151 Margate Dr.
..'
. BUILDING DIVISION
200 S. ANAHEIM BLVD
(714) 765 ,.5153 .
INSPECTION REQUEST LINE:
(714) 765 - 4626 .
CENSUS CODE:. 434
QUARTER SECTION: 86
BUILDING PERMIT NO. . BLD2~Tl5-00292
TYPE OF PERMIT C ITV
Reroof
DATE: 2/1/2005
JOB ADDRESS: 151 W MARGA TE DR
LEGAL DESCRIPTION: N TR 2090 LOT 43 .
APPLICANT: ADRIAN FRAUSTO
OWNER INFORMATION: CONTRACTOR INFORMAtION:
Adrian. Frausto
151 W Margate Dr
Anaheln" CA 92805 _'
JOB ,DESCRIPTION:Tear off existing material, install 21, squares of 40 YE:ar Shh}9tes.
VALUATION: 4,000.00 'i,
. L. OWNER-BUIL,DERilECLARATION
I hereby affirm under'penalty of perjury that I ar:" exempt from the Contract(lr'~};LiceJ'lse_Lawfor the following reason (Sec. 70-31.5 Business and
Professions' Code: any dty or county which requires a permit to construct, alfEi~ improve. demoltsh or repa ir any s'tructure, prior to its issuance, also.
r~quires the applicant for such ,permit to .file a signed 'State'ment that he-is ik::el\sed pursuant to the pro\1sions of the Contractcr's License Law (Chapter
9)(comrnencing with Section 7000 of Diyislon'3 of tlie B'usinessand Professioi";s Code) or that he is exempt thei'efrom.3nd.the basis'for the alleged ":
exemption, Anyvlolation of Section 7031.5 by any applicant for a permit sub(~;cts t!1e applicant to cf dvil penalty of not more than five hundred dollars
. ~~~. s 'owne. r of properly. or my employees with' wages as t!'eir SOle comp"".""tior,, wili do the work, and. the structure is not int~nde<l:or offer~d for
~ec"'!044 Business and Professions Gode: The Contrsctor's Lice-rose U'".v does not apr1yto an owner of property who bui!ds cr improves
thereon, Bnd who does such worK himself or ~erself or throlJgh his ,or ~er O\'i;~:~:trnploy~es, provided that such improvemer,tsare not.intended or . -
offered forsale. If, however, the blJilding orhnprovement is sold with one ye~r'of wmptetion, the owner-builder will have the burden of proving that he .
did not build or improve"for the pUlpose of sale): i _ . > . . .,
IJ I,' as the' owner of the property, amexdusively'.ccfltracting with !iGens~d ~~.)l1tr~ctors to CO;'"l~truct the project (See. 7044 Business.and J::'rofessions
.Code: The Contractor's Licen~ Law does not apply to an owner 01 'propert:;\:.:ho !;;uiids or improvGS thereon, and who f.bntracts for s;;chprojects with
ontrCict:or(s) Iicellsed purSlJant to the Contractor's License Lav,;).,' '.J'". . . . .
l..am,e)!:emptlind.er Sec. , ..& P.C; for this ~sdn: ,_~1____' .
De' ("O\Nner. r';-A l k .'
. _ _:> ' .t.".;..,-
WORKER'ATION DEe },
i hereby affirm uncler pen::l!r'j erjury' one of the following dflclarc:tions: l
0'1 have and will mair:'ltai~ a.i::erUficate of'oonsent to self-insure for wOfl<er';.;.tc;npensation, '
"as provided fer by Secticn.370.D of the Labor' Code, for tha' psrformance cf tr,:i~~J6:"l~ fOf ""him
this permit is issOad. . .' '::
o 1..h2ve and wfl! maintain wO,mer's compensation insuran"Ce" as requ!re~j""!r.t.::pctior: 3700 ~-i(I' 2/1/2005
the Labor Cod.s;, fo; t!1e pdlformanc;e of the work for which this p~m...i'it is' !S....UE'j~, My worker's Dat~:
CqfP.pen~tior!"insurcHice carrier and policy are: . . '. . ,
.Carril"Jr: . . PoliCf Number:: . NUMBER
. '. . '". . ,.J
This sl?CfJ.on nee'J ".otoo completed if the pennit is for one ~undred dcljar~ ($i~:\)i'lf' less, ."
~CertifY that in t~ perfolTTlance of the work fer which ihis permit is is;3-ue~. .i:.s,a\\ 11(lt
employ any t)erson in ;any manner so as.to becom? subject to the wod~ar'sr;":n-~;>erk?3t!Ort !aw~
of Calif.omfa, and agree, that ij I ou ld b me sLriajed to the worker's corn::>fosation
provisior,.s of Sectioi13700 of the bor; ode, I shall. forthwith co~pii. \"Iith t~l;>>e~l(Ovisjons.
