140 Summertree Rd.
~.
BUILDING PERMIT NO. BLD2005-01310
TYPE OF PERMIT CITY
Reroof
DATE: 51612005
JOB ADDRESS: 140 S SUMMERTREE RD
LEGAL DESCRIPTION: N TR 8409 LOT 37
ElM
BUILDING DIVISION
200 S. ANAHEIM BLVD.
(714) 765 - 5153
INSPECTION REOUESTLINE:
(714) 765 - 4626
CENSUS CODE: 555
QUARTER SECTION: 191
APPLICANT: STEVEN SCHNIERER
OWNER INFORMATION: CONTRACTOR INFORMATION:
PhillpW Bement WEATHERLlNE RQOFING, INC.
140 S Summertree Rd 1013 E WALNUT ST
Anaheim, CA 92807 /)Oi / I SANTA ANA, CA 92701 0000
1 BUSINESS PHONE: 714731-3425
JOB DESCRIPTION: T~ vff ~XIM.II~ b, ,J re-roof 28 squares of composition shrrlgles.
ARCHITECTIENGINEER INFORMATION:
VALUATION:
7,800.00
PROCESSED BY: SAM
OWNER.BUILDER DECLARATION
I hereby affirm under penalty of perjury t at I am exempt from the Contractors 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 appficant for such permit to file a signed statement that he is licensed pursuant to the provisionsof 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 b.asis for the alleged' .
exemption. Any violation of Section 7031.5 by any applicant for a permit subjeCts the applicant- toa civil penalty of not more than five hundred dollars.
-~ . .
o /, as owner.of property, or my employees with wage.s as their sole compensation,.wiU do the work. and the structure is not intended or offered for
sale (Sec. 7044_Businessand Professions Code: The Contractor's License La\~ does not apply to an owner of property wno 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 tha,the_
did not build or improve for the purpose of sale). . . .
o I, as the owner of the property, am exclusively contracting wtth licensed cdntractors to construct the project (Sec. 7044 Business arid Professions
Code: TheContractor.'s License Law does not. apply to an owner of propertywl)o builds or improvesthereon, and who contracts for such projects with
~ontractor(s) licensed pursuant to the Contractor's License Law). '
U I am exempt under See,. , 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 h'ave and will maintain a certificate of consent to self-insure for WOrker'Scbmpensation,
as provided for by Section 3700 of the LaborGode, for the perlormance of the work for which
this permit is iS~iUed. .. r :.
'ff1" I have and will maintain worker's compensation insurance, as required by Section.~700 of 5/6/2005
~ ,Labpr Code, for the performanc~ of the work for which this permit is issued. ,My worker's Date:'
Compensation insurance carrier and policy are:.
Carrier: STATE f\JND Pofrcy Number. 1635961-02
This section' need not be completed if the pennit is for one hundred dollars' ($1 00) rX less.
~ certify that in the periormance 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 worker's compensation laws
of Calitomia, and agree that if I should become subject to the worker's compensation
provisions of Section 3700.0 Labor C all.forthwith comply with those provisions.
LICENSED CONTRACTORS DECLARATION
[ her~y 'a irm under pena ty of perjury that I am
licensed under proVisions of chapter 9 (comm.encing
with Section 70 of Divsion 3 qf the Business and
P rofessio C, e
Contractor
NUMBER
729560
TYPE
EXPIRATION DATE
11130/2006
C39
Oate: 5/6/2005 Applicant:
WARNING: FAILURE TO SEGUR KER'S C MPENSATION COVERAGE IS
UNLAWFUL, AND SHALL SUBJE AN EMPLOYER TO CRIMINAL PENALTIES AND CIVIL
FINES UPTO ONE HuNDRED. OUSAND OOLLARS ($100,000), IN ADDITION TO THE
COST OF-COMPENSATION, D MAGES AS PROVIOED FOR IN SECTION 3706 OF THE
lJ\BOR COOE, INTEREST A ATTORNEY'S FEES.
. C NSTRUCTION LENDING AGENCY
j hereby affirm unde.r penaltY qf perjury that there is a cor.structic..'l-Lend-<<:\.g..~..oy tol' the
performance of the work for which this permit is issued (Sec. 3097 .Civ .C):
Lender's Information:
Construcion Tvpes:
VN, ,
I c~rtifY that I have .read this application and'state that the ~bove information is correct I
agree to comply with all city. ordinances and state laws relating to building construction, and
hereby trthoriZe representives 01 this city to enter upon the above mentioned property for
?p n p ses.
nature of Applicant or Agent
ermit shall expire by limitation and become null and void if the building or
wor has not passed final inspection 365 days from the date of permit issull'lCe. A
ne per!l1it is required to commence or continue work.
