231 E. Susanne St.
.
BUILDING DIVISION
200 S. ANAHEIM BLVD.
(714) 7a5 - 5153
INSPECTION REQUEST LINE:
(714) 765 - 4626. .
. CENSUS CODE: 434
QUARTER SECTION: 85
BUILDING P.ERMIT NO.
BLD2005-00925
,
.,
. TYPE OF PERMIT
-Residential Addition
DATE: 416/2005
JOB ADDRESS: 231 E SUSANNE ST
CITY
LEGAL DESCRIPTION: N TR 1245 LOT 38 .
APPLICANT: JOSE. DUQUE
dWNER INFORMATION: .
Mredo Duque
231 E Susanne 8t
Anaheim, CA 92805
JOB DESCRIPTION;Add sitting area and bath to bedroom. 271 sq. ft.
it ALUA TION: 18,200.00
ARCHITECT/ENGINEER INFORMATION:
JAMES HOPPE
1072 TOWNHOUSE DR.
"
PROCESSED BY: FAN
OWNER-BUILDER CLARATION
I he~eby a irm.under penalty of perjury that I am exempt from the Contractor's' icense Law for the following reason (8ec:.7031. Business and
Professions Cqde: any city or county which requires a permit to construct, alte ,-improVe, demolish or repair ~nystructu(e. prior to its issuance, also
requires the" applicant.for suph perm"it to. file a signed s"t,atement that he iSOlicen* d pursuant to the, provi~ons of the Contractor's Lie .anse La Vi (Chap~er
9)(commencing with Section 7000 of Division 3 of. the Business and professio. Code) or that he is exempt.therefrom and the basis for the alleged
eX6lT1ption. Any violation of Section 7031.5 by any applicant for a permit subj ts theappllcant to a civil penalty of not more than five hUfldred dollars
($500). .' '. '1,. " . .
~I, as-owner of property, or my employees with wages as their sole c;:ompe~ation, will do'the work, and the structure is- not intended or offered for
sale (Sec. 7044 Business and Professions Code: The Contractor's License La1v does not apply to ~n owner of property who builds or improves
thereon, and.who does such wD:r.k himself or he~elfor through his or. her own ,~mployees. provided that such improvement,s are not intended or .
offered for sale. If, however, the building or improvement ,is sold with one yearpf completion,' the own-er-builder will have the burden of pr'9vin~ that he
'didnotbuildorimproveforthepurposeofsale). '. . i~'" _" .'. .':....
o , \, as the owner of the property, am exclusively contracting with licensed ce:f1tractors to constructthe project (Sec. 7044 Busi':1ess and professions
Code: Th~ Contraclor's License Law does not apply to an owner of property,::'o builds or improves thereon, and who contracts for such' projects with.
ontractor(s) licensed pursuant to the Contractor's LiCense law).>~(' ". _ .... _'.
. lamexemptunderS~c. ,B&.P.C.forthisreason: H - - .' ',_...,
te: '1- (; - 0';< Owner: :,
WORKER' CO NSATION DECLARATION "i
J hereby affirm under penalty of ~rjury one of the_ following declarations:i~ .',
D I have and will maintain a certificate of conse'nt to self-insure for worke~'s,~ompensation,
as provided for by section 3700 or the' Labor Code,_ for the performance of theiYvOrk for which.
this permit is issued. '. . p
'0 I have and will maintain worker's compensation insurance, as required by pection 3700.of 4/6/2005'
the La, bar Code, for the performqnce of tDe work for which this permit is issue~: Myworker's Date:
Compensation insurance carrier and poficy are: . ['
C~rrier: " Policy Number. ~ NUMBER
This section 'need not be com~leted if the pennit is for one hund~ed dollars {$1001 br less.
. '. ' . I
F>a. I c,ertify 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 cO~lpensation laws
of Califomia, and agree that if I should beeome subject to the worker's ce:mperlsation .
provisions of Section 3?OO of the bar e, I shall forthwith comply with tho~e provisions.
I
LICENSED CONTRACTORS DECLARATION
I hereby affirm un er pena ty of perjury that -/ am
licensed under provisions, of chapter 9 (commencing
with Section 7000) ofDivs.ion 3 of th'e Business and
Professions 'Code. .
