7540 E. Martella Ln.
TYPE OF PERMIT
Blockwall/ Columns
11'
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CITY Qli;i~~~~H EI M
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DATE: 9/9/2004
JOB ADDRESS: 7540 E MARTELLA LN
LEGAL DESCRIPTION:
BUILDING DIVISiON
200 S. ANAHEIM BLVD,
(714) 765. 5163
INSPECTiON REQUESTLINE:
(714) 765.4626 .
CENSUS CODE: 434
QUARTER SE'CTION:~~
SL::LDING PERMIT NO. BLD2004.03436
.APPLlCANT: PAUL MARTIN
OWNER INFORMATION:
Pa\.!.! A Martin
815 ECollins Avp.
Orange. CA 92867
JOB DESCRIPTIONBloekwall-120 lin. ft. of 6' hi9h bloekwall
VALUATION: .5.000.00 L.. PROCESSED BY: DOR
I . . '. . OWNER.BUILDnl.!{ECLARA'fION '. . -.--J
I hereby a~f!rm under penalty of perjury that I am exempt from the Coniractor:;Ucer.se Law for thE: following reason (Sec. 7031..5 Business and
.. ProfeS5i(;ms Code: any dty or countywhichrsquir;es ci permit to construct, a:t:'?i. .improve, demolish or re:Jair any structure, prior to its issuance, also
re(juires the applicant for such permit to file a signed statement thcatheis HCl;;;~ed pursuant to the provisions of the Contractor's Lic~nse'Law (Chapter
-9)(l;;ommelncillg with Section 7000 of Division 3 of tt1e Business 'ind Profe<>sinr.s Code) or that he is.exempt therefrom and the basis for the alleged'
exemption. 'Any vJola~ion of Section 7031.5 by Cil"'ly.appl!cant for a permit su~~';;,;ts fnto a pplicant,to a ciYil penalty of not more tha ri five hundred dollars
-1:$ 0). . .. .. .. .
. , 'I,: as owner of pro:;ert. y,ormy e:mipIOYC. es.' with wages as th,eir soit~ C0i"~;;"."!~.[:;:;'Hcn, v:m do the work, and the. structure is. not'inte., nded.or Qffe. red fer
e (Sec. 7044 BU5:ness and Professions Code: 'Th~ Conbat;tor's Ucense :.:""'lcoes noi appiyto an o-"''1ner of property who builds or improves
t~ereon, and 'who does sLich work himseif OF nelSelf or throu!Jil h:s (X hpr r;v\;r::'~m!-,:ioyae~, provided that such improvements are not intended, or .
offered fer safe. !f, hoyvever, the building or improvement is sold with oDe yt:.<.:;.cf r;ompletion, the owner-builder will have the burcen of prov:ng that he
'did net build or improve forth€'< pur;:;ose.of safe).
D .1, as.the owrisr of the property, am axdusiveiy contr<lcting With !ic~r;;::;:.;~: f:.r.tr.:::!d:ms to Gonstruct the projeGt (Sec. 7044 Business iJnd Profe!';Sions'
Code: T~,e (~ol1tractor'f; L.icer1se Law does r.ot 3pply to ar. owner of prope:t.;\"hr) ,::,uJ;ds or improves: thereon. ar.d who oontracts for such projects with
~. - o~trador(s) li~e;.,nsed....PUr$U~~t to the Contr~ct r' Li ~~ Le...../).. I ~.. . .
~I ~.I.,d.r"ee.. .V,6'" r1'i&1r~~ . ~
Date. . . . . 'OWner: ~ . ~
.L . - WORKER'S COMP.ENS6.TION DI;GLARA.flO;:L~:'L__-=-_-.J F_L1CENSED CONTRACTORS DECLARATiON I-
I her(:byaffirr~n:nGer penaity. of per,iurycn6 of the foli.cVlir,g 'declarations: :,,1 '. ,. I hereby affirm .!J~ .d~r penei!ty of perjllrj that '. am
o ,lh<1\/€ <.md will mailltain a certi.ficate of mnsent to self-insure for v!crk~,,~::':.;b..)mpensatil)n, I lIcensed L!nder provr~iO:1s?f chapter 9 {cc:n.nencJno
as 'provided for by S€>ction 3700 of the Lahar Cede, for thd p~rform?n:":.e of ,r.\j,I,',fOrl< for which wltn SectlO:17001.)) 01 I')Iv31on 3 of the Busme.'Ss apo
,:this permit is iSSU€1d. -, I ProfeSSions Code.
O' i hove and will maintain worke(5 co~pensation insllrance, as r.sqtlii:~d ::)\~ecticn 3700'.d I ;';/9!2004
the, Labor Code,'for the performance of the work forwhich th;s p€orrrm i..., i$S.jec.l. My...vorker'sl Date:
Comp::nsation in's:Jrance carrier and polley are: ..' " I
This section need \.'lot be completed i! th"lpenni~ is for one htlndrz-d dollars {$1t'::j ;lr !CS5.. b:' TYPE .
