828 S SUNKIST STPermit Types
bl::ELt MEC PLM
X
Permit Number:BLD2009-01305
Issued;
INSPECTION REQUEST LINE;
(714)765 -4626
Quarter Section:124
Site Address:828 S SUNKIST ST {Traffic Signal)
Legal Description:P BK 102 PG 1 PAR 1
CITY OF ANAHEIM
BUILDING DIVISION
200 S.ANAHEIM BLVD.
(714)765 -5153
Project Description:Electrical to install 200 amp meter pedestal.
Valuation;
Construcion Types:
Total Feespaid for Permit:
N/A,
317.73
People Associated with Project:
822 S SUNKIST ST ANAHEIM CA 92806-4715ROBERTHFACKINER
BOB GARCIA
Owner
Permit Applicant
Mechanical Fixtures QtyQtyTypePlumbingFixturesElectricalFixturesQtyTypeType
Meter/Disc Sw -under 600 V,up to 200
amps
1
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.A newpermit is required to commence orcontinue work.
All applicable ilem below fm/s(be signed before lifillfios will bo rolonood.
FINAL INSPECTIONS DATE INSPECTORCityofAnaheim
Building Division
Final Gas Test
Electrical Final
Plumbing Final
Mechanical Final
Cross Connection Control (714)765-4280
Engineering/Grading Final (7u)765-5126
Fire Dept.Final (714)765-5041
Fire Sprinkler Final (714)765-5Q41
Water Engineering (714)765-4591
Sub List/Business License (714)765-5194
Do not occupy this building until Ihe final inspections have been made.
BUILDING PERMIT DOES NOT AUTHORIZE ELECTRICAL PLUMBING,OR
MECHANICAL INSTALLATIONS -SEPARATE PERMITS ARE REQUIRED.Zoning (714)765-5139
INSPECTION DATE INSPECTOR Building Final (Last Inspection -
Only After Above Complete)Do not pour concrete until the following applicable items have been signed:
Plumbing (Ground/Underfioor Drain Waste)FINAL INSPECTION must be approved by the Building Division.
PARTIAL INSPECTIONS
Electrical Ground Eiectrode/Ufer
Setback/FormsTTrenches (Footings)
Do not install subfloor or pour floor slab until the following applicable items have
been signed: Building Inspections
Plumbing (Ground/Underfloor Water)
Underfloor Rough Gas
Mechanical (Groundwork)
Electrical (Underground Conduit)
Pre-slab (Compaction/Membrane Reinf.)
Floor (Joist/Girders)
Underfloor Insulation (Raised Foundation Only)
2nd Floor (Floor Nailing)
Mechanical InspectionsDonotcoverorconcealtheworkbelowuntilthefollowingapplicableitemshave
been signed:
1st Floor Shear
Firesprinkler (Rough)(Fire Dept.)
2nd Floor Shear
Root (Sheathing/Diaphragm/Frame)
Masonry (Reinf./Bond Beam/Pre-Grout)
Rough Plumbing (Top Out)
Rough Duct (Mechanical)
Rough Mechanical Plumbing inspections
Rough Electrical
Framing (Only after PIbg..Eie.,Mec.&Fire),
Insulation (Sound/Energy)j
Do not tape or plaster until the following applicable items have been signed:
Drywali
Drywall Penetrations (Ele.,Mec.&PIbg.)
Interior Lath
Exterior Lath
GENERAL ITEMS Electrical Inspections
Electrical Service Meter 4-rExteriorPlaster(Brown Coat)
T-Bar (Struct.,Ele.,or Mec.)
Sewer
Water Engineering Backflow (Testable Only)
Water Service
Permit Backs Master-2008.xls
Permit Types
BlD ELE MEC PLM
X
Permit Number:BLD2009-01305
Issued:
INSPECTION REQUEST LINE;
(714)765 -4626
Quarter Section:124
CITY OF ANAHEIM
BUILDING DIVISION
200 S.ANAHEIM BLVD.
(714)765 -5153
Site Address:828 S SUNKIST ST (Traffic Signal)
Legal Description:P BK 102 PG 1 PAR 1
OWNER -BULDER DECLARATION:|hereby affirm under penalty of perjury that I am exempt from the Contractor's License Law for the following reason (Sec.7031.5 Business andProfessionsCode: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 permittofileasignedstatementthatheislicensedpursuanttotheprovisionsoftheContractor's License Law (Chapter 9)(commencing with Section 7000 of Division 3 of the Business andProfessionsCode)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 civiloenaltvofnotmorethanfivehundreddollars(S500).
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 andProfessionsCode:The Contiacfor's License Law does notapply to an ownerof properly who builds or improves thereon,and who does such work himself or herself or through hisorherownemployees,provided that such improvements are not intended or offered for sale.If,however,the building or improvement is sold with one year of coirpleton,theowiw-builder will have the burden of proving that he did not build or improve for the purpose of sale),
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 LicenseArlLawdoesnotapplytoanownerofpropertywhobuildsorimprovesthereon,and whocontractsfor such projects with a contractor(s)licensed pursuant to the Contractor's LicenseLaw).
lamexempiunderSec..B &P.C.for this reason:
WORKERS COMPENSATION DECLARATION:|hereby affirm under penalty of perjury one of the following 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 forwhichthispermitisissued.
I have and will maintain worker's compensation insurance,as required by Section 3700of the Labor Code,for the performance of the work for which this permit is issued.Myworker's Compensation insurance carrier and policy are:
Carrier:Policy Number:
This action need not be completed if the permit isforone hundred dollars (SI 00)or less,
/I certify that in the performance 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 worker's compensation lawsofCalifornia,and agree that if I should become subject to the worker's comipensation provisions of Section 3700 of the Labor Code,I shall forthwith comply with those provisions.Date:04/24/2009 Applicant^y^7j'rJ?a \
WARNING:FAILURE TO SECURE WORKER'S COMPENSATION CO/ERAGEIS UNLAWFUL,AND SHALL SUBJECT AN EMPLOYER TO CRIMINAL PENALTIES AND CIVIL FINESUPTOONEHUNDREDTHOUSANDDOLLARS($100,000),IN ADDITfON TO THE COST OF COMPENSATION,DAMAGES AS PROVIDED FOR IN SECTION 3706 OF THE LABORCODE,INTEREST AND ATTORNEY'S FEES.^
CONSTRUCTION LENDING AGENCY:|hereby affirm under penally of perjury that there is a construction lending agency for the performance of the vrork for which this permit is issued(Sec.3097.Civ.C):
Lender's Information:
I certify that I have read this application and state that the above information is correct.I agree to comply v4th all city ordinances and state laws relating to building construction,andherebyauthorizerepresentativesofthiscitytoenterupontheabovementionedpropertyforinspectionpurposes.
V
4/24/2009AA
Signature of Applicant or Agent Date
LICENSED CONTRACTORSDECLARATION
I hereby affirm under penalty of perjury that I am licensed under provisions of chapters (commencing with Secl'on7000)of Divsion3 of the Business and Professions Code.
04/24/2009
Date Contractor
NUMBER EXPIRATION DATE TYPE (S)
The permit shall expire by limitation and become null and void if the building or work has not passed final inspectton 365 days from the date of permitissuance.A new permit is required to commence or continue work.Ibid permit combo declare