2544 Standish
TYPE OF PERMIT
Reroof
ElM
BUILDING DIVISION
200 S. ANAHEIM BLVD.
(714) 765 - 5153
INSPECTION REQUEST LINE:
(714) 765 - 4626
CENSUS CODE: 434
QUARTER SECTION: 123
BUILDING PERMIT NO. BLD2005-o3303
DATE: 10/12/2005
JOB ADDRESS: 2544 E STANDISH AVE
LEGAL DESCRIPTION: N TR 3438 LOT 14
APPLICANT: DAVID GARCIA
OWNER INFORMATION:
GERALD N HALBERG
2544 E STANDISH AVE
ANAHEIM, CA 92806
CONTRACTOR INFORMATION:
COAST ROOFING
21681 IMPALA LANE
HUNTINGTON BEACH, CA 926460000
BUSINESS PHONE: 714968-8754
JOB DESCRIPTION:Tear off existing material, install aSB plywood, felt and 22 squares of timberline composition shingles to house and attached garage.
ARCHITECT/ENGINEER INFORMATION:
VALUATION: 5,980.00
I OWNER-BUILDER DECLARATION
I hereby affirm under penalty of perjury that J 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, 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 \s 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 doUars
($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 he15elt or through his or her own employees, provided that such improvements are not intended or
offered for safe. If, however, the building or improvement is sold with one year ':>f 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
I hereby affirm under penalty of perjury one of the following declarations:
o I have and will maintain a certificate of consent to se/Hnsure for worker's compensation,
as provided for by Section 3700 of the Labor Code, for the performance of the work for which
-t~i permit is issued.
. ....1 have and will maintain worker's compensation ins~ranc.e, as re.q~i~d by Section 3700 of
t tabor Code, for the performance of the work for which thIS permit IS Issued~ Myworker's
ompensation insurance carrier and policy are:
arrier: STATE FUND Policy Number. 1113190-0,1
This section need not be completed if the pennit is for one hundred dollars ($1 00) or less.
Q-+-certity that in the performance of the work for which this permit is issued, I shall not
'em'pto'y any person in any manner so as to become subject to the worker's compensation laws
of Cafifomia, and agree that if I should become bject to the worker's compensation
provisions of Section 3700 of the bor C hall forthwi comply with those provisions.
PROCESSED BY: ENO
LICENSED CONTRACTORS DECLARATION
I hereby affirm under penatty of perjury that I am
licensed under provisions of chapter 9 (commencing
with Section 7000) of O' ion 3 of the BUSiness and
Pro1essi e.
10/12/200 .
Date:
EXPIRATION DATE
12/31/2005
NUMBER
450393
TYPE
C39
Date: 10/12/2005 Applicant:
WARNING: FAILURE TO SECUR KER'S COMPENSATION COVERAGE IS
UNLAWFUL, AND SHALL SUBJE T AN EMPLOYER TO CRIMINAL PENALTIES AND CIVIL
FINES UP TO ONE HUNDRED OUSAND DOLLARS ($100,000), IN ADDI1l0N TO THE
COST OF COMPENSATION, AMAGES AS PROVIDED FOR IN SECTION 3706 OF THE
LABOR CODE, INTEREST AI)/ 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 Tvpes:
VN, ,
Fire Sprinklered?
NO
I certify that I have read this application and state that the above information is correct. I
agree to comply' h an city ordinances and state laws relating to building construction, and
hereby author ere sentives of this city to enter upon the above mentioned property for
i sction p po
Date: 10/12/2005
Fees paid for Permit:
Total:
244.97
Signature of Applicant or Agent
The per it shall expire by limitation and become null and void if the building or
work not passed final inspection 365 days from the date of permit issuance. A
new D mit is reauired 10 commence or continue work.
City of Anaheim
Building Division
INSPECTION RECORD
INSPECTION DATE INSPECTOR
Temporary Power Pole
Plumbing (Drain/Waste Pipe)
Electrical Ground Electrode/uter
Setback/FormslTrenches (Footings)
Do not install subfloor or pour floor slab until the
following applicable items have been signed:
Plumbing (Water Pipe/Sprinkler Valves)
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
Firesprinkler (Rough)
2nd Floor Shear / /
Roof (Sheathlng/Diaphragm/Frame) Ilkl.-s JANe ,~,
Masonry (RelnfJBond Beam/Pre-Grout) '/
Rough Plumbing (Top Out)
Rough Mechanical
Rough Electrical (Dry Wall)
Rough Electrical
Framing (Only after Plbg., Ele., Mec. And Fire)
Insulation (SoundlEnergy)
Do not tape or plaster unlilthe 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 Lisl/Buslness License 765-5194
Zoning 765-5139
Building Final (Last Inspection . Only l~/ / f , tA=1V./
After Above Complete) -c7
/
PARTIAL INSPECTIO~
Building Inspections
Mechanical Inspections
Plumbing Inspections
Electrical Inspections