1932 W. Sloop
TYPE OF PERMIT CITY
Reroof
DATE: 11/14/2005
JOB ADDRESS: 1932 W SLOOP AVE
LEGAL DESCRIPTION: N TR 3247 LOT 7
ElM
BUILDING DIVISION
200 S. ANAHEIM BLVD.
(714) 765 - 5153
INSPECTION REOUESTLINE:
(714) 765 - 4626
CENSUS CODE: 555
QUARTER SECTION: 43
BUILDING PERMIT NO. BLD2005-03608
CONTRACTOR INFORMATION:
ADAMS ROOFING
3435 S SILVERSPUR
SANTA ANA, CA 927040000
BUSINESS PHONE: 714 965-0245
JOB DESCRIPT10N:Tear off existing roof and replace with 10 squares of bUilt-up roof and 15 squares of 30 year composition shingles with' 2 layers of 15
VALUATION: lb. fe~:oOo.oo PROCESSED BY: MSM
APPLICANT: ADAM THORIN
OWNER INFORMATION:
NEAL L KAPP
1932 W SLOOP AVE
ANAHEIM, CA 92804
ARCHITECT/ENGINEER INFORMATION:
OWNER-BUILDER DECLARATION
I hereby a irm un er penalty of perjury that I am exempt from the Contractor'sUcense Law for the following reason (Sec. 7031.5 siness and
Professions Code: any city or county which requires a permit to construct, altet, 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 ProfessiDr)sCode) 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 subjects 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 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 helSelf or through his or her own l~mployees, 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 that he
did not build or improve for the purpose of sale).
o I, as the owner of the property, am exclusively contlactlng 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 wnh
~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:
D 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
~. permit is issued.
I have and will maintain worker's compensation insurance, as required by S.' ection 3700 of
e Labor Code, for the performance of the work for which this permit Is istwed. Myworker's
ompensation insurance carrier and policy are:
Carrier: STATE FUND Policy Number. 1300240-02
Thisseolion need not be completed if the pennit 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 workers compensation laws
of Califomia, and agree that if I should become sub' ct to t~e w rker's compensation
provisions of Section 3700 of the~r Code, I s I forthwith amply with those provisions.
Date: 11/14/2005 Applicant.
WARNING; FAILURE TO SECU WORKER'S COMPENSATION COVERAGE IS
UNLAWFUL, AND SHALL SUBJ CT AN EMPLOYER TO CRIMINAL PENALTIES AND CIVIL
FINES UP TO ONE HUNDRED ,'!HOUSAND DOLLARS ($100,000), IN ADDITION TO THE
COST OF COMPENSATION, DAMAGES AS PROVIDED FOR IN SECTION 3706 OF THE
LABOR CODE, INTEREST AND ATTORNEY'S FEES.
CONSTRUCTION LENDING AGENCY
I hereby affirm under penalty of perjury that there is a construction lenc~ing agency for the
performance of the work for which thIS permit is issued (Sec.3097 .Civ.C):
Lender's Information:
LICENSED CONTRACTORS DECLARATION
I hereby affirm under penalty of perjury that I am
licensed under provisions of Chapt;rr 9 ( ommencing
with Section 7000) O~OhJSiO 3 of the usiness and
profe$si~S ode.
11/14/20
Date: Contractor
NUMBER EXPIRATION DATE
524341 2/28/2006
TYPE C39
Construcion Tvpes:
VN, ,
Fire Sorinklered?
NO
I certify that I have read this application and state that the above information is correct. I
agre to comply with all city ordinances and state laws relating to building construction, and
here authorize rep sentives this city to entei upon the above mentioned property for
ion purpose
Dale: 11/14/2005
Fees paid for Permit:
Total:
226.77
Signature of Applicant or Agent
The 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 (DrainlWaste Pipe)
Electrical Ground Electrode/Ufer
SetbacklFormsrTrenches (Footinas)
Do not install subfloor or pour floor slab unlilthe
following applicable items have been signed:
Plumbina IWater Pipe/Sprinkler Valvesl
Mechanical {Groundworkl
Electrical (Underground Conduit)
Pre-slab (Compaction/Membrane Reinf.\
Underpinning (Floor JoislfGirders)
Do not cover or conceal the work below until the
following applicable items have been signed:
1st Floor Shear
Firesprinkler (Rough)
2nd Floor Shear A I
Roof (SheathinglDiaphragm/Frame) '~/;...o( I/'n z.
Masonrv (Reinf./Bond 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
Electrical Final
Plumbing Final
Mechanical Final
Gas Test
Cross Connection Control (714) n;S-42$O
Engineering/Grading Final 765-5126
Fire Dept. Final 765-4040
Water Engineering 765-5266
Sub List/Business License 765-5194
Zoning 765.5139
Building Final (Last Inspection - Only
After Above Complete)
INSPECTOR
PARTIAL INSPECTIONS
IZ}~ l-r;;) /,
:J]L ;-i/
BUildin;> Ins;ections
{:. '7rf flY'?':" 17
I
Mechanical Inspections
Plumbina Inspections
Electrical Inspections