619 S. Philadelphia St.
TYPE OF PERMIT
Residentialt._c.'difio';;
DATE: 3/30/2004
. ~OB ADDRESS: 619 S PHILADELPHIA ST
LEQAL DESCRIPTION: N TR 373 BLKC LOT.14
CITY
....c.;c ;_~-
BUILDiNG DIVISION
200 S. ANAHEIM BLVD.
(714) 765 - 5153
.INSPECTlON HEQUEST LINE:
(714) 765 - 4626
. CENSUS CODE: . 434
QUARTER SECTION: .84
BUILDING PERMIT NO, . BLD2004-00935
. APPLICANT: SOCCORO ,SALDIVAR
'OWNI;R INFORMATiON:'
SOCCORO SALDIVAR
.617 .NPhiladeJphia St
ANAHEIM, CA 928050000
JOB' DESCRIPTION:Renew permits to Homeowner, Relocate kitchen ari,d la.ti~~,y, add bedroom and bath. REF BLD2001~03~51
VALUATiON: . 22,638.00 '. I PROCESSED BY: ODC .
.1 . .' . . OWNER:BUILDE~bECLARATION
I hereby affirm under penalty of -perjury tha,t I am exempt from the .Contractor;s Lie_ense-La.......for the following reason {Sec. 7031.5 Busin'ess'and
Professions Cod e: any dty or county which req uires a -perm it to construct, e l~i~ r, im prove, demolish or repa it any structure, prior to its issuance, also
requires the appnca nt for such permit to file a si,gned statement that heis !iCE~_Sed pursuant to the provisions of the Contractor's License Law' (Chapter.
9)(commencin' with ,Section 7000 of Division 3 of the BusinessandProfessltr.s Code) or that he is_ ex;em"pt 'therefrom and the,basls for the all~ged
exemption,. ny violatibn of Se~ti?n 7031.5 ~y any ~pplica.nt for a permit .suq.~'cts the applicant t9 a dvil penalty of not more than five hundred dollars
($ 00 '. '.' .... '. .' .:':. ..'
. , asowner of property, or my employees'wi.th. wages'a's theirsole.c.omd~~nsation, will do.the work. ~nd the structure is .not intended or offered for
sale (Sec: .7.044 Business andProfessions COde. The Contractor's ,"-icen.$e-,~:~w does not apply to an owner of property who builds or i~proves
thereot), 'alJd who doe~ 5uch\",,:ork hi~eJfor-herS,elf or through,his:or',r~r 0v'/~(employees, provided that such improvements a'r.e not intended or .
offered for sale. _If,-however, 'the building or. improv~ment is'sqld w!th o.,:,~__ ye~.; of completir.n" the owner-bu,ilder will have the burden <:>t proving tha,t he
did not bu ild or improve-.for .the pu rposci of sal_e), _ . _', - . ~r . _ ': ',' , , , .'
o ,I, as the owner .ofth'eproperty, am exdusively contractingyvith licensed ~-'cntractors ~o construcfthe project (Sec, 7044.Business an~ Professions'
Code: The,Contractor's License Law does not apply tq an owner-of propertyJifho buil-ds ('If improves t.hereoh,. and who-contracts for such projects, wit-h
. ontrador(s) licensed purslJ~mt. to the Contractor's License Law), .; . ,1 ' '. - '_,', '
.9 xem tunderSec; _ _ : " ,S'&P..C."for isrea's__n:.:.....~~: ~~,/ ~y;-
a : . Owner: . ~/A"/ (0~/rt1dAl
W. RKER'S COM ENSATION DECLAP.ATION '!'" l' LICENSED CONTRACTORS DECLARATION I.
I hereby'affirm under penalty-of perjI,Jry one of the following declarations:. . ."i: . I hereby a~irm under penalty of. perjury that _lam .
