2448 Marian Ave.
;~;;,,~F PERMIT CITY
DATE: 61812005
JOB ADDRESS: 2448 W MARIAN AVE
LEGAL DESCRIPTION: N TR 2393 LOT 69
ElM
BUILDING DIVISION'
200. S. ANAHEIM BLVD.
(714) 765 - 5153
. I
. INSPECTION REQUEST LINE:
(714) 7.65 - 4626
CENSUS CODE: 555
.QUARTER SECTION: 27
BUILDING PERMIT NO.' BLD2005-01739
APPLICANT: ALBERT MARTINEZ
"OWNER INFORMATION:
Virginia S Brown
2448 W Marian Ave
Anaheim, CA 92804
CONTRACTOR INFORMAtiON:
MARTINEZ ROOFING
1509 W FLORA ST
SANTA ANA, CA 92704 0000
BUSINESS PHONE: 714448-8648
JOB DESCRIPTION:Tear off existing roof and replace with 29 squares of 30 year composition shingles.
VALUATION: 9,000.00. PROCESSED BY: MSM
ARCHITECT/ENGINEER INFORMATION:
OWNER-BUILDER DECLARATION
I hereby affirm under ~a:tty of perjury that I am exempt from the Contractor's Ucense Law10rthe fol oWIng reason Sec. 70 1.5 USlness and
Professions Code: any city or county which requiresa permit to construct, arta'f,. improve, demolish or repair any structure, prior to its issuance, also
requires the applicant for such permit to file a signed statement thathe is liceri,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 ~ection 7031.5 by any applicant for a permit subj~6ts the applicant to a civil penalty of not more than five hundred dollars
($500).
D L as owner of property, or my employees with wages as ~heir sole compensati.on, will dO the work, and the structure is not intended or offered for
sale (Sec. 7044 Business and Professions Code: .The Contractor's license UI.W 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 ownemployees, 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~bullder will have the burden of proving that he
did not build or improve fqr the purpose at-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 own~r of property who builds or improves thereon, and who contracts for such projects with
'~ontractor(s) .I_ice~sed'pursuan.t,tothe Confr~ctor's Ucense Law). " .
U l;am exempt under Sec. , B & P.C. for this reason:
Date: Owner:
I WORKER'S COMPENSATION DECLARATION
I hereby affirm. under penalty of-petiury one of the following declarations:
o I have and will maintain a certificate of consent to self.insure for worker's'compensation,
as prov.ided f.o' by' Section' 3700 of. the Labor Code, for the performance of the'work. for which
Ihi~n~~s~_ .
, Iha.ve,and will maintain worker's compensation in. sur.anee, as requireq by.Section 370.0 of 6/8/2005
Labor Code. for the performance of the work for which this permit is issued~ Myworker's Date:
ompensation insurance carrier and policy are: ..
arrier: NO EMPLOYEES. poncy Numbe" EXEMPT
This section need not be compleied if the penni! is for one hundred dollars ($100) or less. .
~ I'certify that in the perform'ance of the work for which this permit is'issued, I shall not.
ploy any person inany manner so qS to become subject to the:worker's compensation laws
Califomia, and agree that if I should become subject tethe womer's compensation
provisions of Section ~700 of the Labor Code, I shan forth ith co ply with those provisions.
Date: 61812005 Applicant: It ~ a .
WARNING: FAILURE TO SEC.URE ORKER'S COMPENSATION COVERAGE IS
UNLAWFUL, AND SHALL SUBJEC AN EMPLOYER TO CRIMINAL PENALTIES AND CIVIL
FINES UP TO ONE HUNDRED n; SAND 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 eonstr.uctionlending agencyfor.the
perforrnance of the work for which this permit is issued (Sec.3097.Civ.C):
_ Len_~~~~ In!o!'"':'ation:' .
LICENSED CONTRACTORS DECLARATION
I hereby affirm under penalty ot perjury fhatl am
licensed under provisions Of-e pter 9 (commencing
with Section 7000) of Di\JSio of the 8 si ess and.
Professions ode
Contractor-
NUMBER
804021
TYPE
EXPIRATION DATE
212812006
C39
Construcion Tvpes:
VN, ,
Fire Sprinklered?
NO
.1 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 bu~ding construction, and
hereby authorize rep sentives of this city to enter ~pon the above mentioned property for
~n ect~ pose . III.
Ef!!:. ~ Date: 61812005
. Signature.of Applicant or Agent
The permit shall expire by limitation and become null and void if the building or
wotk.has not passed final inspection 365 days from the date of permit issuance. A
new permit is required to-commence'or continue work..
Fees paid for Permit:
Tota',
235,73
INSPECTION RECORD
, INSPECTION DATE ' INSPECTOR
Tempol'lll'y Power Pole, ' ,
Plumbing (OrainlWaste Pipe)
Electrical Ground Electrode/uter '
SetbacklFormsrrrenches (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.Raim.
Underpinning (Floor Joist/Girders)
I uo not cover or conceal the wor!< below unlllthe
following applicable items have been signed:,
1st Floor Shear
Firesprinkler (Rough) , "
2nd Floor Shear .
Roaf(Sheathing/DiaphragmlFrame) frJf4/0S ,n I. ,fLn.
Masonry (ReinfJBond ~amlPre-Grout) , ( IY/ ,
Rough Plumbing (Top Out) "
Rough Mechanical ,
I ROugh Electrical (Dry wall) "
,Rough Electrical ,
Framing (OnlyafterPlbg., Elec.. Mech.. and Fire)
Insulation (SoundlEnergyl , , '
00 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 " ,
, Waier Serviee
FINALlNSPECTIONS '
Electrical Final
Date
Inspector
"
Plumbing Final
Mechanical Final
Gas Test
,
,
, '
Engineering/Grading Final 765-5126
,
Fire Dep!. Final 765-4040 "
Water Engineering 765-5268
,
,
Sub List/Business License 765-519
Zoning 765-5139
,
,Building Final
, .
(Lastlnspection- Only , _ /.'/' j 'M,,,"" I
After AbaveComplete) (,1v.h.l>lfE ~.' Ml
PARtiAL INSPECndNS
Buildina Inspections'
MechanicallnSDections
Plumbina Inspections
ElectricallnSDections