890 S. Parkglen Pl.
CITY
ElM
BUILDING DIVISION
200 S. ANAHEIM BLVD.
(714) 765 - 5153
INSPECTION REQUESTlINE:
(714) 765 - 4626
CENSUS CODE: . 434
QUARTER SECTION:
BUILDING PERMIT NO.
BLD2004-03608
'. -
TYPE OF PERMIT
Residential Addition
"
DATE: 10/27/2004
JOB ADDRESS: 890 S PARKGLEN PL
LEGAL DESCRIPTION:
APPLICANT: CLIFFORD LUCHT
OWNER INFORMATION:
Clifford A Lucht
890 S Parkglen PI
Anaheim, CA 92808
JOB DESCRIPTIONiNood dack at the rear yard wi spiral stair: 270 s.f.
VALUATION: 8,000.00 -,'
I OWNER-BUILDER !))ECLARATION
I h,ereby affirm under penalty of perjury that I am" exempt from the Contractor'J Ucense Law for the following reason (Sec. 7031.5 Business and
Pltlfessions 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 applica nt for such permit to file a signed statement that he is licetised pursuant to the provisions of the Contractor's Ueense law (Chapter
9}{commencing with Section 7000 of Divislon 3 of the Business and ProfessirJQs Code) or that he is exempt therefrom and the basis for the alleged
exemption. ~y violation of Section 7031.5 by any applicant for a permit subJ~cts the applicant to a dviJ penalty of not more than five hundred doUa,rs
($500). .
o J, as owner of property. or my employees with wages as thew sole comp<:nsation, will do the work, and ~he structure is not intended or offered for
sale (Sec. 7044 Business al)d Professions Code: 'The Contractor's License L3W does not apply to sn owner of property who builds or improves
thereon, and who does such work himself or herself or through his or her OWl] employees., provided that such improvements are not intended or
offered for sale. If, however, the building or ,improvement is sold with one ye;.:.,r of completion, the owner~builder will have the burde,n of proving that he
did n6t build or improve for the purpose of sale). . .
1SJI"1, .as the owner of the: property, am exdusively contracting with licensed ~ntradors to construct the project {See. 7044 Business and Professions
~: The Contractor's License Law does not apply to an owner of property'......ho builds or improves thereon, a.nd who tontra.cts for such projects with
~ontractor(5} Hcensed pursuant to the Contractor's License Law). .
U 'am ex mpt nder Sec. , B & ~. fo is rea .
D :;2.7 Owner.
CONTRACTOR INFORMATION:
ARCHITECT/ENGINEER INFORMATION:
RON LACHER
1201 N. TUSTIN AVE.
ANAHEIM, CA
PROCESSED BY: CDL
WORKER'SCOMPENSA ON DECLARATION
I hereby affirm under peri_alty.of perjury one of the. following declarations:
o J have and will maintain a certificate of oonsent to self-fnsurefor worker'~-.:ompensation,
as provided,for by Sedion 370.0 _of the Labor COde, for the performance ofth~,work for which
this permit is issued. , :
o I have and will m~intajn worker's compensation insurance, as requ'ired b~; 'Section 370.0. .of .
the Labor Code. fer the performance of the work for which this permit is issued. Myworker's
Compensation insurance carlier and policy are:
Carrier: Policy Number.
This section need not be completed if the permit is for .one -hundred dollars ($1 001 or less.
~ t certify that in the perfonnance .of the work for w.hich this permit is issued. I shall not .
~IOY any person in any manner :so as to became, subject to the worker's cCimpensation Jaws
.of 9altfomia, and agree that if I should become subject tothe worker's compe~sation
previsions .of Section 3700 of the Labor Code, I sha fa with c_o~ly with th'lse provisions.
Date: 10/27/2004 Applicanl: -C-~
WARNING: .FAILURE TO SECURE WORKER' COMPENSATION COVERAGE IS
UNLAWFUL, AND SHALL SUBJECT AN EMPLOYER TO CRIMINAL PENALTIES AND CIVIL
FINESUPTO ONE HUNDRED '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 3gonc.yfor the
performan~ of the work for which this petmit is issued (See. 3097 .Civ.C): ~,
Lend~I's information. -..- - .-'- -..
