7460 Woodsboro Ave.
;;;;;O~~FPERMIT CITY
DATE: 5/10/2005
JOB ADDRESS: 7460. E WOODSBORO AVE
LEGAL DESCRIPTION: N TR 7666 LOT 62
ElM
BUILDING DIVISION
200 S. ANAHEIM BLVD.
(714)}65 - 5153
INSPECTION REQUEST LINE:
(714) 765- 4626
CENSUS CODE: 434
QUARTER SECtiON: 195
BUILDING PERMIT NO. BLD2005-01341
APPLICANT: RON SALAZAR .
OWNER INFORMATION: CONTRACTOR INFORMATION: ARCHITECT/ENGINEER INFORMATION:
Wilfiam .Cupp . PRIDE ROOFING
7460. E Woodsboro Ave 20.8 DEL CABO
,Anaheim, CA 92807 SAN CLEME~TE, CA 9287300.00..
. BUSINESS PHONE: 714 777 7107 .
JOB DESCRIPTION:Tear o.ff existing material, install 22,squares of 50 year compo~itjon shingles.
VALUATION: 5,236.0.0.
I OWNER-BUILDER D.ECLARATION
.1 hereby affirm under penalty of perjiJry that I am exempt from-the Contractor's License Law for the following. reason (Sec. 7031.5 Business anc;i
Professions Code: any city or county which fequires a permit to co'nstruct, alter, improve, demolish or repair any str.ucture, prior to its issuance, also
requires the applicant for such permit to tile' a signed statement that he is licen~d. pursuant to the pro'l1isions of ~he Contractor's license Law'{Chapter
9}(commencing with Section 7000 of Division 3 of the Bus.ioessand Professions Code) or that he is-exempt therefrom and the basis for the alleged
exemption. Any violation of Section ,7031:5 by any applicMt for a permit subjects the applicant to a civ>> penalty of not more than five hundred dollars
($50.0.). '. ., .
o I, as owner ,of property, or my employees with w?-ges as their sore'compensation, will ,do the work, and the structure is not intended or offered for
sale (Sec. 7644 _Business and-P,rofessionsCode: 'The Contractor's- License l~w (joes not apply to an'owner of property who builds or improves.
thereon; and who does such work hims~lf or helSelf or through his or her own employees, provided that such improvements <3.re not intended,or
offered for sale. If, however, the building or i'mprovemenns sold with one year'of completion, the owner~buil,der will have the burden of proving that he'
'did not build or improve for the putpose of sale). - , "
o I, as the owner of tt)e property, am exclusively contracting with liCensed contractors to construct the prefect (Sec, 7044 Business and PTofessiorls
Code: T!1e Contractor's License Law does not apply,to an owner of property who builds or improves thereon, and who contrac1s for such projects with
Oa contractOr(s) licensed pur.suant to the Contractor's,License Law): .,
I am exempt under Sec. .', ,B & P.C. for this reason:
Date: Owner:
I WORKER'S COMPENSATION DECLARATION
I hereby affirm under penaltY of perjury one of the following declarations:"
o I have and will mainfain a certificate of consent to setf~insurefor worker's 6ompensatlon,
as provided for by Section 3700 of the Labor Code, for the pertormance of the work for Which
this permit is issued.
~r have and will maintain worKer's comPensation insurance,_ as required by Section 3700 of
1Ii'e~1:abor Code, for the performance of the work for which this permit is issued My worker's .
'Compensation inSurance C?inier and poficy are; .
Carrier:. STATE FUND' . PolicyNumber. 285-02UNITOO0.1429
PROCESSED BY: ENO
I
;;
This seclion need not be completed if \h;, polmil is for one hundred dollars ($1 DO) or less.
~rtifythat in the pert~rmance o(the work for which this permit is issued," shall not "
.am-ploy any person in any manner so as to becom u. to th~ w9rker's compensation laws
of Califomia, and .agree that.if I should become s bject he'worker's compensation
proviSions of Section 3700 of the labor Cod an f with comply with t~e provisions.
Date: 5/1 0./20.0.5 Applicant: .
WARNING: FAILURE TO SEGUR ORKER'S
UNLAWFUL, AND SHALL SUBJ TAN EMPL TO CRIMINAL PENALTIES AND CIVIL
FINES UP TO ONE HUNDRED/ OUSANDD LLARS ($10.0.,0.0.0.), IN ADDITlON TO THE
COST OF COMPENSATION,OAMAGES AS'PROVIDED. FOR IN SECTION 370.6 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 ,eiv.C):
Lender's Information:
NUMBER
390685
TYPE
TYPE
PIRATION DATE'
513112005
C39
B
NO
is application and state that the above. information is correct. r
Ity or.dinances and state laws relating to building construction, and
tives of,this city to enter upon the above mention~d property for
Dale: 5/10./20.0.5 .
Fees paid for Permit:
Total:
235.35
gn of Applicant or Agent
pire by Iim\tation and become null and void if the building or
work has not assed final inspection 365 days from the date of permit issuance. A
new permit is required to commence or continue work.
. INSPECTION RECORD
INSPECTION . .' DATE INSPEc:rO~
.
Temporary Power Pole . . . .'
Plumbing (l;IraintWaSte Pipe}
Electrical Ground ElectrodelUfer
SelbackfFormsfTrenches (Footings) .
Do not. Install subfloor or pour floor slab until the ..
following applicable items. have been signed:. .
Plumbing (Waler Pipe.Sprinkler Valves) .
Mechanical (Groundwork) . ".
Electrical. (Underground Conduit) .
Pre-slab (CompactiontMembrane.Reim.,
. Underplnl1ing (Floor Joist/Girders) .
Do not cover or conceal tile work belOW until the
following applicable items have been signed:' .
1st Floor Shear .
Firesp'riokler (Rough)
2nd Floor SbAar
Roof'fSheatl1irdDialihragm'Framel . '>111111) rr. ptlroJ'Jl
nf~ond BeamlPre-Grout) . . .
Rough Plumbing (Top Out) . .
Rough Mechanical
~ugn l:IectrlCaI(Dry wall)
Rough Electrical . .
Framing (Only after Plbg., Eleen Mech.. and Fire} .
Insulation. (Soul!ll/Energy) .
po not tape or pla~ter until the following applicable .
. Items. have' been SIgned: '. . ,
Drywall , .
Penetrations (Fire Rated) ElectriCal
Penetrations (Fire RatedlMechanical .
Penetrations (Fire Rated) Plumbing
Interior Lath
EXterior Lath
. , GENERAL ITEMS
Exterior PiaSter (Brown Coat) , .
T -Bar EleCtrical .
T,Bar Mechanical .
T -Bar Structural .
Sewer . . . . .
Water Engineering Backflow :' . .
Water Service
FINAL INSPECTIONS '.Date : . 'nspector
Electrical Final ..'
Plumbing Final
Mechanical Final
Gas Test. '. .
..
Eitgineering/Grading rmal 765-5126 .
Fire Dept. Final 765.4040 I
Water Engineering 765-5268 .
Sub List/Business license '765-519 . '.
. . :
Zoning 765-5139 . .
Building Final ~"stlnspection' Only. 'S'I113P( h:~~
. fter Above Complete)
PARTIAL INSPECTIONS
Buildina Inspections . .
. Mechanical Inspections
Plumbina Inspections
Electrical Inspections