228 N. Starfire St.
/B'l' ~ P VVZOO4. - OL:OOS;
BUILDING PERMIT NO. BLD200S-02137
TYPE OF PERMIT CITY
Reroof
ElM
BUILDING DIVISION
200 S. ANAHEIM BLVD.
(714) 765 - 5153
INSPECTION REQUESTLINE:
(714) 765 - 4626
CENSUS CODE: 555
QUARTER SECTION: 167
DATE: 7/11/2005
JOB ADDRESS: 228 N STARFIRE ST
LEGAL DESCRIPTION: N TR 5332 LOT 36
APPLICANT: LYNN ROGERS
OWNER INFORMATION:
BEENA NAIR
228 N STARFIRE ST
ANAHEIM, CA 92807
CONTRACTOR INFORMATION:
CONEX ROOFING COMPANY
2011 N BATAVIA ST
ORANGE, CA 928650000
BUSINESS PHONE: 714520-5207
JOB DESCRIPTION:Tear off existing roof and replace with 23 squares of lifetim13 grand sequoia composition shingles and 1/2" cdx.
ARCHITECT/ENGINEER INFORMATION:
VALUATION: 9,000.00
I OWNER-BUILDER [IECLARATION
I hereby affirm under penalty of perjury that I am exempt from the Contractor's Ucense Law for the following reason (Sec. 7031.5 Business and
Professions Code: any city or county which requires a permit to construct, atter, 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 subjects 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 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 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 yeal of completion, the owner-builder will have the burden of proving thafhef
did not build or improve for the pUlpose of sale).
o I, as the owner of the property, am exclusively contracting with licensed omtractors 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).
D 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 se~-insure for worker's Gompensation,
as provided for by Section 3700 of the Labor Code, for the pertormance of thewor1< for which
~i permit is issued.
I have and will maintain worker's compensation insurance, as required by Section 3700 of
t e Labor Code, for the performance of the work for which this permit is issuec'. Myworker's
ompensation insurance carrier and policy are:
Carrier' STATE COMPENSATION INSURANCE Policy Number. 1799501-.004
PROCESSED BY: MSM
LICENSED CONTRACTORS DECLARATION
I hereby affirm under penalty at perjury that I am
licensed under provisions of chapter 9 (commencing
with Sectio 7000) of 0" ion:!;f the Business and
Profes .on Code._
/
This section need not be completed if the pennit is for one hundred dollars ($100) or less.
D I certify that in the perionnance 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 conpensation laws
of Califomia, and agree that if I should become subject to the worker's comperlsation
provisions of Section 3700 of the Labor Code, I all fo with comply with tho;e provisions.
NUMBER
753053
TYPE
EXPIRATION DATE
8/3112006
C39
Date: 7/11/2005 Applicant:
WARNING: FAILURE TO SECU ENSATION COVERAGE IS
UNLAWFUL, AND SHALLSUBJ A EMPLOYE TO CRIMINAL PENALTIES AND CIVIL
FINES UP TO ONE HUNDRED SAND DOLLARS ($100,000), IN ADDl'lON TO THE
COST OF COMPENSATION, 0 AGES AS PROVIDED FOR IN SECTION 3706 OF THE
LABOR COD E, I NTEREST 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 the work for which this permit is issued (Sec. 3097 .Civ .C):
Lender's Information:
Construcion Types:
V N, ,
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
her y authorize r resentives of this city to enter upon the above mentioned property for
in io pur s.
Date: 7/11/2005
Fees paid for Permit:
Total:
235.73
ig a re of Applicant or Agent
per ts all e ire by limitation and become nutl and void if the building or
w r as 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
Setback/FormsITrenches (Footings) tHU/,- IrrUJ w
Do not install subfloor or pour floor slab unlilthe
following applicable items have been signed:
Plumbing (Water Pipe/Sprinkler Valves)
Mechanical (Groundwork)
Electrical IUnderground Conduill
Pre-slab (Compaction/Membrane Reinf.)
Underpinning (Floor Joist/Girders)
Do not cover or conceal the work below unlilthe
following applicable items have been signed:
1st Floor Shear b/4ro/,,\ 1;r~LA
Firesprinkler (Rough)
2nd Floor Shear
t I(~/.) f7Ai- lb
I
~f
(J
Roof (Sheathing/Diaphragm/Frame)
Masonry (ReinfJBond Beam/Pre-Grout)
Rough Plumbing (Top Out)
Rough MeChanical
Rough Electrical (Dry Wall)
Rough Electrical ) ,I 1Vv(, l(?
Framing (Only aft.r Plbg., .,.., Mec. And FI..) .~ Ql ~ (fi l0
Insulation (Sound/Energy) '1, 7nJ" I1AJAtF
Do not tape or plaster unlilthe following applicable
items have been signed:
. "'mw 1l}w1,{
fltt/w
(~
Drywall
Penetrations (Fire Rated) Electrical
Penetrations (Fire Rated) Mechanical
Penetrations (Fire Rated) Plumbing
Interior Lath
Exterior Lath
I!JJN 11/ t<<.-tk
GENERAL ITEM
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 I Iii /, 'liA/, ,...
