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144 N. Sunkist TYPE QF PERMIT CITY Reroof ElM BUILDING DIVISIQN 200 S, ANAHEIM BLVD, (714) 765 - 5153 . INSPECTIQN REQUESTLINE: (714) 765 - 4626 CENSUS CODE: 434 . QUARTER SECTIQN: '142 BUILDING PERMIT NO.. BLD2005-00355 DATE: 218/2005 JQB ADDRESS: 144 N SUNKIST ST . LEGAL DESCRIPTION: P BK 71 PG 20.PAR 3 CONTRACTOR INFORMI\TION:' HOYT ROOFS .1809 N ORANGETHORPE P;,RX ANAHEIM, CA 928010000 BUSINESS PHONE: 71477J-1820 JOB Di;:SCRIPTION:Tear off standard weight, install 1/2" sheathin~. (2) 30lbs j"yer<, 28 squares ofwestiie feathers/one at 5,8Ibs.ICBO #3984, VALUATION: 1a,Ooo,00 PROCESSED BY: MSM I o.WNER-BUILDER,p.ECLARATION' I hereby affirm under penalty of perjurY' that I am exempt from the Contra~or\::.. License law for the following- rea,son (Sec. 7031.5 Business and Professions Code: any,city or county which requires a permit. to cOnstruct, .::tll.:;";:-, improve, demolish or repair any s1ructure, plicr to its issl,.lance, also r-equires the applicant for such permitt,o fi_l,e~, a signed statement that he is liC~f;~ed purSuant to, the pro\4sions of the Contractor's license Law (Chapter 9)(commencing with Section 7000 of Division 3 pf "the. Business and ProfessiG'ns Code) or that he' is exempt th€:refrom and the basisfcr the'alleged . -exemption. ArTy violation of Section 7.0315 by 030\' applicant fer 8 permit s'u(i-:cts the a.9plir.;ant to a dvR penalty.ofnc.t more thatl five hundred dollars. . ($5(;0), .. . D I, as owner of property, or my ef11P!oyees with wages as their sole comrJ,;~r.satien. will do the work, and .the_ structure is not intended, or offered -for sale (Sec. 7044 Business and Professions Code: The Contractor's Ucense t:.:iiJ dOss not apply to an o~ner Qfj:'foperty who builds or improveS thBreon~ and. w?odo.es s~ch work'hil11Self or heISeli' or thlough his or her oW::'el1",ploy~es. provided that sucn-ir:nprovements.-are not inter.c:ied.or offered for sale. If,:however, the building or improvement is sold with on~ ve!"f of 0"Jin;'let:on. the owner~b'..lild.er wal have tile burden of proving:.that he did not build or improve for the purpose of sale).- , . 7:. . . ,,-" , . o I,' as the (.~w~er of thepropefty, am exdiJsjv~~' ccntmcting with !icense,! h()rl~(actors !J) constl1Jct th,e projec~ (Sec. 7044 BuSiness al_"'IdProfessions Cod(:: rhe Contractor's LiCense .law does not a:ppiy to an owner ai prope:~y:;:, ilv builds' tJ~ irnproves thereon, snd who oontracts for sue.-l projects with 1=1.Qc.rrlrarctor(s) liGensecj' pursuant to the Contractor's License l2W}. ' Li-tarn exempt und~er Sec. .;,"', 8 &' F;'.C. for-th:s r~asorl: -'~-_._---"-i""'-- bate:. Owner: L~ '. WORKER'S COMPENSATION DECI.f-!HATION L:~==:J . ruCENS~D CONTRACTORS DECLARATION! I h~reby_aftiml lJOder peoi!ltyof perjury 9ne of the following declarations: ; . I -. I hereb}' affirm ur".der penalty of perjury that! am o t hays. a'n'd will maintain a certiflcate of consenHo Self.jnsure for w(.\r'i<ed~:';~~o;OTlj)ensat~on, I as proviQed for by Secl:ion3700 of the Labol' Code,for the pe":formanoo of ~h~~,\'VC:k for ..'Vhich this pern-lit is issued. . . ' .;'~ "1 I9T J have and will maintain worker's compensa~ion i.1sur.o.nce, as required b~.;/~ectic-,. 3700 of lW labor Code. for the performance of the work for...vniCh this rermit is iSS:JI:,.:f}Ay wo(ker'~ Compensation insurance carrier and policy are: ' , Carrier: STATE FUND Polic..y Number. 1'70047:; 'V7 This section need not be completed if the pennit if-' fOr one hundred dOllaI'$ ($'1 GO;Pf:-~ess, ~certify that in the performance of the wcrk for which this permit is iC.s,-,.