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481 S. Mohler Dr. DATE: 511112004.' . JOB ADDRESS: 481 S MOHLER DR " \.;.. CITY hS~~';:r~p~" . . . . '. .'.~'\""&<:>;'\1)"\"" J.' C "'ft . };.' ~je:!' ElM LM . , .........pd..~...... . \\ ' '),'k1, ~.' ;1 .~ . .'F, . II ''''' T;'I~"(.;;l' ". ~::t~5,.t3.:~,~'/' BUILDING DIVISION' 200 S. ANAHEiM BLVD (714) 755; 515;l '. INSPECfJON'REQUESTLlNE: (714) 755 - 4525 . CENSUS CODE: . 434 . QUARTER SECTION:- 209 BUILDING PERMIT NO, BLD2004-01633 TYPE OF PERMIT Blockwalll Columns ~'-' .. /- LEGAL DESCRIPTION: 'f . .APP!,.ICANT: BROCK SNOOK . . OWNER INFORMATION:. CONTRACTORINFORM.!\rioN: ARCHITECTIENGINEER INFORMATION: GadflY Odu'nze PREFERRED GARDENli1G AND LANDSCAPE 12623 Truro Ave #E 17608 FREMONT ST . Hawthorne, CA 90250 FOUNTAIN VALLEY, CA 8'27080000 . . . BUSINESS PHONE: 71434'l-9908 . JOB DESCRIPTION New retaining wall.3'-8' high (1500 sq. It), 1411n. ft of 6"hi\lh gardenwall,and 4 pilasters (per city staridard details) (HIH) ... , .' " ,- '. '. VALUATION: 18,136.00 i. PROCESSED BY: PMK I . OWNER-BUILDE_~DECLARATION Ihe~eby att:irm under penalty of- perjury that I am exempUrom the Co.ntractor'sUcense Lawfor the followir'!9 reason (Sec. 7031,5 Businessand .,", Professions Code~ any dty or CouDtywhich requires a permit to construct, ~i1i;r,- impro"e, demolish or repair any structure, prior to' its issuance, .also' requir~s the applicant for such permittofile a signed'staternent.thathe is l'ic~~:")'S€d pursuant to: the provisions of the Contractor's License Law (Cl1apter' ~){commencing with Section 7000 of Division 30f the Business'and Professi~ms Co<;le)or that he is exempt th~refrom a~d th~ basis for the'alleged exemption. Any violation of Section 7031'.5 by any applicant for a"permit suClects the applicant to a'dviS penalty of not more than five hundred 90llars ($500).' '. . . . '. . .' '. I'. .'. " .' '. '.' . .'. o I, "as owner of property, .or my e.mpfoyees ,<<ith wages as th~!r_ sele c9mR~nsation, will do. the work, and the structure is' no~ in.te.nded or offere::d for', sale' (Sec._70M,Business and Profesf;ions Code:' The,C-ontraCtor's ,Ucense_i:'awdges not applyto,an owner of property"who buildf; or,improves thereon, and who does. such work hi~self,o~ he'rself or through'h~s or he~ ow\~'emPIOyeeS, provided-that such improvements arenoti,nten9ed or. .." . offered for sale. If, however, the builc!ing or improvement is sold with one y;if of completion, the owner-builder will hawe the burden of proving that he did.oo't bUild or improve for the purpose of sale). ' ,J. ."