7757-7771 E. Viewrim Dr.
TYPE OF PERMIT
Residential Remodel CITY
DATE: 5/28/2004 .
JOB ADDRESS: 7757 -7771 E VIEWRIM DR
LEGAL DESCRIPTION: .
ElM
BUILDING DIVISION
.2OD S. ANAHEIM BLVD.
(714) 765" 5153
INSPECTION REQUEST LINE:
(714) 765 - 4626
CENSUS CODE: 434
QUARTER SECTION:
BUILDING PERMIT NO. BLD2004-02064
CONTRACTOR INFORMA.TION: . ARCHITECT/ENGINEER INFOH.MATION:
ORANGECOASTBUILDI~JG SERVicES' MICHAEL KISS
2244 N PACIFIC$T ') < 1081.CAMINODELRIOSOUTH
ORANGE, CA 928650000: . SAN DIEGO, CA92108
BUSINESS PHONE' 714 99~.8051
JO.B DESCRIPTiON Peck repairs per approved architect plans for dec{repairi,'toup-9 bid #34.
. ~, .i
VALUATION: 3,125.00.' '\
I OWNER-BUILOER hECLARA nON
t hereby affirm under penalty of perjury that Jam.exempt from the Contra~9('~ 'License law' for the following reason (Sec. 7031.5' Business. and '.
Prof~ssions ~od7': any d,tY or'count~which req~.ires a p~rinit to constru?t, ~~!}.r;)mprov~,.demolish or r~pair any structure, .prio(to.US isSuance;.a!~'o'
requlre~ the apphcant for such permit to file a signed statement that.neJs llC€:ifsed puisuant to. the proVIsions of the Contractor's; L;c-ense Law (Cl)apter,'. .
9)(commencing with Sectio'n 7000 of Division 3 of the Busin~ssand Professj~})S Code) or"that he is exempt therefrom and the basisfor.,the alleged
exemption._ Any violation of Section 7031.5 by any applfcani for a permitsub'jects the applicant to a civR penalty of not more than five hLindre.d dollars . '
.tjQ~)~so~nerOf property" ~r my emplbyeeS.With wages as their sol~ com'pt~~atiOn-'Wlll ~othe work. .and ~~e structure is~ot int~nded pr Offere~.fo'r.
sale (Sec.,7044 Business and Professions Code: The Contractor's .Ucense.t~w doe's notapplyto.an owner of property who, builds()r '!llproves
. thereon, and who does such work hirrt!?~tf.or helSelfor through his or her ow~;smployees,providedthat.such imprOvements are not inlended ~t
offered for sa. . Ie. If, howev.e'r, the'building or imprOvel:Tlent is sold with one -y.e~jlr...'0(OOmPleti9n, th.~:oW'~er-b...Uilger will have the..burde.n.Of prOVi~9ofh..ai.-.I):~_,
did not build orirnprove for the purpose of sale). . .. .',' ...... ..'.. '. ....... . ._.;",:'.:t'::.
o I, as the_ Qwner'ofthe property, am exdusively contracting withlicensed,fpiltra.ctors to construct the p~~ect (S~c. .7.044 ~usines~.a'nd'Pr6feSsio_n~:.
Code: The Contractor's license Law does'not.,apply to an owner of property:':ho' builds or improves thereon, and who rontracts for suCh projec~ with
FU(ontractor(s) Hcen$ed pur!=,uant ~ the Contractor's Lice~se Law).. : :1.:; .... .. ,. '. . ',,, ".: .;~<."\:>':~~,' .."'-,::>.....':_:;;:__-
U I am exempt under Sec. ' , B & P.C. for thIS reason: . ---.::Lo- . .. '. .' . _ .. ,-~.' .~:. -..''-:',7.',,_<:., . "c'._"i .
Date: 'Owner: '., 'c1 . ,,:, .. "'.'~ . :'~:'--.~ :<:.' .
