1370 S COUNTRY GLEN WAYr_ Permit Types
BLD ELE MEC PLM
X
Permit Number: BLD2022-05032
Issued: 10/21/2022
www.anaheim.net/buiiding
(714)765-4626
Quarter Section: 227
CITY OF ANAHEIM
BUILDING DIVISION
200 S. ANAHEIM BLVD.
(714) 765-5153
Site Address: 1370 S COUNTRY GLEN WAY, ANAHEIM, CA 92808
Legal Description: N TR 14072 BLK LOT 6 UN 232 TRACT 14072, LOT 6 OF
APN: 93026628
Project Description: Mechanical to Replace air conditioner, (1) coil, and (1) furnace
Living Area: Number of Stories: 0 Valuation: 0.00
Garage Area: Construction Types: NIA
Carport Area: Occupancy Groups:
Balcony I Dedr Area: Fire SprinMered:
Cool Roof: Total Fees paid for Permit: 217.00
People Associated with Project:
Permit Applicant Ridge Sdel
Owner BECKER COREY C & RHIANNON OUSLEY 1370 S COUNTRY GLEN WAY
Type Electrical Fixtures Qty Type Plumbing Fixtures my Mechanical Fixtures Qty
Evaporative or Air Cooled Condenser 1
Heating Appliances, Including vent 1
Heating/Cooling Coll 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.
1 .1
P�pNEIM Cqt
City of Anaheim o� �O
Building Division A mZ
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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) 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
g e .
Building Final (714 765-5153)
Last Inspection -Final Only After Above Completed
Plumbing (Ground/Underfloor Water)
Underfloor Rough Gas
PARTIAL INSPECTIONS
Building Inspections
Mechanical (Groundwork)
Electrical (Underground Conduit)
Pre -slab (Compaction/Membrane Reinf.)
Floor (Joist/Girders)
Underfloor Insulation (Raised Foundation Only)
I I V 1--A
Floor Nailing (Raised Foundation Only)
2nd Floor (Floor Nailing)
A 1 L: 111 U 4j 122
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
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 (Strutt., Ele., or Mec.)
Grease Interceptor
(Dn not hark
Sewer
Water Engineering Backflow (Testable Only)
—
Water Service
Permit Types
BLD ELE MEC PLM
X
Permit Number: BLD2022-05032
Issued: 10/21/2022
www.anaheim.net/building
(714)765-1626
Quarter Section: 227
CITY OF ANAHEIM
BUILDING DIVISION
200 S. ANAHEIM BLVD.
(714) 765-5153
Site Address: 1370 S COUNTRY GLEN WAY, ANAHEIM, CA 92808
Legal Description: N TR 14072 BLK LOT 6 UN 232 TRACT 14072, LOT 6 OF
APN:93026628
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 selfoinsure 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 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. A I U INSURANCE COMPANY Policy No.: 053419323 Expiration Date: 7/1/2023
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
workers compensation laws of California; and agree that, if I should become subject to the worker's compensation provisions of Section 3700 of the
2Lebor Code, hall forthwith comply with those provisions.
Sign re of App' 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.
Con ";,,�Signdfure
NUMBER EXPIRATION DATE LICENSE TYPE (S)
974908 07/31/2024 C-2; C20
�-
Date
5032
Address: 1370 S COUNTRY GLEN WAY
Zone: SP 88-2
Required I Proposed
Front
Setback
Side
Setback
Rear
Setback
Max. Lot
Max.
Bldg
Height
Residential Site Plan
Planning Services Division
APPROVED
BY: OW -UM QAA- l ((L)
DATE: 01011% MWL.,
Description/Notes: dk Wr
I�r �.
Plans comply with Title 18 of the A.M.C. (Zoning).
Plan Review Fee Required $
SI
5 CCM&r" G-Vt0
Building Division
APPROVED
BY: ( )
DATE:
Case No.
Notes:
The issuance of this permit does not approve violation
of any of the Building Codes of the City. The Holder of
this permit proceeds at his own risk.
Site Map
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Map Created: 10/21/2022 N
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