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150 S. Magnolia Ave. CONTRACTOR INFORMATION: C CANRIGHT CONSTRUCTION, INC 13063 PARK ST SANTA FE SPRINGS, CA 906700000 BUSINESS PHONE: 562946-0516 JOB DESCRIPTION:Rebuild fire damaged roof over units 225 -228, 4526 sq fl with comp shingles. VALUATION: 95,000.00 I OWNER-BUILDER CECLARATION 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, atter; 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 licen~Sed 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 subje~ts the applicant to a civil penalty of not more than five hundred dollars ~~. I o I, as owner of property, or my employees with wages as their sole comper'isation, 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 helSelf or through his or her own Hmployees, provided that such improvements are not intended or offered for sale. If, however, the building or improvement is sold with one yea{of completion, the owner.builder will have the burden of proving that he did not bu ild or improve for the pu rpose of sale). i o I, as the owner of the property, am exclusively contracting with licensed c6ntractors to construct the project (Sec. 7044 Business and Professions Code: The Contractor's License Law does not apply to an owner of propertyw,ho 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 for by Section 3700 of the Labor Code, for the performance of the NOrk for which this permit is issued. ) ~ have and will 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 issued. My worker's Compensation insurance carrier and policy are: Carrier: STATE FU NO BUILDING PERMIT NO. BLD2005-01858 TYPE OF PERMIT CITY Reroof DATE: 8/3/2005 JOB ADDRESS: 150 S MAGNOLIA AVE 218 LEGAL DESCRIPTION: SEC 18 T 4 R 10 POR NW1/4 APPLICANT: MARY MC CONNELL OWNER INFORMATION: APARTMENTS CITADEL PO BOX 5306 BEVERLY HILLS, CA 902090000 ElM BUILDING DIVISION 200 S. ANAHEIM BLVD, (714) 765 - 5153 INSPECTION REQUEST LINE: (714) 765 - 4626 CENSUS CODE: 434 QUARTER SECTION: 27 ARCHITECT/ENGINEER INFORMATION: HANS C HANSEN 17371 IRVINE BL #200 TUSll N, CA 92780 0000 PROCESSED BY: FAN Policy Number. 6663166-03 This section need not be completed if the pennit is for one hundred dollars ($100) or less. D 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 of Califomia, and agree that if I should become subject to the worker's comper:sation provisions of Section 3700 of the Labor Code, I shall forthwith comply with tho~e provisions. Date: 8/3/2005 AppliC~ <:..~~ WARNING: FAILURE TO SECURE WORKER'S C MPENSATION COVERAGE IS UNLAWFUL, AND SHALL SUBJECT AN EMPLOYER TO CRIMINAL PENALTIES AND CIVIL FINES U P TO ONE HUNDRED THOUSAND DOLLARS ($100,000), IN ADDITION TO THE COST OF COMPENSATION, DAMAGES AS PROVIDED FOR IN SECTION 3706 OF THE LABOR CODE, I NTEREST AND ATTORNEY'S FEES. CONSTRUCTION LENDING AGENCY I hereby affirm under penalty of perjury that there is a construction lending age..)cy for the performance of the work for which this permit is issued (Sec. 3097 .Civ .C): Lender's Information: J 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 inspect~~ses. /},A r6 /T) .. \L?- /)(~ //1 ~ Date: 8/3/2005 r Signature of Applicant or Agent The permit shall expire by limitation and become null and void if the building or work has not passed fi nal inspection 365 days from the date of permit issuance. A new permit is required to commence or continue work. LICENSED CONTRACTORS DECLARATION I hereby affirm under penalty of perjury that I am licensed under provisions of chapter 9 (commencing with Section 7000) of Divsion 3 of the Business and professio~ "J1A~ 8/3/2005 /1/1 Date: Contractor NUMBER 795746 TYPE EXPIRATION DATE 5/31/2007 B Construcion Types: V N, , Fees paid for Permit: Total: 629,77 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 (Compaction/Membrane Reint.) Underpinning (Floor Joist/Girders) Do not cover or conceal the work below unlilthe following applicable items have been signed: 1 st Floor Shear Firesprinkler (Rough) 2nd Floor Shear Roof (Sheathing/Diaphragm/Frame) f-3,~ [l..If'~.U Masonry (ReinfJBond Beam/Pre-Grout) A Rough Plumbing (Top Out) f::yf)blo --- Rough Mechanical Rough Electrical (Dry Wall) --- Rough Electrical liol1l"lS .T-- Framing (Only after Plbg., Ele., Mec. And Fire) td.. f);) Insulation (SoundlEnergy) I lUll' A Do not tape or plaster until the following applicable items have been signed: Drywall tdt'\/r; a~ e.-- Penetrations (Fire Rated) Electrical Penetrations (Fire Rated) Mechanical Penetrations (Fire Rated) Plumbing Interior Lath Exterior Lath 1d. '''/l>. .4, eorc, e- GENERAL ITEMS Exterior Plaster (Brown Coat) T-Bar Electrical T-Bar Mechanical T-Bar Structural Sewer Water Engineering Backflow Water Service FINAL INSPECTIONS Electrical Final Plumbing Final Mechanical Final Gas Test Engineering/Grading Final 765.5126 Fire Dept. Final 765-4040 Water Engineering 765-5268 Sub List/Business License 765-5194 Zoning 765-5139 Building Final (Last Inspection - Only After Above Complete) INSPECTOR 1[lr~ /. ~-e.- PARTIAL INSPECTIONS ~/l Building Inspections MechanicallnSDections Plumbing Inspections ElectricallnSDections 10/11/05 P.O. Box 5405 Fullerton. CA 92838 ST. L1C. #751094 GOLDEN STATE t:tclrk ... (323) 269.-9782 (562) 905-~576 FAX (562) 905-3580 REp:permit # ELE2005-01565. .ADDRESS: 150 S. Magnolia Ave Anaheim Units 128 & 227 MEGGER INSULATION REPORT: G, S . E'.preformed a megger insulation leakage test on all branch.. circuits & all panel feed conductors, the reSU.lts we;;.e from the. in.Unity range(oc) to the high desirable range;l)G1OOf1)j.l.of all the. above mentioned w~ring. Thomas M. George.