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2961 Skywood Circle BUILDING PERMIT NO. BLD2004-01613 BUILDING DIVISION 200 S..ANAHEIM BLVD. (714) 765 - 5153 INSPECTION.REQUEST LINE: (714)765-4626 CENSUS CODE: 434 QUARTER SECTION: 13 TYPE OF PERMIT Blockwall/ Columns C I TV . DATE: 5/1 0/2004 JOB ADDRESS: 2961 W SKYWOOD CIR . LEGAL DESCR1PTION: N. tR 2655 LOT 54 . APPLICANT:. MARIO MORA OWN.ER INFORMATION: .lsaac'Ramirez 2961 W Skywood Clr Anaheim,CA 92804 JOB 'DESCRIPTION;100,l.f. 6ft block wall per city specs. VALUATION: ' '2,400.00 I OWNER.BUILDEROECLARATION I her~by affirm under penalty of perjtJry that I am.exempt from lhe Contractor'-3- License Lawfor the following -reason (Sec. 7031.5 Business a-nd Professions Code:" Bny city or collnl.}iWiiich-tequ1res a permit to construct, a'~t:~r, improve, demolish one-pair any struCture, priOr to'its issuance, also requires. the applica.nt ror such permit to file "a signed statementthat he is (icl"~(i.sed pursuant to the provisions orthe, Conhactor's License Law (Chapter 9)(commencing with Section 7000.of Division 3 of the Business a nd Prcfes~1r':ns Code) or tl,at he is exempt therefrom and the basis for the alleged exemption. Any Yiolation of Section7031.5by any appllcan~ for a permit sljbj~ct~ the applicant-to a, dvil, p~nalty of'notmore than ,five hundre~ dollar~ ~?)~s owner,of prope~y, or' my ,employees, with wages ;;IS their 'SOle'comp.1nsation, will do thew~rk 'and the structu~e i~ not lnte~ed'-'or offered ~or sale, (See, 70~ Business'and ProfesSIons Code: The Contractor's U,cense'0'w does not apply to an own~r of property who buili:ls or improves thereon, and who does such ~ork. himself or herself or through his' or her !-i\':.'n l:1mployees, provided,tha-tsuchimprovements are not intended or . offered for sale, If, hOWever, the building or improvement is sold withonaVG~rof completion. the owner-builder will have the burden of proving that he did not build or improve for the purpose, of sale). 1:. , . . . . o l,?s the owner o'fthe property, am exdusivety cont.~cting with licensed ;pntrec!:ors to constrLlct'the: project (See. 7044 Business and Professions, - Code,: ,TheContr~ctor's license Law does not apply to an owner ofpropertYrvho,builds or improves theredn.and Who contrac~.for such projects, with' . flJ(ontract..or(S),liCenSed., pursuant to the Contract~r's Licen.se Law). V\A "\^' u :lalJ1exemptunder'$ec. ,B&P.C. for this reason'. ~.t:::'.a-... ' -w/\ __ Date: . Owner: ;. WO R'S COMPENSATION DECLARATION ~ 111ereby affirm under penalty of perjury one of the f<?llowing declarations: , . 0- I haye and will maintain a c'ertificate of ~nsent to self-insure' for w~rk~r':,:' ,~ornpensation, as provided for by,Sedion 3700,of the LabOr Code, for the pelf,ormance ofl'l.(: won<. for which this permit is issued. . 0 '. have and 'will maintain worker~s compensation'i.nsu~ance, as required b.:' Sectioil3700 of the Labor Code, fort-he 'P~rformance oflhe,work for which thi.