7310 Stone Creek Ln.
CONTRACTOR INFORMI\TION:
HOYT ROOFS. . ,
1809 N ORANGETHORPE PARK
ANAHEIM, CA 928010000
. . .' BUSINESS PHONE: 714 '17.3-1820
. JOB DESCRIPTIONReroof with tear-off new 7/16 OSB and Auqurn lile li!e 7.SpSfl?,BO# 2310 .
VALUATION: 11,000.00
I ' OWNER-BUILDER DECLARATION
I hereby affirm-under p~nalty of perjury that I am exempt from the Contracto~~ License Lawfor the follqwjng'r~soh {Sec. 7031.5.Business and
'Professlons Code: any city or"countywhich requiresa p_ermit to construct, a1t;r;.-lmprove,dernolish or:repair any structure, prior to its ,iSsuance::arso
requires the applicant for'sucli permit to file a signed.statement that he isl1c\:hsed pursuant to the provisions of- the Contractor's Ucense, Law (Chapter
9)(commencing with Se;ction iooo of Dlyision 3 of the .su,sines.s and Profess:,)ns C'ode) or that l1e is'exempt therefrom and the basis fortheallegeQ
exemption. Any viQlation of Section'7031.S by any applicant for a permit sul~:,ects theappJicant to aavil penalty ornot mo re than five hundred.dollars
($500). .... ". .... '. .., .... .' . . .'
o I, a~, owner o.f property ,'or rnyempl.oyees with wages as their sOle conlpensatlon, will de the work, arid the structure isnot intended or offered for'
sale (Sec, 7044' Business and Professions Code: TheContractor~s License. Law does not apply to an ownex ofprope,rty who builds or improves.
-:thereon, and who does sud! work himselfor helSelf o.r through .his.or her Ovvl~ empl.oyees, provided thatsUc!1 improvements are not intended or.
affered.for sale'~ If, however,.the buiJdingor improvement is sold with one y:":~r of oompletion, the owner-builder will have the burdenaf proving thath~
did.not build or improve for the purpose of sale).. . :..-\' . . ,~ . .
D I, as the own.erofthe property"ame,xdusiveIY co.ntracting with llcenso;:,j f.ontractors to construct the project (Sec./044.Bl;lsiness'~nd PrafeSsions
Code:, The Contractor's L,icense La"Y does not apply to an owner of proper:f.:r ;,...iho builds or improves there.on, and who contracts for such projects with
:Montractor(s) nce;'s~ _ pursua.nt to the Co.ntractor',s License Law): . :' f . , '. _. '
'-'I am.~ef!1pt.~nder Sec;.. _, B,& ,P.C, for' this Jcason: 'j
Date: ,Owner: -1
I . WORKER'S COMPENSATION DECLARATION
1 hereby' affirm und~rpe~alty of perjury one of ,the following, dec!arations:. .: _ .
0, ; have and .wilimaintain a.certificate of consentto'self-inswe-for worker'!;coTr1'pens~tjon.
as'provided for by Sectian .3700 of-the labor Code, for the performance of t~'<"l work for whim
this permit is)~sue''.' . '.. . .... :
o I have arid will maintainwQrker's compens~UbninsUrance, as required bj Section 3700 of
the Labor'Code,for the performanc'e of the work for which this permit is issIJ-.:.d. My worker's.
Compensatidn insurance' carrier and policy are:
Carrier: "STATE F"!JN~ .' '_ Policy Number.. 170047~-p~
This section ne,ed not be completed if the pennit is for one h'undred dC)/fars (~;Hic.i ~r Jess.
o .1 certify that in the perfonnance ~fthe work for Which thiS: permitisi$sY~~," shall riot
employ 'any perpon'in any mariner so.as to b.ecome sUbject.to t.he worke(k,cqmpensation la'ws
of Califomia, and agree that if I shou ld become subject to the worker's corr'ip'~r:satj6n
:~:Si::~~~oS;tion370:p::i::t/bOr Code,lsha>> forthwith omply wilh tr~)$"prOViSions .
WARNING: fAILURE TO SECU~"=WORKER'SCOMPENATION COVER~GEIS
.' UNLAWfUL, AND SHALL SUBJECT AN EMPLOYER TO CRIMINAL f'ENAlTIESANP CIVIL
FINES UP TO ONE HUNDRED THOUSAND DOLLARS '($100,000), IN ADDiTION'TO THE'
COST OF COMPENSATION, DAMAGES AS PROVIDED FOR IN .SECTION 37(i60F THE
. LABOR CODE, INTEREST AND ATTORNEY'S FEES. . .
'CONSTRUCTION.LENDlNG AGENCY
. I h~rebyaffirm .u~d~r pen?ltY'~f. pe,~j,~ry ~~at ~h~r7' isa _C0nstruCtion l~n?in?,~~g~~cYfQr t~e
j:h::!riOrillC:in.:<.:: olint':; wvrk lvt wr.tU, ~nlb i:'E:;ri'/"t 1$ .;;:;:ji~,-",d ($,;..;.30'&7 ,C'<i .Cj.- .
