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1226 Sandalwood TYPE OF PERMIT CITY Reroof ElM BUILDING DIVISION 200 S. ANAHEIM BLVD. (714) 765 - 5153 INSPECTION REQUEST LINE: (714) 765 - 4626 CENSUS CODE: 555 QUARTER SECTION: 91 BUILDING PERMIT NO. BLD2005-02356 DATE: 7/27/2005 JOB ADDRESS: 1226 E SANDALWOOD AVE LEGAL DESCRIPTION: N TR 1825 LOT 92 APPLICANT: NIAZ M EHR OWNER INFORMATION: CONTRACTOR INFORMATION: ARCHITECT/ENGINEER INFORMATION: NIAZ A MEHR 2535 E OMEGA AVE ANAHEIM, CA 92806 JOB DESCRIPTION: Re-roof 27 squares of 30 year composition shingles over (1) existing layer of composition shingles. VALUATION: 2,000.00 I OWNER-BUILDER DECLARATION I hereby affirm under penalty of perjury that I am exempt from the Contractor's License Law for the following reason (Sec. 7031,5 Business and Professions Code: any city or county which requires a permit to construct, atter, 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 lic13nsed pursuant to the provisions of the Contractor's License Law (Chapter 9)(commencing with Section 7000 of Division 3 of the Business and Professions 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 subjects 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 compensation, will do the work, and the structure is not intended or offered for sale (Sec. 7044 Business and Professions Code: The Contractor's license L::w does not apply to an owner of property who builds or improves thereon, and who does such work himself or helSelf or through his or her own employees, provided that such improvements are not intended or offered for safe. 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 purpose of sale). ~l' as the owner of the property, am exclusively contracting with licensed contractors to construct the project (Sec. 7044 Business and Professions : 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 ~ontractor(s) licensed pursuant to the Contractor's li Law). U I am exempt under Sec. , B & P.C for thO reas n: f[l1lte: ? - Z. 7-6 -r Owner: , WORKER'S PE SATION D CLARATION 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'scompensation, as provided for by Section 3700 of the Labor Code, for the pertormance 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 performance of the work for which this permit is issued. Myworker's Compensation insurance carlier and policy are: Carrier: PROCESSED BY: SAM LICENSED CONTRACTORS DECLARATION I hereby a irm under pena yof perjury that I am licensed under provisions of chapter 9 (commencing with Section 7000) of Divsion 3 of the Business and Professions Code. 7/27/2005 Date: Contractor Policy Number. NUMBER EXPIRATION DATE ~hi section need not be completed if the pennit is for one hundred dollars ($100) or less. I certify that in the perfolTl1ance of the work for which this permit is issued, I shall not e I y any person in any manner so as to become subject to the worker's compensation laws of CaHfomia, and agree that if I should become subject to orker's compe ation provisions of Section 3700 of the Labor Code, I sh.all f~rthWith omply with t provisions. Date: 7/27/2005 Appiicant: j./ IV( WARNING: FAILURE TO SECURE UNLAWFUL, AND SHALL SUBJE AN EM ER TO CRIMiNAL PENALTIES AND CIVIL FtNES UPTO ONE HUNDRED lHOUSAND DOLLARS ($100,000), IN ADDITlON 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: TYPE Construcion Types: VN, , Date: 7/27/2005 Fees paid for Permit: Total: 235.33 Si ture of Applicant or Agent The permit shall expire by limitation and become null and void if the building or work has not passed Ii nal inspection 365 days Irom the date of permit issuance. A new permit is reQuired to commence or continue work. City of Anaheim Building Division INSPECTION RECORD INSPECTION DATE INSPECTOR Temporary Power Pole Plumbing (DrainlWaste Pipe) Electrical Ground Electrode/Ufer Setback/FormslTrenches (Footings) 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 Firesprinkler (Rough) 2nd Floor Shear . I Roof (Sheathing/Diaphragm/Frame) 1.