239 N. Paseo Rio Blanco
.
TYPE OF PERMIT CITY
Blockwall/ Columns
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BUILDING DIVISION --
200 S. ANAHEIM BLVD.
(714) 765 -J)153 -.
INSPECTION REQUEST LINE:
(714) 765- 4626'
CENSUS CODE: 434
QUARTER SECTION: 190
BUILDING PERMIT NO. BLD2005-00887
DATE: 4/4/2005
JOB ADDRESS: 239 N PASEO RIO BLANCO
LEGAL DESCRIPTION: N TR8080 LOT 32
APPLICANT: RICHARD ORTEGA
OWNER INFORMATION:
CONTRACTOR INFORMAtiON:
ARCHITECT/ENGINEER INFORMATION:
..
'Peter Vilt
.239.N Paseo Rio Blanco
Anaheim, CA 92807 . .
JOB DESCRIPTION:Build block wall 6' high 36' long per city specifications
VALUATION: 1,ioo.00 PROCESSED BY: ENO
. . OWNER-BUILDER bECLARATION . . ~
I hereb~ a irm un erpenalty..o perjury that I am exempt rom the ontractw',; ,_License La\\, for the .following teason (Sec, 7031.5 Business and
Professions Code:' a ny city or county which requires a permit to construct, S tt~ir, .improve. demolish orrepair any structure, prior to its issuance, also
requires the appticantfor,5Uch ~rmit to file a signed statement that he is lice~i~d pursuant. to,theprovisionsofthe Contractor's License Law (Chapter'
. 9)(commencing with Sectiqn 7000 of Division 3 of the Business and professiQT1$:.Gocle) or that he is exempt therefrom and the basis for the alleged .
exemption. Any violation of $ection 7031.5 by any ,applicant. for a permit subfhcts tt:e ,applicant to a dvil penalty ofl1ot more than five t)undred dollars
($500).... . . '1" . '. . . . .'
l\7i I, as owne. r:of prop.e rty, or my emPlOyee. s with wages as their sole c. omp..,,_1,sation, will do th,e work, and the structure. is 'not intended or._offered for
~e (Sec. 7044 Business'and Professions Code: The Contractor's Licensed...hw does not appJyto an owner of property who buildsor improves
thereon, and who' does sum work himself or herself or through his or herowd~emt)loyees, provided that such improvements a'renot intF.!ndedor
offered for sale. _ If,however, the building' or improvement is sold with one y~:i~ oj' tompletion, the owner-builder wlll haVe [he burden-of proving that he
.did not bu}ld or improve for the purpose of sale). . _ . _- Ii:' . , . ' _ .
D .1, as: the owner of the property, am exdusively contracting with licensee contractors t~ construct the project (Sec. _7044 Business and professions
Cqde: The Contractor's license law-do,es not apply to an owner of propert\-'"\~!1o biiilL1S or Improves thereon, and who ror.tracts for sud1 projects with
Ljontractcr(S)!icensed pursuant'.to the: Contractor's licer~se Law:>.: _ . ~ ~ . ,- ,
1a e. ?derSec. '_' &P., I a~
Da1e:~ 0 WOR~;i;r: COMP SATION DEC~~ON '. ~ LICENSED CONTRACTORS DECLARATION,j
: .hereby affirm under penalty of p rjury one of the fellowing dE:clarations:. I hereby a irm under penalty 0 perjury that lam,
.0 I have arid willmainta-in a certificate of co.n'sentte self-ilisutefor worker':;~~rlerlSation, licensed under pmvi::;lons of chapter 9'(cammencing'
as provided for by Section 3790 of the labor Code. for the performance of thi wOlk fl)( which with Sec!!on 7000) of Divsion 3 of the BU'slness and
this perini! is issued. . .' Professions Code. . "
D -I' have a nd will maintain worker's compensation insurance, as requi'red by' Sectk'm 3100 of 4/4/2005
the labor Code, for the performance of the work for which this permit IS issuc-i~. Myworker's Date_:
. Compensation insurance carrier' and policy are:
. Carrier: Poli'C<( Nu mber:
1-.
'i-'-
Contractor
. NUMBER
EXf'IRATION DATE
This section need riotbe'eompleted if the -pelrili.t is for one hi.mrlred doilars ($100; ::::r less.
~I certifY'that in the performance of the work for which this permit-is issu~r.-I.shail nOt
~oy ~ny perso~ in any manner so as to become subject to the worker's cQlnpensation laws
. ofCalifOlT)ia, and agree that if I ol,Jld become bject to.the worker's compei~ation
. provisions.of Section 3700 of the L.: Of Cod ,lshalJ hwl campi ith ttlc~-e p~ovisions.
