2120 S ANCHOR ST (4)Permit Types
BLD ELE MEC PLM
X
Permit Number: BLD2022-04519
Issued: 09/22/2022
www.anaheim.net/building
(714)765-4626 /
Quarter Section: 99
Site Address ;;2120 S ANCHOR ST -i ANAHEIM, CA 92802
Legal Description:+.N°TR:5123 BLK LOT;30
APN13741155"'• '
CITY OF ANAHEIM
BUILDING DMSION
200 S. ANAHEIM BLVD.
(7141765-5153
7
- '
r'
Project Description: Reroof: Remove existing material, and install (32) squares of composition shingles for the house and attached
garage
Living Area: Number of Stories: 1 Valuation: 19,000.00
Garage Area: Construction Types: N/A
Carport Area:. Occupancy Groups:
Balcony I Deck Area: Fire Sprinklered:
Cool Roof: Total Fees paid for Permit: 363A7
People Associated with Project:
Permit Applicant Paul Le
Owner NGUYEN HAO TAN TR 2120 S ANCHOR ST
Type Electrical Fixtures Qty Type Plumbing Fixtures Qty Mechanical Fixtures Qty
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
Do not occupy this building until the final inspections have been made.
INSPECTION DATE I INSPECTOR
Do not pour concrete until the following applicable items have been signed:
Plumbing (Ground/Underfloor Drain Waste)
Electrical Ground Electrode/Ufer
Setback/Forms/Trenches (Footings)
Do not install subfloor or pour floor slab until the follwing applicable items have been
sianed7
Plumbing (Ground/Underfloor Water)
Underfloor Rough Gas
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
e s*aned7
1st Floor Shear
Firesprinkler (Rough) (Fire Dept.)
2nd_fJeqr She r
(SheathinglD phragm/Frame) —
Masonry (Reinf./Bond Beam/Pre-Grout)
Rough Plumbing (Top Out)
Rough Duct (Mechanical)
Rough Mechanical
Rough Electrical
Rough COA/Mitagation Measures
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 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
PARTIAL INSPECTIONS
Building Inspections
Mechanical Inspections
Plumbing Inspections
Electrical Inspections
Permit Types
BLD ELE MEC PLM
X
Permit Number: BLD2022-04519
Issued: 09/22/2022
www..snaheim.net/building
(714)765.4626
Quarter Section: 99
Site Address: 2120 S ANCHOR ST, ANAHEIM, CA 92802
Legal Description: N TR 5123 BLK LOT 30
APN:13741155
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 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 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. STARNET INSURANCE COMPANY Policy No.: SNUWC0154185 Expiration Date: 6/1/2023
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 workers compensation provisions of Section 3700 of the
Labor Code, I shall forthwith comply with those provisions.
Tlf
Signature of 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:
Lender's 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.
Cont for Signature Date
NUMBER EXPIRATION DATE LICENSE TYPE IS)
1004667 06/3012023 C10, C39