I WORKER'S COMPENSATION DECLARATION " ' I
I hereby affirm under penaltY of perjury, one of the: following' declarations: . i
. tJ I have and will maintain a.certiflCate of eon' sent to setf-:insure'forw6~ker'Jcompe(lsatio'n,
as provided for py Sectibn 37.00 of the labor Code, for the Performance of tl';-,~ work for which
this permit is issued., . " .... .,' . . -" ( . ..
o I have and will maintain woTker's,compensation insurance, as required ~\~ Section 37.00 of
the Labor.Code, for the performance of the work for which this permit is iSSU~~. lVIyworker's
Compensation insurance carlierand.pollc.y are: . 't. .
Carrier: STATE COMPENSATIOi'J FUND 'PalicyNumbet. 00090'f~n:~.,
This _ on need :"!Jt be completed if the p~~jt is, foron~ hu~tlred dollars {~~.O(J;!4(Ies~. .'
.Ic:ertify that in the petformance of the.wprk for which this permit Is IsSl,l~l~t~,haU not
employ any person inany manner so'as to be e subject to the worker's ccETi.P.ensation laws
of Califomia, and agree that ifl should b8-9o bjed r's com ~ ;.~ ,a .on
provisions of Section 3700 of t~e Labor' C 56 I fo .- co ply with.. ~,~'et
APPLlCANT:DAVID E:DWARDS
'OWNER INFORMATION:
Derek :Hodgi.n
7713 EViewrim Dr
Anahe.im, CA 92808
I
PROCESSED BY: CDL
I
Contractor
B
HIC
'EXPIRATION DATe;:'
, 1/31/2005"r -
~-
Date: 5/28/2004 Applicant:
WARNING: FAILURE TO SECU . . RKER'SCOMPENSATION COV!::,Fl:~GE IS
UNLAWFUL;ANP SHALL.SU CT AN. EMPLOYER TO-GRIMINAL PENA't.ttES AND CII(IL
FINES UP TO ONE HUNOR lHOUSANP DOLLARS ($10G,ODG), IN APP;1iON TO THE
COST OF COMPENSATt , DAMAGES AS PROVIDED FOR IN S.ECTiON ,3706.0F THE
LABOR CODE, INTEREST AND ATTORNEY'S FEES: .. ... ..
I. .. . . CONSTRUCTION LENDING AGENCY ..';;'.. '.'
I hereby affirm under oenalty of oor~ury._thaUhere_is a C'.{'n~.mctjnn I~Min!}-::!!-$.ar'y_f..or.}"~_,-.___-;-~.L":'.
perform.ance of the work for which this permit is issued'(Se<i 3097.Civ.C):
Lendei's Information: .
Construdon Types:
VN, ,: ... .
Fire Splinklered?
NO
~.. , .
-'---~--_.
r -'I'.'
I certify that I h~ve read this'applicatiqn and state that the above .information is correct I
agree to oompl ith ;all c~ty ordinances and state laws relating to building co~struction, and
herebyauth 'repte$e of this city to r upon t above,mentiariedpropertyfar
inspection r se. '
Date: 5/2812004
Fees paid for Permit:
Total:
0.5Q.
Signature 0 Applicant or Agent .
T. e. permit shall expire by limitation and become null and void If the building or
orkhas not passed final inspeCtion .365 days from the date of permit issuance_ A
new permit is required to commence or .continue work.
INSPECTION RECORD
:' , ' ,..' IIIlS~Ei:TIoN " 'DATE ' INSPECTOR
, Temporary Power Pole , . ..... '.' .
. .'
Plumbing (OJainlWaste Pipe): .' .
Electrical GrOUnd EleCtrode/Ufer . . . .
SelbacklFormslTreriChes (Footi!l!J$1 .'
. DO nolinstall subfloor or pOUr f'por slab i.mtil the . .'
following applicable items have been signed, .
Plumbing (Water Plpe.Sprinklerlfalves) . . .
Mechanic;al (GrOUndwork) "'. ' . , .
Electrical .(UndergrQund conduit) . .
Pre-slab (Compaction/Membrane.Rainf., . . . ,
, Underpinni~g(AoorJ~t1Girders) '. .... .., .
