144 S WESTCHESTER DRPermit Types
BLD ELE MEC PLM
X
Permit Number: BLD2022-04516
Issued: 09/21/2022
www.anaheim.net/building
(714)7654626
Quarter Section: 5
CITY OF ANAHEIM
Site Addr®ss:,144 S WESTCHESTER DR, ANAHEIM, CA 92804
:Ltigal Dessc�iption: N;TR'3886 BLK LOT 5
APN: 13531231
BUILDING DIVISION
200 S. ANAHEIM BLVD.
(7141 765 - 5153
Project Description: Reroof: Tear off existing material and install (90) sq ft of hot mop over (flat roof) REF: INV2022-00079
Living Area: Number of Stories: 2 Valuation: 40,000.00
Garage Area: Construction Types: NIA
Carport Area: Occupancy Groups:
Balcony I Deck Area: Fire Spdnldered:
Cool Roof: Total Fees paid for Permit: 477.20
People Associated with Project:
Permit Applicant Javier Lopez
Owner JGKALLINS INVESTMENTS LP 3720 S SUSAN ST 100
Type Electrical Fixtures Qty Type Plumbing Fixtures Qty Mechanical Fixtures Qty
r
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�pHElm Cq<
City of Anaheim o� io
Building Division F i
u >
�D��►DED 1a�^
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 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)
COA/MigatLon Measures
Do not install subfloor or pour floor slab until the follwing applicable items have been
s' ed:,r
ding �Flnal4 765-5153)
l Only After Above Completed
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 s' ed•
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., Mac. & Fire)
Insulation (Sound/Energy)
Do not tape or plaster until the following applicable items have been signed:
Drywall
Drywall Penetrations (Ele, Mac & 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 PLM
X
Permit Number:13LD2022-04516
Issued: 09/21/2022
www.anaheim.neUbuilding
(714)765-4626
Quarter Section: 5
CITY OF ANAHEIM
Site Address: 144 S WESTCHESTER DR, ANAHEIM, CA 92804
Legal Description: N TR 3886 BLK LOT 5
APN: 13531231
WORKER'S COMPENSATION DECLARATION:
BUILDING DMSION
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.
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 workers 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:
Cartier: STATE COMPENSATION INSURANCE FUND Policy No.: 9219611 Expiration Date:101112022
Name of Agent
Phone No.:
I certify that in the performance of the work for which this permit is issued, l shall not employ any person In any manner so as to become subject to the
workers compensation laws of California, and agree that If I should become subject to the workers compensation provisions of Section 3700 of the
9— Labor Code, I shall forthwith comply with those provislons.
gnature 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:
Lenders Address:
LICENSED CONTRACTOR'S DECLARATION:
I 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
P sslons Code, and my license Is in full force and effect.
ontractor Signature
NUMBER EXPIRATION DATE LICENSE TYPE (S)
1035435 01/31/2024 C39
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Date