259 Spruce Drive
CITY
ElM
BUILDING DIVISIDN
200 S. ANAHEIM BLVD.
(714) 765 - 5153
INSPECTIDN REQUESTLINE:
(714) 765 - 4626
CENSUS CODE: 565
QUARTER SECTION: 102
BUILDING PERMIT NO.
BLD2005-01192
,
"
.
TYPE OF PERMIT
BI.ockwatl / Columns
DATE: 4/26/2005
JOB ADDRESS: 259 N SPRUCE DR
-
;.<
LEGAl,: DESCRIPTION: N TR'1428 LOT 64
APPLICANT: NDRMAN JDHNSDN
OWNER INFORMATION:
Norman Johnson
259 N Spruce Dr
Anahei m, CA 92805
JOB DESCRIPTION: Inslatl121' Iinearfeet of 6' feet high block wall per city standards
VALUATION: 5,000.00
I OWNER-BUILDER DECLARATION
I hereby affirm under penalty of perjury that I am exempt from the Contractor'sLicense Law for the following. reason (Sec. 7031.,5 Business and
Professions Code"; any clty or county which requires a permit to.constructl alter) improve, demolish or repair any structure, prior to its issuance, also
requir.e~ the apptipant for such'permit to file a signed statement thathe js licensed pursuanUo theprovisi-ons of the Contractor's License Law (Chapter
9)(commencing with Section 7000 of Divisio.n :3 of the Business and prcifessien:s'Cede) .or that he,is exempt t~erefrem and the basis fer the alleged
exemptfen. Any vieratien .of Section 7031.5 by any applicant for a permit subjebts the applicant ta a civil penalty .of nat mare than five hundred dallars
($500). . . : . . .
~ as .owner .of property, .or my emplayees with wages as their sele camperlsaticn, will da the work, and the structure is nat intended .or offered for
sale (Sec. 7044 Business and Prafessians Cade:: The Contractar's UCEmse laN does nct applytc an .owner .of property wha builds .or improves
thereon, and wha daes such wark himself .or he.JSelf .or thraugh his ar'her awn emplayees, provided that such improvements are nat'intended .or
.offered far sale. If, how~ver, the building .or impravement is seld with .one year~af compl~tien, the ,ew:ner-bu i1der will have the burden .of preving that,he_
did not build .or improve fer the pUlpose .of sale). . . ~ . , , _".'
Of, as the .owner .of the property, am. exClusively ca 'fading w. ,R lice~$ed contracters te censtruct the praject (Sec. 7044 Business and Prefessians'
Cede: The Cantractar's Ucense Law daes nat apply an awn .of p 'ertywra builds .or impraves thereon, and. wha contracts far such prajects with
~ontractar(s) ~icensed pursuant tathe Contra ter;: Ucense w). '
U I xe..(l1pt undfttSec. _ .c.~r .
Date: "J-G,-(J5 Owner~'
WORKER'S Co ATIO ECLARATION
I hereby affirm under penalty .of perjury .one .of-the fello Ing declaratians:
~ have and will maintain a certificate of consent te self-insure far warker's~ompensatian,
as provided fer by Sedian 3700 .of the Labar Code, far the perfermance of the j,vcrk fer which
this permit is'issued.
o i have and will maintain warker's campensatian insurance, as 'required by Sectian 3700 .of
the Labar Code, fer the performance of the wark far which this permit is issued, Myworker's
Campensatian insurance carrier and palicy are: .
Carrier: Policy Number:
CONTRACTOR INFORMAtiON:
ARCHITECT/ENGINEER INFORMATION:
PROCESSED BY: JNJ
LICENSED CONTRACTORS DECLARATION
I hereby affirm under penalty .of perjury that I am
licensed under. provisions .of chapter 9" (cammencing
with SeCtion 7000) of Dlvsion 3 of the Business and
Professians Cade. .
4/26/2005
Date:
Cahtradar
NUMBER
EXPIRATIDN DATE
This section need not be completed If the pernlit is for one hundred dollars ($100) or less.
t3? 'certify that in the performance .of the werk far which this permit is issued, I shall not
emplay any person in any manner sa as ta became subjec ta the warker's c pensatian laws
of Califamia, and agree that if I shauld became s bject t9' e warker.' ca l1$atian'
pravisians 9f Sectian 3700 .of the Labor Cade, I all with ca wi those isians.
TYPE
Dale: 4/26/2005 .A~plicant:
WARNING: FAILURETDSEC- EWDRKER' C MPE
UNLAWFUL, AND SHALL SUBJECT AN EMPLOYER TO IMINAL PENALTIES'AND CIVIL
FINES UPTD .oNE HUNDRED THOUSAND DDLLARS ($100,000), IN ADDIlIDN TD THE
CDST .oF CDMPENSATIDN; DAMAGES AS PRDVIDED FDR IN SECTIDN:3706 .oF tHE
LABDR CDDE, INTEREST AND ATTDRNEY'S FEES. .
