942 N. Moraga St.
BUILDING PERMIT NO. BLD2003-02345
(
,
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CITY gr;~r.;j~H EI M
· . \jl~ltr~fJ
BUILDING DIVISION
200 S. ANA\1EIM BLVD..
, . .
(714) 765. - 515:3
INSPECTION REOOESTLlNE:
(714) 765 - 4626
CENSUS CODE: 434
QUARTER SE;CTION: 31
TYPE OF PERMIT
Residential.Addition
DATE: 7/14/2003
JOB ADDRESS: 942 N MORAGA ST
-,~' . ,.. .
LEGAL DESCRIPW3\'l N TR 1161 LOT 43
APPliCANT: JOSE CEJA
OWNER INFORMATION:
Jo se Ceja
942 N Moraga SI
Anaheim,CA 92801 _ j
JOB DESCRIPTIONl\dd 48.75110 existing SFD (living room,dinning room & b?,)1)
VALUATION: 32.775.00 ,I PROCESSED BY: MJF
r- .. . OWNER-BUiLDERPjOCL,1BATION... ... ..
I hereby affirm under penalty of perjury that.! am exempt from 'the ContractGJl~icense Law for the foI10'.....ingreaso., (Sec, 7031.5 Business and
Professions Code: any dty or ccuntywhich require$- a permit to construct, a Itr: r,' improve. dernoli5h or reparr any structuros, priol to Its issuance. also
requires the applicant for suCh permit to file a signed statement that.he is J;beJi-;ed pursuant lathe pn?'./islons of the Contractor's Lic.ense Law (Chapt~r
9)(commencing with Section 7000-of Divis!on 3 of the Business and'Professi~.~s God.E::).:::r thCJt he 15 exempt therefrom and th"ebasis for the,alleged
~_ ption. Any v. iolation of Section7031.5,'by any ap'plicant fo!" a perm;t.~tlb;'~9ts thO') 3pp!!C:?!'1t to a dv:l ~e. nalty of notm. ore than five h 'undred dollars.
($ 00). . . .,.1 .
I, as owner of p~operty,:or my em~loyees with wages as their so~e comp~r;SGtion, wiil do the work, and t~e structure is not i.ntend~d or offere.d for
sale (Sec. 7044 BUSiness and ProfessIons Code: The Contractor's lIcense L!;,i'''- dues notapply to an owner of pr'Jperty who bu.!ds or ,Improves
thereon, and' who does such work himself or herself or through his or her O\"'~'emjJloyees, provided that such improvemen~s a-re'flut intended or,
offered for sale. If. ,however, the building or IrhproV'emeflt is sold with one ye;::lof ccl11pleti('n..the owner-build&r will h3'/e the bL!.den of provin!J that he
did not build or improve for the purpose of sale)."'., ' .
D I, as the owner of the property, am exdusively contracting with Iicense'.1&'nti.adors to.constructthe project (Sec.' 7044 Business and Professions
Code: The Contractor's License Law does not apply,to 3n owner of ,propertvt\'ho builds c:r ~ml=:ioves thereon, ;:;I;nd who contracts for such prC)jeclc:;with.
r::rntradOr(S) Iic~ns:cd,pursuant to the Co'ntractor's Lice'nse Law). :- .
lamex der,Sec. ___ ,B&P,C,forthisreason; _::.
Date: J Owner: ;
WORKER'S COMPENSATION DECLARA, ION ._'t~-.J
I hereby affirm under p~na'ty of perjury olie of the following declarations; :
0, I have and.will m~intain a certi~cate,of consent to self-ins~re fer workc;:-r'~:c()j-:1pen.:.;:!tiOr!,
as provided for by Se,Ction 3700 of the labor Code, for the pelformance of tti{t 'Noli<. for which
this perm it is issued, " ' -I
D ,I have arid will maintain w~rker's compensation insurance, as requireJ o~: 8eqt1on3700 ('f
the labo'r.Code, for the performance of th,e work for whictl this'permit'!s iSSiUt.:.!i. ~'1yworV,p.r;s
CompenS3tion insurance carrier and policy are: '
Carrier 'Policy Number:
CONTRACTOR INFOR;.,;~AJ:ON:
ARCHITECT/ENGINEER INFORMATION:
..
I
l-:- LIC-ENSED CONTRACTORS DECLARATION I
It hereby I3tfirrnu(jder penalty' of perjL!ry that 10m
licensed under provis~ons::Jf ch~pt.;r _9 (commencing
I with Section 1000) of Dil,'sion;j: of the Busines-s 3n~
Profefosionci Code.
7/14i2003
Date:
C1mtracto:
NUMBER
EXPIRATION DArE.
,
This ection need not be cOmpleted if the permit is for one hundred doUal'S.{$j.p~:>r It"SSt
l'cE!rtify that in the performance of the work for which this permit tsiSSiJe',);-I- shan- not
employ any.p_erson in any manner so as.to become subject to. the worker's ~c~j~pellsation laws
of California, and agree that if I should b'ecome subject to the work~r's comr;~r:.satio'J-
provisions of Seqt\on 3700 of the labor Code, I aU forthwith c:qrnpfy with I!'~~sc,pro\l:sions.
