2217 W CLOVER AVE (8)Permit Types
BLD ELE MEC PLM
X X X
Permit Number: BLD2022-05317
Issued: 01/24/2023
www.anaheim.nettbuilding
(714)765-4626
Quarter Section: IV
Site Address:. 2217 W CLOVER AVE, ANAHEIM, CA 92801
Legal Description: N TR 2659 BLK LOT 96
APN: 07137122
CITY OF ANAHEIM
BUILDING DIVISION
200 S. ANAHEIM BLVD.
(7141765 -5153
Project Description: Residential Remodel: Install new roof top air conditioning unit with enclosure. REF INV2022-00374
Living Area: Number of Stories: 1 Valuation: 2,500.00
Garage Area: Construction Types: VS
Carport Area: Occupancy Groups:
Balcony I Deck Area: Fire Sprinidered:
Cool Roof., Total Fees paid for Permit: 1,170.50
People Associated with Project:
Owner EUGENIO JOAN TINSAY 2217 W CLOVER AVE
Engineer - Civil VICENTE N ALFEREZ 460 E. Carson Plaza Dr Ste 212 Carson, CA 90746
Type Electrical Fixtures Qty Type Plumbing Fixtures Qty Mechanical Fixtures Qty
Motors - Factory Wired Appliance, up to 1 1 Evaporative or Air Cooled Condenser 1
h.p.
The permit shall expire by limitation and become null and void It 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 DATE INSPECTOR
Do not pour concrete until the following applicable items have been signed:
Plumbing (Ground/Underfloor Drain Waste)
Electrical Ground Electrode/Ufer
Setback/FormslTrenches (Footings)
Do not install subfloor or pour floor slab until the follwing applicable items have been
sianedi
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
been s' ned•
1st Floor Shear
Firesprinkler (Rough) (Fire Dept.)
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 COA/Mitagation Measures
Framing (Only after Plbg., Ele., Mec. & Fire) 7 C
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 Service Meter -(Meter will be set within 2-3
business days after approval) Excludes New
Constructoon
Exterior Plaster (Brown Coat)
T -Bar (Struct., Ele., or Mec.)
Grease Interceptor
Sewer
Water Engineering Backflow (Testable Only)
Water Service
FINAL INSPECTIONS I
DATE
I INSPECTOR
All applicable items below must be signed before utilities are released
Final Gas Test
Electrical Final ( -ire-
iSGPlumbing
PlumbingFinal
Mechanical Final V/03 3 J SC-
GCross
CrossConnection 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 ListlBus. Lic. (714) 765-5194 (Allow 10 business days)
COA/Migation Measures
Building Final (714 765-5153)®ems
Last Inspection -Final Only After Above Completed
SC
PARTIAL INSPECTIONS
Buildinq Inspections
Mechanical Inspections
Plumbing Inspections
Electrical Inspections
Permit Types
BLD ELE MEC PLM
X X X
Permit Number: BLD2022-05317
Issued: 01/24/2023
www.anaheim.neUbuilding
(714)765-0626
Quarter Section:
CITY OF ANAHEIM
BUILDING DMSION
200 S. ANAHEIM BLVD.
(714) 765 - 5153
Site Address: 2217 W CLOVER AVE, ANAHEIM, CA 92801
Legal Description: N TR 2659 BLK LOT 96 t,
APN:07137122
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 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 selfansure for worker's compensation, issued by the Director of Industrial Relations as provided for by
t 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
this permit is issued. My worker's Compensation insurance carder and policy are:
Cartier. WESCt
Name of Agent:
Policy No.: W WC3598900 Expiration Date:97/2 /2023
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.
Yaq
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 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 Signature Date
NUMBER EXPIRATION DATE LICENSE TYPE ISI
1010734 01/31/2022