2216 E. Redwood South Dr.
I&.-
'BUI:..DlNG PERMIT NO. BLD2004-01142
. . l,;~j~ ':?~;A.. '.
C ITY Q~t'~f~if"HEI M
~~~~~~:~~~~ 2216 S'90UTH REDWOOD DR \i~~r~t1~'
. .
LEGAL DESCRIPTION: N TR 2491 LOT 3'
TYPE OF PERMIT.
'Reroof
. BUILDING DIVISIOr'i
200 S. ANAHEIM BLVD.
(714) 765- 5153. .
iNSPECTION REQUESTUNE'.
(714) 765 - 4626
CENSUS CODE: . 434
QUARTER SECTION: 112
APPLlCANT::RICI.<Y CARTER
OWNER INFORMATION:
.RICKY CARTER
2216 E South Redwood Dr
Anaheim, CA 92806 . - _ .
JOB DESCRIPTIONRe-roof - House, pool house, and garage, Tear off existing .Jnd.instaIl30 sq. of compo shingles. (HIH)
VALUATION: 4,500.00 PROCESSED BY: PMK
I OWNER-BUILDER OECLARATION
I hereby affirm under penalty ofperjuty that I am exempt from the :Cdntractol'~Ucense. Law for the following reason (Sec. 7031,5 ,Business and
Professions Code: any city or countywnich requires a permit to construct, ~lh;'r, -improve, demolish or repair any structure, prior: to its' Issuance, also
re'quires the.appfJcant for sl)ch permit to file a signed statement that he is!iC;:fl!l.s€d pursuant to the provisions 9fthe Contractor,'~ License Law (Chapter
9)(commen.clng with Section 7000,ofDivision 3 of the Busin.ess and p'rofessicflS Code) or that he is exempttherefrom~nd the basis for the allegeo
exemption. Any.viola~ion of Section 7031.5 by any applicfmt for a permit sucr/cts the 'applica,nt tOa, dvil penalty of not IT]ore ttia n five hundr~d doJlars~'
($500).. '. . . . '.. . .... . .. '.'
"Qi I, as owner of p~operty, or my employees ~i_th wage$' as their sole comp~lils.ation, will do thework, ,and the structure_ is not bltenq'ed oroffered for
/Sate. (Sec. 1044 Busine~s and Professions Code: The Contractor'sUcense t..:1W doe's not apply to an owner,of property who builds Of improves
"thereon, and. who-does such work himself or h~rself or through his or her owr~employees, provided that.suc:h improvenients are. not" ifltended or
offered for sa.le. If, however, the buildiD9 orimprovement is sold with.oQe.ye~.r of completion, 'the owncr-.builde-r will have the burden of provfng that he
did--l)Ot"build or improve for:the purpose of sale). . ,,", _,' '
o I, as.the own~r of the prc:>pe~" am exdusively contracting ,with licensed ~;;c.ntrad.ors to'constn.ict.the. project (~ec. 7044 Business at:ldProfeSsions
Code: The Contractor's License Lawdoes not app.ly to an owner ofproperfy~,'ho ,builds or improvesthere6n, and who oontracts for sum. projects with
Ljontractor(S).1icensed pursuant tqthe e.ontractor's License L ~ ~ ~. ,- ~ ~
J. Jam .e ptunderSec:, - ,B'~P.C." reason: .'. .; . ..' _~~.,..----.:.
"'Date. . Owner: . ..;. . ..
. . WORKER'S COMPENSATION DECLARATION _ ~ .
I hereby a.ffirm-under penalty of perjury one of the following dec:larations:
Olh1:!Ve and. will maintain a.certificate of Consent to self-,insure'for worker;,::\oITlPensation1
as provided for by gection 3700 of the Labor Code, for the'performance ofth},work for whim.
this permit i~ issued. '. . . 1
o l.have andwill main!ain worker's compensation insurance, as.requilBd !::;;' Section 3700 of 4[1212004'
the .Labor_COde, for the performance of the work for which this permit islssu~-(;. My worker's Date:
Gc:>mpensatiorJ .insurarice cal'lier and policy are:
Carrier:
CONTRACTOR INFORMAi'ION:
ARCHITECT/ENGINEER INFORMAtiON:
I
'-lCENSED CONTRACTORS DECLARATION
I hereby affirm under. penalty 'of perjl.,lry that I am
,licensed_.under provisions of chapter: 9 {Commehcing
with Section-700Q) of Oivsicin'3 of the Business and
Professions Code.
