932 S COUNTRY GLEN WAYPermit Types
TBLD-^ELE MEC PLM
X
Permit Number:BLD2009-01660
Issued:05/27/2009
INSPECTION REQUEST LINE;
(714)765-4626
Quarter Section:227
BUILDING DIVISION
200 S.ANAHEIM BLVD.
(714)765-5153
Site Address:932 S COUNTRY GLEN WAY
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 BEVERLY A SEMAN 932 S COUNTRY GLEN WAY ANAHEIM CA 92808-2600
1235 GRAND AVE SPRING VALLEY CA 91977 0000Contractor
Permit Applicant
CALIFORNIA DELTA MECHANICAL INC
DARCY TOKRAKS
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
permit issuance.A new permit is required to commence or continue work.fhki permit combo
*9m
All applicable items below must be signed before utilities will be released.
FINAL INSPECTIONS DATE INSPECTOR
Final Gas Test
Building Division Electrical Final
Plumbing Final
Mechanical Final
Cross Connection Control (714)765-4280
Engineering/Grading Final (714)765-5126
Fire Dept.Final (714)765-5041
Fire Sprinkler Final (714)765-5041
Water Engineering (714)765-4591Donotoccupythisbuildingunlilthefinalinspectionshavebeenmade.Sub LisUBusiness License (714)765-5194BUILDINGPERMITDOESNOTAUTHORIZEELECTRICAL,PLUMBING,OR
MECHANICAL INSTALLATIONS ●SEPARATE PERMITS ARE REQUIRED,Zoning (714)765-5139
INSPECTION Building Final (Last Inspection -
Only After Above Complete)
DATE 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 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 InspectionsDonotcoverorconcealtheworkbeiowuntilthefollowingapplicableitemshave
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 not tape or plaster until the following applicable items have been signed:
Drywall
<5DrywallPenetrations(Ele.,Mec.&PIbg.)
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 Masler-2008.xls
JOB ADDRESSPERMITAPPUCATIOH PARI z
S.r^s.o-rQ_y Gl-04 V4aV At<AHCJrv\.
NUMBER street
.i ,i kf f'TYPE OF
PERMIT
PERMrr
NUMBER
T5 <?Maln iWh pgTmit.1^6 untf^r?'gntid hnraby ni«s IWiJ pppIlcnlfOrt snd Rar9?^».cflrtlfloa and diSGlaffiSI
Thai rtfillca haa been glvnn rtia that tWt pgrmH mny bo u46<3 eniy In (umpllahca v^Kh lha A»ia?>elrnMurtldpalCieda.and 911 DiharappSlGaSla ijfpinancns and lay/*.
Thai this permit doAH not sllosv occupancy,and ihai ho oct?jjwncy la parffllttad,of the consUycilon
!6i-WhiPh lh»8 permit la iiSUad until It he?hnon BpqravecS in wrlllng by thifl OlRt®tOC OPpypHncy
after final inspBctian.