~V~5 ,) M.lotJ 5141 Masonry (Reinf.lBond Beam/Pre-Grout) . I Rough Plumbing (Top Out) Rough Mechanical Rough Electrical (Dry Wall) Rough Electrical Framing (Only after Plbg.. Ele., Mec. And Fire) 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 Dept. Final 765-4040 Water Engineering 765-5268 Sub List/Business License 765-5194 Zoning 765-5139 Building Final (Last Inspection. Only 'O.I(-C;5" IZ. P(.J/t.8~!1 After Above Complete) PARTIAL INSPECTIONS Building Inspections MechanicallnsDections Plumbina Inspections Electrical Inspections BUILDING PERMIT NO. BLD2005-02642 TYPE OF PERMIT C Blockwall/ Columns ITY DATE: 8/24/2005 JOB ADDRESS: 1226 E SANDALWOOD AVE LEGAL DESCRIPTION: N TR 1825 LOT 92 APPLICANT: NIAZ MEHR OWNER INFORMATION: CONTRACTOR INFORMATION: NIAZ A MEHR 2535 E OMEGA AVE ANAHEIM, CA 92806 JOB DESCRIPTION:lnsta1l135' linear feet of 6' feet hi9h blockwall per city standards VALUATION: 5,000.00 PROCESSED BY: JNJ ElM BUILDING DIVISION 200 S. ANAHEIM BLVD. (714) 765 - 5153 INSPECTION REQUEST LINE: (714) 765 - 4626 CENSUS CODE: 565 QUARTER SECTION: 91 ARCHITECT/ENGINEER INFORMATION: OWNER-BUILDER DECLARATION I ereby affirm under penalty of perjury that I am exempt from the Contractor's License Law for the following reason ( ec. 7031.5 Business and Professions Code: any city or county which requires a permit to construct, atter, 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 licens3d pursuant to the provisions of the Contractor's License Law (Chapter 9)(commencing with Section 7000 of DiVision 3 of the Business and Profession8 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 subjects 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 compem.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 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 enployees, 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 witl have the burden of proving that he did not build or improve for the purpose of sale). '~ I, as the owner o~ the property, am exclusively contracting with licensed contractors to construct the project (See. 7044 Business and Professions COde: The Contractor's License Law does not apply to an owner of propertywtlo builds or improves thereon, and who contracts for such projects with ~ontractor(s) licensed pursuant to the Contractor' . nsa Law). U I am exempt under Sec. , B & If .C. fo thi1> ~asonY1 Date: Owner: ______ d rt/( ~ WORKER'S COMPENSATION DECLARATION I hereby affirm under penalty of perjury one of the following declarations: ~ I have and will maintain a certificate of consent to selt-insure for worker's cJmpensation, as provided for by Section 3700 of the Labor Code, for the performance of the VlOrk for which this permit is issued. o I have and will maintain worker's compensation insurance, as required by Eection 3700 of the Labor Code, for the performance of the work for which this permit is issued. Myworker's Compensation insurance carrier and policy are: Carrier: Policy Number. This section need not be completed if the pennit is