TYPE
Date: 4/4/2005. " Applicant:
WARNING: FAILURE TO SECURE IN. RKE 'OMPENSA ION COVERA.GE IS
UNLAWFUL..AND SI-!ALL SUBJECT. I*l EM PL OYER TO CRIMINAL PENAL';iES AND CIVIL
FINESUPTO ONE HUNDRED TH USANO OOLLARS ($100,000), INADOniON'TO THE
COST OF COMPENSATION. OA AGES AS PROVIDED FOR I.N SECTION :,7060F THE .
LABOR CODE, INTEREST AN ATTORNEY'S FEES. .
NSTRUCTION LENDING AGENCY
~ lJ~l3~p"y. affirm u(lde L~1'!J!y_Q[Q~ilJrY tbat there is ~_con~ruction Je_"-c! i!lq ag~51c~.for the _
performance of the work for whim this permit is issued (Sec.3091.Civ.C): .
Lender's Information: .
Construcion Types:
VN, ,
Fire Sprinklered? NO
Fees paid for Permit:
Total: 1.25.79
Date: 4/4/2005.
Signature of A cant or Agent
The ermits all expire by limitation and become null and void if the building or
work as'not pll!lsed final inspectioll 365 d;lYS from the daie of permit issuance. A.
new permit is required to commence or co.,-tinue work..
- r
'" ' , INSPECTION RECORD , ' ' FINAL INSPECTIONS 'Date' Inspector
INSPECTl'ON " , , DATE INSPECTOR Electrical Final ,
Temporary Power Pole Plumbing Final , '"
Plumbi ng (DralnlWaste Pipe) Mechanical Final
Electrical Ground Electrode/Uter , ' " / " "
SetbacklForinslTrenChes (Footings) AlII .A. ' , Gas,Test
00 not install subfloor Or pour floorslabuntrl the EngineeringiGrading Final 765-5126 ' , "
following applicable items have been signed: , ' , Fire Dept: Final 765-4040
Plumbing (Water PlIM1.SprinklerValves) , ,
Mechanical (Groundwork) " .. ',' Water Engineering 765-5268
,
Electric,a! (Underground Conduit) , , , , '
Pre~lab (CompactionlMembrane.Reim., Sub ListlBusines,s License 765'519 ,
, UnderpiMing (Floor Joist/Girders) , , Zoning 765-5139 "
, ,
Do not cover or conceal the work below' until the Building Final ~ast Inspection- Only ~;1. ~ 12 I\,
following applicable items have been signed: ' " ' " fter Above Completet
,1st,Floor Shear " / PARTIAL INSPECTIONS
FiresPri~er (Rough) ,
2nd Floor Shear " , Buildina Insoections
RoOf (Sheathing/Diaphragm/Frame) , ' , , , "
, '
Masonry (ReinfJBond BeamlPfe-Groutl- ~11<>r H' ""^' MlnMA ' , ,
'Rough Plumbing (Top Out) , "
Rough Mechal\ical " ' '
Rough Electrical (Dry wall) , , ,
" , ,
Rough Electrical , , ,
Framing (Only after Plbg:, Elec.. Mech.. and ~ire) ,
Insulation (SoundlEnergy) , " MechanicallnSDections'
Do not tape or plaster until the following applicable .,
items have been signed: ,.."... . ,',
DryWall " , "
,', , ,
PenetrationS (Fire R.ed) ,ElectriCal , ,
Penetrations (Fire Rated) Mechanical' " .. ,
Penetrations (Fire Rated) Plwnbing " ' "
Int,r1or Lath " ' " ' ' ' "
"
Exterior Lath " , Plumb/na Insoections
, , ' GENERAL ITEMS " ,
Exterior Plaster (BraNn Coal) , ,
,
T -Bar Electrical , ' ,
T -Bar Mechanical , " , , "
, ,
T -Bar Structural ,
Sewer .' " ,
Water Engineering Backflow Electricallnsoections
Water Service ' "
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PLANNING DEPARTMENT
APPROVED
DATE~k\ 10$
ZONING C;T\O _ Iv", \
BY ~)
Unitial.;:)
HIST RIG DISTRICT REVIEW:
See st.amp this pa~~e
. cle one on hbove line
SEE BUILDING PERMIT FOR
ANY CONDITiONS
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THE ISSUANCE OF THIS PERMIT DOES ~
NOT APPROVE VIOLATION OF ANY OF ' -\
THE BU!L:-:"~'\'G GC:)S8 OF THE CITY.
THE H'....'-i._..,~_:';: Cf~ THIS PERMIT
PROCE,i.'-~2 AT HIS OWN RISK.
APR 0 4 2005
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BUILDING DIVISION OF ANAHEIM
1 APPROVE
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