3143 W. Paso Robles Dr.
BUILDING'PERMIT NO. BLD2005-00460
TYPE OF PERMIT .
Blockwalll Columns CITY
DATE: 2/23/2005
JOB ADDRESS: 3143w PASO ROBLi=S DR
LEGAL DESCRIPTION: N TR 2611 LOT 155
BUILDING DIVISION
200 S. ANAHEIM BLVD.
(714) 765 - 5153
INSPECTION REQUESTLlNE:
(714) 765 - 4626
CENSUS CODE: 434
QUARTER SECTION: 9
APPLICANT: MARCEL ESPINOSA
OWNER INFORMATION: CONTRACTOR INFORM~TION:
Marcello J Espinosa
3143 W Paso Robles Dr
Anaheim, CA 92804
,JOB DESCRIPTION:Build 87 lineal feet of 6 foot high block wall p-er city specifications.
,VALUATION: 2,088.00 PROCESSED BY: MSM
I OWNER-BUILDER DECLARATION
I hereby affirm under penafty of perjury that I am exempt from the Contractol7,s Li,?ense law for the following reason (Sec. 7031.5 Business and
Professions Code: any city or county which requires a permit to construct, alti~r, improve, demoli~h or repair anystructure, prior w. itS. issuance. also
requires the applicant for such permit to file a signed sta~ement that he is liC'1~sed pursuant to the provisions of the Contractor's license Law (C~apter
.9)(comi'nencing with Section 7000 of Division 3 of the Business and ProfeSSiynS Code) or,that-he is exempt there_from and the basi~ for the alfeged
exemption. Any violation of Section 703.1.5 by any applicant for a permit subjects the applicant to a dvil penalty of not more than five hundred dollars
($500). ' '. , '" " ' ,,' ,
o I, as owner of property, or my employees with wages as their sole comp~nsation" will do the work, and the'structure is not intended oroffered for
sale ,(Sec. 7044 Business and Professions Code: The Contractor's License Lhw do~s n6t applyto'an owner of property who builds, or improves
thereon, ,and who does such work himself or hers'elf or through his or her owd employees~'provided that ,such 'improvements are not intended or
offered for sale: If, however, the building or Improvement is sold with anA ye~:fl' of GOmpletion, the oVl(ner-builder will have the burden of proving that he
~id ot build or improve for the purpose of sale). ';..
I, as the owner of the property, am exdusively c.ontracting with IlcE.msed ~ntractors to construct the project (See. 7044 BU$iness and Professions
" Cie: The Contractor's License Law does not apply tq an owner of property '~/ho builds or improves thereon, and who contracts for such projects with
ontractor(s) licensed pursuant to the Contractor's lcense law). \'
ram exempt ~nder Sec. & P,C. . this re': ,..... .... '
Date. 2.. s,:.~~ I:):S" Owner: I . ,
_ WORKER'S COMPENSATION D CLARATI N ~
I ilereby-affirm.under penalty of perjury one of the following declarations: 1
. D I have and will maintain a certificate of consent to self-insure for worker'(~ compensation,
as provided for by Sedion 3700'of the Labor-Code, for the Performance oftr.i:. work for whim
this permit is.issued~ . - ~;} . - ,
o I have and willl)lai"ntain worker's coinpe-nsation insurance, as requi'red bj:Section 3700 of
the Labor-Code, for.the' performance of the work fo.r which this permit is i&sU(;:d. Myworker's
Compensation insura nce carrier and policy are: ,.
Carri'er: Policy Number.
~hi section need not be completed if the permit is for one hundred dpllars {$1012~:or less.
'I certify thaUn the ~rfonnance of the work for which this.permit is 'issue~j, I Sha'II, not
loyany person in any manner so as to become subject to the worker's c::;mpensaticn laws
of California, and agree that if I should. become su bject to the wO'l'ker's comps.'nsation
provisions of Section 3700 of the Labor COde I shall ~ hwith c I Iy with tll~se provisions..
....'.
Date: 2/23/2005 Applicant: '-"
WARNING: FAiLURE TO SECURE VERi\CEIS
UNLAWFUL, AND SHALL SUBJEC AN EMPLOYER TO CRIMiNAL PENALTIES AND CIVIL
FINES UPTO ONE HUNDRED lHOUSAND.DOLLARS ($100,000), IN ADDiTION TO THE
COST OF COMPENSATION, DAMAGES AS PROViDED FOR IN SECTIOr,'3706 OF THE
LABOR CODE, INTEREST AND ATTORNEY'S FEES. '
CONSTRUCTION LENDING AGENCY
I hereby affirm under-penalty of perjury that there is a construction lendil).9 apencyfor the
performance ofthe work for whidl this permit is issued (See. 3097 ,CkC): -i
Lender's InformaUon:
.. .~, ,-'
I certify t.hat r have read this application and state that the above information i:5eorrett. I
agree to comply with all city ordinances' and state laws relating to bUilding'construction, and
here y authorize repre_ ntives of this city to enter up<?n the -above mentioned, property for
. section u sas. .
r
V Oate:2123/2005
Signature f Applicant 0 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. . -
ARCHITECT/ENGINEER INFORMATION:
LICENSED CONTRACTORS DECLARATION
I hereby affir!Tl under- penalty of perjury that I am
licensed u nc:~er provisions of chapter 9(commencin'g
with Section 7000) of Divsion 3 of the Business and
Professions Code. '
2/2312005
Date:
Contractor
NUMBER
EXPIRATION DATE
TYPE
Construcion Types:
VN, "
Fire Sprinklered?