<; pefmit ls-lSS:I)~:,j. . My worker's Compensation insurance carrier and policy are; . Carrier: . . Poli~ Number., CONTRACTORINFORM,~TION: ARCHITECT/ENGINEER INFORMATION: PROCESSED BY: FAN I. LICENSED CONtRACTORS DECLARATION I hereby.afffrm llnder penalty of perj,ury that I am licensed undE;!1"- p~ovisi6nSi of chapter 9 (commencing with Section-70CO) of Divsion 3 'oOhe Business ana Professions. Code. ' . 5/1012004 pate: 'Contractor NUMBER EXPIRATION DATE T~is'section need not be completed if the pennit is for one hundred dollars ($10:;: or !~s. ~ I certify 'that in the, perfonnance.ofthe' work.for which this permjt,isjssL::~,;J, I shall not employ any'person in a ny manner so as to become subject to the worker's Ct::""Qperlsation laws ofCaliFomia, and agree that if I should become Subject to the worker's corripj:nsation " provisions of Section 37UOofthe Labo ode, I shall forthw1h comply with tt>S,e,proVision~. Date; 5/10/2004 Applicant: ~~., WARNING: FAILURE TO SECURE WORKER'S COMPENSATION COVi'di',.GE IS UNLAWFUL, AND SHALL SUBJECT AN EMPLOYER TO CRIMINAL PEN,>:i,TIES AND CIVil FINES UP TO ONE HUNDREDlHOUSAND DOLLARS ($100,000). IN ADO:TlON'TO THE COST OF COMPENSATION, DAMAGES AS PROVIDED FOR IN SECT10l\J3106 OF THE LAI'lOR CODE, INTEREST AND ATTORNEY'S FEES. ,~ I, CONSTRUCTION LENDING AGENCY t ..- '.I'hereby.affirm under'ge.nalty of perjury that there is a c.onstrllction lendings,('l'J.ncyfor the performance of the work for which_this permit is. issued (Sec.3097 .Civ.C)~ 'Lender'sJrforrnatiol1: . . TYPE Construcion Types: VN, , "' " , " ' I certify that I have read this application and state that the above. informatio;1 ;$.',~orrect. I agree to mply with all city ordinances and state laws relating to building cOI'~2truction, and hen:~bya o( . representives,of t '5 City t.o entertipon the above menti.on€(! property for inspecti u ses. . , Date: 5/1 0/2004 Fees paid for Permit: Total: 0.50 'gnature of Applicant or Agent The p mit shall expire by limitation and become null and void if the building or work has not pasSlld final inwection 365 days from the date of permit issuance. A new permit is required to commence or continue work. -'- -----~ INSPECTION RECORD INSPECTION . . DATE INSPECTOR Temporary Power. Pole PIU/TIbing.(OiainlWaste'Pipe) . Electrical Ground .Electrode/lIfer Setb3ck/FormsfTrenches (Footings) ;Wrb4- "'1.&.0... Do not installsUbfloor.orpour floor slab until the following applicable items have been signed:. . Plumbing (Water Pipe.Sprinkler Valves) . .' Mechanical (GrOUndwork) . . . . Electr~m(UrnS~roundCondum .' . Pre-slab (Col)lpactionlMembrane.Reinf. . . Underpinning (Floor Joist/Girclers) . . . . Do not cove.r or conceal the work below until the followingapplicabfe.ilemshavebeen signed: " . . 1st Floor Shear. .. . Firesprinkler(Rough) .' . . .. 2nd'Floor Shear' . : . Roof (SheathinQ/DiSphragmlFrame). . . . '. . Masonry (ReinfJBond BeamJPre-Grilut) ~-I9-O+ . ./' . .. '. Rough Plumbing (Top Out) V '. Rough Mechanical '.' . .' Rough Electrical (Dry Wall) Rough Electrical '. . . . Framing. (Orlfy after Plbg:.:Elec.. Mech. and Fire) Insulation (SoundiEnergy). . . Do not tape or plaster until the following applicable items have been signed: '.. . . . D'YWall . . Penetrations. (Fire Rated) Electrical . . Penetrations (Fire Rated) Mechanical Penetrations (Fire Rated) Plumbing . . Interior Lath . . Exterior Lath . . ." . . ,. .'