3654 W KINGSWAY AVE (2)Permit Types
-F7—
,BLD ELE MEC PLM
X
Permit Number: BLD2023-02000
Issued: 04/26/2023
www.anaheim.net/buiiding
(714)7654626
Quarter Section: 3
CITY OF ANAHEIM
Site Address: 3654 W KINGSWAY AVE, ANAHEIM, CA 92804
Legal Description: N TR 3501 BLK LOT 49
APN: 13436620
BUILDING DIVISION
200 S. ANAHEIM BLVD.
(714)765 -5153
Project Description: Residential Remodel: Replace (13) retrofit windows and (1) sliding door
LlY
LMng Area: Number of Stories. 1 Valuation: 9,000.00
Garep Area: Conskwdon Types: NIA
Carport Area: Occupancy Groups:
Balcony I Deck Area: Fire Sprinidered:
Cool Roof: Total Fees paid for Permit: 310.17
People Associated with Project:
Contractor RENEWAL BY ANDERSEN LLC 22982 ALCALDE DRIVE201407031118596237 LAGUNA HILLS, CA 92653
Permit Applicant Robin Redira
Owner DENNISON SHERRY S TR 3654 W KINGSWAY AVE
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.
P�Pt1EI1W cql
Cityof Anaheim D� �O
Building Division F i
U >
�DGNDED �ay�
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) 765-4591
Electrical Ground ElectrodelUfer
Sub List/Bus. Lic. (714) 765-5194 (Allow 10 business days)
Setback/Forms/Trenches (Footings)
COAIMigation 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
Building 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 Mane&
1st Floor Shear
Firesprinkler (Rough) (Fire Dept.)
Mechanical Inspections
2nd Floor Shear
Roof (Sheathing/Diaphragm/Frame)
Masonry (Reinf.IBond Beam/Pre-Grout)
Rough Plumbing (Top Out)
Rough Duct (Mechanical)
Rough Mechanical
Rough Electrical
Rough COAIMitagation Measures
Plumbing 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: BLD2023-02000
Issued: 04/26/2023
www.anaheim.net/building
(714)765.4626
Quarter Section: 3
CITY OF ANAHEIM
Site Address: 3654 W KINGSWAY AVE, ANAHEIM, CA 92804
Legal Description: N TR 3501 BLK LOT 49
APN: 13436620
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:
1 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.
% 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 workefs Compensation insurance carrier and policy are:
Name df Agent:
Policy No.: MWC314150 Expiration Date: 10/112023
Phone No.:
I I I certify Orat 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
workees�ompensation laws of California, and agree that, if I should become subject to the worker's compensation provisions of Section 3700 of the
Labor to, I shall forthwith comply with those provisions.
Signature of Applicant
4-'Z6 'Z3
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:
) CONTRACTOR'S DECLARATION:
rm and the penalty of Perjury that I am licensed under provisions of chapter 9 (commencing with Section 7000) of Division 3 of the Business and
Code, e d my license Is in full force and effect.
N I A
Contractor Signature
NUMBER
990416
EXPIRATION DATE
07/31/2023
LICENSE TYPE (S)
B. C17
Date