..... .~. not cover or conceal.lhe wpm below unt.l the,'
. following applicable items have been signed:' .' ": , , .
1sU'loor.Shear '. ..' , .
'Flresprinkler(RoUg h) .
. 2nd Floor.$hear' . " , ' . " ^^ (/ .
ROof (ShellhlnglDiaphragm'Fraine) . . ?A.tf. 1J1
" MasonrY (ReinfJBond BearnJPr~lOUtl ' . .
RpughPlumbing (Top Out)
Rough Mechanical, ' . . .,:
KOugh l:Iectrical lory wall! " "
Rough Electrical . ' '. .
,
Framing, "(Glily-afler Plbg.: Elec..,f..'1ech._ and Fire) ,.' .
InSU!ation(SoundlEnergy) , I
PO ""ttape or pla~ter Until the followlR9 appliqble I
.tem.shave been sIgned:. .... . .' . . "
DrYwall. . ", . .'
Penetrations (Fire Riled) Electri~l '. ,
Pl!netrations (F're Riled) Mechanical .
Penetrations (Fire Rated) Plumbing. ,
. Interior ,Lath .' ' , , ". , '. '
Exterior Lath, O' ' . .'
..:. ". . ' GENERAL ITEMS, .
,
Exterior Plaster (Brown Coat) ,'. "
,1 -Bar Electrical' . , '.,
T-Bar Mechanical ' ,
T-Bar, Structural " '. '.'
Sewer ' . '.
Water Engineeri"gBackfloW
Water Service, ,
FINAL INSPECTIONS .'
ElectricalFinal
Plumbi"gFinal '
Mechanical Final
Gas Test
Engineering/Grading Final 765-5126
. Fire Oept.FinaI765-4040 .'
Water Engineering 765-5268
Sub List/Business License 765.5,19
Zoning 765.5,139
Building Final tL.astlnspection-, Only
. .. "AfterAbov.e Complete)
. PARTIAl. INSPECT ONS.
BuildinQlnSD9ctions
MechanlcilllnSDections
PiuinbinQ Inspections.
Dale . Inspector
Electrical Inspections .
TYPEOFPERMIT. CITY
Residential Remodel ' ,
ElM
BUILDING DIVISION
200 S. ANAHEIM BLVD.
(714)765 - 5153
INSPECTION REQUESTUNE: ,
'(714) 765 - 4626
CENSUS CODE: 434
QUARTER SECTION:-
BUILDING PERMIT NO. ,BLD2004-02066
DATE: 5/28/2004 ,
JOB ADDRESS: 7771 E VIEW RIM DR
LEGAL DESCRIPTION:
APPLICANT: DAVID EDWARDS
OWNER INFORMATION: 'CONTRACTOR INFORMI,o.TION:
Jill M Keliihananui ' ORANGE COAST BUILDli)G SEHVICES
7771 E Viewrtm Dr 2244 NPACIFIC ST '. ) .
Anaheim, CA 92808 ORANGE, CA 928650000 "
, ' ' BUSINESS PHONE: 714 99i~8051
JOB DESCRIPTION Peck repairs per approved architect plans for deck repait t.foup-9 bid #34.
. '". '.' " ,,' ,:'~-() , .
