8031 E SANDSTONE DR (3)_ Permit Types
f I BLD ELE MEC PLM
X
Permit Number: OLD2023-01655
Issued: 04/10/2023
www.anaheim.net/building
(714)765-0626
Quarter Section: 222
CITY OF ANAHEIM
BUILDING DIVISION
200 S. ANAHEIM BLVD.
(714) 765.5155
Site Address: 8031 'E SANDSTONE 'DR, ANAHEMA, CA 92808
Legoll "Nscrlption: N TR 12700 8LIK ii OT 6 UN 9 TRACT 12700, LOT 5 OF PR
APN: 93639221
Project Description: Plumbing: to repipe on entire unit using PEX.
LMng Area: Number of Stories: 1 Valuation: 0.00
Garage Area: Construction Types: NIA
Carport Area: Occupancy Groups:
Balcony I Dedr Area: Fire Sprinklered:
Cool Roof: Total Fess paid for Penna: 167.00
People Associated with Project: WE
Contractor IMPERIAL HWY ENTERPRISES LLC 407 W IMPERIAL HWY STE H #324 BREA, CA 92821
Permit Applicant Ampello Nunez
Owner SMITH KATHLEEN NICOLE 1076 MELBA RD
Type Electrical Fixtures Qty Type Plumbing Fixtures Qty Mechanical Fixtures Qty
Water Distribution 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�PHEIM Cq<
Cityof Anaheim o� �o
Building Division F z
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DEC) %
Do not occupy this building until the final inspections have been made.
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FINAL INSPECTIONS DATE INSPEACTOR
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/Migation Measures
Do not install subfloor or pour floor slab until the follwing applicable items have been
s' e •
Building Final (714 765-5153)
Last Inspection-Final Only After Above Completed
Plumbing (Ground/Underfloor Water)
Underfloor Rough Gas
PARTIAL INSPECTIONS
Buildina Ins ections
Mechanical (Groundwork)
Electrical (Underground Conduit)
Pre-slab (Compaction/Membrane Reinf.)
Floor (Joist/Girders)
Underfloor Insulation (Raised Foundation Only)
Floor Nailing (Raised Foundation Only)
DAT •
2nd Floor (Floor Nailing)
-o a r eE
Do not cover or conceal the work below until the following applicable items have
been sionede
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
Water Engineering Backflow, (Testable Only)
Water Service
Permit Types
BI:D ELE MEC PLM
X
Permit Number: OLD2023-01655
Issued: 04/10/2023
www.anaheim.net/buiiding
(714)7654626
Quarter Section: 222
CITY OF ANAHEIM
BUILDING DIVISION
200 S. ANAHEIM BLVD.
(714) 765 - 5153
Slee Address: 8031 E SANDSTONE DR, ANAHEIM, CA 92808
Legal Description: N TR 12700 BLK LOT 5 UN 9 TRACT 12700, LOT 5 OF PR
APN:93639221
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.
1 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 workers Compensation insurance carrier and policy are:
Cartier. STATE FARM GENERAL INSURANCE COMPANY Policy No.: VQW307 Expiration Date: 8=023
Name of Agent Phone No.:
I cot* chat In On par%rrnanCe 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
Labor Code, I shall forthwith comply with those provisions.
Signature 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 Address:
LICENSED CONTRACTOR'S DECLARATION:
I hereby affirm under the penalty of Perjury that I am licensed under provisions of chapter 9 (commencing with Seclon 7000) of Division 3 of the Business and
Professions Code, and my license Is In full force and effect.
Contractor Signature
NUMBER
1059396
EXPIRATION DATE
10/31/2023
LICENSE TYPE (S)
C36, C20
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Date