2361 W BROADWAYPermit Types
BLD ELE MEC PLM
X
Permit Number: BLD2023-01619
Issued: 04/06/2023
www.anaheim.net/building
(714)765.4626
Quarter Section: 33
Site Address: 2361 W BROADWAYANAHEIM, CA 92804
Legat DescNptlon: N TR -2001 BLK LOT 7
"APN:12705134 " ' '
CITY OF ANAHEIM
BUILDING DIVISION
200 S. ANAHEIM BLVD.
(714) 765.5153
.a
`,. Ilk
Project Description: Reroof: Remove existing to install (29) sq of composition shingles over entire house and attached garage
Living Area: Number of Stories: 1 Valuation: 17,280.00
Garage Area: Construction Types: N/A
Carport Area: Occupancy Groups:
Balcony / Deck Area: Fire Sprinidered:
Cool Roof: Total Fees paid for Permit: 341.25
People Associated with Project:
Contractor PRESTIGE ROOFING 1310 E CHAPMAN AVE #175201903070805155750 FULLERTON, CA 92831
Permit Applicant Ariel Sanchez
Owner BARBAROTTA JOSEPH & NANCY E 2361 W BROADWAY
Type Electrical Fixtures City Type Plumbing Fixtures City Mechanical Fbdures 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 C�< FINAL INSPECTIONS DATE INSPECTOR
Cityof Anaheim o� io All applicable items below must be signed before utilities are released
Building Division F i Fi al Gas Test
Electrical Final
Plumbing Final
�DGNDEO 1 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 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) 76514591
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
ding Final (7 765-5153)
Last Ins - final Only After AboverCompleted
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 sionede
1st Floor Shear
Firesprinkler (Rough) (Fire Dept.)
Mechanical Inspections
2nd Floor Shear
eathinglDi phragmlFrame)
and Beam/Pre-Grout)
Rough Plumbing (Top Out)
Rough Duct (Mechanical)
Rough Mechanical
Rough Electrical
Rough COA/Mitagation Measures
Plumbing Inspections
Framing (Only after Plbg., 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
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 DIVISION
BUILDING DEPARTMENT 2016 CALIFORNIA CODES
200 S. Anaheim Blvd., Suite 145 CODE CYCLE
Anaheim, CA 92805 01/01/2017
714 765-5153 EFFEC77VEDATE
www.anaheim.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.
Permit Number: RZ , ,�, 9. z 0 t—(3L.V4 Date:
Project address:
Property Owner:
The undersigned does' hereby certify that I 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.
�i 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
Signature:
monoxide detectors.
Calm d. bt ll*Me
al Code SCction R314.6.2,CRC R315.2 states in part that existing dwellings be
"retro itte 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 B842
SMOKE/ CO ALARM REQUIRED LOCATIONS
Bedroom Bedroom
Family Room Bedroom
ED
Bath Bedroom Dining
0AD
Llving Room
0 Kitchen
Kitchen
Living Room
Bedroom Bedroom
Figure 1 Figure 2 V
Ceiling
w Acceptable a�
/ Attic
Bedroom Hall Bedroom
Living Room Hall Kitchen
VD �'
Basement
Figure 3
REQUIRED SMOKE ALARM LOCATION
REQUIRED CARBON MONOXIDE ALARM LOCATION
Here Never
Here
Top of Detector
Acceptable Here
well
Figure 4
Garage
Permit Types
BLD ELE MEC PLM
X
Permit Number. BLD2023-01619
Issued: 04/06/2023
www.anaheim.net/building
(714)7654626
Quarter Section: 33
Site Address: 2361 W BROADWAYANAHEIM, CA 92804
Legal Description: N TR 2001 BLK LOT 7
APN:12705134
CITY OF ANAHEIM
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 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.
I have and will maintain workefs compensation insurance, as required by Section 3700 of the Labor Code, for the performance nce of the work for which
this permit Is issued. My worker's Compensation Insurance carrier end policy are.
Cartier. STATE COMPENSATION INSURANCE FUND Policy No.: 9236666 Expiration Date: 9/25/2023
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 worker's compensation provisions of Section 3700 of the
Dor Code, I s hill forthwith mply with those provisions.
1
Signature of plicant
4/(-/2-�,
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 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.
::�n
Contractor Signature
NUMBER EXPIRATION DATE LICENSE TYPE ISt
1044776 09/30/2022 C39
/6/2 �
Date