300 S. Laxore
aUILDING PERMIT NO. BLQ2004.02427
TYPE OF'PERMIT
'~lockwaIlIColumns CITY
DATE: 611412004'
JOB ADDRESS: 300 S LAXORE.ST
LEGAL DESCRIPTION:' N T~ 2655 LOT 55
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BUILDING DIVISION
200 S. ANAHEIM BLVD.
(714) 765" 5153
INSPECTION REQUESTLINE:
(714)765" 4626
CENSUS CODE: . 434
QUARTER SECTI.ON: 13
APPLICANT: SONORA DE VANCE
OWNER INFORMATION: ' CONTRACTOR INFORJv.hION: ARCHITECTIENGINEER INFORMATION:
Sondra Vance
. 300 S Laxore St
Anaheim, CA .92804 , ' . '
JOB DESCRIPTIONl>uild new 71 lineal It of Blockwalk 6ft hi9h per City standar!s,
VALUATION: 1,704.00 PRCCESSED BY: HRO
I OWNER.BUILDER"DECLARATION,': I
.J hereby ,affirm under penalty.of perjury that I am exemptfromlhe 'C.ontracton~ License Law fot the following, rea~on (Sec. 7031.5 Business and
Professions pode: a'ny dty or county which requires a permit to canstruc,t, 'a~~<!r,. improve, dem6lisho"r r'ep?ii"'any structure,' prior to its iSsuance, (:1150" .
requires the applicant for such permit to fllea signed statement that he is H?t>:lsed pu'rsuant to the-,provisions of the Contractor's License law.(Chapter .
9)(commencing with. Section 7000 of DiviSion 3.of the Business_and PrcfF:ssivr.S Codel.or~hat he is-exempt therefrom an~ the basjs ,for the 'alleged .
exemption, Any violation of Section 703:1.5 by any applicantfor a pf:::rmitsub" .~~cts the appliGant to a dvil pena,ttyofnot more than five hundred dollars'
~O?)~s' o~.n.~r 01 p~operty, or my employees wil~ wages as. their $0. I,;comp,"sation, Wi;1 dot~~ wor~. 'a~d. the stru. ctur~ is no, t intended ora. ffer~~"fof .'
~(Sec. -7044 Business and Professions Code:, The Contractor's License law does not apply to a"n owner of property who builds or improves ,
thereon" a(ld.who ,does sum wOrk himself or herself o,r through his or her OWn employees, provided that such improvements are not interi~fect or. , ' .
. offered for sale. If.however, the building or improvement is sold with one ye:l. of completion, thE? owner-builder will have the. burdenof proving that he.
did not build or improve for the purpose of sale). . . , .'\,
o ",I, as, the ownl;lr ofth~ property, am eXdusively' contm~ing with licenser. :~.~:Jt"actors,to construct,the project (Sec. 704:4 BusineS~s and Professions
Code: -The Contractor's License .Law oes not apply to an owner' of property :'(ho builds or i~proves thereon, <'lnd whooontracts,for sum projects-With
~Qn.tr.adOr(.S) licensed pursuant-t<)-t Contractor's_licenseLa)..' ' ' .
I am exempt under Sec. " fa
Date: 0 -"( -'O'f Owner: }
. WORKER'S CO ENSATION 0 C RATION .____
I hereby affirm under penalty"6f perjury 0 ofthe following declarations:
o 1 hitve and will matnt~in a certificate of oonsent to self~insure for worker':.~ cotnp~~sation,
as provided for by Section 3700 of the Labor Code, for the performance of th,~work: forwhich
this permit 'is iss.ued~
o "haye and will maintain worker's compensation lnsu~nce, as required b~' S.ection 3700 of
the labor C.ode, forthe perfohnanc-e'of the work for which this ,permit, is j,ssl.l.;:d. My wprker's
CompenSation insurance carrierandpdliey are:
Carrier: Policy Number::
I I
LICENSED CONTRACTORS DECLARATION
j hel"eiJy Z!ifinTi undor p~n.altl of perj~I)' t'1:3t I am
licensed under provisions of chapter 9 (commencing
with Septicin7000) of Divsion 3_of the Business,and
P.rofesSions' Cod e. '
61141.004
Date: Contractor'
NUMBER
EXPIRATION DATE
,This section need not be completed; if the p~nnit i~ for one hundr~,.do'!ars,($.1~1j, Or less,_.
'0' certify that'in the: performance of the work for which this permiUs .i~ue,j, I shein not. .
.. employ any'person-in any manner so as to become subject to.the workets-;:;cm!13ns,~tlon laws
of California, and agree:.that if I should 'comesubjed to theworker's com~'f'~-a_ti~,n
proyisions,of Sectior}' 3-700 oft-hoe l~bo G>de, I. hall fo ply .withthase prr;j\iisions:<..
