1881 Morgan Ln.
TYPE OF PERMIT CITY
Reroof
BUILDING DIVISION
200 S. ANAHEIM BLVD.
(714) 765 - 5153
INSPECTION REQUESTLINE:
(714) 765 - 4626
CENSUS CODE: 434
QUARTER SECTION: 67
BUILDING PERMIT NO. BL02005-o0613
DATE: 3/912005
JOB ADDRESS: 1881 S MORGAN LN
LEGAL DESCRIPTION: ,N TR 3204 l.OT 31
CONTRACTOR INFORMATION:
WESTERN ROOFING SySTEMS
203fE CERRITOS AVE #7E.
ANAHE 1M, CA 92806-0000,:
BUSINESSPHONE: 714/77&-6294
JOB DE$CRIPTION:Tear off existing material: fe-roof with 15 squares of metrcrlOetal shingles fCBO# 5626.
VALUATION: 3,000.00 ,L PROCESSED BY: MSM
I' OWNER-BUILDERiILECLARATlON
I hereby affirm under penalty of perjurythat,1 arn exempt from the Contractot~:pccnse Law for the following reasori (Sec. 7031.5 Bu~ir.ess and' .
Pro(essionsCode: any dty or county which requires a permit to construct, altfr:- improve demolish or repair any st!"u~tlJre, prior to its isSuance, also
requires the applicant for such permit io-fife a signed statement thathels Iiceh:::ed pursuantto the provisionsoftheContractCcr'sUcens~ Law (Chapter
9)(commencing with Section 7000 of Division 3 of the Bus!ness and Professk~1s Cod€::) or tro3t he is exempt therefrorn and th~ basis fer the alleged
ex, emption. Any violation-of Section 7031.5 by any applicant for a permit $Ub::!kc,!S the applicant to a ciVil.pe, n.a!ty of not more: than five h~r:died doll~rs . .
($500). . .. . .
D. I. as OWner of property '. O! my employees with wages as their sole com!J:jilsatiml, wi I! do the .work, and the structure is notintendeJ or offered for
'sale (Sec. 7044 Business and Professi_o.ns C.ode: The Contractor's License L.hw dOdS not apply to an owner of property....mo builds or i~proves
thereon, andwho.d-oes such work himself or nerseltor through his or her o"vil:emplcy.~ef;, provided ,that such k\,!>roverr:er.tsare not intended or
6fferedfor sale, if, however. the building or improvement is sold 'Nith one y~,jj of comc:eticn, the owner-btliider will have the burden of proving.that he
did nof bui,ld or improve for the purpose of sale). . 1 ' .
o I, as the owner of the prop~rty, am exclusively contlC.'lcting wit hlicensel.:H:ont';-ac!:ors ~(i construct the pl'OjeC't (S~c. 7044 Bli:3ine.ss and ProfessiC'ns
Code:, The Ccntractor's License Law does not apply to an owner of propertY~/ho hwlds cr improves thereon, and. who t..untraGts for such projects wi1h
~,Gontrador(s) Ucensed pursuant to the Contractol's Lice.nse. Law)., fi
L..J, (am exempt linder Sec_ ' .' 8 & P .C.: for tfiis reason: _~~-;.
Date: Owner: !
r . - WORKER'S COMPENSATION DECLARATION ~'~~__l'~ LICENSED CONTRACT~RS D~CLARATIONl
I hereby affirm under penalty of perjury one of the ~ollowing declarations: .1~, I hereby affirm under pe ~Jty of perjury t',at 13rl1
o I have and will maintain a t;:ertificate of consel1t to seff~insure for wOiker'PGnmpeI1:>atiol1, licensed un<1er plov:SlOns .... er 9 (commencing
as provided for by Section 3700 of the Labor Code, for the performance ofth~ \"JOlk for which wIth Sect:o 7000) of DIVl: Iii 3 of '. sines:: ~nd
~thiS errnlt is issued. (Professions od
have and will mamtain worker's compensetlon insurance. as required bJ Section 3700 of I 3/9/ZQOS
e labor Code, for the performance of the work for which thiS oermit is ISSUr.:':. tv'lvworKer's Date:
APPLICANT: SCOTT JOHNSON
OWNER INFORMATION:
. Diego AN ava rrette .
