1709 Willow Woods
TYPE OF PERMIT CITY
Reroof
ElM
BUILDING DIVISION
200 S. ANAHEIM BLVD.
(714) 765 - 5153
INSPECTION REQUEST LINE:
(714) 765 - 4626
CENSUS CODE: 555
QUARTER SECTION:
BUILDING PERMIT NO. BLD200S.03118
DATE: 9/28/2005
JOB ADDRESS: 1709 N WILLOW WOODS DR 105
LEGAL DESCRIPTION:
CONTRACTOR INFORMATION: ARCHITECT/ENGINEER INFORMATION:
CAL COAST ROORNG & RAINGUTTERS
8341 VALLEY VIEW ST
BUENA PARK, CA 906200000
BUSINESS PHONE: 714827-5371
JOB DESCAIPTION:Tear off existing and reroof 45 squares with 40~year composition shingles for all units
APPLICANT: JOHN BATIOFF
OWNER INFORMATION:
MARTHA E CUAXILOA
1709 N WILLOW WOODS DR #A
ANAHEIM, CA 92807
VALUATION: 8,700.00
I OWNER-BUILDER DECLARATION
I hereby affirm under penalty of perjury that I am exempt from the Contractor's License Law for the following reason (Sec. 7031.5 Business 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 Contractor'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 subjects the applicant to a civil penalty of not mors 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 he /Self 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 E~-xclusively 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 buUds 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
PROCESSED BY: JNJ
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 for by Section 3700 of the labor Code, for the performance of the work for which
this permit is issued.
F:l I have and will maintain worKer's compensation insurance, as required by Section 3700 of
the labor Code, for the periormance of the work for which this permit is issued. My worker's
Compensation insurance carrier and policy are:
Carrier: STATE COMP INS FUND
LICENSED CONTRACTORS DECLARATION
I hereby affirm under penalty of perjury that I am
licensed under provisions of chapter 9 (commencing
with Section 70 0) of Divsion 3 of the Business and
Professions C
9/28/2005
Date:
Contractor
Policy Numbe" 1759809
NUMBER
828394
TYPE
EXPIRATION DATE
12/31/2005
This section need not be completed if the pennit is for one hundred dollars ($1 00) or less.
o I certify that in the perionnance of the work for which this permit is issued, I shall not
employ any personin any manner so as to become subject to the worker's compensation laws
of CaHfomia, and agree that if I should become subj ct to the worker's compensation
provisions of Section 3700 of the Labor Code, I shal 0 'th comply with those provisions.
C39
Date: 9/28/2005 Applicant <'"
WARNING: FAILURE TO SECURE WORKER'S CO SATION COVERAGE IS
UNLAWFUL, AND SHALL SUBJECT AN EMPLOYER TO CRIMINAL PENALTiES AND CIVIL
FINES UP TO ONE HUNDRED THOUSAND DOLLARS ($100,000), IN ADDI110N 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 aW:--.cy1m tt\<:
performance of the work for which this permit is issued (Sec.3097.Civ.C):
Lender's Information:
Construcion Tvpes:
VN, ,
I certify that I have read 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 authorize representives of this city to enter upon the above mentioned property for
in~ion purpo s.
( Date: 9/28/2005
Fees paid for Permit:
Total:
395.54
ure of Applicant or Agent
The permit shall e 're 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 oermit is reauired to commence or continue work.
City of Anaheim
Building Division
INSPECTION RECORD
INSPECTION DATE INSPECTOR
Temporary Power Pole
Plumbing (DrainlWaste Pipe)
Electrical Ground Electrode/Ufer
SetbacklFormsfTrenches (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 Conduit)
Pre-slab (CompactionlMembrane Reinf.)
Underpinning (Floor JoisVGirders)
Do not cover or conceal the work below until the
following applicable items have been signed:
1 st Floor Shear
Firesprinkler (Rough)
2nd Floor Shear /I
Roof (SheathingIDiaphragm/Frame) ~O/3;' 5 .iA)..)Dl,)M
Masonry (Reinf.lBond Beam/Pre-Grout) I f I
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 signed:
Drywall
Penetrations (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 Mechanical
T-Bar Structural
Sewer
Water Engineering Backflow
Water Service
- - - - -------
FINAL INSPECTIONS DATE INSPECTOR
Electrical Final
Plumbing Final
Mechanical Final
Gas Test
Engineering/Grading Final 765-5126
Fire Dept. Final 765-4040
Water Engineering 765-5268
Sub LisVBusiness License 765-5194
Zoning 765-5139 , ,
Building Final (Last Inspection - Only f~b
Alter Above Complete) '51 ,IA~ -" .
I
PARTIAL INSPECTIONS
Building Inspections
Mechanical Inspections
Plumbing Inspections
Electrical Inspections