." . [j 'I, as the' oWner of the property,. am .exdusively contracting wit Ii licensed Lx:intractors to c:onstruct the pr~ject (See. 7044 Busin~ss and: ProfeSsions .Cod'e: The Contrac;:tor'sLicense law doe~:not-apply to an o,:,\,ner of proparty,t'v.hb builds or improves thereOn, and who rontracts for.such projects \^lith :p...Qontrador(s) Ucensed pur~uant totheContractor's Lice_~se-Law)... . .; . "U'.I,amexemptund~rSec. " , ,B&P.C.forthisreason: _i' Date: . OWner: ,,\ I WORKER'S COMPENSATION DECLARATION -1 I ,hereby-affirm under peflalty of perjury one of the, following de~latations: - I, o I have-and will maintain:a certificate of ronsent to self-insure for workar',;, compensation, " as.provided for by Section 3700 of the labor Code,'for the performance of th~~ work forwhidl' this permit 'is is's,ued. . , '_ . .. 1 ' ' : o '1. have and will maintain worker's compensation insurance, as requjred t:~' Section~3700 of.' the. labor Code, for the performance of the 'work'forwhich this permit is isstlf\d. Myworker's CompEmsatton insura'nce'carlier and policy ,are: r' Carrier: . PolicyNU;"b~r. EXEMP,;- NO EMPLOYE . . Th!.s section need: 'not be conip:e~d if the pelTTJit is for one hundred dQllars '($~ C/: 0:- less: D.l certify,that in 'the perforrnan?e of the work for which this perm!t is isis:~Je:I" I shall-not 'employ any person 1n any manner so 'as to become subject to the worl<er's 'C~;i11pensation laws of Califomia,- and agr'ee that ,if I should beconie.subject to the worker's corppe.1sation " provisions of Section 3700 of the labor Code, I shall forthw' h comply with:-th..-se ' visions. Date: 5/11i2004', . APPlica~ . c=- .;. . WARNING: FAILURE TO SECUREW KER'S CO ENS ~nON COVER,>, UNLAWFUL, AND SHALL .SUBJECT AN R TO CRI I . PEN ES ANDCiV!L FINE.S UPTO ONE HUNDRED THOUSAND DOLLARS ($100,000),1"1 ADDmON TO THE. COST OF COMPENSATION, DAMAGES AS PROVIDED FOR IN SECT10"i3706 OFTHE LABOR CODE, INTEREST AND ATTORNEY'S FEES. ! I .. CONSTRUCTION LENDING. AGENCY .'. I.hereby affirm und,er penalty of perjury that there is'a construction,lending Ag'oncy for the __oerfOJ[1l9D.~ pfthe w()rk for waicp tt1is permit is ;sSUed (Sec.':~097X~j\[;.91 >"iJL ' Lender's Infonnation: . I I LICENSED CONTRACTORS DECLARATION I hereby affirm under P€1'nalty of perjury that lam licensed under provisions of-chaRter 9 (commencing with Section 7000) of Divsion, of the -Business 'd' . Profession C d~'., . . ~ 5/11/200 /. . 'Oate: . NUMBER. 519363 TYPE C27 EXPIRATION DATe; 1Q/31/2005 . Construcion Types: VN, , Fire SPFinklered? NO '.-.. ':. '~:,,~":,: (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 represel')tives of this City to enter upon.the above mentioned property for i\1~ction pu sas. ~ Date, 5/11/2004 Fees, paid for Permit: Total:. 1,81 , INSPECTION RECORD,' INSPECTION " 'DATE INSPECTOR TemporatyPower Pole' , , . PlUmbing (DrainlWaste Pipe) ". . Electrical GroLindElectrodelUfer SetbacklFormslTrenches (Footings) . - 00, notinstall subfloor or pOllr floor slab until the following applicable itemS have been signed: ' Plumbing (WaterPJPEl.Sprinkler Valves) Mechanical (GroundWork) . Electrical (Underground Conduit) , ' Pre-slab (Compac;tionlMembrane.Reint '.. ' Underpinning (Roor Joist/Girders) , , . ,00 not cover orconceaUhe work below until the' following applicable items have been signed: . 