1211 S. West Pl.
CONTRACTOR INFORMATION:
SOUTH COAST AND VALLEY ROOFING
11367 LAMBERT AVE '
EL MONTE, CII 91732 OOO~
BUSINESS PHONE: 62645Sio972
JOB DESCRIPTION: Tear off existing 80 squares only and ra-roof 9C! squareS~,-BUR,
VALUATION: 17,000.00 . PROCESSED BY: ENO .
I .. ... OWNER-BUILDERf,lECLARATION .
I here~yaffirm under penalty of perjury that I am exempt from theqontractor~iUc~nse. ~w forthe fo.IIOy.'in9 rea5:on (Sec.?031',5 Bus:in~ss and
Professions Code: any city or county which requires a permit to construct, altf!.r. improve, demolish or repair, any structu're, prior to its ,issuance; also
requires the applicant for such permit to' file a signed statement that he'is Iicedsed p-ursuant to thepl'9visions of the Contractor's License. Law (Chapter
9)(commencing with-Section 7000.01 Division 3 of theBu~iness and Professio9~ Code) .or that" he is ,exempt therefrom and the basis fer the alleged
exemptien. Any.vielatien.of Sectien 7031.S-by any applicant fer a permitsubji~9ts the ~pplicant te a civil penalty .of net merethari five hundred dqllars
~O~)~ ewn~TOf ~reperty, or my empl~yees Wi~h wa~es as their' selecemp~~satie~, wili, de the w'ei"k; and the stru~t~re is':netintended er.effer~'d fer
'sale (Sec.7044Business and Professions Cede: The Centracter's Ucense Lcjw doesnetapplyte an .owner .of preperty whe b,uilds er'improves '. .
thereen, and whe dees such work himself .or herself .or threugh his. or her own!empleyees, previded that such improvements,are net intended or _,_'"
e~ered fe~ sale.. If, ~ewever; the building ,.or improvement is seld w,ith .one yea~ .of completi'en,' the ow~er-buildei" will have the burden e! prevlngthat he:...
did net bUild erl'mpreve fer the purpese .of sale). " ,'1,_ .", " ,','
D ,I, as-the .owner efthe property, ~m exclusively contracting with licensed cbntraGters to censtruct the preject (Sec. 7044 -Business and PrefesSbns
Code: The Centracter's License: Law d'oes net apply te an .owner .of propertY\~:he builds .odmproves thereen, and whe contracts fer such prejects with
a'centracter(s) licensed pursuant te the CQntracter's liCense Law). . { .
D'lamexet!1ptundersec. _ ',B&'P.C.ferthisreasen: t
Date: Owner: .
I
BUILDING PERMIT NO. BLD2005-00947
TYPE OF PERMIT CITY
Reroof
DATE: 4/7/2005
JOB ADDRESS: 1211 S WEST PL
LEGAL DESCRIPTION: SEC 21 T 4 R 10 POR NE1/4
APPLICANT: IGNASIO GARCIA.
OWNER INFORMATION:
Pradip Naik .
1211 S West St
.Anaheim, CA .92802.
ElM
BUILDING DIVISION
200 S. ANAHEIM BLVD.
(714) 765 -.5153
INSPECTION REQUEST LINE:
. (714) 765., 4626
CENSUS CODE: . 55.5
QUARTER SECTION: 65
. .
ARCHITECT/ENGINEER INFORMATION:
WORKER'S COMPENSATION DECLARATION !,
I hereby affirm ,under penalty .of perjury .one .of thefellewingdedaratiens:. ., t
0: I have- anl;J will maintain a certificate efCX'nsent t.o self-insure fer werker'spempensatien:
as provided for by Section 3700 of the Labor Code, for the pertormance of the}York for which
this perinit is issued. , '!i '
~ have arid ,will maintain werker's cempensatien insurance; as _requiredby!S.ection 3700 ~f
t aber Cede, fer the perfermance .of the werk f.er which this permit is i.ssuecJ. Mywer~r's
mpensati.en'insurance carrier and pelicy are: , , "~ .
Carrier: STATE FUND .' Pelicy Number.17898~2 Y'_ .
. . . "tl '.