CONSTRUCTION LENDING AGENCY
I hereby affirm under penalty .of perjury that there is a canstructian lending agency far the
performance .of the"work far which this permit is issued (Sec.3097.Civ.C): _
Lender's Infermation: "
Canstrucian Types:
V N, ,
tate that the abave informatian is cerrect. I
ate. laws relating ta building canstructian, and
enter upon the above mentioned property far
Date: 4/26/2005
Fees paid for Permit:
Total:
184.50
A
INSPECTION RECORD
IN5;PECTlON DATE INSPECTOR
Temporary Power Pole ' '
PI!lmbing (DrainlWaste Pipe) ,
Electrical Gro!lnd Electrode/lifer' ' ,t(') /1/
Setback1For~fTrenches (FootingS)" 1. ~12.~ ~!I Jrx
Do not install s!lbfloor or pO!lr floor slab !lntil the ,,(/
following applicable items have been signed:
Plumbing (Water Pipe.Sprlnkler Valves) , ,
Mechanical (GrO!lndwOrk) , ,
Electrical (UndergrQUnd Conduit) "
Pre-slab.(CompactionlMembrane.Rei nt.;
Underpinning (Floor JOist/Girders) , -
Do not cover or conceal the work below until the ,
following applicable items have been signed: '
1 st I'loor Shear .- ' , "
Flresprinkler (Rough)
2nd Floor Shear .
Roof'/SheathinolDiaphraamlFrame) , , '
Masanry (RsinfJBond BeamlPre,Grout)
Rough Plumbing (Too Out) , ,
Rough Mechanical,
Rougnl:lectrlCallLJrY "all) ,
Rough Electrical
Fral1'ling (Onlyafter.?lbg'" Elec.. M"ech.. and. Fire)
'Insulation (SoundlEnefgy) , ,,'
Donat tape or plaster until the following applicable
ite.ms have been signed: .
Drywall ,
Penetrations (Fire Rated) Electrical
Penetrations (Fire Rated) Mechanical
Penetrations (Fire Rated) Plumbing
Interior Lath ,
Exterior Lath ' '
GENERAL ITEMS ,"
l=xIerior Plaster (Brown Coat)
T -Sarelectrical
T -Bar Mechanical ' , ,
T -Bar Structural ' .
Sewer ,
Wa~er Engineering Backflow ,
Water Service
FINAL INSPECTIONS' <!;Jate Inspector
Electrical Final '" ,', .~. . . , ,',
"-
Plumbing 'Final ,
, ,
Mechanical Final .-
Gas Test ,
En\Jineering/Grading Fil)al 765-5126
Fire Dept. Final 765-4040 "
Water Engineering 765-5268 . , ,
Sub List/Busineu License 765-519
Zoning 765-5139 .
Building Filial \l-astlnspection, Only ! ~ ~/ ';;;..?\ .- ,
, " ' fter Above Complete) ",,,...
, ' PARTIAL INSPECTlC N 'r >
Buildina Inspections
Mechanical Inspections
Plumbina Inspections
Electrical Inspections '
".
C\ . IIt'\
fVt'l~~~.
~~, ~
~~J~~~W~
,T~~ ~'4
.. ...
l~
s
; .
, .
i'
1
I
i
'fi~'l
"
".,"
,,'1,c-e .
. ,\0 ~fl) ,f'..\ .
1E-c--3>\c1"-- '-'~-----:"'f
"
!-\'
r---'"
(j{Y~0)
.~
; .
!
I
I
I
~\ 1
i~lpJ7 "0:)'-." ,j. I'!
["'_:...._. .,-1. ___,___~
-;;;T'- l i
PJ. ',"
~\
tJ)b~
--:~;).\)..\~\:.:r,,(
./
~'J..\.~W "71';1).'313
,---" ----..
I
1
F
\'H-.t
"
I
.~ -J
.
"
,:"l' ,
.fit.; .
.J.... .
!
. ,<.1'
.,,;.
, '..ti,
........... . I
.........'--,......,...:.....
. '. i
.', ~" .~-..
. ....' .
,,-'
"
4" ':1,
I;>' ;,..:
. ;:-""'t :~,;:\\;i:>
~. I~""'I; q
: ',; ,:.:!\fi ...;;:.'.~:,~~f~;~~>
. .., .,.;), ~'1.
.j.-'. . ::"f:l:,' '; - ~~~f~~tl~':' ,
>.~.;f\_;~I~t ..
.s! ..,;Jt,$-."
