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1515-1715 E. Winston Rd. JOB DESCRJPTION,enant improvement office VALUATION: 250,000.00 I OWNER-BUILDER tlECLARATION I hereby affirm under penalty of perjury that I am exempt from the Contractor'$License Law for the following reason (Sec. 7031.5 Business and Professions Code: any city Of county which requires a permit to construct, attEir; improve, demolish or repair any structure, prior to its issuance. also requires the applicant for such permit to file a signed statement that he is licer,sed pursuant to the provisions of the Contractor's License Law (Chapter 9}(commencing with Section 7000 of Division 3 of the Business and Professioj'IS Code) or that he is exempt therefrom and the basis for the alleged exemption. Any violation of Section 7031.5 by any applicant for a permit subj~:cts the applicant to a civil penalty of not more than five hundred dollars ($500). " o I, as owner of property, or my employees with wages as their sole comp~1sation, will do the work, and the structure is not intended or offered for' sale (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 does such work himself or herself or through his or her own'~mployees, provided that such improvements are not intended or offered for sale. If, however, the building or improvement is sold with one yea; of completion, the owner-builder will have the burd~n of proving t1ia:t'he' did not build or improve for the purpose of sale). ~: . D I, as the owner of the property, am exclusively contracting with licensed cbntractors to construct the project (Sec. 7044 Business and Professions Code: The Contractor's License Law does not apply to an owner of propertYY,~hO builds or improves thereon, and who contracts for such projects with ~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 have and will maintain a certificate of consent to self-insure for worker's<-::omp,ensaJion, as provided for by Section 3700 of the Labor Code, for the performance of the work for which this permit is issued. . o I have and will maintain worker's compensation insurance, as required by Section 3700 of the Labor Code, for the periormance of the work for which this permit is issued. My worker's Compensation insurance carrier and policy are: Carrier: STATE FU NO APPLICANT: CHUCK NEAULT OWNER INFORMATION: Winston Road Realty Holding Co Inc 1515 E Winston Rd . Anaheim, CA 928050000 CONTRACTOR ,NFORMA--,ON: EAGLE CON STRUCTION ' 9087 ARROW RTE #110 . RANCHO CUCAMONGA, cA '91730 0000 BUSINESS PHONE: 909941'6725 ElM BUILDING DIVISION 200 S. ANAHEIM BLVD. (714) 765 - 5153 INSPECTION REQUEST LINE: (714) 765 - 4626 CENSUS CODE: 437 QUARTER SECTION: 106 ARCHITECTfENGINEER INFORMATION:' JOHN G CATALDO 835 MISSION STREET SOUTH PASADENA, CA 91030 PROCESSED BY: SAM Policy Numbec 046-0009(;76 This section need not be completed if the pannit is for one hundred dollars ($100) or less. o I certify that in the perfonnance of the work for which this permit is issued, I shall not employ any person in any manner so as to become subject to the worker's compensation laws of Califomia, and agree that if , should become subject to the worker's compensation provisions of Section 3700 of the ~' i sh~With C~With tho~ Date: 6/28/2005 Appiicant: ~tJ.e:-.-.r =- WARNING: FAiLURE TO SECURE ORKER'S COMPENSATION COVERAGE IS UNLAWFUL, AND SHALL SUBJECT AN EMPLOYER TO CRIMINALF'ION~LTIES!\!IIQ CIVIL . FiNES'UPTOOi\ii::: HLiNuRElfYr-iOuSANO DOLLAkS ($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 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: 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 her uthorize representives of this city to enter upon the above mentioned property for insp ion urpose. Date: 6/28/2005 Signature 0 PP The permit shall expire by limitation and become null and vpid 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 chapter 9 (commencing with Section 7 0 of Divsion 3 of the Business and Professions de. 6/28/2005 Date: ~_.. Contractor NUMBER 785023 TYPE EXPI RATION DATE 9/30/2006 B . Construcion Tvpes: III N, , Occupancy Groups: B, S1, , , Fire Sprinklered? T.I.Area: YES 16,073 ,..'