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3503 W GREENTREE CIR DPermit Types BLD ELE MEC PLM -wrr.V X Permit Number:BLD2009-02109 Issued:07/16/2009 INSPECTION REQUEST LINE: (714)765 -4626 Quarter Section:3 Site Address:3503 W GREENTREE CIR D Legal Descjfipdpn: CITY OF ANAHEIM BUILDINO DIVISION 200 S.ANAHEIM BLVD. (714)765-5153 Project Description:Plumbing for residential remodel:Change out water heater. Valuation: Constmcion Types: Total Fees paid for Permit: N/A.. 136.73 People Associated with Project: Owner CLINTON S FALTERMAYER CALIFORNIA DELTA MECHANICAL INC DARCY TOKRAKS 3503 W GREENTREE CIR D ANAHEIM CA 928CM 4692 1235 GRAND AVE SPRING VALLEY CA 91977 0000Contractor Permit Applicant Electrical Fixtures Qty Type Plumbing Rxtures Qty Type Mechanical FixturesType Qty Water Heater 1 The permit shall expire by limitation and become null and void if the building or work has not passed final mpectton 365 days from the date of permit issuance.A new permit is required to commence or continue work.fbid permit combo All applicable Hems below must be signed before utilities^will be fSteased. FINAL INSPECTIONS DATE INSPECTORCityofAnaheim Building Division Final Gas Test Electrical Final Plumbing Final Mechanical Final Cross Connection Control (7i4)76s-s28o Engineering/Grading Final (714)7$5-5i2g Fire Dept.Final (714)765-SQ41 Fire Sprinkler Final (714)765-5041 Water Engineering (714)765-4591 Do not occupy this building until the final insoeclions 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 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) 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 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 AFFLiCATION vCa ADDRESS PAP I ^ iAl).Q:eer>\-Yff Clr,NUMSER TYPE OF PERJJ1T PERMIT NUMBER _gx-^vYlin^ 'Y'jfA'gncd haroby tfn?spoflcaHrjrt airj RS’prs,cqnifias and diiClafiS! liadbfi If.^A^?l^crn !ti ihls [>c T^at rtbjito .rfls ce^n g'ysn mo thtu l^ris 0-?nrii'friay bo otdd 0^!/inWjriaafiiCCrii,and all clhnr crpliC45!«ijf^inanca-.;arri l4»,*a, Thst this porpilt dnafl nat aliPW frpaJXSOCy,f=np -hal ra>occ--;^nt:y !5 Domi^ltd,0/IhB conc(rydlon lOI"'iWbiph pi?rrnif IS isSUiC unill H H??.bsan apcrdvec!in writing ny ^na birips fw ijccupancyfilterfinalinapoction. T^iat.lhla poriTiU i3p*s nol allpw,and soparttd ptrntDs acfl r??pu(rud ibr,iny plumblng.Rifloirical.hCit-Ing nnd air GWiflldonino wprk, Thu a dCliWe faa wti!bn paid lor st*iy -parmit '5?uod rrft&r ony WGt,Y ifigr=:by HllPwod has baen eofn- m&pced, 1 agrBfl that ihc City may «n(*r ypen ttiR [ob prcmisaB at any rpHRonabifi tifflft to insped any v;ariiirwtnllfidunderthiipOfmil,anfl tp cthflrvfiKt?act 44 -ind when mquirud by l*?d Ansh^m MynipipRlGodp. h4 ,^A 'J* LICENSED contractors DECLARATION I heraty affirm ihHt J am llconisd undet pravlgtpns □{chnptdi'S {tofTtmancIng with Sflclidn 7000)ofDivisionapilhf»Sualnanc;artd PtblefiSlpna OddB,snd lidyisa i*in lull torofl nn Exp.Date -j oGlilIXoinMUesnsflO)E80 —Lid,Number - OWNER-BUH.'