326 N. Syracuse
TYPE OF PERMIT C
Blockwall/ Columns ITV
DATE: 4/20/2005
JOB ADDRESS: 326 N SYRACUSE ST'
LEGAL DESCRIPTION: N TR 2775 LOT 57
ElM
BUILDING DIVISION
200 S. ANAHEIM BLVD.
(714) 765 - 5153
INSPECTION REQUEST LINE:
(714) 765 -4626
CENSUS CODE: 434
QUARTER SECTION: 19
BUILDING PERMIT NO. BLD2005-111135
APPLICANT: LEILA MARCELO
OWNER INFORMATION:. CONtRACTOR INFORMATION:
Arthur H Vitug
326 N Syracuse St
Anaheim, CA 92801
JOBDESCRIPTION:Build 6' by 46' long block wall per city speCifications.
VALUATiON: 2,000.00
ARCHITECT/ENGINEER INFORMATION:
PROCESSED BY: END
I OWNER:BUILDER DECLARATION
I hereby affirm under penalty of perjury thal I am exempt from the Contractor'spcense Law for the following reason ( ec. 7031,5 Business and
Professions Gode: any city or county which requires a permit to construct, a Ite rj improve, demolish or repair any structure, priorto Its issuance, also
requires the appli'cant-for.such permit to file a signed statement that he is Ucenood pursuant to the provisions of the Contractor's License Law (Chapter
-9)(commencin"g with, Section 7000 of Division 3 of the Business -a.nd Professians Cade) .or that he is exempt the_refram and the basis 'far theaJleged
exemptian.. Any vialati.on .of Sectian 7031.S-by any applicant far a permit subjeCts the applicant ta a civil penalty .of nat mare than 1ivehundred dallars
~OO). . . .., .
~ I, as .owner at propertY,?,r my'emplayees w\thwages as their sole compen;satian, will da the wark, and the str:ucture is nat intended e:r offered far
sal~ (Sec. 7044 Business and Professians Code: The Cantractar's License La'f does not applyta an .owner .of property wha builds ar.improves
therean, and wha d.oes sucl1 w.ork-himself .or hers.elf .or thr.ough his .or her awn empl.oyees, provided that such improvements are nat illtended .or . .
.offered far sale. If,'hawever, the building .or improvement is said with a!1e year bf com'pletion, the .owner-builder will have the _burden .of praving that_ne
did nat build'or improve far the purpaseaf sale). 'f _ . ." . __
D I, as the .owner .of. the praperty, 'am exclusively contracting with licensed cohtract-ars to canstruct the praject (See, 7044 Business and Professions
Cade:, The Cantract.or's License Lawdaes nat.applY ta an .owner .of propertywha builds .or impraves therean, and"."'ha contracts far such prajects with'
antractar(s) licensed pl!rsuant ta the Cantractar's License Law).
fam ex'empt under Sec. ,-6 &P.C. far ttli's reasan:
ate: -}O -OS- Owner: r
WORKER'S PENSAT N DECLARATION
I hereby affirm under penalty .of p 'ury.ane .of the follawing declarati.ons: I
o . I have and will maintain a ertificate .of ~nsent ta self-insure far worker's chmpensatian,
as pravided far by Sectian 3700 of the Labor code, far the perfarmance .of the work. for' which
thi-s permit is issued. . . J
o I have and will maintain worker's campensatian insurance,. as required by Section. 370p .of
the Labor Code, far the perfarmance of the wark for Which this permit is issued:! Mywarker~
Compensatian, insurance carrier and policy are: ''I,
Carrier: Policy Number: NUMBER
LICENSED CONTRACTORS DECLARATION
I,hereby affirm under penalty of perjury that Lam
. licensed under provisions of chapter g'(commencing
with Section 7000) .of Divsian 3 of the Business and
Professions Cade.
4/20/2005
Date:
Contractar
EXPIRATiON DATE
This section need not be completed if the pennit is for one hundred dollars ($100) or less.
[2SI ,I ~ertify that in the perfonnance .of the wark far which this permit is issued.l shall .oat .
employ any persan in any mannersa as 'b~ame, subject to the warker's campensatian laws
of-Califomia,ard agree that if I SQuid eme subject ta the warker's campensatian
provisians <;>f Section.3700 .of the .C~de, I shall farthwith [amPlY' with tho~e provisians.
