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1013 N. Monterey St. APPLICANT: VANESSA RIOS OWNER INFORMATION: GENARO RIOS 1013 N MONTEREY ST ANAHEIM, CA 92801 JOB DESCRIPTION:lnstall 52 sq. ft. patio cover started prior to obtaining permit VALUATION: 1,500.00 I OWNER-BUILDER DECLARATION I hereby affirm under penalty of perjury that I am exempt from the Contractor's License Law for the following reason (Sec. 7031.5 Business and Professions Code: any city or county which requires a permit to construct, alter, improve, demolish or repair any structure, prior to its issuance, also requires the applicant for such permit to file a signed statement that he is licensed pursuant to the provisions of the Contractor's License Law (Chapter 9)(commencing with Section 7000 of Division 3 of the Business and Professions Code) or that he is exempt therefrom and the basis for the alleged exemption. Any violation of Section 7031.5 by any applicant for a permit subjects the applicant to a civil penalty of not more than five hundred dollars ($500). ~j, as owner of property, or my employees with wages as their sole compensation, will do the work, and the structure is not intended or offered for sale (Sec. 7044 Business and Professions Code: The Contractor's Ucense Law does not apply to an owner of property who builds or improves thereon, and who does such work himself or helSelf or through his or her own employees, provided that such improvements are not intended or offered for sale. If, however, the building or improvement is sold with one year of completion, the owner-builder will have the burden of proving that he did not build or improve for the purpose of sale). o I, as the owner of the property, am exclusively contfficting with licensed contractors to construct the project (Sec. 7044 Business and Professions Code: The Contractor's License Law does not apply to an owner of property wro builds or improves thereon, and who contracts for such projects with ilJiontractor(s) licensed purs(!5! :"tfe Contractor's License Law). U I am exmpt sr Sec. , B & P.C. for this reason: Date: (j/ Owner:..------= WORKER'S COMPENSATION DECLARATION 'tJ:ler~y affirm under penalty of perjury one of the following declarations: ~I have and will maintain a certificate of oonsent to self-insure for worker's compensation, as provided for by Section 3700 of the labor Code, for the performance of the work for which this permit is issued. o I have and will maintain worker's compensation insurance, as required by Section 3700 of the Labor Code, for the performance of the work for which this permit is issued My worker's Compensation insurance carlier and policy are: Carrier: BUILDING PERMIT NO. BLD2005-02602 TYPE OF PERMIT CITY Patio Cover DATE: 8/29/2005 JOB ADDRESS: 1013 N MONTEREY ST LEGAL DESCRIPTION: N TR 1202 LOT 133 CONTRACTOR INFORMATION: Policy Number: ijhiS ootion need not be completed if the pennit is for one hundred dollars ($100) or less. certify that in the pertonnance of the work for which this permit is issued, I shall not e poy any person in any manner so as to become subject to the worker's compensation laws of Califomia, and agree that if I should become subject to the worker's ,.9ompensation provisions of Section 3700 of the Labor Code, I shall forthwith comply with those lltovisions. Dale: 8129/2005 Applicant: ~ WARNING: FAILURE TO SECURE WORKER'S COMPENSATION CO RAGE IS UNLAWFUL, AND SHALL SUBJECT AN EMPLOYER TO CRIMINAL PENALTIES AND CiVIL FiNES UP TO ONE HUNDRED THOUSAND DOLLARS ($100,000), IN ADDiilON TO THE COST OF COMPENSATION, DAMAGES AS PROVIDED FOR iN SECTION 3706 OF THE LABOR CODE, INTEREST AND ATTORNEY'S FEES. CONSTRUCTION LENDING AGENCY I hereby affirm under penalty of perjury that there is a construction lending agercyfor the porlormance of the work for which this permit is issued (Sec. 3097 .Civ.C): Lender's Information: I 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 representives of thiS city to enter ~on the above mentioned property for ~io~r~o~si? .J d .i AYAt _/7 ~ ^ Q ~~.2.