for one hundred dollars ($100) or less. j;;J I certify that in the performance of the work for which this permit is issued, I shall not ~ploy any person in any manner so as to become subject to the worker's compensation laws of California, and agree that if I should become subject to the worker's compenE.ation provisions of Section 3700 of the Labor Code.. st181llb hwith ~hose provisions. Date: 8/24/2005 Applicant: d WARNING: FAILURE TO SECURE WORKER'S OMPENSATION COVERAGE IS UNLAWFUL, AND SHALL SUBJECT AN EMPLOYER TO CRIMINAL PENALTIES AND CIVIL FINES UP TO ONE HUNDRED THOUSAND DOLLARS ($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 hereby autho~lZe sentives of this ity to enter upon the above mentioned property for inspection rposes. . ,u Date: 8/24/2005 ignature of Applicant or Agent The permit shall expire by limitation and become null and void if the building or work has not passed fi nal i nspaction 365 days from the date of permit issuance. A new Dermit is reouired to commence or continue work. LICENSED CONTRACTORS DECLARATION I hereby affirm under penalty of perjury that 1 am licensed under provisions of chapter 9 (commencing with Section 7000) of Divsion 3 of the Business and Professions Code. 6/24/2005 Date: Contractor NUMBER EXPIRATION DATE TYPE Construcion Tvpes: VN, , Fees paid for Permit: Total: 199.30 City of Anaheim Building Division INSPECTION RECORD INSPECTION DATE INSPECTOR Temporary Power Pole Plumbing (DrainlWaste Pipe) Electrical Ground Electrode/uter j <.... Setback/FormslTrenches (Footings) ~hAo<' Jftll ~II,/ ~i' 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 (Compaction/Membrane 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 Firesprinkler (Rough) 2nd Floor Shear Roof (Sheathing/Diaphragm/Frame) Masonry (Reinf./Bond Beam/Pre-Grout) '/.'1'05' fl.//' ~ {j Rough Plumbing (Top Out) Rough Mechanical Rough Electrical (Dry Wall) Rough Electrical Framing (Only after Plbg., Ele., Mec. And Fire) 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 Dept. Final 765.4040 Water Engineering 765.5268 Sub UstIBusiness License 765.5194 Zoning 765.5139 , Building Final (Last Inspection - Only 1~3/.5 JAIJ6WSu.-1 After Above Complete) ( PARTIAL INSPECTIONS Building Inspections MechanicallnsDections Plumbina Insoections Electrical Inspections -b. f I ts x L_ ".~~.=~...~~._..~...-._--- .-...-._,.:=;.~;;:..:.~=,..-=:;t'~~=:':'~--=--~:~~:::.;."" i I I '. 1.-.------.---..-----..---..--.-------.-.--=-.--.---.......-....-... _. ..' '. "" ... (i, r- txirl UOUk, , :._-,._;:>...<:~- ///.1 ( CYLd... .. / :;.'-, . 'Fct.-iIP ." ./ I .~I ",,' " ,.,/ / /:<:1 >'::"'~ , >;>":1 /" .. . ""::~ S,.Je tJ,,/ir;' Ij; fZS- 2-- QS q I PLANNING DEPARTMENT" APPROVED .. .!OATEOff/1rwclrr0...... '. \ ZONING -A~-"lON I BY IL . WVYl.0-__ dUA--O) ~tlnltl:alsJ FLOOD ZONE \ 01 ?< ',.... "1 ~ I1JJ.. : -SnJcr!:.JrJ"'J. II Uc . /:).:;..(. &, 5~nd...k.trd A-~~----' ~ 53S" E. UdieS"- A JI<., A/\a.k"">>1 ,m. q;).'g'ar;, n...-, r;? rl' HIST Ie DISTRICT REVIEW: / Sli)e stamo thi" a cia one on abov-s line SEE BUILDING PERMIT FOR ANY CONDITIONS - vt.e.W k7tfIC..{L 1,11 s ~ V0 ghrvwl /IU) IMCjLLe1 ~ Ii I <:T V1 0 cA tJ;>-V" ti'l-wn '76 i 1M --{r-un-l - TYPE OF PERMIT Blockwali/ Columns CITY' . DATE:. 4/22/2004. .JOB ADDRESS; 1226 E SANDALWOOD AVE LEGAL DESCRIPTION: N TR 1825 LOT 92 ;(ff.~~:0~~l:~~':.~,:~ f . J "!!ii,,,'> .(;~ r [;,~,"W'~\~;A. . '-"ai'A'.';"'.H' .EIM '-'~'-;~~~~ , . ~~)., ,-*~~~; ~?<~1;':':'''':'''{>1d'' ~~~$.