604 S. Peregrine
BUILDING PERMIT NO. BLD2004-02848
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. BUILDING DIVISION
200 S.ANAHEIM BLVD.
(714) 765- 5153
INSPECTION REOUESTLlNE:
(714) 765 - 4626
CENSUS CODE: 434
QUARTER SECTION: 113 .
TYPE OF PERMIT
Residential Remodel CITY
DATE: 7/21/2004
. JOB ADDRESS: '604 S PEREGRINE ST
LEGAL DESCRIPTION: N TR 1987 LOT 42
APPLICANT: VICTOR JORDAN
OWNER INFORMATION:
VICTOR JORDAN
604 S Peregrine 5t
Anaheim, CA 92806
JOB. DESCR1PTiON:Remove siding add stucco at front, of house, Window repiacement, Add (3) new windows at ~aster bedrrom. dinning room and
VALUATION: 9ara~~200.00 PROCESSED BY: ODC'
I . OWNER.BUILDEl". DECLARATION. .
I hereby affirm under penalty of perjury that I am exempt from the Contracto~s License law for the following reason (See, 7031..5 Business and
professions Code: any city or county which requires a permit to construct, s!'_ar, improve,deniolish or repair any structure, prior to its issuance, also
requires the applicant for such permit to file a signed statement that he is, licJosed pursuant to the provisions'ofthe Contractor's License Law {Chapter
.9)(commencing with Section 7000 of Division,3of the Business and Professions Code).or that he is exempt therefrom and the basis for the alleged '
exerr:tptio Any violation of Section 7031.5 'by any a'pplicant tor a permit su!;tects the applicant to a civil penalty of r.'tOt more than five hundred dollars
(00. .... ". .'. . ..'
. I, as owner of property, or my employees with wages ~s their sole cam~E:nsation, will do the work, and the structure is not intended or offered for
sale (Sec. 7044 Business and Professions Code: The Contractor's License- ',a-"v does not apply to an owner of property who 'builds or improves
thereon, and who does sum work himself or herself or through his ,or her ov.,'.1 employees, provided that such improvements are not intended or
offered for sale; If, however; the building or improvement is so14 with one year of completion, the owner-builder will have the burden of proving that he
did not buDd or improve for the purpos'e of sale).
0' I, as 'the -owner of the property, am exdusively contracting with IicenseJ'contractors to con.struct the project (Sec. 7044 Busj~ess and Professions'
Code: The Contractor's License-Law does nat apply to an owner of propetJ::iwho buijds or improves thereon, and who contracts for such projects with
antrador{s) licensed pursuant to the Cont~actor's License Law). .
exe~t un~~. r Sec_ . , ,B & P.C. for this reason:
-2..1 _0 -, Owner: ,'<. ,,"v ~
WORKER'S COMPENSATION DECLARATION
. I hereby affirm lmder penalty of perjury one of the following declarations: .
o I have and will maintain a certificate of: consent to self-insure -for- workdr." compensation,
as proVided. for by Section 3700 of the Cabor Code, for the performance aft~_~ work for which
this permit is -issued. - .
o I have and' will maintain worker's campa.nsatlon insurance, as required bY Section 3700 of
the Labor Code, for the performance of the work for which this permit is issu~d. Myworker's
Compensation in.surance carrier and policy are:.'
Carrier: Policy Number.
CONTRACTOR INFORMATION:
ARCHITECT/ENGINEER iNFORMATION:
I
LICENSED CONTRACTORS DECLARATION
I hereby affirm under penalty af perjury that I am
Hcens'ed under provisioT'sof ct)apter 9 (commencing
with Section 7000) of Dlvsion 3 of the Business and
Professions Code.
7/21/2004
Date:
Contractor
NUMBER
EXPIRATION DATE
This section need not be completed if the pel1Tlit is toY one hu~dred don~s'($1(iC,; or.less.
o .\ ~ertify that in the perfonnance of the work for whiCh this permi~,~.issue~,) shall not
emploY any person in any 'manner so as to hecome SUbject to the worker's c..Jj'"G'pensation laws
of Califomia, and agree'that if l should become subject to the worker's'c()mpt.ln$ation
Provisions, of. SectiOn 3700 of the Labor Code, . sh _" . rthwi cOmp}yJlth t,..~.provisions.
