138-169 S. Westchester Dr.
BOI!-DINGPE~MlrNO, BLD2001'04461
':'lfl~~~r~~{~;~0~" ".'
70 f) (,~'<t.\f ':I, ,
\~ ~i~i~)iI:IM
. ,. ~&?7 .
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. ' , . ~gJ:~:}Pf/.
TYPE OF PERMIT C'. .IT.'Y
. Reroof .
,DATE:.,12/18/2.o.o1 :' .
JOB APDRESS: 138SWESTCHESTEROR 17'
. .
. LEGAL DESCRIPTiON:, NTR 3886 LOT4
APPliCANT: DAN STRINGHAM
OWNE.R INrORMATION:
James G Kamns
15747 WoodrutfA've .
Bellflower, CA90706 ...' .
JOB DESCRIPTION:. Ro.of repair on rock' (; .sq, .
VALUATION: 7.0.0:.0.0' .
CONTRACTOR iNFORMATION:
DAN STRINGHAM , .<
16458 BOLSACHICARD PMB#;!' .
HUNTINGTON. BEACH, 92549-00.0.0 CA
BUILDING DIVISION
'2.0.0 S, ANAHEIM BLVD.
(714) 165 - 5153 . .
INSPECTION.REaUESTLINE: .
.(714) 765 - 4626
CENSUS CODE: 434
QUARTER SECTION; 5.
ARCHITECT/ENGINEER INFORMATION: .
"'"
PROCESSED BY: MAR
OWNER-BUILDER'C,ECbARATION
,l.her~by'afflrm.underp~na 0 perjury tHa,t, .ame':Ce,rnpt.fromthe'Contractor's'Ucense lawforthe _ oIlowing,.reason',( 00. 7031;5. !Jsin~~s'and
-.Professions. COde:: any dty-or countywhfch require,s a permit to construct 'alt~i"f.improve, demolish or rep8.w'any~truclure,.prior to.its: iSsuance, also..:
requires'the appiieant for such permit to file a:slgneds.tatement that he ,is licehk,d pursuant 'to the provisions ofthe'ContractQr's,License Law,(Ch,apter' ,
:, :9)(cofnmen_cing, witl1-See;tion7000 of DiyisiPh 3'of the Busin~s and'_P.rofession~'C-ode) or that he i,s ex~:mpt~herefr6m and.the~a~s, fo(theallege9 ,
:exemption.;' Any v,iolation of Se(:;tion70~,1,5 ,by anyappUcant for a permit sub!e<ft~,the applicant to ~ dVil,penalty of no't more;-than five hundred dollars
'($50.0): .... . ..... .' ., .. .' L . '. ..' .... .'.' .' .' ,
0, '.., <3;5 ,ow'n;er: ofpr.qperty, or,my ~ploy~es with !yages as their _ sole compe~~auon, will do the w~r!<;and th~' structure is nO,tJMEmd ed or offer~d for',
sale (See: 7044 'Business ai1d Professions Code: The:'CQP.tractor's License l.z'H.,does not apply to an ,owner-qf property, Who ,builds ,or improves
't~e'reon,and.whi?,d()e$'sud1 worl(l1i.mselforherself or throu9i'li'lis or her (hyo fJh,ployees;provid~ t~t Such)r1tPIOV!;lmentsarenot intend,~'.or "
,',o!lered fo~sale" If, hO\N~ver, the buHdinQ or:impr?vement Is sold wi,th oneSe.:!r ,&f- completion, the ,owner-builder will ha~ ~he burd,eh_!?~ pr?yinfl th~f he:
dld"otbUlldorlmpr9veforthepurpose~f~s:ale), . ',_ . " . 'l'f, . .' -'. ' . ' '. -,'- ~.'., .,','} > :
0: I". qs,the "owner, Of'the_ property, 'am eXdusivefy_ contmcting. with Iicen~ed Ci-'ntractors to construct t.heprQJect (S~c. .7044 Busjness and prpfessio,ns
Code:' The Contractor's,License Lawdoes Qot apply to an_owner of pr{)perty~ho bu~ds or improves thereon, and who' ,oontracts:for sUd1'p~ojects yv'fth
~6nt~a~q:(~~,I!cens~,pursua.nttot~e,Contra~tor's ,Lice~Se .Lavv-). ""':-:J,' .' ',,'. '.,.., : ~- '.,.::' ,-.