1 st Floor Shear . Fi.....sprinkler (Rough), . 2nd Floor Shear ' . , .. . . . RQof (Shealhing/DiaphrilgRv'Frame} . ' Masonry (ReinfJBOI'ld BeamlPr&-Grout} . . Rough Plumbing (Top Out} , ' . " Rough Mechanical .' " I Rough Bectrlcal (Dry Wall) " . ,'. r Rough Electrical .' " . Framing (Only aher'Plbg.. Ele.c.. Mech. pnd Fire) . . InsiJlalion (SoundlEnergy).' . , . , 00 not tape or plaster unt!,1 th.e following applicable r items have been signed:' . ' , . Drywall . ' , . Penetralions (Fire Raled) EleCtrical . Penetrations, (Fire Raled) Mechanical', . Penetrallons (Fire Raled) Plumbing Interior Lath . .'. . ' ,< Exterior' Lath . " .' '. GENERAL ITEMS ~ Exterior Plaster (Br'aNn Coal) . . T-Bar Electrical, ' . . . ' . T 'Bar Mechanical " ' T .Bar Structural ,-' . . Sewer , , Water Engineering Backfiow . Water Service ' '. . ~ FINAL INSPECTIONS ',Date' 'Inspector Electrical Final " '. . Plumbing Final . ... ' :- .' , Mechanical Final '....;'.. . ,. '. . Gas Test . Engineeriilg/G~adi!,g Final 765-5126 , ' . Fire Dept. Final 765'40~O , '. , , . . Water Engineering 765.5268 . . " . ' . " Sub List/Business License 765-5~9 " : ,,' Zoning 765-5139 . ,.' '. Building Final ~ast Inspection' Only' , ~er Above Complete) " PARTIAL INSPECTIONS . .' BUildinaln~":itons; ". . ,,', ..',', ,...' oi/t;' .' · ~-7.5'Of~ ~_~~ pjfvorj J rff- '* I, 1.- - l/JI-J. ..... ,'. l1-r~~ /#/.i'n;n- R'''''~..-6I'tlUr ~~ ~#.P, ~,'~'~1 ~>--_____ Mechaliicallnspections Plumbina Inspections Electrical Inspections ' PERMIT EXP/'RED INSPECTION '", ,NOT COMPLETED_ bA-c.-.~/ I.... ~L.ID&. - I) s . n " i ,. (" .r ./1' ,- .. 4 -.r--- ~ J>11't!j ~i~ .;~ . ~'1Il. ~'l} t! ~€g~~~ ~ .e~+f-ii~ ~ ~1\ Ila~e.,~ ~r . .~... l'l~id.. z." E b1at! . "'... ~. . ~~~Hl . b~&!;l ~~a~ l' ~\A", ~ ~ o <1?(61)> r- .(1' "1\~li~~ c? l.ofl z~ ""." - t'.J: ~~. ~ :p:'"' S2 ';ll", ",,!It ~ +io(-.~ \'I ~. <>. :.;Z-lIi 72l ,.."'~~C r-Vli\.... " ... It; 1:.. '" ~ ~ _: s ,t ~ "M o : 1 '= . 3!.4/' 4'-'1" o. o c:.::::J :0 ~ !II E ~ j,) m '" '7f cj ~ Ci. ~ , r->.. '2.SLIOh lI"-o" '*_0" ~ ~ "" .'I!. ~ n l\ ,i. > r r ~ ! , ~ . . J i .... -~ '~ "j' i I 1 ~ I ..p -' QUO T E 'J.. i k \~ k..-l , 'If! 4~ Customer: Ship to: bruce mosheni p.o. box 4876 mission viejo, ca 92690 Home: (949)-254-5454 Work: Ext. : ) - bruce mosheni 481 south mohler drive anaheim hills, ca 92807 Job Site: (949) -254-5454 Design Name Date: 8220P1D7 08/22/03 Reference : Approx.Inst.Date: 08/22/03 Supplier: j. e. moore.