409 S BEL AIR STPermit Types
BLD ELE MEC PLM
X
Permit Number: BLD2022-05208
Issued: ii/02/2022
www.anaheim.net/building
(714)7654626
Quarter Section: 13,
Site Address: 409 S BEL AIR ST, Anaheim, CA 92804
Legal Description: N TR 2400 BLK LOT 12
APN: 12609607
CITY OF ANAHEIM
BUILDING DIVISION
200 S. ANAHEIM BLVD.
(714) 76S - 5153
Project Description: Mechanical to change out condenser, (1) coil and furnace.
Living Area: Number of Stories: 1 Valuation: 0.00
Garage Area: Construction Types: NIA
Carport Area: Occupancy Groups:
Balcony I Deck Area: Fire Sprinidered:
Cool Roof. Total Fees paid for Permit: 217.00
People Associated with Project:
Permit Applicant Nelson Huerte
Owner SHRESTHA RABINA & SANJAY 409 S BEL AIR ST
Type Electrical Fixtures Qty Type Plumbing Fixtures Qty Mechanical Fixtures Qty
Evaporative or Air Cooled Condenser 1
Heating Appliances, including vent 1
Heating/Cooling Coil 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 CqC
City of Anaheim o� io
Building Division ; i
u >
�DDNDED %
Do not occupy this building until the final inspections have been made.
FINAL INSPECTIONS DATE INSPECTOR
All applicable items below must be signed beforeutilities are released
Final Gas Test '
Electrical Final i
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 ElectrodelUfer
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
Plumbing (Ground/Underfloor Water)
Underfloor Rough Gas
PARTIAL INSPECTIONS
Buildinq Inspections
Mechanical (Groundwork)
Electrical (Underground Conduit)
Pre-slab (Compaction/Membrane Reinf.)
Floor (Joist/Girders),
Underfloor Insulation (Raised Foundation Only)
d ��
Floor Nailing (Raised Foundation Only)
_
2nd Floor (Floor Nailing)
I. Z
Do not cover or conceal the work below until the following applicable items have
been s'
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
Permit Number: BLD2022-05208
Isslged: 41/02/2022
wwmanaheim.net/building
(714)765-4626
Quarter Section: 13
Site Address: 409 S BEL AIR ST, Anaheim, CA 92804
Legal Description: N TR 2400 BLK LOT 12
APN: 12609607
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 ($700,000), 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 peAormance 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. SECURITY NATIONAL INSURANCE COMPANY Policy No.: SWC1383636 Expiration Date: 3114t2023
Name of Agent:
Phone No.:
1 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
Labor Code, I shall for0►witfj,c6 * wi those provisions.
Signature lotApipl1cant 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:
1 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 de, and my license is in full force and e
s
"ContractorI&tgfure
NUMBER EXPIRATION DATE LICENSE TYPE (SI
1029755 08/31/2023 C20
Vo
Date
ft
i
G
RECEIVED
NOV 0 2 2022
CITYOF ANAHEIM
NU BUI1 DING DPARTMEff
0
■
4>20 d2? MW or�
q
CITY OF ANS
iHEIM
PLANNING SERVICES
DIVISION
APP O'®
ED
DATERl Z 2Z C
NE h
BY
DEVP/ I+
FLc S 6 TG
WATER EFFICIENCY
$-Exempt ❑ New >500tt2
D AIBer >2,500 ft'
Plans comply with Title 18 of t,
a A. 1V C. (7oning).
This does not constitute appro
►al of a building
permit or authorize violation of
any City Codes.
TV&y"
5
P�
51 oc,(, V.3a l I