541 S. Paseo De Luna
TYPE OF PERMIT C IT Y
Patio Cover
ElM
BUILDING DIVISION
200 S. ANAHEIM BLVD.
(714) 765 - 5153
INSPECTION REQUEST LINE:
(714) 765 - 4626
CENSUS CODE: 434
QUARTER SECTION: 198
BUILDING PERMIT NO. BLD2005-01566
DATE: 5/25/2005
.JOB ADDRESS: 541 S PASEO DE LUNA
LEGAL DESCRIPTION: N TR 8455 LOT 36
APPLICANT: EVONNE' MORTON
OWNEFjINFORMATION:
Scott Westmoreland
541 S Paseo De Luna
Anaheim, CA 92807
CONTRACTOR INFORMATION:
ALL PRO REMODELING
706 N TUSTIN ST
ORANGE, CA 928670000
BUSINESS PHONE: 714288-1314
Install 286 sq. ft. patio enclosure; ICBO # 3190.
5,200.00
ARCHITECT/ENGINEER INFORMATION:
JOB DESCRIPTION;
VALUATION:
. PROCESSED BY: SAM
OWNER-BUlLOER DECLARATION
I hereby affirm under penalty 0 perjury that I am exempt from the ontractor's ~cense ,Law for the f~lowing reason -(Sec. 7031.5 BusineSs and
Professions Code: any city or county which requires a permit to construct, alter,'improve; demoUsh 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 Ucense Law (Chapter
9}(commemcing with Seetion 7000 of Division ,301 the Business and Profession_s Code) or that he is exempt therefrom and the basis for the alleged
exemption. Any violation of Sectlon 7031".5 by any applicant for a permit subjects the_applicant to a civil penattyofnot more-than five hundred dollars
($500).' . . . .. . .
o I, as owner of prqperty, 'or my employees with wages as their sOle compen:3ation; .wlJl do the work, and the structure is not intended or offered for
sale (Sec~ 7044 Business and Professions Code: - The Contractor's License La~J, 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 own employees, provided that such improvements are not intended or, , .
offered for sale. .'f ;however, the building or improvement is sold withone yeardf completion, the owner.builder will have the burden of proving that h~
did not build or improve for the.purpose-of sale). . .
o I, as the?wner of th'e .property" am. exclusively contmcting with licensedco~tractors to construct tne project (Sec. 7044 Business and professions
Code: The Cqntractor's License Law does not apply to an owner of property who. builds or improves thereon, and who contracts for such projects with
,su;:ontractot(s) licensed pursuant to the Contfactor's-Ucense Law). , ,;~ .
U I am exempt under Sec. ' " B& P,C. for this reason:
Date: Owner: - .
I WORKER'S COMPENSATION DECLARATION
I hereby affirm under penalty of perjury one of the following deClar:ations:
o I have _and will maintain a certificate of consent to self~insure for worker's cbmpensation,
as provided for by Section 3700 of the Labor Code; for the perlormance of the work for which
this rmit is issued. .
I ave and will maintain worker's compensation insur.ance, as required by SectiOn 3700 of
bor Code, for the perfo'rm.ance of the work for which this permit is issued.'_ My worker's
C mpensation insurance carrier and policy are: .
rrler: STATE FUND Policy Number. 0460011387
This section need not be completed if the pennit is for one hundred dollars ($100) Olless.
o I certify that in. the performance of the work for whi~h this permit is issued, I shall not.-
employ any person in any manner $0 as to become subject to .the worker's compensation laws
'of Califomia, and agree that WI should become subject totheworker's compen~ation
provisions of Section 3700 of the Labor Cod ,.1 aU forthwith comply with those provisions.
LICENSED CONTRACTORS DECLARATION
I ereby affirm' u er penalty of perjury that I am
licensed under proVisidnsof ch'apfer 9 (commencing,
with Section 700'0) 0 h..sion 3 of the Business and
Professions Code.