~ Designer aftMaid Cabinetry, In~. KraftMaid Traditional HD KMHD053A MAY 2003 ID: jemS04 ' ' Designer: Vo Fax ) - Line Used : ." KMFRAME Upper Style: Tall Style: Hardware: . Drawer 'Pulis: Stain/CQlor: Toe Kick: Bottom Molding: 7041 Lower Style: Drawer Style: Door Pulls: Wood Specie: Finish: Top Molding: LCM4-L C MAPLE BRS 7042 APC GN CCM8 WMTK8 OGM8 QTY Description Price Level(s) PBOOK COLUMN 18 Volume : 0.00 Weight 0.00 GRAND TOTAL (~,-:s; fb;'lI'/ D'(t:x::",rr) rs riq )It 1 -- J. . r The GRAND TOTAL PRICE is for cabinets, moldings, panels and accessories, and does not include the cost of INSTALLATION, COUNTERTOPS, SINKS, FIXTURES OR APPLIANCES needed to complete your kitchen. The GRAND TOTAL is subject to state, local, federal taxes and delivery fees. Quoted by: j. e. moore Ref. : 08/28/03 Home Depot Page 1 --" ...."""--,...y ;7- .- . . ./ ' / QTY Description Price Level(s) PBOOK COLUMN 18 YOUR DESIGNER HAS MADE EVERY EFFORT TO INSURE THAT YOUR ORDER HAS ALL THE MATERIAL NEEDED TO COMPLETE YOUR KITCHEN. ANY MATERIALS MISSING OR MATERIAL NOT PAID FOR AT THE TIME OF ORDERING IS THE RESPONSIBILITY OF THE CUSTOMER. Quoted by: j. e. moore Ref. : 08/28/03 Home Depot Page 2 51 1721 89 II II:GtJ:11 ~ W2736 I II III III - ~ IICOMII I S8 27 I IIDISH. 241 8024 I Q. !cl:L: _ _ _ ~..lL _L_ 2',p ,C 4 3 1481 84 4 6 6 67 /2~ 108 401 1 :F1NISHED DEPTH OF THIS WALL TO BE 28 INCHES. CABINETS IS 24 INCHES DEEP MOLDING WILL ADD 2 1/2 TO 3 INCHES TO DEPTH . 2:FINISHED DEPTH OF THESE WALLS TO BE 15 TO 16 INCHES. WALL AND BASE CABINETS ARE 12 INCHES DEEP. MOLDING WILL ADD 2 1/2 TO 3 INCHES TO DEPTH. COUNTER TOP WILL ADO 1 1/2 INCHES 3:NEED MANUFACTURES SPEC'S FOR ALL APPLIANCES, ESPECIALLY THE STOVE TOP 4:INSTALLER TO ATTACHE OGP8 TO SIDE AND BACK OF ISLAND AND HUTCH Design: 08/22/03 jWg no , 82200107 cale : maximum ~Il dimensions & size designation THE his is an original design and mus Date : 0812B/03 given are subject to verification on HOME DEPOT ot be released or copied unless bruce mosheni lOb site and adjustment to fit job pplicable fee has been paid or job p,o, box 4876 Designer conditions. prder placed. ~ission viejo, ca j. e. maore , I g~ :rz 3'"g (j) So CD Al-o ~ Al@@-t ::l::l-::r g2 g(/;' O"o::sQ. CD ::: 0 @ ~ i6g~' ttI ::!l CD (C fli g cg (/;' ~iffi~ ~~~~ t~ ~ ::c o s:: m Cl~ m "U o -; 31' 0" ~'P 2 o.gg ~ )( 3 ~.& ~ .o'~ifi o ~ '" -. '" ~ o !:: o ... o ~ ~ ? o I . \ ~ ~ Ql 5'z s.:g <D g. 3lB-a~ alii:;! =' :::l Ql _. -o~Ul g'iPOa. 0"9.6; : :r::~. ~ (I) :reS. =" (!! 0 (Q fij' 010" s.