122 S. Walnut St.
DATE: 3/8/2005
JOB ADDRESS: 122 S WALNUT ST
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BUILDING'DIVISION
200 S, ANAHEIM BLVD,
(714) 765- 5153
'INSPECTION REQUESTLlNE:
(714) 765 - 4626
CENSUS CODE: 434
, QUARTt:R SECTION: 63
BUILDING PERMIT NO. BLD2005-00523
TYPE OF PERMIT
Residential Remodel
LEGAL DESCRIPTION: TR 131 LOT 9 BLK ASL Y46,34 FT
APPliCANT: AMADOR CASTRO
OWNER INFORMATION:
CONTRACTOR INFORM,\TION:
ARCHITECT/ENGINEER INFORMATION:
AMADOR CASTRO
JOB DESCRIPTION:Convert bonus room to a bachelor unit
VALUATlo'N:
;~
PROCESSED BY: MSM
OWNER-BUILDER DECLARATION
I hereby a irm i.mder penal 0 perjury that I am exempt ,rom the ontradc't5 License Law for the. allowing ~eason ( ee. 7 31.5 Business and
Professions Cod.e:-any dty or county which requires a permit to construct, a~.tei'. im9~ovs, demolish. of repair any structu~e, prior to its issuance, also
requires the applicantfor such permit to file a signed statement thathe is lidnsed pursuant to thepi'Ovisions of the Contractor's License Law (Chapte'r
9)(commencing with Section 7000 of Division 3 of the Business a no Profe5s~ons Code) or that he is ,exempt therefrom and the baSIS for th~ alleged
exemption. Any violation of Section 7031.5 by any applicant for a oermit suf!je:::t~ the applicant to a civil penalty of not more than five hundred dollars "
($500), ",. \', ' , ' ,
~~ as owner of property , or myemploYE!es with w~g~s as their sole comf;,ensatior:, will do the work, .and the structure is not intended f?r offered for ' "
sale ,(Sec. 7044 Business,and Professions Code: The Contractc;>r's Licensu';_;~w does nnt apply to an oWr)er of property who builds or improves.
~hereon, and,who does such work. himself or herself or through hiS or her 0'.',',:'1 employees, provided that such improvements are not intended or
offered for sale. If; however, the building or improvement. is sold with one y,jz:.r of :::ompletiolJ. tRe owner-builder will h~ve the burden of proving that he
did not bu.j!d or improve for the purpose of sale). ,: .
o 'I, as the owner of the property, am exdusively cohtrac):ing with license<ro,Xmtractcrs to construct the project (Sec. 7044 Business and Professions.
Code:" The Contractor's Liqens'e Law doeS not apply to an owner of prOpE"lt,;; ........ho bui:c!s or improves thereon, ,and who oontracts for sudl projects \...'I!:h
/i-!iontr~ctor(s) licensed pursuant to_the Contractor's License Law). .
U I am exempt under Sec. _, & P "C. for t. re?sgt:lj::7-
Date: - -0 Owner: co
WORKER'S COMPENSATION DECLARATION
I hereby affirm under penalty of perjury one of the fOllowing declai'atlon.s:" 'j
~ve and' wil'"maintain a certificate of consent to selt':insure for worke~'s compe~sation,
/.as provided for by Section 3700 of the Labor Code, for the performance OfT:'':; \'i,)n( fo,!" INhich
this permit is issued.'. . l ,', " "
o I have and will maintain worker's, compensation insurance, as required !.i-; Section 3700'of
the Labor Code, for the performance of the work for which this permit is !5SL;~d: _My worker's
CompensatlOn insurance ca-rrierand policy are: .
Carrier:" Policy Number.
This section needlJot be cOmpleted ifth~ pennit is for one hundred dollars (5106 or I~S.
, ' '-" ;.
rtify that in the performance of the work for which this permit is is.c;L'Pd,"! shall "not
e oy any Person in any manner soas,to become Subject to the worker's (';ojmpensation laws
f Califomia,_,and agree that _if Ishould,b.ecome subject to the worker's comper'~ation
provisions of Section 3700 of the Labor Code, I shal~forthwith comply with tt'.cs~ provisions.
