2174 E LINCOLN AVEPermit Types
BLD ELE MEC PLM
X X X X
Permit Number. BLD2022-05952
Issued: 03/22/2023
www.anaheim.net/building
(714)765.4626
Quarter Section: 113
CITY OF ANAHEIM
BUILDING DIVISION
200 S. ANAHEIM BLVD.
(714) 765-5153
Site Address: 2174 E LINCOLN AVE, ANAHEIM, CA 92806
Legal Description: S TWP 4 RGE 10 SEC 12 T 4 R 10 SEC 12 POR SWI/4 -
APN: 08305114
Project Description: Change of Use: 867 sq. ft. to convert optometry retail space (B) into new pre-packaged food establishment (B) with
electrical, mechanical and plumbing.
Living Area: Number of Stories: 1 Valuation: 75,000.00
Garage Area: Construction Types. vs
Carport Area: Occupancy Groups: B
Balcony I Deck Area: Fire Sprinklered: Yes
Cool Roof.• Total Fess paid for Permit: 2,507.14
People Associated with Project:
Permit Applicant Juan Diaz
Owner NMC ANAHEIM LLC 5850 CANOGA AVE 650
Contractor CONSTRUCTION DEVELOPMENT MANAGEME 400 SPECTRUM CENTER DR,STE 1900 IRVINE, CA 92616
Architect GARY H WANG 1000 CORPORATE CENTER OR #550201011171323104980 MONTEREY PARK, CA 91754
Type Electrical Fixtures City Type Plumbing Fixtures Qty Mechanical Fixtures Qty
Receptacle, switches, lights 38 Floor Sink 1 Commercial System per 1,000 sq. ft. 6
Lavatory 2 Ventilation Fan - <= 300 cfm on single duct 2
Water Closet 1
Water Heater 1
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�PrlFIM CqC
Cityof Anaheim D� io
Building Division F z
U a
�DUNDED �$c^
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 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)
2'23
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
i ped:
Building Final (714 765-5153)
Last Inspection-Final Only After Above Completed
01
2
e n
Plumbing (Ground/Underfloor Water)
Underfloor Rough Gas
PARTIAL INSPECTIONS
Buildinq Inspections
Mechanical (Groundwork)
Electrical (Underground Conduit)
Pre-slab (Compaction/Membrane Relnf.) -12,4-j
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 sbaneds
1st Floor Shear
Firesprinkler (Rough) (Fire Dept.)
Mechanical Inspections
2nd Floor Shear
Roof (Sheathing/Diaphragm/Frame)
Masonry (Reinf./Bond Beam/Pre-Grout)
Rough Plumbing (Top Out)
, Zi b
Rough Duct (Mechanical)
Rough Mechanical
Rough Electrical
v�
Rough COA/Mitagation Measures
Plumbing Inspections
Framing (Only after Plbg., Ele., Mec. & Fire) 4-/P-Z- %C (, A
Insulation (Sound/Energy)
Do not tape or plaster until the following applicable items have been signed:
Drywall
t-0
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 (Strutt., Ele., or Mec.)
Grease Interceptor
(Do not backfill unless sonned ofn
Sewer
Water Engineering Backflow (Testable Only)
Water Service
Permit Types
BLD ELE MEC PLM
X X X X
Permit Number: BLD2022-05952
Issued: 03/22/2023
Www.anaheim.net/building
(714)765-0626
Quarter Section: 113
CITY OF ANAHEIM
BUILDING DIVISION
200 S. ANAHEIM BLVD.
(714) 765 - 5153
Site Address: 2174 E LINCOLN AVE, ANAHEIM, CA 92806
Legal Description: S TWP 4 RGE 10 SEC 12 T 4 R 10 SEC 12 POR SWIM -
APN: 08305114
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 ATTORNEYS 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
Section 3700 of the labor Code, for the performance of the work for which this permit is Issued.
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: Policy No.: Expiration Date:
Name of Agent: Phone No.:
In
lKJ 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
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
r de, I shall forthwith comply with those provisions.
'1
Signature of App 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:
Lender's 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, a y rise is in full force and effect.
Contractor Signa Date ,
NUMBER EXPIRATION DATE LICENSE TYPE (S)
1009335 12/31/2023