2130 W CRESCENT AVE (42)Permit Types
BLD ELE MEC PLM
X
Permit Number: BLD2022-06152
Issued: 12/30/2022
www.anaheim.neUbuilding
(714)765-0626
Quarter Section: 39
CITY OF ANAHEIM
BUILDING DIVISION
200 S. ANAHEIM BLVD.
(7141765 -5153
Soo Address: 2130 W CRESCENT AVE 1133-2136, Anaheim, CA 92801
Legal Description: P_BK 32 PG 24 PAR 1
APN:07207109
Project Description: Reroof: Relay (35) sq of file and install (29) sq of flat roof TPO over units #1133-2136
Living Area: Number of Stories: 2 Valuation:
Garage Area:
Carport Area:
Balcony / Dedc Area:
Cool Root:
People Associated with Project:
Permit Applicant Ashley Robertson
Owner TARA HILL OWNER LLC 2130 W CRESCENT AVE
Construction Types:
Occupancy Groups:
Fire Sprinldered: •
Total Fees paid for Permit:
50,000.00
N/A
1,054.00
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.
P�pHEIM Oqc
City of Anaheim o� io
Building Division F z
u a
DE0 %$�^
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
PlumbindFinal
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 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
s' a
Fin I (714 765-5153)
rLastlnspectio -Final Only After AbPeComple d
Plumbing (Ground/Underfloor Water)
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 s' onedy
1st Floor Shear
Firesprinkler (Rough) (Fire Dept.)
Mechanical Inspections
2nd Floo S ear
of (Sheathing) iaphragm/Frame)
asonry (Reinf./Bond Beam/Pre-Grout)
Rough Plumbing (Top Out)
Rough Duct (Mechanical)
Rough Mechanical
Rough Electrical
Rough COA/Mitagation Measures
Plumbinq Inspections
Framing (Only after Pibg., Ele., Mec. & Fire)
Insulation (Sound/Energy)
Do not tape or plaster until the following applicable items have been signed:
Drywall
Drywall Penetrations (Ele, Mec & Pibg)
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: BLD2022-06152
Issued: 12/30/2022
www.anaheim.net/building
(714)765-4626
Quarter Section: 39
CITY OF ANAHEIM
BUILDING DIVISION
200 S. ANAHEIM BLVD.
(714) 765 -6153
Site Address: 2130 W CRESCENT AVE 1133-2136, Anaheim, CA 92801
Legal Description: P SK 32 PG 24 PAR 1
APN:07207109
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
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: AMERICAN ZURICH INSURANCE COMPANY Policy No.: WC169089101 Expiration Date: 12/3112023
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 1 should become subject to the worker's compensation provisions of Section 3700 of the
4AALabor Code, l shall comply with those provisions.
9,
Si ture of Appli t
1 J —� 0 /Z -7,
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 7000) of Division 3 of the Business and
Profs ssi Code, end my license i in�f/ull rce end effecL
V
Con ctor Signature
NUMBER EXPIRATION DATE
769615 10/31/2023
III 3b 7z --
Date
LICENSE TYPE (S)
C39, C39, C39, C39, C39, C39, C39, C39, D24, D24, D24, D24, D24, D24, D24, D24