878 S. Philadelphia St.
TYPE OF PERMIT CIT. y.
Reroof
ElM
BUILDING DIVISION
200 S. ANAHEIM BLVD.
(714)765~5153
INSPECTION REQUEST LINE:
(714) 765- 4626'
CENSUS CODE: 555
QUARTER SECTION: 85
BUILDING PERMIT NO. BLD2005-00193'
DATE: 1/24/2005
JOB ADDRESS: 878 S PHILADELPHIA ST
LEGAL DESCRIPTION: N TR 1871 LOT 11
CONTRACTOR INFORMMION:
THE ROOF GUY
9781 EASTWOOD CIRCLE .:
VILLA PARK, CA 92861 000'0.',
. BUSINESS PHONE:. 71492111500
JOB DESCRIPTION:Re-raof - Overlay 38 sq. of 20 yr. composition shingle overf(1) existing layer of compo
VALUATION: 3,300.00 .;" PROCESSED BY: ENO
I OWNER-BUlLDER'PECLARATiON
I hereby affirm under penalty of perjury that I am exempt from the Contractoi'~:::; license Law for the following reason (Sec. 7031.5 Business and
,Professions Code: any dty or.countywhich requires a permit to construct, atMr;. improve. demolish or repair any structure, pdor to its issuance, also
requires the applicant for such permit to file-8 signee, statement that he' is licel:{$ed-pursuant to the provisions of the Contractor's License Law (Chapter
9)(commencing with Section 7000 of Diyision 3 of the Business and Profes'si9~~s Code) or that he is exempt therefrom and the basis for the' alleged
exemption. Any viol~tion of Secti~n 7031.5 by any applicant for a permit subji,)~ts the applicant to a dvil penalty of not more than five' hundred doUars
~~ . .
o I, as ownerof prop~rty, or my employees with wages as their sole compe'rtsation, will do the work, and the structure is not intended or-offered for
sale (Sec. 7044 Business and Professions Code:' The Contr~ctOr's Ucense L#'!N does not apply to an owner of property who builds or improves
thereon, and whq 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 ye8~;of completion, the oWner.~J"der wnl'have the burden of proving that he
did not buUd or improve for_th~ purpose of ~Ie),' ' i . . ':._ .
o j, as the owner of the property, 'am exdusively cantrciding with licensed.,lontractors t6 construct the project(Sec. 7044 Business 9:nd .Professions
Code: The Contractor's License law'does not apply, to an owner of.property';itlO bunds or improves thereon, and who. contracts for such projects with
~ ~ontrad:o~(s) licensed pursuant to the Contractor's Lice~ Law). . .
. U I am exempt under Sec. " ,8& P.C. for this reason: __1
Date: Owner: ' ,
I WORKER'S COMPENSATION DECLARATION,. :
. I hereby affirm under penalty of perjury one of the following declarations: t': .
o I have and will.maintain a certificate of consentto serf-insure forworkerlslcompensation.
as provided for by Section 3700 of the labor Code, for the pertormance of thf:^,ork for whim'
$fhi permit is issued, < . r
" I have and will maintain WOrker's. COniP. ensatlon insl,lrance, as required b{Section 3700 of '1/2412005
Ii Labor Cod e, fo r the' performance of the work 'for which this permit is issUEl!J. My wo rker's Date:
Compensation insurance carrier and policY are:, ,. ;:
Carrier: STATE COMPENSATION FUND Policy Number. 1713793' . .
This section need not be comp/eled if the penTIil is for one hurnsred dollars ($100) Or less.
. 0 I certifY that in. the performance of the work for' which this permit is iSs~~;1~}sha" not
employ any person in any 'manner so,as to become subject to the worker's-~(:;c11'''Pensation lawS
of Califomia, arxf agree.that if I should become subject to theVvort<:er's co~nsation
provislon~ of Section.3700'ofthe.Labor Code,l shall forth ith co lywiththOse provisions.
