1284 E. Vermont
',,;'J
/j{~:~}j,~]~?A ' .
;;/o~::#}'~./-- :-~ "~<",.;\ .
fJ;""!tf1d ',-\ ',; _:.> ~'i.l;-",\
IZr ""~~/ ~iNIlHEIM
\ '\:~:::-;'~r~}; )J .
't,~,_ J:,~~::";.i-KY jl
"S'-'" ><",)',",;//
";.tf:J.<~}~J:~'4,}:~f/
BUILDING DIVISION
200 S. ANAHEIM BLVD.
(714) 765 - 5153
INSPECTION REQUEST LINE: .
(714) 765 - 4626
CENSUS CODE: 434
QUARTER SECTION: 104.
BUILDING PER,.,IT NO. BLD200".04123
. ,
TYPE OF PERMIT"
. Blockwall / Columns CITY'
DATE: 11/12/2004
JOB ADDRESS: 1284 E VERMONT AVE
LEGAL DESCRIPTION: N TR 2259 LOT 7
APPLICANT: JOSEPHINE RAMIREZ
OWNER INFORMATION: CONTRACTOR INFORl\,;.4.TION:
Harold Ramirez
1284 E Vermont Ave
Anaheim, CA 92805
JOB DESCRIPTION: Build 13 lineal feet of 6 fool high block wall per city ~tanojards.
VALUATION: 312.00 '"
....J
. ARCHITECT/ENGINEER INFORMATION:'
PROCESSED BY: SAM
LICENSED CONTRACTORS DECLARATIO!!.,j
I hereby affirm, under penalty of ~rjurythat J am
licensed under provisions of chapter g' (oomri'encing
with Section 7000) of Divsion 3 of th~' Busin~_ss' and
Professions Code.
11/1212004
Date:
Contractor
NUMBER
EXPIRATiON DATE
. T~is section ne~ not be completed if ttu~ pennitis fur one hundred dollars ($1 qO};~ Ie$$.
~certify that in the perfonnance of the work for which this permit is issu~d',:!s.hall not" ,
rn' y any person in any manner so as t~ become subject to the ~orker's:dqm.l>'rensation laws
f C~ljfomia, and agree that if t should become subject to the worker's COr]"l~ztion
proyis,ions of Section 3700 ofthetaborCo~e,1 shall forthw~t~co' ~!,tht1:.~t~visions,
Date: 11/12/2004 Applicant: . .~
WARNING: FAILURE TO SECURE WORK 'SCO PENSATlONCOVE~l3f.!
UNLAWFUL, AND SHALLSUBJECT AN EMPLOYER 0 CRIMINAL PENf,L1IES AND CIVIL
FINES UP TQ ONE HUNDRED THOUSAND DOLLARS ($100,000), IN 1\[Jr1lfiON TO THE
COST OF COMPENSATION,DAMAGES AS PRO\(IDED FOR IN SECTIQN $706 OF THE
LABOR CODE, INTEREST AND ATTORNEY'S FEES.
CONSTRUCTION LENDING AGENCY
I t'!~reby affirm' under penalty oJ perjury that there is a construction Jel}iing ag~ncyfor th~.:.
performance of the work for whim this permit is issued (Sec;.,~'7 .Ci'/:C): ',,_ 'i''-~-~.f.~';:~
Lentiersloronnanon: .
TYPE
Construcion Types:
VN, ,
I certify that I have read this application and state that the above information is correct. I
agree to comply-with all city ordinances and ~tate laws relatinQ to bu>>cnng construction,_ and
nereby authorize representives of this 'city to enter upon the above mentioned property for
insp n purPoses.
';6:.: - Date: 11/1212004
ignature of Ap lieant or Agent
The per t shall expire by limitation and b 0 null and void if the building or .
work has not passed fi nal inspection 365 days from the elate of permit issuance. A
new permit is required to commence or continue work.
Fees paid for Permit:
total:
125.79
.,
INSPEC1"ION RECORD
... . .. . .
. INSPECTION DATE . INSPECTOR
Temporary Power. Pole . ..
Plumbing (DrainIWaste Pipe) .
Elecirical.Ground Electrode/lifer.
