5229 Minuet Ln.
BUILDING PERMIT NO. BLD2005-03332
TYPE OF PERMIT CITY
Reroof
DATE: 10/17/2005
JOB ADDRESS: 5229 E MINUET LN
LEGAL DESCRIPTION: N TR 4181 LOT 111
APPLICANT: FREDDI VASQUEZ
OWNER INFORMATION:
CRAIG J LOZIS
5229 E MINUET LN
ANAHEIM, CA 92807
ElM
BUILDING DIVISION
200 S. ANAHEIM BLVD.
(714) 765 - 5153
INSPECTION REQUEST LINE:
(714) 765 - 4626
CENSUS CODE: 555
QUARTER SECTION: 177
CONTRACTOR INFORMATION:
FI RST QUALITY ROOFING;
906 S FIGUEROA ST
SANTA ANA, CA 92704 0000
BUSINESS PHONE: 714775-3375
JOB DESCRIPTIO~:Tear off existing roof and replace with 1/2" osb and 32 squares of 30 year composition shingles.
ARCHITECT/ENGINEER INFORMATION:
VALUATION: 9,000.00
I 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 Business and
Professions Code: any city or county which requires a permit to construct, alte~, improve, demolish or repair any structure, prior to its issuance, also
requires the applicant for such permit to file a signed statement that heis licet\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 sUbjects the applicant to a civil penalty of not more than five hundred dollars
($500).
o 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 Ucense Law does not apply to an owner of property who builds or improves
thereon, and who does such work himseij or helSelf 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 year of completion, the owner-builder will have the burden of proving that he
did not build or improve for the purpose of sale).
D 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 property who 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 f have and will maintain a certificate of consent to self-insure for worker's compensation,
as provided for by Section 3700 at the Labor Code, for the pertormance of the wall< for which
i1hi ermit is issued.
have and will maintain worker's compensation insurance, as required by Section 3700 of
tabor Code, for the performance of the work for which this permit is issued. Myworker's
C mpensation insurance carrier and policy are:
Carrier: STATE FUND Policy Number. 0026599-2)04
PROCESSED BY: MSM
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 worker's compensation laws
of Califomia, and agree that if I should become su ject to the worker's compensation
provisions of Section 3700 of the Labor. ode, I all forthwith co with those provisions.
r
Date: 10/17/2005 Applicant:
WARNING: FAILURE TO SECUR WOR E '
UNLAWFUL, AND SHALL SUBJE TAN M OYER TO CRIMINAL P :<\L TIES AND CIVIL
FINES UPTO ONE HUNDRED OUS N DOLLARS ($100,000), IN ADDITION TO THE
COST OF COMPENSATION, D, MAGES S 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 agency for the
performance of the work for which this permit is issued (Sec. 3097 .Civ .C):
lender's Information:
I certify that I have read this application and state that the above information is correct. I
agree to comply with city ordinances and state laws relatin~ to blInding ~n""':"_~!"IJ{'tion, ~!1d
hereby uthorize r re ntives of this city to te pon the above mentioned property for
in set pur s.
Date: 10/17/2005
gnature of Applicant or Agen
The per it sli I expire by limitation and beco u d void if the building or
work h s n passed final inspection 365 days from the date of permit issuance. A
new permt is required to commence or continue work.
LICENSED CONTRACTORS DECLARATION
I hereby affirm under penalty of perjury that I am
licensed under provision f chapter 9 (commencing
with Section 7000) of D' on 3 f the u 'ness d
Profe~sions Code.
10/17/20 5
Date:
NUMBER
776969
TYPE
Construcion Tvpes:
V N, ,
Fire Sprinklered?
NO
Fees paid for Permit:
Total:
319.94
City of Anaheim
Building Division
INSPECTION RECORD
INSPECTION DATE INSPECTOR
Temporary Power Pole
Plumbing (Drain/Waste Pipe)
Electrical Ground Electrode/Ufer
Setback/FormsfTrenches (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 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 /
Roof (Sheathing/Diaphragm/Frame) 10/2.-1/11j ~J)ZJ J. fA:;
Masonry (ReinfJBond BeamiPre-Grout)
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
FINAL INSPECTIONS DATE
Electrical Final
Plumbing Final
Mechanical Final
Gas Test
Engineering/Grading Final 765-5126
Fire Dept. Final 765-4040
Water Engineering 765-5268
Sub LisllBusiness License 765-5194
Zoning 765-5139
Building Final (Last Inspection. Only . I
1"11
After Above Complete)
INSPECTOR
PARTIAL INSPECTIONS
Buildina InsDections
MechanicallnSDections
Plumbina Inspections
Electrical Inspections