Contractor
EXPIRATION DATE
TYPE'
Date: 4/6/2005 Applicant:
WARNING: FAILURE TO SECU WO R'S COMPENSATION COVERAGE IS
UNLAWFUL, AND SHALL SUBJ CT AN EMPLOYER TO CRIMINAL PENALl'IES AND CIVIL
FINES lIPTO ONE HUNDRE TliOUSAND DOLLARS ($100,000), IN ADDI110N TO THE.
.COST OF COMPENSATION, DAMAGES AS PROVJDED FOR IN SECTIoN :;706 OF THE
LABOR COD E, I NTEREST AND ATTORNEY'S FEES. .
CONSTRUCTION LENDING AGENCY
.-t hereby affirm under penalty of perjury-that there is a construction)ending ag:ercyfor the
. periormance()f the work f()r which thisperrnit'i~_ issued (Sec.3097:Civ.C): - '--"_~:_;_~"
-Le-ndefs'lrtfi?rm-aliorr.- - - -" --~~--o--- -~-- - - -- --.- . - -. .--
Construcion Types:
VN, "
Occupancy Groups:
R1, ,'"
LivinQ Area:
\
270
I certify that I have read this application and sta~e that the above information is correct. I
agree comply with all city ordinances and. state laws relating to building construction, 8;nd
hareb aut~orize representives of this'city_to enter upon the above mentioned property for
nsp ion purposes.
<-
Dale: 4/6/2005
Fees paid for Permit:
Total:
856.26
Signature of Applicant or Agent
Th permit shall eicpire by limitation and become null and void if the building or ,
VOl k has not passed final inspection 365 days from the date of permit issuance. A
ne permit is required to commence or continue work.
. INSPECTION . . . . DATE INSPECTOR El,!>ctrical Final
.
T!>mporary Power.Pol!> . . Plumbing Final
Plumbing (DraintWaste Pip!>) -/!r."..t;. , p.~ M!>chanical Final
Electrical Ground 'Electrode/lIfer -/3 -<is /{ .'
. SetbacklFormsrrrenches (Footings) elL. - e>; p. . Gas Test . '
.
Do not install sUbfloor or pour floor slab until the V Engineering/Grading Final 765
fOllowing applicable items' have been signed' . . /
Piumbing (Water Plpe.Sprinkler Valves) {ir!> Dept. Final 765-4040 .
Mechanical (Groundwork) . wi.\~r Engin!>ering 765-5268 .
Electrical (Underground Conduit) '. A A .Sub List/Busln!>ss Lic!>nse 76
Pre-slab (CompaclionlMembrane.Reinf.J -(,5 .",..5 '~'7 "-
Underpinning (Floor Joist/Girders) . /.' ) Zo!'ing 765-5139
Do not cover or conceal the work below until tne ~ . Bliilding Final
.. following applicable items have been signed: kLast Inspection-
fter Above Comp
1 Sl Floor Shear -t~~ -r.//"~ PARTIAL IN
Firesprinkler (Rough) . . (/
. 2nd. Floor Shear . . /> V . ''':It:S;~ns
Roof (Sheathing/Diaphragrn'FQme) "I;:'~~ ,.
Masonry (ReinfJBond BeamlPre-Grout) .il,,) 1:.11 . "Ie ht;;,
Rough Plumbing (Top Out) , . t:./. .,
Rough Mechanical. ~ 2;Z.<l'I .
KDugh I:lectr ' nail) .I~ .
Rough Electrical '.. . ~~ ' .'
Framing (OnlyafterPlbg., Elec.. Mech..and Fire) .(-<> ~ .. . .'
Insulation (SoundfEnergy)' ., t:> .. . .
po not tape or pla~ter until II,!> following applicabl!> Mechanical Inspections
Items have be!>n SIgned: ...., . / . . .'
DryWall ......x,;./J . .' . -UJ..tD.. If ,--,/
Penetrations (Fire Rated) Electrical /)
Penetralions (Fire Rated) Mechanical . .' .
Penetrations (Fire Rated) Plumbing
Interior Lath . A .
Ext!>rior Lath . '. -:4-7-'" r. Plumbina Inspections
GENERAL ITEMS '. ~ . '.
Exl!>rior Plaster (Brown Coat) .. 'j -/?I-pC, .
T;BarElectrlcal. . . . .
T -Bar Mechanical .
.
T -Bar Str:uctural .' . .
5!>wer . .
Water Enginerlng Backflow . . . Electrical Inspections
Water S!>rvice .
INSPECTION RECORD
FINAL INSPECTIONS .\
.0126
5-519
Only "'_/uJL'
lete) I 'I~.:J
SPECTIONS
~1t1t~~