1339 N. Moraga
TYPE OF PERMIT
Reroof
DA TE:211'8/2004
JOB ADDRESS: 1339 N MORAGA ST
. LEGAL DESCRIPTION: N TR 2287 LOT 57
CITY
,
i:
I
BWILDING DIVISION
200 S.ANAHEIM.BLVD.
(714) 765,5153
INSPECTION REQUEST LINE:
(714) 765,4626
CENSUS CODE: 434
QUARTER SECTION: 30
BUILD!NG PERMIT NO.. BLD2004-00437
APPLICANT: ANTON 10 ESPI NOZA
OWNER INFORMATION: CONTRACTOR INFORM;'TION:
ANTONIO ESPINOZA
1323 N Moraga St
Anaheim, CA 92801
JOB DESCR1PTION:Tear off comp and install 30 squares of 30 year compo f:t:,ingles
ARCHITECT/ENGINEER INFORMATION:
..;':
VALUATION: 4,500,00
I OWNER-BUILDER. DECLARATION
I hereby affirm under penalty of perjury that I am exempt from the Gontractot'~, License Law for the following reason (Sec. 7031.5 Busin~ss and
'Prof~si(:msCod.e: any city or countywhich're~Liiresa permit to ~bnstruct'~~i~t; improve. demolish o~ repair any structure, prior to its JsSua,nct;!. ,also
requires the appl,!cant for such ,permit to file a signed,statement,that he IS lic'~j)ssd'purs~ant to the provisions of the Co~tractor's License Law (Cbapter
9)(commencing WithSection7000. of Divisi9n 3 of,the:Business, and Profess1~1ns Code) o"r ~hat he is exempt,therefromand thetJasis for the_aI17g~ :
exemption. Any vioJation of Section 7031.-5 by'any applicant for a permit sub"ects the applicant to a civil penalty of not more than five huncired dollars
~O~)~s owne; of'property, or'my eniplOyees\~ithWageS as theirso~e c~iTlfli-.s~tjon, will 'citrthe work, and t~e structu~e is n~t intended~r-Offered for
" sale (See, 7044. Business and Professions Code: The-Con1ractor's Licenset~'.v does not apply to an owner of property who' builds or improves
thereon, ,and who does sudrwork himself or herself ort~roughhis or her O'."f:l employees",prcvided that such improvements. are not intended or
. offered for ~Ie. If, however, the building or improvem~nt is sold with one y~!.r of completion: the owner-bu ilder will have the burden of proving that he
did9!'t build or improve for the purpose of sale).: . .."j.. -.' ."
fB' I, as the owner ,of the property, am ,~xclusively c;ontrad!ng with Iicensed':xmtractors to construct the project (See. 7044 Business and Professions
Code: The: Contractor~s License Law dc)es not apply to an t)~ner of properti~:'''I-.o builds or improves thereon, and who contracts_f~r such projects-.with
ntractor(s)Ucensed pursuant to the Contractor'~ license Law). '
am exempt un.der Sec. " " B & P "C." fOr this reason:
Owner: -v
PROCESSED BY: ODG
,;I.
. t
.LICENSED CONTRACTORS DECLARATION
I hereby a~irmJ,lIide_~ penalty of perjury that I a'ITl"
licensed under provisions'of chapter 9 (commencing
with Section 7000) of Divsion-3'ofthe Business and
Professions Code.
2/18/2004
Date:
WORKER'S COMPENSATION DECLARATION
I hereby affirm under penalty of perjury one of the following deClarations: .
0' I have and will, maintain a certificate ofoonsent to self-iflSure for worker':l~ompensation,
as provided for ,by Section.3700 of the Lab9r Coda, for the performance of !h."j'" wo!~(for whidl
this permit is,issued.' '. . . '." 1
o I have andwill ma:ntain.worker's compensation insurance, as required b~f.SG:ction ~700 of
the Labor-Code,'for~he.performance of the.work for whi,?h this permit is is::'.!~'~. Myworker's, I
Compensat-ion insurance carrier and policy are: '
. Carrier: " . poiicy Number: " I
This sec~on need not be completed if thepennit is for ene hundred dollars ;$100;';)1' less. I
D- I certify that in -~he perfonnance of the work for which this permit is issu::).J~J shall- not I
employ any person in any manner so as to become subject to the worker's c!.:r~pensati~Ja1Ns
of California, and agree that if I should become subject to the wor1<er's cCI11fl":rf$ation ..."...
provisi.ons of Se,ctiqn 3700' ~fthe La...bor Cod~,J shal~ ~~with CO;n~IY Wit~' lp;)fa,prOVisiQ't}S. .
