1235 Sandalwood Ave.
BUILDING PERMIT NO. BLD2005-02197
TYPE OF PERMIT CITY
Reroof
DATE: 7/f 4/2005
JOB ADDRESS: 1235 E SANDALWOOD AVE
LEGAL DESCRIPTION: N TR 1825 LOT 86
ElM
BUILDING DIVISION
200 S. ANAHEIM BLVD.
(714) 765 - 5153
INSPECTION REQUEST LINE:
(714) 765 - 4626
CENSUS CODE: 555
QUARTER SECTION: 91
APPLICANT: FILEMON ALONSO
OWNER INFORMATION: CONTRACTOR INFORMATION: ARCHITECT/ENGINEER INFORMATION:
FILEMON ALONSO
1235 E SANDALWOOD AVE
ANAHEIM, CA 92805
JOB DESCRIPTION:Tear off existing and rerooi 20 squares with 3D-year composition shingles
VALUATION:
2,500.00
PROCESSED BY: JNJ
OWNER-BUILDER DECLARATION
I hereby affirm under penalty of perjury that I am exempt from the Contractor's License Law or the following reason (Sec. 7031.5 Business and
Professions Code: any city or county which requires a permit to construct, after, improve, demollsh or repair any structure, prior to its issuance, also
requires the appncant for such permit to file 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
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
($500).
~, as owner of property, or my employees with wages as their sole comper,sation, will do the work, and the structure is not intended or offered for
sale (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 does such work himself or hecself 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 will 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 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
[jontractor{s) licensed pursuant to the Contractor's License Law).
I am exempt un er Jec. B..-:; .C. for this reaso :
Date. Owner:
WORKER'S COMPENSATION DECLARATION I
~er~~; affirm under penalty of perjury one of the following declarations:
aYe 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 't'OrK 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 carrier and policy are:
Carrier: Policy Number.
This section need not be completed if the pennit is for one hundred dollars ($100) or less.
e==rcertify that in the performance of the work for which this permit is issued, I shall not
"employ any person in any manner so as to beco~e~subject to the worker's compensation laws
of California, and agree that if I should become s4)5ject to the walker's compensation
provisions of Section 3700 of the Labor Code, I shall forthwith comply with those provisions.
(
Date: 7114120057'/ tj i:Jr!'plicant:
WARNING: FAILUR~ ~TO SECURE WORKER'S COMPENSATION COVERAGE IS
UNLAWFUL, AND SHALL SUBJECT 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
I hereby affirm under penalty of perjury that there is aconstruct;on lending agency tor the
perfonnance of the work for which this permit is issued (Sec.3n97.Civ.C): .~
Lender's Intormation:
I 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 building construction, and
hereby authorize representives of this city to enter upon the above mentioned property for
in ion pose.
Date: 711412005
Si ature of Appli ant or Agent
The permit shall expire by limitation and become null and void if the building or
work has not passed final inspection 365 days from the date of permit iSSllMce. A
new permit is required to commence or continue work.
LICENSED CONTRACTORS DECLARATION
I hereby affirm under penafty of perjury that I am
licensed under provisions of chapter 9 (commencing
with Section 7000) of Oivsion 3- of the Business and
Plt>fessions Code.
711412005
Date: Contractor
NUMBER
EXPIRATION DATE
TYPE
Construclon Types:
VN, ,
Fees paid for Permit:
Total:
160.61
City of Anaheim
Building Division
INSPECTION RECORD
INSPECTION DATE INSPECTOR
Temporary Power Pale
Plumbing (DrainlWaste Pipe)
Electrical Ground Electrode/Uter
SetbacklFormslTrenches (Footings)
Do not install sublloor or pour 1I00r slab until the
tollowing applicable items have been signed:
Plumbing (Water Pipe/Sprinkler Valves)
Mechanical (Groundwork)
Electrical (Underground Conduit)
Pre-slab (Compaction/Membrane Reinf.)
Underpinning (Floor JoistlGirders)
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) h!~.JQ
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 (Sound/Energy)
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
Engineering/Grading Final 765-5126
Fire Dept. Final 765-4040
Water Engineering 765-5268
Sub ListlBusiness License 765-5194 ~
Zoning 765-5139 )
Building Final (Lasllnspecllon - Only \1~ /' f\.f\t\..... L,..-
Atter Above Complete) ~ \I r.v
PARTIAL INSPECTIONS
Building Inspections
Mechanical Inspections
Plumbing Inspections
Electrical Inspections