2635 E. Park Ln.
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BUILDIN~I.vISlor'l
200 S. ANAHEIM I3WD.
(714)765- 5153
INSPECTION REQUEST LINE:
(714)765-4626'
CENSUS CODE: 434
QUARTER SECTION:f20
BUILDING PERMITNQ. BLD2003-04877
TYPE OF PERMIT CITY
Repair
DATE: 1/7/2004
JOB ADDRESS: 2635 E PARK LN
LEGAL DESCRIPTION: N TR 4081 LOT 10
'APPLICANT: All ASAR
OWNER INFORMATION: CONTRACTOR INFORM/'TION:
All ASAR I,'
1349 CRE,STA RD j
CORONA, CA 928791'
JOB DESCRIPTION Repair to 9arage due to vehicular damage. 'n
VALUATION: : 300.00'" . ' ,/ ;: PROCESSED BY: CAL '
I,' '" ' ' 'OWNER-BUILDE~~OECLARATION " " ' ' , ,
J hereby affirm under penalty of perjury,that I am exempt from the Contracto.js License Law for the following, reason (Sec. 7031._5 Business and.
p rof~sions Cod e: any dty or county which requires a perm it to' construct, al~rir. improve, demo lish or repa ir any structure, prior to its issuaflc~, also
requiresthe applicant for such permittb file a signed statement.th;3t he is l::&,nscdpw:suant to the PlPyisjans Qfthe Cant radar'S Ucens.e law(Chapter
9)(cammenqing with Sectian 7000 .of Divisian.3 .of the Business and Prafessi~.hs Cade) or th~t .he is exempt therefram and the basis far the alleged.
exemptian. Any v.iolation .of Section 7031.5 by any applicant far a permit su(~~cts the applicantta a civil penalty of not more than five hundred dalla~s
~~~,' " '" V, ,'.,', , '
D I, as owner .of praperty, .or my emplayees with wages' as their sole comp,l.'.!1satian, witl da thewark, and the str~cture_ is nat intended .or .offered, for
. sale (Sec. 7044 Business and Prafessi9ns Cade: The Contractor's: License'fAw daes nat apptyta an .owner .of prcperty wha builds .or imprave:::. .
thereon, and who daes such wark himself .or herself ar.through his or,her c\'!rl:emplayees,_ pravided that Slich improvements are'natintended or .
aff~red far sale. 'If,hawever, the building .or impravement is said with .one ~i:ftr .of oompl3tian. the .owner-builder wirlhave the hurden .of proving that-ha .
~id f'buildar;improve .-farthe'purpas~af sale). '. -. .. ?~) _ _ . _.' .
- I, as th,e a~ner of the property"am exdusively ccntracting withncen3ed,~oi1trador$ !Q.pons,tructthe project (S,3C. 7044 Buslhess and Professians
a : _The Cantractar's License law daes nat apply to an .owner .of p'c;Jel~v::"/ho builds .or i(r-ipfoves'thereon, and who contracts far such projects with.
~a.fltradar(s) licel!3ed pursuant to tlie Cantr ctar's licen Law). ff:: ',' , . . .
LJ. I' am exempt !Jnder Sec. .C r t. asan: __'1. I
_ Date: . Owner: J '
':f-
WORKER' 0 PENSATIONDECLARATION ",
I hereby affirm under penalty .of pe~ury .one .of the 'fall.owing declaratians: ;~
.- 0- I have.and will mairrtain a certificate' of consent to self-in~ore for Wa~kert~ compensatic!1,
,as pravided for by ~ction3,700 .of the laoor C,ode, for the perfarmi?n(;<J of thr'" W[l:'!-:' fer which
this ~rmit is issued.. . . , .
D I have and will maintaih wprker:s compensatian insurance, as. required b1 Se;::tion ~700 .of
the labar Cade, far. the perfarmance .of the'wark far which this permit is iss!j<~c!. My worke,.''3'''',
Campensation insurance carrier and policy are: I
Carri"er: Palicy Number: .
ARCHITECT/ENGINEER INFORMATION:
,1
LICENSED CONTRACTORS DECLARATION.
I hereby affirm under penalty .of perjury that I.am
licensed under provisions of chapter 9 (camm'encing
with Secti.on 7000) .of Divsion 3aHhe Business and
Professions Code. .
1/7/2004
Date:
. Contractar
NUMBER
E,XPIRATIONDATE
'~ection need no! be compleledifthe pennit is for one hundred dollarS ($10t,1 or less. TYPE
. certify that_ in the perfa,nnance .of the warkJar which this perrTlit is:!~is"u~'~,.J, shall ~.ot ._,
~~6~~~a~ra,~~~a~~~e:~k~~nt:~:U~da~~ab~~a:~j:~b{~~:~~erk:~~~~,~~~~~~:S~!i~,,~ law~' L
. ProVisiO~S. .of Sectian 3700 ~f the.,labar Ca ,I ~ all . t!:t~wJftramp'_IY~ith.t~,~SP. '~rovis&~:ns.:, .
