424 S BENWOOD DRPermit Types
BLD ELE MEC PLM
X
Permit Number. BLD2023-02224
Issued: 05/08/2023
www.anaheim.net/building
(714)765.4626
Quarter Section: l3
Site Address: 424 S BENWOOD DR, ANAHEIM, CA 92804
Legal Description: N TR 2400 BLK LOT 89
APN:12608302
CITY OF ANAHEIM
BUILDING DIVISION
200 S. ANAHEIM BLVD.
(714) 765.5153
Project Description: Reroof: To remove and install (19) sq of composition and shingles over house and attached garage.
Living Arca: Number o1 Storks: 1 Valuation: 8,500.00
Garage Area: Construction Types: NIA
Carpon Area: Occupancy Groups:
Balcony I Deck Area: Fire Sprinkkred:
Cool Roof: Total Fess paid for Permit: 340.11
People Associated with Project:
Contractor MODERN ROOFING INC 2219 W OLIVE AVE #282200307150853444290 BURBANK, CA 91505
Permit Applicant Anton Ovsepyan
Owner MY, JAM 424 S BENWOOD
Type Electrical Fixtures Qty Type Plumbing Fixtures Qty Mechanical Fixtures Oly
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�Pr1E1M CqC
Cityof Anaheim o� io
Building Division z
U >
�DUNDEC) �$h^
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 I INSPECTOR
Fire Sprinkler (ONLY) (714) 765-5041
Do not pour concrete until the following applicable items have been signed:
Fire 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
sianed7
Building Final (714 765-5153)
Last Inspection -Final Only After Above Completed
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 sinned:
1st Floor Shear
Firesprinkler (Rough) (Fire Dept.)
Mechanical Inspections
2nd Floor
Ro S eathin iaphragm/Frame) W JJG
Mas mf./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
Construction
Exterior Plaster (Brown Coat)
T -Bar (Struct., Ele., or Mec.)
Grease Interceptor
hackfill unipse signed oft)
(nn not
Sewer
Water Engineering Backflow (Testable Only)
Water Service
Permit Types
BLD ELE MEC PLM
X
Permit Number: BLD2023-02224
Issued: 05/08/2023
www.anaheim.net/building
(714)765.4626
Quarter Section: 13
Site Address: 424 S BENWOOD DR, ANAHEIM, CA 92804
Legal Description: N TR 2400 BLK LOT 89
APN: 12608302
CITY OF ANAHEIM
BUILDING DIVISION
200 S. ANAHEIM BLVD.
(714) 765 - 5153
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.
1 hereby affirm under penalty of perjury one of the following declarations:
1 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 worker's compensation insurance, as required by Seclion 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:
Cartier. AMERICAN ZURICH INSURANCE COMPANY Policy No.: WC16250D201 Expiration Date: 12/31/2023
Name of Agent . Phone No.:
1 certify that in the performance of the work for which this pemhit is issued, I shall not employ any person in any manner so as to become subject to the
worker's compensation laws of California, and agree that, It 1 should become subject to the worker's compensation provisions of Section 3700 of the
Labor Co shag th comply with those provisions.
5- 9-a.5
Signature oWpplicant Date
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 CONTRACTOR'S DECLARATION:
1 hereby affirm under the penalty of Perjury that I am licensed under provisions of chapter 9 (commenting with Section 7000) of Division 3 of the Business and
Professions Code, and my license is in full tome and adt.-*—/
Contractor Signature Date
NUMBER EXPIRATION DATE
807881 07/312024
LICENSE TYPE (S)
C39, B