1700 W CERRITOS AVE (22)Permit Types
BLD ELE MEC PLM
X X X
Permit Number: BLD2023-00188
Issued: 01/17/2023
www.anaheim.nettbuilding
(714)765.4626
Quarter Section: 50
CITY OF ANAHEIM
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BUILDING
BUILDING DMSION
200 S. ANAHEIM BLVD.
;i71141765 - 5159
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Site Address: 1700 W CERRITOS AVE 341, Anaheim, CA 92804
Legal, Description: N TR 11053 BLK LOT 5 UN 162 TR 11053 LOT 5 UNIT 16
APN: 93978395
Project Description: Residential Remodel: Replace (1) shower with tile, upgrade electrical, and adjust toilet location in bathroom
Living Area: Number of Stories: 1 Valuation: 6,500.00
Garage Area: Construction Types: NIA
Carport Area: Occupancy Groups:
Balcony I Deck Area: Fire Sprinidered: No
Cool Root. Total Fees paid for Permit: 263.38
People Associated with Project:
Permit Applicant Ryan Keene
Owner SPIRIDONOV DMITRY TR THE 1733 ROCK SPRING RD
Type Electrical Fixtures Qty Type Plumbing Fixtures Qty Mechanical Fixtures Qty
Receptacle, switches, lights 3 Shower 1
Water Closet 1
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�PNEIM C.
Cityof Anaheim o� io
Building Division
9
�DUNDE0 %$�^
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 y/J�
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 ElectrodelUfer
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
i n •
Building Final (714 765-5153) 11
Last Inspection -Final Only After Above Completed
Plumbing (Ground/Underfloor Water)
Underfloor Rough Gas
PARTIAL INSPECTIONS
Building Inspections
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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 sioned:
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) Z 3
Rough Duct (Mechanical)
Rough Mechanical
Rough Electrical 'li�%L3 e -
Rough COA/Mitagation Measures
Plumbing 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
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Drywall Penetrations (Ele, Mec & Plbg)
Interior Lath
7ti3(Zl
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 X X
Permit Number: BLD2023-00188
Issued: 01/17/2023
www.anaheim.net/building
(714)765.4626
Quarter Section: 50
CITY OF ANAHEIM
BUILDING DMSION
200 S. ANAHEIM BLVD.
(714) 765-5153
Site Address: 1700 W CERRITOS AVE 341, Anaheim, CA 92804
Legal Description: N TR 11053 BLK LOT 5 UN 162 TR 11053 LOT 5 UNIT 16
APN:93978395
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:
1 have and will maintain a certificate of consent to selfainsure 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
this permit Is issued. My workers Compensation Insurance carrier and policy are:
Cartier. CLEAR SPRING PROPERTY AND CASUALTY COMPANY Policy No.: CWC00463801 Expiration Date: 21112024
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 compensation laws of California, and agree that, if I should become subject to the workers compensation provisions of Section 3700 of the
Labor Code,1 shall forthwith comply with those provisions.
rgna ure df-,Pplicdnt 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 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.
Con, Tactor nature
NUMBER EXPIRATION DATE LICENSE TYPE (S)
1085189 12/31/2023
I-i:�L-z-5
Date