- Date: 8129/2005 Signature of Applicant or J(gent 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 reauired to commence or continue work. ElM BUILDING DIVISION 200 S. ANAHEIM BLVD. (714) 765 - 5153 INSPECTION REQUESTLINE: (714) 765 - 4626 CENSUS CODE: 434 QUARTER SECTION: 31 ARCHITECT/ENGINEER INFORMATION: PROCESSED BY: JNJ LICENSED CONTRACTORS DECLARATION I hereby affirm under penalty 0 perjury that I am licensed under provislons of chapter 9 (commencing with Section 7000) of Divsion 3 of the Business and Professions Code. "' 8/29/2005 Date: Contractor NUMBER EXPIRATION DATE TYPE Construcion Types: V N, , Fire Sprinklered? NO Fees paid for Permit: Total: 490.74 City of Anaheim Building Division INSPECTION RECORD INSPECTION DATE INSPECTOR Temporary Power Pole Plumbing (DrainlWaste Pipe) Electrical Ground ElectrodelUfer , SetbackIFormsfTrenches (Footings) I "lI<tfCfl ' '-<f.. Do not install subfloor or pour floor slab until the following applicable Items have been signed: Plumbing (Water Pipe/Sprinkler Valves) Mechanical (Groundwork) Electrical (Underground Conduit) Pre-slab (Compaction/Membrane Reinf.) Underpinning (Floor Joist/Girders) Do not cover or conceal the work below until the following applicable items have been signed: 1 st Floor Shear Firesprinkler (Rough) 2nd Floor Shear Roof (Sheathing/Diaphragm/Frame) Masonry (ReinfJBond Beam/Pre-Grout) Rough Plumbing (Top Out) Rough Mechanical Rough Electrical (Dry Wall) Rough Electrical Framing (Only after Plbg., Ele., Mec. And Fire) Insulation (Sound/Energy) Do not tape or plaster until the following applicable items have been signed: Drywall Penetrations (Fire Rated) Electrical Penetrations (Fire Rated) Mechanical Penetrations (Fire Rated) Plumbing Interior Lath Exterior Lath GENERAL ITEMS Exterior Plaster (Brown Coat) T-Bar Electrical T-Bar Mechanical T-Bar Structural Sewer Water Engineering Backflow Water Service FINAL INSPECTIONS DATE INSPECTOR Electrical Final Plumbing Final Mechanical Final Gas Test Engineering/Grading Final 765-5126 Fire Dept. Final 765-4040 Water Engineering 766-5268 Sub List/Business License 765-5194 Zoning 765-5139 Building Final (Last Inspection - Only ~ in.~ After Above Complete) / PARTIAL INSPECTION~ Building InsDections Mechanical Inspections Plumbing Inspections Electrical Inspections TYPE OF PERMIT Residentfal Addition , DATE:: 3/8/2004 'JOB ADDRESS: 1013 NMONTEREY ST LEGAL DESCRIPTION:, N TR 1202 LOT 133 CITY ,:1 {~~-}tS~f~,' " a,:: J~JKi~'N~J.;I EI M ~\. ,~.'t'&~d""fu1ff ? · \~~~~~/ ' , BUILDING DIVISION 200 S. ANAHEIM BLVD: (714) 765" 511i3" INSPECTiON REQUEST LINE: (714) 765 - 4626 - CENSUS CODE: 434 QUARTER SECTioN: 31 BU1LO!NG PERMIT NO. E;LP10(!3"04194 APPLICANT: PEDRO RIOS , OWNER INFORMATION: CONTRACTOR II';FOm.,\TION: GE'NARO RiOs 1 , 10.13 N Monterey St r ' ANAHEIM, CA 92801 0000 " , .-: -" " , .' ' , " " , ' JOB" DESCRIPTlONRoom AdcHt:on. New Master bedroom. 2 n.~ b-3throoms,/l'le:w laundryroom,extend kitchen, cbnvert existing garage to rtew-:amilyroom . VALUATION: andEl!?SGb~tl'0400sf garage. ,', l.. . ;1, ,PROCESSED BY: JJJ', , " ' L' . ' .. __ OWNER-BUthDF.'