2648 Stonybrook
TYPE OF PERMIT CITY
Reroof
DATE: 11/15/2005
JOB ADDRESS: 2648 W STONYBROOK DR
LEGAL DESCRIPTION: N TR 2874 LOT 10
ElM
BUILDING DIVISION
200 S. ANAHEIM BLVD.
(714) 765 - 5153
INSPECTION REQUEST LINE:
(714) 765 - 4626
CENSUS CODE: 555
QUARTER SECTION: 21
BUILDING PERMIT NO. BLD2005-03634
APPLICANT: DOUG STILES
OWNER INFORMATION: CONTRACTOR INFORMATION: ARCHITECT/ENGINEER INFORMATION:
K D STILES
2648 W STONYBROOK DR
ANAHEIM, CA 92804
JOB DESCRIPTION:Tear off existing and reroof 25 squares with Asphalt Shingles and 5 squares with BUR
VALUATION: 7,000.00
I OWNER-BUILDER DECLARATION
r hereby affirm under penatty of perjury that I am exempt from the Contractor's Ucense 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 ProfessionsCocIe) 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 penalty of not more than five hundred dollars
($500).
f;f'-'!, 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
~e (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 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 that he
did not build or improve for the purpose of sal .
o I, as the owner of the property, am x ively contracti 9 with lice e co jractors to construct the project (Sec. 7044 Business and Professions
Code: The Contractor's License Law do no ply to an 0 ner of prop It w builds or improves thereon, and who contracts for such projects with
~ontractor(s) licensed pursuant to the ontra t s License L Jw),
U la exemptun~Sec, ,8& tIS'
Date' - - ~ Owner:__
WORKER'S COMPENSATION DE ARATION
I hereby affirm under penalty of pe~ury one of the following d c rations:
g I have and will maintain a certificate of consent to self~ sure for worker's compensation,
as provided for by Section 3700 of the Labor Code, for the petformance of the walk for which
this permit is issued,
o I have and will maintain walker's compensation insurance, as required 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 poncy are:
Carrier:
PROCESSED BY: JNJ
LICENSED CONTRACTORS DECLARATION
I hereby affirm under penalty of perjury that I am
licensed under provisions of chapter 9 (commencing
with Section 7000) of Divsion 3 of the Business and
Professions Code.
11/23/2005
Date:
Contractor
Policy Number.
NUMBER
EXPIRATION DATE
This section need not be completed if the permit is for one hundred dollars ($100) or less.
TYPE
o I certify that in the performance f t
employ any person in any manner so
of Califomia, and agree that jf I shou b
provisions of Section 3700 of the La r Co
Date: 11/23/2005 Applicant'
WARNING: FAILURE TO SECURE WORKER'S CO ENSATION COVERAGE IS
UNLAWFUL, AND SHALL SUBJECT AN EMPLOY 0 CRIMINAL PENALTIES AND CIVIL
FINES UP TO ONE HUNDRED THOUSAND DOLL S ($100.000), IN ADDITION TO THE
COST OF COMPENSATION, DAMAGES AS PRO ED 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
performance of the work for which this permit is issued (Sec.3097.CN.C):
Lender's Information:
ued, I shall not
compensation laws
pensation
those provisions. Construcion Types:
VN, .
s te hat the above information is correct. I
te ws relating to building construction, and
te pan the above mentioned property for
Date: 11/23/2005
Fees paid for Permit:
To1al:
245.07
Sr ature 0 A plicant 0 Agent
The permit shall expir limitation and become null and void if the building or
work has not passed fi I inspection 365 days from the date of permit issuance. A
new Dermit is reauired to commence or continue work.
City of Anaheim
Building Division
INSPECTION RECORD
INSPECTION DATE INSPECTOR
T emporarv Power Pole
Plumbing /DrainIWaste Pipe)
Electrical Ground Electrode/Ufer
SetbacklFormslTrenches (Footings)
Do not install subfloor or pour floor slab until the
following applicable items have been signed:
Plumbina lWater Pipe/Sprinkler Valves}
Mechanical/Groundwork}
Electrical/Underground Conduit)
Pre-slab (Compaction/Membrane Reinf.l
Underpinning (Floor Joist/Girders)
Do not cover or conceal the work below until the
following applicable items have been signed:
1st Floor Shear
Firesprinkler (Rough)
2nd Floor Shear
Roof (Sheathing/Diaphragm/Frame) ,11-../
Masonrv /Reinf./Bond Beam/Pre-Grout)
Rough Plumbing (Top Out)
Rough Mechanical
Rough Electrical (Dry Wall)
Rough Electrical
Framing(On'y after Plbg., Ele., Mec. And Fire)
Insulation (Sound/Energy)
Do not tape or plaster until the following applicable
items have been signed:
Drywall
Penetrallons (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
FINAL INSPECTIONS DATE INSPECTOR
Electrical Final
Plumbing Final
Mechanical Final
Gas Test
Cross Connection Control (714)165-4280
Engineering/Grading Final 765.5126
Fire Depl. Final 765-4040
Water Engineering 765-5268
Sub List/Business License 765-5194
Zoning 765-5139
Building Final (Last Inspeclion - Only ~,l,,) ~
After Above Complete)
PARTIAL INSPECTIONS
G".~""""
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Building Inspections
Mechanicallnsoections
Plumbing Inspections
Electrical Inspections