924 N. Magnolia Ave.
BUILDING PERMIT NO.' BLD2003-04850
BUILDING DIVISION
200 S:ANAHEIM BLVD.
. (714) 755- 51:;3
INSPECTION REQUEST LINE:
ri1~) 765; 4626
TYPE OF PERMIT
Residential Addition CITY
. DATE: 1/6/2004 .
JOB ADDRESS: 924 N MAGNOLIA AVE
p-''''
LEGALDESCRIPTION: N,TR 1948 LOT 6 .
CENSUS CODE: 434
QUARTER SECTION: .25
, I.
APPLICANT: 808 COX !
OWNER INFORMATION: CONTRACTOR INFORM:,TION: ARCHITECT/ENGINEER INFORMATION:
DORIAN 80LAN'OS MYNOR A ZELADA
9241\J. MAGNOLIA AVE 6829 RITA AVE. STE #02
Anaheim, CA" 92802 ,HUNTI NGTON PARK, CA 90255
.JOB .DESCRIPTIONRoom Addition. ~itche!1 and 2 bedroom extensions plus "1 \ew bathroo~. Total, 3125f. Extend existing opel') patio.
. . . .1 ..
VALUATION: 25,000.00' I;' PROCESSED BY: CAL
I .' . .. '. . OWNER:BUILDE7.0ECLARATION . . . '. . .'
I hereby affirm unde r pens Ity of .perjury that.1 am exempt from th~ Contractm,',s License Law.f.or the following reason (Sec.- .7031".5 BusilJess and
ProfesslonsCode: any city or county which requires a permit to construct, a::er" improve,demolish or repair any-structure; prior to its issuance, a,lso' .
requires the appli.can~ fer such permit to file, a signed statement that he is Bd:f.secl pUlsuant to the provisions of the Contra~or's License Law (C!,apter.'
9)(commencing with-Section 7000 of Di\l\slon 3 of the Business and Profess}ip's, Code) o-r that he is exempt therefrom and the ba'sis for the alie~ed .
exem ." n. 'Any violati.on of Section 7031.5 by any applicant for a permit sult:fds the a pplicant. to a civil penalty of not more than flv€' hundred doll.us
($ ) '. f'. . . .'
. -. . . ''-'
:.... I, as owner of property, or my employees with wa~es as their .3ole COi'l1!=';;:1sation, wiil do the work; a.nd the structure is not intended or-offere(:! fur
"'Ie (Sec. 7044 Business and Professions Code:, 'The Contmctor's U<:en;3e ~')W do.es not apply to an owner of property who build~ 6r improve$: .
areol'l"and Who does. such work himself or helSeif or through his or her O\"'"~ employees, provided that-such.improvements.are nat intended o.
o~er~d fo~ sale,: If, however, thebuilcHng or improvement is sold with one I'd:; of. oompletidn, the owner-builder will ~ave the burden of proving that ne
did not b!Jlld Qr Improve for the purpose of sale}.- . t '. . . ..
o I,astheowner of the property, am exdusivel}"contracting with Iicens.ed,j~rr.tractors to construct the proj~ct(Sec. 7044 Bu!?;ness and Proiessions'
Code: The Contractor's License Law does not apply to an ownernf ~rc:)~l,';:":}./:'()b'.lnr~~.cr :,;nproves thereon, and who contracts for such projects'with
fLqontractct{s) licJ';nsed pursuar.t.toth Contractor'slicensc law). -,' - .
U' I am exef!1pt l,Inder Sec. _ . ,8 & P.C. fo I.S a n:
Date:' Owner:
I
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WORKER'S COMPENSATION DECLARAT;ON '
1 h~reby affirm under penalty ofpe~ury one of the followir~g' de.::!arations: ."'l
o ',I have i;lnd will, maintain a certiflc,a~e of cXlOSen't to self-insure for WO"'k:~:.~ ,:ompensation,
as provided for by Section. 3700.of the Labor Code,- for th~ performance Of!!}" wOlk for whim
this permit !s issued. . :' . . . ._! . _.
o I have and w.ilI maintain worker's compensation insurance, as required i~11 Section 3700 of
tlie labor Code, for the performance of the work for which this permit is :-s:.;';jlj. ~\'~yworker's
Compensation insurance carrier and pG!iOj are:. . '.
'Carrier: _' . p,)licy Number: ' 't
tion' need not pe completed if the pe~it is for on~ hundred dOllars.,(,~~1:;k l,,;t.~~s. :.'
I certify that in the perfonnance oUhe work for which this permit~' 13s!.!~!j,1 :;J1all not
e pioy allY person inany manner so as to become subject tathe workor'~~"i:mbensationlaws
Califomia,- and 'agree ~hat if_ J should becol'J.1e subject ~o the wo~er'$'c~~~\r;n~atiQn .,
provisions of Section 3700 of the Laborf6lode, I shall fOf'1w~th '11mP1f'ilh ~if"e provisicns.
