1808 E CLIFPARK WAYPermit Types
BLD ELE MEC PLM
X
Permit Number: BLD2023-02356
Issued: 05/15/2023
www.anaheim.net/building
(714)765-0626
Quarter Section: 105
Site Address: 1808 E CLIFPARK WAY, Anaheim, CA 92805
Legal Description: N TR 6409 BLK LOT 163
APN:23408303
CITY OF ANAHEIM
BUILDING DMSION
200 S. ANAHEIM BLVD.
(7141 765 - 5153
Project Description: Reroof: Remove existing to install (28) sq of composition shingles over entire house and attached garage
W1
Living Area: Number of Stories: 1 valuation: 7,500.00
Garage Area: Constriction Types: WA
Carport Area: Occupancy Groups:
Balcony / Deck Area: Fire Spdnldered:
Cool Roof: Total Fees paid for Permit: 339.98
People Associated with Project:
Contractor CALIFORNIA FIRST ROOFING INC 5850 W 3RD STREET,SUITE 0288 LOS ANGELES, CA
Permit Applicant Shir Aviv
Owner NICKERSON, GARY & ARMIDA 1808 E CLIFPARK WAY F
Type Electrical Fixtures Qty Type Plumbing Fixtures Qty Mechanical Fbdures 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 now permit Is required to commence or continue work.
Pr1rHElAJ C�<
City of Anaheim
OF
Building Division F z
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�DVNDED
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 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 ListlBus. Lic. (714) 765-5194 (Allow 10 business days)
Setback/Forms/Trenches (Footings)
Do not install subfloor or pour floor slab until the follwing applicable items have been
COA/Migation Measures
Building Final (714 765-5153) Z.
Last Inspection -Final Only Ager Above Completed
/y
Plumbing (Ground/Underfloor Water)
I InA-41 ... 0-...-.1. /-_
-a• r
Mechanical (Groundwork) PARTIAL INSPECTIONS
Electrical (Underground Conduit) Buildina Inspections
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 Maned -
1st Floor Shear
Firesprinkler (Rough) (Fire Dept.) Mechanical Inspections
2nd Floo
qo-o-f—Kh—eathing/Olaphr m/Frame)
Masonry (Reinf./Bond Beam/Pre-Grout)
Rough Plumbing (Top Out)
Rough Duct (Mechanical)
Rough Mechanical
Rough Electrical
Rough COA/Mitagation Measures Plumbing Inspections
Framing (Only after Plbg., Ele., Mac. & 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. BLD2023-02356
Issued: 05/15/2023
www.anaheim.net/building
(714)765-0626
Quarter Section: 105
Site Address: 1808 E CLIFPARK WAY, Anaheim, CA 92805
Legal Description: N TR 6409 BLK LOT 163
APN:23406303
CITY OF ANAHEIM
BUILDING DIVISION
200 S. ANAHEIM BLVD.
(7141 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 ($100,000), IN ADDITION TO THE COST OF COMPENSATION, DAMAGES AS PROVIDED
FOR IN SECTION 3706 OR THE LABOR CODE. INTEREST, AND ATTORNEYS 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
�Q 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 tabor Code, for the performance of the work for which
this permit is issued. My worker's Compensation insurance carrier and policy are:
Cartier. STATE COMPENSATION INSURANCE FUND Policy No.: 9321917 Expiration Date: 7A28/2023
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.
Signature 0`7 idant
/ �J— e-)
Date T T
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.
Contractor S ature Date
�►sls
NUMBER EXPIRATION DATE LICENSE TYPE IS)
1094851 08/31/2024 B. C39