6045 E. Prado St.
BUILDING PERMIT NO. BLD2005-01082
ElM
BUILDING DIVISION
200 S. ANAHEIM BLVD,
(714) 765 - 5153
INSPECTION REQUEST LINE:
(714) 765 - 4626
CENSUS CODE: 565
QUARTER SECTION: ,191
TYPE OF PERMIT
Blockwafl/Columns' CITY
DATE: 4/19/2005
JOB ADDRESS: 6045 E PRADO ST
LEGAL DESCRIPTION: N TR 7118 LOT19
APPLICANT:
OWNER INFORMATION: CONTRACTOR INFORMATION: ARCHITECT/ENGINEER INFORMATION:
Jay Laub
6045 E Prado St
Anaheim, CA 92807 . ", ,i .
JOB DESCRIPTION: Build 27 lineal leet 016 foot high block wall per city standard lor pool equipment and new block wail. REF SW12005-0OO45
VALUATION: 5,000.00 ' PROCESSED BY: JNJ
, OWNER-BUILDER DECLARATION
I hereby a irm under penalty of perjury that I am exe(11pt from the Contractor's Ucense Law for the following reason (Sec. 7031.5 usiness and
Professions Code: any city or county which requill3s a permit "to con~truct, a~er, improve, demolish or repair any structure, pripr.to its iSSuance, also
requires the applicant for.such permit to me a signed statement that he is lic~~nsed pursuant to the.provislon"sot the Contractor's""License Law (9hapter
9)(commencingwith Section 70000fOivision 3 of the Business and ProfessionsCode) or that he is exempt therefrom and the basis for the alleged
exemption. Any violation of Section 703,1.5 by any applicant for a permit subjects the applicant to a civil penalty of not more than five hundred dollars
~~ " .', '" ,
D I, as owner of property, or my employees wi~h wages as their sole comrensation,'will do the work, and the structure is 'not iiltended or offered for
sale ,(Sec. 7044 Business and p'rofessions Code: The Contractor's' License-I.aw does not apply to a" owner of property who builds or improves
thereon, aOd who does such work himself.or hers~lf or through his or her 'own employees, provided that such improvements are nqt intended or
offered for sale. If, however, 'the building or improvement is sold with one year of completion, the owner..;builder wUI have the.burden at proving that he
~i not build 'or improve for the purpos,e of sale). . . , '. "
I~ 'as ~e owner of the property, am exclusively contracting with licensed 'contractors to construct the project (Sec. 7044 Business and Professions
ode: Th~ Contraqtor's License' La~ does not apply to an owner of propertywho builds or Improves thereon, and who qantractsfor.such projects with
~ontr~ctor(s) licensed pursuant to the ContraGtor's Uoonse' .Law). '
U I, am exempt under Sec. . B.. . for this reas :
Date:' Owner:'
WORKER'S COM NSATION DECLARATION
I hereby affirm under penalty of perjury one ofthe following declarations:. .
o I have' and will maintain a ce'rtificate of corysent to sett~insure for worker's compensation,
as'provided for bY'Section 3709 of the Labor Code, for the pe'~ormanoo of the work for which
this Permit"is issued.
'0 I have 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 worker's,
CompenSation insuranoo,carrier and policy are:" .
Carrier: Policy Number.
This seCtion need not be completed il u'e ~nnit is for one hundred dollars ($1 00) or less.
~ I certify thatin,the performance' of the work for which this permit is issued. I shall not
e. 10Y,a~1Y person, in any manner sO,as, to become, $u~ject tq the worke~s compensat'ion laws
o ,California, and agree that if:l Should-become subject totheworker's com nsation
p visions of Section 3700 of the Labor Cod~, I shall forthwith compl w' e R isions.
, .
LICENSED CONTRACTORS DECLARATION
I hereby a irm under penalty of perjury that I am
licenspd under provisions of chaJ'ter 9 (commenciflg
with Section 7.QQO) ,of DiVsion 3 of the Business and
Professions Code:
4/19/2005
,Date: . "Contractor
NUMBER
EXPIRATION DATE
TYPE
Date: '4/19/2005 Applicant: ,
WARNING: FAILURE TO SECUR ORKER'S COMPENSATION COVERAGE IS
UNLAWFUL, AND SHALL SUBJECT AN EMPLOYER TO CRIMINAL PENALTIES AND CIVIL
FINES UP TO ONE HUNDRED lH OU SAND DOLLARS ($100,OOO), 11:-1 ADDIllON TO THE
COST OF COMPENSATION, DAMAGES AS PROVIDED, FOR IN SECTION 370B 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 a~encyfor the
performance of the work for which this permit"is issued (Sec.3097.Civ.C): -: ~ _~ __ _
Lender's hlformaiioJ1:
Construcion Tvpes:
VN" .
