331 S AVENIDA MARGARITA (3)Permit Types
BLD ELE MEC PLM
X ,
Pe!mit Number: BLD2023-01312
Issued: 03/20/2023
www.anaheim.net/building
(714)765-4626
Quarter Section: 179
CITY OF ANAHEIM
BUILDING DMSION
200 S. ANAHEIM BLVD.
(714) 765.5153
Site. Address: 331 S AVENIDA MARGARITAANAHEIM, CA 92807
.. -may... �.�a.�'.,A: . '
.L'egal;Descrlpfion: N TR8783 BLK LOT 106
36323104
Project Description: Reroof: Relay (27) sq of existing (heavy weight tile) over entire house and attached garage
Living Area: Number of Stories: 1 Valuation: 9,500.00
Garage Area: Construction Types: NIA
Carport Area: Occupancy Groups:
Balcony I Deck Area: Fire Sprinldered:
Cool Roof: Total Fees paid for permit: 583.24
People Associated with Project:
Contractor CERTIFIED ROOFING SPECIALISTS 9281 LARKSPUR DRIVE201106221436272010 WESTMINSTER, CA 92683
Permit Applicant Joel Ortiz
Owner CARR JASON E TR J 8 A 331 S AVENIDA MARGARITA
Type Electrical Fixtures Qty Type Plumbing Fixtures Qty 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�PMIEiM Oq<
City of Anaheim o� io
Building Division F i
u >
�DVNDED a�^
Do not occupy this buildina until the final inspections have been made.
FINAL INSPECTIONS DATE INSPECTOR
All applicable items below must be signed before utilities areTeloysed
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
Building Final (714765-5153)
Last Inspection-Final Only After Above Completed
Plumbing (Ground/Underfloor Water)
Underfloor Rough Gas
PARTIAL INSPECTIONS
Buildina 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 seaned-
1st Floor Shear
Firesprinkler (Rough) (Fire Dept.)
Mechanical Inspections
2nd Floor Shear
Sheathin . hragm/Frame)
kUSmy (Reinf./Bond Beam/Pre-Grout)
Rough Plumbing (Top Out)
Rough Duct (Mechanical)
Rough Mechanical
Rough Electrical
Rough COAIMitagation Measures
Plumbina Inspections
Framing (Only after Pibg., Ele., Mac. & Fire)
Insulation (Sound/Energy)
Do not tape or plaster until the following applicable items have been signed:
Drywall
Drywall Penetrations (Ele, Mac & 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: BLD202341312
Issued: 03/20/2023
www.anaheim.net/building
(714)765-4626
Quarter Section: 179
CITY OF ANAHEIM
Site Address: 331 S AVENIDA MARGARITAANAHEIM, CA 92807
Legal Description: N TR 8783 BLK LOT 106
APN:36323104
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 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.
v 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 worker's Compensation Insurance carrier and policy are:
Cartier. STATE COMPENSATION INSURANCE FUND Policy No.: 1949902 Expiration Date: 12/1/2023
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
worker's compensation laws of California, and agree that, if I should become subject to the worker's compensation provisions of Section 3700 of the
Labor Code, I shall forthwith comply with those provisions.
SignaftWfApVflcant
--�.a� 3
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 a kcensed under provisions of chapter 9 (commencing with Section 7000) of Division 3 of the Business and
Professions CodrqAnd my license Is In fWl end effect.
NUMBER EXPIRATION DATE
956643 01/31/2025
LICENSE TYPE (S)
C39
� Ad)3
Date