218 S DATE STPermit Types
BLD ELE MEC PLM
X
Permit Number: BLD2023-01224
Issued: 03/14/2023
CITY OF ANAHEIM
BUILDING DIVISION f
'aw S.`At&Ve*, IN LVD
(714) -5153 '
www.anaheim.net/building
r
(714)765-0626 i
Quarter Section: 103
Site Address: 218 S DATE ST E, ANAHEIM, CA 92805
Legal Description: N TR 1565 BLK LOT 20
APN: 03720154
Project Description: Reroof: Remove existing to install (20) sq of 7Construction
ition shingles over entire house and detached garage
Living Area: Number of Stories: 1 Valuation: 10,500.00
Garage Area: Types: NIA
Carport Area: ( Occupancy Groups:
Balcony / Dock Area: Fire Sprinldered:
Cool Roof. Total Fees paid for Permit: 340.37
People Associated with Project:
Contractor CERTIFIED ROOFING SPECIALISTS 9281 LARKSPUR DRIVE201106221436272010 WESTMINSTER, CA 92683
Permit Applicant JOSE VAZQUEZ 9281 LARKSPUR DR WESTMINSTER, CA 92683 0000
Owner CHILDRESS ALLEN CLARENCE 218 DATE STREET EAST
Type Electrical Fixtures Qty Type Plumbing Fixtures Qty Mechanical Fixtures Qty
I
J
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�pNEIM ��(
City of Anaheim o� �o
Building Division z
v >
�oUN0 6 �s
Do not occupy this building 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) 7654280
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) 7654591
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
s' ne •
Building Final (714 765-5153)
Last Inspection -Final Only After Above Completed
—jai
m,
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
1st Floor Shear
Firesprinkler (Rough) (Fire Dept.)
Mechanical Inspections
2nd Floor Shear
eathingl aphragm/Frame)
Ma einf./Bond Beam/Pre-Grout)
Rough Plumbing (Top Out)
Rough Duct (Mechanical)
Rough Mechanical
Rough Electrical
Rough COA/Mitagation Measures
Plumbinq 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, 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 (Strutt., Ele., or Mec.)
Grease Interceptor
(Do not backfill unlPqq gonnad oft)
Sewer
Water Engineering Backflow (Testable Only)
Water Service
Permit Types
BLD ELE MEC PLM
X
Permit Number: BLD2023-0122��
Issued: 03/14/2023
www.anaheim.net/building
(714)765-4626
Quarter Section: 103
Site Address: 218 S DATE ST E, ANAHEIM, CA 92805
Legal Description: N TR 1565 BLK LOT 20
APN:03720154
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 penury one of the following declarations:
I have and will maintain a certificate of consent to self4nsure 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.
�s\ 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 carder and policy are:
Cartier: STATE COMPENSATION INSURANCE FUND Policy No.: 1949902 Expiration Date: 121112023
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
j
r Code shall fo th comply with those provisions. %U
Signatu Icant IV 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 nd my license Is in full force and effect.
17
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3
Con to Si natu Date
NUMBER EXPIRATION DATE LICENSE TYPE (Sl
956843 01/31/2025 C39