U Jamexemp~u.nd€:!rSe(:.,.. "._',B.&',P.C;forthlsreaso.n: . _,,~"". --:.. ...'. .', ,'.. .'. _.,.'
" Date:" . Owner: ' _ '
I WORKER'S COMPENSATION, DECLARATION (, . '.--1 LICENSED CONTRACTORS DECLARATION
I'herebyafflrmunder pe~alty,of perjury: on13 of the. foltoWingdeclarations: ,f, _', I h,eteby a irm u, er. penaltY-o ..perJury at J all,1
; 0- -i. ,have and will ma in,tairt .~. certif~te ofct>n-senUo self.Jnsurafor 'Worker'~','.~ompen$atjon. I iqensedund-er provisions of c t c-9( C"Oinmen~irl9.
as' provided far by Sectiol1,3700 of,the Labor 'Code" for the performance of1ht~work far,wtlich. . with Section7000) of 'ness,and
this pe~mit is,~su.ecL '". .... __,' ..' _. . .:' '.. . ' ,'i",,' . " 'Professions_Code.:
'Rrl I, have.and will ma'intain worker's, compensation insurance,_ as required bY 9eclion 3700 of 1211812001, \
. ifje',tabor'Code, forth'e'.performcmce:of..the work-for which this, permit is Issued.,?iMyworker's pate:
~ompensation- insurance: <;ani~r.and~'poUcy ?Ire:' '
. Carrier: Policy Nurnber./:,XEMPT - NO EMPLOYE
this section need nol /Je completed if the peRnitis ror one hundred d91lars ($1~9) O:r "less.. ." .
0" I certify.that iIT the performanceoffhe work for which . p~miitis.d:~~hal/ not
employ any person in,51ny manner so ~s to become sub' at, to 'ttie-'VYPf;~:, ~ _ _' _I~p.en_s,ation .Iaws
of Califomia,. and agree.that if Ishdtild"become $U' to thewofk.els:comP.er:s:~liori... :
"provh:donsofSecfion 3700 of t.he Lcilior.~ode 'h' rt It, cprr;p\YWi_tt'i thcsj;(provi,sioris.
..' . '. ".' !;
Date: 12/18/2.0.01 . Applicant . "1 ,i.
WARNING: FAILURE TO'SfOCUR WORK R'S OMPENSATIQNdoVERA:kls
. UNLAWFUL; AND SHALL SUBJECT AN. EMP YER TO CRIM INAL' PENAl:rIES,AI\ID CIVIL
FINES UPTO ONE HUNDREDTHOUSANDDOLLARS($1.o.o,.o.o.o),INAI:l~illON TO THE
COST.OF'COMPENSA110N, DAMAGES'AS PROVIDED FOR IN S!(G:TJOtr 31.06. OF THE'
LABOR COOE:INTE:REST'AND ATTORNEY'S FEES.. ,""ei' .\i',.".
CONSTRUCTION LENDING AGE~CY'
. :,.,I,~e.r,ebyaffjrm. ~Q~er p~nalty'of p,erjury'thatt~r,e'js ac~nstructi,Qn,le'ldi(tg?!$.ler.~Yfor-th~'_:, '
. perforrnan""o! the" ",ark, for which this permitisjsSued (Sec 3q~I.;fjv,9):.~ i'i' ' "
LElnoers',nionrlaiion:. ;..- "'. "'. ___."~A.'-,'C"_, :,.., .,.--"<_:.~"'~".: ' ~-.;
NUMBER
'32266~
TYPE
TYPE'
. TYPE
Construcion Types:
VN, ,
I=ire spri.nkl~red?
