4850 McKinnon
BUILDING PERMIT NO. BLD2005-o3222
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CITY g~~iJ~HEIM
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TYPE OF PERMIT
Reroof
DATE: 10/6/2005
JOB ADDRESS: 4850 E MCKINNON DR
LEGAL DESCRIPTION: N TR 5083 LOT 8
APPLICANT: TODD WALLACE
OWNER INFORMATION:
GREGORIE L CARPENTER
4850 E MCKINNON DR
ANAHEIM, CA 92807
BUILDING DIVISION
200 S. ANAHEIM BLVD.
(714) 765 - 5153
INSPECTION REQUEST LINE:
(714) 765 - 4626
CENSUS CODE: 434
QUARTER SECTION: 167
CONTRACTOR INFORMAT J;~:
MILES ABOVE ROOFI NG
2479 SANTA ANA AVE
COSTA MESA, CA 92627
BUSINESS PHONE: 949642. <"2
JOB DESCRIPTION:Tear off existing material, install osb plywood, 1 layer 30# 11 ,1m! ~1 squares of 50 year shingles to house and attached garage.
ARCHITECT/ENGINEER INFORMATION:
VALUATION: 7,000.00
I OWNER-BUILDER L SCI. >.RATION
I hereby affirm under penalty of perjury that I am exempt from the Contractor's };~.; '~<::; i..::::w for the following reason (Sec. 7031.5 Business and
Professions Code: any city or county which requires a permit to construct, alter im!=,",-".:e, demolish or repair any structure, prior to its issuance, also
requires the applicant for such permit to file a signed statement that he is licen: .'Id~' -:::uant to the provisions of the Contractor's License Law (Chapter
9)(commencing with Section 7000 of Division 3 of the Business and Profession r> ''''1 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 t~b"''''''''' dpplic?nt to a civil penalty of not more than five hundred dollars
($500). r' '\
D I, as owner of property, or my employees with wages as their sole camper 'at ' .., \vjlf do the work, and the structure is not intended or offered for
sale (Sec. 7044 Business and Professions Code: The Contractor's Ucel;~8 IF"':; :~ ,ot 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' 'Tlr vy .as, provided that such improvements are not intended or
offered for sale. If, however, the building or improvement is sold with one year )f .:or:lpletion, the owner~builder will have the burden of proving that he
did not build or improve for the purpose of sale).
D I, as the owner of the property, am exclusively contracting with licensed ccntractors 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 contractor(s) licensed pursuant to the Contractor's License Law). '
D I am exempt under Sec. , B & P.C_ for this reason:
Date: Owner:
I WORKER'S COMPENSATION DECLARATION
I h8reby affirm under penally of perjury one of the following declarations:
~ 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 of the wolk for which
this permit is issued.
D I have and will maintain worker's compensation insurance, as requited by Section 3700 of
the Labor Code, for the performance of the work for which th.is permit is issued. My worker's
Compensation insurance carrier and policy are:
Carrier: NO EMEPLOYEES Policy Number. EXEMPT
PROCESSED BY: ENO
This section need not be completed If the pennit is for one hundred dollars ($100) or less,
N I certify that in the perfonnance 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 bar Code all f~S:' provisions.
~ -
Date: 10/6/2005 Applicant:
WARNING: FAILURE TO SECUR WORKER'S COMPENSATION COVERA'iE IS
UNLAWFUL, AND SHALL SUB CT AN EMPLOYER TO CRIMINAL PENALi:ES AND CIVIL
FINES UPTO ONE HUNDRE THOUSAND DOLLARS ($100,000), IN ADDll ON TO THE
COST OF COMPENSATION, DAMAGES AS PROVIDED FOR IN SECTION 3706 OF THE
LABOR CODE, INTEREST AND ATTORNEY'S FEES.
I CONSTRUCTION LENDING AGENCY_
I hereby affirm under pena~y of perjury that there is a construction lending age -~"'tfor the
performance of the work for which this permit is issued (Sec.3097.Civ.C):
Lender's Information:
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 laws relating to building construction, and
hereby aut I e representives of this city to enter upon the above mentioned property for
in actio purp~ ~ I
. ~~ ..7 Date: 10/6/2005
Signature of Applicant or Agent
The ermit shall expire by limitation and become null and void if the building or
work has not passed final inspection 365 days from the date of permit issuance. A
new permit is required to commence or continue work.
10/6/2005
Date:
NUMBER
763165
TYPE
TYPE
C39
HIC
Construcion Types:
VN, ,
Fire Sprinklered?
NO
Fees paid for Permit:
Total:
245,07
City of Anaheim
Building Division
INSPECTION RECORD
INSPECTION DATE INSPECTOR
Temporary Power Pole
Plumbing (DrainlWaste Pipe)
Electrical Ground Electrode/Uter
Setback/FormslTrenches (Footings)
Do not install subfloor or pour floor slab until the
following applicable items have been signed:
Plumbing (Water Pipe/Sprinkler Valves)
Mechanical (Groundwork)
Electrical (Underground Conduit)
Pre-slab (Compaction/Membrane Reint.) .'
-"...
Underpinning (Floor Joist/Girders) r
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 ,4
Roof (Sheathing/Diaphragm/Frame) It AlP _IX.
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
FINAL INSPECTIONS
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 (La,tln,pectlon. Only
After Above Complete)
DATE
INSPECTOR
PARTIAL INSPECTIONS
_ ~uildina Inspections
Mechanicallnsoections
Plumbing Insoections
Electricallnsoections