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500 S AMBOY STPermit Types BLD ELE MEC PLM X Permit Number: BLD2022-04497 Issued: 09/21/2022 www.anaheim.net/building (714)765-0626 Quarter Section: 54 CITY OF ANAHEIM BUILDING DIVISION 200 S. ANAHEIM BLVD. (714) 765-5153 A Project Description: Reroof: Remove existing material, and install (24) squares of composition shingles for the house and attached garage. Living Area: Number of Stories: t valuation: 14,521.00 Garage Area: Construction Types: NIA Carport Area: Occupancy Groups: Balcony I Deck Area: Fire Spdnklered: Cool Roof: Total Fees paid for Permit: 340.89 People Associated with Project: Owner TAYLOR ROBERT C TR 8372 TRINETTE DR Type Electrical Fixtures Qty Type Plumbing Fixtures Oty 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�pNEIIM ��< FINAL INSPECTIONS DATE INSPECTOR City of Anaheim All applicable items below must be signed before utilities are released 0 0 Building Division F y Final Gas Test u > Electrical Final Plumbing Final ����►DED %6h^ Mechanical Final Cross Connection Control (714) 765-4280 Do not occupy this building until the final inspections have been made. Engineering Final (714) 765-5126 INSPECTION 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 Electrode/Ufer Sub List/Bus. Lic. (714) 765-5194 (Allow 10 business days) Setback/Forms/Trenches (Footings) �COA/Migatlon Measures Do not install subfloor or pour floor slab until the follwing applicable items have been ^inq Final 17 65-51531 r0; ( Plumbing (Ground/Underfloor Water) c 6n -Final Only After Above Completed ' Underfloor Rough Gas Mechanical (Groundwork) PARTIAL INSPECTIONS Electrical (Underground Conduit) Building Inspections 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 followina aoolicable items have 1st Floor Shear Firesprinkler (Rough) (Fire Dept.) Mechanical Inspections 2nd Floor Shear (LWSheathing/ phragm/Frame) asp ry em . 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., Mac. & 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 (Struct., Ele., or Mec.) Grease Interceptor Sewer Water Engineering Backflow (Testable Only) Water Service CITY OF ANAHEIM BUILDING DEPARTMENT 2016 CALIFORNIA CODES 200 S. Anaheim Blvd., Suite 145 CODE CYCLE Anaheim, CA 92805 01/01/2017 714 765-5153 EFFEC77VEDATE wwwanaheim.net/building SMOKE DETECTORS AND CARBON MONOXIDE SELF CERTIFICATION * Final inspection approval will require this completed form to be on site along with the job card. q0114 Permit Number: �.� `r� �� I i Date: r," Project address: 5"o© Property Owner: La b e r f C- Mt / lar The undersigned does hereby certify t a am the property owner of the property. I further certify that smoke alarms and carbon monoxide alarms functional in all the following locations. All boxes must be checked below above referenced are present and ❑ Smoke Alarms and Carbon Monoxide Alarm: On the ceiling or wall outside of each separate sleeping area in the immediate vicinity of bedroom/s or in each hallway outside of the rooms. iar ❑ Smoke Alarms: In each room used for sleeping purposes. ❑ Smoke Alarm and Carbon Monoxide Alarm: In each story, including any habitable basement; (Note: in dwellings or dwelling units with split levels and without an intervening door between the adjacent levels, a smoke alarm and a carbon monoxide detector installed on the upper level shall suffice for the adjacent lower level provided that the lower level is less than one full story below the upper level.) All dwelling units with attached garages require carbon monoxide detectors. Signature: CkW Date: California Residential Code (CRC) Section R314.6.2,CRC R315.2 states in part that existing dwellings be "retrofitted with smoke detectors and carbon monoxide detectors when a building permit is issued for work on or in a building that is valued at $1,000 or more." CRC Section R314.3, CRC R315.2 defines required locations as indicted above. NOTE: This certification is only used when normal access to the interior of the dwelling by the City of Anaheim Inspector is not achieved during the course of project construction. It is normally used for exterior projects such as re -roofing, re -siding, patio covers, solar photovoltaic installations, and similar exterior construction work. 200 S. Anaheim Blvd., Suite 145 Anaheim, California 92805 (714)765-5153 Phone (714)765-4607 Fax FEB 2018 www.anaheim.net/building 8842 SMOKE/ CO ALARM REQUIRED LOCATIONS Bedroom Bedroom 6 Bath & Bedroom O Kitchen Living Room Figure 1 Family Room Bedroom Dining Living Room Kitchen 20 Bedroom Bedroom Figure 2 / Attic \ 6 60S EKitchen Bedroom Hall Living Room Hell Basement 6 ca Figure 3 REQUIRED SMOKE ALARM LOCATION REQUIRED CARBON MONOXIDE ALARM LOCATION Ceilin Acceptable a� Here Never Here -T12• Top of Detector Acceptable Here Wall Figure 4 Garage Permit Types BLD ELE MEC PLM X Permit Number. BLD20224"97 Issued: 09/21/2022 www.anaheim.neUbuiiding (714)765.4626 Quarter Section: 54 Site Address: 500 S AMBOY ST, ANAHEIM, CA 92802 Legal Description: N TR 6451 BLK LOT 6 APN: 25006120 WORKER'S COMPENSATION DECLARATION: CITY OF ANAHEIM BUILDING DIVISION 200 S. ANAHEIM BLVD. 17141.765 - 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: 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. YA 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 worker's Compensation insurance carrier and policy are: Carrier. TRANSVERSE INSURANCE COME8W Policy No.: FORWC0000001I V-Exp'i rebon Date: 1/1/2023 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 workers compensation laws of California, and agree that, if I should become subject to the workers compensation provisions of Section 3700 of the Labor Code, I shall forthwith comply with those provisions. 0"- 1A y/Z/ Z Z 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: 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 Professions Code, and my license is in full force and effect. Contractor Signature NUMBER EXPIRATION DATE LICENSE TYPE (S) 818684 04/30/2023 C39, 8 Date