Loading...
1764 Sallie Ln. 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: 50 BUILDING PERMIT NO. BLD2005-03754 DATE: 11/29/2005 JOB ADDRESS: 1764 W SALLIE LN LEGAL DESCRIPTION: N TR 2722 LOT 5 APPLICANT: OWNER INFORMATION: JUVENAL GARCIA 902 ASPEN ST CORONA, CA 928790000 JOB DESCRIPTION:Tear off existing material, instatl20 squares of eaglelite tile ICBO #6034P; REFBLD2005.03129 VALUATION: 6,000.00 PROCESSED BY: JNJ 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 fire 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 ~O). ~J)I, as owner of property, or my employees with wages as their solecompen~ation, will do the work, and the structure is not intended or offered for sale (Sec. 7044 Business and Professions Code: The Contractor's License Lavl does not apply to an owner of property who builds or improves thereon, and who does such work himself or herself or through his or her own employees, provided that such implOvements are not intended or offered for sale. If, however, the building or improvement is sold with one year 9f completion, the owner-buiJder 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 do n to an owner of property who builds or improves thereon, and who contracts for such projects with ~ontractor(s) licensed pursuant to t ntractor~_~_~ nre Law). U I am exempt under Sec. -"-" C. r tl1 reason: Date: t-Z -os. Ow WORKER' P SA N DECLARATION I hereby affjrm under penalty Of pe~ury one 0 the following declarations: AD-)I have and will maintain a certificate of consent to self-insure for worker's C1)mpensation, ~provjded 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 carrier and policy are: Carrier: CONTRACTOR INFORMATION: 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. 11/29/2005 Date: Contractor Policy Number. NUMBER EXPIRATION DATE This section need not be completed if the pennlt Is for one hundred dollars ($1 aO) or less. TYPE tvl I certify that in the performa.nce of the wo k for which this permit is issued, I shall not ~ploy any person in any manner so as to be ome subject to the worker's compensation laws of Califomia, and agree that if I should be su e .. __ ..~e worker's compensation provisions of Section 3700 of the eel . l-Slialr 0- wi mply with those provisions. Construcion Types: V N, , Date: 11/29/2005 Appli nf: WARNING: FAILURE TO SECURE ORKE ENSATION COVERAGE is UNLAWFUL, AND SHALL SUBJECT A 0 CRiMiNAL PENALTIES AND CIVIL FINES UP TO ONE HUNDRED THOUSAND LARS ($100,000), IN ADDI1l0N 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): Lend~r\s Information: I certify that I ha agree to he inspecti Iication and state that the above information is correct. J in es and st~~g1,Ns relating to buiJding construction, and of 'ty to enter upon the a.bove mentioned property for Date: 11/29/2005 Fees paid for Permit: Total: 77.49 Sign t re of Ap The permi hall ex' by Ii ation and become null and void if the building or work has not . spection 365 days from the date of permit issuMce. A new permit is required to commence or continue work. City of Anaheim Building Division INSPECTION RECORD INSPECTION DATE INSPECTOR Temporary Power Pole Plumbing (DrainlWaste Pipe) Electrical Ground Electrode/Ufer Setback/FormslTrenches (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: 1st Floor Shear Firesprinkler (Rough) 2nd Floor Shear I I Roof (Sheathing/Diaphragm/Frame) 10/#76, \ ANOWSV.....l Masonry (Reinf./Bond Beam/Pre-Groutl I / ' 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 CoatI T -Bar Electrical T -Bar Mechanical T -Bar Structural Sewer Water Engineering Backflow IWater Service FINAL INSPECTIONS Electrical Final Plumbing Final Mechanical Final Gas Test Cross Connection Control {114)765.4280 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 After Above Complete) PARTIAL INSPECTIONS Buildina Inspections DATE INSPECTOR Mechanical Inspections Plumbina Inspections Electrical Inspections