811 W JADE WAY (4)Parini[ Types
_ %BLD ELE MEC PLM
X X X X
Permit Number: BLD2024-03753
Issued: 07/23/2024
www.anaheim.n et/bu ilding
(714)765-4626
Quarter Section: 61
CITY OF ANAHEIM
BUILDING DIVISION
200 S. ANAHEIM BLVD.
(714) 765 - $153
Site Address: 811 W JADE WAY, Anaheim, CA 92805
Legal Description: N TR 1504 BLK LOT 2
APN: 25511140
Project Description: Bathroom Remodel: To remove tub and install (1) file shower, (1) shower valve ,(1) copper repipe with electrical
and mechanical upgrades in the hallway bathroom
Living Area: Number of stories:
1 Valuation: 11,000.00
Garage Area:
Construction Types: N/A
CarportArea:
Occupancy Groups:
Balcony) Deck Area:
Fire Sprinklered:
Cool Roof:
Total Fees paid for Permit: 421.43
People Associated with Project:
Contractor ORTIZ BUILDERS INC
8728 ALONDRA BLVD201408081011140212 BELLFLOWER, CA 90723
Permit Applicant ROCIO ORTIZ
8728 ALONDRA BLVD BELLFLOWER, CA 90706
Owner MITTMANN, PAUL A TR P & J
811 W JADE WAY
Type Electrical Fixtures City Type
Plumbing Fixtures Qty Mechanical Fixtures Qty
Receptacle, switches, ilghts 5 Miscellaneous Fixture 1 Ventilation Fan - <= 300 chin on single duct 1
Shower
1
Water Distribution
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.
�PHEI \9 \
City of Anaheim Q%�— \ o
Building Division F i
>
• �DVNDED vt' 1
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) 7664041
Plumbing (Ground/Underfloor Drain Waste)
Water Engineering (714) 765-4591
Electrical Ground ElectrodelUfer
Sub List/Bus. Lic. (714) 765-5194 (Allow 10 business days)
Setback/Forms/Trenches (Footings)
COAIMigation Measures
Do not install subfloor or pour floor slab until the follwing applicable items have been
sioned
Building Final (714 765.5153)
Last Inspection -Final Only Aner Above Completed
h--!
J
Plumbing (Ground/Underfloor Water)
Underfloor Rough Gas
PARTIAL INSPECTIONS
Building Inspections
Mechanical (Groundwork)
Electrical (Underground Conduit)
Pre -slab (CompactionlMembrane Reinf.)
Floor (JoistlGirdem)
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
list Floor Shear
Firesprinkler (Rough) (Fire Dept.)
Mechanical Inspections
2nd Floor Shear
Roof (SheathinglDiaphragmlFrame)
Masonry (Reinf.IBond Beam/Pre-Grout)
Rough Plumbing (Top Out) Q'r
Rough Duct (Mechanical)
Rough Mechanical
i✓J� /� N ✓S_'i j,d/a Llii
Rough Electrical
I,
Rough COAIMitagation Measures
lumbing Inspections
Framing (Only after Plbg., Ele.. Mec. 8 Fire)
Insulation (Sound/Energy)
t�
W G
Do not tape or plaster until the following applicable items have been signed:
Drywall
Drywall Penetrations (Ele, Mec & Plbg)
Interior Lath
Exterior Lath
F
Electrical Inspections
Electrical Service Meter -(Meter will be set within 2-3
business days after approval) Excludes New
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
X
X
Permit Number: BLD2024.03753
Issued: 07/23/2024
www.anaheim.net/building
(714)765-4626
Quarter Section: 61
Site Address: 811 W JADE WAY, Anaheim, CA 92805
Legal Description: N TR 1504 BLK LOT 2
APN: 25511140
CITY OF ANAHEIM
BUILDING DIVISION
200 S. ANAHEIM BLVD.
f714) 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 ATTORNEYS 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 workers compensation, issued by the Director of Industrial Relations as provided for by
on 3700 of the Labor Code, for the performance of the work for which this permit is issued.
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 workers Compensation insurance carrier and policy are:
Carver: CLEAR SPRING PROPERTY AND CASUALTY COMPANY Policy No.: CWCO2950500 Expiration Date: 3/15/2025
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, ff I should become subject to the worker's compensation provisions of Section 3700 of the
ode, shall forthwith comply with those provisions.
ar
Signature of Applicant Date
DECLARATION REGARDING CONSTRUCTION LENDING AGENCY:
I hereby of nn 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 Section 7000) of Division 3 of the Business and
Professions Cotle, a m II nse is in full force and effect.
07 h1c �L-y
Contractor Signature" Dates
NUMBER EXPIRATION DATE LICENSE TYPE (S)
952610 09/30/2024