6424 E LOOKOUT LNPermit Types CITY
BLD ELE MEC PLM CI 1 i OF ANAHEIM
X
BUILDING DIVISION
Permit Number: BLD2023-01901 200 S. ANAHEIM BLVD.
Issued: 04/21/2023 (714) 765 - 5153 161
www.anaheim.net/building
(714)7654626
Quarter Section: 199
- —--- -- — - --
Site Address:--- 6424- - -E LOOKOUT LN, ANAHEIM, CA 92807
Legal Description: N TR 10940 BLK LOT 11
APN:36538337
Project Description: Reroof: Relay (29) sq of existing (standard weight tile) over entire house and attached garage
Living Area: Number of Stories: 1 Valuation: 24,300.00
Gerage Area: Construction Types: NIA
Carport Area: Occupancy Groups:
Balcony / Deck Area: Fire Spdnldered:
Cool Roof. Total Fees pald for Parma: 589.16
People Associated with Project:
Contractor JVR QUALITY ROOFING INC 2030 E SANTA CLARA AVE APT A2 SANTA ANA, CA
Permit Applicant Javier Villalpando
Owner DIGNAM JUSTIN C TR 6424 E LOOKOUT LN
Type Electrical Fixtures Qty Type Plumbing Fbdures Qty 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�PHEIM CSC
City of Anaheim D� �o
Building Division F �z
u >
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 arereleased,
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)
Water Engineering (714) 765.4591
Electrical Ground Electrode/Ufer
Sub ListlBus. 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
•
Building Final (714 765-5153)
Last Inspection-Final Only After Above Completed
—1Y
Plumbing (Ground/Underfloor Water)
Underfloor Rough Gas
PARTIAL INSPECTIONS
Building Inspections
Mechanical (Groundwork)
Electrical (Underground Conduit)
Pre-slab (Compaction/Membrane Reint)
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 smaned7
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
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 & 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
Sewer
Water Engineering Backflow (Testable Only)
Water Service
Permit Types _
BLD ELE MEC PLM
X
Permit Number: BLD2023-01901
Issued: 04/21/2023
wwmanaheim.net/buiiding
(714)765-0626
Quarter Section: 199
Site Address: 6424 E LOOKOUT LN, ANAHEIM, CA 92807
Legal Description: N TR 10940 BLK LOT 11
APN:36538337
CITY OF ANAHEIM
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 selfansure 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
STV this permit is issued. My worker's Compensation insurance carrier and policy are:
Cartier. STATE COMPENSATION INSURANCE FUND Policy No.: 9331967 Expiration Date: 1/25/2024
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 worker's compensation provisions of Section 3700 of the
bor Code, I shall fo with comply with those provisions.
V1ev �t
JA 0�3
5Sign reof_Appiicant 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 1 am licensed under provisions of chapter 9 (commencing with Section 7000) of Division 3 of the Business and
RadeSslonsCode, and my license1s in full force and effect.
Corimctor Signature - -
NUMBER EXPIRATION DATE LICENSE TYPE (SI
1100984 01/31/2025 C39
Date