1150 W. Magic Way
TYPE OF PERMIT ,CITY
Reroof .
ElM
BUILDING DIVISION
200 S, ANAHEIM BLVD.
(714) 765 - 5153
INSPECTION REQUEST LINE:
(714)765 - 4626
CENSUS CODE: 437
QUARTER SECTION: 66
BUILDING PERMIT NO, BLD2005-01415
DATE: 6/3/2005
JOB ADDRESS: 1150W MAGIC WAY
LEGAL DESCRIPTION: FAIRVIEW COLONY TR LOT 1 BLK 14 AND
APPLICANT: STEVEN SCHNIERER
OWNER INFORMATION: CONTRACTOR INFORMATION:
Walt Disney World Co CENTI MAR K CORPORATION
1375 N Buena Vista Dr 987 N BAT A VIA ST
Lake Buena Vista, FL 32830 'ORANGE, CA 928670000
JOB DESCRfPTIONReroof parking deck of convention center
VALUATION:" ' 180,000.00
ARCHITECT/ENGINEER INFORMATION: ,
PROCESSED f;lY: ENO
OWNER-BUILDE DECLARATION
I here ya Irm under penalty 0 perjury that am exempt rom t e on tractor's , cense Law orthe 0 owing reason ec.703. usiness and
Professions Code: any, city or county which requires a permit to construct, alte~ improve;_ dam'olish <?r repair any structure, prior tp its-issuance, aJ~o .
requires the applicant for such permit to file a signed statementthat he is licen~d 'pursuant to the provisions of the Contractor's ,License Law (Chapter
9)(commencing with Section.7000 of Division 3 of the Business ana 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 subjei:ts the applicant toa civil penalty of not more ,tha n five hundred dollars
($500). , ' , , ' ,i,' "
D I, as owner of property, or my employees with wages as their sole compe~atjon, will do the work, and the structure is not in~ended or offered for
sale. (Sec. 7044 Business and Professions Code: The Contractor's License La;\y does not apply to an owner of property who buildsor improves
thereon, and who does such work himself or helSelf or through his or her owneniployees, provided that'such impr:ovementsare not intended Qr
offeredfo~'sale. If, however, the building or improvement is sold with one yearpf completion, the owner-builder will have. the burden of proving that he
did not build or improve for,thepurposeof sale). _ ,. ,~,' . . . ., _ .
o ,I', as the owner of the property,. am exclusively contracting with licensed cor tractors to constructthe project (Sec. 7044 Business and Professions .
Code: The Contractor's License Law ,does not. apply to an owner of property wllO builds or improves thereon, and who contracts ,for such projects with..
,a.....qontractor(s) licensed pursuant to the Contractor's License Law): . J.
U I am exempt under Sec.. " , B & RC. for this reason:
Date: Owner:
I WORKER'S COMPENSATION DECLARATION
I hereby affirm under penalty of pe~ury one of the following declarations: " .
o I have and will maintain a certificate of consent to self.-insure for worker's dompensation,
as provided for bySection 3700 of the Labor Code, for the performance of the work for which
,
this permit is issued. . ~ .
Ii3 I' have and ~ill maintain worker's 'compensation. insurance, as required by Section 3700,of 6/3/2005
the Labor Code, for the performance of the work for which this permit is issued My worker's. ._Date:
Compensation insurance carrier and policy are;. J
Carrier: INS CO OF STATE OF PA Policy Number. RMWC7083812
ContraCtor
"
this section need ,not be completed if the pennit is for one hundred dollars ($1'00) Or less.
f'J I certify th~t in the'perfonnance'ofth~ work for which this permit is issued,!1 shan not
~oy any person in anymanner.SO as to become subject to the worker's compensation laws
of California, and' agree that if I should 'become subject to the'worker's compensation
provisions of Section 3700 of the Labor Code,', forthwith co with those provi'sions.
.. ' ,
NUMBER
497859
TYPE
EXPIRATION DATE
913012005
C39
Date: 6/3/2005 ' Applicant:
WARNING: FAILURE TO SECU O.R COMP SATION COVERAGE IS
UNLAWFUL, AND SHALL SUBJECT AN 'MPLOYER TO CRIMINAL PENALTIES AND CIVIL
FINESUPTO ONE HUNDRED 1HOUSAND DOLLARS ($100,000), IN ADDITlON TO THE
COST OF COMPENSATION, DAMAGES AS'PROVlDED FOR IN SECTION 3706 OF THE
LABOR COD E, I NTEREST AND ATTORNEY'S FEES.
CONSTRUCTION LENDING AGENCY
I hereby atfirm under penalty of perjury that there is a construction l,ending agency for the
p~rt9rm.~n~_9U!1e w.qrk !9T .whtch_1bj~~p_ermitjs issued {Sec. 3097.Civ.C):___ j, .
Lender's Information:
Construcion Types:
I FR, ,
Fire Sprir:klered?
YES
1 certify that I have re~d this application anctstate that the 'above information is correct. I
agree to comply with all city ordinances and state laws relating to building construction, and
hereby a orizerepresentives of this city to enter upon the above mentioned property for
in . n purpo
Date: 6/3/2005
Fees pai.d for Permit:
Total: .
5.177,39
Signatur f Applicant or Agent
The permi shall expire by IimRation and become null and void if the building or
work has not passed fi nal inspection 365 days from the date of permit issuance. A
new permit is'required to commence or continue work.
INSPECTION RECORD
INSPECTION . DATE INSPECTOR
Temporary Power Pole
Plumbing (Drain/Waste Pipe) . ,
Electrical Ground Electrode/uter, "
SetbacklFormslTrenches' (Foqtings) .'
00 not install subtloor or pour floor, slab until the ,
following applicable items have been signed:
Plumbing (Water Pipe.Sprinkler Valves)
Mechanical (Groundwork) , .'
Electrical (Underground Conduit)
Pre-slab (CompactionlMembrane.Reinf. ,
Underpinning (Floor Joist/Girders)
00 not cover or conceal the work below until the ,
fo/Jowingapplicable ilemshave been signed: i
1st Floor Shear , . .
Fi",sprinlder (Rough)
2nd I=loar Shear ' .
~af (Sheathing/Diaphragm/Frame) th/oJ /" -
Masonry (ReintJBond BeamlPre-Grout) ./
Rough Plumbing (Top Out)
Rough Mechanical .
KOugn t:IectricaJ \ury Wall)
Rough electrical . , .
Framing (Only after Plbg., Elee.-, Mech. and Fire) ,
Insulation (SoundlEnergy) .' . . ,
00 nottape or pfaster . until the following applicable ' ,
'items have been signed: ." ,
Drywall
Penetrations (Fi", Rated) Electrical I .
Penetrations (Fire Rated) Mechanical
Penetrations (Fi'" Rated) Plumbing
Interior Lath ,
Exterior Lath .
. . GENERAL ITEMS
Exterior Plaster (BrQWn Coat) .
T -Bar Electrical , . .
T -Bar Mechanical
T -Bar Structural
Sewer ' . "
WaterEnglneering Blickflow .
Water Service ,
L
I
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 765-519
ZOlling 765-5139 . .
Building Final' Itast Inspection. Only :;-'300)" R. fwcsd! '
fter Above Complete)
PARTIAL INSPECTIONS
Bu'i1dina InSDections
MechanicallnSDections
Plumbina lilsDections
EJectricallnsDections