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7330 E. Paseo Laredo TYPE OF PERMIT CITY Rerpof ElM ElUILDING DIVISION 200 S, ANAHEIM BLVD, (714) 765 - 5153 INSPECTION REQUEST LINE: (714) 765 - 4626 CENSUS CODE: 555 QUARTERSECTJON: 196 BUILDING PERMIT NO. BLD2005.016B5 DATE: 6/6/2005' JOB ADDRESS: 7330 E PASEO LAREDO LEGAL DESCRIPTION: N TR 7734 LOT 24 APPLICANT: DEAN WASHLE OWNER INFORMATION: CONTRACTOR INFORMATION: ARCHITECT/ENGINEER INFORMATION: Dean P Wash'e 7330 E Paseo Laredo Anaheim, CA 92808. /' , JOB DESCRIPTION: Tear off existing and reroot 22 squa!"s with monie, lite tile @ 5.96 Iblst ICBO # 2656 . VALUATION: 12,000.00 PROCESSED BY: JNJ i OWNER-BUILDER DECLARATION I hereby affirm under penalty of perjury that' am exempt from the Contractol:'sLicense Law for the following reason (Sec-. 7031.5 Business and Professions Code: any' city or countywhictl requires a"perm.it to construct, alt!3.r, improve, demolish or repair any structure, .prior to its issuance, also requires the applicant for such permit to lile"8 signed statement that he is licE:nsed pursuant to the provisions of the "Contractor's Lice"nse Law~Chapter 9)(commencing with Section.7000 of Division 3 of tt)e Business and Professions Code) or that he is exempt therefrem and the basi$ for the alleged . exemption. Any violation of Section 7031.5 by B!ly applicant (or a permit subjects the applicant to a civil penalty of not more than five hundred dollars ($500),. . . . . . ~ 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 for 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 own employees, provided that such. improvements are not.intende~ or oltered for sale. If, however, the building or improvement issoJd with one year of completion, the owner~builder will have the burden ofproving.lhat he did not build or improve for thi? purPOse of Sale). o I, as the owner of the: property, am exclusively contracting with licensed contractors to construct the project (Sec.. 7044 Business arid Professions Code: The Contractor's License Law does not apply to an owner of propeltywha buUds or improves thereon, and who contracts for such projects w~h ~ontractorAs) licensed p':Jrsuant totheContra:ctor's License Law). 1 U I am x p under Sec. P. . for this reason: Oa~e: Owner: WORKER'S COMPENSATION DECLARATION I 'hereby affirm 'under penalty. of perjury one 'Of the following declarations: . Q=4.haveand will maintain a certificate of consent to self~insure for worker'scompensation, as provided for by Section 3700 ofthe Lat;lor Code, for the performance of th~ womfor which this permit is issued. o I hays 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 work~r's Compensation insuranCe carrier and policy are: . Carrier: . Policy Number.. -LICENSED CONTRACTORS DECLARATION I hereby affirm under penalty 0 perjury that I am licensed under provisions of chapter 9 (commencing with Section 7000) of Divsion 30f the BUsiness and Professions Code. 6/612005 Date: Contractor' NUMBER EXPI RATION DATE This section need not be completed if the perinit is for one hundred dollars ($1 DO) or less.. ~I certify that in the performance of the work.for which this permit is issued, I shan not employ any person in any marmer so as to become subject to the workers compensation laws of California, and agree that if I should become subject to the yv'orker's compensation provisions of,SeCtion3700 of the Labor C<;>de, , all forthwith comply with those provisions. Date: 6/6/2005 APPlicani>-:-. V WARNING: FAILURE TO SECURE WORKER'S COMPENSATION COVERAGE IS UNLAWFUL,. AND SHALL SUBJECT AN EMPLOYER TO CRIMINAL PENALTIES AND CIVIL FINES UP TO ONE HUNDRED THOUSAND DOLLARS ($100,000), ,IN ADDI11ON. TO THE. COST OF COMPENSATION, DAMAGES AS PROVIDED FOR IN SECTION 3706 OF THE LABOR CODE, INTEREST AND ATTORNEY'S FEES. CONSTRUCTION LENDING AGENCY 1.l1ereby affirm under penalty of perjury that there is a constructIon lending.agencyfor the performance of the work for which this permit is issued (Sec.3097 .Civ.C): Lender's Information: TYPE Construcion Tvpes: VN, , . I certify. that I have read this applic~ion and state that the above information is correct. I agree to comply with all city ordin8Qces and state laws relating to building construction, and hereby authorize representives of this city to enter upon the above mentioned property for in ion purl?