Date: 516/2005
Fees paid for Permit:
Total:
235.61
INSPECTION RECORD
INSPECTION DATE INSPECTOR
Temporary Power Pole ' .
Plumbing (DrainIWaste Pipe)
Electrical Ground Electrode/Uter .
SelI:IacklFormslTrenches(Footiligs) , , ,
Do not install subfloor or pour floor slab until the
following applicable items have been signed:
, Plumbing (Water Pipe.Sprinkler Valves)
Mec,hahical (Grouildwork)
Electrical (Underground Conduit) ,
Pre-slab (Compaction/Membrane.Reinf.
Underpinning (Floor Joist/Girders)'
, I uonot cover ,or concealthe work below until the
following applicable items have been signed: " '
1 st FloorShe,ar
Firesprinkler ,(Rough) , "
2nd Floor Shear' ,
Roof (SheathiIl!llDiaphragm'Fnme) ,
Masonry (ReinfJBond BeanlPre-Grout)
Rough Plumbing (Top Out)
Rough Mechanical
ROugh aectrlC ,
Rough Electrical' ,
Framing (Onry after Plbg.", flee.. Mech'.. and Fire,
Insulation (SoundlEnergy)
, 00 nOllape 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 (BlOWn Coat) ,
T -Bar Electrical "
T -Bar Mechanical ,
T-BarStructural '
Sewer ,
Water'Englneering Back,flow '" ,
Water Service , ,
FINAL INSPECTI.ONS .Date ~nspe-c;ior
.
Electrical Final I , ' '
Plumbing Final I ,
Mechanical Final !
Gas Test I ,
El\9ineeringlGrading Final 765-5126 , ' ,
, , I
, ,
Fire Dept. Final 765-4040,
. . I.
Water Engineering 1'6$-5268
I
Sub List/Business LIcense !65-519<
'Zoning 765.~139 I ' ,
Building Final *ast inspecticn. Only ,
fter Above Complete)
PARTIAL INSPECTIONS
Buildina Inspec~ions
I
I
I
I
!
MechaniCallns1pections
I
I
Plumbina Ins~ections
I
I
I
I
Electrical insDections
I
TYPE OF PERMIT CITY
Reroof
DATE' 6/2/2005 .
JOB ADDRESS: 140 S SUMMERTREE RD
LEGAL DESCRIPIION: N TR 8409 LOT 37
ElM
BUILDING DIVISION
200 S. ANAHEIM BLVD.
(714) 765- 5153
INSPECTION REOUESTLlNE:
(714) 765 - 4626
CENSUS CODE: 555
QUARTER SECTION: 191
BUILDING PERMIT NO. BLD2005-01644
APPLICANT: CHRIS BARNETT
OWNER INFORMATION: CONTRACTOR INFORMATION: ARCH.ITECT/ENGINEER INFORMATION:
Philip W Bement BARNETT ROOFING
140 S SummertreeRd 1819 MONROVIA AVE #30
Anaheim, CA 92807 ... COSTA MESA, CA 92627 DODO
BUSINESS PHONE: 714724-1938
JOB DESCRIPTION: Tear off existing and re'roof30 squares of 50 year composition shingles.
VALUATION: 11,000.00 PROCESSED BY: SAM
OWNER-BUILDER DECLARATION
I hereby affirm under penalty of perjury that I am exempt from the Contractor's Ucense Law fo{ the following reason (Sec.7031.5 usiness 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 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 pen,afty of not mo.re than five hundred dollars
($500). . .
O' I, as owner of property, or my employees with wages as their sole compensation, will do the work, and the structure is not intended .or offered for
sale (Sec. 7044 Business and ProfeSSions Code: The Contractor's Ucense Law does not apply to 'an owner of property who builds or improves .l>
thereon, and who does such work himself orherself or through his or her own employees, provided that such improvements are not intended or
offered for sale. If, however, the. building or improvement is sold with one year:oCcomptetion, the ovmer~builder will have the burden of proving that he
did not build or improve fat the pu'rpose of sale). .
o I, as the owner, of the property,. am exclusively contracting with licensed C!;-.ntractors to construct the project (Sec. 7044 Business and Professions
Code: The Contractor's License Law does not apply to an owner of property who builds or improves thereon, and who contracts for such projects with'
a contractor(s) licensed pursuant to the' Contractor's license Law).
