7741 E. Margaret Dr.
TYPE OF PERMf)'
Bloc.kwaJt rColumns
CITY
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BUILDING. DIVISION
200 S. ANAHEIM BLVD.
(714) 765 - 5153
INsPECTION REQUEST LINE:
(714) 765.4626.
CENSU'S CODE: 434
QUARTE'R SECTION: 216
BUILDING PERMIT NO. BLD2004-02116
DATE> 5/27/2004
'JOB ADDRESS:. 7741 E MARGARET DR
LEGAL DESCRIPTION: NTR 12701 LOT 62
APPLICANT: IAN MACDONALD
OWNER INFORMATION:
MACDONALD. I-,\N
7741 E Margaret Dr
Anaheim, CA 92808 . .
JOB DESCRIPTIONlnstall 43 II block wall 6' ~igh to city specs,
VALUATION: 1,032,00
I OWNER-BUILDERiOECLARATION'
I her~by affirm Ur.dF.:f'penaltycf.peljury that! am exempt from the Contracto;;s Lice,nse Law for-the following, reason (Sec. 7031.5 Business and
PrqfessionsCod,e: any dtyorcountywl1ich reqt!ires ~ permit to. construct, 81~~r,: improve,qemolish or repair any structure, pFior to its,.issuance. also
requires the applicant for such permit to file ri signed statem":lnt that he is licensed pursuant to the provisions of the Contractor's License Law (Chapter
9)(commencingwith8ection 7000 of Division 3 of the Business anc;j Professi<,:nsCode) or that he is, exempt therefrom and the basis for the alleged ,
exemptfon, Any violation of Section 7031,5 by any applicant for a permit sut',."ects the applicant to acvil penalty of not more than five hundred dollars
($500). . .... ....... . .... .
D I, as owner of property, or my employees with wages as their sole com;::~nsation, will. do the work, and the'structure, i$ not intended or,offered fN
sale (See, 7644 Business and P"rofessiotls Cod~ The Contractor's License i.i:lW does not apply to an owner of property who builds or improves
. thereon, and who does 'such work hilflself or herselfor through his or her ow) employees, p~ovided that.suchimprovements are not intended,or
offered for sal~., If, ho~ever, the building or improverrier')t,is sold with'one ye,~r of oompletlon, the owner-.builder wUI have the- bj..:rden ofprovinri that he',
d n _or improve forthe purpose of sal:e).:;, ' ,<. ,,' _ . " ' . , . . .
1, as' the , QWfler of the prop_e.rty,.am exdusively contracting-with licensedi::or.tr:aCtors to Gonstruct the.project(Sec. 7044 Business anp, Professions
e: The Contractor's License, Law does ndt apply to an owner.of pr6pert)':~vho builds or :mproves thereon, an<;l who oontraQts for suctl'projects With
tjohtractor(s) lic~n~ed. pursual1t to the Co_ntract~r's Lice~se, Law). , :;
. . ..Iamexemptundersec. . .' .~. . ~J0.p.c.lcrthls(~ . ~~_.'.
Date. ' " " Owner. _ ~_ ~' )~ "
I . ...... WORKER'S cd'i ENSATION DECLARATION-:':_
I hereby affiri'll under penalty of perjury cine of t'1~ following de.clara.tions: '.
'0 J h'ave and will: maintain 'a certificate. of consent to'self-Insure for wor~er':. compensaUon,
as-provided for by Section 3700 of the Labot Code, for the perf~rmance.ofthp work for which
this permit is issued:", ' '._ '
[J , I hilve and wlll maihtainworker's compensation insurance, es requirec t r' SeCtion 3700 of 312712004
the ,Labor Code, fo_rthe performance of the work for which this permit is lssu,:d. Myworker's Date:
C(".rnpensationinsurance carrier, and poli"cy are: .
. C;'..t[jcr:' Policy Number.
. CONTRACTOR INFOR~"'\TION:
ARCHITECT/ENGINEER INFORMATION: .
PROCESSED BY: CAL
I
LICENSED CONTRACTORS. DECLARATION
I t)eteby affirm under penalty of perjury that I am
licensed under provisions of chapter.9 (commencing
with Section 70'00) of-Divsion 3 of the Busilless and-
: Professions Code. ' .
Contractor
NUMBER
EXPIRATION DATE
, .. n need' ~nat' be 'com~leted i.~ the permit is. f9r. ane hundred dollars ($1 o::l()t J~s.
I certify that in:the perfonnance of the' work for which this permit is lSsue:d,:,I.shallriot
mplOy any person in any mcmnerso as to become subjeCt 'to. the warker's cdmpensation laws
of California: and agree that if I should became subject to the worker's cam!=.(\'l\satron
provisions of, Section 3700 afth'eLabor Code, shall, farthwit ~IY W~.,tb~5eprovi~ians.
Date; 5/27/2004 Applicant . ?kr.
