2426 E. Seville
TYPE OF PERMIT CITY
Reroof
ElM
BUILDING DIVISION
200 S. ANAHEIM BLVD.
(714)765 - 5153
INSPECTION REQUEST LINE:
(714) 765 - 4626
CENSUS CODE: 555
QUARTER SECTION: 112
BUILDING PERMIT NO. BLD2005-02251
DATE: 7/19/2005
JOB ADDRESS: 2426 E SEVILLE AVE
LEGAL DESCRIPTION: N TR 2569 LOT 78
APPLICANT: SANDRA SALDIVAR
OWNER INFORMATION: CONTRACTOR INFORMATION: ARCHITECT/ENGINEER INFORMATION:
SANDRA SALDIVAR
2426 E SEVILLE AVE
ANAHEIM, CA 92806
JOB DESCRIPTION: Tear off existing and re-roof 40 squares of 30 year composition shingles.
VALUATION: 5,000.00 PROCESSED BY: SAM
I OWNER-BUILDER DECLARATION
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 county which requires a permit to construct, alter, improve, demolish or repair any structure, prior to its issuance, also
requires the applicant for such permit to file a signed statement that he is licen:;ed pursuant to the provisions of the Contractor's License Law (Chapter
9)(commencing with Section 7000 of Division 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 applicant for a permit subjects the applicant to a civil penalty of not more than five hundred dollars
~$ 0).
I, as owner of property, or my employees with wages as their sole camper'sation, will do the work, and the structure is not intended or offered for
Sec. 7044 BUSIness and Professions Code: The Contractor's License Law does not apply to an owner of property who builds or improves
t ereon, and who 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 year of completion, the owner-builder w~\ have the burden of proving that he
did not build or improve for the purpose of sale).
o I, as the owner of the property, am exclusively contracting with licensed C(Jntractors to construct the project (Sec. 7044 Business and Professions
Code: The Contractor's License Law does not apply to an owner of propertyw'ho builds or improves thereon, and who contracts for such projects with
p,sfontractor(s) licensed pursuant to the Co ract License Law).
,LJ I der Sec. ,.C r n:
~ate: Owner:
WORKER' ENSATION 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 worker's compensation,
as provided for by Section 3700 of the Labor Code, for the performance of the work for which
this permit is issued.
o I have and will maintain worker's compensation insurance, as required by SecUon 3700 of
the Labor Code, for the performance of the work for which this permit is issued, Myworker's
Compensation insurance carrier and policy are:
Carrier: Policy Number.
UCENSED CONTRACTORS DECLARATION
hereby affirm under pena of perjury that I am
licensed under provisions of chapter 9 (commencing
with Section 7000) of Divsion 3 of the Business and
Professions Code.
7/19/2005
Date:
Contractor
NUMBER
EXPIRATION DATE
jj;iS section need not be completed if the pennit is for one hundred dollars ($100) or less.
, I certify that in the performance of the work for which this permit is issued, I shall not
lay any person in any manner so as to become subject to the worker's compensation laws
Califomia, and agree that if I should become bje to the worker's compensation
provisions of Section 3700 of the Labo de al orthwi h mp wit those provisions.
TYPE
Date: 7/19/2005 Applicant:
WARNING: FAILURE TO SECURE WORKER'S COMPENSATION COVERAGE IS
UNLAWFUL, AND SHALL SUBJECT AN EMPLOYER TO CRIMINAL PENALTIES AND CIVIL
FINES UPTO ONE HUNDRED THOUSAND DOLLARS ($100,000), IN ADDITION TO THE
COST OF COMPENSATION, DAMAGES AS PROVIDED FOR IN SECTION 3706 OF THE
LABOR CODE, INTEREST AND ATTORNEY'S FEES.
CONSTRUCTION LENDING AGENCY
I hereby affirm under penalty of perjury that there is a construction lending agency for the
performance of the work for which this permit is issued (Sec.3097.Civ.C):
Lender's Infonnation:
Construcion Types:
VN, ,
t 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 bu ilding construction, and
herebyauthoriz ep ntives of this City to enter upon the above mentioned property for
inspection pur s
Date: 7/19/2005
Fees paid for Permit:
Total:
310.05
Signature of Applicant or Agent
permit shall expire by limitation and become null and void if the building or
work has not passed final inspection 365 clays from the date of permit issuance. A
new permit is required to commence or continue work.
City of Anaheim
Building Division
INSPECTION RECORD
INSPECTION DATE INSPECTOR
Temporary Power Pole
Plumbing (Drain/Waste Pipe)
Electrical Ground Electrode/Ufer
SetbacklForms/Trenches (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 Conduit)
Pre-slab (Compaction/Membrane Reinf.)
Underpinning (Floor Joist/Girders)
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 (Sheathing/Diaphragm/Frame) J':rt.05" I {t. (J~~ 1/
Masonry (ReinfJBond Beam/Pre-Grout)
Rough Plumbing (Top Out)
Rough Mechanical
Rough Electrical (Dry Wall)
Rough Electrical
Framing (Only after Plbg., Ele., Mec. And Fire)
Insulation (SoundlEnergy)
Do not tape 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
Exterior Plaster (Brown Coat)
T -Bar Electrical
T -Bar Mechanical
T -Bar Structural
Sewer
Water Engineering Backflow
Water Service
FINAL INSPECTIONS
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 765-5194
Zoning 765-5139
Building Final (Last Inspection - Only 1r-\"l5t
After Above Complete) I D\Fi~
DATE
INSPECTOR
,/
/(fA ~Jk1
L.--
PARTIAL INSPECTIONS
Buildina Inspections
Mechanicallnsoections
Plumbina Insoections
Electricallnsoections