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713 N HEMLOCK PL (4)Permit Types BLD ELE : MEC PLM ..X . Permit Number: BL02022-04577 Issued: 09/27/2022 www.anaheim.net/building (714)765=4626 Quarter Section: 92 CITY OF ANAHEIM BUILDING DIVISION 200 S. ANAHEIM BLVD. (7141 765 -5153 Project Description: Reroof: Remove existing material, resheath as necessary and install (27) squares of composition shingles onto house and attached garage Living Area: Number of Stories: 1 Valuation: 15,000.00 Garage Area: • Construction Types: N/A Carport Area: Occupancy Groups: Balcony/ Deck Area: Fire Sprinklered: Cool Roof: Total Fees paid for Permit: 340.95 People Associated with Project: Permit Applicant Corey Jaeger Owner PIANO ALEXIS & AGNES 713 N HEMLOCK PL Type . Electrical Fixtures Qty Type Plumbing Fixtures Qty Mechanical Fixtures Qty 0 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�pHE�M �9< FINAL INSPECTIONS DATE INSPECTOR City of Anaheim o4.no All applicable items below must be signed before utilities are released launaing UIvis10n fixi Final Gas Test u a Electrical Final Plumbing Final DED �$h� Mechanical Final Cross Connection Control (714) 765-4280 Do not occupy this building until the final inspections have been made. 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 sinned: i ding Final (714 76 153) �b a my After Above Co pleted — Z 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 sinned: 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 COXMitagation 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 Number. BLD2022-04577 Issued: 09/27/2022 www.anaheim.neVbuilding (714)765-4626 Quarter Section: 92 Site Address: 713 N HEMLOCK PL, ANAHEIM, CA 92805 Legal Description: N TR 1356 BLK LOT 68 APN: 03531116 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 ATTORNEYS FEES. I hereby affirm under penalty of pedury 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. — ``fl 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 workers Compensation insurance carrier and policy are: Cartier. CLEAR SPRING PROPERTY AND CASUALTY COMPANY Policy No.: CWC00395000 Expiration Date: 1[3/2023 Name of Agent: Phone No.: 1 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 workers compensation laws of California, and agree that, if 1 should become subject to the worker's compensation provisions of Section 3700 of the Labor Code, I shall forthwith comply with those provisions. Signatur 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 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. h/.`/ Contra for Si ure NUMBER EXPIRATION DATE LICENSE TYPE (S) 1087002 02/29/2024 C39 �-- Date