609 S GREENWICH ST (2)Permit Types
BLD ELE MEC PLM CITY OF ANAHEIM
X
Permit Number: OLD2023-01804
Issued: 04/18/2023
www.anaheim.net/building
(714)765-4626
Quarter Section: 34
Site Address: 609 S GREENWICH ST, ANAHEIM, CA 92804
Legal Description: N TR 5748 BLK LOT 8
APN:12723140
200 S.EI
(71 765
Project Description: Reroof: To remove and install (28) sq of composition and shingles for the house and attached garage.
Living Area: Number of Stories: 1 Valuation: 81500.00
Garage Area: Construction Types: NIA
Carport Area: Occupancy Groups:
Balcony I Deck Area: Fire Sprinldered:
Cool Roof: Total Fees paid for Permit: 340.11
People Associated with Project:
Contractor E J EXTERIORS 12775 GLENOAKS BLVD202102240858314080 SYLMAR, CA 91342
Permit Applicant Jesus Lugo 12775 Glenoaks Blvd. Sylmar, CA 91342
Owner CLAYTON JULIE ELLEN TR 609 S GREENWICH ST
Type Electrical Fixtures Qty. Type Plumbing Fixtures Qty Mechanical Fixtures aty
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 Cqf
City of Anaheim o� �o
Building Division F z
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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
Maneds
ilding Fin (714 765-5153)
L t Ins n-Final Only After Above Completed 6
Plumbing (Ground/Underfloor Water)
Underfloor Rough Gas
Mechanical (Groundwork)
Electrical (Underground Conduit)
Pre-slab (Compaction/Membrane Reinf.)
PARTIAL INSPECTIONS
Building Inspections
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 Maned:
1st Floor Shear
Firesprinkler (Rough) (Fire Dept.)
2nd
Mechanical Inspections
oof (Sheathin - phragmlFra e
D
Masonry (Reinf./Bond Beam/Pre rou
Rough Plumbing (Top Out)
Rough Duct (Mechanical)
Rough Mechanical
Rough Electrical
Rough COA/Mitagation Measures
Framing (Only after Plbg., Ele., Mec. & Fire)
Plumbing Inspections
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
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: BLD2023-01804
Issued: 04/18/2023
wwmanaheim.net(building
(714)765-4626
Quarter Section: 34
CITY OF ANAHEIM
Site Address: 609 S GREENWICH ST, ANAHEIM, CA 92804
Legal Description: N TR 5748 BLK LOT 8
APN:12723140
BUILDING DIVISION
200 S. ANAHEIM BLVD.
(714) 76S - 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 self4nsure for worker's compensation, Issued by the Director of Industrial Relations as provided for by
n J Section 3700 of the Labor Code, for the performance of the work for which this permit is issued.
/L w 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. STATE COMPENSATION INSURANCE FUND Policy No.: 9313043 Expiration Date: 2115/2024
Name of Agent: I 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 worker's compensation provisions of Section 3700 of the
labor Code, l shall with comply with those provisions.
Signat re plicant 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
ons e, and my liven In full force and effect.
Cot or Signature Date
NUMBER EXPIRATION DATE LICENSE TYPE (S)
469990 10/3112022 C13, C43, B, C39