405 W VERMONT AVE (2)Permit Types
SLD ELE MEC PLM
X
Permit Number. BLD2022-05204
Issued: 11/02/2022
www.anaheim.net/building
(714)765-0626
Quarter Section: 85
CITY OF ANAHEIM
BUILDING DIVISION
200 S. ANAHEIM BLVD.
(714)765-5153
Site Address: 405 W VERMONT AVE, ANAHEIM, CA 92805
Legal Description: A TR ORCHARD PARK TR BLK LOT 9 ORCHARD PARK TR LOT
APN:63626318
Project Description: Mechanical: to change out (13) ducts
Living Area: Number of Stories: 1 Valuation: 0.00
Garage Area: Construclion Types: NIA
Carport Area: Occupancy Groups:
Balcony I Deck Area: Fire Spdnidered:
Cool Roof: Total Fees paid for Permit: 303.00
People Associated with Project:
Permit Applicant Ben Medina
Owner BROOKS WILMA F TR 405 W VERMONT AVE
Type Electrical Fixtures Qty Type Plumbing Fixtures Qty Mechanical Fixtures Qty
Residential Registers 13
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�PHEiaq CqC
Cityof Anaheim 04 io
Building Division F z
u >
�OGNDED 5
Do not occupy this buildinq 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 I 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)
COA/Migation Measures
Do not install subfloor or pour floor slab until the folMring 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
Buildinq Inspections
III
Mechanical (Groundwork)
Electrical (Underground Conduit)
Pre -slab (Compaction/Membrane Reinf.)
Floor (Joist/Girders)
Underfloor Insulation (Raised Foundation Only)
a td W
Floor Nailing (Raised Foundation Only)
-w-
2nd Floor (Floor Nailing)
Do not cover or conceal the work below until the following applicable items have
been s*anedi
1st Floor Shear,
Firesprinkler (Rough) (Fire Dept.)
Mechanical Inspections
2nd Floor Shear
Roof (Sheathing/Diaphragm/Frame)
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
Construction
Exterior Plaster (Brown Coat)
T -Bar (Struct., Ele., or Mec.)
Grease Interceptor
(Do nnt hack
Sewer
Water Engineering Backflow (Testable Only)
Water Service
Permit Types
,BLD ELEMECPLM
X
Permit Number: BLD2022-05204
Issued: 11/02/2022
www.anaheim.net/building
(714)765.4626
Quarter Section: 85
CITY OF ANAHEIM
BUILDING DMSION
200 S. ANAHEIM BLVD.
(714) 765 - 5153
Site Address: 405 W VERMONT AVE, ANAHEIM, CA 92805
Legal Description: A TR ORCHARD PARK TR BLK LOT 9 ORCHARD PARK TR LOT
APN: 03626318
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.
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.
1 have and will maintain worker's compensation insurance, as required by Section 3700 of the tabor Code, for the performance of the work for which
this permit is issued. My worker's Compensation insurance carder and policy are:
Carrier. EVEREST PREMIER INSURANCE COMPANY Policy No.: RM6WC00054221 Expiration Date: 41102023
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 ce tioaws n lof C ' emia, and agree that, if I should become subject to the worker's compensation provisions of Section 3700 of the
Labor e, I shall fo mpty with those provisions, r
Signatu plica Date
DECLARATION REGARDING CONSTRUCTION LENDING AGENCY:
I hereby affirm under penalty of perjury that there is a construction tending 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 of Perjury that I am licensed under provisions of chapter 9 (commencing with Section 7000) of Division 3 of the Business and
Professions Code, a my license is In full foree•and effect.
Co r Date
NUMBER EXPIRATION DATE LICENSE TYPE (S)
799170 10/3102023 B. C20, C36, C-2