~tb!'iClARATION - " , ' ", " I ! ileleby affirm under: ;:>enally o.f perjury !h.:'~t I am exempt from the C:ntrat*o~:; Ueer.:;:;; law for the following .reason. (Sec. 7031.58usiness and P(r)f~.sSl~:ms Code:: any city cr coulitywhicr. :-equires e:perrlit te, con$t~:.Ic~. ~'i~r> improve, demo:Jish cr repair any structure, prierto its_ issu~n(,e, al:;.".;') .. . require:.> ,the app!ir..ar.t for suC?h ~rmit to file a signedsta~ement that he i$I::~J';"'E:d pumuanUo the plovi'3iOfls,ofthe t:'o~tractl,)(s' License.Law (Ch~,:-;ter " 9)(r:ornrnencingwith.Sectior. 7000 of DiviGl-:>n3 of th~ Dus'ir.e..<;sancJ P;~it;$f.l~,:::code)-.or that :"'leis e~etllrt therefrom' and tl~e b::':sfs for the alleged: exempUcr., . Any Violation of S,,=,ctkm 7031.f) bi arlY app:icar.t for a pcrnl;t Sll:_t:;C~~ the ?prl;:t;'.;.n!,to a'd'.':lpehdtt~'6f l"lf,~more.th:mtivp. "uridr~d dollars. ($500). " ,',' -, '.",,' , " " " -, - ' 0<1, ,I, as QWlle.r cf_ property, cdrlY e,i'TltJ10Y€>~$ Wi"th w.,ges as their soi;~ Ct11n~::~:'\.SZ, ~i0I)" wW (;-:f tJ-Je, wo;-}:, and ~he structure is :lG,t intended c,r_offered fO'(_. Faf.e(Sec. 7044 Business and Professions Code: ,Ti:1eGor,tractor!$Uc:m~~!'-:':'N dc-as n,,;:.( <'lpplytn ;;movm~r:)f pro.peliy who t:>Jiidsor improves : '.l1ere>orl,2nd.\o\tllo deN S'.Jch wc;>rk hirns.;>:f Oi herself or t~,r.ougtl his'orr,c!"o"'\~~\(::n"l...ic:l::-t:s. providw that..s~ICh 'improve'll.:.mlsare n,)t-ht~mled OJ' offered f...''- sale. ,:f, however, the buildJng orjmp:,,~vement is sold with '.Joe- Y'=1~t';f CXJi'!lpletion, the oV\flfSr-t'i!i1der will ha'ie'the bu"den of proving th.::t he d:dnctbuijdorifi1piC'V~ fort:1cpurpo~,~ofsa!e). j11 . '. . . o I, as t,e o"Wne:- I)f tbe C;-~i->~rty, am exdusi\l~ comr.:od:.:r"g with \o.n:.-::'!; '-.::~tr;:'~f.)f$ to con~trlJctthe pl'eject (~ec. 7041- f!1:!:;:IJe3S clnd Profe~~p$ Cede: The Contract':l. 'c) l;o;:l"1!;e Law doe7r:'6faPPlY tf) an ov!:ler....; :)r\'::lp~I!.\. ~','h::; bUlIrls Oi imprc'v""s [hl'oreo"'l, and \\'Ou o..nt,...l'=.{s for $out."" projE:-~.ts with ['jontr2ct~"S) Iieem.d pu"uo~l to l~~"trat'~_ r',3 LlC.:enc.;e l::W);' , , "'[ 1al}'...ex€;nptund~iSeo. _ ....;.~ P.t:.fco:J!lisr!i-"~r,: ---\L. ___ f\Da!e: ':-:L q O~ Owngr: . ;:7L~-R V ' .i_ ___ _ [=----r=-~ . 'WORJ,ER'S C~SATIQt~ DECLARAT!CI": -t--..,-~--_J I t;eieby affirm lu1dcr pe:1E.ltyGf perj:..z:y vr,e <:It the follQwir,g c3::ardtions: .. /1':'/ o J have afld will maintain a certificate of consent to self-il1S:Jre,fC?r";'io:"k-:-.',~-; ,~Q,nptin<'$ation,: a~.provi9~~ f~!"bY, Se~jon 3700 of thE Labor Code, fer. the pertot'l-:<;ln~'{)f~r;J:'o";'I,':;k;~'f vJhich thiS pemlit 1$, Issued. .' . . . ,t . o .1 have~'J"1d will n'la:ntain WOly.\~r's -:;ompensatj~insOr~nG3:,as're;~l:~re'-:i ~.::,l$e:Cl.!Qn .j7-JO of. .3/8/2004 the L:a~, cr Cpdp.-, for the performance of the work for which ~his per~:t -is i&~;.J::!;.. ~'~:' w;:,rKer's Date: Compensation !ns!.tranoo carrier and (:'Olicy are:... .;! Carrier:. .' . Poli0' Number. .~' q NUM8SR This s(:-e~on neP.d not be corrlplE:ted if the pennit-ls~~ one hu;).jr~ doHars' ($1 oj.~~ J~s. . 0 Icertify that intha. performance of the work-for which this permi~ n- \~Sl\e:'il';,\ sha,ll no_t employ any person in any m~nner s'oas to becomesubj~ct to t~eworkel"5 cfH1pe~,erit;on IDt>iS:1 of C3lifomla, and agree' that If !ShPllld beco~~!otheWOrker's--,;omp.Jlsatiol1' I -. ,_' . _ - . provisions of Section 3700 of the Labor Cod~. 1 , IH6rthwith comply w~th t.~c'!!_e,' p~ovisJon~, Construcion Type~:' l'Y t..--," V N, , _, Date:. '3/8/200~ Al?plicant: .