3380 W KEYS LNPermit Types
• BLG ' ELE MEC PLM
X
Permit Number. BLD2023-02030
Issued: 04/27/2023
www.anaheim.net/building
(714)765-4626
Quarter Section: 6
Site Address: 3380 W KEYS LN, ANAHEIM, CA 92804
Legal Description: N TR 1646 BLK LOT 45
APN:07961117
CITY OF ANAHEIM
BUILDING DIVISION
200 S. ANAHEIM BLVD.
(714) 765-5153
Project Description: Reroof. Remove existing material and Install (26) squares of composition shingles on to house and attached
garage.
Living Area: Number o1 Stories: 1 Valuation: 15,600.00
Garage Area: Construction Types. N/A
Carport Area: Occupancy Groups:
Balcony / Deck Area: Fire SprinMered:
Cool Roof: Total Fess paid for Permit: 341.03
People Associated with Project:
Contractor ORANGE COUNTY ROOFING 42518TH ST200105241121365950 HUNTINGTON BEACH, CA 92648
Permit Applicant ROBERT TAYLOR
Owner CORMALIS, JORGE ALBERTO TR CORMALIS 3380 W KEYS LN
Type Electrical Fixtures Qty Type Plumbing Fixtures Qty Mechanical Fixtures city
P�PHEIM Cq(
City of Anaheim o� io
Building Division6. z
u a
SOUNDED $yn
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 ListlBus. Lic. (714) 765-5194 (Allow 10 business days)
Setback/Forms/Trenches (Footings)
COA1MjqajLqn Measures
Do not install subfloor or pour floor slab until the follwing applicable items have been
ding Fi 1(714 765-5153)
Zast I ction-Final Only After Aho, pleted
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 seanede
1st Floor Shear
Firesprinkler (Rough) (Fire Dept.)
Mechanical Inspections
2nd FI Shear
of MlViEhilng/Diap gm/Frame)'ao
Masonryeinf.IBond 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 (Struct., Ele., or Mec.)
Grease Interceptor
Sewer
'
Water Engineering Backflow (Testable Only)
Water Service
CITY OF ANAIEIM
d
'�01.\00v\
BUILDING DIVISION
BUILDING DEPARTMENT 2016 CALIFORNIA CODES
CYCLE
200 S. Anaheim Blvd., Suite 145
Anaheim, CA 92805 01/001/1/COD2001717
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: 8 LY 2-023 — 6105 0 Date: 1 "Z? -Z'3
Project address:
S
Property Owner: oma% e C"Ormall's
The undersigned does hereby certify that I am the property owner of the
property. I further certify that smoke alarms and carbon monoxide alarms
functional in all the following locations. All boxes must be checked below
above referenced
are present and
0 Smoke Alarms and Carbon MonoyidP Alarm: On the•railing or wall outside of each separate
sleeping area in the immediate vicinity of bedroom/s or in each hallway outside of the rooms.
O Smoke Alarms: In each room used for sleeping purposes.
O 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 un swith attached g rages require carbon monoxide detectors.
]j �j
Signature: Date: Ll '` 6� t � V
California Residenti_ I_ 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 8842
- SMOKE/ CO ALARM REQUIRED LOCATIONS
BedroomBedroom Family Room Bedroom
Bath Bedroom
Kitchen
Living Room
i
Figure f
Bedroom
Living Room
Basement
Dining
Figure 2
Attic
640 6
Hall Bedroom
Hall Kitchen
Figure 3
REQUIRED SMOKE ALARM LOCATION
REQUIRED CARBON MONOXIDE ALARM LOCATION
a• p—
Acceptable -J
Here Never -/,I
Here `I
Top of Detector
Acceptable Hera
Garage
Wall
Figure 4
t-
Living Room
Kitchen
• .
Bedroom
Bedroom
Figure 2
Attic
640 6
Hall Bedroom
Hall Kitchen
Figure 3
REQUIRED SMOKE ALARM LOCATION
REQUIRED CARBON MONOXIDE ALARM LOCATION
a• p—
Acceptable -J
Here Never -/,I
Here `I
Top of Detector
Acceptable Hera
Garage
Wall
Figure 4
t-
Permit Types
BLD_ 'ELE MEC PLM
Permit Number. BLD202342030
Issued: 04/27/2023
www.anaheim.netlbuilding
(714)765-4626
Quarter Section: 6
Site Address: 3380 W KEYS LN, ANAHEIM, CA 92804
Legal Description: N TR 1646 BLK LOT 45
APN: 07961117
CITY OF ANAHEIM
BUILDING DIVISION
200 S. ANAHEIM BLVD.
(714) 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 ATTORNEY'S FEES.
1 hereby affirm under penalty of perjury one of the following declarations:
1 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
n' 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
this permit Is Issued. My worker's Compensation insurance carrier and policy are:
Cartier: STATE COMPENSATION INSURANCE FUND Policy No.: 9074951 Expiration Date: 10/5/2023
Name of Agent: Phone No.:
1 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, if I should become subject to the workers compensation provisions of Section 3700 of the
P1, I 7MIy with those provisions.
Signature of Applicant V I
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):
Lendees Name:
Lender's 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
license is in full force and effect.
Signature
NUMBER EXPIRATION DATE
784622 09/30/2022
LICENSE TYPE (Sl
C39
q"z?-z3
Date