APPLICANT: JOHN SHEATZ
OWNER INFORMATION:
Monarch Manor
989 Scott 5t
San Diego, CA 92106
ARCHITECT/ENGINEER INFORMATION:
I
LICENSED CONTRACTORS DECLARATION
I hereby a Irm under penalty af perjury that I am
licensed under provisionsof chapter 9.(commencing ,
with Section 7000) of DivSion 30fthe siness,and
Professio e
EXPIRATION DATE
2/28/2006
NUMBER
638593
TYPE
C39
Date: 1/2412005 Applicant:
WARNING: FAilURE TO SECUR WORKER'S COM ENS TION COVERAGE IS
UNLAWFUL, AND SHALL SUBJE T AN EMPLOYER TO CRIMINAl PENAlTIES AND CiVIL
FINES UP TO ONE HUNDRED THOUSAND DOLLARS ($100.000), IN APDmON TO THE
. COST OF COMPENSATION, DAMAGES AS PROVIDED FOR iN SECTION 3706 OF THE
LABOR CODE, INTEREST AND ATTORNEY'S FEES. .
I CONSTRUCTlON LENDING AGENCY
I hereby affirm under penalty of perjury that there is a construction lending agency for the
perfgriTlance of the work fcrr which this permit is issued (See. 3097 .Clv.C);
l.e!Jder'.S11ltom:lalioL: -
Construcion Types:
VN, ,
Fire SPonklered?
NO
, . \.
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-relatihg to bu~ding co!)struction, and
here y authorize repre ntives of this city to.enter upon the above mentioned' property for
. i , ion pur ._~,~~._.
Date: 112412005
Fees paid for Permit:
Tolal:
310.05
Signature- of r Agent
The permit 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 permil issuance, A
new permit is required to commence or continue work.
iNSPECTION RECORD
INSPECTION . DATE INSPECTOR
Temporary Power POle
Plumbing (OlainJWailte Pipe) ..
Eleclric;aJ Ground Eleetrode/lIfer .
SetbacklFormslTrenches (Footings)
Do not install subflooror pour floor slab until the.
following applicable items have been signed: .,
Plumbing (Water Plpe.Sprinkler Valves)
Mechanical (Groundwork) . .
Electrical (Und!lrground Conduit)
Pre-slab (Compaction/Membrane.Reinf.
. Underpinning (Floor Joist/Girders) . .
Do not cover or conceal the work below until the .
followingappli,cable items have been signed: .. . .
1st Floor Shear
Firesprinkler (Roughl
2nd Floor Shear . . -' /
Roof (ShealhIng/Diaphlagm'Frame) -l~o,'j' ~J/. .r ~
MasOnry (Reinf.il3ond BeamlPre-Grout) / .)
Rough Plumbing (TopOut) ...-
Rough Mechliln!cliIl
I Rough eectrlCal (Ury YVliIlI) .
Roligh EleelriCllI .. .
Framing (Only .her Plbg.. EJec.. Me<;h..and File) .
Insulallon (SoundlEll8rgy)
'Do not tape or plaster until the following applicable
items have been signed:. .
Drywall .
Penlllralions (Fire Rated) Electrical .
Penlllrallons (Fire Rated) Mechanical
Penetrations (Fire Rated) Plumbing
Interior Lath
.ElCterlor Lath . , . .
GENERAL ITEMS ..
Exterior Plaster (Brown Coal)
T .Bat Electrical .
T -alilr Mechanical . ,
T -BliIr Structural , .
Sewer .
Water Engineering Backflow
Water S..rvice
.
FINAL INSPECTIONS Date Inspector
Electrical Final . ..
Plumbing Final .. .
MeChanical Final ' .
Gas Test .
.'
EngineeringlGradingFinal 765-5126 . .
Fire Dept: Final 765-4040' .
Water Engineering 765-5268 ..
Sub ListlBusiness License 765-519
Zoning 765-5139 . ' :
Building Final ~ast Inspection- Only 7--f4j zr." -n:.-, /
Iter Above Completel 7 ..x..
PARTIAL INSPECtiONS , t.--'
Buildina .Insoections '
MechanicallnSDections
PlumbinQ Insoections
'.ElectricallnsDections