WARNING: FAILURE TO SECUR W RKER'S COMPENSATION COVER\GE IS
UNLAWFUL,AND SHALL SUBJECTAN EMPLOYER TO CRIMINJIl. PENA:TIESAND CIVIL
FINES UP TO ONE HUNDRED THOUSAND DOLLARS ($100,OQO), IN. ADOiTION TO THE
COST OF COMPENSATION, DAMAGES AS PROYIDED FOR IN SECT.lei' 3706' OF THE
LABOR CODE, INTEREST AND ATTO.RNEY'S FEES, .
'1 CONSTRUCTION LENDING AGENCY_
I hereby flffjrm. under penalty. of perjury that there is _a.construction len-.::tin~._F~~_,npy (or tr.e
oerforlTl~r.a:',_olll1e_.w.or!s~for..whichJhjs_Dermit is. is!';I_!'!'!d(Se('~'30~7...cjv .<l~;,~}.. ;_-r.:.::.,.
Lender's Information:
. TYPE.
Construcion Types:.
VN, ,
I.certify tha,t1 have read this'applicati!,n and-state that the above il1farrnationis correct I
'agree ta_romply with all city ordinances and state laws relating to bujldlng cO!lstruction, and
herebyautliorize representives bfthiS city to enter-upan the above mentioned prope-rty for
. inspedio rposes. '
Date; 5127/2004
Fees paid for Permit: .
Total:
0,50
Signature'ofApplicant or Agent
The permit $hall expire by limitation and become null and void if thci building or
work ha$ not p3$sed final inspection 365 day.; from the date. of perrrit is$Uance. A
, new permit i.s required to ~~m~nce or continue work.
INSPECTION' RECORD'
, . INSPECTION. . '. DATE . INSPECTOR
.'
Temporary Power Pole. . . .'. .
Pl!lmbing(DrainlWaste Pipe)' .
.. EleciiicalGrcillnd ElectrodellKer '.' . .. . '.
Setbac;k1FilrmsfTrllndles(FClOtings) . . .
DO notinstall s!lbfloor or pOOr floor slab !Inti I the , .
following applicable itf;ms .have. been signed-:' .
. PI!ll11blng (Water f'ipe,Sprinkler Valves) . .
." r>1echanii:a1(GroorldworkL ' .' .'
!ElectriGal (Undergroond Cond!lit) . ..' , ,
Pte-slab {CompactIOfVMembr<!l18.Reim,1 '. ,
underpinning (RoorJoistlGirders) . . . . . .
D9 not cover or conceal the work below until the
Jollpwingapplicableitems havebeensigned: .
1: stFtoor Shllar' " , ., ,'., ....
. Firespril1lder (Roogh) .
. . . .
2nd Floor Shear' '. " ..... '. . . I.
.ROof (Shealhirl!llDiaphragmlFrame) . .
Masonry (ReinfJElond BeamlPre,(;rout)
. RoughPI!lmblng (Top O!lt) . . '.
RO!lgh Mechanical . . " ' . . I
Ro!lgh BectrlC "wall)' .'
. Rough' Electrical ." .' .
. Framing (~nly afte:r PI,bg., EleC:."t,;'ieCh. and Fire) .
Insulation (Sou.ndlEoergy) . , .
po not tape or pl~ter. until the foUowiAg applicable
Items have been SIgned: . '. . '. . .
DrYwall '. .. '. '. . .' I
Penetrations. (Fire Raled) Electrical ..' '.
Penetrations (Fire Rated),Mechanical . . .
Penetrations (Fire Rated) Plumbing
Interior Lath . . . . .
Exterior Lath .' . ' . .
. GENERAL ITEMS .' , .
EXterior Plaster (Brown Coal) . . . .. . .
.T-Bar Electrical . . '.
T-Bar Mechanical '. , .' .
T.Bar Structural. , ..... .
~we' ,. , ' " 0 . .
. . Water ,engineering . Backflow .' , .
. WaterSeNice .
'.. .:.....
FINAL INSPECTIONS . '. Date Inspector
ElectriCal Final .'. ,. . . . ". , ..'
",
Pt!lmbingF,inal. ". .
.' . .
;"echanicalFinal .
."
Ga~Test , .'
. . . . , I',
!Engineering/Grading Fjnal 765-6126' :.
. ,. '. '., " . "
Fire Dept. Final 765-40~O '. . .
Water ertgineering 765-5268 " ,
, .'
Sub ListlB!lsiness License 765-5,19, . ,. ,.
Zoni'ng 765-5.1:39. . . .
.
Building Final. It,.tlll.pecticn- Only ".
.'. ,. fter Abov,e Complete). '. " . -
. PARTIAL'INSPECTIONS
. Buildinalnspections
. . .
. .
. MectianicailnSDections .
Plumbina Inspections
Electrical Inspections
"PERMllEXPIRED
INSPECTION".
NOT COMPLETED
'. DATE:ski6<0'
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