1232 W. Westmont Dr.
TYPE OF PERMIT CITY.
Reroof
ElM
BUILDING DIVISION
200 S. ANAHEIM BLVD.
(714) 765- 5153
INSPECTION REQUESTLINE:
(714) 765 - 4626
CENSUS CODE: 555
QUARTER SECTION: 62
BUILDING PERMIT NO. BLD2005-01579
DATE: 5/26/2005
JOB ADDRESS: 1232 W WESTMONT DR
LEGAL DESCRIPTION: N TR 2838 LOT 6
APPLICANT: FRANK GARCIA
OWNER INFORMATION':
Jon Oerakhshanian
1232 W Westmonl Dr
Anaheim, CA. 92801
CONTRACTOR INFORMAIION:
COAST ROOFING .
21681 IMPALA LANE .
HUNTI NGTON BEACH, CA .926460000
BUSINESS PHONE: 71496&8754
JOB OESCRIPTION:Tear off existing roof and replace with 38 squares of ~O y~arcompos[tion shingles and 8 squares of built-up roof.
AR.CHITECT/ENGINEER INFORMATION: .
VALUATION:
9,985.00
PROCESSED BY: MSM
OWNER-BUILDER DECLARATION
I hereby affirm under penalty 0 perjury that. I am exempt from the. Contractor'l1i' License Law fOT the following reason (Sec. 7031.5 Business and
Professions. Code: any city orcQur'rty which requires a permit to construct, altelr, improve, demolishor.repair any structure, prior t6 itS-issuance, also
requires the applicant for such permit to file a signed statement that he is/icensed purslJant to the provisions of the Contr~ctor'$l:.icense Law (Chapter
9)(commencing with Section 7000 of Divi~on 3 of the Business and ProfessioPs 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 permifsubjects the applicant to a 'civil pen.s.ltyof not more than five hundred dollars
($500), ... .... . ..
o I, as owner of property, or my employees with wages as their ;SOle compeh~ation, w;lIdo the work, ancf the structure is not intended or Offered for
sate (Sec. 7q44 Business and Professions Code: The Contractor's'Ucense L~w'doesnot apply to an owner of property who builds or improves
thereon, and who does such work himself or herself or through his or'her.own,emplbyees,- 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 will have the burden of proving that he
didnotbuildorimproveforthepurposeofsale). . ' -j . ., ..
o I; as the' owner of the property, am exclusively. contracting with licensed cbntractqrs to construct the project (Sec, 7044-.Business and Professions.
Code: The Contractor's License Law does not apply to an owner of property Who buHds "Of improves thereon, and who contracts for such projects with
~~ntr~or(s) licensed pursuant to the Contractor's License Law). .;,
U lam exempt under Sec. , B & P.C. for this reason:
Date:. Owner:
I WORKER'S COMPENSATION DECLARATION
I hereby affjrm under penalty of perjury one of the following declarations:;
o I have and will maintain a certificate. of consent to self-insurefot WOrker's,bompensation,
as provided ,for by Section 3700 of the Labor Code, for the pertorrnance ,of the 'work for which
ihi permit is issued. ' . ::
. ,I have and will maintain worker's compensation insurance"as required by ,Section 3700 of 5/26/2005
e Labor Code, for the performance of tDe work for whiqh-this permit is issued. My worker's _ Date:
Compensation insurance carrier and po<<cy are: '
Carrier: STATE FUND POUcy Nun'\bec 1113190-04
This section need nolbecompleted if the pennil is for one. hundred dollars ($100) Or les~
o I certify that in the perfo.rmance of the work for w. th permit is issued; I shall not
employ any person in any manner so as to becbm ubject th orker's compensation laws
of Califomia, and agree _that if I should become bject to erker's compensation
provisions of Section 3700 of the Labor Cod , shaU f w' o. .th those provisions.
NUMBER
450393
TYPE
EXPIRATION DATE
12/3112005
C39
Date: 5/2612005 Applicant:
WARNING: FAILURE TO SECU E KER'S COMPENSATION COVERAGE IS
UNLAWFUL, AND SHALL SUBJ CT N EMPLOYER TO CRIMINAL PENALTIES AND CIVIL
FINES UP TO ONE HUNDRED THOUSAND DOLLARS ($100,000). IN ADDITION TO THE
COST OF COMPENSATION, DAMAGES AS PROVIDED FOR IN SECTION 3706 OF THE
LABOR CODE, INTEREST AND ATTORNEY'S FEES.
CONSTRUCTION LENDING AGENCY
I hereby affirm under penalty of perjury that there, is a construction lending agency for the
performance of the work for which this permit is issued (Sec. 3097.Civ.C):
Lender's. Information:
Construcion Tvpes:
VN, ,
Fire Sprinklered? .
NO
.1 certify that I have read thi lication and state that the above information is correct.
agree to comply with ar or; inances and state laws relating to building construction, and.
~ereb .authorize re sen~j s 04:1- this ci . enter- upon the above mentioned property f?r
rn~ on purpo s. . . .
. . . ~ Date: 5/26/2005
Signature of Applicant or Agent
The permit shall expire by limitation and become null and void if lhe building or
work has not passed final inspection 365 days from the date of permit issuMCe. A
new permit is requiredto commence or continue work.
Fees paid_for Permit:
Total:
310,55
INSPECTION RECORD
INSPECTION , DATE INSPECTOR
Temporary Power Pole ,
Plumbing (Drain/Waste Pipe)
EleCtrical Ground ElectrocfefUfer
SelbacklFormslTrenches (Footings)
Do not install subfloor or pour floor slab until the
following applicable items have been signed: '..
Plumbing (Water Plpe.Sprinlder Valves) I ,
Mechanic81 (Groundwork)
, ' Electrical (Uncferground Conduit)
PM-slab (CompactionlMembrane.Reinf.
Uncterpinr;t1ng (Floor Joist/Gircfers)
Do not, cover or conceal the workbelow until the
following applicable items have been signed: , ,
1 st Floor Shear ,
Firesprinkler (Rough) ,
2nd Floor Shear
Roof (ShealhinafDl3llhl'aamlFnme) ithloS' '/ ,-
Masonry (ReinfJaond BeamlPre-Grout) ,/
Rough Plumbing (Top Out)
Rough Mechanical
Rough t:IectrlC31 111/'
Rough Electrical ' ' ,
Framing, (Only after Plbg., Elec.. Mech., and Fire)
insulation (SoundJEnergy)
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
Engineering/Grading Final 765-5126 ' ..
Fire Dept. Final 765-4040 ,
Water Engineering 765-5268
Sub List/Business Licen'se 765-519 ,
Zoriing 765-5139 ,
Building Final \l:ast Inspection- Only b/'l..fJr /t-
, 'fter Above Complete) ,,. "
PA,RTJALINSPECTIONS
Buildina Insoections
, MechanicallnsDections
PlumbinalnsDections
, Electricallnsoections