5005 E CRESCENT DR (3)Permit Types
BLD ELE MEC PLM
X
Permit Number: BLD2022-05280
Issued: 11/07/2022
www.anaheim.neUbuilding
(714)7654626
Quarter Section: 174
CITY OF ANAHEIM
Ske. Address:;5005 E CRESCENT DR, ANAHEIM, CA 92807
LsealDescripthiri: N TR 8470 BLIk,LOTS
`APNt 36121.133
BUILDING DIVISION
200 S. ANAHEIM BLVD.
(7141765.5158
Project Description: Residential Remodel: Replace (1) sliding door , like for like changeouts
Living Area: Number of Stories: 1 Valuation: 2,000.00
Garage Area: ConsWclion Types: NIA
Carport Area: Occupancy Groups:
Balcony / Deck Area: Fire SprinMered:
Cool Roof. `, Total Fees paid for Permit: 167.00
People Associated with Project:
Owner RYAN JIM L TR THE RYAN 5005 E CRESCENT DR
Type Electrical Fixtures Qty Type Plumbing Fixtures Qty Mechanical Fixtures Qty
The permit shall expire by limitation and become null and void if the building or work has not passed final Inspection 865 days from the
date of permit Issuance. A new permit is required to commence or continue work.
P�PHEIM CqC
City of Anaheim D� io
Building Division F z
u >
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 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 follwing applicable items have been
sinned:
Building Final (714 765-5153)
Last Inspection-Final Only After Above Completed
)
�Z1�T�2Z
]�
1;w'a
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 sinned7
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 not hackfill unless sinned ofn
Sewer
Water Engineering Backflow (Testable Only)
Water Service
Permit Types
BLDELE MEC PLM
X
Permit Number: BLD2022-05280
Issued: 11/07/2022
www.anaheim.neUbuilding
(714)765-0626
Quarter Section: 174
CITY OF ANAHEIM
BUILDING DIVISION
200 S. ANAHEIM BLVD.
(714) 765 - 5153
Site Address: 5005 E CRESCENT DR, ANAHEIM, CA 92807 - — —�
Legal Description: N TR 8470 BLK LOT 6
APN:36121133
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 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: OLD REPUBLIC INSURANCE COMPANY Policy No.: MWC314158 Expiration Date: 10/1/2023
Name f Agent: Phone No.:
I •fy that in the pe or mance 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
ers compen on laws of California, and agree that, if I should become subject to the workers compensation provisions of Section 3700 of the
r Code, l sh f th comply with those provisions.
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):
Lender's Name:
Lender's
LICENSED CO CTOR'S D CLARATION:
I hereby affirm u d r the penalty of P rjury Ourt I am licensed under provisions of chapter 9 (commencing with Section 7000) of Division 3 of the Business and
Professions de army license 1710,
full force and effect.
Signature
NUMBER EXPIRATION DATE
990416 07/31/2023
B. C17
e/1-2—)
Date