1442 W. Westmont Dr.
TYPE OF PERMIT
Reroof.
CITY
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BUILDING DIVISION
200 S. ANAHEIM BLVD.
(714) 765.5153
INSPECTIONREQUESTLINE: .
(71,4) 765 - 4626
CENSUS CODE: 555
. QUARTER SECTioN: 53
BUILDING PERMIT NO.BLD2005-01254
DATE: 5/2/2005
JOB ADDRESS: 1442 W WESTMONT DR
LEGAL DESCRIPTION: ANAHEIM HOMESTEAD. TR~OT 6 ALL -NL Y
APPLICANT: AMED SANCHEz
OWNER INFORMATION: CONTRACTOR INFORMATION: ARCI-iITECT/ENGINI;:ERINFORMATION:
AMED SANCHEZ
1442 W Westmont Dr
Anaheim, CA 92801
JOB DESCRI.PTIO~:Tear off existing roof ,and replace with 28 squares, of 40 year composition shingles for house and -det~~ched garage. .
VALUATION:
6,300.00
. PROCESSED BY: MSM
OWNER-BUILDER DECLARATION
I her~by affirm under penalty of perjury that I am exemptJrom the Contractor's License Law for the following reason (Sec; 7()31.5 Business and
Professions Code: any'city or couritywhich requires a. permit to construct, alter, improve, demolish ~r repair any structure, 'prior tp its issuance, also
requires the-applicant for such per-mit toIlle a signedstatementthat heis I iqensed pursuant to the provisi9ns of, the Contractor's License Law (Chapter
~)(commencing withSection 7000 of Division 3 of the Business and Professions Code) or that he'is exempt therefrom andthe basisJor the alleg~d
exemption. Any, violation of SebtiQn 7031.5 by any appl,icant for a permit subjects the appliQant to a civil penalty of not more than five hundred dollars
~($ ~)~ o~ner of pr.operty', ormy em.PIOyeeS with wag. e.s as their sole COinpJ.nsation, wiUdo the work, .and the stru~ture is not intend..~d..oroffered lor
s Ie, (Sec. 7044 Business and Professions Code: The Contractor's Ucense Law does not apply to an owner of property who builds or improves
th reon,. and who does such work himself or herself or through his or her own:employees. provided that such improvements are.Rot intended or
offered for sale.' If, however, the buildif'"!g or imprQvement is 'soldwithone year of completion, the owner-builder will have the burden of proving that he
did not build or improve for the pU,rpose of sale). .' , '.._
D ,I, as the owner of the property, am eXCluSively'contracting with licensed contractors.to construct the project (Sec. 7044 Business and Professions
Code: The.Contractor's License Law does nof apply to an owner of property who builds or'improves thereon, and'who' contracts for suCh projects with
[jontractQr(s)' licen~ed pursuant to ~he Contractor's liCense Law).. . ,
, "exemptlJQderSec.". ".-- " &P.C. this n:
Date: ..,$-1..0.:> 'Owner:
WORKER'S CO PENSATION CLA ION
I hereby' affinn under penalty of pe~ury ,one of the fqllowing deClarations: , ;
o I have 'and will maintain a certi,ficate of cOnsent to self-insur/3i for worke r's compensation,
as provided for by Section 370001 the Labor Code, lor the pertormanc;e 01 the,work for which
this permit is ,issued. l
D r have and ...viII maintain worker's compensation insurance, as required biSection 3700 of
the Labor,Code, for the' pe.rformanceof the work for which this permit is,issued. Myworker's
Con:-pensation insurance carrier.and polic:y,are: i
Carrier: Polic:y Number. ;
.. I
~.s s""tiOO need not be completed if the pennit is for one hundred dollars ($1 00) or less. .
I certify that in the performance of,the "York for which this permit is issued, I shall not
ploy any person in ~ny manner s,o'as to beCome subject t~ thework~r's compensation laws
f Califomia, and a@ree that if I should become subject to the worker's compeflsation
provisions of Section 3700 of the La or Code, 'I shall f hwith c Y with those provisions.
