2254 E. Standish Ave.
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BuiLDING PERMIT NO. BLDZOO5-01144
TYPE OF PERMIT
Blockwalll Columns
DATE: 4/21/2005
JOB ADDRESS: 2254 E STANDISH AVE
LEGAL DESCRIPTION: . N TR 1987 LOT 65
ElM
BUILDING DIVISION
200 S. ANAHEIM BLVD.
(714) 765 - 5153
INSPECTION REQUEST LINE:
(714) 765 - 4626 :
CENSUS CODE: 434
. QUARTER SECTION: 113,&')
APPLICANT: TIM PODELL
OWNER INFORMATION: CONTRACTOR INFORMATION:
Partric,ia . Hailes
2254 E Standish Ave
Anaheim, CA '92806
JOB DESCRIPTION:Buildblock wall 6' high 29' ft. long per city specifications.
VALUATION: 3,000.00
ARCHITECT/ENGIN'EER INFORMATION:
PROCESSED BY:'ENO
OWNER.BUILDER DECLARATION .
I.hereby affirm under penalty of perjury th~t I am-exempt from the Contractor's ~cense Law for the following reason (Sec. !031.5 Business and
Professions Code: any city or county which requires a permit to construct, alter; improv.e, demolish or repair any structure, prior to itS issuance, also. .
re~uire$ the applicant for such Pl3!rmit to file a-signed statement that he is licen~d pursuant to the provisions of the,Contractor's License Law (Chapter
9)(commencing with Section 7000 of Division 3 of the Busines~and Prafession~ Code) or that he is exempt therefrom a,nd the basis for the allege~
,exemption., ,Any vici laJ ion 'of Section 7031.5 by any applicant for a permit subjects the applicant to a civil-penalty of riot more than fiv.e hundred dollars
~~ '.' ~'.,
~,I, as owner of property, or my employees with wages as their sole comperi.sation, will do the work, and the structure i.s not intended or offered for
sale (See, 7044 Business and Professions Code; The Contractor's Ucense Latt does not applY to an owner of property who build~ or improves, .
thereon, and who does.such work himself or herself orthrough his or .her own ~mployees, provided that-such improvements are' not intended. or
offered for sa-Ie. If, however, the biJildin'g or improvement is sold with one year;af completion, the. owner-builder will have the burden of proving thathe~
did not build or improve for_the purpose of sale). . ~ ' . , -,'. .
o I, as the owner of the property, am exclusively contracting with licensed' co'ntractors. to construct the project (Sec, 7044 Business and Professions
Code: The Contractor's License 'law does not apply to an'owner of property who build$ or improves thereon, and who c;ontracts for such projects with
~ontractor(s) licensed pursuant"to the 'Contractor's Licen Law). t',: ' '. . .
U I ain.exempt under Sec. . 'B.C. fa t ..re : ',,: -, .
ate: Owner:
'4, '2.1 I?~ WORKER' ,CO NSATION ECLA ATION
I hereby affirm under penalty of pe~ury one of the following declarations:
o I ha.ve'and will maintaiA a certificate of consenfto self-insure,fonvorker's dompensation, '
as prOV"ided for bySeclion 3700 of the Labor Code, for the periormance of the work for which
this permit, is issued.' . . .!
01 have and will !i1aintain worker's compensation ,insyrance, as required by Section 3700 of
the Labor Code; fOJ the performance of the work- for which this permit is issued: My worker's
Compensation insurance carrier and policy are:
Carrier: Policy Number:
This section need not be completed if the~rmit is for one hundred dollars ($100) or less.-
f'J.~ J certitythat in the performance of the work for which this permit is issued,:1 shall not .,
ErrnPloy'any person i.nanymanrier so asto become suoject to the 'worker's compensation laws
of Californla, and agree that'if I should become subject to the w rker's compensation
provisions of SeCtion 3700 of the bor C , I . om with those provisions.
LICENSED 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.
4/21/2005
Date:
Contractor
NUMBER
EXPI RATION DATE
TYPE
Date: 4/21/2005. Applicant: .
WARNING: FAILURE TOSECUR WOR R'S.C MPENSATION COVERAGE IS
UNLAWFUL, AND SHALL SUBJ CT AN EMPLOYER TO CRIMINAL PENALTIES AND CIVIL
FINES UPTO ONE HUNDRED' OUSAND DOLLARS ($100,000), IN ADDITION 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
p-arformance of the work for which this p~rmit is issued (Sec. 3097 .eiv.C): -~-
Lender's Information:
Construcion Types:
VN, ,
Fire Sprinklered?
