840 S. Wildflower Ln. (2)
BUILDING PERMIT NO. BLD2005-02840
TYPE OF PERMIT CITY
Patio Cover
DATE: 9/9/2005
JOB ADDRESS: 840 S WILDFLOWER LN
LEGAL DESCRIPTION: N TR 12993 LOT 43
APPLICANT: PAUL ELLISON
OWNER INFORMATION:
SANGARAPIL MANOHARAN
840 S WILDFLOWER LN
A NAHE 1M, CA 92808
CONTRACTOR INFORMATION:
ORANGE COUNTY PATIO CO INC
1040 N GROVE ST #A
ANAHEIM, CA 92806 0000
BUSINESS PHONE: 714630.8564
JOB DESCRIPTION:Build 210 square 1001 balcony per en9ineered plans.
VALVA TION: 3,500.00
ElM
BUILDING DIVISION
200 S. ANAHEIM BLVD.
(714) 765 - 5153
INSPECTION REQUEST LINE:
(714) 765 - 4626
CENSUS CODE: 434
QUARTER SECTION: 220
ARCHITECT/ENGINEER INFORMATION:
PROCESSED BY: MSM
OWNER-BUILDER DECLARATION
I hereby affirm under penalty of perjury that I am exempt from the Contractor's, License Law for t e following reason (Sec. 7031.5 Business and
Professions Code: any city or county which requires a permit to construct, alter, improve. demolish or repair any structure, prior to its issuance, also
requir 5 the applicant for such permit to file a signed statement that he is licensed pursuant to the provisions of the Contractor's License Law (Chapter
9)(co mencing with Section 7000 of Division 3 of the Business and Professiolls Code) or that he is exempt therefrom and the basis for the alleged
exem tioo. Any violation of Section 7031.5 by any applicant for a permit subj~ts the applicant to a civil penalty of not more than five hundred dollars
o
o s owner of property, or my employees with wages as their sole compensation, win do the work, and ,the structure is not intended or offered for
sale ( c. 7044 Business and Professions Code: The Qontractar's License Law does not apply to an owner of property who builds or improves
thereon, and who does such work himse~ or herself or through his or her own'employees, provided that such improvements are not intended or
offered for sale. If, however, the building or improvement is sold with one year of completion, the owner-builder will have the burden of proving that he
did not build or improve for the pUlp05e of sale).
o I, as the owner of the property, am exclusively contracting with licensed contractors to construct the project (Sec. 7044 Business and Professions
Code: The Contractor's License law does not apply to an owner of property who builds or improves thereon, and who contracts for such projects with
,su;:ontractor(s) licensed pursuant to the Contractor's License law).
U I am exempt under Sec. , B & P.C. for this reason:
Date: Owner:
I WORKER'S COMPENSATION DECLARATION
I hereby affirm under penalty of perjury one of the following declarations:
o I h-ave and will maintain a certificate of consent to self-insureforworker'scompensation,
as provided for by Section 3700 of the labor Code, for the performance of the work for which
~hl permit is issued.
I have and will maintain worker's compensation insurance, as required by Section 3700 of
t Labor Code, for the performance of the work for which this permit is issued. My worker's
C mpensation insurance carrier and policy are:
Carrier: STATE FUND Policy Number. 1094172
This section need not be completed if the pennit is for one hundred dollars ($1 00) or less.
o I certify that in the perfom1ance of the work for which this permit Is issued, I shall not
employ any person in any manner so as to ome subj to the worke~s compensation laws
of California, and agree that if I should bob" ct the worker's compensation
provisions of Section 3700 of the ab 0 rthwith comply with those provisions.
Dale: 9/9/2005 Applicant:
WARNING: FAILURE TO SECUR
UNLAWFUL, AND SHALL SUBJE, T N EMPLOYER TO CRIMINAL PENALTIES AND CIVIL
FINES UPTO ONE HUNDRED THOUSAND DOLLARS ($100,000), IN ADDITlON TO THE
COST OF COMPENSATION, DAMAGES AS PROVIDED FOR IN SECTION F06 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 agency for the
performance of the work for which this permit is issued (Sec.3097.Civ.C):
Lender's Information:
Date: 9/9/2005
9 ure of Applicant or Agent
TIle permit hall 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.
LICENSED CONTRACTORS DECLARATION
I hereby affirm under penalty of perjury that I am
licensed under provisions of chapt (commencing
with Section 7000) 1'0 e Business and
Professions Code
9/9/2005
Date:
NUMBER
365967
TYPE
TYPE
EXPIRATION DATE
1113012006
HIC
B
Construcion Types:
VN, ,
Fire Sprinklered?
NO
Fees paid for Permit:
Total:
354.35
City of Anaheim
Building Division
INSPECTION RECORD
INSPECTION DATE INSPECTOR
Temporary Power Pole
Plumbing (DrainlWaste Pipe)
Electrical Ground ElectrodelUfer /
Setback/FormslTrenches (FootingS) I~ /j,oS k/o ".
Do not install subfloor or pour floor slab until the
following applicable items have been signed:
Plumbing (Water Pipe/Sprinkler Valves)
Mechanical (Groundwork)
Electrical (Underground Conduit)
Pre-slab (CompactionlMembrane Reinf.)
Underpinning (Floor Joist/Girders)
Do not cover or conceal the work below until the
following applicable items have been signed:
1 st Floor Shear
Firesprinkier (Rough)
2nd Floor Shear 4
Roof (Sheathing/Diaphragm/Frame) /0 -Z(AJC .1m. ~ ..J
Masonry (Reinf./Bond Beam/Pre-Grout)
Rough Plumbing (Top Out)
Rough Mechanical
Rough Electrical (Dry Wall)
Rough Electrical ,4
Framing (Only after Plbg., Ele., Mec. And Flt~ ..z./~ AI .A f'
Insulation (Sound/Energy)
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
T-Bar Structural
Sewer
Water Engineering Backflow
Water Service
FINAL INSPECTIONS DATE INSPECTOR
Electrical Final
Plumbing Final
Mechanical Final
Gas Test
Engineering/Grading Final 765-5126
Fire Dep!. Final 765-4040
Water Engineering 765-5266
Sub List/Business License 765.5194
Zoning 765-5139
Building Final (Laat Inapectlon - Only \~MO~ V1"- ~l~
Aller Above Complete)
PARTIAL INSPECTIONS
Building Inspections
Mechanical Inspections
Plumbing Inspections
Electrical Inspections