. - GENERAL ITEMS '. Exteriot Plaster (Brown Coal) . . T -Bar Electrical . T -Bar Mechanical .' . . . T .Bar Structural . . '. Sewer . . Water Engineeril'lg.Backflow . '. . . . . - Water Service . . FINAL INSPECTIONS Electrica" Final Plumbing Final Mechanical Final Gas Test Engineering/Grading Final 765-5126 'Fire Dept. Fina/765-4040 Water Engil'leering765-5268'. Sub List/Business License 765-519 Date Inspector ?ol'lil'lg 765-5139 Building FiMI ILast-lnspection. Only. . After Above Complete) . ~ . PARTIAL INSPECTIONS BuildinCllnslJections . Mechanical Inspections . Plumbina Inspections Electrical Inspections .' .i I .. Anahei~ Municipal Code life of such building be fixed at less than fori~ (40) years from its original construction. Such findings of the normal life of a nonconfonning building and the fixing of time for its removal or alteration may only be had after notice to the owner and hearing had thereon in the manner provided in Chapter 18.03.' No such order shall require the removal or alteration of such building within ten (10) years from the time such order is made. When such an order is made, it shall be the duty of the Planning Commission to give the owner of the building affected written notice thereof.inupediately upon the order becoming final, and again not less than sixty (60) days or more than ninety (90) days" , prior to the date such removal or alteration is required to be completed. .032 In Commercial or Industrial Zones. A nonconfonning building may be continued provided no additions or enlargements are made thereto and no structural alterations are made therein, except those required by law. If such nonconfonning building is removed, every future use of such premises shall be in confonnity with the provisions of this title. .033 Reconstruction ofNonconfonning Buildings. Any nonconfonning building which is (1) destroyed to th~ extent of NOT MORE than fifty (50%) percent ofits reasonable value by fire, explosion or other casualty or Act of God, or the public enemy; or (2) destroyed, in whole or part, as part of a. disaster or calamit,y, involving not less than 300 residential and/or commercial units which results in a state of emergency or local emergency being duly proclaimed pursuant to the California Emergency Services Act as set forth in Chapter 7 of Division I of Title 2 of the Government Code of the State of California, may be restored and the occupancy or use of such building or part thereof which existed at the time of such partial destruction may be continued subject to all other provisions of this chapter. (Ord. 4337 9 I May II, 1982.) .034 Expansion or Change of Nonconforming Uses in a Nonconfonning Building. A nonconfonning use may be expanded or extended throughout such building provided no structural alterations except those required by law or ordinance are made therein. If no structural alterations are ma~e, a nonconfonning use of a nonconfonning building may be changed to another use of the same or more restricted classification. .040 Continuation of a Nonconfonning Use of a Confonning Building. A nonconfonning use of a confonning