918 N. Monterey St.
BU'ILDiNG PERMIT NO. ,BLD20D4-01529
TYPE OF PERMIT
Residential Addition
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CITY (l6f~~ftt~".'; ElM
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BUILDING DIV.ISION
200 S, ANAHEIM BLVD.
(714)765-.5153
INSPECTION REQUEST LINE:
(714) 765 - 4626
CENSUS CODE: 434
QUARTER SECTION: 31
DATE: 5/5/2004
'JOB ADDRESS: 918 N MONTEREY ST
LEGAL DESCRIPTION: N TR 1202 LOn 19
APPLICANT: MARCOS RAMOS
OWNER INFORMATION:. CONTRACTOR INFORM;, nON: ARCHITECT/ENGINEER INFORMATION:
Marcos Ramos
918 N Monterey Sl
Anaheim, CA 92801
.,JOBl?ESCRJPTIONRoom Addition. Add new dining room,'bedroom, closet a'11;1 bathroom. (HIH)
VALUATION: 55.000.00 :
.1 OWNER~Bt!!LD~i)ECLARATION
I here.byaffirm under penalty of perjury that! 'am exempt frGm the Contracto~:'~ UcenseLaw for.the following reason. (Sec. 7031.5 Busine;ss and
Professio~s Code: any city or county which requires a ,permit to construct; a/::r, implo\le, demolish or re;:"air any structure. prior to its issuance, also
requires the applicantJor-such pern1it to file a_signed statement that he i$l.ic~(lsed pursuant to the provisions of th!9: Ccntractor's License Law (Ch~pter
!1)(comm~n9ing with Section7000 of -Division 3 ot the Business anp Professit."is'Code\or thath~ is, exe;T1pt therefrom and the basis for the alleged
exemption. Any vioiaiion of Section 7031.5 by any applicant for a permit sut:~cts the applicant to_a avil penalty of not more than five hundre'd dollars
($500). '.. " . . t. . '. .'
Ot, as owner of property, or my emplo}!ees with wages as their; sole comf~;:)f'?ation. "NiU dothew:ork, ar~ the structure is i10t jntende~ or offered for:
sale (Sec. 7044 Business and Professions Code~ The-Contractor's License ~()W does not apply to an owner of property who builds ~r improv~s
.thereon, 'and Who does such work hirnself orherSeif or through his or her ~")w;\ employees, provided that such improvements R(e not ir..tended or .
, offGred for ,sale. If, however, the building or improvement" is sold wHh one Yf.;.:}r cf completion" the owner-builder will have the burden of proving that he
. ~ildorimprove-forthepurposeofsale). .":'-'_ : .' ..
Q,'I",~t~e' own~r'-.of thepr9pertY, am',i;;lxdusivelycontrading with lice~Sed~,co-ntractors to construct the praiect(S~c:. 7044 Busines's.and p'rofessions
,COde: The,Contractor's_License Law does not apply.to an owner of propeity(who builds or improves thereo~, ~~d 'who contrRcts for sum projects'with
FU(ontra~or(s) licensed' pursuant .tojp.e-contractor's License Law). -<'_~,' _' . ' '. / .
~'I.a.mexemPtllndersec.~te~"'" ".,.B&P.C.forthisreason::,,~,t -,'. , " " .
Date: " Ower:. J
. 'WORKER'S COMPENSATION DECLARATIONct~-
I hereby affirm u~der penatty of perjU!y one of the following declaration,s: , _"
o I haveand win maintain a cer-tificate of entisent to self-'insure for work'er'/$'(.x~mpensatipr'l,
as provided for by Section 3700 of the Labor Code, for the pe_rformance ofth\~f'.'Jurf< for whic;:h
this p,,:,rm-jt is issued. ,,' '. . .' ~,,-'
o I have and will maintain worker's compensation insurance,a.s required bt Sectioi13700 of
. .the Labor Code. for the performance of ."the work for which this permrr is isSu.:.}.r My wQrkeis
CorTlpensatiOn insurance carrier,and policy are: . .
Carrier: . Policy Number:
PROCESS.ED BY, CAL
I" .' LICENSED CONTRACTORS DECLARATION
I hereby'affirm under penalty of perJury that ~ am
licensed under provisiollsof chapter 9 (commencin'g
with Section 7000) of DivsiOri 3 of the Business and
Professions Code. . .
5/5/2004
Date.
Contractor
NUMBER
EXPIRATION DATE
hiss need ,not be-~Pleted if the pennit is for one h~ndr~ d~,llar~ ($10~~ or less._,
J certify that in the perfonnanceofthe work for which this permit is issued, I shall not
, employ any person in any manner so as to" become subject to the worker's cb-npensation laws
. of California, ,and agree that if I should become subjed.to the worker's corr.;;.tnsatiOI1_ .
provisions o~ Section 3700 of the Labor Code, '1:~1l forthwith comply with t~!'~sP p(oviSions.
