2200 E. Redwood South Dr.
. APPLICANT: ROBERT BRENNAN
OWNER INFORMATION:
Ro~ert Brennan
. 2200 E South Redwood Dr
Anaheim, CA 92806 .
JOB DESCRlpTION;Add family room, bath and iaundry (630).
VALUATION:' 42,400.00 .'.PROCESSED BY: MJE.. .
L OWNER.BUILDER :'2EClARATION "
I-hereby affirm under penalty of perjury that I am eX3mp~from the Cpntracfor',!Ucense L_aw forthe following reason (Sec~'7031;5, Business and
Professions C:ode:any city_or county which requires a permit to cqnstruct; al~~r, 'improve, demolish Of re~jr any stiucture, prior to its 'issuance, al~o
". reql!ires the applicant for such permit to file a signed statement that he;s lic~Awd pursu.ant to the pro\fisions of the Contractor's UcenseLaw (Chapter.
9)(commencing wi.th Section 7000 of Division ,3 ofthe.Busi,ness and ProfeSSi_~ts ~ode) 'or that ~e_is exempt therefrom.and the basis for U\e alleged
exemption. J..ny viD-IBtion of Section 7031.5 by any 3ppfjcan~ for a permit Sllt-J,~Cts the applicant. to a: dvil penartyofnotmore-than five hundred dollars
. ~~~~,~...me;' of pr~')p'~rtY, or r;'ly ompjl.)rf.J{)~: Wi:hwa~es as their sole C6~;~rlSatic;.p, 'Nil! do-'the work, aru:l-the ~trudure ls nct ir.i~nded 6roffered ~or'
. sale, (SeC.. 7044, .a,usiness <~nd PrlJf~ssions'Code: The Contractor's,Lice:nsc i:~W doe:$ net apply to an ownero.fl>r.Gperty who,builds:or.improves
thereon, and who' doe$ such workhims.elf or herself C?r throughhis or rler oVllr\!~m!)IOYeeS' provided. that such improvementsara n6.t interped'o'r '
offered fO. r sale. If, ho~ever, the ,building or imp~oveme. nt is sold with one ye-r.'Of, cornp!~tipn, the owner-builder wiil have, th~ burdenOfprOVjn. 9 that.he
did not build or improve, for the purpose of sale). , ",' ',,' - ''''' -. " ' ',' .
o I, a~ the 9wne~ ofthe" property, am ~x~usively contractfng with.l-icensed f.ntra.ctor:8;tc'cOristr~ctthe project (Sec:-..' 7~44 Busine.<>s and Prot~,ssions
~ode: }"he Con:ractor's Li~ns~ Law does not apply t? an owner 0f propeltYJ;hc. huilds or jmpr6ve~ th,ereon.. and whO; con~ract<;. for such rr(~Jects wfth
rsontractar(s) ltcensed purs;uant to the Cont r's llce~s~ Lp~'. . !l, ':,': -.' .
lamexemRtundBrSec.' ~A?-fO/h ;).~~/W~-~- ' . '. -.
Date, Owner: (:tP"1J. 1'" L_' .
WORKER'S COMPENSATION ECLARATlON 11._~:=J
I hereby affirm under penahy of perjurY one of the following declaratIon:;: . 1 '
01 ha\.-'e'and w:iIl maintain a certificate of consent to' self-insure fer work6r'1~ompf'!1s3tiOli,
as provided for by Section 3700 of-the Labor Code, for the performance (,f tl'":hvo:k for whidl
this permit is issued. ,. ,
. 0 I have and will maintain wO.mer's compensation insurance, as ;(~C:l 'l":~ 0'1 ~)) ~)e;~tion 3100 of
the Labor Code"fo-r th~ performance of the work for which this penn;t" is j~L<';, ~y.y.!orker's
Compensati9h insurance carrier and. policy are: ' I
Carrier: Policy Number.
BUILDING PERMIT NO. BI..D2004,01113
TYPE OF PERMiT
Re.sidential Addition. CITY..
DATE: 51512004
JOB ADDRESS:. 2200 E SOUTH REDWOOD DR
LEGAL DESCRiPTION: N TR 2491 LOT 6
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CONTRACTOR INFORMA~'ON:
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~~s~~on, need not be Completed if the pennit is for one hundred dollars ($1 ca'.:;): less. .
[3'" ~ c~rtify t.hat in the. Performance of the wo;.k for which this permit is iSSL:C~'k! ,Shail not , ..
employ any person in ar)y manner so a~ to ber;ome subject to the we-rkers ;;.....y;;:..ansation laws
of C~ljfomi~, and agre,e th~~ if I should b , me subject to tneJ-' rker's ce"!p:~{-,;s","atif)n
P~OV.iSjq!1~ "Of s.ection 3700 of the Labo C~~~~*i,t p. y 'iI2. -c t~':<;;,~roY;~ons.
Date: 5/5/2004- ... 'Applicant: . =7L.1.. r _ -. '~.4:':" -'
WARNING: FAILURETO SECURE WORKER'S COMPENSATioNCOV"RiG~IS
UNLAWFUL, AND SHALL SUBJECT AN EMPLOYER TO CRIMINAL PENAt;'-!~S AND CiVIL
FINES UP TO ONE HUNDRED 'THOUSAND DOLLARS ($100,000), IN'ADDc:fI9N TOTHE;
COST OF COMPENSATION, DAMAGES AS PROVIDED FoR IN SECTION ':1106 OF THE
LABOR CODE, 'INTEREST AND ATTORNEY'S FEES. ' "..'
