222 S HARBOR BLVD (46)Permit Types
BLD ELE MEC PLM
X X X X
Permit Number: BLD2022-05858 e.,h
Issued: 02/01/2023
www.anaheim.neUbuilding
(714)765-4626
Quarter Section: 72
CITY OF ANAHEIM
BUILDING DIVISION
200 S. ANAHEIM BLVD.
(714) 765 - 5153
Site Address: 222 S HARBOR BLVD 600-645, Anaheim, CA 92805
:Legal Description: P BK 194 PG 22 PAR 1
APN:03619128
Project Description: Tenant Improvement: 4,615 sq. ft. tenant improvement to create demising wall at suite 600 and create suite 645.
With Electrical, Mechanical and Plumbing.
Living Area: Number of Stories: 10 Valuation: 110,000.00
Garage Area: Construction Types: IS
Carport Area: Occupancy Groups: B. B. B, B, B. B, B, B. B. B. B. B
Balcony/ Deck Area: Fire Sprinklered:
Cool Roof: Total Fees paid for Permit: 4,877.53
People Associated with Project:
Permit Applicant Alex Keto
Owner ANAHEIM CITY CENTRE PROPERTY LLC 200 PINE AVE 502
Architect NELSON ALGAZE 3300 IRVINE AVE SUITE 130 200610100841343530 NEWPORT BEACH, CA 92660
Contractor ESPLANADE BUILDERS INC 23820 HAWTHORNE BLVD SUITE 100201512151518505877 TORRANCE. CA 90505
Engineer - Electrical EDWARD D BURTCH NORCO, CA 92860
Type Electrical Fixtures Qty Type Plumbing Fixtures Qty Mechanical Fixtures Qty
Receptacle, switches, lights 85 Dishwasher 1 V. A. V. Unit 1
Sub Panel/Temp Pwr - Under 600 V, up to 1 Garbage Disposal 1
200 amps
Kitchen Sink 1
Water Heater
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�PHElm Cq<
City of Anaheim D� io
Building DivisionF i
U >
�DU�►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
Electrical Final fY /Y7
Plumbing Final
Mechanical Final
Cross Connection Control (714) 765-4280
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) " Z D- ?
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' ed:
Building Final (714 765-5153)
Last Inspection-Final Only After Above Completed
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 i e :
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) 7_.3 It
Rough Duct (Mechanical) _MA
Rough Mechanical
Rough Electrical
Rough COA/Mitagation Measures
Plumbinq 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
2 is
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
(Do not backfill unless Maned ofl)
Sewer
Water Engineering Backflow, (Testable Only)
Water Service
Permit Types
BLD ELE MEC PLM
X X X X
Permit Number: BLD2022-05858
Issued: 02/01/2023
www.anaheim.net/buiiding
(714)765.4626
Quarter Section: 72
CITY OF ANAHEIM
BUILDING DIVISION _
200 S. ANAHEIM BLVD.
(714) 765 - 5153
Site Address: 222 S HARBOR BLVD 600-645, Anaheim, CA 92805
Legal Description: P BK 194 PG 22 PAR 1
APN: 03619128
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.
1 hereby affirm under penalty of pedury one of the following declarations:
1 have and will maintain a certificate of consent to self4nsum for worker's compensation, issued by the Director of Industrial Relations as provided for by
Se on 3700 of the Labor Code, for the performance of the work for which this permit is issued.
I ave and will maintain worker's compensation insurance, as required by Section 3700 of the Labor Code, for the performance of the work for which
his permit is issued. My worker's Compensation insurance cerier and policy are:
Ca', ZURICH AMERICAN INSURANCE COMPANY Policy No.: WC38046700 Expiration Date: 111/2023
Name of Agent: Phone No.:
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
rker'e compensation I `lifomia, and agree that, if I should become subject to the worker's compensation provisions of Section 3700 of the
Labor Code, I lballtorthwith comply with those provisions.
Signature of Applicant 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 of l under the penalty of Perjury �tha I.am licensed under provisions of chapter 9 (commencing with Section 7000) of Division 3 of the Business end
Professlo s de, and my license i n4G II force and effect.
Cojftiactor Signature Date
NUMBER EXPIRATION DATE
831964 02/29/2024
fSLd-���►7»F91
B. B, C33, C33, C-9, C-9, C17, C17, C23, C23, G2, C-2