1564 W AUDRE DRPermit Types
BLD ELE MEC PLM
X
Permit Number. BLD2023-02257
Issued: 05/09/2023
www.anaheim.neYbuilding
(714)765.4626
Quarter Section: 57
Site Address: 1564 W ALIDRE,DR, Anaheim, CA 92802
Legal Descriptlon: N TR 2446 BLK LOT.89
APN:12945213
CITY OF ANAHEIM
BUILDING DMSION
200 S. ANAHEIM BLVD.
(714) 765 - 5153
Project Description: Reroof: To remove and install (24) sq of composition and shingles and (6) sq of torch down flat roof over house and
detached garage.
Living Area: Number of Stories: 1 Valuation: 8,000.00
Garage Area: Construction Types: WA
Carport Area: Occupancy Groups.
Balcony I Deck Area: Fire Sprinklered:
Cool Roof: Total Fns paid for Permit: 340.04
People Associated with Project:
Contractor J D F CONSTRUCTION INC 2915 E LA JOLLA ST ANAHEIM, CA 92821
Permit Applicant Jeremy Ries
Owner NGUYEN LIEN HELEN TR 1564 AUDRE AVE
Type Electrical Fixtures City 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.
City of Anaheim Ar ��"EI��\
1 FINAL INSPECTIONS I DATE I INSPECTOR I
I All applicable items below must be signed before utilities are released I
�ullulrl(J. UlV I51V11 F Z Final Gas Test
u > Electrical Final
Plumbing Final
�O�NnEO 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 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 ListlBus. 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
sioned-mg
Final 4765-5153)
Ion -Final Only After Above omp
Plumbing (Ground/Underfloor Water)
Underfloor Rough Gas
PARTIAL INSPECTIONS
Buildina 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 seonedi
1st Floor Shear
Firesprinkler (Rough) (Fire Dept.)
Mechanical Inspections
2nd F ear
oof (Sheath08 aphragmlFrame)
alsonry (Reinf./Bond Beam/Pre-Grout)
Rough Plumbing (Top Out)
Rough Duct (Mechanical)
Rough Mechanical
Rough Electrical
Rough COA/Mitagation Measures
Plumbina 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, Mac & Plbg)
Interior Lath
Exterior Lath
Electrical Inspections
Electrical Service Meter -(Meter will be set within 2-3
business days after approval) Excludes New
nirtinn
Exterior Plaster (Brown Coat)
T -Bar (Struct., Ele., or Mec.)
Grease Interceptor
Sewer
Water Engineering Backflow (Testable Only)
Water Service
M96 4L W41 Is NA 71 "VWW
-} BUILDING DIVISION
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 EFFECTIVEDATE
www.anaheim.net/building
SMOKE DETECTORS AND CARBON MONOXIDE SELF CERTIFICATION
* Final ins11pectionnapprovaall will require this completed form to be on site along with the job card.
Permit Number: 0% C_U '—" (�7 Date:
Project address: 15b"1 �y. !-t AR& DR -
Property Owner: i ew au veli
The undersigned does hereby certify that I am the property owner of the above referenced
property. I further certify that smoke alarms and carbon monoxide alarms are present and
functional in all the following locations. All boxes must be checked below
0 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.
0 Smoke Alarms: In each room used for sleeping purposes.
0 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: /,��/%���/,/!��� Date: MA -1
California Residential Cottle (C`RC) 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 208
www.anaheim.neUbuilding B84��i
17
SMOKE/ CO ALARM REQUIRED LOCATIONS
Bedroom Bedroom
6
Bath 6 Bedroom
Kitchen
Living Room
1
Figure 1
Family Room Bedroom
Ina
Dining
Living Room
Kitchen
Bedroom Bedroom
Figure 2
Attic
Bedroom Hall Bedroom
�05Bedroom
Room Hell Kitchen
64W
Basement
Figure 3
REQUIRED SMOKE ALARM LOCATION
REQUIRED CARBON MONOXIDE ALARM LOCATION
-I '• I
Ceiling
IT
Acceptable a•
Here Never
Here -T12'
Acce
Top Oiptable DetectorHere
Wall
Figure 4
Garage
1
i
r
r
�
SMOKE/ CO ALARM REQUIRED LOCATIONS
Bedroom Bedroom
6
Bath 6 Bedroom
Kitchen
Living Room
1
Figure 1
Family Room Bedroom
Ina
Dining
Living Room
Kitchen
Bedroom Bedroom
Figure 2
Attic
Bedroom Hall Bedroom
�05Bedroom
Room Hell Kitchen
64W
Basement
Figure 3
REQUIRED SMOKE ALARM LOCATION
REQUIRED CARBON MONOXIDE ALARM LOCATION
-I '• I
Ceiling
IT
Acceptable a•
Here Never
Here -T12'
Acce
Top Oiptable DetectorHere
Wall
Figure 4
Garage
Permit Types
BLD ELE MEC PLM
X
Permit Number: BLD2023-02257
Issued: 05/09/2023
www.anaheim.net/building
(714)765-4626
Quarter Section: 57
CITY OF ANAHEIM
BUILDING DMSION
200 S. ANAHEIM BLVD.
(714) 765 - 5153
Site Address: 1564 W AUDRE DR, Anaheim, CA 92802
Legal Description: N TR 2446 BLK LOT 89
APN: 12945213
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.
1 hereby afire under penalty of perjury one of the following declarations:
I have and will maintain a certificate of consent to selfansure 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.
1 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:
`f Carrier. FALLS LAKE FIRE AND CASUALTY COMPANY Policy No.: FLA00086506 Expiration Date: 6/15/2023
Name of Agent Phone No.:
I rt! that In the peri, 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
works compensatio aws t Celifomia, and agree that, if 1 should become subject to the workers compensation provisions of Section 3700 of the
Labor e,1 shall th mply with those provisions.
T�
11yp to of pii nt Date
DECLARATION REGARDING CONSTRUCTION LENDING AGENCY:
1 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.309?.CIv.C):
Lenders Name:
Lenders Address:
LICENSED CONT CTOR'S DECLARA
I hereby affirm under penalty of pe t 1 am ilcens under provisions of chapter 9 (commencing with Section 7000) of Division 3 of the Business and
Profession o d y licen n full force and elle
/12,�
Contra for Si n ure Date
NUMBER RATION DATE LICENSE TYPE is
956749 01/31/2025 S. C20, C39, C10, ASB, D41, C17