526 N HAMPTON ST (5)Permit Types
BLD ELE MEC PLM
X
Permit Number. OLD2022-05119
Issued: 10/26/2022
www.anaheim.neUbuilding
(714)765-4626
Quarter Section: 26
Site Address: 526 N HAMPTON ST. ANAHEIM, CA 92801
Legal DescNptlon: N:TR.2451 BLK•LOT 19
AFN: 07141:106
Project Description: Plumbing to Replace cleanout
CITY OF ANAHEIM
BUILDING DIVISION
200 S. ANAHEIM BLVD.
1714) 765 - 5158
Living Area: Number of Stories: 0 valuefion: 0.00
Garage Area: Conslruclion Types: NIA
Carport Area: Occupancy Groups:
Balcony I Deck Area: Fire Sprinldered:
Cool Roof: Total Fees paid for Permit: 167.00
People Associated with Project:
Permit Applicant Adrian Martinez
Owner SPALLINO BRUCE J & CAROL 526 N HAMPTON
Type Electrical Fixtures Qty Type Plumbing Fixtures Qty Mechanical Fixtures Qty
Sewer per 100 ft. 1
The permit shall expire by limitation and become null and void If the building or work has not passed final Inspection 865 days from the
date of permit Issuance. A new permit is required to commence or continue work.
P�PHEIM Cq<
City of Anaheim o� �o
Building Division F 2
u a
DE0% $
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
Final
g ina
oElectrical
cal Finalonnection
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 applicabo items h ve been signed:
Fire Dept. Final (714) 765-5041
lu ng (Ground/Unde oor Drain Waste)
Water Engineering (714) 765-4591
E a round Electrode/Ufer
Sub ListlBus. 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
Mechanical (Groundwork)
Electrical (Underground Conduit)
Pre-slab (Compaction/Membrane Reinf.)
PARTIAL INSPECTIONS
Building Inspections
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 sffianed7
1st Floor Shear
Firesprinkler (Rough) (Fire Dept.)
2nd Floor Shear
Mechanical Inspections
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
Framing (Only after Plbg., Ele., Mec. & Fire)
Plumbina Inspections
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: BLD2022-05119
Issued: 10/26/2022
www.anaheim.net/building
(714)765-4626
Quarter Section: 26
Site Address: 526 N HAMPTON ST, ANAHEIM, CA 92801
Legal Description: N TR 2451 BLK LOT 19
APN: 07141106
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 ATTORNEYS FEES.
1 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 Code, for the performance of the work for which
this permit is issued. My worker's Compensation Insurance carrier and policy are:
Carrier. EVEREST PREMIER INSURANCE COMPANY Policy No.: RMOWC00054221 Expiration bate: 4/1/2623
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.
A 0/
Signa ure of Appli ®nt Date
DECLARATION REGARDING CONSTRUCTION LENDING AGENCY:
I hereby affirm under penalty of pedury 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 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
466AM t/!/11,G :h C:::-
Contractor Signature
NUMBER EXPIRATION DATE LICENSE TYPE (Si
799170 10/3112023 B. C20, C36, C-2
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