Date: 7/21/2004 Applicant ".)/'", .. .,
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WARNING: FAILURJ; TO SEC.URE WOR 'S COMPENSATION COVeRAGE IS
UNLAWFUL, AND SHALL SUBJECT AN EMPLOYER TO CRIMINAL E'Efl>-'_lrJES AND CIVIL
_ . . :--if
FINES UP TO ONE HUNDRED THOUSAND DOLLARS ($100,000), IN ,;o;t;lDrnQN TO THE
COST OF COMPENSATION, DAMAGES AS PROVIDED FOR IN SECT10/'l3706 OFTHE
LABOR CODE, INTERESTAND ATTORNEY'S FEES. ',,:
I CONSTRUCTION LENDING AGENCY '-.
I hereby affirm under penalty of perjurylf:\at there isa construction lending.a{Jer.cyfor the
performance of the work for whim this permit is issued (Sec.3097 ,Ctv.C}:'"
~~"dBr'~ !:';.~-:;T;'i-3-~C:1: ..- --'---''--"...___________'..l.i.~....__. -
TYPE
Construeion Types: .
VN, .'
Fire Sprinklered? NO
I certify that J have read this application and state that the above information IS correct. I
agree to comply with all city ordinances and state Jaws relating to building construction. and
~e y.aut . e representiveSrylf i CIty to enter upon the above mentioned property for
Inse ~J~
~ ~ . Date: 7/21/2004
SignatUre of Applicant or Agent
The permit shall expire by limitation and becolllll 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:
TOlal: t25.81
INSPECTION RECORD
INSPECTION . DATE INSPECTOR
Temporary PoWer Pole
Plumbing (OrainlWaste Pipe) .
Electrical Ground Electrode/Uter .
SelbacklForms/Trenches (Footings) I .
Do not install sub floor or pour floor slab until the.
following applicable items have been signed:
Plumbing (Water P1pe.Sprinkler Valves)
Mechanical (Groundwork) .
Electrical (Underground Conduit)
Pre-slab (compaction/Membrane.Reinf.
Underpinning (Floor Joist/Girders)
Do not cover or co.nceal the \NarK below unllltRe
foll9wi"9 applicable items have been signed:
1st Floor Shear . .
Firesprinkler (lbJgh)
2nd Fioor Shear .
Roof (ShealhinglDiaph13!im'Frame)
Masonry (ReinfJBond Be.amlPre-Grout) .
Rough Plumbing (TOD Out)
Rough Mechanical
I<<>ugh ~ectncal {ury walll
Rough. Electrical . . q:(t.(o+- t" !t-( b rt-
Framing {Only.afterPlbg., Elec.. f.-lecl1.. and Fire}
Insulation (SoundlEnergy).
00 not tape or plaster until the following applica.ble
it.ems have been" signed: . - . ,
Drywall 9/{O In ~ --
Penetrations (Fire Ratedl Electrical . . .
Penetrations (Fire Rated) Mechanical .
Penetrations (Fire Rated) Plumbing
Interior Lath .
Exterior Lath . . -r II":" J' ~J
. . . GENERAL ITEMS
Exterior Plaster (Brown Coat) *
T -Bar Electrical. . .
T -Sar Mechanical .
T -Bar Structural . .
Sewer . ..
Water Engineering Backflow .
Water Service ..
FINAL INSPECTIONS . I Date ln~peQtor
Electrical Final . .
Plumbing. Final
Mechanical Final . .
Gas Test
Engineering/Grading Final 7~.s126 .
Fire Oepi. Final 765,4040
Water Engineering 765-5268 ..
Sub List/Business License 765-519 .:
Zoning 765-5139 .
Building Filial ~ast Inspection, Only 1~7A... ?(I..1J,~
. . . fler Above Complete)
PARTIAL. INSPECTIONS (f)
Buildina Inspections .... . .
)Li'ljf;~ ~:!;t~~r~
Mechanical Inspections
Plumbina Inspections
Electrical Inspections
APPLICANT: VICTOR JORDAN
OWNER INFORMATION:
VICTOR JORDAN
604 S Peregrine SI
Anaheim, CA 92806
JOB DESCRIPTION:Build 279 sl lattice paUo cover per city standards.