building shall not be expanded or extended into any other portion of the confonning building, and if such nonconfonning use is discontinued, any future use of such building shall be in confonnity with the provisions of this title, provided that all nonconfonning uses of a confonning building in any residential zone shall be discontinued no later than five (5) years from the effective date of this ordinance. .050 Continuation of the Nonconfonning Use of Land. The nonconfonning use ofIand where no structure thereon is employed therefor, existing at the time this ordinance becomes effective, may be continued for a period of not more than three (3) years therefrom, provided: .051 That no nonconfonning use ofIand shall in any way be expanded or extended either on the same or adjoining property; .052 That if the nonconfonning use ofIand existing at the time this ordinance became effective is thereafter discontinued or changed, any future use of such land shall be in confonnity with the provisions ofthis ordinance. (Ord. 774 912 (part); February 27, 1951; Ord. 875; December 22, 1953.) :"BPCn " 2 THE ISSUANCE OF THIS PERMIT DOES NOT APPROVE VIOLATION OF ANY OF THE: BUILDING CODES OF THE CITY. ~CP _ THE HOL.DER OF THIS PERMIT -.J"V V~ PROCEEDS AT HIS OWN RI\j--V MAY 1 0 2004 BUILDING DIVISION OF ANAHE:IM ')} M' ,,AJ3{3~~V .l<J-~BY FLOOD DIS RICT REVIEW: Ie toes a~e N/A See stam . above \me Irole one cn ERM \ T FOR B DING P SEE ANY CONDITIONS 4 w. .- '\ ~Tol k- lool ~l 4. _. Concrete Block or Mortar Cap ~ :For your Courtesy t RI~~j~f?' ?":':. .:>~W::?~~;%r;?t%:~;':~?:'~"5:;r:":~W~$;;:g~'~~:~~m~~9#i;~.- ,:.:...~" ,'.' . .........................I..........................r:f.tJ. . ................,:m............................f..... ~::::~: '.: : ";~".t:$;..ili;..,-:.;:;;..~.-:;~{:::.:..-:..."J.:.-:...":...:.i..:...:.f.:...;:;.: ... .:;:.ti:...-:.:.::.:.-;..:?i..i.f...ili:...-:;;;:...-:.l::.~-:.:..~.:..;;.;;lS..:__ ";<':':.' ....,:.:.:.:.:.J I I ""';':':':';';',~: '::'::.:-;.;.:-~:.:.:.:.;.:.;.;. 1"".. ....c........ .......... ._.............. .'. ..{ '" WN .. . ...............r.......,..... ................ (i~;.' ;t;":'J)>:t;:f*f 48" o.c. ..t;:;;:;:;:;::~\~$~~;~fg~:~::~:~:;- ~:;.:;r:.;[.:..':..~~::~::: ::::::::::..~:. .:.\ ..)..'~"~.:.:{.:., ;.,.,.",. "~"':'" Typical ;;.........~.. [. ,:.. ...'. t...:::~\:.:....:...c:.::-:~ t;,':"':.:~'cf..... ....:c.;..:..;.;: >:.:'t....r.:..~:.i '.:.-. ':~":f':-t""'" ~;~l~~~~~! i: ~;~~ ~~::: : i~:~:: ~:~: '\~:~:~~f" 6' high wall = 12'0" o.C. 8" Dia. Post Hole c:::J ::( --:P :f: =::t: ;t:'" ,f:: -;JT ;L~ ::(f" ",1::::= ;1::: =:l::'" ~; ::::~~i~f!~:.. ~.~:~.::.'" ;~~:~:;:::::~:~:~ :~:I:f .. ..-::~~.~.~~....J....~~.+.. .~."~.' \ :~::;'::;-r~:..~:.~":~:.:~t*:*: :~::;;.. .........'I.......r......(..~..... .....~. . .~........;..;t......f........:t...... -.....<: ....::~..:'t,~.;......:.....'t'........~ "~.' k;:;:':::;:fff.:. ~x:~;:$:"'::'''. ~.......:.....l...:'I.~...J..~;::....;... {::.:::::::::;I-::..::....:::.~::. ..........,1.......~.+.. B ............~._..I':...r.~....... ~::::t.::J..:...\{~::<: 1:~::1...:...:..c:;.:4 ...,...r...\.~~ -ylP.'..~:..,,:;;' ... ...,::-:;~~. 1"......;. I ::f ....."'