179 N. Magnolia
BUILQING PERMIT NO.' ' "BLQ2004-00080
ElM
BUILOING QIVISION
200 S, ANAHEIM BLVD,
(714) 765 - 5153
INSPECTION REQUESTLINE:
(714) 765 - 4626
CENSUS CODE: 434
QUARTER SECTION:
TYPE OF PERMIT ,C I,TY' ,
, Repair
DATE: 1/23/2004 '
JOB ADDRESS: 179 N MAGNOLIA AVE A
LEGAL DESCRIPTION: '
APPLICANT: CHRIS MCHALE
OWNER INFORMATION:
Ronald M Fong
145 Jefferson St
San Francisco, CA 94133 _.
JOB DESCRIPTIONResldential Remodel. R~place termite damaged cantlevci..d deck with new posllbeam supports,
VALUATION: 3,000,00 PROCESSED BY: JJJ
, r- 'OWNER-BUILDEr, DECLARATION
I hi;!reby affirm under penalty of perjury that I am exempt from the Contractol:i;' License Law for the .following reason (Sec. 70.31.5 Business and
Professions Code: any-city or county which-requires a permit to construct, ::'l~'er. improve, demolish or repair any structure, prior to itS issuance. also
requires"the applicant for such permit to file-a signed statement that he is lie.: need. pursuant to the provisionsqfthe Contractor's LIcense Law (Chapter
9)(commencingwith Section 70.00. of Division :3 of the BusineSs and Profess~~ms Code).or that he is exempt therefr:om and the basis for the alleged
exemption. Any violation of Section 7031.5 by any applicant fora.permitsut_:ects the applicant to a dvil pe.nalty.of not more than five hundred dollars
'($500).., , .,.' " ,j' "" ., .
o I, as owner of property., or my employees with wages as their sole ccm(~nsation, will do the work, and the structure is not intended Qr offered-for
sale (Sec. 7044 Bu~iness and Professions Code: The Gontractor's LicensG Law does not apply to an owner of property who builds. or improves. .
tt:lereon; and who,doessudl work himSelf or herself or through his or her (.~.,:i erliployees, p~ovided that such,improvementsa-re not intended or
offered for sale. If,ho\oVever, the building or improvement is sold wlthone:.'<3.r of completion, the owner:-b:J;lcter will have ~he burden of proving tha't he
.did not build or improve for the purpose-'of sale). , . . ,:",..- .. . ,'- ,
o I, as the owner of the property, am exdusiveJy corrtracting with Iicen~~i-rcOntractors to constructthe p1"oject (Sec. 7044 Busil')ess and Professions
Code: The Contractor's Lk:ense Law does not apply to an owner of ptopolb~who bl'ii~1; or improves thereon, aM who Contracts for sum, pi"oiecfs with
fi.J(~ntractor(S);licer1sed pursuantto.theContractor'sLicense'Law). '1_ >, -,
~ I am exempt under Sec. . .. ,B'&P.C.forthisreas~:)O: _.';'....
Date: . Owner: I
I WORKER'S COMPENSATION DECLARATION -Y
I ~ereby affirm' under penalty of pe~uf)t one of the followin,Q declarations: .
o I have 2nd wiil maintain a certificate of-oonsent to self-insure to"r WOrl~~!~.,; .:.:cmpensation,
'as provided for by Section 3700 of the Labor Code, for the performance oft',., work for which
t~ispe~ed.. .. ' ".. f, . , .
~ave and will maintain wOlker's compensation-insurance, as reqtlirej ~i'-' Section 3700 of
the Labor Code, for the performance of the work for which.this permit :s i::.sl.. :'!.l. My worker's
Compensation inSurance carrier and policy are: . .. 1 ;-r! _ qo:;c.o
Carrier: 51''''''6 ~V\o Policy Number. '-Vb:
CONTRACTOR INFORI\hTION:.
ARCHITECT/ENGINEER INFORMATION:
.""l
rLiCENSED CONTRACTORS DECLARATIO~
. ~hereby a~irm under penalty_of perjury that I art!'
licensed under provisions of chapter 9 (cpmmencing
with Section 7000) 0 I 'ion, fth Business and
Professior:s Code-
1/23/2004
Date:
NUMBER
EXPIRATION DATE
'. .
This section need not be completed if the pennit is for one hundred dollars {SlC;',', or less.
0.1 certify that in the perfonnanceofthe work forwhichthIspermit ~ issu',:d, I shall not ..
employ any person in any manner so as to beco:me subject to the worl<er'sT cmYlpensation laws
of Callfomia, and agree th~t if I should become subject to 'the worker's com;.~nsation
provisions of-Section 3700-ofthe Labor Code - all fa h it comply with t~,;os'e provisions.
