883 Marjan St.
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: 124
BUILDING PERMIT NO. BLD200g-03002
DATE: 911912005
JOB ADDRESS: 883 S MARJAN ST
LEGAL DESCRIPTION: N TR 3796 LOT 13
APPLICANT: STEVEN SCHNIERER
OWNER INFORMATION: CONTRACTOR INFORMATION: ARCHITECTIENGINEER INFORMATION:
EDWARD R LEKAWA WEATHERLlNE ROOFING, INC.
883 S MARJAN ST 1013 E WALNUT ST
ANAHEIM, CA 92806 SANTA ANA, CA 92701 0000
BUSINESS PHONE: 714731-3425
JOB DESCRIPTION:Tear off existin9 and reroof 28 squares with 30.year composition shingles
VALUATION: 8,500.00 PROCESSED BY: JNJ
OWNER-BUILDER DECLARATION
I hereby affirm under penalty of perjury that I am exempt from the Contractor's License Law for the f lowing reason (Sec. 7031.5 Business and
Professions Code: any city or county which requires a permit to construct, anar, improve, demolish or repair any structure, prior to its issuance, also
requires the applicant for such permit to tile 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 Professi::>ns Code) or that he is exempt therefrom and the basis for the alleged
exemption. Any violation of SectJon 7031.5 by any applicant for a permit subjects the applicant to a civil penalty of not more than five hundred dollars
($500).
o I, as owner 01 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 herself 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 ye.~r of completion, the owner.builder will have the burden of proving th?t he
did not build or improve for the purpose of sale).
o I, as the owner of the property, am exclusively 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 propertywho builds or improves thereon, and who contracts for such projects with
a contractor{s) licensed pursuant to the Contractor's License Law).
o I am exempt under Sec. ,8& 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 work for which
this permit is issued.
I?"f" I have and will maintain worker's compensation insurance, as required by Section 3700 of
(tfl"e Labor Code, for the performance af the work for which this permit is issued. Myworker's
Compensation insurance carrier and policy are:
Carrier: STATE FU ND
LICENSED CONTRACTORS DECLARATION
I hereby affirm under penalty of perjury that I am
licensed under provisions of chapter 9 (commencing
with Section 7000 f Divsion 3 of the Business and
Professions
9/19/2005
Date:
Contractor
Policy Number. 1635961-02
NUMBER
729560
TYPE
EXPIRATION DATE
1113012006
This section need not be completed if the pennit is for one hundred dollars ($1 00) or less.
o 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 workers compensation laws
of Califomia, and agree that if I should become subject to the worker's compensation
provisions of Section 3700 of the Labor C I shall forthwith comply with those provisions.
C39
Date: 9/19/2005 Applicant:
WARNING: FAILURE TO SECUR ORKER'S CO PENSATION COVERAGE IS
UNLAWFUL, AND SHALL SUBJECT AN EMPLOYER TO CRIMINAL PENALTIES AND CIVIL
FINESUPTO ONE HUNDRED 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 ag~ncyfor the
perfClrmance of the work for which this permit is issued (Sec.3097 .Civ .C):
Lender's Information:
COnstrucion Types:
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 repmsentives of this city to enter upon the above mentioned property for
inspection R
Date: 9/1912005
Fees paid for Permit:
Total:
245.22
Sign e of Applicant or Agent
The ermit shall expire 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 permit is reauired to commence or continue work.
City of Anaheim
Building Division
FINAL INSPECTIONS DATE INSPECTOR
Electrical Final
Plumbing Final
Mechanical Final I
Gas Test
Engineering/Grading Final 765-5126 I
Fire Dept. Final 765-4040
Water Engineering 765-5268 I
Sub LlstlBusiness License 765-5194
Zoning 765-5139 I I I
Building Final (Lasllnspeclfon - Only 1~~j5 I
After Above Complete) ,) A-JJ() 0S1.t../ I
I
INSPECTION RECORD
INSPECTION DATE INSPECTOR
Temporary Power Pole
Plumbing (Drain/Waste Pipe)
Electrical Ground Electrode/Ufer
SetbacklFormsfTrenches (Footings)
Do not install subfloor or pour floor slab until the
following applicable items have been signed:
Plumbing (Waler Pipe/Sprinkler Valves)
Mechanical (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:
1 st Floor Shear
Firesprinkler (Rough)
2nd Floor Shear I I
Roof (Sheathing/DiaphragmlFrame) 11/t16~IA"1lww.. (
Masonry (Reinf./Bond Beam/Pre-Grout) II 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
PARTIAL INSPECTIONS
Suildin", Inspections
Mechanicallnsoections
Plumbin", Inspections
Electrical Inspections