316 Starling Wy.
TYPE OF PERMIT CITY
Reroof
ElM
BUILDING DIVISION
200 S. ANAHEIM BLVD.
(714) 765 - 5153
INSPECTION REQUEST LINE:
(714) 765 - 4626
CENSUS CODE: 555
QUARTER SECTION: 167
BUILDING PERMIT NO, BLD2005-02385
DATE: 811/2005
JOB ADDRESS: 316 N STARLING WAY
LEGAL DESCRIPTION: N TR 5332 LOT 22
APPLICANT: RON SELL
OWNER INFORMATION: CONTRACTOR INFORMATION: ARCHITECT/ENGINEER INFORMATION:
CLURE G MC SELL ROOFING COMPANY
316 N STARLING WAY 18032 LEMON
ANAHEIM, CA 92807 YORBA LINDA, CA 928860000
BUSINESS PHONE: 714528-'1758
JOB DESCRIPTION:Tear off existing and reroof 29 squares with 3D-year composition shingles
VALUATION: 6,900.00
I OWNER-BUILDER DECLARATION
'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 Dr county which requires a permit to construct, atter, improve, demolish or repair any structure, prior to its issuance, also
requires the applicant for such permlt 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 buildsor improves
thereon, and who does such work himself or helSelf 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 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
! 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'sC'ompensation,
as provided lor by Section 3700 of the Labor Code, for the performance of the work for which
this permit is issued.
..JTr I have and will maintain worker's compensation insurance, as required by Section 3700 of
iFie Labor Code, for the performance of the work for which this permit is issued. Myworker's
Compensation insurance carrier and poricy are:
Carrier: STATE FUND Policy Number. 1066554-2Q04
PROCESSED BY: JNJ
LICENSED CONTRACTORS DECLARATION
I hereby affirm under penalty of perjury that I am
licensed under provisions of chapter 9 (commencing
with Section 7000) of Dr 3 of the siness and
Profession{'Code.
8/1/2005 ~
Date:
Contractor
This section need not be completed if the permit is for one hundred dollars ($100) or less.
o I certify that in the perfonnance 01 the work for which this permit is issued, 1 shan not
employ any person in any manner so as to become subject to the worker's compensation laws
of Califomia, and a.gree that if I should become subje to the work r's compensation
provisions of Section 3700 of the Labor Code, I s I fa hwith co ly wit ose provisions.
?1A
NUMBER
323842
TYPE
TYPE
EXPIRATION DATE
10/3112006
HIC
C39
Date: 8/1/2005 Applicant: r-
WARNING: FAILURE TO SECURE WORKER'S COMPENSATION COVERAGE IS
UNLAWFUL, AND SHALL SUBJECT AN EMPLOYER TO CRIMINAL PENALTIES AND CIVIL
FINESUPTO ONE HUNDRED THOUSAND DOLLARS ($100,000), IN ADDITlON 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 perlunl. that there is a construction lending agel~cyfor the
performance of the work for which this permit is issued (Sec.3097 ,Civ.C):
Lender's Information:
Construcion Types:
VN, ,
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 re~re n as of thi city to enter upon the above mentioned property for
i~ion purposes
/' Date: 8/1/2005
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.
Fees paid for Permit:
Total:
235,52
City of Anaheim
Building Division
FINAL INSPECTIONS DATE
Electrical Final
Plumbing Final
Mechanical Final
Gas Test
ngineeringlGrading Final 765-5126
re Dept. Final 765-4040
ater Engineering 765.5268
ub List/Business License 765-5194
oning 765-5139
uilding Final (Last Inspection. Only
After Above Complete)
INSPECTOR
INSPECTION RECORD
INSPECTION DATE INSPECTOR E
Temporary Power Pole Fi
Plumbing (Draintwaste Pipe) W
Electrical Ground Electrode/Ufer S
SetbacklForms/Trenches (Footings) Z
Do not install subfloor or pour floor slab until the B
following applicable items have been signed:
Plumbing (Water Pipe/Sprinkler Valves)
Mechanical (Groundwork)
Electrical (Underground Conduit)
Pre-slab (Compaction/Membrane Rein!.) B
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 r?
Roof (ShMlfhI hragm/Frame) r4A"'\ A~A
Masonry (Reinf./Bond Beam/Pre-Grout) M
Rough Plumbing (Top Out)
Rough Mechanical
Rough Electrical (Dry Wall)
Rough Electrical
Framing (Only after Plbg., Ele., Mec. And Fire)
Insulation (Sound/Energy)
Do noltape or plaster unlilthe following applicable
items have been signed: PI
Drywall
Penetrations (Fire Rated) Electrical
Penetrations (Fire Rated) Mechanical
Penetrations (Fire Rated) Plumbing
Interior Lath
Exterior Lath
GENERAL ITEMS
Exterior Plaster (Brown Coat) EI
T-Bar Electrical
T-Bar Mechanical
T-Bar Structural
Sewer
Water Engineering Backflow
Water Service
Patte
PARTIAL INSPECTIONS
uilding Inspections
echanicallnspections
umbing Inspections
ectricallnspections