LICENSED CONTRACTORS DECLARATION
I hE!reby affirm under penalty of per-jury that' am
licensed under provisions of chapter 9 (commencing
with Section 7000) of Divsion3 of the Business and'
Professions Code; -
10/27/2004
Date:
Contractor
NUMBER
EXPIRATION DATE
TYPE
Construcion Types:
VN" '.
Fire Sprinklei"ed?
NO
I certify that I have read this application and state that the above information i3 correct. I
agree to rom ply with all citY .ordinances and state laws relating to building construction, and
hereby authorize representives of this oW to enter upon the above mentioned pr'operty for
in~e?n~urP9~' .
. ~ Date: 10127/2004
' .' '.' . Signature of _ pplicantor Ag'ent .
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 required to commence or continue work.
Fees paid for Permit
Total:
379.25
INSPECTION RECORD
"
. .I,,!SPECTIOH . . . DATE. INSPECTOR
Temporary Power Pole
Plumbing (DrainlWaste Pipe) .. .
Electrical Ground Electrode/uter ."
SetbacklFormslTrenches (Footings). .
Do not install subfloor or pour floor slab until the
following applicable items have been signed:
Plumbing (Water Plpe.Sprinkler Valves)
I\oIec:hanical (Groulldwork)
Electrical (Underground Condlllt)
Pre-slab (CompactionlMembrane.Reinf.
Underpinning (Floor Joist/Gil!lers) "
Do not cover or conceal thewor!< belOW until the
follOWing appliG<;lble Items have been signed:'
1st Floor Shear .. .. .
FireSprinlder (Rough) .. .
2nd Fioor Shear . ..
RQof (Shilathing/OlaphragmlFrane) .
Masonry (ReinfJBond Bean/Pre-Gl'O\It) .
.Rough Plumbing (Top Out)
Rough Mechanical . .
KOugh t:Iectrreal (Dry Wall)
Rough Efecirical
Framing (Only after Plbg. EJec.. Mech and Firei
Insulation (SoundlEnergy) I
Do not tape or plaster. until the following applicable
items ha.ve been signed: '.
Drywall. . .
Penetrlllions (Fire Rated) Electrical
Penetrations (Fire Rated) Mechanical
Penetrations (Fire Rated) Plumbing
Interior Lath.. . ..
Exterior Lath
. . GENERAL ITEMS
Exterior Plaster (BrO'\\/O Coat)
T -Bar Electrical
T.Bar Mechanical .
l-BarStructural
Sewer .
Water Engineering Backflow .
Water Service ..
FINAL INSPECTIONS Date Inspector
Electrical Final. -"', , ~
Plumbing Final ..
Mechanical Final
Gas Test .
Engineering/Grading Final 765.0126 .
Fire Dept. Final 765-4040 .
Water Engineering 765.5268
Sub List/Business License 765'519
Zoning 765-5139
Building Final \l-ast Inspection. Only . ql~o( {4<<JI
. . c fterAbove Complete)
.. pARTIAL INSPECTIONS .tJ"thd ./
. . ; 1'''
BulldlOQ Inspections
Mechanical Inspections
,PlumbinQ Inspections
Electrical.lnspections
TYPE OF PERMIT
Residential Addition
CITY ti~E'M
\,1~~~~tB"1~~~1
BUILDING DIVISION
200 S. ANAHEIM Bi.VD.
(714) 765..5153
INSPECTION REOUESTLlNE:.
(714) 765 . 4626
CENSUS CODE: 434
QUARTER SECTION:
BUILDING PERMIT NO. BLD2004-03585
DATE: 9/23/2004
JOB ADDRESS: 890 S PARKGLEN PL
LEGAL DESCRIPTION:
APPLlCANl:: PATRICK GALLAGER
OWNER INFORMATION:
. CONTRACTOR INFORM(rION:
MASTERP.lECE pOOLSJ: 'SPAS, INC
. ,""{
22343 E LA PALMA AVE #1,'4
YORBA LINDA, CA 92667. ')OOD
BUSINESS PHONE: 71469-.i.1132
JOB DESCRIPTION:lnstall 2 footings for future deck and staircase per .ap~r';*.d engineered pians.
