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2130 W CRESCENT AVE (42)Permit Types BLD ELE MEC PLM X Permit Number: BLD2022-06152 Issued: 12/30/2022 www.anaheim.neUbuilding (714)765-0626 Quarter Section: 39 CITY OF ANAHEIM BUILDING DIVISION 200 S. ANAHEIM BLVD. (7141765 -5153 Soo Address: 2130 W CRESCENT AVE 1133-2136, Anaheim, CA 92801 Legal Description: P_BK 32 PG 24 PAR 1 APN:07207109 Project Description: Reroof: Relay (35) sq of file and install (29) sq of flat roof TPO over units #1133-2136 Living Area: Number of Stories: 2 Valuation: Garage Area: Carport Area: Balcony / Dedc Area: Cool Root: People Associated with Project: Permit Applicant Ashley Robertson Owner TARA HILL OWNER LLC 2130 W CRESCENT AVE Construction Types: Occupancy Groups: Fire Sprinldered: • Total Fees paid for Permit: 50,000.00 N/A 1,054.00 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. P�pHEIM Oqc City of Anaheim o� io Building Division F z u a DE0 %$�^ 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 PlumbindFinal Mechanical Final Cross Connection Control (714) 765-4280 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 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 s' a Fin I (714 765-5153) rLastlnspectio -Final Only After AbPeComple d 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' onedy 1st Floor Shear Firesprinkler (Rough) (Fire Dept.) Mechanical Inspections 2nd Floo S ear of (Sheathing) iaphragm/Frame) asonry (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 Pibg., Ele., Mec. & Fire) Insulation (Sound/Energy) Do not tape or plaster until the following applicable items have been signed: Drywall Drywall Penetrations (Ele, Mec & Pibg) 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: BLD2022-06152 Issued: 12/30/2022 www.anaheim.net/building (714)765-4626 Quarter Section: 39 CITY OF ANAHEIM BUILDING DIVISION 200 S. ANAHEIM BLVD. (714) 765 -6153 Site Address: 2130 W CRESCENT AVE 1133-2136, Anaheim, CA 92801 Legal Description: P SK 32 PG 24 PAR 1 APN:07207109 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 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: Cartier: AMERICAN ZURICH INSURANCE COMPANY Policy No.: WC169089101 Expiration Date: 12/3112023 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 workers compensation laws of California, and agree that, if 1 should become subject to the worker's compensation provisions of Section 3700 of the 4AALabor Code, l shall comply with those provisions. 9, Si ture of Appli t 1 J —� 0 /Z -7, 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): Lenders Name: Lenders 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 Profs ssi Code, end my license i in�f/ull rce end effecL V Con ctor Signature NUMBER EXPIRATION DATE 769615 10/31/2023 III 3b 7z -- Date LICENSE TYPE (S) C39, C39, C39, C39, C39, C39, C39, C39, D24, D24, D24, D24, D24, D24, D24, D24