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629 N BUSH ST (3)Permit Types BLD ELE MEC PLM X Pern;-t Number:BLD2009-01608 Issued:05/21/2009 INSPECTION REQUEST LINE: (714)765-4626 Quarter Section:82 BUILDING DIVISION 200 S.ANAHEIM BLVD. (714)765 -5153 Site Address:629 N BUSH ST Legal Description:N TR 1659 LOT 25 Project Description:Plumbing for residential remodel:Change out water heater. Valuation: Construcion Types: Total Fees paid for Permit; N/A, 136.73 People Associated with Project; Owner TERRY A HARRISON 629 N BUSH ST ANAHEIM CA 92805-2117 30300 PUERTO VALLARTA MENIFEE CA 92584 0000Contractor Permit Applicant ALL STAR WATER HEATERS INC JOSH KEATING Electrical Fixtures Qty Type Plumbing Fixtures Qty TypeType 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 permit issuance.A new permit is required to commence or continue work.flilU pon''i‘‘ombo All applicable items below must be signed before utilities will be released. INSPECl^ORFINALINSPECTIONSDATECityofAnaheimFinalGasTest Building Division Electrical Final Plumbing Final Mechanical Final Cross Connection Control (714)76s-j28o Engineering/Grading Final (7i4)765.si26 Fire Dept.Final (714)765-5041 Fire Sprinkler Final (714)765-5041 Water Engineering (714)765-4591Donotoccupythisbuildinguntilthefinalinspectionshavebeenmade. 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 INSPECTION DATE Building Final (Last Inspection - Only After Above Complete) INSPECTOR Do not pour concrete until the following applicable items have been signed: Plumbing (Ground/Underfloor Drain Waste)FINAL INSPECTION must be approved by the Building Division. Electrical Ground Eiectrode/Ufer PARTIAL INSPECTIONSSetback/Forms/Trenches (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 InspectionsDonotcoverorconcealtheworkbelowuntiithefollowingapplicableitemshave 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 Plbg.,Ele.,Mec.&Fire) Insulation (Sound/Energy) Do not tape or plaster until the following applicable items have been signed:■V ^~^0\^Drywall Drywall Penetrations (Ele.,Mec.&Plbg.) Interior Lath Exterior Lath GENERAL ITEMS Electrical Inspections 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 APPLICATION JOB ADDRESSZ'^A.J,/^o^L -S1. OnBER gu.W:^t-Ql(/C6. PART 2 N STREET Px^ilArCiPERMIT NUMBER TYPE OF PERMIT To obtain this pormll.the undtrsigned hereby tiles this application and agrees,certifies and declares: That notice has been given me that this permit may be used only In compliance with the AnaheimMunicipalCode,and all other applicable ordinances and laws. That this permit does not allow occupancy,end that no occupancy is permitted,of the constructionlorwhichthispermitIsIssueduntilIthasbeenapprovedinwritingbythisofficeforoccupancyafterfinalInsp^on. That this permit does not allow,and separate permits are required lor.arty plumbing,eleetrical.heat* irtg and air eonditionictg work. That a double fee will be paid for any permit Issued after any work thereby allowed has been com*menced. I agree that the City may enter upon the Job premises at any reasonable time to Inspect any workInstalledunderthispermit,and to otheiyhse act as and when required by the Anaheim Municipal Coda, LICENSED CONTRACTORS DECLARATION I hereby affirm that I am licensed under provisions of Chapter 9 (commencing with Section 7000)ofDivision3oftheBusinessandProfessionsCode,and my license is In full force and effect./D ^ .Lie.Number Exp,DateLicenseClass Contractor OWNER-BUILDING DECLARATION I hereby afflrrn that I am exempt from the Contractor's License Law for the following reason (Sec.7031.5BusinessandProfessionsCode: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 such permit to file s signed statement that he is licensed pursuant to the provisions of the Contractor’s License Law (Chapter9)(commencing with Section 7000 of Division 3 of the Business and Professions Code)or that ha isexempttherefromandthebasisfortheallegedexemption.Any violation of Section 7031.5 by any applicantforapermitsubjectstheapplicanttoacivilpenaltyofnotmorethanfivehundreddollars($500). □I,as owner of the property,or my employees with wages as their sole compensation,will do the work,and the structure Is not Intended or offered for sale (See.7044 Business end Professions Code:TheContractor's License Law does not apply to an owner of property who builds or Improves thereon,and who does such work himself or through his own employeas,provided that such improvements are notIntendedorofferedforsale.If,however,the building or Improvement Is sold within one year of completion,the owner-builder will have the burden of proving that he did not build or improve for the purpose of tale). □1,at the owner of the property,am exclusively eoniraeting with licensed contractors to construct theproject(Sec.7344 Business and Professloris Code:The Conlretor's License Law does not apply to anownerofpropertywhobuildsorImprovesthereon,and who contracts lor such projects with a contrac-lor(s)licensed pursuant to the Contractor's License Law). □I am exempt under Sec.B A PC lor this reason Date Owner WORKERS'COMPENSATION DECLARATION I hereby affirm that I have a certincsle of consent to self-insure,or a Insurance,or a cerllfied copy thereof (Sec.3300 Lab.C)Policy No., Certified copy furnished.Exp.Data ~l,Applicant *'^CERTIFICATE OF EXEMPTION FROM WORKERS’COMPEN^Of/lNSURA (This section need not be complaied if the permit Is lor one hundred dollars ($100)or less).I certifythatintheperformanceoftheworklorwhichthispermitIsIssued.I shall not employ any person insnymannersoestobecomesubjecttotheWorkers'Compensstion Laws of California, Date. NOTICE TO APPLICANT:If,after making this Certificate of Exemption,you should become subject totheWorkers'Compensation provisions of the Labor Cods,you must forthwith comply with such provisionsorthispermitshallbedeemedrevoked. Applicant CONSTRUCTION LENDING AGENCY I hereby affirm that Ihere It a construction lending agency lor the performance of the work for whichthispermitIsissued(Sec.3097.Civ.C): Lender's Name Lender's Address 1 certify that I have read this application and stats that the above inlormadon It correct.I agree to complywithallcityordinancesandstatslawsrelatingtobuildingconstruction,and hereby authorize represen-tattves of this dty to enter upon the above mentioned property lor irtspection purposes.THE PERMIT SHALL EXPIRE BY LIMITATION AND BECOME NULL AND VOID IF THIS WORK IS NOT COMMENCED OR COMMENCED AND SUSPENDED AFTER A PERIOD OF 160 DAYS. NEW PERMIT IS REQUIRED TO COMMENCE WORK. I DATE PRINT NAME OF APPLIC LBY FICER BLDG -13 Rev.6/38