1618 S HUMOR DRPermit Types
BLD ELE MEC PLM
X
Permit Number:13LD2022-04851
Issued: 10/12/2022
www.anaheim.neUbu ilding
(714)765-4626
Quarter Section: 50
Site Address: 1618 S HUMOR DR, ANAHEIM, CA 92804
Legal N iMiitlon: N TR 3177 BLK LOT 3
APW 12852208-
Project
6-
CITY OF ANAHEIM
BUILDING DIVISION
200 S. ANAHEIM BLVD.
(7141765-5153
Project Description: Reroof: Remove existing to install (29) sq of composition shingles over entire house and attached garage
Living Area: Number of Stories. 1 Valuadon: 25,250.00
Garage Area: Construction Types: WA
Carport Area: Occupancy Groups:
Balcony / Deck Area: Fire Sprinidered:
Cool Roof: Total Fees paid for Permit: 343.28
People Associated with Project:
Permit Applicant Olken Howard
Owner PARK SAM K & PATTI H 1618 S HUMOR DR
Type Electrical Fixtures Qty Type Plumbing Fixtures Qly Mechanical Fixtures Qty
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.
P�PNEIM Cq<
Cityof Anaheim o� io
Building Division F z
u >
DED `$h
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 ElectrodelUfer
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
s' e : 0
mal (7 765-5153)
u21nspec
Las ' mal Only After Above Completed
— h
t�
Plumbing (Ground/Underfloor Water)
Underfloor Rough Gas
Mechanical (Groundwork)
Electrical (Underground Conduit)
Pre-slab (Compaction/Membrane Reinf.)
PARTIAL INSPECTIONS
Buildinq 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 e•
1st Floor Shear
Firesprinkler (Rough) (Fire Dept.)
2nd Flo
Mechanical Inspections
iaphragmlFrame)
aheathin
nry (ReiXF
nf./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)
Plumbinq 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-MSI
Issued: 10/12/2022
www.anaheim.net/building
(714)765-4626
Quarter Section: 50
Site Address: 1618 S HUMOR DR, ANAHEIM, CA 92804
Legal Description: N TR 3177 BLK LOT 3
APN:12852206
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.
(— 1 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
1` J/ this permit is Issued. My worker's Compensation insurance carrier and policy are:
Cartier. INSURANCE COMPANY OF THg WESIPolicy No.: IWL506460900 Expiration Date: 3
Name of Agent cc,) M ii t- r Phone No.:
O 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 1 should become subject to the workers compensation provisions of Section 3700 of the
Labor Code, Iaha forthwith comply with those provisions.
. 10111L
Signature of plicant 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:
Lenders 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 DMsion 3 of the Business and
Professions Code, and my lice se is in full force and effect.
Contractor Signature Date
NUMBER EXPIRATION DATE LICENSE TYPE (S)
1011201 02/28/2022 B. C39, C33