1274 E. Santa Ana
BUILDING PERMIT NO. BLD2005.01463
TYPE OF PERMI~,
P~tio Cover '\ ' ' ~
,
DATE: 5/18/2005
JOB ADDRESS: 1274 E SANTA ANA ST
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LEGAL DESCRIPTION: ANAHEIM EXT LOT 12 W 75 FT E 310 FT
ElM.,
BUILDING DIVISION
200 S. ANAHEIM BLVD.
(714) 765 - 5153
INSPECTION REQUEST LINE:
(714) 765 - 4626
CENSUS CODE: 434
. QUARTER SECTION: 93
"
AP,.PLI~' ANT: ENRIQUE VALERA
OWNE INFORMATION: CONTRACTOR INFORMATION: ARCHITECT/ENGiNEER INFORMATION:
Maols R ona ' DETULA CONSTRUCTION,
1274 E S..hta Ana St ' 1282 E SANTA ANA ST
Anaheim. 9A 9280S ANAHEIM, CA 9280S 0000
j ,BUSINESS PHONE: 7147S8-B66S
JOB DESCRIPTION:Buildcustompatio cover 192 sq. ft.
VALUATION: , 3,800,00 PROCESSED BY: ENO
1,/ OWNER-BUILDER DECLARATION, I
I hereby affir~nder penatty of perjury that I am exempt from the.Contractor'sUcense Law for the following reason (Sec. 7031.5 Business and .
Professions C e: any city or county which requires a permit to construct, alte~ improve, demolish or repair any structure, .prior to' its ,issuance, also.:
requires the a Jieant for such permit to file a signed statement that he is licen~d pursuant to the provisions of the Contractor's License ~aw(Chapter
9)(commencing_with Section 7000 of Divi_sion 3 of the Busine~sand Professiods Code) or that he is exempt there,from and'the basis,for the alleged
exemption. Any violation of Section7031.5 by any applicant for a permit subjebts the applicant to a civil penalty of not more than five hundred dollars
~~. , . ' ' ,','
M,_ I, as owner of property, or my empfoyees with wages as their sole compensation, will dO the work, and the structure is not in'tended or offered for
~e (Sec. 7044 Business and Professions Code: The Contractor's License Law does not apply to an owner of property who build$'or improves
thereon; and who does such work himself or hel5elf or through his or her own Employees, provided that such improvements are not intended or
offered for sale. If, 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 PUIp.'ose of sale). ~ ' .
D' I,as the owner of the property, am 'exclusively contracting with licensed cc;ntractors'io construct the project (Sec: 7044 Business and Professions
Code: The Contractor's License Law does not apply to an owner of propertyw,l-to builds or improves thereon, and who cont~acts for such projects with
acontractor(s) licensed pursuant to the Contractor's License Law). i . .
I am exem t under Sec.' , B & P.C. for this reason:
ate: b Ower:
WOR R'S C PENSATION DECLARATION
I hereby affirm under pen Ity of perjury one of the following declarations: ,
o I have and will maintain a certificate of oonsent to self-insure for worker's ci~mpensation,
as provided for' by-Section 3700.'of the Labor Code,. for the performance of the ~ork. for which
this permit is issued." !
o 1 have and will maint~in worker's compensation insurance, as required by $ection 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: '. . . :
Carr!er: Policy Number. EXEMPT !:
This section need not be completed if the pennit is for one hundred dollars ($100) Or less.
R I certify that in the performance of the work for which this permifis issued/l Shall not
employ' any person in any manner so as to become subject to the worker's compensation laws
of California" and agree~hat if I , ould b me subject totheworker's compensation
provisions of Section 3700 of, the bor ode, I shall forthwith,comply with those provisions.
Date: 5/18/2005 Applicant:
WARNING: FAILURE TO SECUR ENSATION COVERAGE IS
UNLAWFUL, AND SHALL SUBJE AN EM PLOYER 0 CRIM INAL PENALTIES AND ,CI VIL
FINES UP TO ONE HUNDRED ' OUSAND DOLLARS ($100,000), IN ADDlllON TO THE
COST OF COMPENSATION, D AGES AS PROVIDED FOR IN SECTION 3706 OF THE
LABOR CODE, INTEREST AND ATTORNEY'S FEES.
CONSTRUCTION LENDING AGENCY;,.
I hereby affirm under penalty af perjury that there is a canstruction lending aQI?9Cyfor the
performance af the wark for whid1-this permit is issued (Sec.3097.Civ.C):
Lender's Information:
LICENSED CONTRACTORS DECLARATION
I hereby affirm under penalty of.perjury that I am
licensed under provisions of chapter 9 (commencing
with Sectian 7000) af Divsion 3 af the Business and
Professions,Code.
S/18/200S'
Date:
Contractar
NUMBER
654377
TYPE B
EXPIRATION DATE
9130/2006
Construcion Tvpes:
VN, ,
Fire $prinklered?
NO
I certify that ,I have read thisapplication and state that the above information is Correct. I
agree to ~mply with all city ardina~ces and state laws relating to building constructian, and
hereby; utho~jze representives of this city to enter upon the above mentioned property for
inspe ion purpo ~ t. f\ fl',J- , _
V~ Date: 5/18/200S
Fees paid far Permit:
Total:
605.19
Signature Applicant or Agent
The armit shall expire by'limitationand becorre null and void if the building or
war has not passed final inspection 365 days frcim the date of permit issualCe. A
new er'init is requiredto ~mmence or continue work.
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FINAL INSPECTIONS Date ' Inspector,
Electrical Final ' , i ' "
Plumbing Finel ,
Mechanical Final ' ,
Gas Test ,
Engineering/Grading Final 765-5126
Fire Dept. Final 765-4040 '
Water Engineering 765-5268 , '
Sub List/Business License 765-519 ,
Zoning 765-5139
Building Final ~ast Inspection-"Only 7-2-7-<6 "r-~,
fter Above Complete)
PARTIAL IN$PECTIONS : U
INSPECTION , , ", INSPECTOR ' ,
DATE "
Temporary Power Pole ,
Plumbing (DrainiWaste Pipe) , ,
Electrical Ground Electrode/lifer ' ,
SelbacklFormsrrrenches (Footings) IW03JJs /Yl. .fl. ,
Do not install subfloor or pour floor slab until the ill ,
following applicaQle items have ,been signed; ,
Plumbing (WeterPlpe.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 tne
following applicable ilemshave been signed: ,
1st Floor Shear ,
Firesprinkler (Rough)
2nd Floor Shear A'.'
Roof'(Sheathing/DiaphragmlFrame) _~ ..c~ t'1rl' ~ "....... ..
Ma!ionry (ReinfJBoild BeamJl>re-Grout) J
Ro'ugh Plumbing (Top Out)
Rough Mechanical ,
Rough ElectrICal (Dry Wall) ,
Rough Electrical '
Framing (Only after Plbg.,'Elec.. Mech.. 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 , I
E1<terior Lath
, GENERAL ITEMS
ExteriOr Plaster (BraNn Coal)
T -Bar Electrical ' ,"
T-Bar Mechanical " ' ' , ,
T -Bar Structural
Sewer ,
Water Engineeri,ng Backflow
Water Service
'INSPECTION RECORD
Buildina'lnsDections' , '
81Z., ~"l2.df.L(2..ca-H~
Mechanicallnsoections
Plumbina Insoections
ElectricallnsDections