425 Manti Dr.
BUILDING PERMIT NO. BLD2004-04162
TYPE OF PERMIT CITY.
. Reroof .
DATE: 11/16/2004'
. JOB ADDRESS: 425 N MAJ',jTIDR
LEGAL DESCRIPTION: N TR 5083 LOT 57
APPLICANT: FREDDIE . VAZQUEZ
OWNER INFORMATION:
Michael Turen ne
425 N Manti Dr .
Anaheim, CA .92807
BUILDING DIVISION
200 $. ANAHEIM BLVD.
(714) 765 - 5153
INSPECTION REQUESTLINE:
(714)765 - 4626
CENSUS CODE: 555
. QUARTER SECTION: 167
ARCHITECT/ENGINEER INFORMATION:
CONTRACTOR INFORMI~TION:
FiRST QUALITY ROOFI~IG
906 S FIGUEROA ST:
SANTA ANA, CA 92704060:0
BUSINESS PHONE: ',714 775-337<;
JOB DESCRIPTION:Tear off existing roof and replace with 23 squares of 40 Yr, composilion shingles.
VALUATION: 4,500.00 PROCESSED BY: MSM
I . .' '. OWNER.BUILDE~: DECLARATION . , '.' .
I hereby affirm under penalty of perjury that I am exempt from the Contractafs'Uccnse Law for the following reason (Sec. 7031.5 Business and .
Professions Code: any city or county which requires a permit to construct, o::er, improve, demoll,shar repair any structure, prior to its issuance, also
requires the applicant for such permit to fLlea siQned statement that he IS lic,;nsed pursuant to the provisions otttie Contractor's License Law (Chapter
9)(commencing with Section 7000 of Division 3 of the Business andProfessiops Code) orthat he is exempt therefrom and the basis for 'the alleged
exemption, Any violation .of, Section 7~31,5 by any applicant for a permit St!9E:ctl; the applicant to a civil penalty of not mOre than five .hundred dolt~rs
($500).' , .,. . .
o .1, aso~ner.of property, or my employees with wages as their sole Cbl'Y'l~BI~sation, will do the work, and the f.'tructure is not intended or offered for
sale (Sec. 7044 Business and Professions Code:' The Contractor's License Law does not a pply to an owner of property whO buildsorlmprove~
thereon, and who does such work himself or herself or through his or her O'.,tl o;;!mploye~s, provided that such imprOvements are'not intended or
offered for sale. If, however; the building or improvement is sold with one Yl?:=r c.f oompletion, the owner-builder will have the burden ot'proving that he
did not ~ad or improve for-the purpose of sale). '. . ,','i'.... .
'. 0 I, as the owner of the property, am-exdusively contracting with I-icen$ed'_:::ontiactors tocons'truct the project '(Sec. 7044 Bu'siness and Profe~'io.ns
Code: The Contractor's License Law does 'not apply to.an owner of proper;.'tNho builds or improves thereon, and who contracts for sum projects 'With
~ontract?'"(s} license~ pUrsuant ~~ the c..ontraCtor's License Law). .
U lam exempt ~nder Sec. . ,B & P.C. for1his reills'on:
Date: 'Owner: ' ,I:
I --. WORKER'S COMPENSATION DECLARATION~r____=:J
I hereby affinn'under penalty of perjury one of the following declarations~ i. ."
o I have and will maintain a certificate' of oonsentto self-insureforwork~r;5compensat\on,
8S provided for by Section 3ioo of the LaborCode, for the performance (\flh1e .v'orli. for which
$1hi. permit is issued. ". " .
. '" t have and will maintain wofker's compe~ation im:,uranc~, as requjre-d bV Section 3700 of
he abbr Code, for the performance of the work for which this.perm!t is ise'l:)d. Myworker's
Compensation in-surance carrier and polic.y are: . ,
Carrier: STATE FUND Policy Num~er: 002659~W20G4
This section need-not be compl_eted if.th'e pennit is fur one hundred do!lars ($1il~ or-less.
o .1 certify' that in the performance of the work for which this permit is, :SSUt"~\!l:1 shalt -not
employ any person in any manner ,so as to become $ubject to the worker's (;~;mpensation laws
. of California. and agree that if I should become stIbject t9 the wor'r<er's con~p:;nsation
provisions of Section 3700 'ofthe Labor Code I shall fi rt ith c~m y \lith t:'~Jse provisions.
r
NUMBER
771;969
TYPE
TYPE
TYPE
. C3.9
C27
HIC
Construcion Types:
VN, , .
