421 S RAMONA ST (3)Permit Types
BLD ELE. MEC PLM
X
Permit Numbgr: BLD2022-05072
Issue', 10/25/2022
www.anaheim.net/building
(714)765-4626
Quarter Section: 40
Site Address: 421 S RAMONA ST, Anaheim, CA 92804
Legal Description: N TR 2369 BLK LOT 67
APN: 12816406
CITY OF ANAHEIM
BUILDING DIVISION
200 S. ANAHEIM BLVD.
(7141 765 - 5153
Project Description: Mechanical to change out air conditioner, (1) furnace and (1) coil.
LMng Area: Number of Stories: 1 Valuation: 0.00
Garage Area: Construction Types: NIA
Carport Area: Occupancy Groups:
Balcony I Deck Area: Fire Sprinidered:
Coal Roof., Total Fees paid for Permit: 217.00
People Associated with Project:
Permit Applicant Ben Medina
Owner HUANG STEPHEN TR THE S 8 421 S RAMONS ST
Type Electrical Fixtures Qty Type Plumbing Fixtures Qty Mechanical Fixtures Qty
Compressor/Boiler - up to 15 hp 1
Heating Appliances, Including vent 1
Heating/Cooling Coil 1
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�pNEIM Cq<
City of Anaheim o� io
Building Division F 2
u a
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 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 List/Bus. 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
sinned7
Building Final (714 765-5153)
Last Inspection-Final Only After Above Completed
Plumbing (Ground/Underfloor Water)
Underfloor Rough Gas
PARTIAL INSPECTIONS
Buildinq Inspections
rs� A M
Mechanical (Groundwork)
Electrical (Underground Conduit)
Pre-slab (Compaction/Membrane Reinf.)
Floor (Joist/Girders)
IN a
Underfloor Insulation (Raised Foundation Only)
Floor Nailing (Raised Foundation Only)
��
2nd Floor (Floor Nailing)
{{
• 1 03--122
Do not cover or conceal the work below until the following applicable items have
been e •
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
Mn nnt backfill unless sinned nffi
Sewer
Water Engineering Backflow (Testable Only)
Water Service
Permit Types
BLD ELE MEC PLM
X
Permit Number: OLD2022-05072
Issued: 10/25/2022
www.anaheim.neUbuilding
(714)765-0626
Quarter Section: 40
Site Address: 421 S RAMONA ST, Anaheim, CA 92804
Legal Description: N TR 2369 BLK LOT 67
APN: 12816406
WORKER'S COMPENSATION DECLARATION:
CITY OF ANAHEIM
BUILDING DIVISION
200 S: ANAHEIM BLVD.
(714) 765 - 5153
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.
1 hereby affirm under penalty of perjury one of the following declarations:
I have and will maintain a certificate of consent to selfinsure for worker's compensation, Issued by the Director of Industrial Relations as provided for by
o' 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 worker's Compensation Insurance carrier and policy are:
Cartier. EVEREST PREMIER INSURANCE COMPANY Policy No.: RMIIWC00054221 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
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 sh with �complywWth those provisions.
- -- - --- 6 z,5: -
Signature of App (cant 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 affirm under the penalty of Perjury that I am licensed under provisions of chapter 9 (commencing with Section 7000) of Division 3 of the Business and
Professions Code, and my lice sfi full force end eflecL
16
Contractor gignatu Date
NUMBER EXPIRATION DATE
799170 10/31/2023
LICENSE TYPE (Sl
B. C20, C36, C-2