418 N COLGATE STPermit Types
BLD ELE MEC PLM
X
Permit Number. BLD2022-05047
Issued: 10/24/2022
www.anaheim.net/building
(714)7654626
Quarter Section: 19
Site Addre"s"s; 418 N COLGATE ST, ANAHEIM, CA 92801
Legal Description:: N TR2775 BL'K LOT 33
:::.. .
APN07063122
CITY OF ANAHEIM
BUILDING DIVISION
200 S. ANAHEIM BLVD.
(714) 765 - 5153
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y .
Project Description: Reroof: Remove existing to Install (25) sq of composition shingles over the entire house and attached garage
Living Area: Number of stories: 1 Valuation: 9,800.00
Garage Area: Construclion Types: WA
Carport Area: Occupancy Groups:
Balcony / Deck Area: Fire SprinMered:
Cool Roof: Total Fees paid for Permit: 340.27
People Associated with Project:
Owner NGUYEN QUAN MINH & PHUONG THU THI 418 N COLGATE ST
Type Electrical Fixtures Qty Type Plumbing Fixtures Qty Mechanical Fixtures Qty
t
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�PHElki CSC
Cityof Anaheim 04 �o
Building Division F a2
U >
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) 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:
Fire Dept. Final (714) 765-5041
Plumbing (GroundlUnderfloor Drain Waste)
Water Engineering (714) 765-4591
Electrical Ground Electrode/Ufer
Sub Llst/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
sioneda
Building Final (714 765-5153)
Last Inspection-Final Only After Above Completed
G�
Plumbing (Ground/Underfloor Water)
Underfloor Rough Gas
PARTIAL INSPECTIONS
Buildinq 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 siane&
1st Floor Shear
Firesprinkler (Rough) (Fire Dept.)
Mechanical Inspections
2nd Fjgw
Abear
f (Sheathi iaphragmlFrame) —
Masonry (Reinf./Bond Beam/Pre-Grout)
Rough Plumbing (Top Out)
Rough Duct (Mechanical)
Rough Mechanical
Rough Electrical
Rough COA/Mitagation Measures
Plumbinq 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. BLD2022-05047
Issued: 10/24/2022
www.anaheim.net/building
(714)765-0626
Quarter Section: 19
Site Address: 418 N COLGATE ST, ANAHEIM, CA 92801
Legal Description: N TR 2775 BLK LOT 33
APN: 07063122
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 ($700,000), 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 workers 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
'r/ ( this permit is issued. My workers Compensation Insurance carrier and policy are:
Carrier. STATE COMPENSATION INSURANCE FUND Policy No.: 1896132 Expiration Date: 211=3
Name of Agent Phone No.:
I certify 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
workers colhipensation laws of California, and agree that, if I should become subject to the workers compensation provisions of Section 3700 of the
Labor e, I shall forthwith comply with those provisions.
Applicant
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):
Lenders Name:
Lender's Address:
LICENSED CONTRACTOR'S DECLARATION:
1 hereby affirm under the pe by 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 nijocense Is In foil force and effect
EXPIRATION DATE
911019 02129/2024
LICENSE TYPE fSt
C39, D49, D41
CL�- z,--(/ 0-7"
Date