."....- Fees paid for Permit: Total: 3,884.13 ~~'.l\ \) ~'\Q...6-0k- 8 ..----. , '\ ~naheim 0"''' <"''''0 FINAL INSPECTIONS ~ /ltlslPECTOR City of ~S Electrical Final -;III~ ___ ~ Buildin! Division Plumbing Final I d) (..,.,. f--.~ c$ Mechanical Final i~'lb- .,..; :/ y, INSPECTION RECORD Gas Test ,... 'T I INSP CTION DATE INSPECTOR Engineering/Grading Final 765-5126 Temporary Power ole /./ Fire Dept. Final 765-4040 ~'-3'..:J5 I..f. T/- ./ Plumbing (DrainlW ste Pipe) ~.,. ""..6 .& /1 Water Engineering 765-5268 / Electrical Ground II ectrodeJUfer Sub List/Business LIcense 765-5194 ~/-/).o f- /Jf)( t) SetbackIFormslTre ches (Footings) Zoning 765-5139 - Do not inst II subfloor or pour floor slab until the B~9 Final (Last Inspection - Only I'".L .1 ~~ followin~ applicable items have been signed: After Above Complete) T l' Plumbing (Water Pi e1SDrinkler Valves) Mechanical (Groun ' work) PARTIAL INSPECTIONS Electrical (Undergr und Conduit) Buildina Inspections (,..iI, 1:'1/ Pre-slab (Compacti n1Membrane Reinf.) Underpinning (Floo Joist/Girders) -?-/3-<-5 ~ - ,"/.... (1 #1"'. /ltJ-Il5 Do not co, r or conceal the work below until the .,'~ ~ J-./_~ ~~ followin~ applicable Items have been signed: ~ 7_?, .or P"",,-h.J' rr..__~ ~~. " 1 st Floor Shear a..J A....." /60 . lJJ I ,/..;:. I .1..:7/ Firesprinkler (Roug ) AA '-' ;:::. ,. ./L...J- //4_1I~ /..J -- .'-Y;- 2nd Floor Shear - . -f,'t.7_~O '" ~././ 4. /PAl r~,_, Roof (SheathinglDi Dhra!lm/Frame) ~ pry ""'" 4'4 <J1:f7. 5-2-7-0 Y'" Masonry (Reinf JBo d Beam/Pre-Grout) .L/ L Mechanicallnsnections ~~ . ~.v:., Rough Plumbing (T pOut) ~2z.o~ ~/r= -z.-l.oe""" /J..IlI~,./. 0; 1-. ~ /4""""'- Rough Mechanical PtJ t't-r 'Ii' l"-u,o A ~ ,1...."5 N~O( /",~ Rough Electrical (0 YWall)~O"'t,- '127 ;? 4...".. Rough Electrical " ~A'~/1J' ~~'--Z iv:r2i;)~~ Framing (Only after Plbs " EIe., Moo, And Fir(io T "J // Insulation (SoundIE nergy) ?'1'C.o<; 41'JI. .~ Do not tape r plaster until the following applicable --- Items have been signed: ~,,// Plumbina Inspections Orywall~ '\-'If',o< /I')'L -1-1>-0) :;';vJf.., /lvd. ~." I/O-,//} H.d':. Penetrations (Fire R ated) Electrical Penetrations (Fire R ated) Mechanical Penetrations (Fire R ated) Plumbing Interi". Lath Exterior Lath GENERAL ITEMS Exterior Plaster (B. wn Coat) .iW~ #" ElectricallnsDectlons T -Bar Electrical " -'],/),O~ ~o~lvr::/..~. LIt-15 I/o-liS " T-Bar Mechanical 7l;..(f..c, At77/..uR /-&0//- I.. :;'./1- ",,,-Iv /L;.D ~~ T -Ba. Structural ddl-or 'dft'...(fb, / / ./ ~-.o';- f/<'rh.J J'&, ,: 4- .f. : olZ ~ Sewer v ,--- /CJi/\. "'OC <j 7./'0'" ..,.". -/ ( ( '>_~ Water Engineering ackflow / "- Water Service :tf ;j-n-iJr- f:JR .tr Va:J ~G.' ~ J J / /JiAGLE CONSTRUCTION 9087 Arrow Route Suite 110 Rancho Cucamonga, CA 91730 August 23, 2005 Building Department. 200 S. Anaheim Blvd. Suite 145 Anaheim, CA. 92805 Attn: Mark Gibbons RE: 1515 -1715 Winston Rd. To whom it may concern: All new switch gear, panels and transformers have been torque to their factory specifications as required. Sincerely, Eagle Construction Field Technicians ~~ ~'-....4 JOHN G. CATALDO A.!.A. C.S.!. ARCHITECT, INC. DEVELOPMENT /PLANNING CONSTRUCTION MANAGEMENT ARCHITECTURE/ENGINEERING ENGINEERING CONSULTANTS ,. . ,;f July 18, 2005 City of Anaheim Building & Safety Re: Wan Bracing at 1715 Winston Road To whom it may concern: Please be advised that we will except an alternative method of bracing for the walls 1Il shown on the attached sketch. If you have any questions, please feel free to give me a call. Respectfully submitted, 835 MISSION STREET, SOUTH PASADENA. CALIFORNIA 91030 TPI.. (h7{,) 7QQ,A.40[) PAX, (07.(;) 799.7010 . rt 6'T1tL 60DD l.RJ I\{.,L.. ~~ 7L6~ 'f"- 7!..6Cf sn>. MG"""TM...- 01190 S6ReWS r-rr-. .. +-I~ STUI> w~ J PGA-iU V{E:W, ~66 ~~ ~~~~f