618 S KENMORE ST (4)Permit Types
BLD ELE MEC PLM
X
Permit Number: BLD2022-05133
Issued: 10/27/2022
www.anaheim.net/building
(714)765-0626
Quarter Section: 21
Site Addrress:: 618 S KENMORE ST, ANAHEIM, CA 92804
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LegalDesoription:N�TR 2874,BI.KLOT 59
APN:12619105.'= '
CITY OF ANAHEIM
BUILDING DIVISION
200 S. ANAHEIM BLVD.
1714) 765-5153
Project Description: Reroof: Remove existing material to install (25) sq composition shingles and (5) sq torch down over entire house
and attached garage
Living Area: Number of Stories: 1 Valuation: 16,500.00
Garage Area: Construction Types: NIA
Carport Area: Occupancy Groups:
Balcony I Dock Area: Fire Sprinklered:
Cool Roof. Total Fees paid for Permit: 341.15
People Associated with Project:
Permit Applicant Matt chiller 905 S Calico Cir. Anaheim, CA 92804
Owner HONEYBOURNE LAWRENCE W TR 618 S KENMORE 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.
P�P►1EIM Cqf FINAL INSPECTIONS DATE INSPECTOR
Cityof Anaheim o� io All applicable items below must be signed before utilities are released
Building Division F z Final Gas Test '
u > Electrical Final
Plumbing Final
�DG�►DEC) �8y^ 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)
COA/Migation Measures
Do not install subfloor or pour floor slab until the follwing applicable items have been
wilding Fina 4765.5153)
Last In ion-Final Only After Abov Complete
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 e
1st Floor Shear
Firesprinkler (Rough) (Fire Dept.)
Mechanical Inspections
2nd Floor Shear
iftl (Sheathing/Diap agm/Frame) �—
Masonry(Rem ./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. & Fin;)
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
V
CITY OF ANAHEIM
I(
BUILDING DIVISION
BUILDING DEPARTMENT 2013 CALIFORNIA CODES
CODE
200 S. Anaheim Blvd., Suite 145 CYCLE
Anaheim, CA 92805 01/001/201/20144
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: �1�Uao�� VS (�� Date: LVI-L
Project address:
Property Owner: LC4/'[ I10 Ica)
The undersigned doe hereby ceify that I a 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.
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 Fiv
ith attac d garages require carbon monoxide detectors
Signature: —2Date: 7zo2, -
California Residential Codi/ (CRC) Wtion 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.net/building B842
SMOKE/ CO ALARM REQUIRED LOCATIONS
Figure 9
Attic
Bedroom Hall
Living Room Hall
Basement"
Family Room
Bedroom
Dining
Living
Room
Kitchen
. I
Bedroom
Bedroom
Figure 2 4°
Ceiling
Acceptable NIM 4..
Here Never -7-
Here ` 12"
Top of Detector
Acceptable Here
Wall
;Bedroom Figure 4
Kitchen
Figure 3
REQUIRED SMOKE ALARM LOCATION
ro REQUIRED CARBON MONOXIDE ALARM LOCATION
Garage
Permit Types
BLD ELE MEC PLM
X
Permit Number: BLD2022-05133
Issued: 10/27/2022
www.anaheim.net/building
(714)7654626
Quarter Section: 21
Site Address: 618 S KENMORE ST, ANAHEIM, CA 92804
Legal Description: N TR 2874 BLK LOT 59
APN: 12619105
CITY OF ANAHEIM
BUILDING DIVISION
200 S. ANAHEIM BLVD.
(7141 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 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: STATE COMPENSATION INSURANCE FUND Policy No.: 1943739 Expiration Date: 41112023
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
workers compensation laws of California, and agree that, if I should become subject to the workers compensation provisions of Section 3700 of the
Labor Code, I shall forthwith comply with those provisions.
&IJ17— 10'zz-:22 . .
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):
Lenders Name:
Lenders Address:
LICENSED CONTRACTOR'S DECLARATION:
I hereby affirm under the penalty of Perjury that 1 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.
r
Contractor Signature
NUMBER EXPIRATION DATE LICENSE TYPE.(SI
766511 07/31/2024 C39
Date