838 N. Magnolia Ave.
TYPE OF PERMIT C
BlockiNall/ Columns . . ITY
DATE: 6/21/2004 .
. JOB ADDRESS: 838 N MAGNOLIA AVE
. LEGAL DESCRIPTION: N TR 1948LOT .12
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BUILDING DIVISION
200 S.ANAHEIM BLVD,
(714) 765- 5153
INSPECTION REQUEST LINE:
. (71'1) 765 - 462()
CENSUS CODE: 565 :
QUARTER SECTION: 25
. BUILDING i"ERMIT NO. 'BL02004.02521
APPLICANT: ENRIQUE HUERTA.
OWNER INFORMATION:
Gabriela Huerta
8<!8 N Magnolia Ave
Anaheim, CA 92801
JOB DESCRIPTIONAddition of 31 lineal feet of 6' feet high block wall fence wHo 25 lineal feet ot 3 feet high block wall.
VALUATION: 1,500.00 PROCESSED BY:.DOR
I OWNER-BUILDER DECLARATION'
I hereby affirm under penaltyof perjury. that I am exempt from the Gontracto. s License L.aw for the following reasoh (See; 7031.5 Business and
Professions Code: any city or county which requi'res a permit t6 construct, Cil!t~r,' improve, demolish'or repair any structure, prjor~o its isSuance, alsQ
requ'ires the 'applicant for such permit.to' file a signed statement that he is Iice.1sed" pursuant to the provisions of the Contractor's License law (Chapter
9)(tommencing with Section 7000 of Division 3 of the-Business and Professl'lns Code) or that heis eX,empt therefrom and the basis for the a.1leged
exemption. Any violation of Section 7031.5 by.any-applicant for a permit s~Jt;.:-""cts the applicant toa dV,i1penaltyqf not more than five 'hundred dollars
($500).... .... ,'.. . .
01, ,as owne....of property, or '!ly'employees with wages as their sOle comp-:::nsation" will do the work, and, the structure is not intend~.or.offere~ fOF
sale (Sec. 7044 Business and Professions Code: The Contra-::tor's-Lice.nse ~aw does not apply to an owner of property who pul1ds or improves.
therebn, 'and.whodoes sUd1 work_himSelf or herse1for through-his or her owr~ emp.lCiyees, provided.fhat such'imprpvements'~re not intendedbr-
offered for sa.le. If.,however,,the'bu)lding _or improvement is.sold wrth one ye:'.t of completion, ,the o~ner-builder ~i11 have the burden of proving.that he
did not build or improve for the pu Ipose of sale). . " , . . -" . ".
D I, as the owner ofth~ property, am exdusively c9ntracting with Iicenserl.oorltractors to constructthe project (Sec. 7044, BusineSs and Professions
Code: The Contractor's License Law does not apply t9 an. oWliler cl r.rrtipt;:,ty <<,-,ho bu.lds or improves thereon, and who oontracts for sud1 proj~cts with
i3-Qontractor(s) licensed pursuant to the Contractor's License~LaW). . - .
_U.J ~'1IlI!WP! undefSe'c, , B & P.C. for this reaso~: -
~at~., Owner:
KER'S OMPENSATION DECLARATION . ,
i here affirm under penalty of pe~ury one of the Jollowing'deelarations: ,
o .1 have and will maintain a certificate of oonsent,to self-insure forworker',~ compensation,
asprdvided for.bySectlon 3700 of the labor Code, for the performance of th:':work. for whid1
tl:1is.permit is issued: ' . . _'. . ',' .
0' I have and will maintain worker's compensation insur:ance.as required b'l,-'Sectio.n3700 of 6/21/2004
the l;;lbor Code, for the performance of theworl< for which,this permit is i$SUf1. Myworker's Date:
Compensation insUrance' carrier and policy are:' ,
Carrier.: Policy Number:
. This section need not be completed if the penni! is'for one hundred dollars ($100) <'I'less.
o .1 certify. that in the 'performance 9fthe.work for which this permit is issue(J,1 sh.all not ,
employ any person in any manner so as ~o becol"fle subject to the worker's cOl'!'pensation laws
o~ Califomia, and agree that if I s~~uld become SUbject to the wQrk"er's, c9mper.sation _ .
: provisions of Section 37QO of the. labor Code,l shall forthwit~ cOlT!pl with th(ls~_provisions, .
qDate: 6/21/2()04 . Applicant: ..
WARNING:" FAILURE TO SECURE WOR 'S COMPENSATION COVERI,GE IS
UNLAWFUL, AND SHALL SUBJECT AN EMPLOYER TO CRIMINAL' PENALTIES'AND CIVIL
FINES UP.TO ONE HUNDRED THOUSAND DOLLARS'($100,000), IN ADDI nON TOTHE
COST OF COMPENSATION, DAMAGES AS PROVIDED FOR IN SECTl.ON .3i06 OF THE
LABOR CODE, INTEREST AND ATTORNEY'S FEES. .
