3248 W. Sunview Dr.
CONTRACTOR INFORMATION:
ASSURED PROFESSIONALS, INC.
12262 HESTER ST
GARDEN GROVE, CA 92841-0000
BUSINESS PHONE: 714534 7000
JOB DESCRIPTIONReplace existing shake with 30 year compitition. 25 squares.
VALUATION: 6.460.00
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, after, 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 licensed pursuant to the provisions of the Contractor's License Law (Chapter
1)(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. Arry 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
,l,ate (Sec. 7044 Business and Professions Code: The Contractor's Ucense Law does not apply to an owner of property who builds or improves
tnereon, and who does such work himself or helSelf 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 01 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 Ucense Law does not apply to an owner of property who bullds or improves thereon, and who contracts for such projects with
a contractor(s) licensed pursuant to the Contractor's license Law}.
o I am exempt under Sec. ,8& P.C. for this reason:
Date: Owner:
I WORKER'S COMPENSATION DECLARATION
I hereby affirm under penalty of perjury one of the following declarations:
o I have and will maintain a certificate of consent to self-insure for worker's compensation,
as provld d for by Section 3700 of the Labor Code, for the performance of the work for which
Is Q it is issued.
I have and will maintain worker's compensation insurance, as required by Section 3700 of
e abor Code, for the performance of the work for which this permit is issued. Myworker's
ensation insurance carrier and policy are:
Carrier: STATE COMPENSATION FUND
BUILDING PERMIT NO, BLD2005-03215
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TYPE OF PERMIT CITY
Reroof
DATE: 10/5/2005
JOB ADDRESS: 3248 W SUNVIEW DR
LEGAL DESCRIPTION: N TR 2833 LOT 95
APPLICANT: NORM HENNINGER
OWNER INFORMATION:
DAVID GUTIERREZ
3248 W SUNVIEW DR
ANAHEIM, CA 92804
ElM
BUILDING DIVISION
200 S. ANAHEIM BLVD.
(714) 765 - 5153
INSPECTiON REQUEST LINE:
(714) 765 - 4626
CENSUS CODE: 555
QUARTER SECTION: 7
ARCHITECT/ENGINEER INFORMATION:
PROCESSED BY: CAL
~
Policy Number: 1627246~02
This section need not be completed if the pennit is for one hundred dollars ($100) or less.
o I certify that in the pertonnance of the work for which this permit is issued, I shaH not
employ any person in any manner so as to become s bject to the worker's compensation laws
of California, and agree that if I should become sub" ct to the worker's campe on
provisions of Section 3700 of the L 0 l'e, I I forthwith comply ose provisions.
Date: 10/5/2005 Applicant:
WARNING: FAILURE TO SEC E ORKER'S COMPENSATION C GE IS
UNLAWFUL, AND SHALL SUBJECT AN EMPLOYER TO CRIMINAL P ES AND CIVIL
FINES UPTO ONE HUNDRED "THOUSAND DOLLARS ($100,000), I DDI1lON 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 .Cfv.C):
Lender's Information:
I certi1y that I have read this application and state that the above information is correct. J
agree to comply with all ci ordinances and state laws relating to building construction, and
hereby th rize represe 'ives of this city to enter upon the above mentioned property for
inspecttq r ses._
--I' Date: 10/512005
Signa ure of Applicant or A en
"!he permit shall expire by limitation an
work has not passed final inspection 365 rom the date of permit issuance. A
new Dermit is reauired to commence or continue work.
LICENSED CONTRACTORS DECLARATION
I hereby a irm under penalty of perjury that I am
licensed under provisions chapter 9 (commencing
with Section 00) of Di ion 3 of the Busine and
Professio
10/5/200
Date:
NUMBER
760384
TYPE
EXPIRATION DATE
3/31/2007
C39
Construcion Tvpes:
VN, ,
Fire Sprinklered?
NO
Fees paid for Permit:
Total:
245.02
City of Anaheim
Building Division
INSPECTION RECORD
'"
INSPECTION DATE INSPECTOR
Temporary Power Pole
Plumbing (DrainlWaste Pipe)
Electrical Ground Electrode/Ufer
SetbacklFormslTrenches (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:
1 st Floor Shear
Firesprinkler (Rough)
2nd Floor Shear , "
Roof (Sheathing/DiaphragmlFrame) 1~/7,f: ... ~
Masonry (Reinf./Bond 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 (Last Inspection - Only 1% 1- -
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PARTIAL INSPECTIONS
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Building Inspections
Mechanical Inspections
Plumbina Insoections
Electrical Inspections