2381 W. Mall Ave.
TYPE OF PERMit CITY.
Patio .Cover
ElM
BUILDING DIVISION
200 S. ANAHEIM BLVD. .
(714) 765- 5153
INSPECTION REQUEST LINE:
(714) 765 - 4626
CENSUS CODE: 434
QUARTER SECTION: 33
BUILDING PERMIT NO. BLD2004-03008
DATE: 8/2/2004
JOB ADDRESS: 2381 WMALL AVE
LEGAL DESCRIPTION: N TR 2001 LOT 58
APPLICANT: HUNG DO
OWNER INFORMATION:
HUNG DO
2381 W Mall Ave
Anaheim, CA 92804. .
JOB DESCRIPTlONl\ddltion of front porch 20'-0" x 12'-0" and 6 feet high blcck ."",11 28 lineal feet.
VALUATION: 4,200.00
I OWNER-BUILDEr', DECLARATION
I hereby affirm under penalty of'perjury that I am exempt from the Contract~t,'S License Law for..th~. fol lowing reason (Sec. 7031.5 Business and
Professions Code: anydty or county which requires a permit to construct, ::/~::r, improve, demoli~~.'6rrelp~ir:anystructure. prior to its ,issuance, also
requires the applicant for such permit to file a signed statement that he is lic[;nsed pursuant to the proVis"ion'softhe Contractor's license Law (Chapter
9)(commencing with Sectio!"L7000 of Division 3 of the P.usiness F.lnc:! rrofe~::;.i':)ns Code) or that hejs ex~mpt therefrom and the basis for the alleged
exemption. Anyyiolatidn of Section7031.5 by any applicant for a permit ~ut;iects the ap"plicant to"8: civil Penalty of not mo,'e than five hundred dollars
~~ I
D I, as owner of property, or my employees with w?ges as their sole ccrr~~'nsation, will do the work, and the structure is not intended or offered for
sale (Sec. 7044 Business and Professions Code: The Contractor's license ~aw does not apply to ~n owner of property who builds or improves
thereon, and ~ho do~ such work hims~1f or herself or through his or her OWfl empl'oyees, provided that such improvelT1ents.are not intended or
offered for_sale, If, however, the building or improvement is sold with one y-'!~r of completion, the owner-builder wili'have the burden of proving that he
did,.notbuildorirnproveforthepurposeofsale).' .{ . ' .
o I, as the'ownerofthe property. am exdusively contracting with licensfj~ntractors to construct the oroject (S~c. 7044 Business and ,Professions
Cod~: The Contrac.tor's License law does not apply to an owner of propert,'!..vho builds, or improves thereon, and who-contracts fpr: such projects with
t:jo!'Jtractor(s)licen$edPUrsuanttotheContractor'sLicenseLaW). if' ,.~. , -' ' ",', "" " "
I am exempt under Sec. . , B & P.C. for this reason: tJ . . . . . .
tte:. WOR~;:; COMPENSATION DECLARAT!ON . . LICENSED C~NTRACTORS DECLARATION.
I hereby affirm 'under penalty of perjury one of the following declarations: , _ ,I hereby affirm under penalty.of,perjurythatl arn,
[J I ha~e and will maintain a certificate of ~nsent to self-insure for workdr,t comDensation. licensed under proVIsions of chapter 9 (cornmenc'in"g:'
as provided for by Section 3700 of Ule Labor Code, for the performance .of r,h wor: for which with Section 7000) of Divsion 3 of the Business and
this -permit is issued. . '. Professions Code.
D -I have and will maintain worker's compensation insurance, as required.~l/ Section 3700 of 8/2/2004
the labor Code, for the performance of the work for which this perrt:1it is iSsi.:::r.!. Myworker's Date:
Compensation insurance earrier and policy are:
Carrier: Policy Number.
This section need not be completed if the pennit is for one hun,dred dollar_s ($10;"~ or leSs.
o I certify that in the perfonnance of'the wor~ for which this -pe-rmit~iS-'issued. I. ~.~ u' _not
employ any person in any manner so as to become subject to the work'ets co'11~rlS,~tion laws
of California, and agree that if I should bec()me subject, to t_he\o\lorker'~c:om~nsati?n",:.
provisions of Section 3700 of the' labor Cooe, I shall forthW!tf{cqinpIY.~i~hthq$e prqvlsions;'
. ... ,....., .., .
