6455 Stonebridge Ln.
TYPE OF PERMIT CITY
Reroof
.
BUILDING DIVISION
200 S. ANAHEIM BLVD.
(714)765 - 5153.
'INSPECTION REQUEST ~lNE:
(714) 765 - 4626
CENSUS CODE: 555
QUARTER SECTION: 205
BUILDING PERMIT NO. BLD2005-01386
ElM
DATE: 5112/2005
JOB ADDRESS: 6455 E STONEBRIDGE LN
LEGAL DESCRIPTION: N TR 9213 LOT 20
APPLICANT: J.ERRA MORRIS
OWNER INFORMATION: CONTRACTOR INFORMATION: ARCHITECTIENGINEER INFORMATION:
John S Morris.
6455 E Stonebridge Ln
Anaheim, CA92807 . ,
JOBDESCRIPTION:Tear off existing roof and replace with 20 squares of 5.7Ib; capistrano eaglelite tile.
VALUATION:
10,000.00
PROCESSED BY: MSM
OWNER-BUILDER DECLARATION
I hereby affirm under penalty of perjury that I am exempt from the Contractor' _ License-Law for the following reason (Sec. 7031.5 Business and
professions Code: any city or county which f.squires? permit to construct, alte',. 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 qf Division 3 of the Business and Professiol~s Code) or that he is exempt therefrom and the basis for the alleged
exemption. Any violat.i9n of Section 7031.5 by any applicant for a permit subjEicts the applicant to a civil penalty of not more than five hundre,d dollars
($500). '. '
.0 /, as owner of property, or my employees With, wages as their sole compepsation, will do the work, <;l.nd the structure is not intended or offered for
sale (Sec. 70448usiness and Professions Code: The Contractot's license.l~wdoes not apply to an. oWne r of property who builds or imprb~es
thereon, and who does such work h,imselfor helSelf or through his or her own;employees, provide.cl that suctl improvements are not intended or
offered for sale. If, however, the b.uilding or improvement is sold with one yeaf of completion, the owner~bui1der will have the burden of provit)g that he
~id ot build or improve for the pUlpose of sale). ,). _ ..
,I, as the owner of the property, am exclusively contracting. Witt:a'licen.sed. c?ntractors to construct the project (Sec. 7044 Business and- profeSSion~.
C ,: The Contractor's license law does not apply to an owner of propertyv.;ho builds or improves thereon, and who contracts for such ,projects with
FLQontractor(s) licensed. pursuant to the Co tor's li~~se law). 1 ,
U I em tunder,..Sec. ,B & P. . for this eas " . ,
Date: \, -' Y;,5'; . Owner: ' '~
LICENSED CONTRACTORS DECLARATION
I hereby affirm under penalty of perjury that I am
licerysed under provisions of chapter 9 (comJTIencing
with Section 7000) of DillSion 3 of the Bu.-ness and
Professions Code. '
511212005
"Date:
, Contractor
WORKER'S PENSAT ON DECLARATION'
I hereby affirm l,lnder penalty~ c.tiry onEl;of the)6110wing declarations:
o .J -have an.d will maintain a e.rtificate. of S9 hsent to self-insure for worker'spo.. m pens~tion,
as provided for by Section ,37 0 of the Labof Code, for- the performance of theiwork for which
this permit is issued; - --'-/ . 1 ..
D I have and will maintain 0 ~ompensation insurance, as requi:red 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: l
Carrier: Policy Number..
i" section need not be_completed if the pennit is for one hundred dollars ($100) ~r les~ .
I certify that in the performance of the work for whiCh this permit is issued; I shall not
mploy any person in any manner so as to become subject to the worker's compensation laws
of Califomia, and agree that if I should ecome subject tethe worker's compensation
provisions of Section 3700 of the :a. or Co ,I shall fo,rthwith comply with those provisions.
NUMBER
EXPIRATION DATE
TYPE
Date: 511212005 Applicant:
WARNING: FAILURE TO SECU EWORKEfl'S COMPENSATION COVERAbE IS
UNLAWFUL, AND SHALL SUB3ECT AN EMPLOYER TO CRIMINAL PENALTIES AND CIVIL
, - '7 ' ,.
FINES UP TO ONE H. UNDRfb Tl-IOUSAI'jI'J DOLLARS ($100,000), IN ADDI\lON TO THE
COST OF CCMPENSATIOJ'!, DAMAGE;0>-.S PROVIDED FOR IN SECTION 3706 OF THE
LABOR CODE, INTERES AND ATTORNEY'S FEES. I
CON,ST!lUCTION LENDING AGENCY
I hereby affirm under penaltY of, perjury that there is a construction lending agency for the
per10rmance of the work for which this permit is issued (Sec.3097.Civ.C)':
lender'S Information:
Construcion Tvpes:
VN, ,
,Fire Sprinklered?
NO
._______ '""'~" __ _ L.
I certify that I have read thi~pplication and state that,the above information is correct I
agree to comply wit.h all citY ordinances and state laws relating to building cOt)struction, and
hereby authorize representives of this city to enter upon the above mentioned property for
in ectio ur 0 s..
,.~-
Date: 511212005
Fees paid for Permit:
Total: 162.61
S gnature of Applicant or Agent
e' permit sh expire by limitation and become null and void if the building'or
ork has n assed fi nal inspection 365 days from the date of permit issuance. A
is required to commence or continue work. . .
INSPECTION RECORD
. . INSPEC.TION . DATE INSPECTOR
.
Temporary Power Pole .
Plumbing (Dl'llinlWaste Pipe)
EleCtrical Ground Electrode/uter . .
SelbacklFotmslTrenches (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 (CompactionlMembrlllie.Remf,
Underpinning (Floor Joist/Girders) . .
Do not cover.or conceat the work belQW unt., the
following applicable items have been signed: .
1 st Floor Shear .
Aresprinkler (Rough) . :.
2nd Floor Shear "
Roof (Sheathing/Diaphragm/Frame)
Masonry (ReinfJBond BeamlPre'Grout)
Rough Plumbing (Top Out)
Rough Mechanical' .
Rougn l:Iec:trlClII II) .
Rough Electrical .
Framing (Ooly after Plbg., Elec.. Mech., aod Fire)
Insulation (SOund/Energy)
Do not tape or ,plaster until the following applicable
items have been signed:' .
Drywail .
Penetrations (Fire Rated) Electrical
Penetrations (Fire Rated) Mechanical
Penetrlllions (Fire RliIed) Plumbing
Interior Lath . .
Exterior Lath
GENERAL ITEMS. .
Exterior Pll1ster (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 7G5-4040 .
Water Engineering 7GS-5268
Sub List/Business License '165-519 .
. loning 765-5139 . .
. .
Building Fina~aSlinspection.OnIY '. ~1{)(' /::., . ~
.' fter Above Completel/ ._ ." fIP"""
, . PARTIAL INSPEtTIONS . . ,
BUI~'F~~ .......
lv ; .. .. . ~-~~
, '>-/"'-19"- C;c..II:2Q~~ '. .'. " '.
. Mechanicallnsoections
Plumbina InsDections
Electrical Inspections