~~ , _ _ __~1;/ . fire Splillklered? . WAR"lING: FAILURE 'f0 S:;CURE W KER'S COMPENSATION COYEP';;'SE: IS, ,LivinQ Area: UNLAWFUL, AND SHALL SUBJECTAN EMPLOYER TO CRiMINALPENAL',,"S AND CIVIL Garaqe Area rilliESUP TO ONE HUNDRED 1l--IOUSAND DOLLARS ($100,000), IN,ADo'tiiONTO THE COST Ot' COMPENSATiON, DAMAGES AS PROVIDED FOR IN SEGTI0Nl-Vt,60F THE LABOR CODE; iNTEREST AND ATTORNEY'S FEES. , L , CONSTRUCTION LENDING AGENCY !~.-:..,._ II"::3reby affirm under penalty of peijury tr,::1t there is a con-sfruct:on 1cr.~i~H:a~'~,;;:cy.for::the :::3!Lqr!J!2~;.e_,(lr;I:1.tt.W.OLti:.fQ.~):bl(;!] ~};:~"w.:'::;,r~!.i~k.~!--!...d{.s_"~c?-Q:L~":'i!-o("+'.' "__: ~"_'.".,,,,,__,,-..,",.:.o.'_'';:: ""-~-~"'_. Lehder's. :nformation: . ARCHITECT/E~!GiNEER INFORMATION: TIENKUANG L1U - , I.JCENSEO COllTtV'.CTORSDECLP.HATION ,I r flereby ':lffirrn undi~r cer,clty of I=oel:jury that I am :icenzed cndt'r prm,sion:-: of chapter 9 icorrlm~ncif'!g with'Section 7~Gy) c;f-C;\,-:->;Qn 3 of the nUf':lness.ar.C:. P:'Ofessions Code. . .,," Contractor EXPIR,~TION DATE TYPE ~,.~ NO 601 400 .' ,- " -~-,----'-,-'--'---------"'--~~'~--~'-' 1 c~rtify that I have read this applic~tion and state that the above information :r, .:;crrect. I' '-agree to co ,yw all city ordinances and state laws relating to building construction, and hereby or e r presentives of this dty to enter upon the above mentioned property for inspe Ion: ses. . Fees paid for Permit: Total: 1.211.72 Date: :M8/2004 Signature of pplicant or gent The ermit 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 permil issuance. A new permit is, required to commence or continue work. INSPECTION RECORD . INSPECTION DATE INSPECTOR I. I Temporary Power Pole . . . Plumbing (DrainlWastePipe) --=-.,. . ~ . Electrical Ground Elect~e/Ufer.. I/' -4M Setbac:k1Formsrrrenches (Footings)' '-4'><:-Jlo!/M -, '.' Do not install subfloor or pour floor slab untilthe ' following applicable items have- been signed: Plumbing (Water Pipe.Sprinkler Valves) Mechanical (Groundwork)' . Electrical (Underground Conduit) . Pre-:slab(COJ:1lPactionlMembrane.Reinf. t,-cJ ~ Underpinning (Floor Joist/Girders) 1'1...... oN 9 ~ Do not cover or conceal the work below unt.1 tire .following applic.able items have be~n signed: 1st Floor Shear. Firesprinkler (Rough) ..' . 2nd Floor Shear . '. . Roof (Sheathin!llDiaphragmlFrame) 19\(0101( Masonry (ReinfJBondBeamlPre,Grout) Rough Plumbing (Top Out) Rough Mechanical. . . KOugh Electrical al" . .' i . . . Rough Electrical . . . . Framing (Qnly aherPIIl9. !;Iec. Mech. and Fire) (2/zvllff o;:;t:-- Insulation (SoundlEnergy) . !-1,.:~ ~ Do not tape or plaster until the following applicable items have been signed: ' ., " Drywall .' '. ~:r }'. 'I' Penetrations. (Fire Rated) Electrical Penetrations (Fire Rated) Mechanical Penetrations (Fire Rated) Plumbing InteriofLath' . Exterior Lath . .'. ~r. WfA .' .. . GENERAL ITEMS '. I. I" Exterior Plaster (Brown Coall If.- 1$-05 " T -Bar Electrical '.. . . . T -Bar Mechanical .-:' . T -Bar Structural . Sewer . . Water Engineering Backflow Water Service . 1'R./HA I . .. . Ai.. '. ,. . . . \ I I. _1 !I h' Ij " :1 .t ;/ . . . I I' FINAL INSPECTIONS Electrical Final Pluinb,ngFinal ,. . Mechanical Final Gas. Test Engineering/Grading Final 765-5126 Fire Dept. Final 7654040 Water Engineering 765-5268 Sub List/Business License 765-519 Zoning 765,5139 Building Final (Last Inspeclion' Only . -- .' . After Above Complete) PARTIAL. INSPECTIONS Buildina Inspections' &~(:... .i~{ ....- - I -<cJ ,,* . Machanicallnspections . Plumbina Inspections : . Electrical Inspections .