1587 Mells Ln.
TYPE OF PERMIT CITY
Reroof
ElM
BUILDING DIVISION
200 S. ANAHEIM BLVD.
(714) 765 - 5153
INSPECTION REQUESTlINE:
(714) 765 - 4626
CENSUS CODE: 434
QUARTER SECTION: 57
BUILDING PERMIT NO. BLD2005-02849
DATE: 9/9/2005
JOB ADDRESS: 1587 W MELLS LN
LEGAL DESCRIPTION: N TR 2446 LOT 71
APPLICANT: DEBORAH ROREX
OWNER INFORMATION: CONTRACTOR INFORMATION: ARCHITECT/ENGINEER INFORMATION:
DEBORAH ROREX
1587 W MELLS LN
ANAHEIM, CA 92802
JOB DESCRIPTION:Tear off existing material, replace CDX plywood to 30 Ibs felt and 40 squares of timberline shingles to house and attached garage.
VALUATION:
6,890.00
PROCESSED BY: ENO
OWNER-BUILDER DECLARATION
I hereby affirm under penalty of perjury that I am exempt from the Contractor's License Law for the following reason (Sec. 7031.5 usiness an
Professions Code: any city or county which requires a permit to construct, alter, 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 licensed 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
($500).
~. I, as owner of 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 LaN 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 yearof completion, the owner~builder will have the burden of proving that he
did not build or improve for the purpose of sale).
o \, 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 property who builds or improves thereon, and who contracts for such projects with
,aQon!factor(s) licensed pursuant to the Contractor's U se Law). .
U I ~ exempt under Sec. ~ P.C. for t is re on:
, e: - "7,.D() Owner:
WORKER' COMP NSATION DECL ION
I hereby affirm under penalty of rjury one of the following decl tions:
o I have and will maintain certificate of consent to self-in ure for worker's compensation,
as provided for by Section 00 of the Labor Code, for the performance of the 'Nark for which
this permit is issued.
o I 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:
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
Professions Code.
9/9/2005
Date:
Contractor
Policy Number.
NUMBER
EXPIRATION DATE
This section need not be completed if the pennit is for one hundred dollars ($100) (Ir Jess.
h 1 certify that in the performance of the work for which this permit is issued, I shall not
'€ffi"plOy 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 compensation
provisions of Section 3700 of the La r Code, I Sh,al rthwith com y h those provisions.
TYPE
Date: 91912005 Applicant:
WARNING: FAILURE TO SECURE W
UNLAWFUL, AND SHALL SUBJECT
FINES UPTO ONE HUNDRED 111 SAND DOLLARS ($100.000), IN ADDIl10N TO THE
COST OF COMPENSATION, DA AGES AS PROVIDED FOR IN SECTION 3706 OF THE
LABOR CODE, INTEREST AND TTORNEY'S FEES.
CO TRUCTlON LENDING AGENCY
I hereby affirm under penalt of perjury that there is a construction lending agencyfor the
performance of the work f which this permit is issued (Sec. 3097 .Civ.C):
Lender's Information:
Construcion Types:
VN, ,
Fire Sprinklered?
NO
(i ~' .~
Date: 91912005
Fees paid for Permit:
Total:
319.73
City of Anaheim
Building Division
INSPECTION RECORD
INSPECTION DATE INSPECTOR
Temporary Power Pole
Plumbing (Drain/Waste Pipe)
Electrical Ground Electrode/Uter
SetbacklFormslTrenches (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 (CompactionlMembrane Relnt.)
Underpinning (Floor Joist/Girders)
Do not cover or conceal the work below until the
tollowing applicable items have been signed:
1 st Floor Shear
Firesprinkler (Rough) I
2nd Floor Shear I
Root (Sheathing/Diaphragm/Frame) 1'" I ~ JA JJil Ul<;v:'(
Masonry (Reint.lBond Beam/Pre-Grout) I 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 tollowing 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
----------------- -.-------
FINAL INSPECTIONS DATE INSPECTOR I
Electrical Final
Plumbing Final I
Mechanical Final I
Gas Test I
Engineering/Grading Final 765-5126 I
Fire Dept. Final 765-4040 I
Water Engineering 765-5268 I
Sub List/Business License 765-5194
Zoning 765-5139 I
Building Final (Last Inspection - Only 9-)'1c'$ fl. {J.c.d( I
After Above Complete) I
PARTIAL INSPECTIONS
Building Inspections
Mechanical InSDections
Plumbing Inspections
Electrical Inspections