2235 W. Midwood
BUILDING PERMIT NO. BLD2005-Q2296
TYPE OF PERMIT CITY
Reroof
DATE: 7/21/2005
JOB ADDRESS: 2235 W MIDWOOD LN
LEGAL DESCRIPTION: N TR 2319 LOT 27
APPLICANT: BRUCE IOFI
OWNER INFORMATION:
MYHA NGUYEN
2235 W MIDWOOD LN
ANAHEIM, CA 92804
ElM
BUILDING DIVISION
200 S. ANAHEIM BLVD.
(714) 765. 5153
INSPECTION REQUEST LINE:
(714) 765.4626
CENSUS CODE: 555
QUARTER SECTION: 36
CONTRACTOR INFORMATION:
IOFI ROOFING CO
235 FINCH ST
ANAHEIM, CA 928070000
BUSINESS PHONE: 714579.0036
JOB DESCRIPTION: Tear off existing and re.roof 27 squares of 30 year composition shingles.
VALUATION: 4,800.00
I OWNER-BUILDER DECLARATION
I hereby affirm under penalty of perjury that I am exempt from the Contractor's Ucense Law 10r the following reason (Sec. 7031.5 Business and
Professions Code: any city or county which requires a permit to construct, atter, 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 subjects the applicant to a civil penalty of not more than five hundred dollars
($500).
D I, as owner of property, or my employees with wages as their sole compensation, will do the work, and the structure is not intended or offered for
sale (Sec. 7044 Business and Professions Code: The Contractor's License Law does not apply to an owner of property who buitdsor 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 year of completion, 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 contractors to construct the project (Sec. 7044 Business and Professions
Code: The Contractor's License Law does not apply to an owner of propertywtlo builds or improves thereon, and who contracts for such projects with
~ontractor(s) licensed pursuant to the Contractor's License 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 pe~ury 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 of the work for. which
~. rmit is issued.
I have and will maintain worker's compensation insurance, as required by Section 3700 of
the bor Code, for the performance of the work for which this permit is issued. Myworker's
Compensation insurance carrier and policy are:
Carrier: NO EMPLOYEES Policy Number. EXEMPT
ARCHITECT/ENGINEER INFORMATION:
PROCESSED BY: MSM
Date: 7/21/2005 plican. "-
WARNING: FAILURE TO SECUREWO ER'S COMPENSATION COVERAGE IS
UNLAWFUL, AND SHALL SUBJECT AN EMPLOYER TO CRIMINAL PENALTIES AND CIVIL
FINES UPTO ONE HUNDRED THOUSAND DOLLARS ($100,000). IN ADDITlON TO THE
COST OF COMPENSATION, DAMAGES AS PROVIDED FOR IN SECTION 3706 OF THE
LABOR CODE, I NTEREST 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 Information:
I certify that I have read this application and state that the above information is correct. I
agree to com ith all city ordinances and te I s relating to building construction, and
hereby aut representives of this city to enter pon the above mentioned property for
insp . n purpo s.
Date: 7/21/2005
,
Signature of App or Agent
The permi shall expire by limitation and become null and void if the building or
work has not passed fi 001 inspection 365 days from the date of permit issuance. A
new Dermit is reauired to commence or continue work.
7/21/2005
Date:
NUMBER
785463
TYPE
EXPIRATION DATE
10/31/2006
C39
Construcion Types:
VN, ,
Fees paid for Permit:
Total:
235.33
City of Anaheim
Building Division
INSPECTiON RECORD
INSPECTION DATE INSPECTOR
Temporary Power Pole
Plumbing (Drain/Waste Pipe)
Electrical Ground Electrode/Ufer
Setback/Forms/Trenches (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 (CompactionlMembrane Reinf.)
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/Diaphragm/Frame) 17/22- !?/J
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 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 I I
Building Final (Last Inspection - Only fftt
Aller Above Complete) Jl\llTl W"""-I
I
PARTIAL INSPECTIONS
Building Inspections
MechanicallnSDections
Plumbina Insoections
Electrical Inspections