1543 S STATE COLLEGE BLVDPermit
BLD ELE MEC PLM
X
Permit Number: BLD2022-04850
Issued: 10/12/2022
www.anaheim.net/building
(714)7654626
Quarter Section: 107
CITY OF ANAHEIM
BUILDING DIVISION
200 S. ANAHEIM BLVD.
(714) 765.5153
Site Address: 1543 S STATE COLLEGE BLVD, Anaheim, CA 92806
Legef Description: P;BK 56 P0,25 PAR 3
APN:08225063
Project Descrlption: Commercial Reroof: Overlay existing layer of (306) squares with TPO over entire building and replace (19) skylights
like for like
Living Area:
Number of Stories: 1 Valueflon: 163,400.00
Garage Area:
Construction Types: NIA
Carport Area:
Occupancy Groups:
Balcony I Deck Area:
Fire Sprinkiered:
Cool Roof:
Total Fees paid for Perm@: 2,199.75
People Associated with Project:
Permit Applicant Virginia Davis
Owner SEAWARD RE L P
923 N MAIN ST
Type Electrical Fixtures Qty Type Plumbing Fixtures Qty Mechanical Fixtures Qty
r
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 C9C
City of Anaheim o� �o
Building Division F i
U a
�DGNDED �
Do not occuov 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) 7654280
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) 7654591
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
s' e •
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 sianed7
1st Floor Shear
Firesprinkler (Rough) (Fire Dept.)
Mechanical Inspections
2nd Floor Shear
Roof eathin iaphragm/Frame) a� JSG
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
Constructman
Exterior Plaster (Brown Coat)
T-Bar (Struct., Ele., or Mec.)
Grease Interceptor
Sewer
Water Engineering Backflow (Testable Only)
Water Service
STATE OF CALIFORNIA
Envelope Component Approach
NRCCGENV-E (Created 03/21)
THE ISSUANCE OF THIS PERMIT DOES
NOT APPROVE VIOLATION OF ANY OF
THE BUILDING CODES OF THE CITY.
THE THIS
PROCEEDS HOLDEATORMIT HIS WN ER SK.
OCT 12 2022
BUILDING DIVISION OF
APPROVE,
�� 2fi�L2
CALIFORNIA ENERGY MMMIgQnN
CERTIFICATE OF COMPLIANCE
-1 NRCC-ENV-E
This document is used to demonstrate compliance with mandatory requirements in §110.8/x) and §110.7/b) fornewly const cted buildings, and 6141.016)1 for alterations,
related to roof, wall and floor assemblies. It is also used to demonstrate compliance with prescriptive requirements in 140.3 for newly constructed buildings, and 141.0 for
additions and alterations, related to roof, wall, floor, door, fenestration and daylighting requirements.
Project Name: ST. COLLEGE Report Page:
Pagel of
Project Address: 1543 ST. COLLEGE ANAHEIM CA 92806 JDate Prepared:
2022-10.12
A. GENERAL INFORMATION
Table Instructions: Include any building envelopes that are within the scope of the permit application and are demonstrating compliance using the prescriptive paths outlined in
JJJ2XandJL4JSLqJond §141.01b11 and 1 foradditions and alterations.
W
01 Project location (city) ANAHEIM 05
# of Stories (Habitable Above Grade)
1
02 Zipcode 92806 06
Total Conditioned Floor Area (ft')
500
03 Climate Zone 8 07
Total Unconditioned Floor Area (ft')
29,500
Occupancy Types Within Project (select all that apply):
❑Roof
Walls
04 If one occupancy constitutes 2 80% of the conditioned floor area, the entire 08
Project includes unconditioned enclosed space(s) > 5,000fe under a roof with
building envelope may be designed to comply with the provisions of that
a ceiling height of at least 15ft.'
occupancy per §300.Off1.
All Nonresidential, including Relocatable Public School Building
Relocatable Public School Building for
❑ Walls
Exterior Doors NA for Alts.
❑✓ certified for use in one climate zone
❑ use in all climate zones
High -Rise Residential
❑Hotel/Motel Guest Rooms
Occupancy: A/ B/ E/ F/ H/ M/ S/ U
Occupancy: E
Occupancy: R-2 / R-3
Occupancy: R-1
FOOT ivur E tnctosea spaces > 5,0W)e directly under roof with ceiling height> 151t in climate zones 1 through 15 are required to meet the minimum daylighting requirements
defined in §140.31c). Compliance with 4140.3/c1 is documented in Table L. This is the only prescriptive requirement which applies to unconditioned spaces.
B. PROJECT SCOPE 6W
Table Instructions: Include any building envelopes that are within the scope of the permit application and are demonstrating compliance using the prescriptive paths outlined in
JJJ2XandJL4JSLqJond §141.01b11 and 1 foradditions and alterations.
My project consists of (check all that apply) Component Types
01 02
❑ New Construction or Newly Conditioned Space ❑ Roof
❑ One or more enclosed spaces > 5,000 ft' directly under roof with ceiling height> 15ft
❑ Walls
❑ Exterior Doors
JLJ Floors
❑ Fenestration/Glazed Door'
❑ Addition of conditioned space❑
❑Roof
Walls
C] Exterior Doors
C] One or more enclosed spaces > 5,000 ft' directly under roof with ceiling height> 15ft
❑ Floors
❑ Fenestration/Glazed Door'
❑✓ Alteration of conditioned space
❑ Roof Assembly
❑ Walls
Exterior Doors NA for Alts.
One or more enclosed spaces > 5,000 ft' directly under roof with ceiling height> 15ft
0 and lighting system installed for the first time
❑✓ Roofing Material
❑Floors
E] Fenestration
FOOTNOTE: Doors that are more than 15% glass in area are considered Glazed Doors and should be documented on Table K with fenestration.
CA Building Energy Efficiency Standards- 2019 Nonresidential Compliance: http://www.energy.ca.gov/title24/2019standards March 2021
Permit Types
BLDALE MEC PLM
X
Permit Number: BLD2022-04850
Issued: 10/12/2022
wwmanaheim.net/building
(714)765-4626
Quarter Section: 107
CITY OF ANAHEIM
BUILDING DIVISION
200 S. ANAHEIM BLVD.
(714) 765 - 5153
Site Address: 1543 S STATE COLLEGE BLVD, Anaheim, CA 92806
Legal Description: P BK 56 PG 25 PAR 3
APN:08225063
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 penury 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.
SSS 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 caner and policy are:
Cartier. STATE COMPENSATION INSURANCE FUND Policy No.: 9316487 Expiration Date: 5/25!2023
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
workers compensation laws of California, and agree that, if I should become subject to the workers compensation provisions of Section 3700 of the
bor Code, I s onhwith comply with those provisions.
gnature 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):
Lender's Name:
Lender's Address:
LICENSED CONTRACTOR'S DECLARATION:
1 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 end effect.
Contractor Signature
NUMBER EXPIRATION DATE LICENSE TYPE ISI
371806 07/31/2022 C39
Date