2036 W CHATEAU AVE (5)Permit Types
BLD ELE MECPLM
X i I
Permit Number: BLD2022-04805
Issued: 10/10/2022
www.anaheim.net/building
(714)765-0626
Quarter Section: 41
CITY OF ANAHEIM
Site Address:; 2036.W CHATEAU AVE, ANAHEIM, CA 92804
L'e`g al:Descriptioe: N TR 2711 BLK LOT 35
APR
12831206
BUILDING DIVISION
200 S. ANAHEIM BLVD.
(714) 765 - 5153
try,"'
•-'G
Project Description: Reroof: Remove existing to install (40) squares of composition shingles over entire house and attached garage
Living Area: Number of Stories: 1 Valuation: 20,000.00
Garage Area: Construction Types: N/A
Carport Area: Occupancy Groups:
Balcony / Deck Area: Fire Sprinklered:
Cool Roof: Total Fees paid for Permit: 363.60
People Associated with Project:
Permit Applicant JAIME ALTO, OFFICER 6756 CLYBOURN AVE NORTH HOLLY, AL 92805
Owner COLLANTES VALENTIN J & DELIA 2036 W CHATEAU AVE
Type Electrical Fixtures Qty Type Plumbing Fixtures Qty 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
Do not occupy this building until the final inspections have been made.
INSPECTION I DATE I INSPECTOR
Do not pour concrete until the following applicable items have been signed:
Plumbing (Ground/Underfloor Drain Waste)
Electrical Ground Electrode/Ufer
Setback/Forms/Trenches (Footings)
Do not install subfloor or pour floor slab until the follwing applicable items have been
Plumbing (Ground/Underfloor Water)
Underfloor Rough Gas
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
1st Floor Shear
Firesprinkler (Rough) (Fire Dept.)
2ndBoor Shear
Plumbing (Top Out)
Duct (Mechanical)
Mechanical
Electrical
COA/Mitagation Measures
1 (Only after Plbg., Ele., Mec. & Fire)
Do not tape or plaster until the following applicable items have been signed:
Penetrations (Ele, Mec &
Lath
Lath
I Service Meter -(Meter will be set within 2-3
days after approval) Excludes New
ixterior Plaster (Brown Coat)
-Bar (Struct., Ele., or Mec.)
rease Interceptor
Engineering Backflow (Testable Only)
Service
FINAL INSPECTIONS I DATE I 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
Fire Sprinkler (ONLY) (714) 765-5041
Fire Dept. Final (714) 765-5041
Water Engineering (714) 765-4591
Sub LisUBus. Lic. (714) 765-5194 (Allow 10 business days)
COAIMiaation Measures n 1 1 J.
4765-5153)
1 Only After A
PARTIAL INSPECTIONS
Buildinq Inspections
Mechanical Inspections
Plumbing Inspections
Electrical Inspections
Permit Types
BLD ELE MEC FLM
X
Permit Number: BLD2022-04805
Issued: 10/10/2022
www.anaheim.neUbuilding
(714)765-4626
Quarter Section: 41
CITY OF ANAHEIM
Site Address: 2036 W CHATEAU AVE, ANAHEIM, CA 92804
Legal Description: N TR 2711 BLK LOT 35
APN:12831206
WORKER'S COMPENSATION DECLARATION:
BUILDING DIVISION
200 S. ANAHEIM BLVD.
(714) 765 - 5153
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 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:
Cartier: STATE COMPENSATION INSURANCE FUND Policy No.: 9260520 Expiration Date: 9/11/2023
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
fboer's compensation laws of California, and agree that, if I should become subject to the worker's compensation provisions of Section 3700 of the
a0
r Code, I shall forthwith comply with those provisions.
',(0
Signature of Applicant 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 penally of Perjury that I am licensed under provisions of chapter 9 (commencing with Section 7000) of Division 3 of the Business and
Professio en y liven la in full force and effect.
f 0 k'n
Contras o nature Date
NUMBER EXPIRATION DATE LICENSE TYPE (S)
1058445 09/30/2023 C39