1150 N. Magnolia Ave. (3)
CONTRACTOR INFORMATION:
ALLIED ROOFING COMPANY
1420 E WILSHIRE AVE
SANTA ANA, CA 92701 0000
BUSINESS PHONE: 714542-1100
JOB DESCRIPTION:Tear off existing material, install 150 squares of built up roof.
VALUATION: 46,000.00
I OWNER-BUILDER DECLARATION
I hereby affirm under penalty 01 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, alter, 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 subj6(~ts the applicant to a civU penalty of not more than five hundred dollars
($500).
o I, as owner of property, or my employees with wages as their sole comper.sation, will do the work, and the structure is not intended or offered 10r
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 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 yeartaf completion, the owner-builder will have the burden of proving that he
did not bu ild or improve for the pu rpose of sale).
o J, as the owner of the property, am exclusively contracting with licensed contractors to construct the project (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 contracts for such projects with
,a..Qontractor(s) licensed pursuant to the Contractor's Ucense Law).
U 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 maintain a certificate of consent to self-insure for worker's compensation,
as provided for by Section 3700 of the Labor Code, for the performance 01 the work for which
this permit is issued.
[3VI have and will maintain worker's compensation insurance, as required by Section 3700 of
the Labor Code, for the performance of the work for which this permit is issued. My worker's
Compensation insurance carrier and policy are:
Carrier: STATE FUND Policy Number: 285-0002300.
This section need not be completed If the pennit is lor one hundred OOllars($100) or less-
~ 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 or Co, all forthwith comply with those provisions.
BUILDING PERMIT NO. BLD2005-02847
TYPE OF PERMIT CITY
Reroof
DATE: 9/9/2005
JOB ADDRESS: 1150 N MAGNOLIA AVE
LEGAL DESCRIPTION: P BK 135 PG 19 PAR 38
APPLICANT:
OWNER INFORMATION:
CHRISTIAN C EVANGELICAL
PO BOX 306B
ANAHEIM, CA 92B03
ElM
BUILDING DIVISION
200 S. ANAHEIM BLVD.
(714)765. 5153
INSPECTION REQUEST LINE:
(714) 765.4626
CENSUS CODE: 434
QUARTER SECTION: 24
ARCHITECT/ENGINEER INFORMATION:
PROCESSED BY: ENO
Date: 9/9/2005 Applicant:
WARNING: FAILURE TO SECU WORKER'S COMPENSATION COVERAGE IS
UNLAWFUL, AND SHALL SUB CT AN EMPLOYER TO CRIMINAL PENALTIES AND CIVIL
FINES UP TO ONE HUNDR THOUSAND DOLLARS ($100,OOO), IN ADDITION TO THE
COST OF COMPENSATIO ,DAMAGES AS PROVIDED FOR IN SECTION 3706 OF THE
LABOR CODE, INTERES 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.Civ.C):
Lender's Infonnation:
ve read this application and state that the above information is correct. I
oom Iy with all city ordinances and state laws relating to building construction, and
ize re resentives of this city to enter upon the above mentioned property for
urposes.
Date: 9/9/2005
Signature of Applicant or Agent
The per it shall expire by limitation and become null and void if the building or
work s not passed final inspection 365 days from the date of permit issuMCe. A
new p mit is required to commence or continue work.
Construcion Tvpes:
VN, ,
Fire Sprinklered?
NO
Fees paid for Permit:
Total:
914.77
City of Anaheim
Building Division
FINAL INSPECTIONS DATE INSPECTOR
Electrical Final
Plumbing Final
Mechanical Final
Gas Test
Engineering/Grading Final 765-5126
Fire Dept. Final 765-4040
Water Engineering 765-5268
Sub List/Business License 765-5194
Zoning 765-5139
Building Final (Last Inspection. Only ~.28:0; {2. fi~v1J
After Above Complete)
INSPECTION RECORD
INSPECTION DATE INSPECTOR
Temporary Power Pole
Plumbing (Drain/Waste Pipe)
Electrical Ground Electrode/Ufer
SetbacklForms/Trenches (Footings)
Do not install sublloor or pour IIoor slab until the
following applicable items have been signed:
Plumbing (Water Pipe/Sprinkler Valves)
Mechanical (Groundwork)
Electrical (Underground Conduit)
Pre-slab (Compaction/Membrane Rein!.)
Underpinning (Floor Joist/Girders)
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/DiaphragmlFrame) I)
Masonry (Reinf./Bond 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) Plumbing
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
PARTIAL INSPECTIONS
BUildin~~ectiO= . (
~u- . un S. N""'<!<UOf slim)
.K. " 'P~
Mechanical Inspections
Plumbing Inspections
Electricallnsoections