1901 N CITRUS EDGE CIR (3)Permit Types
BLD ELE MEC PLM
X
Permit Number. BLD2023-01384
Issued: 03/23/2023
www.anaheim.net/building
(714)765.4626
Quarter Section: 170
CITY OF ANAHEIM
Site Addreis:'1901 N CITRUS EDGE CIR, ANAHEIM, CA 92807
Legal Description: N TR 7676 BLK LOT 1
APN: 34323101
BUILDING DIVISION
200 S. ANAHEIM BLVD.
(714) 765.5153
Project Description: Reroof. remove existing to install (20) sq of composition shingles over entire house and attached garage.
Living Area: Number of Stories. 1 Valuation: 6,200.00
Garage Area: Construction Types: N/A
Carport Area: Occupancy Groups:
Balcony/ Dock Area: Fire Sprinldered:
Cool Root Total Fees paid for Permit: 339.81
People Associated with Project:
Contractor SIERRA ROOF INC P 0 BOX 3189201202021034570380 ANAHEIM, CA 92803
Permit Applicant Leslie Garcia P.0 BOX 3189 ANAHEIM, CA 92803
Owner HERNANDEZ LUIS RAMON 8 VANESSA 1901 N CITRUS EDGE CIR
Type Electrical Fixtures Qty Type Plumbing Fixtures Oty Mechanical Fixtures city
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�Pr1ElAl cq<
Cityof Anaheim D� io
Building Division F z
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�DDNDED
Do not occupy this buildina 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) 7654280
Engineering Final (714) 765-5126
INSPECTION 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) 7654591
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 si ned:
Building Final (714 765-5153)A/Z
Last Inspection -Final Only After Above Completed
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 signed:
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
Rough COAIMitagation 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
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
(Do not backfill unless Moned off)
Sewer
Water Engineering Backflow (Testable Only)
Water Service
Permit Types
BLD ELE MEC PLM
X
Permit Number. OLD2023-01384
Issued: 03/23/2023
www.anaheim.nebbuilding
(714)765-4626
Quarter Section: 170
CITY OF ANAHEIM
Site Address: 1901 N CITRUS EDGE CIR, ANAHEIM, CA 92807
Legal Description: N TR 7676 BLK LOT 1
APN: 34323101
BUILDING DMSION
200 S. ANAHEIM BLVD.
(7141765-5153
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 ADDMON 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 pedury one of the following declarations:
I have and will maintain a certificate of consent to selfuinsure 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
a a this permit is issued. My workers Compensation insurance carrier and policy are:
Carrier. UNITED WISCONSIN INSURANCE COMPANY Policy No.: WC51800168021SZ Expiration Date: 611aQL3
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, I shall forthwith comply with those provisions.
3�z3�13
Signature p cant 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 70001 of nivhsinn 3 of tha R„ain— —1
Professions Code, and my license Is in full force and effect.
Contras
NUMBER EXPIRATION DATE LICENSE TYPE IS)
967971 11/3012023 C39, 8
Date