7125 E. Mockingbird Way
APPLICANT: CHARLES RAMIREZ
OWNER INFORMATION:
CHARLES RAMIREZ
7125 E MOCKINGBIRD WAY
ANAHEIM, CA 928070000
JOB DESCRIPTION:Close existing (1) 6'x5' sliding glass door in the family room.
VALUATION: 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 appticant 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).
o I, 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 10r
sale (Sec. 7044 Business and Professions Code: The Contractor's License Law does not apply to an owner of property who builds or improves
thereon, and who does such work himself or herself or through his or her awn employees, provided that such improvements are not intended or
offered for sale. If, however, the building or improvement is sold with one yea; 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 contracting 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 who builds or improves thereon, and who contracts for such projects with
~ontractor(s) licensed pursuant to the Contractor's License Law).
U I am exempt under Sec. ,. r t . reason:
-Date: no/" Owner: ~
WORKER'S CO NSA ON DECLARATION
I hereby affirm under penalty of perju one of the following declarations:
D r have and will maintain a certificate of oonsent to seff-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 carrier and policy are:
Carrier: Policy Number.
This section need not be completed if the permit Is for one hundred dollars ($100) or less.
o I certHy that in the performance of the 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 compensation laws
of Califomia, and agree that if I should become subject to the worker's compensation
provisions of Section 3700 of the Labor Cod~ orth ith comply with those provisions.
Date: 9/19/2005 Applicant: t::. h
WARNING: FAILURE TO SECUREWO ER' OMPENSATION COVERAGE IS
UNLAWFUL, AND SHALL SUBJECT EMPLOYER TO CRIMINAL PENALTIES AND CIVIL
FINES UP TO ONE HUNDRED 1HOUSAND DOLLARS ($100,000), IN ADDITION 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 agency for the
performance of the work for which this permit is issued (Sec.3097.Civ,C):
Lender's Information:
BUILDING PERMIT NO. BLD2005.()2067
TYPE OF PERMIT
Residential Remodel CITY
DATE: 7/6/2005
JOB ADDRESS: 7125 E MOCKINGBIRD WAY
LEGAL DESCRIPTION: N TR 8464 LOT 23
CONTRACTOR INFORMATION:
I certify that] have read tnts 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 upon the above mentioned property for
insp [on
Date: 9/19/2005
ure of Applicant or Agent
The p it S I expire by limitation and become null and void if the building or
wor has not passed final inspection 365 days from the date 01 permit issuance. A
new permit is required to commence or continue work.
ElM
BUILDING DIVISION
200 S. ANAHEIM BLVD.
(714)765 - 5153
INSPECTION REQUEST LINE:
(714) 765 - 4626
CENSUS CODE: 434
QUARTER SECTION: 210
ARCHITECT/ENGINEER INFORMATION:
PROCESSED BY: MSM
LICENSED CONTRACTORS DECLARATION
I hereby affirm under penalty of perjury thaf I am
licensed under provisions of chapter 9 (commencing
with Section 7000) of Divsion 3 of the Business and
Professions Code.
9/19/2005
Date:
Contractor
NUMBER
EXPIRATION DATE
TYPE
Construcion Types:
V N, ,
Fees paid for Permit:
Total;
160.61
City of Anaheim
Building Division
INSPECTION RECORD
INSPECTION DATE
Temporary Power Pole
Plumbing (DrainlWaste Pipe)
Electrical Ground Electrode/Ufer
Setback/Forms/Trenches (Footings)
00 not i!lstall 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 (CompactionlMembrane 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 (Reinf./Bond Beam/Pre-Grout)
Rough Plumbing (Top Out)
Rough Mechanical
Rough Electrical (Dry Wall)
Rough Electrical
INSPECTOR
Framing (Only after Plbg., Ele" Mec. And F e)
Insulation (Sound/Energy)
Do not tape or plaster until the fo owing applicabl
items have been signed:
Drywall
Penetrations (Fire Rated) Electrical
Penetrations (Fire Rated) Mechanical
Penetrations (Fire Rated) Plumbing
Interior Lath
Exterior Lath
lb\\b
GENERAL ITEMS
Exterior Plaster (Brown Coat)
T-Bar Electrical
T-Bar Mechanical
T-Bar Structural
Sewer
Water Engineering Backflow
Water Service
-(
FINAL INSPECTIONS
DATE
,
Electrical Final
Plumbing Final
Mechanical Final
Gas Test
Engineering/Grading Final 765-5126
Fire Depl. Final 765-4040
Water Engineering 765.5268
Sub List/Business License 765.5194
Zoning 765-5139
Building Final (Last Inspection - Only I ;, /
After Above Complete) 70
PARTIAL INSPECTIONS
lil~S~~~
MechanicallnSDections
Plumbing InsDections
Electrical Inspections