2619 W FELICIDAD CIR (4)Permit Types
BLD ELE MEC PLM
X .
Permit Number. BLD202245634
Issued:1112912022
www.anaheim.neUbuilding
(714)765-4626
Quarter Section: 18
CITY OF ANAHEIM
BUILDING DIVISION
200 S. ANAHEIM BLVD.
(714)765-5153
`Site_Address:,26.,19 W FELICIDAD CIR, ANAHEIM, CA 92801 T T
L`epal Description: N TR 11707 BLK LOT 1 UN HOLD
'-APN: 07019134
Project Description: Reroof: overlay existing 1 layer of flat roof with (21) squares of flat roof over car ports (21-29)
Living Area: Number of Stodes: 1 Valuation: 2,000.00
Garage Area: Construction Types: NIA
Carport Area: Occupancy Groups:
Balcony I Deck Area: Fire Spdnldered:
Cool Roof: Total Fees paid for Permh: 339.56
People Associated with Project:
Owner HOLD PARCEL
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.
P�PNEI14 Cq<
Cityof Anaheim o� io
Building Division F i
u >
�DG�►DED �$
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) 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 follwing applicable items have been
si n d:
Building Final (714 765-5153)15
Last Inspection-Final Only After Abov Completed
Plumbing (Ground/Underfloor Water)
Underfloor Rough Gas
Mechanical (Groundwork) PARTIAL INSPECTIONS
Electrical (Underground Conduit) Building Inspections
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 si e :
1st Floor Shear
Firesprinkler (Rough) (Fire Dept.) Mechanical Inspections
2nd Floor Shear
o eathin iaphragm/Frame) O
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 & Pibg)
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
(Do not hackfill unless Maned ofn
Sewer
Water Engineering Backflow, (Testable Only)
Water Service
Permit Types
BLD ELE MEC PLM
X
Permit Number. BLD2022-05634
Issued: 11/29/2022
wwmanaheim.neUbuilding
(714)765.4626
Quarter Section: 18
CITY OF ANAHEIM
Site Address: 2619 W FELICIDAD CIR, ANAHEIM, CA 92801
Legal Description: N TR 11707 BLK LOT 1 UN HOLD
APN:07019134
BUILDING DIVISION
200 S. ANAHEIM BLVD.
(714765-5153
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 ($700,000), IN ADDITION TO THE COST OF COMPENSATION, DAMAGES AS PROVIDED
FOR IN SECTION 3706 OR THE LABOR CODE. INTEREST, AND ATTORNEY'S FEES.
1 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 canter and policy are:
Cartier. STATE COMPENSATION INSURANCE FUND Policy No.: 9255573 Expiration Date: 71112023
Name of Agent: Phone No.:
I certify that in the perfonp
ffce 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 compenrA Ps of California, and agree that, if 1 should become subject to the worker's compensation provisions of Section 3700 of the
Le bor Code, I s with comply with those provisions.
Signature 91,Afplicant 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 Perjury119censed under provisions of chapter 9 (commencing with Section 7000) of Division 3 of the Business and
Professions Code, and my license Is in faily ce a effect.
Date
NUMBER EXPIRATION DATE LICENSE TYPE (S)
839467 05/31/2024 C39