . Mechanical Inspections Do not tape 'of.plaster until thefOllowiA9 applicable " i.terns have been signed'" . : . . '. '. . . . .' . '. .' . Drywall .. .'. .... ,'"0. 1''1>1 w f}, 0 .' .' .' .'. Penetrations (Are Rated) Electrical If. . ... Penetral.iol1$(Fire Rated),Mechailical . . , . , f>!!netraliOns (Fire Rated) Plumbing ; I, . . . Interiorl,ath '. . '. . .' .' . . "" . . .. Plumbina Inspections .' Exleriort.all, . ' '.' .' 1JI~~--t:J .-:~ ..... .... . .' G.ENEAAlITEMS '. . ~. E:xteriorPlaster (Bra;\ln Coal) S- ,b-<> , .J ~. T-$ar'ElectricaF . ..... . . . . . '., . . T-Bar Mechanical' , .... .' . T-Bar Structural ., . . . . ,., .' . . . ". '. Silwer ',. . . . 7 . .' WaleI' Engineering .Backflow . '. ElectricallnsP8ctions '. . Water Servicil . . . . <;;ow "'~ oft ~ "l '.to M! .-- ~~\~ ,........ l~. .