5500 E. La Palma Ave. (3)
BUILDING PERMIT NO. BLD2003"01514
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CITY '~~l)-iEIM
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BUILDING DIVISION
200 S. ANAHEIM BLVD.
(714) 765 - 5153
INSPECTION REQUESTLlNE:
(714) 765 - 4626
CENSUS COD.E: 437
QUARTER SECTION:$(
. TYPE OF PERMIT
Fo~ndiltion Only
DATE: 11/10/2004 .
JOB ADDRESS: 5500 E LA PALMA AVE
LEGAL DESCRIPTION:
CONTRACTOR INFORMATION: ARCHITECT/ENGINEER INFORMATION:
BROWNCO .CONSTRUCTION COMPANY ItijlJCHARD A PLUMP
1000 E KATELLA AVE 13210 FLORENCE AVE
ANAHEIM. CA 92805 GO(l() SANTA FE SPRINGS, CA 906700000
BUSINESSPHONE: 562 Tl7-9933
. JOB DESCRIPTION:New hydrogen foundation and 8' 6" high block wall. (Peimit renewed til5/i0/05) .
APPLICANT: JEFF HANSON
OWNER INFORMATION:
METAL POWER PRODUCTS CO
5500 E LA PALMA AVE
ANAHEIM, CA. 928072108
VALUATION: 30,000.00
I OWNER-BUILDE,8 DECLARATION
I hereb~ ~ffirm under pe~aJty of perjury t~at I ,am, exempt fro~ the Contra.dfr's L~ce:nse Law tor ~he foJlowin,9 r~son (Sec. 7C~1.5 ~us!ness C:lnd
ProfeSSions Code: any CIty or countywhlch requIres a. permit to t::onstr(jc~, etter. :mprove, demohsh'orre~lr any' structure, pnorto Its Issuance, also
requires the applicantfor"such permit t6 file a signed statement that he is 1i6ensed pursuant to the provisions of the Contractor's License law (Cha'pter
9)(commencing .with-Section 7000 of Division 3 of the Business and Profes~icns Code) or that'he is exempt therefrom and the,basis for the all~ged .
exemption. Any violation of Section 7031.5' by any applicant for a permit ~Jbjectg. the applicant to a dvil penalty of not mpre'than five hundr.ed dollars
~~ . I .
D I, as owner of property, or my employees with wages as thei~ GOle cOIT;pensation, will do the wor~, and the structure is not intend,ed or offered for
sale (Sec. 7044 Business and Professions Code: The' Contractor's License'L~w,does noi apply to an owner of property who builds or improves
thereon, 'and'who does such work hjmselfor herself or through hi$ or tler.O\:m employees, provided that such,improvemel')t~ are notintended or "
offere~ for sale. If,'how.ever, the building or improvement is sold with one y;"'ar of completion, the owner':'builder will have the burden of proving that he
did not build or in:prove forthe purpose of sale): '. , '.{ _ .
D I, as the owner of the property, am,exdusively contracting with ficense6 ccntractors to construct the project (Sec. 7044 Busi~ess and P.rofessions
Code: The Contractor's liCense Law does not apply to an owner,of propert{wt"'tO builds or improves thereon, and who oontracts for such projects with
~ontractor(s) ncensed pursuant to th~ Contractor's Licen~ l.aw); - -.. ' '
U I am exempt under Sec. ' , B & P.C. for this reason:
Date: Owner: .
I
PROCESSED BY: MSM
I
LICENSED CONTRACTORS DECLARATION
I'hereby affirm under penalty of perjury that I am
licensed under proviRions of chapter 9 (commencing
with Section 7000) of DiVSion~th Businessa rid
ProfessiQ s .. ' . . '.: .
.11/10/2004.. .
Date: Contractor
This section need not ~.comp"leted if the permit is for one hundred dollars ($10lj) or less. "
o I certify that in the perfonnance of the work for which this permit is issu4d, I shall not
employ any person in any manner so as: to become subject to the worker's ebrnpe~sation laws
of Califomia, and agree Jhat if I should become su'bject tO,the orker's com~;bn$ation "
provisions of Section 3700 of the Labor Co ,I s II I.th mply with t~ose provisions.
Date: 11/10/2004 Applicant:
WARNING: FAILURE TO SECUR WO
UNLAWFUL, AND SHALLSUBJE T EMPL.oYER TO CRIMINAL PENf.t.TIES AND. CIVIL
FINES UPTO ONE HUNDRED THOUSAND DOLLARS ($100,000), IN ADCn10N TO THE
COST OF COMPENSATION, DAMAGES AS PROVIDED FOR IN SECTIO;;-3"fOeOF 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 ~~;ency for the
-'- ~:1cr:;"::'''''lv::-'cf the wt;;k f0r 1n'~d-; -this p.c;,mit is i~::>i.:ie,:HS~-8G-G7~Ci\' ;C;):- . ...
lender's Information: -
NUMBER
769921
TYPE
TYPE
TYPE
EXPIRATiON DATE
10/31/2005
A
B
C8 CONC
Construcion Types:
VN, ,
Fire Sprinkrered?
NO
i' t'
, .
I certify that I have read this applic"ation and state that the above information;5 correct. I
agree to comply with all city'ordinances and state laws relating ,to build,ing cO!lstruction, and
herebyauth jze r~ re entives f this city to enter upon the above mentioned property for
ins io
Date.: 11/10/2004
Fees paid for Permit:
Total:
831:08
gnature of Applicant or Agent
The permit"shall expire by limitation and become null and void if the building or
wC)rk has not passed final inspection 365 days from the date of perrT'itissuance. A
new per!"it is required 10 commence or.continue work. .
INSPECTION RECORD
INSPECTION . DATE INSPECTOR
Temporary Power Pole
Plilmbing (Dl3in/Waste Pipe) . .
Electr.ical Ground Electrode/Ufer .
. SetbacklFormsrrrem,hes (FoOtings)
Do not install subfloor or pour floor slab until the
following applicable Items have been signed:
Plumbi ng (Water Pi pe.Sprinkler Valves) . .
Mechanical (Grounclwork)
Electrical. (Unoorground Conduit)
Pre-slab (Compaction/Membrane.Rei nf.: .
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 (She;olhinglDiaphl3gm'Frane)
Masonry (ReinfJBondBeanlPre-GlOUt)
Rough Plumbing (Top, Out) .',
Rough .Mechanical .
Rough Electrical (Dry Wall) . .
Rough Electrical
Framing '. (Only after Plbg.. Elec.. Mech'. and Fire) . .
Insul;olion (SouncllEnergy) .
00 not tape or plaster until the following applicable
items. have been signed: - - .
Drywall . .
Penetr;olions (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 ' Dale .Inspectm
Electrical Final '. . .
Plumbing Final . . . . .
Mechanical Final '. . .
Gas Test . .,
Engineering/Grading Final 765.0126 '. .
Fire Cep!. Final 765-4040 . ." ~
Water Engineering. 765-5268
Sub List/BusinesS License 765-519 '. .
Zoning 765.5139 .
. , .
Building Final. l:l-ast Inspection- Only '5ItIdr rlM/
fter Above Complete)
PARTIAL INSPECTIONS
I
Buildina Inspections
.'
MechanicallnSDections
Plumbina Ins'pections
Electrical Inspections