131 S. Woodrose Ct.
BUILD,lNG PERMIT N(). ~I,D2003-04490
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BUILDING DIVISION
200 S. ANAHEI~1 dLVO.
(714) 765 - 5153
INSPECTION REQUEST LINE:
(714) 765 - 4626
CENSUS CODE: 434
QUARTER SECTION: 191
TYPE OF PERMIT
Residential Refl)odel C I TV
,DATE: 11/18/2003
JOB ADDRESS: 131 S WOODROSE CT
LEGAL DESCRIPTION: N TR 8409 LOT 4
APPLICANT: BARBARA, GRANT
'OWNER INFORMATION: CONTRACTOR INFORWTION:
: Stephen L Grant'
131 S Woodrose Ct
Anaheim; CA 92807 ,
JOB DESCRIPTION:Kitchen remodel. frame in door at kitchen leading to den.
ARCHITECT/ENGINEER INFORMATION:
VALUATION: 12,000.00
'\ OWNER-BUILDEF{bECLARATION
I hereby affirm under penalty of perjury that I am exempt from the Contractc~~;...icense Law for the foJ!ovying reason (8ec.7031.5 Business and
. Professions Code: any'city or'countywhich requires a permit to construct," 2;1,~r, improve, demolish or repair any structure, prior to its issuance, also
'requires the a'pplicant for such permit to file a signed stateme nt that he is iic';.'l,Sed pursuant to the provisions ,of the Contractor's License, Law (Chapter
9)(commencihg with Section 7000 of Division 3 of the Business andProfessLns Code) or that he is exempt therefrom and the basis for the ~lIeged
exemption. Any.violation of Sectfon 7031.5 by any applicl:~i1t for a-permit 3Ut;o:Cts the applicant to a civil penaltyof_oot.moretnan five_hundred dollars
($500). ...' ,
o ,1,_ as. owner of property, or my employees with wages as thd SOiDCOm!:t:nsation, will do the work, and the structure is not intendecfor-offeredfor
sale (Sec, 7044 Business and Professiqns Cod~: The Contractor's license L-iw does not apply to an owner of pr9perty who builds or improves .
thereon, and who does.suGf:l work himself or herself or through his or her ow ~ employees, provided th,at such improvements are not intended or
offeredfor sale. If, however,the building or improvement.is sold with one ye-'r of completion, the owner-builder. will h.ave the burden of proving that he
qij not ~r tmprove for the purpose of saie); , , .
~"the owner of the property, am exdusively'contrading with licenseO:-: ;':.:.ntractors to construct the project (Sec: 7044 Business'and Professions
Code: _ The Contractor.'s License lawdoes not apply to an" owner of property."'ho builds or improves thereon, and who amtrads-forsuchprojects with
Montract,o,_i(S) liCenSed, purs_uant to the Contracto(s licen~ Law). .
;;::;Ia,m exempt under Sec. ~'.r,BB.J~ P"CC"E rthisreason: _
~//-{i-O? ' Owner:~. ,
, , WORKER~SCOMPENSA)'iON OECLAH'ATION.__--.J
I hereby affirm IJnder penalty of perjurY- ons of the follOWing dec!a;ation~:
o I have and will ma'jritain a certiti'cate of cxmsent to self-insure for worker',; compensation,
as_ providedJor by Section 3700 of thela:bor Code, for the performance oftt' l work for whid1
this permit is. issued. .
o I have and will maintain worker's compensation insurance, ,as' required b/;~Section 3700 of
. the' labor Code, for the_ performance of the work for which this -permit is issu', -.:1... ~y wor~r's
Compensation insurance carrier and'policy ara:
Carrier; Policy Number.
PROCESSED BY: ODC
LICENSED CONTRACTORS DECLARATION
I her:eby a irm under penalty of perjury' that I am
licensed under provisions'of chapter 9 (commencing
with Section 7000) of Dlvsion 3 of the Business and
Professions Code. .
11/18/2003
Date:
. Contractor
NUMBER
EXPIRATION DATE
This section need not be completed ihhe pennit is tor one hundred dollarS ($10!) or less.
o _I certify that in l~e performance of the work forwhich this permit is issue~l; I-shall,not
employ any person in any manner so as to become subjecttbthe V'orker's ctlmpensation laws
ofGalifo.mia, and agree'that if I shou1d become subject to the worker's com'pJl1sation
prav,isions of Section 3700 of the LaborCod-e, I shall forthwith comply with' t~':~!1e provisions.