Dat-e: 4/20/200S . Applicant: I
WARNING: FAILURE TO SECU
UNLAWFUL, AND SHALL $UBJ
FINES UPTO ONE HUNDRED OUSAND DOLLARS ($100,000), IN ADDITlON TO THE
COST OF COMPENSATION, AMAGES AS PROVIDED FOR IN SECTION 3706 OF THE
LABOR CODE, INTEREST A D ATTORNEY'S FEES.
CONSTRUCTION LENDING AGENCY
I hereby affirm under penalty .of perjury that there is a canstructian.lending agency for the
perfarmance .01 the w'ark far which this permit is issued (Sec.3097.Civ.C):
Lender's Inf.ormatian:
TYPE
Canstrucian Types:
VN, ,
'Fire Sprinklered? NO
I certify that I have read this application and state that the abave infarma,tian is correct. I
agre ta comply with all city .ordinances and state laws relating ta building canstruction, and
here y autharize representives of this city to enter upan the abave mentianed property far
. ctian purpases. .
Date: 4120/2005
Fees paid for Permit:
Total: 125.79
Sigl)atur .of Applicant .or Agent
The p mit 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 pernit is required to commence or continue work.
INSPECTION RECORD
. . INSPECTION. . DATE INSPECTOR
Temporary.Power'Pole
Plumbing (D13inNVaste Pipe) .
Electrical Ground Electrode/lifer .
setbacklFormsfTrenches (Footings) . ll..hol~1S .
Do not install subfloor or pour floor slab until the
following applicable items have been signed:
Plumbing (Water Pipe.Sprinkler Valves) . .
Mechanical (Groundwork)
Electrical (Underground Condu it) . . .
Pre-slab (Compaction/Membrane.Reinf.
Underpinning (Floor Joist/Girders)
Do not cover or conceal the work below .untll too '.
foUowing applicable items have been signed:
1 sf Floor Shear -c-
Firesprinkler (Rough) .
2nd Floor Shear ,. . . .
Roof (Sheathing/Diaphragm/Frane) . -c ~.
Masonry (ReinfJBond Bean/Pr&Grout) 1/e,
Rough Plumbing (Top Out)
.RoughMechanical.
Rough Bectncal \"')' ,II). .
Rough Electrical ." . .
Framing (Only after Plbg., Elee.. Msch. and Fire)
InSulation (SoundlEnergy) '. ,
00 not tape or plaster until the following applicable
items have been signed: '. .
Drywall . . .
Penetrations (Fire Rated) Electrical . .
Penetrations (Fire Rated) Mechanical I. . .
Penetrations (Fire Rated) Plumbing
Interior Lath .' .
Exterior Lath . . . .
GENERAL ITEMS I
Exterior Plaster (Brown Coal) h
T -Bar Electrical . . 1
T -Bar Mechal'!ical
T -Bar Structural . .
Sewer .
Water Engineering Backflow
Water Service
FINAL INSPECTIONS
Electrical Final
Plumbing Final
Mechanical Final
Gas Test
Date
Inspector
Engineering/Grading Final 765-5126 .
Fire Dept. Final 765-4040
Water Engineering 765-5268
Sub ListlBusiness License '7.65.519
Zoning 765-5139
. Building FinallLast Inspection. Only
.' . After Above Complete)
'~/{.o5
. . . . PARTIAL INSPgCTIONS
Buildina Inspections
Mechanical Inspections
PlumbinQ Inspeetions
ElectricallnsDections
,-
.;,;.
KS, 2.-
PLANNING DEPARTMENT
APPROVED
DATE ()Lfl'!!J':fPl~C.,
BY .' I
Unitlald
.'
,
.
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THE ISSUANCE OF THIS PERMIT DOES
NOT APPROVE VIOLATION OF ANY OF
THE BUILDING CODES OF THE CITY
THE HOLDER OF THIS pERMIT
PROCEEDS AT HIS OWN RISK.
.
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/.\PR 2. 0 2005
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