1835 Margie Ln.
TYPE OF PERMIT
Blockwall / Columns
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BUILDING DIVISION
. 200 S. ANAHEIM BLVD.
(714) 765.- 5153
INSPECTION REQUEST liNE:
(714) 765 -4626
CENSUS CODE: 434
QUARTER SECTION: 67
/5
. BUILDING PERMIT NO. BLD2004-02184
DA TE:5/28/2004
JOB ADDRESS: 1835 S MARGIE LN
LEGAL DESCRIPTION: N TR2489 LOT 111
APPLICANT: CAROL JUDY
OWNER INFORMATION:
Leo D Judy
. .1835 S'Margie Ln
Anaheim, CA 92802 . . .
JOB DESCRIPTION Build 24 lineal ft of Blockwall 6ft hi9h per city standards. il'IH)
VALUATION: 576.00
I OWNER-BUILDER !?ECLARATION
I hereby affirm under penalty of perjury that! am exempt from the Contractor:, LiceliseLaw for the following reason (Sec. 7031.5 Business and
Professions Cod,e: any city or county which requifesapermit to construct, a't~;r; irpprovo, demolish. or repair any structl..ire, priorto ftsissuance, aiso
requires the applicant for suc!1 p_errriit tQ file _~ signed statement that he is )jce:,~sed pursuant to the provisions of the Contractor's License LawO(Chapter'
9)(commenci~g with Section 7000 of Division 3 of the Business and Profes~i;')ns Code) or that he'isexempt therefrom a.nd the basis .for the alieged: .
"exemption. Anyviolationof Section 7031.5 by any applieant for a permit s!..!t:lacts the app!icantta a dvit penalty of not more thanfive hundred dollars
. ($500): . .. . . '. '.: . . '. ..... .
roo 'I, as ownel cfproperty, or my employee:s with ~agesas their ~ole comr:r:~.utiur::, will do the_work, and th'9structure is not inten~ed or offered "for
~ (Sec. 7Q4i1 Business'and Professions .code: The Contrador's License iJ!.w does not apply to an owner of property wh.o builds or improves
thereon, and who does such work himself or herself or tl1rcugh his or her 0\\':; employees, provided,that such improvements are not intended or
offered for: sa,le. 'If; however, the building or improvement is sold with 6ne Yf.'<~r of compl,etton, the owner-builcer will have the burden. of proving that he
did not:bui:d or improve.{or.thepuipdse of sale). " " . . _;, _,', ,,', ' , ' , . , ,-
o ,I,as the owner of the property, am exdusively contracting with licensed bOntracto;"s to construct the project (See. 7044 Business and Prof~ssions
Code: The Contractor's' License Law does nbtappl,y'to 'an owner of prop\3rf/~vr.o build':> or improves thereon, and who contracts for suo") projects with"
If.' F .ontra. ct"or(s) licensed pu.~sua nt to the Co~tra,ctor's License ,Law). .
,L.. I aQl exempt u er Sec. , ' , "C. for this n' ._.1__
ate; SIVJ cp!. '. Owner:
L-~
CONTRACTOR INFORMnION:
ARCH'iTECT/ENGINEER INFORMATION:
PROCESSED BY: HRO
-J
. WORKER'S COMPENSATION DECl TION
i hereby affirm under penalty of perjury one ofthe foHowing declarations:
D 'I have a.nd will ri:la'intaln a certificate,ofconsentto 'self~insure forWCikp.('~i :::ompellsation,
as provided for by Section 3700'of the Labor'Code, for the performance oft~,) "Nork for which
this permit is issued: '
,0 I 'have and, will, maintain worker's compensation_insurance, as lequired b;) So;::.;;.t1,)11. 3700 of
the Labor Code, for: the performance of the work for: which this permit is j~Ui::d.. My worker's .
Compensation .irisurance,car'rier and pOlicy are:
Carrier: . '.
LICENSED CONTRACTORS DECLARATION
I hereby_affirm ~nder penalty of. perjury that I ~m
ticensed under prov~sions of chapt.er9 (commencing'
with Sec~ion 7000) Of Di'/sior.,3 ofthe Business::lnd
.PrOfessions Code.
5/28/2004
Date:
Contractur
Policy NLJlT)ber:
NUMBER
EXPIRAT!ON DATE
. " -
,This 'sectjo~' need not be 'complere"d if the ptmnit is for Qne hundred doUars ($1 OO'~ or iess.
. ' . .
0: I certIfy that'in the perfonnance,of the we~k for which this permit is issue~. 1",shaH not
employ any person in any manner so as to become subject to the v{erker's ,ccrnpensation laws
of Cal'rfomia, and agree that if I should become su"bject-to the wolker's comp,~:-,~~tjcn
provisions of .Section 370qofthe Labot Code, I shall'forthw' co Iy wi \o' ~;~ 8rpyisions. .
TYPE
Date; 5/28/2004 Applicant;
~, ....
WARN ING: FAILURE TO SECUR WO KER'S COMPEN N COVER>G5 is
UNLAWFUL,AND SHALL SUBJECT AN EMPLOYER TO CRIMINAL PENA.! TfES AND CIVIL
FINES UPTO ONE HUNDRED THOUSAND DOLLARS ($100,000), IN ADD~T1gli TOTHE
COST OF COMPENSATION, DAMAGES AS PROVIDE[) FOR IN SECTION3tQ6 OF THE
LABORCODE, INTEREST AND. ATTORNEY'S FEES. . ~o.
