2110 W. Sunset
TYPE OF PERMIT CITY
RerooI
ElM
. BUILDING DIVISION
200 S. ANAHEIM BLVD.
(714) 765 - 5153
INSPECTION REQUEST LINE:
. (714) 765 - 4626
CENSUS CODE: . 555
QUARTER SECTioN: 39
.'
BUILDING PERMIT NO. BLD2005-01092
DATE: 4/19/2005
JOB ADDRESS: 2110 W SUNSET AVE
LEGAL DESCRIPTION: N TR 2.878 LOT 7
CONTRACTOR INFORMAflON:
RRSTQUALiTY ROOFING
906 S FIGUEROA ST
SANTA ANA, CA 92704 0000
BUSINESS PHONE: 714775\3375 .
JOB DESCRIPTION:Tear off existing rooI and replace with 19 squares of 30 ye~r composition shingles.
VALUATiON": 6,000.00 I PROCESSED BY: MSM
. OWNER-BUILDER OECLARATION
I hereby affirm under penalty of perjury that I, am exempt from the ,Contractor'~ License Law for the following reas.on (Sec. 7031.5, Business and
ProfeSsions Code: any city.or cciuntywhich requires a permit to construct; atter, improve, gemolish or repair any structure, prio"T to its, issuance, also
requires the app>>cant for'such permit to file a signed statement that he is Hcen,'sed pursuant to the provisions of the Contractor's LiCense Law (Chapter
9}(commencing w~th Section7000 of Division 3 of the Business and Professio~s Code) or that f1e is exempt therefrom and the basis for the alleged .
exemption. -Any violation of Section 70sfs by any applicant for a permit subj&ts the applicant to a civil penalty of not more tha(\ five hundreddollars
($500). . ... .\ .. . . .
o I, as olJfner of property, or my employees with w~ges as their sole compehsation, .will do'the work, ~n(t: the structure is not intended or offered for
sale (Sec. 7044 Business and Professi.ons 9ode: The Qontractor's Ucense U!w does not apply to an owner Of property who builqs or improves .
thereon, and Who"doe"s such workhimsetr"or helSelf or through hlS or her own ~mployees, provided that such improvements are not intended or " _' '
offered for sale~ If, however, the building or improvement is sold with one yea~ of completion, the owner-bu'ilder will have the burden of provirl9_that he
did not bu.ild or i~rove for the purpose of sale). . ,t' " ' . .
o I" <;is the owner of the property, am' eXClusively' contracting with licensed 6pntractors !o construct t.he project (Sec. 7044Busin~ss and Professions
COde: The Contractor's license Law does not apply to an owner of property Who bUil,ds or imp,roves thereon, and whti contracts for such projects with
a co.ntn:tctor{s) licensed pursuant to the Contractor's License Law). .;" " ..: r . , '
o I am exempt under Sec. , B & P.C. fot this r~ason: ~- '. .': -, ,
Date: Owner: ~,';'-,:
I WORKER'S COMPENSATION DECLARATION I _
I hereby affirm under penaltY of perjury one of the fqllowing declarationS: ,l ,.\ ,>.
o I have and will.maintaina certificaJe of consent to seW-insure for worker'scl?mpensatiorl;''<
as provided for by Se.ction 3700 of the-Labor Code, forthe performance of the'tNo.rkfor which
~iS ermit is issued, '-f.
I have... and ~i. II. ~aintain worker's .compensatiOn insurance, as. requifBd by ~'-ecti.on 3700 of
t labor Code, for the' performan,ce of the work for which tl)is permit is issuedl,. - My worker's
ompensation insurance carrier and policy are: ,
Carrier: STATE FUND Policy Number. 0026599-~004
. . . . - I,
This seCtion need not be completed if the pennn is for one hundred dollars ($100).Ir less.
O' I certify, that in the perfonnance-ofthe work for which this permit is issued;,1 shan not
employ' any person in any manner so as to baec> subject to the worker's co~pensatio.n laws
of Califomia, and agree that ifl shou'kfbecqme blect to the wq er's co pensation
'provisions of Section 3700. of th~ La ' Code, I all fO~hw' h c jP,y w' t ;e_pr.OVisions..