I certify that I haveiead thi
.agreeta ~mply with all
'h~teby authoriZe
jr:lspectlon'
pplication ar)d state that the above information is cQrrec't. "
ordiOances and~ate laws relating ,to buHdirig construction~ and
~tlves '~qryis citYtoenter u'pOn t~ ~bove mentioned property.for,
Date: 12/18120.01
819mature of Applicant or Agent
The Permit s xpiYe by Iirilitation.amlbecome null and void if the building or
work has not p3!>sedfinalinspection365 days from the date Otpermit issuance..A
, new permitls required to commence or continlle Work. .
. E)(PIRATION DATE
09130/2002 '
B
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HIC
NO
:Fees:_;paid for Permit:
.'Tolal:
56,50
INSPECTION RECORD
"
, '... . . ,
. .', ,', 1,I'lSPECTION ,DATE 'NSPECTOR
Temporary Power Pole. . . .
Plumbl ng (DrainlWaste Pipe) .
.', . Electrical Ground Electrode/Ufer '.
; SelbacklFormsfTrenches \FoOtlngs)
Do not install s\lbfloor or pour'floqr slab l)ntiitne .
, following applicable items have been signed:
Plumbing ,(WateT Plpe,SprinklerVallles) " "
,,' Mechanical (Groundwork)" .' I . .'.
Electrical'{Un<terground Co!,duit). . . .
..Pre-slab ((;ompactionlMembrane.Reinf.
Underpirli'irlg (Floor Joist/Girders) '.,.' I .
.Do npt cover orcon~al tne work. below until tOll ,
following applicable' items have been signed: .' . ,
. .
1 st Floor Snear . . . " .'
Aresprinkler (Rough) '. .. .
2ndFloor'Sheai' '" . .
Roof (S/teathing/DiaphraginlFrarne) . .
Masonry (ReinfJBQitd~am/Pre-Grout) .
Ro.ughPluinbing, (Top Out) , '. . '. .'
Rough Mechanical .' " . ,
Rough8ectrlcallDry~II) . .
Rough Electr;.::al' .' . .: . . '.
Framing {Only atier"PI5g." EJec.: t1ech., 'an.dFire) .
, Insulation (SoundlEnergy) '. . . .
, 00 'not tape .or plaster until th<l following applicable
Hems have berm signed;-' . .-' "". . , .
. . Drywall , .... .' ' , .'
Penetrations (Fire Rated) ElectriCal.. '.
Penetrations (Fire Rated) Mechanical. .
Penetrations (Fire Rated) Plumbing I " ....
.... "nterior'Latn ". .... '.' I' . . '.
. EXterior Lath .' . .' . .
, " ..,' GENERAL ITEMS . ' .
Exterior p'laster (81'OWrt Coat) ". '. .'
T .8..t Electrical' '. . . ,. '. , .
" T -Bar Mechanical ".. '. . :.
T -Bar Structural .
Sewer . .,' " . I. . .'
Water ErigineerlngBackflow '.. .
, Water Service . , .
.,'
FINAL INSPECTIONS .,'
Electrical.Fin..1
PlumbjngFlrl.al
Mechanical. Final
G..sTest
Eng'i neerillg/Grading Final 765-5126
Fire Oep!. Final.765-4040
Wate, Engineering 765'5268 .
Sub l,.istl8usiness License 765:519.
Zoni;,g 765,5139
Building Final (last Inspection. Only
.' , ',' After Above.Complete)
. .' MRTIAL INSPECTIONS ....
. .
BUildinalnsP9ctions '.
Date Inspector
"
Mechanical Inspections
PlurnbinQ Inspections
,.,. .',
'. .
Electrical Inspections .
. .
PERMIT EXPIRED
.' ......INSPECTION, .'
. NOT 'COMPLETED.
DAT~:\(\\'c;\o<( -, ..,.
.~
BUILDING PERMIT NO. BLD2004-00157
ElM
BUll-DING DIVISION.
200 S. ANAHEIM BlVD.
(714) 765- 5153
. INSPECTION REQUESTLINE:
(714) 765- 4626
CENSUS COPE: 434
QUARTER SECTION: 5
~~~?FPERMIT CITY
'DATE: 1/20/2004
JOB ADDRESS: 138 S WESTCHESTER DR 1
LEGAL DESCRIPTION: N TR 3886 LOT 4
APPLICANT: DAN .STRINGHAM
OWNER INFORMATION: CONTRACTOR INFORMATION:
James G Kallins . DI}N STRINGHAM .
