190 N SOLOMON DRPermit Types
BLO.' BELE MEC PLM
X
Permit Number: OLD2023-02033
Issued: 04/27/2023
www.anaheim.net/building
(714)7654626
Quarter Section: 191
Site Address: 190 N SOLOMON DR, ANAHEIM, CA 92807
Legal Description: N TR 7470 BLK'LOT 69
APN: 35807218
CITY OF ANAHEIM
BUILDING DIVISION
200 S. ANAHEIM BLVD.
(714) 765.5153
Project Description: Reroof: To remove and install (25) sq of composition and shingles over house and attached garage.
Living Area: Number of Stories: t Valuation: 9,500.00
Garep Area: Construction Types: NIA
Carport Area: Occupancy Groups:
Balcony I Deck Area: Fire Sprinidered:
Cool Roof: Total Fees paid for Permit: 340.24
People Associated with Project:
Contractor PREMIUM ROOFING SYSTEMS 2054 CONTINENTAL AVE201810291057047824 COSTA MESA, CA 92627
Permit Applicant Sumadel Contreras
Owner ALANIS, EILEEN M 17131 ARIES DR
Type Electrical Fixtures Qty Type . Plumbing Fixtures City 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.
L
P�pHElm Cq<
City of Anaheim D� io
Building Division F z
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SOUNDED �
Do not occupy this building until the final inspections have been made.
FINAL INSPECTIONS DATE ".3PECTOR
All applicable items below must be signed before utilities are reloaded
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)
COAIMigation Measures
Do not install subfioor or pour floor slab until the follwing applicable items have been
sione .
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)
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.)
Mechanical Inspections
Mar
nglDia hragm/Frame)
./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
Sewer
Water Engineering Backflow (Testable Only)
Water Service
Permit Types
BLD ELE MEC PLM
X _
Permit Number: BLD2023-02033
Issued: 04/27/2023
www.anaheim.net/building
(714)765.4626
Quarter Section: 191
Site Address: 190 N SOLOMON DR, ANAHEIM, CA 92807
Legal Description: N TR 7470 BLK LOT 69
APN: 35807218
WORKER'S COMPENSATION DECLARATION:
CITY OF ANAHEIM
BUILDING DIVISION
200 S. ANAHEIM BLVD.
1714) 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 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 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 worker's Compensation insurance carrier and policy are:
Cartier. STATE NATIONAL INSURANCE COMPANY INC Policy No.: CWC19491399 Expiration Date: 111202-4
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
►kers compensation laws of California, and agree that, it I should become subject to the worker's compensation provisions of Section 3700 of the
bor Code, I shall forthwi mply those provisions.
-11
Signatu 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):
Lenders Name:
Lenders Address:
LICENSED CONTRACTOR'S DECLARATION:
1 hereby affirm u der 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 Cc , and my license Is in full force and effect.
Contract Signature Date
NUMBER EXPIRATION DATE LICENSE TYPE ISI
1042214 07/31/2024 C39