Date. 812/2004 Applicant: /?~ _
WARNING: FAILURE TO SECUREW KER'S COMPE ATION C"(( f{~GE IS.
UNLAWFUL, AND SHALL SUBJECT AN EMPLOYER TO CRiMINAL PEf'fr,lTIES'AND CIVIL
FINES UP TO ONE H.UNDRED THOUSAND DOLLARS ($100,000). IN ADprTiRN.:rOTHE
COST OF COMPENSATION. DAMAGES AS PROVIDED FOR INSECTlcr~ 3706 OF THE
LABOR CODE, INTEREST AND ATTORNEY'S FEES., .
I CONSTRUCTION LENDING AGENCY . _
I hereby affirm under penattY ofperjury that there is apC?nstruction lending,}~~ncy~orthe
~e!",,~rmanceof the work fo,r which this permit is issued {;?ec. 30~7 .CiY.9,):: _,:' .
. ':..cr:~;;:"'~-~:,L:',' ;:::;:;-;..:.~ ----~-.~~~----- --- -.'. --- ,- "';- -,.:-.-~ ........:..;.....,.'" . (
CONTRACTOR INFOR~bTION:
ARCHITECT/ENGINEER INFORMATION:
PROCESSED BY: DOR
I
Contractor
NUMBER
EXPIRATION DATE
TYPE
" ~'.
Construcion Types:
VN, ,
Fire'Sprinklered?
NO
I certify that I have read 'this application and state that the above "informatiOn l:; correct. I
_agree to co~ply with all city ordinances and state laws relating to building construction, and
hereoy authorize represen'tives ofthis ci - enter upon the above mentioned property for
inwection',pur.poses:' '
I \ Dale: 812/2004
. Signature of icant 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.
Fees paid for Permi,t:
Total:
.154.23
INSPECTION RECORD
INSPECTION . DATE .INSPECTOR
Temporary Power Pole .
Plumbing (Drain/Waste Pipe)
Electrical Ground Electrode/lifer .
SetbacklForrrisfTr,!nches(FoOtings)
Do not install subtloor or pour tloor slab until tIle
fOllowing applicable items have been signed:
Plumbing (Water Pipe.Sprinkler Valves) .
Mechanical (Groundwork)
Electrical (Underground Condu~) . .
Pre-slab (Compaction/Membrane.Rei nt.
Underpinning (Floor Joist/Girders)
Do not cover or conceal the work below until the
following applicable items have been signed: .
1 st Floor Shear . I. .
. Firesprinkler (Rough) . .
2nd FloorShear . . ~ .
Roof (Sheathing/Diaphragm'Frame) \"""'Vf.
Masonry (ReinfJBoild BeamlPre-Grout) I
Rough Plumbing (Top Out)
Rough Mechanical . . .. .. . .
Rougn l:Iectrical (Dry Wall) .
Rough Electrical... ._ ~
Framing' (Only after Plbg., EJecMech..'andFire) --c-
Insulation (SoundlEnergy) . . . . I )
Do not tape or plaster until the following applicable
jtems have,been signed: .
Drywall
Penetrations (Fire Rated) Electri$'lll .
Penetrations (Fire Rated) Mechanical --c
. Penetrations (Filll Rated) Plumbing
Interior Lath . . .
. Exterior Lath
. . GENERAL ITEMS
Exterior Plaster (Brown Coat)
T -Bar ElectriCal
T-BarMechanical
T -Bar Structural
Sewer. . . . .
Water Engineering Backflow ..
Water Service . .
FINAL INSPECTIONS Date Inspector
Electrical Final . . ...
Plumbing Final .. .
.
MechlirlicalFinal .
. . . .
Gas Test ..
Engineering/GradingFinaI765-5126
Fire Dept. Final 765-4040
Water Engineering 765.5268 .
Sub List/Business License 765'519
Zoning 765.5139
Building Final j}ast Inspection- Only
fter Above Complele) .
PARTIAL INSPECTIONS
ections
Mechanicallnsoections
Pluinbina Insoections
Electricallnsoections
PERMIT EXPIRED
INSPECTION
NOT COMPLETE/)
DATE: l';l- ~D-6G