241 Pageant
TYPE OF PERMIT CITY
Reroof
ElM
BUILDING DIVISION
200 S. ANAHEIM BLVD.
(714) 765 - 5153
INSPECTION REQUEST LINE:
(714) 765 - 4626
CENSUS CODE: 434
QUARTER SECTION; 162
BUILDING PERMIT NO. BLD2005-02501
DATE: 8/10/2005
JOB ADDRESS: 241 N PAGEANT ST
LEGAL DESCRIPTION; N TR 4476 LOT 58
CONTRACTOR INFORMATION; ARCHITECT/ENGINEER INFORMATION;
MARTIN ARROSAGARAYS ALL SEASONS RO
2508 BOWDOIN PL
COSTA MESA, CA 926260000
BUSINESS PHONE: 714556.8867
JOB DESCRIPTION;Tear off existing material, install 22 squares of 30 year elk shingles ER-5414 to house and attached garage.
VALUATION: 4,785.00 PROCESSED BY: ENO
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, 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 ProfesslonsCode) 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).
D 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 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 year of completion, the owner-builder will have the burden of proving that 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 property who builds or improves thereon, and who contracts for such projects with
,aJ{ontractor(s) licensed pursuant to the Contractor's License Law).
U I am exempt under Sec. , B & P.C. for this reason:
Date: Owner:
r
APPLICANT: MARTIN ARROSAGARAY
OWNER INFORMATION:
STEPH EN R HES SE
241 N PAGEANT ST
ANAHEIM, CA 92807
Polic:y Number. EXEMPT
NUMBE
622480
TYPE
TYPE
EXPIRATION DATE
613012007
This section need not be completed if the pennit is fer one hundred dollars ($1 00) or less.
f'\1..~ certify that in the performance of the work for which this permit is issued, I shall not
~y 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 !ker's compensation
provisions of Section 3700 of the Labor Code, ha art Ith mply with those provisions
Date: 8/10/2005 Applicant:
WARNING: FAILURE TO SECUR ORKER'S COMPENSATION COVERA
UNLAWFUL, AND SHALL SUBJ T AN EMPLOYER TO CRIMINAL PENA I
FINES UPTO ONE HUNDRE OUSAND DOLLARS ($100,000), IN A I N TO THE
COST OF COMPENSATION, DAMAGES AS PROVIDED FOR IN SECTI 37060FTHE
LABOR COD E, I NTEREST 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
C39
HIC
Construcion Types:
VN, ,
Fire Sprinklered?
NO
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 representives of this city to enter upon the above mentioned property for
in i r s.
Signature of Ap lea t or Agent
errhit shall expire by r it ion and become null and void if the building or
war has not passed final i tion 365 days from the date of permit issuance. A
new Dermit is reauired to oommence or continue work.
Date: 8/10/2005
Fees paid for Permit:
Total:
235.33
City of Anaheim
Building Division
INSPECTION RECORD
INSPECTION DATE INSPECTOR
Temporary Power Pole
Plumbing (DrainlWaste Pipe)
Electrical Ground Electrode/Ufer
SetbacklForms/Trenches (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 Rein!.)
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) 1/1'( \l fYIA, Ir,;>,
Masonry (Reinf./Bond Beam/Pre-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 INSPECTOR
Electrical Final
Plumbing Final
Mechanical Final
Gas Test
Engineering/Grading Final 765-5126
Fire Dept. Final 765-4040
Water Engineering 765-5268
Sub List/Business License 765-5194
Zoning 765-5139 /
Building Final (Last Inspection - Only ftir PU( tb
After Above Complete)
PARTIAL INSPECTIONS
Building Inspections
Mechanical Inspections
Plumbing InsDections
Electrical Inspections