221 E. Westport Dr.
BUILDING PERMIT NO. BLD2005-00598
ElM
BUILDING DIVISION
200 S. ANAHEIM BLVD.
(714) 765'05153.
INSPECTION REQUESTLINE:
(714) 765 - 4626
CENSUS CODE: 434
QUARTER SECTION: 113
. TYPE OF PERMIT CITY
Reroof
DATE: 3/8/2005
JOB ADDRESS: 2221 E WESTPORTDR
LEGAL DESCRIPTION:' N TR 1782 LOT 11
CONTRACTOR INFORMATION: .
SANDKAMP ROOFING
124 N SULlIVAN #C
SANTA ANA, CA 927030000
. BUS/NESS PHONE: 714542.1742 .' .' .
JOB DESCRIPTIQN:Tearoff exisling composition shingles,instal128 squares.of 30 year composition shingles, new metai and 2 layers ot1S/bs felt.
"
VALUATION: . 5,400.00 PROCESSED BY: END
I OWNER.BUILDER iJECLARATlON
I hereby affirm under penalty of perjury that I am exempt from the Contrador',~- license Law for the following ~eason (Se~. 7031.5 _ Business and
. Professions Code: any dtyor county which requires a permit to construct, a!h'J,' improve, demolish or repair any structure, prior to"its issua~ce; also
requires the appli~nt for such permit to.fiIe a signed statement thathe is lic€lis~d purs;uant to theP1O:visions of.~e Contractor's Ucef!se Law (Chapter
9){corTlmenc.ing with Section 70aOof Division 3 of the Businessand Professior,sCode) or that he is ,exempt therefrom arid the b.asis for the alleged
exemption. AnY violation of Section 70.31.5 by any applicant for a permi~ subj!:cts the applicant to, a Civil penalty of not more ihanfive hundreddollaf$
.~~. .... .' , .' . . .
o 'I. as owner of propel1y"or my employees with wages as their 'solecf::,"..~'~nsation, will do the work, and the etructure is-"nut intended or offered for
sale (Sec. 7044 Business and ProfeSsions Code:' The Contractor's License L;.w does not apply to an owner ofpropefty who builds or improves
thereon, and who does such work himself or herself or throug'h his or he(-9w::~~rnployees, provided that such'ilnp!Ovements are no!: intended or
offered for sale. If, however. the building or improvement is' sold with one yeF..i of corop!etion, the owner-builder wi!1 have the burden of proVing"that tle
didnotbu~d or improve for the purpose of sale). -
o r, as the'owner of the prop~'rty. am exdusive\'y' contracting y.;ith licer:sed I~r:nractors to construct the project-{Sec' 7044 Business and Professions,
..code: The Contractor's license 'law does not apply,to an owner of property'+ho builOsor improves thereon, and w:'o ccntrads for suchprCljE'cts with
. ~ontractor(s) Iicense.a pursuan.t to the Contractor's License Law), " - . ,
U I am, exempt under Sec. """ . B & P.G. for this reason: ______.
Date: Owner:. .
r ' WORKER'S COMPENSATION DECLARATION
I hereby affirm under 'penalty of perjUry one-of thefoJlowing declarations: . .
o I have ,ana will ma inta;n a certificate of consent to- self-ir,!:>ure for work~r'.", compensation,
as provided for by SeCtion 3700 of the labOr Code. for the performance ofth':i work for which
, this permit is issued.' .... I
,'tlf I have a nd will maintain woi1<er's compensation insurance, as ,requiffl(\ b~: Section 3700 of
the labor Code, for the performance,of ~_he work ~r which this permit is issuf'to:!. My worker's
Compensation insuranCe carrier and policy are:' .
Carrier: ST~TE.FUND Policy Number.'0001617~2RG4
APPLICANT: GEORGE SANDKAMP
OWNER INFORMATION:
Gilbert T Solorio
2450 N Maple Grove Rd
Orange, CA 92867
ARCHITECTJENGINEER INFORMATI.oN:
I
LICENSED CONTRACTORS DECl.ARATION -l
I hereby affirm LJnder penalty of perjury that I am'
licensed unde'r p . visions of ch~pter 9_ (commcncIn'g
with S r:r:on Z 0) of Djvsion 31.lfthe Busin-ess and
oplUfe,Ss nSCod,ee...""~ " "~,
31812005 ~-y.:=::_
Date: . Contracto!' '
~iS section need not be completed if the pennit is.for one hundred_dollars ($10(i} or less.
certify that in the perfonnance of the work for which this permit is issue.j, " shall not .
