1278 E. Vermont Ave.
APPLICANT: MARIA TORRES
OWNER INFORMATION: CONTRACTOR INFORMATION: 'ARCHITECT/ENGINEERINFORMATION:
. louie Martinez
1278 E Vermont Ave
Anaheim, CA 92805 . .
JOB DESCRIPTION: Build78 lineal feel of 6 foot high 'block wall per city star,da/ds.
. . ,', ,I.'
VALUATION: 1,752.00 r PROCESSED BY: SAM
I . OWNER-BUILDER DECLARATION
I hereby affirm under penalty of perjury that I am eX$mp.t from the Contractcfs qcense Law for the following reason (Sec. 7031.5 Business and -~f.,
Professions Code: any city or county which requin:J;s a permit to construct, a1er, improve, demolish or repair any structure, prior to Its issuance, also
requires th!:!' applicantfot sud, permitto file a signe(f,statement that he is'Hdmsed pursuant to the provisionsofthe Contractor's LiC'ense Law (Ch~pter.
9)(commencirtg with Section 7000 of DiviSion 3 of the Business and Profp..ssWns Code) or that he ,is exempt therefrom and tne basis for the alleged."
exemption.. Any violation of Sectiqn 7031 ;5 by any applicant for a permit su!;Jt:!cts the.applIcant to a civil pena,fty of not more tha n five hundred dollars
. ~.. ~)~s. own. er of pro~erty, ormy 'emPloyees.. with wages as their sole 0001. ~rlSaliJ.~, wHI do ttie. w~rk,.. and the structure is not intended or offere. d fO~.
ale,(Sec~ 7~ Business and Professions Code: The Contractor's license ;}aw does notapply to an owner of property whp builds or improves ' _
, hereon, and who does such work himself or herself or through his or her o-'!il) employees, pro'{ided that such improvements, are not intend,ed or , _,:
offered for sale. If, however, the building primprovement is sold with one. yJ-:l.rOf oompletion,too owner-builder will have the burden of proving'that he
did not Duild or improve fort!"1e pu.rposeof sale). -- __ f ..,,' , ,~,
o .1, as'the owner of the property, am ,e~dusivetYcontracting with license\doon\ractors to constructthe project (See.. 7044 Business and Professions-'~
Code: The Contractor's license law does not F!pply to an owner of.prop6rt'i~WhO builds or improves thereon, and who contracts for such proJects.'witK :'.:
. t:jontractor(s) Iice!1Sed purs'uant to the Gontractor's Ucense Law}. }- . .
I ./exempt ujlderSec. . ,a. & P.C. forttiis reason:. __~
Date - '3(-"'" Owner: . f'
WORKER'S C MPENSATION DECLARATION ]
I her~byaffirrn under penalty of peijury, one of the following deClaratio'n~':
O. I have,afld Willma.intain a certificate ot" conseot to self~insure forwo~ker "compensatioJ1;
as provided for by Se~ion 3700 of the Labor Code, for the pertormanre oft~;e \NOrk f6rwhich
this permit is issued. ~',. ~.
o I have and wUl maintain worKer's compensation insurance, as ~quired Ii}: Sedion 3700 of
the Labor Code,for the performance of the work for which this permit is lssu;;~d. My worker's
Compensation insurance carrier and polic~iare: '1
Carrier: ' PotiOj Number. . 1 ;
BUILDING PERMIT NO.BLD2004-04121
TYPE OF PERMIT
Blockwall/Columns .CITY
DATE: 11/12/2004
JOB ADDRESS: 1278 EVERMONT AVE.
LEGAL DESCRIPTION: NTR 2259 LOT 8
. ..
This section .need not be completed if the pe~it is for one hundred doliars ($1a~)-~ less.
~ I certify that in the ~rfonnance of'the work for which this permit is iS$u~d, i sh~II'not
. ploy any person in any manner so as to become subject to the worker',s' c~~ipensation laws
o Califomia, and agree that if I should oecome subject totheworker's,cDmPf~psatjon
provis-ions of Section :3700 'of the Labor ad.e, , shall fort.l)w-ith comply wi.th !j'iv~.e provisions.
. . .~1t'
. Date: 1/31/2005 App\icant: . . .
WARNING: FAILURE TO SECURE ORKER'S ~OMPENSATION COVE'",AGE IS
UNLAWFUL, AND SHALL SUBJECT AN EMPLOYER TO CRIMINAL FENA'_UES AND C!VIL
FINES UPTO ONE HUNDRED THOUSAND DOLLARS ($100,000);'N)\Dqn"lON'ro tHE
COST OF COMPENSATION, DAMAGES AS PROVIDED FOR IN SECTlOr4 3706. OF THE
LABOR CODE;, INTEREST AND ATTORNEY'S FEES.