~,_:':j,:~'- BUILDiNG DIVISION 200 S. ANAHEIM BLVD. (714) 765- 5153 INSPECTION REQUEST LINE: (714) 765 - 4626 CENSUS CODE: 434 QUARTER SECTION: 91 '"" . ".-/ BUILDING PERMIT NO,' BLD2004-01341 APPLICANT; NIAZ MEHR OWNER INFORMATION; . CONTRACTOR INFORMATION: ARCHITECT/ENGINEER INFORMATION: Nia:z: AMehr . 2535 E Omega Ave Anaheim, CA 92806 . . .. .' ., JOB DESCRIPTIONBlackwa1l'75Iin..ft. of 6" x 6' high wall. Per city standard. sp"c's. (HIH) VALUATION; 1,800.00 PROCESSED BY; PMK 1 OWNER:BUILDER,)ECLARATIOIiI .1 I hereby affirm under penalty of perjury that I am exempt from the- Contra(::toP~,::Licens~ Law for the. following reason (Sec. 7031.5 Business and . Professions Code: any city or county which requires a Perrnit to construct,:;tItE'~;f!mprOVe, demolish or repair any structure, prior to its issuance, also requires the applrcant for sUch,perr:nit to. file a, signed stat"emenl that he ls.lir;er.)5ed pursuant to the: prbvisionsofthe Contractor's LIcense taw (Chapter 9)(commen~ing with Sectio'n 7000 Of Division.3 of the Business and Profe'ssio(:S.Code) or that he is exempt therefrom and the basis forthe alleged. exemption. Any violation of Section 7031.5 by any applicant for apermit subjf,:ctsthe applicant to 'a 'civil penalty of not more than five hundred dollars ~?)~s own'~r of propertY. or my employeeS with wages 'as their ~le'c6~pe~:\SGltion, will do the work, 'and the structu~e is n~tintEmded o~ offered fo'r sale, (Sec.7044-Businessand Professions Code: The Contractor's Litense''-?:wdoes not apply to <:In owner-of property who,builds or i.mproyes ..thereon, _l:md who dOe:s,$uch work himself o'~ helSetf or mrough his or her .o~n~inployees, provided that such.improvenients ?Ire not. intended or offered for sale. If, however, tne bUilding',or improvement is sold with one ye~:fcf completion, the owner-builderwill have the burden of-proving that he did notbuild or improve for the purpose of sale). " ,1\., "',' . .' '." 0, l,as the owner of the property, 'arry exdusively contracting with' licensed t::Jntractof$'to cOrlstructthe'project (See. 7044 Business and Professions Code: The Contractor's License law doe not ,apply to 'an owner ofpropertyv;ho build$. or improves thereon, and w!1o -contracts for such projects with ~antradar(".). licensed pu.r~.lj'an 0 the C tractor's License Law). ',' ,1,arileXefnpt u .der Sec. . ;tf '(8 & P.C. for ~his reason: ate; _ 2;;g . .. Owner:. . 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 oon~nt to self-,insure fo'rworker'a;.ompensation, as- provided for by Se'ction 3700, of the Labor Code, for the performanre of th\3: Noii< f('lf which thispermitis~sued. . '. , ,',',' : " ' o I have and will, maintain workeris compensation il}SUrance, as required by f3ecticn 3700 of the labor_Code,'for the performance'of the work for which this permit ,is issL:e.:~. My'worker's Compensation, insurance carrier and policy are: Carrier: . Policy Nll:mber: LICENSED CONTRACTORS DECLARATI~ . I hereby affirm under penalty of perjury that I am ' licensed under provisiQnsof chapter 9 (commencing . with Section-7000) of Divsion 3 of the Business and Professions Cod'e. 4/22/2004 Date: . Contractor, NUMBER EXPIRATION DATE . . This section need not be compl,eted if th~ pannit is for one hu:ndr~ dollars. ($1 Q/J):?r less. o J certify tha~jn the peiiorrnance of the wprk for which this'permit is fssukd, I ,s~all not employ. any person in any manner so as to become s-ubjecttothe worker's.,cor~;pensation laws of Califom'ia, and agree that if I should become subject to the wo'rker' comp#n!5ation .proviSions_of Section 3700 of the Labo~ Cod~'I_,shal rthwith tom [ with thCj~"~ ~rovisions. Date: 4/22/2004' APPlicant:>!)