606 S CLEMENTINE ST (2)Permit Types
BLe.'‘Elk MEC PLM
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Permit Number:BLD2009-01665
IssuQd:05/27/2009 CITY OF ANAHEIM
INSPECTION REQUEST LINE:
(714)765 -4626
Quarter Section:84
BUILDING DIVISION
200 S.ANAHEIM BLVD.
(714)765 -5153
Site Address:606 S CLEMENTINE ST
Legal Description:VINEYARD LOTS LOT H-5 S 47 FT N
Project Description:Plumbing for residential remodel:Change out water heater.
Vaiualion:
Construcion Types:
Total Fees paid for Permit:
N/A,,
136.73
People Associated with Project:
ANNA M TRUST PASTERNAK 7oCAROL ANN DE FORREST 606 S CLENMENTINE ST ANAHEIM C
1235 GRAND AVE SPRING VALLEY CA 91977 0000
Owner
Contractor
Permit Applicant
CALIFORNIA DELTA MECHANICAL INC
DARCY TOKRAKS
Qty Type QtyElectricalFixturesQtyTypePlumbingFixturesMechanicalFixturesType
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.fbid pormii coinho
All applicable items below musi tie signed Defore utililies will De releaseO.
FINAL INSPECTIONS DATE INSPECTOR
Final Gas Test
Building Division Electrical Final
Plumbing Final
Mechanical Final
Cross Connection Control (714)705-»280
Engineering/Grading Final (7i4)765-si2c
Fire Dept.Final (714)765-5041
Fire Sprinkler Final (714)765-5041
Water Engineering (714)765-4591DonotoccupythisbuildinguntilIhefinalinspectionshavebeenmadeSubList/Business License (714)765-5194BUILDINGPERMITDOESNOTAUTHORIZEELECTRICAL,PLUMBING,OR
MECHANICAL INSTALLATIONS -SEPARATE PERMITS ARE REQUIRED.Zoning (714)765-5139
INSPECTION DATE INSPECTOR Building Final (Last Inspection -
Only After Above Complete)Do not pour concrete until the following applicabie items have been signed:
Plumbing (Ground/Underfloor Drain Waste)FINAL INSPECTION must be approved by the Building Division.
PARTIAL INSPECTIONSElectricalGroundElectrode/Ufer
Setback/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.&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 APPUCATIOH JOB AODRES-S-PARI
r^,i tr ArNl/x>-\C',i n\,Cj^NUMBER STREET
PERMIT
HUMBER
Ti'Pc OF
PERMIT &SuD^QQa^riiUiS 9
T(j Ihin parmit.Ih.ft untfq rslgnad hnraby fil4S Ihis pppJlcnrtt?rt and sgrijn^i,csrilflas and diciarsa!
That i16t!Cfl haa begn gl^nn mo that tWs permit mny bo uitd «o(y in campllarttfl -.vith lhaMunicipalCoda,af^d f^n Dihoroppilcabla wiinancns and I4y/a,
That this permit dnsa not allow o«jjsancy,nnd that ra Qocjtwnny is pormltlad,of the cpnstfyciionIfit-which this parmil la iiiuafi unlll It haa bnon npaniivaij in writing by thia ftUiCS Icf oocypnncyafter(tnai inApRctian.
