2329 E. Paradise Rd.
....)......-- /.:"
ElM
BUILDING DIVISION
200 S. ANAHEIM BLVD.
(714) 765 - 5153
INSPECTION REQUEST LINE:
. (714) 765 - 4626
CEN$US CODE: 555 .
QUARTER SECTION: 113
BUILDING PERMIT NO. BLD2005-o0575
TYPE OF PERMIT CITY
Reroof
DATE: 314/2005
JOB ADDRESS: 2329 E PARADISE RD
LEGAL DESCRIPTION: N TR 2490 LOT 6
APPLICANT: DUNG. LE
OWNER INFORMATION: CONTRACTOR INFORMATION:
Teddy Ngo L V ROOFING CO
2329 E Paradise Rd 13242 CYPRESS ST
Anaheim, CA 92806 .' GARDEN GROVE, CA 92843000 .
JOB DESCRIPTION: Tear off existing and reroof 21 squares with BUR: includ"" detached garage
VALUATION: 4.800.00
I' OWNER-BUILDER DECLARATION
1- hereby affirm under penalty of perjury that I am exempt from the Contractcr\i License Law for the following reason (Sec. 70.3.1.5 Business and
Professions Code: any city or county which requires a permit to construct, altt;!'~r, .improve, demolish or repair any structure, prior to its'issuance, also
requires the applicantfor suchpermitto file a signedstatement that h.e is licerlsed pursuant to the provisions of the Contractor's License Law (Chapter
9)(commencing with Section 7000 of Division 3 of the Business and Professbls Code) or that he is exempt therefrom and the basis forthe alleged
exemption. Anyviolation of Section 7031.5 by any applicantfor a p~rmit subWcts the applicant to a civil penalty of not mOfe than five hundred dollars
($500). . . . ' . . . .
o . t. as owner'of property,. or my employees with wages as their sole complnsation, will do the work, and the structure ;s not lntended or"offered for
,sale (Sec. 7044 Business and Professions.Code: The C.ontractor's License L;lw'does not apply to an owner of property who buildso"r improves
thereon. and who does sudl work himself or herselfor through his or her owr::-ernployees, provid~ that such impl'Clvements are not intended or
offered for sale. rf, however, the building or improvement is sold with one ye6;:~ of oompletio[l, the owner-builderwill have' the burden of proving that he
did not bl,lild or improve for the purpose of sale). , ; . ' ',-
o , I, as .the ownerofthe property, am exdusively contracting with licensed i\?ntractors t9 .construct the project (Sec. 7044 Business and Professjons
Code: The Contractor's Licen'seLawdoes not apply to an owner of propeity,fJho builds 9r improves' thereon. and who contracts f.)r such projects'with
a coritrador(s) licensed. pursuantto the Contractor's License Law). .: .
o -I am exempt~nder Sec. . , B & P.C~'for this reason:
Date: ' Owner:
I
ARCHITECT/ENGIN\=ER INFORMATION:
PROCESSED BY: SAM
WORKER'S COMPENSATION DECLARATION ':.
I, hereby affirm under penalty of perjury on.e'of the. following declarations: I'.
[] 'I have and will maintain a certificate of mnsent to self-insure for worker"f:: ~ompensation,
as provided for by Section 3700 of the Labor Code, for the pelformance of tt;{WOrK for which
'~ permit is issued.
A)., I'-have and wi~1 maintain ~orker's compensation insuranc~, as required b/ Section 3700 'of.
the labor Code, for the performance of the work for which this permit ;S issup.:i. Myworker's
.Compensation insurance carrier and policy are:
Carrier: STATE-FUND
1
LICENSED CONTRACTORS DECLARATION'
I hereby affirm under pana ty 9 perjury that I am
licensed under provisions of chapter 9 (commenCing
withSecf 700 ofDi~ion30fthe B!JsJn and
Professio C .