~ . . / / V c.-....-- . .' Date; 6/6/2005 Signature of Applicant or Agent 1he permit shall expire by limitation aM 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 tei commence or continue work. Fees paid fpr Permit: Total: 236..03 INSPECTioN RECORD INSPECTION DATE INSPECTOR Temporary Power.Pole , Plumbl ng (DrainlWaste Pipe) , Electrical Ground Electrode/uter SetbacklFormsfTrenches (Footings) , Do not install subfloor or,pour floor slab unti,' the following applicaqle ilems have been signed: , " ' Plumbing (Water Pipe.Sprinkler Valves) Mechanical (Groundwork) , Electrical (Underground Conduit) , " Pre-slab (Compaction/Membrane.Reinf.] , , Underpinning (Floor Joist/Girders) Do not coverer co~ceal the wdr'k bel,ow until the' follOWing applicable Ilems have been Signed: ' 1 st Floor Shear , Firesprinkler (Rough) " 2nd Floor ,Shear " ' Roof (Sheathing/Diaphragm/Frame) , , Masonry (ReinfJBond BeamJPre-Grout) , Rough Plumbing (Top Out) Rough Mechanical , : ROugh l:Iecti'lcal, (Dry Wall) Rough Electrical " , , Framing (Only after Plbg" Elec" Mech, and Fire/ Insulation (SoundlEnergy) , , 00 not tape or plaster until the following applicable, items have been signed: - . . .' Drywall Pllfletratlons (Fire Rated) Electrical , Pllfletratlons (Fire Rated) Mechanical , , Pllflettations (I'ire 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 ' Date Inspector Electrical Final ' " , Plumbing Final , Mechanical Final , Gas Test , Engineering/Grading Final 765-1;126 , Fire Dept. Final 765-4040 ' , Water Engineering 765-5268 " Sub List/Business License 765-519 , " Zoning 765-5139 BUilding Final j}ast Inspection- Only 7\n,\o( '"f- f....,[ .Q , ,Iter Above Complete) , f'J,,"' PARTIAL INSPECTIONS Buildina Inspections Mechanical Inspections Plumbina Inspections' Electrical Inspections TYPE OF PERMIT C' Residential Remodel ITV DATE: 61612005 JOB ADDRESS: .7330 E PASEO LAREDO LEGAL DESCRIPTION: N TR 7734 LOT 24 BUILDING. DIVISION . 200 S. ANAHEIM BLVD. (714) 765 - 5153 . INSPECTION REQUEST LINE: (714) 765 - 4626 CENSUS CODE: 555 QUARTER SECTION: 196 BUILDING PERMIT NO. BLD2005-01686 APPLICANT: DEAN WASHLE OWNER INFORMATION: CONTRACTOR INFORMATION: ARCHITECTIENGINEER INFORMATION: Dean P Washle 7330 E paseo Laredo Anaheim, CA 92808 JOB DESCRIPTION: Replace wood siding on front part of house with stucco (475 square feel) . VALUATION: 2,000.00 PROCESSED BY: JNJ OWNER-BUILDER DE -LARATION I herebY affirm un er penalty of perjury that I am -exempt from the Contractor's License !-aw for the fol owing reason (Sec. 7031.5 usiness an Professions Code; any city or-county which requires a permit to construct, alter, improve, demolish or repair any structur~, prior to its issuance, also requires the applicant.for such permit to file a s;igned statement that he is licensee: pursuant to the provisions of the Contractor's,Licen'se Law (.chapter 9)(commencing with Section 7000 of Division 3 of the Business and Professions Gode) or that he is exempt therefrom and the basis for the alleged '. exemption. Arty violation of Se'cHon 7031.5 by any applicant for a permit subject€, the applicant to a civil penalty of not more than five hundred dollars ($500). . E::!=>I. as. owner of property, army employees with wages. as their sole compensa.tion, will do th~ work, and the structure is not intended or offered for sale (Sec. 7044 Business and Professions Code: The Contractor's Ucense Law does not apply to an ownerof property who builds or improves thereon, and whqdoes such ,work himself or herself or through his or her own employees; provided that such improvements are not intended ,or offered for sale. If. however, .the building or improvement is said with one year of completion, the owner~builder will have the burden of proving that he did not build or imp'rove for the purpose of,saJe), ,- . o I,as the owner ofthe