704 S. Plymouth Pl.
TYPE OF PERMIT
Blotkwall/ Columns CITY
DATE: 5/31/2005
JOB ADDRESS: 704 S PLYMOUTH PL
LEGALDESCRIPTION: N TR 6412 LOT 23
ElM
BUILDING DIVISION
200 S. ANAHEIM BLVD.
(714)765 - 5153
INSPECTION REOUESTLlNE:
(714) 765 - 4626
CENSUS CODE: 565
OUARTER SECTION: 114
'd-3
BUILDING PERMIT NO. BLD2005-01626
APPLICANT: ALMA. CASTILLO
OWNER INFORMATION: CONTRflCTOR INFORMATION: .
Alma Castillo
704 S Plymouth PI
Anaheim, CA 92806.
JOB DESCRIPTION: Install 22' linear feet of.5' feet high block wall per citystwdards
ARCHITECT/ENGINEER INFORMATION:
VALUATION: 2,500.00 PROCESSED BY: GAO
i OWNER-BUILDER DECLARATION
I hereqy affirm under penalty of perjury that lam exempt from the Contractor's License Law for the following n~ason (Sec. 7031.5 Business _and
Professions Code: any city o.r pountywhiCh requires a permit to. construct, aker, improve, demolish o.r repair ariystructure, prior to. its issuance, a~o
requiresthe applicant for such permit tonle a signed statement that h~ is lic~nsed pursuant to. the provisions of the Contractor's License LaW'(Chapter
9)(commencing with Section 7000 of Division 3 of the Business and professions Code) or that he is exempt therefrom and the basis for the-alleged
exemptio'n. Any viol~tion of Section 7031.5 by any applicant for a permit subjects the applicant to a civil penalty of not more'than five hundred dollars -
($500). 1
~ as, owner of property, or my employees'with wagE;!S as their sole comp~risation, ~ill do ,the work, and the ~tructur~ is ,not intended or, offered for
sale (Sec. 7044 Busi(1ess and Professions Code: The Contractor's License taw does not apply to an:owner of'property who builds,or improves .
thereon/_and whe does such work himself or herself or through his or her _owrJ employ~es, provided that such iniprovementsare not intend'edor
offered for,sale. If, however, the building or !mprovement is sold with one year of completion, the owner-builder wil! have the burden of proving that he
did not build or improve for th.e pUJpose of sale). ", :, ,-
o I, as the owner of the property, -am exclusively contracting with licensed contractors to c:onstructthe project (Sec. 7044 Business and Professions
Code: -The Contractor.'s License Law does ,nOt apply to ahowner of propertY'~ho builds or improves thereon, and who Contracts for such projects with
fUfontr'actor(s) licenseq Pl1rsuant to,the"Co:,ntrac:tor's Li~nse Law)., ',r' ,
W I am exemRt under Sec. ' ' '.. B .. for this reason: ','
Date: - "0. wner:, . . ~-
WORKER' OMPENSATION DECLARATION I
l'herebY,affirm under penalty of perjury one of the following declarations: '
~ have and will maintain a certificate of consent to self:insure tor worker'~compensation,
as, provided for by Section 3700 of .the:~Labor_Code, for th~ performance of the work for which
thispern1it is i,ssued.
D I have and will maintain worker's compensation insurance, as required by Section 3700 of
the 'Labor Code. for'the performance of the work for which this permit is issued. Myworker's
Compensation insurance carrier and policy are:
Carrier: Policy Number:
LICENSED CONTRACTORS DECLARATION
I hereby affirm under penalty of perjury that I am
licensed under provisions of chapter 9 (commencing
with Section 7000),of Divsion 3 of the Business and
Professions Cpde. .
5/3112005
Date:,
Contractor
NUMBER
EXPIRATION DATE
This section need "otbe completed if the pennit is for one h!Jndred dollars ($100) ~Iess.