3/8/2005
Date:
Policy Number. STATE FUND1763449
NUMBE
781286
TYPE
C39
. .
- .
~ThiS section need not be completed if the pennit is for one hundred dollars ($10Gror less.
'. , I certify that in the ):ierfonnanceofthe work for which this permit.is isSued, 1_ shall not
e y any person in any manner so as to become subject to the worker's co;"pensation laws
of California, and agree that if I sho..Id become subject tothe'work,e' cbmpeJlsation
provisions of Section 3700 of the La or Co , shall orthwith c y-withth~,S:trprovisions;
Date: 3/8/2005 Applicant: ~
WARNING: FAILURE TO SECURE ATlON COVERAGE IS
UNLAWFUL, AND SHALL SUBJEC AN E 0 CRIMINAL PENALTIES AND CIVIL
FINES UPTO ONE HUNDRED OUSAND DOLLARS ($100,000), IN ADDrnON TO THE
COST OF COMPENSATION. D AGES AS PROVIDED FOR IN SECTION .)706.0F THE
LABOR CODE. INTEREST ATTORNEY'S FEES. '
C NSTRUCTION LENDING AGENCY
I hereby affirm under penalty of perjury that there is a construction lend ing 3Q?IlGY for the
--pe:f,?;rl"l(;:;n~e--ofth:ev::crk--fc>r-......'hich t~iz-per-:=niUs ;.:.su~d {Soc. 3007 ,C!v,C-}:. - :.."
Lender's Information:
Construcion Types:
VN, .
. I certify that I have read thi's application and state that the above iriforJ119:tion is correct I
agree comply with all city ordinances"and .state laws relating to building con:;truction, and
ere y authorize representives b s city to enter upon the above mentioned property for
. i ectlon pu ,se: _ ~ .
_____- Date: 3/8/2005.
re of Applicant or Agent
he permit shall xpire by limitation and become null and void if the building or
k has not pasSed tinal inspection 365 days from the date of permit issuance. A
new permit is required to commence or continue work.
Fees paid for Permit:
Total:
160.61
INSPECTION'. .
Inspector'
INSPECTION RECORD
DATE
Temporary Power Pole .
Plumbing (DrainlWaste Pipe)
Electrical Ground Electrode/uter
SetbacklF9I'msrrrenches (Footings)
Do not install subfloor or. pour floor slab until the
following applicable items have been signed:'
Plumbing (Water Pipe.Sprinkler Valves)
Mechanical (GroundWork) '.
Electrical (Underground Condu ill
Pre-slab (Compaction/Membrane.Reim.
Underpinning (Floor ,Joist/Girders)
Do not cover or conceal the work below until the
following applicable items have been signed: .
1st Floor Shear
Firesprinkler . (Rough). .
2nd Floor Shear.
Roof (SheathingJDiaohraam'Frame)
Masonry (RelnfJBand BeamlPre-Grout)
Rough Plumbing' (Top Out)
Rough Mechanical
KOugn t:IectrlCaI III
Rough Electrical. .' .
Framing" (Only after Plbg.. Elec.. Mech.. and Fire)
Insulation (SoundlEnergy) ..
Do not tape or plaster until the fQllowingapplicable
item's have been signed:- .
Drywall' . .
Penetrations (Fire Rated) Electrical
Penetrations (Fire Rated) Mechanical
Penetrations (Fire Rated) Plumbing .
Interior Lath
Exterior Lath
.
.
.
.'
GENERAL ITEMS
Extericir Plaster (Brown 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
Engi.rKlering/Grading Final.76S-5126
. .
Fire Depl: Final 765-4040
Water Engineering 765-5268
Sub list/Business license 765-519
Zoning 765-5139
Building Final . 'Last Inspection. Only
After Above Complete) ()
PARTIAL IN SPEC IONS
Buildina Inspections
Mechanical Inspections
. Plumbina Inspections
.
I 'ElectricallnsDections
I