VALUATION: 5,115.00
I OWNER-BUILDERjECLARA TION
, I hereby affirm under penalty of perjury that I am exempt from the Contractnr'?Licer"lse law for the following reason (Sec. 7031.5 Business "and
Professions Code: any dty or county which requires a permit-to construct, ~l:-;'~.: improve, demolish orrepair any structure, prior to its issuance, also
requires the applicant for su'ch permit to file a signed statement that hH is r!c::::;/::crJ pursuant to the proVisions tJf the Contractor's License Law (ChaptE:f
9)(corrmencing withSectlon 7000 of Division 3 of the Business and Profess!c[1sCodefor that he is exempt therefrom and the basis for the alleged ,"
exemption. Any violation of SeCtion 7031.5 by any applicant for a permasubr:::::~~ the applicant to a dvjl penalty afnot more than five.hunrlred dollars
($500). .' .': . :
~. /, _as owner of property, or my _employees ;"Yith wages as their safe comp~T.satiun, wiU do the work, and the structure is not intended Or offered for
. s,ale (Sec. 70~ Business and Professions Code: The Contractor'sUcenseL;;;\-' dpes not apply to ,an owr,e'r of property who builds or improves
thereon, and who does such workhirnselfor hel'Self-or througtl his or her OWt,:~:11ployee':). provided that such improvements are not intended or
offered for .sale. If,.however, the building or improvement is sold with one:" <Iei'- t)f completion, the owner-builder will have the ,burden of proving that tie
did not build or improve for the purpose of sale). .
o I; as the owner of the propertY, am exdusively contracting with 11cens"",d ~:f:;:1.trector~ to construct the project (Sec. 7044 8u~jness and Professio.n's
Code: The COl"'1tr;;.ctor's License law does not apply to an owner cf prorerty';'hd ;)uilds or improves thereon, and who contracts tor such projects with
FU(or.tractor(s) licensed. pursuan~ to the COl)tractor's License Law). .;_ . . ,
U I am exempt under Sec. . ., B & P.C. tor"th!s reason:
Date; 'Owner: ).
.. BLD2004-030~
BUILDING PERMIT NO. .
TYPE .oF PERMIT
Patio Cover
CITY
DATE: 8/5/2004
JOB ADDRESS: 604 S PEREGRINEOST
LEGAL DESCRIPTION: N TR 1987 LOT 42
CONTRACTOR INFOR~AA':ON:
, .,
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ReviS'e ;".' .103 sq. ft/
.BUILDING DIVISION
200 S. ANAHEIM BLVD.
(714) 765 - 5153.
INSPECTION REQUEST LINE'
(714) 765 - 4626
CENSUS CODE: 434
QUARTER SECTiON: 113
ARCHITECT/ENGINEER INFORMATION:
PROCESSED BY: FAN
WORKER'S COMPENSATION DECLARATION L~---.J.
"I hereby affirm under penalty ot perjury oneot the following declarations: , .
o i have and will maintain a certificate of ronsent to self-in~ure tor work~r.J !'.ompensation,
as provided for- by- Section 3700 of the labor Code, for the pertormanc:e ~(m'~ ...;.1rk fer which
this permit is issued..
tJ I have and w1l/ maintain worker's compensation Insure:rlce, as required ~'-:" 5ecticn 3700 of
the Labor Code, for the performance of the work for which tnis permit i.~ Issud.:. Myworker's
Compensation insurance carrierand policy are: '
Carrier: Policy' Number.
i
~~_is seCtion need not be completed If ihe-pennit is for one hundred dollarst$1 Om -"':)(' lesS.
fi-' certify that in the perform?hce of the work for wnichthis. permit is:i~s-~_e~' ~_I.:.shall not'
emplQY any person In any manner soas to become subject to the \oVorke:r*!:cc~pensation laws
of C.idifomia, and agree that if I should become. su bjed to the w~~'s .9or,irpens_ation '
provlsi.ons of Section 3700'011he Labor C e I ~h ::e:ilh C'/rIY fii~1h"fprovisions.
Date: 8/10/2004 . APPlicant:"X rc; j!. .:c' '. .
W;\RNING: FAILURE TO SECURE W KER'S COMPENSATION COVER"d~lS ,~.
