739-741 N. Lemon St.
DATE: 5/9/2005
JOB ADDRESS: 739 -41 NLEMON ST
LEGAL DESCRIPTION: N TR 237 BLK A LOT 6
ElM
BUILDING DIVISION
200 S. ANAHEIM BLVD..
(714) 765.5153
INSPECTION REQUEST LINE:
'(714) 765 - 4626
CENSUS CODE: . 434
QUARTER SECTION: 71
BUILDING PERMITNO..el..D2005-01326
... /--~
JI#.~'-
.
TYPE OF PERMIT
Reroof
CONTRACTOR INFORMATION:
CON EX ROOFING COMPANY
2011 N BATAVIA ST
ORANGE. CA 928650000 J
BUSINESS PHONE: 714520-5207
JOB DESCRIPTION:Tear off 1 layer capsheet, install 25 squares of 4 ply BUR. ;
VALUATION: . 7,000.00 I
OWNER-BUILDER DECLARATION
I hereby affirm'under penalty of perjury'that! am 'Pxempt from the Contractor's,~icense Law for the following "reason (Sec. 7031.5 Business and
Professfons Code: any city or county which requires a p~rmit to construct; alter!~.improve, demolish or repair any structure, prior to its issuan.ce; also
requires t~e applicant for such permit to tHe a signed statement that he is licen$dpursuant to.-the provisions of the 'Contractor's License Law (Chapter
9)(c.ommencing with 8eclion.7000 of Division 3 of the Business and Profession:SCode).or that he is exempt therefrom and the basis forthe alleged .
exemption. Any violation of Section 7031.5 by any applicant for a permit subjePts. the applicant to a civil penalty, of not niore than five hundred-dQllars
($500).. ... i; ..
D, I, as owner of property, or my employees with wages a.s their sole comperJSation, will do th'e work, and ttle structure is notintenQed or,offered for'
sale (Sec. 7044 Business andProfessio.t;ls Code: The Contract<?r'$ LicenseLa,* 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 ~mpl,oyees, provided that such impro~ments 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). . . .
D I, as the owrier of the. property,', am exclusively contracting with licensed contractors to construct the pr9ject (Sec. 7044 Business and Professions
Code: The'Contractor's License Law does not apply to an owne:r of property who builds .orimproves th~reon,and w.ho.contr'acts for such projects wit~ '
~ontractor(s) licensed pursuant to the Contractor's License LaW)._ j
U I 'am exempt under Sec. ,. B & P .C.for this reason: J
Date: Owner:
I WORKER'S COMPENSATION DECLARATION
I hereby affirm under penalty of perjury one Qf the following declarations: !
o I have and will maintain a certificate of consent to'setf~ins'ure for worker'sdompensation,
as'providedfor by Section 3700-of 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 req~ired'by $ection 3700 of
~abor Code, for the performance of the work for which this permit is issuedl Myworker's
Compensation, insurance carrier and policy are: '
Carrier: STATE COMPENSATION INSURANCE Policy Number. 179.9.501-2004
APPLlCANT:.AL SOliZA
OWNER INFORMATION:
Jeffrey R Barrett
202 W Lincoln Ave #E
Orange, CA 9.2865
ARCHITECT/ENGINEER INFORMATION:
PROCESSED BY: EN.O .
LICENSED CONTRACTORS DECLARATION
I hereby affirm under.penalty of. perjury that I am
licensed under provisions of chapter 9 (commencing
with Seeti 7000 Divsion 3 of e Business and
;/:~e;:~on~ .~ ,p' - ;1: ,.,/:
Date:
This section need not be completed if the pennit is for one hundred dollars ($1 0'0) or less.
~ I certify that in the perfonnance.ofthe work for which this permit is issued.:1 shall not
employ any person in any manner so as to,bee,ome subject to the worker's compensation laws
of Califo'mia, _and agree that if I should become subject to the worker's compensation
provisions; of Section 3700 o~ the. bor'Code, I all f hwith mply with thoSe'provisions.
NUMBER.
753053
TYPE
Contracto
EXPIRATION.DATE
8/3112006
C39.
Date: 5/9./2005 Applicant:
WARNING: FAILURE TO SECURE OR '8 COMPENSATIO OVERAGE IS
UNLAWFUL, AND SHALL SUBJ AN EMPLOYER TO CRIMINAL PENALTIES AND CIVIL
F1NES U P TO ONE.HUNDRED OUSAND DOLLARS ($100,000), IN ADDI1l0N TO THE
COST OF COMPENSATION AMAGES AS PROVIDED FOR IN SECTION 3706 OFTHE
LABOR CODE, INTEREST. "'ND ATTORNEY'S.FEES.
CONSTRUCTION LENDING AGENCY
I hereby affirm under..-penalty of perjury that there is a construction lending agency for the
performance of t~e\'vork for which this permit is issued (Sec.3097.Civ.C):
Le'nder's .nformation:
Coostrucion Types:
V.N, ,
Fire Sprinklered?
.. NO
Fees paid for Permit:
Total:
214.18
t' Date: 519/2005
Signatu e of Applicant or Agent
The er 't shall expire by limitation and become null and void if the building or
w has no passed f.inal inspection 365 days from the date of permit issuance. A
ne permit is required to commence or continue work.'
INSPECTION RECORD
,
INSPECTION 'DATE INSPECTOR
Temporary Power Pole .
Plumbing (DrainNVaste Pipe)' .
Electrical Ground Electrode/Uter '.
SelbacklForrnSlTrenches (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 (Unc!erground Conduit)
pre-slab (Compaction/Membrane.Reinf. . .
Underpinning (Floor Joist/Girders) . .
Do not cover or,conceal tile work below until tile
following applicable items have been. signed: . .
1st Floor She,u .
Fjresprinkler (Rough) -
2nd Floor Shear '. ' - "7
Roof (Sheathing/Diaphragm/Fraine) -: 17-()( "'7' .: --z .
Masonry (ReinfJBond BeamlPre-GroUt) . .
Rough Plul'!1bing (Top Out) .' .
Rough,Mechanical . .
Rough t:lectrlCaI (Dry Wall) .
Rough Electrical .
Framing (Only after'p:Jbg., EJec.. r..le.ch. and Fire) . .
Insulation (SoundlEnergy) . .'
Do not tape or plaster until the following applicable
items ha.ve been signed: " . . - '. .
Drywall - .' .'
Penetrations (Fire Rated) Electrical. .
Penetrations (Fire Rated) Mechanical
Penetrations (Fire Rated) Plumbing . .
Interior Lath .... . I
Exterior Lath
. GENERAL ITEM.S '.
Exterior Plaster (Brown Coat) , .'
T -Bar Electrical
T-Bar Mechanical .
T -Bar Structural . . .
Sewer. .
'Water. Engineering Backflpw. .
Water Service
FINAL INSPECTIONS ...'O'ate. . .Inspector
Electrical Final . :---<r'w. ,
I'lumbing Final . . .
. . ..
Mechanical Final '. '.
Gas Tesl . .
.' .
Englneerlr\g/Grading Final 765-6126
Fire Dept. Final 765.4040 . . . .
. .' .
Waler Engineering 765.5268 '. .
Sub List/BUsiness License 765.519 .
Zoning 765.5139 . '. . . .
Building Final ~asllnspeCliOri. Only '$"-17-65 1I,~'
fler Above.Complete) 'J '')C
. . , PARTIAL INSPEcTIONS. .(../,
BuildinalnSDections
.MechanicallnSDections.
Plumbina Inspections
. . - .
ElectricallnsDections