222 S HARBOR BLVD (48)Permit Types
BLD ELE MEC PLM
X X
Permit Number: BLD2023-01377
Issued: 04/10/2023
www.anaheim.net/building
(714)765-4626
Quarter Section: 72
Site Address: 222 S HARBOR BLVD, ANAHEIM, CA 92805
Legai Description: P BK 194 PG 22 PAR 1
APN: 03619128
CITY OF ANAHEIM
BUILDING DIVISION
200 S. ANAHEIM BLVD.
(714) 765.5158
Project Description: Tenant Improvement: Remove and replace fire pump on new concrete pad in basement.
Living Area: Number of stories: 0 Valuation:
Garege Area:
Carport Area:
Balcony / Deck Area:
Cool Roof:
Construction Types:
Occupancy Groups:
Fire Sprinklered:
Total Fees paid for Permit:
150,000.00
N/A
975.00
People Associated with Project:
Contractor 1 TEAMWORK FIRE PROTECTION 4533 MAC ARTHUR BLVD STE 5170201701060914210439 NEWPORT BEACH, CA 90638
Permit Applicant 1 TEAMWORK FIRE PROTECTIO 4533 MACARTHUR BLVD NEWPORT BEACH, CA 92660
Owner ANAHEIM CITY CENTRE PROPERTY LLC 200 PINE AVE 502
Type Electrical Fixtures Qty Type Plumbing Fixtures City Mechanical Fixtures Qty
Miscellaneous Fixture 1
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 permft Is required to commence or continue work.
P�PHEIM C9C
Cityof Anaheim D� �o
Building Division F i
u a
�DUNDED 01
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
slaneds
Building Final (714 765-5153)
Last Inspection-Final Only After Above Completed
21,
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 Manedo
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 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
(Do not hackfill unless sinned offi
Sewer
Water Engineering Backflow (Testable Only)
Water Service
Permit Types
BLD ELE MEC PLM
X X
Permit Number. OLD2023-01377
Issued: 04/10/2023
www.anaheim.net/building
(714)765-4626
Quarter Section: 72
Site Address: 222 S HARBOR BLVD, ANAHEIM, CA 92805
Legal Description: P BK 194 PG 22 PAR 1
APN: 03619128
CITY OF ANAHEIM
BUILDING DMSION
200 S. ANAHEIM BLVD.
1714) 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.
1 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. CLEAR SPRING PROPERTY AND CASUALTY COMPANY Policy No.: CINCO1346100 Expiration Date: 11216f2023
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 1 amia, and agree that, if I should become subject to the workers compensation provisions of Section 3700 of the
P70e, I shall to �ty with those provisions. —ROW
ignature �&Appficant 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 Pedury that I am 'wed under provisions of chapter 9 (commencing with Section 7000) of Division 3 of the Business and
:ntractor
essions my license is In full fo a act.
Signature D ite
NUMBER EXPIRATION DATE LICENSE TYPE ISI
954763 11/30/2024 C16