5417 E PINE RIDGE WAY (3)Permit Types
BLD ELE MEC PLM CITY OF ANAHEIM
X
BUILDING DIVISION
Permit Number. BLD2023-02002 200 S. ANAHEIM BLVD.
Issued: 04/26/2023 (714)765-5153
www.anaheim.net/building
(714)765.4626
Quarter Section: 177
Site Address: 5417 E PINE RIDGE WAY C, ANAHEIM, CA 92807
Legal Description: P BK 64 PG 31 PAR 2 UN 246 TR 7416 LOT 4 UNIT 246,
APN: 93273291
Project Description: Residential Remodel: Replace (4) retro -ft windows .(Unit#: 247C)
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Living Area: Number of Stories: 0 Valuation: 2,500.00
Garage Area: Construction Types: NIA
Carport Area: Occupancy Groups:
Balcony I Deck Area: Fire Sprinldered:
Cool Roof. Total Fees paid for Permit: 167.00
People Associated with Project:
Contractor RENEWAL BY ANDERSEN LLC 22982 ALCALDE DRIVE201407031118596237 LAGUNA HILLS, CA 92653
Permit Applicant Robin Redira
Owner RAFIDI RAMY 5417 E PINE RIDGE WAY
Type Electrical Fixtures Qty Type Plumbing Fixtures Qty Mechanical Fixtures Qty
The permit shall expire by limitation and become null and vold 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 �q<
City of Anaheim o� �o
Building Division i
u >
�DGNDED �$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
s*anadm
Building Final (714 765-5153)
hast Inspection-Final Only After Above Completed
Plumbing (Ground/Underfloor Water)
Underfloor Rough Gas
PARTIAL INSPECTIONS
Buildina Inspections
Mechanical (Groundwork)
Electrical (Underground Conduit)
Pre-slab (Compaction/Membrane Reinf.)
Floor (JoisUGirders)
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 soonedo
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
Plumbina 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 FLM
X
Permit Number: BLD2023-02002
Issued: 04/26/2023
www.anaheim.neUbuilding
(714)765-0626
Quarter Section: 177
CITY OF ANAHEIM
BUILDING DPASION
200 S. ANAHEIM BLVD.
(714) 765 - 5153
Site Address: 5417 E PINE RIDGE WAY C, ANAHEIM, CA 92807
Legal Description: P BK 64 PG 31 PAR 2 UN 246 TR 7416 LOT 4 UNIT 246,
APN: 93273291
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 end 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.
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:
Carrier. OLD REPUBLIC INSURANCE COMPANY Policy No.: MWC314158 Expiration Date: 10/1/2023
No a of Agent: Phone No.:
I ce ' 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
works 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 d_ e, I shall forthwith comply with those provisions.
A— - - Z3
Signature of 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:
Lender's Address:
LICENS CONCTOR'S DECLARATION:
I hereby a m under a penalty of Perjury that I am licensed under provisions of chapter 9 (commencing with Section 7000) of Division 3 of the Business and
Profession e, andrnse is in full force and effect.
- 16 - z3
Contractor Signature
NUMBER
990416
EXPIRATION DATE
07/31/2023
LICENSE TYPE is
B, C17
Date