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6962 E COUNTRY CLUB LN (3)Permit Types BLD ELE MEC PLM X Permit Number: OLD2023-00065 Issued: 01/09/2023 www.anaheim.net/building (714)765-0626 Quarter Section: 210 CITY OF ANAHEIM Site Address: 6962 E COUNTRY CLUB LN, ANAHEIM, CA 92807 Legal'Deseriptlon: N TR .8466 BLK LOT 24 APN:36530113 BUILDING DIVISION 200 S. ANAHEIM BLVD. (714) 765.5153 Project Description: Residential Remodel: Replace (7) retrofit windows Living Area: Number of Stories: 1 Valuation: 7,514.00 Garage Area: Construction Types: N/A Carport Area: Occupancy Groups: Balcony / Deck Area: Fire Sprinidered: Cool Roof: Total Fees paid for Permit: 190.98 People Associated with Project: Permit Applicant Jeffrey Pao Owner SABATO ERIC TR SABATO TR 6969 E COUNTRY CLUB LN 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�Pt1EIAq Cq< Cityof Anaheim D� io Building Division F y U > �0 DED � 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) 7654280 Engineering Final (714) 765-5126 INSPECTION I DATE 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 ListlBus. 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 s' e • Building Final (714 765-5153) Last Inspection -Final Only After Above Completed y�Z'$ JAt'tJ 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) Floor Nailing (Raised Foundation Only) 2nd Floor (Floor Nailing) Do not cover or conceal the work below until the following applicable items have been Mane& 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 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 & Plbg) Interior Lath Exterior Lath Electrical Inspections Electrical Service Meter -(Meter will be set within 2-3 business days after approval) Excludes New Constructffion 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: 1 LD2023-00065 Issued: 01/09/2023 www.anaheim.net/building (714)765-4626 Quarter Section: 210 CITY OF ANAHEIM Site Address: 6962 E COUNTRY CLUB LN, ANAHEIM, CA 92807 Legal Description: N TR 8466 BLK LOT 24 APN:36530113 BUILDING DIVISION 200 S. ANAHEIM BLVD. (714) 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 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 self4nsure 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 worker's Compensation insurance carrier and policy are: Cartier: ACE AMERICAN INSURANCE COMPANY Policy No.: WCUCS8916446 Expiration Date: 3/1/2023 Name of Agent: Phone No.: I ce t 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 rkefs comps laws of California, and agree that, if I should become subject to the worker's compensation provisions of Section 3700 of the Lebo Code, I all forth Ith mply with those provisions. 1Q 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: I hereby affirm under<.—Penalty of Perjury that I am licensed under provisions of chapter 9 (commencing with Section 7000) of Division 3 of the Business and Professions ,,and my licen n force end effect. Contractor Signature Date NUMBER EXPIRATION DATE 602331 09/30/2022 LICENSE TYPE (S) C10, B, D12, C-2, C39, C-6, C17, C36, D34, D41, D24