. SetbacklFllI'msfTrenches (Footings) . l'Ualb6 .:
Do not install subfloor or pour floor slab until the . -
following appli.cable items have been signed:
Plumbing (Water Pipe.Sprinkler Valves)
Mechanical (GrOlindwork)
. I Eiedrical (Underground Conduit)
I pre-slab (r.;ompactionlMembrane.Keim.: ..
Underpinning (Floor Joist/Girders)
.. i l.lO not cover or conceal the work bel.ow until the .
following applicable items have been signed: .
1st Floor Shear .
Fire$prinkler (Rough) . .
2nd Floor Shear i
Roof (Sheathing/DiaphraamlFram!!) ",I .;
Masonry lReinfJBond BeamlPre-Grout) /--/5-<6 -, '"
Rough Plum~ng (Top Oot). ).
Rough Mechanical . . . \ ..-/
ROugh BectrlcallDrv Wall) . .
Roogh Electrical
Framing (Only after Plbg., Elec., Mech. and Fire)
Insulation (SoundlEnerav)
po not tape or pla~ter until the following applicable
.tems have been sIgned:. .
Drywall . , . .
Penetrations (Fire Rated) Electrical
Penetrations (Fire Rated) Mechanical .
Penetrations (Fire Rated) Plumbing
Interior. Lath
Exterior Lath .
. , GENERAL ITEMS
Exterior Plaster (BlQWn Coal) . .
T -Bar Electrical .
T,Bar Mechanical
T -Bar Strudural .
Sewer . . .
Water Engineering Backflow . . ,
Water Service
FINAL INSPECTIONS' Dale . Inspecior
Electrical Final .
Plumbing Final .
Mechanical Final . ..
.Gas Test. . .
. . .
Engineering/Grading. Final 765-5126. ., ..
Fire Dept. Final 765-4040
Wat~r Engineering 765-5268 ,
., .
~ub List/Business License 7.65-519' . ..
2:oning765-5139 . ; b . :
Building Final ~astlnspecljOn' Only ~I '\.lIt;.:: AI. J\ ./'
. ~ fter Above Complete} __ '0.
. .
PARTIAL INSI'ECTIONS
Buildina Inspections .
. Mechanical Inspections
PlumbinQ Inspections
Electrical Inspections
(p1!,J
b~J;.
bf:-
D'~III(1.-lof
-~r I
vv
---1
c- x:d(.l(t~ ~ 0
---/~~
17'
(];(offa{~ ,
I '
. r.'1 1'-.:
I r ';: ,
~,'I It'
&DOf' i ,bi
(' I d<
jfll:j I d !
I . !
I ! I
I i
I !
I
,
i
i
17 (
f~IO{"M{)J)
-L.--_--.r. .
I
/ EY~S r
I/o lf~ L-
1__
'l
,
---
-
!l ctJ~~! ~ "
/ :2 ?j k# }:::. VeJZ ;17 c rv-f-
It 1) ;:; tf12/ /:'L
1'HE ISSUANCE OF THIS PERMIT DOES
NOT APPROVE VIOLATION OF ANY OF
1'HE BUILDING CODES OF THE CITY.
THE HOLDER OF" THIS PERMIT
PROCEEOS AT HIS OWN RISK,
NOV 1 2 Z004
BUILDING DIVISION OF ANAHEIM
APPRO,.YED
l?\D?a'j.\,-Ol\l'2?BY ~~
-----------~
>/
'-=-!
-, !
,
~-
---------
.~
_-I
_---~~.,.,..-,.';:'i1 \
\ 0\ f ,.",,\,:,-; . ,.. ;,1,,", I ,,'-'
/7' ,\....hl\-Il",_.~-':-_ ~....,.,~ ~
/IJr f';::F ,~,.'\ ;:,.1 \
\ r..~r \\~ (?-...O_~ i
\ "",c__'~:'@?:\ \,
\ E Y ~-----'--;J 1.;...:..-:; \
\ Fc.v'VC' z.')':"-~"-'-'-- \
. . I
\ hl"::;~ ~:"r:, .. :
\ \ /, ," ~ - ,__ t
" -'d-<< ~~' . :c.'' .!. ;"C,~ \
'I c-,- , ",'...i..... ,....' " \
,-' ~ C- "~.:'; .:.; '-('~ ., :~~~__._~~__J
~-t)\L- -0 C00 V- '^"" \ I