1182 N KNOLLWOOD CIR (8)Permit Types
BLD ELE MEC PLM
X
Permit Number: BLD2022-05777
Issued: 12/07/2022
www.anaheim.net/building
(714)765-0626
Quarter Section: 17
CITY OF ANAHEIM
Site Address: 1182 N KNOLLWOOD CIR, ANAHEIM, CA 92801
Legal ObscHption: P BK 71 PG 11 PAR 27
APN'07077209
BUILDING DIVISION
200 S. ANAHEIM BLVD.
(714) 765 - 5153
R
Project Description: Reroof: Remove existing material to install (26,100) sq. ft. of single ply pvc over entire commercial building
Living Area: Number of Stories: 1 Valuation: 100,073.00
Garage Area: Construction Types: N/A
Carport Area: Occupancy Groups:
Balcony / Deck Area: Fire Sprinklered:
Cool Roof: Total Fees paid for Permit: 899.02
People Associated with Project:
Permit Applicant Enrique Fuentes
Owner KNOLLWOOD CIRCLE LLC 1241 CAPER TREE DR
Type Electrical Fixtures Qty Type Plumbing Fixtures Qty Mechanical Fixtures Qty
P�Pr1EIM OqC
Cityof Anaheim o� �o
Building Division F i
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�DG�►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
Plumbing Final
Mechanical Final
Cross Connection Control (714) 765.4280
Engineering Final (714) 765-5126
INSPECTION 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
Building Final (714 765-5153) j,� O/
Last Inspection -Final Only After Above Completed //
G
Plumbing (Ground/Underfloor Water)
Underfloor Rough Gas
Mechanical (Groundwork)
Electrical (Underground Conduit)
Pre -slab (Compaction/Membrane Reinf.)
PARTIAL INSPECTIONS
Buildinq Inspections
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 fol applicable items have
been s'
1st Floor Shear
Firesprinkler (Rough) (Fire pt.)
2nd Flo
Mechanical Inspections
Sheathing/D' phragm/Frame) `
and Beam/Pre-Grout)
Rough Plumbing (Top Out)
Rough Duct (Mechanical)
Rough Mechanical
Rough Electrical
Rough COA/Mitagation Measures
Framing (Only after Plbg., Ele., Mec. & Fire)
Plumbing Inspections
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
(Do not hackfill unless Maned off)
Sewer
Water Engineering Backflow (Testable Only)
Water Service
Permit Types
BLD ELE MEC PLM
X
Permit Number: BLD2022-05777
Issued: 12/07/2022
www.anaheim.net/building
(714)765-0626
Quarter Section: 17
CITY OF ANAHEIM
Site Address: 1182 N KNOLLWOOD CIR, ANAHEIM, CA 92801
Legal Description: P BK 71 PG 11 PAR 27
APN:07077209
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.
1 hereby affirm under penalty of perjury one of the following declarations:
I have and will maintain a certificate of consent to self -insure for workers 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.
E� 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:
Carrier: REDWOOD FIRE AND CASUALTY INSURANCE CO Policy No.: HOWC320544 Expiration Date: 6/1/2023
Name of Agent: Phone No.:
I certify that in the performance of the work for which this permit Is Issued, l shall not employ any person in any manner so as to become subject to the
workers cc ation laws of California, and agree that, if I should become subject to the workers compensation provisions of Section 3700 of the
Labor Cc I with comply with those provisions.
7-z azz
Signa t 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 pensof Perjury that 1 am licensed under provisions of chapter 9 (commencing with Section 7000) of Division 3 of the Business and
Professions Code, and m is full force and effect.
�.z no 7-2-ozz.
Contra Date
NUMBER EXPIRATION DATE LICENSE TYPE (S)
475566 06/30/2023 C39