.:~~;. ::r: .~ .;'....... ::i': ...... ~:.~:. .......... ::( j:: :1' :J: B - 12" dee Jootina c x z """ ,. ,. (\ (~ ~,. f )1 ~ ',. ',. ':" (,,' . .~,'l ." ((I ( .'" ~-.v '''.'''' .:;,.'::;Z;..l}~:rr. tii1ii !fl:-~~jf {.{.:..:=t:;..'=t.:.:.:. ,,' ~~ ^:.:-:~ ':"~!~;l~~]~;f ~~:i ii' .........'. " -... \~~~~~~;:::;:::~~i7 IH:;...+<-+2~@tc#@~t~gl H 3 ft. 4 ft. 5 ft. 6 ft. 1. 12" wide, 8" thick 12" #3 a, 48" o.C. 1 - #3 re-bar 12" wide, 10" thick IS" #4 G 48" o.C. 1 - #4 re-bar 12" wide, 12" thick 18" #4 a 48" o,c. 1 - #4 re-bar Recl)mmellded: Olle fi4 reba.rlJond beam, at top. (but notreq~ir~d)), ALL STEEL SHALL BE 3" MINIMUM TO EARTH. Detail of posthole in bottom of footing. NOTES: 1. These Specifications apply only if Grade A blocks are used. 2. Grout all cells where steel occurs. 3. Minimum steel lap: 20". 4. Units shall have full mortar coverage of the face shells in both vertical and horizontal joints. 5. Not to be used as a retaining wall. CITY OF ANAHEIM - 6 OR 8 INCH BLOCKWALL DETAIL ,. . . City of Anaheim DEPARTMENT OF PUBLIC WORKS it!" I 81/ )00,/- dbl3 ~I''''''' /lA~ I ~ ;t. 5)/>/0 7 " 'XEG61 G /\.Q.. ~"vh M ~ :CAhs /JO \<;tJ~"':> ?"bh\. rfK; L'6 '/ ~ ~ ~ Cv-.i:QA",. -r\.z tJf{Yl->;7 I) '~ / Y "j)/~ Fe (. ;;)f/1-J.:~ klr;-J ~ k ""'~z Iv- fu jhop5e6 1~.i":"'J o/(j ~ Ift!'- &v:~1.Z 0] Je~ ert ~ /f.hv,c!()A.lc-t> AFcLuf-; (1J1-h'rM fr/<:! J.x ~h1()Vct fiND /;"/-1.. z/V!J5 A-u. Ie k ty)Ul/$l.t;'Yj (},fft;~ ~_ o~<;~ ~ o~ 0.,. ~ ~~' p."c'.\" ~~ o~ "'~ ~"~'I'-' "" o"~ ~ ?""?-' ...~p.~ o,,;~'" ~ ~ Q\o'vo~ ~0o _ "c ~ -.I cc" <eo -\. """0-.1 GO' '(:, ,9~~~o\"~?-p."\ ~ ~,,~ ""e>"'~'vg", 'L'\i~ ~~;;.' ~"';:"" t<&<& '\ 'b ~~ ~?.o ~~'\ \)~ ~ \\)~ . I \'.\\s 0'4 (\~<o ~?- <Q'V,\'v\) P.- :3-o-{ ,Q ~f Robert D. Luciano Associate EnQineer Permit Manager rluciano@anahelm,nel ~V> DEPARTMENT OF PUBLIC WORKS Development Services Division 200 S. Anaheim Boulevard, Suite 275 Anaheim. California 92805 P.O. Box 3122 Anaheim, California 92803 TEL (714) 765.4431 fAX {7141765.5225 www.3naheim.oet www.anaheim.net P.O. 60x 3222. Anaheim, California 92803 TEL (714) 765.5176 FAX (714) 765.5225 ., .1: 5'" 76.38' '~- ,.--5'P.U.E. ;~ 116 'ifJ' g) ~t. i; .. " . .. li: 133.24' 120' PARCEL 1 ~ PM.10H-12(67il 0 ..1BOAC. 401'" 126.72' _ PARCEL 2 . PM.l09~12(615) ~ g O.169AC. {J 120.10' ~ PARCEL 3 ~ PM.109-12(675) g 0.165 AC. 120' 411 120' 117.1Q~ J J ) I;;' [ [l;l [ J [ 120' J1;;~118 ;; Jl;l II) 19 l;l [w _ 120' / ;; I 1;j IJj w. cc: 1:5 :r o ....1 120' I. ui [M <.J 119 ll;l ?i 23 [0 _ L > 'V 120' J. [~ lfi [ T-.1 120' I. ~ :~ '.'121 31 fi '" 120 "1 27 &i ------- to'" IV.... ~ 60.49' ~I 59., ~ '" 52; 51 iI; 0 gj 53 ~ ~ ~ f6/ g>/ ~I 74' 60.49' 60.49' SKYWOOD 1)151. 13 60.06' 60' 60' ~ 81 ~I i;':J11 . g) I I & f,. G 40 ~I 41 ~I 42 ~I 43 ~ <If :; I I r ~ . 76c1~ ..L....:~:...: " ...:~o' ,. 60' ~\Q il1 39 ., I 38"1 37" I d I;; ~I;: 101;:' f61:: I :,) 52.46' 62.70' 62.70' /"1-'39;;6"/,- 402.03' ROWLAND 52.68' 65.50' I 65.60' . ~I.! ~II ~! ~ 25 ~I 26 ~I 27 ~ Q) I ; I ~+~~;"j fJ124 ~fi 23 ~I 22!l ~ 1~ ~ ~ ~I " ,~ c< enfoll 161 , 60' '. W1.73' 62.70' r '. . 