D. 'hav~ and will maintain acer:t:ificate of Consent to self-insure for wQ'rke~i>'compensation, licensed under provi:,ions Of. chapter, 9' (commencing
,as provided for by Section 3700 of the La60r Code, for the performance ofth:~ walk for whirn with Se?tion 70~0) of Oi~ion 3 6fthe ~usiness and
this permit is issued." .. " ;! . ProfeSSions Code.
D I have and will maintain worker's compensation insurance. as required bj~ Sec'tion 37QO.of 3/30/2004
the"Labor,Code', for the' performance of the work for \.vh ich this permit is issu~, Myw6rker's Date:
Compensation insurancec;:arrier and policy are: . !
Carrier: . . Policy Nu mber. :
" '. . . . ; .t'
Thi~ section_need not. be complete~ if the pennit is for one hundred dollars ($1001 o~ less. .
01 certify that in the performance of the work 'for which th~fparmlr~l~ss~~~;j, I shall not"
employ, any person tn any'man':1er so,as to becqme subjectto the't./orli7,r's\1t',ITlpensation laws'
of Califom.ia; and agree that ifl should become subject to the worker',5:'com~\r.sation:'
provisi~ns of Sectiofl3700 of.t~e ~abor Code I shall forthwith'comp1iV?ith.t __/)i~ pr 'visions.
:'t,:-': ..
( t:-6I
. >T
CONTRACTOR INFORMATION:
<, ~
. ARCHITECT/ENGINEER INFORMATION:
,
,.
Contractor
NUMBER'
e.XPIRATION'DATE
TYPE
Date: 3130/2004 Applicant:
WARN ING: FAILURE TO SECURE W KER'S'COMPENSATION'. . ()VE,"',GE IS . .
UNLAWFUL, AND SHALL SUBJECTAN EMPLOYER T0 CRIMINIiC;PENi\1:lJES I)ND CIVil
FINES UPTOONE HUNDRED THOUSAND DOLLARS ($100,OOO),'IN ADDmON TO THE
COST OF COMPENSATION,DAMAGES AS PROVIDED FOR IN SE'C'nON3706dF THE
.LABOR CODE, INTEREST AND' ATT6RNEY'SFEES, ',' '1~,' j',
I CONSTRUCTION LENDING AGENCY(~' .. ,
I hereb. y ~ffirm. . unde. r penalty of ~erjury that tbere is a ..0. .on.struc..t.ion l~ootng. .t..;-gi)li.CYfO~ the
perforl118t)ce of the work for whi~ this permit isisslJe~ (Sec.::SQ97.Clv.C). ,/':i "'. '
Le:1der's Informatlcb.;,~~_~ :_.~-,_,_,.__ __...:_,__~,,_.__,_' .?-::..c:<_:"-'.:';__,:,L_.___",,.~,...':';";-- "'-'-0-'--
Construcion Types:
VN, '. .
. Fire Sprinklered?
NO
J_ certify that I have read this application and state that the above information it; correct. 1
agree to ,oomply with all city ordinances ,and' state laws .relating to bu "ding corstruction,. and
hereby aut.horize-representivesofthi.s city to enter upon the above mentioned property for
i~~C-/d~~ Dale3l30/2004
- '.' _ Signl;ltur:e6fAppJicant or Agtnt ,. ,
The permitshall expire by limitation and become null and void if thebuilding or
work has not passed final inspection 365 days frOl11 the date of permit issuance. A
new permit is required to oommence or continue work.
Fees paid for Permit:
Total:
'0,00
iNSPECTION RECORD
. DATE INSPECTqR
INSPECTION '.
Temporary. PQwer Pole . . ..
Plumbl ng (DrainIWaste, Piper ,
Electrical Ground Electrode/Ufer , . ,
SetbacklFormsfTi'enches (Footings)
.~ not install subfloor or pour floor slab until the
following applici'ble items hi've been signed: .
Plumbing (Water Pipe.Sprinkler Valves) , .... .
Mechanical (GrOundwotk) '. . ' . .
Electrical (Undergr(lund Conduit)
pre-slab (ComPactior1lMembrane.Rei nl. .
Underpinning (Floor Joist/Girders) . .
