2790 E LINCOLN AVE (7)CITY OF ANAHEIM
' .. ' ' ' ' BUILDING DIVISION
Permit Number. BLD2022-04705 200 S. ANAHEIM BLVD.
Issued: 10/04/2022 (714) 765.5153
www.anaheim.net/building
(714)7654626
Quarter Section: 123
Site Address:: 2790 E LINCOLN AVE, ANAHEIM, CA 92806
LegaLDescription: P�BK•145 PMo PAR 1
,..,...-
APN:;25369101
Project Description: Commercial Reroof: Remove existing to install (68) sq of built-up roof over entire building
Living Area: Number of Stories: 1 Valuation: 44,400.00
Garage Area: Constriction Types: NIA
Carport Area: Occupancy Groups:
Balcony I Dock Area: Fire Sprinldered:
Cool Root Total Fees paid for Permit: 440.43
People Associated with Project:
Permit Applicant Timothy Shur
Owner SANTOS ALFRED TR P 0 BOX 1217
Type Electrical Fixtures Qty Type Plumbing Fixtures Qty 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.
City of Anaheim /011
NEIAq
FINAL INSPECTIONS
All applicable items below must be
DATE IIN& '
before utilities are released
aunaing ufvimon F i Final Gas Test
. u > Electrical Final
Plumbing Final
NDED By^ Mechanical Final
Cross Connection Control (714) 765-4280
Do not occupy this building until the final inspections have been made. Engineering Final (714) 765-5126
INSPECTION I DATE I 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
g Final 4,765-5153)
ion -Final Only After Above Com e
Plumbing (Ground/Underfloor Water)
Underfloor Rough Gas
PARTIAL INSPECTI NS
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 smoned7
1st Floor Shear
Firesprinkler (Rough) (Fire Dept.)
Mechanical Inspections
2nd Floor Shear
Roof (Sheathing/Diaphragm/Frame) GJ 11,
Masonry (Reinf./Bond Beam/Pre-Grout)
Rough Plumbing (Top Out)
Rough Duct (Mechanical)
Rough Mechanical
Rough Electrical
Rough COAIMitagation 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, 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. BLD2022-04705
Issued: 10/04/2022
hilrww.anaheim.net/building
(714)765-0626
Quarter Section: 123
Site Address: 2790 E LINCOLN AVE, ANAHEIM, CA 92806
Legal Description: P BK 145 PG 10 PAR 1
APN:25369101
CITY OF ANAHEIM
BUILDING DIVISION
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 pedury one of the following declarations:
I have and will maintain a certificate of consent to selfansure for workers 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 workers compensation insurance, as required by Section 3700 of the labor Code, for the performance of the work for which
this permit is Issued. My workers Compensation insurance carrier and policy are:
Cartier. STATE COMPENSATION INSURANCE FUND Policy No.: 9149160 Expiration Date: 1/1/2023
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, H I should become subject to the workers compensation provisions of Section 3700 of the
Labor Code, I shall 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:
I hereby attire 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.
Cont otor Signature We-/
NUMBER EXPIRATION DATE LICENSE TYPE ISl
386491 10/31/2021 C39