6616 E LEAFWOOD DR (6)Perfr^Types
BLD*^ELE MEC PLM
X
Permit Number:BLD2009-02075
Issued:06/30/2009
INSPECTION REQUEST LINE:
(714)765 -4626
Quarter Section:287
I
ANAHEIM
-.V
BUILDING DIVISION
200 S.ANAHEIM BLVD.
(714)765-5153
Site Address:6616 E LEAFV\/OOD DR
Legal Description:N TR 9136 LOT 20
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 MARK ROY 6616 E LEAFWOOD DR ANAHEIM CA 92807-5026
24707 RAILROAD AVE SANTA CLARITA CA 91321 0000Contractor
Permit Applicant
AFFORDABLE WATER HEATERS &PLU
SCOTT LITTLEFIELD
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.Ibid permit combo
(
All applicable items below must be signed before utilities will be released.
FINAL INSPECTIONS DATE INSPECTOR
Final Gas Test
Building Division Electrical Final
Plumbing Final
Mechanical Final
Cross Connection Control i7i4)7gs-428o
Engineering/Grading Final (7i4)76s-5i26
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
INSPECTION DATE INSPECTOR Building Final (Last Inspection -
Only After Above Complete)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 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 Plbg.,Eie.,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 Piaster (Brown Coat)
T-Bar (Struct.,Ele.,or Mec.)
Sewer
Water Engineering Backflow (Testable Only)
Water Service
Permit Backs Master-2008.xls
PART 2JOBADDRESSPERMITAPPLICATION
L^CiftOOOci,Pr,:
STREETNUMBER
TYPE OF
PERMITPERMIT
NUMBER 5
To Obtain this permit,Iho undersigned nershy tiles this application and agrees,cetlifios and declares:
That notice has been given me that this permit may be used only in compliance vnlh the AnaheimMunicipalCode,and all other applicable ordinances and latvs.
That Ihis permit does not allow occupancy,and that no occupancy is permitted,of the constructionlorwhichthispermitisissueduntilithasbeenapprovedinwritingbythisofticeloroccupancy
atter linal Inspection.
That Ihis permit does not allow,and separate permits are required tor.any plumbing.eleotncal.heatingandairconditioningworK.
That a double foe will be paid for any permit issuod after any work thereby allowed has been com
menced
I agree that the City may enter upon me job premises at any reasorrabie time to inspect any workinslalletlunderthispermit,and to otherwise act as and when required by the Anaheim Municipal
Code.
LICENSED CONTRACTORS DECLARATION
I hereby aftirm that I am licensed under provisions of Chapter 9 (cornmencing with Section 7000)ofDivision3oftheBusinessandProfessionsCode,and my license Is in full force and effect.
Exp.DaleLicenseClass
Contractor
OWNER-BUILDING DECLARATION
I hereby affirm that I am exempt liom the Contractor's bcense Law for the following reason {Sec.703l.SBusinessandProfessionsCode;any city or county which requires a permit to construct,alter,improve,demolish or repair any structure,prior to Hs issuance,also requires the applicani (or such penrii to file asignedstatementthatheislicensedpursuanttotheprovisionsoltheConiractof's License Law (Chapter9)(commencing with Sectioii 7000 ol Division 3 of the Business and Professions Code)or ihal he isoxompitherefromandthebasislortheallegedexemption.Any violation ol Section 7031.5 by any applicantlorapermitsubjectstheapplicanttoacivilpenaltyolnotmorethanlivehundreddollars(SSOO).
n I,as owner of the property,or my employees with wages as their sole compensation,will do the worKandthestructureisnotintendedorofferedlorsale(Sec.7044 Business and Professions Coda:The
Coniracfor's License Law does not apply 10 an owner of property who builds or improves thereon,andwhodoessuchworkhimselforthroughhisownemployees,provided that such improvements are not
intended or ottered tor sale.If,however,the building or improvement is sold within one year ol completion,
the owner-builder will have the burden ol proving that he <6d not build or improve lor the purpose of sale).
□I,as the owner ol the properly,am exclusively contractng with licensed contractors to conslnrct theproject(Sec.7044 Business and Proiessions Code:The Conlraior's Ucenso Law does not apply to anownerofpropertywhobuildsorImprovesthereon,and who contracts lor such projects with a rmnirac-lor(s)licensed pursuant to the Contractor's License Law).
B &PC lor this reasonGIamexemotunderSec._.
Ovmor
WORKERS'COMPENSATION DECLARATION
Date
I hereby affirm that I have a certificale ol consent to self-insure,or a certfi^e Of Workers'CompensatorInsurance,or a certified copy thereof (Sec 3800 Lab.C)Pobcy No^^?o70.^^rcMTipany7^^d.Cv>*OM_l0 .Applicant
CERTIFICATE OF EXEMPTION FROM WORKERS'COMPEI
Carfilied copy furnished.Exp.Dale
mON INSURANCE
(This section need not bo completed II Iho permit is lor one hundred dollars (S100)or less).I cedlfy
lhat in the performance of the work for which this permit is issued,I shall nol employ any personanymannersoastobecomesubjecttotheWorkers'Compensailon Laws of Catlornia.
Dnte
rn
Applicant —
NOTICE TO APPLICANT:II,atter making this Cenilicaie ol Exemption,you should becorrve subjeci to
the Workers'Compensalion provisions ol the Labor Code,you must forthwith comply with such provisionsorthispermitshalldeemedrevoked.
CONSTRUCTION LENDING AGENCY
I hereby affirm that there Is a construction lending agency lor the performance ol the work lor whichthispermitIsIssued(Sec.3097.Civ.C):
Lender's Name
Lender's Address
I certify that t have read Ihis application and slate that the above information is coitect.I agree to complywithalldlyordinancesandstatslawsrelatingtobuildingconstruction,and hereby authorize representativesofthiscitytoenterupontheabovementionedpropertylorInspectionpurposes.THE PERMIT SHALL EXPIRE BY LIMITATION AND BECOME NULL AND VOID IF THIS WORK
IS NOT COMMENCED OR COMMENCED AND SUSPENDED AFTER A PERIOD OF ISO DAYS.
NEW PERMIT IS REQUIRED TO COMMENCE WORK.
1
^Corr C'
DATE
PRINT NAME OF AP^O^rTBYOWNEfl-4fiBI^^ILOER-OFFICER BLDG-18 Rev.6/B8