Date: 2118/2004 ApPlicant:~~ ~~ "'1,))'
WARNING: FAILURE TO SECUREWORKER'S COMPENSATIONCOVER1GE IS .
UNLAWFUL, AND SHALL SUBJECT AN EMPLOYER TO CRIM INAl. PENAlt!ES AND CIVIL
FINES UPTO ONE HUNDRED THOUSAND DOLLARS ($100,000), IN ADOi'U'OlifTOTHE
COST OF COMPEN~ATION, DAMAGES As PROVIDED FOR IN SECT10I'ld706 OF THE
lABOR CODE, INTEREST AND ATTORNEY'S FEES. . .. .I'r. ':,f,'.
I CONSTRUCTION LENDING AGENCY \.1" ",'. :< '.'
.1 h~reby affirm under penalty of perjury that there is a construction lending a",noxIor the.
:perfor.~~;:.oft~e~o~k fo~Which this permit is iS~ed(Sec.3?97.CiV.C)::-_~;-}"",,:. "
_L~O::!E::, ~.>..I),..~!.!n~xL_____~~____J~__..._.""...-~_.~-,C',-,-,-~',-,,".,--;-c--.. ,......... ----- .-.-;,-"..~
Contractor'
NUMBER
EXPIRATION DATE
TYPE
Construciol11Vpes:
VN,... .
Fire Sprinklered?
NO
I certify th~t I have read this a.pplication 'and state that the abov~ information i.~ correct. I
. agree to comply with all city ordinances and-state laws relating .to'bu~ding cor,<;truction, .and
hereby authoriZe representives of this city to enter upon the-above mentioneci property for.
. inspection purposes.: ('
~~.- ~ . Date:2/18/2004
Signature of Applicant or Agent
The permit shall expire by limitation and become nun and void if the ;p-,il~ing or
work.hasnot passed final Inspection 365 days from t11edate of permit issuance. A
new permit is required to commence or continue work.
Fees paid for Permit:
Total:'
138.93
INSPECTION RECORD
. . .
INS.PECTION DATE INSPECTOR
Temporary Power Pole .
Plumbi ng (DrainlWaste. Pipe) .
Electrical Ground Electlodeluter
SetbacklFormsfTrenche5.(Footings) .
Do not install subfloor or pour. tloor slab until the. _ .
following applicable' items have been signed: .
Plumbing (Water Pipe.SprinklerValves)
MeChanical (Groundwork) ..
Electrical (Underground Conduit)
Pre-slab (Compaction/Membrane.Rei nf.
Underpinning (Roor Joist/Girders)
Do not cover or concealthe work below .untll tne
following applicable items have been signed:
.1 st Floor Shear ....
Firesprinkler (Rough)
2nd Floor Shear .. - . . .
Roof (Sheathing/DiaphragmiFrlme) ..
Masonry (ReinfJBond Belm/Pre-Grout) .
Rough Plumbing (Top Out)
Rough Mechanical
. .Rougn l:Iectrical (ury Wall) . .
. Rough Electrical .
Framing' " (Only a'fler Plbg., Ele'c.. Mech . 3!ld Fire) .
Insulation (Sou ndlEnergy) . .
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 I Date Inspector, .
'. . .. .
E.lectrical Final I . . .. . .
Plumbing Final . I . .
Mechanical Fin'al . .
Gas.Test I . .
. .
Engineering/Grading Final 76!j.s126 .
.Fire Dept:Final 765-4040 . . . .. . ..
Water Engineering 765-5268
I
Sub List/Business License 765-519 ..
Zoning 765-51~9 .
Building Final. ~ast Inspeclion- Only 4-'7-04 "'L ',IA,..
fterAbove Complele)
PARTIAL INSPECTIONS .
1\)1
Buildina Inspections
I
I
I
I
Mechan;callnspection~
I
I
1
Plumbina Inspections .1
. .. ..1
1
I
Electrical Inspections
I
'I
I
:;'~
BUILDING PERMITcNO.. . BLD2004-00062
" :.
:".'-.,:
.;(.
