2083 Waverly
BUILDING PERMIT NO. BLD2004-04422
. . f~{~;l:~;~?'~}. .' . .
" ie/f)'. "'~o\ '
CITY <lE~J~~jL.lEIM
. '\\ \~~<:':_-""'~W~~d"~' ·
\, \~~~~f -:~~~/ /;/1 .
'~Q~..~.-";~.-)~~/I
'0:!/{.f!i)~V-
TYPE OF PERMIT
Reroof
DATE: 12/1412004
JOB ADDRESS: 2083 S WAVERLY DR
LEGAL DESCRIPTION: N TR 4731 LOT 1
APPLiCANT: MARTHA RODRIGUEZ
OWNER INFORMATION:
Joan Smith
2083 S Waverly Dr
Anaheim. CA 92802
BUILDING DIViSiON ,
200 S, ANAHEIM BLVD,
(714) 765 - 5153
INSPECTION REQUEST LINE:
(714) 765 - 4626
CENSUS CODE: 555
, QUARTER SECTION: 58
ARCHITECTIENGINEER INFORMATION:
CONTRACTOR'INFORMATION:
ASTROM ROOFING CC,lf'
905 E. JEFFERSON BLVDI
LOS ANGELES. CA 9001! 0000
BUSINESS PHONE: 213446-4677
JOB D,ESCRIPTION: Tear off existing and reroof 26 squares with 30 year co.ilIpos!!ion silingle
, ,
. . I
VALUATION: 3.800.00 I
I OWNER.BUILDE:UlECLARATION
.1 hereby affirm under pena_1ty af perjury that I am exempt from the Contra(.1:<r'~~Ucense Law for the following reason (Sec. 7031.5 Business and
f>ltlfessions C~_~;_ any dtyQr" county w hich requires a p~rmit to construr;t, a:~er, improve, demolish or repair anys~ruc~ure, prior: to i~.J..ssua.nce, also ,
requires the.applicant for such permit to file a signed statement that he is (i~~n_sed pursuant to the provh:;ions oftheContractor'sUceDse law {Chapter
9)(commencing with Section 7000 of Division 3 ()f the, &lsiness and Prof~s~~jorr$ Code) o'r that he. is exempt therefrol,n and the basis for th~alleged
exemption; Any violation ,af Section 7031:'5 by anY' applica~t for a permit su'bjects the applicant toa Civil penalty of not more than five hundred dcilfars
($500). ' , " , ' , ' " ' t ' ," , ,',,',
o I, -as own~r of property, or my employees with wages as th,eir'sdle com:?ensatl'Jn, will do the work, and:-Jhestruct,ure'is nO(intend~d or off~r~d r{jr'
sale (Sec.I_044 Business and Professions Code: The Contractor's LicenseJ~(:Iw does not aoply to an ownelof property who builds or'impr<;>ves
thereon, aria who does sum work himself orhe-rself or through'his. or 116, o\~]n-emf-<,Ioyee:;;, prG\dded t~at such improveme:1ts.are,lIot intended or ,
offered-for sale~'if, however, the building of'improvement- is 'sold witt1oneY.,:,3r ofcol1".pletion, the owner-builder will hav~, the burden of provingthat'he ,
did"?tbu~dorimproveforthepurposeofsale). ' . \,?_ _' . ,_, '.,." _"_.'. '_'
o t, as t~e o,yvner of (he prope~, am exclusively con~racting :~~~ Iicens~~;;r::ontractqrs to construcdhe":xolec~{Sec. 7044 BUsjness and "Profess;oil-i
COde: Th,e Contractor's Li~se' Law does not. app,ly to ~9:ow~&~,fpf ,properl~(;~nc ~u([ds,or-improves, therc-6n, sr'ld. who contracts (f)r such projects with
~ontractor(s)'ipe':'5ed pursuant to the Cory tractor's License Law)')l ..
L.J I am exempt under Sec.' , . B & P .C. for this reasor:: ,--.;;.::i~:'
Date: . Owner: '1<
I
PROCES'SED BY: JNJ
~ LICENSED CONTRACTORS DECLARATIO_~
i he'reby ~fflrm l,;nder penalty of,perjury .tl-]at : Cf,n
licensed under provlsior:s of chapter 9 (commencing
with sec,tion700Q) ot O!'ISic, n3oft~'(L- $oi. s, and' -.
PfOfeSslons~ Q 'r _ '
121i4t2004" ~ ',.' .-c].J f ... ?
. I .
Date: Contractor
NUMBER'
" 779011
TYPE
Construcion Tvpes:
'IN" ',.
I certify that 1 have react this application and sta~e that the above_ information is correct. I
agree to cOmply with all city ordinances and state laws relating to buUding COfIstruction, and
herebyauthoriz repre ndves of thi city to enter upon the above mentioned property for
inspectionp r: ses
, r Dale: 1211412004
Signature Applican r,Agen~
The permit shall 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.
EXPiRATION DATE
513112006
C39"
,
'",'
Fees paid for ,Permit:
Total;
235.33
, .
INSPECTION RECORD
. r INSPECTION . DATE INSPECTOR
Temporary Power Pole
Plumbing (DrainlWaste Pipe)
Electrical Ground ElectrodelUfer .
SetbacklFormsITrenches (Footings) '.
00 not install subfloor .or pour floor slab untillhe
fOllowing applicable items have been signed:
Plumbing (Water Pipe.Sprinkler Valves) . .
.' Mechanical (Groundwork) . .
I:lectrical (Underground Conduit) .
. PIe-slab (Compactlon/Membrane.Rainf. .
Underpinning (Floor Joist/Girders) .
. 00 not cover or conceal the work below unlillhe .
following applicable items have been signed: .
1 st Floor .Shear '.
Firesprillkler (Rough)
2nd FIqp<.Shear.... .
RQdf(Sheathir:KlHliaphragm'Frane) (UI1II!1r ""\i
infJBond BeanlPr~~t) /
Rough Plumbing (Top Out) . . .
Rough Mechanical . .
~ugn E1ectricallDry wall! .
Rough Electric;" '. . - .
Framing (Only afterPlbg., Elech Mech.. and Fire!
Insulatioll (SoundlEnergy) .
Do not tape or plaster unlillhl! 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 Coal) . , . .
T -Bar Electrical
.T-Bar Mechanical .
T -Bar Structural
Sewer
Water Engineering Backflow .
Water Service
,
FINAL INSPECTIONS Date Inspector
Electrical Final' .
Plumbing Final .
Mechanical Final .
Gas Test .
Engineering/Gr;ldinll Final 765-6126
Fire Dept. Final 7654040' ., :.
Water Engineering 7.65-5268 . . . .
Sub List/Business License 765-519
Zoning 765-5139 .
Building Final ~ast Inspection- Only I Itzk!' /X'~.;.
fter Above Complete)
. .' PARTIAL INSPECTIONS ./.....
Buildina InsoectiOi"ls
Mechanical Inspections
Plumbinqlnsoections
.Electricallnsoections