Do not cover or conceal the work belOW until the
follOWing applicable items hi've been: signed:
1 st Floor, Shear . .
Firesprinkler(Rough) ,
2nd .F1oor Shear :' .... , . .
Roof (Sheathing/Diaphragin/Framel .
MasonrY (ReinfJBond BearnlPre-Grout) .
Rough Plumbing (Top Out) .
Rough Mechanical' ' . .. , " , ,
Rougn l:IectrlCal(ury wall) .'
Rough Electrical .:" ' , .
Framing , (Only,after Plbg.. Elee,:'Mech.. and Fire) " ,
Insulation (,SoundlEnerav) "
Do not tape or plaster until the following applicable
items have been signed: " , . ' , ,
Drywall '. ' . .
Penetrations (Fire Rated) Electrical . . .
PenetratlClns (Fint, Rated) Mechanical . . .
PllI1etrations (Fire Rated) Plumbing .
lilterior,Lath . '. .
Exterior Lath' . . ,
" . . GENERAL ITEMS ,
Exterior Plaster (Brown Coat) .
T ,Bar Electrical
T~Bar Mech;mical' .: '. '
T -Bar Structural ' , .
Sewer. . , ,
Water Engineering Bac,kfIow , . .
water Service ..
FINAL INSPECTIONS'
Inspector' '
Gas Test
Engineering/Grading Final 765-5126
Fire Dept, Final 765-4040
Water Engineering 765.5268
Sub List/Business License 765-519
Zoning 765-5139 .
Building Final ILast'lnspection.Only,
, " ", After Above Complete)
o'7"~.,
"PARTIAL; INSPECT,IONS
Buildina Inspections' .' -'}', , '" : :'. " ",; /'
, ': tf-/~I;V/ 5:0, hI( , ~
Mechanical Inspections
Plumbinalnspections
Electrical Inspections
,.;;;
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l'
:t'}'
. /,~;::~~~\?1~:,'~';; "",.' - .:
, ".-"," p!~o._".",{ ," .', "'C\' -'.
. {~";,~>ti~~:'>.-jl';,;:~~~0;\, .' '
f;!Y2r "?.. ,tN~H EI M .
~..l~i . ..
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---"-'"
BUILDING DiVISION
~OO S. ANAHEiM BLVD...
'. (714)-765" 5153
INSPECT:ON REQUE;)T LINE:
(714) 76,5 "4626 .
CENSUS CODE: 434.
QUARTER SECTION: 84
. BUILDINO'PERMIT NO: . BLD2001-03.051
TYPE OF PERMIT
Resid,mtial Addition C Iry
. .DA TE: 09/26/2001 . .
JOSADDRESS: 619 S PHilADELPHIA ST.
lEGAL DE'SCRIPTION: N TR .373 BLI< CLOTj"
APPLICANT: SAt. BERMUDEZ
OWNER INFORMATION: . CONTRACTOR INFORM/nON:
. .GHRIST. . INE .Furnai BERMUDEZ CONSTRUe!' iON
617 NPhila.delphia SI 6709 SMITH AVE
. Anaheim, CA 92805 MTRA LOMA, 91752 0000 CiA
. JOB DESCRIPTION; Relocat.ekitChen and laucory, .addbedtoom and bath:. !'
VALUATION:, 22,638;00 1 PROCESSED BY; FAN
I. OWNER-BUILDE~~CLARA110N . .
I hereby affirm under penalty .of perjury th!3-t I am exempt from the Con rra::to:l:Llcense Law for the following reason (Sec. 7031.5 BUsIness and
Professi~ns Code: any city or county which Jequires a permIt to COIlStruct, a,t~~, 'mprove. demolish or repair any structure, pnor: to it~ issuance, also
req!..lires the applicant for such permitto file a signed statement tnat he is Ijce~'.x.'">(j pursuant to the provisions of the Contractor's License Law (Chapter
9)(commenclng with Section 7000 of Division 3 of the Business and Professi'rs COl1e~ or that he is exempt therefrom and the basis for the all-egM
exemptIon, Any violatIon of Section.7031,5 by any.appllca~~ for CJ.permit SUbjf~Ge ~ht1 applicant tQ _a dVII penalty of not more than five hundred.doaars.