I CONSTRUCTION LENDING AGENCY'
I hereby affirm uncie.r penalty of perjury that there.is a construction.n:~ridir,g 2Vef1cyfor the
performanre of the work for which this permit is issued (Sec.3097.Civ.C): '
. Lender's Information:' '
-' " ~.' . ,....-' ~-";"'::"-
I certify that I' h.ave read this application and state that the,above information is' correct. I
agree to: oomp,ly with all citY ordinances and state laws re,lating to building con::>tructicin, and
hereby authorize representives of this city ,to enter upon the above mentioned property fOr"
i e<:iion purpoSes.
.~
Date: 1/3112005
~ig.nature of Applicant or Agent
ThEi permitshall 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 requifed tocommllnce .or continull work.
BUILDING DIVISION
200 S. ANAHEIM BLVD.
(714) 765 - 5153
INSPECTION REQUEST LINE:
(714) 765 - 4626
CENSUS CODE: 434
QUARTER SECTION: 104
LICENSED CONTRACTORS DECLARATION
.1 hereby affirm under penalty of perjury that I af1:J
liCensed under provisions of chapter 9lcommenCing
with Section7000) of Divsion 3 bfthe Business and
Professions Code. ' .
1/31/2005
Date:
, Contractor
NUMBER
EXPIRATION DATE
TYPE
Construcion Types:
VN;, .
Fire Sprinkle red?
.NO
~--~')j""I'
I
"--~--
F~ paid for Permi1:
Total:
125.79
. INSPECTION RECORD
. INSPECTION DATE INSPECTOR
Temporary Power Pole . . ..
Plumbing (Drain/Waste Pipe)
. I:lectrical Ground Electrode/uter
. SetbacklFormsfTrenches (footings) . ':1..ht!b(
Do liot install subfloor or poudloor slabllnt.lthe .
fOllowing applicable items have been signed: . . ..
Plumbing (Water Pipe.Sprinkler Valves)
Mechanical (Groundwork) .
Electrical (Underground Conduit)
Pre-slab (CompactionfMembrane.Reil)f.:
Underpinning (Floor Joist/Girders) . . .
Do not cover or conceal the work below untirthe
following applicable items have been signed:
1st Floor Shear . . .... .
FiresprinkJer (Rough) .
2nd Floor Shear . . .
Roof (SheathlnalDiallhragm'Frame) " " ..
Masonry (ReinfJBond BeamlPre-Grout) .;'.
Rough Plumbing (Top Out) 7T
Rough Mechanical . . . L;./
Rough 6ectrICaI (DrY wall) .
Rough Electrical ..
Framing {Only after Pfbg., Efec., Mech.. and Fire} .
Insulation (SoundlEnergy)
po not tape or pla~ter until the. following applicable ,.
Items 'have been slgneq: -. . .
DryWall .
Penetrations (Fire Rated) Electrical. .
PenetrationS (Fire Rated) Mechanical.
Penetrallons(Flre Raled) Plumbing . ..
Interior Lath
Exterior Lath . .
. GENERAL ITEMS
exterior Plaster (BraNn Coat) I
T -Bar Electrical
T -Bar Mechanical . . .
T-Bar Structural . .
Sewer .
Water Engineering .Backflow .
Water ServicQ .
.
FINAL INSPECTIONS Date . Inspector
E.lectrical Final . . ,
Plumbin!! Final
Mechanical Final
Gas Test .
. .
EngineerlnglGrading Final 765-5126
Fire Dept. Final 765-4040 . .
Water Engineering 765.5268 . .
Sub List/Business License 765-519 ..
Zoning 765.5139 I. I
Building Final ~.st Inspection. Only ~-I,"~ 7#
fter Above Complete)
. PA.RTlAlINl?PECTIONS D
Buifdina Inspections
Mechanical Inspections .
Plumbina Inspections
ElectricallnsDections
VERMONT AVENUE
~'
GREATER
THAN
25FT.
1278 E. VERMONT AVE.
1
6 FT. HIGH BLOCK
n+t....I"O~~.1
'e>\o~
r-,y
~>,,: I.,
4 FT. GATE
EXISTING
HOUSE
TALL
THE ISSUANOE OF THIS PERMIT DOES
NOT APPAOVE VIOLATION OF ANY OF
THE BUll-DING OODES OF THE CITY.
THE HOLDER OF THIS PERMIT
PROCEEOS AT HIS OWN RISK.
