208 N. Sunkist
TYPE OF PERMIT C
Blockwall/ Columns ITV
DATE: 9/28/2005
JOB ADDRESS: 208 N SUNKIST ST
LEGAL DESCRIPTION: N TR 2767 LOT 4
ElM
BUILDING DIVISION
200 S. ANAHEIM BLVD.
(714) 765. 5153
INSPECTION REQUEST LINE:
(714) 765 . 4626
CENSUS CODE: 565
QUARTER SECTION: 122
BUILDING PERMIT NO. BLD2005-031OS
APPLICANT: MARINA MEDRANO
OWNER INFORMATION: CONTRACTOR INFORMATION:
FRANCISCO J MEDRANO
208 N SUNKIST ST
ANAHEIM, CA 92806
JOB DESCRIPTION:lnstaIl47' linear feet of 6' feet high blockwall per city standards
VALUATION: 3,000.00
ARCHITECT/ENGINEER INFORMATION:
PROCESSED BY: JNJ
OWNER.BUILDER [\ECLARATION
I hereby affirm under penalty of perjury that I am exempt from the Contractor's License Law for the following reason (Sec. 7031.5 usiness 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 thell3from and the basis for the alleged
exemption. Any violation of Section 7031.5 by any applicant for a permit subjects the applicant to a civil penalty of not more than five hundred dollars
($500).
ra> 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
'sale (Sec. 7044 Business and Professions Code: The Contractor's License Law 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 employees, 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~bullder will have the burden of proving that he
did not build or improve for the pUlpose of sale).
o I, as the owner of the property, am exclusively contracting with licensed C0ntractors to construct the project (Sec. 7044 Business and Professions
Code: The Contractor's License Law does not apply to an owner of property who builds or improves thereon, and who contracts for such projects with
,a..Qontractor{s) licensed pursuant to the Contractor's License Law).
U I am xe t. und,er ~ ' B & ,C. or this reason i
Oat . " ,{;. Owner:
WORKER'S COMPENSATI6N DECLAR TION
I .lJ2!eby affirm under penalty of pe~ury one of the following declarations:
,.e:r I have and will maintain a certificate of consent to self-insure for worker's c:ompensat;on,
as provided for by Section 3700 of the Labor Code, for the performance 01 the work for which
this permit is issued.
o I have and will maintain worker's compensation insurance, as required by Sectlon 3700 of
the Labor Code, for the performance of the work for which this permit;s issued. Myworker's
Compensation insurance carrier and policy are:
Catrier:
LICENSED CONTRACTORS DECLARATION
I hereby a irm 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.
9/28/2005
Date:
Contractor
poncy Number:
NUMBER
EXPIRATiON DATE
This section need not be completed if the penn;l is for one hundred dollars ($100) or less.
~ I certify that in the performance of the work for which this permit is issued, I shall not
'ijfTIployany person in any manner so as to become subject to the worker's compensation laws
01 Califomia, and agree that If I should become subrect to the w rker's c<;>mpensation
provisions of Section 3700 of the Labor e, shall forthwith m Iy w h those provisions.
Date: 9/28/2005 Applicant: /<
WARNING: FAILURE TO SECUREW RKER'S COMPENS . ION COVERAGE is
UNLAWFUL, AND SHALL SUBJECT AN EMPLOYER TO CRIMINAL PENALTIES AND CIVIL
FINES UPTO ONE HUNDRED 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 AGENCV
I hereby affirm under penalty of perjury that there is a construction lending agencyfor the
performance of the work for which this permit is issued (Sec. 3097 .Civ.C):
Lend.er's Information:
TYPE
Construcion Types;
VN, ,
I certify that I have read this application and state that the above in1ormation is correct. I
agree to comply with all city ordinances and st te laws relating to building construction, and
hereby authorize repre ntives of this city 0 e telpon the above mentioned property for
inspection purpose . ~,
~ /}1.f Date: 9128/2005
Sign re of App lea t or Agent
The permit shall expire by limitation and become null and void if the building or
work has not passed final inspection 365 days from the date of permit issuance. A
new Dermit is reauired to commence or continue work.
Fees paid for Permit:
Total:
133.28
Temporary Power Pole
Plumbing (DrainlWaste Pipe) ~
Electrical Ground Electrode/Ufer ^ \J
SetbacklForms/Trenches (Footings) ()<l./~ /IVV~
Do not install subfloor or pour floor slab until the
following applicable items have been signed:
Plumbing (Water Pipe/Sprinkler Valves)
Mechanical (Groundwork) PARTIAL INSPECTIONS"""--
Electrical (Underground Conduit)
Pre-slab (Compaction/Membrane Reinf.) Building Inspections
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/Diaphragm/Frame) I I
Masonry (Reinf./Bond Beam/Pre-Grout) 10 ft.f,) J A '-lou.>w_ \ MechanicallnSDections
Rough Plumbing (Top Out) /
Rough Mechanical
Rough Electrical (Dry Wall)
Rough Electrical
Framing (Only after Plbg., Ele" Mec.. And Fire)
Insulation (Sound/Energy)
Do not tape or plaster until the following applicable
items have been signed:
City of Anaheim
Building Division
INSPECTION RECORD
INSPECTION
DATE
INSPECTOR
Drywall
Penetrations (Fire Rated) Electrical
Penetrations (Fire Rated) Mechanical
Penetrations (Fire Rated) 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
Engineering/Grading 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 ~ C'2~ -
After Above Complete) // ~.
/
Plumbing Inspections
Electrical Inspections