1631 W. Wilmot Ln.
BUILOJl'IG PERMIT NO.
, TYPE OF PERMIT
Blockwall 1 Columns
.-:.;;
CITY
t~~~;":f:H~~;,:,
~~It-I'HEIM
\~~~~~{~,;i' "
. '~_,. ,,"c.-
BUILDING DIVISION
200 S. ANAHEIM BLVD.
(714) 765.5153 .
INSPECTION REQUEST LINE:
(714) 765,4626
CENSUS CODE: 434
QUARTER SECTION: 59
BL02005'00641
DATE: 3/912005
JOB ADDRESS: 1631W WILMOT LN
LEGAL DESCRIPTION: N TR 12884 LOT 3
APPLICANT: THUY LUONG
OWNER INFORMATION:
THUY LUONG
1631 W WilinotLn "
Anaheim, CA 92802' " '
.JOB DESCRIPTION:Build 148 lineal feet of 6 foot high blocK wall per city spe1fi("lion$.
VALUATION: ' 2,500.00 L
I OWNER.aUlwEf'4!EClARATION ' ..J
I hereby affirm under penalty 'of perjury that' am exempt from the ContraClC;;'$ Lice:1sE:: Law for the foJiowing reason (Sec. 7031:5 Business anti
Plt?fessions Code: a ny city or coynty which requires a permit to construct, ~,fer, !mpffWc.. demolish or f~~_ir any structure~.prior to its issuance, also
requ ires th7 ~ppli~ nt for ~Uch permit t~ ~I~ a signed state.~ent that he is, nc.t~sad pur~w,:mt t~ tj'~.~JO\'isions of the Contra~or'$ Li~ense LaV{ (9hapter
9)(commenclng wIth-SectIon 7000 of DIVIsion 3 of the Buslnessar:d Prohs.s;p.!:~ Code> or th::l.T he IS exempt therefrom and tne baSfS fort'1e alleged
exemption. Any violation of Section 7031.5 by any applicant for a perrnit Stit;~~~ts the 3?:y'icontto a C1V!l penalty of not more thr;!n fivehundreddoMars
u. .. . . '.
($500). .' , r'. " ',' , '.
~l i, as owner of pr~perty> or my employees with wages a~ their sole, c.(),r,{;(:~a!i(;n, wHl do t~3 work,: and the struct.ur~is not inte~ded or offered for
~~,(Sec. 7044 Business and Profea~ions Code: The Contractol"'~Ucef.'l~e }<:lW doesofIot i::lpplyto ~n ownei of propert/who builds or. imp,.cve~: .
thereon, and who does such work h!mselfor h~rself or through his or 11er o~.t emp!oyseB, provided ttlat such irnprovern~qtS9re not l(ltended 0(. .'
o~ered fo~ sale: If, however, ,the building or improvement- is soid with one y(t-ar of completion, the cwner-bc!ider will have the burd~rlof proving tha! he
drd not buUd or Improve for the purpose of sale). . fi '. _
. 0 ,I, as the owner of the property, am exdusfvely contra ding witt) iicer':.s'~4~nJ('ac:tor$ tq construe! the prC}~ct (~ec. 7044 Business antI Pr.ok,ssions'
C~de; The Contractor'? License law does not apply to an owner" of prcpert~\...ho builds 'Jr i,rnproves th'ere~n. and who oo'ntract-s for StiCh projects with
~ntractor(s) licens~ purs~ant to the Contractor's Uce~se Law). ; .... . . . .
,Ia exem tur.derSec.. .B&P.C.fort IS reason: ---"r----. "-"_~__,,,",""--_
Date" , ~0'5'""WOROKwEnR~rS:' COMPENS' ATION CLARAT"ON E ~'l ._,_.
-', _ C:L.~CENSEIJCONTRACTOR;> DECLARA1;.IQU
j hereqy affirm'under penalty of perju'ry one of the following declarations:' . . J ". , . I I heieby a:fini1 ,lInde>r.pe:"!alty of perJurj that jam .
.0 '-have and wlll maintain a certifir..ate of consent to. self-insure f~r Wmke~., ~q:Tlp"-:i(lsa!ion, licer:sedunder p:-ovisioilsof chapter ~ (comrnancing
coS provided for by Sed ion 3700 of the Labor Code. for"the performance\)f :~wcr',( for\~ir.:h I w:th SE-;,;tion 7000) of Divsicn3 of the .gu~!ness Clne!
th:s perm-iUs issued. . ~ . i P;,nft:,~:::iL)n$ Code. .
o .1 have and will maintain worker's compensation in..<:;urance, a:o; tequired tf.l S~ction 3700 cf r 3/9,;~:O(l5
the Labor COde. ferthe pe,{o~ance of the work for which this perm;t is i~~:..:~"? MY'I\<r:;rker'b' I Oats:
Compensation insurance carrier and policy are:, j " I
Carder: '. '.. Policy Number: 1 NUfll18ER
Tn;s section need not be completed If the pennit is for one hundred dollars {tiO~ or less. . I TYPE
~ I certify that in the performance of the work for which thiS permit is ISSUe.!, ; snail no;:
'i{'r'!ptoy any -person In any manner so as to become subject to the warl<;er's c.lrnpenSatlOn laws I
of Califomia, and agree that if I should become subject to the worker's campi f1satton .
provi$lons of Section 3700 of the labor Code, I shall forthwIth co y with tt.1S2 provisj'Jr:s. Construcioll Types.
VN. ,
Date: 3/912005 Applicant: Fire Sprinklers-a?