Fire Sprinklered?
NO
Date: 11/16/2004 Applican
WARNING: FAfLURE TO SEC EWO.
UNLAWFUL, AND SHALL SUBJECT MPLOYER TO C;;RIMINALPr;NA:_TiES AND CIVIL
FINES UP TO ONE HUNDRED THOUSAND DOLLARS ($100,000), IN AD[;rnON TO THE
COST OF COMPENSATION, DAMAGES AS PROVIDED FOR IN SECTION' 37U6 OF THE
LABOR CODE, INTEREST AND ATTORNEY'S FEES. .
I CONSTRUCTION LENDING AGENCY _ .-"-1
I hereby affirm under penalty .of perjury'that there is a constn.lction lendlng3!;R.r'I~Y for the . !
p.-;,.rr0T.".s>los ,:;yf thevrur-k-fof v'vTil\.I' {hl~~"Gfln;t tS h.s*,.J~cl (S1i:C.3097:-B-tv-:C};
Lender'$lnformation:
I certify that I have read this a pplication and state that the above information is correct. I
agr.ee to comply with 'all city ordinances and state laws relating to pu~ding- coostruction, and'
hereb authorize representives of this citY'to enter upOn the above mentioned- property f?r
..iJJsp jon purpo r
Date: 11/16/2004
235.33
Signatur~ of Applicant or
The permit s, I expire by limitation a ecomenull and void if the' building or
work has n ' passed final inspection 365 days from the date ofperntit issuance. A.
riewpermit is required to'commence or continue work. .
Fees paid for Permit:
Total:
-
. INSPECTION RECORD FINAL INSPECTIONS .. Date . Inspector
. Electrical Final .
. INSPECTION ' DATE INSPECTOR
. Temporary PQwer Pole " Plumbing Final .
. ,.
Plumbing (DrainlWaste Pipe) .' , Mechanical Final'
, Electrical Grou,nd Electrode/uter ' ' .
Setback/Formsrrrenches (Footings) Gas Test , I
Do not install subfloor or pourfloor slab until the EngilM!9ring/G~ading Final 765,5126 , ,
following applicable items have been signed:
Plumbing (Water Plpe.Sprinkler Valves) Fire Dept. Fina1765-40.40.
Mechanical' (Grall ndwork) , Wate'r Engineering 765-5268, ' .,
Electrical (Underground Conduit) ,
Pre-slab (Compaction/Membrane.Rei nt. Sub List/Business License 765-51,9' ,
Underpinning (Floor Joist/Girders) , Zoning 765.5139 /)
,
Do not cover or conceal the work below until the '. IIlu D~ ~Yd~ /
, following applicable items have been signed: Building Final ~ast Inspection- Only
fter Ailove Complete)
1 st Floor Shear , , ~ PARTIAL INSPECTIONS,
Firesprinkler (Rough) . . / uildina Inspections
2nd Floor Shear' , . (/ /'
RoOf (Sheathing/Diaphragm'Frame) \ ~ A'.r 11>..J "/ .,
Masonry (ReinfJBond BeamlPre-Grout) ,f -c~ - , ,
Rough Plumbing (Top Out) , ..
Rough Mechanical . , ','
Rough E1ectrlC,a! (Dry wall) C-
,
Rough Electrical, .
Framing (Only Qfter Plbg.. Elec,. Mech.. and Fire) ,
Insulation (SoundlEnergy) , Mechanical Inspections
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 Plumbina Inspections
GENERAL ITEMS , ' ' .
Exterior Plaster (BlQWn Coat) , ,
'T-Bar Electrical ' . , .. - . '
T ~Bar Mechanical, , ,
, '
T-Bar,Structural . .
Sewer " ,
Water Engineering Backflow , Electrical Inspections
Water Service .