981 S. Siet Pl.
TYPE OF PERMIT
Residential Remodel CITY
DATE: 6/27/2005
JOB ADDRESS: 981 S SIET PL
LEGAL DESCRIPTION: N TR 3706 LOT 25
ElM
,BUILDING DIVISION
200 S, II,NAHEIM BLVD,
(714) 765 - 5153
INSPECTION REQUEST LINE:
(714) 765 - 4626
CENSUS CODE: 434
QUARTER SECTION: 125
BUILDING PERMIT NO. B,LD~ilo5.01877
APPLICANT: YOLANDA HUAPAYA
OWNER INFORMATION:
CONTRACTOR INFORMATION:
MCCORMACK ROOFING CO
4091 E LA PALMA AVE #T
ANAHEIM, CA 928070000
BUSINESS PHONE: 714630-,,543
JOB DESCRIPTION:Re~pitch existing flat roof to 4/12 and re-roof remaining 19 squares of existing roof with Gerard Metal shakes 1.4 p/sq. ft. NER42 to
VALUATION: hou~~,l18g,8arage, PROCESSED BY: ENO
I OWNER-BUILDER DECLARATION
I hereby affirm under penalty of perjury that I am exempt from the Contractor's License Law forthe 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 licen:~d 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 sUbje'~ts 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 compensation, will do the work, and the structure is not Intended or offered for
sale (Sec. 7044 8usinessand 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 helSe!f or through his or her own omployees, 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~builder will have the burden of proving thaHii3
did not build or improve for the purpose of sale).
D I, as the owner of the property, am exclusively contracting with licensed C{,ntractors 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 se~-insure for worker's compensation,
as provided for by Section 3700 of the Labor Code, for the performance of the ;NOI1<. for which
this permit is issued.
1)(J I have and will maintain worker's compensation insurance, as required by ~3ection 3700 of
~abor Code, for the performance of the work for which this permit is issued, Myworker's
Compensation insurance carrier and policy are:
Carrier: AMERICAN INTERNATIONAL GROUP Policy Number. WC070104020Q001
ARCHITECT/ENGINEER INFORMATION:
CHARLES A JOHNSON JR
P,O, BOX 6284
GARDEN GROVE, CA 92846
LICENSED CONTRACTORS DECLARATION
I hereby affirm under penalty of perjury that I am
licensed under provisions of chapter 9 (commencing
with Section 7000) Divsi n 3 of e Business and
Professio s
This section need not be completed il the pennit is IO!' one hundred dollars ($100) cr less,
~ certify that in the perfolTYlance 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 corrpensation laws
of Califomia, and agree that if 1 should become subject to the worker's compensation
pro.visions of Section 3700 of the abor C I aU rth i comply with those provisions.
Date: 6/27/2005 Applicant:
WARNING: FAILURE TO SECU
UNLAWFUL, AND SHALL SUBJ CT
FINESUPTOONE HUNDRED 0 AN
COST OF COMPENSATION, AMAGE PROVIDED FOR IN SECTION
LABOR CODE, INTEREST D ATTORNEY'S FEES,
CONSTRUCTION LENDING AGENCY
I hereby affirm under penalty of perjury that there is a construction lending age'lcyfor the
performance of the work for which this permit is issued (Sec.3097.Civ.C):
Lender's Information:
NUMB
643700
TYPE
EXPIRATION DATE
6130/2006
C39
Construcion Tvpes:
VN, ,
Fire Sprinklered?
NO
~.L
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 presentives of this city to enter upon the above mentioned property for
in ecti rpo
Date: 6127/2005
Fees paid for Permit:
Total:
601.38
null and void if the building or
City of Anaheim
Building Division
INSPECTION RECORD
INSPECTION
DATE INSPECTOR
Temporary Power Pole
Plumbino IDrain/Waste Pipe)
Electrical Ground ElectrodeNfer
SetbackfFormsrrrenches (Footings)
Do not install subfloor or pour floor slab until the
following applicable items have been signed:
Piumbing (Water Pipe/Sprinkler Vall/es)
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
F/resprinkler (Rough)
2nd Floo~ar
~eathidalDiaOhragm/Framllo{~
Masonry llfEiinf Jaond Beam/Pre-Grout)
Rough PlumbIng (TlIP Out)
Rough Mechanicat <!"Ie.,.l ~ V~) 7t3-oC ~/...
Rough Electrical.lDrv Wall) /
Rough Ele<;Ifica(. ~fyll' W ~-IJ .~ 2,
Framing (olo!{.'tt~~~'~.AndF""1 '/ 7-/)--'" (:--'1
Insulation (Sound/Energy)
Do not tape or plaster unlllthe following applicable
items have been signed:
Drywall
Penetrations (Fire Rated) Eleclrlcal
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
'-
f..~
FINAL INSPECTIONS
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
After Above Complete)
DATE INSPECTOR
PARTIAL INSPECTIONS
Mechanical Inspections 7,-/l-D'>~
f "Cr/l/:f (- i/ ,'(2 1li.".-kJ( 6. ..f-~I
'-4
Plumbina Inspections
Electrical Inspections