Date: ,611412004 "Applicant:
WARNING: FAILURE TO SECURE
UNLAWFUL, AND SHALL SUBJECT EMPLOYER TO CRiMINAL PENALTiES AND'CIVIL
FINES UP TO ONE HUNDRED 1HOUSAND DOLLARs ($100,000), IN'ADDl1loN TO THE
COST OF COMPENSATION, DAMAGES AS PROVIDED FOR INSECflON 3706.0FTHE
LABOR CODE, INTEREST AND ATTORNEY'S FEES. ::'
I 'CONSTRUCTION LENDING AGENCY.
Ih~rebyaffirm under penalty of perjury that there: is a constructi(}r:trencf1nij cqE{:~y'fqr,the.. .
}-'t::,..fvIIHd:IIQ, vf~[11; JV~i" iul Wilili, mis penna is iSsU~d (Sec.3wi .Civ.GJ: .,--~----" "-~~<
, Lender's Information: . ,
TYPE
Construcjon Types:
VN, , '
Fire Sprinklered?
NO
.~-.:.' "- ".
, ,,' , ' -'
'lcertify that' have read this application and state that the above information is correct. I
agree tooomply with all city or~inances and- state law$ relating to building construction, and
. he y authorize represen~ives of this city toenter.upon the'above mentioned property for
~on .pu ses.
Date: 6/14/2004
Fees pai~ for Permit:
Total;
101.93
u f P. can orAgen
Th ermitshaJl expire liy limitation 'and become null andvoid if the building or
'work lias not passed final inspeCtion 365 days from the date of permit issuance. A
new permit is required to commence or continue work.'
INSPECTION RECORD
..... ' . , INSPECTION . . DATe INSPECTOR
T einporary Pow.r- Pol.. . '.' '. . . ..
Plumbing (DrainIWast. Pip.) '. . . '
. , ehlctrij:a/GrciUnd Electrode/Uter ,,'. ' ,
'. ' SelballklFormsfTrenChl!S (Footings) 'l,.'\~ Vin.L _ ' .
Do nOt install subfloororpour floor slab until the. .
: following applicable'items have been signed,: "
, Plumbing (Water Pipe.Sprinkler Valves) .
Mechanical(GrOUndworl<) .', ',' . , . , ,'.
Electric;al(Undergrounll Condu it) .. .
. Pte-slab (C(lItlf)alltioniMembrane.Reinf. , '.
:, Unclerpinning (F100rJOistlGirtlers) ,.' . .
Po. not cover 0' conceal the work pe,ow until the .
'following applicable items have beensign~d: " ,
; 1$tFloo.r Shear ','"
Fil1lsprinkler. (Rough) " . .' .
, 2nd FIOC)r,Shelir' ' . .
. Ri:!of (Sheathing/Diaphragm/Frame) ",
--
M3$onry (Reinf./Bond BeamlPre.Grout) ""
. Rough Plumbing (Top Out) . . ,
Rough Mechanical ' : .
Rough ElectrIC ,'walll,
"
Rough Electrical .
. Framing IQolyafter Plhg.. Elec...r"lech and Fire) . .
In,sulation'($ou1ldlEnergy) '<
00 not tape or plaster ,until the fo/lowiRg applicable .'
items have been signed: . , ,,' -', '.
Dryyiliil : '. " " , ' .
Penetrations (FiteRated) E,lectrical '
penwations (fire Rated) Mechanical '
Penetr;lians (Fire Rated) Plumbing . , .
Interior Lath .... , ..'.', .. .
I Exterior Lath -- '" . , .. '-- '
',,: ' GENERAL ITEMS
EicI.tior Plast.r (BlOWn Coat) .' ' '.
,T -Bar EI.ctrical. .. , ,
'. T-Bar Mechanical. , " ,
: T-Bar Structural" , , ' . , '
S~.r " , . ..' ..' , ,
Water Eriglne.ring BackflolN . :
. Water Servic,,' -'
'-"',-. " .'
flNALINSPECTlONS '
Electrical Final
Plumbh,g ,Final
Mechanical Final
Gas Test
Engine!iringlGrading Final 765-6126 ,
Fire Dept Final 165-4040
Wat.t Engineering 765:5268
Sub Lisl1Business License 1SS;5,19
Zoning 765'513~
Building Final [La'tln,pectic'n, Only
. . " 'After Abov,e Complete),
.'PAlnJAL INSPECTIONS.
Buildinolnspections
Inspector
Date,
,~ .'. . .
. Mechanical Inspections .
. '
Plumbincrlnspections
. Electricaf fnspections