4405 E BAINBRIDGE AVEPermit Types
BLD ELE MEC PLM
X .
Permit Number: BLD2022-06028
Issued: 12/20/2022
www.anaheim.net/building
(714)765-0626
Quarter Section: 161
CITY OF ANAHEIM
Site Address: 4405 E BAINBRIDGE AVE, ANAHEIM, CA 92807
Legal'Descrlptlon: N TR 5826 BLK LOT 58.
APN: 35905601
BUILDING DIVISION
200 S. ANAHEIM BLVD.
(714) 765.5153
Project Descriptlon: Reroof: Remove existing material, and install (38) squares of composition shingles for the house and attached
garage.
Living Area: Number of Stories: 1 Valuation: 81000.00
Garage Area: Construction Types: N/A
Carport Area: ` " Occupancy Groups:
Balcony / Deck Area: Fire Sprinklered:
Cool Roof: Total Fees paid for Permit: 362.04
People Associated with Project:
Permit Applicant Jhonny Lan
Owner SEMANIE THOMAS J TR 4405 E BAINBRIDGE AVE
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�pHEIM cq(
Cityof Anaheim o� io
Building Division ; i
u >
ANo�NDe0
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) 765-4280
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 List/Bus. Lic. (714) 765-5194 (Allow 10 business days)
Setback/Forms/Trenches (Footings)
COA/ asures
Do not install subfloor or pour floor slab until the foliwing applicable items have been
s'
rBuuildin!g Final (714 65-5153)
spection- ' Only After AbPel�eted
Plumbing (Ground/Underfloor Water)
Underfloor Rough Gas
Mechanical (Groundwork)
Electrical (Underground Conduit)
Pre-slab (Compaction/Membrane Reinf.)
PARTIAL INSPECTIONS
Building Inspections
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 s*aned7
1st Floor Shear
Firesprinkler (Rough) (Fire Dept.) Mechanical Inspections
2nd Floor Shear
Ro (5heathin iaphragm/Frame)
Maso einf./Bond Beam/Pre-Grout)
Rough Plumbing (Top Out)
Rough Duct (Mechanical)
Rough Mechanical
Rough Electrical
Rough COA/Mitagation Measures
Framing (Only after Plbg., Ele., Mec. & Fire)
Plumbing Inspections
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 (Strutt., Ele., or Mec.)
Grease Interceptor
Sewer
Water Engineering Backflow (Testable Only)
Water Service
— . — — - . - M — - - A V a V a Is
CITY OF ANAHEIM
BUILDING DEPARTMENT 2016 CALIFORNIA CODES
200 S. Anaheim Blvd., Suite 145 CODECYCLE
Anaheim, CA 92805 01/01/2017
714 765-5153 EFFECT/VEDATE
www.anabeim.net/building
SMOKE DETECTORS AND CARBON MONOXIDE SELF CERTIFICATION
• Final inspection approval will require this completed form to be on site along with the fob card.
Permit Number: 13L D 2-01Z — f (PO -19 Date: (Z1%3 %?
Project address: q `"{ 6 5 F'. 3A i #J8r; s e 4 ✓Q . i4rlake;.A Ca , TZ $ 0 7
Property Owner: r-6, ? V'a' SL a►o,�'4 1;1:
The undersigned does hereby certify that I am the property owner of the above referenced
_.—pr_op_erty. 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
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.
O 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:
23/Z 7-
California Residential Cone (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)765-0607 Fax FEB 2018
www.anaheim.nettbuilding B842
SMOKE/ CO ALARM REQUIRED LOCATIONS
Bedroom Bedroom
6
EJ
Bath Bedroom
a
Kitchen
Living Room
Bedroom
Family Room Bedroom
Dining
Living Room
Kitchen
Bedroom Bedroom
Attic -qq"�
6
Hall Bedroom
Living Room wIL Hall Kitchen
bw
Basement
Figure 3
REQUIRED SMOKE ALARM LOCATION
REQUIRED CARBON MONOXIDE ALARM LOCATION
0
Acceptable 4�
Here Never
Here �tx
Top of Detector
Acceptable Mere
Wall
Figure 4
Garage
El
Permit Types
BLD ELE MEC PLM
X
Permit Number: BLD2022-06028
Issued: 12/20/2022
www.anaheim.net/building
(714)765-0626
Quarter Section: 161
CITY OF ANAHEIM
Site Address: 4405 E BAINBRIDGE AVE, ANAHEIM, CA 92807
Legal Description: N TR 5826 BLK LOT 58
APN:35905601
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 ATTORNEYS 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.
I have and will maintain worker's compensation insurance, as required by Section 3700 of the tabor Code, for the performance of the work for which
this permit is issued. My worker's Compensation insurance carrier and policy are:
Cartier. STATE COMPENSATION INSURANCE FUND Policy No.: 9229228 Expiration Date: 41611023
Name of Agent: Phone No.:
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
s compens(itibp laws of California, and agree that, if I should become subject to the worker's compensation provisions of Section 3700 of the
Code, I shalkfofjthwith comply with those provisions.
10
Signature of
DECLARATION REGARDIM40NfTRUCTION 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 DECL ION:
I hereby affirm Oder thi penalty of Perjury I am licensed under provisions of chapter 9 (commencing with Section 7000) of Division 3 of the Business and
Professions e, and y license Is in full rce and effect.
- 2z[ �7
Co tractor Signatur Date
NUMBER --,__,ekPIRATION DATE `J LICENSE TYPE IS
669656 06/30/2024 C39