~ ~ ~ (am;(\) ::J::J-a ~~ ~ o' (ii" 0 ? :I: o s: m", Om m -0 o -I 3"CC" -02 ~. c- 2 g~3 S'8;g .m....... :r .0 0) g: g - ~ ':1 o ..., o ~ ::J P u_ o ~ o cg o = "" f 36 6H 54 34i 1 / / / / 1721 /.11"- 12 / r hI r 961 27 30 9006 u o Z<i{OXOX 100 :::::::1 DO DO / / 321 / 24 ----,(f / / / / 89 45~24 / / 51 /4V'- 12 / ;(f-- 15 ~/ 36 All dimensions & size designations This is an original design and must 82200107 Scale: 1/2" = l' Owg no. THE given are subject to verification on HOME DEPOT not be released or copied unless bruce mosheni -oeslgner job site and adjustment to fit job applicable fee has been paid or job ;. e. moore conditions. order placed, p,o. box 4876 WaiVe Line # 1 mission vie"o, ca All dimensions & size designations This Is an original design and must 82200107 Scale: 112" = l' Dwg no. THE given are subject to verification on HOME DEPOT not be released or copied unless bruce moshenl Designer job sUe and adjustment to frt job applicable fee has been paid or job p.o. box 4876 I. e moore conditions. order placed. mission viejo, ca WaiVe Line # 5 / / 40! / / I 42 6H 9516 54 34~ 1 4r 36 4r .' All dimensions & size designations This is an original design and must 82200107 Scale: 112" = l' Owg no. lliE given are subject to verification on HOME DEPOT not be released or copied unless bruce moshenl ueslgner job stte and adjustment to frt job applicable fee has been paid or job i. e moore conditions. order placed. p.o. box 4876 WaiVe Line # 10 mission viejo, ca Ji' 611 ~ / 84 / / / 96 I 341 34~ 1 1 r 0 /-- 17~ ----T----- 24 / / 24 / / 181 -7' N- 12 73/ 48 /'3-"- 12 73/ ~ . All dimensions & size designations This is an o~glnal design and must 82200107 Scale: 1/2" = I' Owg no. THE given are subject to verification on HOME DEPOT not be released Of copied unless bruce moshenl ueslgner job site and adjustment to 14 Job applicable fee has been paid or job ; p.o. box 4876 . e. moore conditions. order placed. mission viejo, ca WaiVe Une# 13 .' I I 11 611 34l / / 84 / 96 / 34l 8220D107 All dimensions & size designations given are subject to verification on job site and adjustment to fit job conditions. 1 #- 18 ~ 36 ~ 18----""73/ THE HOME DEPOT This is an original design and must not be released or copied unless applicable fee has been paid or job order placed. bruce mosheni p.o. box 4876 mission viejo, ca IT Scale: 1/2"= l' WDW9 no.- ueslgner __Le. mQ..Qrg___ ~ WallIe Line # 14 -------- .. . . BL'ilDING PERMIThlC.;!1;U'l?002-03764 . . .. ~;',t..:~.- ' ". .~, -' /.~':~ -~ .,.,,~ ;, ~ . F.:;'.......,...... /:~,';?,n'_ ~ CITY .tj~~~;tl~HEIM.. .' . . ..\'~~~t1;f.~~;/ ..... . .... ',; BUllDI,NG'Or",'j,310N 200 s. :AN"~Hf._:;..tBLVD. (7'14) 765., ,; j$;:.' , - .' 'INSPECTION' 8EQUESTUNE . (714) 765 - 4b2f . . CENSUS CODE:. '101. QUA~TERSECT:O!~:'209 . . . .,~ ; . APPLICANT: BRUCE MOHSEN I . 'I OWNER INFORMATION: '. CONTRACTOH INFOR~1"i ICN:. Godlry Odunze BRUCE MOHSEN: '.j .12623JrurpAve#E ,'" ',. 24261:RUE m:'GAUGU1N' ..1 " ',I-lawt,horne, CA ,9.0250. ,," .- . " "LAGUNANIGUEL ~.2~''/{:<~I)D CA . JOB DESCRIPTIONNewSFR: ReIer. to expired case. BLD2001.0,21'5. . . J. VALUATION: .570,192.00 ~_.-lt.. . ..' PROCESSEbBY: CAL ~. . I . ...... .' ...... .'. . .... . '. OWNER-BUllGEP.