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425 N. Magnolia (2) CONTRACTOR INFORMATION: ARCHITECT/ENGINEER INFORMATION: BRANDYWI NE D EVELOF'.MENT CORPORATION 16580 ASTON IRVINE, CA 92606 BUSINESS PHONE: 949/29$-2400 JOB DESCRIPTION: Demo of 32 single story apartment buildings, pool, carpOl:ts; and perimeter fencing. VALUATION: E1~d:2%d.~S apartments 01 a total 01 106,496 square lot,~ PROCESSED BY: SAM I . OWNER-BUILDER 'DECLARATION I hereby affirm under penalty of perjury that I am exempt from, the Contractor's License Law for the following reason (Sec~ 7031.5 Business and Professions COde:. a ny dty or county which requires a permit to construct, alter: improve, demolish or repa ir any structure, priOr to its issuance, also requires the appliCant for such permit to file a signed statement that he is lics'nsed pursuant to the provisions of the Contractor's License Law (Gh.apter 9)(commencing With Section 7000 of Division 3 of-the Business and Profess!qns Code) or that he is exempt therefrom and the basis for the alleged exemption. Any'violation of Section 7031.5 by any applicantfor a 'permit subjbcts the applicant to a dvU penalty of not more than five hundred dollars ~~ '.' . , ". '. . o I, as owner of property, or my employees with wages as ~heir s.ole compensation, wili do the~ork, ,and the structure is 110t intended or offered fo~ sale (Sec. 7044 Business and Professions Code:, The Contractor's License l;3W does'not appfyto an owner of property who build,~r improves ,thereon, 'and who does such work' himself or herself or through his or her CWr! employees, provided that such improvements are not intended or offered for.sale. If, however, -the building or improvement is sold with one yo~r of rompletiop., the owner-:builder will have the burden of proving that he did not build or improve for the purpose of sale). ' .r o I, as the owner of the property, am exdusively contracting with licensed OOJltractois to construct the project {Sec. 7044 Business and Professions Code: The Contractor's License Law does not apply to an owner of prqp~rtytNho builds or im'proves thereol1, and ,who oontracts for such projects with ~ontractor(s) licensed pursuant to the Co~tractor's License Law).. . U' I am exempt under See; ,"8 & P.C, for this reason: Date: Owner:'-' I WORKER'S COMPENSATION DECLARATION I hereby affirm under penalty of perjury one of the following declarations: o I have -and will maintain a certificate of Consent to self-insure for worker'~ compensation, , as provided for by Section 3700 of the labor Code, for the performance of the work for which ~iS rmit i::dssLied.' .' ' , .1 aYe and will maintairiWo. rker's compensation insurance, as required bY,3ection 3700 of 10/21/2004 th abor Code, for the performance of the work for which this permit is issue,.j, My worker's Date: Co , pensation insurance carrier andr;x>licy are,: . Carrier: STATE FUND. . Policy Number. 170058002 This section need not be completed if the pennit is for one' hundred dollars ($1 0'0) 'o~; less. D' I certify that ihtheperforrnance.ofthe work for which this.p~rmit is issJ7d, (shall not, employ.any person in any manner so as to become sub' t to the worker's c.o!:npensation laws of Califomia, and agree that if I should become subje to the worker' . mPcflsation provisions of ~ection 3700 of the Labor Code, I sh fo i co yw' h th?Peprovisions. BUILDING PERMIT NO, BLD2004-03885 TYPE 'OF PERMiT CITY Demolition DATE: 10/21/2004 JOB ADDRESS: 