,Date: ,1/23/2004, Applicant: , ,
WARN ING: FAILURE TO SECURE WORK R'S CO PENSATION cove. AGE IS
UNLAWFUL, AND SHALL SUBJECT AN EMPLOYER TO CRIM INAL PF.~VL T1E$ AND CIVIL
FtNES UPTO ONE HUNDRED lHOUSAND DOLLARS ($100,000), IN A[lO'TlJ,ON TO THE.
COST ,OF COMPENSATION, DAMAGES AS PROVIDED FOR)N SECTI(iI; 3706 ,OF THE
LABOR CODE, INTEREST AND ATTORNEY'S FEES, '_.. "
I CONSTRUCTION LENDING AGENCY ':';:42
Ihet~,by_ a,ffirm under .pena Ity of perjury that there is a cOlJ~tructicn lengEl~,_l.J~ncy for the
perf<?rrr1an~ofthe work forwhict: this permit is issued (Se~3,097 .Gi\(C):/ . ~..
,_ .;"r-d""i.:~ l.,fbrm;:;ni0ro. _..:. ____.:-__.,_<...-----:.......~.._ ....",'_::..~_, . __.;....;.. . ._<L-.._~~ .~~ '
TYPE
Construcion Types:
VN, ,
Fire Sprinkle red? NO
I c.ertify thatl.have read this'application and state that the above information is correct. I
\ agree to, . cornply"with al,l. city ordinances and stafe laws relating to bUilding.~~cnstru, ction, and
hereby i3ut rize re sentives of this dty to enterupon the above mentioned property for
\i 'ectio . se. ... .
Dah,: 1/23/2004
Fee~.paid for Permit:
Total: 182.30
Signature of Applicant or Agent.
The permit shall expire by iimitation and become null and void if th"building or
work has not passedfinal inspection 365 days from the date of permit issuance. A
new permit is required to commence or continue work.
. INSPECTiON RECORD
. INllPECTIl:lN . DATE . INSPECTOR
Temporary Power Pole . .
Plumbing (DrainlWa$le P.ipe) . .
Electrical Ground Electrode/uter .' . A
SetbacklFormSlTrenches (Footings) "" /'
00 not instal.1 subfloor or pour f100rslab until the
following applicable items have been signed: - . .
Plumbing (Water Pipe.Sprinkler Valves)
M~hanical (GroundwQrk)
Electrical (Underground Conduit) .' .
Pre-slab (Compaction/Membrane.Rei of. .
Underpinning. (Floor Joist/Girders)
Oo'not cover or conceal the work below until the
following applicabie items have been signed: .
1st .Floor Shear . . . .
Firesprinkler (Rough) .
2nd Floor Shear '.
. Roof (Sheathing/DiaphraclInlFr;me) . . .
Masonry (RelnfJBond BeamlPre-GlOUt) .
Rough Plumbing (Top Out) .
'Rough Mechanical '. . . .
Rough E1~tricaJ (Dry W;lll) . .
Rough .Ellictrical .
Framing (On~afterPlbg.:Elec.. Mech and Fire) J-f-z,'/~T '-l, . .~IL
Insulation (SoundlEoergy) . ~ . V
po not.tapeorpla~ter until the following applicable
Items have bee:n ~Igned: . _ ' ','
Drywall'. . .
PenetrationS (Fire Rated) EI~trical . .
Penetrations (Fire Rated) Mechanical
Penetrations (Fire Rated) Plumbing
Interior Lath .' . I
Exterior Lath . .
.' GENERAL ITEMS
Exterior PIa$ler (Brown Coat)
T -Bar Electrical . .
:r-Bar Mechanical' .
T _Bar Structllral . .
Sewer' .
Water Engineering Backflow .
Water Service
.
FINAL INSPECTIONS
Electrical Final.
Plumbing Final
Mechanical Final.
Gas Test
Date
.
.
Engineering/Grading Final 765.s.12~
Fire Dept. Final 765-4040
Water Engineering 765.5268
Sub List/Business License 765.519
Zoning 765.5139
Building Final (Last Inspection. Only /;'1."- 'b.
After Above Complete) v-
PARTIAL INSPECTIONS
Buildina Inspections
Inspector'
Mechahicallnspections
Plumbina Inspections
ElectrieallnsDections
BUILDING PERMIT NO.. BLD2004-01390
TYPE OF PERMIT
Residential Remodel C I TV
DATE: 4/27/2004
JOB ADDRESS: 179 N MAGNOLIA AVEB
LEGAL DESCRIPTION:
.~:i:\i,",">:,-;'~'-, " ' . .
