2032 Midwood Ln.
'~'4
BUILDING PERMIT NO. BLD2004'Q1840
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BUILDING DIVISION'
200 S. ANAHEIM BLVD.
(714) 765 - 5153
" it)lSPEC;T10N REQUEST LINE:
(714) 765 - 4626
CENSUS CODE: . 434
QUARTER SECTION: 43
. CONTRACTOR INFORMA~ION:
GALKOS CONSTRUCTIO;., INC,
5412 BOLSAAVE #G
HUNTI NGTON BEACH, CA 92649 1056
BUSINESS PHONE; 714 37J-S545
JOB DESCRIPTION patio Cover ICBO #2228P,.17' x 20'. (HIH)
VALUATION; 5.100.00
.1 OWNER-BUILDER':lECLARATION
I hereby ,a~ir(l1 under penalty of perjury that I am exemptfro~ the Contractor"f .~icense Law for the following reason (Sec. 703,1.5 Business and,
Professions Code: any city or county which requires a- permit to 'construct, i:lIF!-i, improve. demolish or repair any structure,.prior to its issuance, also'
requires the applicant for such permit to file a signed stater11e:nt thathe is lice/lsed pursuant to the provisions of the Contractor's_License Law (Chapter
9)(commencingwith Section 7000 of Division _3 of the Business and ProfesslqlS Code) or that heis exempt therefrqm and the basis ,for the aHeged
exemption. MY violation of S~tion 7031.5 by any' applicant for a permit suoj~;cts the.;a:pplicaht to a dvll penalty of not more tha n five hundred dollars
($500).' . '. i
o I, a$ owner of property, or'my employees with wages as their sOler,comp!'lnsation, wUt <to thewcirk" and tns structure is_notintended or__offered fot. '
sale (Sec. 7044 Business and Professions Code: -Th~ Contractor's License Uw does not apply to an owner of property who bui!ds'~r improves
thereon', and who does such work himself or herseffor through his 'or ner,owp:employees," provided that such improvements,are riot intended or
offered for sale. If, however; the:building or i~provement is sold wjth.cn~ ye~;r of oompJetion, the owner-bJJilder will have the burden of proving.that he
. did not build or improve forthepurpose'of sale). ..', " _ : '- . '..
o I, as theowner,ofthe property,arri exd.usively. contraciing with Iic~nsed,;~ntract:ors to construct the project (See. 7044 Businessand Professions'
. Code: .The Contractor's license Law does not applY to an owner Gf property.';~ho b'unds or improves thereon, an.d who contracts for such projects with "
~ont~actor(s>-lic~nsed pursuant to the Contractor's license. Law);' .
U I am exempt under Sec. . '; B &' P.C..for this reason: _ ___
Date: Owner:
. ~ WORKER'S COMPENSATION DECLARATION
I_hereby affin.n under,penalty of perjury,on'e of the following declarations: .\
D, ' I.tiave'and will'maintain a~certificate of oonsent to self~insure for worker'dcolr,pens;ation,
as provided for by Sedion _37000f-theLaborCode; for the'performance oftt.<: work for which .
. this permit is issued. \ Prnfesslo
~O I have and will maintain worker's compensation insuranc~, as r:equi!'r;:!O b~~ Section 3700 of _ 5/19i200
. the Labor. Code, for the perf9rmance of the work fOf which this permit is issue:~. Myworker's Date:
, Co~pensafion insurance carrier and poliOf.a.r.e:
Carri or; STATE FU ND
TYPE OF PERMIT CIT.Y
Patio Cover
DATE; 5/19/2004
JOB ADDRESS: 2032 W MIDWOOD LN
LEGAL DESCRIPTION: . N TR 2689 LOT37
APPLICANT; DAVIO BORANER
OWNER INFORMATION:
Sandra J Jones
2032 W Mldwood Lri
Anaheim, CA 92804
ARCHITI;CT/ENGINEER INFORMATION:
PROCESSED BY: PMK
Policy Number. 046-04 Ui.JIT 0009439
. . .' ,
'.. This section need ~ot be completed if the pe~it is tOr on~ hundred dollars .(~1 00}_ or less. :~~~':
:0 I ,certify that in the performance of the wor~ forwhi,ch this permit is isSued, I shallJi6t' .
employ-any person in any manner soas to beco ubject to the workers compensatlon laws
of California. and agree that in should become.subj ct to the worker's compe'ns,ation ",c'._' ,
provisions of Section 3700 of the ~.e.1 Sha~OmPIY with th~'e provi.~ons.
Dele; 5/19/2004 APplicajJIk"'..:::iJ.. ". '''''.
WARNING; FAILURE TO SECUREWORKER'S COMPENSATION COVERAGE IS.)