1'881"5 Morgan In
Anaheim, CA 92802
ARCfmECT/ENGINEER INFORMATION:
Compensation insurance carrier and policy are:
Carrier: STATE FUND
POIi,C'f Number:. 15799481003
Contractor
~. his section need not be compteted ifthe pemiit Is for ,one hundred dollars ($10iJfr-ir !:p.ss. .
certify that in the perfonna~ce ofthe work forwhich this permit is isstled,,l-.-?I,13Ii not
rnpJoyany persoh in any manner so as to becomesubjec.t to the worker's C0'{ODensation laws
of Califomia, and agret? that if I should become J to the worker's compe;hsation .
prOVisions of Section 3700 ofthe la or Co shaH fo ~h comply with tt-;,ise:,Provisions.
NUMBER'
675902
TYPE. HiC
TYPE C39
EXPIRATION DATE
8/31/2005
Date: 3/912005 Appiicant:
WARN ING; FAILURE TO SECUR
. UNLAWFUL, AND SHALLSUBJE AN EMPLOYER TO CRIMINAL PENALTIES AND CIVIL
FINES UPTOONE HUNDRED THOUSAND DOLLARS~$100,000t INADDll1CN TO THE
COST OF, COMPENSATION, DAMAGES AS PROVIDED FOR IN SECTiON ~706 OF THE
LABOR CODE, INTEREST 'AND ATTORNEY'S FEES. .
CONSTRUCTION LENDING AGENCY
__~LQ.<;\!,,-?:-l;iy~aft!rm_t\ndG:r--f)€n~~-.Of-~:-liJ(~Lt~tth~r-e_ LC._~--t0tts~r~ict\IJrlle;r;dii'.i~G~pcy foy. the
peiformance of the work for whidl thIs permit is issued (Sec.3097.Civ.C):
lender's Information: .'
Ccinstrucion T voes,
VN, ,
Fire Sprinklered? .
NO
.',.'
Date: 3/9/2005
Fees paid for Permit:
Total:
160.61.
f plicant or Agent
e pe shaIlexpir by limitation and become null and void if the building or
w k 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
Temporary Power Pole
Plumbing (DrainlWaste Pipe)
. Electrical Ground Electrode/uter
SetbaclllFormslTrenChes (Footings)
Do not install subfloor or pour floor slllb until the
following applicable il"ms have been signed: .
Plumbing (Water Pipe.Sprinkler ValveS) . .
Mechanical (Grou ndwork) . . I.
Electrical (Underground Condu it)
Pre-slab (CornpactionIMembrane.Reint.) . . I
Underpinning (Floor Joist/Girders).
Do not cover or conceal the work below until the
following applicable ilems have b"en signed:
1st Floor Shear
Filllsprinkfer (Rough) . .
2nd Floor Shear ." .
Roof (SheathlngfDiaphragmlFrome) ~111105
Masonry (RelnfJBond BeomlPre-Grout) . f (I!/
Rough Plumbing (Top Out) .
Rough Mechanical
Rougn.~ectr au)
Rough Electrical
Framing . (Only after Plbg., Elec.. Mech. and Fire)
Insulation (SoundlEnergy)
Do not tape or plaster until the following applicable .
items have been signed: . .
Drywall . . . .
Penetrallons (Fire Rated)Elecllical
Penetrallons (Fire Rated) Mechanical. .. .'
Penetrations (Fire Rated) Plumbing
Interior Lath
Exterior Lath . . .
GENERAL ITEMS
I Exterior Plaster (Brown Coat).. .
T -Bar EleCtrical
T-Bar.Mechanical . .
T -Bar Structural
Sewer
Water Engineering Backflow
Water Service .
FINAL INSPECTIONS Date Inspector .
Electrical Final .
Plumbing Final .' .
Mechanical Final . .
.'
G.as Test
Engineering/Grading Final 765-5126 I
Fire Dept, Final 765-4040 . . .
Water Engineering 765-5268
Sub List/Business License 765-519 . .
Zoning 765-5139 . ""'
Building Final j}ast Inspection- Only 3hzk YJ7<.
Iter Abov.e Complelel
PARTIAL INSPECTIONS J)'WlrK: .
. .
BUlldma InspectIons
Mechanical Inspections
Plumbina Inspections
Electrical Inspections
,\