425 N MAGNOLIA A Vi: LEGAL DESCRIPTION: SEC.12 T 4 R 11 E1/2 NE1/4 SE1/4 APPLICANT: MARK WHITEHEAD OWNER INFORMATION: Commons Aprtments Lie 425 N Magnolia Ave Anaheim, CA92801 BUILDING DIVISION 200 S. ANAHEiM BLVD. (714) 765 - 5153 INSPECTION REQUEST LINE: (714) 765 - 4626 CENSUS CODE: 648 QUARTER SECTION: 19 LICENSED CONTRACTORS DECLARATION I hereby aff,rm under-penalty of perjury that I am licensed under provisiOns 0 ~hapter 9 commencing with Section 7000) of Oi of~ si' sand . Professions Code. NUMBER 740608 TYPE. Construcion Types: VN, , Fire Sprinklered? Date: 10/21/2004 Applicant: WARNING: FAILURE TO SECUREWORKER' COMPENSATION COVERI,GE IS UNLAWFUL, ANO SHALL SUBJECT AN EMPLOYER TO CRIMINAL PENALTIES AND CIViL FINES UPTO ONE HUNDREDTHOUSAND DOLLARS ($100,OOO),/N ADDiTION TO THE COST OF COMPENSATION, DAMAGES AS PROVIDED FOR IN SECTION 3706 OF THE LABOR CODE, INTEREST AND ATTORNEY'S FEES. . . CONSTRUCTION LENDING AGENCY J hereby 3ffirm ury:h~r penalty of -perjury th3t tl--t'?reis a ('or.~!rL!ctio:1lend!ri':; :::~ncy-foF-th~<-- performance of the work for which 'this permit is iSs'ued (Sec.3097'.Civ.C): ' Lender's Information: application and state that the above information is correct. I ordinances and state laws relating to building cOi'lstruction, and Ives of thO ter upon the above men~ioned .property for Dale: 10/21/2004 19nature of Applicant or Agent The permit h expire by limitation and !;lecome null 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 continu~ work. ' . Contractor EXPIRATION DATE 9/30/2005 B NO Fees paid for Permit: Total: 8,294.28 INSPECTION RECORD INSPECTION .: DATE. INSPECTOR ' . Temporary Power Pole . Plumbing (DrainlWaste Pipe) Electrical Ground Electrode/Ute, SetbacklFcirrnslT,enches (Footings).. '. I Do not install subfl<)O, or'pour floor slab unti.1 the following applicable items have been SIgned: Plumbing (Water P1pe.Sprinkler Valves) . . Mechani!:al (Groundwork) . Electrical (Underground CClndUit) . Pre-slab (Compaction/Membrane.Reinf. Underpinning (Floor Joist/Girders) Do not cover or conceal the work below until the . following apRli.cable items have been signed:" " 1 st Floor Shear . . . FireSprinkler .(Rough) . . 2nd Floor Shear . Roof (Sheathing/Diaphragm/Frame) Masonry (ReinfJBClnd Beam/Pre-GrD\Il) Rough Plumbing (Top Out) RClugh Mechal)ical . " . Rough ElectriCal (1Jry Wall) Rough Electrical. Framing (Only after Plbg.. EJec.. Mech and Fire) Insulation (SoundlEnergy) . 00 not tape or plaste.r until the following applicable items have been-'signed:. ' . Drywall . . . . .Penetrations (Fire Rated) Elecirical . Penetrati.ons (Fire Rated) Mechanical . Penetrations (Fire Rated) P1umbil19 '. Interior Lath . Exterior Lath . GENERAL ITEMS Exterior Plaster (Brown Coat) . T .Bar Electrical T -Bar Mechanical . T -BarStruclural '. Sewer .... . . Water Engineering Backflow Water Service -. . .' . FINAL INSPECTIONS Date Inspector. Electrical Final Plumbing Final . . Mechanical Final . Gas Test '. '. . .Engineering/Grading Final 765-5126 Fire Dept. Final 7654040 - . . Water E.ngineering 7.65-5268 ..' .' . Sub List/Business License 765,519 .. Zoning 765-5139 .. Building Final~ast Inspection- Only . ,.~fz4)4--. ;'-....)~.. . . fie, Above Complete) ~'.' ' PARTIAL INSPECTIONS, , Buildinalnspections Mechanical Inspections Plumbina Inspections Se.weA" . apf~' ...,' \>.:,("", 'ir~ -l....e- q t-- r,...~. ~. 7r~-'I_ ~"'-J...:;^ \,:"-c:. vS(~ ~ . ea.-...~ "of <;~ r...., " S~ Electrical Inspections