522 S HELENA STPermit Types
BLD ELE MEC PLM
X X
Permit Number: BLD2023-01261
Issued: 05/09/2023
www.anaheim.net/building
(714)765-4626
Quarter Section: 73
Site Address: 522 S.HELENA ST, ANAHEIM, CA 92805
Legal D`escrioptfoi%,N TR 365 BLK:C LOT 21
APN: 03621202
CITY OF ANAHEIM
BUILDING DIVISION
200 S. ANAHEIM BLVD.
(714) 765.5153
Project Description: Remodel: Remodel new sliding door, new exterior concrete landing and steps with handrail. Roof framing at
detached garage and new 60 Amp sub panel. REF: INV2023-000081COD2022-11707
Living Area: Number of Stories: 2 Valuation: 4.500.00
Garage Area: Construction Types: VB
Carport Area: Occupancy Groups:
Balcony / Deck Area: Fire Sprinklered:
Cool Root Total Foes paid for Permit: 1.034.59
People Associated with Project:
Contractor PROPERTY BUILDERS CONCEPTS & MA 1030 N MOUNTAIN AVE #326201202071319303540 ONTARIO, CA 91741
Owner HOLLYVALE RENTAL HOLDINGS LLC 2015 MANHATTAN BEACH BLVD 100
Engineer - Civil JASBIR SINGH 16194 EASTRIDGE COURT
Type Electrical Fixtures Qty Type Plumbing Fixtures Qty Mechanical Fixtures Qty
Sub Panel/Temp Pwr - Under 600 V, up to 1
200 amps
The permit shall expire by limitation and become null and void U 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 Cq<
Cityof Anaheim D� io
Building Division i
u a
DED
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) 7654591
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
Building Final (714 765-5153)
Last Inspection-Final Only After Above Completed
�( /
Plumbing (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 s4anedi
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
Sewer
Water Engineering Backflow (Testable Only)
Water Service
Permit Types
BLD ELE MEC PLM
X X
Permit Number. BLD2023-01261
Issued: 05/09/2023
www.anaheim.net/buiiding
(714)765-0626
Quarter Section: 73
Site Address: 522 S HELENA ST, ANAHEIM, CA 92805
Legal Description: N TR 365 BLK C LOT 21
APN:03621202
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.
1 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 tabor Code, for the performance of the work for which this permit is issued.
I have and wilt 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:
Carrier. PALOMAR SPECIALTY INSURANCE COMPANY Policy No.: PSIC0701253901 Expiration Date: II OI 024
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 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.
0es�gre—TAp0cat-- Datc%4`�xv2
DECLARATION REGARDING CONSTRUCTION LENDING AGENCY:
I hereby affirm under penalty of perjury that there is a construction tending 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 1 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 (S)
967277 11/30/2021 B