1598 Sumac Ln.
BUILDING PERMIT NO. BLD2005-01918
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TYPE OF PERMIT CITY
Reroof
DATE: 6/22/2005
JOB ADDRESS: 1598 W SUMAC LN
LEGAL DESCRIPTION: N TR 2903 LOT 70
ElM
BUILDING DIVISION
200 S. ANAHEIM BLVD.
(714) 765 - 5153
INSPECTION REQUESTLINE:
(714) 765 - 4626
CENSUS CODE: 555
QUARTER SECTION: 57
APPLICANT: JAVIER ALEJO
OWNER INFORMATION: CONTRACTOR INFORMATION:
Javier Alejo
1598 W Sumac Ln
Anaheim, CA 92802
JOB DESCRIPTION: Tear off existing and re-roof 18 squares of composition shingles.
VALUATION: 1,600,00 PROCESSED BY: SAM
I OWNER-BUILDER DECLARATION
I hereby affirm under penalty of perjury that I am exempt from the Contractor's Ucense Law for the following reason (Sec. 7031.5 Business and
Professions Code: any city or county which requires a permit to construct, atter, improve, demolish or repair any structure, prior to its issuance, also
requires the applicant for such permit to tile a signed statement that he is licensed 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
~($;m~)~iO . ~~~~Jation of t" n 7031.5 by any applicant for a permitsubjec:ts the applicant to a civil penalty of not more than five hundred dollars
, ow'nel1>rproperty, or employees with wages as their sole compensation, will do the work, and the structure is not intended or offered for
sec. 7044 Business and rofessions Code: The Contractor's License La\{ does not apply to an owner of property who builds or improves
t ereon, and who does such work himself or herself 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 31 completion, the owner-builder will have the burden of proving that he
did not build or improve for the purpose of sale).
D 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's License Law does not apply to an owner of property who builds or improves thereon, and who contracts for such projects with
~ontractor(s) licensed pursu nt the Contractor's License Law).
U I am exempt under Sec. . ~ & P .C. for this reason:
Date: Owner:
WORKER'S C PENSATION DECLARATION
I hereby affirm under penalty of perjury one of the following declarations:
D 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 Section 3700 of
the labor Code, for the performance of the work for which this permit is issued. My worker's
Compensation insurance earlier and policy are:
Carrier: Policy Nu mbe r.
This section need not be completed if the pennit is for one hundred dollars ($100) or less.
~rtify that in the perfonnance of the work for which this permit is issued, I shall not
e 10 any person in any manner so as to become subject to the worker's compensation laws
of . mia, and agree that if I should beco subject to the worker's compensation
p visions of Section 3700 of the labor Co e J shall forthwith p with those provisions.
Date: 6/22/2005 Applicant:
WARN ING: FAILURE TO SEC E
UNLAWFUL, AND SHALL SUBJEC EMPLOYER TO CRIMINAL PENALTIES AND CIVIL
FINES UPTO ONE HUNDRED ll-IOUSAND DOLLARS ($100,000). IN ADDITlON TO THE
COST OF COMPENSATION, DAMAGES AS PROVIDED FOR IN SECTION 3706 OF THE
LABOR CODE, INTEREST AND ATTORNEY'S FEES.
CONSTRUCTION LENDING AGENCY
J hereby aff:rm under penalty cf perjury that therE: is a consUuction lending C:iyellcyfor the
performance of the work for which this permit is issued (Sec. 3097 .Civ.C):
lender's Information:
I certify that I have read this application and state that the above information is correct. J
agree to comply with all city ordinances and state laws relating to building construction, and
herebyauthori epresentives of this city to e er upon the above mentioned property for
inspection p 0 s.
" Date: 6/22/2005
Signature of Applicant gent
mit shall expire by Iim~ation and become null and void if the building or
wor has not passed final inspection 365 days from the date of permit issuance. A
new permit is required to commence or continue work.
ARCHITECT/ENGINEER INFORMATION:
LICENSED CONTRACTORS DECLARATION
I hereby affirm under penalty of perjury that I am
licensed under provisions of chapter 9 (commencing
with Section 7000) of Divsion 3 of the Business and
Professions Code.
6/22/2005
Date:
Contractor
NUMBER
EXPIRATION DATE
TYPE
Construcion Types:
VN, ,
Fees paid for Permit:
Total:
160.61
City of Anaheim
Building Division
INSPECTION RECORD
DATE
INSPECTOR
INSPECTION
Temporary Power Pole
Plumbing (Drain/Waste Pipe)
Electrical Ground Electrode/Ufer
SetbacklFormslTrenches (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(i'SlieathlnatbiaphraamlFrame)
Masonry (RemfJBond Beam/Pre-Grout)
Rough Plumbing (Top Out)
Rough Mechanical
Rough Electrical (Dry Wall)
Rough Electrical
Framing (Only after Plbg., EIe., Mec. And Fire)
A
/IIAtf/
Yj;'IIOJ , .GNJI.e
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 DATE INSPECTOR
Electrical Final
Plumbing Final
Mechanical Final
Gas Test
EngineerinatGrading Final 765-5126
Fire Dept. Final 765-4040
Water Engineering 765-5268
Sub List/Business License 765-5194
Zoning 765.5139 I
Building Final (Last Inspection . Only I~i
After Above Complete) .fA .. '-"~f
n
/
PARTIAL INSPECTIONS
Buildina Insoections
Mechanicallnsoections
Plumbina Insoections
Electricallnsoections