630 S KNOTT AVE 27Permit Types
BLD ELE MEC PLM
X
Permit Number:BLD2009-01326
lssu?-d;04/27/2009
INSPECTION REQUEST LINE:
(714)765*4626
Quarter Section:6
CITY OF ANAHEIM
BUILDING DIVISION
200 S.ANAHEIM BLVD.
(714)765-5153
Site Address:630 S
Legal Description:
KNOTT AVE 27
Plumbing to replace water heater.Project Description:
Valuation:
Construcion Types;
Total Fees paid for Permit:
N/A.,
136.73
People Associated with Project:
630 S KNOTT AVE II 27 ANAHEIM CA 92804-2913
979 AVENIDA PiCO #K SAN CLEMENTE CA 92673 0000
TRAVIS D FRANCISOwner
Contractor
Permit Applicant
LIQUID PLUMBING INC
MARTIN JAY HOPPING
QtyQtyTypeMechanicalFixturesQtyTypePlumbingFixturesElectricalFixturesType
Water Heater 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 new permit is required to commence or continue work.
All applicable item below must be signed before utilities will be released.
FINAL INSPECTIONS DATE INSPECTORCityofAnaheim
Building Division
Final Gas Test
Electrical Final
Plumbing Final
Mechanical Final
Cross Connection Control (7i4)765-4280
Engineering/Grading Final (7i4)755-5126
Fire Dept.Final (714)765-5041
Fire Sprinkler Final (714)765-5041
Water Engineering (714)765-4591
Sub List/Business License (714)765-5194
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.Zoning (714)765-5139
INSPECTION DATE I INSPECTOR Building Final (Last Inspection -
Only After Above Complete)Do not pour concrete until the following applicable items have been signed:
Plumbing (Ground/Underfloor Drain Waste)FINAL INSPECTION must be approved by the Building Division.
Electrical Ground Electrode/Ufer
PARTIAL INSPECTIONSSelback/Forms/Trenches (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 li^oectmnsDonotcoverorconcealtheworkbelowuntilthefollowingapplicableitemshave
been signed: FT1stFloorShear£U
Firesprinkler (Rough)(Fire Dept.)
2nd Floor Shear
Roof (Sheathing/Diaphragm/Frame)
Masonry (Reinf./Bond Beam/Pre-Grout)OATE:Rough Plumbing (Top Out)
Rough Duct (Mechanical)
Rough Mechanical Plumbing Inspections
Rough Electrical
Framing (Only after Plbg.,Eie,,Mec.&Fire)
Insulation (Sound/Energy)
Do not tape or plaster until the following applicable items have been signed:
Drywall
Drywall Penetrations (Ele..Mec.&Plbg.)
Interior Lath
Exterior Lath
GENERAL ITEMS Electrical Inspections
Electrical Service Meter
Exterior Plaster (Brown Coat)
T-Bar (Struct..Eie.,or Mec.)
Sewer I
Water Engineering Backflow (Testable Only)
Water Service
Permit Backs Master-2008.xls
Permit Types
BLD ELE MEC PLM
X
Permit Number:BLD2009-01326
IssuG'd:04/27/2009 CITY OF ANAHEIM
INSPECTION REQUEST LINE:
(714)765-4626
Quarter Section:6
BUILDING DIVISION
200 S.ANAHEIM BLVD.
(714)765-5153
Site Address:630 S KNOTT AVE 27
Legal Description:
OWNER ■BUILDER DECLARATION:1 hereby affirm under penalty of perjury thal 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 civilpenaltyofnotmorethanfivehundreddollars($500).
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 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 hisorherownemployees,provided that such improvements are not intended or offered for sale.If,however,the building or improvement is sold with one year of completion,theowner-builder will have the burden of proving that he did not build or improve for the purpose of sale).
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 License
Law does not apply to an owner of property who builds or improves thereon,and who contracts for such projects with a contractor(s)licensed pursuant to the Contractor's LicenseLaw).
I am exempt under Sec.B &P.C.for this reason:
WORKER'S COMPENSATION DECLARATION:I 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 3700 of the Labor Code,for the performance of the work for which this permit is issued.Myworker’s Compensation insurance carrier and policy are:
Carrier;EXEMPT Policy Number;EXEMPT
This section need not be completed if the permit is for one hundred dollars ($100)or less.
I certify that in the performance of the work for which this permit is issued,I
of California,and agree that if I should become subj'gcrti tbd'^mil not employ any person in any manner so as to become subject to the worker’s compensation laws
insation provisions of Section 3700 of the Labor Code,I shall forthwith comply with those provisions.cot
Date:04/27/2009 Applicant:
WARNING;FAILURE TO SECURE WORKER'S COMPENSATION COVERAGE IS UNLAWFUL,AND SHALL SUBJECT AN EMPLOYER TO CRIMINAL PENALTIES AND CIVILFINESUPTOONEHUNDREDTHOUSANDDOLLARS($100,000),IN ADDITION TO THE COST OF COMPENSATION.DAMAGES AS PROVIDED FOR IN SECTION 3706 OF THELABORCODE.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 isissued(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 with all city ordinances and state laws relating to building construction,andherebyauthorizerepresentativesofthiscitytoenterupontheabovementionedpropertyforinspectionpurposes.
4/27/2009X
Signature of Applicant or Agent Date
LI^NSED CONTRACTORS DECLARATION
I hereby affirm under penalty of perjury thal I am licensed under erovisions of chapters (commencing with Section 7000)of Divsion 3 of the Business and Professions Code.
04/27/2009
Date Contractor
NUMBER
322064
EXPIRATION DATE
1/31/2010
TYPE (s)
C36
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 ofpermitissuance.A new permit is required to commence or continue work.