5241 E GERDA DR (2)Permit Types
BLD ELE MEC PLM
X
Permit Number: BLD2023-00102
Issued: 01/11/2023
www.anaheim.net/building
(714)765-0626
Quarter Section: 173
Site Address: 5241 E GERDA DR, ANAHEIM, CA 92807
Legal De's'cription: N. -TR 4958 BLK LOT 74
APN:35802201
CITY OF ANAHEIM
BUILDING DIVISION
200 S. ANAHEIM BLVD.
1714) 765-5153
Project Description: Reroof: Remove existing to install (23) sq of composition shingles over entire house and (6) sq over detached
garage
Living Area: Number of Stories: 1 Valuation: 39,360.00
Garage Area: Construction Types: NIA
Carport Area: Occupancy Groups:
Balcony I Deck Area: Fire Sprinklered:
Cool Roof: Total Fees paid for Permit: 345.12
People Associated with Project:
Permit Applicant Corey Fishes
Owner REVIS CHARLES & MICHELLE 5241 E GERDA DR
Type Electrical Fixtures Qty Type Plumbing Fixtures ally Mechanical Fixtures City
The permit shall expire by limitation and become null and void H 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 CqC
City of Anaheim o� io
Building Division F z
U >
OEO
Do not occupy this buildinq 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 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 Electrode/Ufer
Sub LISUBus. Lic. (714) 765-5194 (Allow 10 business days)
Setback/Forms/Trenches (Footings)
COA/Mi easures
Do not install subfloor or pour floor slab until the follwing applicable items have been
e .
B �dnpFinal 14765-5153)sionPlumbing
asti inal Only After A116ve Compl ted
(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 sffianeds
1st Floor Shear
Firesprinkler (Rough) (Fire Dept.)
Mechanical Inspections
2nd Floor Shear
(Sheathin Diaphragm/Frame) eni
Masonry emf./Bond Beam/Pre-Grout)
Rough Plumbing (Top Out)
Rough Duct (Mechanical)
Rough Mechanical
Rough Electrical
Rough COA/Mitagation Measures
Plumbing 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
Permit Number: BLD2023-00102
Issued: 01/11/2023
www.anaheim.net/building
(714)765-4626
Quarter Section: 173
Site Address: 5241 E GERDA DR, ANAHEIM, CA 92807
Legal Description: N TR 4958 BLK LOT 74
APN:35802201
CITY OF ANAHEIM
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:
1 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
(�/1\)\ Section 3700 of the Labor Code, for the performance of the work for which this permit is issued.
l� ► 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:
Policy No.: 9322867 Expiration Date: 8/17/2023
Name of Agent: Phone No.:
I certify that in the performance of 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 compo ation laws of C omia, and agree that, if I should become subject to the worker's compensation provisions of Section 3700 of the
Labor Code, III forthwith co ply with those provisions.
/<
Of li nt Date
DECLARATION REGARDING CONSTRUCTION LENDING AGENCY:
1 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 uytheny of Perjury that I am Ilcensed under provisions of chapter 9 (commencing with Settlor 7000) of Dlvlsion 3 of the Business and
Profes Codrise is in f ce and eft
ontractor t!/roure Date
NUMBER EXPIRATION DATE LICENSE TYPE (Sl
1061538 12/31/2023