15747 Woodruff Ave 16458 BOLSA CHICAHD PMB#2
~ellflower, CA907l)6 HUNTINGTON BEACH, CA 92649-0000
. . BUSINESS PHONE: 714 841,..2630
JOB DESCRIPTION: Ho(mop roof repair of 5'sq over units 18 & 19. '
VALUATiON: 650.00
I OWNER.BUILDERDECLARATlON
r hereby affirm,under penalty of perjury that I am exempt fromthe Contractb~s License law for the following reason (Sec. 7031.5 Business 'and.
Professions Code:-any dty or county which require,s a. permit to construct, clt9r, il1)prove; demolish or repc!ir any structure, prior to its issuance, also
requires the applh;:ant for such permif to file a sigl1edstatement that.he islice1nsed pursuant to the provisions of the Contrad.or's License Law (Chaptet
9)(commencing with Section 7000 of Division 3 of the Business and profess1;ms ~ode)or that heis exempt therefrom and the basis for'the alleged
exemption. An~.Yioia~iOn of Section 7031.5 by any applicant for a permit sU9:ects the app{icant to a civil penalty of not more than.five hundrea dollars'
($500). .' . . . .. ',)' . . '. .
D -I, as owner. of. property,. or my employees with wages as,'their sole COm~;!'lsation, will do the work, and th~structure is not intended or offered for
.sale (See:' 1044 Busin~s ~nd Professions Code:. The Contractor's License J.:~w'.dQes not apply to an owner of propertywho builds_or improves '
thereon, and who does 5:uch, work himself orhe_lSelf or through his or her own employees; provided that such improvements are not intended or .
offered for sale~., If ._however, the building or improvement,~ sold with one ye.~r of romp/etian; the owner-builder will have the burden of praying: !hat he
did not bu~d orimprove for the purpose-of sale). . }" . ,. . .. . ,. ~
D. J, as the owner: of the property, am exdusively contracting ;with licensed _'-::ontractarsto canstructthe.project (Sec.7044 Business and Professions
Code: The Cantractor'sUeense Law does not apply,to ~n owner of ,pr~perty '."Iho bunds or imp~oves thereon, and who contracts far sum projects with
. fU(ontractor(s) li~ensedpursuant to the Contra6to~s UoenSe Law).
U J alT! exempt under Sec... , B & P .C. for this reason:
Date: Owner:
I WORKER'S COMPENSATION DECLARATION
I here.by affirm under penalty of perjury one of the followin9 declarations:
o I have and will, maintain,a certificate of consenfto .self-insure for worke(3 compensation,
as provided for-by. Section 3700 of the LaborCode, for the Performance of th':~_ work fo-r whid1
this permit is iSsued.. . .: .
o I have and will niaintainwo~er'$ compensation insurance, as required bit Section 3700 of .1/20/2004.
, the labor Code, for the, performance of the work for which thiS permit is issued. My worker's Date:
Conipen~tion inSurance earlier andpo~OJ are:
Carrier:
ARCHITECT/ENGiNEER INFORMATION:
PROCESSED BY: MJF
'-
Policy Number. EXEMPT - NO EMPLOYE
NUMBER'
322665
TYPE
TYPE
TYPE
EXPIRATION DATE
. 9/30/2004
This section need not be CClI1lpleted if the Permit is foI' one liu red dollars ($1001 or less.
0.1 certify that in the 'perfo!"llance of the work for whic .this permit'is issued/tshall !1Qt :
employ anypersoninany mannersoas-tobecomesu e to theworker'sc(.;rnpensation laws
of California, and agree that if I should.become . 0 ttlA u''':'t'en-comPf,hsati_o.h .
prpvisions of. ~tion 3700 o~ th~ l~bF Cod ith cO'!lply-with ~h:1~~e provisions. Sa~~t~cion Types:
Date: .1/2012004 . Applicant ~
WARN ING: FAILURE TO SECURE WORKE S MPENSA TIONCOVER'\QE IS
UNLAWFUL, AND SHALL SUBJECT AN EMP~ I\'ERTO CRIMINAL PENAJ.jIES AND CIVIL
FINES UPTO ONE HUNDRED THOUSAND DOLLARS ($100,000), IN ADDiJJON TO THE
COST OF COMPENSATION, DAMAGES AS PROVIDED FOR IN SECTION.t.'Q80F THE
LABOR C()(JE, INTEREST AND ATTORNEY'S FEES.. . . \if.'
