2865 W SKYWOOD CIR (2)City of Anaheim
BUILDING DIVISION
INSPECTION RECORD
ADDRESS:
2865 W SKYWOOD CIR, ANAHEIM, CA 82804
PERMIT #:
BLD2023-02140 DATE ISSUED: 05/02/2023
OWNER:
CONCEPCION, RYAN T & ROWENA M GPN
DESCRIPTION:
Patio Cover: 326 sq ft attached solid aluminum patio cover
POST THIS CARD WITH THE APPROVED PLANS
IN A CONSPICUOUS PLACE ON THE JOB SITE
Do not occupy this building until the final inspections have been made.
INSPECTION
Code
Date
Inspector
Do not pour concrete until the following applicable items have been signed:
GroundfUnderfloor Waste
202
Ground Electrode/Ufer
306
Footings
106
Do not install subfloor or pour floor slab until the following applicable items have
been signed:
Ground/Underfloor Water
204
Underfloor Gas
206
Underground Conduit
308
Pro -Slab
110
Floor Joist/Girders
114
Underfloor Insulation (Raised Foundation Only)
119
1st Floor Nailing
115
1st Floor Shear
116
Do not cover or conceal the work below until the following applicable items have
been signed:
2nd Floor Nailing
117
2nd Floor Shear
118
3rd Floor Nailing
133
3rd Floor Shear
134
Roof Sheathing
102
Firesprinkler (Rough) (Fire Dept)
Pro -Grout
108
Roughrrop Out
208
Hot MoplShower Pan
205
Rough Duct
406
Rough Mechanical
408
Rough Electrical
314
Framing Qr--i
104
Insulation
Do not tape or plaster until the following applicable items have been signed:
Drywall
122
Interior Lam
124
Exterior Lath
128
Electrical Service/Meter
312
Stucco Brown Coat
130
T -Bar
132
Grease interceptor
211
Sewer
212
Water Service
214
fbldjobeards
All applicable items below must be signed before utilities are released.
FINAL INSPECTIONS
Code Date Inspector
Gas Test
218/416
Electrical Final
399
Plumbing Final
299
Mechanical Final
499
Cross Connection Control 7654203
Public Works Final 7564126
Fire Sprinkler(ONLY) 765.5041
Fire Dept. Final 765-4041
Water Engineering 765-4591
Sub LlstfBusiness License
765-5184
ann a
Building FinalUdYUTUrT
5 ' `
&) M I
199
PARTIAL APPROVAL
Inspection requests made prior to 6:00 pm Monday - Friday will
be scheduled on the following workday.
To schedule your building inspection online, please go to
https://aca.anaheim.neUCitizenAccess
You may also request your Inspection by calling (714) 766-5153 no
later than 4:30
To access your Inspection timeframe, please go to
www.anaheim.nel/buildino after 7:30 am on the day of your
inspection. Under Online Services, click on the
"Inspection Timeframes" link or call (714) 766-6163 + 0.
Permit Types
BLD ELE MEC PLM
X
Permit Number: BLD2023-02140
Issued: 05/02/2023
www.anaheim.net/building
(714)765-0626
Quarter Section: 13
CITY OF ANAHEIM
She Address: 2865 W SKYWOOD CIR, ANAHEIM, CA 92804
Legal Description: N TR 2400 BLK LOT 114
APN:12609430
BUILDING DIVISION
200 S. ANAHEIM BLVD.
(7141765.5153
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 ($700.000), IN ADDITION TO THE COST OF COMPENSATION, DAMAGES AS PROVIDED
FOR IN SECTION 3706 OR THE LABOR CODE. INTEREST, AND ATTORNEY'S FEES.
1 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 Labor Code. for the performance of the work for which
this permit is issued. My workers Compensation insurance carrier and policy are:
Carrier: STATE NATIONAL INSURANCE COMPANY INC Policy No.: AMX1440034003 Expiration Date: 55/1/2024
Name of Agent Phone No.:
I car* that in the performance of evor915r'WFiicMhi eimit is issued, l shall not employ any person in any manner so as to become subject to the
workers compensati lifo ' nd agree that, if I uld become subject to the workers compensation provisions of Section 3700 of the
Labor Cod all forth ose p cions.
LZ
Sian o ADDllca 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 I
I hereby affirm
NUMBER
pffalty of Poly" 1 am licensed der provisions of chapter 9 (commencing with Section 7000) of Division 3 of the Business and
MEE.5-/7-
/12
Date
EXPIRATION DATE LICENSE TYPE (S)
937280 09/30/2023 D24, D52, D64, D03, C-8