BLO K WALL
JAN 3 1 2005
8UILDING DIVISION OF ANAHEIM
APPROVED
13l;;;()&<:;al.{~ Al{lt).\ BY-f&A rrA~~Y~C-:-
<,.;.,
EXISTING
HOUSE
PlANNlrlG DEPARTMENT
AP VED
DATE I '1
fi?:t?
B
\t\ah:')
DATE: 11/12/2004
JOB ADDRESS: 1278 E VERMONT AVE
LEGAL DESCRIPTION: N TR 2259 LOT 8
BUILDING DIVISION
200,S. ANAHEIM BLVD.
(714) 755 - 5153
INSPECTION REQUEST LINE:
(714) 755 - 4525
CENSUS CODE: 434
QUARTER SECTION: 104
BUILDING PERMIT NO. 0" BLD2004-04121
,TYPE OF PERMIT CITY
Blockwall/ Columns '
APPLICANT: MARIA TORRES
OWNER INFORMATION: CONTRACTOR INFORMATION: ARCHITECT/ENGINEER INFORMATION:
Louie Martinez
1278 E Vermont Ave
Anaheim, CA 92805,
JOB DESCRIPTION: Build 73 lineal feet 01 6 fool high block wall per city ,stand.rt's,
VALUATION: 1,7~2.00 PROCESSED BY: SAM
I OWNER-BUILDERV",CLARATION I'
I hereby affirm under penalty of perjury th~tl am exemptfrom the Contractor'~ '~~ense Law for the following reason {Sec. 7031.5 Busine_55 and
Professions Code: any city or county which reqtiiresa permit to construct, atfe(.,'lmprove., demolish or repair any structure, prior to its issuance, also
requires the applicant for such permitto file a signed statement that he i$licen~e~t pursuant to the provisions of the Contractor's license Law (Chapt~r
9)(commencing ~ith Section 7000 af Division 3 afthe Business and Professloi'1:'i- Cede) or {hat he is exempt therefrom and the basis for the alleged
. .exemption. Any violation of Section 7031.5 by any applicant for a perrYrit subj~:';t.3 the applicant to a civil penalty of not more than five hundred dolrars
-~?)~sowner of propertY, or my, employee~ with wages as their soie COnipe;'~af:on, 'will do the work, .,nd the slructure,is not intended or offered for
-~(SeC. 7044 Business and Professions Code; The ContractOr's UcenseLa'~J does not apply to an owner of property who butJds or improves
thereon, 'and who daes such .work himself or herself er threugh hi,S or her owri'fJmployees, provided that such improvements are not irrtended or
offered for sale._ If, however, t~e building or improvement is sold with one yeadof~mpj~tion, the oWl!er-,builder will have the burden of proving that he
didnotbuildorimprovefort~epurposeofsale), _ _ _ _ ___'! _ . _ _ '.
o 'I, as the owner of the. property. ;:J.rT1 exdusively contracting with licensed ~:9i"llraclors to construct the project (See. 7044 Btisinessand Professions
Code: The Contractor's license Law does not apply to an owner of propertY";'{J~",pUjldS or improves thereon, and who contracts for such projects with
fU(ontractor(s) lic~nsed pursuant to the .Contractor's License Law}. _.' .
U'lamexemptunderSec. "B&P.C.for IS reason:,.,:::
Da'te: . Owner: . -~
WORKER'S OMPENSATION DECLARATION -;i LICENSED CONTRACTORS DEC'LARATION'
I hereby affirm under penalty of perjury one of the following declarations:, I hereby affirm under penalty of perjury that I am
o I ha~ and will maintain a certificate ~f consent to selt~insure tOr work:er's~()rd:Jensation. . licensed under proVisions of chapter 9 (commencing
as, provided for by ~ction 37,00 of the labOr Code, for the perfo~man03 oftl'c:\.v').l'k fo'rwhich. with Section 7000) of Divsion 3 af the'Busine.ss and
this 'permit is issued. .' . .. Professions Code.
D I have arid will maintain worker's compensation'insurance. a~.required by Section 3700 of 11f1ZfZOQ4
the Labor Code,'forthe performance of-the work for which this p~.rmit \'1 i~.ue'l Myworke-r's Date: Contractor
Compensation inSurance carrier and policy are: .
