412 S. Primerose St.
TYPE OF PERMiT
Blockwall/Columns CITY
DATE: 2/2/2005
JOB ADDRESS: 412 S PRIMROSE ST
LEGAL DESCRIPTION: TR2369 lOT 141NLY 39 FT(AND S~Y .
BUiLDING DIVISION
200 S. ANAHEIM BLVD.
(714) 765: 5153
INSPECTION REQUEST LINE:
(714)765.4626
CENSUS CODE: 565
. QUARTER SECTION: 4Q
BUILDING .PERMIT NO. BLD2005-00303
.,
APPLICANT: BALKAR BHATTI
OWNER INFORMATION:
BALKAR BHATTI
412 S Primrose St ,
Anah~im, CA 92804 :
JOB DESCRIPTION: Construcl57' linear feet of 6' feet high blockwall per citista:idards
VALUATION: 1,000.00 J.
I OWNER-BU!LDEt! DECLARATION
I hereby affirm under penalty of perjury that I am exempt from the Contractc>J"sLiccnse.Law for the following reason (Sec. 7031.5 Business and
Professions Code: any city or count'ywhich requires a Permit to-construct, a;ter, Irnprove. demolish or repair anystructure"prior to its issuance, also
. reql;Jires the a~plicant for such permit to file a signed statement th;!t he is !i(':rr-sed pursuant to the provisions of the Contractor's License Law (Chapter
9)(commencing with Section 7000 of Division 30fthe Businessal1d fJrofes~!q~s COd9) 'o.rthat he is exempt therefrom and thebasis for the alleged.
exemption. Any violation at-Section 7031.5 by any applicant for a permit sut~ects.ti1e applicant to a dvil penalty of not more than five hundred dollars
m.. ..... I . '. .
. _' , as oWrl_er of property., or my employees, with wages as their soip.: cOI'n~~nsati0!,), wiH do the work, and the structure is not intended o'r offered for
sale(Sec. 7'044 Business and P.rofessionsCode: The C~ntractor's Uc"::nse'~.aw dcesr:ot apply to an-owner of property who buildsor improves
thereon, and who does sucll work himselfor herself or through his or her ovin-employees. prov-ided that'such improvements are not"intended or .
offeredf6r.sale. If;-however, the building' or improvement is sold with Oiie. Y':~.3rQf completion, the owner-builder will have trle burden of.proYing that he
did not build orimp'roYe for the purpose of sale). . ",. ; ,I ' . . . _ "
D I, as the owner ofthe property, am ~xdusiYely contracting with license',,! contra:;tcrsto construct the project (See. 7044 Business and Professions
Code: .The Contractor's license Law does not appiy to an owner Of properl~,; who bui:ds or improves thereon, and who contracts for such projects with
FlJfontractor(s) licensed pursuant to tractor's license Law). i '
U la ,::.mpt under Sec. & ~. for this reason: __~_".!
Date,: C?Z-...e>1.-6)Owner.;
WORKER'S COMPENSATION DECLARATION'
by affirm under penal_~ of perjury one of the following declaration5: .
ve and will maintafn. a certificate of consent to seJf-insure for workf'~'.~-c(lmpensation,
as p yided_for by Sedlon 3700 of the Labor Code, for the performance cf.the work fOl'whid1
t . permit is issued. ';
I haye and will.maintai~ worker's compensation insurance. as'requirdd ~':y Section 3700 of
the Labor Code, for the performance of the work for which this perr/lit !.s iSS~6d. 'Myworker's
Compensatipn insurance carrier and poliO; are:
Carrier: Policy Number.
1
I
,
CONTRACTOR INFORM,~T10N;
ARCHITECT/ENGINEER INFORMATION:
.....""
PROCESSED BY: JNJ
LICENSED CONTRACTORS DECLARATION
I hereby affirm under pena,lty of perjury th.at I am
licensed under provisions of chapter 9 (commencing
with Section 7000) of Divsion 3 of the Business and
Professions Code. .