. ~O~)~s own"rof p~operty.or ~yemPIO~e~switli_wage~astlieir. sole coms!nsation, will do !lie ';"o'k. andlhe struct~r~ iinbt intend~or Offered for
. sale-.(Sec. 7-044 ,BUS mess and ProfessIons Code: .".he Cpntractor's Llcense::;!~vJ does not apply to an ownerof-pr<?perty wtlo' bUlf<,iS or Im,p~()ves, . .
th~reon,a,nd who doessU<!1 wprk_hinlself or herself or.through.his 'or-her ow~JemPIOYt3e'3; -providedthatsuchimprovem~r.tsa're:not jrytendeddr_,
'offere-dfor sal~: _If.J1oweve~, tti~ '~uilding or.im'Rto"\:ementis,soldwlth on~,'y~~k-of ;:pmpietion, the~owner-builder will have 'the,burde.n.ofprovirig,that~e
d1d':lOtl?uUdorimproveforthepllrpos:f3ofsale).. '. '.', ',_'~K;,'''' .,,'>_.,' ','. ":';_ '. .,:':..' _':-.,'~'
o .1, as.the owner of"thepropert.Y; BIll_,exdusively .cpntracting with.licen.s,6!.f!(bntractor.$-to constructti)e proje:qt (.Sec::7:044,Bus,iiles~,~nd'?rofessio_ns
"GOd~::.Tl)eContrattor't; Urense Lawdoes not:apply toan owner of proP~rt~/tV~bUildS ~t-i~pro."es th~reon, ana who cOntractS fQr'suchprojec~s with
"! c?nt,r,acl.~r(s) Iie_e,nsed :pursu~n(to, th~_s;ontract~rlsiic~r.l:e ,~aw-), ",\. ,; .'l' ' .
0, I am exempt~under S~C. _ -" . .. ",8.& P.C. forthls reason: ...:_.......,..~~;~-:
Datt;}:--':'_, Owner' . .:,~',
I .... ~ORKER'$COMPENSATION DEC!.ARATlON -~J~-~-l, I
IherebYi';iffirm,uncer penalty.ofperjury one ofJhe_~Ollowing declarations;, -, it, '" _. ,_,
o .1 have and will maintain a\:ertificate' of-consent to self-jIlS~re for \-\'crket'di_c.ompe~;snti.o;','
_as provided .101: by SeCti~n 3700' of ttle'Labor Code" for theperforma~c.:) of t;J;r wqrt<'ior whrch.
,thiSpe(,ll?itfsissu~d;.. _'_'- ._.' _,-.'. _ .' ," :..," 'Y.,'_. "",,,.,
" OJ,have.and wiU maintai,n worker's- compens;~tio.n ,:nsuran,?e;as requim.d b~lrsectiori.3700,of
the ,Labor Code, for the perform"ance_of the, work for which,thisperr:n-Jt is ISSUe!~1. Mywork;;r's
Compensation insurance' carlier aildpolicy are: ' . .~.
Carrier.: Policy Number. ,EXEMPT\
ARCHITECT/ENGINEER INFORMATION:
.,
LICENSED. CONTRACTORSDEClARATIOr[:J
I hereby affjrfTl underp;;naltyof perjury :thClt 18111 .
licensed under proyiSions,of ci1,a~te':9 (conir,lencing
,'with S~ctio.n 70'OO)--ofDivsion .3'qrtlie Business and
. ~:;:;;~~~Srd-d'~J1. ..2> .
-- ..!"'"
. Date: . . . . , . COhtractor
This section ,need not' be -completedifthe pennit is-for one hundred dollars {$1 00; .'cot. less. ' .
