2708 E. Standish
TYPE OF PERMIT CITY
Reroof
ElM
BUILDING DIVISION
200 S. ANAHEIM BLVD.
(714) 765 - 5153
INSPECTION REOUEST LINE:
(714) 765 - 4626
CENSUS CODE: 434
QUARTER SECTION: 123
BUILDING PERMIT NO. BLD:!005-01881
,
DATE: 6/20/2005
JOB ADDRESS: 2708 E STANDISH AVE
LEGAL DESCRIPTION: N TR 3824 LOT 1
APPLICANT: MATT MILLER
OWNER INFORMATION:
Gary L Larson
2708 E Standish Ave
Anaheim, CA 92806
CONTRACTOR INFORMATION:
ALL PRO ROOFING
905 S CALICO CIR
ANAHEIM, CA 92804 0000
BUSINESS PHONE: 714226-0747
JOB DESCRIPTION:Tear off existing material, install 7/16" OS8, 1 layer 30 lbs. felt, and 29 squares of 30 year composition shingles.
ARCHITECT/ENGINEER INFORMATION:
VALUATION: 6,920.00
I OWNER.BUILDER DECLARATION
r 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 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 licen:;ed 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 Business and Professions Code: The Contractor's License LaN 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 thatlieC
did not build or improve for the purpose ot 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 self#jnsure 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.
IX 1 have and will maintain worker's compensation insurance, as required by Section 3700 of
Kiie Labor Code, for the periormance of the work for which this permit is issued. My worker's
Compensation insurance carrier and policy are:
Carrier: STATE FUND Policy Numbe< 0000517-2005
PROCESSED BY: ENO
LICENSED CONTRACTORS DECLARATION
I hereby affirm under penalty of perjury that I am
licensed under provisions of Chapter 9 (commencing
with tion 7000) of Divs' 3 of the Business and
Professl s Code.
This section need not be completed if the pennit is for one hundred dollars ($100) cr less.
~ 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 worke~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 C fo h 'th comply with those provisions.
C39
Date: 6/20/2005 Applicant:
WARNING: FAILURE TO SECURE WO ER'S C PENSATION COVERAGE IS
UNLAWFUL, AND SHALL SUBJECT EMPLOYER TO CRIMINAL PENALTIES AND CIVIL
FINES U P TO ONE HUNDRED 1HO SAND DOLLARS ($100,000), IN ADDITlON TO THE
COST OF COMPENSATION, DA GES AS PROVIDED FOR IN SECTION 3706 OF THE
LABOR CODE, INTEREST AND TTORNEY'S FEES.
C STRUCTION LENDING AGENCY
I hereby affirm under penaltY of perjury that there is a construction lending agency for the
periormance of the work for which this permit is issued (Sec.3097.Civ.C):
Lender's Information:
Construcion Types:
VN, ,
Fire Sorinl<lered? NO
I certify that I have read this application and state that the above information is correct. I
ree to comply with all city ordinances and state laws relating to building construction, and
reb thorize representives of this city to enter upon the above mentioned property for
in ion purposes.
Date: 6/20/2005
Fees paid for Permit:
Total: 235.52
Signature of Applicant or Agent
e 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 oermit is reauired to oommence or continue work.
City of Anaheim
Building Division
INSPECTION RECORD
INSPECTION DATE INSPECTOR
Temporary Power Pole
Plumbing (Drain/Waste Pipe)
Electrical Ground Electrode/Ufer
SetbackIForms/Trenches (Footings)
Do not install subfloor or pour floor slab unlilthe
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 Sbe.ar
RooflSheathinaibiaphragm/Frame) ~ 11, Atfoo1
Mas"""", IneintJSond Seam/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 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
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FINAL INSPECTIONS DATE INSPECTOR
Electrical Final
Plumbing Final
Mechanical Final
Gas Tesl
Engineering/Grading Final 765-5126
Fire Dept. Final 765-4040
Water Engineering 765-5268
Sub List/Business License 765-5194
Zoning 765-5139 I
Building Final (Last Inspection - Only 7j~k
Alter Above Complete) ,\a.j-l6'<> Slt.I
I
PARTIAL INSPECTIONS
Buildina Insoections
Mechanicallnsoections
Plumbina Insoections
Electricallnsoections