2075 W FOLSOM STPermit Types
BLD ELE MEC PLM
X
Permit Number. BLD2022-04732
Issued: 10/05/2022
www.anaheim.net/building
(714)765.4626
Quarter Section: 43
CITY OF ANAHEIM
BUILDING DMSION
200 S. ANAHEIM BLVD.
(7141765.5153
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Project Description: Reroof: Overlay existing layer of (44) sq composition -shingles over house and attached garage
Living Area: Number of Stories: 1 Valuation: 8,0110.00
Garage Area: Construction Types: VB
Carport Area: Occupancy Groups:
Salon / Deck Area: Fire Sprinldered:
Cool Roos: Total Fees paid for Permit: 384.04
People Associated with Project:
Permit Applicant Jeremy Ries
Owner THOMAS CRAIG L 2075 W FOLSOM ST
Type Electrical Fixtures Qty Type Plumbing Fixtures city 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.
P�Pt1E1M Cq<
Cityof Anaheim o� �o
Building Division F z
u a
�D�NDED fah^
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
Cros,s Connection Control (714) 765.4280
gineering Final (714) 765-5126
INSPECTION I DATE I 1NSPE TOR
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 (GroundlUnderfloor 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)
COA/Migat' Measures
Do not install subfloor or pour floor slab until the follwing applicable items have been
si ned: 0
OD
714 765-5153)
!La�)e�ction-Flinal Only After Above Comp�ted
?
91
(J
Plumbing (Ground/Underfloor Water)
Underfloor Rough Gas
Mechanical (Groundwork)
Electrical (Underground Conduit)
Pre-slab (Compaction/Membrane Reinf.)
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PARTIAL INSPECTIONS
Buildinq Inspections
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 si ne :
1st Floor Shear
Firesprinkler (Rough) (Fire Dept.)
2nd Roor Shear
Mechanical Inspections
oof is heath 1 n—q1jbV hrag m/Frame)
Masonry (Reinf./Bond Beam/Pre-Grout)
Rough Plumbing (Top Out)
Rough Duct (Mechanical)
Rough Mechanical
Rough Electrical
Rough COA/Mitagation Measures
Framing (Only after Plbg., Ele., Mec. & Fire)
Plumbing Inspections
Insulation (Sound/Energy)
1
Do not tape or plaster until the following applicable items have been signed:
0
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
200 S. Anaheim Blvd., Suite 145 CODE CYCLE
Anaheim, CA 92805 01/01/2017
714 765-5153
EFFECTIVE DATE
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:
Project address:
Date: /6 , t 3 —
Property Owner: L;AZZf±A J414�Qj_
The undersigned dQA 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.
c 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 uni%wiMattache4 garages require carbon monoxide detectors.
Signature:
California Residential Code (CRC) Section R314.4.2,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 NOV 27 2019
www.anaheim.net/building B842
Permit Types
BLD ELE MEC Pl M
X
Permit Number: BLD2022-04732
Issued: 10/05/2022
www.anaheim.net/building
(714)765-4626
Quarter Section: 43
Site Address: 2075 W FOLSOM ST, ANAHEIM, CA 92804
Legal Description: N TR 14702 BLK LOT 2
APN:12858151
WORKER'S COMPENSATION DECLARATION:
CITY OF ANAHEIM
BUILDING DnnSION
200 S. ANAHEIM BLVD.
(714) 765 - 5153
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:
Signature
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.
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:
Cartier. FALLS LeKE FIRE AND CASUALTY COMPANY Policy No.: FLA00086506 Expiration Date: 8/15/2023
Name of Agent Phone No.:
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
i compensation taws of California, and agree that, If I should become subject to the workers compensation provisions of Section 3700 of the
Pde, I sha11,rt th comply with those provisions.
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:
I hereby 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
Profes Code, and mxl&nse is In full force and effect
EXPIRATION DATE
956749 01/31/2023
LICENSE TYPE (S)
B, C20, C39, C10, ASB, D41, C17
Date