1605 W SUMAC LNPerm
BLD ELE it Ty EC PLM CITY OF ANAHEIM
X
Permit Number. BLD2023-02027
Issued: 04/27/2023
www.anaheim.net/building
(714)7654626
Quarter Section: 57
Site Address: 1605 W SUMAC LN, ANAHEIM, CA 92802
Legal Description: N TR 2210 BLK LOT 36
APN: 12939401
BUILDING DMSION
200 S. ANAHEIM BLVD.
(7141765.5153
Project Description: Reroct Remove existing to install (27) sq of composition shingles over the entire house
Living Area: Number of Stories: 1 Vahradon: 10,500.00
Garage Area: Construction Types: NIA
Carport Area: Occupancy Groups:
Balcony / Deck Area: Fire Sprinllered:
Coot Root Total Fees paid for Penult: 340.37
People Associated with Project:
Contractor CAL COAST ROOFING & RAINGUTTERS 3425 VIA GIOVANNI CIRCLE CORONA, CA 92881
Permit Applicant Adam Davis
Owner AKEN, MARILYN R TR THE 1605 W SUMAC LN
Type Electrical Fixtures City Type Plumbing Fixtures City Mechanical Fixtures City
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�P14EIAl CqC
Cityof Anaheim D� io
Building Division F i
u >
�OGNDED
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
69ineering 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 LisUBus. 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
Building Final (714 765-5153)
Last Inspection-Final Only After Above Completed
`
Plumbing (Ground/Underfloor Water)
Underfloor Rough Gas
Mechanical (Groundwork)
Electrical (Underground Conduit)
Pre-slab (Compaction/Membrane Reinf.)
PARTIAL INSPECTIONS
Buildinq Inspections
Floor (JoisUGirdem)
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
1st Floor Shear
Firesprinkler (Rough) (Fire Dept.)
2nd hear
Mechanical Inspections
roof (Sheathin iaphragm/Frame) �f
baro-n'ry(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)
Plumbinq 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
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. OLD2023-02027
Issued: 04/27/2023
www.anaheim.net/building
(714)765.4626
Quarter Section: 57
Site Address: 1605 W SUMAC LN, ANAHEIM, CA 92802
Legal lresoi iption:. N TR 2210 BLK LOT 36
iT
APN: 12939401
CITY OF ANAHEIM
BUILDING DIVISION
200 S. ANAHEIM BLVD.
(714) 765-5153
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 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.
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
AA this permit Is issued. My workers Compensation insurance carrier and policy are:
Carrier: STATE COMPENSATION INSURANCE FUND Policy No.: 9080577 Expiration Date: 12MO23
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, if I should become subject to the workers compensation provisions of Section 3700 of the
Labor Code, l shall forthwith comply with those provisions.
y-Z�-Z�
Sign 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:
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 to full force and effect.
Contractor Signature
NUMBER EXPIRATION DATE LICENSE TYPE (Sl
828394 12/31/2023 C39, B
Date