2308 E. Redwood South Dr.
BUILDING PERMIT NO. BLD2005-02591
TYPE OF PERMIT CITY
Reroof
DATE: 8/18/2005
JOB ADDRESS: 2308 E SOUTH REDWOOD DR
LEGAL DESCRIPTION: N TR 2492 LOT 19
ElM
BUILDING DIVISION
200 S. ANAHEIM BLVD.
(714) 765 - 5153
INSPECTION REQUEST LINE:
(714) 765 - 4626
CENSUS CODE: 555
QUARTER SECTION: 112
APPLICANT: CUSTODIA TORRES
OWNER INFORMATION: CONTRACTOR INFORMATION: ARCHITECT/ENGINEER INFORMATION:
STEPHEN R SHERMAN J L RAY COMPANY INC
2308 E SOUTH REDWOOD DR 103 W ESCALONES #A
ANAHEIM, CA 92806 SAN CLEMENTE, CA 92672 0000
BUSINESS PHONE: 949498.2274
JOB DESCRIPTION:Tear off existing and reroof 26 squares with 30-year composition shingles
VALUATION:
8,000.00
PROCESSED BY: JNJ
OWNER-BUILDER DECLARATION
I hereby a irm un er penalty of perjury that I am exempt from the tractor's Ucense Law for the following reason (Sec. 7031.5 Business an
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 Iicef'sed pursuant to the provisions of the Contractor's License Law (Chapter
9)(commencing with Section 7000 of Di\lision 3 of the Business and Professions Code) or that he is exempt therefrom and the basis for the alleged
exemption, Arry violation of Section 7031.5 by any applicant for a permit subjocts the applicant to a civil penalty of not moreJhan five hundred doUars
~~ .
o I, as owner of property, or my employees with wages as their sole compeqsation, will do the work, and the structure is not intended or offered for
sale (Sec. 7044 Business and Professions Code: The Contractor's license Lcw 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 yea; 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
a contractor(s) licensed pursuant to the Contractor's License Law).
o 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's compensation,
as provided for by Section 3700 of the Labor Code, for the performance of the work. for which
this permit is issued.
@.'I have and will maintain worker's compensation insurance, as required by Section 3700 of
the Labor Code, for the performance of the work for which this permit is issuec", Myworker's
Compensation insurance carrier and policy are:
Carrier: STATE RJ ND
Policy Number 1344731
This section need not be completed if the permit is for one hundred dollars ($100) or less.
o I certify that in the performance 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 compersation
provisions of Section 3700 of the Labor Code all fo wit . se provisions.
Dale: 8/18/2005 Applicant:
WARNING: FAILURE TO SECURE WORKER'S COMPENSATION COVERAGE IS
UNLAWFUL, AND SHALL SUBJECT AN EMPLOYER TO CRIMINAL PENALTIES AND CIVIL
FINES UPTO ONE HUNDRED THOUSAND DOLLARS ($100,000), IN ADDITION 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 constructicn lendir:g t;ger.cyfor the
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 autho ize rap n' s of this city to enter upon the above mentioned property for
inspectio rpose.
,....
Dale: 8/18/2005
Signature of pplicant or Agent
The permit shall expire by limitation and become null and void if the building or
work has not passed fi nal inspection 365 days from the date of permit issuance. A
new permit is required to commence or continue work.
LICENSED CONTRACTORS DECLARATION
I ereby affirm under penalty of perjury that I am
licensed under provisions of chapter 9 (commencing
with Section 7000) of 'vsic of Business and
Professions Code.
8/18/2005 ,...
Date:
NUMBER
567238
TYPE
TYPE
Construcion Tvpes:
VN, ,
Contractor
EXPIRATION DATE
3/3112007
B
C39
Fees paid for Permit:
Total:
245.17
City of Anaheim
Building Division
INSPECTION RECORD
INSPECTION DATE INSPECTOR
Temporary Power Pole
Plumbing (DrainlWaste Pipe)
Electrical Ground Electrode/Uter
SetbacklFormslTrenches (Footings)
Do not Install sublloor or pour 1I00r slab until the
following applicable Items have been signed:
Plumbing (Water PipeJSprinkler 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:
1 st Floor Shear
Firesprinkler (Rough)
2nd Floor Shear
Roof (Sheathing/Diaphragm/Frame) IN'1'O-; It.//~T:;I/
Masonry (ReinfJBond 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 (La'tln,pectlon - Only .. )'(,q) ;f.f2VJU1 (
After Above Complete)
PARTIAL INSPECTIONS
Building Inspections
Mechanical Inspections
Plumbing Inspections
Electrical Inspections