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871 S. Philadelphia St. BUILDING PERMIT NO. BLD2005.00196 ElM BUILDING DIVISION 200 S. ANAHEIM BLVD. . (714) 765.5153 INSPECTION REQUEST LINE: (714) 765.4626 CENSUS CODE: 555 QUARTER SECTION: 85 TYPE OF PERMIT CITY . Reroof . DATE: 1/24/2005 JOB ADDRESS: 871 S PHILADELPHIA ST LEGAL DESCRIPTION: N TR 1871 LOT 8 APPLICANT: JOHN SHEATZ OWNER INFORMATION: Monarch Marior 989Scoll St San Diego, CA 92106 CONTRACTOR INFORMATION: THE ROOF GUY 9781 EASTWOOD CIRCLE VILLA PARK, CA. 92861 OOJO . BUSINESS PHONE: 7149;2'1;1500 . JOB DESCRIPTION:Re-roof - Overlay 38 sq. of,20 yr. composition shingle OVl'ir:'(1) existing layer of comp.. ARCHITECT/EII!GINEER INFORMATION: VALUATION: 3,300.00 I OWNER-BUILDER DECLARATION I hereQY affirm under penalty of perjury that I am exempt-from the Contracto~'s.: License Law for the following reason (Sec. 703.1.5 Business and Pro'fessioQsCOde: any city or county which requires a permit to construct, ali~r, improve, demolish or re~ir any structure, prior to its i;;suance, also requl~es the applicant for such permit to file a signed statement that heis ricer"sed pursuant"to the provisions of the Contractor's License Law"(Chapter 9)(co,mmencingwith Section 7000 ()f Division 3 of the Business and P.rofess~ins Code) or that he IS exempt therefrom and the basis for the alleged exemption. Any violation of,Section 7031.5 by any appliccmt for a permit subjects the applicant to a civil penalty of.oot more than five hundred dollars ($500). ... :, D I, as owner-of proper:ty. or'my employees with wages as their sole comp;nsation, will do the work,and the structure is not intendedor offered for . sale (Sec. 7044 Business and Professions Code: The Contractor's License hfw does not'apply to an owner of-property who buildsor Improves thereon, and who does such work himself or helSelf or through his or her ow1:\:employees, provided that such. improvements are not intended or . offered for sale. If, however, the building or improvement is sold with one ye;llf' of completion; the owner-builder will have the burden of proving that he did no~ build or improve for the-purpose of sale). '::. - . . , . .' o I,:asthe owner of th~ propertY, am exclusively contracting with _licensed b:>ntract:ors to COhstFUCt the project (Sec. 7044 Business and Professions Code:, The Contractor's License Law-does riot apply to an owner of propeTty\.vho builds or improves thereon, and who rontracts for such projects.with ~ontract:or(s) Iice~sed 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 und,er ~nalty of perjury one of the following declarations: -', . . - " " , " s O' rhave and will maintain a certificate of ronsent to self-insure for workei-'Sd:ompensation, as provided for by Section. 3700 of-the Labor Code, for the performance ofthawork for which . ~h. oermit is issued. i , . 'I h. ave and will maintain W"rke~s compensation insurance, as required b/Section 3700 of e Labor Code,for the performance of the work for which this permit is issu~:d. Myworker's ompensation insura'nce carrier and poUcy are:. ,,: Carrier: STATE COMPENSATION FUND . Policy Number. 1713793: PROCESSED BY: ENO This section need not be completed if the pennit is for one hundred d~lIarsl {$1 00. or less. o I certify that in the perfomiance_ofthe work for which this permit is issue:d.1 shall not employ any person in any- manner $0 as to become subject to. the worker's compensation laws of Caljfo~ia. and agree that-if I should become subject:.to the worker's compensa~ion provisions of Section. 3700 of the Labor Code, I shall forthwith comply with th:>s,fprovisions. . .. .v ~ .p- Date: 1/24/2005 Applicant: WARN ING: FAILURE TO SECUR WORKER'S CO UNLAWFUL, AND SHALL SUBJE T AN EMPLOYER l' IMINALPENALTIESAND CIVIL FINES UPTO ONE HUNDRED lHOUSAND DOLLARS ($100,000). IN ADDmON TOTHE COST OF COMPENSATION, DAMAGES AS PROVIDED FOR IN SECTION 3706 OF THE LABOR CODE, INTEREST AND ATTORNEY'S FEES. CONSTRUCTION LENDING AGENCY I hereby affirm under penalty of perjury that there is a construction lending agency for the . performance of thework for which this permit is issued (Sec. 3097 .Civ .C): .---be-oder's---!nfer~~.stiOi"':- LICENSED CONTRACTORS D!:CLARATION I hereby affirm.under penalty of perjury that I am licensed under provisions of chapter 9 (commencing with Section7000) of Oivsion 3 of the Business and ~/~:~~:1~ .~..~ . '. . Date:! ~ NUMBER EXPIRATION DATE 638593 2/28/2006 TYPE C39 Construcion Types: VN, , Fire Sprinklered? NO _.-d,_ I certify that I have read-thiS a pp'lication 'and state that the above information is correct. I . agree to rom ply with all city ordinances and state laws relating to building construction, and .hereby authorize representjyes of this city to enter upon the bove mentionee 'property for ips e:diQ1:k:roI~~:-----=:::-~ .' . --=:-~. Date: 1/24/2005 Signature of ent The permit shall expire byr 'ation and become null and void i{ the building or work has not passed final inspection 365 days from the date of permit issuance. A new P!ll"mit is required to commence or continue work. Fees paid for Permit: Total: 310.05 INSPECTION RECORD INSPECTION DATE INSPECTOR Temporary Power Pol.. Plumbing (Drain/Waste Pipe) Elecirical Ground E.lectrodelUfer . SetbacklFormslTrenches (Footi"gs) . Do not install subfloor or pour floor slab until the .followingapplicable il"'ms have be",n signed: Plumbing (Water Pipe.Sprinkler Valves) Mechanical (Groundwork) . Electrical (Underground Conduit) . Pre-$Iab (CompactionlMembrane.Reinf. c Underpinning (Floor Joist/Girders) . Do not cover or conceal the work below until the . following applicabieilems have beensigned: . 1st Floor Shear . , Firesprinkler (Rough) . 2nd'Floor Shear :.. 4_ /I RQof ISheathing/Diaphraam'Frame) .2 -/.0.1:;' .,.. r-", Masonry (RelnfJBond BeamlPre-Grout) . /j. Rough Plumbing (Top Out) ...... .Rough Mechanical . . . " KOugn l:18CtrlCaI ,II) . Rough Electrical . . . .' Framing. (Only after Plbg:, Elec.. Mech.. and Fire) Insulation (SciundlEnergy) P9 not tape or pla~ter 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 (Brawn Coat) . T -Bar Electrical '. T -Bar Mechanical . . . . T-Bar .Structural . Sewer Water Engineering Backflow Water Service . ' . FINAL INSPECTIONS Dale' Inspector Electrical Final . .' Plumbing Fi.nal .' .: . . Mechanical, Final , . ' Gas Test . . Engineering/Grading Final 765-5126 ' . F:ire Dept. Final 765-4040 . Water Engineering 765-5268 Sub List/Business License 765-519 ..' Zoning 765-5139 ~ I Building Final ~ast Inspection. Only Z.:"?~I V" Th.L fter Above Complele) PARTIAL INSPECTIONS t/ . . . BulldlOQ Insoectlons . Mechanicallnsoections Plumbing Insoections Electricallnsoections .