HiHl.lhln pormll does not allow,and anparwo permits are requirtid lor,any plvmbln2,fttflotrioai,heatingandatOOndltlonlDflwprk,
That a dwble fea will afn paid for any permit isaund nfior any work thereby Hdciwod has been com
menced,
1 egrjw Ihfft Iho city may enter yppn mn job promisee at any rBananablO time ot inspeol ^rry workinstHlIftdundorIhiipCfmllianpotpthftrwBoactasandwhenroqulnidbyIhOAnah^m MynipIpRl
LICENSED CONTRACTOflS DSCLARATION
I hereby affirm thni t am licensed under provletons of Chapwr 9 otommanclng with Soclidft 7000)olpiylstonapiIhpfiualnonanrtdProfessionsepdft,and my llcytse l8 In lull foTCfl and mhaioExp.OatsUceneeClacg
Od'ACcntraclor
OWtER-BUHOlhlO QECLAP WON
Ihnmby affirm ihatl am exempt from tha Contrnoior’a Ucenaeuav#otrthn iDllowIng otafion (Sec,7031.5BunlnnsSnhdPfClessloneCodetanypityarcountywHchNKJiJiresRpennlttDoDnStruct,albw,improve,dsmoUsh ar repair any structure,prior ot Its laauancH,disc r«lUire8 fte npplloant for nuah paitrtil 10 file ftnlgnodBtfltetrienilhalhei?otns^purauam to iho provislene of ote Gontraotor’s Llconois Law (Chaplerfl)(commencir'p with geepon raao □!Dlvlnton 9 of the pyeinene and Profosatono Code)or that he ipoxompiliweffomandtheba?iH forthR nilogod axompHon.Any vtoiatton of aDotion 7031 .B by any sppli-conl far a permft sublecte the eppllennt to a nivll ponahy or not morn than five hundrod dollars (S5DD),
□I,as owner of the prapnrty,or rty empleY«efi With wpge?aa thotr nPlQ compensation,wlR do the work,and the etrvciuro is not Intandod or-offBred !0f sale (Sec,7Q44 Bualnons arid Pfofesstons Code?ThnContractor's licwirh Ldw dmw not apply is an owner of praporty who biilldB Of Improves Iherepn,nndwhodoeseypbworkhlmaalforotrOughhifiownemployew.provldod that such ImprovementB are notfnlenctedorofferedipretjio.H,hnwnyor,tha bi^ldlnp or improvement in nold wlthlri one year of cwiplellort*
the w^e^builder wiiifmvfl ihn burdon of proving That he did notL^Jlld or Imptovo fw the purpose of mIb),
□1.ne thfl DvrnHr .al tha ptoporly,am exclusively contracting with llaOrtaed eoniraetors lo 'wnslruotlheproject($oc,?D44 Bunlnuan nnd Professione Code!The Oontmtor'a LloonCB Law does not apply to snowneroipropertywhobuildsorIrTTprDYesiherton,and who contraats far such pro|ec!fi with ft conlrac-tor(s)licensed pvr^uBnt to thH CanCrnotor*s Lltolfte Law},
□1 am exempt under Sec.B &PC lor this reason
Date Ownar _
WORKEnS'COMPENSATION DECLAlWlON
I horoby Htfinti thw I have a oartffleata of consent to selNnaufti,or
Insurar^oa,or a cert)fi«!copy mereor (Soc.^Boa Lflb.C)PoBcy No
ComaeasBii^*—lCompanyC2BKrUr\C|
Exp.DtoflU i,!2t.QQ^Certified copy lumiahed.
OERTIPICATE op EXEMPT10N*FR0M WORKERS'CO>^
AppllcanI
lagRANCE
(This SQcllon nood not bd tomplated IF the psrmll is tor one hundred dallara ($t00)or IteS).1 certifyrhHl(n thfl porfarmanDQ Oi the work fot which Ibia permit is issued.1 shnll nol Bmploy any porson InanymarmnrnoanotbnoahlDsubject16IheWcrkera'Compensation Lrjwft of CallfamiB.
Applicant
NOTICE TO APPLICANT;II,after making thin CnrlifloHlo of Exempllbft,yeu SbouW beccfflfl lUbJect ottheWorkers'Compensation provisions of otn Lsbar Codn,you muct otrthwllh comply with auch proul-sione or this permit shai be osamsd arvakfld,
Date
CONSTRUCTION LENDING AGENCY
1 hornhy ifflnP Ihil [here fs ft construellon lending agancy lor tha pfirfarmanaa of tba work far which1h!s pDrtViIl is fftSuad {Sec.3097.CiVi C)l
Lender's Name
Lender’s AddrasB
I Cflrtlfy thto t hava rrod this application arri alafa thftl thfl ftbc«e information l8 COfrwt,I flcrso 10 cprnplywlihallcityordlnBriaHaandstaTolawsniltiitngIdbuiwinflcoprttfuctiprT,and hereby authorise reprssen-totlvas oMhIs city ot entor upon oto nhavo mantianod prCpfirty for InspeGlion purposes,THE FEHMIT shall Exsms BY LIMITAHON AMD BECOME NULL AND VOID IF THIS WORK13notQDMMENCEDopcommencedandSUSPENDEDAFTERAPERIODOF180DATS.New PERMIT IS REOUIRSD TO OOMMENCE WORK.
DATE
TPRINTNAMEQFAPRUCANT
Sy
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