6160 E. Paseo Rio Verde
TYPE OF PERMIT
New Resi<;lential Construction
CITY
.l~~f/t}'~Bi~~;\
i~,i.M~HEIM
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BUILDING DIVISION
20tl S. ANAHEIM BLVD.
(714) 765- 5153
INSPECTION REQUESTLlNEi
(714) 765.4626
CENSUS CODE: 101
QUARTER SECTION: 190
BUILDING PERMIT NO. BLD2003-04137
DATE: 911012004.
.. JOB ADDRESS: 6160 E PASEO RIO VERDE
LEGAL DESCRIPTION:
CONTRACTOR INFORMATiON:
. ROBERTD FRAKES !I i
32 DEERFIELD PL :. ,
TRABUCO CANYON, CA..s~679.0000
BUSINESS PHONE: 94945f.:'9211
,
. JOB DESCRIPTION New 2 story SFD 280551 Iiving/6G51 porch & 62951 garag";(?lan 2)
VALUATION: 274.464.00 .i
I OWNER-BUILDER9ECLARATION
I. hereby.affirm u~der penalty of perjury that I am exempt from the'Contracto(~'License Law for the folJowingreason (Sec. 70.31-,5 Business and
Professions Code: any city or county which requires a 'permit to construct, a-Mr, improve, derr.olish or re~ir ar1Y structure, prior to its issuance,' also
requires the applicant for :.::uch pelmit to file-a signed sta~ement that he islice:~sed pursu3nt to.the,prO.visions of the Contractor's License Law,(Chapter
9)(comme:ncl.ng wlth Section '7.o0fJof Division 3 of the Busines'sani.! F\-ofessiii*'sCCde) or that he IS exempt tlie~from and the basis for:tt:,e a(leged "~
exemption. Any violation of Section 7031,5 by any applicant forapermit sub;:.~cts the applicant to ,a dvil ~.ena'ty of not more than five hundred doilans
($500).. . .. _ ..... f" -, .. . . . ' . '
o ',as owner of property, ormy employees Wit~ wage~ as their SOle'ColTlPJi~~~t10f1,Win ,_?o trle w?rk, an~_ the_,structLlre is fl(>.t intended or offered, f.or, '
sale (Sec. 7044 Businese ana Professions Code: i-.he.Contracto;'s Ucense.J~~"I': does notapply to an oWnH of property who .buildscr improves -,' .
"thereon, -arid who does sUch wo~_k himself or _hemelf or through his or. ,her owdkmployee.::~, oiovldedthat such improvements a\~"not intended or
, nffe~ed for sale. . If, however, t6e, building or improvement is sold w,fth-one y~~rQf completion, the owner-builder will have the burd~n of proving."tha.t he'
did not bUild or improve for the:purpos,e of sale).' . .-<__,' ":{',:_--~ . ". .:...."
o ,: as the b'N~er of tl1e property, am exdusively contracting with/}cens$:4-i L1nJradors to c~ns~(uct the ix"oject (Sec. .7044,Business al)d ProfeSSior.~:
Code:" TheCon~ractor's. Ucens<J law does not apply to an ownerof propelt~fino builds or improves thereon, end who oor1tracts for sl.lch projec.ts with
~ontractor.(~) licensed" purr.uant 'tc the Contractor's License LaW).;-::(~:. , . " -~,
Ld ! am-exempt under.8ac. ____ ,8 & P.C., for this reason: ~",;:'::{;"
Date: Owner:' 1,1.'
IT 'WORKER'S COMPENSATION DECLARATION .-t J- I L1CI?NSED CONTRACTORS DECLARATION i
I hereby affirm under penalty of perjury ::me of the forrowlng declarations: ] , G I hereby affirm under penalty pf perjury that I am
o I have and wI/I maintal:1 a certificate of consr-..nt to self~Jnsure for workp.r'tC1mpensat;on, llcens,ed ~nder proVlsio~s?f chapter 9 (cO~menclng
~s provided for by Section 3700 of the Labor Code, for U",e performance of thf work for which With ~~:-t1on 7nOf OlvslOn 3 Of7Jh ~tness and
this permit is issued. (. I Professions C V} I I,..
..0_ I have and wIll maintain wolker's compensatIon ins.urance, as required b}: SectIOn 3700 of I 9/10/2004 <.AJtAJtL-
the Labor Code, for the performance of the work for which thks. permIt is ISS!.:%j, My work~r's I Date'
Compensation insurance earlier and poticy are: '. - t.
Carrier: . Polie'1 Numbel: EXEMPTf
This section need not be com~let~d if the pennit_is for one'hundred dOi1~rs' {$100~or less.
o I certify that in the performance of the work for which this permit is issue~, I shan not
employ any person in any manner so as to become subject to. the workers.cdnpensation laws
of Califbmia, and. agree that if I ShOUnd ~ome subj~ct to_ the worker's c.onlpdnsalion
provisions O.f Section 3700 ofth9 Lab r ,e; i shall fo~hWi ,0 ly W"ith;~;~~.~ ~rovi~i6rs', " Construcion Types:
VN,., .