UNLAWFUL, AND SHALL SUBJECT AN EM PLOYER TO CRIM INAL PENAll'IES AND CIVIL
FINESUPTO ONE HUNDRED lHOUSAND DOLLARS ($100,000), IN ADijr00N "f_9THE
COST OF COMPENSATION. DAMAGES AS PROVIDED FOR IN SECTION~7080l"'THE
. LABOR COOE, INTEREST AND ATTORNEY'S FEES.' '"
I CONSTRUCTION LENDING AGENCY'.' .
I hereby-affirm under penalty of perjury that there is a 'construction lending ag'JntW.for the
p€.rt"(.;;f;T,a.-::cv ~nh;:'~;br:({c:" ~'.!~kh-th:s-p-~f~1+. i~ j~~'!"'~ {Si;>,;.30Q7_<>..C)'_
lender's Information:
1 certify that I have, read this application and state,th~t the above information i3 corr~t. I
agree to oomply h all city ordinances and sti:!te_laws relating to building'construction, and
, hereby-authorize r reSf.mtives of this dty t6.~nter upon the,above mentioned property for
'~n ~rpose . . . . Dale: 5/19/2004 .
19nature of Applicant or Agent
The Pe.:mit shall expire by limitation and become null and void if the building or
work has not passed final Inspection 365 days from the dale of permit issuance. A
new permit is required to commence or continu~ wOrk.
I
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Contract?,.
. NUMBEH
492715
TYPE
TYPE
TYPE
B
C17
HIC
EXPIRATION DATE
11/30/2005
Construcion'Types:
VN, ,
Fire_ Sprinklered?
NO,
, Fees paid for-Permit:
Total:
0.51
/
INSPECTION RECORD
r'7 .'OATE
.. INSi"ECTION . . . . INSPECTOR'
." ".
Temporary.Power Pol..; ,. . .' .
Plumbing (Drain/Waste Pipe) >. .' -
Electrical GrOund ElllctrodelUfer.. . . . ", .' .'
Selbac;k1FormslTrenches (Footings) '. . . .
Do not install subfloor or pOUr floor sl~b until the .
fol/o\'ying appricabl~, items _have been signed~ . .
Plumbing (Water Pipe,Sprinlder Valves)
. MilChanic:a1 (GrilunclwlJtk) '. . '. .
!:lectrlcal (Underground Condu it). . '. .
Pre-slab (CompactiblllMembrane.Reinf.
Underplnlling (RoorJoistlGinlen;) . . .
.~ no.t Cover.orconcealthe INorl<bel.ow until the .
follOWing apphcable.tems have been signed: . . '., '.. ....
1st Floor Shear.' . . . .....
Firesprinkler (Rough) '. >' .
2nd.Floor shliar . .... '. . . . .
.ROof ISheathina/Diaphragrn'Frane)" . .;
MasonrY (ReiitfJBond BeanlPre-GJOllt)
R.ol1ghPlumbing' (Top Out)
R.oughMlIchanical . '. .' .... .
RDugn l:Il!Ctrical \UFy walll. ..' .
Rough Electrical.. .' '. . .... . .
Frllming tPnty"afterPlbg" Elec:. Mech: and Fire) .. . . .
In$lllation (SoundlEnergy) .
Oil nOt tape Or plaster until the foll!>wiRg applicable
. items. have been signed: ,". . . . ..,
DrYwall . '. '..:'. . '.'
PeneCralions (Fire Rated) Electrical . .
PeoeCratlons (Fire Rated)..Mechanical . ..' 1 .
. Penetrations (Fire Rated) Plumbing . .,
Interior.Lath . . .
Exterior Lath .'
'. . . . GENERAL ITEMS
:.Exterlor Plaster (Brown Coat) .. . .'. .'
.T.Bar Electrical" . . . . . .
.T-Bar Me<:hanlcal '. .' . '. '. . . .
IT.Bar Structural. . . '. .
S.wer '.' .' . .
I Water Engineering Backflow '. . . . . . .
Water Servicl> . '.
. .' .'. .' . '.
..".-'1
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FINAL INSPECTIONS :c:- Oale'.' '.. .I~spector
..
Electrical Final '. '. . . .;~.;.,
plumbingFin~1 ". .' . .' ..... .
.' .
Mechanic~1 Final - .'
r .
Gas'T est . . .... .'
, .' '.
Englneerll1glGrading Fj~1765.s.126 .' .C
....
FiniOept Final 765-4040 .; . . ....
Water Engineering 76S.5268 . ..... I'
Sub List/Business License 765.5.19 - .
Zoning 765~513!i . . . .... ;.
BlIilding ~in;ll ~ast Inspettl~ti. Only . . .'
. f1erAbove Complete). .'
. PARTIAL INSPECTIONS.
. ." .
Buildinalnspections .
. Mechanical Inspections '.
. PlurnbinQlnspections
ElectricallnsDections'
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