I certify that I have read this application and state'thatthe above information is correct. I
agree to _comply with 'all city ordinances and state laws relating to buih:ling construction, and
hereby authorize representives of this city to enter upon th 'above mentioned property for
inspection ~urpo ... ~ ~ . .
(. F I Date: 4/1.9/2005
Sigl)ature of Applicant or Agent
The pernlit shall expire by limitation and b,ecome 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 worli.
,Fees paid for Permit: ,
Total:
125.04
INSPECTION RECORD
lNSPECTlQN . DATE INSPECTOR
Temporary Power Pole . .
Plumbing (DralnlWaste Pipe) . '.
Electrical GrOund Elect r , '. , . .
SetbacklFarmsftrench,e!S (Footil!lllO .. nl>11A,; ..,-
Do not install subfloor floor slab until the
fOllowing applicable items. have been signed:
Plumbing (Water Plpe.5prinkler Valves) . .
Mechanical (Groundwork) '.
'. EIe,ctrical (Underground Conduit)
Pte-slab (COinpactionlMembrane.Reim.
Underpinning (Floor JoiSt/Girders) . .
Do not cover or conceal the work below until the
.following applicable items h'ave been signed:
" 1st Floor Shear . . . . .
An!sprinkler(Rough) . .
2nd Floor Shtar
. Roof (Sheathing/Dl8llhragm'Fr"""""- . ~~ '.
. Masonry (RalnfJBond BeanypreoG!llPtI <{,~
Rough Plumbing (TOD Out) . . . . .
Rough Mechanical . .
I Rough Bectr 'nail)
Rough Electrical .
Framing (OnlY'afterPlbg.. Elec.. Mech:. and Fire) . .
Insulation (SOUnd/Energy)
po not tape or pla~ter until the fOllowing applicable
Items have been Signed: '. . '. . .
Drywall'
Penetralions (Fire Rated) Electrical
Penetrallons (Fin! Rated) Mechanical
Penetrations (Fin! Rated) Plumbing . .
Interior Lath
exterior Lath .
. GENERAL ITEMS
Exterior Plaster (Brown Coat)
T-Bar ElectrICal
T -Bar Mechanical .
T -Bar Structural .
Sewer
Wattr Engineering Backflow .
Water Service
FINAL INSPECTIONS . . Date Insp~ctor
Electrical Final .'
Plumbing Final .
. .
Mechanical Final I. .
Gas Test . .'
Engi.-ring/Grading Final 765-5126
Fire Dept. Final 765-4040
Water Engineering 765-5268 .
Sub List/Business License 765-519 . .
Zoning 765-'5139
Building Final *.SI Inspection- Only t!tflo( 1~
fler Above Completel
PARTIAL IN$PECTIONS I.~
. Buildina Inspections'
Mechanical Inspections
Plumbina Inspections
Electricallnsoections
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CUI
BUILDIl>iG PERMIT NO. BLD2005-01084
TYPE OF PERMIT C'. .ITY
Patio Cover
DATE: 4/19/2005
JOB ADDRESS: 6045E PRADO ST
LEGAL DESCRIPTION: N TR 7118 LOT 19
APPLICANT: MARCI LAUS
OWNER INFORMATION: CONTRACTOR INFORMATION:
Jay Laub
6045 E Prado 51"
Anaheim, CA 92807
JOB DESCRIPTION: Install 180 square teet of custom patio cover. REF SLD20G5-01084
VALUATION: 6,500.00
ElM
BUILDING DIVISION
200 S. ANAHEIM BLVD.
(714)765" 5153
iNSPECTION REQUEST LINE:
(714) 765 - 4626
. CENSUS CODE: 434
QUARTER SECTION: 191
ARCHITECT/ENGINEER INFORMATION:
DAWN M PASOL' ,
1201 N TUSTIN AVE
ANAHEIM, CA 92807
PROCESSED BY: JNJ
OWNER-BUILDER DECLARATION , ..