" -- , ...,,' . ,', .
Date: 5/5/2004 Applica~t: ff"''' ",
. WARNING: FAILURE TO $ECURE WORKER'S COMPENSATION COVEf(.;Gl-iIS
UNLAWFUL, AND SHALL S(jBJECr AN EM PLOYER TO CF<IM INAL PENA" m,$)\ND GIVIL
FINES UPTO ONE H(jNDRED THOUSAND DOLLARS ($100.000), IN ADD!f1QN.!QTHE
COST OF, COMPENSATION. DAMAGES AS PROVIDED FOR IN SECTION)FGGOF THE
LABOR CODE, INTEREST AND ATTORNEY'S FEES, ..
I " .' '. CONSTRUCTION LENDING AGENCY , i i
I hereby affirm under p~nalty of perjury that there is a construction lending af..incy fo/the
perforll!ance. ()fth~work fo_r: \,\,_h!ch ~his_'pe_r_rnit isissued (SAC. 309r_9~1/:,c;t ~. __.:.~__~.~__ _ _ !
-"~Lj;'I,II,;ierslrljorm&'ijof1:"-_._- - - - --. --
TYPE
Construckm Types:
VN". ,
.Fire Sprinklered? NO
Uvin~ Area: 764
I certify thG!t I have read this application and state that the above inforrnatio'nis correct. I'
agree to mmply with all city ordinances and state 1;;IWS relating to building cor-struction, and
hereby authoriZe repre.sentives'ofthis 9ity'to enter _upOn the above mentionec: property for
inspection purposes. vV""
t1 vv:" Date. 5/5/2004
Signature of Applicant or Agent
. The permit shal! expire by limi1ationand become null and void if the building or
work. has not passed final iospection 365 days from the date of permit issuance, A
new permit is required to 'commenc.'> or continue work.
Fees paid forPermi!:
Total:
555.50
INSPECTION RECORD
INSPECTION .. DATE INSPECTOR l
' , ' "
Temporary Power Pole'
. Plumbl ng (Drain/WlIste Pipe) ,
Electrical Ground Electl'Ode/Ufer , "
SelbacklFormslTrenChes (Footings) ~ltlJ..)[!J.. .
Do not install sub floor or pour floor slab untilthe ,"W
follOWing appliGable items have been Signed: ' " , .
.Plumbing (Water Pipe.Sprinkler Valves)
Mechanical (Groundwofk) .
, Electrical (Underground Conduit) , .
PI8'Slab (CompactionlMembrane.Reint. l<n~ 1-1\ .8:.<U
Underpinning (Floor JoisUGirders) . . ' .
I.Do not cover or conceaJ.the work below until the
. following applicable items have ,been signed: ' .' '
1sfFloor Shear .: . " 14( ,,~
Firesp,rinkler (Rough) , .
2nd Floor Shear ,
Roof (Shelllhing/Diaphragm'Frane) IUIIlbW
Masonry (ReinfJBoncl, BeamlPre-Grout) , , './ , ','
Rough Plumbing (Top'Out) , .
Rough ~echanical .. '. . , '. '.
tCD.ugh ~ectrlcal \ UI Y nalll . .' ,', .
Rough Electrical . . '. '. ~1lI"'" .' ~ "
Framing,. (Only after Plbg.;Elec., Mech.. and Fire). ,\,,'-'^If . ,
Insulation (SOIlndlEnergy)., , :.
Do not tape or plaster until the following applicable .,}
iten"s have be.en signed:. - " " . .
DryWall . " . . . . 1_/<;; 6< JLIIl14, _
penetrations (Fire Rilted) E"lctiical , ,
.Penetrations (Fire Rated) MechaniCal
penetrations (FiI8Rated) Plumbing .
Intllrior Lath '. , '~ ,
Exterior Lath . ~ 'Ad. -
. . .. .' GENt:RAL ITEMS ,. '.
Exterior Plaster (Brown Coat) o~ . . ,
T-BarElectrical '.':. " ',..
.T'Bar Mechanical, .' ,
T -Bar .Structural ,
Sewer .,' .' , ,
Water Engineering Backflow ,
Water Service " ,
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FINAL INSPECTIONS,
Electrical Final.
Plumbing Final
Mechanical Final
Gas Test
Engi~ring/Grilding Final 765.5126
'Fir~ Dept. Final 765-4040 .
Water Engirieering 765-5268.
Sub LisUBusines$ License 765-519
Zoning 765-5139
Building Final' ILast Inspection- Only' -/,:. 7>
. . After Above Complete) '/1'..".
!>ARTIAL INSPECTIONS b~")-c.
Buildina InSDections.. L - ~I L"1
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S/~f5"'- . ..~ f-eN\c:.-",e;~ I ~y. UiL..,'v
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Mechanicallrispections
Plumbina Inspections
. ElectricallnsDections '