914 S KENMORE STPermit Types
BLD ELE MEC PLM
X
Perot Number: BLD2023-01877
Issued: 04/20/2023
www.anaheim.net/building
(714)765-4626
Quarter Section: 21
Site Address: 914-S KENMORE ST, ANAHEIM, CA 92804
Legal Description: N TR 1951 BLK LOT 155
APN:12621523
CITY OF ANAHEIM
BUILDING DIVISION
200 S. ANAHEIM BLVD.
(714) 765 -5153
Project Description: Reroof. To remove and install (22) sq of composition and shingles for the entire house and attached garage
Wng Area: Number of Stories: 1 Valuation: 10,000.00
Garage Area: Construction Types: NIA
Carport Area: Occupancy Groups:
Balcony I Dedr Area: Fire Sprinidered:
Cool Root: Total Fees paid for Permit: 340.42
People Associated with Project:
Contractor BENITEZ ROOFING 3302 S BIRCH ST202008061435100930 SANTA ANA, CA 92707
Permit Applicant Edgar Benitez
Owner YNIGUEZ ERIC & ARACELI 914 S KENMORE ST
Type Electrical Fixtures Qty Type Plumbing Fixtures City Mechanical Fixtures Qty
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.
City of Anaheim
Building Division
Do not occupy this building until the final inspections have been made.
INSPECTION DATE INSPECTOR
Do not pour concrete until the following applicable items have been signed:
Plumbing (Ground/Underfloor Drain Waste)
Electrical Ground Electrode/Ufer
Setback/Forms/Trenches (Footings)
Do not install subfloor or pour floor slab until the follwing applicable items have been
Plumbing (Ground/Underfloor Water)
Underfloor Rough Gas
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
e d•
1st Floor Shear
Firesprinkler (Rough) (Fire Dept.)
2nd ar
R f (Sheathi Diaphragm/Frame)
Masonry (Reinf./Bond Beam/Pre-Grout)
Rough Plumbing (Top Out) 4z
Rough Duct (Mechanical)
Rough Mechanical
Rough Electrical
Rough COA/Mitagation Measures
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 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
FINAL INSPECTIONS DATE I 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
Fire Sprinkler (ONLY) (714) 765-5041
Fire Dept. Final (714) 765-5041
Water Engineering (714) 765-4591
Sub ListlBus. Lic. (714) 765-5194 (Allow 10 business days)
COAIMigati res
7Bu* mg Final (714 65-5153)
Inspection•Final ly After ove Completed i -
PARTIAL INSPECTIONS
Building Inspections
Mechanical Inspections
Plumbing Inspections
Electrical Inspections
Permit Types _.
BLD ELE MEC PLM
X
Permit Number: BLD2023-01877
Issued: 04/20/2023
www.iinaheim.net/building
(714)765-4626
Quarter Section: 21
CITY OF ANAHEIM
BUILDING DIVISION
200 S. ANAHEIM BLVD.
(714) 765.5153
Site Address: 914 S KENMORE ST, ANAHEIM, CA 92804
Legal Description: N TR 1951 BLK LOT 155 r
APN: 12621523
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 Minn 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
Section 3700 of the labor Code, for the performance of the work for which this permit is issued.
qyI 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. STATE COMPENSATION INSURANCE FUND Policy No.: 9233191 Expiration Date: 6114/2023
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, I shall forthwith comply with those provisions.
0— tic)—Z5
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:
1 hereby affirm under the penalty of Pedury 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.
v
Contractor Signature
NUMBER EXPIRATION DATE LICENSE TYPE (S)
1041404 07/31/2022 C39
CA, - -�-�
Date