206 S EMPIRE STPermit Types
BLD ELE MEC PLM
X
Permit Number: BLD2022-05687
Issued: 12/01/2022
www.anaheim.neUbuilding
(714)765-0626
Quarter Section: 40
Site. Address: 206 S EMPIRE ST, ANAHEIM, CA 92804
Legal;Description: N TR 2299 BLK LOT 191
APN:12803421
CITY OF ANAHEIM
BUILDING DIVISION
200 S. ANAHEIM BLVD.
(714) 765-5153
Project Description: Reroof: Remove existing to install (25) sq of composition shingles over entire house and attached garage
Living Area: Number of Stories: 1 Valuation: 10,000.00
Garage Area: Construction Types: NIA
Carport Area: Occupancy Groups:
Balcony I Deck Area: Fire Sprinklered:
Cool Roof: Total Fees paid for Permit: 340.30
People Associated with Project:
Permit Applicant Angel Paredesdoo
Owner CRUZ SIXTO 206 S EMPIRE ST
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.
City of Anaheim
P�P
NEIM Cq<'
jf All
FINAL INSPECTIONS
items below must be
DATE IINSPECTOR
before utilities are released
Csuiming UIvision F z Final Gas Test
a Electrical Final
Plumbing Final
�DUNDE0 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) 7654591
Electrical Ground Electrode/Ufer
Sub List/Bus. Lic. (714) 765-5194 (Allow 10 business days)
Setback/Forms/Trenches (Footings)
CO easures
Do not install subfloor or pour floor slab until the follwing applicable items have been
si ned:
A
ng Final 4765-5153) U
ion -Final Only After Above ompleted
Las
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 Maned:
1st Floor Shear
Firesprinkler (Rough) (Fire Dept.)
Mechanical Inspections
2n
oof (SheathinglD phragm/Frame)
asonry (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
Sewer
Water Engineering Backflow (Testable Only)
Water Service
BUILDING DIVISIO
CITY OF ANAHEIM
BUILDING DEPARTMENT 2013 CALIFORNIA CODES
CODE CYCLE
200 S. Anaheim Blvd., Suite 145
Anaheim, CA 92805 EFFECTIVE DATE
714 765-5153
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: '�L7 2022, -05-Je2a -( Date: 12A 607-7—
Projectaddress:
20fe i5WIRE aT--
Property Owner: S t k Ta C?-Jy
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
01 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.
a Smoke Alarms: In each room used for sleeping purposes.
CF 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 wit, atta be/g rages re re carbon monoxide detectors.
Signature: Date: I Z Z22 2022
California Resident (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)765-4607 Fax SEPT 2015
www.anaheim.neUbuilding 8842
SMOKE/ CO ALARM REQUIRED LOCATIONS
Figure 1
6
Bedroom
Living Room
6
Basement
Family Room Bedroom
Dining
Living Room
Kitchen
Bedroom Bedroom
Figure 2
Bedroom
Kitchen
Figure 3
REQUIRED SMOKE ALARM LOCATION
REQUIRED CARBON MONOXIDE ALARM LOCATION
Ceiling I a•
4'
Acceptable Never
Here Here 7412.
Top of Detector 1
Acceptable Here
Garage
Figure 4
Wall
Permit Types
BLD ELE MEC PLM
X
Permit Number: OLD2022-05687
Issued: 12/01/2022
www.anaheim.net/building
(714)765-4626
Quarter Section: 40
Site Address: 206 S EMPIRE ST, ANAHEIM, CA 92804
Legal Description: N TR 2299 BLK LOT 191
APN:12803421
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 selfainsure 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 Labor Code, for the performance of the work for which
this permit Is issued. My worker's Compensation insurance carrier and policy are:
Cartier. CLEAR SPRING PROPERTY AND CASUALTY COMPANY Policy No.: CWC005149M Expiration Data: 211412023
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
worker's compensation laws of California, and agree that, If I should become subject to the worker's compensation provisions of Section 3700 of the
Labor Codeshall fart mpty with those provisions.
Signatu of plica Date
DECLARATION REGARDING CONSTRUCTION LENDING AGENCY:
--l-hereby-affirm under penalty of perjury that there-is-a-wnstruction4endiagagency=for4ho-pertormance•of the •work for which this permit=ls-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 Cod9_V/land my license Is in full force and effect.
Cont c S na u Date
NUMBER EXPIRATION DATE LICENSE TYPE (S)
1018956 10/31/2024 C39