3219 W. Sunview Dr.
BUILDING PERMIT NO. BLD2004.()4067
TYPE OF PERMIT
Reroof
DATE: 11/8/2004
JOB ADDRESS: 3219 W SUNVIEW DR
LEGAL DESCRIPTION: N TR 2833 LOT 109
BUILDING DIVISION
200 S. ANAHEIM BLVD.
(714) 765- 5153
INSPECTION REQUESTLINE:
(714) 765,4626
CENSUS CODE: 434
QUARTER SECTION: 7
APPLlCANT:JAY YANG i .
OWNER INFORMATION: CONTRACTOR INFORMAtiON: ARCHITECT/ENGINEER INFORMATION:
Martha A Wilson BEST ROOFING & CONS\-RUCTION
3219W SunviewDr 501 MIGUEL PL '
Anaheim, CA 92804 FULLERTON. CA 928350obo
. BUSINESS PHONE: 714312"5137
JOB DESCRIPTION:Tear off existing material replace plywood add 22 squares:o'f composition shingles.
VALUATiON: 5,000.00 .' PROCESSED BY: ENO
I OWNER-BUILDER.GECLARATlON _
I hereby affirm under penalty of perjury that I am exempt from the Contr~ctor'~ i.Jcens'B Law for the following reason (Sec. 70.31.5 Business and
Professions Code: any dty or county which requires a permit to construct, al!li,r..irnprove, demolish or repair any structure, prior to its issuance, also
requires the applicant for such permit to file a signed statement that heis lice:~~ea pursuant to the provisions of the: Contra,ctor's License Law (Chapter
9)(commencing with Section. 7000 of Division 3 of the Business and Proff.lssi:m,s Code) or that he i~ exempt therefrom and the basis for the alleged'
exemption. Any violation of Section 7031.5 by any applicClnt fer a permit 5ubj~cts-the applicant to a dvil penalty of nc.t more than five hundred dollars
($500).
0- L as owner of property, or my employees with wages as. thei~ wle com~!l!sat;on, wili do the wQrk, and-the structure is not intended or offered f~r
sale (Sec. 7044 Business and Professions Code: The' Contractor's License Ltiw d~s not apply to an owner of property who builds or improves
thereon, and wnodoes suCh work hiniself or herself or through his_or her owriemplOYGcs, proVided that such improv~ments 3re'not intended or
offered.for sale. If, however, the building or improvement is.soid with One '{eqt of completion. the owner-builder will have the burden of proving that he
did not bu i1d or improve for the pu rpose of- sale). -t . .
D I, as- ths owner of the property, am exdusively contracting '......ith.licensed,}br.~raciors ti)'CanstiLlct the project (See. 7044 Business and Professions
Code: The Contractor's License Law doe~ not,applY to an owner of property ''''ho bu!!ds o,)r improves thereon, and who contracts for such projects with
[jontractof(S) licensed .pursuant to the Contractor's License Law). . ,
Date~ am axempt under se~ner: -. , B & P:C. for this r~ascn: --.:---l_.__.. . _~~-
r WORKER'S COMPENS!\-JION DECLARATION__J~.~:~] I
I hereby affirm under penalty of perjury one of the following declan:l,ticns: 1 I
. .', ~
o I h.ave alJd will m?intain' a certificate of consent to self-insure for worker';j"<.:ompensation,
as provided.for by Secl:ion 3700 of the Labor CodE", for the peifcrmance ofth;' work fOr\Nhich
~hi permit is issued.. _ . .' . _ " , ,1
., have and wi!1 maintain worker'S compensation insurance, 2S required b')-Se(~tion 3700Cl
.. e bor Code, for the ,performance of the work for which this pen-nit is isst:Jf.~: My worker's
Compen~tion insurance carrier and policy are: ... __I '
Carrier: . Policy Numuer. EXEMP l_l
- !
This section need not be compJete.d if the.pennit is for OM hundred dollars (S100:'(~r less. .
