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710 S HACIENDA STPermit Types BLD ELE MEC PLM X Permit Number: BLD200-00669 Issued: 02109/2023 www.anaheim.net/building (714)765.4626 Quarter Section: 48 CITY OF ANAHEIM BUILDING DIVISION 200 S. ANAHEIM BLVD. (714) 765-5153 .m Site Address: 710 S HACIENDA ST, ANAHEIM, CA 92804 Legal: Description: N TR 2425.BLK LOT 83 ` APN:12823405 Project Description: Residential Remodel: To install (2) retro -fit windows in bedrooms Lhdng Area: Number of Stories: 1 Valuadon: 1,700.00 Garage Area: Construction Types: NIA Carport Area: Occupancy Groups: Balcony/ Deck Area: Fire Sprinldered: Cool Roof: Total Fees paid for Permit: 167.00 People Associated with Project: Contractor HABITAT FOR HUMANITY OF ORANGE COUN 2200 RITCHEY STREET200902251104263250 SANTA ANA, CA 92705 Permit Applicant Dyron Bustamante Owner FERNANDEZ JR RAMON SALDIVAR 710 S HACIENDA ST Type Electrical Fixtures Qty Type Plumbing Fixtures City Mechanical Fixtures City ti The permit shall expire by limitation and become null and void H 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�PHEI1W C. Cityof Anaheim o� �o Building Division F y U a DED 01 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) 765-4280 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 ListlBus. 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 sinned: 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 si ned: 1st Floor Shear Firesprinkler (Rough) (Fire Dept.) Mechanical Inspections e 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 COAIMitagation 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 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 Permit Types BLD ELE MEC PLM X Permit Nutiitber. BLD20-00669 Issued: 02/09/2023 www.anaheim.net/building (714)765-0626 Quarter Section: 48 Site Address: 710 S HACIENDA ST, ANAHEIM, CA 92804 Legal Description: N TR 2425 BLK LOT 83 APN:12823405 CITY OF ANAHEIM BUILDING DIVISION 200 S. ANAHEIM BLVD. (714) 765 - 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 selfansure 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 carrier and policy are: G� Cartier. O U 1 O Policy No.: 54 130188 Expiration Date: ��/2 / Name of Agent:�a h- Ii�G f fS 11 m 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, it I should become subject to the workers compensation provisions of Section 3700 of the Labor Code, I shall forthwith comply with those provisions. �Z E2 3 S19fiSrure 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: 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 Professions Code, and my license is in full force and effect. %�o Con or dignature NUMBER EXPIRATION DATE LICENSE TYPE IS► 843208 07/31/2022 `ZIq/ Z0 -2— Date Date