~~,:\ShaU rot ,fiftplri,Y _any person In any manner so as to become subje'ct to the worker's cc;vipensation laws of Ca!ifcmia. end aq~ee that if.1 should Qec?me subject to thework€!r~s cOrn:..~,hsal1on prOV~ionS af Se.ction 3700 of t~e Lbor,..;Ode. I shall.fcrth~ith ~ty ~ thf$E;l pi:CNisi~ns,_ . Date: ,2/8/2005 Applicant: ~__ WARNtNG: FAILURE TO. SECURE OR, ER'S COMPENSATION CO\if;R.,(2.E IS UNLAWFUL, AND SHALL SUBJEC AN EMPLOYER TO CRIM!i>JAL 'PENAI:r;~s AND CIVIL FINES UP TO ONE HUNDRED USANDDOLLARS ($100,000), IN P,CD'~OI"TO THE COST Of. COMPENSATION, 1) AGES AS PROVIDED FOR IN SECTION d7C./5 OF THE LABOR CODE, INTEREST ANU ATTORNEY'S FEES, L CONSTRUCTION LENDING AGENCY ___ ! ..~0",~~y~affil:m.lJt:dei_J)en_:J~. of,_ perlllry ttlat _thp.re .is ;:l_r.<')nstrut:t!():'I:J~~;d in;}. -;:_-',)1'('':;: fnr .the performance--of the work for which this permit isi,ssued ($ec.3097.Civ.C): Lender's Information: APPLlCANT:MILES REED OWNER INFORMATION: Ma tthew A Posney 144 N Sunkist SI Anaheim, CA 92806 . ARCHITECT/ENGINEER INFORMATION: EXPIRAT!ONDATE 12/31/2006 C39 COflstrucicn Types: VN, , Fire Sprinklerer.!? NO . . . I certify that I have read this applicati~n and state 'that the ab~ve il')farmation is correct. I agree to comply, with all'city ordinances and state laws relating to buading constru.ction, and ,he by u odze representives of t is city to e'1ter upon the above mentione,:; property for insp on. urposes. Date: 2/8/2005 Fees paid for Permit: Total: 235,83 Signature of Applicant or Agent ermit shall expire. by limitation and become null and void if the building or wor has not passed final inspection' 365 days from the date of permit issuance. A new permit Is required to commence or continue work. . . INSPECTION RECORD , INSPECTION DATE , INSPECTOR Temporary Power Po'e Plumbing (OrainlWaste Pipe) Eledrical Ground Electrode/Ufer , " SetbacklFormsrrrenches (Footings) , , Do not install subfloor or pour flo()r slab 'Inti I the following applicable items have been signed: . . Plumbing (Water Plpe.SprinklerValves) . Mechanical (Groundwork) , I Eledrical (Underground Conduit) , , Pre-slab, (CompactlonlMembrane.Reinf. Underpinning (Floor Joist/Girders) Do not cover or conceal toe wol1<' below until the ' following applicable items have been signed:. . I ~ ,1st Floor Shear .' , t Firesprinkler (RQugh) . 2nd Floor Shear . , . . Roof (Sheathing/Diaphragm' Frame) 'Z/J5,f:,~ Masonry (ReinfJaoncl BeamlPre-Grout) I(/Y' . . Rough Plumbing .(Top Out) . . , . Rough Mechanical t RoUllh 61l!ltrICaI Rough Elect1Ical . , " Framing . (bn~ aher Plbg.. Elec.. Mech.. and Firel. . , . " Insulation (SoundlEnergy) . . 00 not tape or plaster until the following applicable items have been signed: . . . .' Drywall , , . Penetrations (Fire Rated) Elll!ltrlca,l Penetrations (Fim Rated) Mechanical' Penetrations (Fim Rated) Plumbillil Interior Lath' , Exterior Lath ' . ' . GENERAL ITEMS . Exterior Plaster (BnM'n Coat) . , . T .Bar Electrical , ' . .' T ;aar Mechanical T .Bar Structural ..' Sewer, Water Engineering Backflow . , , Water SerVice FINAL INSPECTIONS Electrical Final Date Inspector. f>lumbing .Final Mechanical Final Gas'Test Engineering/Grading final 765-5126 Fire Dept. Final 7654040 Water Engineering 765.5268 Sub List/Business peense 765.519 Zoning 765-5139 . Building Final (Last Inspection. Only . ,~.,. , . , After Above Complete) '. v~ PARTIAL INSI'eCTIONS BUildin~tiOn$ ,. . it '-7l.& ..; ~ 1 .. ,'.. Mechanical Inspections PlumbinQ Inspections Electrical Inspections '-