3460 E LA PALMA AVE (50)Permit Types
BLD ELE MEC PLM
X X X
Permit Number: BLD2022-04555
Issued: 11/01/2022
www.anaheim.net/building
(714)765-4626
Quarter Section: 160
CITY OF ANAHEIM
BUILDING DIVISION
200 S. ANAHEIM BLVD.
(714) 765 - 5153
Site Address: 3460 E LA PALMA AVE, ANAHEIM, CA 92806
Legal Description: P BK 363 PG 13 PAR 1 PM 363-13 PAR 1 AND POR ABAND
APN: 94512126
Project Description: Tenant Improvement: 906 sq. ft. to reconfigure existing 4th floor office space with upgraded electrical and
mechanical for "Kaiser Permanente".
Living Area: Number of Stories: 4 Valuation: 250,000.00
Garage Area: Conswc5on Types: IA
Carport Area: Occupancy Groups: B
Balcony / Deck Area: Fire Sprinktered:
Cool Roos: Total Fees paid for Perma: 2,378.85
People Associated with Project:
Owner KAISER FOUNDATION HOSPITALS 1 KAISER PLZ 15TH FL
Engineer - Mechanical TONY NGO 5755 OBERLIN DR STE 112 SAN DIEGO, CA 92121
Architect Stephen White 555 W Fitch Street Ste 2950 Los Angeles, CA 90013
Type Electrical FhRures Qty Type Plumbing Fixtures Qty Mechanical Fixtures Qty
Receptacle, switches, lights 10 V. A. V. Unit 1
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�PHEIM Cq<
Cityof Anaheim D� io
Building Division y
u a
�D��►DED
Do not occupy this buildinq 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 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
si e :
Building Final (714 765-5153)
Last Inspection-Final Only After Above Completed
6'
V
Plumbing (Ground/Underfloor Water)
Underfloor Rough Gas
PARTIAL INSPECTIONS
Buildinq Inspections
Mechanical (Groundwork)
Electrical (Underground Conduit)
Pre-slab (Compaction/Membrane Reinf.)
Floor (JoistlGirders)
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 smanedo
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)
ol
Rough Duct (Mechanical) y^► �-
Rough Mechanical
Rough Electrical
Rough COA/Mitagation Measures
Plumbing Inspections
Framing (Only after Plbg., Ele., Mec. & Fire) )%/2�3 �•�
Insulation (Sound/Energy)
Do not tape or plaster until the following applicable items have been signed:
i
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
Construefion
Exterior Plaster (Brown Coat)
T-Bar (Struct., Ele., or Mec.)
t6j23
Grease Interceptor
Sewer
Water Engineering Backflow (Testable Only)
Water Service
Permit Types
BLD ELE MEC PLM
X X X
Permit Number: BLD2022-04555
Issued: 11/01/2022
www.anaheim.net/building
(714)765-4626
Quarter Section: 150
CITY OF ANAHEIM
BUILDING DIVISION
200 S. ANAHEIM BLVD.
(714) 765 - 5153
Site Address: 3460 E LA PALMA AVE, ANAHEIM, CA 92806
Legal Description: P BK 363 PG 13 PAR 1 PM 363-13 PAR 1 AND POR ABAND
APN:34512126
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 ($700,000), 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 pedury 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 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 workefs Compensation insurance carder and policy are:
Cartier: DEPARTMENT OF INDUSTRIAL RELATIONS Policy No.: J92 Expiration Date:
Name of Agent: Phone No.:
I certify that in the performance of the work for which this permit is Issued, l 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
#fLbolCode, I (hall forthwith Comply with those provisions.
Signature of Applicant Date
DECLARATION REGARDING CONSTRUCTION LENDING AGENCY:
1 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 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.
Contractor Signature
NUMBER EXPIRATION DATE LICENSE TYPE (S)
370871 03/31/2023
Date