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405 W VERMONT AVE (2)Permit Types SLD ELE MEC PLM X Permit Number. BLD2022-05204 Issued: 11/02/2022 www.anaheim.net/building (714)765-0626 Quarter Section: 85 CITY OF ANAHEIM BUILDING DIVISION 200 S. ANAHEIM BLVD. (714)765-5153 Site Address: 405 W VERMONT AVE, ANAHEIM, CA 92805 Legal Description: A TR ORCHARD PARK TR BLK LOT 9 ORCHARD PARK TR LOT APN:63626318 Project Description: Mechanical: to change out (13) ducts Living Area: Number of Stories: 1 Valuation: 0.00 Garage Area: Construclion Types: NIA Carport Area: Occupancy Groups: Balcony I Deck Area: Fire Spdnidered: Cool Roof: Total Fees paid for Permit: 303.00 People Associated with Project: Permit Applicant Ben Medina Owner BROOKS WILMA F TR 405 W VERMONT AVE Type Electrical Fixtures Qty Type Plumbing Fixtures Qty Mechanical Fixtures Qty Residential Registers 13 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�PHEiaq CqC Cityof Anaheim 04 io Building Division F z u > �OGNDED 5 Do not occupy this buildinq 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 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 folMring applicable items have been s' e • Building Final (714 765-5153) Last Inspection -Final Only After Above Completed Plumbing (Ground/Underfloor Water) Underfloor Rough Gas PARTIAL INSPECTIONS Buildinq Inspections III Mechanical (Groundwork) Electrical (Underground Conduit) Pre -slab (Compaction/Membrane Reinf.) Floor (Joist/Girders) Underfloor Insulation (Raised Foundation Only) a td W Floor Nailing (Raised Foundation Only) -w- 2nd Floor (Floor Nailing) Do not cover or conceal the work below until the following applicable items have been s*anedi 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 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 Construction Exterior Plaster (Brown Coat) T -Bar (Struct., Ele., or Mec.) Grease Interceptor (Do nnt hack Sewer Water Engineering Backflow (Testable Only) Water Service Permit Types ,BLD ELEMECPLM X Permit Number: BLD2022-05204 Issued: 11/02/2022 www.anaheim.net/building (714)765.4626 Quarter Section: 85 CITY OF ANAHEIM BUILDING DMSION 200 S. ANAHEIM BLVD. (714) 765 - 5153 Site Address: 405 W VERMONT AVE, ANAHEIM, CA 92805 Legal Description: A TR ORCHARD PARK TR BLK LOT 9 ORCHARD PARK TR LOT APN: 03626318 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. 1 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 Section 3700 of the labor Code, for the performance of the work for which this permit is issued. 1 have and will maintain worker's compensation insurance, as required by Section 3700 of the tabor Code, for the performance of the work for which this permit is issued. My worker's Compensation insurance carder and policy are: Carrier. EVEREST PREMIER INSURANCE COMPANY Policy No.: RM6WC00054221 Expiration Date: 41102023 Name of Agent: Phone No.: 1 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 ce tioaws n lof C ' emia, and agree that, if I should become subject to the worker's compensation provisions of Section 3700 of the Labor e, I shall fo mpty with those provisions, r Signatu plica Date DECLARATION REGARDING CONSTRUCTION LENDING AGENCY: I hereby affirm under penalty of perjury that there is a construction tending 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: I hereby affirm under the of Perjury that I am licensed under provisions of chapter 9 (commencing with Section 7000) of Division 3 of the Business and Professions Code, a my license is In full foree•and effect. Co r Date NUMBER EXPIRATION DATE LICENSE TYPE (S) 799170 10/3102023 B. C20, C36, C-2