BUILDING DIVISION
200 S,ANAHEIM BLVD.
(714) 765 - 5153
INSPECTION REQUEST LINE:
(714)765 - 4626
CENSUS CODE: . . 434
QUARTER SECTION: 30
TYPE OF PERMIT C Y
Blockwall/ Columns IT
DATE: 1/9/2004
. JOB ADDRESS: 1339 N MORAGA.ST
LEGAL DESCRIPTION: N TR 2287 LOT 57
APPLICANT: ANTON 10 ESPI NOZA'
OWNER INFORMATION:
ANTONIO ESPJNOZA
1339 N MORAGA ST
Anaheim; CA 92801
JOB DESCRIPTION:lnstaIl86If block wall 6 : high 10 ~!y,~~~ps. . l
VALUATION: 2,064.00 1 PROCESSED BY:CAL
I ,: OWNER-BUilDEI?)lECLARATION --.J
I h~reby affirm -und.er pena Ity of perjury that lam exempt from the' Contractt(l L:.icense Law for the -following reason (Sec. 7031.5 Busi ness and .
. P,rofessJons Code:anycity or countywhich requires a permit to construct, ~:t~r, "!mPfove, demo'lish or.,re~ir any structure, prior to its)$suance; also
requ'ires the applicant for such 'permit tome a signed statement thafhe is lic~I}SP.d pursuant to the provisions of the Contractor's License law (ChaI?ter.
. 9)(comlT!~J1cing'With Section.7000 of Division 3 of thQ.,j3usinessand Profassi:JOs C.ode) or that he is, exempt therefrom and the basis for the,alleged
. exemption. Any v,i?lation,of Section 7q31.5.by any appli~~nt f~r:;l pe~m;tcllt;;.~ts the ap~,~C'~~'-t'Ht$\lj~n~ItYOfn.bt m~re th~n-tiVe h~ndred~oIlars' .
($500),, '. ., ... . " ... .,
. [J , I, as' owner of property, or.my ej-;jploye~ wi~h.wa~es 'astile::i1 ,sole conl/..,:\osation" wilt c;fo.the worle,. and the structure, is not intended or 6ff~red for
saleo(Sec: 7044 Business and Professions-Code: TheContra'?tor's Ucensl~ :..tl)N does not apply'to an owner of property who builds or i'T'proves
thereon, and who does such work himself, or helSelf orthr9ugh'his or her o\'{lii3mploy~es, provided that such improvements are not intended or
offered for sale. If, hew ever, the building or improvemeDt is sold with one y.:'.r of oompletion, the owner-bUilder will have the burden of proving that he
~i otbuild or impro'/e for the purpose of sale). -~ ~!
I, as the owner of the property, am exdusively contracting with licensed J,vntractors to construct the project (Sec. 7044 Business and Profess~ns
ode: The Contractor's License Law does not apply to an ownc" of prop,~m': .'.'he builds or improves thereon, and who contracts for such projects with
~ontr~ctor(s) !;censed pursuant to the Contractor's license Law). / t
U I am exempt under Sec. , B & B. t' eason: _~_.' J
Date: . ' Owner: 0'1=
WORKER' C PENSATION DECLARATIOt~ 1,'
I hereby affirm und~r penalty of perjury one of the follow\ng declar'ations: . ~
OJ have and will maintain a certificate of oonoont.to self-in5Ur~forwon(er~~comp~nsation,
as provided for-by Section 3700 of the labor Code, for the performance of ~;-:b. ....ICJr'~ for which
this permit is issued. . ,
O' I' have and will maintain worker's'compel'"lsation'jASurance, as req~ired .,;, Section 3700 of
the tabor Code, for the -performance.of the work for which this' permit is iSS~J~,d. My worker's .
. Compensation insurance carrier and policy are: '!.
Carrier:. Policy Number: . .
~":: .. .,~on ne~ not be ,compl~led if the pennit is for o~...hi.indreddpn~-_($1_U{} ()I"._less.
~,' I 'certi:"Y that in th~perfo~ance ~fthe~,~orkfor wbi.g.~' this per.1iii~i:fssiJ~_j;'_i shall not
ploy any person in any manner so as to become subject tothe".wQrker's".-:'.'!mpQr.~ation..laws
t:of Cal~omja, and' agree that If: , should beco.m~ su bjed tot~e wo rk,er,'~ -~O~(.";I '~a~ion. '.
provisions of Section 3700 of the Labor Code, I shall fort,hwith comply witti.'lh)se provisi.ons. ConstrucionTypes:
~:~~::~~O~~ILURET~~~~'~ :EW~~;E~1~~s · . VN,. ..