..J ;1, . .'/f 'WARNING; FAILURE TO SECURE WORKER'S C MPENSATIONCOVERAGE is . UNLAWFUL,. AND SHALL SUBJECTAN'EMPLOYER TO CRIMINAL PENA,l':JES AND CIVIL FINES UPTO ONE HUNDRED l1-10USAND DOLLARS ($100,OOO),IN APt;j':'~ON TO THE COST OF COMP!"NSATION: DAMAGES AS PROVIDED FOR IN SECTION;JT06 OF THE I LABOR COD E, INTERES~~:;~~~7:'~:~~~~G AGENCY'~~~~ ' Il"!ereby affirm under penalty of_,perjury that there is a construction lendiriq;a9c;ocyfor the performance: of the work for which this'permit is issued (See.3097~Ciy.<:;):.~ ._--'-, ~ , I p.r'!!1~r's!rfcr:-:,-if6-:"': - . -". ':'. . '.. . '" -' ~ .- TYPE Construcion Types: VN, , Fire Sprinklered? NO I certify that I have read this application arid state that the a'bove intorina-tlon i~.- correct. I agree to comply_ . all city'ordinances and state laws relating to buildi_ngcC'mtruction, and herebY:;!J~hc:"~c'rep.._ .~ ~G G;'"\t~; ....;:;.:;..~ t:ie abo'.e iTI6::,t:,: 'j' .~:.;e;ty f0:- inspection pU}'pases. . ...ld . AI Date; 4/22/2004 S ,ature' of Applicant or Agent T\1e permit shall 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 com'meJ1ce or continue work. . Fee:s paid for Permit: Total: 0,50 . INSPECTION RECORD . . . INSPECTION . . DATE INSPECTOR Temporary Powe~ Po.le .... . ... '., Plumbing (DrainlWaste Pipe) . . . . Electrical Ground Electrode/lifer . . SelbacklFormslTrenches (FPlltings) .' .' DoOQUnstall subflPllr or pourfloor slab unt; I the -c- following applicable items have been signed: Plumbing (Water Pipe.Sprinkler Valves) Mechanical (Groundwork) . '. Electrical(UndergroundCondun) '. f>le,slab (Compaction/MeI1lbtane.Rei nt. . Underpinning (FICorJoist/Girders) .' Do not cover or conceal the worK below until the . following applicable items have been signed: . 1 st Floor Shear '. Firesprinkler: (Rough). 2nd Floor Shear. . . . '" Roof (SheathlnglDlaphra!lrnlFrame) Masonry (Rt,lnfJBond BeamlPre.Grout) . . Rough Phimbing fTop Out) . Rough Mechanical '. .. . . ~ Rough E1ectricallDry Wall) . . '. Rough Electrical. . ..' . Framing. (Only aft~r pJbg.; Elec.. Mech..and Fire,) . .' Insulation (SoundlEnergy). . Do not tape. or plaster until the following applicable : items ha"e been signed: .... .' . . . D~all . '. . '. PenetJ'atiol15 (Fire Rated) Electrical . . Penetrations (Fire Rated) Mechanical' . I'enetrations (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 Dale Inspector. Electrical Final. '. . . . Plumbing Final '. Mechanical .Final '. .' '. ' . Gas Test . . ..... .' Engineering/Grading Final 765-5126 . F.ire Dept. Final 765-4040 .' ." " Water Engineering 765,5268 , '.... Sub List/Business License 765.519 '. Zoning 765-5139 . . , . . .' '. Building Final '!fast inspedion.Oniy '. .' Iter Above Complete) . " PARTIAL INSPECTIONS Buildina Inspections Mechanical h1sbections Plumbiha Inspections' , ElectricallnsDections PERM\T EXPiRED. . . INSPECTION, . NOT COMPlETED".... .DATE:~,\~\6S-- S,,tcla Ip)~id Sf-. c;l'k~ THE ISSUA~CE OF THIS PERMIT DOES NOT APPROVE VIOLATION OF ANY OF THE BUILDING CODES OF THE CITY. THE HOLDER OF THIS PERMIT PROCEEDS AT HIS OWN RISK. '3u ,J. APR 2. 2 2004 E!UlkI:lIN(j [)IVI~ION OF ANAHEIM g{jJ ~ -0 ,fctr ~8~ 0 V t 'Fl.. Go Fl..~ "J~/) b(~ ~ of ~, Unit-ia.Il;:} REVIEW: a e . cle one on above line SEE BUILDING PERMIT FOR ANY CONDITIONS Add: I~P.{, e. S.,,,ck.IN8CJ ,4t1.A~C?IM I cA. 9:J. 'Fo$ ~f u %n:..ef -#: 073- 3'1lf -0 <5