581 Paseo De Luna
CONTRACTOR INFORMArJON:
DAVIDF NUNEZ ROOFINq
176 SPINE 8T "
ORANGE, CA 9286B OOOG "
BUSINESS PHONE: 714 63~~5682
JOB DESCRIPTION:Tear off wood shake, install 7/16 OSB and 34 squares of',j,stiJe shake at 5.9Ibs. ICBO #3964.
. -' ,
VALUATION: 13,000.00
I OWNER-BUILDER:tiECLARATION
I hereby affirm under penatty of perjury that I am exempt from the Contractort3 License law for the following reason (Sec. 7031.5 Business.and.
Professions Code: any city "or county which requJres a permit to construct, alt(~r,improve, demolish or r~pair any structure. prior ,to its issuance, also
requires the applicant for such permit to file a signed statement that he is lice:)sed purs'uant to the provisions of the Co"ntractor's License Law \Chapter
!i}){commencing With Section 7000 of Division 3 of th~ .Business c;tnd Professirt."":s 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 SUbj3Cto the applicant to a civil penalty of not more than five hundred dollars
(t500). ... .. .
U I, as owner of property, or my employees with wages as their sole comp.msation,. will do the work,. and the structure is not intended or offered for.
sale. (Sec. 7044. Business and Professions Code: The Gbntrc:ctor'~. LicenseL3w does not apply to an owner of property who builds or improves
thereon, and who does such work himself or herself or through his or her owr employees, provided that such improvements.are not intended or
offered for sale. If, however, the building or improvement is sold with one ye{r of completion,.the owner-builderwil/ have the burden of proving that he
did not build or improve for the purpose of sale). i . .. .
.0 I, as the owner Of the property, am exdu'sively contracting with licensed ,~ntractvrs to construct the project (See. 7044 Business and Professions
Code: The Contractor's Ul;:ense Law does not apply to an owner of propertY'fJ~;:"I buijds or improves thereon, and who contracts for such projects with
,a..q~ntractor(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 ...
: hereby affirm under penalty of pe~ury one of the following l;Ieclarations: " . .
~ I have, ~nd wi>> maintain a certificate of oonsent to self.inSure for worker'~:compensation,
a~ provided for by Section 3700 of the.Labor Code, for the.performance.of th~ work forwhidl
this permit is ,iSsued, '
o I have and will maintain worker's "compensation insurance, as required b'i; S~ction 3700 of
the Labor Code. for-the'pedormance of the work for which this permit is issu,::;::t Myworker's
Compensation insurance carrier and policy are:
Carrier: NO EMPLOYEES
. BUILDING PERMIT NO, BlD2005-00184
#'--'"<. "~,
~~~?FPERMIT CITY
DATE: 1/24/2005
JOB ADDRESS: 581 S PASEO DE LUNA
LEGAL DESCRIPTION, N TR 8455 LOT 32
APPLICANT: DAVID NUNEZ
OWNER INFORMATION:
Oea n E Risco
581 S Pas eo. De Luna
Anaheim, CA 92807
BUILDING DIVISION
200 S. ANAHEIM BLVD.
(714} 7B5 - .5153
INSPECTION REQUESTUNE:
(714) 765 - 4626
CENSUS CODE: , 434
QUARTER SECTION: 198
ARCHITECT/ENGINEER INFORMATION:
PROCESSED BY: ENO
~
LICENSED CONTRACTORS DECLARATION
I hereby affirm under penalty ,of perjury that I am
licen ed under provisiOns of. chapter 9 (commencing.
with ction . 0 i~io\30fthe BUS.inessand .
Profess Code. fAJ~ . ,. ,
Contractor
P<>licy Number. EXEMPT
;
This section need not be comple~d jf the pennit is for one hundred dollars ($10FI or less.
r'Q-- I certify_that in the perfonnance of the work for which this permit is jssu~,d,rshall not
-fmlPloyany person in any manner so as to become subject to the worker's q$:i1'":pensation laws
of Califomia, and agree that if I.should become subject to the worker"s com~\(,sation
provisions of Section 3700 the Labor Cede, I sh~rthw~mPIY with t~j.se provisions.