}h;cqLARATION .... '. ',' . ----l I hereby affirm imder.penatty'of perjury"that JOam 'exempt frOI)1-the,Contract(:ri~[;.E:nse"I;a.w.:,for the followin~ reason' (Se,c. 70.31 ,5 Busines!;)afid. . Professions code: any city or county which requi,resa per.mit to con$trtu:;t, dit{~f"irrIDrove; 'demolishorrepalJ:all'y struGh.ire; pr,ior',~o its :ss:uance; also reqllir~?' the applicant for-sua; .permit to"filea_signed,staternent ,that he is lir.(~F~'J purs'V'Jllt.tP.the,proyiSiC1ns orthe, COlltraa,or's License Law(CnE!P~cr 9)(commencin,g with 8-ectlo..... 7000_of Division 3 cf the ~usil1ess anQ P.r<?fe_~,5i:~~~',5 COcl<3~'orAI1~t~h'~js_exempt t~lersfnlfTi a~1d,tne basic, for.theal!eg~d e~empti.cn. Any' violation' ofSection,-7031.5 by any. app!:cCAnt for a p'e~'mitst.jti.~\::Cl.~ t~I,G,a pplic,\3ntto a Civil pencilty of ~ot Tn');€! than fi';e hU;ldr~d.dplJai"s ($500). . '. .' . . ..., .[!.. . .... . ' ..... . .LJ .j" aso~ner ot:'property; or rr.y.~rripicyees 'witt: \",ages a~.ti1,i?!I:":;oi.f;'c.~~_m;):{l:t?~tion"wiJt;q(),tQeV'ork, :3r'd,.fhe 3:tr,llpt~re';~'pot h.lteI1ded.C?rjifered for sa::s:(SsG~ 7<;J44'8u3sness 2,7id:Profes.~icns Codn:- The Co.ntr:;.Gtor'~ ;.~~:::E;n's:e:}:~'11'does n~~_'~"pplrtq.~m 0'~;1~ei: of propj<,rt'J_who,b~I~~, or,inJP~eves t~e teorl.an::J ~J~o. c.i o~s $uyh'~ofk. h: Ofl~tJ'for. h,:::tse!f o~ tnr~ugh, l~is. ;orrier U\'~;~r":::~.p1oye~'.'l?to~W~ _.~~a,r~U~hirnp ?,~~e n,l-=-_fl~s :arp. not intend ~~ ,0 r'" _'. offered fpts;ale,;_lf-, !~owever, the bUlldjng or lmpro\'&fnotlt IS ~I)!O, 't-;'ttn(',r1el'e~t'~)f com;l~tlon~~He ov-me.r.blJ:lder w.!11 h~vn the,-t"lurd!3nof proving that I-Ie '. c::d net t,uBd or .improve {orth.Eq::llrpose 0fsak:,~ . ,,' '-_"'-i':\]" , . ,.' , ,'" . " _.,' . '_: -,:,.., _'. . .~ [J i;..'as' the' owner Bf thf;i 'prc:>perty, '?m .exdus'ively ccmtra.'-ting -\"~fth l.ic.E>r!se'J:k~'ftr']dOIS,;~)"construc~_ tl1e:proJect (S~c.: 704i':?':'~.Jsine'SS'Dnd .,Fiotess'io;n's . ~ude: 'rile Cont~actor's License l.?w doe::. riot..apply to an0wnerof prnp3i~y:;tI1() b~:i195()rJmQrovl2'>s thel'~oh,.'ar,d{Nho. <..uqJr.a\~~ for !"ouch pri5~ts '~':Iith' . p_1on;tr~ct,Or(sjlic,ensed'PUr$~a~t tQthe,conBtra&'r.:lp'orC~s ~iceh~.5e Ldw~. _ 'Jf. :--, -;-.' .... ," _:.:" . " :cJ_.-I;am,exemp~un~lfr&ec: ,,' "" '.' .~~rtlsreason:' .~-,.jlc~", ,'" ::: -. ' -:---"';---7,""";:'""":'~_""':"'::-""'':;' '_ -,-,.;:",~. '!JNe-: , _' Owner:. .. __' .' '(f(:~,~_~:':'-~,.._,....:...:~...:...:-.:.:,..,_....-_.,~~_:<-,-~______,~ r- . '. . .., . WORKER:sCbMPEN~ATIONDEClARATION<lL.' c.il llCEN;EDCO~m~6GTO"S Q:iCiARAWNl . l'herebYJ~~rn1l.mderpe~artY'ofp.erJuryon~cfthe follo'lllng 'd&Claratlons: - . L. '":~.,, I h~;.eb'y,aff!::;I..u~tj~; j:'enaltY.,ofperJury that ~. ~f.:l lJ- Jhave,8t,ld :Yiill maintaln-.a e;ertiticate Of., cof1sentto se!f-ins.ure for \!'}Or:ke,.::t_;:.,.-.,:i1pen.38tioP,;. .,:~n~Bd ~nd::r'.P!"o.:V:S'.'