8391 E QUIET CANYON CT (4)Permit Types
BLD ELE MEC PLM CITY OF ANAHEIM
X
BUILDING DIVISION
Permit Number: BLD2023-01365 200 S. ANAHEIM BLVD.
Issued: 03/22/2023 1714)765-5153
www.anaheim.net/building
(714)765.4626
Quarter Section: 227
Site Address: 8391 E QUIET CANYON CT, ANAHEIM, CA 92808
Legal Description: N TR 14190 BLK LOT 13
APN:35447203
Project Description: Residential Remodel: Replace (3) retrofit windows and (1) patio door.
Living Area: Number of Stories: 1 Valuation: 7,900.00
Garage Area: Construction Types: NIA
Carport Area: Occupancy Groups:
Balcony I Deck Area: Fire Sprinldered:
Cool Root Total Fees paid for Permit: 167.00
People Associated with Project:
Contractor HOME DEPOT U S A INC DBA THE HOME DEPO P O BOX 105451 ATTN LICENSE MANAGEMENT 200408130950507570 ATLANTA, GA 9280
Permit Applicant Jeffrey Peo
Owner BRUMBACK JASON & JACLYN 8391 E QUIET CANYON CT
Type Electrical Fixtures Qty Type Plumbing Fixtures Qty
Mechanical Fixtures
City of Anaheim
Building Division
Do not occupy this building until the final Inspections have been made.
INSPECTION DATE I INSPECTOR
Do not pour concrete until the following applicable items have been signed:
Plumbing (Ground/Underfloor Drain Waste)
Electrical Ground Electrode/Ufer
Setback/Forms/Trenches (Footings)
Do not install subfloor or pour floor slab until the follwing applicable items have been
sionpri-
Plumbing (Ground/Underfloor Water)
Underfloor Rough Gas
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
1st Floor Shear
Firesprinkler (Rough) (Fire Dept.)
2nd Floor Shear
Roof (Sheathing/Diaphragm/Frame)
Masonry (Reinf.IBond Beam/Pre-Grout)
Rough Plumbing (Top Out)
Rough Duct (Mechanical)
Rough Mechanical
Rough Electrical
Rough COAIMitagation Measures
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, Mac & Pibg)
Interior Lath
Exterior Lath
Electrical Service Meter -(Meter will be set within 2-3
business days after approval) Excludes New
ruefflnn
Exterior Plaster (Brown Coat)
T -Bar (Struct., Ele., or Mec.)
Grease Interceptor
Sewer
Water Engineering Backflow (Testable Only)
Water Service
PARTIAL INSPECTIONS
Building Inspections
Mechanical Inspections
Plumbing Inspections
Electrical Inspections
Permit Types
BLD ELE MEC PLM
X
Permit Number: BLD2023-01365
Issued: 03/22/2023
www.anaheim.net/building
(714)765-4626
Quarter Section: 227
CITY OF ANAHEIM
Site Address: 8391 E QUIET CANYON CT, ANAHEIM, CA 92808
Legal Description: N TR 14190 BLK LOT 13
APN:35447203
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 selfainsure 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. ACE AMERICAN INSURANCE COMPANY Policy No.: WLRC50668150 Expiration Date: 3/1/2024
Name of Agent
Phone No.:
11,peftil7that 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
wo ars campensati laws of California, and agree that, if I should become subject to the worker's compensation provisions of Section 3700 of the
Lab r Code, l shat fo th mply with those provisions.
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):
Lender's Name:
Lender's Address:
LICENSED CONTRACTOR'S DECLARATION:
1 hereby node
penalty of Perjury that I am licensed under provisions of chapter 9 (commencing with Section 7000) of Division 3 of the Business and
Professiy lice s n II force and effect.
� 36414
Contractor Signature Date
NUMBER EXPIRATION DATE
602331 09/30/2024
LICENSE TYPE is)
C10, S, D12, C-2, C39, C-6, C17, C36, D34, D41, D24