735 S. Sylvan
BUILDING PERMIT NO. BLD2005-00790
BUilDING DIVISION
200 S. ANAHEIM BLVD.
(714) 765.5153
INSPECTION REOUESTlINE:
(714) 765.4626
CENSUS CODE: 565
QUARTER SECTION: 21
TYPE OF PERMIT
Blockwalll Columns .C ITY
DATE: 3/24/2005
'JOB ADDRESS: 735 S SYLVAN ST
LEGAL OfOSCRIPTION: N TR 2874 LOT 87
APPLICANT:
OWNER INFORMATION:
Victor- Franco
735 S Sylvan St
Anaheim. CA 92804. " . .
JOB DESCRIPTION: Repair lB' linear feet of 6' feet high block wall: REFINV2005"00009
VALUATION: 2,500.00
I OWNER-BUILDe.R DECLARATION
I hereby-affirm under penalty of perjury that I am exemp~ from the Contrador's License law for the following reason (Sec. 7031.5 Business and
. Professions Code:'any city or county which requires a permit to construct. :alter, improve, demolish or repair any structure, prior to Its issuanoe, also
. reqUireS the applicant for such permit to fife a signed statement that,he is ~:,censed pursuant to the provisions of the ~ontrad:or's License law-(Chapter
9)(commencing with Section 7000 of Division 3 of the Business and Profe:Jsions C0ge) or that he is exempt therefrom and the basis for the alleged
exemptio/'). Any violation of Section 7031.5 by any applicant for a permit *,ubjects the appt,icant to a civ~ 'pena~y of not more than five hundred daUars
*~ . .' .
~as owner of pro. perty, or my employees with wages as their sole co:,1pensation, wiU do the work, and,the structure is not interiaed or. offered for
r~c. 7044 Business and Professions Code: The Contractor's Licens'S Law does nofapptyto an owner of property who builds.or improves
thereon, and who does such work himself or herself or through his 'or her :.wn emptoyees, provided that such improvements are not intended or-
offered for sale. If, however, the building or improvement ,is sold with one,vear of completion, the owner-builder will have the burden' of proving that' he
did not bund or imp-rove for the purpose of sale). . ' . . .
o I, as th~ owner of the propE;jrty, am exdusively contracting with licens~d contractors to construct the project (See. 7044 Busines!3 and Professions
Code: The Contractor's license Law does not apply to an owner of propeliy who builds or improves thereon, and who, oontracts for such projects with
FlJ(ontrador(~) licensed pursuant to the .Contractor's license law). .
U" I am exempt under Sec. -,: f<?r tH reason, r'___ .~
Dat. -'Z..4-oSOwner: ~
r7 WORKER' OMPENSATION DECLARATION
I hereby affirm under penalty of perjury one of the following declarations:
~_ have 3. nd will maintai!1 a certificate of consent to se. lf~insure for wcrk;u's compensation.
a ovided for by Section 3700 of the Labor Code, for the performance of ,the work forwhid1
his permit is issued. . . .
0- I have and will maintain worker's compensation insurance, as required by Section 3700 of
the Labor Code, for the J:Derformance of the work for which this permit is issued. Myworker's
Compensation insurance carrier and pOlicy are:
Carrier: 'Policy Number.
CONTRACTOR INFORMATION:
ARCHITECT/ENGINEER INFORMATION:
PROCESSED BY: JNJ
I
LICENSED CONTRACTORS DECLARATION
I hereby affirm under penalty of perjury that I am
licensed ~nder provisions of chapter 9 (commencing
with Section 7000) of DiVsion 3 of the BI.:Isiness and
Professions C~e.
3/24/2005
Date:
Contractor'
NUMBER
EXPIRATION DATE
This s.eclion need not be !'Ofllpleted if the permit is for one hundred dollars ($1.~0) or less.
<:1J.J-cert;ty that In the perfonnance of the work for which this perniit is is.<;ued, I Shall not
~~~y any person in any manner so as to _~ecDr.Q.e subject to the worke(s, ,ccmpensation ,laws
of .califomia, and agree that if I should become Slfojed to the worker's compensation
provisfonsof Section 3700 of the labor Code, I shall (I hwith c Iy with those proylsions.
Date: 3/24/2005 Applicant ,
WARNING: FAilURE TO SECU ORKER'S COMPENSATION COVERAGE IS
UNLAWFUL, AND SHAll SUB. ECT AN EMPLOYER TO CRIMINAL PENALTIES AND CIVIL
FINES UP TO ONE HUNDRED "THOUSAND DOLLARS ($100,000), IN ADDITION TO THE
COST OF COMPENSATION, DAMAGES AS PROVIDED FOR IN SECTlO~ 3706 OF THE
LABOR CODE, INTEREST AND ATTORNEY'S FEES. .
I CONSTRUCTION LENDING AGENCY .
I herebv affirm under penalty of perjury that there is a: construction lending agencyf9f the
perfQrman~c{t.'1e: work for _whicT1his-permit is 'issued (8:oc.3097.Ci.J..C):
Lender'S Information: . .
TYPE
Construcion Types:
VN" .
. I certify that I have read' this application and. state that the above information i~'correct. I
agree to comply with all city ordinances and state laws relating to buijding construction. and
hereby authorize repre . es of this city to .enter upon the above mentioned property for
i ection purpose~ IJ . ,
~ 'Date: 3/24/2005
gnature of Applicant 0 _ Agent
permit shall expire by limitation and become null and void if the building or
work has not passed final inspection 365 days from the date of permit issuance. A
new permit, is required to commence or continue work.
Fees paid for Permit:
Total:
125.79
. INSPECTION RECORD
INSPECTION DATE INSPECTOR
Temporary Power Pole
Plumbing (DrainlWaste Pipe)
Electrical GroUnd Electrode/uter . .
SelbacklFormsrrrenches (Footin!l$)
Do not 111$1311 subfloor or pour floor slab until the
follOWing applicable items have been signed:
Plumbing (Water Plpe,Sprinkler Valves) . .
Mechanical (Groundwork) .
Electrical (Underground Conduit) . .'
Pre-slab (Compaction/Membrane.Reinf. .
underpin/ung (Floor JoistlGirtfers)
Do not COVer or conceal the work below until too
following applicable items have been signed: .
1st Floor Shear .
Firesprinkler (Rough) .
2nd.Floor Shear . . . . .
Roof (Sheathing/Diaphragm/Frame)
Masonry (ReinfJBond BeamlPre-GroUt)
Rough Plumbing (TopOut) .
Rough Mechanical .
ROugh aectrlcalllxlt ..all)
Rough Electrical
Framing (Only aher Plbg. Elec.. Mech. 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
Penetrations (Fire RatedlPlumbing
,nterior Lath .
Exterior Lath . . .
. . GENERAL ITEMS
Exterior Plaster (Bnmn Coal)
T .Bar Elec:trical '.
T.Bar MechanIcal .
T.Bar Structural
Sewer .'
Water Engineering Backflow
Water Service
'. FINAL INSPECTIONS Date I . Inspector
Electrical Final . . .
Plumbing Final'
Mechanical Final .
.
Gas Test I
Engineering/Grading Final 765-6126 .'
Fire Dept' Final 7654040 .
Water Engineering 765-5268' .
Sub List/Business License 765-519< . .
Zoning 765-5139 . .
. . . .
Building Final '*astlnspeClion- Only 4'ldctt 7
. fter Above Complete} . -
PARTIAL IN,SPECTIONS. {;,~-e. ..
Buildin9 Inspections ~'i I ~
Mechanical Inspections
Plumbina Inspections
Electrical.lnspections