2420 Ward Terrace
TVPEOF PERMIT CITY'
Reroof
ElM
BUILDING DIVISION
200 S. ANAHEIM BLVD.
(714) 765 - 5153
INSPECTION REQUESTLINE: .
(714) 765 - 4626
CENSUS CODE: 434
QUARTER SECTION: 113
BUILDING PERMIT NO. "'BLD20IlS-Q1721
DATE: 617/2005
JOB ADDRESS: 2420 E WARD TER
LEGAL DESCRIPTION: N TR 5081 LOT 12
,
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APPLICANT: RUBEN TORRES
OWNER INFORMATION:
Ronald Webb
2420 E Ward Ter
Anaheim, CA 92806
JOB DESCRIPTION:Tear off existing material, install 28 squares of composition shingles.
VALUATION: 10,000.00
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CONTRACTOR INFORMATiON:
ARCHITECT/ENGINEER INFORMATION:
c.
PROCESSED BY: ENO
OWNER-BUILDER DECLARATION
I hereby affirm under pena ~ per ury tha.! am exempt from the Contractor's.Ucense La~ _ or the fo lowi~ reason (Sec. 7031.5 Business and
Professions Code: any city or countywhich requires 'a, permit to construct,-after, improve, demolish or repair any structure, prior to its issuance, alsq
requires the applicant for.such permit to file a signed statement that he is licenSed pursuant to the provisions of the Contractor's Ucense-law (Chapter
9)(pommencing with Section 7000 of Oivision 3 of the Business: and Profession,s 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 subjects the applicant to a civil penalty of not more than five hundred dollars
$500). . . ..'
/,>as owner of property, or my employe.e~ with wages'as their sole compensation, will do the work, and the structure is not intend'ed or offered for
sale .7044 Business and Professions Code: The Contractor's License Layv' does not apply to an owner of property who builds or improves'
thereon, and who does such work himself or herself or through his or her own eniployees,'provided that such improvements are not intended or
offered for sale. If, however, the building or impr9vement is sold with oneyear'of completion, the owner~builder will h.ave the burden of proving that he
did not build or improve forthe purpose of Sale). . . J' . .
o I, as the owner Of the prop.arty, am exclusively. contractiog with licensed c6ntractqrs to construct the project (Sec. 7044 Business and Professions
Code: The Contractor's License law does not apply to an owner of property woo builds or improves thereon, and who contr~cts for such 'projects with
l')tra~or(s) licensed pursuant to the Contractor's U noo w). ' .
I ain exempt under Sec. , & P.C r n:
- -0"'" Owner:
WORKER'S NSATION 0 LARATION
I hereby affirm under'penalty of JUry one of the,f<?\lowing declarations:
o I have and wi'll maintain a certificate of conOO[1t to self~i.rlsure for worker's compensation,
as provided for by Section 3700 of the Labor Code, for the performance of the wort<. 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 carrfer and policy are:
Garrier: . Policy Number.'
This section need not be completed if the pennit is for. one hundred dollars ($1 00) or Jess.
-Rt-4,certify that in the periormance of the work for which this permit is issued, I shall not
eni'moY. any person in any manner so as to become subject to the workers compens~tion laws
bf Califomia, and agree that if I shOUld become subject to th.e worker's compensation
provisions of Section 3700 of the or Cod , II fort ' com I wiJh t~ose provisions.
LICENSED CONTRACTORS DECLARATION .
I hereby affirm under penalty of perjury that I am. f',
licensed under provisionsof chapter 9 (commencin~e:.
with Section 7000) of Divsion 3 of the Business and ,~--::,.
'P~fessiOf\S Code:
. ..... .;.
61712005" '.
Date:
Contractor
NUMBER
EXPIRATION DATE
TYPE
Date: 61712005 Applicant:
WARNING: FAILURE TO SECURE RK 'S COMPENSATION COVERAGE IS'
UNLAWFUL, AND SHALL SUBJEC AN EMPLOYER TO CRIMINAL PENALTIES AND CIVIL
FINES UPTO ONE HUNDRED USAND DOLLARS ($100,000), IN ADDITION TO THE
COST OF COMPENSATION, D AGES AS PROVIDED FOR IN SECTION 3706 OF THE
LABOR CODE, INTEREST AN ATTORNEY'S FEES. '.
CO StRUCTION LENDING AGENCY
I hereby affirm under penaltY of perjury that there is, a co.nstruction lending agencyfor.ttte
performance of the workf6r which this permit is issued (Sec, 3097 .Civ.C): . : .
Lender's Information: . '
Construcion Types:
VN, ,
Fire $prinklered?
NO
I certify that I have .react this application and state that the above information is .correct. I
agree to comply with all city ordinances and state laws relating to building 'construction, and
hereby authoriZ~repre. san' ,s of thi city to enter up.on the ~bove mentioned property for
.nspecti s. . .
. Date: 6f7/2005
Signature of Applicant or Agent
.The 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.
Fees paid for Permit:
Tolal:
235.83
INSPECTION RECORD
INSPECTION . DATE INSPECTOR
Temporary Power Pole
Plumbi hg (DrainlWaste Pipe) ..
Electrical Ground Electrode/uter
SelbacklFormsITrenches (Footings) .
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 Condu it)
pre-slab (Compaction/Membrane.Reinf.
Underpinning (Floor Joist/Girders)
. IJ() not cover or conceal the work below until the
following applicable items have been signed:
is/Floor Shear
Firesprillkler (Rough)
2nd Floor Shear .
Roof (SheathinglDiaphragmlFrlll1e) , >'/()aj"" /7/ \,./JJo
Masonry (ReinfJBond. Belll1/Pre-Grout) , . (/(/
Rough Plumbing . (Top Out) .
Rouilh Mechanical
I ROugh f1ectrlCaI (Dry Wall) ,
Rough Electrical
Framing . (Only after Plbg:, Elec.. Meeh.. and Fife) , .
Insulation (SoundlEnergy) .
Do not tape O,r plaster until the following appli.cable .
items have been 'signed: .
Drywall .
PllIIelrations (Fire Rated) Electrical
PllIIelratlons (Fire Rated) Mechanicai
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
Waterl':ervice .
FINAL INSPECTIONS . Date Inspector
Electrical Final .
I
P;umbing Final -
. . ,
Mechanical Final
Gas Test ' ., ...
.
EngineeringlGradlng Final 765;5,126
Fire Depl. Final 765-4040
Water Engineering 765-5268 "
Sub List/Busines,s License 765-519 . '
.
Zoning 765-5139 , '/) /I,
.
Building Final ~ast Inspection. Only o/t%r '~ n'
'- ';':-:-:
fter Above Compfete) C.
PARTIAL INSPECTIONS
Buildina Inspections
Mechanicallnsoections
Plumbina Insoections
Electricallnsoections