VALUATiON: 3,125.00 ' " ''l" PROCESSED BY: CDL
t ,', , ',' 'OWNER-BUILDE~bECLARATION ' ,,',', ' ,',.. '
I hereby affirrTI under penalty of perjury that I am exempt from the contract'?~l".License, Law: for th~ .follOWing' reason (Sec. 7031.5, Bu$iness.~ll~
Professions Code: ,any City'or.c;:t'luntywhich requires a permit to construcCaJt. r,improve, demolish or rePE:lir anystructure,.prior,~o'itS issuance, also. -
. requires the applicant f9r such permit tofil~ a signed stateme_of th.at he is lic~Jsed. pursuant to the provisions of'the Con~ractor's-,Ucense L~w,(Chapter,
9)(commencing with SeCtion 7000 of Di~$ion 3 of the Business and Professkps Code)'or that he is exempt therefroni and the basis for the allegE!d
exef'!lption~ Any- violation- of Section 7031.5 by'anY,applicant for a permi{sub:~ts the applicant to a dv~ penalty of not more.than five hundred dolla'rs,
($50'0),' .\
o I, as owner of property, or my employees with wages as their sole comp:Fnsation, WIll do the work, and the structure is not intended or offered for
sale (Sec~ 7044 Business and ProfesslonsCod-e: The Contractor's License Law does not apply to an owner of property who builds or improves
thereon, and who'does sudl work himself or herself or through his or her owiJemployees, provided that suCh improvements are not intended or
offered for sale. "If, ,ho,wever, the buildjng orirnprovement is sold with one year of co,mpletion. the owner-bu~der witl have the burden of proying~that he~'
did not buDd or, improve fqrthepu'rpose-of.sare). _ '., '1~ ~ ' " -, , _..'-_
',0 I,. as the owner of the property, am exclusively contra ding with Ilcensed~~ntractors to'construct'th.eproject (See. 70.44 Business ,and,PrQfessJ6ris,'-',: .
Code: The Contractor's license Law does not apply to an owner of property .vho buads or improves thereon, and who contracts for such projects with <..'
[jontractor(s} licensed pursuant to the Contractor's license Law). I!" .
I am exempt under Sec. , B & P.C. for this reason: ~.i
Date: Owner:
I WORKER'S COMPENSATION OECLARA TION
,I hereby-affirm under penalty of perjury one of-the following declarations: _,
o ,"ha~ and will"maintain acertifr~ate of consent to_self-insure forworke'r',;compensation,
as provided for by Section'3700 of the'Labor Code, for the performance oftli,~work fo'r whidl
this 'permit is'issued., .,' ,', ....
'0 'I have atldwill maintain wo~er's compe~ation insurance1 as required bv: Section 3700 of 5/28/2004
the Labor.Code, for !.he performance of ttle work for. which this permit is iSsU~4~- ,My worker's -' Date:
Compensation insurance carrier and policy are: ' . : ',,'
,Carrier:' STATE COMPENSATION FUND POlicy Numb?r. 000907a-i'q04:
. . . '. '.. ,,7-, /<'"
This s on, need not 00 oomp/?ted if the pennit is for one hundred dOli",s ($tQt: lOr.)es..
, , '.,. .-:~~ . ~::;-'
I certify that 'in' the perfomiance'of~he ~ork for which this permit isj~.ue ..~:_-;' '.' not,
'.emp!oyanypers9ninanyman'nersciastob 0 esubJe hewor' 'S~cCli1JP'ensation ws
. of Califomia, and agree that if I sh9Uld beeo bje_ct t e ' rker' cdmjx_rfsation ,7
provisIons of Section 3700 of the' Labor C e, to mply WI _." rovisions
,;,
ARCHITECT/ENGINEER INFORMATION:
MICHAEL KISS
1081 CAMINO DEL RiO SOUTH
SAN DIEGO, CA 92108
Contractor
,NUMB
5046
TYPE
TYPE
EXPIRATION DATE
1/31/2005
B
HiC'
Date: ,5/28/2004 Appli<;ant:
WARNING: FAILURE TO SEC 'RKER'S COMPENSATION COI!E'R.~GE ,IS ,
UNLAWFUL, AND SHALL SU CT AN EMPLOYER TOCRIMINALP@ALT!E$AND CIVIL
FINES UPTO ONE HUND THOUSAND DOLLARS ($10'0,000), IN. ADD"riON TO THE
COST OF C,OMPENSATI , DAMAGES AS PROVIDED FOR IN SECTIGN 3706 OF THE
LABOR CODE, INTEREST AND ATTORNEY'S FEES. '
I CONSTRUCTION LENDING AGENCY
~"'herebv affi~mundE1'LP!?,naJty, ({perjury th~t .thp.rp. ~'~ C'J)n#nu'tj('\n 1~_I1(I!n!:,-:::, " ,.!!':'~/,f'y. ~h":!'---,
performa.nce of the worK.for whim' this permit is issued (See. 3097 .eiv.C):
Lender's Information: .
