2227 E. Westport Dr.
DATE: 3/8/2005.
JOB ADDRESS: 2227 E WESTPORT DR
LEGAL DESCRIPTION: N TR 1782 LOT 10
ElM
BUILDING DIVISION
200 S. ANAHEIM BLVD..
(714) 765 - 5153
INSPECTION REQUEST LINE:
(714) 765 - 4626
CENSUS CODE: 434
QUARTER SECTION: .113
BUILDING PERMIT NO. BLD2005-00596
. TYPE OF PERMIT CIT. y'
Reroof
APPLICANT: GEORGE SANDKAMP
OWNER INFORMATION:
Gilbert T Solorio
2450 N Maple Grove Rd
Orenge;CA 92867
ARCHITECT/ENGINEER INFORMATION:
CONTRACTOR .INFORMA TION:
SANDKAMP ROOFING
124 N SULLIVAN #C
SANTA ANA, CA 927030000
BUSINESS PHONE: 714542-1742
JOB, DESCRIPTIO~:Tear off existing composition shingles, install 28 squares af 30 year composition ,shingles, new metal and 2 "!lyers of 15lbs felt.
VALUATION: 5,400.00 .
.1 OWNER-BUILDER bECLARATION
I hereby affirm undE;lr penalty of perjury that J am exemp~ from the Contractor'.s. License Law for the following ~eason (Sec. 70?1.5 Business and
Professions Code: any city or county which requiresa permit to construct, alt~r. improve, demolish or repair any structure, prior to its issuance, also
requires .the applicant for well permit to file-asigned statement that he is Iicl':insed 'pursuant to theplOvisions of the Contrador's License. Law {Chapter
9)(commencing with Section 7000 of DiVision 3 of the Business and Professlc-r:'s Code) or that he is exempt therefrom and the basis for the alleged
. exemption. MY violation of Section 7031.5 by any appUcant for a 'permit subjects the a'ppHcant to a dva penalty of not more1han five hundred dollars
($500). .' . . .
o I, as owner of property, or my employees with wages as their sole,compt!nsation, will do the work, and the strucfureis not intendedor offered-for
sale (Sec. 7.044 Business a'nd Professions Code: The Contractor's License L~w 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 herowr.employees, provided that such imprqvements are not intended or
offered for sale. If, however, the building or improvement is sold with. one ye~'r of completion,'the.owner-builder will have. the b~rdenof proving that he'
did not buOd or improve for the purpose of sale). . , ' . .'. .
o I, as the owner of the property, am exclusively contracting with licensed l:.ontradors to'construct-the projeCt {See. '7044 Bu'siness.and Professions
Code: The Contractor's License Law does not apply to an owner of property ...~.t.v builds or improves thereon, and who cOntra~ts for such projects with
~ontrad:6r{s) licensed pursuant to the Contractor's license Law).
LJ I am exempt under Sec. , B & P ,C, for this- reason:
Date: . Owner:
I WORKER'S COMPENSATION DECLARATION
I hereby affinn' under penalty ot perjury one of the following decla'rations;
o I have and Will maintaina certificate of consent to self..jnsur~ for worker's, compensation,
as Provided for by, Section .3700 of ttle Labor Code, for the performance of thfi work tor Which
this permit is issued. . .' .
~,I have ~ndwil/ 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 issueti, Myworker's
Compensation insurance carrier and policy are:
Carrier: STATE FUND Policy Number: 0001617.2,:004
~ecfion need nol be compleledlf the pennil is for one hundred dollars ($1 OD> Cr less.
. CertifY that in the performance of the work for which this permit is issue.;;; I shall not
e ploy any person in a ny manner so as to become subject to the worker's compensation laws
of Caljf~mia, and agree mat if I sho Id beeo subject'to the worker's compe:.nsation .
provision.sot Section 3700 of the la r C e,.1 shall fort with mply w.ith tbose provisions.
PROCESSED BY: ENO
I
EXPIRATION DATE
313012006
C39
Dale: 3/8/2005 Applicant:
. WARNING: FAILURE TO SECURE 0 'S COMPENSA ON COVER';,GE IS
UNLAWFUL, AND SHALL SUBJECT. AN EMPLOYERTO CRIMINAL PENALTIES AND CIVIL
FINES UPTO ONE HUNDRED TH USAND DOLLARS ($100,000), IN ADDITION TO THE
. COST OF COMPENSATION, D AGES AS PROVIDED FOR IN SECTION 3706 OF THE
LABOR CODE, INTEREST AND TTORNEY'S FEES.
CON TRUCTION LENDING AGENCY
'hereby affirm under penalty 9f perjury that there is a construction lending ac.encyfor the
perforrnance 'of the work for,^,hid1 this permit IS issued (Sec.3097.Civ.C):
Lender's Information:
Construcion Types:
VN, ,
Fire Sprinklered?
NO
I certify tl1at I have read this applica~ion and state that the above information is correct. I
.agr~e~ mply with all clty ordinances and' state laws relating to building construction, and
here authorize representives of .thi city.to enter upon the above mentioned property for
sp dlon purposes.
Fees pa1d for Permit:
Total:
160.65
Date: 318/2005
Signature of Applica or Agent . .
T P "t shall expire by limitation and become null and void if the building or
orkhas 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
TempQrary PQwer Pole , .
Plumbing (Qrain/Waste Pipe)
Electrical GrQund ElectrodelUler " , ,
Setback/FormsfTrenches (Footings)
Do not install subfloor or pour floor slab until the
followingapplicabJe items hav~ been signed:
Plumbing (Water Pipe.Sprinkler Valves) ,
Mechanical (GroundWork)
Electrical (Underground CondUit)
Pre-slab (Compaction/Membrane.Reinf.:
Underpinning (Floor Joist/Girders) ,
Do not cover or conceal the work below until the
following applicable ilems have been signed: '
1st Floor Shear
Fitesprinkler (Rough)
2nd Floor Shear n
Roof (Sheathlng/DiaphragmlFr;mel ' 'II/,;. lot VX I. ,Ii. A
Masonry (ReinfJBond BearnJPre-Grout) , , i(!(!
Rough Plumbing (Top Out)
Rough Mechanical
I ROugh t:lectrical (Dry wall)
Rough Electrical
Framing, (Only after Plbg.. -Elec" MeetL and Fire)
msulatlon (SoundlEnergy)
po not tape or plaster until the following applicable
Ilems have been sIgned: ,
Drywall ,
f'enetratlOns (Fire Rated) Electrical
Penetrations (Fire Rated) Mechanical
Penetrations (Fire Rated) Plumbing ,
Interior Lath ,
Exterior Lath ,
GENERAL ITEMS
exterior Plaster (Brown Coat)
T -Bar Electrical ,
T-Bar Mec;hanical ' ' "
T-Bar struc;tural " ,
Sewer ,
Water Engineering Bac;kflow
Water Service
FINAL INSPECTIONS ' , ,Date Inspector
Electrical Fin'al
Plumbing Final ' ,
Mechanical Final ,
Gas Test "
Engineering/Gracling Final 765-5126 , ,
Fire Dept. Final 7654040 , ' .
"
Water Engineering 765-5268
Sub J,.ist/Business Lic;ense 765.519'
Zoning 765-5139 " A
Building Final ~asllnspection- Only s/l7//)~ :!'( 1 n JIh f)
fler Above Completel. . .
PAATIAt. INSPECTIONS, &f
Buildina Inspections
Mechanical Inspections
Plumbina Inspections
Electrical Inspections