4445 E LANI AVE (3)Permit Types
BLD ELE MEC PLM
X
Permit Number: BLD2022-04738
Issued: 10120/2022
www.anaheim.neUbuilding
(714)765-4626
Quarter Section: 161
Site Address: 4445 E LANI AVE, ANAHEIM, CA 92807
Legal Description: N °TR 7284 BLK LOT 30
APN: 35916213
CITY OF ANAHEIM
BUILDING DIVISION
200 S. ANAHEIM BLVD.
(714) 765-5153
Project Description: Seismic Upgrade: Voluntary seismic retrofit to single family home.
Living Area: Number of Stories: 0 Valuation: 14,600.00
Garage Area: Construction Types: VB
Carport Area: Occupancy Groups:
Balcony / Deck Area: Fire Sprinklired:
i
Cool Roof: Total Fees paid for Perrnit: 649.90
People Associated with Project:
Permit Applicant Jeanelle Hesston
Owner BURNS DIAUN 4445 E LANI AVE
Archftect(Enginser JEREMY D LIVERMORE 1133 CAMELBACK ST UNIT 11101 NEWPORT BEACH, CA 92658
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.
P�PHEi14 C9C
Cityof Anaheim o� �o
Building. Division F y
DE0 �By^
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 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/ft
Sub LisUBus. Lic. (714) 765-5194 (Allow 10 business days)
Setback/Forms/Trencheootings — —
COA/Migation Measures
Do not install subfloor or po ab untV the follwing a plicable items 141ve en
i ding Final 14 765-5153)
on-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 s'
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)
Plumbing 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
i
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: BLD2022-04738
Issued: 10/20/2022
www.anaheim.netlbuilding
(714)765-4626
Quarter Section: 161
Site Address: 4445 E LANI AVE, ANAHEIM, CA 92807
Legal Description: N TR 7284 BLK LOT 30
APN:35916213
WORKER'S COMPENSATION DECLARATION:
CITY OF ANAHEIM
BUILDING DMSION
200 S. ANAHEIM BLVD.
(7141 765 - 5153
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 perjury one of the following declarations:
I have and will maintain a certificate of consent to self -Insure 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.
1 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 carder and policy are:
Cartier. STATE COMPENSATION INSURANCE FUND Policy No.: 9307067 Expiration Date: 1011212 220
Name of Agent Phone No.:
1 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 workers compensation provisions of Section 3700 of the
Labor Code, I shall forthwith comply with those provisions.
Sign lure of plicant 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):
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.
Con or Sign lure Date
NUMBER EXPIRATION DATE LICENSE TYPE ISl
1061139 12/31/2023