212 S OHIO ST (4)Permit Types
BLD ELE MEC PLM
X
Permit Number: BLD2023-00432
Issued: 01/26/2023
www.anaheim.net/building
(714)765-4626
Quarter Section: 73
CITY OF ANAHEIM
BUILDING DIVISION
200 S. ANAHEIM BLVD.
1714) 765 - 5153
Site Address: 212 S OHIO ST, ANAHEIM, CA 92805
Legal Description: A TR VINEYARD LOTS BLK LOT E7 VINEYARD LOTS LOT E-
APN: 03fi11403
Project Description: Reroof: To remove existing and install (19) sq ft of composition and shingles over parapet wall of entire apartment
building.
Living Area: Number of Stories: 1 Valuation: 15,900.00
Garage Area: Construction Types: NIA
Carport Area: Occupancy Groups:
Balcony/ Deck Area: Fire Spdnkiered:
Cool Roof. Total Fees paid for Permit: 343.45
People Associated with Project:
Contractor ACCURATE ROOFING 11812 EDGEWOOD LN200508050944257610 GARDEN GROVE, CA 92840
Permit Applicant Rhonda SueCauchois
Owner SINGER ERIC TR E ✓i E 2102 LA CUESTA DR
Type Electrical Fixtures Qty Type Plumbing Fixtures Qty Mechanical Fixtures Qty
The permit shall expire by limitation and become null and void it 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�PwEU4 �9t
City of Anaheim D� �O
Building Division F i
u >
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) 765-4280
Engineering Final (714) 765-5126
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 ListlBus. 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
signed:
Building Final (714 765-5153)
Last Inspection-Final Only After Above Completed
— V
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 signed:
1st Floor Shear
Firesprinkler (Rough) (Fire Dept.)
Mechanical Inspections
2nd Flo
(Sheathin ragm/Frame)
Masonry 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
Constructoon
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: BLD2023-00432
Issued: 01/26/2023
www.anaheim.net/building
(714)765-4626
Quarter Section: 73
CITY OF ANAHEIM
BUILDING DIVISION
200 S. ANAHEIM BLVD.
(714) 765 - 5153
Site Address: 212 S OHIO ST, ANAHEIM, CA 92805
Legal Description: A TR VINEYARD LOTS BLK LOT E7 VINEYARD LOTS LOT E-
APN: 03611403
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
VI 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 workers Compensation insurance carrier and policy are:
Cartier. STATE COMPENSATION INSURANCE FUND Policy No.:1943110 Expiration Date: 1/1/2024
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
Labor Code, I shall forthwith comply with those provi;Ions.
C® -z�-�
Signatuk Af Applicant 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:
Lenders Address:
LICENSED CONTRACTOR'S DECLARATION:
I hereby affirm under the penalty of Penury that I am licensed under provisions of chapter 9 (commencing with Section 7000) of Division 3 of the Business and
Professions e, and my Iicen Is In full and effect.
Contractor Si nature
NUMBER EXPIRATION DATE LICENSE TYPE (S)
726093 10/31/2023 C39
1-2-�-2- 3
Date