L:,-~.1:.":<f'<z$;l~:\\ .
t/~:f}?"\", :..,,<'~~:o,\' . .
"'(.;r'; "'("'M"-)'~"'."';H EI M.
. " ~.. ., '
::i " ~, '7, ~,.' fh' ~,)
" \. '::,','1~~' -. ; .'
'1:.' "';$;;:..,,1/
\". :}__1(:o/// /'
~<~~~I~ ;~~:Jr>~jI
BUILDING DIVISION
. 200 S. ANAHEIM BLVD.
(714) 765 - 5153.
INSPECTION REQUEST LINE:
(714) 765 - 4626 '.
CENSUS CODE: 434
QUARTER SECTION:
APPLICANT: DENISE SILBERMAN
OWNER INFORMATION: CONTRACTOR INFORMATION'
Michael Silberman
179 N Magnolia Ave #B
Anaheim,' CA 92801
JOB DESCRIPTION:Change.doOr-slider to fixed window.
ARCHITECT/ENGINEER INFORMATION:
VALUATION: 300.00
I . OWNER-BUILDEr:.DECLARATION
I h,erebyaffii'm tinder penalty of perjury .that I am exempt from.the,Ccntracto,:s License Law for the following reason (Sec. 7031.5 I?usine~s and
Professions Code:,anydty or county which requires a permit to construct. a:~A:r, improve, demoiish-or repair any structure, prior to. its issuance, aiso ,
r,equire~ the appliC1nt :cr such permit to file a signe(~ st3tem9~lt that he is lic:~(1sed pursuanf to the prpvisions of the Contractor's .License law (Chapter
9)(comrnet:,:;i(;g w!th De.ction 7000 M Divi~ion 3 o;'lll!J 8i)::'\in(,~ss an~ Profe::.s'pns Code) or that tie is exempt therefrom ~nd the basis far the alleged
exemptioh. /.,1"/ v;:)!;a"i!"~~ ,);' S~ctior< 7031.5 by SrlY apj::it~:::>r-;t. for a permit su;:~eQts the a pplici'mt to a civil penalty of not more than five hundred dollars
($500); .' '",. ' ". ,'. 'I ' " ' _.
o J, as owner of property,.or my employees with. wages as their sOleccm,(cnsation, will do the work, and' the structure is not intendeq or qffered for
sale (Sec. 7044 Businessant;f Professtons Code: TI)e Contractor's License i,_DW d.oes not apply to an owner.of property w,ho builds or irl'lproves
thereon, 'and who does such work himself or' herself or through his cr her fJ"":[f bmployees, prcvidedthat SLJch improvements are nqt in.tended'or
offered for . If; however, the building or improvement is sold with oneYE:F.lr of cofTlplotion, the owner-builder will have the burden of proving that he
did i1d or improve for thepUJpO$e of sale).' '. ,
r, as thp., owner of the property, am ~Xdusively contracting wil h licens~dc:i.!1tractcrs' tc cO:"lslruct the project (See. 7044 8usiness and ProfessioP.s
Code:. The'Contractor's license law does not apply to an'oymer of propert.; Ivho'buads or impfO':ei3 thereon, and who contracts jcr such projects with
ontractor{s) licensed pureuant to the Cohtractor's Ucens~ law).-
I,am x t der$ec, &P.C.forthisrp son:
Date: . (){. O;"oor: -
WORKER'S COMPENSATJONDECLARATION "~~ "I I
I hereby affirm under perialty of pe~ury one of the following declarations: ,:. '. r
o . I have and'will maintaIn a certif!cate of consent to self-insure for,.work,:><; c:)mpensation, I
as provided for ,by Section 3700 of the Labor Code, for the performance of H,e work for which
thi~perrriit is issued. . . . . . . . '-, I
o 1 haVe and will maintalnworker's compensation insurance, as requll'E'd tiT SectK>n3700 of
the labor Code, for the performance of the work forwhich this permit is isst.;.:,\1. Myworker's
CompensatiOn insuranCe carrier and porrcy are:
Carrier: . . POlicy. Number.
'This sec(ion neect not be completed if the pellTlit i~ for one hundred dO,lIars ($10t}'Dr less.
o .' ~erti~ that in the perfo~ance of the work for which this permit is ,iSSU'f{t, i- shaU not.
~mploy any person inany manner so' as to become subject tqtbeworker's (".qfrtp~nsation laws
of CalifornIa, and agree that if _' should become,subje.d to the w9rker's comp..~ilsation ..
provisions of Section 3700 of the Labor Cod-e. I shall forthwith comply with tr.~'S-e provisions.