WARNING: FAIWRE TO SECU E WORKER'S COMPENS TI ,
UNLAWFUL,AND SHALL SUBJECT AN EMPLOYER TO CRI ,JAL PENA'.,IES AND CIVIL
FINES UP TO ONE HUNDRED THOUSAND DOLLARS ($100,000). IN AOrniON TO THE
COST OF COMPENSATION, DAMAGES AS PROVIDED FOR IN SECTlCK:WO.3 OF THE,
LABOR CODE, INTEREST AND ATTORNEY'S FEES. '
I ' CONSTRUCTION LENOINGAGENCY .~__.J
'hereby ~ffjrm under penalty of perjury that there. is a construction ler,ding ,~~~y f.;:.,t the. I
. performance of the work for whim this permit is is.sued (Sec. 3097 ,Civ.C). .
Lender's InformaticJn. .
CONTRACTOR INFORM;\TiON:
ARCHITECTIENGINEER INFORMATION:
Contractor
EXP:RA1!O~~ DATE::
NO
--'~:?....
~----------
I cenify that J have read th1s application and state th-atthe above informatior. is correct. I
agree to comply with all city ordinances and state laws relating to bu iJding ctlilstruction, and
her~by,author~e representives of t' city to enter upon.the.above mentioneti property for
in pectio ses.'
,
_.319/2005
Fees paid for P,ermit:
Total: .
184.50
Signature of A Ii 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 permit is required to commence or continue work.
. INSPECTION RECORD
. INSPECTION.. . . DATE. INSPECTOR
Temporary Power Pole .
Plumbing (DrainlWaste Pipe) .'
Electrical Ground Electrode/Ufer " . ~ ,
SetbacklFormsfTrenches (Footings). , l'lAt/hJ /.
Do no.! ins.!all subflqor or pour floor slab until the. /
following applicabJ:e items have been signed:"
Plumbing (Water Pipe.Sprinkler Valves) , .
Mecrnmical (Groundwork) . .
,
Electrical (Underground Condui.t) ,
Pre-slab (Compaction/Membrane.Reint. , , ' . .
, Underpinning (Floor Joist/Girders)
.. Do no.! cover or conceal.!hework below umil the
following apRlic?qle items have been signed: .
;
, 1 st Floor Shear . .
Firesprinkler (Rough) , ,
2nd Floor Shell' ,
Relof (Sheathing/Diaphragm/Frame) . ,
. Masonry (ReinfJBond BeamlPre-Gl'O\It) j<f IUo,l -
Rough Plumbing (Top Out) ,/
Rough Mechanical
Rough, Bectrical, (DryWall)
Rough Eleciricai ,
Framing (Only' after Plbg.. Elec.: r,.lech MdF'irej
Insu/.ion (SCXlndlEnergy)
Do not tape or plaster until the tollowing app/.icable
items have been signed: , ' ' .
DryWall . , , , '
, .
.Penetrations (Fire Rated) Electrical
, Penetrations (Fire Rated) Mechanical ,
Penetrations (Fire Raled) Plumbing . .
Interior Lath' ,', . "
Exterior Lath
, , , GENERAL ITEMS
. Exterior Plaster (Brown Coal) , ,
T.llar Electrical
T -Bar Mechanical '. - ,
T -BarS.!ructural ,
Sewer . ,
Water Engineering Backflow . , '. .'
Water Service
FINAL INSPECTIONS Date Inspector
, Electrical Final ,. ,
Plu;"bing Final' ' " ' ' ,.
Mechanical Final . "
<Oas Test ,
Engineering/Grading Final 765-5126 .
Fire Dep.!. Final 765-4040 ,
Waler E,nginee,ring 765-5268 .
, .
Sub Ust/Business Licens<; 765-519 :.' , ..
Zoning 765.5139 ,
,
Building Finai ~as.! inspection. Only . IL~tr ll.l. ".;7-_
ner Above Complete' 112b
, , ./
. .. PARTIAL INSPECTIONS. OU,uc; ..
Buildina lrisoections ',' . '... ..,. .,
."l1$~'-'~~h>~
t4-k. S.~=-: ./ eN,.. .'.~...
Mechanical Inspections
Plumbina Inspections
Electrical Inspections
-
1-
4-
~
\-
~
w
sri
\~Sl
Wilmor Vn
~t-{
\, '
'~-'
\ Arl a he/( fY]
CA til~L
Ftmt, u UJJ~H'S PERMIT DOES
ATloN of ANY of
T-HE BUILDING coDES 0 .
'THE. HOLI.~),';-.f~ OF' 'TH!S PERMIT
F'ROCEE:DG AT HIS OWN RISK.
~
~~
MAR 0 9 2005
BUILDING DIVISION OF ANAHEIM
APPROVED
BY
JIT;
- -;, .' ..
--.-:--.-:_:::::; ~ tiT
PLANNltiG 'y.P:';';'o
I\FPt',~'
P'\t:_2-:1_. '-"'''~'-- ~
;.-.. ~- - ..:),~,," - - I./<T ~ )
?Jf .':2 s.e-L- l~~
6Y _~--------- t~nlt.\....;l
ZONe v -------
fLOOD ".~ ." .
",-, or:\/iE..N.
H\STOF<\C L'. ::'-\\\ ;_'I.~:'," ';::;3h.S-
'11\ ~,:" ".':'..
N.--:-_:.'-.~___:_,_.') <,_t,ova \\,\€
--ClCe" ~,.'.: '-'\:'r,t'J.n fOR
E BUlL-v"""' .'~
SE p.NY COND\-;\C,," I h ~ ~
(pd. H s C; t:J
~; d e...
~
13ad<C V Of( vi
'-
b:
C)
.c:----.
._'"^'
t
<::J
~
~ ~ ~
~ _ (J q-
8 t5 \D (\)
1 .....j ~ -.
~ 3~ 1
s ~a ~
~-