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2032 E CERRITOS AVE (2)Permit Types BLD ELE MEC PLM i- X Permit Number: BLD2009-03589 Issued: 02101 /2010 INSPECTION REQUEST LINE: (714) 765 - 4626 Quarter Section: 117 $1te Addilass: 2032 E'CERRITOS AVE (Clear Wire) Legal Description': CITYF -ANAH EI M • 13UILDING'DIVISION 200 s: ANAHEIM BLVD. (714) 765 - 5153 Project Description: Electrical for Antenna Cell Site: Electrical for 3 Antennas 1 microwave dish on existing tower and 1 cabinet at ground level. Valuation: $15,000.00 Construcion Types: N/A, , Fire Sprinklered? No Cool Roof No Total Fees paid for Perrnit: 490.12 People Associated with Project: Owner SOUTHERN CALIFORNIA EDISON 2244 WALNUT GROVE ROSEMEAD CA 91770 Contractor J R ELECTRIC 11515 FIRST AVE WHITTIER CA 90604 0000 Permit Applicant JORDAN MOORE Type Electrical Fixtures Qty Type Plumbing Fixtures Qty Type Mechanical Fixtures Qty Meter/Disc Sw - under 600 V, up to 200 1 amps 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 oombo 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 I DATE I INSPECTOR Do not pour concrete until the following al., _,ble items have been signed: Plumbing (Ground/Underfloor Drain Waste) Electrical Ground Electrode/Lifer SetbacklFormslTrenches (Footings) Do not install subfloor or pour floor slab until .; _- iollwing applicable items have been signed. Plumbing (Ground/Underfloor Water) Underfloor Rough Gas Mechanical (Groundwork) Electrical (Underground Conduit) Pre -slab (Compaction/Membrane Reinf.) Floor (JoistlGirdem) Underfloor Insulation (Raised Foundation Only) 2nd Floor (Floor Nalling) Do not cover or conceal the work below until the following applicable items have 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) Rough Mechanical Rough Electrical Framing (Only after Plbg., Ele., Mac. 8 Fire) Insulation (Sound/Energy) Do not tape or plaster until the following applicable items have been signed: Drywall Drywall Penetrations (Ele., Mec. & Plbg.) Interior Lath Exterior Lath GENERAL ITEMS Electrical Service Meter Exterior Plaster (Brown Coat) T-Bar (Struct., Ele., or Mac.) Sewer Water Engineering Backflow (Testable Only) Water Service All applicable items below must be signed before utilities will be released. . FINAL INSPECTIONS DATE INSPECTOR Final Gas Test Electrical Final Plumbing Final Mechanical Final Cross Connection Control pul 76"2W Engineering/Grading Final p14l76"128 Fire Dept. Final (714) 765-5041 Fire Sprinkler Final (714) 765.5041 Water Engineering (714) 7654591 Sub List/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 22 2ol Permit Backs Master-2008.x1s Permit Types BLD ELE MEC 't r X I I PLM Permit Number: BLD2009-03589 Issued: 02/01/2010 INSPECTION REQUEST LINE: (714) 765 - 4626 Quarter Section: 117 Site Address: 2032 E CERRITOS AVE (Clear Wire) Legal Description: CITY OF ANAHEIM BUILDING DIVISION 200 S. ANAHEIM BLVD. (714) 765 - 6153 OWNER - 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, after, improve, demolish or repalr any structure, priorto its Issuance, also requires the applicant forthe permit to file a signed statement that he or she is licensed pursuanttothe 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 ficensure andthe basis for the alleged exemption. Any violation of Section 7031.5 by any applicant for a permt 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 Contractors State License Law). I am exempt from licensure under the Contractors' State License Law for the following reason: Bymy 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 B 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://www.lecinfo.ca.00v/calawhtml By my signature below, I certify to each of the following: I am the property owner or authorized to act on the property owner's 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 I authorize representatives of this city or county to enter the above -identified property for inspection purposes. Signature of Property Owner or Authorized Agent 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 ATTORNEY'S FEES. I hereby affirm under penalty of perjury one of the following declarations: ave and will maintain a certificate of consent to salt -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. 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: C ner: EXEMPT Polio N&.XEMPT Ex piration Date: ame of Agent: _ Phone No.: I ca fy'thet 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 worker's compensation provisions of Section 3700 of the Labor Code, I shall f hwlth comply with those provisions. Sig 6r of Applicant( D to Permit Number: BLD2009-03589 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: Lender's Address: LICENSED CONTRACTORS DECLARATION: I hereby aff'r Punder the penalty of perjurythat I am licensed under provisions of chanter 9 (commencing with Section 7000) of Division 3 of the Busines n rofessions Code, and1my license is in full force and effect. / CoMijt r ignature D e NUMBER EXPIRATION DATE LICENSE TYPE (S) 942250 1/31/2012 C10 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 oermit combo declare