1246 S SILVER STAR WAYPermit Types
BLD ELE MEC PLM
X
Permit Number: BLD2022-04474
Issued: 11/23/2022
www.anaheim.net/building
(714)765-4626
Quarter Section: 227
CITY OF ANAHEIM
Site Address: 1246 S SILVER STAR WAY, ANAHEIM, CA 92808
Legal'Gescrlptlon: N TR ;14193 BLK LOT 10
APN:35464109
BUILDING DIVISION
200 S. ANAHEIM BLVD.
17141 765-5153
Project Description: Residential Remodel: 115 sq. ft. second story balcony with 142 sq. ft. patio below.
Living Area: Number of Stories: 2 Valuation: 20,000.00
Garage Area: Construction Types: NIA
Carport Area: Occupancy Groups:
Balcony I Dock Area: 115 Fire Sprinidered:
Cool Roof: Total Fees paid for Permit: 1,111.60
People Associated with Project:
Permit Applicant Cameron Knight
Owner DONATH ALINA LUPAS & RICK KEVIN 1246 S SILVER STAR WAY
Engineer - Civil NADER B KHOURY 1278 GLENNEYRE ST #201 LAGUNA BEACH, CA 92651
Type Electrical Fixtures Qty Type Plumbing Fixtures Qty Mechanical Fixtures Qty
The permit shall expire by limitation and become null and vold 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�PhtE1M Cq<
Cityof Anaheim o� �o
Building Division i
u a
DEO %$h^
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
6
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) 7654591
Electrical Ground Electrode/Ufer
Sub List/Bus. Lic. (714) 765-5194 (Allow 10 business days)
Setback/Forms/Trenches (Footings) l40)72 kew)-
COA/Migation Measures
Do not install subfloor or pour floor slab until the follwing applicable items have been
sioneda
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 ReinC)
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 sffianedo
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
Sewer
Water Engineering Backflow (Testable Only)
Water Service
Permit Types .
BLD ELE MEC PLM
X
Permit Number: BLD2022-04474
Issued: 11/23/2022
www.anaheim.net/building
(714)765.4626
Quarter Section: 227
CITY OF ANAHEIM
Site Address: 1246 S SILVER STAR WAY, ANAHEIM, CA 92808
Legal Description: N TR 14193 BLK LOT 10
APN:35454109
BUILDING DIVISION
200 S. ANAHEIM BLVD.
(7141765-5153
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. SECURITY NATIONAL INSURANCE COMPANY Policy No.: SWC1396484 Expiration Date: 4@0/2023
Name of Agent:
I certify that in
workees comp
Labor Code, I
Signature of
Phone No.:
rmance 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
laws of California, end agree that, If I should become subject to the worker's compensation provisions of Section 3700 of the
comply With those provisions.
II , ZZ
Date
DECLARATION REGARDING CONSTRUCTION LENDING AGENCY:
1 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 Address:
LICENSED CONTRACTOWDECLARATIGN:
I hereby affirm under the pen It� r erjury t I am licensed under provisions of chapter 9 (commencing with Section 7000 of Division 3 of the Business and
Professions Code, and my Ii ns i in foil me and effect
li Z3 2�
Contractor Signature Date
NUMBER EXPIRA INDATE LICENSE TYPE IS
1037174 03/31/2024 B