2041 W CLEARBROOK LN (3)Permit Types
BLD ELE MEC PLM CITY OF ANAHEIM
x
BUILDING DIVISION
Permit Number: BLD2023-02372 200 S. ANAHEIM BLVD.
Issued: 05/15/2023 (714) 765 - 5153
www.anaheim.net/building
(714)7654626
Quarter Section: 41
Site Address: 2041 W CLEARB.ROOK LN, Anaheim; CA 92804
Legal :Description: N TR 3347 BLK LOT 19
ON: 12818410
Project Description: Reroof: Remove existing to install (28) sq. of composition shingles over entire house and attached garage.
Living Area: Number of Stories: 41 Valuation: 12,600.00
Garage Area: Construction Types: NIA
Carport Area: Occupancy Groups:
Balcony I Deck Area: Fire Sprinklered:
Cool Roof: Total Fees paid for Permit: 340.64
People Associated with Project:
Contractor UNIVERSAL ROOFING & CONSTRUCTIO 344 MIRA LOMA AVE STE 100 GLENDALE, CA
Owner VASQUEZ, GLADYS TR G 2041 W CLEARBROOK LN
Type Electrical Fixtures Qty Type Plumbing Fixtures Qty Mechanical Fixtures Qty
'i
City of Anaheim
FINAL INSPECTIONS
Items below must be
DATE I INSPECTOR
before utilities are released
vununty vtvtatvn Z Final Gas Test
u > Electrical Final
Plumbing Final
�DVN0ED 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 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)
CO Measures
Do not install subfloor or pour floor slab until the follwing applicable items have been
4 765-5153) 6
Buil�Ins�lnal
last Only After A ve completed
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 qinnpd-
1st Floor Shear
Firesprinkler (Rough) (Fire Dept.)
Mechanical Inspections
2nd Floor Shear
eathinglDi ragm/Frame)
Maso mf.IBond 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 DEPARTMENT 2016 CALIFORNIA CODES
CODCYCLE
200 S. Anaheim Blvd., Suite 145
Anaheim, CA 92805 01/001/1/ 2001717
EFFECTIVEDATE
714 765-5153
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: RL0 2.0z3 " a z 3 Tz Date: S l's Ae z3
Project address: AOI -41 W . C.l tc yr 6 r v o t` LN • �tno.b,�` C �9- of ZI oy
Properly Owner: 6 fcAJM c lP o.% Jl .-t-
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
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.
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.
121MR4Z
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 d1buildiWhat 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.neftilding B842
SMOKE/ CO ALARM REQUIRED LOCATIONS
Bedroom Bedroom
6
Bath
Bedroom
Kitten.
Living Room
Figure 1
Family Room Bedroom
Dining
Living Room
Kitchen
Bedroom Bedroom
Figure 2
/ Attic
Bedroom Hall Bedroom
Living Room Hall Kitchen
J
Ceilin rl 4• I�
Acceptable
Here Never
Here Tr
Top 0"'
f Detector
Acceptable Here
Liase nt Garage-
Figure 3 ---
i� REQUIRED SMOKE ALARM LOCATION
REQUIRED CARBON MONOXIDE ALARM LOCATION
wall
Figure 4
Permit Types
BLD ELE MEC PLM
X
Permit Number: BLD2023-02372
Issued: 05/15/2023
www.anaheim.net/building
(714)765-1626
Quarter Section: 41
CITY OF ANAHEIM
Site Address: 2041 W CLEARBROOK LN, Anaheim, CA 92804
Legal Description: N TR 3347 BLK LOT 19
APN:12818410
BUILDING DMSION
200 S. ANAHEIM BLVD.
1714) 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.
1 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 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:
Cartier: STATE COMPENSATION INSURANCE FUND Policy No.: 9312809 Expiration Date: 21IM024
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 s all f rthwith comply with those provisions.
,ill -/'Wz 3
Signature of Appli 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.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, an Ic as Is in full force and effect.
20z3
Cont or Sig Date
NUMBER EXPIRATION DATE LICENSE TYPE ISl
1087432 02/29/2024 B, C39