700 E SOUTH ST (8)Permit Types
BLD I ELE
I IEC
PLM
1
1 X
Permit Number: BLD2010-04441
Issued:05/09/2011
INSPECTION REQUEST LINE:
(714) 765 - 4626
Quarter Section: 94
Site Address: 700 E SOUTH ST
Legal Description: DREYFUS & OTHER LANDS LOT
CITY OF ANAHEIM
BUILDING DIVISION
200 S. ANAHEIM BLVD.
(714) 765 - 5153
Project Description: Plumbing for on -site underground water and sewer for multi -family development.
Valuation:
Construcion Types:
N/A, ,
Fire Spdnklered?
No
Cool Roof
No
Total Fees paid for Permit:
1.941.88
People Associated with Project
Owner CAL WILD LLC 94 DISCOVERY IRVINE CA 92618-3105
Contractor PORTRAIT HOMES INC 265 N JOY ST #200 CORONA CA 92879 1323
Permit Applicant JIM NUGENT
Type Electrical Fixtures Qty Type Plumbing Fixtures Oty Type Mechanical Fixtures Oty
Water Main per 100 ft.
Sewer per 100 ft.
9
8
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.
r
City of Anaheim
Building Division
Do not occupy this building until the final inspections have been made.
BUILDING PERMIT DOES NOT AUTHORIZE ELECTRICAL, PLUMBING, OR
MECHANICAL INSTALLATIONS - SEPARATE PERMITS ARE REQUIRED.
INSPECTION DATE I INSPECTOR
Do not pour concrete until the following applicable items have been signed:
Plumbing (Ground/Underfloor Drain Waste)
Electrical Ground ElectrodefUfer
Setback/Forms/henches (Footings)
Do not install subfloor or pour floor slab until the follwing applicable items have
been signed:
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)
Do not cover or conceal the work below until the following applicable items have
been signed:
tat Floor Shear
Firesprinkler (Rough) (Fire Dept)
2nd Floor Shear
Roof (Sheathing/Diaphragm/Frame)
Masonry (ReinL/Bond Beam/Pre-Grout)
Rough Plumbing (Top Out)
Rough Duct (Mechanical)
Rough Mechanical
Rough Electrical
Framing (Only after Plbg., Ele., Mac. & Fire)
Insulation (Sound/Energy)
Do not tape or plaster until the following applicable items have been signed:
Drywall
Drywall Penetrations (Eta., Mec. & Plbg.)
Interior Lath
Exterior Lath
GENERAL ITEMS
Electrical Service Meter
Exterior Plaster (Brown Coat)
T-Bar (Struct., Eta., or Mec.)
Sewer
Water Engineering Backflow (Testable Only)
Water Service
All applicable items below must be siqned before utilities will be released
FINAL INSPECTIONS
DATE
INSPECTOR
Final Gas Test
Electrical Final
Plumbing Final
Mechanical Final
Cross Connection Control p14)7es.2e11
Engineering/Grading Final (714)7Wn2e
Fire Dept. Final (714) 765-5041
Fire Sprinkler Final (714) 765.5041
Water Engineering (714) 765-4591
Sub Llst/Business License (714) 765-5194
Zoning 714 765-5139
Building Final (Last Inspection -
Only After Above Complete)
FINAL INSPECTION must be approved by the Building Division.
PARTIAL INSPECTIONS
Building Inspections
Mechanical Inspections
Plumbing Inspections
Electrical Inspections
Permit Backs Master-2008.xis
Permit Types
BLD
ELE
I MEC
I PLM
I
X
Permit Number: BLD2010-04441
Issued: 05/09/2011
INSPECTION REQUEST LINE:
(714) 765 - 4626
Quarter Section: 94
Site Address: 700 E SOUTH ST
Legal Description: DREYFUS & OTHER LANDS LOT
CITY OF ANAHEIM
BUILDING DIVISION
200 S. ANAHEIM BLVD.
(714) 765 - 5153
OWNER - BUILDER DECLARATION:
I hereby affirm under penalty of perjury that I am exempt from the Contractor's License State Law for the following reason(s) Indicated below by the
eheekmark(s) I have placed next to the applicable item(s) (See. 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 is licensed pursuant to the 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 a permit subjects the applicant to a civil penalty of not more than five hundred dollars ($500).
I. as owner of property, or my employees with wages as their sole compensation, will do (--) all or ( 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 an owner of property who,
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:
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 of the
improvements covered by this permit, I cannot legally sell a structure that I have built as an owner -builder if it has not been constructed in its entirety by licensed
contractors. I understand that a copy of the applicable law, Section 7044 of the Business and Professions Code, is available upon request when this application
Is submitted or at the following Web site: htto://vnvw.leginfo.ra.gov/calaw.html
By my signature below, I certify to each of the following:
I am the property owner or authorized to act on the property owners 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 construction
1 authorize representatives of this dty 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 SHALLSUBJECT 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 ATTORNEYS FEES.
I hereby affirm under penalty of perjury one of the following dedarations:
_ ave and will maintain a certificate of consent to self -Insure for workers 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.
I have and will maintain workers compensation insurance, as required by Section 3700 of the Labor Code, for the performance of the work for which this
permit is issued. My workers Compensation Insurance carrier and policy are:
Carrier: STATE FUND
Name of Agent:
Phone No.:
Policy No.: 719-0000320 Expiration Date: 3/19/2012
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
workers compensation laws of California, and agree that, if I should become subject to the workers compensation provisions of Section 3700 of the
Labor Code, I shall forthwith comply with those provisions.
SI nature o pplicent to
Permit Number: BLD2010-04441
DECLARATION REGARDING CONSTRUCTION LENDING AGENCY:
I hereby affirm under penalty 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):
Lender's Name:
Lenders Address:
LICENSED CONTRACTORS DECLARATION:
I hereby affirm under the penalty of perjury that I am licensed under provisions of chapter 9 (commencing with Section 7000) of Division 3 of the
Business and Professi ris Code, and my license is in full force and effect.
C ntra' too Signature Date
NUMBER EXPIRATION DATE LICENSE TYPE (S)
615297 3131/2013 B
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.
fbld permit combo declare