6962 E COUNTRY CLUB LN (3)Permit Types
BLD ELE MEC PLM
X
Permit Number: OLD2023-00065
Issued: 01/09/2023
www.anaheim.net/building
(714)765-0626
Quarter Section: 210
CITY OF ANAHEIM
Site Address: 6962 E COUNTRY CLUB LN, ANAHEIM, CA 92807
Legal'Deseriptlon: N TR .8466 BLK LOT 24
APN:36530113
BUILDING DIVISION
200 S. ANAHEIM BLVD.
(714) 765.5153
Project Description: Residential Remodel: Replace (7) retrofit windows
Living Area: Number of Stories: 1 Valuation: 7,514.00
Garage Area: Construction Types: N/A
Carport Area: Occupancy Groups:
Balcony / Deck Area: Fire Sprinidered:
Cool Roof: Total Fees paid for Permit: 190.98
People Associated with Project:
Permit Applicant Jeffrey Pao
Owner SABATO ERIC TR SABATO TR 6969 E COUNTRY CLUB LN
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�Pt1EIAq Cq<
Cityof Anaheim D� io
Building Division F y
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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) 7654280
Engineering Final (714) 765-5126
INSPECTION I 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 ElectrodelUfer
Sub ListlBus. Lic. (714) 765-5194 (Allow 10 business days)
Setback/Forms/Trenches (Footings)
COAIMigation Measures
Do not install subfloor or pour floor slab until the follwing applicable items have been
s' e •
Building Final (714 765-5153)
Last Inspection -Final Only After Above Completed
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JAt'tJ
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 Mane&
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 COA/Mitagation Measures
Plumbing 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 & Plbg)
Interior Lath
Exterior Lath
Electrical Inspections
Electrical Service Meter -(Meter will be set within 2-3
business days after approval) Excludes New
Constructffion
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: 1 LD2023-00065
Issued: 01/09/2023
www.anaheim.net/building
(714)765-4626
Quarter Section: 210
CITY OF ANAHEIM
Site Address: 6962 E COUNTRY CLUB LN, ANAHEIM, CA 92807
Legal Description: N TR 8466 BLK LOT 24
APN:36530113
BUILDING DIVISION
200 S. ANAHEIM BLVD.
(714) 765 - 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 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 self4nsure 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
this permit is issued. My worker's Compensation insurance carrier and policy are:
Cartier: ACE AMERICAN INSURANCE COMPANY Policy No.: WCUCS8916446 Expiration Date: 3/1/2023
Name of Agent:
Phone No.:
I ce t 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
rkefs comps laws of California, and agree that, if I should become subject to the worker's compensation provisions of Section 3700 of the
Lebo Code, I all forth Ith mply with those provisions.
1Q
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<.—Penalty of Perjury that I am licensed under provisions of chapter 9 (commencing with Section 7000) of Division 3 of the Business and
Professions ,,and my licen n force end effect.
Contractor Signature Date
NUMBER EXPIRATION DATE
602331 09/30/2022
LICENSE TYPE (S)
C10, B, D12, C-2, C39, C-6, C17, C36, D34, D41, D24