918 S. Sunkist
TYPE OF PERMIT CITY
Reroof
ElM
BUILDING DIVISION
200 S. ANAHEIM BLVD.
(714)765 - 5153
INSPECTION REQUEST LINE:
(714) 765 - 4626
CENSUS CODE: 434
QUARTER SECTION: 124
BUILDING PERMIT NO." BI..D2005-03127
DATE: 912912005
JOB ADDRESS: 918 S SUNKIST ST
LEGAL DESCRIPTION: SEC 13 T 4 R 10 S 108 FT W 233 FT N
APPLICANT: THOMAS WHIELDON
OWIIIER INFORMATION:
THOMAS J WHIELDON
918 S SUNKIST ST
ANAHEIM, CA 92806
JOB DESCRIPTION:Tear off existing material, install 34 squares of 30 year composition shingles and 15 squares 01 built up roof to house and attached
VALUATION: gar'!!/;eOOo 00 PROCESSED BY: ENO
I OWNER-BUILDER DECLARATION
I hereby affirm under penalty of perjury that I am exempt from the Contractor's License Law for the fol/owing reason ( ee. 7031.5 Business and
Professions Code: any city or county which requires a permit to construct, alte~ improve, demolish or repair any structure, prior to its issuance, also
requires the applicant for such permit to file a signed statement that he is licenred 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).
o I, as owner of property, or my employees with wages as their sole compensation, 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 herself or through his or her own €mployees, 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
~ot build or improve for the pUlpose of sale).
,2S.....j, as the owner of the property, am exclusively contracting with licensed ccntractors 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 pursuant to the Contractor's License Law).
I am exempt under Sec. .C. for this on:
t . '\" Owner: c;.
WORKER'S SATION 0 ARATION
I hereby affirm under penalty of R JUry one of the following declarations:
o 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 carrier and policy are:
Carrier: Po~cy Number.
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.
912912005
Date:
Contractor
NUMBER
EXPIRATION DATE
This section need not be completed if lhe penn!t is for one hundred dollars ($1 00) or less.
~ I certify that in the performance of the work for which this permit is issued, I shalf not
employ any person in any manner so as to become subject to the worker's compensation laws
of Califomia, and agree that if I shaul become subject to the worker's compensation
provisions of Section 3700 of the La r Cod 0 with CO Y with QSe provisions.
TYPE
Date: 9129/2005 Applicant:
WARNING: FAILURE TO SECURE ORKE MPENSATION COVERAGE IS
UNLAWFUL, AND SHALL SUBJ T AN EMPLOYER TO CRIMINAL PENALTIES AND CIVIL
FINESUPTO ONE HUNDRED OUSAND DOLLARS ($100,000), IN ADDI110N TO THE
COST OF COMPENSATION AMAGES 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):
Lender's Information:
Construcion Tvpes:
VN, ,
Fire Sorinklered?
NO
Date: 912912005
Fees paid for Permit:
Total:
341.91
Iieant or Agent
permit shall expire limitation and become null and void if the building or
k has not passed final inspection 365 days from the date of permit issuMCe. A
new Dermit is reauired to commence or continue work.
City of Anaheim
Building Division
INSPECTION RECORD
INSPECTION DATE INSPECTOR
Temporary Power Pole
Plumbing (DrainlWaste Pipe)
Electrical Ground Electrode/uter
SetbacklFormsrrrenches (Footings)
Do not install sublloor or pour 1I00r 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 unlilthe
following applicable Items have been signed:
1 st Floor Shear
Firesprinkler (Rough)
2nd Floor Shear II
Roof (Sheathing/Diaphragm/Frame) IV/Ill/A!:. .\Al\6'. KV_I
Masonry (ReinfJBond Beam/Pre-Grout) (f
Rough Plumbing (Top Out)
Rough Mechanical
Rough Electrical (Dry Wall)
Rough Electrical
Framing (Only after Plbg., Ele., Mac. 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 Back/low
Water Service
. . .
FINAL INSPECTIONS
Electrical Final
Plumbing Final
Mechanical Final
Gas Test
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 (Laa' Inspection - Only
Aller Above Complete)
DATE
INSPECTOR
PARTIAL INSPECTIONS
Building InsDections
Mechanical Inspections
Plumbina Inspections
Electrical Inspections