6003 E. Prado St.
BUILDING PERMIT NO. BLD2005-01134
ElM
BUILDING DIVISION
200 S. ANAHEIM BLVD.
(714) 765 - 5153 .
INSPECTION REOUEST LINE:
(714) 765 - 4626
CENSUS CODE: 434
QUARTER SECTION: .191
;3
TYPE OF PERMIT CITY
Reroof
DATE: 4/20/2005
JOB ADDRESS: 6003 E PRADO ST
LEGAL DESCRIPTION: N TR 7118 LOT 12
APPLICANT: CHARLES VILLA
OWNER INFORMATION: CONTRACTOR INFORMATION: ARCHITECT/ENG.INEER INFORMATION:
Steven M Rich R C I ROOFI NG COMPANY
6003 E Prado Sl 240 WALNUT ST
Anaheim, CA 92807 COSTA MESA, CA 92627-0000
. BUSINESS PHONE': 9496501079 ,
JOB DESCRIPTION:Tear off existing material, Install new plywood, 30lbs felt and Is'squares of 30 year composition shingles.
VALUATION: 4,000.00 , PROCESSED BY: ENO
OWNER-BUilDER DECLARATION I .
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 counW which requires a permit-to construct, alter,. improve, demolish or repai~ any structure, prior to its issuance, also
requ-ires the applicant for such perriitt to file a signed statement that he is licensed pursuant to the provisior)sof the Contractor's U~ense Law (Chapter
9)(commencing with Section 7000 of [):ivision 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 applic.ant for a permit subjects the applicant to a civil pena~y of not more than five hundred dollars
($SOO).
D 1, as owner of property; 'or my' employees with wages as their s91,e compenSation, will do'the work, and the structure is not intendedor offered for
sale (Sec. 7044 Business and Profession$. Code: The Contractor's hicense Law: does not apply to an owner of. property who builds or improves ~
thereon, _and who does such work himselfltr.herself or through his _d!;',~er own employees, provided that suoh improvements a.re not intended or :::
offered for sa'le. If, howeve."r, the building or improvement is sold wi~h.qne year of completion, the owner-quilder will have the burden of proving that he
did not build or improve for the purpose of 'sale). , ,- I .
o I, as the owner of the property, am.exClusively contracting with licensed contractors to construct the project (Sec. 7044 Business and ProfesSions
Code: The Contractor'~ license Law does/not apply to an'owner of propertywtlo builds or improves thereon, and who contracts for such projects with
a con'ractor(s) licensed pursuant to the Contractor's License Law).. !' .
D I, am exempt under Sec. -, !3 & P .C. for this reason:
Date: Owner:.
WORKER'S COMPENSATION DECLARATION
I hereby affirm' under penalty of perjury one of the following declarations: .
o I have and will maintain a certificate of consent to self-insure for w'orker's c6mpensation,
as provided for by Section 3700 of the Labor Code, for the performance of-the w,ork for which
this permit is issued. '_ ,j
~_. I h~iVe arid will maintain worker's comp,ensationinsurance, as required by Section 3700 of
the Labor Code, for the performance of the work for which this permit ,is issuecL_:Myworker's
Compensation insurance carrier and policy are: . ' . ~l .
Carrier: STATE RJND Policy Number. 1S47061-02.
I
This section need not be completed if the pennit is tor one hundred dollars ($100) or, less.
0--' I certify that in the performance ofthe work for which this permit is'lssued, Ishall not
~Ioy any person in-any ma erso as to become subject to the worke(s compensation laws
of Califomia, and agree that if I ould beco sub' to the worker's compensation
provisions Of Section 3700 of the e, I sh If hwith comply wit,h those provisions.
Date: 4/20/200S Applicant:
WARN.ING: FAILURE TO SECUR
UNLAWFUL, AND SHALL SUBJEC A R TO CRIMINAL
FINES UPTO ONE HUNDRED TH USANDDOLLARS ($100,000), IN AD TO THE
COST OF COMPENSATION, DA AGES AS PROVIDED FOR IN SECTION 3706 OF THE
LABOR CODE, INTEREST AND HORNEY'S FEES. :
CO TRUCTION LENDING AGENCY
I, hereby aft irm-unde r penalty f-nperjury-thatther9-'-is-a-eenstructio", lendiR'g-agenc-'/ for the
performance of t~e work fo hich' this permit is issued (See.3097 .Civ.C): .
lender's Information:
LICENSED CONTRACTORS DECLARATION
I 'hereby affirm under penalty of perjury that I am
licensed under provision' f chapter 9 (commencing
with S' f Oi . n 3 of the Business and
Profe sio
ctor.
NUMBER
704392
TYPE
TYPE'
TYPE
EXPIRATION DA
3/3112007
HIC
B
C39
Construcion Types:
VN, ,
Fire 8prinklered?
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 relating to building construction,'and
hereby a . rep . tives is city'to.enter upon the above mentioned property for
in
Date: 4/20/200S
Fees paid for Permit:
Total:
160.61
plicant()r
limitation and null and void if the building or
not passed final inspection 365 days fr the date of permit issuance. A
't is requi,red to commence or continue work.
INSPECTION RECORD
INSPECTION I. DATE INSPECTOR
. Temporary Power Pole
Plumbing (DrainlWaste Pipe) "
Electrical GroUnd Electrode/uter .
SelbacklFormsrrrenChes ,(Footings) .
Do not install sUbfloor,or pour floor slab until the
following applic",ble items have been signed: . .
Plumbing (Water Pipe.Sprinkler Valves) 'I.
Mechanical (GroUndwork) , .
Electrical (Underground COnduit). .
Pre-slab (CompactionfMembrane.Reinf. . .
Underpinning (Floor Joist/Girders) ,: ' ,I
Do not cover or conceal the work below until the
following, applicable items have been signed: '
1 st Floor Shear ' ' .
Firesprinkler (Rough) ,
2nd Floor Shear , ' ~,.
Roof (Sheathina/Diaphraam'Frame) S l...()t; ./)iA J ,
Masonry (RelnfJBond BeamlPre-Grout) .
Rough Plumbing (Top Out) , .
Rough Mechanical ' . . .
I KOU9n l:IectrICllllury wall) .
Rough Electrical
Framing '(Only after Plbg.. Elec.'; Mech.. an.d Fire)
Insulation (SoundlEnergy) .
.00 nottape 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
EllteriorPlaster (BlOWn 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 List/Business License 765-519
Zoning 765-5139
Building .Final . (Last Inspection. Only
After Above Complet
PARTIAL INSPECTIONS'
Buildina Insoections
Mechanicallilsoections
Plumbina Insoections
ElectricallnsDections