Date: 11/18/2003 . Applicant: ~' ',', . ~
WARNING: FAILURE TO SECURE WORKER' COMPENSATION COVEh:AGE IS, '
UNLAWFUL, AND SHALL SUBJECT AN EMPLOYER TO CRIMINAL PENk_ifIES AND CIVIL
FINES UP TOONE HUNDRED 'THOUSAND DOLLARS ($100,000), IN ADr:TJON TO THE
COST OF COMPENSATION. DAMAGES AS PROVIDED FOR IN SECTIO!,; p06 OF THE
LABORCODE, INTEREST AND ATTORNEY'S FEES. f
I CONSTRUCTION LENDING AGENCY ''-'
I hereby affirm under penalty of perjury that there is a construction lendjngas,~ncyf.or the
performanCe of the work forwhich this permit is i~sued (Sec.;3097 .Civ.C): '
-,-_Ler.::tteJ':~_s.Hliqn;n:aftl)n' ~~-c--.,..' _.__,___. __.__"'~._ ' :,:~."',,---L-.',,,.__'
TYPE
Construcion Types:
VN, , .
nre Sprinklered? NO
j certify that I have read' this application and state that the above informatioi"'lls correct I
agree to comply . - all city ordinances and state laws relating to bu ~ding construction, and
hereby e rep,resentives of this city to enter upon ~he above mentione6property for
inspe purposes'.
&t.h"',-~' ,
'; ignature 'of Applicant or Agent
, The permit shall expire by limitation and beCome n'ull 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 commence or continue work.
Fees paid for Permit:
Total: 238.19
Date: 11/18/2003
INSPECTION RECORD
'0
INSPECTION .. DATE INSPE.CTOR
Temporary Power Pole .
Plumbing (DrainIWaste Pipe)
Electrical Ground Electrode/Uter .
SetbacklFormsfTrenches (Footings)
Do not install subfloor or pour floor slab untilthe
following applicable items have been signed: .
Plumbi ng (Water Pi pe.Sprinkler ValVes) . . . .
Mechanical (Groundwork) ,.
Electriclll(Underground Conduit)
. Pre-slab (CompactionlMeI11brane,Reim.
Underpinning (Floor JOist/Girders) . ..... .
Do not cover or conceal the work below unt,l the
fallowing applicable items. have been signed: . .
1st Floor Shear . .
Firesprinkler (Rough) . .
2nd Floor Shear . .
Roof (SheathinQIDiaphragmtFrane)
Masonry (ReinfJBoltd BeamlPre-Grout)
Rough Plumbing (Top Out)
Rough Mechanical. .. .. . .
Rough Electrical (Dry Wall) .
Rough Electrical . I
Framing (Only after Plbg.. .Elee.. Meeh.. and Fire) 79.S [111
Insulation (SoundlEnergy)
Do not tape or plaster until the following applicable
items hav,!: been signed: "- - .
Drywall 12. CL?? {OLl
Penetrations (Fire Rated) Electrical.
Penetrat.ions (Fire Rated) Mechanical
Penetrations (Fire Rated) Plumbing .
Interior Lath . . .. . . .
Exterior Lath
. GENERAL ITEMS
ExteriorPlaster (Brown Coat)
T -Bar Electrical . . .
T'Bar Mechanical
'T.Bar Structural .
Sewer . .
Water Engineering Backflow . .
Water Service . .
FINAL INSPECTIONS ~ , Dtie . Inspector .,
Electrical Final .. . I/-/(.of H-ermlllil
Plumbing Final . . IVt-o{ H<: rttfll10l
.
Mechanical Final . /1-9-0-1 Ii ~...t1ff/r/
Gas Test
Engineering/Grading Final 765-5126 .
Fire. Dept. Final 7654040 ..
. .
Water Engineering 765-5268 . . .
Sub List/Business License 765-519
Zoning 765-5139 .
Building Final ~ast Inspection. Only /It..u;.f It/!h~./i", .
. fter Above Complete)
. ./
PARTIAL INSPECTIONS
Buildina InsDections
Mechanical Inspections
Plumbina Inspections
ElectricallnsDections