2441 E. South Redwood Dr.
CONTRACTOR INFORMATION:
TODD ALLEN CONSTRUCTION
1387 GALWAY LN
COSTA MESA, CA 926260000
BUSINESS PHONE: 714/540.2420
JOB DESCRIPTION:Tear off existing roof and replace, with 23 squares of 30 yea'r compositi~n shingles over house/detached garage and 3 squares of
VALUATION: torchf,8W86'er patio cover. PROCESSED BY: MSM
I OWNER-BUILDER DECLARATION
I hereby affirm under penalty of perjury that I am exempt from the Contractor's,L,icense Law for the ,fol lowing reason (Sec. 7031.5 Business and
Professions Code:_ any city o'r countywhich'requires a permit to construct, alte~:'improve, demolish or repair any struCture, prior to its issuanC,e, also.
requires the applicant for such permit to file a signed 8:!atement that he is licep.$6d pursuant to the provisions of the Contractor's' License Law (Chapter
9)(comm.encing 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 sUbje,cts the appliQant tO,a civil" penalty of not more than five hundred dollars
($500). . . ,"., ,
D I, as owner of.property, or my employees with wages, as their sole comper1sation, will do the work, and the structure is 'not intended or offered for
sale_(Sec. 7044 Busin~ss and Professions Code: The Contractor's License Law does not apply to an. owner of property who bui,lds or improves .
thereon, and who does such work himself or herself or throug'h 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 ohe year: of completion, the owner-builder will haVE! the burden of. proving. that_he
'did notbuild 9r improve for the purpose of sale), '
D J, as th~ owner of the property, am exclusively contracting with licensed contractqrs,to construct the project (Sec. 7044 Business and Professions
'Code: The Co.ntractor's License lflw does not apply to an owner of property who builds or improves thereon, and who contracts for such projects with
a: contractor(s) licerysed pursuant to the ContraCtor's.License Law). . , ,
D jam e'xempt under Sec. ., B& P~C.forthis reason:
Date: Owner:
I
BUILDING PERMIT NQ.. 9uho05-01487 I
TYPE OF PERMIT CITY
Reroof
DATE: 5/19/2005
JOB ADDRESS: 2441 E SOUTH REDWOOD DR
LEGAL DESCRIPTIoN: N TR 2492 LOT 40
APPLICANT: DOMENIC VALVANO
OWNER INFORMATION:
David Sexson
2441 E South Redwood Dr
Anaheim, CA 92806
ElM
BUILDING DIVISION
200 S. ANAH'EIM BLVD.
(714) 765 - 5153
INSPECTION REQUESTLINE:
. (714) 765 - 492.6
CENSUS CODE: 555
QUARTER SECTION: 112 J-).
ARCHITEQT/ENGINEER INFORMATION:
WORKER'S COMPENSATION DECLARATION
I hereby affirm under penalty of perjury <?ne of the following declarations: .
D I have and will majntain a certificate of consent to self-insure for worker'sco~pensation,
. as provi~ed for, by Section 3700 of the Labor Code, for the performance of the-work for which
IhiS ermit is issued; " .
. . I have and will maintain worker's compensation insurance, as required by ,Section 3700 of
t . bor.Code, for the performance of the work for which this permit is issued. My worker's
omp~sation insur~nce carrier and policy are: . ;
Carrier: STATE ,FUND . "Policy Number. 1462494-~004 .
Thi.ssection need not be completedif~epennit is for one hundred dollars ($tOO) or less.
D I certify that in the periormance-of th~ work for which this permit is issued;) shall not
,employ any person in any manner so as to become subject t the worker's compensation laws
of Califomia, and agree that if I should become subje_ct orker's compersation
provisions of Seclion3700 of the L ber Code, I a ith comply with those provisions.
Date: .5/19/2005 Applicant
WARNING: FA'ILURE TO SECURE
UNLAWFUL, AND SHALLSUBJEC. AN EMPLOYER TO CRIMINAL PENALTIES AND CIVIL
FINES U P TO 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
'thereby 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): J
Lender's Information:
I certify that I have read this aR .cation and state that the above information is correct. I'
agree to comply with all ci rdin'ances an'd state laws relating to building-construction, and.
her by author pre tives of this city to enter upon the above mentioned property for
in action rp'
Date: 5/19/2005
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 365days from the date of parmi I issuance. A
new permit is required to commence or continue work.
LICENSED CONTRACTORS DECLARATION
I hereby affirm under penalty of , per jury that I am
licensed under provisions of chapt (commencing
with SeCtion 7000) of O. . Business and
Professions e.
5/19/2005
Date;
Confractor .
NUMBER
698984
TYPE
TYPE
TYPE
EXPIRATION DATE
11/30/2006
B
C39
HIC
Construcion .Types:
VN" ,
Fire Sprinklered?
NO
Fees paid for Permit:
Total:
235.53
" INSPECTION RECORD
INSPECTION' DATE INSPECTOR
T empQrary Power Pole
Plumbing (DrainIWaste Pipe) .
Electrical Ground Electrode/Ufer
Selback/FormsfTrenches (Footings) .
,Do not install subfloor or pour floor .slab until the
following applicable items have been signed:
Plumbing (Water'Plpe.Sprinkler Valves) I '
Mechanical (Groundwork) .
Electrical (Underground Conduit)
Pre-slab (CompactionlMembrane,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 (SheathinalDiaphraamlFrame) $/"Z'$Io~ '/(lb Iha
Masonry (ReinfJBond BeamlPre-Grout) (f(j .
Rough Plumbing (Top Out)
Rough Mechanical
KOugn ~ectncllllDry wall)
Rough Electrical .
Framing (Onlyatter Ptbg.. Elec.. Mech.. 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
Oa.t.e
Inspector ,
Electrical, Fi,nal
Plumbing Final
Mechanical Final,
Gas Test
Engineering/Grading Final 765-5126
Fire Cept. Final 765-4040
Water Engineering 765.5268
Sub List/Business License765-519
Zoning 765-5139
Building Final fLastlnspection- Only
. After Above Completel '
PARTIAL INSPECTIONS
Buildina Inspections
Mechanical Inspections
Plumbina Inspections
Electrical Inspections