1617 S HUMOR DR (2)Permit Types
BLD ELE MEC PLM
X
Permit Number: BLD2022-04852
Issued: 10/12/2022
www.anaheim.net/building
(714)765-0626
Quarter Section: 50
Site Address: 1617 S HUMOR DR, ANAHEIM, CA 92804
Legal Dription'NTR 3177 BLK LOT 2
APN:12852205
CITY OF ANAHEIM
BUILDING DIVISION
200 S. ANAHEIM BLVD.
(7141765-5153
Project Description: Reroof: Remove existing to install (35)sq of composition shingle and (9) sq of torohdown over patio
Living Area: Number of stories: t valuation: 25,250.00
Garage Area: Construction Types: NIA
Carport Area: Occupancy Groups.
Balcony I Deck Area: Fire Sprinklered:
Cool Roof: Total Fees paid for Permit: 387.28
People Associated with Project:
Owner PARK CHONG R 1617 S HUMOR DR
Type Electrical Fixtures Qty Type Plumbing Fixtures Gly Mechanical Fixtures Qty
V
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.
City of Anaheim
Building Division
Do not occupy this buildinq until the final inspections have been made.
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 List/Bus. Lic. (714) 765-5194 (Allow 10 business days)
Setback/Forms/Trenches (Footings)
COA/M' Measures 10
Do not install subfloor or pour floor slab until the follwing applicable items have been
sinned:
uilding Fina (714 765-5153)
Last Ins n -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 sinned:
1st Floor Shear
Firesprinkler (Rough) (Fire Dept.)
Mechanical Inspections
2nd ar
oof (Sheathi iaphragm/Frame) �pr
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., Mac. & Fire)
Insulation (Sound/Energy)
Do not tape or plaster until the following applicable items have been signed:
Drywall
Drywall Penetrations (Ele, Mac & 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. BLD2022-04852
Issued: 10/1212022
www.anaheim.net/building
(714)765-4626
Quarter Section: 50
Site Address: 1617 S HUMOR DR, ANAHEIM, CA 92804
Legal Description: N TR 3177 BLK LOT 2
APN:12852205
CITY OF ANAHEIM
BUILDING DIVISION
200 S. ANAHEIM BLVD.
(7141 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 pedury 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.
— 1 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
\� l/ this permit is issued. My wofkees Compensation insurance carrier and policy are:
Cartier. INSURANCECOMPANY OF INg WIEST Policy No.: WPL506460900 Expiration Date: 3/7/202-377
Name of Agent r" li j Phone No.:
U 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
worker's compensation laws of California, and agree that, if I should become subject to the workers compensation provisions of Section 3700 of the
Labo Code, I `hall forthwith comply with those provisions.
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:
1 hereby affirm under the penalty of Perjury that I am licensed under provisions of chapter 9 (commenting with Section 7000) of Division 3 of the Business and
ProfessionsCode, nd my license is In full force and effect.
// UPI W,
Contractor Signature Date
NUMBER EXPIRATION DATE LICENSE TYPE (S)
1011201 02@8/2022 B. C39, C33