131 S. Summertree Rd.
TYPE OF PERMIT CITY'
Reroof
ElM
BUILDING DIVISION
200 S. ANAHEIM BLVD..
(714) 765 - 5153
INSPECTION REQUEST LINE:
(714) 765 - 4626
CENSUS CODE: . 434
QUARTER SECTION: 191
BUILDING PERMIT NO. BLD2005-01309.
DATE: 5/6/2005
JOB ADDRESS: 131 S SUMMERTREE RD
LEGAL DESCRIPTION: N TR 8409 LOT 24
CONTRACTOR INFORMATIoN:
WEATHERLlNE ROOFING, INC.
1013 E WALNUT ST .
SANTA ANA, CA 92701 0000
BUSINESS PHONE: 714731-3425
JOB DESCRIPTION:Tear.off exisiting material, Install. 1/2" OSB, (1) 301bs lelt and 30 squares of 40 year composition shingles.
VALUATION: 7,800.00 PROCESSED BY: ENO
I '. OWNER.BUILDER DECLARATION
t hereby affirm under penalty of perjur{that I am exempt from the Contractor's License Law tor the following reason (Sec. 7031.5 Business and
Professions Coqe: any city or county which requires a permit bconstruct, alter, improve,.demolish or repair any structure, prior"to its issuance, also
requires theappficant for such permit to file. a signed statement that he i$licensed pursuant to the provisions of the Contractor's license Law (Chapter
9)(commencing with Section" 7000. of Divi.sion 3 of the Business and Prafession'sCode) or that he is exempt therefrom and the basis for the alleged
exemption. Any violation of Section 7031.5 by any applicant far a Pe:rmit subjects the appl.iCant to a civil penalty of not more than five hundred dollars.
~OO). .
[J I, as owner of property, or my employees with wages as their sole comperlsation, will do the work, and the structure is not intended or offered for
sale (Sec. 7044 Busine'ss and Professions Code: The Contractor's License Law does not apply to an owner of property who builds or improves .
thereol1, 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. If, however, the building or improv~'!lent 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 purpose of sale). . .
o I, as the owner of the property, a!11 exclusively contracting with licensed contractors 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 of improves thereon, and who contracts for-such prOjects with
~ontractor(s) licensed pursuant to the ?<,nt'ractor's License Law). .
W I am exempt under Sec. . , B -& P.C. for this reason:
Date: Owner:
I WORKER'S COMPENSATION DECLARATION
I hereby affirm under penalty of.perjury one of the following declarations:
o I have arid will maintain a certificate of consent to Self-insure fo.r worker's cpmpensatian,
as provided for by Section 3700 of the labor Code, for the performance of the work forwhi'ch
this permit is issued, .
~ I have and will maintain wo.fker'scompensation 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 polley are: .!
Carrier: STATE R.JND Policy Number. 1635961-02
APPLICANT:
OWNER INFORMATION:
Wiliam J Q'Banion
131 S Summertree Rd ,"
Anaheim, CA 92807
ARCHITECT/ENGINEER INFORMATION:
I
LICENSED CONTRACTORS DECLARATION
I hereby affirm under penalty of perjury that I am
licensed under provisions of chapter 9 (commencing
with Sectio 7000 of Divsion 3 of the Business and
Professions
This section.need not be completed ilthe permit is lor one hundred dollars ($100) or less.
o I certify that In the performance of the work for which this permit is issued; I shall not
'itrllploy any person in any manner.so as to become subject to the workers compensation laws
of CaHfomia, and agree that if I should becomesu'bject to the worker's compensation
provisions of Section 3700 of t Labor,Code,1 >> forthwith comply ~ith those provisions,
Date: 5/6/2005 Applicant:
WARNiNG: FAILURE TO SECUR: W R'S COM ENSATION COVERAGE IS
UNLAWFUL, AND SHALL SUBJECT AN EMPLOYER TO CRIMINAL PENALTIES AND CIVIL
.FINES UP TO ONE HUNDRED /HOUSAND 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
J.bNe.Qy.afflrm.-under,penalty.of perjury-th~.tthere is a.construction '_ending ager.cyfor the
performance of the work for which this permit is issued (Sec. 3097 .Civ.C):
Lender's Information:
Contractor
EXPIRATION DATE
1113012006
C39
Construcion Tvpes:
VN, ,
Fire Sprinklered?
NO
..,..,
I certify that I have read this application and state that the above information is cOI:rect. I
agree to comply w;th ~II city ordinances and state laws relating to building construction, and
hereby au horize representives of this city to enter upon the ~b,ave mentioned prOperty for
in on purpa s.
Date: 5/6/2005
Fees paid for Permit:
Total:
235.61
Signa . e of Applicant or Agent
The permit shall expire by limitation and become null and void if the building or
work has not passed Ii 031 inspection 365 days from the date of permit issuance.' A
new permit is required to commence or continue work.
INSPECTION RECORD
I"ISi>ECTIO"l . DATE . '''ISPECTOR
Temporary Power Pole
Plumbing (DrainlWaste Pipe) .
. Electrical.Ground Electrode/lifer
. Selbac:klFormsfTrenc;hes (Footings)
Do Qat install subfloor or pour floor slab until the
following applicable items have been signed: .
Plumbing (Water Plpe,Sprinkler Valves) .
Meehanic:a1 (Groundwork)
Electrical (Underground Conduit)
Pre-slab (CompactionlMembrane.Reinr, .
Underpinnil)g (Roor Joist/Girders) . .
~ Do not cover or concealthe work below until the
following applicable items have been signed: .
1st F/.oorShear .
Firesprillkler (Rough) . .
2nd Floo....shear .. ((l'v<l.Jljifi!L
RooHSheathi . aphragmlFrame\
Masol1rylRilnfJBond BeamJPre.GlOUt) I
Rough Plumbing (Top Out)
Rough Mechanical .
Rough Eleetric:lII all) .
Rough Electrlcal .
Framing (Only afrerPlbg., Elec.. fAech.. an9 Fire) .
Insulation (SoundlEnergy)
po not tape or p/a~ter until the following applicable
.tems have been sIgned: .. .
Drywall
Penetrations (Fire Rated) Electrical .
Penelratio{lS (Fire Rated) Mechanical .
Penelrations(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 . .
FINALlNSPECTIONS Date Inspector
Electrical Final I .
Plumbing Final I . . . .
. . .
Mechanical Final I .
Gas Test I ."
.
Engineering(Grading Float 765-6126 " " " " .. .
" " "I .
Fire Dept. Final 765-4040 .
" 1
Water Engineering 76~.5268 .
Sub List/Business Lic~n$e 765-519 .
.1 "
Zoning 765-5139 i .
"Building Final ~astlnSpection."OnIY . ~~O!7 ."~. d~
. fter A~ov. Complete)
" " PARJIALINSPECTIONS
BuildinQ Inspections "
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Mechanical "InsJections
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Plumbina Inspebtions"
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ElectricallnsDJctions
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