502 S SAN VICENTE LNPermit Types
BLD ELE MEC PLM
X X I .
P&nIt Number.OLD2023-00799
Issued: 02/17/2023
www.anaheim.net/building
(714)765-0626
Quarter Section: 192
CITY OF ANAHEIM
BUILDING DMSION
200 S. ANAHEIM BLVD.
(714) 765 - 5153
Site Address: 502 S SAN VICENTE LN, ANAHEIM, CA 92807
Le961 Description: N TR 14353 BLK LOT 6 UN 6 TRACT 14353, LOT 6 OF PR
APN:03638063
Project Description: Patio Cover: 205 sq It patio per City standard with electrical.
Living Area: Number of Stories: 0 Valuation: 12,000.00
Garage Area: Construction Types: VB
Carport Area: Occupancy Groups:
Balcony / Dock Area: Fire Sprinklered:
Cool Root: Total Fees paid for Permit: 379A3
People Associated with Project:
Contractor ANTONIO MARCELO CONSTRUCTION INC 1907 E PALMYRA AVE201911191121191090 ORANGE, CA 92866
Permit Applicant Gonzalo Gutierrez
Owner FARTHING SCOTT R 502 S SAN VICANTE LN
Type Electrical Fixtures Qty Type Plumbing Fixtures Qty Mechanical Fixtures Qty
Receptacle, switches, lights 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�Ph1EH4 C,q�
Cityof Anaheim D� �O
Building Division F i
U >
OED
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
I 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)
1-22-ZS JAVA
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)
Floor Nailing (Raised Foundation Only)
2nd Floor (Floor Nailing)
Do not cover or conceal the work below until the following applicable items have
been sionede
1st Floor Shear
Firesprinkler (Rough) (Fire Dept.)
Mechanical Inspections
2nd Floor Shear
Roof (Sheathing/Diaphragm/Frame)
✓
3113123 gur-
Masonry (Reinf./Bond Beam/Pre-Grout)
Rough Plumbing (Top Out)
Rough Duct (Mechanical)
Rough Mechanical
Rough Electrical
Ok 112,3 a
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
4/6129
Q
Electrical Inspections
Electrical Service Meter-(Meter will be set within 2-3
business days after approval) Excludes New
Construction
Exterior Plaster (Brown Coat)
rZ'
T-Bar (Struct., Ele., or Mec.)
Grease Interceptor
Sewer
Water Engineering Backflow (Testable Only)
Water Service
Permit Types ,
BLD ELE MEC PLM
X X
Permit Number. BLD2023-00799 4{"
Issued: 02117/2023
www.anaheim.net/buiiding
(714)765-4626
Quarter Section: 192
CITY OF ANAHEIM
BUILDING DMSION
200 S. ANAHEIM BLVD.
(7141765-5153
Site Address: 502 S SAN VICENTE LN, ANAHEIM, CA 92807
Legal Description: N TR 14353 BLK LOT 6 UN 6 TRACT 14353, LOT 6 OF PR `
APN: 93638063
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 ATTORNEYS 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.
I have and will maintain workers compensation insurance, as required by Section 3700 of the tabor Code, for the performance of the work for which
this permit Is Issued. My workers Compensation insurance carder and policy are:
Carrier. STATE COMPENSATION INSURANCE FUND Policy No.: 9311117 Expiration Date: 1/8/2024
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 provlslons.
'A41"- —'u—I — 2-//7/7 3
Signature Ppiplicant w bA 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 1 am licensed under provisions of chapter 9 (commencing with Section 7000) of Division 3 of the Business end
Professions Code, my license Is in full force and effect.
ZontractoVignature
NUMBER EXPIRATION DATE LICENSE TYPE ISl
1055091 06/30/2023
Date
. , t4l