5303 E BERGH DRPermit Types
BLD ELE MEC PLM
X
Permit NumbeF:' BLD2023-00358
Issued: 01/24/2023
www.anaheim.net/building
(714)765.4626
Quarter Section: 179
Site Address: 5303 E BERGH DR, ANAHEIM, CA 92807
Legalpes6iption: N TR 4958 BLK LOT 30
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APN: 35801105 '
CITY OF ANAHEIM
BUILDING DIVISION
200 S. ANAHEIM BLVD.
(714) 76S - 5153
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Project Description: Reroof: To remove existing and install (29) of composition and shingles for the house and attached garage
Living Area: Number of Stories: 1 Valuation: 14,000.00
Garage Area: Construction Types: N/A
Carport Area: Occupancy Groups:
Balcony / Deck Area: Fire Sprinkiered:
Cool Roof: Total Fees paid for Permit: 340.62
People Associated with Project:
Owner MACDONALD JASON W & MICHELLE M 5303 E BERGH DR
Type Electdcal 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.
City of Anaheim
Building Division
Do not occupy this buildinq until the final inspections have been made.
INSPECTION I DATE I INSPECTOR
Do not pour concrete until the following applicable items have been signed:
Plumbing (Ground/Underfloor Drain Waste)
Electrical Ground ElectrodelUfer
Setback/Forms/Trenches (Footings)
Do not install subfloor or pour floor slab until the follwing applicable items have beeq
(Ground/Underfloor Water)
r Rough Gas
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
1st Floor Shear
Floor Shear
f (Sheathing/Diaphragm/Frame)
onry (Reinf./Bond Beam/Pre-Grout)
gh Plumbing (Top Out)
gh Duct (Mechanical)
gh Mechanical
gh Electrical
gh COA/Mitagation Measures
ling (Only after Plbg., Ele., Mec. & Fire)
Do not tape or plaster until the following applicable items have been signed:
Drywall
Drywall Penetrations (Ele, Mec & Plbg)
Interior Lath
Exterior Lath
I Service•Meter-(Meter will be set w
days after approval) Excludes New
!xterior Plaster (Brow
-Bar (Struct., Ele., or
Irease Interceptor
Backflow
Service
FINAL INSPECTIONS I DATE., I 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) 765-4260
Engineering Final (714) 765-5126
Fire Sprinkler (ONLY) (714) 765-5041
Fire Dept. Final (714) 765-5041
Water Engineering (714) 765-4591
Sub LisVBus. Lic. (714) 765-5194 (Allow 10 business days)
Buirrding Final (71 65-5153*W \
Last Inspection- . al Only After Above Co ed
PARTIAL INSPECTIONS
Building Inspections
Mechanical Inspections
Plumbing Inspections
Electrical Inspections
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BUILDING DIVISION
CITY OF ANAHEIM
BUILDING DEPARTMENT 2016 CALIFORNIA CODES
200 S. Anaheim Blvd., Suite 145 CODE CYCLE
01/01/2017
Anaheim, CA 92805
714 765-5153 EPFECTIVEDATE
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: 1J L V Zo 2.3 —coo I ff Date: 2
Project address: 5-303 ��� f ��Of-
Property
Owner: /(/Laredo" C4
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.
Ek 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.
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Signature:
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, Califomia 92805 (714)765-5153 Phone (714)765-4607 Fax FEB 2018
wm.anaheim.net/building B842
SMOKE/ CO ALARM REQUIRED LOCATIONS
Bedroom Bedroom
6
Bath
Bedroom
Kitchen
Living Room
E/-7—
Figure I
Bedroom
Family Room Bedroom
Dining
Living Room
Kitchen
Bedroom 11D Bedroom
Figure 2
Attic \
&w 6
Hall Bedroom
Living Room 'L Hall Kitchen
7;
Basement
Figure 3
VY REQUIRED SMOKE ALARM LOCATION
REQUIRED CARBON MONOXIDE ALARM LOCATION
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�I 4•
CeilingI—
Acceptable �4-
Here Never
Here ?t2•
Top of Detector I
Acceptable Here
Garage
Wall
Figure 4
Permit Types
BLD ELE MEC PLM
X
Permit Number: BLD2023-00358
Issued: 01/24/2023
www.ansiheim.net/building
(714)765-4626
Quarter Section: 179
Site Address: 5303 E BERGH DR, ANAHEIM, CA 92807
Legal Description: N TR 4958 BLK LOT 30
APN:35801105
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 self -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.
C 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:
Carrier: STATE COMPENSATION INSURANCE FUND Policy No.:91 76314 Expiration Date: 7/1/2023
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.
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.
Contras or Signature
NUMBER EXPIRATION DATE LICENSE TYPE (S)
657689 12/31/2024 C39
2y 23
Date