"~'!~\'"
-"l: ,'Ji;-1t~1 .~.. '-"'"." 'J'
_ ",,0; f0t ~!" 'J:-;" r,' . ~
1~~!1:jr ,i
,:-j,;,,:::-"
'.
~,,:'
r' ..-
~~ ,
;::,.
,.,:.....
,
..g~, .\ i
"-- .j." -(
; ", ('. ~-.
~"
"
. ~.,
.,'
".'.,.
, .
;~": ..
./J
'~"""'"
r.,',>
.- '
'--."
h~ ..",
~~\'l :"
..(.
.
r
,;"
I
'l;
\. ". ..
t:J ~~;j;';'~, .::. ota.."'-Ve
..,.... vc.,v{.oJ 7V ..J V'
-b~
'.
I
i
I .:
!
,
'I
;:,j
tcmOllfF EXs/$7) 1..Jg
t 1Mb 00'01,1 ~Ce
~Pll'ic.e WIlli-
; /
; t. I!lock:.'
!
l
. ,
f
i
f
'I
I
,-.' \
.r
\ I
. ..f
fj
!
-:\
~~
1> ~\l
-~
-
~CN
~f
~'
".' ,"
i
:1
.ij
..>~\
.
'I
I
.,
.(
"
,
DISTRICT,REVIEW:
ee ,stamp t.his. ~
e one on above line
SEE BUILDING PERMIT FOR
ANY CONDITIONS
.. 'YOVt'-(p\ \A\q,\AIc\o 11\.c".k
"d. ~\V\. 2.5'~ ~',
~
ElM
BUILDING DIVISION
200 S. ANAHEIM BLVD.
(714) 765 - 5153
INSPECTION REQUEST LINE:
(714) 765 - 4626
CENSUS CODE: 565
QUARTER SECTION: 102
;}:J.-.
BUU..DING PERMIT NO. BlD2005-01062.
TYPE OF PERtv1IT
Blockwall/Columns CITY
DATE: 4/1.8/2005'
JOB ADDRESS: 259 N SPRUCE DR
LEGAL DESCRIPTION: N TR 1428 LOT 64
APPLICANT: NORMAN JOHNSON
OWNER INFORMATION: CONTRACTOR INFORMA:nON:
Norman Johnson
259 N Spruce Dr ) ,
Anaheim, CA 92805 1
JOB DESCRIPTION: Install i 10' linear feet of 6' feet high block wall per city stahdards.
. ,
VALUATION: 5,000.00 .,
ARCHITECT/ENGINEER INFORMATION:
PROCESSED BY: JNJ
OWNER.BUILDER DECLARATION
I hereby"affirm under penalty of perjury that I am exempt rom the Contracto(~ Ucense Law for the following reason (Sec. 7031-.5-Business and
Professions CodE;): any city or county which requiiesa permit to construct, alt~r, improve, demolish or repair any structure, prior to its issuanee, also
re:quires.the applicantfor such, permit tq file a !Signed statement that he is lice~'Sed pursuantto-the provisions of the Contractor's License LaW.cC~aptei"
9}(commeneing with Section 7000'of DiVision 3 of .the Busines~and Professiobs'Code) or that he is exempt therefrom and the basis for the alleged .
exemption. . Any violation of Section 70;31.5 by any applicant for a permit subj{cts the appHcant to a civil-penalty of not more than five hundred dollars
~~ . . 1 ..
a:::I::as owner of property, or my employees with wages as their sole compebsation, will do the work, and the structure is not intended or offered for
sale (Sec. 7044 Busrne:ss an~ Pro!essions Code: Th~ Contractor's Ucense l.4W does not, apply to an owner of property who builds or improves
thereqn, and who doe.$ such work himself or herself qr t~rou9h his orher own':!=Imployees, provided that such improvements a're not intended pr
offered for sale. If, h9wever, the building or improvement is sold with one yea!.jof completion, the owner-builder w~l have the burden of proving that he_
did hot build or improve for ths'pUlpose of sate). , .. ~ . .,
o -I, as the owner of the property,' am exclusively contracting with licensed c')(\tractors to construct the project (Sec. 7044 BUsiness and ProfeSSions
Code: The Contractor's License Law does not apply to an wner of P: who builds or improves thereon, and who contracts tor suCh projects with
~ontractor{s) licensed pursuant to the Contractor's - IC. ~ se.Law), .
U I 'exe pt under Sec. . ,B'&P . rthisre :
Date: ~ - Owner: (U ...--.
WORKER'S COMPE N 0 ARA ION
~reby affirm under penalty_of pe~ury one 0 e followin eclarations: I ".'
