7418 Woodsboro Ave.
TYPE OF PERMIT. C' ITY
Reroof
ElM
BUILDING DIVISION
200 S. ANAHEIM BLVD.
(714) 765 - 5153
INSPECTIONREQUESTLlNE:
(714) 765 - 4626
CENSUS CODE: 434
QUARTER SECTION: 195
B\JILOING PERMIT NO. BLD2005-01398
DATE: 511312005
JOB ADDRESS: 7418 E WOODSBOROAVE
LEGAL DESCRIPTION: N TR 7666 LOT 69
APPLICANT: JOANN GAXIOLA
OWNER INFORMATION:
Rajes.h Soneja
7418 E Woodsboro Ave
Anaheim, CA 92807
ARCHITECT/ENGINEER 'INFORMA TION:
CONTRACTOR INFORMATION:
L1NNERT ROOFING INC
715.GROVE AVE
ORANGE, CA 92885 0000
BUSINESS PHONE: 714974-5059
JOB DESCRIPTION:Remove existing wood shakes, install 27 squares of wood shakes.
VALUATION: 10,840.00
PROCESSED BY: ENO
. OWNER-BUILDER DECLARATION
I hereby affirm under penalty of perjury that,1 am 'exempt from the Contra(::tor's License Law for the following reason (Sec. 7031.5 Business and
Professions Code: any city or county which require-sa permit to construct, alter; improve, demolish or repair'any structure, prioqo its' issuance, also
requires the appUcant 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 '8 permit subjec:ts the applicant to a civil penalty of not more than five hundred'dollars
($500).. . . ',' '.'
o /, as owner of property, ormy employees with wages as their sole compensation, will do the work,.and the structure is not intended or offered-for
sale (Sec. 7044 Business-and Professions Code: The CO(ltractor's License law does not apply to an owner of property Who builds or improves
thereon, and who does such work himself or helSelf or through his or her own employees, provided that such improvements are not Intended or
offered for sale. If, however, the, buildIng or improvement is sold with one year of completion, the owner-builder will have the burden of proving that he :"
did not build or improve for the purpose of. sale). ; . '. >
o I,'as the owner of the property, am exclusively contracting with licensed co!1tractors to con;5tructthe project (See; 7044 Business and Professions
Code: The Contrac~or's License Law does not apply to an owner of propertywl1o builds or improves thereon, and who contracts for such 'projects with
a contractor(s) licensed pursuant to the Contractor's license Law).
o f am exempt under Sec. , B & P.C. for this reason:-
Date: . OWner:' .
WORKER'S. COMPENSATION DECLARATION
I' hereby affirm under penalty of perlury one of the. following declarations:
o I have and 'Will maintain a certificate of consent to self-i~ure for worker's cpmpensation,
as provided for by Section 3700 of the Labor Cod~, for th~ performance of the ~ork for which
this permit is issued. . "
~. I have,and will maintain worker's compensation insurance, as required by Section 3700 of
the Labor Code, (or the performance of the work for which this permit is issued. I, My worker's
Compensation insu~ance carlier and policy are: !
Carrier: STATE COMPENSATIQN FUND Policy Number. 20874-2004
This section need not be completed if the permit is for one hundr~ dollars ($fOO) of less.
~l certify that in-th~ performance ~fthe work .iorwhich this permit is issued,! shall not.
employ any person in any' manner S0 ~ to bec~e subject to th~ wOl'kel's compensation laws
of Califomia, and agree that if I should become subject to the worker's compensation
provisions of Secti?n 3700 'Of labor Co ,I II forthwith campi with thos~ provisions_
LICENSED CONTRACTORS DECLARATION
I hereby affirril under penalty of perjury that I am .
licensed nder provision.s of chapter 9-(commencing
with Sec .on- 7000 Divsion 3 of the Business and
Professio C
NUMBE
864319 .
TYPE
TYPE
HIC
C39
EXPIRATION DATE
2/28/2007
Date: 5/1312005 Applican .
WARNING: FAIWRE TO SE REWO KER'S COMPENSATION VERAGE is
UNLAWFUL; AND SHALL!? BJECT AN EMPLOYER TO CRiMiNAL PENALTIES AND CiVIL
FiNESUPTO ONE HUN.DRED .'THOUSAND DOLLARS ($100,000), IN ADDiTION 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 age:-=.:::yfcr the
performance of the work for which this permit is issued (Sec. 3097.eiv.C):
Lender's Information: . .
Construcion Types:
VN, ,
Fire Sprinklered?
NO
I certify that I have' read this'application and state th.at the above information is correct. I
ree to ply with .allcity ordinances and state faws relating.to building construction, and
he uthorize representives of this city to enter upon the above' mentioned property for
insp I' rpose~/) '.
. (Jty . . Date: 5/13/2005
Signature of ppil nt or ge
per shall expire by limitation and become null and void if the building or
ork has not passed final inspection 365 days from the date of permit issuance. A
new permit is required to commerice or continue Work. .
Fees paid for Permit:
Total:
235.91
. INSPECTION RECORD
INSPECTION -DATE INllPECTOR
Temporary Power Pole .
Plumbing (DrainlllYaste Pipe)
Electrical Ground ElectrOde/Uter
SetbacklFormslTrenches (Footings)
Do not install subfloor or pour floor slab until the
fbllowing applicable items have been signed: .
Pluinbing (Water Pipe.Sprinkler Valves) .
Mechank:al (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 items, have been signed: .
1st Floor Shear. .
Rresprinkler (Rough) .
2nd Floor cu.- . .
Roof athill!llDiaphragmlFrarne) 1~
Mas6nry (RllinfJBOnd BearnlPre-Grout)
ROugh-Plumbing (Top Out)
Rough.Mel'hanical ..
.. , RDugn6ectrlcallDry wall) ..
Rough Electrical
Framing' .,{Only after Plbg.,.Elec" Mech.. and Fire)
Insulation (SOl.IndlEnergy)
po not tape or pla~ter until the following applicable
.terns have been SIgned: . . .
Drywall . . ..
Penetrations (FiAl Rated) Electrical
Penetrations (FiAl Rated) Mechanical
Penell'ations (RAI Rated) Plumbing
Interior Lath
Exterior Lat!>
GENERAL ITEMS
Exterior PiaSter (BrcwmCoat) ..
T-Bar Electrical . .
T -Bar Mechanical
T -Bar Structural .
Sewer . .
Water Engineering Backflow
Wah'r Service
FINAL INSPECTIONS Pate. Inspector ..
Electrical Final .. . ..
Plumbing Final .
Mechanical Final . .
Gas Test .
.
Engineering/Grading Final 765-5126 . .
. ..
Fire Dept. Rnal 765-4040
Water Engineering 765-5268 . .
Sub List/Business License 765-519
Zoning 765-5139
Building Final j(as( Inspection- Only 7-!-tJ C .fl. . ... ,
ft1!r Above Complete) {
. '. '. PARTIAL INSP.ECTIONS. ~
Buildinalnspections . . . '<
MechanicallnspectiOI1S
Plumbina Inspections
Electrical Inspections