834 S CANOGA STPermit Types
BLD I E E MEC PLM
`1 X X
Permit Number: BLD2022-04457
Issued: 09/19/2022
www.anaheim.net/building
(714)765-0626
Quarter Section: 6
Site Address: 834 S CANOGA ST, ANAHEIM, CA 92804
Legal Description: N TR 3676 BLK LOT 28
APN: 07917206
CITY OF ANAHEIM
BUILDING DIVISION
200 S. ANAHEIM BLVD.
(714) 765 - 5153
Project Description: Mechanical/Electdcal: to install new air conditioner located on the side of home, (7) ducts, (1) furnace and (1)
disconnect.
Living Area: Number of Stories: 1 Valuation: 0.00
Garage Area: Construction Types: NIA
Carport Area: Occupancy Groups:
Balcony/ Dock Area: Fire Sprinklered:
Cool Roof: Total Fees paid for Permit: 411.00
People Associated with Project:
Permit Applicant Roy Dominguez
Owner OKERSTROM LEONARD NELS TR 834 S CANOGA ST
Type Electrical Fixtures Qty Type Plumbing Fixtures Qty Mechanical Fixtures Qty
Motors - up to 1 h.p. 1 Compressor/Boiler - up to 15 hp 1
Heating Appliances, including vent 1
Residential Registers 7
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�pHEIM C9<
City of Anaheim D� io
Building Division F z
u >
�DGNDED �a��
Do not occupy this building until the final inspections have been made.
FINAL INSPECTIONS GATE 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 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 v
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
Building Final (714 765-5153)
Last Inspection-Final Only After Above Completed
Plumbing (Ground/Underfloor Water)
Underfloor Rough Gas
PARTIAL INSPECTIONS
Buildinq Inspections
Mechanical (Groundwork)
Electrical (Underground Conduit)
Pre-slab (Compaction/Membrane Reinf.)
Floor (Joist/Girders)
M 1% H
Underfloor Insulation (Raised Foundation Only)
U U 9 Vd ff 111k 06=
Floor Nailing (Raised Foundation Only)
2nd Floor (Floor Nailing)
UA l t: I —1 2
Do not cover or conceal the work below until the following applicable items have
been Manedi
e r
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
Sewer
Water Engineering Backflow (Testable Only)
Water Service
Permit Types
BLD ELE MEC PLM
'X X
Permit Number: BLD2022-04457
Issued: 09/19/2022
www.anaheim.net/building
(714)765-4626
Quarter Section: 6
Site Address: 834 S CANOGA ST, ANAHEIM, CA 92804
Legal Description: N TR 3676 BILK LOT 28
APN: 07917206
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.
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.
1 1 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. At U INSURANCE COMPANY Policy No.: 053419585 Expiration Date: 7/1/2023
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
bor Code, l shall forthwith comply with those provisions.%^/
I / 0/Signture of Applicant D to
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 license Is In full force and effect.
fp
C tractor Signature
NUMBER EXPIRATION DATE LICENSE TYPE (S)
763154 05/31/2023 C10, C36, C20, 6
Date
RECEIVED
SEP 19 2022
CITY OF ANAHEIM
PLANNING & BUILDING DEPARTMENT
CITY OF ANAHEIM
PLANNING SERVICES DIVISION
PPROVED
DATE a 'ZA- ZONE 'K-S_L
BY — (--)fA6 )
DEV FEE S 0'&
WATER EFFICIENCY
%Exempt O New >500ft' O Alter >2,500 fe
Plans comply with TWO 18 of the A.M.C. (Zoning).
This does not constitute approval of a building
permit or authorize violation of any City Codes.
FI A
DATE:—13 �
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