Date: 3/8/2005 Applicant: ~:l;70~ ~ <) /"/0 ' , >
WARNING: FAILURE TO SEcu~6oRKER'S COMPENSATION COVEI<AGE IS
UNLAWFUL, AND SHALL SUBJECT AN EMPLOYER TO CRIMINAL PENA.:rlES AND CIVIL
FINES ljPTO ONE HUNDRED THOUSAND DOLLARS ($100,000), IN ADDITION TO THE
COST OF COMPENSATION, DAMAGES AS PROVIDED FOR IN SECTION 37060FTHE
LABOR CODE, INTEREST AND ATTORNEY'S FEES, "
CONSTRUCTION LENDING AGENCY " ,
I hereby affirm Under penalty of perjury that there is a constru'ction'lending a,}encyfor the
performance of the work for which this permit is issued (Sec.3097 "Civ.~:a:_----,," . "
Lende"rs Intormation:
'I
L1CENSED'CONTRACTORS DECLARATION ,I'
I hereby a Ini1 tinder penalty 0 perjury that I am
licensed.u rider provisio!ls of chapter,.9(ccmmencing "
with Section 7000) of Divsion 3 of the BuSIness and
Professions Code.
3'8/2005
Date:
Contractor
NUMBER
EXPIRATION DATE
TYPE
Construcion Tv~es:
VN. . '
Fire Sprinklered?
NO
I certify that I have read this application and state that the above informatton is correct. I
agree to comply with a]1 city ordinances and state laws relating to building construction, and
hereby authorize representlves of this city to enter upon the above mentioned property for
in ecti~n purposes. 'e;. >_. .
''/:/P1eP ~,' ~'~ ? e , Dal.:3/8/2oo5
Signature of Applicant or Agent
e permit shall expire,by limitation and become null and void'jf 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. '
Fees paid for Permit:
Tolal:
356,54
INSPECTION RECORD
INSPECTION , DATE INSPECTOR
Temporary Power Pole
Plumbi ng (DrainlWaste pipe) ,
Electrical Ground Electrode/lifer ' ,
SelbacklFormsfTfenches (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 (CompactionlM8Il!brane.Reinr.
Underpinning (Floor Joist/Girders)
Do. not cover or conceal the work below until tne
following applicable ilems have been signed: . ,
.1 st, Floor Shear
Firespri nlder (Roug h) . .
2nd FI.oor Shear' . , . .
Roof ISheathilKllDiaphragmlFranel . I
MasOnry (ReinfJBond BeamlPre-Grout) .
Rough Plumbing (Top Out) .'
Rough Mechanical ~ I
Rough l:IectrlCallury ...."1 -
Rough Electrical /
Framing (Only after Plbg.. Elec.. Mech.. ~nd Fire) 'I/7/aS- ;r
Insulation (SoundlEnergy) . , . . .r
Do not. tape or plaster until the following applicable
items have been 'signed: ': - -' . .
Drywall' 1'1/?-0s' /'
Penetrations (Fire Rated) Electrical . . /' I
Penlitratlons (Fire Rated) Mechanical . . .
Pl!Iletrations (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
Wat"r Service
FINAL INSPECTIONS
Electrical Final, ..
Plumbing Final
Mechanical Final
Gas Test
Engineering/Grading Final 7,65.0126
Fire Dept. Final 765-4040.
Water Engineering 765-5268
Sub List/Business License 765-519
Zoning 765-5139
Building Final (Last Inspection- Only' 'Ij,.
, Mer Above Complete) 71v
PARTIAL INSPECTIONS]Xr
Building Inspections'
Inspector
Mechanical Inspections
Plumbina Inspections
, Electrical. Inspections
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T!-'P: !SSUANCE OF THIS PERMIT DOES
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MAR 0 7 2005
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BUILDING DIVISION OF ANAHEIM
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