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8805 E GARDEN VIEW DRPermit Types BLD ELE MEC PLM X Permit Number:BLD2009-01516 Issued:05/12/2009 INSPECTION REQUEST LINE; (714)765 -4626 Quarter Section:232 Site Address:8805 E GARDEN VIEW DR Legal Description:N TR 15120 LOT 1 BUILDING DIVISION 200 S.ANAHEIM BLVD. (714)765 -5153 Project Description:Mechanical for air conditioning unit and heating/cooling coil change out. Valuation: Conslrucion Types: Total Feespatd for Permit; N/A,. 0.00 People Associated with Project: Owner LARRY ZUCKER ALLIED PLUMBING.HEATING &A/C LAURA YENULONIS 8805 E GARDEN VIEW DR ANAHEIM CA 92808-1678 422 JENKS CIR CORONA CA 92880 0000 2574 BRYCE CT.COLTON CA 92324 Contractor Permit Applicant Electrical FixturesType Qty Tipe Plumbing Fixtures Qty Type Mechanical Fixtures Qty Heating/Cooling Coil Compressor/Boiler-uptolShp 1 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.●.,^^'Lcl potmit combo Ali applicable items below must be signed before utilities will be released. FINAL INSPECTIONS INSPECTORDATE Final Gas Test Building Division Electrical Final Plumbing Final Mechanical Final Cross Connection Control c714)76s-42bo Engineering/Grading Final (7i4)76s-si26 Fire Dept.Final (714)765-5041 Fire Sprinkler Final (714)765-5041 Water Engineering (714)76S-4S91 Do not occupy this building until ihe final inspections have been made Sub List/Business License (714)765-S194BUILDINGPERMITDOESNOTAUTHORIZEELECTRICAL,PLUMBING,OR MECHANICAL INSTALLATIONS -SEPARATE PERMITS ARE REQUIRED.Zoning (714)765-5139 Building Final (Last Inspection - Only After Above Complete) DATE INSPECTORINSPECTION 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/Forms/Trenches (Footings) Do not install subfloor or pour floor slab until the follwing applicable items have been signed: Building Inspections Plumbing (Ground/Underfloor Water) Underfloor Rough Gas Mechanical (Groundwork) Electrical (Underground Conduit) Pre-slab (Compaction/Memfarane Reinf.) Floor (Joist/Girders) Underfloor insulation (Raised Foundation Only) 2nd Floor (Floor Nailing) Mechanical InspectionsDonotcoverorconcealtheworkbelowuntilthefollowingapplicableitemshave been signed: 1st Floor Shear Flresprinkler (Rough)(Fire Dept.) 2nd Floor Shear Roof (Sheathing/Dlaphragm/Frame)^UcP\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 Hems 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.) Sewer Water Engineering Backflow (Testable Only) Water Service Permit Backs Master-2008.xls Permit Types BLD ELE MEC PLM X Permit Number:BLD2009-01516 Issued:05/12/2009 CITY OF ANAHEIM INSPECTION REQUEST LINE: (714)765 -4626 Quarter Section:232 BUILDING DIVISION 200 S.ANAHEIM BLVD. (714)765 -5153 Site Address:8805 E GARDEN VIEW DR Legal Description:N TR 15120 LOT 1 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 checkmark(s)I have placed next tothe 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,priorto its issuance,also requires the applicant forthepernxt to file a signed statement that he or she is licensed pursuant tothe provisions of the Contractors'State License Law Chapter 9 (commencing wth Section 7000)of Division 3 of the Business andProfessionsCode)or that he or she is exempt from licensure andthe 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 toownerofpropertywho,through employees'or personal efforts,builds or improves the property,provided that the improvements are not intendedorofferedforsale.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). an —I,as the owner of the property,am exclusively contracting with licensed Contractors to constnjct 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 priorto 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:http://www.leQinfo.ca.Qov/calaw.html. By my signatire 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 city or county to enter the above-identified property for inspection purposes. Signature of Property Owner or Authorized Agent Dale 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. ~~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;LIBERTY INSURANCE CORPORATION 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. Policy N^C7631508631018 Expiration Phone No.: Signature of Appltdaot Date 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,3’C97.Civ.C); Lender's Name: Lender's Address: UCENSED CONTTRACTORS 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. Contractor Sign late NUMBER 610780 EXPIRATION DATE 1/31/2011 LICENSE TYPE fSI C20 HTAC C36 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. tbid permit combo declare