I '. CONSTRUCTION LENDING AGENCY, -.
I hereby affirm under penaltY of perjury ,that there is a constructiqn lendjng",3gencyfor the
performance of the work for which this per!nit is issued (Sec.3097 .Civ:C): '...... {.I
Le;-,.do;':s-!nfcr:-n:::ti.:>:-::
CONTRACTOR INFQRMi,T10N:
. ARCHITECT/ENGINEER INFORMATION:
LICENSED CONTRACTORS D.ECLARATION
I hereby affirm under pena,lty of perjury that I am
licensed under provisions of chapter 9 (commencing
. with Section 7000) of Divsion 3 ofthe Business and,
Professions 'Code;
Contractor
NUMBER
EXPIRATION DATE
.'TYPE
Construcion Types:
VN, ,
,F~r~ Sprinklered?
NO
.
.I certify that I have read this applicatiofl and state,that the above. information is correct. I
._agree to oomply with all city ordinances and state laws relating to"building conStruction, and
hereby authorize representives of this dty to. enter upon the above mentioned property.Jor
inspection Purposes.... I J
I- 17...-:. ~ Date: 6/21/2004
,. ,Signature ,of Applicant or Agent
. The per itshall expire by limitation aiKI become null and void if the huilding or
work has not pasSe.d final inspection 365 days from the date of permit issuance. A
new permit is required to comm~nce or continue work.
Fees paid for Permit;.,
Total:
87.29
INSPECTION RECORD
., . ..... '.' . . .'
. : .'. INSl'EC1'lON.. ',.' .' . . . DATE . INSPECTOR
,
Temporary Pow..r Pole .. .
PlUmblng.{DrainiWaste.'Pipe) '. . . : . . ..'
Electrical (;rOui'ldEJectrod"'Ufer ,.... '. . '.
SetbacklFormsfTreriChes (Footings) . $.b' ::i JflL . , J1I-...r- .'
!, Do not install subfloor or. pour floor slab untillhe \\
L foHowingapplicable it~ms have been signed.: ..
I PlUmbing (Watilr ,Pipe.Sprinkler.Valves) . , ' .
Mechanical ((;rOundwork) . ,.'. '.
E:!ectr,lcal{UndergroundCondu it)
Preo5lab (CompactiOn/Membrane.Rei nt. .
Underpinning (RoorJe)istJGirdilrs) '. . .
, uonot COver or conce31theworkbelow until the. .
'followlng, appli~able items have been signed: .
1slFloor Shear. . ..
Firespr,inkJer (Rough) .. . . '"
2nd FlOOr Shear ". .,
."
ROof{Shealhli1a/Diaohra~ . . '. .
l'.4asomy (Ri!lnfJBond Be &,Grout)' <g & ~..
Rough plu!i'lbing (Top Out). . .: . I ,
Rough Mechanical .... . . . . .... " .
KOugh t:Iectrical (....y ....11) .' . . '. .' .
Rough.Electrical .' .... , .
Framing (Only after Plbg" Elec".Mech. and Fire) .
Insulallcjn (SOUndlEnergy) . .
po noUape or plaster until lne followiRg applicable
.tems have been signed: '.' ..' '. .'
DrYwall . , . .. . .
Penetrallons{F1re Rated) Electrical ..
pei1f1!rallons {Fire Rated) Mechanical . '. .
PenetraiCll15 (Fire Rated).P.lumbing . .
Interior Lath . .. " '.
.', .
Exterior Lath . .... . . . .
.' .' . GENERAL ITEMS . .
Exterior Plaster (Brown.CoaI).- .
. T -Bar Electrical '. , . ,
T-Bar Mechanical . ' . .
T -Bar Structural . '. .
Sewer , .
Water Engineering Backflow. ., '.' . . .'
Water Service .' . . . . .
,.
. "-
FINALINSPECnONS . Date. Inspector.
., , . "
Electrical Final .: .' , . . . .' .
plumbing .Final . .... .
. .
Mechanical Final . . . '. .' ....,.
Gas Test' . '.' , .. ""
'. '. '.
Engineering/Grading Final 765-6126 :.. '.
'"
'l'ireDept., Final 765-4040 " . . '.
'.' .
Water Engineering '765.52li$ I,
'.'
Sub 'List/Business License 765-5,19 ,....
Zoning 765,5139 . . ,
BUiidlng Final\t"st Inspection. Only. . .. '.'
.
. . .... Iter Abov,e Complete). '. .. :- ."
'. .PARTIAL INSPECTIONS
Buildinalnspections .
. Mechanical Inspections
. .
. .
Plumbinq Inspections
Electricallnspectioris
,....:_.. .'
,e-,;MIT EXPIRED
'. ! I,JSPECT/ON'
hOT COMPLETED
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