1339 S. Margate Pl.
.
ElM
BUILDING DIVISION
200 S. ANAHEIM BLVD.
(714) 765 - 5153
INSPECTIoN REQUEST LINE:
(714)765 - 4626 .
CENSUS CODE: 555
QUAHTER SECTION: 86 d f
BUILDING PERMIT !'lO. BLD'2oos-01714
TYPE OF PERMIT CITY
Reroof
DATE: 6/7/2005
JOB ADDRESS: 1339 S MARGATE PL .
LEGAL DESCRIPTION: N TR 2637 LOT 16
CONTRACTOR INFORMATION:
IOFI ROOFING CO
235 FINCH ST
ANAHEIM,CA 928070000
BUSINESS PHONE: 714579-0036
.JOB DESCRIPTION:Tear off existingroof and replace with 21 squares of 5.7Ib\Vesttile ICBO# 3984.
VALUATION:' 7,500.00
APPLICANT: BRUCE IOFI
OWNER INFORMATION:
Louis J Gonzales,
1241 S Carl SI
Anaheim, CA 92806
ARCHITECT/ENGINEER INFORMATION:
PROCESSED. BY: MSM
OWNER-BUILDER DECLARATION
I hereby affirm under pena of-perjury that I am exempt froQ'l the COntractor's:License Law for the following reason( ec. 7031.5 B,usiness and
P"rofessions ',Code: any citY or county which requires a permit to construct, attet, io:-prove, demolish" or repair any structure, prior teits issuance, also
requires the applicant for such permit to file a signed statement that he is licen~d pursua.nt to the provisions'of the Contractor's License Law.(Chapter
9)(commencing with Section 7000 of DiviSion 3 of the Business and Professiorl,s Code) or that he is exempt therefrom and the basis for the ~lleged
exemption. Any violation of Section7Q31.5 by any applicant for apermiU~ubjects tneapplicant to a'civil penalty of not more than five hundred dollars.
($500). '. . i .' .
o I, as owner of property, or my employees with wages as their sole comperisation, will do the work, aT:'td the structure is not intended or'offered for
sale (sec..7044 Business and Professions Code: The Contractor's' Ucense La~ 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 ~mployees, provided that such improvements are not intended or ,
offered for sale. If, however, the building orITnprovement is sold with one yea(ofcompletion, the owner-builder will haVe the burdeiq)f proving ,that he
did not build or improve for th,epurpose of sale).. _" " . .
o . I, as the owner,qf .the' property, ~m exclusively contracting with _licensed cqntradors to conStruct the pr:oject (Sec. 7044 Business and Professions
Cqde: The Contracto~'s License Law does -not apply to an owner of property who builds or improves thereon, and who contracts for su~ projects with
f!Jfontractor{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 un'der penalty of perjury one of the following deClarations; ,
D. ,I have and will ~inta.in a certificate of consentto self-insure for worker's compensation,
as provided far by ,Section'3700 of the Labor Code, for. the performance of the work for which
~h' permit is issued. . . ' ; .
, . _ '. I hav~ and will maintain worker's co. mpensation insuran~e, .as ,required by ~ection 370.0 of
e Labor qode, for the performance of the work for which this permit is issued.: My worker's
om pen sat ion insurance carrier and policy are: ' . . J . .
Carrier: NO EMPLOYEES Policy Number. EXEMPT', .
~s s~ion need not be completed if the pennlt is for one hundred ~ollar - " ess.
I certify_ th~'t il1 the performal)ce of the work for which this mit is issued, II sba not
mploy any person in any manner so as to ecome subject the worker's conipens tion laws
of Califomiaj and agree that if I should b 0 e SUbject to t e'worker-'s, compensa' n
provisions of Section:3700 of the Labor de, I st}all forthwit m Iv With th reviSions;
lereby affirm under penalty ot,p
licensed under 'sions of chapter
, with Section at Divsion 3 of th
Professio $
617/2005
Date:
Contractor
NUMBER
785463
TYPE
EXPIRATION DATE
10/31/2006
C39
Date: 61712005 Applicant:
WARNING: FAILURE TO SECUR KER'S COMPENSATION OVERAGE IS
UNLAWFUL, AND SHALL SUBJE' AN EMPLOYER TO CRIMINAL PENALTIES AND CIVIL
FINES UPTO ONE HUNDRED OUSAND DOLLARS ($100,000), IN ADDJnON 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 pena_1ty of perjury that there is a construction lending agency.for the
performance of the work for which this permit is issued (SeG.3097 .Clv.C):
Lender's Intoimation:
Construcion Types;
VN, ,
Fire $orinklered?
NO
e that the above information is correct. I
te laws relating to building construction, and
enter upon the above mentioned property ,for
r
Date: 6(7/2005
Fees paid for Permit:
Total:
235,58
Signature of Applicant or Agent
The p mit shall expire by limitation a!1<l become null and void if the building or
work has not passed final inspection 365 days from the date of permit issuance. A
new permit is required to commence or continue work.
INSPECTION RECORD'
. INSPECTION DATE INSPECTOR I
. T einporary Power Pole' .
Plumbing (Dr;lintWaste Pipe)
Electrical Ground Electrode/Uter . .
SetbackfFormslTrenches (Footings)
Do not install subfloor or pour floor slab until the'
follbwing applicable items hav:e been signed: ..'
Plumbing (Water Pipe.Sprinkler Valves)
Methanical (Grou!1Clwork) .' .'
ElectricallUnderground Conduit). .
I Pre-slab (compaction/Membrane.Reinf. .
Underpinning (Floor Joist/GirderS) .
Do. not cover or concea.1 the work below until the
following.applicable items have been signed: .' .
1 st Floor Shear . . . .
Firesprinkler (Rough) . .
2.nd Floor Shear . .^ .
Roof.(ShealhinwDiaphragmlFrame) /"/1410'" ,I. t. -Up
Masonry (ReinfJBond BeamlPr~rout)' I . r (if!
Rough Plumbing (Top Out) .
Rough .Mechanical. .
'Rough ElectrICal (Dry Walll . .
Rough Electrical
Framing (Onlyafrer Plbg.. Elec.. flrech... and Fire!
Insulation (SOundlEnergy) .
Do not tape or plaster until the foHowingapplicable .'
Items have been signed: . . .
Drywall .
Penetralions.(Fire.Rated) Electrical
Penetrations (Fill! Rated) Mechanical'
Penetrations. (Fire Ratedl Plumbing
Interior Lath . . .
Exterior Lath . .' .C'
. GENERAL ITEMS'
Exterior Plaster (Brown Coat) .
T -Ba( Electrical -
T -Bar Mechanical
T~Bar Structural' . .
Sewer . .
Water Engineering Backflow
Water Servic..' .
. .
FINAL INSPECTIONS :)~~e;" . Inspector .
Electrical Final .
Plumbing Final .. .
,
Mechanical Final .
Gas Test . .
Engineering/Grading Final 165-5126 .
Fire Dept. Final.165-4040 '.
Water Engineering 765;5268 . - .
Sub List/Business License 765-519 . '.' .....
Zoning 765.5139. . .
. - .
Building Final' ~~st Inspection- Only GI1-& ~,) ---' /}
. er Above Camp.lete) '0.n-r-
PARTIAL INSPECTIONS
. Buildina Inspections
MechanicallnSDections
Plumbina Inspections
. Electrical Inspections
.