o I am exempt under Sec. , B & P .C. for this reason:
Date: . Owner:
I WORKER'S COMPENSATION DECLARATION
I hereby aff,irm under' penalty of perjury one of the following declarations: . .
o I have and will maintain a certificate of consent to self-insure for worker's Jompensation,
as provided for by. Section 3700 of the Labor G.ode, for the peiformanoo 'of the yv-ork for which
this permit is issued.' .1
E'" I have and will maintain worker's compensation insurance, as required by ~ection 3700 of
bar Code, for the performance of the work for which this permit is i$Sued:~ My worker's
ompensation insurance carrier and policy are:' 1,
Carrier: STATE FUND Policy Number. 1816874-05
This section need not be completed il the pennit is 10( one hundred dollars ($100) or less.
o . I certify that in the perfbnnance ot'the work for ~hich this permit is issued,; I shaD no~
,employ ,any person in any manner so as to become SUbject to the worker's compensation laws
of Califomia, and agree that if ! should becor1)e subject to the worker's compensation
provisions of Section 3700 of the labor Code; a forth. comR with th.ose provisions.
,
Date: 6/2/2005 . Applicant
WARNiNG: FAILURE TO Sj;'CUR WORKER'S COMPENSATION COVERAGE IS
UNLAWFUL, AND SHALL SUBJECT AN EMPLOYER TO CRIMiNAL PENALTIES AND CIVlt
FINES UP TO ONE HUNDRED IHOUSAND DOLLARS ($100,000), IN ADDIl10N 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 age_ncyfor the
performanCe of the work for which this permit is issued.(Sec. 3097 .Civ .C):
Lender's Information:
LICENSED CONTRACTORS DECLARATION
I hereby affirm under penatty of perjury that I am
~icensed Under proviSions of chapter 9 (commencing
with s.ection 7000) of 'vsion 3 of the Business and.
Professions Code. ("
Contradtor'
NUMB
66198
TYPE
EXPIRATION DATE
12/31/2006
C39
Construcion Tvpes:
VN, ,
I certify that I have read this application and state that the above information is correct. I
agree to comply WTth all city ordinances and state laws relating to building construction, and
hereby authorize represen' es of this city to enter upon the above mentioned property for
inSPB?tion p
Date: 6/2/2005
Fees paid for Permit:
. Total:
235,93
. Signat e of Applicant or Agent
permit shall expire by limitation and become null and void if the building or
work has not passed final inspeciion 365 days from the date of permit issuMce. A
new permit is required to commence or continue work.
..
INSPECTION RECORD
INSPECTION
,
DATE
Temporary Power Pole
Plumbing (DrainM'aste Pipe)
Electrical Ground Electrode/uter
SelbacklFormslTrenches(Footings)
Do not install subfloor or pour floor slab until the
fpllowing applicable items have been signed:
Plumbing (Water Plpe.Sprinkler Valves!
Mechanical (Groilndwdrk)
I t:lectrical (Underground Conduit)
Pre-slab (Compaction/Membrane.Reinf.)
Underpinning (Floor Joist/Girders)
Do not cover or concea/.the wor!< below 'until the
following applicable items have been signed:
1 st Floor Shear' ,
Firesprinkler (Rough)
2nd Floor Shear
"Roof (Sheathing/Diaphragm/Frame) /71' <,. () .;.
Masonry (RelnfJBond BeamlPre-GroUt)
Rough Plumbing (Top Oilt)
, Rough Mechanical
Rough l:IectriclIIlDry wall)
Rough Electrical
Framing' (Only after PJIJg.. EJec.. Mech.. and Fire!
Insulation (SoundlEnergy) , '
Do not tape or plaster until the following applicable
items have been signed: ' , "
Drywall ',' ,
Penetrati,ons (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-BarMechanlcal
T-Bar Structural
Sewer
Water Engineering Backflow
Water, Service
'. ,
,
,
, ,
INSPECTOR
,
,
"
'}
,
,
,
,
,
,
"
,
-,--
.
I
FINAL INSPECTIONS
Electrical Final
Plumbing Final
Mecbanical Final
Gas Test
EngineeringfGrading Final 765-5126
Fire Oep!; Final 165-4040
,
Water Engineering 765-1;268
Sub List/Business l.ice~se 765-519
"
,
Zoning 165-5139 !
Building Final (Last Inspection. Oniy
" :After Above Complete)
PARTIAL INSPECTIONS
, I ' '
BuildinQ InsDections
I
MechanicallrtsDections
" '
PlumbinQ InSDections "
,
ElectricallnsDections
Dale
Inspe"clor