That,this porrrtU does not allpw,and sfiparatb jSerfnilS ar^rcquiimd Idf,any p|pmblnfl,f>fffGtrfD:ij,htit-Ing artd a rdbftdiOcninB rvpi'lt,
That a double res will bo paid fw any isauod after any work thereby Hlipwod has been «tn-mer^ced,
1 agrsfl that tho City may enter upon the (ob promises &l any roHnanDbla time ot Inaped ^iny workIrtetnllftdundoriWipafffiil,*np tfl pthtirwHo act t4 iftP when roqulrod by Lhd Anah^m UynlpIpHl
LICENSED CONTRACTOAS DECLARATION
1 hereby atiirm thnt t am llcortsad under prpvieipns of Chapter g tcommflnctng with Saciion 7000)otDivisiongqlthftBuslnonoartdPrcfesslpnaDodn^and my Itoyise ig in lull fmofl anUcenaeClsse^3
Contractor
4oJO211.to,Number Exp.Date
BUIL01N$CECU^TI0Nl^hflTHby affirm that!am exempt from the (^ontmotoHa usenas lewfprthH fDllowIng rcaach (5M.7Q31.5Bunln^Krtd Prafftaatons Cotiet any city or oounty wHch requires a permit to oonfitruci,iltof,imptove,damoiiah arrapilr anyatfliCture.prlprtDlta (aauancB,ztlaa requires nppllDBntferauoh pormftlfi ntoaagnodtiiaiemeniIttalhefeItoonwdpursuanttothapfOViaierteOlth^Contractor's Llcanss Lew (Chaplefa)(COmrneriCinq with 5e*hon TQDD al Division 3 of Ihe Bueinens and Protoasiorto ^de)or that fie IportntlMlherefromendthebaetefcrthnallogodBJcodlpHcn,Any vfnlotlon of SBollsn 7W1.B^4fly appll-carrt Tdr a permit eublecta the sppncnnt to a olvll pohaiiy ett not morn thnn flva hundred dflllars ($500).□\,as owner ot ttio proptirty,or rty employeea with wages m tholr odla compenaaiton,wiB do lbs work,and the etructy™is not IntendDd-or-oftBred for sale <Bec,7044 Buslnnns oftd Ptefesefons Cede;th»Cot>trw?tpf'e UcRfwfl biw doM not apply (0 an owner d proparty who builds Of Impiovee Ihereen,nndJlrf1*^?*hlmsart or through hls own employew,provided that such Improvements are noti^noed Of oftorod ler uhir.if,hnvmvBr,tha bdlcflnq Of Imprevement In nold vdthifi one yesf d csmoteHcn.the ow^e^buIlder win hfivn ihn burdan of prOvinp that he did not Mid nr Imdnsvfi for tho purpose d sals),□1,a?thfl DvrsHTd tho property,am exclustvefy contracting with Hofinaed eodraelore ot wngtruet Iheproject(5«r 7044 Bualnsaa nnd PrOfeeSiona Code!The Ooritmter'a Uconinj LflW does ftOl apply ot .rrownerdpropertywhobuildsarlrnprDveithereon,and who contraats far such prOjeciflWHh a COhlfac-torto)ficonsed pynmant ta ton Cantrnotor*5 Libcrtft*La^
□1 am exempt under Sec,
OWNi
an
B 4 PC for ttilB reaeon
Date Qwnor
WORKERS’COMPENSATION DECLARATION
i harafay atflnb that I hd.'d a certificfite Of consent to salWnauTB
IrFSOrance,or a eertmed copy ttiergor 0fic.^aat]Lab.cj PnSdy NoCertidedespylumiahed.£vp.DataTl h 200^1
oi Workers'CofftqepallCompanyC2I^,or AO
£vNJ^iApplicantCERTIFICATEOFEXEMPTION*FROM WORKERS'COmP^N$ATIO
^hb s^ion nood not be Comptoted If the permit la otr ong-hundred dallara ($100)or ICoi).1 oonlfytnnlInthgpaflortenriDiicritheworkforWhichIhiepermitIsiBBued.1 nhsll not Bmpby any por-teO loanymannsfaaanotbuooteasubjMttotheWorkers'Compenaatton Lfjwj?a]tallfamla.
Applicant
™l^'ng this CarlifloHio af Ejfiffiptiofl,you ohCiUW become subiect ottheworkersCompangattonj?raviptona of tha ubar Coda,you rrtuot fonhwllh comply with such provi-eione or ihle perrnit ghgD ha deemed mvokod,
URANCE
Date
CONSTflUCTION LENDING AGENCY
1 horoby affirm that ihe«is a toneirucHofi leodinq o,^Qni,^[rsr H-){j pnrforrn''na3 ''f *ha *^4IchthispnrmiJiifPOuiSd(Set.3097.Civ,"cj;nu,u ,ur rtmcn
Lenders Name
Lenders Addraes
I Mrtify fh^1 hiwa erad this applioallan and ataia that Ihfl abov®intofmatlon IS WfTWt,I RDf59to bbtePlyMhaircl^ord nanoBH and stafa laws nilclling 10 bUildlnq COhStfUCtlDh,and harsby flUlhof|29nrenHanadpropertyforinepecllonpurposes.EXFIRE 0Y LIMITATION AND BECOME NULL AND VOID fF THfS WORK13HotcommencedopcommencedANDSUSPENDEDAFTERAPEHIOOOF18QDATSNEWPERHrrISPEQmpeprgcommencework.^
represen-
L)DATEPrtlNTOFAPPLICANTk2PY