5/25/2005
Date:
NUMBER
574698
TYPE
EXPIRATION DATE
5131/2006
B
Date: 5/2512005 Applicant:
WARN.lNG: FAILURE TO SECUR WORKER'S COMPENSATIOrtC RAGE IS
UNLAWFUL, AND SHALL SUBJECT AN EMPLOYER' TO CRIMINAL PENALTIES AND CiViL
FINES UPTO ONE Hl)NDRED THOUSAND DOLLARS ($100,000), IN ADDITION' TO THE
COST OF COMPENSATION, DAMAGES AS PROVIDED FOR IN SECTION 3706 OF THE
LABOR CODE, INTEREST AND ATTORNEY'S FEES.
CONSTRUCTION LENDING AGENCY
I- hereby ,affirm under penalty of perjury that there is a construction lending agen,.."y for the
pertorm.ance o{ the work for which this permit is issued (Sec.3097.Civ:C):
lender's lnfonnation: .
Construcion Types:
VN, ,
Fire Sprinklered?
NO
I certify that-j have read this application and state that the above information is correct. I
agree to oomplywith all . 0 inances and state laws relating to building construction, and
hereby authorize repre ntive of this city to enter upon the above mentioned property for
'nsp ion purposes.
Date: 5/25/2005
Fees paid for Permit: '
Total:
494.41
Signature of Applicant or Agent
permit shall expire by limitation and become rtull and void if the building or
work has not passed final inspection 365 days from the date of permit issuance. A
new permit is required to commence or ,contirtue work.
INSPECTION RECORD
. . INSPECT/ON . DATE INSPECTOR
Temporary Power Pole . . .
.. Plumbing (D",inlWaste Pipe)
Electrical Ground Electrode/uter
SelbacklFormsffrenches (Footings) .
Do not install subfloor or pour floor slab untilthe . .
following applicable items have been signed:
Plumbing (Water Pipe.Sprinkler Valves)
Mechanical (Groundwork) . . .
Electrical (Underground Conduit) .
p\'l!-slab (compactionlMembrane.K8Int.j
Underpinning (Floor Joist/GIrders}
Do not cover or conceal the work below until the
following applicable itemS: have been signed:
1st Floor Shear
Fi\'l!sprinkfer (Rough) ,
2nd Floor Shear
Roof (Sheathina/Diaphragrn'Frame\ . .
Masonry (ReinfJaond eelm/Pre-Grout)
Rough Plumbing (Top Out) '. . .
Rough Mechanical.
ROugn I:lectr",.. \.,.-y Wall) .
Rough Electrical . . '.
Framing . (Only.fterPlbg.. Elec. Mech. and Fire)
In$Oralion (SoundlEnergy) .
po not tape or pla~ter ....ntilthe following applicable
.tems have been s.gned:
Drvwall
Penetrations (Fi\'l! Rated) Electlica' . . . .
Penetrations (F'\'l! Rated) Mechanical .
Penetrations (Fi\'l!Rated) Plumbing
Interior' Lath
Exteripr Lath '.
GENERAL ITEMS ..
Exterior Plaster (Brown Coal)
T -Bar Electrical .
T -Bar Mechanical
T -Bar Structural .
Sewer.
Water Engineering Backflow . . .
Water Service .
FINAL INSPECTIONS . Date Inspector
Electrical Final ~lqIO~ ......,.~
Plumbing Final .
MeChanical Final
Gas Test
Engineering/Grading Final 765-5126 . . . .'
Fire D.epl. Final 765-4040 ,
Water Engineering 765-5268
Sub List/Business License 765-519
Zoning 765-5139 . .
Building Final ~ast Inspection- Only qjq lor '1", M.c..rt1
fter Above Completel
pARTIAL INSPECTIONS.
Buildina Inspections
Mechanical Inspections
Plumbina Inspections
Electrical Inspections