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320 S WESTERN AVE (5)Permit Types BLD ELE MEC PLM X Permit Number: BLD2022-05030 Issued: 10/21/2022 www.anaheim.net/building (714)765-0626 Quarter Section: 9 Site Address: 320 S WESTERN AVE, ANAHEIM, CA 92804 Legal"Description: N TR 2611 BLK LOT 74 APN:13538107 Project Description: Plumbing to replace drainage In kitchen CITY OF ANAHEIM BUILDING DIVISION 200 S. ANAHEIM BLVD. (714)765-5153 Living Area: Number of Stories: 1 Valuation: 0.00 Garage Area: Construction Types: NIA Carport Area: Occupancy Groups: Balcony I Dock Area: Fire Sprinklered: Cool Roof: Total Fees paid for Permit: • 167.00 People Associated with Project: Permit Applicant Adrian Martinez Owner CRAWFORD RICHARD A & DOROTHY L 320 S WESTERN AVE Type Electrical Fixtures Qty Type Plumbing Fixtures Qty' Mechanical Fixtures Qty Repair/Drainage AlterationlVent Piping 1 i 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. City of Anaheim Building Division I FINAL INSPECTIONS I DATE I INSPECTOR ( I All applicable items below must be sinned before utilities are released I Final Gas Test bing Mecfical Final e - e%41!3,j I I ' 1' Cross Connection Control (714) 765-4260 Do not occupy this buildinn until the final inspections have been made. I 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) 7654591 Electrical Ground ElectrodelUfer 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 Building Final (714 765-5153) Last Inspection -Final Only After Above Completed Plumbing (Ground/Underfloor Water) Underfloor Rough Gas PARTIAL INSPECTIONS Buildinq 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 sionedo 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 Sewer Water Engineering Backflow, (Testable Only) Water Service Permit Types BLD ELE MECPLM • X Permit Number: BLD2022-05030 Issued: 10/21/2022 www.anaheim.net/building (714)765-4626 Quarter Section: 9 Site Address: 320 S WESTERN AVE, ANAHEIM, CA 92804 Legal Description: N TR 2611 BLK LOT 74 APN: 13538107 WORKER'S COMPENSATION DECLARATION: CITY OF ANAHEIM BUILDING DIVISION 200 S. ANAHEIM BLVD. (714) 765 - 5153 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 selfminsure 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 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 workers Compensation insurance carrier and policy are: Cartier. EVEREST PREMIER INSURANCE COMPANY Policy No.: RM6WC00054221 Expiration Date: 4/1/2023 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, I shall forthwith comply with those provisions. 51grillfure-61' 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: Lenders 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 in full force and effect. U. feA 06ntrd6tof Signature NUMBER EXPIRATION DATE LICENSE TYPE (Sl 799170 10/31/2023 B. C20, C36, C-2 ©/C;?,1 Oal Date