125 N. Lindsay st.
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TYPE OF PERMIT
Blockwall/Columris
DATE: 5/24/2004
JOEl ADDRESS: 125 N L1NDSAY ST '
, LEGAL DESCRIPTION: N TR 1851. LOT 36
CITY
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BUILDING DIVISION
,,-':lbO S, ANAHEIM BLVD,'
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(71M 7GS - 5153
/f'lSPEGTION REQUEST LINE:
(714)765-4626
CENSUS CODE: ' 434
QUARTER SECTION: 39
BUILDING PERMIT NO. 'BLD2004-01953
APPLICANT: MARTIN MACIAS
OWNER'INFORMATION:,
Martin Madas
125 N Lindsay St
Anaheim, CA. '9280'\
JOB DESCRIPTION: Construct 68 If x 6'bloqk wall per city specs,
VALUATION: 1,632,00 PROCESSED ,BY' MJF
L,,' , ,',' ' OWNER-BUILDEF.DECLARATION', ,', " ,
I he.reby-affirm {mder penalty of perjury that I am exempt from the Con'trac:t("~<:;Licel1se taw for tr.e following reason (Sec. '1031;5 Business and
P.~f~ssions Code: any dty or county which requires a perm'it.to construct'-a~'~r, im'prove, demolish or repair any structure, plior to "its issuance, al,so ~'
requires the applicant for Such permit to file ,8 signed statement th~t he is lic.tnsed pursuant to the provisions of the Contractor's License Law (Chapter
9)(c6ml11encing with Sedion 700Dof Division 3 of the Busine$s and Profess.ibns Code) or that-he is exempt therefrom and the, basis for the alleged"-
7:t~tion-- Any violation ofSeclion7031,5 by any applicant for a permit sutlects, t~e,apPli?ant to a civil PE>nally pfnolmore than flve hundr, ed dollars
.t:ju~, ~s owner of property, or my employees w1thw~ges as thei~- sole cCM~if.n~ation, will do the work;,anct the. structure is n~t intended or offered for
:,ale,<$ec. 7044 BUSiness_and Professions Code: The Contractor's-LicensU:'~;tW,doe_s not apply to .an owner of pro perty who bUilds or,improves
thereon, an~ who does such work himself or herself orthrough..his or her ov!h elniployees, prqvidedth2ltsuchimprovements-arenqt intended or-
offered for S21le.~' If, however; the build-.ingar improvement is'so'ld with one Y4">r of oompietion, the,owner-builder will have the burdel1 of proving'thath~
did no.t build.or improve forthe purpose of sare): _1_ _ .
o 'I, as the oWner of the property, am exdushr.~ty contracting with lic.el1se~,;oontract6rs to construct the project (See 7044 Business anq Prof~~ions .
- Code:. The Cqiltractor!s license, Law does noti;lpply,tp_.an owner ofprope:rt'l\v~o builds or improves thereor;, and who co'ntra~ts for sudl projectSw:t:h .
Bontractor(s) licensed pursuant'~o the ContradfOi"~,_hh~,,~~~:aw), '. j' .'" _. _ . .,.'
.laO)ex m unoerSec::, . '. ,:. forth.i.lJre q; 'L- -, ...".. , . - _.~
kgate: "Owner: . .'~.
, ',,' ..' WORKER'S MPENS ON DECLARATIOr'I'" '. t~--.l '
,I hereby affirm ,under penalty of perjury one _of the following declarations: ~. . . .
o I-have and will maintain a c_ertificate'of consenlto self.irisureforwor~\e~:scompensatic;::n,-
as provided forbySection3iOO'of the Labor Coee, for the'performanre'oft:':.t:. V!t)rK for w:tich
this permit is Issued. _.,' -' !.
D I'have and wi.ll maintain wqrker's compensation insurance, as re_quirecf t:,'; Se&tio'rt370u-of
the Labor Code, for the performance of the work for which.this permit is 1S5;J~d., Myworker's
Compensation insUrance carn_er and pOlicy-are: - . ~
.Carrier~ .' ' P~Ucy ~umbe.r. _ j .
Thjf:sectlonne~d not be ,compJete.difthe pennit is tOr one hundred,d91l~s ($10~f~,C!r'les$; ,.':; TYPE
B 'I c.ertify that i~ the ~rfofT!1ance'ofthe_work f9r which this permit,is i~~i;:t,J Sh~lih-6j;.';. _'
employ any person in any manner $0'215 to become subject to the vyorker's c:{:mp~n,satiorf laws
of California" and agree thatifl shou.lc:t become subject to thewort<er.'sconw-':!1S~tion<\'
provisiorysof Section 3ioq of the' La bot Code, Is' ith co~pl~'wj ~;~Is~provisi~~_s.
CONTRACTOR INFORM.I,\TION:
ARCHITECT/ENGINEER INFORMATION:
UC.ENSED CONTRACTORSDECLAI~P'-90N ,', I
I hereby aft'irm under penalty:lf perjUlY that I ar:n
licensed under provisions of chapter 9 (comr.nencing
. :~ith Se"ction70pO) of Divsiofl 3 ofth.e BUSiness and'
Professions Code,
5/24/2004
Date:
Contractor
NUMBER
EXPIRATION DATE
. ~.~-
Date:' 5/2412004 Applicant: ,~'?,.
