702 N GILBERT ST (3)Permit Types
BLD ELE MEC PLM
X X
- Permit Number: BLD2022-05663
Issued: 01/03/2023
www.anaheim.neUbuilding
(714)765-4626
Quarter Section: 31
j.,
CITY OF ANAHEIM
1/
BUILDING DIVISION
200 S. ANAHEIM BLVD.
(7141765.5153
Site Address: 702 N GILBERT ST, ANAHEIM, CA 92801
Legal De scriptl6n: S TWP 4 RGE 10 SEC 7 SEC 7 T 4 R 10 POR W1/2 SW1/4
APN07145102
Project Description: Repair: Remove and replace 300 sq ft of roof framing and part of a non -load bearing partition in between garage's
#14 and 15. Replace damaged electrical.
Living Area: Number of Stories: t Valuation: 7,500.00
Garage Area: Construction Types: va
Carport Area: Occupancy Groups:
Balcony I Deck Area: Fire Sprinldered:
Cool Roof: Total Fees paid for Permit: 1,471.10
People Associated with Project:
Permit Applicant Marty Boyd 4879 Le Palma Ave Anaheim, CA 92807
Owner CAYUGA PARTNERS LLC 3520 CADILLAC.AVE B
Engineer MICHAEL S HOKAMA 180 E. MAIN ST., SUITE 201200507201214177650 TUSTIN, CA 92780
Type Electrical Fixtures Qty Type Plumbing Fixtures Qty Mechanical Fixtures Qty
Receptacle, switches, lights 3
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�PHEIM cqC
City of Anaheim 1 o�
Building Division F y
u a
DED �
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
ectrical Final — —
Plumbing ma
Mechanical Final
Cross Connection Control (714) 7654280
Engineering Final (714) 765-5126
INSPECTION 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/Miga ' n Measures
Do not install subfloor or pour floor slab until the follwing applicable items have been
si ned:
Plumbing (Ground/Underfloor Water)
g Final (714 765-5153) 3 �Gt
rastinspecti -Final Only A er Above Completed
Underfloor Rough Gas
Mechanical (Groundwork)
Electrical (Underground Conduit)
Pre-slab (Compaction/Membrane Reinf.)
SDI r
PARTIAL INSPECTIONS
Buildinq 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 sinned:
1st Floor Shear
Firesprinkler (Rough) (Fire Dept.)
2nd F ar
Mechanical Inspections
roof (Sheathing/D phragmlFrame)
asonry (Reinf./Bond Beam/Pre-Grout)
Rough Plumbing (Top Out)
Rough Duct (Mechanical)
Rough Mechanical
ough Electrical
Rou COA/Mitagation Measures
ramin Only after Plbg., Ele., Mec. & Fire)
Plumbinq Inspections
Insulation (Sound/Energy)
t tape or plaster until the following applicable items have been sign d:
Drywall
I Penetrations (Ele, Mec & Plbg)
jx1nter1oqrLLatb,.,
terior LetCj rXque——
e ical Service Meter-(Mete ill be set within 2-3
business days after approval) Excludes New
Electrical Inspections
Ex rior Plaster (Brown Coat) Q
T-Bar (Strutt., Ele., or Mec.)
Grease Interceptor
(Do not hackfill unless sinned offi
Sewer
Water Engineering Backflow (Testable Only)
Water Service
Permit Types
BLD ELE MEC PLM
X X
Permit Number: BLD2022-05663
Issued: 01/03/2023
www.anaheim.neUbuilding
(714)765-4626
Quarter Section: 31
CITY OF ANAHEIM
BUILDING DIVISION
200 S. ANAHEIM BLVD.
(714) 765 - 5153
Site Address: 702 N GILBERT ST, ANAHEIM, CA 92801
Legal Description: S TWP 4 RGE 10 SEC 7 SEC 7 T 4 R 10 POR W1/2 SWI/4
APN:07145102
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.
I hereby affirm under penalty of perjury one of the following declarations:
I have and will maintain a certificate of consent to selfansure for workers 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.
`nv 1 have and will maintain workers 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 carrier and policy are:
Cartier. STATE COMPENSATION INSURANCE FUND Policy No.: 1610699 Expiration Date: 21112023
Name of Agent: Phone No.:
I certify that in the performance of the work for which this permit is issued, l 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
Labor Code, I shall forthwith comply with those provisions.
Signature of Applicant Date
DECLARATION REGARDING CONSTRUCTION LENDING AGENCY:
1 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 1 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.
Contractor Signature
NUMBER EXPIRATION DATE LICENSE TYPE (S►
789090 12/31/2024
Date