UNLAWFUL, AND SHALL SUBJECT AN EMPLOYER TO CRIMINAl PENAL T1ES.AND CIVIL
FINES UP TO ONE HUNDRED TIiOUSAND DOLLARS ($100,00.0.), IN ADDlnoNTO THE
COST OF COMPENSATION, DAMAGES AS PROVIDED FOR IN SECTION 376$ OF THE
LABOR CODE, INTEREST AND ATTORNEY'S FEES:
.1 . CONSTRUCTION LENDING AGENCY _
I hereby affirm under penalty of perjury that there is a construction lending ~g:~~cyfor tHe
performan~ 9f the work fot whidl this permit is issued (Sec.3097 .Civ;.C~:
1_"'I.'~('....__ln~0rrn:>t[,:,!,\' ,;. '''-'---__
,. ..
I certify that I have read this application and state that the above informationis correct. I
agree to comply with all city ordinances and state laws r6-lating to building corstruction, and
hereby ~uthorize represent:/L' es 01 his city 10 enler upon Ihe above menUoned property lor
. insped:;z;.~J . . . .
. ~. ..>- . D~le: 8/10/2004
Y - . Signature of Applicant .or. Agent
Th0 permit shall expire by limitation and become /lull 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.
LICENSED CONTRACTORS DECLARATION I
I hereby affirm under penalty of perjury that! am
licensed under provisions of chapter 9 (commencing.
with Section 7000) of Divsion 3 oftne ~siness and
ProfessiOffi!, Code.
8/10/2004
Date:
Contractor
NUMBER
TYPE
EXPIRATION DATE
Construcion Types:
VN, ,
Fire SPTinklered'l
Patio Area:
NO
403
Fees paid for Permit:
Total:
235,90
INSPECTION RECORD
! INSPECTION DATE INSPECTOR
Temporary Power Pole ,
Plumbing (OrainlWaSte Pipe)
I;:lectrical Ground,Electrode/Uter .
Setback/Formsrrrenchei:.lfootings '" 'l'fr"(oLt ..:::riTw-
. Do not install subfloor or Pay,. ,"vur slab llnt~1 the
following applicab,le items have,been signed: . :
Plumbing (Water Pipe.Sprinkler Valves)
Mechanical (Groundwork) .
. Electrical (Underground Conduit)
Pre,slab (CompactionlMembr;me,Reinf. .
Underpinning (Floor JOisl/Girders)
Do not cover or co,nceal tne work belowunlll lhe
following applicable items have been signed: .
1st Floor Shear .
Firesprinkler (Rough) , ,
2nd Floor Shear ,
Roof (SheathinglDlaphragm'Frame) ,
,Masonry (ReinfJBond aeamlPre-Grout) .
Rough PllImbing (Top OUt) .
Rough Mechanical
, Rough Electrical (Drywall) . .
Rough Electrical , .'
.' Framing {Only aher Plbg., Elec..:r"lech..and Fire)
Insulation (SoundlEnergy)
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' ,. 0 .
T-Bar Structural
Sewer
, Water Engineering Backflow. , ,
Water Service . . , I
FINAL INSPECTIONS ' Date Inspector
Electrical Final ,
Plumbing Final . .
. .
Mechanical Final , ,
, . . ,
Gas.Test . ,
Engineering/Grading Final 765-6126.'
Fire Dept. Final 765-.4040 . .' .
, .
Water Engineering 765-5268' . ' . , .
Sub List/Business License.765-519 . ,
Zoning 765-5139
BUilding Final \kast Inopegion- Only 11.1...1.. 'II . .VA'
. fter Above Complete)
PA,RTIALINSPECTJONS ~ ,
. . .
BUilding Inspections
Mechanicallnspectioris
. Plumbing Inspections
Electi'icallnspectioils
Detail A
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Pa.io dep'h j.2: <:>..
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PilCh I C) .
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Paliowidlb-3l: o.
Solid roof covering
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8 ' 5 "
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SIDE VIEW SECTION
Footings:
Posts:
Headers:
Rafters:
Solid Roof:
Lattice Cover:
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Rafter span
17, 0"
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Detail
'2"
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"
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Header span
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Lattice cover
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+:t::t::!:::::l::::t:::::j':::::l::::r:r:t::::l=::t:::r:r:::r::~:.....i:::=1:=1:=
.......................... .....;........;........;........; ......... ....:...................................:....-...,. ....+.......~.......,~........i........t........r.....
