844 S PARKGLEN PLPermit Types
BLD ELE MEC PLM
X
Pennit Number;BLD2009-01369
Issued;04/30/2009 CITY OF ANAHEIM
INSPECTION REQUEST LINE:
(714)765 ■4626
Quarter Section:220
BUILDING DIVISION
200 S,ANAHEIM BLVD.
(714)765 -5153
Site Address:844 S PARKGLEN PL
Legal Description:N TR 12992 LOT 47
Project Description:Piumbing for copper repipe.
Valuation:
Consifucion Types;
Total Fees paid for Permit:
N/A,
136.73
People Associated with Project:
844 PARKGLEN PL ANAHEIM CA 92808-2330
1556 S ANAHEIM BLVD #F ANAHEIM CA 92805 0000
ANTHONY T ELLIOTTOwner
PACIFIC COAST COPPER REPIPE CO
PAT ANTHONY
Contractor
Permit Applicant
Mechanical Fixtures QtyQtyTypePlumbingFixturesQtyTypeElectricalFixturesType
Water Distribution (modify existing)1
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 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 (rifljyes-rtsao
Engineering/Grading Final (7i4)765-si26
Fire Dept.Final (714)765-5041
Fire Sprinkler Final (714)765-5041
Water Engineering (714)765-4591Donotoccupythisbuildinguntilthefinalinspectionshavebeenmade.
BUILDING PERMIT DOES NOT AUTHORIZE ELECTRICAL,PLUMBING.OR
MECHANICAL INSTALLATIONS -SEPARATE PERMITS ARE REQUIRED.
Sub List/Business License (714)765-5194
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/Underfloor Drain Waste)FINAL INSPECTION must be approved by the Building Division.
Electrical Ground Electrode/Ufer
PARTIAL INSPECTIONSSetback/Forms/Trenches (Footings)
Do not install subfloor or pour floor slab until the following applicable items have
been signed:Building Inspections
Plumbing (Ground/Underfioor Water)
iUnderfloorRoughGas
Mechanical (Groundwork)
Electrical (Underground Conduit)
Pre-slab (Compaclion/Membrane Reinf.)
Floor (Joist/Girders)
Underfloor Insulation (Raised Foundation Only)
2nd Floor (Floor Nailing)
Mechanical InspectionsDonotcoverorconcealtheworkbelowuntilthefollowingapplicableitemshave
been signed:
1st Floor Shear
IFiresprinkler(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 Plumbing Inspections
Rough Electrical
Framing (Only after PIbg.,Ele..Mec.&Fire)
insulation (Sound/Energy)
Do not tape or plaster until the following applicable items have been signed:
Drywall
Drywall Penetrations (Ele.,Mec.&PIbg.)
Interior Lath
Exterior Lath
GENERAL ITEMS Electrical Inspections
Electrical Service Meter
Exterior Plaster (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:BLD2009-01369
Issued:04/30/2009 CITY OF ANAHEIM
INSPECTION REQUEST LINE:
(714)765 -4626
Quarter Section:220
BUILDING DIVISION
200 S.ANAHEIM BLVD.
(714)765-5153
Site Address:844 S PARKGLEN PL
Legal Description:N TR 12992 LOT 47
OWNER -BJLDER 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 (Chapter9)(com mencing 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 dviloenaltvofnotmorethanfivehundreddollars($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 ownerof 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-buitderwill 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 LicenseLawdoesnotapplytoanownerofpropertywhobuildsorimprovesthereon,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;|hereby affirm under penalty of perjury one of the following declarations:
I have and will maintain a cert ficale 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:STATE FUND Policy Number:046-0014279
This section need not be completed if the permit isfor one hundred dollars ($100)or less.
I certify that in the performance of the work for which this permit is issued,I st»i
of California,and agree that if I should become subject to the^>«/o^r'^co5»f5ensay^i^rovi,9tons of Section 3700 of the Labor Code.I shall forthwith comply with those provisions.
Applicant:
loy any person in any manner so as to become subject to the worker's compensation lawsn
Date:04/30/2009
7WARNING:FAILURE TO SECURE WORKER’S COMPENSATION COVERAGE IS UNLAWFUL,AND SHALL SUBJECT AN EMPLOYER TO CRIMINAL PENALTIES AND CIVIL FINES
UPTOONE HUNDRED THOUSAND DOLLARS ($100,000),IN ADDITION TO THE COST OF COMPENSATION,DAMAGES AS PROVIDED FOR IN SECTION 3706OF THE LABORCODE,INTEREST ANDATTORNEY'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:
I certify that I have read this application and st;hereby authorize representatives of this citv^^’
tat the )ove information is correct.I agree to comply with all city ordinances and state laws relating to building construction,andleabovementionedpropertyforinspectionpurposes.entehui
4/30/2009X
:ignature of Applicant or ^em Date
LICENSED CONTRACTORS DECLARATION
I hereby affirm under penalty of perjury that I am licensed under provisions of chapter with Section 7000)of Divsion 3 of the Business and Professions Code.imej
k:04/30/2009
Date Contractor
NUMBER
661428
EXPIRATION DATE
12/31/2010
TYPE (s)
C36
The permit shall expire by limitation and become null and void if the building or work has not passed fmal rspection 365 days from the date of permit
issuance.A new permit is required to commence or continue work.fbid permit combo dedare