723 S. Philadelphia
BUILDING PERMIT NO.
BLD2004-0<l344
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TYPE OF PERMIT
Reroof
BU/WING DIVISION
20() S. ANAJIEIM BLVD.
(714)761;.5153
INspr,CTION REQUEST LINE:
(714) 765.4626
CEI~SUS CODE: 555
QUARTER SECTION: 84
DATE: 12/612004
JOB ADDRESS: 723 S PHILADELPHIA ST
LEGAL DESCRIPTION: N TR 372 BLK CLOT 15
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APPLICANT: ELlA SOLIS
OWNER INFORMATION: CONTRACTOR INFORf"".TION: ARCHITECT/ENGINEER INFORMATION:
Jo se 5605
723 S Philadelphia St
Anaheim, CA 92805 ,to. '
JOB DESCRIPTION; Tear off existing and reroof 20 squares with 30 year ccti~~ositionshirigies
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VALUATION: 3,000.00 ~', PROCESSED BY: JNJ.
I. '. OWNER.BIJI\"Q.,.~~ DECLARAT!ON . . . . '. . -l
'- h~r.eby aff.irm under penalty of perjury that J am exempt from the Contract-fir's License law for the. following reason (Sec. 1031.5 Busine:;s and
professions Code: any dtyor county which reqUires a parmit to construct, tJiter. improve, demolish or repair any structure, prior to its issuance,?lso .
requires the applicafltforsuch .permit to file a signed statement that h~ is H?\Ymsed pursuant to the provi~ions of the Contractor's License Law fChepter
9}(<>ommencing with Secticn7000 of DiviSion 3.of the Business and Profes~'ibns Code) or tbat he is ex.empt therefrom and the b=-sis for the ::':!leged
e.xemption_ Any violation of Section 7031.5,by any applicant for a permit StitJ:c.s ths applicant to'<i civU "p€nattycf not more than five hu!"drcd dollars
~~s owner of property, or my employees with wages as their ,ole corf~.r"a;10n, wili do :he worK ~"d rho "truclur~ is not intended or offere<!. fer
ta1;(sec. 7044 8usinessand Professions Code: The Contractor's UcenS~Law d\)es not app!yto an owner of ;:>rop~rty who builds or iiTiprOVes
thereon, and who does such work himself or herself or through his or ner o"Jm employees; providP-d that ::>uch improvements are ''lot intended Of
offersdfqr sale. If, however" the building or j"mprov~ment is sO,ld wit!l one yij:,.r,Ofcompletion, tr.eown'3r~buiider wj!l hfWe.the blJrden of praving-th&1 he
did not build or improve for the pulpose of sale?" __~: _. . ..
[]. 1.85 the. owner of the property, all1'exdusively contracting \1':11:11 Iicens~C'!.-oont(adOrS to.r.onsrruct the project (Sec._ 7044 Business and Profession:;
Code:. The Cor.tractor'o license .Law does not apply to a:1 owner of prope'i:ti~1!..hu builds or'jmpro'Jes thereon, and ~.....h() OJntr.::cts'fpr sum proj"eGts with
FUoiontrador(s} licensed pursuant tc the Contractor's License LGl\v). : .-(;
~j lain eXi ' pt uj)der Sec. ___ ,B ;.)<P\thisre~f1:: r!L.l.::;-:'-
tJate:. / t'ltb-Q. wner: ",C::fZ~ ~:l~ ___........''-_____
,. . WORKI.iR'S 90 PE SATION DECL';RATION-'-J---i C!JCE~~~~~CTORS DECLAR.ll.TION . (
I he:reby affirm under penalty of perjury one of the following declar::!tions: ,.i{ -. ' 'I ' . i hereby :affirm lmdEH penalty of perjury that I am
0_, I-_have' and wi/! maintain c:'certifrcate of con.'~. nt to se,!f~ins:Jr(; f<;H W~Ji!<.:#r:~.:.5--~Oil.IPCntaticr:l'_;' _: :li~~,r~~.e..:~ u.. nder PIO~isio?~?f c~apter 9 !cb~merlcing
as provided for"by Section 3700 of the Labor Code. for the perfcrmac.ce ortr'~~"!:o;1<:: "!crwhlch \'Inn Sec,tlOn 70(0) of (k~'s!On,) oftne Ol!s:0eS.!? ~nd '
this permit is issued. " "'. . ; :'; _ .. P,..oi'essions C;xJe. .
