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1331 E MERONA PL (2)Permit Types BLD ELE MEC PLM X Permit Number:BLD2009-01367 Issued:04/30/2009 CITY OF ANAHEIM INSPECTION REQUEST LINE; (714)765-4626 Quarter Section:91 BUILDING DIVISION 200 S.ANAHEIM BLVD. (714)765-5153 Site Address:1331 E MERONA PL Legal Description:N TR 2249 LOT 38 Project Description:Mechanical to replace heating unit. Valuation: Construcion Types: Total Fees paid for Permit; N/A,, 136.73 People Associated with Project: 1331 E MERONA PL ANAHEIM CA 92805-1107 17480 HEIGHTS LN RIVERSIDE CA 92503 0000 ELIZABETH F LIVINGSTONOwner Contractor Permit Applicant A TO Z CONSTR HEATING &AIR COND VASILE TOMA QtyMechanicalFixturesQtyTypePlumbingFixturesQtyTypeElectricalFixturesType Heating Appliances,including vent 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.s ; Ail applicable item below must be signed before utilities will be relegs^d FINAL INSPECTIONS DATE INSPECTORCityofAnaheimFinalGasTest Building Division Electrical Final Plumbing Final Mechanical Final Cross Connection Control (7i4)765-<i280 Englneering/Grading Final (7i4)765-5126 Fire Dept.Final (714)765-5041 Fire Sprinkler Final (714)765-5041 Water Engineering (714)765-4591Donotoccupythisbuildingjin111,111o final inspections have been made. 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 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. PARTIAL INSPECTIONS Electrical Ground Electrode/Ufer Setback/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 InspectionsDonotcoverorconcealthew'ork below until the following applicable items have been signed: 1st 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 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:BLD2009-01367 issued:04/30/2009 CITY OF ANAHEIM INSPECTION REQUEST LINE: (714)765-4626 Quarter Section:91 BUILDING DIVISION 200 S.ANAHEIM BLVD. (714)765-5153 Site Address:1331 E MERONA PL Legal Description:N TR 2249 LOT 38 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 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). !,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 properly 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: WORI I^R'S COMPENSATION DECLARATION:I hereby affirm under penalty of perjury one of the following declarations: I have and will maintain a cedificate 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; 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 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 w ^T^mpens^n provisions of Section 3700 of the Labor Code,I shall forthwith comply with those provisions. Date:04/30/2009 Applicant: WARNING;FAILURE TO SECURE WORKER’S CC1’MPEI<^ATI0N 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 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 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 slate laws relating ot building construction,andherebyauthorizerepresentativesofthiscitytoenterupontheabovementionedpropertyforinspectionpurposes. 4/30/2009 Signature of Applicant or Agent Date LIC^SED CONTRACTORS DECLARATION\J 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. 04/30/2009 Date Contractor NUMBER 736098 EXPIRATION DATE 5/31/2009 TYPE (s) B C20 HTAC 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.fbid permit,combo declare