783 S CAMINO GRANDE 5Permit Types
BLI?-I ELE'MEC PLM
X
Permit Number:BLD2009-01661
Issued:05/27/2009
INSPECTION REQUEST LINE:
{714)765 -4626
Quarter Section;205
BUILDING DIVISION
200 S.ANAHEIM BLVD.
(714)765 -5153
Site Address:783 S CAMINO GRANDE 5
Legal Description:N TR 7929 LOT 49
Project Description:Plumbing for residential remodel:Change out water heater.
Valuation:
Construcion Types:
Total Fees paid for Permit;
N/A,,
136.73
People Associated with Project:
Owner JOHN M CIERPIALTR 6416 VIA ESTRADA ANAHEIM CA 92807-4225
1235 GRAND AVE SPRING VALLEY CA 91977 0000Contractor
Permit Applicant
CALIFORNIA DELTA MECHANICAL INC
DARCY TOKRAKS
Electrical Fixtures Qty TypeType Plumbing Fixtures Qty 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.fhki perrnil cornbu
All applicable Items 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 (714)705-4280
Engineering/Grading Final (7i4)765-si26
Fire Dept.Final (714)765-5041
Fire Sprinkler Final (714)765-5041
Water Engineering (714)765-4591DonotoccupythisbuildinountilthefinalinspectionshavebeenmadeSubLisUBusinessLicense(714)765-5194BUILDINGPERMITDOESNOTAUTHORIZEELECTRICAL.PLUMBING.OR
MECHANICAL INSTALLATIONS -SEPARATE PERMITS ARE REQUIRED.Zoning (714)765-5139
INSPECTION DATE Building Final (Last Inspection -
Only After Above Complete)
INSPECTOR
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/Formsrfrenches (Footings)
Do not install subfloor or pour floor slab until the follwing 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 InspectionsDonotcoverorconcealtheworkbelowuntilthelollowingapplicableitemshave
been signed:
1st Floor Shear
Ftresprinkler (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 Plbg.,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
JPB AODRBSS
NUMBER
NUM55H \
PERMIT APPUCATTQH PARI li
STREET
TYPE OF
PERMIT Q)Ljli\A I oc^.
■nj PWflln Ihiu pgirnit,ISft ijn^^rslgnad hnrabj'fiiftfi kW5 pppIlEnribrt and BSr^W.csrtlflaa and diclafes!
Thai rtbItCfi has been glvnn rrto that this permit may bo u46d *n|y In campliarttd sylth lh»AnaheimMurtldpalC«l6.and ^li Dlhnrappliaabla pr^lpancns and Iswa.
That thla permit dnflfl nai allpw Kejpancy,end ihai ho oecjpancy is pormltlftd,of the cpnstry<dlcm
iat which this permit Is lifiUfid until It has baon apqrtivacs in writing afy Ihli Ollice iCf 0<?aMpHncy
aftftf final inapHction.
TtiBl.lhln pordiU ilpes nol Qllfaw,and noparaw jaermits are raqulfod tafj any plumbing,filftofrtaal,haltingandardOTiCiltlPOingwprSt,
That a douWe reft will h«paid for any Permit iseuad nhar any worh thereby nllewod haa bsan «wn-
man««5,
1 ggrfm that Ihe City may Ohtor upon Iha lob prcjffllCOS a1 any raasonabll tfiYift tO Inspect any wadiInetallRdundorIhiipermitsandtbpthftrwabact16andwhenraqulnadbyUwAnah^m Muni<?IpalClDdfi.
LICENSED CONTRACT0fi$DECLAHATION
I hereby aiurjn that t am llcortaad under provlei'^nn of chaptar 9 {commanclng with Socitan 7000)0(Olvlplpr^a pf Ihft Buslnano and PfCtSeslons Cpda,and my llcytse is In lull forca nn^"C 3Cg NutnfaerSlJiiji m I loinExp.DateUeenseClass
£Camraclor
ILARATIONOWNpR-BUILE\INl1hnntbyafflrtnthatIamexemptfRjmtJiaContmcinr’s Ucenae Law rpr thn lollcwing rtiiaan (^,7031.5Sunlnas!}and Pwleaelons Codet any city ar aounty which requlrse a permit »d acmitrijct,liter,improve,damaiiah ar rapilr any StfUCture.pdpr tD Its (asuanco,lilSP i‘epUlf9B the appllnanl atr nuah pormlt 10 Ute aalgnodBwahiamihslheislicensedpurauanitt?iha prtMaions of the Contraotor’a Llcanso Liw (Chapterfl)(commenclrtp with Bscpon 7aao dI Dlvlnion 3 of Iha Pueineiie «nd Prafaaalonc Coda)or that he isoxOmplIfwefromendthebasleinrthnallagsdaMsYipHon.Any Vinlatlon of anallan .B hy Ihy appil-nant atr l permit BUSiects the eppflcnnt ta a olvll portl^Of not marn than fiva hundred dOllira (S5D0).
