1054 N GROVE STj^T^ermit >'ypes
BLD ELE MEC PLM
X
Peimit Number:BLD2009-02030
Issued:06/26/2009
INSPECTION REQUEST LINE:
(714)765 -4626
Quarter Section:150
Sitb Address:1054 N GROVE ST (Temp.Power Pole)
Legal D^cription:
CITY OF ANAHEIM
BUILDING DIVISION
200 S.ANAHEIM BLVD.
(714)766-5153
Project Description:Temporary power pole:Install temporary power pole for construction.
Valuation:
Construcion Types:
Total Fees paid for Permit:
N/A,,
136.73
People Associated with Project:
Contractor POWER PLUS TEMPORARY UTILITY S 1005 N EDWARD CT ANAHEIM CA 92806 0000
Permit Applicant BRANDY MCGUIRE
Electrical Fixtures Qty TypeType Plumbing Fixtures Qty Type Mechanical Fixtures Qty
Temp Power Pole/Pedestal (includes meter)1
The permit shall expire by limitation and become n ull and void if the buildmg or work has not passed fhal inspection 365 days from the date of permit
issuance.A new permit is required to commence or continue woik.fblcl_permit_combo
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All applicable items below must be signed before utilities will be released.
FINAL INSPECTIONS DATE INSPECTORCityofAnaheimFinalGasTest
Building Division Electrical Final
Plumbing Final
Mechanical Final
Cross Connection Control i7i4)res-jzao
Engineering/Grading Final (714)765-5126
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 List/Business License (714)765-5194
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/Forms/Trenches (Footings)
Do not install subfloor or pour floor slab until the foliwing 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;
Drywail
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
^^ermit ^ypes
BLD ELE MEC PLM
X
Permit Number:BLD2009-02030
Issued:06/26/2009 CITY OF ANAHEIM
INSPECTION REQUEST LINE:
(714)765 -4626
Quarter Section:150
BUILDING DIVISION
200 S.ANAHEIM BLVD.
(714)765 -5153
Site Address:1054 N GROVE ST (Temp.Power Pole)
Legal Description:
OWNER -BUILDER DECLARATION:
I hereby affirm under penalty of perjury that I am exempt from the Contractor’s License State Law for the following reason(s)indicated below by thecheckmark(s)I have placed next tothe applicable item($)(Sec.7031.5 Business and Professions Code:any city or county which requres a permit to construct,
alter,improve,demolish or repair any structure,prior to its issuance,also requires the applicant for the permit to file a signed statement that he or she is
licensed pursuant tothe provisions of the Contractors'State License Law Chapter 9 (commencing with Section 7000)of Division 3 of the Business andProfessionsCode)or that he or she is exempt from licensure and the basis for the alleged exemption.Any violation of Section 7031.5 by any applicant for apermitsubjectstheapplicanttoacivilpenaltyofnotmorethanfivehundreddollars(S500).
I,as owner of property,or my employees with wages as their sole compensation,will do ()all or ()portions of the work,and the
structure is not intended or offered for sale (Sec.7044 Business and Professions Code:The Contractors'State License Law does not apply to anownerofpropertywho,through employees'or personal efforts,builds or improves the property,prowded that the improvements are not intendedorofferedforsale.If,however,the building or improvement is sold within one year of completion,the Qwner-Builder will have the burden of
proving that it was not built or improved for the purpose of sale).
I,as the owner of the property,am exclusively contracting with licensed Contractors to constaict the project (Sec.7044 Business and Professions
Code:The Contractors'State License Law does not apply to an owner of property who builds or improves thereon,and who contracts for theprojectswithalicensedContractorpursuanttotheContractor's State License Law).
I am exempt from licensure under the Contractors'State License Law for the following reason:
By my signature below I ackonowledge that,except for my personal residence in which I must have resided for at least one year prior to completion oftheimprovementscoveredbythispermit,I cannot legally sell a structure that I have built as an owner-builder if it has not been constructed in its entiretybylicensedcontractors.'I understand that a copy of the applicable law.Section 7044 of the Business and Professions Code,is available upon requestwhenthisapplicationissubmittedoratthefollowingWebsite:httD://www.leQinfo.ca.Qov/calaw.html.
Bymy signature below,I certify to each of the following:
I am the property owner or authorized to act on the property owner's behalf.
I have read this application and the information I have provided is correct.
I agree to comply with all applicable city and county ordinances and state laws relating to building construction
I authorize representatives of this dty or county to enter the above-identified property for inspection purposes.
Signature of Property Owner or Authorized Agent Date
WORKER'S COMPENSATION DECLARATION:
WARNING:FAILURE TO SECURE WORKERS'COMPENSATION COVERAGE IS UNLAWFUL,AND SHALL SUBJECT AN EMPLOYER TO
CRIMINAL PENALTIES AND CIVIL FINES UP TO ONE HUNDRED THOUSAND DOLLARS ($100,000),IN ADDITION TO THE COST OF
COMPENSATION,DAMAGES AS PROVIDED FOR IN SECTION 3706 OR THE LABOR CODE,INTEREST,AND ATTORNEY'S FEES.
I hereby affirm under penalty of perjury one of the following declarations:
7Kbave and will maintain a certificate of consent to self-insure for worker's compensation,issued by the Director of Industrial Relations as providedforbySection3700oftheLaborCode,for the performance of the work for which this permit is issued.
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.My worker's Compensation insurance carrier and policy are:
Carrier:OLD REPUBLIC GENERAL INSURANCE
Name of Agent:
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 laws of California,and agree that,if I should become subject to the worker's compensation provisions of Section7^3700 of the Labor Code,I shall forthwith comply with those provisions.
Policy N^:^GW37450902 E>qDiration
Phone No.:
it\U4IfignatureofApplicantDate
Permit Number:BLD2009-02030
DECLARATION REGARDING 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 is issued
{Sec.3097.Civ.C);
Lender's Name:
Lender's Address:
LICENSED CONTRACTORS DECLARATION:
I hereby affirm under the penalty of perjury that I am licensed under provisions of chapter 9 (commencing with Section 7000)of Division 3 of the
Business and Professions Code,and my license is in full force and effect.A
u\lu.U)*\\).
Contractor Signature Da e\
V
NUMBER
523596
EXPIRATION DATE LICENSE TYPE fSt
1/31/2010 B CIO
D31
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 permit combo declare