NO
Fees paid for,Permit:
Total:
125.79
INSPECTION RECORD
INSPECTION DATE ,INSPECTOR
, Temporary Power Pole ,
Plumbing (DrainlWaste Pipe)
Electrical Ground Electrod..J1 11ft. t 17,
SelbatklFOrmslTrenches((FOotinciS.ll 111'/01-' ....,
Do not install subfloor or pouffloor slab unti I the
following applicable it,ems have been signed:,
Plumbing (Water Pipe;Sprinkler Valves)
MeclJanical(Groundwork) , ,
Electrical (Underground Conduit). , , , ,
Pre-slab (Compaction/Membrane.Reinf.
Underpinning (Floor Joist/Girders) .'
Do not cover or ,conceal the '!'Iork below until the
following applicable items have beeh signed:
1 st Floor Shear , ' ' " ,
Firesprinkler (Rough)' , '
2nd Floor Shear ,
Roof (SheathinalDlaphraglDl1"l"amer" J , r1
Masonry (ReinfJBond Bellu1/Pre-G ioK'
Rough Plumbing (Top Out) v
Rough Mechanical.. ,
KOugn t:IectrlClII (Dry Wall) , " ,
Rough Electrical,
Framing (Only after Pfbg..; EJec.. Mech.. and Fire) , , ,
Insulation (SoundlEnergy) , ,
Do not tape or plaster until the following applicable
items have been signed: ,',
Drywall
Penetrations (Fiie Rated) Electrical
Pen,etralions (Fire Rated) Mechanical ' ,
Penetrations (Fire Rated) Plumbing ..
Interior Lath ' , , ,
Exterior Lath I
, GENERAL ITEMS
Exterior Plaster (Brown Coat) , ,
T -Bar Electrical , , ,
T-BarMechanical ' ,I,
T -Bar ,Structural
Sewer ,
Water Engineering Backflow ' ,
Water Service ,
FINAL INSPECTIONS' Date Inspector
Electrical Final . , ,
" Plumbing Final
Mechanical Final . '
Gas Test ,
Engineering/Grading Final 765-5126 "
,
, , ,
Fire Dept. Final 7654040 ' '
Water Engineering 765-5268
Sub List/Busines's License 765-5111 " , "
Zoning 765-5139 ' FJ'
Building Final ,~ast Inspection- Only , rlrf/n- c.Jh :VI..
. "fter Above Complete)
PARTIAL INSPECTIONS
Buildina Inspections
Mechanical Inspections
,Plumbina Inspections
ElectricallnsDections
, \ V.,.. "- , .1" 1
,
Ie::; r",~ c:.
IPL, N JIN J L EP~R M ~N b-- -_.
. ~ -
#'-\ ~TII U if/;:U
1'" - <--..> L J
-. ...zo \NG AC ION
y\. /I '-1 ,
-.Jf-'l )
LO 0 ZO E X
IS hI<' -", 'T "",,,"
{~/AL/~~e tan 0 t is a",
,II ....\" .... !l~ I do'v'
IS E BU'lLr IN p eRr liT Fr R
MY 0 01 10 ~S -
I!FV~,,(oh'F1Vtloof'~ "11'!-
'---, 2 ; I h,~ t. 1IY +]-"='_ , './
.\> ~ c.'- ~ ~
\ LA r c\-
(
~)\'tOolsE!.i
If '\,:..\ - -
\ "-..!w.~\
L
\ \ () L ~ (
,
.
- : \ ,., "', -. . .\ \ .I^ ~r
. n' ro'" "..
~ ~ ~\ f2 \ 'f'\
/1\
,
G
IR
- -, - 'PI '
Go
~
~
- .
"
CQ
..
---
')"
c ~
.. ~
L ;r:.
~
..,
. r
.._f-'
.-f-.-
__I..
It
~
1......1..,....;\ ~ ,'""'\'-...,.
I '
f-+ - _.__L.. -,
u ---~'+- --t
i I
I I
! '
-+--
I
i
I I I I I
t' 1- I I 1-1-
I I 1 ' ,
"T,t--t-- 1-+ -r
I 'I ~
! : I '
I
l.e..c,.", , i
~,s..C,..( \ ?~\ O~'.,
'"\"~
2. /,g '\ ~
\.. o.ir
--+
, ,S ~
, .---+-----
-----
~I\CI(.-
m.iJ1 f6(~'mJ~~~C ~JJl
~'=~: ~~~ cv . "n'~ L ER
o THI pm, :IT PI JCF..c s IT H:r';l\~~Ip' SK
-- ---r-
i
i' :.I:J Z , 20 IJ
B~llJ ING DIV SIO~._O AthHE M
4 ,- :>,f., 5 - ex.; Ala )8'( t\ ~ "A- J- "'1\. f.P'
'-'
,
f( >
\-I.Ol..\se.
51.!-
r
... \ ,.... -..I, D ".... " \.... < ' \,
-... 1"'''' ".
+
-t
HNA~-e\"f\
C. b U
"l
l""\
- \1 A.
I
,
'\
r
-
-L
I
(;
- ~. I
r-'
(,
~
I
---+-
I
; .-1-
o._f--
\" d.
,-- --
-tt1 -- ,- . -+-
:cr:r:r; 1\\ 'Cf-X-i---i'\... L~+_.-
~ i , . "