615 S. Scout Trail
TYPE OF PERMIT C
AccessOlY Building (Shed, Garage...) ITV
DATE: 6/1312005
JOB ADDRESS: 615 S SCOUT TRL
LEGAL DESCRIPTION: N TR 9750 LOT 6
ElM
BUILDING DIVISION
200 S. ANAHEIM BLVD.
(714)765 - 5153
INSPECTION REQUESTLINE:
(714) 765 - 4626
CENSUS CODE: 434
QUARTER SECTION: 186
BUILDING PERMIT NO. BlD2005-01793
CONTRACTOR INFORMATION:
PARAGON ROOFING
16542 POTTER CIR
HUNTl NGTON BEACH, CA 926470000
BUSINESS PHONE: 7148431950
JOB DESCRIPTION:Tear off existing material, install Hanson Tile at 9.9Jbs per square to 32 squares of roof leBO #ER3748.
APPLICANT: CHRISTINE BRYAN
OWNER INFORMATION:
Steven C Reiner
615 S Scout rr'
Anaheim, CA 92807
ARCHITECT/ENGINEER INFORMATION:
VALUATION: 11,000.00
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, after, 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 basis for the alleged
exemption. Any violation of Section 7031.5 by any applicant for a permit subj81;ts 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 compeflSation, 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~buHder will have the burden of proviftg-that he
did not bu~d or improve for the pU!pose 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 propertyw;1o 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 selt-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.
~ 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 issued. Myworker's
Compensation insurance carrier and policy are:
Carrier: STATE COMP
PROCESSED BY: ENO
LICENSED CONTRACTORS DECLARATION
I hereby affirm under penalty of perjury that I am
licensed under provisions of chapter 9 (commenCing
with Section 7000) of Di n 3 the Business and
Professi ns Code.
6/13/2005
Date:
Contractor
Policy Number. 1570328-99
NUMBER
726753
TYPE
TYPE
EXPIRATION DATE
9130/2006
This section need not be completed if the pennit is for one hundred dollars ($100) or less.
~certify that in the performance of the work for which this perrnit is issued, I shall not
employ any person in any manner so as to become subject to the worker's compensation laws
oj Calffomia, and agree that if I should become subject to the worker's compensation
provisions of section 3700 of the Labor Code, I shall fa 'th comply with those ro. 'ons.
C39
HIC
Date: 6/1312005 Applicant:
WARNING: FAILURE TO SECU EWER OMPENSAT N COVERAGE IS
UNLAWFUL, AND SHALL SUBJ CT AN EMPLOYER TO CRIMINAL PENALTIES AND CIVIL
FINES UP TO ONE HUNDRED OUSAND DOLLARS ($100,000), IN ADDIl10N TO THE
COST OF COMPENSATION, AMAGES AS PROVIDED FOR IN SECTION 3706 OF THE
LABOR CODE,INTEREST A 0 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:
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 pre ntives of this ci to enter upon the above mentioned property for
'on pu s.
Date: 6/1312005
Fees paid for Permit:
Total:
609,69
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.
City of Anaheim
Building Division
INSPECTION RECORD
INSPECTION DATE INSPECTOR
Temporary Power Pole
Plumbing (DrainJWaste Pipe)
Electrical Ground Electrode/Uter
SetbackfFormsfTrenches (Footings)
Do not install subfloor or pour floor slab until the
following aDplicable items have been signed:
Plumbing (Water Pipe/SDrinkler Valves)
Mechanical (Groundwork)
Electrical (Underground Conduitl
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 I
Roof (Sheathing/Diaphragm/Framel h-. ';~.H III. A/
Masonry (Reint JBond Beam/Pre-Grout)
Rough Plumbing (Top Out)
Rough Mechanical
Rough Electrical (Dry Wall)
Rough Electrical I
Framing (Only after ~Ibg., Ele., Mec. And Fire) I;'. J(.fJ'" Mg, ./>
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 fs;;7.l\ t:J1 I'.r ~
After Above Complele)
PARTIAL INSPECTIONS
Building Inspections
Mechanical Inspections
Plumbing Inspections
ElectricallnSDections