)ZI I have and will maintain a certificate of consent to self.insure for worker's Gompensation,
as provided for by Section 3700 of the labor Code, for the performance of the work for which
this permit is issued: ," , t
o I have and will maintain worker's compensation insurance, as required by ~ection 3700 of
the Labor Code, for the performance of the work for which this permit is lssuedi Myworker's
Compensation insurance carrier. and policy are: -, r
Carrier: Polley Nu mbe r:
This section need not be completed if the pennit is for one hundred dollars ($1 00) or less.
W certify that in"the performance of 'the work forwh. h this per 't is issued 'J shaft not
~,e:oiany person in any man~er so as to become s jeet to t worker' orr:p~nsation laws
of Calitomia, and agree that if I should become sub. ct to the orker's mpensation
provisions o(Sectiori 3700 ofth~'LaborCod I > II fmthwj comply, iththoseprqvisions,
/
Date: 41; 8/20.05 Applicant: /...
WARNING: FAILURE TO SECURt' NSATION COVERAGE IS
UNLAWFUL. AND .sHALL SUBJEC EMPLOYER 0 CRIMINAl PENALTIES AND CIVIL
'FINESUPTO ONE HUNDRED THOUSAND DOLLARS ($100,000), IN ADDITlON TO THE
.COSTOF CoMPENSATION. DAMAGES AS PROVIDED FOR IN SECTION 3706. OF THE
'LABOR CODE, INTEREST AND ATTORNEY'S FEES. .,
I CONSTRUCTION LENDING AGENCY
I hereby affirm under penalty ,of perjury that there. is a construction lending .age(L~Y for toe
performance of the work for which_ this permit is issued (Sec.3097.~Clv.C)>- L~ '
Lender's Information: .
LICENSED CONTRACTORS DECLARATION
I hereby affirm under penalty of perjury, that I am
licensed under provisions of ,chapter g.(commencing
with Section 7000) of Divsion 3 of too Busines.s and
Professions Code. .
4/18/2005
Date:
Contractor
NUMBER'
. EXPIRATION DATE
TYPE
Construcion'Tvpes:
VN., .
Date: A/18/2005
Fees paid for Permit:
Total:
184.50.
orAg nt
The permit s I xpireby Iim ion and become null and void iBIle building or
work has not passed final inspection 365 days from ttie date of permit issuance. A
newpermit is required to commence or continue work.
, INSPECTION RECORD
, ,
INSPECTION ' , DATE INSPECTOR
Temporary Power Pol,e , ,
Plumbing (Dl3lnIWaste Pipe) ,
Electrical Ground Electrode/Uter /!
SetbacklFormsrrrenc/)es (Footings) ;[~ Rl. ,f), ,
Do not instal,l subfloor or pour floor sial until e .
following appiicable ile,ms have been signed:
Plumbing (Water Plpe.Sprinkler Valves)
M~hanical (GroundWork)
I Electrical (Underground Conduit)
Pre~lab (CompactionIMembrane.Reinf. ,
Underpinning (Roar .Joist/Girders) ,
Do not cover or conceal the work belOW until.the .
following applicable items have been signed:
~st Floor Shear ' " I
Flresprlnlller (Rough) ,
2nd Floor Shear
Roof IShliathinalOiaphraamlFrame) , ' "
Masonry (ReinfJBond BeamlPre-Groul)
Rough Plumbing (TopOul)
Rough Mechanical ,
ROugn f:lectrK:altury nail) ,
Rough Electrical' , ,
Framing (Only aher Plbg" Elec" Mecl1, and Fire)
Insulation (SoundlEnergy)
Do not tape or plaster until the following applicable "
Items have been signed: '
Drywall ' ,
P!lI1etrations (Fire Rated) Electrical
P!lI1elratlons (Fire Rated) Mechanical
P!lI1etratlons (Fire Rated) Plumbing ,
Interior Lath
Ellterior Lath ,
, ' GENERAL ITEMS
Exterior PIaSter (Bl'CMln Coat)
T.Bar Eleclrlcal
T -Bar Mechanical , ,
T -Bar Structural
Sewer ,
Water Engineering Backflow ' .
Water Service
FINAL INSPECTIONS Da.';e\ Inspector'
Electrical Final , , ~
Plumbing Final ' ,
Mechanical Final.
Gas Test ,
Engineering/Grading Final. 765-5126 " ,
Fire Dept. Final 765-4040 ' , ,
Water Engineering 765'5268 .
Sub List/Bus,iness License 765.51$
Zoning 765-5139 , , , ' .
Building Final ~ast Inspection. Only (j''26-dj r "J/_ '
fler Above Complete) .~
PARTIAL INSPECTIONS J
Suildin!:! Inspections
Mechanicallnsoections
'Plumbina Inspeetions
Electrical,'Inspections