230 S. Primerose St.
TYPE OF PERMIT
Blockwall/Columns CITY
DATE: 7/6/2005
JOB ADDRESS: 230 S PRIMROSE ST
LEGAL DESCRIPTION: N TR 2299 LOT 153
ElM
BUILDING DIVISION
200 S. ANAHEIM BLVD.
(714) 765 - 5153
INSPECTION REQUEST LINE:
(714) 765 - 4626
CENSUS CODE: 434
QUARTER SECTION: 40
BUILDING PERMIT NO. BLD2005-02064
APPLICANT: OSCAR VALENZUELA
OWNER INFORMATION:
Brian Bruning
230 S Primrose St
Anaheim, CA 92804
JOB DESCRIPTION:Build 6' ft. hi9h block wall at 25 linear ft. per city specificatioos.
VALUATION: 590.00
I OWNER-BUILDER DECLARATION
I hereby affirm under penalty of perjury that I am exempt from the Contractor's Ucense Law for the following reason (Sec. 7031.5 Business and
Professions Code: any city or county which requires a permit to construct, alter, improve, demolish or repair any structure, prior to its issuance, also
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)(commencing with Section 7000 of Division 3 of the Business and Professions Code) or that he is exempt therefrom and the basis for the alleged
exemption. Any violation of Section 7031.5 by any applicant for a permit subje::ts the applicant- to a civil penalty of not more than five hundred dollars
($500).
~- I, as owner of property, or my employees with wages as their sole compensation, will do the work, and the structure is not intended or offered for
,l.;a1Et (Sec. 7044 Business and Professions Code: The Contractor's License La"N does not apply to an owner of property who buildS or improves
thereon, and who does such work himself or herself or through his or her own omployees, provided that such improvements are not intended'Or
offered for sale. If, however, the building or improvement is sold with one year of completion, the owner~builder will have the burden of proving that he
did not build or improve for the purpose of sale).
o I, as the owner of the property, am exclusively contracting with licensed contractors to construct the project (Sec. 7044 Business and Professions
Code: The Contractor's License Law does not apply to an owner of property wno builds or improves thereon, and who contracts for such projects with
ontractor(s) licensed pursuant to the Contractor's License Law).
I nd ec. & . for . ason:
OW
WOR 'S 0 TIO DECLARATION
I hereby affirm under penalty of pe~ury one of the following declarations:
D I have and will maintain a certificate of consent to self-insure for worker's compensation,
as provided for by Section 3700 of the Labor Code, for the performance of the work for which
this permit is issued.
D I have and will maintain worker's compensation insurance, as required by Section 3700 of
the Labor Code, for the perlormance of the work for which this permit is issued. My worker's
Compensation insurance carrier and policy are:
Carrier: Policy Nu mbe r:
This section need not be completed if the penn it is for one hundred dollars ($100) or less.
J8t I certify that in the performance of the work for which this permit is issued, I shall not
employ any person in any manner so as to become subject to the worker's compensation laws
of California, and agree that if I should become subject to the worker's comper.sation
provisions of Section 3700 of the b e, I shall forthwith comply with t rovisions.
CONTRACTOR INFORMATION:
ARCHITECT/ENGINEER INFORMATION:
PROCESSED BY: ENO
UCENSED CONTRACTORS DECLARATION
I hereby affirm under penalty of perjury that I am
licensed under provisions of chapter 9 (commencing
with Section 7000) of Divsion 3 of the Business and
Professions Code.
7/6/2005
Date:
Contractor
NUMBER
EXPIRATION DATE
TYPE
Date: 7/6/2005 Applican
WARNING: FAILURE TO SEC REWOR MPENSATION CO ERAGE IS
UNLAWFUL, AND SHALL SLJ JECT AN EMPLOYER TO CRIMINAL PENALTIES AND CIVIL
FINES UPTO ONE HUND~ED THOUSAND DOLLARS ($100,000), IN ADDIllON TO THE
COST OF COMPENSATION, DAMAGES AS PROVIDED 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
perlormance of the work for which this permit is issued (Sec. 3097 .Civ .C):
Lender's Information:
Construcion Types:
VN, ,
Fire Sprinklered?