.1 . . CONSTRUCTION LENDING AGE;NCY . .,'
~ he.t~bY affirm qnde. rpenaJty of perjury that there is a construc~jon lendi9G a0.'.~9Y forth~
~erforma'1~ of the work for whid'dhis'permitis issued (Sec. 3097 .Civ.C): . ' ': ",.'
j:;~~n~~~~~!9r~~t_i~,: ' ,. ' :' ~_ 2__ .~
, - " .
!certify.that t have' read this application and state that the above information i,; c'Jrrect..1 .
agree t9' co. ~m. pty .th...aRC. itYordin. i.nees a~.state I.awsredating to bUDding. copst.ructJon, and
~ereby .author~ 'r p~~v~~i~109 In;e~ve.mentiOned property for
inspection.. J~V'-C/ -.'K.;:!tA"V' -'.. .
. .. . ... . Date.51512oo4.
Signature of Applicant or Agent'
T~permihhallexpire by limitation and become null and void if the building or.
wack has not passed final inspection ~5 days from the date of permit issuance. A
new permit is r$quired to commence or continue work.
8UtLDING DIViSION
200 S. ANAHEIM BLVD
. .'(714) 765,5153
INSPECTION REQUESTLINE: .
(714) 765 .<\629
"',~;''- -,
CENSUS CODE: 434
QUARTER SECTION: 112
ARCHITECTIENGINEER INFORMATION:
ERNIE T PAMADA.
I
.1
, .. ~
. LICENSED CONTRACTORS DECLAAATION I
I hereby affirf!' under pe>-nalty of p-erjurytha1 ~ am
licensed underprc:visions of chapter 9 (commencing
with Settio'n 7000) of Divsion 3'ofthe Business and
"Professions Code. . .
51512004
D;\te:'
Contractor
NUMBER
EXPIRATION DATE
TYPE
Construcicn Tvpes:
VN" .
l,ivin-j:lArea:.
630
...._""-"'-.;.-c__
Fees paid for Permit:
Total.:
4.24
INSPECTION RECORD
. . . INSPECTION DATE . INSP.ECTOR
Temporary Power Pole . .
Plumbing (DrainIWaste Pipe) . .
E.lectrical Ground EIElctrOde/Ufer . .
" SelbacklFoirnslTrenches (Footings) :;'l',"-bl\- ,
Do notins.laJI subfloor.or pourfloor slab until the ,
tollowingapplicable item's' have been signed:
Plumbing (Water Plpe.Sprinkler Valves) ,
, t.fechanical (Groul)dwork) . .
Electrical (Underground Conduit) . .'
Preos.lab (CompactlonlMembrane.!(ei nt ii/I
Underpinning (Floor .Joist/Girders) K.r~.~J! 1\ .A Jl:1 IJ.---
. Do not cover or 'conceaUhe work bel""" until the .,
fQllowing applicable items. have been signed;
1st Floor. Shear . . .
Firesprinkler (Rough) . . '. '.'
2nd.FloorShear . .
. Roof (Sheatl)ini!lDiaphragmlframEl). . . . . '.
Masonry (~infJBond BeamlPre-Grout) .... .
Rough Plumbing (Top Out) . .
Rough Mechanical' . .. . . . . .'
lUlugh Bectrl.calIOry. waUl . . '.'
.Rough Electrical .... '" . '. .' '. ...;; 4, ,
Framing (Only after Plbg.. Elee:. Mech. and Fire) ,{y"z,,',/ 'r./~"\/"
Insulation (SOUndlEnergy).. .. ~ . '.L/
.' 00 not tape or plaster until the following applicable
it~ms have been ~igned:, '.'. ' .' .. ",
Drywall'" .' .' -2.7~ "I" Y
,Penetrations (Fire Rated) Electrical.. .,/
.' Penetrations (Fire Rated) Mechanical '.' I. '. . .
;. Penelratl.ons (Fire Rated) .f>lumbing .. .'
Interior Lath, '. . :.. ~;., .
Extllrior Lath . ,~ '/'-'r h..
." GENERAL ITEMS' . ~I /
Exterior Plaster'(Brown Coat) .
T -Bar EllIclrical . .', r
. T'Bar Mechanical. '. . ..'
" T -Bar Structural ,,'
Sewer .
Water Engineering Bacldlow . .
. Water Service' .... , .
Electrical Final
. Plumbing Final
Mech,!nical Final.
Gas Test
Engineering/Gradi1\g Final 765-5126
Fire Dep!. Fln.a/165-4040
Water Engineering 765.5268.
Sub List/Business License 765.519
Zoning 765.5139 .
/
Building Final' ILast Ihspectioh' Ohly OJ? '0
, AtterAbove Complete) I tW.
PARTIAL INSPECTI,ONS '
;~~~::i:;:::svurrl~l)tz. ..~.
Mechanical Inspections
Pltimbinq .Inspections .
" Electric:allnsDections