1823 N BUDLONG CIR (5)Permit Types
BLD ELE MEC PLM
X
Permit Number: BLD2022-04629
Issued: 09/29/2022
www.anaheim.net/building
(714)765-0626
Quarter Section: 171
CITY OF ANAHEIM
Site Address:..1823 N. BUDLONG CIR, ANAHEIM, CA 92807
Legal De ptlon: N TR 6688 BLK IOT;31
APN�r34305121
BUILDING DIVISION
200 S. ANAHEIM BLVD.
1714) 765 - 5153
Project Description: Residential Remodel: Replace (1) sliding door, like for like changeout
Living Area: Number of Stories: 1 Valuation: 1,500.00
Garage Area: Construction Types: NIA
Carport Area: Occupancy Groups:
Balcony/ Deck Area: Fire Sprinldered:
Cool Roof: Total Fees paid for Permit: 167.00
People Associated with Project:
Owner DOLEN HARRY ANTHONY TR 1823 N BUDLONG CIR
Type Electrical Fixtures Qty Type Plumbing Fixtures 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�1E1114 c9<
Cityof Anaheim c� io
Building Division
u >
�DU�►DED
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) 7654280
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:
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)
COAIMigation Measures
Do not install subfloor or pour floor slab until the follwing applicable items have been
smonede
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 swonede
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
Plumbina 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
Sewer
Water Engineering Backflow (Testable Only)
Water Service
Permit Types
BLD ELE MEC PLM
X
Permit Number: BLD2022-04629
Issued: 09/29/2022
www.anaheim.net/building
(714)765-4626
Quarter Section: 171
Site Address: 1823 N BUDLONG CIR, ANAHEIM, CA 92807
Legal Description: N TR 6688 BLK LOT 31
APN:34305121
WORKER'S COMPENSATION DECLARATION:
CITY OF ANAHEIM
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 selfeinsure for worker's compensation, issued by the Director of Industrial Relations as provided for by
y _ ` Section 3700 of the tabor 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 worker's Compensation insurance carrier and policy are:
Cartier. OLD REPUBLIC INSURANCE COMPANY Policy No.: MWC314158 Expiration Date: 1011122M
Nam. of Agent: Phone No..
1 cer i 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
worke compensation laws of California, and agree that, if I should become subject to the worker's comps setion provisions of Section 3700 of the
Labor e, I shall forthwith comply with those provisions.
L
Signature of Applicant Date
DECLARATION REGARDING CONSTRUCTION LENDING AGENCY:
I hereby Minn 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:
CONTRACTOR'S DECLARATION:
I h by afli 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
P ssions ode, and my license Is In full force and effect.
Contractor Signature Date
NUMBER EXPIRATION DATE LICENSE TYPE ISl
990416 07/31/2023 B, C17