~ . CONSTRUCTION LENDING AGENCY-:=.,
I h~rehy affirm ,under P7n~tty df. ~erj,~ry,that_~~:r? .is a ~<?~stru.:.c:~,:" ~~nd;:I:! at,",:;1~Y fqr:t.he;
;:''':'';'::;';':-'~;';';~:;:: ,::,., ~!i~ ',-.';;.:;-....',oTw'h,l:.<'; :(io~ jJi:;:;lJi'l-,$ ,&;J'Jc,Ji.v;;;C.';V~1 .vlv......i~. -
. Len'der's!nformation:, ' -
Construcion.Tvpes:
V.1HR,' ,
Fir~. Sprinklered?
NO
'''"
. , , '
I c~rtify thatl haye re~d this applicationand'state that the above, information hi correct. I
agree to comply'with-all city ordinances and state laws relating to building construction, and
hereby,autho(ize representives "Of this dty to er upon ~he above mentione.:.! property for
inspection ses. .
Date: 5/28/2004
Fees paid !or Permit:
Total;
0'.50
Signature of lcant or nt
The pllrmit shall expire by limitation and become null and void if the building or
work has not passed final inspection 365 days from the date of pem,it iSsuance. A
new permit is required to <;ommence or continue work. .
INSPECTION RECORD
'. . . . . DATE : INSPECTOR
I.. . '. INSPECTION i.
Temporary Power Pole , '.
Plumbing (OrainIWaste Pipe). .' .
Electrical. GrOund EI~trodelUfer ", .: 1
.' SelbacklFormslTrendles (Footings) , .
Dei not install subfloor or poilr floor slab until the
following applicable items ,have been signed" . .
Plumbing'(Watilr Pipe.Sprinkler Valves) .' '. , '. ,:
Mechanical (Grciundwork) , " '. . , .' '.
!:lec:tric:al (Undilrground Conduit) 1
t're.,stab (l;ompactiOfi/Membrane.Reim., . . .
Underpinning (FlootJciistlGlrderS). , .' ..'
.Do not cover or conceal the work. below until the . ,
'following applicable it<!ms have been signed:. ';
1 5tFloo': Shear ."" .... .' .
Firesprinkler . (ROugh) . .
2nd Floor Shear ' .
ROof (SheathinafDiaphragm'Frame)
Ma$omy (RlliinfJBondBeamlPre,GJ'OUt)
Rough Plumbing (Top Out)
Rough Mechanical .. ..' ,
. Rough f1ectrlC8I (DI'Y Wall\ '" " .
Rough Ei.ectrical "
. f'raming . (9nty after '~Ibg':. Etec,. r..rech and Fire\ ,
In.sulat.ion(SoundlEnergy) '.
Oo'not tape or.plaster untiHne following applicable '. .;
itemshavebeenslgned:' :. '. ..' '.
, DrywalL ", '.' .
Penetrations (Fire R;1ted) EI8ctrical
Penetrations (Fire Rated) Mechanical
Penetrations (Fire Rated) Plumbing . . . "
.
Il)teriorLath .
Exterior Lath ; . .
, , GENERAL ITEMS .
,Exterior .Plaster (Brown Coat) .
..1 -Bar Electrical, "', . . . .
T.BarMechanical '. . , . . .
.T -Bar Structural.' . . ...
Silwer , .'. .. ' . '.' '
Water Engineering Backflow . .
Water Service
... .
FINAL INSPECTIONS' Date 'Inspector
Electrical Final' ' . ". .' . ,. .
. '. .
Plumbing .Final . . , . .
Mechanlc.al FInal .' " '.
. . "
Gas Test .' ,..' .'
"
Engineering/Grading Fina.1 765-5126' : .... . , >
Fire Dept. Filial 765-4040
Water Eiigineilrin!l765.52li8 . ',' ..' .
. .
Sub ListlBusinessLicen$e 765-5.19 .
. . , ,
Zoning 765-5t39 . .',: ',' :
. .. ..
Building Fin;II ~ast inspection' Only: . .
fter Abov,e.Conipletel. . , .
. PARTIAL IN'SPECTI.ONS
. .
Buildina Inspections /
..... Mechanical Inspections
Phirnbina Inspections'
Electrical Inspections
PERMIT EXPIBEO'
INSPECTION'
NOT COMPLETED
D ATE: . ..... 1'L4sJOS .
l-
I
~
o
J~
Existing gate to move
24' west
Existing Wood Fence
New gate location
Existing Block Wall
concrete fill
" a:
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G; .~.,g ':: (j) (- \'~'
O:::;;~2Z ~'\J
f- >0::0 ~
oE~Wi= ~
it: .;j oj a. i5 i Ln~ House
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1835
M0rgie
L 0 n e ropperty line
8 Fence modification
Judy Residence
T E ISSUA
N T APPR,CNCG: OR THIS
:;: ~ BUILO;VN~ VIOLATIO~E~f:i' DOES
F> oc'ii:~'C.'~/:R cg~E~HO'~ TH: 6,TO:
AT HIS ow~e: MIT
ISf<.
MAY 2 8 ?004
BUILDING DIVISION OF ANAFI
BA'Zoc)cl~~t) R 0 V ED 1M
-~ _ {-l,,~
-
Fence iMproveMent