VALUATION: 8,000.00 .i'
I OWNER-BUILDE~'l:jEC~RATION
I hereby affirm under penalty of perjury that I am exempt from the Cont:'"Elctor!;' License law for the following reason (Sec. 7031.5 Bus~ness and
Professions Code: any city or' county which requires? permit to constnJct,ii~;3r, improve. demolish or repair any structure, pnor to it.s Issuance, also
requires the applicant for sue'" permit to file a signed statement that l,e i~rfiCt4"'i:Ged purs'Jant ~o the provisions of the Contractor's License Law (ChafJter
9)(commenclng with Sectio'1 '7000 of Division 3 of the Busines,s and Professif;llS Code) or'that-he is exempt' therefrom andtr.e basis for the alleged
exemption. Any.violB_tion of Section 7031.5 by any applicant for a per:nlt s:A":'Acts the applicant to a dvil penalty of rIot more than five hundred dollars:
($500). ...' . r .' '.
o I, as 'owner of property, or my emp'loyees with wages as their sole c(')mp~nsatiO!)'- vvill do thework, and. the structure is not ~ntended o~ offered for
sale (Sec. 7044 Business and Professions-Code: The Contractor's.Ucer:ss'Vaw does not apply to an owner of property who builds or jrrpro'ves',
thereon, and who does sud1work himself or herself or through his or her OWl} employees, provided that such implUvements :are not intended or
offered for sale. -If, however, the building or improvement is sold Witi1 ene y~r 'of compl'etion, the owner-builder will have the burden of proVing that he.
diQ not build or improve fur,ti'lepurpos€, of sale). _. . ",
o I, as the owner of th_e propertY. am exclusively contracting with licensed, eor.tr::::ctors. to constrllct tr.e project (Sec. 7044 Business snd Professions
Code: The Contractor's License Lawdoes not apply to an ownecof 9rcpertywt-,u builds or lmproves thereon, and who contracts for $Udl projects with
Montractor(s) Hcensed pursuant to the Contraetor'~ License law), J,
l.--l I am exempt tinder Sec. . ',8 & P.C. for this reason: _---l'____.
Date: . Owner:' _ ,.
I . WORKER'S COMPENSATION DECLARATIOl:L._~:"':___,_j
I hereby affirm9nder p-cn3lty of perjury one of. thefoUowing decl2ratlons:
o I hClve and will maintain 'a c~rtificate of corrSE:mt to s6tf~insure_ for workN'::t c;cmpensation,
as provided for by Se{;tion 3700 of the Labor Code, for the performance (J.ft!1i.~ w.:jrk for whidl
j2hiS rmit is issl:ed. . '
. I have alld will m:a. intain worker's comP.enS.8tion. insurance, i>s requi.ed b~ Sect;.on 3700 of I
th labor Code,.forthe performance of the work tor which this permit is iSSllt"'j.. Mywart-er's
Compensation insurance carlier and policy are: .
Carrier: STATE COMPENSATION FUND Policy Number. 16632~0.2003
ARCHITECT/ENGINEER INFORMATION:
AARON COWEN
120 N TUSTIN AVE,
ANAHEIM, CA 92807
PROCESSED BY: MSM
LICENSED CONTRACTORS DECLARATION .1
I hereby' affirm under pena!tyOf ~rjurl that I ;:;.m
lic.ensed under pro,visions of.chapter 9 {commencing
with Section 700 \ l\lSic, 3 of the Business al"ld
Professions ad
This section need not ~ completed if the pennit is for one hundred dollars {$'1 O'q.i ~ . less.
D I certify that. in the perfolTtlance of the work for which this Pf;lrm{t is iSSUt',d, i_shall :'let
employ any person in any man,nar so as to become subject to the worke.rs cr.mpel1sation Jaws
of Califomia, and agree that if I shOuld ,become subject to the worker's COn1pM)S~tjon
provisions of Section 3700 of the labor Cod 'shalt hwith comply~nh tl:;oseptovisio.ns.