, , , ,
LICENSED CONTRACTORS .DECLARATION
I hereby affirm under penalty, of perjury that.I' am
licensed under provisions of chapter 9 (commencing
with Section 7000) of Divsion 30f the Business and
Professions Code. "
5/2/2005
Date:
Contractor '
NUMBER
EXPIRATION DATE
TYPE
Dat~:, "5/2/2005 ,Applican.. I
WARNING: FAILURE TO SECU. EWORKER'S C: ENSATIONCOVERAGE IS
UNLAWFUL, AND SHALL SUBJ CT AN 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, I NTERESTAND ATTORNEY.S FEES.
CONSTRUCTION LENDING AGENCY
I, hereby affirm 'under penalty of perjurythat'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 Types:
VN,. ,
Fire Sprinklered?
. NO
~ certify that I have read this application and state that the above information is correct. I
agree to ,comply with all city ordinanees and state laws relating to building construction,'and
h~r.e \y.~autho'rize representives of . <?ity to enter upon the above mentioned. pr,operty for
In 'Ion p ses. '. '.
" .. . .. Date: 5/2/2005
ant or Agent
The permit shall expir limitation and become nuii and void if the building or
work has not passed final inspection 365 days frain the date of permit issuMce. A
new permit is required to commence or continue work.
Fees paid for Permit:
Total:
235:46
INSPECTION RECORD
FINAL INSPECTIONS
Date . Inspector
. . DATE INSPECTOR Electrical Final ..
. .INSPECTION . .. . .
.
Temporary Po.wer POle.. . . Plumbing Final .. .
Plumbi ng (DrainlWaste .Pipe) Mechanical Final
Electrical Ground Electrode/uter
SelbacklFormsfTrenches (Footings) . Gas Test .,
Do not install.subfloor or pourfloor slab until the .. EngineeringlGrading Fi.narr65~126 .
. following applicable items have. been signed:
Plumbing (Water Plpe.Sprinkler Valves) Fire Dept. Final 165-4040 I . .,.
Mechanical (GroUndwork) ./ . Wate{Englneering 165~5268 .. I
Electrical (Underground Condu It) .
... .. , .. ..
Pre'Slab (Compactlon/Membrane.Rainf. . Sub ListlBusinessLicense 765-519 . ....
Underpinning (Floor JoistlGirders) .. . Zonil)g ~65~5139. . ., , r,.
Do. not cover or conceal the work below until the Building "lnaf !l:ast Inspection. Only ,/ l~
following applicableilelnshave been signed: . .. fter Above Complete) b 'Iqrr- IVf'>
1 st Floor Shellr . PARTIAL INSPECTIONS.
Firesprinkler(Rough) .
2n.d Flo ...... I I .1:"'.. . Buildina InsDections
RoGfTShealhilillll:llllPftlagmlFrame) ~fW,"" l /~ ^ . If, .. .. . .
Masonry (ReinfJBond Be.lII'l1IPre-Grout) I . r . , . .
Rough Plumbing (Top Out) , ,
Rough Mechanical . ' , ' , . ,
Rough Bectrical (Dry Wall) , . . ' ,
, .'
Rough Electrical, . , ' . , .
, FrlIming, (Only after Plbg'., Elec.. Mech.. and Fire) ,
Insulalion (SoundlEnergy) : MechanicallnSDections
,. Do not tape or plaster until the following applicable
items have ,been signed: " "
Drywlill ., , .. , " ,
Penetralions (Fire Raled) Electrical "
Penetrations (Fire Rated) Mechanical ,
Penetralions (Fire Raled) Plumbing . .".
. . . .
Interior Lath
Exterior Lath Plumbina InsDections
. .. GENERAL ITEMS . . .
Exterior Plaster (Brown Coat) .
T -Bar !:Iectrical . . . .
. . .
T -Bar Mechanical .. . . .,
T-Bar Structural '. ,
Sewer I .
Water Engineering Backflow . ElectricallnSDections
Water Service'