1408 Sherrill St.
BUILDING PERMIT NO. 'BL02004-02399
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CITY ~~~;N-~HEIM,
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'BUILDING DIYISION
200 S, ANAHEIM BLVD.
,(714) 765 - 5153
'INSpECTION REQUESTLINE:
. (714:j"765-4626
'CENSUS CODE: 555
,QUARTER SECTioN: 22
,APPLiCANT:WARREN ZITLAU
OWNER INFORMATIQN: CONTRACTOR INFORMATION: ARCHITECT/ENGiNEER INFORMATION:
Warren Zitlau
1408.S Sherrill St
Anaheim, .CA . 92804 ,
, . JOB DESCRIPTIONP-e-mof with tear-off hew compo. roofing.
VALUATION: " 3,000.00 PROCESSED BY: CAL,
l ,'-- , OWNER-BUILDERJ~ECLARATION
I hereby affi:munder PE?naJty-of perjury that I am ,exp.mpt from the Contractor':> Licens,e Law forthe following reason (Sec. 7031.5 Business and
Professions'Code: any dty ar county which requires a permit to. construct, a:t':.;;", improve, demolish or repairany structure,prior to its issuan~e, 850.'
'requiresttle applicant fo'r-such" permit to. file a signed statement t,h,at he is li~I;.lsedpursuant to the provi.sions of the Contractor's LicenseLaw (Chapter
9)(commencing with Section iooo of Division 3 of the. Business and Professins Code) or that he.is exempt therefrom and the basis for the alleged,'
exemption., AnY violation of Section 7031.5 by any applicant.fora permit-su.lje::ts the applicant tOa dvil penalty of not'more than five hundred dollars.'
($500), , " ..'
D, I, as o\yner of property, or my employees with wages as'the:ir sole com~.'f:n:;3tion, will do the work, and the structure is not Ifltended Qr offered for
sate (Sec. 7044_ Business and'Professions Code:. The Contractor's License-La~v does nOt 'Jpply toan ownerof property who builds or impf?ves
thereon, an,d'whb does suCh work himseif ()r herself orthrough his or her owt!€:'mployees,provided that ::uch imp,~'1verpents are not int~nded or
9ffered fo~ sale. If, ,however, the building or improvement is ~old with eme y~~tof completion. the owner~builder VI, ill heve the burden of proving that he
,di~notbuildorimproveforthe'purposeofsale). "'~ . "
D. I, as the o~ner of the property, am-exdusively contracting with,licensed -'~l1tractors to con&truct fheprdjed (Sec, 7044 Busioes, Rl1d Profess!ons
Cc-,de: The,Contractor's License Law does not apply to an.owner of property .~ilO builds or. improves thereon, 'and who oontracts for such projects with
'-FLJ(ontractor(s) licensed pursL!ant to the Contractor's Li~nse_ Law).' ...,
LJ I amexemptunder,Sec~ . & P..C. for this reason:
Date: (,., -10.;.. 6,1 Owner:
TYPE OF PERMIT
Reroof
DATE: 6/10/2004
JOB ADDRESS: '1408S SHERRILL ST
LEGAL DESCRIPTION: ,NTR 2715 LOT36
WORKER'S C M ATION DECLARATiON 'I
. I hereby affirm under penalty of perjury one of the following declarations' .
'.0 I have and wilt maintain a certificate 'of con'sent to seif-insure fqr worker':Gompensation"
-as provided for by Section 3700, of the Labor Code, for the performance ,of tr.(~\'{ork for which
this permit is,issued,.. . ~ _ ,'. . '
o :, I haye and will maintain ~orker's compensationoinsuranc,e, as require-db)., Section 37~O of
th.e_ Labor Code, for the performance t;>f the work for-which this permit is issuej. Myworker's
Compensationinsurance carrier'and. policy are: '
Carrier: Po"ticy Nu mber.
'Thi~sectio~need not be completed If the p.e~it'is for one hU'ndred dollars ($1_00):0[ less.
(t\ 'certify "that in the performance, of the work for which this permit.is issue~l. ',.shall not .
~IOY any person in__a ny 'manner so as to become subject to the worker's comp-ensation laws'
of'Cat'ifomia. and agree that if I should become subject to the worker's comper:_si3tion
provisions-of Section 3700 of the La r e, I s fortl1With c.omply with ti~~'.:;e provisions.
