1028 S BURLWOOD DR (2)Permit Types
BLD-'ELE MEC PLM
X
Permit Number:BLD2009-01668
Issued:05/27/2009 CITY OF ANAHEIM
INSPECTION REQUEST LINE;
(714)765-4626
Quarter Section:287
BUILDING DIVISION
200 S.ANAHEIM BLVD.
(714)765-5153
Site Address:1028 S BURLWOOD DR
Legal Description:N TR 9135 LOT 17
Project Description:Plumbing for residential remodel:Change out water heater.
Valuation:
Construcion Types.
Total Foes paid for Permit:
N/A,,
136.73
People Associated with Project:
Owner RANDY HARDISON 1028 BURLWOOD DR ANAHEIM CA 92807-5016
1235 GRAND AVE SPRING VALLEY CA 91977 0000Contractor
Permit Applicant
CALIFORNIA DELTA MECHANICAL INC
DARCY TOKRAKS
Electrical Fixtures Qty TypeType Plumbing Fixtures Oty Type Mechanical Fixtures Qty
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.Ibid porrnil combo
All applicable items below must be signed betore utilises will be released.
FINAL INSPECTIONS DATE INSPECTORCityofAnaheim
Building Division
Final Gas Test
Electrical Final
Plumbing Final
Mechanical Final
Cross Connection Control (7i4)76s-428o
Engineering/Grading Final (7i4)765.5iz6
Fire Dept.Final (714)765-5041
Fire Sprinkler Final (714)765-5041
Water Engineering (714)765-4591
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.
Sub LisUBusiness 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 foilwing 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
Roof (Sheathing/Diaphragm/Frame)
Masonry (Reinf./Bond Beam/Pre-Grout)
Rough Plumbing (Top Out)
Rough Duct (Mechanical)
Plumbing InspectionsRoughMechanical
Rough Electrical
Framing (Only after PIbg.,Ele.,Mec.S 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 APPUCATTOH jpa ADDRESS PARI ^
ICl2!&"Exogju^ooi:)l>g_A<Artg,tyy\
NUMBER STREET
PERMIT
NUMEER
rypE OF
J^ERUtTg>U^AOOQ-
Tl3 <?W6iTi ih(H pgrmit,Ihft untfflfsignfld hnroby flifis tWs Bppficnriort and Rgrpp^i.cRrilfloa and daclarsBl
Thai rt6\ICfl haa been glvnn mo that iWs permi?mny bo uiad enly In compllaripa w'Hh Ihe Anahf»lmMurtldpalCode,and Ijll oihar appiltabla ordlpancaa and \tm.
That this permit dnaH nai allow occijpancy,nnd ihai no Qcwpttncy la penriltlftiJ,of the conetrycilontfll-WWoh We permit is lifiuad until It bee Uesn appraved in writing afy this oinoe for occupnncy
after ftnei inepnction.
TtiBt.thfa poriTill does not allow,and aoparatO permlte are requirtid for,any plvmblnfl.flfftolrioaf,healingandarOOnditlonlnoWfjrk,
Thai a double te^will afn paid for any permit tseuod frftc»r any worK thereby nllowod has been com-
mencecS,
1 egrBfl -thHt the Clhf may enter upon ihn |Dh promises at any rpHRonnblo time to Intpe<rt any workinetHlifidunderiWspofmll,and to oihftrwlBo act S4 and when rsqulred afy the Anaheim MunicipelCi^a.