Carrier: Policy Number. NUMBER EXPIRATION DATE
This section need not be compJete~ if the pennit is for on.e, hU!1~r~, d~lIars ($10,U)0"I~s.
certify that in the perforrnanc:e of the work for wJ:1icht~iS per~ltis i~_Y$~.rshall not
ny person in any manner S08S to become ~ubjeyt to t,he warke:"s:~compensation laws
of lifamia, and agree that if I should become subject to the woiker'scompe;1sation
pr~v 'ens of Section 370Q of the La b.or Cod e, I shall 0'0 ~it~ Com~IY Wit~Jhcsec_~r~\liSions.
Date: 11/1212004 'Applicant: V~ ~~
WARNING': FAILURE TO SECURE~~KER'S COMPENSATION,COVEP.AGE IS
UNLAWFUL, AND SHALL SUBJECT AN EMPLOYER TO CRIMINAL i>ENALTIES AND CIVIL
FiNES UP TO ONE HUNDRED THOUSAND DOLLARS ($100,000), IN ADDITlQN TO THE
COST OF COMPENSATION, DAMAGES AS PROVIDED FOR IN'SECTION ,370lioF THE
LABOR CODE, INTEREST AND ATTORNEY'S FEES. ' :.
CONSTRUCTION LENDING AGENCY
I hereby affirrri under penalty ef perjury that there is a construction lending, ag:mcy for the
performance of the work for whidl_ this permit is issued (~ec.;:309I~GtV.ty:'''''' .i'c..'~;,:"',;,.~.
bender's iiltbrma!ioi1: ,---.-
TYPE
Construcion Types:
VN, , '
Fire Sprinl<lered?
NO
....-..-.;--
I certify that I have read this application 'and state that the above information is Correct. I
agree to compl_y with all city ordinances and state laws reli;lting to bu~ding construction; and
hereby authorize representives of this city to. enter upon the above mentloned property for
inspe ion, lJrposes.
~
Date: '11/1212004
Fees paid for Permit:
Total:
125.79
,~
Signature of Applicant or Agent
Th permit shall expire by limitation and becpme null and void if the building or
work has not passed finalinspeclion 365 days from the date of permit issuance. A
new permit is required to commence or continue work.
INSPECTION RECORD
INSPECTION , DATE INSPECTOR
Temporary Power Pole
Plumbing (OrainlWaste Pipe) , ,
Electfical Ground Electrode/lifer
'SelbacklFormsfTrenches (Footings) ,
00 not install subfloor()r pour floor slab until the
following applicable items have been signed:
Plumbing (Water Plpe.Sprinkler Valves)
,Mechanical (Groundwork) ,
Electrical (Underground Conduit) ,
pre-slab (CompactionlMembrane.Reinf. ,
Underpinning (Floor Joist/Girders)
!J? not cover or conceal the work be,low until the
follo'1'ing applicable items have been signed:
1st Floor Shear, ,"
Firesprinkler (Rough)
2nd Floor Shear " , , "
Roof (Sheathing/Diaphragm/Frame)
Masonry (ReinfJBOlld BeanlPre.Grout) ,
Rough Plumbing' (Top Out)
Rough Mechanical ,
Rough t:lectrlCallLlrY wall) "
Rough Electrical , ,
Framirig . (OnlyafterPlbg" Elec.. Mech.. and Fire!
Insulation (SouncllEnergy) . .'
00 not tape or plaster until the following applicable
items have been signed: '
Drywall ",
,Penetrations (Fire Rated) Electrical
Peneti'alions (File Rated) Mec:hanical
PenetrationsiFire Rated) Plumbing
Interior Lath , ,
Exterior ~h , ,
, 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
EngineeringlGradingFinaI76s~126 ' "
, '
Fire Dept. Final.765-4040 :
,
Water Engineering 765-5268
Sub LisilBusiness License 765'519
Zoning 765-5139
Building Final' (Last Inspection- Only"
After Above Complete)-
,
/
/
~t6~~'~f1(. ,
I ..)
-
PARTIAliNSPECTlqNS
Bui/dina InSDections
~'6~G'~Y
y
,Ik~'
MechanicallnSDections
Pluinbina InSDections .
ElectricallnSDections
Vf;
(p f hI"
b~J,
bfC--
D. ~ III ('1-'(of
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SSE. BUILDING PEJ,M\1 fOR
ANY corlOr\\ONS
otL- ~ '\otO&'t-w><-t \
THE ISSUA
NOT APPR;;~E OF THIS
+~1. BUIL.OII,rG VdOL.ATIO~E~~IT DOES
PRO~~T:,~e:~ g~E~~t~ TH~N61+';
THIS OWI:;e:RMl"l:
RISK.
NOV 1 2 2004
BUILDING DIVISION OF
6rw APPROVE ANAHEIM
om. BY ~
D'flz I