95' 35 ~! ~ 394.78' il il CiRCLE 60' ~I 60' ~I 44 ~ 62.70' elL 12'P. .E. 36 ~I Oll ! '</' i 62.70' I ~I 62.71' o ", o ", 65.60' ~I 28 ~I 29 ~ 65.50' .J _ ,.66' 21 ~I g>j 60' I 60' 60' J 01 I' <01, <'JI I 60'</' ~I 67 ~II 62<') ~I '" N N 86' ~ C1~ p2'P.U.E. ~ ~"f< ' 09 t}:60' 60' 30.9', ; '\ 65 - is . 130.91" . .... ,'~ C1L 12'P.U.E. ,I~ 120' i; 49 'i 13 50 ~ t,; "'~ ;;; i;g 66 g :::/ cO, ~ 45' "'" ~J~''\~ ...., 27 ~'i'. 74 0 ,. = 94.88': =i{:li: -~ 31 '" ,'r"g 75 g ,. 120' g,. 35 ,,:,., 7R-. 420.81' 60' 60' 92.37' ~~ '0 47 ,<0 "" "'. 1ts- lri' ,\6' .'" "', ~ 46 ~~. ~':o " ,<:0 \ . n'~0.05~n .~::' : 107.41' _ i I ig ~! 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P.D.8DX3222 ^NAHEIM. CA 92803 22-2 I ~ 1Il. 189800 25 -31:JH 25 -31610 1973508E 189990 25 -31812 . . . ~. . 1~11O'~40V 3f 194010 I I I I ~ ./ /" /" /" /" .; Q Q .. .d1Q I , , I I ~I 22-2 I I , I ACADEMY T :! Sl I4DlP 99690 ~/ ~ 35 ~I ;;;'\ ~ 187530 40 --- -- - - Q Q 187520 45 187550 3-12 WN. . 1 7510 l1Y -69211 9 , i , ~I ~ ;/ , l;r. 99680 35 ~ I , 500-l713058TGlIA I 12KV- 208Y/120V 1Il" ua 3f 4W ..' . "::':JJn,~ I Of <> -l( -, 1973506E I ~: 60 ..... - - - I I. 194150 '1 RC-707 1 45 I ! I 150-32473 I I I I 12KV-277Y/48OV I I' "3f 4W I I I ,I ) '1 , .; , n I I Ig I 101 309 5\." 194500 403 ~I fg -G74346367K ~ ~ fi'/ I- 07 W lI. 1875~ W 194990 0:::: 513990 -- 45 ul 95-' I- Q -11 (/) I 504260 JQ-2 7JS . . 408 I UG . ---- .ll1 SCHWEITZER F 6.30 AC. * c '" Iff\> I'J-ut;f"-1 fAIT1 (...f rlr / A.p~V<PVT!'~ At> he--- ,/~~ "'~" ('(;,. dT"'~t: d;;4'(~r/; "lOW ;/.../~ 1- <:Io\.v'- qtt y 194050 ( /. 750-34895 45 12KV 480Y/2m 3f 3W RC-ln6 13 .-.-. 19404D 40 UG Q ~%4060 ~I ~ 'i :! Sl f 81070 35 ~ .302 07 II 04 , I 401 8106 , I- J , W...c 187710 05 W58-1 40 0::: I- if) 09 .ill! o 1973504E 60 SR-354 I 50 -85A442058 50 -851.442063 I 5O-85M42Q70 12 .u 99660 35 58-I .12 18noo 40 .ll1 25 -366194101 . J!! I 810. 1IL 2Q n . J 411 1.Q ij 194370 35 19436D 1.Q ~. ~ ltiI ~ ~ . I i JJl 194470 40 -1of1175K6YARA n BUILDING PERMIT NO. BLD2004-01637 ElM BU.ILDING DIVISION 200,'S. ANAHEIM BLVD. (714).765- 5153 INSPECTION REQUEST LINE: (714) 765 -4626 CENSUS CODE: 434 'QUARTER SECTION: ,13 TYPE OF PERMIT Blockwall/ Columns CITY . DATE: 5/11/2004 JQB ADDRESS: 2961 W.SKYWOOD CIR LEGAL DESCRIPTION: NTR 2655 LOT 54 APPLICANT: MARIO MORA OWNER INFORMATION: CONTRACTOR INFORMATION: ARCHITECT/ENGINEER INFORMATION: MARIO' MORA ,2961 W Skywood Clr Anaheim, CA '92804' JOB DESCRIf'TION:Bulld 29111016 It high block wall per city standards. (Hi H) VALUATION: 696.00 PROCESSED BY:. ODC . I . OWNER-BUILDEF: DECLARATION I hereby affirm und,er penalty of perjury that I am exempt from the Contractc;'s'Ucense Law for "the following reason ,(Sec. 7031;,5 Business and". . '. Professions Code: any.oty or cOl1ntyw.hich requires a perm it to construct, aly'r, improve, demolish or repair any stru.cture,prior to.its issuance, als? requires the applicant forsuch p_ermit to file a signed ~tatemerit that heis lic~hsed pursuant to the provisions of the Cpntractor'sLicense Law (~hapter 9)(commenl?in .th Section 7000 of DiVision "3 of the Business and Profess\,onsCode) of that be is. exempt therefrom and the ba'sis.for the alleged' . exemption yviolationof Section 7031.5 by any applicantfor a