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2445 Paradise Rd. aUILDING PERMIT NO. BLD2005-00458 TYPE OF PERMIT CITY. . Reroof DATE: 2/23/2005. JOB ADDRESS: 2445 E PARADISE RD LEGAL DESCRIPTION: 1\1 TR 2490 LOT 16 APPLICANT: BRUCE 10FI OWNER INFORMATION: $ Nellesen 2445 E Paradise Rd Anaheim.. CA 92806 BUILDING DIVISION 200 S. ANAHEIM BLVD. (714) 765 - 5153 INSPECTION REQUEST LINE: (714) 765: 4626 . CENSUS CODE: 555 QUARTER SECTION: 113 ARCHITECT/ENGINEER INFORMATION: VALUATION: 4,800,00 I OWNER-BUILDER--DECLARATION I hereby affirm under penalty of perjury that I am exempt'from t~Contrar:tc,":s License Law for the following reason (Sec. 7031.5 Business and Professions Code: any city or county which requires a permit to construct, att.k in1prove, demolish 6r repair any structure, prior to its issuance,. also requires the applicantfor sue/:1 permit to file a signed statement that he is liq~;ased pursuant to- the provisions of the Contractor's License Law (Chapter 9)(ccmmencing with Section 7000 of Division 3 of the Business and Profess!(lns Code) or that he is. ex_empttherefrom and the basis for the alleged e~emption.Any violation of Section 7031.5 by any applic!'mtfor a p'erl11if subiept'i the appHcant to a civil penalty of not more than five hundred dol!ars ~~ . . ' o I, as owner of property, ormy employees with wages as their sole cpmp!:::r.5dticn, will do the yJork, and the structure is not intended or offered for sale (Sec. 7044 Business and Profes'sions Code: The.Contractor's License ~:avu does not apply to an owner of property who, builds or improves thereon\ and who does' such work himself or herS'elf or through nis or hei" oW;lem~!6yees. provided that such improvements are not intended or offered, for sale. If; however. the builcl ing or improvement is sold with en'e ye~r of completion, the owner';bu ilderwill havethe burden of provingthafhe did not hl.i"ild or'i'mprove for the pu rPos~ of sale), r' . o I, as the owner'of the property, am exdusively COntracting with ticensed b:>ntractcrs to construct the project (Sec. 7044 Business',and Professjons Code: The Contr~ctor's License Law does not apply to' an owner of proper('l;i1.::-,.buii~s or improve,s th.ereon, and who contracts _tor suctJ'Proje9ts with ~ontrador{s) licensed, pursuant to the Contractor's License law): ~ ' '. ' U Lam exempt under Sec.' . ,B & P.C. for this reason:! . _ .....:. _ Date: Owner: ' L WORKER'S COMPENSATION DECLARATION .'. ] I I hereby affirm 'underpenalty of perjury one of the followin'g declaratio!'"~$: : ' " o Il1ave and will ma inta-in a certificate,of cOnsent ~ self-ins LIre fer worker'~; .::ornpensation, I as provic;led for by Section' 37DDof the Labor Code, for the performance of tt-i,;; wnrl< for which this rmit is issued. I have a,nd will maintain.worker's com'pensation insurance, as required L-i:' Section'370G of . ~23/2005 tabor Code, for the performance of the.work for which this permit is issutr.l. Myworker's Date: omperisation insurance carrier and policy are:' I arrier: NO EMPLOYEES Policy Number. EXEMPT . . ... .'. 1 i-" section need not be comple~d if the pennit is for 000 hundred dOII,ars ($1,Oqi or Jess~ . I, certify that in the perfonnance of the work for which this permit is jSsl'~d, i shall.nct ' mploy any person in any manner sO,as to become subject to the worker's cb;-n~nscWon laWs of Califomia, and agree that if I should bee e bjed to the worker'$. comiX'nsatioll. . provisions of Section 3700 of the Labor. 