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'2.1' 0"
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Approved T~Strap
or Post Cap
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...... ......f....l...:..\.it.......l....,...
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Overall span
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- FRONT VIEW ELEVATION .
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UH' 'HO.' 'HHH' r ;H ,-3; ... .~;.;:;'~c;.'\:"{o H"W ro'
.::!:..'..I.. ......::..~+j:.~~;l~..i... ...~.j~H......i:.:: .....~.....:=.
" (or) two_"x_"
.. spaced _~~ on center OR
Two _" x _~~ spaced .. on center
--.! _" Rated plywood sheathing with ext. glue
_" x _ solid wood sheathing
With
roof covering
" spaced -3--" on center
~"x
RAFTER SPAN: #2 Douglas Fir
Lattice or solid roof.
Rafter Rafter Spacing
Size 12" O.c. 16"o.c. 24"o.c. 32"o.c.
2x4 13~ - 0" 11'.6" 9~ - 6" 8~ - 0"
2x6 19' -0" 17'.0" 13~. -9" 12' .0"
2x8 20~. 0" 20'.0" 17'.6" 15~ .3"
2 x 10 20' -0" 20' .0" 20~ - 0" 18' - 6"
2 x 12 20'.0" 20~.0" 20' .0" 20' .0"
Max. span of
rafter with a
2' overhang
Up to 8 ft.
Up to 14 ft.
(511--
MAXIMUM HEADER SPAN AND FOOTING SIZE
;:9pl._~~,~';. dbt2t6.t )'dbl:2~8{: :Tdbl2XlltY :tJ;@!tVllit,;;c,bJ:2i1Z':;: XjJbr~.14.':":
,0 'x,':,:,.',....:";;,. ;c;".' ~':> ;';<<;;,':'>,:::;''0.:, .'~:::::;:0.<~::,<-;::",,,",% ;8i'<M:~':"<;'.:H'::" --. -- ..:;;,:.~;:.:'.h~::~,::,~'>'d .:':',:~::':,::,::<,~.>>X;;:>D.~
4x4 #2 4x6 #2 4xS #2 4xlO #2 6is #f 4xl2 #2 4x14 #2
:J~I~,:.:::. .::j!e.iiRsrili: Ll~'~f~~L-
'i'I~-3~' 15'-0" i8~6,,2"
:';:?'~$'~ ',;~~}:-8:~~~~:Y' :;;~pt:t~$r "8H~~
<'x 6~-3~"~ '9;:3~ 12~.3'';1' x'ulS'~O;2;'
.:,>~:'9;<,> '::!.':-3?)t"", \,~k~::..:::?':": >g'~().'t
.. N5~~6" "'8~:o~i ' lO;:;~2' 13;:0"'
Building Division Approval
"Nl:ii.' AI<!!~f..!','H:I,.,,;: ~~ 1'tlie "C";MI.,. bl~t;;'
OT PPROVE VIOLATION OF ANY OF
THE SUILD;NG CODES OF THE: CITy'
THE HOLOSR OF THIS F'ERMIT
F='ROCEEDS AT H!S OWN RISK.
{,% 1 0 2004
BUILDINO DIVISION 01' ANAH~IM
APPROVED
~o.( - ~05Y8y
N ING EPARTMENT
APPROVED
DATE 2';-(6 -0'1
~N~~CTI9K ~~
~y ~ \....r U.
FLOOD ZONE >c
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HIS 0 Ie DISTRICT REVIEW.
.' N A See stam this pa e'
6 one on ebove line
SEE BUILDING PERMIT FOR
ANY CONDITIONS
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2:Tf~0,;j;;J:~~L ......
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Pi~i.Pi~Ii::.j.sq:;;..!tfeet
J;qt:;~
""
s { -
Up to 20 ft.
SIZE OF FOOTING: 12 inches square and 12 inches deep unless otherwise noted per footnotes:
1. May set on existing 3 112" slab. 2. IS" square- 12 inches deep. 3.21 inches square - 12 inches deep.
c_o1..