I hereby affirm l!nder penalty of, perjury that I am exempt from the Contractor's ~icense law for tfle following reason (Sec. .7031.5 Business a{ld
Professions Code: any city or county which requires a pe~mit to construct, alter,: improve, demolish Or repair anysttucJure, prior to its issuance, also
requires the" applicant for such permit to file a signed statement that he is licensed"pursuant to the prqvisions of the Contractor's License Law (Chapter
9)(commencing with Section 7000 of DiVision 30t the Business and Profession~Code) or that he'is exempt therefrom and the basis for the allegE;ld
exemption. Any violation of,Section 7031.5 by any applic_ant for a. permit subjects the applicant to a civil penalty of not more than five hundred dollars
-~, .. . . . .
D I, as owner of property, ,or my employees with wages as their sole compem:ation, will do the work, and the structure is not intended or offered for
sale (Sec. 7044 Business and Professions Code: The Contractor's,LicenseLaw'does notappJyto an owner of propertY, who builds or improves
thereon, and who does such work himself or hel5elf or through his or her own eiri1ployees, provided that such improvements are riot intended'or
offered for sale. If, however, the building or improvement is sold with one year 6f completion, the owner~builder will have the burden of proving that he
did not build or improve for the purpose of sale).! ~ , .
~I' a's the owner of the property, amex CIUS. ively,contracting with licensed'contractors to construct the project (Sec. 7044 Business and ,Professions
C de:_ 'The Contractor's License Law does not ,app.ly to an 9wner,of property wtP builds or improves thereon, and. who contracts for such projects with
, ntractor(s) licensed pursuant to the Contractor's License Law). r' .
lam .exempt under Sec. , & R or thi~ re l .'
Date: Owner:
WORKER'S COMPE 10NDECLARATION . i
I hereby affirm under penalty 0'1 perjury on f the followir:'9 declarations: ,
o 'have and will maintain a certificate of ,consent to self~insure for-worker's C9rnpensation,
as provided for by Section 3700'01 the Labor Code, for the performance of the work for which
this permit is. issued.. .
D. I have and will.m.aintain_worker's compensaUon insurance, as required by Section 3700'of
the Labor Code, for the performance of the work for which this permit is issued. . My worker's
Compensation insurance carrier and policY are: .
Carrier: . P.olicy Number.
This section 'need not be completed if the pennit is for one hundred dollars ($100) or less.
o ertity that In the. performance of the work for whic/:! this'permit is issued, I shall not
10 any person in any. manner so as to become subject to the wQrke(s compensation laws
of alitomia,. and agree that if I should .become subject to the worker's .compensation
pro. . i~ns of Section 3700. of the Labor Cod .I sh I rth~it~ com~~ t~oVisi.ons.'
Date: 4/1912005 Applicant: a '( ~
WARNING: FAILURE TO SECUR ORKER'S COMPENSATION COVERAGE IS . .
UNLAWFUL, AND SHALL SUBJ CT AN EMPLOYER TO CRIMINAL PENALTIES AND CIVIL
FINES UPTO ONE HUNDRED THOUSAND DOLLARS ($100,000), IN ADDITION TO THE
COST OF COMPENSATION, DAMAGES AS PROVIDED FOR IN SECTION 3706 OF THE
. LABOR CODE, I NTEREST AND ATTORNEY'S FEES,
CONSTRUCTION LENDING AGENCY
I hereby affirm under penalty of perjury that there is a construction lending agency for the
performance 'of the work for which this permit is issued (Sec. 3097 .'Civ.C):
. Lender's Information: ------ .- - "-- ----- "_CC'_ ...--'-. ---, ...-
I certify that,1 have read this application and state that the abol.oe information is correct. I
agree to comply with all city ordinances and state laws relating to building construction, and'
hereby authorizerepresentives of this city to en r upon the above mentioned property for
. inspect on p' .s. . -
Date: 411912005
Signature of Applican or Agent ,
Th ermit 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 commenc~ or continue work.
LICENSED CONTRACTORS DECLARATION
1 erebya irm under penalty of perjury that 1 am
licensed under provisions of chapter 9 (commencing
with S~tion 7000) of Divsion3 of the Business and
Professions Code.
411912005
Date:
Contractor
NUMBER
EXPIRATION DATE
TYPE
Construcion Tvpes:
VN,
Fees paid for .Permit:
Total:
417.37
INSPECTION RECORD
. INSPECTION DATE INSPECTOR
Temporary Power Pole . .'
Plumbing (DrainIWaste Pipe) I. . .
Electrical Ground Electrode/lifer
SetbacklFormslTrenches (Footings) trfi9,0.~ 'J..J..!..."
