7621 E CALLE DURANGO (2)PerWIX
BLD ELEWXX
X X
Permit Number. BLD202245276
Issued: 11/07/2022
www.anaheim.net(buiiding
(714)765.4626
Quarter Section: 201
CITY OF ANAHEIM
BUILDING DIVISION
200 S. ANAHEIM BLVD.
(714)765.5153
Project Description: Residential Remodel: Replace:(101) sq ft of drywall, (1) shower with re -tile, (1) toilet and (1) sink. Electrical and
Mechanical fixture upgrades.
thing Area: Number of Stories: 0 Valuation: 12,000.00
Garage Area: Construction Types: NIA
Carport Area: Occupancy Groups:
Balcony / Deck Area: Fire SprinNered:
Coot Roof: Total Fees paid for Permit: 574.56
People Associated with Project:
Permit Applicant Jordan Kahaner
Owner LEWIS EUGENE M 7621 E CALLE DURANGO
Type Electrical Fixtures City Type Plumbing Fixtures City Mechanical Fixtures City
Receptacle, switches, lights 7 Lavatory 1 Ventilation Fan - - 300 cfm on single duct 1
Shower 1
Water Closet
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.
P�pHEIM Oq<
Cityof Anaheim o� io
Building Division F z
u >
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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 Finally J,t
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 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
siona .
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)
Floor Nailing (Raised Foundation Only)
2nd Floor (Floor Nailing)
Do not cover or conceal the work below until the following applicable items have
been snnne&
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) iii�Kf'3.� . A f
Rough Duct (Mechanical)
Rough Mechanical
Rough Electrical
Rough COA/Mitagation Measures
Plumbing Ins ections
WWI— ` 04D
-i�
Framing (Only after Plbg., Ele., Mac. & Fire) 77T--,
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 X X X
Permit Number: BLD2022-05276
Issued: 11/07/2022
www.anaheim.net(building
(714)765-4626
Quarter Section: 201
CITY OF ANAHEIM
Sita Address: 7621 E CALLE DURANGOANAHEIM, CA 92808
Legal Description; N TR 7733 BLK LOT 44
APN: 35828135
BUILDING DIVISION
200 S. ANAHEIM BLVD.
(7141765-5153
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 seR-insure for workers 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.
V 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
j� this permit Is issued. My workefs Compensation insurance carrier and policy are:
Cartier. CLEAR SPRING PROPERTY AND CASUALTY COMPANY Policy No.: CSWK0000079091 Expiration Date:1/14/2023
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
workefs co nsetion laws of California. and agree that, if I should become subject to the workefs compensation provisions of Section 3700 of the
Labor all forthwith comply With those provisions.
Sign of
Applict
t F
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:
Lenders Address:
LICENSED CONTRACTOR'S ECLARATION:
I hereby affirm under the Pena o erjury that I am licensed under provisions of chapter 9 (commencing with Section 7000) of Division 3 of the Business and
Professions Code, and my li n Is in full force and effect
Contractor (gnat Date
NUMBER EXPIRATION DATE LICENSE TYPE IS)
1056600 06/31/2023 B