Cqntractor
Policy Number:
NUMBER
EXPIRATION DATE
This section ne~nOt be epmpleted if the pennit is for one hundred dollat:s ($1 CO: 'or I~S. .
o .I certify thaUn the perfonnance,ofthe work forwhich this perrT)it isissu'e::, I sh.gll not
employ. any person in any manner so as to become subject to the wqrker's c(.;npensatjonlaws
ot Califomia. and agree that jf I should become subject to the worker's compensation
. provisions of Section 3700 of the Labor Cod al fort~With th')seprovisjons.
Date: 4112/20~ APPlicant:X . ) . .. .
WARNING: FAILURE TOSECl,JREWORKER'SC MPENSATION.CQVER....GE IS?":.
'. UNLAWFUL, AND SHALLSUBJE.CTAN EMPLOYER TO CRIMIN!'Ji{pi'NALTlES Aim CIVIL
FINES UP TOONEHUNb.RED THOUSAND DOLLARS ($10Q,OOP)i;1~"Ae()!nCN TO. THE
COST OF COMPENSATION, DAMAGES AS PRoviDED FOR IN"SJ'PTION 370601" '(HE
LABOR CODE, INTEREST AND ATTORNEY'S FEES. . ':..;L"~' ",' .
I . CONSTRUCTIONlENDING AGENCY.1!_;?' ..~
. t hereby affirm under penalty of periury that- there is a con~ruction l~nding,a~f~ricy fbrJhe
performance ofthe work for which this permit is issued (Sec..3097.Ciy.C):. < ,'. .
Lender's Information:
. TyPE
Construclon Types:
VN, ,
Fire Sorinklered?
NO
..~
,
. ~""i'
Fees paid for Permit:.
Total:
0.50
INSPECTION REtORD
... INSPECTION . DATE INSPECTOR
. .
. Temporary Power Pole .. .. .
.
Plumbing (Drain/Waste Pipe) . .
Ekldl'ical,Ground Electrode/lifer,
SelbacklFormsfTrenches (Footings) .. . ..
Do not install subfloor or pour, floor slab until the
following applicable items have been signed: ' ..
Pluntbing (Water Pipe.Sprinkler Valves) .,. .
Mechanic", (GroUndwork) .
Eledricm(U~~roundCondu~ .
Pre-slab (CompactioillMernbrane.Reinf. .
underpinning (Floor Joist/Girders) ,., .' '
.,' Do not (;Over or conceal the. work below until the
following appliCable items have been signed: . ,
,1st Floor Shear ,
Firesprinkler (RQugh) . ' . ,"
2nd Floor Shear ' I I ,
Roof (Sheathing/llil!phragrn'Frli'ne) , ql(ll6~ I,d, . "
, ,Masonry (Reinf./Bond 8eamlPre-GFciut) I .I
Rough Plumbing (Top Out) . . , , . .
Rough Mechanical . ' .
,ROugh t:lectrlCai (Drywall) . . ,
Rough Electrical .
Framing'.. (On~ after Plbg,; Elec:, Mech, and'Fire)
Insulation (SouFIdIEnergy) .: .. ,.
po not tape or pla~ter until the fol/owing, applicable '.
Items have been Signed: ',' .
Drywall . .., . '
Penetrations (Fire Rated) Electrical
. Penetrations (Fire Rated) Mechanical I,
Penetrations (Fire Rated) Plumbing . , :, ' . ,
Interior Lath, , ,'. , .
Exterior Lath.
.. , . GENERAL ITEMS
, Exterior Plaster (Bra.vn Coat) ..
T -Bar Electrical ,
T -Bar Mech"nical ' '
T-Bar Structural . .
Sewer , . . , .
Water Engineering Backflow .
Water Service, .'.
"
"
y.
FINAL INSPECTIONS
ElectricalFinai
Plumbing Final
M..chanical Final
Gas Test
EngilleeringiGrliding Final 765-5126
Fir.. .Dept. Final 765-4040 '
Water Ehgineer;ng 765-5268
Sub List/Business License 765-519
Zoning 765'5139
B'uildingFinal lLast Inspection- Only' ,
. . Mer Above Complete):
, PARTIALINSPECTIO
Buildina Inspections
..\A~ow)j.t.1
Date
Inspector
Mechanical Inspections ,
Plumbing Inspections
Electrica'.'nspections, '