8715 E HEATHERWOOD RD (5)Permit Types
BLD ELE MEC FPLM
X
Permit Number: BLD2022.65309
Issued: 11/09/2022
www.anaheim.net/building
(714)765-4626
Quarter Section: 226
CITY OF ANAHEIM
BUILDING DIVISION
200 S. ANAHEIM BLVD.
(7141 765 - 5153
Site Address: 8715 E HEATHERWOOD RD, ANAHEIM, CA 92808
Legal Description: N TR 15131 BLK LOT 1 UN 21 TRACT 15131, LOT 1 OF P
APN:93839062
Project Description: Residential Water Heater
Uving Area: Number of Stories: Valuation: 0.00
Garage Area: C and D: Option 2 Construction Types:
Carport Area: Occupancy Groups:
Balcony / Deck Area: Fire Sprinldered:
Cool Roof: Total Fees paid for Permit: 167.00
People Associated with Project:
Permit Applicant JASON HANLEYBROWN 16221 S MAPLE AVE UNIT C C GARDENA, CA 98024
Type Electrical Fixtures City Type Plumbing Fixtures City Mechanical Fixtures Oly
Water Heater 1
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.
I P�pNEIM C9<
Cityof Anaheim o� �O
Building Division F 3
u a
DED %
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) 7654591
Electrical Ground ElectrodelUfer
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
Building Final (714 765-5153)
Last Inspection-Final Only After Above Completed
Plumbing (Ground/Underfloor Water)
Underfloor Rough Gas
PARTIAL INSPECTIONS t
Buildinq Inspections
Mechanical (Groundwork)
Electrical (Underground Conduit)
Pre-slab (Compaction/Membrane Reinf.)
Floor (Joist/Girders)
Underfloor Insulation (Raised Foundation Only)
9 V Af 1 6=
Floor Nailing (Raised Foundation Only)
,
2nd Floor (Floor Nailing)
0-) /22
Do not cover or conceal the work below until the following applicable items have
been sqaneds
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 i
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 ap 'able 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 (Strutt., Ele., or Mec.)
Grease Interceptor
Sewer
Water Engineering Backflow (Testable Only)/
Water Service
Permit Types
BLD ELE MEC PLM
X
Permit Number: BLD2022-05309
Issued: 11/09/2022
www.anaheim.net/building
(714)765-0626
Quarter Section: 226
CITY OF ANAHEIM
BUILDING DIVISION
200 S. ANAHEIM BLVD.
(714) 765 - 5153
Site Address: 8715 E HEATHERWOOD RD, ANAHEIM, CA 92808
Legal Description: N TR 15131 BLK LOT 1 UN 21 TRACT 15131, LOT 1 OF P
APN:93839062
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
JH Section 3700 of the Labor Code, for the performance of the work for which this permit is issued. .
I 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: INSURANCE COMPANY OF THE WEST Policy No.: IWV505206902
Expiration Date: 12/1/2022
Name of Agent: 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
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, l shall forthwith comply with those provisions.
JASON HANLEYBROWN 11/9/2022
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):
Lenders Name:
Lenders 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
FAST WATER HEATER COMPANY
Contractor Signature
NUMBER
987398
EXPIRATION DATE
10/31/2023
LICENSE TYPE ISI
C36
Date
11/9/2022