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1923 S JANETTE LN (3)f Permit Types BLD ELE MEC PLM X X Perniit Number:BLD2009-02059 Issued:06/29/2009 INSPECTION REQUEST LINE: (714)765 -4626 Quarter Section:67 Site Address:1923SJANETtE LN Legal Description:TR 2489 LOT 169 N 41^8 I^AND ALL CITY OF ANAHEIM BUILDING DIVISION 200 s.Anaheim BLVD. (714)7«-5153 Project Description:Mechanical and electrical for furnace change out and add air conditioning. Valuation; Construcion Types: Total Fees paid for Permit: N/A,. 68.40 People Associated with Project: Owner ARTHUR E SCHOENEMAN CLIMATE AIR MASTERS INC CARLOS ZAMORA 1923 S JANETTE LN ANAHEIM CA 92802-3213 1139 N ANAHEIM BLVD ANAHEIM CA 92801 0000Contractor Permit Applicant Electrical Fixtures Qty TypeType Plumbing Rxtures Qty Type Mechanical iFxtures Qty Motors -over 1 h.p.to 10 h.p.1 Heating Appliances,including vent Compressor/Boiler -up to 15 hp Heating/Cooling Coil Residential Registers 1 1 1 8 The permit shall expire by Gmitation and become nuD and void if the building or work has not passed final inspectbn 365 days from the date of permit issuance.A new permit is required to commence orcontnue work.fbici permit combo r 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 (7i4)76s-428o Engineering/Grading Final (714)76s-5i2e 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.Sub List/Business License (714)765-5194BUILDINGPERMITDOESNOTAUTHORIZEELECTRICAL,PLUMBING,OR MECHANICAL INSTALLATIONS -SEPARATE PERMITS ARE REQUIRED.Zoning (714)765-5139 Building Final (Last Inspection - Only After Above Complete) INSPECTION DATE 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 INSPECTIONS 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) Wechanical InspectionsDonotcoverorconcealtheworkbelowuntilthefollowingapplicableitemshave been signed: 1st Floor Shear -r*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 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 Electrical InspectionsGENERALITEMS 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 BLD ELE MEC PLM X X Permit Number:BLD2009-02059 Issued:06/29/2009 INSPECTION REQUEST LINE; (714)765 -4626 Quarter Section:67 CITY OF ANAHEIM BUILDING DIVISION 200 S.ANAHEIM BLVD. (714)765 -5153 Site Address:1923 S JANETTE LN Legal Description:TR 2489 LOT 169 N 41.28 FT(AND ALL 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 the checkmark(s)I have placed next to the applicable item(s)(Sec.7031.5 Business and Professions Code: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 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 and Professions Code)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 a permit subjects the applicant to a civil penaltv of not more than five hundred dollars (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 an owner of property who,through employees'or personal efforts,builds or improves the property,provided that the improvements are not intended or offered for sale.If.however,the building or improvement is sold within one year of completion,the Owner-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 the projects with a licensed Contractor pursuant to the Contractor'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 of the improvements covered by this permit,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 request when this application is submitted or at the following Web site;httD://www.leQinfo.ca.Qov/calaw.html. By my signature below,I certify to each of the following; I am the property owner or authorized to act on the properly owner's behalf. I have read this application and the information I have provided is correct. I agree to comply with I authorize representat vesd|f thi^dt^or county to enter the above-identified property for inspection purposes. iplicabJ :ity and county ordinances and state laws relating to building construction Signature of Prop^eHy-GttfiCijor 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: I have and will maintain a certificate of consent to self-insure for worker's compensation,issued by the Director of Industrial Relations as provided for by Section 3700 of the Labor Code,for the performance of the work for which this permit is issued. .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:STATE FUND Policy Ng.19Q0Q278-07 Expiration Name of Agent:Phone No.; _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 Section 3700 of the Lab de,I shall forthwith comply with those provisions. Signature of Applicar^t^^^^^^^Date Permit Number:BLD2009-02059 DECLARATION REGARDING CONSTRUCTION LENDING AGENCY: 1 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: UCENSED CO^^â– RACTORS DECLARATION: I hereby affirm under the Business and Professio/s Code,/nd W license is in full force and effect.Ity of^rjury that I am licensed under provisions of chapter 9 (commencing with Section 7000)of Division 3of the Contractor Signature Date NUMBER 695854 EXPIRATION DATE 8/31/2009 LICENSE TYPE fSI C20 HTAC 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 oermit combo declare