1801 Lullaby Ln.
TYpE OF PERMIT CITY
Blockwalll Columns . ".
DATE: 5/26/2004 '
JOB ADDRESS: 1801 W LULLABY'LN
LEGAL DESCRIPTION: ' N TR 3256 LOT 10
BUILDING DIVISION
200 S: ANAHEIM BLVD,
.<714) 765' 5153
INSPECTION REQUEST LINE:
(714) 765 - 4626
CENSUS CODE: 434 .
QUARTE~ SECTION: 49.
BUILDING PERMIT NO, BLD2004-02082
APPLICANT: JOHN KINCAID
. OWNER INFORMATION: CONTRACTOR INFORMAflON: ARCHITECT/ENGINEER INFORMATION:
Jol1n E Kincaid
1801. W Lullaby Ln
Anaheim. CA 92804
JOB DESCRIPTION:lnslall 25 If block wall 6' high 10 city specs,
VALUATION: 1,200,00 PROCESSED BY: CAL
J OWNER-BUILDER LlECLARATION
I hereby affirm under penalty of per jury that I am exempt from the Contractor;.> license. Law for the following reason (S.ec. 7031.5 Business and
Professions Code: any dty, or countywhith requires,a permit-to construct, a\~1~r, improve, demolish or repair ClnY5:trucfure, prior to its.iSSlrlance, a,lso
requires the applicant for su"ch' permi~ to file a signed statement that he is licellsed"pursuant to the provisions.o.f.the Contractor's, License Law (Chapter
. 9)(commencing with Section 7000 of Division.3 .of the Business and Profess;;,:nsCode)'or that he is eXempftherefrom and the basis for'the alleged
. exemptian. f:\n~ violation of Sectian 703.1.5 by any .apPlicant for <;! permit subi~cts; the applicant ta a ~.Vil penalty ~f na~_~~~~_'~h~ n fi~~,_h~ndred dalla~s
($500), . ' .' . . . .' " ',. " .
o I, as owner .of property, army employees with wages as their sale compp.ns~tion, willda the wark, and the_structure is,natinten,ded .or: .offered for
sale (Sec.70~ BUsiness and Prafessians Cade: The Contractor's. License Lawdoes,not a-pplyta an aw~.rof property wha builds arimprave~
therean, arid wha daes' such wark himseff, .or herself ar.thraugh his .or her aWl: emplayees, praviqetl that such improvements are not intended .or
.offered for sale. ,If, however, the building .or h~pravement is sald with one ye<:r ofcompletian, th~ .owner-builder will 'have, the burden .of proving that he
did uild .or impr.ove fer the purpase.of sale)." . ' , _' . . , '. , .
I,-as the .owner of the praperty, am eX9~si~~ cantra'cting,with licensed {~ntractors to canstruct the praject (Sec. 7044-Business and Professiens
a ,: The Centractar's License Law daes 'a ply ta al) alN:l}er .of propcrty\Vha builds .or improves therean, and who contracts far sum projects with
antrad.or(S) Ucensed pursuant.tethe a'~' _ '.ce,nse La._W). '
I al"!l exempt under Sec. ~.QjQ( is reasan:
Date: Owner: . \ fJ '-" \.
WORKER'S 0 P
\- hereby affirm 'under penalty afpedury an
o I have and will ~ail')ta'in.acertificat'
as provided for by Section '3700 of the L
this, permit is issued. .
0, I have and y.'i11 r11aintainwarker'sca p
the-Labor Cade, far the perfarmance of t e
Cbmpen~tion insUl:'ance carrieqmd poli
Carrier:
SA ION DECLARATION
a the fallawinQ declarations:
.of nsent to self-irisurefar worker':.: ...:onipensa.tion;
be Code,farthe performance ofth~wqrk for whim .
nsatian insurance, as required b'. Section 3700.of
ark for which this permit is issued. Mywarker's
re:
LlCEN.SED CONTRACTORS DECLARATION
I hereby affirm under penalty of perjury that lam
licensed under pravis,ioris .of chapter,g (cor:nmencing'
with Section 70(0) of Divskm 3 of the' Business and
professions Code.
5/26/2004
Date:
Contractor
PoJi~ Number.
NUMBER'
EXPIRATION DATE
~' secti~n need not'be compJetedifthe permit is for one h_undred-doll~s ($10C~ a:r_I~S:__",: .
I certify that in the perfonnance-af the wark far which this per~it is iSSUF.d, I shalh1()f
- play any,person in any manner sp.as to. became subjectta the.w()rker's ccmpel1s~tjal} ,laws
.of Califarnia,and agree that ifl should be subject to thewarke~s cam~ns_5t~prf. ,,'~-
pravisians of Sectian 3700 ,.of the Labor C e farthwith comply with t~,s:~tPyrsians.