~I certi'fy that in the perfonnance of the work for which this permit is issued, I shall not, '
employ;!ny person in any manner so 'as to become subject to the worker's compensation laws
of- Califomia, and agree that if I :shou Id become subject to the worker's compensation
provisions of ~ection!700 ofthe Labor Code, J ~all forthwith comPI~ with those provisions.
Date: 5/31/2005 . Applicant: .
WARNING: FAILURE TO SECU WORKER'S COMPENSATION COVERAGE IS
UNLAWFUL, AND.SHALL SUB ECT AN EMPLOYER TO CRIMINAL PENALTIES AND CIVIL
FINES UPTO ONE HUNDRED THOUSAND DOLLARS ($100,000), IN ADDIllON TO THE
COST OF COMPENSATION, DAMAGES AS PROVIDED FOR IN SECTION 3706 OF THE
LABOR CODE, INTEREST AND ATTORNEY'S FEES.
CONSTRUCTION LENDING AGENCY
I hereby affirm under pena,ltyof periury that there is a construction lending agency for the
performance of the work for which this pe'rmit is issued (Sec.3097.Civ.c): ~
-lender's Information: --- -' --
TYPE
Construcion Tvpes:'
VN, ,
I certify that I,have read thisappJication and state that the above information is correct. I
agree to comply with all city ordinances and, state laws relating to building construction, and
hereby authorize'representives of this city to enter upon the above mentioned property for
-inspection purpq, s.
ignature of Applicant or Agent
The permitshall expire by limitation and become null and void if the building or
work has not passed ,fi nal i nspectioil 365 days from the date of permit issuooce. A
new permit is required to coinmenceor continue work.
Date: 5/31/2005 .
Fees paid for Permit:
_ Total:
125.04
~
..;-
. INSPECTION RECORD.
. INSPEcnON . DATE INSPECTOR
Temporary Power Pole' .' . .
Plumbing (Drain/Waste Pipe).
Electrical Ground Electrode/uter .
. SetbacklForinslTrenchl!$ (Footings) .
Do not .install subfloor or pourfloor'slab until the
following applicable items have been signed: .
. PlurnbinglWater Plpe.Sprinkler Valves) .
Mechanical (GroundWork)
Electrical (Underground Conduit)
Pre-slab (Compaction/Membrane.Rei nt. .
. UnderpinniligJRoor Joist/Girders)
Do not coyer or .conceal the work below until the .
following applicable items have been signed: .
1 st Floor Shear
Firesprinkler (Rough)
2nd Floor Shear .
Roof (ShealhinQIDiaphragmlFrame) . , A ^
.Masonry (RelnfJBOnd BeamJPre-Grout) fdP7/6 .ld..H.^
Rough Plumbing (Top Out)
Rough Mechanical' ,
-
Rough .Bectr ' YVilII} .
Rough Electrical
Framing (Only after Plbg:.Elec.. r..1ech.. and Fire)
Insulation (SoundlEnergy)
Do not tape or plaster until the following applicable
items have been -signed: . . .
Drywall
. Penetrations (Fire Rated) Electrical .
Penetrations (Fire Rated) Mechanical
Penetrations (Fire Rated) Plumbing
Interior Lath
EXterior Lath .
GENERAL ITEMS .
Exterior Plaster (BIW/n Coal)
T -Bar Electrical' .
T-Bar Mechanical'
T -Bar Structural . .
Sewer . . .
Water Engineering Backflow
Water Service . .'
FINAL INSPECTIONS . Date ",nspector .
Electrical Final
Plumbing Final .
Mechanical Final. . . . .
Gas Test. .. .'
.
Engirieerlng/Grading Final 165-612ij""" .
" . .
Fire Depl. Final 765-4040 ..
Waier Engineering 765-526& .
Sub List/Business Licens'! 765-519- . . .
.
Zoning 765.5139 . .
Building Final ~ast Inspection- Only_- 7'~'Or- ~ '"::fl~ (.
. fter Above Complete)
. .I
f:>ART'AY'NSPECT'ONS
Buildina Inspections
Mechanical Inspections .
Plumbina Inspections
. Electrical Inspections