TYPE
I Construcion Types:
VN, , ,
pate: 7/14/2003 Applicant_, _~' , I Occupancy Groups:
WARN ING: FAILURE TO SECURE WORKE PENSATION C;OVER.;GE IS . R3, ., , , .
UNLAWFUL, AND SHALL SUBJECT AN EMPLOYER TO CRIMINALPENA,jflES AND CIVIL Fire Sprinklered? NO
FINES UP TO ONE HUND RED TH OUSAND DOLLARS ($100,000); IN ADQ;TION T() THE DwellinQ Upits: 1
COST OF COMPENSATION. DAMAGES AS PROVIDED FOR IN SECTION'3706 OF THE LivinQ Area: 487
LABORCODE.INTERES-r AND AT.TORNEY'S FEES. .. . .~ ..'::~'. . ..
I .. CONSTRUCTION LENDING AGENCY. .]---;:j. . .. ..
I he. reby affirm unde..r penalty.. of p. er.jury., tha. ~ there. is a.. constr., U.. ot.io..n len. d. ipJ.J,}~9~~J1c!._for.th. e _ ' '
_ perfor'?J3q~ of the, work fOI~hi~ thi~p~~rmit is issu~d (Se,?'~q97.C1Y",-qj;::t~:'i,~; ',.,:; ;~. :_",'.... '. .
"Li:flU.J:YS iilTofiYi"::HiGiY~o>'--- , . -------""'~~"-~.," --:.,._~_~Il"",...,C,,...~ -~ J,>' '--_'__m__C~__ --..w_--'"'_"""';"'-,-","-~~~~""'......~.~,-----:.c..'-'~
.,..._...;.~-------
, ~:
I certify that I have .read this ~ppJicationand state that the above information is correct I
agree:to comply with all cityordinances'and state laws relating to bu ilding construction, and
. h'erebyauthorize representives of this city to enter upon the above mentioned property for
inspection purpo~ ..~ . . .
Date: 7/14/2003
t-- .. Signa 01 Applicant or Agent
The permit shall expire by limitation and become null and void if the building or
work has not passed finalinspection 365 days from the date of permit issuance. A
. new permit is required to commenc" or continue work.
Fees paid for Permit:
Total:
862.28.
,
iNSPECTION . <, Electrical Final Ie 114({J4 t? >../7 ,~
. DATE INSPECTOR .
- Plumbing Final' . . . '-I"4t {/,/&1 d~
Temporary Power Pole ,.,
Plumbl ng (DrainlWaste Pipe). . . ~ '.
. Mechanical Final
Electrical Ground EI8~trodelUfer 7'~ -,- .'
SetbacklFormsfTrenches (Footings) Gas Test ~., .
.
Do not install subfloor or pour floor slab until the Engineering/Grading Final 765-6126 "~'..-.
fOllowing applicable items .have been signed:
Plumbil1!l (Water P1pe,Sprlnkler Valves) Fire Dep!. Final 765-4040.
Mechanical (GrOUndwork) . Water Engineering 765-5268 .
Electrical (Underground Conduit) Sub List/Business License 765-519
Pre-slab (CompactlonlMembrane.Reinf.) .
Underpinning (Floor Joist/Girders) 'b/I-tJ'I -7/ Zoning 765-5139 .'
Do not cover or conceal the woI1< pelow until the. . Building Final~ast Inspection-Only. . t 1/11 Ic4 SDe (It.lL
following applicable items have been signed: . fter AboveComplete) <
1 st Floor Shear l..{w ~. PARTIAL INSPECTIONS
F1resprinkler (Rough) Buildina Inspections
2nd Floor Shear . ." . . ,
,/~fD4- -' . .
Roof (Sheathing/Diaphragm/Frame) .' . . '.
Masonry (ReinfJBond BeamlPre-Grout) . . '.
Rough Plumbing (Top Out) .
.Rough Mechanical
Hpugn ElectrICal. (DIY wall) . '.
.
Rough Electrical'
Framing' . (Only. after PlbQ., Elee.. Mech., and 1=ire) ~ ,I~ /. . . . '.
Insulation (SoundlEnergy) . /-'f: .
po not tape or pta~ter untit the following applicable . Mechanical Inspections
Items have been sIgned: . . ~ . . . .
Drywall . ..,t..71-t7~ /" . '.'
< . .
penetrations (Fire R3led) Electrical .'. /' . . .'
Penetrations (Fire Rated) Mechanical
Penetrations (Fire Rated) Plumbing . . . . .'
Interior Lath .' . . . . .
Exterior Lath . . "'7Ia~~ ___ Plumbina Inspections
. GENERAL ITEMS .. . A V .. . .
exterior Plaster (Brpwn Coat) . . . 17 _~~ .' . .
T -Bar Electrical '.
T -Bar. Mechanical .
T -Bar Structural. . .' .
.
Sewer . . .
Water Engineering Backflow . Electrical Inspections .
. .
Waier Service
. . . . .'
. INSPECTION RECORD
FINAL INSPECTIONS
Dale
Inspector