2441 W MALL AVE (9)Permit Types
"BLD ‘ELE MEC PLM
X
Permit Number:BLD2009-01338
Issued;04/28/2009
INSPECTION REQUEST LINE:
(714)765 -4626
Quarter Section:27
Site Address:2441 WMALLAVE
Legal Description:N TR 1940 LOT 98
BUILDING DIVISION
200 S.ANAHEIM BLVD,
(714)765 -5153
Project Description:Mechanical for furnace.REF:BLD2009-01233
Valuation:
Construcion Types:
Total Feespaid for Permit:
N/A,,
136,73
People Associated with Project:
11081 EMERSON WAY STANTON CA 90680-2819USCICEROCORP
DANIEL TAYLOR
Owner
Permit Applicant
QtyMechanicalFixturesPlumbingFixturesQtyTypeQtyTypeElectricalFixturesType
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.;combo
All applicable item below must be signed before utilities will be released.
FINAL INSPECTIONS DATE INSPECTOR
Final Gas Test
Building Division Electrical Final
Plumbing Final
Mechanical Final
Cross Connection Control (7i4)765-4280
Engineering/Grading Final (7i4>765-5126
Fire Dept.Final (714)765-5041
Fire Sprinkler Final (714)765-5041
Water Engineering (714)765-4591Donotoccupythisbuildinguntilthefinalinspectionshavebeenmade.
BUILDING PERMIT DOGS 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/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
Firesprinkier (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,&Plbg.)
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
*ELEBLD MEC PLM
X
Permit Number:BLD2009-01338
Issued;04/28/2009
INSPECTION REQUEST LINE:
(714)765 -4626
Quarter Section:27
CITY OF ANAHEIM
BUILDING DIVISION
200 S.ANAHEIM BLVD.
(714)765-5153
Site Address:2441 WMALLAVE
Legal Description:N TR 1940 LOT 98
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 perrrit subjects the applicant to a dviloenaltvofnotmorethanfivehundreddollars(S500).
I,as owner of property,or my employees with wages as their sole compensation,will do the worfo and the structure is not intended or offered for sale (Sea 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).
C /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_Zr~Law does not apply ot an ownerof property who builds or improves thereon,and who contracts for such projects w/ith a contractor(s)licensed pursuant to the Contractor's LicenseLaw),
I am exempt underSec.B &P.C.for this reason:
WORKERS COMPENSATION DECLARATION:|hereby affirm under penalty of perjury one of the following declarations:
1 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 section need net be completed If thepemirt is for one 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 perofCalifornia,and agree that if I should become subject to the y^rker^^mpensation provisions
Date:04/28/2009
fufm any manner so as ot become subject to the worker's compensation lawsiction3700oftheLaborCode,I shall forthwith comply with those provisions.
Applicant:
WARNING: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 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 state that the above information is correct.I agree to comply with all city ordinances and state laws relating to building construction,andherebyauthorizerepresentorsofthiscitytoenterupontheabovementionedpropertyforinspectionpurposes.
X 4/28/2009
Signature of Applicant or Agent Date
LICENSED CONTRACTORS DECLARATION
I hereby affirm under penalty of perjury that I am licensed under provisions of chapters (commencing with Section 7000)of Divsion3 of the Business and Professions Code.
04/28/2009
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 inspection 365 days from the date of permitissuance.A new permit is required to commence or continue work.Ibid permit combo declare