8242 E BLACKWILLOW CIRPermit Types
BLD ELE MEC PLM
X
Permit Number: BLD2023-01151 -
Issued: 05/10/2023
www.anaheim.net/building
(714)7654626
Quarter Section: 220
CITY OF ANAHEIM
BUILDING DIVISION
200 S. ANAHEIM BLVD.
(7141765 -5153
Site Address: 8242 E BLACKWILLOW CIR 202-204, ANAHEIM, CA 92808
Legel Desciiptlon: N TR 12994 BLK LOT 1 TR NO 12994 PORS. OF LOTS 1 A
APN: 354301/2
Project Description: Repair. Replace beam and plywood to existing deck edge in units 202 & 204.
Living Area: Number of Stories: 2 Valuation: 55,000.00
Garage Area: Construction Types: VB
Carport Area: Occupancy Groups:
Balcony / Deck Area: Fire SpdnMered:
Cool Root Total Fees paid for Permit: 975.40
People Associated with Project:
Permit Applicant James Poe
Owner BARDEEN PARTNERS INC PO BOX 19528
Contractor VINCO CONSTRUCTION CORPORATION 4544 E EISENHOWER CIRCLE200906110859499780 ANAHEIM, CA 92807
ArchitecbEngineer Roberto C Ortiz 1744 W Katella Ave Ste 107 Orange, CA 92867
Type Electrical Fixtures Qty Type Plumbing Fixtures City Mechanical Fixtures Oty
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 penult Is required to commence or continue work.
P�Pr1E1M C9<
City of Anaheim 0� io
Building Division F i
u >
�DVNDED
Do not occupy this buildino 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 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)
COA1MIgation 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
z3
Plumbing (Ground/Underfloor Water)
Underfloor Rough Gas
PARTIAL INSPECTIONS
Buildina 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 Shear
Roof (Sheathing/Diaphragm/Frame)
Masonry (Reinf./Bond Beam/Pre-Grout)
Rough Plumbing (Top Out)
Rough Duct (Mechanical)
Rough Mechanical
Rough Electrical
Rough COAIMitagation Measures
Plumbina Inspections
Framing (Only after Plbg., Ele., Mac. & Fire) s (7
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
3
0 a,'
Electrical Inspections
1514k3
Electrical Service Meter-(Meter will be set within 2-3
business days after approval) Excludes New
ructinn
Exterior Plaster (Brown Coat)-
T-Bar (Strutt., Ele., or Mec.)
Grease Interceptor
Sewer
Water Engineering Backflow (Testable Only)
Water Service
Permit Types
BLD ELE MEC PLM
X
Permit Number 13LD2023-01151
Issued: 05/10/2023
www.tinaheim.net/building
(714)765-4626
Quarter Section: 220
CITY OF ANAHEIM
BUILDING DMSION
200 S. ANAHEIM BLVD.
(714) 765.5153
Site Address: 8242 E BLACKWILLOW CIR 202-204, ANAHEIM, CA 92808
Legal Description: N TR 12994 SLK LOT 1 TR NO 12994 PORS. OF LOTS 1 A
APN: 35430112
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 ATTORNEYS FEES.
1 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.
1 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:
Cartier.O Policy No.: ON0900104 Expiration Date:
Name of Agent: r Phone No.: PTO to & 30
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
workers compensation laws of California, and agree that, U 1 should become subject to the workers compensation provisions of Section 3700 of the
Labor Code, I shall forthwith comply with those
Signature of
Date
s•I�•�3
DECLARATION REGARDING CONSTRUCTION LENDING AGENCY:
1 hereby affirm under penalty of perjury that there Is a construction lending agency for the performance of the work for whish this permit is issued
(Sec.3097.Civ.C):
Lenders Name:
Lenders Address:
LICENSED CONTRACTOR'S DECLARATION:
I hereby affirm 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
Professions Code, and my license Is In full force and effect.
ontractor Signature Date --
NUMBER
359679
EXPIRATION DATE
11/30/2023
8.6
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