Date: 11712004' Applicant: "W L ,:__
WARNING: FAilURE TO SEe. ORKER'S COMPEr:-.fSATION COVEi~AGE 'IS ~.:
UNLAWFUL, AND SHALL SUBJECT,ANEMPLOYER TO CRIMINAL PENk.TIESAND CI'!IIL
FINES UPTOONE HUNDRED THOUSAND DOLLARS ($100,000),'1['1 ",DC; nON TQTHI;\
COST OF COMPENSATION; DAMAGES AS PROVIDED FOR IN SEpleX;37060F'THE5
!-ABORCODE.INTEREST AND ATTORNEY'S FEES.: ,.'" "':":<:,' '. '
I , , CONSTR"CTION LENDING AGENCY., " :...;~_
I hereby affirm under penalty of perjury that there is a co"s~ructi.on lendj~_9~~t~';.nciforthe..,
pcrfa"l11anO"~_ of the Wark far which this permit is' issued (S~q,;3Q~? .y.iY"e)~ t; -'_,'_ _ci;:,~c. :~,'._~, );i;-.".,-"
. _. __ __._ _ ___...~"__-..__ :_~_,___ _____________ ___ ,_, '______.'_"_-" _"'_ ___.__.___~_ >-.._._____ ..__~__,"",-..,w; ,\':;:. __
:...:;(;u.;# 5 I;,ji.iji.la.:on: I
NO
,-,,-------.--::~:,.,',.
I certify:that I have read this a-pplication and state that the'abave information is carreqt. I
agree ta cqmply with all city .ordinances and state laws relating ta building cOilstructian, and
:hereby, autharize r pre tives tJiscity to enter upon the above mentioned praperty far
ln~pection r: s.
Fees paid far Permit:
Total:
113.20
Date: 1/7/2004
Signature .of AppliCant .or Agent
,The permit shall expire by limitation and become null and void if tOO building or
work has not passed final inspection 365 days from the date of perrrdt issuance. A
new permit is, required to cOmmence or continue work.
, , INSPECTION RECORD
, ' INSPECTION DATE INSPECTOR I
Temporary Power Pole , ' ,
Plumbing (DrainlWaste Pipe)
Electrical Ground Electrode/uter ,
SetbacklFormslTrenches (FO()tings)
Do,not install subflO()r or pour floor slab until the ,
following applicable items have been signed: '
Plumbing (Water P1pe.SprinklerValves)
Mechanical (Groundwork) ,
" '
Electrical (Underground Conduit) '"
Pre-slab (Compactilll1lMembrane.Rei 1Jf.
Underpinning (F1O()r Joist/Girders)
Do not cover or conceal the work below until the ,
following applicable items have been signed:
1st Floor Shear , , ,
Fiiesprinkll!l" (Rciugh) , ,
2nd Floor Shear ,
Rciof (Sheathing/Diaphragm/Frane) .
Masonry (ReinfJBond BeanlPre-Grout) ,
, Rough Plumbing (Top Out) , , '
Rough Mechanical ",
Rough 8ectrlcal (Dry Wall} , '
Rough Electrical , -' -
Framing:. .(Only 'lfter'Plbg" Elec.. Mech. and Fire): 111:
Insulation (SoundlEnergy) , ' '
Do not tape or plaster until the following applicable
it~ms have been signed: - -..: .
DryWall , " " ,
Penetrations (Fire Raled) ElectriCal " "
" Penetrations (Fire Rated) Mechanical ,
Penetrations (Fire Rated) Plumbing ,
Interior Lath , " ,/14) ,>
Exterior Lath ,
, GENERAL ITEM -
exterior, Plaster (Brown Coat) , , Il- f)(~4- /'
T -Bar Electrical , , .
T ,Bar Mechanical ' , ,"C"
T -Bar ,Structural ,
Sewer , , ' ,
Water Engineering Backflow
Water Service,
FINAL INSPECTIONS Date" '" Inspector
Electrical Final ,
Plumbing ,Final ,
M,chanical Final , I ,
Gas Test, ' , ' ,
Engineering/Grading Final 765-5126 ' :
Fire Dep!. Final 765-4040 , ,,' ,
,
Water Engineering 765-5268 " " "
Sub ListiBuslness License 765-519
Zoning 765-5139 ,
BUilding Final ~astlnSpection. Only , ' " (1 ];0)&
fter Above Complete) /-(}6-~5
PARTIAL INSPECTIONS ' V ,
Buildina Inspections
Mechanical Inspections
Plumbina Inspections
Electrical Inspections