5418 E WILLOWICK CIR (3)Permit Types
BLD KE MEC PLM
X
Permit Number: OLD202245375
Issued: 11/10/2022
www.anaheim.net/building
(714)765-4626
Quarter Section: 180
CITY OF ANAHEIM
Sit teYAdilres`s:5418iEtWIL+LOWICKiCIRNANAHEIM;rCA'92807
LegalDescrlption:•N TR 7568 BLK•LOT 47
A .N: 363141.219
,Project Description: Plumbing to Install sewer clean out)
BUILDING DIVISION
200 S. ANAHEIM BLVD.
(714) 765-5153
Living Area: Number of Stories: 1 Valuation: 0.00
Garage Area: Construction Types: NIA
Carport Area: Occupancy Groups:
Balcony I Deck Area: Fire Sprinkiered: No
Cool Roof. Total Fees paid for Permit: 167.00
People Associated with Project:
Permit Applicant JASMINE RIOS
Owner-BURNETT EARL E TR . X"III E WILL-OWICK CIR -)
Type Electrical Fixtures Qty Type Plumbing Fixtures Qty Mechanical Fixtures Qty
Sewer per 100 ft. 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�PHEI114 Cq<
Cityof Anaheim o� io
Building Division F i
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DEDI
Do not occupy this building until the final inspections have been made.
FINAL INSPECTIONS
DATC !NSPECTOR
All applicable items below must be signed before utilities are released
Final Gas Test
Electrical Final
m mg Final
Mec an—Final
Cross Connection Control (714) 7654280
Engineering Final (714) 765-5126
INSPECTION I 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/Migation Measures
Do not install subfloor or pour floor slab until the follwing applicable items have been
e .
Building Final (714 765-5153)
Last Inspection -Final 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 (Jo!st/G!rders)
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 sionedd
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 e
r Engineering Backflow (Testable Only)
Water Service
Permit Types
8LD ELE MEC PLM
X
Permit Number. BLD2022-05375
Issued: 11/10/2022
www.anaheim.net/building
(714)765-4626
Quarter Section: 180
QUA A.1.I.e . GA 40
CITY OF ANAHEIM
------- - • •- - •• ..w,. vm, nivnnr:rm, VM yLifU/
Legal Description: N .TR 7568 BLK LOT 47
APN:36314219
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 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.
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: OLD REPUBLIC GENERAL !NSU R9NCE CORPO nnnu Policy No.: A1CWA0011502
Name of Expiration Date: 3/1/2023
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 sLtoth comply with those provisions.
S1 a ure of Applicant' / D`
in
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:
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
Professions Code. and my liranse r. In AM a.,... --A _o__.
NUMBER EXPIRATION DATE LICENSE TYPE ISI
1048123 12/31/2022 C36
1)hdz2
Date