2390 S WILLBROOK LN 28Permit Types
BLD ELE MEC PLM
X
Permit Number:BLD2009-01570
issued:05/18/2009
INSPECTION REQUEST LINE:
(714)765 -4626
Quarter Section:89
Site Address:2390 S WILLOWBROOK LN 28
Legal Description:
CITY OF ANAHEIIVl
BUILDING DIVISION
200 S.ANAHEIM BLVD.
(714)765 -5153
Project Description:Plumbing to replace water heater.
Valuation:
Construcion Types;
Total Fees paid for Permit:
N/A,
136.73
People Associated with Project:
Owner
Contractor
Permit Applicant
JANENE G BANKA
GARRETTS PLUMBING INC
JOE UNDERWOOD
2390 S WILLOWBROOK LN #28 ANAHEIM CA 92802-3580
1515 E PALMYRA ORANGE CA 92866 0000
Electrical FixturesType Qty Type 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.fbicf psnnn combo
All applicable items below must be signed before utilities will be released.
FINAL INSPECTIONS INSPECTOR.DATE
Final Gas Test
Building Division Electrical Final
Plumbing Final
Mechanical Final
Cross Connection Control (?14)7654280
Engineerlng/Grading Final (714)765-5126
Fire Dept.Final (714)765-5041
Fire Sprinkler Final (714)765-5041
Water Engineering (714)765-4591
Do not occupy this bjildino until the final inspeclions have been m.Sub List/Business License (714)765-5194BUILDINGPERMITDOESNOTAUTHORIZEELECTRICAL,PLUMBING.OR
MECHANICAL INSTALLATIONS ●SEPARATE PERMITS ARE REQUIRED.Zoning (714)765-5139
Building Final (Last 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/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 (Only after PIbg ,Ele.,Mec.&Fire)
Insulation (Sound/Energy)
Do nol tape or plaster until the following applicable items have been signed:
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
BLO ELE MEC PLM
X
Permit Number:BLD2009-01570
Issued:05/18/2009 CITY OF ANAHEIM
INSPECTION REQUEST LINE:
(714)765 -4626
Quarter Section:89
BUILDING DIVISION
200 S.ANAHEIM BLVD.
(714)765 -5153
Site Address:2390 S WILLOWBROOK LN 28
Legal Description:
OVVNER -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 repairany structure,prior to its issuance,also requires the applicant forthe permit to file a signed statement that he or she is
licensed pursuant tothe provisions of the Contractors'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 Section 7031.5 by any applicant for apermitsubjectstheapplicanttoacivilpenaltyofnotmorethanfivehundreddollars(S500).
I,as owner of properly,or my employees with wages as their sole compensation,will do (_,)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 to anownerofpropertywho,through employees'or personal efforts,builds or improves the property,provided that the improvements are not intended
or offered for saie.if,however,the building or improvement is soid 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).
)all or (
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 iicensed Contractor pursuant to the Contractor's State License Law),
i am exempt from licensure under the Contractors'State License Law for the foliowing reason:
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 entiretybyiicensedcontractors.I understand that a copy of the applicable law.Section 7044 of the Business and Professions Code,is available upon requestwhenthisapplicationissubmittedoratthefollowingWebsite:httD://www.leQinfo.ca-aov/calaw.html.
By my signatire below,I certify to each of the foibwing:
I am the property owner or authorized to act on the property owner's behalf.
1 have read this application and the information I have provided is correct.
I agree to comply with all applicable dty 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 ATTORN EY'S FEES.
I hereby affirm under penalty of perjury one of the following declarations:
-A 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.
K.-’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:DELOS INSUR CO
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 Nfi.2DKRM1-2002-679 Expiration
Phone No.:
^hature of Applicant Date
DECLARATION REGARDING CONSTRUCTION LENDING AGENCY:
I hereby affirm under penafty 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):
LGnde,^s Name;
Lender's Address:
UCENSED CONTRACTORS DECLARATION:
I hereby affirm under the penafty of perjury that I am licensed under provisions of chapter 9 (commencing with Section 7000)of Diwsion 3 of the
Business and Professions Coc^e,ancL/ny Ifc^pse-is in full force^M effect.
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itractor Signature Date
NUMBER
861467
EXPIRATION DATE LICENSE TYPE
11/30/2010 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.
fbid permit combo declare