1253 N BIG SPRING ST (2)Permit Types
BLD ELE MEC PLM
X
Permit Number: BLD2022-05806
Issued: 12/08/2022
www.anaheim.net/building
(714)765-0626
Quarter Section: 190
CITY OF ANAHEIM
Site Address: 1253 N BIG SPRING ST, ANAHEIM, CA 92807
Legal ;Descriptiob: N TF2 7,449 BLK LOT 12
APN: 34942313 .' ' '
BUILDING DIVISION
200 S. ANAHEIM BLVD.
(7141765.5153
Project Description: Reroof: Remove existing to install (24) sq of composition shingles over anti house and attached garage
Living Area: Number of Stories: 1 Valuation: 12,900.00
Garage Area: Construction Types: NIA
Carport Area: Occupancy Groups:
Balcony I Deck Area: Fire Sprinklered:
Cool Roof, Total Fees paid for Permit: 340.68
People Associated with Project:
Permit Applicant David Flores 2150 N Centre Pkwy STE H Escondido, CA 92026
Owner GARZA TERI E TR THE T 1278 N WILLAMETTE DR
Type Electrical Fixtures Qty Type Plumbing Fixtures Qty 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.
City of Anaheim
Building Division
Do not occupy this buildinq until the final inspections have been made.
INSPECTION I DATE INSPECTOR
Do not pour concrete until the following applicable items have been signed:
Plumbing (Ground/Underfloor Drain Waste)
Electrical Ground Electrode/Ufer
not install subfloor or pour floor slab until the follwing applicable items have been
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)
Floor Nailing (Raised Foundation Only)
2nd Floor (Floor Nailing)
Do not cover or conceal the work below until the following applicable items have
st Floor Shear
ffa—sonry (Reinf./Bond Beam/Pre-Grout)
Rough Plumbing (Top Out)
Rough Duct (Mechanical)
Rough Mechanical
Rouqh Electrical
Rough COAIMitagation Measures
Framing (Only after Plbg., Ele., Mec. & Fire)
Insulation (Sound/Energy)
Do not tape or plaster until the following applicable items have been signed:
FINAL INSPECTIONS I DATE I 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
Fire Sprinkler (ONLY) (714) 765-5041
Fire Dept. Final (714) 765-5041
Water Engineering (714) 765.4591
Sub ListlBus. Lic. (714) 765-5194 (Allow 10 business days)
COA/Migation Measures
Final ( 4 765-5153)
cdeninal Only After Above Complej;-
PARTIAL INSPECTIONS
Buildinq Inspections
Mechanical Inspections
Plumbing Inspections
Drywall
Drywall Penetrations (Ele, Mec & Pibg)
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
Sewer
Water Engineering Backflow, (Testable Only)
Water Service
Permit Types
BLD ELE MEC PLM
X
Permit Number: BLD2022-05806
Issued: 12/08/2022
www.anaheim.net/building
(714)765-4626
Quarter Section: 190
CITY OF ANAHEIM
Site Address: 1253 N BIG SPRING ST, ANAHEIM, CA 92807
Legal Description: N TR 7449 BLK LOT 12
APN: 34942313
WORKER'S COMPENSATION DECLARATION:
BUILDING DIVISION
200 S. ANAHEIM BLVD.
(714) 765 - 5153
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 self -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.
I 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 workefs Compensation insurance carrier and policy are:
Cartier: UNITED WISCONSIN INSURANCE COMPANY Policy No.:851 00218 Expiration Date: 6/1/2023
Name of Agent:
Phone No.:
I certify that in the performance of the work for which this permit is issued, l shall not employ any person in any manner so as to become subject to the
works mpensation laws of California, and agree that, if I should become subject to the worker's compensation provisions of Section 3700 of the
La r Code, ;shall forthwith comply with those provisions.
AiA�-
Signature of Applicant `2I ry2 I G —
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:
Lender's Address:
LICENSED CONTRACTOR'S DECLARATION:
I hereby affirmer the penalty of Perjury that I am licensed under provisions of chapter 9 (commencing with Section 7000) of Division 3 of the Business and
Professions Cod , d{ayl s in full force and effect.
ta I � 12-2-
Contrictbf Signature Date
NUMBER EXPIRATION DATE LICENSE TYPE (S)
1042452 07/31/2024 C39