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400 S LAURELTREE DRL Permit Types BLD I ELE I MEC PLM X Permit Number: BLD2023-02134 Issued: 05/02/2023 www.anaheim.net/building (714)765-4626 Quarter Section: 219 CITY OF ANAHEIM Site Address: 400 S LAURELTREE DR, ANAHEIM, CA 92808 Legal Description: N TR 12988 BLK LOT 94 APN:35422213 BUILDING DIVISION 200 S. ANAHEIM BLVD. (714) 765 - 5153 Project Description: Re -roof: Remove and relay (24) sq of file on entire house and attached garage. Luting Area: Number of Stdries: 2 Valuation: 6.000.00 Garage Area: Construction Types: N/A Carport Area: Occupancy Groups: Balcony / Dock Area: Fire Sprinidered: Cool Roof: Total Fees paid for Permit: 567.04 People Associated with Project: Contractor AMERICAN HIGHLAND ROOFING 712 W 10TH STREET202108251516396426 CORONA, CA 92882 Permit Applicant Melina Ramirez Owner ABBAS, FIRAS 979 CHINOTTO CIR Type Electrical Fixtures Qty Type Plumbing Fixtures Qty Mechanical Fixtures Qty The permit shall expire by [Imitation and become null and vold 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 buildina until the final inspections have been made. INSPECTION I 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 sffianedi Plumbing (Ground/Underfloor Water) Underfloor Rough Gas Mechanical (Groundwork) Electrical (Underground Conduit) Pre -slab (Compaction/Membrane Reinf.) Floor (Joist/Girdem) 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 s*aned7 1st Floor Shear Firesprinkler (Rough) (Fire Dept.) 2nd Floo ar Roof heathing iaphragm/Frame) JAVV Maso /Bond 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) 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 C FINAL INSPECTIONS I 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 List/Bus. Lic. (714) 765-5194 (Allow 10 business days) COA/Migation Measures Building Final (714 765-5153) 90 Last Inspection -Final Only After Above Completed PARTIAL INSPECTIONS Building Inspections Mechanical Inspections Plumbing Inspections Electrical Inspections O Permit Types BLD ELE MEC PLM X Permit Number: BLD2023-02134 Issued: 05/02/2023 www.anaheim.net/building (714)765-0626 Quarter Section: 219 CITY OF ANAHEIM Site Address: 400 S LAURELTREE DR, ANAHEIM, CA 92808 Legal Description: N TR 12988 BLK LOT 94 APN:35422213 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: I have and will maintain a certificate of consent to self -Insure for worker's compensation, Issued by the Director of Industrial Relations as provided for by ��'In1- Section 3700 of the labor Code, for the performance of the work for which this permit is issued. 11� 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. STATE COMPENSATION INSURANCE FUND Policy No.: 9259229 Expiration Date: 8/14/2023 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. 2 o 2 Sign ture 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: 1 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 ode, and my license is In full force and effect. Contractor Signature Date NUMBER EXPIRATION DATE LICENSE TYPE (S) 1057595 08/31/2023 C39