UNLAW. FUL. AND SHALL SU 3 . TAN EMPLOY.ER TO CR. 1M. . .i.N.AL. ,.J~ENA.'.TjES AND CIVIL
FINES UP TO ONE HUNDR D THOUSAND DOLLARS ($100,OOO).JN.A[i~!T10N TO THE
COST OF COMPENSATION, DAMAGES AS PROVIDED. FOR.)~'S,f-CTI~" 3'106 OF THE
LABOR CODE, INTEREST AND. ATTORNEY'S FEES, ..t,'J:?ti"...,.. .
I CONSTRUCTIONLENDlNGA(lr;tol~yr -'n- -
I herf,!~iaffirm under penalty, of perjury that there.is: a construCtioo,f~nd in~ ?'le~y fer ~e
_ ?erforman~ (>f~~p. w~~k for which this permit.is Issued ~~c. 3D,~?gt.&Ci:;,~~~'L_ <\.c~_ .2~~~ -,---' " ""~~.......:.2_~-=-"~~~_~,~,,,,,__'h .;, ~', __~''"':''-~
:..~pd.;);';:. :n,\.;;irl~ti\.i,i; -. .
. . l ,:, ~
CONTRACTOR INFORMATION:
,
I
ARCHITECT/ENGINEER INFO'RMATION:
LICENSED CONTRACTORS DECLARATiON
.) he.~eby aff!rl'nunder penalty <?f perjury.that lam
, licensed under p,ovisionsof chapter 9 (commencing
withS""tlon 7000) of Divslon 3 .of the Suslness and.
Professions Code.
1/9/2004
'Dale:
Contractor
NUMBER
EXPIRATION DATE
TYPE
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 buDding cO'lStruction, 'and
nereby authorize representives of this city to enter upon the above mentioned. property for'
.J~e ion purP<}ses..... ".,.,
Fees paid for Permit:
Total:
125.87
Date: 1/9/2004
. Signature of pplica.nt or Agent
Th!! permitshall expire by limitation and become null and void if the building or
work has not passed final inspection 365 days fr.orn the date of permit issuance. A
new permit is required to commence or continue work.
INSPECTION RECORD
.
INSPECTION . DATE INSPECTOR
Temporary Power Pole. .. . ..
Plumbing (DrainlWaste Pipe) ...
Electrical Ground Electrode/Ufer
SetbacklFormsrrrenChes (Footings r 7./zJO'l-
Do not install subfloor or pour floor slab until the
fallowing appiicable .items have been signed:
Plumbing (Water Plpe.Sprinkler Valves)
Mechanical. (Groundwork) .
Electrical (Underground Conduit) .. . I
Pm-slab (t;ompactionlMel1lbrane.Reinf.
Underpinning (RoorJoist/Gi rtIers) I
Do not Cover or conceal the work below u.ntll the i
followingappiicable items have been signed: .. .
1st Floor She"r.
Fimsprinkler (Rough). . . I
2nd Floor Shear . .
Roof (SheathlnglDiaphragnv'Frame) I
Masonry.(Relnt ./BondeeamlPrlK;rout) """. .
Rough Plumbing (Top Out) .
Rough Mechanical .
I KOugh t:Iectricall!JI'Y walll . I
Rough Electrical . . .
Framing . (Only after PIbg" Elec..-Mech'_. and Fire)
InsulatiQll (SoundlEnergy)
Do not tape Or plaster until the following applicable
items have been signed:
Drywall . .
Penetratiomi (Fire Rated) Electrical. . .
Penetrations (Fire Rated) MeChanical
Penetrations (Fire Rated) Plumbing
Interior I.ath
Exterior I.ath .
. .. GENERAL ITEMS
exterior Plaster (Brown Coat) . . ..
T-Bar. Electrical . . ..
T-.Bar Mechanical
T-Ba.r Structural. ..
Sewer . . .
Water Engiheeri.ng Backflow .
Water Service
FINAL INSPECTIONS. . Date. Inspector
Electrical Final . . .
Plumbing Final
Mechanical Fioal
Gas Test , . .
EngineeringlG~ading Final 765-5126 . .
Fire Dept. FinalJ6S-4040
Water Engineering' 765-5268 . . .
Sub List/Business Licens"".765-519 I.
Zoning 765-5139 . . I
Building Final ~astlnspection. Only . /-;rI'dS A I nAil
. fter Above Complete) , .
PARTIAL INSPECTIONS
~-)
Mechanicallnsoec:tions
Plumbina Insoections
Electricallnsoections