WARNING: FAILURE TO SECURE W K R'S C PE, ATION (; VEf':,GEIS ~;"
UNLAWFUL, AND SHALL SUBJECT AN EMPLOYER TO CRIMINAL PEN;-LTIES AND"CIVIL
.- -. ,-', ,'!,'
FiNES UPTO ONE HUNDRED THOUSAND DOLLARS ($100,000); INAD['P10N 'TO-TftE
COST OF COMPENSATION, DAMAGES AS PROVIDED FOR IN SECTIC~' }!06 OF THE
LABOR CODE, INTEREST AND ATTORNEY'S FEES, . :,:;-': ",",
I CONSTRUCtiON LENDING AGENCY ,:."
I hereby affirm under penalty of perjury tha~ there ~ a cqnstructidn lending ~:~eric;Y:forthp.>
. pertor,mance of the work for which this permit-is issued (Sec:309.7.Cw.C): ; , -.
,_,~ ~..--ICr'~_I,..._4'~~~:,~:<:,!>:~~.__ . ______ __,_..;~
Construcion Tv~es:
VN, ,
I certify that I have read this a ppiicatiori and s.tate that the above ,information is correct. I
agreet9 comply'with all city ordinances and state laws relating to building cl.'nstruction, and
hereby authorize rep sentiveS of.this . er upOn the above mentione(l property for
in ection
Dab: 5/24/2004
Fees paid for Permit:
Total:
0.50
gn re of Applfcant or Agent ,
,The perinit 5 all expire by limitation and become null and void if thO' building or
, wo.:k' has 'not passed'final inspection 365 days from the date of perrilit issuance. A
new permit is required to commence or continue ,work.
. INSPECTION RECORD
INSPECTION . ... ~ATE . INSPECTOR
: .'. .... ',. . . , .
Tempotary Power Pole . . .'. ....
Plumbing (DrainJWaste Pipe) . . . . .'
Eleciriciill GroondElectrodefU(er . , . .' .'
Selllack/FormsrrrenChes (Footings) .' ~ . .
DO not installsUbflootor,pOl:Jrfloor slab until the. I '.
fOllowing applicable items have been signed: " .'
Plumbing (Wat"r l"ipe,Spril'lkler Valves) . . , .
Mechanical (GrOundWorkl. "'-" .' . .... ,
!:lectrical (Underground Conduit) . .' .
P",-slab (~ompactionlMembrane.Reinf.
Underpil'lning (RoorJciistlGirder$) '" ,: .
.lXll'lbt covet or concealthe work belOW until the .' ,
'folloWing applicable items have been signed: .. .
, 1 sf Floor Shellr . .' '. . : '.
RlBllPrinkler (Rough) , . '.
2nd Floor Shear' . ',. .. .
.ROof (SheathII1!llDiaphragm'Frame) . ,..' > . .
Masonry (RelnfJBond BeamlPr&-Grout) 1(/"'" '/
R"ughPlumlling (Top'Out) . . ,,"1 .',
Rougl!Mechanical . .' r.
fl/)ugh 6ectrlC" (0f0I walll ,'.
Rough Electrical ,.'. . --:-:',-.
Framing (Only aft~rPlbg.,Elec.. MeG.h.. and Fire) . .
InllQlaticm(StllindIEnergy) . : . . .
Do not tape or.plaster until tile followlng'applicable "
i.lems have been. signed::. , . .'. '. .'.
DrYwall, .. .' , ,
'.
Penetrations (Fire' Rated) ElectHcal :-c
Penetratl'ons(Flre Rat~d)Mechanical.
PenetratiOns (Fire RiIled) Plumbing
InteriorL.ath , . ". . . .
Exterior I,.ath . .'. .:". ,
, '.' . GENERAl,. ITEMS . .
Exterior Plaster (Bl'lM!n Coat) . . '.
T .Bat Electrical ,. .
'T.Bar Mechanical ". . ' '.' . . . . '.' .'
T .Bar Structural " .' . '.
S.wet'. .' : . . . .
Water Engineeril'l!l BackfJoiN ,
.'
Water Service
.. . .
FINAL INSPECTIONS.'.
Electrical Final
Plumbing .Final
Mechanical Final
Gas Test
,Engil'l88riilglGrading FinamS-5126
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. .'. .
Fire Dept. Final 765-4040
Watet El'Igineeting 76.5-5268
Sub 1..i~tlBusine!,s I,.icense 765~519
. Date >/nspector
ZOI'l,ing 765.5139
Building Fin~1 (Last inspection- Dilly
. " . ,After Abav.. CampleteL
\11;C<J<1.--
. PARTIAL INSPECTIO~S .
BuiJdina..lnspections
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. Mechanical Inspections
PlumbiriQ Inspections .'
....
Electrical InsDections'