3639 W BOUQUET AVEPermit Types
BLD ELE MEC PLM
X
ferniitWuefber: NED2023-01006
Issued: 03/0212023
www.anaheim.net/building
(714)765-0626
Quarter Section: 3
CITY OF ANAHEIM
Site Address: 3639 W BOUQUET AVE, ANAHEIM, CA 92804
Legal DbiMptiori: N TR 3501 BLK LOT 149
APNt13427445
BUILDING DMSION
200 S. ANAHEIM BLVD. '` ^'t Wlimh
(7141 765 -5153
Project Description: Reroof: To remove existing and install (20) sq of composition and shingles over house and attached garage
Living Area: Number of Stories: t Valuation: 7,985.00
Garage Area: Construction Types: NIA
Carport Area: Occupancy Groups:
Balcony I beck Area: Fire Sprinklered:
Cool Roof: Total Fees paid for Permit: 674.04
People Associated with Project:
Contractor NOLTE ROOFING 10812 LA BATISTAABCDE11153969 FOUNTAIN VALLEY, CA 92708
Permit Applicant Fred Nolte
Owner STROTHER DAVID A 3639 BOUQUET AVE
Type Electrical Fixtures Qty Type Plumbing Fixtures Qty Mechanical Fixtures Qty
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.
City of Anaheim
Building Division
Do not occupy this building until the final inspections have been made.
Engineering Final (714) 765-5126
INSPECTION 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 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
skmed7
Buil ' g Fin 714 765-5153)
La Ins ion -Final Only After Aboveom leted
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)
Floor Nailing (Raised Foundation Only)
2nd Floor (Floor Nailing)
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 Flo
(Sheathing/Di hragm/Frame) "� �' `L �3f III
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 27
business days after approval) Excludes New
Constructeon
Exterior Plaster (Brown Coat)
T -Bar (Struct., Ele., or Mec.)
Grease Interceptor
Sewer
Water Engineering Backflow (Testable Only)
Water Service
Permit Types
BLD ELE I MEC PLM
X
Pednit NUM2= i3LD2023-09006
Issued: 03/02/2023
www.anaheim.net/building
(714)765.4626
Quarter Section: 3
CITY OF ANAHEIM
Site Address: 3639 W BOUQUET AVE, ANAHEIM, CA 92804
Legal Description: N TR 3501 BLK LOT 149
APN:13427445
WORKER'S COMPENSATION DECLARATION:
BUILDING DIVISION
300 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 ($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:
1 have and will maintain a certificate of consent to selfansum 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 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:
Carrier. STATE COMPENSATION INSURANCE FUND Policy No.: 9287512 Expiration Date: 11/6/2023
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 mpensation laws of California, and agree that, N I should become subject to the worker's compensation provisions of Section 3700 of the
e,1 II fo th comply with those provisions.
Signa ure f 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 Section 7000) of Division 3 of the Business and
Professions Code, a my li is In full force and effect.
/J�
Con c r igna u Date
NUMBER EXPIRATION DATE LICENSE TYPE (S)
418550 11/30/2022 C39