555 S RANCH VIEW CIR 100Permit Types
`o BLD ELE MEC PLM
X X
Permit Number. BLD2022-05376
Issued: 11/10/2022
www.anaheim.net/building
(714)765-0626
Quarter Section:198
CITY OF ANAHEIM
BUILDING DIVISION
200 S. ANAHEIM BLVD.
(714) 765 - 5153
Site Address: 555 S RANCH VIEW CIR 100, ANAHEIM, CA 92807
Legal Description: N TR 10443 BLK LOT 1 UN 11 TR 10443 LOT 1 UNIT 11
APN:93639011
Project Description: Mechanical to Replace split system air conditioner, (1) disonnect, and (6) ducts
Living Area: Number of Stories: 0 Valuation: 0.00
Garage Area: Construction Types: N/A
Carport Area: Occupancy Groups:
Balcony / Deck Area: Fire Spdnktered:
Cool Roof. Total Fees paid for Permit: 433.00
People Associated with Project:
Permit Applicant JASMINE RIOS
Owner NASROLLAHZADEH HAMID 555 S RANCH VIEW CIR 11
Type Electrical Fixtures Qty Type Plumbing Fixtures City Mechanical Fixtures City
Motors - up to 1 h.p. 1 Evaporative or Air Cooled Condenser 1
Heating Appliances, including vent 1
Heating/Cooling Coil 1
Residential Registers 6
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�Ph1EI1W C9(
City of Anaheim o� �o
Building Division
u a
�DGNDED ��y�
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 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
sinned:
Building Final (714 765-5153)
Last Inspection-Final Only After Above Completed
Plumbing (Ground/Underfloor Water)
Underfloor Rough Gas
PARTIAL INSPECTIONS
Building Inspections
Mechanical (Groundwork)
Electrical (Underground Conduit)
Pre-slab (Compaction/Membrane Reinf.)
Floor (Joist/Girders)
Underfloor Insulation (Raised Foundation Only)
9 W Iwo A&=
Floor Nailing (Raised Foundation Only)
2nd Floor (Floor Nailing)
Do not cover or conceal the work below until the following applicable items have
been sioned7
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)
Rough Duct (Mechanical)
Rough Mechanical
Rough Electrical
Rough COA/Mitagation Measures
Plumbing Inspections
Framing (Only after Plbg., Ele., Mec. & 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
(Do not backfill unless signpri nfn
Sewer
Water Engineering Backflow (Testable Only)
Water Service
Permit Types
• BLD ELE MEC PLM
X X
Permit Number: BLD2022-05376
Issued: 11/10/2022
www.anaheim.net/buiiding
(714)765-4626
Quarter Section: 198
elf. A.Id... eee c rewu....
CITY OF ANAHEIM
BUILDING DRASION
200 S. ANAHEIM BLVD.
(714) 765 - 5153
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Legal Description: N TR 10443 BLK LOT 1 UN 11 TR 10443_ LOT 1 UNIT 11
APN:93639011
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 perjury one of the following declarations:
I have and will maintain a certificate of consent to selfdnsure.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 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 worker's Compensation insurance carrier and policy are:
Cartier. OLD REPUBLIC GENEReh INSURANCE CORRnReTIO N Policy No.: A1CWA00115e2 Expiration Date: 311Q023
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, it I should become subject to the workers compensation provisions of Section 3700 of the
n Labor Code, l shall forthomply with those provisions.
Of
_ 1 I /l oIZ2
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):
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'"e, and my license is in fulifaIce and effect.
11/1 Q/ 2 27 -
Date
EXPIRATION DATE LICENSE TYPE (S)
1011173 02/29/2024 C20
Ass 'South'ltancli'Yiew Circle Urii`t=•.3001 .Anaheim; ca`OI2$07- SITE.:PLAN:
FINAL
DATE: 11 2� 22
l i file.
CITY OF ANAHEIM
NING SERVICES DIVISION
PPROVED
it in Lz ZONE f�"t"`�
WATER EFFICIENCY
[3 Exempt O New >500ft' ❑ Alter >2,500
Plans comply with Title 18 of the A.M. C. (Zoning).
This does not constitute approval of a building
permit or authorize violation of any City Codes.
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