I. CONSTRUCTION LENDING AGENCY. lH
,I hereby affirm under penalty of perjury that there is a construction lending ~g.~Ilc;yfor'the
. ~rfo:-~~~n~~-oft~e wcr~ ,f6:- 'N~!~~h:'! ~.,;::-r;:it ic.l~'~'~2:d <S-s.~~~07~,Ch;.r::}: ..;,.: .L~_: ..~"';:-:;,...-: Y... .,/"
Lender's Infonnation: .
B
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HIC
~
ication a~ state that the above information is correct. I
rdinances'and state Jaws relating to building 6o'lStructionj and
of this city to enter uponlhe abovementioned property for
Date, 1/2012004
,Fees. paid for Permit:
Total:
58.45 .
Sign re' of Applicant or Agent
The permit sh pire by Iir,nitation and become null and void if the building or
work has not passed final inspeclion365 days frQrn the date of permit issuance. A
new permit is required to commence or continue work. .
INSPECTION RECORD
. .INSPECTION DATE INSPECTOR
Tllmporary Powllr Pole. . . I
Plul11bl ng (DrainlWastll Pipll) . .
Eklctrlcal Ground Electrodl!lUfer '. .' . '.
SetbacklFormslTrenchl!S (FootingS) . .
Do not install.subflooror pour floor slab unti.1 thll .
following applicable items have been signed: . .
Plumbing (Watllr.Plpll.Sprinkler Valvlls)
Mechanical (Groundwork I . .
Eklctrical (Underground Conduit),
Pre-slab (compaction/Membrane.RIli nf.
Underpirming (Floor JoislJGirdl!l's) I
Do not covllr or conceal thll worn billow until thll
following applicable items have be.en signed: .
1 st Floor Stillar
Firesprinkll!l' (RoUgh). .
2nd .Floor.Shllar . . .
Roof.(ShealhiIlllfDiaphrallmfFr<mIl)
Masonry (ReinfJBond Bll<mlPrll-GtOUt) .
Rough Plumbing (Top Out)
Rough'Mechanical
Rough Electrical II) .
Rough E'"ctrical .... .
Framing . (On~ afier f'lbg., Elec.. Mee":, and Fire, . .
Insulation (SouridlEnergy) .
po noUapll .or pla~ter until. the following applicablll
Items have been signed: . .
Dryvvall . . . . .' . . .
. .
PMetratlonS (Fitil Raled)Electrical
P6netrlltions (Fire Rated) Mllch;inical . .'
PMetralions (Fire Rated) Plumbing
IntllriorLath
Exterior Lath .
GENERAL ITEMS . . .
Extllrlor Plaster (Brown Coat) . .
T -Bar Electrical . . . . .' .
T-Bar Mechanical .
T -Bar Structural . .
Sewllr . . . . . .
Watllr Enginellring Backflow
Water Sllrvlce . . .
FINAL INSPECTIONS . Date Inspector.
. E.lllctrical Final .
Plumbing Final .C
'.
Mechanical Final . ,
Gas Test . .
Engineering/Grading Final 765-5126
Fire Dept. Final 7:65-4040 . . .
.
Watllr Engineering 765-5268
Sub LislJBu$inllSS Licensll 765-519 . . . '.
Zoning.765-5139 . .
Building Final . ~ast Inspection- Only' .
. Iter Above Complete) . .
PARTIAL INSPECTIONS
Buildinq Inspections
MechanicallnSDections
Plumbinq Inspections
ElectricallnsDections
PERMIT EXPIHE~
. . I NSPECT10l'i _
NOT COMPLETED
DA1E:~\\\<i\0'{ .