Consttucion'Types:
VN, ,', '
Fire, Sprinklered?
NO
I c~rtify that I have read thisappl;cati~n,and state that the above infor,ma'tion ~s correct. I
'agree to comp/' ith all city ordinanc' ai:1d state taw buMing cPr\struction. and
hereby author." e present' t . 'to en upon the above 'efltioned'property for
in~pectio rpo s.' '_
Date: 5/28/2004
Fees paid for Permit.:
Total:
, 0.50'
Signa re 0 ieant or,Age'nt'
permit shall expite by limitation and become null and void if the building or
Khas not passed final inspection 365 days from the date of permit issuance. A
new permit 'is required to comm,mce Or continue work.
. INSPECTION RECORD
FINAL INSPECTlONS
Oate.
.Inspector .
", .
.' ". INSPECTION. . '. . . DATE . INSPECTOR' Electrical' Final . . .
T el1)poral'Y Power Pole. ' . plumbing Final .
Plumbing (DiainiWaste P.ipe) '. . . .' '. Mecha'nical Final
. Electrical Gl"aund EleetnxlelUfer ., .
Selb""klForll'lSfTrenches (Footings)' Gas Test '. ..
Do. not installsllbfloor orpollr floor slab until the ..' EngineeringfGrading FInal.
following,applicableilems .have, been s,g'ned:' Fir. Dept. Fina17S5.:.i040
. Plumbing (Water Pipe.Sprinkler Valves) ..
M8chanical (Gl"ilundwor~J. " . , .. Water Enginl!<iring765-526
,
I'lectrical (Undergr.l)Ilnd conauit) Sub ListlBLisiness License
PreoSlab (COITIpactionlMembr_.Reinl.. ....
Underpinning (RoorJQlstlGirders) '.' Zoning 165-5139 .'
. .!JC> not cover or, conceal the work below until the . Building Final . \l:'st Inspect;
'followlng applicable'ilems have been signed:' . . ..... . . " fter,Jl.bov.e C
'1st.Floor Shear. '. .' '.
. .'. ....' ,PAATIAL
. FireSprjnlder (Rough) . . '. , Bl1irdirialrlspections
.. 2nd Floor Shear' ..... .' rrl' ~ 1\, ^ '.'
. '.'
,~of (SheathingfDiaphragmlFrame) , \ 11/\\ ( I,ll' .)____
,Ma$onrY(~infJ8ondBeam/Pre,GlOIlt) \ \ , .' '. . . . .
,Rough Plumbing . (Top Out) '. . . .
Rough Mechanical , '. . .
,
I ROugh 6ectflC all)
. Rough Electrical . . .;/. . '.
, framing (Only after Plbg.. Elec.. t.-iech. and Fir 6"( . . . ..'
. Insu!ati6n(SilundlEnergy) . . .:
" . Mechanicallnspeeti .
'. Do riot tape or, plaster' until tne following applicable
i.tern.s bave been signed:" _. '. .",. . , . '. . . '. '
.Drywall,. ' , . .' . , . .
. . .'
Peiletralions (Fire Rated) Electrical . .
Peneltations. (fire Rated) Mechanical ' . . .
. Penetrations (Fire Rated) Plumbing . . .
.... " ....
Interior Lath . , . , " , '. "'-"
Exterior l,.ath , '. . . . PlumbinQ'nsDection
. , ." , . . GENERAL .ITEMS ",' , .
Exterior Plaster (BroWn Coat)
,T'Bar Electrical . . , . '.
T -Bar Mec;hanlcal .' .' .
.' T-Bar Structural. .
. . . . '. .
Sewer . . . '. ,
.' 'Water Engineering Backflow' . Electricat Inspection
. Water Seniice' . . . . . . .
. .
76S:S126.
8.
165,S19, ,
one Only . .. \'. ..c
olliplete). ......;dJ.-
INSPECTIONS
ons
s
s
,