.amp y any person in any manner $0 as to become subject to the worker's cc.mper.sation laws
qf Califomic!, and agree that if I_shOuld become sUbjed.'tothewbrker's compensation
provisions of Section 3700 of the L: or de, I shaU forthwith comply with th-::':3~ provisions,
EXPIRATION DATE
3/30/2006
C39
Dale: 31812005 . Applicant:
WARNING: FAILURE TO SECUR WORKER' N COVER/-.GE /S
UNLAWFUL, AND SHALL SUBJ T AN OYER TO CRIMINAL PENAL TIES AND CIVIL
FINES UP TO ONE HUNDRED OUSAND DOLLARS ($100,000), IN ADDITION TO THE
COST OF COMPENSA,ION, UAMAGES AS PROVIDED FOR INSECTION 3706 OF THE
LABOR CODE, INTEREST AND ATTORNEY'S FEES. .
I CONSTRUCTION LENDING AGENCY
l h~r""r.~ ;?ffirrn IJnder rena.liy of ~rjllrv fh<:lt ,tf'tp.!e ~::t: ct)n<;trUCfiO!'1lpncling ;;r:""';;yfcrtt1~
. performance of the work for whidl this permit is issued (Sec.3097.Civ.C):
Lender's Information: .
Construcion Types:
VN, .
Fire Spri"klered?
NO
I certify that, have read this apPlicatiC;~ and state that the above information is correct. "
agt.ee_to 'oomply with all city ordinances and state laws relating to building"construction, and
hereb authorize representives of this city to enter'-uP9n the above mentioned property for
jnsp aion purposes. . .
Fees paid for Permit:
TOlal;
160.65
Date: 3/8/2005
gnature ot Ap ieanl or Agenl
mitshall expire by Umitation and become null aridvoid if the building or
wor has not passed final inspection 365 days from the date of permit issuance. A
new permit is, required to Commence or continue work:
INSPECTION RECORD
. INSPECTION . . DATE . .INSPECTOR
Temporary Power Pole. .
Plumbing (DralnlWaste Pipe) . '
,Electrical Ground Electrode/uter .,
SetbacklFormsITrenches (FootirtllS)
> Do not install subfloof or pour floor slab until the .
fOllowing applicable items have beeh signed:'
Plumbing (Water Pipe.Sprinkler Valves) .
.
Mechanical (Groundwork) . .
Electrical (Un~rground Conduit) .
Pre-slab (CompactionfMembrane.Reihr.i .
Underpinning (Floor JoistIGirders) .
Do not cover or conceal the 'work befowuntll the
fOllowing applfcable items have been signed:' . '
,1st Floor Shear , "
Firesprinkler (Rough)
2nd ~Shear ' ' , , . J , /l ,.. I 1/,
Root: athi 'aphragm'Frane) . 3/1016-Y- {,;4 v:; I, J/ /
Masonry ,"","fJBond. BeanlPre-Grout)
Rough Plumbing (Top Out) , .
Rough Mechanical ,
I ROugn t:IectrlC8I{ury wall)
Rough Electrical .. ,. . . . I.
Framing (Only after Plbg., Elec.. Mech: and Fire)
InSulallol! (SoundlEnergy) ..
Do not tape or plaster until the following applicable
items have been. signed: .. . ',' .
Drywall .
Penetraliol!S (Fire Rated) Electrical ' .,
Penelnlllol!S (Fire Rated) Mechanical
Penetrallol!S (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 I, Inspector
Electrical Final . '
Plumbing Fin.al ' ,
Mechanical Final .
Gas Test ' " .
, . .
Engineering/Grading Final 765-5125 ' ,
Fire Dept. Flna1765-4040
Water Engineering 765-5268, ,
Sub List/Business License 765-519
Zoning 765-5139
Building Fln,al !fast Inspeelion- Only e!17Jp! :031 ))0 '
Iter Abov~ Complete)
PARrlAl. INSPECTIONS, (lJ
BuildinQ InsDections
Mechanical Inspections
Plumbina Inspections
Electrical Inspections '