Do not install subfloor or pour floor slab U"ntil the (/( .
following applicable items have been signed: . .
Plumbing (Water Pipe.Sprinkler Valves)
Mechanical (Groundwork) .
Electrical (Underground Conduit) . .
Pre-slab (Compaction/Membrane.Reint.)
Underpinning (Floor Joist/Girders)
Do not cover.or con<;eal the wo~ bel,ow until t08
following applicable Ilems have been signed: ' , .
1st Floor Shear'. .' .' . ;
Firesprinkler (Rough) . . .
2nd Floor Shear
Roof (Sheathing/Diaphragm/Frame) .
Masonry (Reinf.IBond BeamJPre.Grout)
Rough Plumbing (Top Out) .
Rough Mechanical
Rougn f:IecmcallDI'Y wall) ,
Rough Electrical
Framing {Only after Plbg., Elec..:Mecl).. and F~re)
Insulation (SoundlEnergy) , .
Do not tape or plaster until the following applicable
items have beim,signed: ' '.
Drywall ' . . .
P,enetratlons (Fire Rated) Electrical
Penetrations (Fire Rated) Mechanical .
Penetrations (Fire Rated) Plumbing
Interior Lath . , . .
Exterior Lath
GENERAL ITEMS
Exterior Plaster (Brown Coal)
T.Bar Electrical
T -Bar Mechanical
T ,Bar Structural , .
Sewer
Wilter Engineering Backflow .
Water Service .
FINAL INSF'ECTIONS
Electrical Final
Plumbing Final
Mechanical Final
Gas Test
Engineering/Grading Final 765-6126.
Fire Dep!. FlnaI7~5-4040
Water Engineering 765-5266
Sub list/Business license 765-519,
Zoning 765-5139
Building Fihal (Lasllnspection- Only
. , After Above Complele)
PARTIAL ,INSPECTIONS
BuildinQ Inspections
, Date " InspeCtor,
Mechanical Inspections
Plumbing Inspections,
Electrical Inspections
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BUILDING PERMIT NO. 'BLD2005-01086
ElM
BUILDING DIVISION.
200 S. ANAHEIM BLVD.
(714) 765- 5153
INSPECTION REQUEST LINE:
(714) 765 - 4626
. CENSUS CODE: 434
QUARTER SECTION: 191
TYPE Of: PERMIT'
Residential J:lemodel CITY
DATE: 4/19/2005
JOB ADDRESS: 6045 E PRADO ST
LEGAL DESCRIPTION: N TR 7118 LOT 19
APPLICANT: MARCI LAUB
OWNER INFORMATION: CONTRACTOR INFORMATION:
Jay Laub
6045 E Prado St
Anaheim, CA 92807,
JOB DESCRIPTION: Install 1 00 square feet of deck.
VALUATION: 6,500.00
ARCHITECT/ENGINEER INFORMATION:
DAWN M PASOL
.1201 N TUSTIN AVE
ANAHEIM, CA 92807
PROCESSED. BY: JNJ
OWNER-BUILDER DECLARATION'
hereby affirm underpenalty of perjury that 1 am_exempt from the Contractor's pcense Law for the following reason (Sec. 7031.5 usiness and
Professions Code: any city or countywhich'requires a permit to construct, arter;: improve, demolish or repair any str,-!cture, prior to its issuance, also
requires the ,~pplicant for such permit to file,a signed statement that he is licenred purSuant to the provisions of theContrador's License Law (Chapter
9}{commencing with Settion7000 of Division 30f.the Business and Profession$ Code) or that he, is exempt therefrom and ths,basisfor the alleged
exemption. Any violation of Section 7031.5 by any applicant for a- permitsubjeets the applicant to a civil penalty of not more than five hundred doUars
($500). . .i' '. '.
o I, as owner of property, or my employees with wages as their sole comperisation; will'do the work, and the structure is fiat intended or offere.d for
sale (Sec. 7044 Business and Profe~sions Code: The Contractor's license Law does not apply to an owner of property Vl/ho builds or improves
thereon, and .who d~s such work himself or herselfor through his or her own d,nploye~s" provided that such improvements are not inte"nded or
offered fo~ sale. If, however, the building or improvement is sold.with one year of completion, the owne r.bu Hder will have tHe burden of proving that he
did not buird"or improve for the purpose of sale). . . .. . :; " ." .
