908 S ANAHEIM BLVDPermit Types
BLD ELE MEC PLM
X
Permit Number: BLD2022-05150
Issued: 10/28/2022
www.anaheim.net/building
(714)765-4626
Quarter Section: 86
CITY OF ANAHEIM
BUILDING DIVISION
200 S. ANAHEIM BLVD.
(714) 765.5158
Site Address: 908 S ANAHEIM BLVD, ANAHEIM, CA 92805
:LegaiDescription: N TR 1245 BLK LOT 17R 1245 LOT 1 NWLY 56.5 FT
APN: 2W%102
Project Description: Residential Addition: Replacing (12) retrofit windows, like for like
Living Area: Number of Stories: 1 Valuation: 15,090.00
Garage Area: Construction Types: WA
Carport Area: Occupancy Groups:
Balcony / Deck Area: Fire Spdnldered:
Cool Roof: Total Fees paid for Permit: 276.96
People Associated with Project:
Owner SCHWARCZ KIM TR MARGARET 22 SEAWOLF PASSAGE
Type Electrical Fixtures City Type Plumbing Fbdures City Mechanical Fixtures Qty
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.
P�p.NEIM cq<
Cityof Anaheim D� �o
Building Division F z
U >
�DGNDED
Do not occupy this building until the final inspections have been made.
FINAL INSPECTIONS
DATE
INSPECTOR
All applicable items below must be signed before utilities are released
Final Gas Test
Electrical Final
Plumbing Final
Mechanical Final
Cross Connection Control (714) 765-4280
Engineering Final (714) 765-5126
INSPECTION I DATE INSPECTOR
Fire Sprinkler (ONLY) (714) 765-5041
Do not pour concrete until the following applicable items have been signed:
Fin; Dept. Final (714) 765-5041
Plumbing (Ground/Underfloor Drain Waste)
Water Engineering (714) 765-4591
Electrical Ground Electrode/Ufer
Sub List/Bus. Lic. (714) 765-5194 (Allow 10 business days)
Setback/Forms/Trenches (Footings)
COA/Migation Measures
Do not install subfloor or pour floor slab until the follwing applicable items have been
Building Final (714 765-5153)
Last Inspection-Final Only After Above Completed
Il�-
Ir (I d
Plumbing (Ground/Underfloor Water)
Underfloor Rough Gas
PARTIAL INSPECTIONS
Building Inspections
Mechanical (Groundwork)
Electrical (Underground Conduit)
Pre-slab (Compaction/Membrane Reinf.)
Floor (Joist/Girders)
Underfloor Insulation (Raised Foundation Only)
Floor Nailing (Raised Foundation Only)
2nd Floor (Floor Nailing)
Do not cover or conceal the work below until the following applicable items have
been s' e •
1st Floor Shear
Firesprinkler (Rough) (Fire Dept.)
Mechanical Inspections
2nd Floor Shear
Roof (Sheathing/Diaphragm/Frame)
Masonry (Reinf./Bond Beam/Pre-Grout)
Rough Plumbing (Top Out)
Rough Duct (Mechanical)
Rough Mechanical
Rough Electrical
Rough COA/Mitagation Measures
Plumbing Inspections
Framing (Only after Plbg., Ele., Mec. & 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
Electrical Inspections
Electrical Service Meter-(Meter will be set within 2-3
business days after approval) Excludes New
Constructoo
Exterior Plaster (Brown Coat)
T-Bar (Struct., Ele., or Mec.)
Grease Interceptor
Sewer
Water Engineering Backflow (Testable Only)
Water Service
Permit Types
BLD ELE MEC I PLM
X
Permit Number: BLD2022-05150
Issued: 10/28/2022
www.anaheim.net/building
(714)765-0626
Quarter Section: 85
CITY OF ANAHEIM
BUILDING DMSION
200 S. ANAHEIM BLVD.
(714) 765 - 5153
Site Address: 908 S ANAHEIM BLVD, ANAHEIM, CA 92805
Legal Description: N TR 1245 BLK LOT 1 TR 1245 LOT 1 NW_ LY 56.5 FT
APN: 23413102
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:
I have and will maintain a certificate of consent to self4nsure 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.
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. NOR -GUARD INSURANCE COMPANY Policy No.: PVWC39561 Expiration Date: 6/30/2023
Name of Agent: Phone No.:
I ce' at 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
ees compensation laws of California, and agree that, if I should become subject to the workers compensation provisions of Section 3700 of the
bor de, I s I orOiwlth comply with those provisio .
�DI���12�2�
SignatureApplicant Date _T
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):
Lenders Name:
Lenders Address:
LICENSEDNTRACTOWS DECLARATION:
I hereby afB under the penalty of Perjury that I am license nder provisions of chapter 9 (commencing with Section 7000) of Division 3 of the Business and
Professde, and y li is in full force and effect.
�O
Contractor Signature " Date
NUMBER EXPIRATION DATE LICENSE TYPE ISl
1065570 04/30/2024 B. B, B. C17, C17, C17