433 S. West Ridge Cir.
TYPE OF PERMIT
Blockwall/ Columns
CITY
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BUILDING DIVISION
200 S. ANAHEIM BLVD.
(714) 765 - 5153
INSPECTION REQUEST LINE:
(714) 765 - 4626
CENSUS CODE: 565
QUARTER SECTION: 180
BUILDING PERMIT NO. BLD2005-o3646
DATE: 11/17/2005
JOB ADDRESS: 433 S WESTRIDGE CIR
LEGAL DESCRIPTION: N TR 7569 LOT 7
APPLICANT: RICHARD BIANCHINO
OWNER INFORMATION:
RICHARD L BIANCHINO
433 S WESTRIDGE CIR
ANAHEIM, CA 92807
JOB DESCRIPTION:To investigate additional courses added 10 exlsling wall .
VALUATION: 1,700.00
I OWNER-BUILDER DECLARATION
I hereby affirm under penatty of perjury that I am exempt from the Contractor's license Law for the following reason (Sec, 7031.5 Business and
Professions Code: any city or county which requires a permit to construct, alter, improve, demolish or repair any structure, prior to its issuance, also
requires the applicant for such permit to file a signed statement that he is licensed 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
exemption. Any violation of Section 7031.5 by any applicant for a permit subjects the applicant to a civil penalty of not more than five hundred dollars
~O~)~s owner of property, or my employees with wages as their soJe compensation, will do the work, and the structure is n.ot intended or offered for
s Ie (Sec. 7044 Business and Professions Code: The Contractor's License Law does not apply to an owner of property who builds or improves
th reon, and who does such work himself or herself or through his or her own employees, provided that such improvements are not intended or
offered for sale. ff, however, the building or improvement is sold with one year of completion, the owner-builder will have the burden of proving that he
did not build or improve for the pUlpose of sale).
o f, as the owner of the property, am exclusively contracting with licensed c)ntractors to construct the project (Sec. 7044 Business and Professions
Code: The Contractor's License Law does not app t an owner of property who builds or improves thereon, and who contracts for such projects .with
Montractor(s) licensed pursuant to the Contrac s i se Law).
U I xempt under Sec. ,. this reason:
Date: '" -5 Owner:
WORKER'S COM EN ATION DECLARATION
I hereby affirm under penalty of pe~ury 0 e of the following declarations:
o I have and will maintain a certificate of consent to self.insure for worker's,~ompensat;on,
as provided for by Section 3700 of the Labor Code, for the performance of the work for which
this permit is issued.
o I have and will maintain worker's compensation insurance, as required by .Section 3700 of
the Labor Code, for the pertormance of the work for which this permit ;s issued. Myworker's
Compensation insurance carrier and policy are:
Carrier:
CONTRACTOR INFORMATION:
ARCHITECT/ENGINEER INFORMATION:
PROCESSED BY: MSM
LICENSED CONTRACTORS DECLARATION
I hereby a irm under penalty of perjury that I am
licensed under provisions of chapter 9 (commencing
with Section 7000) of Oivsion 3 of the Business and
Professions Code.
11/17/2005
Date:
Contractor
Policy Number:
NUMBER
EXPIRATION DATE
seclion need not be completed if the penn!1 is for one hundred dollars ($100) \I' less.
I certify that in the pertorrnance Of the work for which this permit is issued: I shall not
e oy any person in any manner so as to become bject to the worker's compensation laws
of Ca' ornia, and agree that if I should become ct the worker's comp -satian
provisions of Section 3700 of the bo Cod II hwith comply with ose ~rovjsions.
Date: 11/17/2005 Applicant:
WARNING: FAILURE TO SECURE
UNLAWFUL, AND SHALL SUBJEC AN EMPLOYER TO CRIMINAL PENALTIES AND CIVIL
FINES UPTO ONE HUNDRED TH USAND DOLLARS ($100,000), IN ADDITION TO THE
COST OF COMPENSATION, DA AGES AS PROVIDED FOR IN SECTION 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 lending agency for the
pertormance of the work for which this permit is issued (Sec. 3097 .Civ .C):
Lenderls Information:
TYPE
Construcion Tvpes:
VN, ,
Fire SprinkJered? NO
inn and stJEl.te that the above jnformR:tion !~lJorre.ct I
n s a~ate laws rela . to building construction, and
is city to enter upon t ar,ove mentioned property for
Date: 11/17/2005
Fees paid for Permit:
Tolal: 227.51
Signature of Applicant ar Agent
permit shall expire by limitation and become null and void if the building or
w k has not passed final inspection 365 days from the date of permit issuance. A
new permit is required to commence or continue work.
City of Anaheim
Building Division
INSPECTION RECORD
INSPECTION DATE INSPECTOR
Temporarv Power Pole
Plumbin!! (Drain/Waste Pipe)
Electrical Ground Electrode/Ufer
Setback/FormsfTrenches (Footings) IL\ll1/tl( <f.
Do not install subfloor or pour floor slab until the
following applicable items have been signed:
Plumbin!! (Water Pipe/Sprinkler Valves)
Mechanical (Groundwork)
Electrical (Underground Conduit)
Pre-slab (Compaction/Membrane Reinf.)
Underpinning (Floor Joist/Girders)
Do not cover or conceal the work below until the
following applicable items have been signed:
1 st Floor Shear
Firesprinkler (Rough)
2nd Floor Shear
Roof (Sheathing/Diaphragm/Frame)
Masonry (Reinf./Bond Beam1JFre-GroWfl II 1'. .I\lknl.
Rough Plumbing (Top Out)
Rough Mechanical
Rough Electrical (Dry Wall)
Rough Electrical
Framing (Only after Plbg., Ele" Mec. And Fire)
Insulation (Sound/Energy)
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 IBrown Coat}
T -Bar Electrical
T -Bar Mechanical
T -Bar Structural
Sewer
Water Engineering Backflow
Water Service
-
FINAL INSPECTIONS DATE INSPECTOR
Electrical Final
Plumbing Final
Mechanical Final
Gas Test
Cross Connection Control (714) 1&5-4210
Engineering/Grading Final 765.5126
Fire Dept. Final 765-4040
Water Engineering 765.5268
Sub List/Business License 765-5194
Zoning 765.5139
Building Final (Last Inspection. Only III t1 0'( -r.~.fo.N-
After Above Complete)
PARTIAL INSPECTIONS
Buildina Inspections
Mechanical Inspections
Plumbina Inspections
Electrical Inspections
LJo I/E
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