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195 N MAGNOLIA AVE4 Permit Types BLD ELE ZMEC PLM X Permit Number: OLD2022-05288 Issued: 11/07/2022 www.anaheim.net/building (714)765.4626 Quarter Section: 19 CITY OF ANAHEIM BUILDING DIVISION 200 S. ANAHEIM BLVD. (714) 765.5153 Site Address: 195 N MAGNOLIA AVE C, Anaheim, CA 92801 Legal Description: N TR 10437 BLK LOT 2 UN 81 TR 10437 LOT 2 UNIT 81 APN: 93835081 Project Description: Mechanical to Replace (4) ducts Living Area: Number of Stories: 0 Valuation: 0.00 Garage Area: Constriction Types: NIA Carport Area: Occupancy Groups. Balcony I Deck Area: Fire Sprinidered: Cool Roos: Total Fees paid for Permit: 167.00 People Associated with Project: 'Permit Applicant Ben Medina Owner PURATY SHARLENE KAREN TR 195 N MAGNOLIA AVE C Type Electrical Fixtures Qty Type Plumbing Fixtures ally .Mechanical Fixtures Qty Residential Registers 4 0 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�pt1EIM CqC City of Anaheim o� io Building Division i u a DED �$h� 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 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) COA/Migation Measures Do not install subfloor or pour floor slab until the follwing applicable items have been sianed7 Building Final (714 765-5153) Last Inspection-Final Only After Above Completed Plumbing (Ground/Underfloor Water) Underfloor Rough Gas PARTIAL INSPECTIONS Building Inspections w Mechanical (Groundwork) Electrical (Underground Conduit) Pre-slab (Compaction/Membrane ReinE) Floor (Joist/Girders) Underfloor Insulation (Raised Foundation Only) Floor Nailing (Raised Foundation Only) 2nd Floor (Floor Nailing) A M E: Do not cover or conceal the work below until the following applicable items have been sianed7 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 Plumbinq 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 (Struct., Ele., or Mec.) Grease Interceptor Sewer Water Engineering Backflow (Testable Only) Water Service Permit Types BLD ELE MEC PLM X Permit Number 13LD202245288 Issued: 11/07/2022 www.anaheim.net/building (714)765-4626 Quarter Section: 19 CITY OF ANAHEIM BUILDING DIVISION 200 S. ANAHEIM BLVD. (714) 765 - 5153 Site Address: 195 N MAGNOLIA AVE C. Anaheim, CA 92801 Legal Description: N TR 10437 BLK LOT 2 UN 81 TR 10437 LOT 2 UNIT 81 APN:93835081 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 self4nsure 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 worker's Compensation insurance carrier and policy are: Cartier: Policy No.: RM8WC00054221 Expiration Date: 4/1/2023 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 camps aws of California, and agree that, If I should become subject to the workers compensation provisions of Section 3700 of the Labor Cod shall forthwith comply with those provisions. 7-2 - Sign _ plicaDate 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: Lenders Address: LICENSED CONTRACTOR'S DECLARATION: 1 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 end Professions Code, and my ficon full force and effect. Contra Signature Date NUMBER EXPIRATION DATE LICENSE TYPE (Sl 799170 10/31/2023 B. C20, C36, C-2