1303 Stella Ave.
TYPE OF PERMIT CITY
Reroof
DATE: 10/20/2005
JOB ADDRESS: 1303 W STELLA AVE
LEGAL DESCRIPTION: TR 2489 LOT 30 ALL -EX W 0.80 FT-
ElM
BUILDING DIVISION
200 S. ANAHEIM BLVD.
(714) 765 - 5153
INSPECTION REQUESTLINE:
(714) 765 - 4626
CENSUS CODE: 434
QUARTER SECTION: 67
BUILDING PERMIT NO. BLD2005-o3369
APPLICANT: DAVID DUONG
OWNER INFORMATION: CONTRACTOR INFORMATION: ARCHITECT/ENGINEER INFORMATION:
WALTER L HEE
1303 W STELLA AVE
ANAHEIM, CA 92802
JOB DESCRIPTION:Tear off existing material, install 24 squares of 40 year shingles to house and detached garage.
VALUATION: 6,500.00 PROCESSED BY: JNJ
I OWNER-BUILDER DECLARATION
I 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, 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 the.efrom 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
~O).
~/l, 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 Ucense Law does not applyta 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 soch improvements are not intended or
offered far 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 10r the pu rpose 01 sale).
o I, as the owner of the property, am exclusively contracting with licensed contractors to construct the project (Sec. 7044 Busrness and Professions
Code: The Contractor's License Law does not apply to an owner 01 property who builds or improves thereon, and who contracts for such projects with
ontractor(s) licensed pursuant to the Contractor's License Law).
I am xe pt ~r Sec. B & P. . forthis reason:
te: 0' O~ Owner: ....
WORKER'
I hereby affirm under penalty of pe. ry 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 I have and will maintain worker's compensation insurance, as .equired by Section 3700 of
the Labor Code, for the performance of the work for which this permit is issued. Myworker's
Compensation insurance carrier and policy are:
Carrier: Policy Number.
LICENSED CONTRACTORS DECLARATION
I hereby affirm under penalty of perjury that I am
licensed under provisionsof chapter 9 (commencing
with Section 7000) of Divsion 3 of the Business and
Professions Code.
10/20/2005
Date: Contractor
NUMBER
EXPIRATION DATE
This section need not be completed if the pennit is for one hundred dollars ($100) or less.
gJ-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 workel's compensation laws
of California, and agree that if I should become subject to the worker's compensation
provisions of Section 3700 of the abor e, I shall forth ith comply with those provisions.
TYPE
Date: 10/20/2005 Applicant:
WARNING: FAILURE TO RKER'S CO PENSATION COVERAGE IS
UNLAWFUL, AND SHALL SUBJE T AN EMPLOYER TO CRIMINAL PENALTIES AND CIVIL
FINES UPTO ONE HUNDRED OUSAND 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 lending agency for the
pertormanoo 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 react this application and state that the above information is correct. I
agree to com ly with all city ordinances and state laws relating to building construction, and
hereby a orize representives of this city to enter upon the above mentioned property for
spect; n purposes.
Date: 10/2012005
Fees paid for Permit:
Total: 226.92
Sign ure of Applicant or Agent
mit shall e pire by limitation and become null and void if the building or
s not passed final inspection 365 days from the date of permit issumce. A
mit is required to commence or continue work.
City of Anaheim
Building Division
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 List/Buslness License 765-5194
Zoning 765-5139
Building Final (Lasllnspacllon. Only II
After Above Complete)
INSPECTION RECORD
INSPECTION
Temporary Power Pole
Plumbing (DrainlWaste Pipe)
Electrical Ground Electrode/Ufer
SetbackIFormsfTrenches (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 (CompactionlMembrane Reinf.)
Underpinning (Floor Joisl/Girders)
Do not cover or conceal the work below until the
following applicable items have been signed:
1 st Floor Shear
Flresprinkler (Rough)
2nd Floor Shear
Roof (SheathinglDiaphragmlFrame)
Masonry (Relnf./Bond BeamlPre-Grout)
Rough Plumbing (Top Out)
Rough Mechanical
Rough Electrical (Ory Wall)
Rough Electrical
Framing (Only after Plbg., Ele., Mac. 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
OATE
INSPECTOR
/
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(J I.
J I
71'6/ tV L.
PARTIAL INSPECTIONS
Building Inspections
Mechanical Inspections
Plumbing Inspections
Electrical Inspections