D l»aa owner oi itie prapnrty,or niy amployaes with wages «ra.tholr odlfl compertaation,win do the vMprtt,and the stmclurfl \a nni Intondod or oHenri for sale (Sec,7044 Bualnoas nrtd Professions Code!TobContractor's ueannA Law dros not apply io an owner of praporty who buikis w Improves thereon,nndwhodoessuchworkhImnoHortfartju$h Wfi own employee,provided thil such Impravements are notintendedorolteredforRnin.l(,hovravar,tho biriicflnp or improvement in Hold within one yaar at compiellon.
the ow^o^bull0er win hnvq thn burdan of prPvltlp that he did not tulld ar Imprtrvo f«ihfl purpose of sale).
□1,ee thfl awnar of tha pmperty,am excluslvefy wntreciing with Haonaed contraolore lo ocnstruct theproject($ftc,7D44 Bualnoaa bnd PrOtesBlons Code!The OonirHior'n Uanneo Law does hot apply to anowneroipropertywhobuildsnrliTTprovasiherecn,and wfio contmats far such pn3)e«6 wHh a conlrao-lor(S)licensed pwgunnt tn tna CantrnatDr*5 LiCnriSe Law),
■?
□1 am exempt under Sec.B &PC for this reason
Date r~>wnnr
WORKERS'COMPENSATION DECLARATION
1 httroby atflnh thfri I hwa A OBrtlficale Of consent ic ael^nqurn,cr
Irnjuranoe,or a certified copy m®rf)or (Sflc.^soa Lob.C)PnBcy Ns Workers'ComM»syiL,Company wtfit
£yp.DirtfllllCertifiedcopylumiahad.AppllcanI VCERTIFICATEQFEXEMPTIoN’FROM WORKERS'COMf^A'iRANCE
(This section nood not be fiompleted If the permit Is atr pn^hundrnd dollara ($100)or lSa6).I COrtlfythatinthflporlormannaeitheworklorwhichthlapermitisleSMee,1 ahnll not Bmpoy any parsen InBrrynrnrmwsoanotbnaortlQsubjfsOltotheWorttOfa'Compenwtlpn Miwg of Cnilfamla.
Applicant ■-■—■
NOTICE TO APPLICANT!It,Rrtqr mfiklng thiH CBrilftajiio of Exfifflpilcn,you ohouW becoma BUblest attheWorkers'Cornpeneattan provIpignR of Itna Lobar Codn^you rttuftl fOrthWllh SOfflply With SUCh p«ul-elone or this permit aha^be deemed nwokfxJ,
Date
CONSTRUCTION LENDING AGENCY
1 hornby Iffinfl that there Is t construfillpn lendlrtg agency lor thfl pnrforTnanaa oi tha vrork far whichthispormliieIssued(Set.3M7.Civ.cji
Lender's Name
Lender's Address
I cflrtify that 1 hava raad this appliaation nnd atata that the 4bov«Information l8 Wfrect.I agree to complywithnilcityordlnancflaandstatalawsorlfliing\it btilldlnfl construction,and hefflpy Hultiortse represen-tatlve?phthig city tp pntor upon tha nhovB manfianad property for Inspection purposes.TH^PERMIT $HALL EXPIRE BY LIMITATION AND BECOME NULL AND VOID fF THfS WORK
13 HOt QDMM£NCEb OP COMMENCED AND SUSPENDED AFTER A PERIOD OF 180 DATS.
NEW PERwrrr is REoumeo to oommehce work.
DATE
RlrrnWAME OF APR
0Y :wr.ft 1 l/l7DFRbd^C ER'NRB.&i