6199 E CAMINO CORRER (6)Permit Types
BLD ELE MEC*
X X
Permit Number. BLD2022-05580
Issued: 11/22/2022
www.anaheim.net/buiiding
(714)765.4626
Quarter Section:196
CITY OF ANAHEIM
Site Address: 6199 E CAMINO .C.ORRERANAHEIM, CA 92807
-L'e'gal Uscrlptlon.N TR 7787.6LKIOT21
•`-� .. rte^ �.�.wM,x,.. . •.
'APN 36813135
BUILDING DIVISION
200 S. ANAHEIM BLVD.
1714) 765 - 5155
Project Description: Patio Cover: 260 sq it attached cover with electrical.
living Area: Number of Stories: 0 Valuation: 14,361.00
Garage Area: Construction Types: NIA
Carport Area: Occupancy Groups:
Balcony I Deck Area: Fire Sprinldered:
Cool Roof: Total Fees paid for Pennh: 667.74
People Associated with Project:
Permit Applicant Miguel Ceballos 12881 Knott St. Ste. 207 Garden Grove, CA 92841
Owner SANDERS BRIAN & CANDICE 6199 E CAMINO CORRER
Type Electrical Fixtures City Type Plumbing Fixtures Qty Mechanical Fixtures Qty
Receptacle, switches, lights 8
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�PNEIM C
Cityof Anaheim D� io
Building Division i
u a
�DU�►DED �$y�
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
Plumbing Final
Mechanical Final
Cross Connection Control (714) 765-4280
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) 765-4591
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
sionede
Building Final (714 765-5153)
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 sbaned7
1st Floor Shear
Firesprinkler (Rough) (Fire Dept.)
Mechanical Insaections
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
Plumbina 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. .
BLD ELE MEC PLM
X X
Permit Number: BLD2022-05580
Issued: 11/22/2022
www.anaheim.net/building
(714)7654626
Quarter Section: 196
CITY OF ANAHEIM
Site Address: 6199 E CAMINO CORRERANAHEIM, CA 92807
Legal Description: N TR 7787 BLK LOT 21
APN: 35813135
WORKER'S COMPENSATION DECLARATION:
BUILDING DIVISION
200 S. ANAHEIM BLVD.
(714) 765 - S1 S3
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 worker's compensation insurance, as required by Section 3700 of the Labor Cade, for the performance of the work for which
6 this permit is issued. My workets Compensation insurance carrier and policy are:
Cartier. TECHNOLOGY INSURANCE COMPANY INC Policy No.: TWC5282855 Expiration Date: 10/1/2023
Name of Agent: Phone No.:
1 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.
Sig a re of App h nt
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:
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
Professions Code, and my license Is in full force and effect.
Co tra or Signature
C07
NUMBER EXPIRATION DATE LICENSE TYPE IS)
875966 04/30/2022 003, C29, B, C-8
' e,/ T.
Date