Date: 1/24/2005 Appli: -6 . _
WARNING: FAILURE TO ~ CURE WORKER'S COMPENSATION COVEf.l"GE IS .
UNLAWF\JL. AND SHA~UBJECT AN E.MP. LOYER TO CRIMINAL PEN~.r.IES AND CIVIL
FINES UP TO ONE H!JNDRED IHOUSe."tID DOLLARS ($100,000). IN ADi;li'nON TO THE
COST OF COMPENSATION, DAMAGES AS P.ROVIDED FOR IN SECTI~I.3706 OF THE
LABOR GOD E, INTEREST AND ATTORNEY'S FEES. 7
I CONSTRUCTION LENDING AGENCY
I h'~r~b!!-~ff!r_If)_uo_cter__r:-ep~.!l:Y_l)f'-Pp.rlr.!J1l}b~t_tl::!ere: is? conet..",'djonJ.e-pdif1-C. ::!e_~h':~ for the
performance ofthe work for which this permit-is-issued (S~c.3097 .Civ.C):
Lender's Information:
NUMBER
448472
TYPE
TYPE
Canstrution Types:
VN, .
Fire Sprihklered?
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 bu~djng construction,' and
hereby ~tithoriz.e representives of this city to enter upon the above mentioned property for
.' .. ...... rposes. \
. / f.J. . Date: 1/24/2005
Signature of Applicant or Agent
. the permihhall expire by limitation and become null and void if the bUilding or .
work has not passedfinal inspection 365 daYs from the date of permit issuance. A
new permit is required to commence or continue work.
EXPIRATION DATE
5/31/2006
HIC.
C39
NO
Fees paid for Permit:
Total:
310.85
INSPECTION RECORD'
. .
INSPECTION . DATE INSPECTOR
Temporary Power Pole . "
plumbing (OrainlWaste Pipe)' , ,
Electrical Ground Electrode/uter
SelbacklFormsfTrencheS (Footings) , . - - . ,
Do not installsubfloor or pour floor slab until the
following applicable items h"ve been signed:
Plumbing IWater Plpe.Sprinkler Valves)
, Mechanical (Groundwork) - -
Electrical (Underground Condi! it)
Pre-slab (CompactiOl1l Membrane.Keirn.
Underpinning (FlOor Joist/Girders)
Do not co~r or <;onceal the work below until. the
following "pplic"ble items h"ve been signed: ,
1st Floor Shear .
Firesprinkler (Rough) . , -
2nd FIOllt.Shear " ,
Roor'lShellthiMlOlaphraamlFramel' ricK
M nfJBondBeamlPre-Grout)
Rough Plumbing (Top Out) .
Rough Mechanical ,
.....ugll t:lectriC8I11JI'Y wall) .
Rough Electrical ,- ",
Framing '(Only after Plbg.. Elec,: Mech" and Fire) . -
Insulatlan (SoundlEnergy) " -
Do .not tape or plaster until the following'applicable -
items have been signed:' ,-, '
Drywall , ,
Penetrations (Fire Rated) electrical ' I
PenetratIons (Fire Rated) Mechanical
Penetrations (Fire Rated) Plumbing
Interior Lath' , . , ,
Exterior Lath ,
, . " ,GENERAL ITEMS ,.
Exterior Plaster (Brown Coat) - , I-
T -Bar Electrical " . .
T -Bar Mechanical
T-Bar Stnictural -
Sewer "
Water Engineering Backflow ,
Water Service " - .-
FINAL INSPECTIONS ' Date Inspector
Electrical Final
Plumbing Final ' ,
Mechanical Final, . ' "
Gas Test . ' -',
Engineering/Grading Final 165-5126 '
Fire Dept; Fin;>1 765-4040 , ' ,
"
Water Engineering 765,5268 . ,
Si!b list/BusIness, License 765-519 ,
, Zoning 765-5139 , ' , ( /.
Building Final ~ast Inspection- Only 1 \ ~ /1 U 2'-.U/""
!ter Above Complete) , . -/I '
- PARTIAL INSPECTI bNS . ' ,
BUildina Inspections
Mechanical Inspections
Plumbina Inspections
Electrical Inspections