ARCHITECT/ENGINEER INFORMATION:
PROCESSED BY: ENO
J
':::J
LICENSED CONTRACTORS DECl-ARATiON
I hereby affirm. under penalty of perjury that I am
licensed under provisions of chapter 9 (commencing
with Section TOaO) of Divsion 3 ofihe.Bu'si"ness and
Professions Code.
--
c_
Contractor
EXPIRATION DATE
TYPE
Dat.: 2/1/~Qi;5, Applicant: ,
WARNIN<;>;FAILURE TO SECU OR - '$ GOM ENSAT!ON COV&!'<;,G5IS
UNLAWFPL, AND SHALL SUB; CT AN EMPLOYER TO CRIMINAL PENALIIES AND C!VIL
FIN.ES!JprO ONE HUNDREQ THOUSAND DOLLARS ($100.000), IN AVDI[lCN TO THE
GOST OFI;OMPENSATION!DAMAGES AS PROVIDED FOR IN SECTICN 3706 Or THE
L'\80RtODE, I.NTERE'SrAND ATTORNEY'S .FEE'S, .
~, ..' .... ., .CONSTRUCTIOlll LENPING AGENCY. _'5'--'. _ ...
l.her:3by.afflrm. ullde,r penalty cf perjurJ that there is a i~onstr:.r.:;ticn t.::r1cl.:oa'0"16.JC-Y for the
. t1e,rf:orrr;3fl9<:t of tl~ \'; work)o r ~hi.d:Lthjs.p~:.:Jllt' I., J$:ued, (See: 30tt? ,.Clv :CV"' .:..-
Lender's I~formafton: .
Construcion Types:
V N"
Fire Sprinklered?
NO
I
.
"'l
,,-.-....,.'.
':-;..'
I certify that t have read this application and state that the above information is correct. I
agr e.to oomPlY with all city ordinances and state laws relating to building (:c:lrIstruction, and
her by.-authorize representives of this city to enter upon the above mentioned property for
. ins edion purposes. .
Date: 2/1/2005
Fees paid for Permit:
Total:
235,33
Signature fA plicant or ent
T . permit sl:tall expire by limilati~rt and become null and void if the building or .
wotk has not passedfinalinspection 365 days from thedateof perrr.it issuance. A
new permit is required to commence or continue work.
-
.
INSPECTION pATE. JNSPECTOR EI.e~trical Final
T "mporaryPower Pole . . Plumbing Final .
Plumbing (OrainlWaste Pipe) Mechanical Final . ,.
Eiectrical Ground Electrode/Uter . . .
SetbacklFormsrrrenches (Footings) Gas Test .
Do not i~tall subfloor or pour floor slab until the EngineerJng/Grading Final 165.0126 . ,
.. following applicable items have been signed:
Plumbing (Water Pipe.Sprinkler Valves) . Fire Depl. Final 765-4040
Mechanical.(Groundwork) Water Engineering 765-5268 .. . . .
Electrical (Underground Conduit) . . ..
. Sub List/Business License 765-519 . .
Pre-slab (CompaclionlMembrane.Reim. . .
Underpinning (Floor Joist/Girders) I Zoning 765.5139 . . .., Id/
Do not cover orconcealthe.woJk below until the Building Final ~ast Inspection- Only 0/0/ cs-r
fOllowing applicable items have been signed: .. .,. , . fter Above Complete) ~;...~~
. 1 st Floor Shear . . . . PARTIAL INSPECTIONS .
Firesprinkler (Rough). , . ' .
2nd Floor.Shear. . . .. ~- Buildina Inspections
Roof (SheathinalDiaplllagm'Frane) (,/$- ..4' ~j
Masonry (RiIlinfJBond !3eamlPre-Grout) . .. . .
Rough Plumbing (Top Out) . . . . .
Rough Mechanical . . .
KOugn t:IectrlCllI all) . . . .
. . . .
Rough Electrical. . .
Framing (Only after Plbg, Elec:. Mech. and Fire) . , .' . . .
..
Insulation (SOlIndlEnergy) . .
00 not tape or plaster until the following applicable MechanicallnsDections,
.items have been signee!:. .', . , ' ' .
Drywall ' . .. .
. . .
PenetratiOns (Fire Rated) EI~trical .
PenetrationS (Fire Ratlid) Mechaoical .
Penetrations (Fire Rated) Plumbing . ' . ' .
'Interior Lath . " . . .
Plumbina hlsDections .
Exterior Lath .
" . GENERAL ITEMS " .
Exterior Plaster (Brown Coat) . ' ..
.
T -8ar Electrical' . . " . . .', . .', ' '
. .
T-Bar Mechanical .
, . .
T -Bar Structural ' . '. '
.Sewer. '.
Water Eriilineering,Backfiow ' '. ,ElectricallnSDections . .
Water Service " . .
. . ' .
INSPECTION RECORD
FINAL INSPECTIONS
Date 'Inspector '