1537 Lullaby Ln.
DATE: 4/19/2005
JOB ADDRESS: 1537 W LULLABY LN
LEGAL DESCRIPTION: N TR 1979 LOT 147
ElM
BUILDING DIVISION.
200 S.ANAHEIM BLVD.
(714) 765 - 5153
INSPECTION REQUEST LINE:
(714) 765 - 4626
CENSUS CODE: 555
QUARTER SECTION: 56
BUILDING PERMIT NO. BLD2005-01101
TYPE OF PERMIT CITY
. Reroof
APPLICANT: CATITA BRIE
OWNER INFORMATION: CONTRACTOR INFORMATiON: ARCHITECT/ENGINEER INFORMATION:
John Brie
1537 W Lullaby Ln
Anaheim, CA 92802
JOB DESCRIPTION:Tear off existing root and replace with 14 squares of 30 yrrar cDmposition shingles and 112 square of BUR
VALUATION: 2,000.00 PROCESSED BY:JNJ
I OWNER-BUILDER DECLARATION I
I hereby affirm un~er penalty of perjury that I am exempt from t,he Contractor's License Law for the following reason (Sec. 7Q31.5 Business,ahd
Professions Code: any city or county which requires a.permit to construct, alter, improve, demolish or.repair any structure, prior to its issuance, als'o
requires the appli.cant forsuch permit to file a signed statementthqt he is licensed pursuanfto the provisions ofthe Contractc;>r'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 Caete: The Contractor's Ucense Law does not apply to an owner of property who builds or improves
thereon, and whodoes such work himself or herself 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 build or improve for the purpose of sale). ,''. j. ' . .,.' ,
ai, as the owner of the property, am exclusively contracting with liCens~d contrac;:1ors to construct the project (Sec. 7044 Business 'and Professions -,
'<;::ode: The Contractor's Licen.se Law does not apply to an owner of property who builds or improves thereon, and who contracts for such projects with
jl.Qontractor(s) licenSed pursuant .to'the eontractor'sLicense law).
U lam exempt under S.ec. " B & .C..f r this reason:
Date:' . wner:'
WORKE' MPENSATION DECLARATION
1 hereby. affirm under penaltY-of perjury one of the. following declarations:
~I have and will maint.ain a certificate of con'sent to self-insure for work~r'scompensation,
;m provided for by $ection3700 ot the Labor Code, for the pertorrriance of the work for which.
this permit is issued.
o J have '~:md will maintain worker's compensation insur~nce, as required by Section 370-0 of
the Labor Code, for the performance of .the work for which this permit is issued. Myworker's
Compensation insurancecarril3r and policy are:
-Carrier: Policy Number.
LICENSED CONTRACTORS DECLARATION'
I hereby affirm under penalty of perjury that I am
licensed under provisions Of chapter 9 (commencing
with Section 7000) ot. DlliSion'3 of the, Business and
Professions Code.
4/28/2005
Date:
Contractor
NUMBER
EXPIRATION DATE
~~ection need not be completed if the pennit is for one hundred dollars ($1 00) or .Iess. .
certify that in the performance of the work for which this permit is issued,l shall not .
. ploy any person in any manner so as. to become s.ubj"ect 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 Code, I shall forthwith comply witl:rthose provisions:
.~'~
TYPE
Date: 4/28/2005 Applicant:
WARNING: FAILURE TO "SECU WORKER'S COMPENSATION C.OVERAGE IS
UNLAWFUL,AND SHALL SUBJECT AN EMPLOYER TO CRIMINAL PENALTIES AND CIVIL
FINES..uPTO ONE' HUNDRED THOUSAND 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 t=EES.
CONSTRUCTION LENDING AGENCY
I hereby affirm under penalty of perjury that there is a construction lending agency for the
performance oftha work for which this permit is issued (Sec.3097.Civ.C):
Lender's Information:
Construcion Types:
VN, ,
I certify that I have read this application and state that the above information is correct. I
agree to comply with all.city ordinances and, state raws relating to building construction, and
~ereb .authorize re~resentives of this city to enter upo2-the above mentioned property for
Inspe n purposes.,. " .
CcG.' (G~'D~te;4128/2005
. . Signatu~e of. A"pplicant or Agent
The permit shall expire by limitation and become nun and void il the building or
work has not passed Ii rial i nspeclion 365 days Irom the date 01 permit issuance. A
new permit is required to CQmmence or continue work.
Fees paid for Permit:
Total:
160.61'
"
FINAL INSPECTIONS Date' Inspector,
Electrical Final ,
Plumbing Final , I'
Mechanical Final
Gas Test' , ,
Engineering/Grading FlnaH65-5126 " ,
Fire Dep!. Final 765-4040 , ,
Water Engineering 765.5;268.
Sub List/Business License 765-519 ,
Zoning 765.5139 . ~ , "
Building Final ~astlnspection. .oniy 0,.);,.- ,~;t.f@, ,.
fter Above Complete)
INSPECTION RECORD
INSPECTION
DATE
,
Temporary Power Pole ",
Plumbing (DrainlWaste Pipe)
Electrical 'Ground Electrode/uter
SetbacklFOrrrisrrrenches (Footings) ,
Do not install sub floor or pour tloor slab until the '
followingapplicable'items have been signed: '
Plumbing (Water Pipe.SprinklerValves)
Mechanical (Groundwork)
Electrical (Underground Conduit) ,
Pre-slab ICompactionlMembr_.Reinf.
Unclerpinning (Floor JOist/Girders)
Do not cov!!r or conceal the work below until the
following applicable items have been signed:
1st.Floor Shear" ' ,
Firespril1kler (Rough)
2nd Floor Shear ' ,
RoQHShealliliQ'DiaphragmlFrame)
Maso InfJaend BeamfPre.Grout)
Rough Plumbing (Top Out)
Rough Mechanical
Rougn ~ectrlcallury wall) ,
Rough Electrical, ,',
Framing (Only after Plbg., Elec.: t...lech.. and Fire)
Insulalion(SoundlEnergy) , ,
Do not tape or plaster until the following applicable
items have been signed: ,
Drywall , '
Penetrations (Fire Raled) Electrical
Penetrallons (Fire Rated) Mechanical.
Penetralions (Fire Raled) Plumbing
Interior Lath
Exterior lath
,
.
GENERAL ITEMS '
Exterior Plaster (BraNn COal)
T -Bar Electrical ' ,
T -Bar Mechanicl!1
T-Bar Structural '
Sewer
Water Engineering Backflow ' '
Water Service " ,
INSPECTOR
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/7 -//7J,;7
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PARTIAL INSPECTIONS
Buildina Inspections
Mechanical Inspections '
I Plumbina Inspections
Electrical Inspections