Date: 4/27/2004 -Applicant. -r--- R~,~ .
WARNING: FAILURE TO SECURE WORKER'S COMPENSATION COVER:\('E IS
UNLAWFUL, AND SHALL SUBJECT AN EMPLOYER TO CRIMINAL PENUTIES AND CIVIL
FINESUP TO ONE HUNDRED THOUSANDDOLLARS ($100:000), IN AbOITJON TO THE
COST OF COMPENSATION, DAMAGES AS PROVIDED FOR IN SECT:q'';l706 OF THE
LABOR CODE,INTEREST AND 'ATTORNEY'S FEES. .
I. CONSTRUCTION LENDING AGENCY '; .
'l1eteby-affirm under peflalty of perjury that therfS1.j$ a constructlon-lendir:=gag.::i1cyfor the
performance of the work. for which this permit is issued ,(See. 3097 .Civ.CY'
.--.b-~.,~tej~JDfQrffl<:l~j9r.:. .
PROCESSED BY: ODC
?_"i i
LICENSED CONTRACTORS DECLARATION
I heret::~l affirm under penalty of perjury thaU am
licensed under provisions of chapter 9 (commencing
with Section 7000)'ofDlvsion 3 Of the Business and
Professions Code. .
4/27/2004
Date:
Contractor
NUMBER
EXPIRATION PATE
TYPE
Construcion Types:
VN, ,
Fire Sprinklered?
NO
~'_,_",",'~_~_._"':"-~.,__ ._~,rr'__.",_
I certIfy that I have read this application and state that the above information is correct. I,
agree to 'Comply with all city ordinances and state laws relating to building construction, and'
hereby authorize representives of .this city to enter upon the above mentioned property for
jn~~~. ~ Dale: 4/27/2004
- - Signature of Applicant or Agent
The permitshalJ expire by limitation and become null and void if the building or
work lias not pasSed final inspection $5 days fr.om the date of permit issliance. A
new permit is required to commence or continue work.
fees paid for Permit:
Total:
0.50
INSPECTION RECORD
." . .' .
. INSPECTION DATE INSPECTOR
Temporary Power Pole .'. . .
Plumbing (DrainlWaste Pipe) .
!:IeQlricaJGround Electrode/lifer .
~backlFormsrrrencheil (Footings) .
OQ.notinstall subfloor or pour floor slab until the
following applicable items have been signed' . ..
Plumbing (Water. flipe.Sprinkler Valve$) . . . .
Mechanical (Groundwork)
Electrical (Underground Conduit)
Pre-slab \ColtlPactionlMembrane..Reinf. , '.
Underpinning (Floor Joist/Girders) . ....
i Do not cover or conceal the wort< below until the .
foUowing applicable items have been signed: .'
1st Floor Shear
Firesprinkler (~gh)
2nd Floor Shear . . .
Roof (SheathiI1!llDlaphl:llgmlFrane) .
Masonry (Rei!lfJBond BealnlPr~lOUt) .
Rough Plumbing (Top Out)
Rough Me.chanical . '. .
KOugn l::lectrlC .wall) . ."
Rough Electri"al .
Framing '.'{O,nlyafter Plbg"" "Elec:. Mech.. and Fire) '. '.
.Insulatlon (SoufflllEnergy) .
'Do not tape or plaster unti.1 the following. applicable
jterns-have been signed: . _." -. . .
Drywall . . . '.
Penetrations(Fire Rated) Electrical .
Penetrations (Fire Rated) Mechanical;
,Penetrations (File Rated) Plumbing .
Interior Lath .. .
Exterior I;ath .
. . . . . GENERAL ITeMS .'
Exterior Plaster (Brown Coal) . . . '
T -Bar ,Electrical. . I
.T-Bar Mech;lnical .
T -Bar Structural . .
Sewer .
Water EngIneering Backflow . .
Water Servi,;e . .
FINAL INSPECTIONS . . Date . . Inspector .
'. '
Electrical Final '.
Plumbing Final . '. .
Mechanical F,inal . . ' .
Gas Test .' , .
'. .. .
erigineering/GradingFinaJ 765-5126 .
.. - .
Fire Dept. Final 1654040 . ..
.'
. .
. Water Engine.ering 165.5268 . .
Sub lisVBu~inessLieense 165.519<
Zoning 165-5139
Building Final '~ast Inspectiory. Only (2//./1"4- >(4)U.
. fter Above. Complete)
PARTIAL INSPECTIONS . .
. '
, Buildina Inspections .
>'Mechanicallnspections
Plumbina Inspections'
. Electrical Inspections