882 S. Philadelphia St.
TYPE OF PERMIT C.ITY
Reroof.
DATE: 1/24/2005
JOB ADDRESS: 882 S PHILADELPHIA ST
LEGAL DESCRIPTION: N TR 1871 LOT 12
ElM
BUIL9INGDIVISION .
200 S. ANAHEIM BLVD.
(714) 765 - 5153,
INSPECTION REQUEST LINE:
(714) 765 - 4626
CENSUS CODE: 555
QUARTER SECTION: 85
BUILDING PERMIT NO. BLD2005.o0192
,
,
APPLICANT: JOHN SHEATZ i
OWNER INFORMATION: CONTRACTOR INFORMATION:
Monarch Mano' THE ROOF GUY " li
,989 Scott SI 9781 EAS1WOOD CIRCLE ~ '
San Diego, CA 92106 VILLA PARK, CA 92861 oqoo
BUSINESS PHONE: 7149';n-1500 '
JOB DESCRIPTION:Re-roof - Overlay 38 sq. of 20 yr. composition shingle 01:' (1) existing layer of compo
VALUATION: 3,300.00' , l.. . PROCESSED BY: ENO ,
I ., .. . . OWNER-BUILDE~DECLARATION . , . ..' '
. Lhereby affirm under penalty of perjury that I am exempt from the ContractQfs! icense Law for the following reason (Sec. 7031..5 Business and
Professions Code: any dty" ot county which requiresa permit to construct, ~~er, 'improve,'demo'.ish or repair any structure, prior to it.s issuange. -also
requires the applicant for such permit to file-s signed. statement that he i$IiQ~l}sed- pursuant to the provisions of the Contrador's. License Law (Chapter
9}(commencing with Section 7000 of DiVision 3 of the Business and Profess1bhs Code) brthat he is exempt therefrom and the basis for the alleged .
. e~em'ption. Any vi?iation of Section 703'1.5 by any applicant for a permit su~ects the a'pplicant to a dvU nenalty of not ~re than ~ve hundred dollars
ffiiOO). " 1 ' , ,
U 1', as owner of property, or my employees with wages as their sole comHmsatjon,'wlll do the work, and the structure is 'not intended or ~ffered for.
sale (Sec. 7044 Business and Professions Code:, The Contractor's Llcense';_&~'/I doe~ not apply to ~n '<;Jwner of property who buikfs or imprbv,*,
thereon, and who does such worJ.<. himself or hecs.elf'-~r through his or her oVl:~.empJoyees;, pro\(ided that s,!ch improvements are not intended or .
offered:f6r sale. If, however, the building or impro~ement ~ sold with one yi}r of completion, the owne,--bui'der will have the burden of provlngthat h~
did not build or imp.rove for the purpose of sale). . . . . .t." , "
0' I, as- the C?wner.of the ,property, am ex'dusively cont.. raeting ,with Iicense~tCo. ritractors to construct the project '(See. 7044 Business. and Professions
Code: The Contractor's License Law does.not apply to an owner of propert~tvho builds or improves th~reon, and who'contrac~s. for:such projects with
. ~ontractor{s) licensed pursuant to the Contractor's:Ucense Law)~ -~. , .
U I am exempt under S~c. " B & P.C. forthj~ reason: . . _t~
Date: Owner: . ~
I WORKER'S COMPENSATION DECLARATION .1
l hereby affirm under penalty of 'perjl!'Y Qne of tl"!e following declarations:.., '
D. . I haVe a'nd willmainta-in a certiJiGate of con 'sent to self-insure for w()rkerl~_:cQmpensation,
as provided for by SectiO" 3700. of the Labor Code. for the performance of t~;t' work. for which
this permit is iss'ued. . . .-". . I
. :;JII have and will maintain worker's compensation insurance, as required i:;,:Section 3700 of
~labor Code, for the performance of the work for which this permit is iSSU~ld. My wprker's
. Compensation insurance carrier and policy are:. .~.
Carrier: STATE COMPENSATION FUND Policy Number. 17137931
, 1 '
This section need nol be completed if the pennil is for one hundred dollars ($10Qi or less. '
. 0 .' certify that in the performance of the work for which this permifis issu~d>.! sha'l! not.
employ any Person in_any manner 5:0 as to become subject to the workets:~_pr~pensatjon raws
of .Califomia, 'and agree that if I should become subject to the worker's comt.kmsation . .
