1283 E ADELE ST (3)Permit Types
BLD ELE MEC PLM
X
Permit Number: BLD2023-01615
Issued: 04/06/2023
www.anaheim.neUbuilding
(714)765-4626
Quarter Section: 92
Site Address: 1283 E ADELE ST, ANAHEIM, CA 92805
Legal Description: N TR 1542 BLK LOT 17
APN:03530237
Project Description: Plumbing: To replace (1) water heater
CITY OF ANAHEIM
BUILDING DIVISION
200 S. ANAHEIM BLVD.
(7141765.5153
Living Area: Number of Stories: 1 Valuation: 0.00
Garage Area: Construction Types: N/A
Carport Area: Occupancy Groups:
Balcony / Deck Area: Fire Sprinldered:
cool Roof: Total Fees paid for PerreB: 167.00
People Associated with Project:
Contractor FUTURA ENERGY INC 13142 BARTON RD201411241204069014 SANTA FE SPRINGS, CA 90605
Permit Applicant Desiree Clayton
Owner ROMAN MILAGROS CONCEPCION 1283 E ADELE ST
Type Electrical Fixtures City Type Plumbing Fixtures City Mechanical Fixtures Qty
Water Heater 1
The permit shall expire by limitation and become null and vold 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�PNEIM CSC
City of Anaheim c� �o
Building Division F z
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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 INSPECTOR
Fire Sprinkler (ONLY) (714) 765-5041
Do riot 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 follwing applicable items have been
signed:
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)
in L
Underfloor Insulation (Raised Foundation Only)
Floor Nailing (Raised Foundation Only)
ATF=
2nd Floor (Floor Nailing)
,-11!21
Do not cover or conceal the work below until the following applicable items have
been sioned7
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., Mac. & 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 MEC PLM
X
Permit Number. OLD202341615
Issued: 04/06/2023
www.anaheim.net/building
(714)765-4626
Quarter Section: 92
Site Address: 1283 E ADELE ST, ANAHEIM, CA 92805
Legal Description: N TR 1542 BLK LOT 17
APN:03530237
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 selfinsure 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
Cthis permit is issued. My workers Compensation insurance carrier and policy are:
Cartier. INSURANCE COMPANY OF THE WEST Policy No.: WVE506159101 Expiration Date: 712512023
Name of Agent: Phone No.:
1 certify that in the performance of the work for which this permit is issued, l 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 fampithrply with those provisions.
1 ,
S1gr4NWbf Applicant
k{ -U - 1,1
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):
Lenders Name:
Lenders Address:
LICENSED CONTRACTOR'S DECLARATION:
I hereby affirm under the penalty of Perju t I licensed under provisions of chapter 9 (commencing with Section 7000) of Division 3 of the Business and
Professions Code, and my license is in 11 anq effer)J
Q. z�
Date
NUMBER EXPIRATION DATE LICENSE TYPE is)
985827 08/31/2023 B. C10, C20, C36