149 S. Linhaven Cr.
TYPE OF PERMIT
Blockwall/Columns CITY
DATE: 411512005
JOB ADDRESS: 149 S L1NHAVEN CIR
LEGAL DESCRIPTION:N TR 14697 LOT 44
ElM
BUILDING DIVISION .
200 S. ANAHEIM BLVD.
(714) 765 - 5153
INSPECTION REQUESt LINE:
(714) 765 - 4626
CENSUS CODE: 565 .
QUARTER SECTION: 40
BUILDING PERMIT NO. BLD2005-01054
. APPLICANT: MARILYN MENDOZA
OWNER INFORMATION: CONTRACTOR INFORMATION: ARCHITECT/ENGINEER INFORMATION:
JesU~ Mendoza
1495 Linhaven Cir
Anaheim, CA 92804
JOB DESCRIPTION: Build 52/1neal feet of 6 loot high block wall per city standard.
VALUATION: 2,000.00 PROCESSED BY: SAM
I OWNER-BUILDER DECLARATION . . I
I hereby affirm under penalty of perjury that I al)1 exempt from the Contractor's License Law for the following reason (Sec. 7031.5 Business and.
ProfessionS Code: any City or countywhich,'requires a per\TIit to construct, alte~, improve, demolish or repair anystructure, prior to its issuance,aJso
requires the applicant for such permit to file a signed statement that he is licensed pursuant to the provisions of the Contractor's License Law (Chapter
9)(commenting with Section 7000 of Division 3 of the 8usinessand Professions Code) or that he is exempt therefrom and the basis for the alleged
exemption. Any violation of Section 7031,5 by any applicant f<?r a permit subjects the ~pplicant to a civil penalty 01. not more than five hundred dollars
~ . .
I, as owner of p'r'operty, ()! my employees with wages ~s their sore compensation, will do the work, and the structure is not 'intended or offered for
'~ c. -7044 Business and Professions Code: The Contractor's Ucense Law dOes not apply to an owner of property who builds or improves '
t ereon, and who does such work himself or herself or through his or herown~!mproyees, pr:ovided t~at such improvements are not intended-or
o ered for sale.- If, however, the building or improv~ment is sold with one yearpf completi,on, the owner-builderwill have'tHe burden of proving that he
did not build or improve for the purpose of sale). : " ,,'
o l, as the owner of the property, am exclusively contracting with licensed c6ntracto(~, to construct the project (Sec. 7044 Business and Professions
Code: The Contractor's License Law does'not apply to an owner of propertywno builds or imprbve~ thereon, and who co,ntraets for such projects with
~ontractor(s) I,icensed,pursuannot Co trac r's Li,ce L,.aw). ' . .. ,
U. I am exempt.under Sec. . . for th 0 :
Date:' Owner:
WORKER'S C PENSAl D CLARATI
I hereby affirm under penalty of perjury one of the f I wing declarations: .
o I. have and will maintain a certificate of consent to self-insure for worker's ci~mpensation,
as provided for by Section 3700 of the Labor Code,. for the pertor-mance of the workforw6ich
thi~ permit ,!s issued.
o -I hav:eand will maintain worker's compensation insurance, as required by Seqtibn 3700 of
the' Labor Code, for the performanc_e of the work for which this permit is issued. My worker's
Compensation insurance carrier and policy are: - ,
Carrier: Policy Number.
This ~ection need not be completed ,if the pennit is for one hundred dollars ($1 00) Ol: lesS.
certifY. that in the performance of the work for which this permit is issu~d,1 shall not
I y any person in any manner so'as to become subject to the worker's compensation laws
f Calif()mi~, and agree that if I should ecome su 'ect tothe worker'cpmpenSation
ovisions of Section 3700 of the Labo de, Ish' J 19 j campi with those_provisions,;
LICENSED CONTRACTORS DECLARATION
I hereby a irm under penalty of perjury that I am
licensed under provisions of chapter 9 (commencing
with sect)'ion7000) of Divslon 3 of the Business and
Profession C'14
4/15/2005 bL
Date: Contractor
NUMBER EXPIRATlON DATE
TYPE
Dale: 4/15/2005 Applicant:
WARNING: FAILURE TO SECUREW VERAGE IS
UNLAWfUL, AND SHALL SUBJECT LOY TO CRIMINAL PENALTJES AND CI VIL. .
FINES UP TO ONE HUNDRED THO SAND DOLLARS ($100,000), IN ADDITION 10 THE
cost OF COMPENSATION, DAMAGES ASPROVIDED 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 6f the work for which this permitis issUed (Sec.3097.Civ.G): \ .
Lender's Information: --,~'--
Construcion Types:
VN, ,
Si ature of Applicant or A
permit shall pire by Iimilationa become null and void if the building or.'
w k has not passed fi naJ inspection 365 days from the date of permit issualCe. A
new permit is reqUired to commence or continue work.
Fees paid 10r Permit:
Total:
125.79
"INSPECTION RECORD
, , ,
INSPECTION DATE INSPECTOR
Temporary Power Pole " ,
, Plumbing IDrainlWaste Pipe) ,
Electrical Ground ElectrodelUfer' , I
SetbacklFormsfTrenches (Footings), tH ?p u[ UtA/..Lb
Do not install subfloor or pour floor slab untirthe "
following applicable items have been signed:
Plumbing (Water Pipe.Sprinkler Valves)
Mechanical (Grouodwork) ',' " ,
Electrical (Underground Conduit) ,
Pre-slab (CompacliOl1/Merrlbrane.Reinf. ' '
Underpinning (Flooi' Joist/Girders) "
Do not cover or conceal the work below until the '
following applicable items have been signed: " ,
1st Floor Shear . "
Firesprinlder (Rough) , ,
2nd Floor Shear ' ' , "
Roof (Sheathing/Diaphragm/Framel /1,// 4 /A
Masonry (RelnfJBond Be.-nlltre-GroulJ 'Y~"r C-. <.e..v<J L...
Rough Plumbing (Top Out) ,
Rough Mechanical ' ' , ' '
RDugn l:IectrlCallDrY Wall) , ,
Rough Electrical , ,
Framing (Only after Plbg.: Elec..Mech.. and Fire)
Insulation (SOUndlEnergy) " " ,
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
Plumbin!! Final "
Mechanical Final ,
Gas Test ,
Engineering/Grading Final 765:S126 ,
, "
Fire Dept. Fi,nal 765-4049 , "
Water,Engineering 765-5268 , "
Sub List/Business License 76,5;519
Zoning 765.5139 ' "
" ~' , ,//
Building Final, l}.st Inspection- Only , ~rro- :.!-~~;;j( ,
fter Above Complete) c...I """,Ie.-
PARTIAL INSPECTIONS
, Buildina Inspections
Mechanical Inspections
Plumbina Inspections
Electrical Inspections
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