This section need not be~pletedifthe pennit is'for one hundred dollars {$100).or less.
D I certify that in the perfennance of the work ,for which this per",:!it is isSue~ I shalln<:>t
em,pley any persen in any manner se as te beceme subject to the worker's compensatien laws
.of Cafifomia, and agree that if I sh.ould beceme subject te the werker's cempensatien
provisions of Section 3700 of the Labor Cod i shall forthwith comply with tho$e provisions.
Date: 4/7/2005 Applicant:
WARNING:.FAiLURE TO SECUR
UNLAWFUL, AND SHALL SUBJ TAN MPLOYER TO CRIMINAL PENALTIES AND CIVIL
FINES U P TO ONE HUNDRED .THOUSAND DOLLARS ($100,000), IN ADDITION TO THE
COST OFCOMPENSATION, .DAMAGES AS PROVIDED FOR IN SECTION 3706 OF THE
LABOR CODE, iNTEREST AND ATTORNEY'S FEES. .
CONSTRUCTIOIII.LENDING AGENCY
I hereby affirm under penalty of perjury that there is a censtructien lending agency fer the
p.erfermance .of the werk fer which this permit is issued (Sec.3:097.Civ.Q):
Lender's Infermation:
I certify that I have read this appHcatien and state that the abeve infermatien is cerrect. I
agree te comply with 'all city ordinances and state laws, relp.ting te.building construction, and
hereby autherize.representives .of this city te enter upenthe above mentioned' prop~rty fer
inspectio purposes. .
Date: 417/2005
. S,ignature .0 ppli ant' .or Agent ,
permit Shall expire by.limitation and become null and void if the.buildfng or
work has not passed final inspection 365 days from the date of permit iSSIlMCe. A
new' permi~ is required'to comn:'ertce or ,continue work.
LICENSED CONTRACTORS DECLARATION
I hereby affirm under penalty of 'perjury that lam
licensed under proviSions of chapter 9 (commencing
with Sectien-37000),of DiVsien;3 .of the, Business and
:;~e::~~~s1t'V,,{/?O~
Date:~. centr7 " ,', '
. '" ' ,
NUMBER EXPIRATION DATE.
830059 12/31/2005.
T.YPE C39
Censtrucien Tvpes:
VN, ,
Fees_ paid for Permit:
Total:
535.40
INSPECTION RECORD
INSPECTION , " DATE INSPECTOR
T$mporary Power Pol$,' ,
Plumbing (DrainlWast$ Pipe) ,
Electrical Ground EI$ctrodEllUfer ,
5mbacklFormsrrrenchllS (Footings) ,
, Do not install subfloor or pour floor slab until the
following applicable items have been signed: '
Plumbing (Water,PipeoSprinkler Valves) ,
Mechanical (GroundWork)
Electrical (Underground Condu it) ,
,Pre-slab (Compaction/Membrane,Rllinf.
Underpinning (Floor Joist/Girders) , ' '0 ,
Do not COver, or conceal the work below until the ,
following applicable items have been signed:
1 st Fioor Shear ' ' ,
Firesprinkler.,'(Roug h) ,
2nd Floor Shear ' ,
Roof (SheathiIllllDiaphragmlFram$) " hJ/bS /,
Masonry (ReinfJBond BeamlPre-Grout) F
Rough' Plumbing (Top Out)
Rough Mechanical
Rough BectrlCaI all) , ,
Rough Electrical ' , I ,
Framing (Only afterPlbg" Elat" Mech, and Fire)
Insulation (SoundlEilergy)' ,
00 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, '
Ext$rior PlII!ster (Brown Coal) , ,
T.Bar EI$ctrical
T -Bar Mechanical, ,
T -Bar Structural
Sewer
Water Engineering Backflow
Water Service ,
FINAL INSPEC.TIONS " 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 List/Business License 765.519 , ,
Zoning 765-5139 '----.
Building Final ~ast Inspection-,Only, ' r/;"k )(; ;7
fter Above Comple,te) 'PARTIAL INSPECTIONS '/
BuildinQ Inspecti'oils
l)L..I;<)?'; ,
Mechanical Inspections
PlumbinQ Inspections
Electricallrispections
,0