1648 S HUMOR DR— v - — — - - . — r a - a v a v a •
CITY OF ANAHEIM
BUILDING DEPARTMENT 2016 CALIFORNIA CODES
200 S. Anaheim Blvd., Sulte 145 CODE CYCLE
Anaheim, CA 92805 01/01/2017
714 765-5153 EFFECTIVEDATE
www.anaheimnet/building
SMOKE DETECTORS AND CARBON MONOXIDE SELF CERTIFICATION
• Final Inspection approval will require this completed form to be on site along with the fob card.
Permit Number: 13L'D 2-U -2 — d b V U O Date: f ,2 Z J -I / ax) -)–
Project address: 1b4 A 6} Q MQ R W!, - A A E=. M i CA Q 2 oC(-
Property Owner: 0 \/L C ks K U N
The undersigned does hereby certify that I am the property owner of the above referenced
_ _ _ _prop_"—. "_further _certifythat smoke_ alarms and carbon -monoxide alarms are ,pr_es_ent 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.
❑ 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
Signature:
I/
California Resi en ialde (CRC) Section R314.6.2,CRC R315.2 states in part that existing /dwellings be
"retrofitted with smok etectors 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)7654607 Fax FEB 2078
www.anaheim.net/building 8842
SMOKE/ CO ALARM REQUIRED LOCATIONS
Bedroom Bedroom
6
rAchen
Living Room
Family Room Bedroom
I Dining
Living Room
Kitchen
Bedroom Bedroom
]gum 1 Fjaure 2
4
4'
A�ptable
Here
Never
Here �tx•
Atpc Top of Detector
Acceptable Mere
&0 Wall
Bedroom Hell Bedroom Figure 4
Living Room Hap Kitchen
640
Basement
Figure 3
REQUIRED SMOKE ALARM LOCATION
REQUIRED CARBON MONOXIDE ALARM LOCATION
Garage
Permit Types
BLD ELE MEC PLM
X
Permit Number: BLD2022-0600040,
Issued: 12119/2022
www.anaheim.net(building
(714)765-4626
Quarter Section: 50
Site Addresw 1648 S HUMOR DR, ANAHEIM, CA 92804
. 3Y A:... , '., . '
Legal 0eserlptlon N TR 2722 BLK•LOT 17
APN:12853108
CITY OF ANAHEIM
BUILDING DIVISION
200 S. ANAHEIM BLVD.
(7141765-5153
Project Description: Reroof: Remove existing to install (25) sq of composition shingles over house and attached garage and (8) sq of flat
roof over rear portion of house
Living Area: Number of Stories: 1 Valuation: 16.000.00
Garage Area: Construction Types: N/A
Carport Area: Occupancy Groups:
Balcony/ Deck Area: Fire Sprinklered:
Cool Roof. Total Fees paid for Permit: 363.08
People Associated with Project:
Contractor COOL ROOF SERVICE LLC 16116 CRESTLINE DRIVE LA MIRADA, CA 90638
Permit Applicant David Yoon
Owner KO VICKI EUN 1648 S HUMOR DR
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.
P�PNEIM Cq<
City of Anaheim o� �o
Building Division F i
u a
OEo %aye
Do not occupy this buildinq 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 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 ListlBus. Lic. (714) 765-5194 (Allow 10 business days)
Setback/Forms/Trenches; (Footings)
COAIMig Measures
Do not install subfloor or pour floor slab until the follwing applicable items have been
sinned:
ding Fin (714 765-5153)
ast Ins ' n-Final Only After AbovComplete
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 si ed:
1st Floor Shear
Firesprinkler (Rough) (Fire Dept.)
Mechanical Inspections
he
k2nd
f (Sheathing/D phragm/Frame)
and Beam/Pre-Grout)
Rough Plumbing (Top Out)
Rough Duct (Mechanical)
Rough Mechanical
Rough Electrical
Rough COA/Mitagation Measures
Plumbinq 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 back ass smaned ofil
Sewer
Water Engineering Backflow, (Testable Only)
Water Service
Permit Types
BLD ELE MEC PLM
X
Permit Number: BLD2022-06000
Issued: 12/19/2022
www.anaheim.net/building
(714)765.4626
Quarter Section: 50
Site Address: 1648 S HUMOR DR, ANAHEIM, CA 92804
Legal Description: N TR 2722 BLK LOT 17
APN:12853108
WORKER'S COMPENSATION DECLARATION:
CITY OF ANAHEIM
BUILDING DIVISION
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 ATTORNEY'S FEES.
I hereby affirm under penalty of pedury one of the following declarations:
I have and will maintain a certificate of consent to selfminsure 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 worker's compensation insurance, as required by Section 3700 of the Labor Code, for the performance of the work for which
0 this permit is issued. My worker's Compensation insurance carrier and policy are:
Cartier. STATE COMPENSATION INSURANCE FUND Policy No.: 9033740 Expiration Date: 11/10/2023
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 compensa ' n laws of California, and agree that, it I should become subject to the worker's compensation provisions of Section 3700 of the
Labor Code, Zfbrthwfth comply with those provisions.
�-211P
Sign 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 I am licensed under provisions of chapter 9 (commencing with Section 7000) of Division 3 of the Business and
Professions Code, and my license Is In full force and effect.
NUMBER EXPIRATION DATE LICENSE TYPE IS
920169 04/30/2023 B, C39
/ 2
Date