5459 Willowick Cir.
BUILDING PERMIT NO. ,BLD2004-03438
,.'-.
,BUILDING DIVISION
,200 S, ANAHEIM BLVD,
(714) 765 - 5153
INSPECTION REQUEST LINE:
(714) 765" 4626
CENSUS CODE: 555
QUARTER SECTION: 180
TYPE OF PERMIT
Reroof
CITy6'~~il-lEIM
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DATE 9/9/2004
JOB ADDRESS: 5459 E vVlLLOlNlCK CIR
LEGAL DESCRIPTION: N TR 7568 LOT 29
APPLICANT:
OWNER INFORMATION: CONTRACTORINFORiV:,'\TION:
SlEVE NAVARRO ABOVE IT ALL ROOFING
5459 WILLOWICK 537 NEWPORT CENTER (~ # 116
Anaheim, CA 92807 NEWPORT BEACH, CA G';6600000
, , ,BUSINESS"PHONE: 949 < ,',3-9222 , '
JOB DESCRIPTIONReroolwith tear-off new 7116 OSB and 39, sq's Eaglelito!')e roofing 5,7 psI, ICBO#8710
VALUATION: 13,000.00' ' PROCESSED BY: DOR
I OWNER-BUllDEf-' DECLARATION
I hereby affirm underpel1alty of perjury that I am exempt from the Contract~~'s License Law for the fo!lowing reason (Sec. 703,L5 Business and
Professior)s Code: ,any dty or county which. requires a 'permit to COlis,truet, ~.',ier. impIove, demolish or repair any structure, prior to ltslssuance, also.,
requires. the applicant-for such permit to. file <;I signed statement that.he is nc;:nsed 'pureual1tto the provisions Qfthe Contractor's License Law(Chapter
9)(commenclng viith.Sectian 7000 of Division 3 af. the Business and Prof!?.s~~,JliS Code)'or.tliat he is exempt therefrom and the basis far the alleged
exemption, Any vio,laUan of Section 7031.5 by any applicantfor a oermlt su:.',ect3 tr.e 8i='plicant to. a dv!l pcna!tyaf nat more than five hundred do!!ars
($500). ,..~.; "',: ' . ' ' " }' '. '. , . ,
,0 1, as owner t}f property, ar my employees with wages a,s their sole com~!erlsa:tioll, ~i11 de the work, ~r.d ttiestrutture IS nat intend?d ar offered for
sale (Sec. 7044 Business and Professions Code: The Cantractor's. Uc?nse'iaw does not apply to. an cwner af propdrty W~IQ builds'or improves
..thereon, and whodoes such work l1imse!f or herself c. through his or her m~;:emp:oyees, provided tl"1;::;t'~'uch impr"Jvements are not- intended ar
offered tor sale.. If, however, ttie building ar improverr-6nt ;s said with ane .../iJ"ll' cf oompletion, the cwno;r-builder will have the: burden of prQvL'1Q that he
. ('\id not rn.!ild or imp:rove forthe purpose of sale), "'1 .
o l,as the own~r of the property, ,am,exdusiveJycontrading with licE:J1sedoont!';:;dor~ to' construct the project {Sec. 7044 Business and Professions
Cod.e: Th,e Contractcr's license Law does ~10t i3PPly to an owner of propert;.:,'-v!10 bUildS or improves 1hereo'n, and who oori~ri:lcts for suet: projects with
~o~tractor(s} lic~nsed pur~uant t~ th~ ContracTor's Ucen$e:,~aw). l '
U I Em exempt under Sec. . ,. , ,B & P.C, fnr this reasan: ___:__
.Date: Owner:. .
r' WORKER'S COMPENSATION DECLARATION ~~~--::J
I 'hereby affirm under penalty of ,pe~ury one of the foliqwing declarc;tionR.: .'
. 0 i have..c:lnd WIU. maintain a certificate Of consent to selqnsl:l~e for wcr-.k(~r.s co'mpansation,
as proVided 'far by Sectian 3700 of tile Labor Code, for the penorm::'1nce oftt,"e w~:Hk for which I
this permit is issued.' ' .; , ,
o I hewe and will maintain warker's camperlsation insurance. as reQu!red tj Sectkin3?OO-of I 91912004 ~
the Labor Code; for the performance af the v~orJ... for which this permit is is...,u:';d, My workm's Date:
Compensation insUrance carrier and polic:y.are:
Carrier: STATE PJND
flRCHITECT/ENGINEER INFORMATION:
rLlCENSED CONTRACTORS DECLARATION 1
I herebyetfirm u:~e.r penalty of, perjury that I am
licensed u nde~ provision.s o~ chapter' 9 (commendng
with Section 7000) of Oi \0 '3 of the Busin.sss and
Professians Co.' ~
. Comractor
Palicy NUfl1bar. 0002(j3~.20()4
NUMBER
765842
TYPE
EXPIRATION LJATE
7f31/200S
'This section need not be compieted i1 the pennitis for'one hundred'dollars ($10Cl ()T less.