NO
Date: 7/6/2005
Fees paid for Permit:
Total:
125.79
of i no gent
e it sh xpire by limitation and become null and void if the building or
work has not passed Ii 001 inspection 365 days Irom the date 01 permit issuMCe. A
new permt is required to commence or continue work.
City of Anaheim
Building Division
INSPECTION RECORD
INSPECTION DATE INSPECTOR
Temporary Power Pole
Plumbina IDrainlWaste Pipe)
Electrical Ground Electrode/Ufer /'- .
SetbackIForms/Trenches (Footings) 7//'1/0::' L "...--,
Do not install subfloor or pour floor slab until thjY"
following applicable items have been signed:
Plumbing (Water Pipe/Sprinkler Valves)
Mechanical (Groundwork)
Electrical (Underground Conduitl
Pre-slab (Compaction/Membrane Reinf.)
Underpinning (Floor Joist/Girders)
Do not cover or conceal the work below until the
following applicable items have been signed:
1 st Floor Shear
Firesprinkler (Rough)
2nd Floor Shear
Roof (Sheathing/Diaohragm/Framel /
Masonry (RelnfJBond Beam/Pre-Grout) I., / /. j Jd..\ 61. \~V-.J
Rough Plumbing (Top Out) I J .
Rough Mechanical
Rough Electrical (Dry Wall)
Rough Electrical
Framing (Only after Plbg" Ele., Me<:. And Fire)
Insulation (Sound/Energy)
Do not tape or plaster until the following applicable
items have been signed:
Drywall
Penetrations (Fire Rated) Electrical
Penetrations (Fire Rated) Mechanical
Penetrations (Fire Rat8d) 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
Plumbing Final
Mechanical Final
Gas Test
En!lineeringlGrading Final 765-5126
Fire Dept. Final 765-4040
Water Engineering 765-5268
Sub List/Business License 765-5194
Zoning 765-5139 -
Building Final (Last Inspection - Only 7/zdr ~~~
/.? -
After Above Complete) ~IP
, ~/
PARTIAL INSPECTIONS 0L I...JG:;
Buildina InsDections
MechanicallnsDections
Plumbina InsDections
ElectricallnsDections
c/[} ~ (I::- - Gv t:tll ~~ W
n::
~o ~
d r- r.fJ
~ ,
:3 D C>
..C- """
~ - . ~
CI ~ ~
Q
~ ~
AQ
,......"
LLl
~
-
~
~
~ i Cf: ) +tevcSG
~ i
~
;)
>:::l
~
- ()('
S 0
~
:S
Q54-9
PLAN['il'G S:::-Gt.R,MENT
f.,\:~F-:;; '\!,,::;;.o
DAIF C/;J--!D 1-/0'5_
BY .f--gJ,"--'~~~' c!~
llllitlg.l$l
THE ISSUANCE: OF' THIS PERMlT DOES
NOT APPRoVE: VIOLATION OF ANY OF
THE BUILDING CODES OF THE CITY.
THE: HOLDER OF THIS PERMIT
PROCEEDS AI HIS OWN RISK.
JUl 0 6 2005
(S)
~
1
BUILDING DIVISION OF ANAHEIM
AwaV~~
WJJmS-01~_ "Y~'
2.'30
5. Pn'mYOSe
I .
,
:" ."t"
i;
.-...,...'..
, .
'.
., ,"
. !)-
.{_. r ".. :'
( ~,-'
"
.,. ~ .-."
'"~
,
h. ,;
."\ r:~-..
ti-If ....\
bo I/E
.._,....
"- '-.-'
<'"
.-',
57:,
:' :-'.::~::
! ~t:;
,
". '..
: ',."-.'
~. <
': '" ,.,.
(,.
.... "
.
" >
"
,.
."3; .~. .
....:: .... -J' ~.
-'
<t
"
,R. \__ 0' '_.,
,....')
~....
to-B.2?'
. ~.-~'~
~ '...,~
.,
().
lcj
~
" .J
.,?,
\ ,: 5' :
8.
\
o
C),
, ,
~ .eXIST. /lOUSE.
"-
7.0'
"
PI'!'OP.
, '
,
I. '
"
ADDRESS:. 5392 J1/. DOVE ST.
L'O T'::;;/ TBA c;r ;1;.:/36ct?