0 shall forthwith com ~ ,*e provisions, :' Date: 2/23/2005 Applicant: . . WARNING: FAILURE TO SECURE R ER'S COMPENSATION CO\iEr,,~GE IS UNLAWFUL, AND SHALLSUBJECli AN EMPLOYER TO CRIMINAL PEN7}-TII'.S. AND CIVIL. FINES UP TO ONE HUNDRED TH USAND DOLLARS ($100,000); INAb~:'nON TO THE COST-OF COMPENSATION, DAMAGES AS PROVIDED FOR IN SECTIOtj 3706 OF THE . LABOR CODE, INTEREST AND ATTORNEY'S FEES. .,' , CONSTRUCTION LENDING AGENCY -r I hereby affirm under penalty of perjury that there is a construction lendlniJ a~\~ncytbr the . perform~nce of the work for whiCh this permit1s issued (Sec.3097 .Civ.C)~ < ': , Lender's Informat~on: CONTRACTOR INFORMATION: 'IOFI ROOFING CO . 235 FiNCH ST ANAHEIM, CA 928070000 BUSINESS PHONE: 714 5"'.0036 . JOB DE~CRIPTION:Tear eff existing roof .and rept~ce with 30 ~quares Of 30 Yf;aicompositlon shingles. PROCESSED BY: MSM NUMBER 785463 ,YPE Construcion rypes~ VN, , .Fire Sprinklered? I certify that I haye read this applicatiqn and state, that the above'information. \s correct. t agree to com Iy yyith all 'City ordinanc ate laws relating to building construction,' and he _ by aut or e 'representives of t s city to nter upon the above mentioned property for in '~dio rposes. . . , Date: 2/23/2005 EXPIRATI.ON DATE 10/31/2006 C39 NO Signature of.App leant or Agent The permit shall expire by .Iimitation and become 'null and void if the building or work has. not passed final inspection 365 days from the date of perrr,it issuance. A new permit is required to commence or continue work. Fees paid for Pe.rmit: Total: 235.33 INSPECTION RECORD INSPECTION ',', ' DATE INSPECTOR ,Temporary Power Pole ' , Plumbing (Drain/Waste Pipe) Electrical Ground Electrode/Uter , SelbacklFormsfTrimches (Footings) Do not install subfloor or pour floor slab unti Ithe " , following applicable items have been signed: " ' Plumbing (Water Pipe.Sprinkler Valves) , Mechanical (Groundwork) , I , , ,Electrical (Undelllround Conduit) - ' Pre-slab (Compaction/Membrane.RllInf. , " Underpinning,(Floor Joist/Girders) , Do not cover or conceal the worn below until the ' following applicable items have been signed: 1 st Floor Shear , ,FiresPrinkler (Rough) , 2nd Floor Shllar , Roof (Sheathing/Diaphragm/Frame) '3/D3105. ~U"~ Masonry (ReinfJBond BeamlPre-Gmut) " " Rough Plumbing (Top Out) Rough Mechanical " ' ectrical (Dry wall) , , Rough Electrical Framing (Only-after Ptbg.. Elec.. Mech. and Fire) lrisulatlon (SoundlEnergy) Donat tape or plaster until the following applicable , , ,items have been signed: " ,,' , :" DrYwall ' ," Petltitratlans (Fire Rated) Electric;al , Penetrations (Fire Rated) Mechanical Penetrations (Fire Rated) Plumbing , Interior Lath , Exterior Lath GENERAL ITEMS E>cterlor Plaster (Bl'l7Nn Coat) " , , T -Bar Electrical ~" T -Bar Mechanical T -Bar Structural , Sewer ' , , ' , Water Engineering B;lCkflow , Water Service , ',' 'Date 'Inspector FINAL INSPECTIONS Electrical Final Plumbing Final Mechanical Final Gas Test ' Engineering/Grading Final 765'!;126 Fire Dept. ,Final 765-,!040 ' Water, Engineering 765-5268 Sub List/Business License 765'519 Zoning 71;5,5139 Building Final (Last Inspection. Only' , , After Above Complete) PARTIAL INSPECTIONS Buildina ,Inspections Mechanicsllnspections Plumbina Inspections Electrical Inspections