!;certi.fy that in thep erformance of the work for \~/hichthis perrnitis issue},-' shall om
~ m y any person in any manner so as to become subject to the worker's -:!;1pet1s~tion laws
f California, and agree that if I should. become subject to the worker's com pS:;ition
provisions .of Section 3700 ofthe,L bo Code, I shallforthw. om Iy with 1: ,> f)"; provisions,
I.
LICENSED CO~lRACTORS DECLARATION J
I hereby affirm under peni?lty ,of perjury at I am
licensed u Mer provisions of chsptE"r.9 (com
with Section ) of Oivsion 3 of th 81
Professio" .Code.
Date; 11/8/2004 Applicant:
WARN ING; FAILURE TO SECUR W KER'S COMPEN ON C .:' "~E IS
UNLAWFUL, AND SHALL SUBJ TAN E PLOYER TO CRIMINAL PENAl. if'S AND CIVIL
FINES UPTO ONE HUNDRED OUSAND DOL[ARS ($100,000). IN ADD' iON TO THE
COST-OF COMPENSATION, DAMAGES AS PROVIDED FOR IN SECTION\l706 OF THE
. LABOR CODE, INTEREST AND ATTORNEY'S FEES. .
L. CONSTRUCTION LENDING AGENCY
_I hc-::eby_affirm!.md('; ,ce!1c;:!t~(of.perj!.Jf}" !h~Uhemjs3 ccnstn.!ction !end!iJ,::: [,olney fer th-9~
performance pfthe work for whiCh thi_s permit is issued (See. 3097 .Civ.C):
Lender's Information:
l!I
:~-
e.above information is correct. I
elating to building construction, and
the above mentioned property for
Date: 11/8/2004
Signature of Appli t.or
_ The permit shall expire by limitat. nd become null
work has not passed final inspection 365 days from t
new permit is required to cOmmence or continue, work.
nd void ifthe building or
date of permit issuance. A.
ConstruCion Types:
VN, ,
Fire Sprinklered?
..
~
, w
:i~~"
s
.."
B
C33 PAIN
C39
NO
Fees paid for Permit:
Total:
235.33
INSPECTION RECORD
INSPECTION , 'DATE INSPECTOR
Temporary Power Pole
Plumbing,(DrainNVaste Pipe)
Electrical Ground Electrode/uter ,
,SetbacklFormslTrenches (Footings)
Do,not install subfloor or pour f100rslab until the
following applicable items have been signed: ' , ,
Plumbing (Water Pipe.Sprinkler Valves)
Mechanical,(Groundwork)
Electrical (Underground Conduit) ,
Pre-slab (Compaction/Membrane.Rei nf. ,
Underpinning (Floor Joist/Girders) ,
Do not cover or conceal the work below until the ,
following appiicable ilems ,have been signed: ,
1st Floor Shear,
FiresprinkJer, (Rough)
2nd Floor Shear ' , ' A*
Roof (SheathinglDiaphragm'Frame) 11-9-04-
Masonry (Reinf.JB.ond BeamlPre-Grout)
Rough Plumbing (Top Out)
Rough Mechanical,
Rough E1ectrlCallDry wall)
Rough Electrical
Framing (Only after Plbg.. Elec.. Mech.. and Fire) ,
Insulation (SoundlEr\ergy)
Do not tape or plaster until the following applicable
items "have been signed:
Drywall " ,
P4!I1etrations (Fire Rated) Electrical ,
P4!I1etrations (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 , "
,
Engineering/Grading F,inal 765-5126 ,
Fire Dept. Final 765-4040 , '
Water Engineering 765-5268 ,
,
Sub List/Business License 765-519 " ,
Zoning 765-5139 " '" '
Building Final ~ast Inspection"Only 1/17/0" (]J/j;'h. 1.-:1
Iter Above Complete)
PARTIAL INSPEC' IONS
Buildina Insoections,
Mechanicallnsoections
, , ,Plumbina InSoections
Electricallnsoections