LICENSED GONTRACT0fl$DSCLAHATION
1 hereby ainrm that t am llconeed under provigionn of Chj^ter 9 {oemmflnclng with Socilon 7000)olDivisionapiIhftEuslnonoartdProfessionsCPdB,and my lioense '8 in lull foroq and "mM pi I loinSkExp.DateLicensecuass,fe,Number
^#LDINa DECLARATION1hHrtibyaW^ihal 1 am exenp from the Cc iWalu^License Law rpr ihn following reaaon (Sec.7031,5EuninnssandPrclesslonsCodatanycHyarocyjntywhichredulresapermitidoonsfruct,alter,improve,damoliah ar repair any Structuia.prior Id Ita laauarwB,illfiO reciUlreB the nppIloHnl for nuah pormil 10 Die asignedolffleiYientlltalheis|l«nsed purauani to Iho jmivialonfl of the Contraotor’a Llconno LftW <Ohflpter9)(commencing wilh Ssepan zaan □(Dlvlofon 9 of the Bueir^aRs nnd Profosatano Code)or that he ipDxOrtlOtiherefromendIhebaalfllarthnnllsgodnnompSon.Any vinlatlon of Soatlon 7031.5 by any applicantforapermitsublectatheappOcAnttoaolvllportaltyofnofmornthanflvahur>drQd dollars ($600),
D L 08 owner pi ifag property,or roy emplovses With w0Q99patholrBClfl compensation,win do Ihe wqtk,and the strvotyrB la not Intondud or offered for sale (Bee,704^Bualnoas arid Professions Code!ThnCOntraqtpf*e LIcwirb Lqw dooa not apply to an owner of propprty who biilfdc Of ImpfOVflS tlweon,endwhodoessuchworkhlmnatlarthroughhfaownemployew.provldod that such ImpravementB are notIntencJedorofferedtorenin.If,havravar,tha buflcflnp Of fmprov^Jineni In Hold within one ytar of complellon.the ownenbuilder wiiihnvn iha burdon af provlrtp that he did notiittJlld ar Imprtrvo fOT the purpose of sale).
□1.0«thfl ownnr al Iho property,am excfuslvety contracting with Ibartaed contractors la wnsfruct theproject7d44BunlnonaandProfaaslonaCode!The ContmfDr'n Uaemfio Lew does not spply 10 00ownerofpropertywhobuildsorirrrprDveothereon,and who oontmots far such prd)ec!owrth a conlrao-lor(s)fleensed pursuant to the Conlrnotor's LidrortSe Law).
□1 am eirempc under Sec,
AConiracl
B &PC for mie reaBon
Date Owner —
WORKERS*COMPENSATION DECLAPATlON
!hBrofay atfinii thM I have &certificate of consent to eelf-Jngum,or
Insurance,or a certified copy rtiereof (Sfla^soa Inb.C)PaRcy No,Ceffifled copy lumiBhed.Bxp.DatflU kiaoea
Workere*Cofhaeysalbn ●—\Company C231C K)r\C|
Applitanli \Ij/0Ef=fflFICATE OF EXEMPTION'FROM WORKERS*COmPS^ION If'^RANCE(This section naod t)cjt be completed If the permit la for one hundrod dal(ara-(£4<Jo)or lOsi).I CbrtifythfllInthflporiarmaiiDooftheworkIfifwhichtbiapermitIBiBBMPti,1 nhsll nni Hmnlay any parson Innnymm-iniw hd an to boaorfiD sufajOCt to the Woi^ari’Compensat'bn Lciwg d1 CallfamlB.
Appifeant
NDTfCE TO applicant^Ft,artgr making fHB CoriHlaniQ of Exemption,you ehoukl become Bubject to(he Workers'Cornpaneation provipiona of tha Labor Codn,you rttuai fcnhwllh comply with euch p«ul-elone or this oflrmft shah be daarnad nwokad,
Date
CONSTRUCTtON LENDING AGENCY
I horahy affirm that there )a a construcllon lending agency tor tt™porfannanaa of Iha work for whichthispormilisfesuad(Sec.3097.Civ,C);
Lender's Name
Lender's Address -
I cRrtlfy that I havo road this appliaatlon and atato that the above Information fs correct.1 aorsa to complywithallcityordtnancaaandstatalawsarlfltingtcbullcfinflcoMtaictlDn,and hareby aulhortie represen-tatlveB phthi?city to pnrnr upan thn ahova rijantfanad property for inspection purposee.THe PERMIT $HALL EXPIRE BV LlMITAflOH AND BECOME NULL AND VOID IF THIS WORKraNOTCOMMeHGEDORCOMMENCEDANDBUBPENDEDAFTERAPERIODOF180DATS*
NEW PERMIT 15 REQUmeo TO OOMMEWCE WORK.
DATE
paihft iumE ^PUCANT/
RY
llllDER-OFFICgRllUMRB.A