2888 W LYNROSE DR (2)Permit Types
BLD ELE MEC PLM
X X X
Permit Number: BLD2022-05189 "
Issued: 01/19/2023
www.anaheim.neUbuilding
(714)765-4626
Quarter Section: 14
-Site Address: •2888 W LYNROSE DR, ANAHEIM, CA 92804
Legal Description: N TR 2228 BLK LOT 66
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APN: 12626204
CITY OF ANAHEIM
BUILDING DIVISION
200 S. ANAHEIM BLVD.
(7141765-5153
Project Description: Residential Remodel: 462 sq ft to convert existing living room to bedroom #4 and study.
Living Area: Number of Stories: 1 Valuation: 20,000.00
Garage Area: Construction Types: VB
Carport Area: Occupancy Groups:
Balcony / Deck Area: Fire Sprinklered:
Cool Roof: Total Fees paid for Permit: 3,663.60
People Associated with Project:
Permit Applicant ALPER YUKSEKOGUL, CEO
Owner MITANI MIYO TR 2888 W LYNROSE DR
Engineer - Civil EILAN ARONIANPOUR 7242 JELLICO AVE LAKE BALBOA, CA 91406
Type Electrical Fixtures Qty Type Plumbing Fixtures Qty Mechanical Fixtures Qty
Receptacle, switches, lights 31 Residential Registers 3
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.
City of Anaheim
Building Division
Do not occupy this buildinq until the final inspections have been made.
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 Electrode/Ufer
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
si e •
w
Building Final (714 765-5153)
Last Inspection -Final Only After Above Completed
Plumbing (Ground/Underfloor Water)
Underfloor Rough Gas
Mechanical (Groundwork) PARTIAL INSPECTIONS
Electrical (Underground Conduit) Buildinq Ins e ' ns
Pre -slab (Compaction/Membrane Reinf.) r, JHjy
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 smoned7
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)
Rough Duct (Mechanical)
Rough Mechanical Lf • t j �,�
Rough Electrical 44-81-V
Rough COA/Mitagation Measures A Plumbinq Inspections
Framing (Only after Plbg., Ele., Mec. & Fire) D s
lation (SoundlEnergy)Do
not tape or plaster until the following applicable items have been signed:
I
wall O
Drywall Penetrations (Ele, Mec & Plbg)
Interior Lath
Exterior Lath - j p Electrical Inspections
Electrical Service eter-(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 I X I X
Permit Number: BLD2022-05189
Issued: 01/19/2023
www.anaheim.net/building
(714)765-0626
Quarter Section: 14
Site Address: 2888 W LYNROSE DR, ANAHEIM, CA 92804
Legal Description: N TR 2228 BLK LOT 66
AM: 12626204
WORKER'S COMPENSATION DECLARATION:
CITY OF ANAHEIM
BUILDING OMSION
200 S. ANAHEIM BLVD.
(714) 765 - 5153
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 seftsure 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.
1 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
r% this permit is issued. My worker's Compensation insurance carder and policy are:
Cartier. STATE COMPENSATION INSURANCE FUND Policy No.: 9266947 Expiration Date: 1/26/2023
"s 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
worker's compensation laws of California, and agree that, if I should become subject to the workefs compensation provisions of Section 3700 of the
Labor Code, I shall with comply with those provisions.
l
Signature of Applican 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 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 Signat
NUMBER EXPIRATION DATE LICENSE TYPE (S
999603 12/31/2022
I .2o2
Date