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235 N CAROL DR (2)Permit Types BLD ELE MEC PLM X Permit Number: BLD2309-01143 Issued: 04/09/2009 INSPECTION REQUEST LINE: (714) 765 - 4626 Quarter Section: 39 Site Address: 235 N CAROL DR Legal Description: N TR 1775 LOT 39 CITY OF ANAHEIM BUILDING DIVISION 200 S. ANAHEIM BLVD. (714) 765 - 5153 Project Description: Electrical to upgrade service to 100amps and replace fixtures in kitchen and bathroom. Valuation: Construcion Types: N/A, Total Fees paid for Permit: 136.73 People Associated with Project: Owner GERVAIS LUONG 235 N CAROL DR ANAHEIM CA 92801 Permit Applicant GERVAIS LUONG Type Electrical Fixtures Qty Type Phi mbing Fixtures Qty Type Mechanical Fixtures Cry Meter/Disc Sw - under 600 V, up to 200 1 amps Receptacle, switches, lights 8 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 issuance. Anew permit is required to commence or continue work. City of Anaheim Building Division Do not occupy this building until the final inspections have been made BUILDING PERMIT DOES NOT AUTHORIZE ELECTRICAL, PLUMBING, OR MECHANICAL INSTALLATIONS - SEPARATE PERMITS ARE REQUIRED. INSPECTION DATE I INSPECTOR Do not pour concrete until the following applicable items have been signed: Plumbing (Ground/Underfloor Drain Waste) Electrical Ground Electrode/Ufer Setback/Forms/Trenches (Footings) Do not install subfloor or pour floor slab until the following applicable items have been signed: Plumbing (Ground/Underfloor Water) Underfloor Rough Gas Mechanical (Groundwork) Electrical (Underground Conduit) Pre -slab (Compaction/Membrane Reinf.) Floor (JoisUGirders) Underfloor Insulation (Raised Foundation Only) 2nd Floor (Floor Nailing) Do not cover or conceal the work below until the following applicable items have been signed: tat Floor Shear Firesprinkler (Rough) (Fire Dept.) 2nd Floor Shear Roof (Sheathing/Diaphragm/Frame) Masonry (Reinf./Bond Beam/Pre-Grout) Rough Plumbing (Top Out) Rough Duct (Mechanical) Rough Mechanical Rough Electrical S-1. A a Framing (Only after Plbg., Ele., Mee. & Fire) Insulation (Sound/Energy) Do not tape or plaster until the following applicable items have been signed: Drywall Drywall Penetrations (Ele., Mac. & Plbg.) Interior Lath Exterior Lath GENERAL ITEMS Electrical Service Meter ).i A. AA A Exterior Plaster (Brown Coat) T-Bar (Struct., Ele., or Mec.) Sewer Water Engineering ineerin Backflow (Testable Only) Water Service All applicable item below must be signed before utilities will be released. FINAL INSPECTIONS QATE INSPECTOR Final Gas Test Electrical Final Plumbing Final Mechanical Final Cross Connection Control (714)765-4280 Engineering/Grading Final p141165-5126 Fire Dept. Final (714) 765-5041 Fire Sprinkler Final (714) 765-5041 Water Engineering (714) 765-4591 Sub LIstlBusiness License (714) 765.5194 Zoning (714) 765-5139 Building Final (Last Inspection - Only After Above Complete) FINAL INSPECTION must be approved by the Building Division. PARTIAL INSPECTIONS Building Inspections Mechanics Inspections Plumbing Inspections Electrical Inspections RMIT EXPIRED INSPECTION NOT COMPLETED DATellE Permit Backs Master-2008.xls Permit Types BLD IELE MEC PLM X Permit Number; BLD2D09-01143 Issued: 04/09/2009 INSPECTION REQUEST LINE: (714) 765 - 4626 Quarter Section: 39 Site Address: 235 N CAROL DR Legal Description: N TR 1775 LOT 39 CITY OF ANAHEIM BUILDING DIVISION 200 S. ANAHEIM BLVD. (714) 765 - 5153 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 orcounty which requires a permitto construct, altar, improve, demolishor repair any structure, pdor to its issuance, also requires the applicant for such permit to file a signed statementthat he is licensed pursuant to the provisions of the Contractor's License Law (Chaptar9)(commencing with Section 7000of Division 3 of the Business and Professions Code)orthathe is exempt therefrom and the basisforthe alleged exemption. Anyviolation of Section7031.5 by any applicant for a permit subjects the applicant to a civil oenaltvof not more than five hundred dol lars ($500). I, as owner of property, or my employees with wages as their sole mnpen wtion, will do the work and the structure is not intended or offered for sale (Sec. 7044 Business and P essions Code: The Contracto rk License Law do as not app lyto an ownerof propeny who builds or improves thereon, and whodcessuch work if or herseM orthrough his 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 fin at he did not build or improve to he puryose of sale). I, as the owner of the property, am exclusively contrading with licensed contractors to construct the project (Sec. 7044 Business and Professions Code: The Contractors Licanse Law does not apply to en ownerof property who builds or Improves (hereon, and who contracts for such projects whh a contrador(s) licensed pursuant to the Contractor's License Law). I am exempt under Sea , 6&P.C. forthisreason: WORKERS COMPENSATION DECLARATION: I hereby affirm under penalty of perjuryone of thefollowing declarations: 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. /1hav and will maintain worker's compensation insurance, as required by Section 3700of the Labor Code, forthe performance of the work for which this permit is issued. My rs Compensation insurance carrier and policy are: r: Policy Number: Tneed not be completed N thepermh isforone hundred dollars($100)or less. y that in the pe rformance of the work for which this permit is issued, I shall not employ any person in any manner so as to become subject to the workers compensation laws of California, and agree that if I should become subject to the workers compe ation provisions of Section 3700 of the Labor Code, I shall forthwith comply with those provisions. Data:04/09/2009 Applicant: WARNING: FAILURE TO SECURE WORKER'S PENS I COVERAGE IS UNLAWFUL, AND SHALLSUBJECTAN EMPLOYER TO CRIMINAL PENALTIES AND CIVIL FINES UP TOONE HUNDRED THOUSAND DOLLARS ($ 00,000), 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: 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: I certify that I have read this application and stale that the above information is correct. I agree to comply with all city ordinances and state laws relating to building construction, and hereby authorize representatives of this city to enter upon the above mentioned property for inspection purposes. V� x as72oos Signature of Applicant or Agent Data 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. 04/09/2009 Date NUMBER EXPIRATION DATE TYPE (s) The permit shall expire by Imitation and become null and void if the building or work has not passed f inal inspection 365 days from the date of permit issuance. A new permit is required to commence orcontnue work.