property, am exclu~ively 90ntracting with licensed contractors to construct the project (See, 7044 Business and Professions Code: The .contractor's License Law does not apply.to an owner of property who builds or improves.thereon, anQ who contracts for such projects with Montractor(s) licensed pursuant to the Contra's License Law)_ . U.lame~>>tu9derSec. . ..J6. ftftbis.reason-____ Date: ~~~~ Owner: ~ == t' WORKER'S COMPENSATION DECLARATION I. hereby affirm under pen~lty of perjury one of the following declarations: yJl have an? will maintain a,certificate of .consent to se!f-insure for worker'sccmpensation, as provided for by Section 3700 of the Labor Code, for the performance_of the work tor which this permit is issued. o I have and will maintain worker's'compensation in.surance, as required by Section 3?00 of the Labor Code, for the performance of the work.for which this permit is issued. My worker'S: Compensat.ion insurance carrier and policy are: . Carrier; Policy Number. LICENSED CONTI'lACTORS. DECLARATION I hereby affirm under penalty of perjury that I am licensed under provisions of chapter 9 (commencing with Section 7000) of Divsion 3 of the Business arid Professions Code. 616/2005 . Date: Contractor NUMBER EXPIRATION DATE This section nelid not be oomplelOd if the pennlt islar one hundred dollars ($100) orles.. t::.r', certify that in' the perfonnance 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 t.hat if_' should become SUbject to the worker's compensation provisions of Seclion3700 of lhe~az:orthwilh comply with those provisions. Dale: 6/6/2005 Applicant: . WARNING: FAILURE TO SECURE WORKER'S COMPENSATION COVERAGE IS UNLAWFUL, AND SHALL SUBJECT AN EMPLOYER TO CRIMINAL PENALTIES AND CIVIL FINES UPTO ONE HUNDRED THOUSAND DOLLARS' ($100,000), IN ADDITIoN TO THE COSTQF 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 constrl,lction lending agency for the performance of the work for which thispermitis issued (Sec.3097.Civ.C): Lender's Information: TYPE Construcion Types: VN, , 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 building construction, and nerebyauthorize presentives of this city to'enter upon !heabove mentioned property for inSpection pu Date: 6/612005 Fees paid for Permit: Tolal: 187.29 Signature of Applicant or Agent 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 INSPECTION RECORD , INSPECTION, DATE INSPECTOR Temporary Power Poll' Plumbing (DrainIWaste Pipe) Electrical Ground ElectrodelU(er SelbacklFormsrrrenches (Footings) " Do not install subfloar or pOUr floor slab until the following applicable items have been signed: Plumbing (Water Pipe.Sprinkler Valves) , Mechanical (GrOUndwork) , Electrical (Underground Conduit) pre-slab (Compaction/Membrane.Ralnf. , Underpinning (Floor Joist/Girders) , Do not cover orcol1ceal the work below until the following applicable items havl' been signed: , 1st Floor Shear ,', Aresprinkler (Rought 2nd Floor Shear , Roof (Shealhing/Dlaphragm'Fnme) Masonry (ReinfJaond BeamlPre-Grout) Rough Plumbing (Top Out) , Rough Mechanical I rcougn l:Iectricall ury wall) Rough Electrical Framing (Only after Plbg.. Elee.. MeCh.. a"!'Id Fire) " Insulalion (SoundlE",rgy) , Do, not tape or plaster until the following applicable items have been signed: ' , , Drywall , p""etralions (Fire Rated) Electrical P""etrations (Fire Rated) Mechanical' , ' Penetrations (Fire Raled) Plumbing , Interior Lath , ' , Exterior Lath , . '~-r, GENERAL ITEMS i ' , Exterior Plaster (Brown Coal) €/15/.<; JA'''61,''''.L.1 T-Bar Electrical, , T -Bar Mechanical T 7Bar Structural Sewer , Water Engineering Backflow , Water Service FINAL INSPECTIONS Date Inspector: Electrical Final Plumbing Final , Mechanical Final " Gas Test ' , , ' , , , , Engineering/Grading Final 765-5126 Fire Dept. Fi,l1al 765-4040 , Waler Engineering 765.5268 Sub ListlBusiness License 765.519' , , Zoning 165.5139 , , Building 'Final *ast Inspection. Only ,\~K !I~ 1\1-["~ ' , , fter Above Complete) 11\'" bd vtw ~ V~ 'Mi2v d4-.'.j;OlA . \A!.J"'l.)S-~ \ Mechanical Inspections , Plumbina Insoections ' Electrical Inspections