1701 Willow Woods
TYPE OF PERMIT C TV
Blockwalll Columns I
DATE: 7111/2005
JOB ADDRESS: 1701 N WILLOW WOODS DR A
LEGAL DESCRIPTION:
ElM
BUILDING DIVISION
200 S. ANAHEIM BLVD.
(714) 765.5153
INSPECTION REQUESTLINE:
(714) 765.4626
CENSUS CODE: 555
QUARTER SECTION: III
BUILDING PERMIT NO. BLD2005-02128
APPLICANT: JOHN BATIOFF
OWNER INFORMATION:
DONNA M MORA
2340 W TRANSIT AVE
ANAHEIM, CA 92804
CONTRACTOR INFORMATION: ARCHITECT/ENGINEER INFORMATION:
CAL COAST ROOANG & RAINGUlTERS
8329 VALLEY VIEW ST
BUENA PARK, CA 90620 0000
BUSINESS PHONE: 714827-6371
JOB DESCRIPTION:Tear off existing roof and replace with 45 squares of 40 year composition shingles over units A~D.
VALUATION: 8,700.00
I OWNER-BUILDER DECLARATION
I hereby affirm under penalty of perjury that I am exempt from the Contractor's License Law for the following reason {Sec. 7031.5 Business and
Professions Code: any city or county which requires a permit to construct, altet~ improve, demolish or repair any structure, prior to its issuance, also
requires the applicant for such permit to file a signed statement that he is licensed pursuant to the provisions of the Contractor's License Law (Chapter
9)(commencing with Section 7000 of Division 3 of the Business and Professions 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 permit subjects the applicant to a civil penalty of not more than five hundred dollars
($500).
o I, as owner of property, or my employees with wages as their sole compensation, will do the work, and the structure IS not intended or offered for
sale (Sec. 7044 Business and Professions Code: The Contractor's License Law does not apply to an owner of property who builds or improves
thereon, and who does such work himself or helSelf or through his or her own employees, 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
did not bLlUd or improve for the purpose of sale),
o I, as the owner of the property, am exclusively contracting with licensed <x}ntractors to construct the project (Sec. 7044 Business and Professions
Code: The Contractor's License Law does not apply to an owner of property w'ho builds or improves thereon, and who contracts for such projects with
a contractor(s) licensed pursuant to the Contractor's License Law).
o I am exempt under Sec. , B & P.C. for this reason:
Date: Owner:
I WORKER'S COMPENSATION DECLARATION
I hereby affirm under penalty of pe~ury one of the following declarations:
o I have and will maintain a certificate of consent to setf~insure for worker's compensation,
as provided for by Section 3700 of the Labor Code, for the performance of the work for which
~hi permit is issued.
, have and will maintain worker's compensation insurance, as required by Section 3700 of
t Labor Code. for the performance of the work for which this permit is issued. Myworker's
Cbmpensation insurance carrier and policy are:
Carrier: STATE COMP INS FUND Policy Number. 1759809
PROCESSED BY: MSM
LICENSED CONTRACTORS DECLARATION
I hereby affirm under penalty of perjury that I am
licensed under provisions of chapter 9 (commencing
with Section 000) of ivsion 3 of the Business and
Professi ns e.
7/11/2005
Date:
EXPIRATION DATE
12/3112005
This section need not be completed if the pennil is lor one hundred dollars ($100) or less.
o I certify that in the performance of the work for which this permit is issued, I shall not
employ any person in any manner so as to become subject to the worker's compensation laws
of Califomia, and agree that if I should become SUbject to the worker's compensation
provisions of Section 3700 of the Labor Co e, I fo with comply with those provisions.
NUMBER
828394
TYPE
C39
Dale: 7/11/2005 Applicant:
WARNING: FAILURE TO SECURE
UNLAWFUL, AND SHALL SUBJEC
FINESUPTO ONE HUNDRED USAND DOLLARS ($100,000), IN ADDITION TO THE
COST OF COMPENSATION, DAMAGES AS PROVIDED FOR IN SECTION 3706 OF THE
LABOR CODE, INTEREST AND ATTORNEY'S FEES.
CONSTRUCTION LENDING AGENCY
I hereby affirm under penalty of perjury that there is a construction lending agency for the
pertormance of the work for which this permit is issued (Sec. 3097.Civ.C):
Lender's Information:
Construcion Types:
VN, ,
Fire Sprinklered?
NO
I certify that I have read this application and state that the above information i$correct. I
agree to comptywrttl aU city orOinances ana Slale1aws relallng 10 bOitding construction, and
~. er y.authorize representives of tHis city to enter upon the above mentioned property for
tnsp Ion purposes.
Date: 7/11/2005
Sig t e of AppUcant or Agent
The permit shall e ir by limitation and become null and void il the building or
work has not passed Ii nal inspection 365 days Irom the date 01 permit issuance. A
new permit is required to commence or continue work.
Fees paid for Permit:
Total:
385.14
City of Anaheim
Building Division
INSPECTION RECORD
INSPECTION DATE INSPECTOR
Temporary Power Pole
Plumbing (DrainlWaste Pipe)
Electrical Ground Electrode/Ufer
SetbacklFormslTrenches (Footings)
Do not install subfloor or pour floor slab until the
following applicable items have been signed:
Plumbing (Water Pipe/Sprinkler Valves)
Mechanical (Groundwork)
Electrical (Underground Conduit)
Pre-slab (Compaction/Membrane Reinf.)
Underpinning (Floor JoisllGirders)
Do not cover or conceal the work below until the
following applicable items have been signed:
1 st Floor Shear
Firesprinkler (Rough)
2nd Floor Shear
Roof (Sheathing/Diaphragm/Frame) 711111$ I iliA) ~
Masonry (ReinfJBond Beam/Pre-Grout) ,
Rough Plumbing (Top Out)
Rough Mechanical
Rough Electrical (Dry Wall)
Rough Electrical
Framing (Only after Plbg., Ele., Mec. And Fire)
Insulation (Sound/Energy)
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) Piumbing
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
EngineeringlGrading Final 765-5126
Fire Dep\. Final 765-4040
Water Engineering 765-5268
Sub LisllBusiness License 765-5194
Zoning 765-5139
Building Final (Last Inspection - Only 7!WJ!1s ~t/
After Above Complete)
PARTIAL INSPECTIONS
Buildina InSDections
Mechanical Inspections
Plumbing Inspections
Electrical Inspections