BUILDING PERMIT NO. ,BlD2004-03247
~~O~?F PERMIT CITY.
PATE: 8/24/2004.. '. '.
JOB ADDRESS: 7310 E STONE CREEK LN'
LEGAL.DESCRIPTION: N TR 8560 LOT 45
APPLICANT: c
O\IVNER INFORMATION:
tv1ichael L Coates
-7310 E; Stone Creek Ln
Anaheim, CA 92808
,.'
.EIM
BUiLDING DIVISION
200 S. ANAHEIM BLVD.
(714)765 c 5153
. INSPECTION REOUESTLlNE:.
(714) 765 .4626
CENSUS CODE: 555
QUARtER SECTION: 203
ARCHITECTIENGINEERINFORMATION:
PROCESSED BY: DOR
lender's Information: .
. I, certify that,' have' react this apprication.and,state that the apove information is correct. I
agree to. comply with all city ordinances and state laws relating to-building construction, and
hereby authorize representiVesofthis city to enterupon the above mentioned.property for
"eclion purPO::nature of ~. Date: 8/24/2004
The permit shall expire by Iilllitation and become null and void if the building or
work has not paSsedflnal inspection 365 days from the date of permit issuance, A. .'
. new' permit is required to commence or continue work.
LICENSED CONTRACTORS DECLARATION
J hers,,?Y- affinn under penalty of perjurythat-i am
licensed under_pl:ovlsions of chapter 9 {cammencing
with'S-ectibn 7000l of Dilision.3 of the Business and
:'~;~;6~:nicde. . 0/1'.---1
Date: Contractor
NUMBER.
606111
TYPE
EXPIRATION DATE
11/30/2004 .
C39
Construcion Tvpes: '
VN',. "
Fire Sodnklered?
NO
Fees paif.1 for Permit:
Total:
'482.54
"
.... , , INSPECTION RECORD .FINAL INSPECTIONS ..' Date Inspector
. . ? . Electrical Final '. . . .
, INSPECTION .'. . DATE. . INSPECTOR .
'. Plumbing Finai .
Temporary Power Pole .
. Plumbing (DrainNVasle Pipe)" [' . . .'."
Mechanical Final
. Electrical Ground Electrode/Uter [ . . . '. ..
$etbaeklFOrmsfTrenches (Footings) . . Gas Test. . . .'
. . .
Do not .install subfloor or pour floor slab unti/the Engineering/Grading Final.765-51Z6 .' . .
. fOHowing applicable items have been signed:
Fire Dep!. Final 765'4040 .'.
Plumbing (Water Plpe.Sprinkler Valves) .
.
Mechanical (Groundwork) . . . Water Engineering 765-5268 . . . '.
'Electrical (Underground Conduit) .
Pre-slab (Compaction/Membrane .Rei nt. --- sub.!-istlBusiness License 7~5-S19 '.
Underpinning (Floor ,JoistlGimers) I. J/'"" . .' Zoning 765-5139 .' ...... .: .' . . 1ft
Do not coYer. or conceal the work below until the Bu'i1ding Final ~astlnspeClion- Only q-1~~ ~L ilL
foHowing applicable items have been signed:' . . . .:. .. Iter Above C.ompletel .
1st Floor Shear . . PARTIAL INSPECTIONS .
Firesprinkler(ROugh) . .
2nd Floor, Shear '.' .' Buildina InSDections
RQof(SheathinalDlaphraam'Frame) . '. .' '. . . .'
Masonry (ReinfJBond Beam/Pre-Grout) . . . . . . . '.
. Rough Plumbing (Top Out) . [. .'
Rough Mechanical . . . . . : . '. . .
KOugn t:Iectrical (Dry Wall) . . . . .. .
. . .
ROl,Igh Electrical . . ,
,Framing , (Ol1lyafter. Plbg:,.E!ec.. rAech.. and' Fire} . ,'. '
Insullllion (SoundlEheravl . . ,
DO not tape or plaster until the folloWing applicable . ' Mechanical InSDectic:ms .
,items_ have' been 'signed.: .'. -. : . . .... ' .' .
Drywall . .. .' . -
Peoetrations (FiN Rated) Electrical . . .
" ,
Penetrations (Fire Raledl Mechanical , ~ ' .
Penetrations (Fire Rated) Plumbing .' .
, . "
Interior Lath,
Exterior Lath . PlumbinQ InSDections . ,
" . GENERAL ITEMS . . .
~erior Plaster (Brown Coat) , . , . ".: .
T ,Bar Electrical . , .' , . .
. T,Bar Mechanical . , .. , ..
[ , : ' .
T 'Bar Structural. '. '. , ,
Sewer .' . ' . .
. , ..
Water Engineering Elackflow - . I ElectricallnSDections '. .
" .
Water Service '. , ,
,