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955 E BROADWAY STPermit Types BLD ELE MEC PLM X Per;:n't Number:BLD2009-01606 Issued;05/21/2009 INSPECTION REQUEST LINE: (714)765-4626 Quarter Section:93 BUILDING DIVISION 200 S.ANAHEIM BLVD. (714)765-5153 Site Address:955 E BROADWAY ST Legal Description: 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 STACIA M MILNER 955 E BROADWAY ST ANAHEIM CA 92805-4140 30300 PUERTO VALLARTA MENIFEE CA 92584 0000Contractor Permit Applicant ALL STAR WATER HEATERS INC JOSH KEATING Qty TypeTypeElectricalFixtures 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 permit issuance.A new permit is required to commence or continue work.Ibid parmii .cornbo Ail applicable items below must be signed before utilities will bffreleased. FINAL INSPECTIONS DATE INSPECI3R Final Gas Test Building Division Electrical Final Plumbing Final Mechanical Final Cross Connection Control (7i4)76s-428o Engineering/Grading Final <7i4)765-5126 Fire Dept.Final (714)765-5041 Fire Sprinkler Final (714)765-5041 Water Engineering (714)765-4591 Do not occupy this buildino until the final inspections have been made. 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 Electrode/Ufer PARTIAL INSPECTIONSSetback/Forms/Trenches (Footings) Do not install sublloor 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 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 eekm □(PiRFDFraming(Only after PIbg.,Ele.,Mec.&Fire) Insulation (Sound/Energy)NoPEG I OPDonottapeorplasteruntilthefollowingapplicableitemshavebeensigned: Drywall ^'Ttw-f El Drywall Penetrations (Ele.,Mec.&PIbg.) Interior Lath ^'j^\/E-or&Exterior Lath DATE: 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 ADDRESS PART 2 25S NUMBER ^STRE^'hPERMIT NUMBER p)i \j.A'l'<i-ri!:V.TYPE OFi_Li PERMIT To oblala thli permit,the undersigned hereby files this application at^d agrees,cedines and declares: That notice has been given me that this permit may be used only in compliance with the AnaheimMunicipalCode,and all other applicable ordinaries and laws. That this permit does not allow occupariy.and that no occupariy Is permitted,of the constructionlorwhichthispermitIsissueduntilIthasbeenapprovedInwritingbythisofficeforoccupancyafterfinalirrsp^on. That this permit does not allow,and separate permits are required lor.any plumbing,electrical,heatingandairconditioningwork. That a double lee will be paid lor 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 lime to Inspect any work installed under ihls permit,and to otherwiss act as and when required by the Anaheim Municipal Code. 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 lull force and effect.9-.^0^(0LicenseClassLie.Number Exp.Date Contractor 'bwNER-BLULDIP^DECLARATIONIherebyafllrntthatIamexemptfromtheContraCTbr'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 lor such permit to file asignedstatementthatheislicensedpursuenltotheprovisionsoftheContractor's License Law (Chapter9}(commencing with Section 7000 of Division 3 of the Business and Professions Code)or that he Is exempt therefrom and the basis for the alleged exemption.Any violation of Section 7031.5 by any applicantforapermitsubjectstheapplicanttoacivilpenaltyofnotmorsthanfivehundreddollars($500). Q I,as owner of the property,or my employees with wages as their sole eompensabon,win do the work,and the structure Is not Intended or offered for sale (Sec.7044 Business and Professions C^e:The Contractor'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 employees,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 lor the purpose of ^e). O I.as the owner of the properly,am exclusively contracting with licensed contractors to construct theproject(Sec.7344 Business and Professions Code:The Conlrator's License Law does not apply to anownerofpropertywhobuildsorimprovesthereon,and who contracts lor such projects with a contrac-tor(s)licensed pursuant to the Contractor's License Law). □I am exempt under Sec.B &PC for this reason Dale WORKERS'COMPENSATION DECLARATION I hereby affirm that 1 have a certflcate of consent to self-insure,or a certfflcals of Wocj^'Compensation ^.Insurance,or a certified copy thereof (Sec.3B00 Lab.C)Policy No. Certified copy furnished.Exp.Date ■Q‘7 .Applicant CERTIFICATE OF EXEMPTION FROM WORKERS'COMPEN^TION INSURANCE (This section need not be completed If the permit is lor one hundred dollars ($100)or less).I certifythatIntheperformanceoftheworklorwhichthispermitIsIssued,I shall not employ any person InanymannersoastobecomesubjecttotheWorkers’Compensation Laws ol California. Applicant NOTICE TO APPLICANT:II,after making this Certifieate of Exemption,you should become subject totheWorkers'Compensation provisions ol the Labor Code,you must forthwith comply with such pro^-slons or this permit shall be deemed revoked. I I Date. CONSTRUCTION LENDING AGENCY I hereby affirm that there Is a consfruelion lending agency lor the performartce of the work for whichthispermitisIssued(See.3097.Civ.C): Lender's Namei Lender's Address I certify that I have.read this application and state that the above information is correct,i agree to complywithaiidtyordinancesandslatelawsrelatingtobuildingconstruction,and hereby authorize representativesofthiscitytoenterupontheabovementionedpropertyforInspectionpurposes.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 190 DAYS. NEW PERMIT IS REQUIRED TO COMMENCE WORK. I DATE PRINT NAME OF APPLICANT BY OWNE^AGENT-BUIL^R-OFFICER BLOG ●18 Rev.6/68