~Date: 6/10/2004 Applicant: 'I--
WARNING: FAILURE TO SECUREWO ER'S COMPENSATION COVERf,GE IS
UNLAWFUL, AND SHALL SUBJECT AN EMPLOYER TO CRIMINAL PENAL r1ES AND CIVIL
FINES I,JP TO QNE HUNDRED THOUSAND DOLLARS ($100,000), IN A(jD!-nON TOTHE
COS"!, OF COMPENSATION,. DAMAGES AS PRQVIDE[) FOR IN SECTION'3?p6 QF THE
LABORCODE.INTEREST AND ATTORNEY'S FEES, ' .
'I CONSTRiJCTIONLENDING AGENCY,
I hereby ~ffirm under penalty of perjury that there is a conStruction lehd!ng ag: !ncy for the'
p.erforman~ ,?fthe work for'whicn this permit is issued (Sec.'30~7, CiV,y);>' . if'
-'!,;'S?-M!~:Wf'f",,I'"~s~:o'" ~ ,- "---_L..,,-.. . '-"~"
I certify that I have 'read this a pplication and state that the above informatipn is correct. I
agree'to ,Comply with all'city ordinances and state laws relating to building construction, and
hereby horize representwes.of this dty to enter upon the abov!? mentioned property for
ins , fpqse_S.
D',te: 6/10/2004
, Signature ot-Applicant or Agent
The rmit shall expire by limitation and become null and void if the building or
"work has not passed final inspection 365 daysfrolli the date of permit issuance. A
new permit is required to commence or continue work.
LICENSED CONTRACTORS DECLARATION I
I hereby affirm under penalty o~ perjury that I am
licensed under provis'rons-cif chapter 9 (commencing
with Section 7000) ofDivsion 3 'of the Business:and
p rofession~ Cod e.
61)012004
'Date:
Contractor
NUMBER
EXPIRATION DATE
TYPE
Construcion Types:
VN, ,
Fire Sprinklered?
NO
'.
-;:,'
. Fees paid for Permit:
Total:
110.77 '
INSPECTIONRECOR[)
. .
: INSPECTION. . .' . '.DATE . INSPECTOR
. , . . '.
Temporary Power Pole '. .
. Pll.lmbing(DrainlWaste Pipe) ..
Electrical Grciund ElectrodefUfer, .
SetbackfFClft1lSltrenChes (Footings) . . '.
..'
DO not .install s.ubfloor or poor floor slab until the
following. applicable items .have been signed; .
Plumbing (WaterPlpe.Sprinklet Valves) ..' . .
Mechanical (GrOundwork)
~ctrica/ (UndetgrOl.lnd Conduit) .
Pre.slab (CompactionlMemorane.Reim,. . .
Underpinning (FJoorJoist/G1rders) .. .... . . .
.DO natcoveror conceal the workuelow . until tne .
'following applicable items have been signed:... . ..
1stFloor Shear " .. . . . .'
flrespril1kler(Rotlgh) . . . '.
2nd Floor Shellr ..' . ~
'ROof(Sheathl~CiaphragnVFrarne) 4'''''''
M;lsonry (ReinfJBond BearnlPl"e,Grolit) . . . . .
RoughP.lumbing (Top Out) '. . .
Rough Mechanical' . . .' . . '.
.ROugh BectrlC" 1lJl'Y Wall)
Rough Electrical . . .
. Framing . (Only-after Plbg., Elec..,f,;'iech.-.'and Fire) .
'In~lation.(SoundlEnergy) .. . .' . .' .
. po not tape or plaster until tne following applicable'
Item.s have been signed: .', . .' . .
Drywall . .. ':. . '.
Penetrations (Fire Rated) Electrical .
Penli!lrations(F\re Rated) MechaJ)ical . .
'. Penetrations (Fire Rated) Plumbing
Interior Lath .. .' ".
Exterior lath" . '. . . . . .
.' . GENERAL ITEMS . . .
Exterior PliIster (Brown Coat) . ,.
.ToBar Electrical . .' . .
T.Bar Mechanical . . .
T -Bar Structural '. ". . .
sewer . . .
Water Engineering Backflow
Water:Service . .
.FINAL .INSPECTlONS
Electrical Final
Plumbinl!Final .
Mechanical.Final
Gas Test
Engineering/Grading FjnaI76505126
. Fire Dept. Final 765-4040
Water Engineering 765-52t!8 . .
Sub iist/Busine~s license 76505.111
Zoning 765.5139
Building FinallLast Inspection. Only ..:.I I
'. . .' . Jlfter Above Complete) -\ II
'. PARTIAL INSPECTION$
Buildinalnspections
. Inspector
'. MecttanicallnSDections
Plumbinq'lnspections
ElectricallnSDections .'