EXpIRATION DATE
212812006
C53
I.construcion Types'
VN, ,
Date: 9/23/2004 Applicant: _, -I Fire Sprinklered?
WARNING: FAILURE TO SECUR WORKER'S COMPENSATION COVEk'IGEIS I
UNLAWFUL, AND SHALL SUBJECT AN. EMPLOYER TO CRIMINAL PENA.... .\T!E..._$A..N D CIVIJL
FINES UPTO ONE HUNDRED THOUSAND DOLLARS ($100,000), iN ADtH10t! 10 THE .
COST OF COMPENSATION, DAMAGES AS PROVIDED FOR IN SECT/CIl'< 3706 OFTI4E
LABOR CODE, INTEREST AND ATTORNEY'S FEES. ... ' .i.
1 .. . CONSTRUCTION L.ENDIN~ ;\GEN~~__TF;:-:-~.---l
_ .J}1~r:::hy-,;lJf!r_nHI(lder pima-lt}'0f:::-srjur:; t!"l3t t1'.,Br~'i':::';f ('(m~~r!l(;~;0r,'~f.!1t:-;n.g-><}r,)rr:~1 it:;r thi1- ., .1
performance of the work for which this permit is issued (See-309? .Civ .C):
Lender's Information:
NO
J certify that I have read this application and state' that the above information is correct. I
agree to comply with. all city 'ordiriances'and state laws relating to bu~ding construction, and
hereby uthorize representives of this city to enter upon the a bove mentioned property for
ins 0fI po s.
Fees paid for Permit~
Total:
238,86
Dat€' 9/2312004
Signature of Applicant or Agent
The permit shall expire by limitation and become null imd 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 continue work.
. INSPECTION RECORD
INSPECTION DATE. INSPECTOR
Temporary Power Pole . .
Plumbing (DrainlWaste Pipe)
Electrical GrOund ElectrodelUfer . ~.
.. . SelbacklFormsfTrenches (Footings) .. :<:f-01-c<i I ~
Do oot install subfloor.or pour floor slab untillhe .
following app.icable items have been'signed:
Plumbing (Water Plpe.Sprinkler Valves)
~hanical (Groundw9rk) .
Electrical (Underground Conduit) .
Pre-slab (Compa::tiorvMembrane.Reim.. .
Underpinning (Floor Joist/Girders) . ..
Do rlot cover or cooCealthe work below uotilthe
.following apP'!i~able items have been Signed: .
1 st Ftoor Shear . I
FireSprinkler (RoUgh)
2nd Floor Shear . .
RQof (Shealhing/Di8PhraQmlFrame) .
Masonry (ReinfJBond BeamJPre-Gf'O\It) . .
Rough Plumbing (Top Out} .
Rough Mechanical .
. KOugn t:Iectricallury wall)
RoughElecirical .
Framing ~Orily after Plbg,,' clec" r.'leCh and Firel
Insulation (SoundlEnergy} . .
po nol tape or pla~ler untillhe following applicable
.tems have been signed: . .
Drywall . . . .
Penetrations (fire Rated) Electrical .. . .
Penetrations (Fire Rated) Mechanical
Penetrations (Fire Rated) Plumbil19
Interior Lath ..
Exterior Lath
GENERAL ITEMS .
Exterior Plaster (Brown COlll)
T -Bar Electrical
T -Bar Mechanical . .
T -Bar Structural . .
Sewer. . .
Water Eogineeriog Backflow . .
Water Service
FINAL INSPECTIONS Date . Inspector
Electrical Floal . . ..
Plumbing Final . .
. Mechanical Final ... .
Gas Test .
Engineering/Grading Final 765,0126
Fire Dept. Final 765-4040 .
, .
Water E,nglneering 765-5288
Sub ListlBusinessLicense 765-519 .
Zoning 765-5139 -
..
Building Final *asllnspection- Only ...~I~f)( ~".1 '
fter Above Complete) 1'""'"""'1
.. f1tMrJ\..
::;:~lL~~_AM1J P&r.
. . '. .
PARTIAL INSPECTIONS
Buildina Inspections
Mechanical hlspections
Plumbina Inspections
Electricallnsoections