~ .1'6_ert!fy that in the perfonna_!lc~~ ofthe'.wor~ forwhich this permlL,~ rs~ui~:,:~-"~haJl~r.'?t':: ;'. '
';employ any perso,nin ~ny manner so_as to~eco.l1le subject'to the wbrk~r's,'9E~~1)::elJ~~~j9~ la:us
,of Califomia, and agree that if I'should become'subj~ct to,the worker\s.co.rn~~:,jsa[j()tf:.':'. '
, pro. vis i.-o.ns_~f,s.ecti.on370 O'Ofth'e.Lab:C7jd I s~all fo With:COJn.PI:~_:-W, j.th.....-~,tt~.~.~:J.>p.r.O.'iisi.ons.. .
Date: 09/26/2001 APPlicantX.', . .' i."-,....~~
. ,,' '. , .'. '.. .'-,-'';'-' -~ "-~'
. WARN ING;FAllURE TO SECURE' ORKER'S COMPENSATION COYEf!.',GE)S<i. .
U.NLAWFUl, AND SHALL SUBJECT A.N EMPt.OYER TO CRIMII',IA):'PE"ll\~TfE$.A;f'iD CIVil
. FINES UP TO ONE HUNDRED THOUSAND DOLLARS ($100,000),IN AD"'.T10~! TO THE
COST OF COMPENSATION,DAMAGES AS PROVIDED FORINSECTfOI'~'W'06'Q~ THE
LABORCODE, INTEREST AND ATTORNEY'S FEES. .,..,'.... .'\;
I CONSTRUCTI.ON lENDINq AGENCY, "\~~~,k
I-h~reby affi~ni under penalty of perjury ,that there is a_construction l~ndinga9'\~'I~ A:or t~e'
p~rformance.ott.he work forwhiq, this.permitis issued (SeC.3097 .Giv:C):,:',;~ :::;,~~""'. ,;,. ,
:._1, ...n:!pr',c:i:n~.!"m:..-:)+j6o..-'--." ___'_ ~:_"._<;>.;.. ,,~:.....:..:....,.:-;.,__:~: "_"'7"-~~~'..c:.~...:.~",..:...:::.:~,~:~.'-~-,:;{i-:.:c:..'~
NUMBER
622094
. TYPE
. TYPE
a
f'lIC
EXPIRATiON DATE
.10/31/2031
Constnicion'Types:
Vf\J, ,
Fire Sprinklered? .
LivinQ Area:
NO
343
----'-'--.~---.~..
'I C!3rtify that I have readthi~'appncatio!lahd state that the above informa'tion i:~ corrept. I.
agree to 'comply with all citY ordinances and state ~ws relaling to build~ng- con$truction, and,
.:'hereby au~horize representives of this city to ent,er upon the above mentioned property for
inspectioil'plir s '
Fees p.aid for Permit:
Total:
96.8.31
. Date; ()~/26/2001
_ignature of Applicant or A .nt
The permit shali expire by limitation an(f become null and void if the .:>uilding or
work hasnofpassedfinatinspection 365. daysfrlim the date of permit issuance. A
new permit is required to commence or continue ,,",ork.
. INSPECTION RECORD"
FINAL INSPECTIONS
Date . Inspector
:1' .... . iNSPECTIQN . , '. ~ '1 Electrical final . '.' . , . " '.: . ..'
'DAtE INSPECTOR '.. . . .
'."" ,."mporary ~ower I'ole' .'. '. I'lumbing Final. . ". . . . . -:-, .' :
, '. ..
... Plumbil19 (DrainlWa$te Pipe) . .; . Mechanical Final .. ". : . '. '. .......
, ,. . ' ',.
Electrical Ground Electrode/uter . '. ...; -
. '. . , Gas T~st '.' . .
Sel;backtFormsrrrenChes (FOotings)' ~y..q, ~". ~. ..' .' .. . '. "'" .
..
00 not install subfloororpourfloor slab until the A'. Engi\'ll!!!ring/G~adingF'inal 765-5126. = .... .
. .'.
fOllowing applicableitems,haye been .signed:,. . .... .... '. .' '. . .... ......