Plumbing Final ) (, )jf
Mechanical Final I... ) ij 1 A/I "
Gas Test ,
Engineering/Grading Final 765.5126
Fire Depl. Final 765-4040
Water Engineering 765-5268
Sub List/Business License 765-5194
Zoning 765-5139
Building Final (Last Inspection - Only Z/1f,r j)~
After Above Complete)
PARTIAL INSPECTIONS
Buildina Insoections
Mechanicallnsoections
Plumbina Insoections
Electricallnsoections
BUILDING PERMIT NO. BLD2004-02005
r;t!~.bF PERMIT
Residential Addition CITY
DA TE: 5/26/2004
JOB ADDRESS: 22B N ST ARFIRE ST
LEGAL DESCRIPTION: N TR 5332 LOT 36
ElM
BUILDING DIVISION
200 S. ANAHEIM BLVD.
(714) 765.. 5153
INSPECTION REQUEST LINE:
(714) 765.. 4626
CENSUS CODE: 434
QUARTER SECTION: 167
APPLICANT: GOPI NAIR
OWNER INFORMATION: CONTRACTOR INFORMATION:
BEENA NAIR
228 N STARFIRE ST
ANAHEIM, CA 928070000
JOB DESCRIPTION;Family room, bath and laundry addition. 544 s.t.
VALUATION; 36,600.00
ARCHITECT/ENGINEER INFORMATION;
PROCESSED BY; ENO
OWNER-BUILDER DECLARATION
I here y affIrm under penalty of perjury that I am exempt from the Contractor's License Law for the following reason (Sec. 7031.5 usiness 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 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 01 Section 7031.5 by any applicant for a permit SUbjects the applicant to a civil penalty of not more than five hundred dollars
~OO).
LJ I, as owner 01 property, or my employees with wages as their sole compensation, win do the work, and the structure is not intended or offered tor
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-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 oontracts for such projects with
,a..Qontractor(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 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.
o '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. My worker's
Compensation insurance carrier and policy are:
Carrier: Policy Number.
This section need not be completed if the permit is for one hundred dollars ($100) or less.
D I certify that in the performance of the work for which this permit is issued, I shan 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 compensation
provisions of Section 3700 of the Labor Code, I shall forthwith comply with those provisions.
LICENSED CONTRACTORS DECLARATION I
I hereby affirm under penalty of perjury that I am
licensed under provisions of chapter 9 (commencing
with Section 7000) of Oivsion 3 of the Business and
Professions Code,
12/8/2005
Date:
Contractor
NUMBER
EXPIRATION DATE
TYPE
Date; 12/8/2005 Applicant
WARNING; FAILURE TO SECURE WORKER'S COMPENSATION COVERAGE IS
UNLAWFUL, AND SHALL SUBJECT AN EMPLOYER TO CRIMINAL PENALTIES AND CIVIL
FINES UP TO ONE HUNDRED 1HOUSAND DOLLARS ($100,000), IN ADDI1l0N TO THE
COST OF COMPENSATION, DAMAGES AS PROVIDED FOR IN SECTION 3706 OF THE
LABOR CODE, INTEREST AND ATTORNEY'S FEES.
I CONSTRUCTION LENDING AGENCY
I hereby affirm under penalty 01 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 Tvpes:
VN, ,
Livinq Area:
544
1 certify that I have read this application and state that the above information is correct. J
agree to comply with all city ordinances and state laws relating tobuiJdir.g coo,:;fl'uction, a:1d
hereby authorize representives of this city to enter upon the above mentioned property for
inspection purposes.
Fees paid for Permit:
Totar:
75,19
Date: 12/812005
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 issuau:e. A
new permit is required to commence or continue work.
City of Anaheim
Building Division
INSPECTION RECORD
INSPECTION
DATE INSPECTOR
Temporary Power Pole
Plumbing (DrainIWaste Pipe)
Electrical Ground Electrode/Ufer
SetbacklForms/Trenches (Footings) l4/zrJlk Dn. /4
Do not install subfloor or pour floor ,flab until the
following applicable items have been signed:
Plumbing (Water Pipe/Sprinkler 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:
1st Floor Shear ICn/r.li) J)7w tp
Firesprinkler (Rough) , I
2nd Floor Shear
Roof (Sheathing/Diaphragm/Frame) /7 If "fif illA" t6
Masonry (Reinf./Bond Beam/Pre-Grout) . I 1
Rough Plumbing (Top Out) g V I'
Rough Mechanical I f( /c1 1 V
Rough Electrical (Dry Wall) , '.'
Rough Electrical 1'1,/71" \ Vl2.11J
Framing (Only after P1b9., Ele., Mec. And Fire) Ill/Vi / V /
Insulation (Sound/Energy) Iq_ 7/J -<!, Phv (,b
Do not tape or plaster until the following applicable
!I/
i IY \.L-
items have been signed:
lo/f-p)- O1MA N:'
Drywall
Penetrations (Fire Rated) Electrical
Penetrations (Fire Rated) Mechanical
Penetrations (Fire Rated) Plumbing
Interior Lath
Exterior Lath
j
)b-I~' fINd>>
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 )-z.-1A)- ,
Plumbing Final \ .1/ fh I L,
Mechanical Final V , v'V
Gas Test
Cross Connection Control (1141765-4280
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 IJlf1tr p~
After Above Complete)
PARTIAL INSPECTIONS
Buildina Inspections
Mechanical Inspections
Plumbina Inspections
Electrical Inspections