603 S GAYMONT STPermit Types
BLD ELE MEC PLM
X X X
Permit Number: BLD2022-05205
Issued: 11/02/2022
www.anaheim.neUbuilding
(714)765-4626
Quarter Section: 14
Site Address: 603 S GAYMONT ST, ANAHEIM, CA 92804
Legal Description: N TR 5227 BLK LOT 1
APN:12613141
Chi Ili &*] 0_1Z,T_1;I41ill
BUILDING DIVISION
200 S. ANAHEIM BLVD.
(714) 765 - 5153
Project Description: Mechanical to change out air conditioner, (10) ducts, (1) coil and relocate (1) furnace to attic. Electrical to Install (3)
new outlets inside attic, (1) disconnect for ac. Plumbing to install new gas line for furnace.
Living Area: Number of Stories: t Valuation: 0.00
Garage Area: Construction Types: NIA
Carport Area: Occupancy Groups:
Balcony I Deck Area: Fire SprinNered:
Cool Root: Total Feu paid for Permit: 570.00
People Associated with Project:
Permit Applicant Ben Medina
Owner VU TEVIN 603 S GAYMONT ST
Type Electrical Fixtures City Type Plumbing Fixtures Qty Mechanical Fixtures City
Motors - up to 1 h.p. 1 Gas System (outlets) 1 CompressodBoiler - up to 15 hp 1
Receptacle, switches, lights 3 Heating Appliances, including vent 1
HeatinglCooling Coil 1
Residential Registers 10
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 C9<
City of Anaheim o� io
Building Division F i
u >
SOUNDED ��y^
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) 765-4260
Engineering Final (714) 765-5126
INSPECTION I DATE 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
s' e :
Building Final (714 765-5153)
Last Inspection -Final Only After Above Completed
Plumbing (Ground/Underfloor Water)
Underfloor Rough Gas
PARTIAL INSPECTIONS
Buildinq Inspections
A Ilk n A 2--
,Floor
Mechanical (Groundwork)
Electrical (Underground Conduit)
Pre -slab (Compaction/Membrane Reinf.)
Floor(Joist/Girders)
kf I INA AA
Underfloor Insulation (Raised Foundation Only)
It M 9 V& Unrm
Floor Nailing (Raised Foundation Only)
2nd Floor (Floor Nailing)
Lim I
Do not cover or conceal the work below until the following applicable items have
been sianed7
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
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, 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
�- 4 Permit Types . -
BLD ELE MEC PLM
X X X
Permit Number: BLD202245205
Issued: 11/02/2022
www.anaheim.net/building
(714)765-4626
Quarter Section: 14
Site Address: 603 S GAYMONT ST, ANAHEIM, CA 92804
Legal Description: N TR 5227 BLK LOT 1
APN: 12613141
CITY OF ANAHEIM
BUILDING DMSION
200 S. ANAHEIM BLVD.
(714) 765 -6153
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.
I have and will maintain worker's compensation insurance, as required by Section 3700 of the tabor Code, for the performance of the work for which
this permit is issued. My work Compensation Insurance carrier and policy are:
Cartier: INSURAN I ALIW O : WSD506354500
Name of Agent:
Expiration Date: 12/25/2022
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 compens ' n laws of California, and agree that, if I should become subject to the worker's compensation provisions of Section 3700 of the
tabor Cod shall forthwit w th those provisions.
Si re of Applica Date
DECLARATION REGARDING CONSTRUCTION LENDING AGENCY:
I hereby affirm under penally 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 th alty of Perjury that I am licensed under pmvislons of chapter 9 (commencing with Section 7000) of Division 3 of the Business and
Professions , and icense Is In full force and effect.
r 2�
ContractofTignature Date
NUMBER EXPIRATION DATE LICENSE TYPE (S)
667953 04/30/2023 C20