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2731 E JACKSON AVEPermit Types BLD ELE MEC PLM CITY OF ANAHEIM X BUILDING DIVISION Permit Number: BLD2023-01637 200 S. ANAHEIM BLVD. Issued: 04/07/2023 (7141765 - 5153 www.anaheim.net/building (714)765-4626 Quarter Section: 122 _ S� r Site Address: 2731 E JACKSON AVE, ANAHEIM, CA 92806 Legal Description: N TR 3614 BLK LOT 47 L APN:26829302 Project Description: Re-root: tear-off existing and Install (30) sq of composition shingles, synthetic underlayment, and plywood If needed. Living Area: Number of Stories. 1 Valuation: 10,000.00 Garage Area: Construction Types: NIA Carport Area: Occupancy Groups: Balcony/ Deck Area: Fire Sprinidemd: Cool Roof: Total Fees paid for Permit: 340.30 People Associated with Project: Permit Applicant Richard Jackson Owner MADENBURG MANAGEMENT GROUP LLC 1056 CASTLEROCK LN Type Electrical Fixtures Qty Type Plumbing Fixtures Qty Mechanical Fixtures Qty 0 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�PNEI11q C9< Cityof Anaheim c� �o Building Division F z DEV $y^ Do not occupy this building until the final inspections have been made. FINAL INSPECTIONS DATE INSPECTOR All applicable items below must be signed before utilities are released Final Gas Test Electrical Final Plumbing Final Mechanical Final Cross Connection Control (714) 765-4280 Engineering Final (714) 765-5126 INSPECTION DATE INSPECTOR Fire Sprinkler (ONLY) (714) 765-5041 Do not pour concrete until the following applicable items have been signed: Fire Dept. Final (714) 765-5041 Plumbing (Ground/Underfloor Drain Waste) Water Engineering (714) 765-4591 Electrical Ground Electrode/Ufer Sub List/Bus. Lic. (714) 765-5194 (Allow 10 business days) Setback/Forms/Trenches (Footings) COA/Migation Measures Do not install subfloor or pour floor slab until the follwing applicable items have been Building Final (714 765-5153) Last Inspection -Final Only After Abovif Completed —If Plumbing (Ground/Underfloor Water) Underfloor Rough Gas PARTIAL INSPECTIONS Buildinq Inspections Mechanical (Groundwork) Electrical (Underground Conduit) Pre -slab (Compaction/Membrane Reinf.) Floor (Joist/Girders) Underfloor Insulation (Raised Foundation Only) Floor Nailing (Raised Foundation Only) 2nd Floor (Floor Nailing) Do not cover or conceal the work below until the following applicable items have sinned*been 1st Floor Shear Firesprinkler (Rough) (Fire Dept.) Mechanical Inspections 2nd Floor ($heathin iaphragm/Frame)— ` Mason Inf./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 (Strutt., Ele., or Mec.) Grease Interceptor (Do not backfill unt gs s*nned off) Sewer Water Engineering Backflow, (Testable Only) Water Service CITY OF ANAHEIM BUILDING DIVISION BUILDING DEPARTMENT 2016 CALIFORNIA CODES 200 S. Anaheim Blvd., Suite 145 CODE CYCLE Anaheim, CA 92805 01/01/2017 714 765-5153 EFFECT/VEDATE www.anaheim.net/building SMOKE DETECTORS AND CARBON MONOXIDE SELF CERTIFICATION ` Final insaection aaoroval will reauire this completed form to be on site alona with the lob card. Permit Number: Project address: Property Owner: F"t0-R Int WT �IYZ014 L-1— ` 010"t The undersigned does hiar6by Wrtify that I am the property owner o - property. I further certify that smoke alarms and carbon monoxide functional in all the following locations. All boxes must be checked below alarms are present and 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 u ' with tt ishad ciagges require carbon monoxide /detectors. Signature: Date: 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 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 FEB 2018 www.anaheim.net/building B842 ff� SMOKE/ CO ALARM REQUIRED LOCATIONS s �• Bedroom Bedroom • l� Bath Bedroom r. 8IND Kitchen Living Room QQ r• ' t Figure t • Bedroom Family Room Bedroom Dining Living Room Kitchen Bedroom Bedroom Figure Z Attic \ 6 6 Hall Bedroom Living Room �L Hall Kitchen Basement Figure 3 REQUIRED SMOKE ALARM LOCATION REQUIRED CARBON MONOXIDE ALARM LOCATION �4•I� Ceiling Acceptable a- Here Never Hen; �12" Top of Detector Acceptable