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1169 N LOTUS STPermit Types BLD ELE MEC PLM X Permit Number: BLD2023-00058 Issued: 01/09/2023 www.anaheim.net/building (714)765-4626 Quarter Section: 37 Site Address: 1169 N LOTUS ST, ANAHEIM, CA 92801 L'egaf Dettctlptiom N TR 2093 BLK LOT 124 APN: 07241610 CITY OF ANAHEIM BUILDING DIVISION 200 S. ANAHEIM`BLVD. (714)765.5153 Project Description: Reroof: Remove existing to install (25) sq of composition shingles over entire house and attached garage Living Area: Number of Stories: 1 Valuation: 8,750.00 Garage Area: Construction Types: NIA Carport Area: Occupancy Groups: Balcony I Deck Area: Fire Sprinidered: Cool Roof: Total Fees paid for Permit: 340.14 People Associated with Project: Permit Applicant Natalie Guitierrez Owner COCHRAN THOMAS 1169 N LOTUS ST Type Electrical Fixtures Qty Type Plumbing Fixtures Oty 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�PttEIAJ �q< Cityof Anaheim o� �O Building Division F z 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) 766-4280 Engineering Final (714) 765-5126 INSPECTION DATE T 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/Migat)on Measures Do not install subfloor or pour floor slab until the follwing applicable items have been sionedi 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 e 1st Floor Shear Firesprinkler (Rough) (Fire Dept.) Mechanical Inspections 2nd. ear of (Sheathin Diaphragm/Frame) einf./Bond Beam/Pre-Grout) Rough Plumbing (Top Out) Rough Duct (Mechanical) Rough Mechanical Rough Electrical Rough COA/Mitagation 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 & Pibg) 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: BLD2023-00058 Issued: 01/09/2023 www.anaheim.net/building (714)765.4626 Quarter Section: 37 Site Address: 1169 N LOTUS ST, ANAHEIM, CA 92801 Legal Description: N TR 2093 BLK LOT 124 APN: 07241610 CITY OF ANAHEIM BUILDING DIVISION 200 S. ANAHEIM BLVD. (711411765-51153 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 selfinsure 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 worker's Compensation insurance carder and policy are: Cartier: CALIFORNIA INSURANCE COMPANY Policy No.: 7491127004 Expiration Date: 8/25/2023 Name of Agent: Phone No.: 1 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 worker's compensation laws of California, and agree that, if I should become subject to the worker's compensation provisions of Section 3700 of the Labor Code, I shall forthwith comply with those provisions. Signatu of Applicant Dates_ DECLARATION REGARDING CONSTRUCTION LENDING AGENCY: 1 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. Contractor Signature NUMBER EXPIRATION DATE LICENSE TYPE (S) 1049641 0228/2023 C39 1/C4/zs Date