.. .Plumbing (Waf!!r Pipe.Sprinkler Valves) .' . ~ Fire Dept. FiI;a1765,4040 ;-
.:." Mec.haniCaI(Grouridwork) ". . ,.,'.: . Water Engineering 765~5268 '. . '.' . . . .' ..'
ElectriCal (Underground Conduit) . .' Sub List/Business License 765-519 . '. .: .
.'. Pre-slab (CompactiorilMembrane.R,"nf. . . .' .' ." , .;' ..
U"c;lerpin!1ing (FlOor Joist/Girders) .':. :. .' . z;oning 765-5139 . , .:::
.:
00 nor cover or.concealthe'wo* below until' the ., ~.' .'. :
following.,applicable items have been signed: '.' Building Final. ~ast Inspection- Oilly . ,. ,I "
. . '. .,,, . Iter Above Complete)
. 1st Floor $hear '. '. . I ' : " , PARTIAL INSPECTlO~$ .
"'.
l'iresp,;nkler (ROU!lI;l) , . . , " , " BUildinalnspections
',' 2nd Floor $hear' "" .' '.' , ::;.; '" ' . ",
. / , . . '," ".
ROof (SheathiilQ/DiaPhr'agnilFr.,me)' II"D/1I1 74-.' . /' :' ' '. ,,' .'
Masonry (ReinfJBond aeanJPre-Grout) , : '. '. :7 '. " " .' , '; .'
-
,: Rough Plumbing '(T opOut) . 1I~<i()1..-- "I. v " ,', '. . ,
Rough Mechanical .' . ',', p/ . ,," , , . ': ,." ",. .
.. "
Rough Electrical (Dry W"II) -~ ~.',. . '. . ,.' '. . "
" .
Rough Electrical:" ',' " , ,.' . ' .' " " , .' ,
. 111Ib'l.-'~ .., . '. ',',' , ','
Framing", '(Only ,after Plbg.. flee., "t!iech...and, Fire,," ' . '. 0
.:. , . ' .
Insulation' (Sou ndlEnergy) , , . . . . .
...f~' k' . . . ..
. ponottape,or plaster until the. following applicable " . Mechanical"lnSDection~ .
.temshave been signed: . , '.' ,.'.". _". . " ., . . . , .
Drywall '. i ....: . .. ~'I,'~l-. ~ .' , ..
.. Penelrations.(Fil'l! Rated) Electrical .
. '. .' . ,
. Penetrations (Fire Rated) Mechanical. . . .., . . . .
. Penetrations (Fire Rated) Plumbing . ' , .' '.
'. :
Il\terior ~th..' . .... , ~O '.. ..;..
. ..'. ". ..... '.', '. .. ..
Exterior. Lath :. .' . "4''''/0-''' .' Plumblna InSDectlons .
I3ENEAALITE ~S .' A . '.' . .' . .... " ; .
ElrteriOr Plaster (Brown Coat). . Po '''''',/.'' .. '. <
. . ..'.
T,BarEleCtrical' ". , - .. ".
': ,
.. .' ,
. T-Bar Mechanical , . . . . . '... ' . ,
T.Bar Struct~ral.: . '.
.' . .', '.,'
.$ewer ........, , , . . '. . .
. .... ...., .
'WaterEngineering Backflow. '. . .ElectricallnsDections .
Watet Service . ,. . . ,--:-;. .' ' '."
. ", .
l
'""...:\It"",B,\'\[fDr'.. .
L' ,.I:.J,\"\' "" , .
C.." \.. ' ,
. .... ' ; '.- f'
'_,j" \. , . " _ , l 'i"_ ~~
,""'- '''',' .'..
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!', .....,
. . .._',,-, ," C>
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1<-. I. '" 'j' ,
L......".....""'.
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<:"':r- n ... m\',-\!
Fji":'~' .c"",' -Cu; -, -,
f" t..:..):..~,t'~i\:,.-". .i_'
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t,. ,.-:;_~' r~.f~
1 \'tJ' t, ,-\.J \,!i
.
DATE:
~
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