O. l certify thatin the periomianc~ oftbe work for.which this permit ls iSSl1::,i!"I shall not .'
::.~ _'" '"", ~"M"'_. to bee. ,.~:::~~..~,.. '."'._".:00 laws NUMBER.
of Califomia, and agree that if I should become.~ bjecl to the worl~er's COrr.k:'-~<3<1tion
. provisio~s :oJ Secti~n 3700 ofthe~b~Co~e all t ?,~h comB)~/~~-or.s" $1~~t~~cjon Tyoes:
Date: .9/9/200A APplicant0" 4/' ,t::Y~ a J.. Fire Sprinklered?
WARNING: FAILURE TO SECUREWORKER'S COMPENSATION COVEf.,/.JE is
UNLAWFUL. AND SHALL SUBJECT'AN EMPLOYER TO CRIMINAL PENA'.:r:(;S AND CIV.IL
FiNES UP TO ONE HUNDRED n; OU SAND DOLLARS ($100.000). IN Au[:,':;jON TO THE
COST OF COMPENSATION. DAMAGES AS PROVIDED FOF: iN SECTlo,--.: ,<706 OF THE
.LABOR CODE. INTEREST AND ATTORNEY'S FEES. . :.'
. r . CONSTRUCTION LENDING AGENCY=':'_-=-_
I hereby affirm Linder p::lnalty of perjury that there is a construction tend:n~ c:::.;;;,:n:-:~~fo:" the
performance oHhe work for which .this permit is issued (Sec; 3097 .Civ .C):"'~'
:"'er;der's .!r.formation:
CONTRACTOR INFORMf. ::ON:.
ARCHiTECT/ENGINEER INFORMATION:
Gor.fractc,r
EXPIRATION DATE
NO
,
,-- -' --~----.::. :...:...~,---, '-_!{
i certify that: have fE:ad thisapphcation and stat~ ~hdt the above inforll1atk>r' ;~. c:Jfrecr. ,.1 I
ahgreeb to .cohm~IY.Wjth.alt ci ordinan?es.and statte laws relhatingb t9 bUil<:ljr~g'cOt:~truc.ti:'fand .'
ereyaut onze repre Ives thl CIty to en er upon tea ove m"enttOrle ;xop-;'!,.)" or, I
, fnspectlon purposes
~--,
Fees paid for Permit:
Total:
183.75.
DatI;:: 9/912004
Ignature of A pUcant or gent
The permit shall expire by limitation and become null and void if tho buading 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.
oci__
INSPECTION RECORD
,.INSPECTION " DATE' INSPECTOR
-
Temporary Power Pole "
Plumbing (DrainlWaste Pipe) , " ,
" " ,
Electrical GrOlind Electrode/uter ".,.,
Setbiick/Formsrrrenches (Footings) ,'~ I t <:'/0 k ~ ' [/'.1 ..-
Do not install sub floor or' pour floor slab until the ' '
following ,8pplic_able items have been signet;l: < ,
Plumbing (Water Pipe.Sprinkler Valves) -
Mechanical (Groundwork) " ,
,
Electrical (Underground Conduit)
Pre-slab (ConipactionlMembrane.Rel nf. ,
Underpinning (Floor,JoistlGiI:ders) , ,
Do not cover or conceal the wor!< below umll the , "
following aPRII,cable items have been signed:' ,
,1 st Floor Shear ' , , , ,
FiteSprinkler '(Rough) "
2nd Floor Shear · '
RoOf (Sheathing/Diaphragm/Fr
Masonry (ReinfJBond Beapl1Pr~lO\ItI ':S'"'t...:t..~ .t.,~
Rough Plumbing (Top Out, I -
-
Rough Mechanical -
, RoUgh ElectriCal lDry Wall)
Rough Elecirical ,
-
Framing ,'(Only after Plbg-";' Elec:. Mech ,_and Fire) .J,
Insulation (SoundlEnergy) , ,
00 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 (Brown Coat)
T -Bar Electrical "
T-BarMechanical ," ,
T .Bar'Structural ' , "
Sewer, ' ' , ' ,
Water Engineering Backflow , ,
Water Service
FINAL INSPECTIONS
Date' " Inspector
ElectricafF.inal
Plumbing Final
Mechanical Final '
Gas T e~t
Engineering/Grading Final 765-5126
Fire Dept. Final 765-4040
Water Engineering 765'5268
Sub List/Business License 765-519
Zoning 765-5139
Building Final (Last Inspection. Only
" ' , AfterAboye Complete)
Buildinqlnspections
Mechanical hisDections
Plumbinq InsDections
Electrical Inspections