4940 E. Santa Ana Canyon Rd.
CONTRACTOR INFORMl.iiON:
RAMCO CONSTRUCTICI4
2246 N AZALEA'
ORANGE, CA 92867-{JOOO i
BUSINES'S PHONE: 71492'>4529
JOB DESCRIPTIONBIQckwall- 6' high X 28'IIn, ft" per city standard spec's
VALUATION:' 700,00
I . OWNER-BUILDERPE(;LARATION
I hereby affirm un~er penalty of .pe-rjury t~t I an:! exemptfrom the Contractor'~ license Law for the following reason (Sec. 7031.5 Business and .
Professions Code: any city or county which requires a permit to construct;_ alt~r. improve. demolish or repair any_structur~, priortoits issuance, also
requires the applicant for such permit to file a signed statement that he is lice~sed- pllfsiJant to the provisions of the Contractor',g License Law (Chapter
. 9)(commencing with Section 7000 o.f Division 3 of the Business ahd PrOfessi~i~sCode),cr that he is exempt therefrom a.r.d the basis for the alleged
exemption. Any violation of Section 7031..5 by any applicant for a p,ermit subJ~ts the applicant to a dvil penalty cif not more thsq five hundred dollars
($500), ' . 'c' '.' .., . ' .'
D I, as owner of property, or myemployees with wages as their sole comPknsation, will do the work, and the'structure is not-intendec:j or o'ffered for
sale (Sec. 7044 Business and Profe~sions Code: . The Contractor's License U:lw does' not apply to an owner of propertY who builds or improves
thereon, _a'nd who does sudl work himselt"or herself or th~ough hisoi" her o~rf'~mployees, provided,that suchir:npmvem~nts are-not intended or
offered for sale. 'If, however, Hie building or improvement is sold with one yr;:;"jr of o:Jmpl.etior\, the owner-builder will have the burden of proving that he_ .
did not bu ild ot improve for the purpose of Sale). ,1 . . .' '-
[] 'I; as the owner of the propertY, am exdusively contracting with licensed ~nhactors to construct the project (Sec. 7.044 Business and Professions
Code: The Cor.tractor's License Law dc;>es not <::,pply to an owner of property wn" totlllds or improves the:re~:m, and who ccntracts for such~ projects. with
~ontrador(s) licensed pursuant to'theContractor's Ucense Law). '
L~ I am exempt under Sec. . , B & P.C. fer this reasor): _.._
Date: Owner:
I
BU!LDIN'~ PERMIT NO,
BlD2004-03379
l;;ifi{:':f~i~t;}\ .
CITY ei~~Ni\HEIM
\t~~~}/
TYPE OF PERMIT
. Blockwall/ Columns
DATE: 9/2/2004
JOB ADDRESS: 4940'E SANTA ANA CANYON RD
LEGAL DESCRIPTION: TR 1005 LOT5 POR OF LOT
APPLICANT: RICHARD RAMIREZ
OWNER INFORMATION:
Sharon Diss
4940 E Santa Ana Canyon Rd
Anaheim, CA 92807 .
BUILDING DIVIS;ON
2QOS, ANAHEIM BL\'O,
(714) 765 - 5153
INSPECTION REQUEST LINE:
(714) 765 - 4626
CENSUS CODE: 434
QUARTER SECTION: 173
ARCHITECT/ENGINEER INFORMATION: .
PROCESSED BY: PMK
~
WORKER'S COMPENSATION DECLARATION
I hereby affirm_under penalty of perjury on~of the following declarations:
D I.have and will maintain a.certificate of consent, to self-insure for workers c0r.1pei1!:ation,.
as prov.ided for by Section 3700 of the Labor C.ode, forthe performance of~h<::l';vork fcrwhich
this Per/pit is issued. . .. . -'
o I have andwil! maintain worker's compensation inS.urance, as reqyired b); Sec[ion 3700 of
th.e Labor:Code; for the performance of the work for.which this permit is issued. Myworker':s
Compensation insurance carrier and poliC;l are: -
Carrier: STATE COMPENSATION FUND Policy Number: 1394193-2003
This section need not be compreted if the pe;,"it;s for one hundred dollars ($100). or le3s~,
o _I.certifythat i!1 the performance of the. work for which this permit is issue'~, I sh~'!i not
employ a,:1Y person in any rryanne:rso as to c e subject to the worker's ccmpens"atio,n laws
of Califomia, and agree that if I should be me bject to the orker'::;j,~.omP€!"lsatidrf,'
provisions of Section 3700.0fthe Labor de, I sh h' comply.',with t~.::~ p[Qvisiofls.:
Date: 9/212004 , ApPIi~ ..c."
. WARNING: FAILURE TO SECURE
. UNLAWFUL, AND SHALL SUBJECT EMPLOYE ,CRIMINAL PENAV:-:ES AND CIVIL
FINES UPTO ONE HUNDRED THOUSAND DOLLARS ($100,OOOk1!N';ADDnlQN.'TO THE
, COST OF COMPENSATION, DAMAGES AS PROVIDED FOR INS'Eq:ON 3706 OF THE
LABOR CODE, INTEREST AND ATTORNEY'S FEES, :}';~,- -
I CONSTRUCTION LENDING AGENC~~; _~~
, I ~erebY'affirm under.penalty of perjury that there is a construction l~n~l[\g_ 3ge~9ifst the
performance cfthework for which this permit is issued (S'ec.3097 PiWC);'__:~ t' . ;:,,'; .
