1405 W CHEVY CHASE DR (2)Permit Types
BLD ELE ME4m-
Permit
X Number: BLD2022-04459
Issued: 09/19/2022
www.anaheim.nettbuilding
(714)765-4626
Quarter Section: 51
CITY OF ANAHEIM
Site Addres6: 1405.W CHEVY CHASE DR, ANAHEIM, CA 92801
Legal. Desx ptlon: N;TR 4995 BLK LOT 6
APN�:`07337507
BUILDING DIVISION
200 S. ANAHEIM BLVD.
(7141765-5153
IJ Z
Project Description: Reroof: Remove existing material, and install (21) squares of composition shingles for the house and attached
garage and (2) squares of built up over flat roof
Living Area: Number of Stories: 1 valuation: 11,800.00
Garage Area: Construction Types: NIA
Carport Area: Occupancy Groups:
Balcony / Dock Area: Fire Sprinklered:
Cool Roof: Total Fess paid for Permit: 340.53
People Associated with Project:
Permit Applicant Jorge Caucas
Owner DEUSINGER JOHN G 1405 W CHEVY CHASE
Type Electrical Fixtures Qty Type Plumbing Fixtures Qty Mechanical Fixtures City
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�pHElm Cq<
City of Anaheim o� �o
Building Division F i
u >
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
Mec apical Final
Cross Connection Control (714) 765-4280
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 List/Bus. Lic. (714) 765-5194 (Allow 10 business days)
Setback/Forms/Trenches (Footings)
ation Measures
Do not install subfloor or pour floor slab until the follwing applicable items have been
e .
tCOA/Mi
ng Final (714 765-5153)
-Final Only After Above Copleted
Plumbing (Ground/Underfloor Water)
Underfloor Rough Gas
PARTIAL INSPECTIONS
Building Inspections
Mechanical (Groundwork)
Electrical (Underground Conduit)
Pre -slab (Compaction/Membrane ReinE)
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'
1st Floor Shear
Firesprinkler (Rough) (Fire Dept.)
Mechanical Inspections
2nd Floor S ear
Roof, hea!Ohg/Diaphragm/Frame)
Masonry (Reinf./Bond 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
(Do not harkfill unless sioned off)
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 EFFEC17VEDATE
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.
Permit Number: '-� ZO�-2.. 1 SDate: 9•-2-8 - ZZ..
Project address:
4105- W. < '- 64 CW35-1s- Aay
Property Owner:
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
a Smoke Alarms and Carbon Monoxide Alarm: On the ceiling or wall outside of each separate
Z
ping area in the immediate vicinity of bedroom/s or in each hallway outside of the rooms.
ke Alarms: In each room used for sleeping purposes.
lzSmoke 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 unit4,*I%h attached garages require carbon monoxide detectors.
Signature:
California Residential Code (CRC) Section
"retrofitted with smoke detectors and carbon
in a building that is valued at $1,000 or more.
indicted above.
R314."CRC R31 J
monoxl a detectors
" CRC Section R314
fates in part that existing dwellings be
a building permit is issued for work on or
CRC R315.2 defines required locations as
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
Kitchen
Living Room
Figure 1
Bedroom
Living Room
Family Room Bedroom
Dining
Living Room
Kitchen
Bedroom Bedroom
Figure 2
&a 6
Hall Bedroom
L Hall Kitchen
Basement
Figure 3
�1 REQUIRED SMOKE ALARM LOCATION
REQUIRED CARBON MONOXIDE ALARM LOCATION
Ceilin
Acceptable 4
Here Never
Here �t2�
Toepta
P
of Detector I
Accble Here
Garage
Wall
Figure 4
Permit Types
BLD ELE MEWa-
Permit
X Number: BLD2022-04459
Issued: 09/19/2022
www.anaheim.net/building
(714)765-4626
Quarter Section: 51
CITY OF ANAHEIM
Site Address: 1405 W CHEVY CHASE DR, ANAHEIM, CA 92801
Legal Description: N TR 1995 BLK LOT 6
APN:07337507
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 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:
Carrier: STATE COMPENSATION INSURANCE FUND Policy No.: 9285736 Expiration Date: 10/12/2022
Name of Agent: Phone No.:
riify that In the performance of Ore work for which this permit is issued, I shall not employ any person in any manner so as to become subject to the
wo era compensation laws of California, and agree that, if 1 should become subject to the workers compensation provisions of Section 3700 of the
is r Code, l she forthwith compty 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):
Lenders Name:
Lenders Address:
LICENSED CONTRACTOR'S DECLARATION:
I hereby affirm under the penalty of Perjury that 1 am licensed under provisions of chapter 9 (commencing with Section 7000) of Division 3 of the Business and
Protessi e, and my license is in full force and effect.
"Contra a ure
NUMBER EXPIRATION DATE LICENSE TYPE (S)
7101211 07/31/2023 C39
Date