2117 E NYON PLPermit Types
B'D E'.E MEC PLM
X
Permit Numbef':BLD2009-01584
Issued:05/19/2009 CITY OF ANAHEIM
INSPECTION REQUEST LINE;
(714)765 -4626
Quarter Section:114
BUILDING DIVISION
200 S.ANAHEIWI BLVD.
(714)765 -5153
Site Address:2117 E NYON PL
Legal Description:N TR 2350 LOT 38
Project Description:Upgrade and relocate 200 amps service.
Valuation:
Construcion Types:
Total Fees paid for Permit:
N/A,
136.73
People Associated with Project:
Owner RUTH IRENE STEVENS 2117 E NYON PL ANAHEIM CA 92806-4636
2763 N BUTLER ST ORANGE CA 92865 0000Contractor
Permit Applicant
M PS ELECTRIC INC
MICHAEL S\A/EENEY
Electrical Fixtures Qty TypeType 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
permit issuance.A new permit is required to commence or continue work..
t
All applicable items below must be signed before utilities will be releasedINSPECTORDATEFINALINSPECTIONS
City of AnaheimBuildingDivision
Final C3as Test
Electrical Final
Plumbing Final
Mechanical Final
Cross Connection Control [7i4)76s-«2bo
Engineering/Grading Final {ruirsB-sns
Fire Dept,Final (714)765-5041
Fire Sprinkler Final (714)765-5041
Water Engineering (714)765-4591
Sub List/Business License (714)765-5194thishmiHinfiuntilthefinalinspectionshavebeenmsoerinnnlOCCUDVPERMITDOESNOTAUTHORIZEELECTRICAL,PLUMBING,OR^MECHANiCAL INSTALLATIONS -SEPARATE PERMITS ARE REQUIRED^
INSPECTOR
iZoning (714)765-5139
Building Final (Last Inspection -
Only After Above Complete)DATEINSPECTION
concrete until the following applicable items have been signedDonotpour FINAL INSPECTION must be approved by the Building Division.Plumbing (Ground/Underfloor Drain Waste)
Electrical Ground Eiectrode/Ufer
Setback/Forms/Trenches (Footings)||
—Qo not install subfloor or pour floor slab until the foilwing applicable items have
been signed:
PARTIAL INSPECTIONS
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)
Do not cover or
Mechanical Inspectionsconcealtheworkbelowuntilthefollowingapplicableitemshave
been signed
1st Floor Shear
iFiresprinkler (Rough)(Fire Dept.)
2nd Floor Shear
Roof (Sheathing/Diaphragm/Frame)
Masonry (Reinf./Bond Beam/Pre-Grout)
Rough Plumbing (Top Out)
Rough Duct (Mechanical)
Rough Mechanical
Rough Electrical
Framing (Only after PIbg.,Ele.,Mec &Fire)
Plumbing Inspections
insulation (Sound/Energy)
plaster until the following applicable items have been signedDonottapeor
Dry wall
Drywall Penetrations (Ele..Mec.&Plbg.)
Interior Lath
Exterior Lath Electrical InspectionsGENERALITEMS
Electrical Service Meter
Exterior Plaster (Brown Coat)
T-Bar (Struct.,Ele..or Mec.)V n ZOQ"\Sewer
Water Engineering Backflow (Testable Only)
Water Service
Permit Backs Master-2008.xls
Permit Types
E.D E5.E MEC PLM
X
Permit Number:BLD2009-01584
Issued:05/19/2009
INSPECTION REQUEST LINE;
(714)765-4626
Quarter Section;114
CITY OF ANAHEIM
BUILDING DIVISION
200 S.ANAHEIM BLVD.
(714)765-5153
Site Address:2117 E NYON PL
Legal Description:N TR 2350 LOT 38
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 thecheckmark(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 statementthatheorsheislicensedpursuanttotheprovisionsoftheContractors'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 Section7031.5 by any applicant for a permit subjects the applicant to a civil penalty of not more than five hundred dollars (S500).
I,as owner of property,or my employees with wages as their sole compensation,will do (
intended or offered for sale (Sec.7044 Business and Professions Code:The Contractors'State License Law does not apply to an owner of property whothroughemployees'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 forthepurposeofsale).
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 alicensedContractorpursuanttotheContractor's State License Law).
I am exempt from licensure under the Contractors'State License Law for the following reason:
)alt or ()portions of the work,and the structure is not
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 theimprovementscoveredbythispermit,I cannot legally sell a structure that I have built as an owner-builder if it has not been constructed in its entirety by licensedcontractors.I understand that a copy of the applicable law,Section 7044 of the Business and Professions Code,is available upon request when this applicationissubmittedoratthefollowingWebsite:http://www.leoinfo.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 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.DAMAGESASPRC^DED FOR IN SECTION 3706 OR THE LABOR CODE,INTEREST.AND ATTORNEY'S FEES.
I her^y 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 bySection3700oftheLaborCode,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 thispermitisissued.My worker’s Compensation insurance carrier and policy are:
Carrier:
Name of Agent:
1 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 theworker's compensation laws of California,and agree that,if I should become subject to the worker's compensation provisions of Section 3700 of theLaborCode,I shall forthwith comply with those provisions.
EXEMPTPolicyNo.:Expiration Date:
Phone No.:
T'/f ^O ?
Da e 'V.Signature of Applicant
DECL ARATION REGARDING CONSTRUCTION LENDING AGENCY:
I hereby affirnTUnder 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 under the penalty of perjury that I am licensed under provisions of chapter 9 (commencing with Section 7000)of Division 3 of theBusinessandProfessionsCode,and my license is in full force and effect.
ontractor Signature iat(
NUMBER EXPIRATION DATE LICENSE TYPE fSt
3/31/2010912878 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 ofpermitissuance.A new permit is required to commence or continue work.
fbid permit .combo,declare