J:.~n4~(~Jniormation: 't'~'",,;::~~:.}:c;( !_ ~.______
f certifY that' have read this a pl'ication and state that the above information is; correct. J
a!;lree to romply with all city dinances and state laws relating to building cO!",struction, and
herebyauth lZe epresenf es of fhis _cityJo enter upon the'ab9ve mentioned property for
~sPJction ur s.
r Date: 9/2/2004
Signat I" of Applicant or Agent
The per . hall exp r by limitation and become null and void if the building or
work has not passe mal inspection 365 days from the date of permit issuance. A
new permit is required to commence or continue work.
LICENSED CONTRACTORS DE,eiARATION l
I here:by affirm under penalty r perjury that iam
licensectunder yisions of ena er 9 (commencing
with Section 7 0 ) f Di'lSion 3' fthe Basiness and
Professi "ad
9/2;20
Date:'
NUMBER
432349
TYPE
TYPE
ontractor
. EXPI TION DATE
12f31/2004
. C27
HIC
Construcion T-yr..cs:
VN, ',.
Fire Sprinklered?
NO
Fees paid for Permit:
Total:
125,04
, " , , INSPECTION RECORD FINAL INSPECTIONS Date " 'Iffs~ctor ,
, IN'SPECTION ' " DATE, INSPECTOR Electrical F,inal
,
Temporary Power Pole , , Plumbing Final ,
, I I
Plumbing (OrainlWaste Pipe) '. " ' , ,
Electrical Ground ElectrodelUfer . -I Mechanical Final ' .
;'"
SetbacklFormsfTrenches (Footings).tf. 7-~V- r LlOII!:'T e~t ,
DO not install sUbfl"oror pour floor slab untildhe Engineering/Grading Final 765-5126
following applicable items have been signed:
Plumbing (Water Pipe.SprinklerVaiv$s) Fire Dept. Final 765-4040
MechaniCal (GroundwOrk) , , , Water Engineering 765-5268 . , ,
Electrical (Uilllerground Conduit) , ',,' .
Pre-slab (CompactionIMembrane,Reint. Sub L.ist/Business License' 765-519' ,
Uftderpinning'(F1oor Joist/Girders) Zoning 765-5139 ' " "
DO notc;over or COnceal the work below until the Building Final ~Last Inspection. Only . .
following apRii.table items have .been signed: ' , ,
c iter'Above Complefe) . ,
1 st Floor Shear . ','. . , ' . PARTIAL INSPECTIONS"
Firesprinkler (Rough)' . I ' .
2nd Floor Shear ' ' , Buildina InsDectlons
Roof (Sheathing/DiaPhragm/Frame) . , . ,
Masonry (ReinfJBond eeamlPre-Gl"O\It) . , " , ,
ROugh Plumbing (Top Out) , .'
Rough Mechanical ' . ,
. I Rough ElectrICal (Dry WaU) ,
Rough Electrical , , , ,
Framing, (Only after Plbg.. EJec:. r..lech and FIre)" ,
Insulation (SoundlEll!trgy) . ' , , ".
Do not tape' or plaster until the following applicable MechanicallnSDections
items have beensign9d: '. . . , ' ,
Drywall " ' . ,
, , ' ,
Penetrations (Fire Rated) Electri(:31 ,
Penetrations (Fire Rated) Mecharilcal ' . , ' ., .
Penetrations (Fire Rated) Plumbing .
Interior Lath . , '.
Exterior Lath '. . PlumbinalnSDections
. ..' GENERAL ITEMS ' . . .
Exterior Plaster (Brown Coat) . .
T .Bar Electrical . . . '. . .
"
T.Bar Mechanical .'.' .
. . . '. . .
T -Bar 'Structural . . ,
Sewer . . . .
Water Engineering Backflow .' . ElectricallnSD9ctions
..
Water Service . '. . .
....
12-~ - I ~6
PLANNING D PARTME -. i
ARIPri1i VED
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FLOOD Z09E ~ X I ;;-",,,,,, I
. .
ORIC DISTRICT R,:VIE.W.
N A 5,,,:1". o:tamp tt-,;s ",~.
rc(e tine on above !in~
SEE BUILDING PERMIT FOR
ANY _C2.0~IO~TIONS
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7
\
-:70'
HIS PERM'" DOES
~'6~ ':~i1:~Si $[~~~06'F O.fH~N6'~~.
THE BUILDING Of' .TI'iIS PERMIT
THE HOLDER,. 1'i'.S oWN RISK.
PROCEEDS A
SEP 0 2 2004
BUILDING DIVISION OF ANAHEIM
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5' p. U. E. 'f
35.45'
ADDReSs: 5392 W. DOVE ST-
LOT 4/ TRA CT ,t;i 13697