permit SU;.li.ectsthe applicant to a civil penalty of not mor13 thanfive hundred dollars $500) ...... .,.. ;. '. . , 'asowner gf pr.operty, or my employees with.wages as their sole com.)erisation, will do the_ worls, and the structure is not intended or offered for sale (Sec;"7044 Business and Professiqns Code: The Contractor's License';..aw does not apply to an owner of property who builds or improves' the'reon, and who does such work himself or herself or throUgh his or her ov;~n employees, provided that such improvements a're not intende(for offered for sale. .If, however, th~ 'buildir.lg or irhprovemEmt is sold with one Y'::J3r of completion, the owner.buUder,Will have the burden of proving that he dId not build or'improve for thepurPC?se of sale). .' . 0 I, as the owner of the property,_ am'exdusively'contracting with licensed co dors toconstruct the project (See. 7044 Business and Professions Code: The C~:mtract6r's License law does not apply to' 'an.owner'ofpropert~'w b' I ds or improves thereon, and who cOntracts "fo~ such projects with ontract:or(s) licensed pursuant tothe_Contra tor's License Law). am e emp under Sec. , B' .'. for this re on:' Da . 5 0 Owner: WORKER'S COMP NSATION.DECLARATION , herebyaffirr:ry under penalty of perjury one of the-following decJ?rations: o rh~ve and'will ~intain a 'certificate of corrsent to self-insure for workel's comPi3nsation, as provided for by Sedion3700 of the Labor Code, for the performance oftj'e work for whi.ch t.his permit' is issue~-. '. . , . .' . o I ha~e and will-maintain worker's Gom'perisation insurance, a~ required Ly Section 3700.of the labor Code; for the perform,ange of the work for which this permit is issl:3c. Myworker's Compensation insuranCe carrier and policy are:. . C.arr'ier: . Pali.cy Number: LICENSED CONTRACTORS DECLARATION I.hereby aff,irm under penalty of perjury that I am licensed under provisionsof chapter 9 (commencing with$ection 7000) of Divsion 3 of the Business and Professions Code. 5/11/2004 Date: Contractor NUMBER EXPIRATION DATE This section need not be completed if the pennit is forone,h,:mdred doUars ($10") or less. .0 r certify that in- the perfq~~~ce of the' work for Which-this permit is issued. I shafl not ~ employ any -person in a ny manner so as to become subject to the worker's !:.)mp~nsation fa~s of Califomia,- ancl ag~ee' that if I should- become ~ubJect. to the worker's com~'3nsation .provision's of-Section 3700 of the Laba~ Co . 's all ~ hwith comply with t~)()se provisions. TYPE Date: .5/11/2004 Applicant: WARN.ING:' FAILURE TO SECUREW KE S COMPENSATION COV~PAGE IS .' UNLAWFUL, AND SHALL SUBJECT AN EMPLOYER TO CRIMINAL PEN(\LTIES AND CIVIL FINES UPTO ONE HUNDRED THOUSAND DOLLARS ($100;000), IN AQ,:1T10N TO THE COST OF COMPENSATION, DAMAGES AS PROVIDED FOR IN. SEC.TJO/" 3706 OF THE LABOR CODE, INTEREST AND ATTORNEY'S FEES. ' . I CONSTRUCTION LENDING AGENCY _ I hereby affirni"under penalty of perjury that there is a construction lending 2'.;ency for the performance ofthework,for whim this'permit is issued (See.309.7:,Civ,C): Lender's.Jnformation: ' ___~_______ _ __~_'---.