APPlICANT:.FRED VASQUEZ
OWNER INFORMATION:
E>>as JAnaya
2110 W Sunset Ave
Anaheim, CA 92801
ARCHITECT/ENGINEER INFORMATION:
LICENSED CONTRACTORS DECLARATION
. I hereby_affirm under perialty of perjury that I am
)icensed under provisions chapter 9 (cOITlmenc. 9
. wlthSection7000) of Di n3-oqhe' . ess,a
Professions Ode., t .
4/19/2005
Date:
Contractor
NUMBER.
776969
TYPE
TYPE
TYPE
XPIRATION DATE
4/3012006
C39
C27
HIC
Dale: 411.9/2005 Applicant:
WARNING: FAILURE TO SECUR WO
UNLAWFUL, AND .SHALL SUBJ TAN LQYER 1;0 CRIMINAL PENALTIES AND CIVIL
FINESUPTO ONE HUNDRED)tHOU.SAND DOLLARS ($100,000), IN ADDITION TO THE
COST OF.COMPENSATION, .DAMAGES AS PROVIDED FOR IN SECTION ~706 OF THE
LABOR CODE, INTEREST AND ATTORNEY'S FEES..
CONSTRUCTION LENDING AGENCY
I hereby affirm under penatty of perjury thafthere is a construction lending ageincyfor the
performance qf the work for which this permit is issued (Sec. 3097 .CiV .C): I
L~nder's ,Information: .
CO{lstrucion Types;
VN, ,
Fire Sprinklered?
NO
Dale: 4/19/2005
. Fees paid for Pe:rmit:
Total:
160.71 .
Signature of Applicant or Agent
I1aIlexpire by Iimitatior'land beco n and void if the building or
work ha passed final inspection 365 days from the date oI permit issuance. A
new permt is required to commence or continue work.
INSPECTION RECORD
.
INSPECTION . DATE INSPECTOR
Temporary Power Pole .
Plumbing (Drain/Wa$le Pipe) .
Electrical Ground.Electrode/Ufer . .
SetbacklFormsfTrenches (footings) .
00 not install subfloor or pour floor slab until the . .
following applicable items have been signed: ' .
Plumbing (Water Pipe.Sprinkler Valves)
Me!::hanlcal (Groundwork) ,
Electrical (Underground Conduit) . I
I pre-Slab (Compaction/..~..u. ane.Reim.
Underpinning (Floor JoistlGil):lers)
I Do not cover or conceal the wor!< below until the
following applicable items have been signed: '
1st Floor,Shear
Firesprinkler(Rough} , .
'2nd Flocor Shear . . , .
Re>of (SheathiMlDiaohraam'Frame) . .
MaSonry (RelnfJBond BeamlPre-Grout) . .
Rough Plumbing (Top Out).
Rough Mechanical .
, : KOugn l:Iectr .
Rough EleCtrical
Framing , (Oniy after Plbg,. Elec.. Mech.. and F;re~
Insulation (SoundlEnergy)
po not tape or pla,ter until the following applicable
.tems hav,e been Signed: , .
Drywall .
Penetrations (Fire Rated) Electrical
PenetratIons (Fire Rated) Mechanical, .
Penetrations (Fire Rated) Plumbing
Interior Lath .,
Exterior Lath ,
GENERAL ITEMS . '
Exterior Plaster ,(Bl'CNln Coat) , .
T-Bar Electrical
T -Bar Mechanical. . "
T -Bar Structural .
Sewer'
Water engineering B.ackflow
Water Service " .
.
FINAL INSPECTIONS Date ,. Inspector'
Electrical Final '..
Plumbing Final . .
Mechanical Final' "
. .'
Gas Test ' . .. ..
. ,
Engineering/Grading Final 765-5126 .
Fire Dept. Final 765-4040 . .
Water Engineering 765-5268 . ., .. ,.
Sub Lis.IIBus!ness License 76$-51g.
Zoning 765-5139: . ' /1 /
, . ..
Building Final ll:ast Inspection. Only <1/#6 ~IIv
: ' fter Above Complete) v:"v- ,/I.
PARTIAL INSPECTION$
BuildinQ InsDections
MechanicallnSDections ,
Plumbina Insoections
Electricallnsoections