1614 E ELM ST (3)Permit Types
BLD ELE MEC PLM
X
Permit Number: OLD2023-02477
Issued: 05/19/2023
www.anaheim.neUbuilding
(714)765-0626
Quarter Section: 103
Site Address: 1614 E ELM ST, Anaheim, CA 92805
Legal Nscliption: 'N TR '1770 iBLK LOT.92
APN: 03724310
CITY OF ANAHEIM
BUILDING DIVISION
200 S. ANAHEIM BLVD.
(7141 765 - 5153
Project Description: Reroof: Remove existing to install (28) sq of composition shingles for the entire house and attached garage
Living Area: Number of Stories: 1 Valuation: 9.567.00
Garage Area: Construction Types: NIA
Carport Area: Occupancy Groups.
Balcony / Deck Area: Fire Sprinldered:
Cool Roof: Total Fees paid for Permit: 340.24
People Associated with Project:
Permit Applicant Anthony Garcia
Owner MANSUR, ROBERT E TR 1614 E ELM ST
Type Electrical Fixtures Ory Type Plumbing Fixtures Qly Mechanical Fixtures Oty
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�PMIEIM CSC
Cityof Anaheim o� �o
Building Division y
u >
DED
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 Electrode/Ufer
Sub List/Bus. Lic. (714) 765-5194 (Allow 10 business days)
Setback/FormslTrenches (Footings)
COAT easures
Do not install subfloor or pour floor slab until the follwing applicable items have been
ng Final 14 765-5153)
gt sp -Final Only After Aboveomplet d
Plumbing (Ground/Underfloor Water)
Underfloor Rough Gas
PARTIAL INSPECTIONS
Buildinq 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 s'
1st Floor Shear
Firesprinkler (Rough) (Fire Dept.)
Mechanical Inspections
2n$ELOr e
of (Sheathing) iaphragm/Frame)
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
Constructio
Exterior Plaster (Brown Coat)
T-Bar (Struct., Ele., or Mec.)
Grease Interceptor
(Dn not backfill unless sinned nffl
Sewer
Water Engineering Backflow (Testable Only)
Water Service
BUILDING DIVISION
CITY OF ANAHEIM
BUILDING DEPARTMENT 2016 CALIFORNIA CODES
CODE CYCLE
o
200 S. Anaheim Blvd., Suite 145 017
Anaheim, CA 92805 EFFECTIVE DATE
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: a o 3 — D a Ll r3 Date: .i40"G'TR gA9ZI
Project address: % CA 4 6 8
Property Owner: M wA Syy, Tr
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
4a 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.
td 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 ?As with attached garages require carbon monoxide detectors.
Signature:
MA� oma- - — - – 'Date: .71WA - 5/ 20 z3 -
California Residential Code (CRC) Section R314.6.2,CRC R33115.2 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.
="
-ina building that is valued at $1,000 or more. CRC�Se__ction 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.anahelm.neUbullding B842
SMOKE/ CO ALARM REQUIRED LOCATIONS
Bedroom Bedroom
6
Bath Bedroom
Kitchen
Living Room
Figure 1
Family Room Bedroom
Dining
Living Room
Kitchen
Bedroom Bedroom
Figure 2
Ariic \
Bedroom Hall Bedroom
cls
_i .• r
Ceiling
Acceptable a•
Here Never
Here �12•
Top of Detector 1
Acce4ptable Here 1
Living Room Hall Kitchen
. Basement _ Garage
Figure 3 = ,..
v� REQUIRED SMOKE ALARM LOCATION
REQUIRED CARBON MONOXIDE ALARM LOCATION
Wall
Figure 4
Permit Types
BLD ELE MEC PLM
X
Permit Number. BLD2023-02477
Issued: 05/19/2023
www.anaheim.net/building
(714)765.4626
Quarter Section: 103
Site Address: 1614 E ELM ST, Anaheim, CA 92805
Legal Description: N TR 1770 BLK LOT 92
APN: 03724310
CITY OF ANAHEIM
BUILDING DIVISION
200 S. ANAHEIM BLVD.
(7141765-5153
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 self4nsure 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.
_� C1 I have and will maintain workers 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:
Carrier: Policy No.: fExpire * Date:
Name of Agent -�ToiT e w N�N��io h l nS tiyA NP@ f ►'�1 Phone No., ? lq/ 3 z g —drc,G %
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, N I should become subject to the workers compensation provisions of Section 3700 of the
Labor Code, l shall forthwrith comply with those provisions.
A9117F 1 May i�r 7_ d 7.3
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:
Lender's Address:
LICENSED CONTRACTOR'S DECLARATION:
1 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
Pmfesslons Code, and my license is in full force and effect
&A"'
Contractor Signature
NUMBER EXPIRATION DATE LICENSE TYPE (SI
A�x
Date