2427 Westport
TYPE OF PERMIT CITY
Reroof
DATE: 12/16/2005
JOB ADDRESS: 2427 E WESTPORT CIR
LEGAL DESCRIPTION: N TR 4717 LOT 26
ElM
BUILDING DIVISION
200 S. ANAHEIM BLVD.
(714) 765 - 5153
INSPECTION REQUEST LINE:
(714) 765 - 4626
CENSUS CODE: 555
QUARTER SECTION: 113
BUILDING PERMIT NO. BLD2005-03998
APPLICANT:
OWNER INFORMATION: CONTRACTOR INFORMAl'ION: ARCHITECT/ENGINEER INFORMATION:
THOMAS F FLADING PROTECT ROOFING COMPANY
2427 E WESTPORT CIR 622 E STEARNS AVE
ANAHEIM, CA 92806 LA HABRA, CA 90631 0000
BUSINESS PHONE: 562691-1948
JOB DESCRIPTION:Tear off existing roof and install 29 squares of 30 year composition shingle
VALUATION: 6,400.00 PROCESSED BY: CJR
OWNER-BUILDER DECLARATION
I hereby affirm under penalty of perjury that I am exempt from the Contractor's License Law for t e following reason {Sec. 7031.5 usiness and
Professions Code: any city or county which requires a permit to construct, alter, improve, demolish or repair any structure, prior to its issuance, also
requires the applicant for such permit to file a signed statement that he is licensed pursuant to the provisions of the Contracl:or's License Law (Chapter
9)(commencing with Section 7000 of Division 3 of the Business and Professions 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 subjekts the applicant to a dvil penalty of not more than five hundred dollars
($500).
o I, as owner of property, or my employees with wages as their sole compensation, will do the work, and the structure is not intended or offered for
sale (sec. 7044 Business and Professions Code: The Contractor's License Law 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 employees, provided that such improvements are not intended or
offered for sale. If, however, the building or improvement 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, am 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 or improves thereon, and who contracts for such projects with
~ontractor(s) licensed pursuant to the Contractor's License Law).
U 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 and will maintain a certificate of consent to self-insure for worker's compensation,
as provided 10r by Section 3700 oi the Labor Code, for the performance of the work for which
this permit is issued. -,
~ I have and will maintain worker's compensation insurance, as required by Section 3700 of
f!!e Labor Code, for the perlormance of the work for which this permit is issued; Myworker's
Compensation insurance carrier and policy are:
Carrier: STATE COMPENSATION FUND Policy Number. 285-0002201
12/16/2005
Date:
This section need not be completed if the pennit is for 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
employ any person in any manner so as to become subject to the worker's compensation laws
oi Califomia, and agree that if 1 should become subject the worker's compensation
provisions of Section 3700 of the Labo I all f hwith comply with those provisions.
NUMBER
772205
TYPE
TYPE
EXPi RATION DATE
1213112007
C39
HiC
Date: 12/16/2005 Applicant:
WARNING: FAILURE TO SECURE ORKER'S PENSATION COVERAGE IS
UNLAWFUL, AND SHALL SUBJECT AN EMPLOYER TO CRIMINAL PENALTIES AND CIVIL
FINES UPTO ONE HUNDRED THOUSAND DOLLARS ($100,000), IN ADDlllON TO THE
COST OF COMPENSATiON, DAMAGES AS PROVIDED FOR IN SECTiON 3706 OF THE
LABOR CODE, INTEREST AND ATTORNEY'S FEES.
CONSTRUCTION LENDING AGENCY
I hereby affirm under penalty of perjury that there is a construction lending agency for the
performance of the work for which this permit is issued (Sec. 3097 .Civ .C):
Lender's Information:
Construcion Tvpes:
VN, ,
Fire Sprinkrered?
NO
I certify that I have read this application and state that the above information is correct. I
agree to comP:l ity ordinances and state laws relating to building construction, and
hereby aut rize repre nlives of this city to enter upon the above mentioned property for
inspe ion urpo
Date: 12/1612005
Fees paid for Permit:
Total:
245.01
Signature plicant or Agent
The permit shall expire by limitation and become nUll and void if the building or
work has not passed Ii 001 inspection 365 days from the date of permit issuance. A
new permit is reQuired to commence or continue work.
City of Anaheim
Building Division
INSPECTION RECORD
INSPECTION DATE INSPECTOR
Temeorarv Power Pole
Plumbina lDrainlWaste Pipel
Electrical Ground Electrode/Ufer
SetbacklFormslTrenches (Footinas)
Do not install subfloor or pour floor slab until the
following applicable items have been signed:
Plumbina IWater Pipe/Sprinkler Valvesl
Mechanical (Groundworkl
Electrical IUnderaround Conduitl
Pre-slab (Compaction/Membrane Reinf.)
Underpinning (Floor Joist/Girders)
Do not cover or conceal the work below until the
following applicable items have been signed:
1st Floor Shear
Firesprinkler (Rough)
2nd Floor Shear
Roof (Sheathing/Diaphragm/Frame) '')dX).1J '~ ~D
Masonrv IReinf.lBond Beam/Pre.Groutl
Rough Plumbing (Top Out)
Rough Mechanical
Rough Electrical (Dry Wall)
Rough Electrical
framing (Only after Plbg., Ele.. Mec. And Fire)
Insulation (Sound/Energy)
Do not tape or plaster until the following applicable
items have been sic ned:
Drywall
Penetrations (Fire Rated) Electrical
Penetrations (Fire Rated) Mechanical
Penetrations (Fire Rated) Plumbing
Interior Lath
Exterior Lath
GENERAL ITEMS
Exterior Plaster IBrown CoatI
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
Cross Connection Control (714)765-4280
Engineering/Grading Final 765-5126
Fire Dept. Final 765-4040
Water Engineering 765.5268
Sub List/Business License 765-5194
Zoning 765-5139 / I,
BUilding Final (Last Inspection - Only 1/j{~
After Above Complete) , \,AI.lDWsKl
I
PARTIAL INSPECTIONS
Buildina Insfect~ns -
t*!. 'J' ~-"?t ~f?D bd 5"t}t1'
MechanicallnsDections
Plumbina InSDections
EJectricallnsDections