0" ! have and will maintain worker's compensation insurance, as rl3quire;j UiSec-ticn 3'roO of I 12/6/2004". .
.the.labor Code, for the performance of the wor!( for which t!lis per.mil!:3 i~t,:.-:t f,_1'f'Ncrker'f; ,1, "b. ate:..~.
Compensation !nwrancecanit:!randpclicyare: .1.j' ",-...;.
~c~:r~:lion need not~ cornpiotedifthell"llllit iSforP;~cy::~:e:onars t$1~(1, cr to<s, .~. ,~~:::ER
ertify that in the performance ofthe work for which this permit:s 15su-::o\,'1 sileO not.
_ em . oy any . person in any manner so as to become,subject to th~ workAr's_ ,;1tl~r::;,n~ation !SWS
of Califomia, and agree that if I srould become subject to the workt~r's conl~'G~5~ii()r,' . .
provisions of Sect:oo.3700 ofthe Labor C~:I J'3a~1 fo'iTith C~iY with t;,J...~~..Prh.;"i"iOns. J' eo~~t':'cion Tvpes:
Date: 12/612004 APPlicant~~t? ~ '---,__
WARNING: FAILURE TO SECURE WORKER'S COMPENSATION COVER;GE IS.. 1
UNLAWFUL, AND SHALL SU8JECT AN Er";PLOYER TO CRIMINAl PE1\.'Ai_Tl~:~..A.'ND CIVil. I
FINES UPTO ONE HUNDRED THOUSAND DOLLARS ($100,000), INA()DlTIQN':;O THE
COST OF COMPENSATION, DAMAGES AS PROVIDED FOR IN SECTIO!>\ :j";Q~'bF THE
LABOR CODE, INTEREST'AND ATTORNEY'S FEES. .' .
i CONSTRUCTION LENDING AGENCY ., ,,_____
I,her.eby affirm under penalty of pe~jury that there is a construction lend ing ag-3ncy.fo( the .
performance of the work for which this permit is issued fSec.3097.Civ.C}:; :~-
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.CoptracIOf
EXPIRATION DATE
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I certify that I have read ~his application and state that the above infurmation is correct: I
agree to comply with aU city ordinances a.nd state laws relating to building construction, and
hereby authoriZe-rep ntiV'~ of this city to enter upon the above mentioned property for
" insp i<;>n pur
Date: 12/6/2004
Fees paid for Permit:
Total:
160.61 :-
Signature of Applicant or Agent
~ 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 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/Ufer . .
Selback/FormsfTrenches (Footings)
. Do not install subfloor or pour floor slab until the
following. applicable ilems have been signed:
Plumbing (Water Pipe.Sprinkler Valves)
. Mechanical (Groundwork)
. Electrical (Underground Conduit) .
. Pre-slab (Compaction/Membrane.Reinf. I.
. Underpinning (Floor JolsllGlrdl/l's) .
!X1. not. cover or conceal the work below until tne .
foilbwing applicable items have been signed:
1 sl Floor Shear .
Firesprinkler (Rough) .
2nd Floor Shear ,./
Roof (S~athing/DiaphragmlFrame) ?JUI' fYh. ,n. ./
Masonry (ReinfJ8ond BeanlPre-Groull' , ,
Rough Plumbing (Top Out) , ,
Rough Mechanical
1 Rough eectrlCallDry waUl
.Rough Electrical ..
Framing (Only after Plbg.. Elec.. Mach.. and Firer ..
Insulation (SilundlEnergy)
po not tape or pla~ter until the foffowing applic"ble
.tems have been sIgned:, ' ,
Orywaff . .
Penetrations (Fire Rated) Electrical
Penetrations (Fire Rated) Mech,,"ical
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 ";::;" Dale Inspector
Electrical Final .. ' , ,',
Plumbing Final , , ,
Mechanical Final , .,
Gas Test
Engi.-ring/Grading Final 76>-5126 '
Fire Dept. Final 765-4040 .
Water Engineering 765-5268 . .
Sub list/Business license 765~519 ' .
,
, Zoning 765-5139 , ,
Building F.inal ~ast Inspection- Only (tI{(/~ -'1'dO~/
fter A~ove Complete)
PARTIAL INSPECTIONS tILt.L '
. pd}'
Bu.ldmCl Inspections
Mechanical Inspections
, PlumbinCl Inspections,
ElectricallnSDections '