'~as the owner of the property, am exclusively contmcting with licensed co;ltractors to construct the p'roject (Sec. 7044 ,~usiness and Professions
f;~ The Contractor's ~icen"se Law does not apply to an owner of property wllo builds or improves thereol)" and who col'Jtracts for such proje:cts With
FL'(ontr~ctor($) licensed pursua~t to the Contractor's License Law). \"
U I am exempt ul1;der Sec. . B & . for this ~easo :
Date:' . oWner: .
WORKER'S COMPE TION DECLARATION
I hereby affirm under penalty of perjury one 0 the following declarations: l
o I haVe and will maintain a-certificate of eonsentto self-insure for worker'scbmpensation,
as prov.ided for by Section 3700'of 'the Labor Code, for the performanCe of the work. for which
this permiHs issued:.., " ' 'i'.
D ,f 'have and will maint~in workeris cOI1)pensation insurance, as required by Section 3700 of
the Labor,C9de, for the performance of the work for which this permit is.issued;~ Myworker's
Compensation insurance carrier and policy are:' '
Carrier: .. Policy Number.
This section need not be completed if the pennit is for one hundred dollars ($1 00) or less. .
ertify that in the perfonnance of the work for. which this permit is issued. I shan not
e 0'1, any person in any, manner so as to become subject to the workers compensation laws
of omia, and agree that if I should.become sul;>ject to the worker's compensation
pro isions of Section 3700 of the Labor Code, I s II orthwith co .th hos~rovisi6ns.
LICENSED CONTRACTORS DECLARATION
'1 hereby affirm under. penalty of perjury that I am
licensed under proVisions of chapter 9 (commencing
with S'ection 7000) of Divsion 3 of the Business and
. .Professions Code. '
411912005
Date:
Contracto~
NUMBER.
EXPIRATION DATE
TYPE
Date: 411912005 Applicant:
WARNING: FAILURE TO SECURE
UNLAWFUL, AND SHALL SUBJE AN EM PLOYER TO CRIM INAL PENALTIES AND CIVIL
FINES UPTO ONE HUNDRED l1-iOUSAND 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 unqer penalty of perjury that there is a co~struction lending agency for the
performance of the work for which this permitfs issued (Sec.3097.Civ.C): ._:,
Lende(s "nfonnation: .
Construcion Types:
VN, ,
Rre Sorinklered? NO
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
hereby authorizerepresentives of thi cjt -to enter u n the above mentioned property for
inspection urpo -
\
Date: 4119/2005
Fees paid for Permit:
.Total: 471.70
-....,I ignature of Applicant or Agent'
1he p mit 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 . PATE INSPECTOR
Temporary Power Pole . .
. ~Iumbing (Drain/Waste Pipe) .
Electrical Ground ElectiodelUfer . . .
. SetbacklFormsfTrenches (Footings) SilO h /;(,J.,Jbn
Do not install subflcor or pour floor slab until the d(f
. following applicable items have been signed:
Plumbing (Water Plpe.Sprinkler Valves) '.
Mechanical (Groundwork) .
Electrical (Underground Conduit) .
Pre-slab (Compaction/Membrane.Remf.
Underpinning (Roor Joist/Girders)
Do not cover or conteal the work belO'N untntne
following applicable items have been signed:
1 st Floor Shear .
Firesprinkler(Rough) .
2nd Floor .Shear
Roof (SheathinglDlaphiagmlFrane)
Masonry (RelnfJBond BeanlPre-Grout) .
Rough Plumbing (Top Out).
Rough Mechanical.
RoughElectric II) .
Rough Electrical .' "
: Framing (Only after Plbg., EJec.. Mec:h.. and Fire) .
Insulation (SoundlEnergy) .'
po n"ttapeor pla~ter 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 COal) . '.
T -Bar Electrical . .'
T -Bar Mechanical. .
T -Bar Structural . .
Sewer . " .
Water Engineering Backflow .
Wate'rService . ..
FINAL INSPECTIONS . Date Inspector
Electrical Final 17FlO'5 'f. t'f""'" T
Plumbing Final
Mechanical Final . '.
Gas Test . . .
Engineering/Grading Final 765-5126 . .
Fire Pept. FI11al 765-4040
Water Engineering 765-5268 , ,
Sub List/BuSiness License 765-519
Zoning 765-5139 . ,
. . .
Building Final \J:asllnspecliOn"Only . 1(~Os' .f'. "'"
, fler Above Complete) T - Y"'<S<" "'-
PARTIAL INSPECTIONS
Buildina Inspections
. Mechanicallnsnections
Plumbina Inspections
Electricallnsnections
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