Date: 1/6/2004 .Applicant: ~~ ~,'tCL Dl't
WARNING: FAILURE TO SECURE WORKER'S COMPENSATIONC()\iE:';,\GE IS
UNLAWFUL, AND SHALL SUBJECT AN EMPLOYER TO CRIMINAL,P=N;V.TIES AND CIVIL
FINES UPTO ONE HUNDRED THOUSAND DOLLARS ($100,000),IN-.#Qi:':TION TO THE
COST OF COMPENSATION, DAMAGES AS PROVIDED FOR IN SECTIO~i 3706 OF THE
LABOR CODE, INTEREST AND ATTORNEY'S FEES. .
1 CONSTRUCTION LENDING AGENCY. .'.-.
I hereby affirm under penalty of 'perjury that there is a construction le_rig:ng,)Ci~pt;yfor.th.e
perforrrla,nce:~fth.e \';'ork_forwhich_ this p~rmit i~ issLled.{S}~c.~Q~I,.2~~:P):~~.t/~."' :,
.--'--C;::-;7J('i--:;.i,;J\,;.j;-itciu0ii;-- - -~--, -~ - . ,'---<~ ...
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LICENSED CONTAACTORS DECLARATION
I hereby affirm under penalty of perjury that I am _ ' '
licensed under proVisions.ofchapter 9 (commencing
with Section 7000) of Divsion 3 of the-Business and
"ProfeS:sibns Code. . .
1/6/2004
Date:
Contractor .
NUMBER
EXPIRATION DATE
. TYPE
Construcion Types:
VN." .' ,
Fire Sprinklered?
lJyinQArea:
Patio Area:
NO
312
.77
I certify that I have rea4 this application and state that the above information is correct. I
agree to oomply with all-city ordinances'and state laws relating to buildingco!lstruction, ~'nd
herebYfluthorize representlves of t s dty to enter upon the abov'e mentioned property for
insp n purpose-s. .
Dalt>: 1/6/2004
.Fees paid for Permit:
Total: . .
760.85
Signature of Appli,cant or Agent
The permit shall expire by limitation and become 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 continue work.
INSPECTION RECORD
INSPECTION
INSPECTOR '.
DATE
Temporary Power Pole
Plumbing (DralnlWaste Pipe) .
Electrical Ground Electrode/uter
. setbackl.FormsfTrenches (Footings) l'Vlcc/.4-
Do not installsubfloor or pour floor slab until the
following applicable ilams have been signed:
Plumbing (Water Plpe~Sprinkler Valves)
Mechanical (Groundwork)'
.. Electrical (Undelllround Conduit)
Pre-slab (CompactionlMembrane,l<einf, u...."
Underpinning (Floor Joist/Girders)
. Do not cover or conceal the wo'" below. ontllthe 1\
following applicable items have been signed: .
1st Floor Shear . '"3IflIiC. . ,-' ~J.....
. Firesprinkler (Rough) . .' I'v
2nd Floor Shear. .
Roof (SheathinglDiaphlllgm'Frarne) '. ~ltc/ot
Masonry (ReinfJBond BearnlPre-Grout) 't v
1-ROU9h Plumbing (Top Out)
, -RoOgh Mechanical . .
Rougn l:IeCtrical (Dry Wall) . . . .
Rough Electrical . ~ . ~ .
'Framing (Only after Plbg.. Elec.. Mech.. and Fire! .' ~
Insulation ISoundlEnergy) AQ'.<J.' _~
Do not tape or plaSter unlilthe following applicable
items have been signed,: . . ' A
Drywall . .' . t.-P~I/ l~lM AA.I.\
Penetrations (Fire Raled) Electriclll '. . "
. Penetrations (Fire Rated) Mechanical .
Penetrations (Fire Rated) Plumbing
Interior Lath .' .
Exterior Lath .
GENERAL ITEMS
Exterior Plaster (Brown Coat)
T -Bar Electrical .
'. T -Bar Mechanical
T -Bar Structural
.' Sewer .
Water Engineering Backflow .
Water Service' .
J
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v
\lM
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FINAL INSPECTIONS
Date
6- '21.0
6':'Zj.(;;
Mechanical Final 'l(i 4-l
Gas Test " 6, 2J ,D)
EngineerlnglGrliding Final 765-5126 '
Electrical Final
Plumbing Final
r
Fire Dept. Final 7654040
Water Engineering 765-5268
Sub List/Business License 765-519.
Zoning 765-5139
I, '6 k -rft;. <.;rt--
Building Final fLastlnspection,Only . ~ (A.,/tfi::"
. . After'Above Complete) .,. 1"1" {,
PARTIAl'INSPECTIONS
Buildina Inspections
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Mechanical Inspections
Plumbina Inspections
. Electrical Inspections
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