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704 N BUSH ST (6)Permit Types BLD ELE MEC PLM X Permit Number:.3LD2022-04489 Issued:49/2V1022 www.anaheim.net/building (714)765-4626 Quarter Section: 92 Site Address: 704 N BUSH ST, ANAHEIM, CA 92805 Legal Description: N TR 1618 BLK LOT 41 APN: 03520312 Project Description: Main Electric Service Size: 200 Amps CITY OF ANAHEIM BUILDING DIVISION 200 S. ANAHEIM BLVD. (714) 765 - S153 Living Area: Number of Stories: Valuation: 0.00 Garage Area: C and D: Option 7 Construction Types: Carport Area: Occupancy Groups: Balcony / Deck Area: Fire Spdnidered: Cool Roof: Total Fees paid for Penult: 167.00 People Associated with Project: Permit Applicant Maggie Matthews Type Electrical Fixtures Qty Type Plumbing Fixtures Qty Mechanical Fixtures Qty Meter/Disc Sw - Under 600 V, up to 200 1 amps 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�PNEInt Cqc Cityof Anaheim 04 io Building Division F i u > �DGNDEo ��y� 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) 7654591 Electrical Ground Electrode/Ufer 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 sinned: Building Final (714 765-5153) Last Inspection -Final Only After Above Completed Plumbing (Ground/Underfloor Water) Underfloor Rough Gas PARTIAL INSPECTIONS Building Inspections a g Mechanical (Groundwork) Electrical (Underground Conduit) Pre -slab (Compaction/Membrane Reinf.) Floor (Joist/Girders) IN I Underfloor Insulation (Raised Foundation Only) d d I Floor Nailing (Raised Foundation Only) 2nd Floor (Floor Nailing) UA I EZ-. 112 Do not cover or conceal the work below until the following applicable items have been sianed7 1st Floor Shear Firesprinkler (Rough) (Fire Dept.) Mechanical Inspections 2nd Floor Shear Roof (Sheathing/Diaphragm/Frame) Masonry (Reinf.lBond 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: BLD2022-04489 Issued: 09/,21/2022 www.anahelm.net/building (714)765.4626 Quarter Section: 92 Site Address: 704 N BUSH ST, ANAHEIM, CA 92805 Legal Description: N TR 1618 BLK LOT 41 APN: 03520312 CITY OF ANAHEIM BUILDING DIVISION 200 S. ANAHEIM BLVD. 1714) 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 worker's compensation, Issued by the Director of Industrial Relations as provided for by MM Section 3700 of the tabor 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: Carrier: TECHNOLOGY INSURANCE COMPANY INC Policy No.: TWC4102876 Expiration Date: 4/15/2023 Name of Agent: Phone No.: I certify that in the performance 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 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 forthwith comply with those provisions. Maggie Matthews 9/21/2022 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: 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 Code, and my license is in full force and effect. BETTER EARTH ELECTRIC INC Contractor Signature NUMBER EXPIRATION DATE LICENSE TYPE (S1 1024460 03/31/2023 C10 Date 9121/2022