8451 E. Saratoga Street
TYPE OF PERMIT
Blockwall/ Columns CITY
DATE: 8/29/2005
JOB ADDRESS: 8451 E SARATOGA ST
LEGAL DESCRIPTION: N TR 10983 LOT 156
ElM
BUILDING DIVISION
200 S. ANAHEIM BLVD.
(714) 765.5153
INSPECTION REQUEST LINE:
(714) 765.4628
CENSUS CODE: 434
QUARTER SECTION: 219
BUILDING PERMIT NO. BLD200S-02711
APPLICANT: JUSTIN BI RRELL
OWNER INFORMATION: CONTRACTOR INFORMATION:
JOHN J CARUSILLO
315 S MOHLER DR
ANAHEIM, CA 92808
JOB DESCRIPTION:Build 6' high block wall by 54 linear ft. per city specifications.
VALUATION: 1,000.00
ARCHITECT/ENGINEER INFORMATION:
PROCESSED BY: JNJ
OWNER-BUILDER DECLARATION
hereby affirm under penalty of perjury that I am exempt from the Contractor's License Law for the following reason 6C. 7031.5 sioess and
Professions Code: any city or county which requires a permit to construct, altel; 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 pmvisions of the Contractor's LiCense Law (Chapter
9)(commencing with Section 7000 of Division 3 of the Business and Pl'Ofessiot1s 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 sUbje6ts the applicant to a civil penalty of not more than five hundred dollars
~$50).
I, as owner of property, or my employees with wages as their sole comperisation, will do the work, and the structure is not intended or offered for
Ie (Sec. 7044 Business and Professions Code: The Contractor's License Law does not apply to an owner of property who builds or improves
thereon, and who does such work himself or hel'Self 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 yearof completion, the owner.builder will have the burden of proving that he
did not build or improve for the pUlpose of sale).
o I, as the owner of the property, am exclusively contracting with licensed ctlntractors to construct the project (Sec. 7044 Business and Professions
Code: The Contractor's License Law does not apply to an owner of property who builds or improves thereon, and who contracts for such projects with
ontractor(s) licensed pursuant to the Contractor's License Law).
I a exempt 4l1der Sec. C. for this teason:
e: -.;>.'1 -0;' Owner:
WORKER'S C MP S ION DECLARATION
I hereby affirm under penalty of perjury one of the following declarations:
o I have and will maintain a certificate of consent to setf-lnsure for worker's compensation,
as provided for by Section 3700 of the Labor Code, for the performance of theworl< 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 performance of the work for which this permit is Issued. My worker's
Compensation insurance carrier and policy are; .
Carrier: Policy Number.
LICENSED CONTRACTORS DECLARATION
I her affirm under pena yo perjury that I am
licensed under provisions of chapter 9 (commencing
with Section 7000) of Divsion 3 of the Business and
Professions Code.
8/29/2005
Date: Contractor
NUMBER
EXPIRATION DATE
This section need not be completed if lhe permit is for one hlHldred dollars ($1 00) or less.
f)( I certify that in the performance of the work for which this permit is issued, I shall not
e;nproy any person in any manner so as to become subject to the worker's compensation laws
of Califomia, and agree that if I should become subject to the worker's compensation
provisions of Section 3700 of the Labor C ,shall hwith co y with tOO5:e provisions.
,
TYPE
Date: 8/2912005 Applicant:
WARNING: FAILURETOSEC f-W R'SCOMPENSATI NCOVERAI3EIS
UNLAWFUL, AND SHALL S JECT AN EMPLOYER TO CRIMINAL PENALTIES AND CIVIL
FINES UP TO ONE HUNDRED THOUSAND DOLLARS ($100,000), IN ADDI110N 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 penalty of perjury that there ts a construction lending agency for the
performance of the work for which this permit is issued (Sec. 3097 .Civ.C):
Lender's Information:
Construcion Tvpes:
V N, ,
Fire Sprinklered? NO
I certify that I have read this application and state that the above information is ~orrect. I
agree to comply with all city ordinances and state laws relating to building construction, and
hereby authorize r sentives of this city to enter pan the above mentioned property for
w'npur S.
Date: 8/2912005
Fees paid for Permit:
Total: 132.53
igo of plicant or nt
The perllll I expire by limitation and become null and void if the building 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.
~
City of Anaheim
Building Division
FINAL INSPECTIONS DATE INSPECTOR
Electrical Final
Plumbing Final
Mechanical Final
Gas Test
Engineering/Grading Final 765.5126
Fire Dept. Final 765.4040
Water Engineering 765.5268
Sub ListlBusiness License 765-5194
Zoning 765.5139
Building Final (Last Inspection . o:~ ~/\~ -- ;t:7n. .~ ~
Alter Above Comple
INSPECTION RECORD
INSPECTION DATE INSPECTOR
Temporary Power Pole
Plumbing (DrainlWaste Pipe)
Electrical Ground Electrode/Ufer
SetbacklFormslTrenches (Footings) '--ti.
Do not install subfloor or pour floor slab until the
following applicable items have been signed:
Plumbing (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 BeamlPre-Grou
Rough Plumbing (Top Out)
Rough Mechanical
Rough Electrical (Dry Wall)
Rough Electrical
Framing (Only after Plbg., Ele., Moo. 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 (Brown Coat)
T-Bar Electrical
T-Bar Mechanical
T-Bar Structural
Sewer
Water Engineering Backflow
Water Service
PARTIAL INSPECTIONS
BUildi~9 Inspe~tions
C(-I -()\'- "t"GFtyutl~
Ib:.-t:J CK .
fir' CtJ(-t..NvJ
Mechanical Inspections
Plumbing Inspections
Electrical Inspections