7325 E. Paseo Tampico
BUILDING PERMIT NO. BLD2005-02428
TYPE OF PERMIT CITY
Reroof
DATE: 8/3/2005
JOB ADDRESS: 7325 E PASEO TAMPICO
LEGAL DESCRIPTION: N TR 7734 LOT 45
APPLICANT: RON BIDNICK
OWNER INFORMATION:
JOHN CARBO NE
7325 E PASEO TAMPlCO
ANAHEIM, CA 92808
CONTRACTOR INFORMATION:
SELL ROOFING COMPANY
18032 LEMON
YORBA LINDA, CA 92886 0000
BUSINESS PHONE: 7145281758
JOB DESCRIPTION:Tear off existing and reroof 22 squares with monier tile @ 5,9Ib/sf ICBO #2656
VALUATION: 7,200.00
ElM
BUILDING DIVISION
200 S. ANAHEIM BLVD.
(714) 765 - 5153
INSPECTION REQUESTLINE:
(714) 765 - 4626
CENSUS CODE: 555
QUARTER SECTION: 196
ARCHITECT/ENGINEER INFORMATION:
PROCESSED BY: JNJ
OWNER-BUILDER DECLARATION
I hereby a irm 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 Professions Code) or that he is exempt therefrom and the basi's 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 compe.nsation, will do the work, and the structure is not intended or offered for
sale (Sec. 7044 Business and Professions Code: The Contractor's License L1W does not apply to an owner of property who builds or improves
thereon, and who does such work himself or hersel1 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 y~ar 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
~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 I have and will maintain a certificate of consent to self-insure for worker'&compensation,
as provided for by Section 3700 of the Labor Code, for the performance of the work for which
this permit is issued.
~ave and will maintain worker's compensation insurance, as required by Section 3700 of
ftle Labor Code, for the performance of the work for which this permit is issuet My worker's
Compensation insurance earlier and policy are:
Carrier: STATE FUND Policy Number. 1066554-2004
This section need not be completed if the pennit is for one hundred dollars ($100) or less.
o I certify that in the perfolTl1ance 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 subject to the worker's compensation
provisions of Section 3700 of the Labor Code, forthwith comply with t provisions.
Date: 8/3/2005 Applicant~
WARNING: FAILURE TO SEC;ftlEW0RKERS CO NSATION COVERAGE IS
UNLAWFUL, AND SHALL SUBJECT AN EMPLOYER TO CRIMINAL PENALTIES AND CIVIL
FINES UP TO ONE HUNDRED THOUSAND DOLLARS ($100,000), IN ADDI"nON 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 construction lending agen~yfor t!le
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 all city ordinances and state laws relating to building construction, and
hereby authorize rep ntives thi city to enter upon e above mentioned property for
inspection pu
Date: 8/3/2005
Signature of Applicant or Agent
The permit shall expire by limitation and become null and void if the building or
work has not passed final inspection 365 days from the date of permit issualCe. A
new permit is required to commence or continue work.
LICENSED CONTRACTORS DECLARATION
I hereby affirm under pena yof perjury that I am
licensed under provisions of chapter 9 (commencing
with Section 7000) of Dj 3 of t siness and
Professions Code.
8/3/2005
Date:
NUMBER
323842
TYPE
TYPE
Contractor
EXPIRATION DATE
10/31/2006
HIC
C39
Construcion Types:
V N, ,
Fees paid for Permit:
Total:
235.55
City of Anaheim
Building Division
INSPECTION RECORD
INSPECTION DATE INSPECTOR
Temporary Power Pole
Plumbing (Drain/Waste Pipe)
Electrical Ground ElectrodeJUfer
Setback/FormslTrenches (Footings)
Do not install sublloor or pour 1I00r 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:
1st Floor Shear
Firesprinkler (Rough)
2nd Floor Shear f /
Roof (Sheathing/Diaphragm/Frame) fils" /0'5" ,} J..)lou..>;lt-I
Masonry (Reinf.lBond Beam/Pre-Grout) 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 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 ListlBusiness License 765-5194
Zoning 765-5139 ,
Building Final (Last Inspection - Only fI%s-
Aller Above Complete) .) AU" c.i>'Sl4 I
.
PARTIAL INSPECTIONS
Buildina InSDections
Mechanical Inspections
Plumbing InsDections
Electrical Inspections