Here jj_t Wall Figure 4 Garage Permit Types BLD. ELE MEC PLM X Permit Number. BLD2023-01637 Issued: 04/07/2023 www.anaheim.net/building (714)765-0626 Quarter Section: 122 CITY OF ANAHEIM Site Address: 2731 E JACKSON AVE, ANAHEIM, CA 92806 Legal Description: N TR 3614 BLK LOT 47 APN:26829302 OWNER - BUILDER DECLARATION: BUILDING DIVISION 200 S. ANAHEIM BLVD. (714) 765 - 5153 1 hereby affirm under penalty of perjury that 1 am exempt from the Contractor's License State Lew for the following reason(s) Indicated below by the checkmark(s) I have placed next to the applicable Item(s) (Sec. 7031.5 Business and Professions Code: any city or county which requires a permit to construct, alter, Improve, demolish or repair any structure, prior to Its issuance, also requires the applicant for the permit to file a signed statement that he or she Is licensed pursuant to the provisions of the Contractors' State License Law Chapter 9 (commencing with Section 7000) of Division 3 of the Business and Professions Code) or that he or she is exempt from licensure and the basis for the alleged exemption. Any violation of Section 7031.5 by any applicant for a permit subjects the applicant to a civil penalty of not more than five hundred dollars ($500). I, as owner of property, or my employees with wages as their sole compensation, will do ( I all or (_) portions of the work, and the structure is not Intended or offered for sale (Sec. 7044 Business and Professions Code: The Contractors' State License Lew does not apply to an owner of property who, through employees' or / personal efforts, builds or Improves the property, provided that the Improvements are not intended or offered for sale. ff, however, the building or Improvement Is sold within one year of completion, the Owner -Builder will have the burden of proving that R,was not built or Improved for the purpose of sale). I, as the owner of the properly, am exclusively contracting with licensed Contractors to construct the project (Sec. 7044 Business and Professions Code: The Contractors' State License Law does not appy to an owner of properly who builds or improves thereon, and who contracts for the projects with a licensed Contractor pursuant to the Contractor's State License Law). I am exempt from licensure under the Contractors, State License Lew for the following reason: By my signature below I acknowledge that, except for my personal residence in which I must have resided for at least one year prior to completion of the improvements covered by this permit, l cannot legally sell a structure that I have built as an owner -builder if it has not been constructed in its entirety by licensed contractors. I understand that a copy of the applicable law, Section 7044 of the Business and Professions Code, is available upon request when this application Is submitted or at the following Web site: htto://www.leainfo.ca.gov/calaw.htmi By my signature below, I certify to each of the following: I am the property owner or authorized to act on the property owner's behalf. I have read this application and the information 1 have provided is correct. I agree to comply with all applicable city and county ordinances and state laws relating to building construction 1 authorize r�epi:e entatives of this city or county to enter the above -identified property for inspection purposes. Signature of Property Own r or Authorized A ant Date 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. 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: Policy No.: Expiration Date: 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, ff 1 should become subject to the workers compensation provisions of Section 3700 of the Labor Code, I shall forthwith comply with those provisions. Signature of Applicant Date DECLARATION REGARDING CONSTRUCTION LENDING AGENCY: I hereby affirm under penalty of perf'ury 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 Professions Code, and my license is in full force and effect. Contractor Signature Date NUMBER: EXPIRATION DATE LICENSE TYPE (S)