2/2/2005
Date:
Contrac,tor
I\JUMBER
EXPIRATION DATE.
his section need not be completed if the pennit is for one hundred dollars ($1.i~) o~.less.
. ,
rtify,that in the performance of the work.for which this permit is issl:a:d,.! :;shall-not
, e oy any person in any.manner so'as to become subject to the worker's ~o'nipensatlon laws
California, and. agree that- if I shquld become s~bject to the worker's om~nsation
provisiOns of Section.3700 of the Labo Code,.1 sH n hWfth c m tl:-:, € provisions.
TYPE .
Date: 2/2/2005 Applicant: . . .
WARNING: FAILURE TO SECUR WORKER'S COMPENSATION COVEi1AGE IS
UNLAWFUL, AND SHALL SUBJECT AN EMPLOYER 10 CRIMINAL PENALTIES AND CIVIL
FINES UPTO ONE HUNDRED THOUSAND DOLLARS ($100,000HN ADOIllON TO THE
COST OF COMPENSATION. DAMAGES AS PROVIDED FOR IN SECTI6~,a709()F THE
LABORCODE, INTEREST AND ATTORNEY'S FEES. ,. ; ,.,<<..
I CONSTRUCTION LENDING AGENCY . '.
I hereby affirrij under penalty of perjury that there is a ccr:struction !~nding~aencyfcr the
~'2'rfo"~;!::-:' cfthe '......:):-.1( far w!1jd1.tbl::; perm~t is!SS,,:~-j {S_r,c.3C'97-C;-",C): .L - -.",,-'-=<>'-
Lender's Information: .
Construcion Types:
VN,
I certify that I have read this application and state that the above information is correct. I
agree to. comply with all city ordinances. and state I s relating to building construction, and
hereby authorize- representives of this d ter. n the above menti.oned property for'
i.nsp clion purposes. ! ..
Date: 2/2/2005
Fees paid for Permit:
Total:
125.79
Sign re 0 Appli nt or Agent
Th permit shall expire by limitation and become null and void if the building or
rk has not passed flnai 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 (Drain/Waste Pipe) '" ,
'Electrical Ground ElectrodelUfer' ,
SetbacklFormslTrenChes (Footings) [v-D"f '?' -:w
Do,not install.subfloor or pour floor slab until the
following applicable items have been signed: ,
" Plumbing (Water Plpe.Sprinkler ValVes)
Mechanical (Groundwork) , , ,
Electrical (Underground Condu it) , ,
Pre-slab (vornpactionlMembrane.Retnf. :
Underpinning (Floor Joist/Girders)
Do not cover or conceal the work belOW until the ,
, following applicable items nave been signed: ' '
1 st Floor Shear , , ,
Firesprinkler ,(RoUgh) ,',
2nd Floor Shear , .
Roof (Sheathlng/DiaohragmlFrame) ''I[ '7
Masonry (ReinfJBond BeamlPre-Grout)
Rough Plumbing (Top Out)
Rough Mechanical,
Rough Electrical (
Rough Electrical"
Framing '(Only after Plbg" Elec. Mech,.-and Fire) ,
Insulatlon,(SoundlEnergy)
Donat tape or plaster until the following applicable
items have been signed: ' ,- "
Drywall , , ,
Penetrations (Fire Rated) ElectriCal , ,
Penetrations (Fire,~ed) Mechanical ,
Penetrations (Fire~ed) Plumbing
Interior Lath' , ,,' " , , , ,
Exterior Lath '
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 Fin'al
Mechanical Final ' ,
Gas Test ' ' ,
"
Engineering/GradingFinaI765-5126 ,
, --:-
Fire Cep!. Final 765-4040
Water Engineering 765-5268 ,
Sub list/Businllss License 765-5111
Zoning765-5139 .-'-.7
Building Final \l:ast Inspection- Only Z-f("I~ ~
" flerAbove Complete)
PARTIAL INSPECTIONS'
Buildino Inspections
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, Mechanical Inspections
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Plumbino Inspections
ElectricallnsDections,
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