~~?S?fC~. ,aPle:::. 9 (.C..O. ~TlmenC.-ll.J9 55 provided foro/Section 3700 of the. Labor Code, for thE" performance of~::,G:'_""v.,i-: iorw:,:Ch . ~.~Ith. ~e~tlO..r"..ooo) of Dl.~'iuiT3..~I)f.h "_ee.., ,BB.;;JJslSlnne. 3s:an~ thi-6oermlt is issued. r.. ~rofess'o~~lOV,"'/~,:, D I have and will ~ajntcan worker's compensdtl-:>n Irl~~rance, zs req~l;.:;:;':' S'~~tlOn 370~ Of.1311Oi2~0~~.~~.,_~_., '. -",' the Labat Code, for tne performance of the work for which thiS p~rmrr is ;<-;::;l'l" . -iv=r 'NorKerg, ,Date:. -' , .... '::'-. , Ccm~ract~'r ' Compensation Insurance carrier and polle,)" are: J ' '. Carrier:, ~o EMPLOYEES .J'" , . ,PClicy~umber: ~.xE~I,:;l;t. '.~~r~~:R. ':~~;:~~~~~~'DAiE .ihis :tfon~ed not:be comp!etediftl:1e penni~.is for one hunored dollars ($1:~~_.~~ ~~ls". . '::-" TYpE . B '. I certify.that in the perfonnance.ofthe work,_for WhiCh. this J::ermit-js.i~Si-'f.';';', J$~)al:'nr;i:_ . '_ ,- _,' ',' """. ' '"",,' 1"',.,._--'-";1:'. '-, .,"i'" 19yany personinany manller so as to become subjectto the w_orket's~_(:1'f,l:{I"j;$c.:tloriiaws alifomia,and'agree that if l should beco sUb~,ct to theworker'$:~OiT.~~.~~';~1i1lo-n . . c provisions of Section 3.700 ofth e La bor Co. ,.1 ,sh_~lI fort:h~i~h CO~P'I~>~,\ l ~:~:t~t'i.~4~n.s: . Dale: 3/10/200, Applicant: v<~. . {':..L '. ,,~.... ' WARNI~G: FAILURE TOSECU '.' RKER'SCOMPENSATI()NCOvr;,,>~~i.S'<"')'" UNLAWFUL, AND SHALL SUB ECT AN EMPLOYER TOCR:MINAL PENI'.',r\rt:t'ANDCIVIL. FINES UP TO ONE HUNDRED THOUSAND DOLLARS ($100,000), IN AD::n!"N'rCliIHg.' .COST OF COMPENSATION, DAMAGES AS PROVIDED FOR!N S~dTlo-',:;f?:iiI;:5.F:TfiJ; LABORCODE,INTEREST ANDATTORNEY'S FEES.. . . . i . ".'.",r"',..',. I '. CONSTRUCTION LENDiNG AGENCY ':J7~;:;2," I hereby affirm. under. penalty 'of pe_rjury that there is'Q. construdlon lending::f~-;t!?y for t~e:}. flerTOr~snce -oftt"le work for,which this permit fs Jssued (Sec:3q9Z .qiJ;): .';"~;i f.'>~c-'::':~"_~~' ~:.,. _-.___,"--.----------"...._____','~-:--_____._________ .._._._,~__ . __ ____.. __ ".~....,<,_IC_','O_',,, '__,~', ,~::..,' _,.,__.~ .',_-.: ___~ LCnClE::r5 ~morrna.ion: .- ..,,', '"'.-' TYPEOF PERMIT . . New Residenii.al Conslruction. ", DATE. 3/10/:1003 . 5) JOB ADDRESS: 481S MOHLER DR :,; LEGAL DESCRIPTION: ., - , I-certify that I have read.this appJication ,and state that theabQve information is correct. I. agre.e to comply with all city ordinances ami state-laws relating to buildingcO:lstruction, and hereby _authoriZe represe:ntiVes of thisc1ty toen!er'upon the above. mentioned propeirtyfor .' insped~~se:-u~ ..... ". . . . Date: 3/1.0/2003 ,._,~, .... .. Signature:9fApplicantorAgent " _ ,. The permit shall expire by limitation and becoma null and void if the building or . work has not passed final inspection 365 days from the date of pern~t issuance., A new permit is requiredto COmmence or continull work. . .. ,. -- . , . . ARCHITECT/ENGINEER'INFORMATiON: . WILLIAM COOK" . 