Date: 5/2~2004 Appli~nt: ' ~Jt~<.,',
WARNING: FAILURE TO SEC 0
UNLAWFUL, AND SHALL SUBJECT AN MPLOYER TO CRIMINALPENIl,LTIES-AND CIVIL
FINES UP TO ONE HUNDREP THOUS D DOLLARS ($100,6bO), IN ADDmofl;ro THE
COST OF COMPENSATION, DAMAGES: SPROVIDED FORI~,SECTI(),~ 3A.igtt9f THE
LABOR CODE, INTEREST AND ATTOR~ 'S FEES, ,'X>. .. _',',;r.'"-
CONSTRUCTiqN LENDING AGE;~~Y.' ' ..
I hereby'affirm under- perial~y 'of perjury that-there is a canstru6tidn'lending age~-CYfor the
. oerf...rman~' ofthework forwl'\:71 thlspp.rrrut is issued (Seo::1097.Civ,C): . ',.'.
Lerider's Infarmatian:
TYPE
; C-onstrucian Types:
VN, , '
,'certify that I nave read this a ppJication and state that'the abave infarmation is correct. I
agre~ ta 'oomp. y with aJLcity .ordinances and State I~ws relating to building canstruction, and
herebyauUi ize epresentfves .of this city to enter upon the above mentianefJ praperty for
inspection r s. .. , ,
Dale' 5/26/2004
Fees paid for Permit:
Total:
0,50
Signature qf Applicant .or Agent .
shall expire by limitation and become null and void iflhe building Or
pasSed final inspection 365 days from the date of permit issuance, A
is required to commence or, continue work.
.... . INSPE.CTION RECORD
. , . . ,
. ."INSI'ECrION' .' DATE . INSPECTOR
. TemporatyPower Pole. . . '.. ..
. Plumbing (DrainiWaste pipe) .
Electrical GrOund ElectrodelUfer. . .
SelbacklFermslTrenCh.es (FOOtings) . . , "
00 not install subflooror poor floor slab until the .... '.
following 'applicable items have been signed!' . .
,plumbing (Water Plpe.Sprlnlder Valves) '.
. . Mechanical (Groundwork). .. . ..
., ..,'
Electrical jUndergroLlndConduit) . ....
Pte-slab (t;ompacIIon/Membrane.Reim. "
.
Unl!erplnnjng (RoorJOistlGlrders) .'. . .'
.Do nbt coVer Or concealthe walk below u,ntll the ........
'Ibllowingapplicable items have. been signed: . ....
1 st .Floor Sl1ear '. .
'.
.. Firesprinkler(Rough)
. .
2nd Floor sh&ar' .' '. . .'
ROof (Sheathlng/Diaphragm/Fram!!)
Masonry (RelnfJBond BeanlPre-GroLlt) . . .' .
Rough Plumbing (Tilp Out)
Rough Mechanical . . ,.
.Rough E1....trocal all) . '., c-
ROLlgh Electrical " . . -c-
Framing (On~ .after Plbg.. Elec., Mech. and Fire) . . .
l",sulatlon(Sou.nclIEnergy) ".
Do not tape or plaster until the following applicable
items have .been signed:' '. .' . .. . . . .
'.' . .
. DrYwall . .' .
Penetrations (Fire Rated) Electrical
Penetrations (Fire Rated).Mecl1anical
Penetrations (Fire Rated) Plumbing .
Interior Lath ' .'. . .
Exterior I.ath .'. . . . .
. . .' GENERAI.1TEMS , ..
exterior Plaster (Brown Coat) , . .
T.Bar Electrical . . . .
T -Bar Mechanical . . .
T .Bar Structural . . .'
Sewer . . . . . .. .
. Water Engineering Backflow '. .'. ' . c-
Water Service . .
'. .
. . FINAL INSPECTIONS- Date Inspector. '
'. !
'.' ElectricalFiMI . '. ..' . . . . .' " .....
Plumbing .Final .. '.' " "
.'
Mechanical Final . . .' . ....
. ..
Gas Test . '.' .' ".' ". .
.' En!lineeringlGrading FinaI1$5-S126' '. .
..' , . I..
. Fire Dept, Final 7.65,404Ii
. . . . .
Water. Engineering 765-5268 . '.
.. . .
Subl.lstlBusiness I.icense 765.5.19 .
. ..' ..
Zilnillg765-5.1.39 . .. , . " .
Building Final~asUnspection. Onll' .' ,". '.'
. c . . fter Abo".e Complete) . '.
. PARTIAL INSPECTIONS
. Buildina Inspections
. Mechanical Inspections
Plumbina I'nspections
Electric.if Inspections
PERM\ 1 EXP\REO
. . \NSPEC1\ON ,.' '"
NOT "SOMPLETEO...
.' .... .GJvv[oy
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