5310 E. Suncrest
TYPE OF PERMIT CITY
Reroof
ElM
BUILDING DIVISION
200 S. ANAHEIM BLVD.
(714) 765 - 5153
INSPECTION REQUEST LINE:
(714) 765 - 4626
CENSUS CODE: 434
QUARTER SECTION: 179
BUILDING PERMIT NO. BLD2005-03637
DATE: 11/15/2005
JOB ADDRESS: 5310 E SUNCREST RD
LEGAL DESCRIPTION: N TR 8783 LOT 139
CONTRACTOR INFORMAT'ON:
PLATINUM BEST VALUE ROOFING CO
22365 EL TORO RD #297
LAKE FOREST, CA 92630 0000
BUSINESS PHONE: 949770-7663
JOB DESCRIPTION:Tear off existing material, install 7/16" OSB and 28 squares of Eaglelite tile 5.7 psf to house and attached garage. (ICBO #4660)
VALUATION: 8,000.00 PROCESSED BY: ENO
APPLICANT: MIGUEL ENRIQUEZ
OWNER INFORMATION:
JOHN BRIDGMAN
5310 E SUNCREST RD
ANAHEIM, CA 92807
ARCHITECT/ENGINEER INFORMATION:
OWNER-BUILDER DECLARATION
I hereby affirm under penalty of perjury that 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 Profession-s 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 subjedts the applicant to a civil penalty of not more than five hundred doUars
($500).
o I, as owner of property, or my employees with wages as their sole comper.sation, will do the work, and the structure is not intended or offered for
sale (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 hefSelf 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 wUl have the burden of proving that he
did not build or improve for the purpose of sale). .\
o I, as the owner of the property, am exclusively contracting with leansed CCotractors to construct the project (Sec. 7044 Business and Professions
Code: The Contractor's License Law does not apply to an owner of propertywlro 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. ,8& 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 have and will maintain a certificate of consent to self-insure for worker's cpmpensation,
as provided for by Section 3700 of the Labor Code, for the pertormance of the Work for which
his ermit is issued, '
I ve and will maintain worker's compensation insurance, as required by S,ection 3700 of
the lor Code, for the periormance of the work for which this permit is Issued. tMy worker's
Compensation insurance carrier and polley are: ~
Carrier: STATE FUND Policy Number. 1733177-2(,04
~
This section need not be completed if the pennit is for one hundred doIlars{$100) o$..less.
I certify that in the performance of the work for which this permit is issued, 'fshall not
mp any person in any manner so as to become subject to the worker's compensation laws
of Califomla, and agree that if I should become subject to the worker's compenlation
provisions of Section 3700 of the Labor C ,sbaU forthwith comply with thos~ provisions.
t
1~
LICENSED CONTRACTORS DECLARATION
I hereby affirm under penalty of perjury that I am
licensed under provisions of chapter 9 (commencing
with Seef n 7000) of Oivsion 3 of the Business arid
Prafessio Code.
NUMBER
753512
TYPE
TYPE
EXPIRATiON DATE
8/31/2006
C39
HIC
Date: 11/15/2005 Applicant:
WARNING: FAILURE TO SECU WORKE COMPENS AGE IS
UNLAWFUL, AND SHALL SUB CT AN EMPLOYER TO CRIMINAL PENALTiES AND CIVIL
FINESUPTO ONE HUNDRE THOUSAND DOLLARS ($100,000), IN ADDITI,oN TO THE
COST OF COMPENSATION AMAGES AS PROVIDED FOR IN SECTION 3706 OF THE
LABOR CODE, INTEREST ND ATTORNEY'S FEES.
ONSTRUCTlON LENDING AGENCY
I hereby affirm under penalty of perjury that there is a construction lending age",cyfor the
performance of the work for which this permit is issued (Sec.3097.Civ.C):
Lender's Information:
Construcion Tvpes:
VN, ,
Fire Sprinklered?
NO
I certif that I have read this application and state that the above information is correct. I
agree oomply wit all city ordinances and state laws relating to building construction, and
hereby uthor" repre ntives of this city to enter upon the above mentioned property for
inspectio oses.
Date: 11/15/2005
Fees paid for Permit:
Total:
245.17
Signature pplicant or Age
The per it shall expire by limitation and become null and void if the building or
work h s not passed final inspection 365 days from the date of permit issuance. A
new p mit is required to commence or continue work.
City of Anaheim
Building Division
INSPECTION RECORD
INSPECTION DATE
Tempora Power Pole
Plumbin DrainlWaste Pipe
Electrical Ground Electrode/Ufer
SetbacklForms/Trenches Footings)
Do not install subfloor or pour floor slab until the
following applicable items have been signed:
Plumbing Water Pipe/S rinkler Valves
Mechanical Groundwork}
Electrical Under round Conduit
Pre-slab Compaction/Membrane Reinf.}
Underpinning (Floor Joist/Girders)
Do not cover or conce,II the work below until the
following applicable items have been signed:
1 st Floor Shear
Firesprinkler (Rough)
2nd Floor Shear
Roof (Sheathing/Diaphragm/Frame)
Mason (Reinf./Bond Beam/Pre-Grout
Rough Plumbing (Top Out)
Rough Mechanical
Rough Electrical (Dry Wall)
Rough Electrical
Framing (Only after Plbg., Ele., Mec. And Fire)
INSPECTOR
insulation (Sound/Energy)
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
FINAL INSPECTIONS DATE INSPECTOR
Electrical Final
Plumbing Final
Mechanical Final
Gas Test
Cross Connection Control (714)765-4280
Engineering/Grading Final 765-5126
Fire Dept. Final 7654040
Water Engineering 765-5268
Sub List/Business License 765-5194 / ?
Zoning 765-5139 . /.//
Building Final (Last Inspection - Only 117' 'ill ~
After Above Complete) vlb"'5
PARTIAL INSPECTIONS
BuildinQ Insoections
Mechanicallnsoections
PlumbinQ Insoections
Electricallnsoections