2536 W. Woodland Dr.
lYPE OF PERMIT CITY
Reroof
BUIL.DING DIVISION
200 S. ANAHEIM BLVD.
(714) 765 - 5153
INSPECTION REQUEST LINE:
(714)765 - 4626
CENSUS CODE: 555
QUARTER SECTION: 24
BUILDING PERMIT NO. BLD2005_00512
DATE: 3/1/2005
JOB ADDRESS: 2536 W WOODLAND DR
LEGAL DESCRIPTION; PM 135-19 PAR 26.27.28
APPLICANT; RICHARD QUATROCHI
OWNER INFORMATION:
Elia ne AOrtuno
2536 W Woodland Dr
Anaheim:CA 92801
JOB DESCRIPTION: Re-roof200 squares of BUR; over existing (1) layer.
VALUATION; 2,100.00
I OWNER-BUILDER DECLARATION
I hereby affirm und~r penalty of perjury that I.am exempt from the Contractoi'S I~!:.ense Law for the foltowirigreason (Sec. 7031.5 ,Business and
Professions Code: any city or county which requires a permit to construct, aUer, -:mprove. demolish or repair any structure, prior to its issuance, also
requires the applicant for sucl:1 permit to file a signed statement that he is licenst:rJ pursuant tq the provisions of the Contractor's License Law (Chapter
9)(commenclng with Section 7000 of Division 3 of the Business-and Professions9ode) or that he is exempt t~erefrom ,and the basis for the alleged
exemption." Any violation of Section'7031.5 by any' applicant for a permit subjed~ the applicant to a civil,penalty of not more than five hundred dollars
'($500)., ..' .. .'
D !, as owner of property, or my employees with wages as their sple c.on1p"'ln,.,iktiOrl, will do the work, and the structure is not intended or offered for
sale (Sec. 7044 Business and Professions Code: The Contractor's LicenseVJ\I\;',does not apply to an owner of property who builds or improves '
thereon,and who does such work himself or hemelf or through his or her ow., el~;ployees, provided that such improvements are not'intellded or
, offered for Sa,le. If.,however, the building ,or improvement is ~old with one y~ar t1 completion, the owner-builder will have the burden of pr~:)Ving thai he
di,dnotbuildorimproveforthepurposeofsale). " '1" ' "
~as the owner of the, property, am exdusively contracting with !icen~ed eoi,hractors to construct the project.($ec. 7044 Business and Professions
(o;de~ The Contractor's License Law does not-app!y to an owner of propertYVlh/','J builds or improves thereon, and who 'oontracts for sudl projects with
~ontractor(s) licensed pursuant to the Contractor's License La '", .
U I am exemPt~n er See, , B & P..C. r t is rea n: . ~!
--j-
Date: - - Owner: _~...;.'\:
WORKER'S COMPENSATION DECLARATION :,\
I hereby affirm under penalty of perjury one of the following declarations: " .
~ave and will maintain a certificate of'consent to self-insure for wor.ker'e d:>mpensation,
( as'provided for by Section 3700 of the Labor Code, for the performance of the "~'ork fQrwh'ich
\. ,this permit is issued. . . . ' ,:
o t. have 'a nd wilt maintain' worker's. compensation insurance, as reqt:ired l>y ::ectioli 3ioo of
the Labor Code. for the performance of -the work for which this permit is issue.j' Myworker's
Compensation insurance carrier and policy are:
,Carrier: :
)
,
CONTRACTOR INFORf;',p.TldN;
ARCHITECT/ENGINEER INFORMATION;
:'
,;
.,
,
,.
PROCESSED BY; SAM
LICENSED CONTRACTORS DECLARATION
I hereby affjrm under penalty of perjury that i am
licensed under provisions of chaJ)ter 9 (commencing
with Section 7000) of Divsion 3 ofthe'Business and
Professions Code. .
3/1/2005
Date:
.Contractor
Policy Number
NUMBER
EXPIRATlON.DATE;' .