-----__ __ ________:"n___ Construcion Types: VN,. ' Fire Sprinklered? NO read this application and state that the above infor~tion is correct. ) with all citY_ordinances and state laws refatingto buUding construction, and re sentives of is city to enter upon the above mentioned property for s. Dat..: 5/11/2004 Fees p~i~ for Permit: Total: 0.50 SI nature of Applicant or Agent The p mits~all expire by limitation all!l become null and void if 1M building or work has' not passed final inspectioi1365 days from the date of permit issuance. A new' permit is required to commence or continue work. . ., .. ....INSPECTIONRECORD .. . '.. INSPECTION . ".- F~NALINSPECTIONS . Date Inspector . INSPECTClR . 'Electrical Final' . Plumbing Final '. Mechanical Final Temporary Power Pole Plumbing (OrainfWaste P.;pe) . . Electrical Grollnd ElectrodelUfer' '.' .' .. SetbacklFormsfTl'enches (Footings) 7"-/f'e/4 ~ . ....--- Do not install subflapror pOllr froor slab until the ~ , lollowingapplic~ble ilemshave been signed: ..' , Plumbing (Water Pipe;Sprinkler Valves) Mechanical (Groundwork) . Electrical (Underground Conduit). pre-slab (Compaction/Mel11brane.Reinf. ' Underpinning (float Joist/Girders) . . Do not colier or conceal the work below until the follbWingapplicable items have been signed: . " 1 st Floor Shear Firesprinkier (Rough)' '. 2nd floor Shear .' , Roof(Sheathing/DiaphragrnlFrame) , Masonry (ReinfJBondBeamlPre-Grout) fi..;>!(':1JL . Rough plumbing (TopOllt) .'. Rough MeChanical .. Rough 8ec:trlCaI (Ory Wall) . Rough Electrical' . Framing (Only after Plbg" EI.ec... Mech.. and Fire) Insulation (SoundlEnergy) .' p" not tape or plaster' until th.e following applicable Items haye been'slgned:- '_. . - -', ' Drywall" .' , "... . Penetralions(Fire Rated) Electrical .' . Penetrations (fire Rated) Mechanical' .'. . Penetrations (fire Rated) Plumbing l"teriorLath . '. . . Exterior LlIth I. . GENERAL ITEMS Exterior Plaster (Brown Coat) . . T -Bar Electrical T -Bar Mechanical T -Bar'Structl/ral '. Sewer '. Water Engineering Backfl<!W Water Service DATE . . . .' . . . . . , . ,. . , . Gas Test . Engineerlng/Gr;lding final 765-5176' Fire Dept. Finat'765-4040 . , . . W"ter Engineering 765;5268 . ..' ..' . .'. ,_ Sub List/Business License 765-519' ..' . Zoning .765-5139 .,' .' .' ...... .' . Buildin\l.Fin",ILastlnspection-Only. ,-L A<" -:wJ-' :L " Aller Aboye Complete) , ~VI,:lf7~ . . PARTIAL INSPECTI9NS .... . . BuildinalnSDections . ,.... .'. I .. .'. ~"'I'1 . . . NIf>:.Q,b 1".iA'/l#f . MP4 . IrKJ)t;' -r~,t\ YI~vfs ' 'A-r k/;J,4-(" . I I I .' . . . . ."",. . MechanicallnSDections .' . . .... . . . ." ,.' , .' .' . . . '.' . Plumbina InsDections ',' , . . . . . . . ..' '. . ElectricallnsDections - '. . ; . , ! "j ~ 0.X0J (L.[ (2<;, -7260 PLANNING DEPARTMENT APPROVED DA TE <;;--( I-of! , ZON,.j.!!!Li'CTION@ , BY <::::..r-z, I J J \..r (lnltlallOl FLOOD ZONE /'- HIS~IC DISTRICT REVIEW: / See stamp this pag,e Ircle one on above line o SEE BUILDING PERMIT FOR ANY CONDITIONS 6~ 't2>l' OCk-CA",,,t\ 0<-5 ~1--o,^","1, V\ G'",,< l:\ ISl-r- r t\ -C O\) S \.<:' f 0 ~:::i ,~~.. 0 . .~ "f~ T lQ b ~o-. o \ l" vJ W , - \~ ~~-4 '" \ , - IJI..J ~ :!\' ~~ 5 Iy\'vo<> A (r 5 . - ~ 1 ~ 216( 1" t> t f < ~