1201 W PEARL ST (3)Permit Types
BLD ELE MEC PLM
X
Permit Number:BLD2009-01554
Issued:05/15/2009
INSPECTION REQUEST LINE:
(714)765 -4626
Quarter Section:62
Site Address;1201 W PEARL ST
Legal Description:SUMMERFIELD &OPPENHEIMERS SUB LOT
CITY OF ANAHEIM
BUILDING DIVISION
200 S.ANAHEIM BLVD.
(714)765 -5153
Project Description:Electrical for 100 amp service panel upgrade and relocation.
Vaiua lion:
Constriicion Tyj^es:
Total Fees paid for Permit:
N/A,,
136.73
People Associated with Project:
Owner JOE A CANO TR
RICHARD FREEMAN
RICHARD K FREEMAN
9750 OLD PLACERVILLE RD 172 SACRAMENTO CA 95827-3356
Permit Applicant
Contractor 1631 W GAGE FULLERTON CA 92833 0000
Electrical FixturesType Qty Type Plumbing Fixtures Qty Type Mechanical Fixtures Qty
Meter/Disc Sw -under 600 V,up to 200
amps
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 permitissuance.A new permit is required to commence orcontinue work.p^r^nit comt -
'S
All applicable items below must be signed before ulilities will be released.
FINAL INSPECTIONS INSPECTORDATECityofAnaheim
Building Division
Final Gas Test
Electrical Final
Plumbing Final
Mechanical Final
Cross Connection Control (7i4)765-«8o
Engineering/Grading Final {7i4i 766-si26
Fire Dept.Final (714)765-5041
Fire Sprinkler Final (714)76S-5041
Water Engineering (714)765-4591
Do noi occupy this building until the final inspections have been m Sub List/Business License (714)765-5194BUILDINGPERMITDOESNOTAUTHORIZEELECTRICAL.PLUMBING.OR
MECHANICAL INSTALLATIONS -SEPARATE PERMITS ARE REQUIRED Zoning (714)765-5139
Building Final iLast Inspection -
Only After Above Complete)
INSPECTORDATEINSPECTION
Do not pour concrete until the following applicable items have been signed
FINAL INSPECTION must be approved by the Building Division.Plumbing (Ground/Underfloor Drain Waste)
Electrical Ground Electrode/Ufer PARTIAL INSPECTIONS
Setback/FormsH*ranches (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 follov/ing applicable items have been signed
Dry wall
Drywall Penetrations (Ele.,Mec.&PIbg.)
Interior Lath
Exterior Lath
Electrical InspectionsGENERALITEMS
Electrical Service Meter
Exterior Plaster (Brown Coat)
T-Bar (Struct.,Ele.,or Mec.)5-^Sewer
Water Engineering Backflow (Testable Only)
Water Service
Permit Backs Master-2008.xls
Permit Types
BLD ELE MEC PLM
X
Permit Number:BLD2009-01554
Issued:05/15/2009 CITY OF ANAHEIM
INSPECTION REQUEST LINE:
(714)765 -4626
Quarter Section:62
BUILDING DIVISION
200 S.ANAHEIM BLVD.
(714)765 -5153
Site Address:1201 W PEARL ST
Legal Description:SUMMERFIELD &OPPENHEIMERS SUB LOT
OWNER -BUILDER DECLARATION:
I hereby affirm under penalty of perjury that i am exempt from the Contractor's License State Lawforthe following reason(s)indicated below by the
checloT»ark(s)I have placed next tothe applicable item(s)(Sec.7031.5 Business and Professbns 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 vwth Section 7000)of Division 3 of the Buaness 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 penaKv of not more than five hundred dollars ($500).
I,as owner of property,or my employees with wages as their sole compensation,will do ()all or {,
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,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 construct 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 lor the following reason:
.)portions of the work,and the
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 legailysell a structure that I have built as an owner-builder if it has not been constructed in its entirety
by licensed contractors.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.
Bymy signatire below,I certify to each of the following:
I am the properly owner or authorized to act on the property owner’s behalf.
I have read this application and the information I have prodded is correct.
I agree to comply with all applicable dly and county ordinances and state laws relating to building construction
I authorize representatives of this city 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 irm 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.
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:
Policy Nc!?<£!^ICarrier:NO EMPLOYEES Expiration Date:
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 Section
3700 of the Labor Code,I shall forthwith comply with those provisions.
Phone No.:
●L.z
Signature of Applicant Date
.^LARATION 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 und^the^nalty of^erjury that I am licensed under provisions of chapter 9 (commencing with Section 7000)of Division 3 of theBusinessaAdvProf^Wio/feCode ly license is in full force and effect.
1;Contractor Signature Da
NUMBER
612709
EXPIRATION DATE LICENSE TYPE fSt
2/28/2011 CIO
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 wrork.
fbid permit combo declare