465 S CLEMENTINE STPermit Types
BLD ELE MEC PLM
X
Permit Number: BLD2023-01153
Issued: 03/09/2023
www.anaheim.net/building
(714)765-4626
Quarter Section: 73
CITY OF ANAHEIM
BUILDING DIVISION
2000 S. ANAHEIM BLVD.
(714) 765.5153
Site Address: 465 S CLEMENTINE ST 253, ANAHEIM, CA 92805
;LegelJDescription: A TR DAVIS BROS ADD BLK B LOT 1 DAVIS BROS ADD BLK
APN�03620529
Project Description: Repair: Replace beam over wardrobe closet
Living Area: Number of Stories: 2 Valuation: 350.00
Garage Area: Construction Types: NIA
Carport Area: Occupancy Groups:
Balcony I Deck Area: Fire Sprinldered: No
Cool Roof: Total Fees paid for Permit: 505.50
People Associated with Project:
Contractor BARGAIN CONSTRUCTION SERVICES P O BOX 12203 SAN BERNARDINO, CA
Permit Applicant Gloria Wilson
Owner MY MONTECITO V 6790 CREST RD
Type Electrical Fixtures Oty Type Plumbing Fixtures Oty Mechanical Fixtures Qty
The permit shall expire by limitation and become null and void If the building or work has not passed Anal inspection 365 days from the
date of permit Issuance. A new permit is required to commence or continue work.
P�PHEIIN CqC
Cityof Anaheim 04 io
Building Division F i
u >
�DU�►OED �$�^
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) 766-4280
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
s' e •
Building Final (714 765-5153) �j
Last Inspection-Final Only After Abov�*C Sto s�
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 Shear
Roof (Sheathing/Diaphragm/Frame)
Masonry (Reinf./Bond Beam/Pre-Grout)
Rough Plumbing (Top Out)
Rough Duct (Mechanical)
Rough Mechanical
Rough Electrical
OA/Mitagation Measures
Plumbing Inspections
Framin Only after Plbg., Ele., Mec. & Fire)
Insulation (Sound/Energy)
Do not tape or plaster until the following applicable items have been signe :
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
Constructao
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 r PLM
X
Permit Number: BLD2023-01153
Issued: 03/09/2023
www.anaheim.neUbuilding
(714)765.4626
Quarter Section: 73
CITY OF ANAHEIM
r%,L BUILDING DIVISION
200 S. ANAHEIM BLVD.
(714) 765 - 5153
Site Address: 465 S CLEMENTINE ST 253, ANAHEIM, CA 92805
Legal Description: A TR DAVIS BROS ADD BLK B LOT 1 DAVIS BROS ADD BLK
APN:03620529
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.
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 worker's Compensation insurance carder and policy are:
Cartier: Policy No.: Expiration Date:
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
worker's compensation laws of California, and agree that, if I should become subject to the worker's compensation provisions of Section 3700 of the
Labor Code, I shall forthwith comply with those provisions.
CA v\'�
Sign ure of Applicant
.3I11Iz3
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:
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.
3 Z3
Contra for Signature Date
NUMBER EXPIRATION DATE LICENSE TYPE (Sl
985049 05/31/2024 C20, B
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