, T.hissection need not be completed if the pennit is for one hundred dollars ($100) Or less. :
~certify that in the performance of the work for which this permit is"issuec.l shall n01
~PIOY any-person in l,my manner 60 as to become subject to the worker'~. conlpensation laws
of Califomia, and agree that if I should become subject t.o the worker's col'nper:sation
provisions of'Section 3700 of the Labor Code, I shall f~rthwith co Iy' with tl"'.cse provisions.
Date: 3/1/2005 - ApPlicimi:
WARNING: FAILU.RE TO SEGUR ORKER'S COMPENSATION COVERAGE is
UNLAWFUL, AND SHALL SUBJ CT AN E;'MPLOYER TO CRIMINAL PENALTIES AND CIVIL
FINES UPTO ONE HUNDRED lHOUSAND DOLLARS ($100,OOC), IN ADDI.TION TO. THE
COST OF COMPENSATION, DAMAGES AS PROVIDED FOR IN SECTION :;706 OF THE
LABOR CODE, INTEREST AND ATTORNEY'S FEES.
I "CONSTRUCTION LENDING AGENCY
I hereby affirm under penalty.of perjury .that there is a construction lending_agrincy for the
po;>d:(\:"m~<'\re: cf the w:")rlc for whid1 t~ie !1cro,..,it is is<;1;.r:-d (S,?~...3C9'? .C!'--d:i;: -.
Lender's Information:' .
TYPE
Construcion Types:
VN, , .
I certify that I have read this application and state that the above information is correct. I.
agree to oomply with all city .ordinances and state-laws relating to bu~ding construction, and
hereby autho. rize representive~f th.. is city ta enter upOn the above mentioned property for
i~n purposes. ' t;; n . '
. ~ G, . A ~,. . Date: 3/1/2005
/'" Signature of Applicant or Agent
The pl!l'mit shall expire by limitation and become null and void if the building or
work has not passed final inspection 365 days from the date of permit issuance, A
new permit is required to commence or continue work.
Fees paid for Permit:
Total:
1.121.27
INSPECTION DATE. INSPECTOR. Electrical Final
Temporary Power Pole . '. '. Plumbing Final
Plumbing (DrainlWaste Pip.e) . Mechanical Final
Electrical Ground ElectrodelUfer
Setback/FormslTrenches (Footings) Gas Test
qo not install.subfloor or poorfloor slab until the . Engineering/Grading Final
following applicable items have been signed:
Plumbina (Water Pipe.Sprinkler Valves) Fire Dept. Final 765-4040
Mechanical (Groundwork) Water Engineering 765.526
Electrical (Underground Conduit) .
Pre-slab (CompactionlMembrane.Remf. . Sub Lilit/Business Lic:ense
Underpinning (Floor Joist/Girders) . .Zoning 765.5139
09 not cover or conceal the work below until the . Building Final ~ast inspectio
following applicable items haye been signed: . '. '.
. . fter Above C
1st Floor Shear . '. PARTIAL
FireSprinkler (Rough) . L Buildinq Inspections
2nd Floor' Shear d
Roof (SheathinalDiaphragmlFrane) :l.:?I-G .,' .
Masonry lReinfJBOnd BeanlPr~lOUt) J .'
Rough Plumbing (Top Out)
Rough Mechanical
Rough E1ectr aliI .
Rough. Electrical . . . .'
Framing . (Only after Plbg.. Elec.. Mech. and Fire)
Insulation (SoundlEnergy) -
Do not fape or plesteruntil the following applicable. Mechanical Inspectio
items. have been signed: . . .' . .
Drywall . : .
Penetrations (Fire Rated) Electrical .
Penetrations (Fire Rated) Mec:hanical .
Penetrations (Fire Rated) Plumbing -c- .'
Interior Lath .
Exterior Lath Plumbinq Inspections
. . GENERAL ITEMS .
Exterior Plaster (BrowhCoat) . .
r -Bar Electrical
T -Bar Mechanical .
T -Bar Structural .
Sewer '. .
Water Engineering Backflow . .
ElectticallnSDections
Water Service . .
. INSPECTION RECORD
FINAL INSPECTIONS
Date
Inspector
765-5126 .
8
765-519
n-Only
omplete)
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