555 E AFTON LNPermit Types
BLD ELE MEC PLM
X
Permit Number;BLD2009-01574
Issued:05/18/2009
INSPECTION REQUEST LINE:
(714)765 -4626
Quarter Section:83
Site Address:555 E AFTON LN
Legal Description;
BUILDING DIVISION
200 S.ANAHEIM BLVD.
(714)765 -5153
Project Description:Plumbing to replace water heater.
Valuation:
Conslrucion Types:
Total Fees paid tor Permit:
N/A.,
136.73
People Associated with Project:
Owner
Contractor
Permit Applicant
MARLENE G HANSARD
GEORGE BRAZIL PLUMBING HEATING
JOE ELLIS
555 E AFTON LN ANAHEIM CA 92805-3002
1401 N BAXTER ST ANAHEIM CA 928050000
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 permitissuance.A new permit is required to commence or continue work.fl'id (jcrriut (Ximbo
F
All applicable items belov/must be signed before utilities will be released.
FINAL INSPECTIONS DATE INSPECTORCityofAnaheim
Building Division
Final Gas Test
Electrical Final
Plumbing Final
Mechanical Final
Cross Connection Control (7i4)765-42eo
Engineering/Grading Final (7i4)76s-si26
Fire Dept.Final (714)765-5041
Fire Sprinkler Final (714)76S-S041
Water Engineering (714)765-4591
■-ccuDv tills [nihr:ii~.c mnil iii-.f final inspections have been madiv
BUILDING PERMIT DOES NOT AUTHORIZE ELECTRICAL,PLUMBING,OR
MECHANICAL INSTALLATIONS -SEPARATE PERMITS ARE REQUIRED.
Sub List/Business License (714)765-5194
Zoning (714)765-5139
Building Final (Last Inspection -
Only After Above Complete)
DATE INSPECTORINSPECTION
Do not pour concrete until the follov/ing 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 follwing 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 tOnly after PIbg..Eie..Mec &Fire)
Insulation (Sound/Energy)
Do not tape or plaster until the following applicable items have been signed:
Z)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 Types
PUD 7:LE MEC PLM
X
Permit Number:BLD2009-01574
Issued:05/18/2009 CITY OF ANAHEIM
INSPECTION REQUEST LINE:
(714)765 -4626
Quarter Section:83
BUILDING DIVISION
200 S.ANAHEIM BLVD.
(714)765 -5153
Site Address:555 E AFTON LN
Legal Description:
OWNER -BUILDER DECLARATION:
I hereby affirm under penalty of perjury that I am exempt from the Contractor's License State Law forthe following reason(s)indicated below by thecheckmark(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,prior to its issuance,also requires the applicant for the permit to file a signed statement that he or she islicensedpursuanttotheprovisionsoftheContractors'State License Law Chapter 9 (commencing with 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 (
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 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 for the following reason:
)portions of the work,and the
an
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 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:httD://www.leQinfQ.ca.aov/calaw.html.
By my 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 provided is correct.
I agree to comply with all applicable city and county ordinances and state laws relating to building constructionIauthorizerepresentativesofthiscityorcountytoentertheabove-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 herel^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.
■U.I have and will maintain worker's compensation insurance,as required by Section 3700 of the Labor Code,forthe performance of the work for
which this permit is issued.My worker's Compensation insurance carrier and policy are;
PolicyCarrier:SEA BRIGHT INSURANCE COMPANY Expiration
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 subjecttotheworker's compensation laws of Califojnia.and agree that,if I should become subject to the worker's compensation provisions of Section|i^r Codey^S^IIJorthwithy36mp^y with those provisions.
Phone No.:
3700 of the L
Signature of Applicant Date
DECLARATION REGARDING CONSTRUCTION LENDING AGENCY:
I he^jby affh^n under penalty of perjury that there is a construction lending agencyfor the performance of the work for which this permit is issued(Sec.3097.Civ.C);
Lender's Name:
Lender's Address:
UCENSED CONTRACTORS DECLARATION;
I hereby affirm under the penalty of perjury that
Business and Professions im licensed under provisions of chapter 9 (commencing with Section 7000)of Division 3 of the
ise is in full force and effect.
contractor Signarafe Date
NUMBER
679898
EXPIRATION DATE LICENSE TYPE (St
11/30/2009 C36 C20 HTAC
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.
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