31681. CAMINO GPISTRANO $,AN JUAN CAPISTRANO. CA'92$75 . Construcion,.Tvpes: VN" ' , Occupancy Groups: R3,U1", . Fire 5prir\klered? ,?wellinq'Units: Li'.!in~rAr€:a: Garatle Area N~} 1. 5,450 . 987. .. ......1sA~~:-h_ii"~-[j,/(/~..~;c. .' .' ....~~ . Fees paid for Permit:_. Total:' 7,510.52 INSPECTION ~ECORD ~. . .. . INSPECTIoN ...... ". ". DATE . INSPECTOR . '" . .. TemporaryPower.Pole. . . '. .' ,'. . '" . .' PlUmbing (DrainlWastePipe) . .> . .'. '1 E;IeCtricalGrOUnd ElectrodEilUfer ...... . .'. I . . Sl!lbacklFormslTrenches (Footings) ...., . I C'?;> IClt . .... Do not:instail subfloor orpourfloOr Slab unti Ithe '.' .,'1 following applicaQleite~hav" been signed: . . Plumbing (Water Pipe.Sprinkler Valves) '. '. '. MechaniCal (Groui1d\YOrk) '. : ........ Electrical :(UndergroundCondliit).... . .' Pre-slab (CompactionlMembrane,Rei of. ,,15 ~I J. .. . .' Underpinning (Floor JOistlGir<lers) '. . . Do not !:Over or cOnceal. the. work belowunt" the' '. 11' . '. followinll applicable items have been signed: ... 1st Floor Shear : . ..' 7 :;'.7 II../--: !.. I'iresprinkler(ROugh)' .... . .... .... '.' .' 'A" I 20d Floor Shear .' :.... .: . '. :-/ ;;.... ~/: . ROof (Sheathing/Diaphrag!J\lFrane) P'.//:-O~ _ ./ . Masonry (ReinfJBood BeamIPre-GrOut) . . Rough Plumbing (ToP OLit) .... .' . . ..: ..... Rough Mee;hanical', . . . .'. '. .'. '.. . Rough 81lCtrlcallLIrY ..all) '.' '. . : . 'Rough.ElectricaL: '. . . Framing-- .(dnlyafterPlbg.; Ele~.:_r.le~h ana Fire) 1.1'7. ~ IILI. Insulation (SoundlEnergy) .' I ',Q.~ ~. Oo.nortape.or plaster until'lhefoJlowi.ngapplicable '. .... itemshave'beeri signed:' ....... ..' . '.. .1' '. I)rywall . . ...... . ....... . '/._1. \ / ...r . pen~ratioris (Fire Rated) Electrical ..: '. . . I" . .... Penetrations (Fire Rated) Mechanit;ll . .' . . . .' .I PenetratlClns(Fire Rated) plumbing. . . . . '.. Interio.r Lath' .... .:. .... . , . . . .' 1 Exterior Latli . .: '.' ,. ''''''.4 . .' . .'. GENERAL I EMS '.n..... . . exterior Plaster (Brown C!lal). ~'J'j . . I. T -Bar Electrical'" . . . '. . '. r. T -Bar Mechanical. . . ... T'Bar Structural. ". . :. .' . . .. . : Sewer'.. '.. .: . .' .: . Water Engineering Backfl.Ow .:. .' . '., '. . : .' . ....:. .. , Waiei'Service . . .. :.' '" FINAL INSPECTION5 . Electrical. Final Piumbjng Final' Mechanical Filial Gas: Test Engii)eerjng/Grading FinaI765~126.. Fire Dept. Final. 7654040 WaterEngineering 765~5268 Sub ListJ13usinessLicim$e 76.5-519 Zoning 765-51.39 Building Final (Last Inspection-Only' .... . After Above CompleteY . ". PARTIAL INSPECTIONS BUildin~ In;::ctions .... . .' .., '. ..... (Ut4. \ 2>- ...W1hA-- ~c../~~7-I) MechanicallnsDections PlumbinalnsDections ElectricallnSDections .~...