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1245 Monterey TYPE OF PERMIT CITY Reroof ElM BUILDING DIVISION 200 S. ANAHEIM BLVD. (714) 765 - 5153 INSPECTION REQUEST LINE: (714) 765 - 4626 CENSUS CODE: 434 QUARTER SECTION: 30 BUILDING PERMIT NO, BLD2005-02171 DATE: 7/13/2005 JOB ADDRESS: 1245 N MONTEREY ST LEGAL DESCRIPTION: N TR 2659 LOT 11 APPLICANT: RENATO LUMINARIAS OWNER INFORMATION: RENATO LUMINARIAS 1245 N MONTEREY ST ANAHEIM, CA 92801 JOB DESCRIPTION:Tear off existing material, install 20 squares of 20 year composition shingles to house and attached garage. VALUATION: 7,000.00 PROCESSED BY: ENO I OWNER-BUILDER .DECLARATION I hereby affirm under penalty of perjury that I am exempt from the Contractor's License Law for the following reason (Sec. 7031.5 Business and Professions Code: any city or county which requires a permit to construct, alter, 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). ~"' I, as owner of property, or my employees with wages as their sole compensation, will do the work, and the structure is not intend.ed or offered for ~.(Sec. 7044 Business and Professions Code: The Contractor's License La:w does not apply to an owner of property who builds or improves thereon, and who does such work himself or helSelf 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). o I, as the owner of the property, am exclus. Iy contract~ witli licensed contractors to construct the project (Sec. 7044 Business and Professions Code: The Contractor's License Law does,t;!Qta Iy to an owner of property who builds or improves thereon, and who contracts for such projects with tjontractor(s) licensed purS@!l~e C9ntract r's Lice ). I e em under Sec. /. . "'1 Or- Ow i WORKE S CONTRACTOR INFORMATION: ARCHITECT/ENGINEER INFORMATION: LICENSED CONTRACTORS DECLARATION I hereby affirm under penalty of perjury that I am licensed under provisions of chapter 9 (commencing with Section 7000) of Divsion 3 of the Business and Professions Code. I hereby affirm under penalty, f perjury on of the followi D I have and will maintain a certificate 0 consent to self-insure for worker's compensation, as provided for by Section 3700 of the Labor Cooe, for the performance of thework for which this permit is issued. D I have and will maintain worker's compensation insurance, as required by Section 3700 of the Labor Code, for the performance of the work for which this permit is issued. Myworker's Compensation insurance carrier and policy are: Carrier: 7/13/2005 Date: Policy Number. NUMBER Contractor EXPIRATION DATE Date: 7/13/2005 Applicant: WARN ING: FAILURE TO SEC E WORKER' COMPENSATION COVERAGE UNLAWFUL, AND SHALL SUBJECT AN EMPLO TO CRIMINAL PE FINES UPTO ONE HUNDRED THOUSAND DOLLAR "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: TYPE This section need not be completed if the pennit is for one or TXII certify that in the performance of t~Gf=-W . ~oy any person in an~~ersoasto become ubject to of Califomia, and agree ~t ~I sh uld become SlJ):jject to the provisions of Section 3700 of the La r , I all forthwit Construc1on Types: VN, , Fire Sprinklered? NO ion and state that the above information is correct. I state laws rl(lating to building construction, and is city to e on the above mentioned property for Dale: 7/13/2005 Fees paid for Permit: Total: 160.81 Sign ture of A I cant or Agent The ermit shall ex ire by limitation and b me null and void if the building or work has not passe 'nal inspecti days from the date of permit issuance. A new permit is reQuired to ence or continue work. City of Anaheim Building Division INSPECTION RECORD INSPECTION DATE INSPECTOR Temporary Power Pole Plumbing (DrainlWaste Pipe) Electrical Ground Electrode/Ufer SetbacklFormslTrenches (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 Reinf.) Underpinning (Floor Joist/Girders) Do not cover or conceal the work below until the following applicable items have been signed: 1st Floor Shear Firesprinkler (Rough) 2nd Floor Shear I I Roof (Sheathing/DiaphragmlFrame) 1 he k< J"'"I\(.'s~1 Masonry (Reinf./Bond Beam/Pre-Grout) II , Rough Plumbing (Top Out) Rough Mechanical Rough Electrical (Dry Wall) Rough Electrical Framing (Only after Plbg., Ele., Mec. And Fire) Insulation (SoundlEnergy) 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 ListlBusiness License 765-5194 Zoning 765.5139 Building Final (Last Inspection - Only ~ 1,.{06 ~ After Above Complete) c;.~<.. PARTIAL INSPECTIONS ~ (, B~ld~ Insoections . 7;': II I 1, 'l s. ?r~J~ ::t~~i ."6'; ( (, ~t-d Mechanical Inspections Plumbina Insoections Electrical Inspections