1831 W CRESTWOOD LNPermit Types
BLD ELE MEC PLM
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Permit Number: BLD2023-00263
Issued: 01/19/2023
www.anaheim.net/building
(714)765-4626
Quarter Section: 50
CITY OF ANAHEIM
Site Address: 1831 W CRESTWOOD LN, ANAHEIM, CA 92804
• max";'::.; .
Legal Description: N:TR 2222 BLK LOT 44
APN: 12855103'
BUILDING DIVISION
200 S. ANAHEIM BLVD.
(714) 765 -5153
Project Description: Reroof: To remove existing and install (16) squares of torch down over flat roof for detached carport area only
Living Area: Number of Stories: 1 Valuation: 13,500.00
Garage Area: Construction Types: N/A
Carport Area: Occupancy Groups:
Balcony / Deck Area: I Fire Sprinidered:
Cool Roof: Total Fees paid for Permit: 342.78
People Associated with Project:
Permit Applicant. ISRAEL BERBER, CEO 4728 CALIFORNIA AVE NORCO, CA 92860
Owner VILLA DE GRACIA LLC 16625 SW RANCHVIEW RD
Type Electrical Fixtures City Type Plumbing Flxtures City Mechanical Fixtures 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 new permit Is required to commence or continue work.
City of Anaheim
Building Division
I FINAL INSPECTIONS I DATE I INSPECTOR I
All applicable items below must be signed before utilities are released
Final Gas Test
Electrical Final
Plumbina Final
Mechanical Final
(Cross Connection Control (714) 765-4280 1 1 1
Do not occupy this building until the final inspections have been made. I 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 Electrode/Ufer
Sub List/Bus. Lic. (714) 765-5194 (Allow 10 business days)
Setback/Forms/Trenches (Footings)
C n Measures
Do not install subfloor or pour floor slab until the follwing applicable items have been
signed:
Buildi�Fln(714 765-5153)
Ininal Only After Above ompleted
Plumbing (Ground/Underfloor Water)st
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 si ed•
1st Floor Shear
Firesprinkler (Rough) (Fire Dept.)
Mechanical Inspections
2nd FI Shear
o (Sheathin /Diaphragm/Frame) --
einf./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
EeLx
D ELE MEC PLM
Permit Number. BLD2023-00263
Issued: 01/19/2023
www.anaheim.net/building
(714)7654626
Quarter Section: 50
CITY OF ANAHEIM
Site Address: 1831 W CRESTWOOD LN, ANAHEIM, CA 92804
Legal Description: N TR 2222 BLK LOT 44
APN:12855103
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 CML 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.
1 hereby affirm under penalty of perjury one of the following declarations:
I have and will maintain a certificate of consent to self4nsure 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 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 worker's Compensation insurance carrier and policy are:
Carrier. STATE COMP NcennN INSURANCE FUND Policy No.: 9229928 Expiration Date: 4/10023
Name of Agent: S'k a �e T—V WA 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.
tAAd 1<V DI -19-1:5
Signature of Applicant Date
DECLARATION REGARDING CONSTRUCTION LENDING AGENCY:
I hereby affirm under penally 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 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.
Lh &ze `; ✓
Contractor Signature
NUMBER EXPIRATION DATE LICENSE TYPE (S)
1064859 04/30/2024 C39
tl?/ -/9-11, 3
Date