NO
, certify that I h.ave read this application and state that the above Information is correct. I
agree to ply with all city ordinances and state laws relating to building construction, and
eby, uthorize representi . ci~ to ente upon the above mentioned property for
insp on purp~se~ .
//. ~ Date:.4/21/2005
ignature of Appliea t or Agent .
permihhall expire by IimitaUon and become null.and void if the building or
w k has not passed final inspection 365 days from the date of permit issuooce. A
new permii is required to commence or continue work.
Fees paid for Permit:
Tota':
125.79 .
INSPECTION RECORD
.. . , '.. INSPECTOR
'. ,INSPECTION' , '. DATE
Temporary Power Pole
Plumbing (DrainlWaste Pipe) , .
Electrical 'Ground Electrode/uter ^
SelbacklFormsfTnmches (Footings) 5!Jt1joS I/AI.. ./1'0
Do not install subfloor'or pour floor slab until theO f
following applicable items have been signed: , .
Plumbing (Water Pipe.Sprinkler Valves) .
Mechanical (Groundwork) ,
Electrical (Underground Conduit)
Pre-slab (Compaction/Membrane.Reim.
Underpinning (Floor Joist/Girders) .
Do'not cover or conceal the work below, until the
followiqg applicable items have been signed: :
1 st Floor Shear "
Firesprinkler(ROugh) . .
2nd Floor Shear'
Roof (SlIealhiIl!llDiaphragmlFrame) A
Masonry (Reinf./BoneI BeamJPre-Grout /7/;,';< ;. 11m
,Rough Plumbing (Top Out) ?If
Rough Mechanical .. .
I Rough ElectrICal (Dry waUl ,
Rough Electrical
l'raming (Only after Plbg.. Elec.. f,,1ech.. .ana' Fire)
Insulation (SoundlEnergy) ,
D6 not tape or plaster until the following applicable
items have been signed:., .
Drywall : .
Penelrations (Fire Rated) Electrical" . .
Penetrations (Fire Rated) Mechanical
Penetrations,(Fire Rated) Plumbing.
Interior Lath .
Exterior Lath
, . ,. . ' . GENERAL ITEMS
Exterior PllIster (BraNn Coat) .
T~Bar Electrical . , . . .
T-Bar Mechanical
T -Bar Structural
-
Sewer ' ..
Water Engineering Backflow
Water Service . . .
FINAL INSPECTIONS Date Inspector .
Electrical Final c .
Plumbing Final
Mechanical Final -- ..
Gas Test ,. , .
Engi.-rin9/Grading Fina'765-5126. ,
Fire Dept. Final 765-4040 . .
Water Engineering 765-5,268
Sub List/Business License 765-519 . ' . .'
Zoning 765-5139 ~
I BUilding Final ~ast Inspection. Only %cA,s L-.
fter Above Complete) c..,l5;.dt.
-
PARTIAL INSPECTIONS.
Building Inspections
MechanicallnSDections
PlumbinalnSDections ' .
ElectricallnsP8ctions
,
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Idb~'t:Wcl\\; .
OBJECTIVe ~ . 5t/-OI,
REMove. EXI$TIN413/..oc../< V-t. ~LL~ BUilDING DIVISION 0 ANAHEIM
AD" ~.' . f&(d~~r-~~.f..F:lROV ^
. v NEW ~~LOCI< WAl-L.:~ ~i 9' ~8Y 5.
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@New l3/..tJG.K; w.4L..L- 6 X /5~
@New etoc/( W4~ /... 6/x /4/-'3 /1
Au. D'Me;N610N~ MAY VARY 61.-ICtH1t-'( '3 ~ 5'//
. ' . \ (MAY VARY)
(;;b: l \::) /34c,K ofHOV6/$
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r' PLANNING DEPARTMENT
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DATE ~L1_2COS
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SEE .BUILDiNG.' . Pt:. Rf.vilT FOR
ANY cO~\ln!-r)o~,.!S .
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T E ISSUANCE OF THIS .ERMIT DOES
N T APPROVE VIOLATIO OF ANY OF
E BUILDING CODES I" THE CITY
THE HOLDER 01" TH S PERMIT
PROCEEDS AT HIS WN RISK.
APR Z 1 20 5
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