['J I certify that In the periormance'of the work for which this permit Is issued, I sMII nct I
employ any person in any rha,:,ner so as to .become subject to the worke:r's ~-m.".'ensa(ion laws
of Califomia, and agree that if I should.become subject to the wor'...er's liompl~.r:'~~ilion
provisions of Section 3700 of,the La~bOi C, ' I h ,rthwi 1 coropl wm U,,'e provisions, I eo~~tr~cion TVPes:
Date: '9/9/2004 Applicant:. ' . .FireSprinklered?
WARNING: FAILURE TO SECUR WORKER'S COMPENSATION COVEP.,\GE IS
UNLAWFUL, AND SHALL SUBJECT AN EMPLOYER TO CRIMINAL PION"" TIEs"tiD l:IVIL
FINES UPTO ONE HUNDRED THOUSAND DOLLARS ($100,000), IN ,ADorn ON T<;l THE
COST OF COMPENSATION, DAMAGES AS PROVIDED FOR IN SECTIQI>;3706 OF THE
LABORCODE,INTEREST AND ATTORNEY'S FEES, ' '.
,j '. , CONSTRUCTION L!2NDING AG!2NCY , , ,',' "
I h~re,bY affflm u~der penalty.: ~f.perj.~ry that ~h:r? is a ~~~stn;;ti~::1.~:nd~g;;~.~fn'CY'f9r.thc'~~~,.1__.
;.:..;;.f..:..;,'..:orK:c of tn5 Wc.-i:~ kii ...."f'ld'l1rll~ iJi::UlIt IS iS~e:!J \~ec...)C~/,....IV.(,r
. Lender's Information: '
cag
NO
I certify that I have read this applicatian and state thattheabave information IS correct. I
agree to oomply with II city ordinances and st'ate laws relating to building construction, and
hereby 'authorize re sentives of this city.tc enter upon the above mention€l1 property for
.insp
Fees paid for Permit:
Total:
310.85
Dale: 91912004
. nature' of Applicant. or Agent'
The permits hall 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.
INSPECTION RECORO
... INSPECTION DATE. INSPECTOR
Temporary Power Pole . "
Plumbing (DrainlWaste Pipe)
Electrical GroUnd Electiode'Ufer .
SetbacklFormsfTrenches (Footings),
Do not install subflqor or pour floor slab until the ' ..
following applicable items have been signed:
Plumbing IWater Plpe.Sprinkler Valves) .. ..
Mechanical (GrOundwork) .
, Electrical (Underground Conduit) "
f>re-slab (C-ompactionlMembrane.1<ei nf. . '
Underpinning (Floor, Joist/Girders)
Do not cover or conceal the work below until the
following appliqble ilerns have been signed:' .
1sl.Floor Shear' --c-
Firesprinkler (Rough)
2nd Floor Shear . ...~~
Roof (Sheathing/Diaphragm/Frame) , 0.1:>':""
Masonry (ReinfJBond BeamlPre-Grll\lt) ..
Rough Plumbing (Top Out)
Rough Mechanical
Rough E1ectrieal (Dry Walll
: Rough Electrical
Framing (Only after Plbg.: Elec.. Mech and Fire)
Insulation (SoundlEnergy)
'Do not tape or plaster until the following applicable
items have beensignod:. .,,' " , , .
Dr'ywall ' . .
Penetrations (Fire Rated) Electrical
Penetrations (Fire Rated) Mechanical ..
Penetrations (Fire Rated)Plumbil1!l ' .
Interior Lath' : , ,
Exterior Lath
--c- GENERAL ITEMS
Exterior Plaster (Brwm Coat) " --c-
T.Bar:Electrical .
'T .Bar Mechanical ... .
T.Bar'Stru'ctural
Sewer
WliterEngineering Backflow ' .
Water Service . '
FINAL INSPECTIONS Date' Inspector '
Electrical F.inal ,
Plumbing Final .
Mechanical Final
Gas Test . ,
, . '
Engineering/Grading Final 76S-5126 .
Fire Dept. Final 7654040 ..
Water Engineering 765-5268 : '
Sub i..ist/Business license 7ii5-519 ..,
,
Zoning 765-5139 J .,'
Building Final ~ast Inspection. Only , o/2a-i~ <iAU'owSi.L1
fter Above Complete)
PARTIAL INSPECTIONS
BuildinCl InsDections
Mechanicallnsoections .
PliJmbinCl InsDections ,.
ElectricallnsDections