Date: 9110/2004 Applicant: '. . . Occupancy Groups:
WARN ING: FAILURE TO SECURE WORKER'S COMPENSATION COVERhGE IS R3, U1, . ,
UNLAWFUL, AND SHALL.SUBJECTAN EMPLOYER TO CRIMINAL PE"N,:"GIES."AND CIVIL Fire Sprinklered?
FINES UPTO ONE HUNDRED 1HOUSAND DOLLARS ($100,OOO),IN ADD~.~ON TO THE. I Dwel!inq Units:
COST OF COMPENSATION, DAMAGES AS PROVIDED FOR IN SECTION:1706 OF THE Livinq Area:
LABOR CODE, INTEREST AND ATTORNEY;S FEES. i ... Garaqe Area
I CONSTRUCTION LENDING AGENCY \ . :- Patio Area:
I hereby ?lffirm under penalty of perjury that there is acolistruction lend'i(lg".a(~~lncy tor the.
performance of the work for which tills permit is issued (Sec. 3097 .Civ.C):-- .':
Lender's Information: . . " ,
--~_ -__ -. _____-'"c4__._.cc.___.____..
APPLICANT: CARLA FRAKES
OWNER INFORMATION:
Ruitson Ouyang
8641 Hillcrest Rd
.Bu.ena Park, CA 90621 0000
....RCHITECTIENGINEER INFORMATION:
CHARLES D STEICHEN
1801 E. EDINGER AVE. #225
SANTA ANA, CA 927050000
PROCESSED BY: KBT
Cortractof
. NUMBER
. 619012
TYPE
TYPE
A
.8
EXPIRATION DATE
6/3112005
NO
1
2,805.
629
60
I certify that I have read this application.and state that the above information is correct. I
agree~a ply ~it.h all city 0.. rdinances and state laws. relating to bu~ding construction, and
hereby ut orize representives ft. city to enter upon the above mentioned property for '
inspe on umsrsJ ' .
. . . (JL-V l!L . . Date: 9/10/2004
Signature of Applicant or Agent '.
The permit shall expire by limitiltion i1nd 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 w:ork
Fees paid for Permit:
Total:
6.431..30
INSPECTION RECORD FINAL INSPECTIONS '. I Date . Inspector
. INSPECTION . . DATE INSPECTOR Electrical Final . . 1~t.1J cK 1 . 'j)<.\~C>f(j
Temporary Power Pole /Y ~...' Plumbing Final It.jV;/oS-- T. JuL.nI\
Plumbing (DrainIWaste Pipe) . . '11-J}.~ J Mechanical Final (Ql~O)" I. Nkol&
Electrical Ground Electrode/lifer . / . .
- I . .. Ctl~c( -r,J\(fo(&
Setback/FormsfTrenches (Footings) ~. " Gas'Test
-
Do not install sUbflQoror pour floor slab ufitil the Engineering/Gracli'!9 Final 765-5126 .
.
following applicable items have been signed: Fire Depl. Final 7654040
Plumbing (Water Plpe.Sprinkler ValVes) .
Mechanical (Grou ndINorK) . . ..... Water Engineering 765-5268.
Electrical (Undergroun<l CondUit) .' , //. i Sub List/Business License 765-519 V
Pre-slab (Compaction/Membrane.Rei nt. 17~ .
Underpinning (Floor Joist/Girders). , I . Zoning 765.-5139
Do not cover or .conceal the work below until the . ~1tst Inspection. Only . k\~lO) <f, ~a""'-
followingapp'lIcable items have been signed::" /'\" . ". Building Final
~11'"", c~- I. er Above Complete)
1st Floor Shear . , . .' . . PARTIAL. INSPECTIONS
FireSprinkler (RoUgh). . .' .' '. .'"". / Buildinq Inspections.. .
2nd Floor She..r . j- 'Z-t, , L,_ .'~.
Roof (Sheathing/Diaphragm/Frame) "" ~ -:'.17-o6~ '~~..I;~1'1714
Masonry (ReinfJBondBeamlPre-Gl'O\It) ~..
Rough Plumbing (Top Out) '. 'l-'-I-6r::. . - .
Rough Mechanical . .
/'COugnElectrical (ury wall) , , n . . ' . .
Rough Electrical . ~"'( 1f' . . .
Framing . {Only after Plbg.. Elec...Mech andfl'fe\ .
Insulation (S9U~nergy) Mechanical Inspections ,
00 not tape or plaster until the follc>wing applicable
items have been signed: .' . '. '. ,. '.' . . .'
Drywall . . , ,. c/o .' .
. . . .
Penetrations (Fire Rated) Electrical .
Penetrations (Fire Rated) Mechanical ..
Penetrations (Fire Rated) Plumbing . . , .' . . .
Interior Lath . '. "ri~IIOS"~ .
'Plumbinq Inspections .
Exterior Lath .
. . GENERAL ITEMS - .. " .' . . . , . .'
Exterior Plaster (Brown Coat) . '.
T -Bar. Eleetrical . . .
T -Bar Meehanical . . .. , "
I. . . .
T -Bar Structural . . . .
Sewer .. .' . .
Water Enginllllring Backflow . . .' . Electricallnspecticins .
-.
Water SerVice . .
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