&lW^-EfSG LA RATION 1 hnmby affirm lhal 1 am exempt from tna Conimcfnr*4 fjeenae Law fpr thn lotlowfng rtAfiCP (S«.7051.5SunInBrasht^Prafssabns Cotie;any cHy ar aounty which Wtiijffee a pennlt tp ccjncimct,iltw,improvs^dsmollah ar rSp^f'any atfUCture.prior to (ta lasiuanoB,dlfiO (‘equifSB the appllnon!afr nuoh portPit 1fl fH*Rsignednifitamfrfflthalhetelioene^purauani ot tha prowiaicinfl of the GontraatoT'a Ltcanbo Law (Chapter3)(CPtofflehCln®with sethon 7a0D of DIvInlon S Pf [he BUSinene and Prafasaiarto Cddd)Ci*thSt fie IpDJrttrtlWllW&fi’Offl anti [pe bagifl far tha Rllogod nxDrrtpHOPv Any vlolaltan af Suatian 7031.5 by any applicantTOrapermheufajectstheeppocAnttoadviipohaliypinolmornthanflvahur^rod ddiam ($5D0).n I,as owner p(the prapRrty,or oty empfcvaea with wagee pa thdr wilfl fiempenaatten,wR do the iwrft,anti the etructore is not Intandod or-offored af/4*le (BeL 7044 Buslnoss ortd P/cfesiiona Code;TheContractor'?Ueenne Low duoa not apply af Sfl owner d propnrty who billldft W Iftiprovea thereon,andwfiedoe?such work hlmaart or (hrOugh Wa cwn employe??,provided that such ImpravementB are notfnfandatiorofferedforeaio.If,hovravnr,tha bdlefiftti Of ftnprovernent la Hold wffhffi 0ft#y«/of wmplellon.the OW^e^t5^Ill^^^rwlnhHVfl the burden af prOvfrtp That F»itW notWId or ImprtivO fW thO pufjBSft Of saJB).□I.pa the DvimHr Qfthapwpiirty.affi sxctuefvely«Fitrac5fngwlth )!atins*dcott1ractorste«n?;ruct1h©prolect (Sec,?D44 BuHinoaa and PrOfasalona Code?The Contnitor'n UaDn/w LftW itMS hOl apply af anowner0lproper^who bulfds or lrrrprDY6il thereon,«ncl who contraats far such nrO|frCT6 whh i cofifrao-faffa)[iwnwd pyreuant to the CantrnnlDr*5 LiCiartS*Lawj, D 1 am oxofflpt under Se<5, Contraclor > B Jl PC for thlB rssson Date Hwnnr WORKERS'COMPENSATION DECLARATION I harofay afflrfn th£ri I hm.'a &Cflitiffcate of consent fa galWnpurn.or ao| Kwortince,or a oenKied copy hereof (fifla^saa Lab.C)Polld/hfaJi^Cariined «py (umieheti.£>ip.DatfiZl ^00^ ^Workera'Cc-n^^pati3—Companv O/A* G'~*<'s^L3cr>rYi,ApplicanrrOERTfFICATEOFEXEMPTfON*FROM WORKERS'gCMPSf^SATION INSURANCE Ct-t* (7hla socllon naod not bd completed IF the permit la far hondrod dcllara ($100)or lOci).I cenlfythni(n rhfl performartno cri thtwO/k l6f wWch thia permit ie Igsued,i hIirII not Rmnloy any porsOrt IrtanyTTiRnnw.so bh ot bocQrrto 5ub|Cfal to ih*V/orkera'Gompengatlpn Lasva of Cailfamla. Date Applicant ●■--—--- NOTICE TO APPLICANT;it,^rter msklng ihia CfirtUloafa of Eiomplloh,you flhouW become SUbleot tStheWorker?'Gorfaeneatfan prgvipfans of ttiA Labar Codn,yau iTiuct foriivivllh comely with such orovf-efarre or ihl?permU ehe.li be deemed nwoksd. CONSTflUCTtON LENDING AGENCY I horoby affirm 1hit [here af a conetrucllort fending agenw lor th«poriormanoa of tha work far whichihbpormlicffesuad(Seo.0097.Giv.0): Lender’s Name .- LendefB Address (cflrtJfy that I havo erad ihfa application erri s'ota that tha above infarmaTiori la ifaffwt,I ftoree af complywfihallcityordfaRnoBHandataiqlawsralctilngIfibuildinqcorwtructlDrT,and hereby sufaorlse representativesphthfacityafentoruponthonbovomaniianadpropertyforinepeGtlonpurposee.TH^PERMIT $HAUL EXPIRE BY LIMITATION AND BECOME NULL AND VOID IF THfS WORKf3HOtgpMMENGEDORCOMMENCEDAMOSUSPENDEDAFTERAPERIODOF180DATS.New PERMIT 15 required TQ OOMMEHCE WORK. n-i4to*^ Km<lit I’lr^.TlE OF APPLICcWf— DATE RY