. provisions of-Section 3700.ofthe Labor Code.. shall forthwith comply withJh~::~ avisions. > Construc;on Types:
VN,
ARCHITECT/ENGINEER .INFORMA TION:
LICENSED CONTRACTORS DECLARATION I
I hereby affirm under penalty of perjury that I'am. _
licensed under provisionS-of chapter 9 (coa:im~hci1j,g-//
with Section 7 00). of Divsion 3 of th sine$.S-1!l1d
Professio e.
1/2412005
Date:
Contractor
NUMBER
638593
TYPE
EXPIRATION DATE
2/2812006
C39
Date' 1/24/2005 Applicant:
WARN ING: FAILURE TO SECUR ' ORKER'S COMP A TION COVER<\GE IS
UNLAWFUL, AND SHALL SUBJE T AN EMPLOYER TO CRIMINAL PENALTIES AND CNIL
FINES UPTO ONE HUNDRED 1HQUSAND DOLLARS ($100,000), IN ADD:T10N TO THE,
COST OF COMf>ENSATION, DAMAGES AS PROVIDED FOR IN SECTION 3706 OF THE
, LABOR CODE, INTEREST AND ATTORNEY'S FEES, I'
I CONSTRUCTION LENDING AGENCY
I hereby'affirl1' under.penalty of perjury that there is a construction lending agency for the
. performance of the work for which this permit is issued (5eo.3097 .Civ .C): (
-,__ Lende-~slnformation; L~;~.
,
''=.:.._'.:;;_-'----.'__:~__'''_~~__.,_,_._,__ ":._____'-""'-_..:.-....-.L-'c--'-'---_;,'"'-,_,_.,
I. certify that I have read this application and state that the above information is correct. I
.i;igree to comply with all city ordinances and state laws relating to building construction, and
~ere authoriZe representives_ of'this city to enter upon the above mentioned property for
i sp Ion pur~ses.
Signature Appli 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 permit issuance. A
new permit is required to commence or continue work. .
Date: 1/24/2005
Fees paid for Permit:
Total:
310.05
, , INSPECTION RECORD'
INSPECTION , DATE INSPECTOR
TElmporary PowElr,"ole ' " ,
'Plumbing (DrainNVaste Pipe) " '
Electrical GroundElectrodelUfer ,
SetbacklFormsfTrenches (Footings) "
Do' noUnstall !>ubfl06r or pour floor slab' until the
folloWing applicable items have been,signed:
Plumbing !Water Pipe.Sprinkler Valves)
MechaniCal (Groundwork)
Electrical (Uoderground Conduit) , .
Pre-slab (Compaction/Membrane.Reinf.j ,
Underpinning (Floor Joist/Girders) , , '
Do not cover or conceal the work be,low until the ,',
, following applicable items have been signed:
1st Floor Shellr , , '
F1resprfnkler' (Rough),
2nd Floor ShElllr " ,~ /
Roof (Sh8athIng/DiaphragIiv'Frame) '1- <>{\
Masonry (ReinfJBond BeamlPre-Grout) , /,
Rough Plumbing (Top Out) l'../
Rough MechllniclIl , " . ,
, Rough f1eetrie ,..all) ,
Rough Electrical ' , -
Framing , (Only after Plbg, Elee.. Meth, and Fire)
Illsulatlon, (SoundlEnergy) ,
po not tllpe or plll~ter until the following applicable' ,
Items hav.e been signed: " ' ,
Drywall ' ' ", " ' '
Penetrations (Fire Rated) Electrical
PenEltrallons (Fire Rated) MElchanical
Penetrations (Fire Rllled) plumbing , '
Interior Lath ' , , , ,
exterior Lath'
, " , GENERAL ITEMS
Exterior Plaster (Brown Coat) " , " , '
:r -Bat Electrical ,
, T -Bar Mechanical ,
T -Bar Structural ,
Sewer
Water Engineering Backflow " .
Water Service . '
FINAL INSPECTIONS Date' , Inspector '
Electrical Final . ,
Plumbing Finai ' ' ' "
" , , '
Mechanical Final " ,
Gas Test " , ,
Engineering/Grading Final 7,65-5126 ,
"
FireDept. Final 765-4040 ,
, ,
Wllitir Engineerlnll 765.5268, , "
Sub List/BusiMss, LicensEl765.51 9< , ,
Zoning ,765-5139 , ' , "
Building Final \l:"st Inspection- Only Z..7-~ V/t- 1/
fter A~ove Comp/ete)'
PARTiAl INSPECTIONS f/
. . .
Buddma InspectIons
Mechal'licallnspections
Plumbina Inspections
Electrical Inspections
'.