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841 N LEMON ST
V a i L J a• %A i a • a V a \I a 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 EFFEC77VEDATE wwwanaheim.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: '� LQ 2D 23 — 00 5 53 Date: Z ly Z3 Project address: B LkI T4 • LCiloF-4 ST - Property Owner: 1Mor441 06cVA(LI The undersigned does 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. © 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 wi attach d garages require carbon monoxide detectors. Signature: Date: _Z114 Z 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, Califomia 92805 (714)765-5153 Phone (714)765-4607 Fax FEB 2018 - www.anaheim.neUbuilding B842 SMOKE/ CO ALARM REQUIRED LOCATIONS Bedroom Bedroom 6 Bath Bedroom Kitchen Living Room Figure I Family Room Bedroom Dining Living Room Kitchen Bedroom Bedroom I !- Figure 2 / Attic \ Bedroom Hall Bedroom Living Room Hall Kitchen &Qm Basement Figure 3 i REQUIRED SMOKE ALARM LOCATION REQUIRED CARBON MONOXIDE ALARM LOCATION 4• Acceptable J 4' I Here Never Here �12' Top of Detector I Acceptable Here Garage Wall Figure 4 0 Permit Types BLD ELE MEC PLM X Permit Number: BLD2023-00553 Issued: 02/0212023 www.anaheim.net/building (714)765-0626 Quarter Section: 71 Site Address:.841 N LEMON ST, ANAHEIM, CA 92805 LegalDescriptionc N,TR499 BLK A LOT 11 APNE 03424.422 CITY OF ANAHEIM BUILDING DIVISION 200 VANANEIM-IND. (714) 765.5153 Project Description: Reroof: Remove existing to install (33) sq of composition shingles over entire house and attached garage Living Area: Number of Stories: 1 Valuation: 12,200.00 Garage Area: Construction Types: NIA Carport Area: Occupancy Groups: Balcony I Deck Area: Fire Sprinldered: Cool Roof: Total Fees paid for Permit: 362.59 People Associated with Project: Contractor PRESTIGE ROOFING 2271 N BATAVIA ST201911081357074918 ORANGE, CA 92704 Owner CASCIARI RAYMOND J TR 9261 TRITT CIR 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�PHElm Cq< City of Anaheim o� io Building Division F y u a DED Do not occupy this building until the final inspections have been made. FINAL INSPECTIONS DATE INSPECTOR All applicaole items below must be signed before utilities are released Final Gas Test Electrical Final Plumbing Final Mechanical Final A, 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 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 foliwing applicable items have been sinned: ilding Final (7 765-5153) Last Inspe final Only Alter A ove Compl m§ / Plumbing (Ground/Underfloor Water) Underfloor Rough Gas PARTIAL INSPECTIONS Building Inspections Mechanical (Groundwork) Electrical (Underground Conduit) Pre-slab (Compaction/Membrane Reinf.) Floor (Joist/Gliders) 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 1st Floor Shear Firesprinkler (Rough) (Fire Dept.) Mechanical Inspections 2nd F oof (Sheathing/Di hragm/Frame) (Bond Beam/Pre-Grout) Rough Plumbing (Top Out) Rough Duct (Mechanical) Rough Mechanical Rough Electrical Rough COAIMitagation 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 Constructio Exterior Plaster (Brown Coat) T-Bar (Struct., Ele., or Mec.) Grease Interceptor (Do not backfill unless seaned ofn Sewer Water Engineering Backflow (Testable Only) Water Service Permit Types BLD ELE MEC PLM X Permit Number: BLD2023-00553 Issued: 02/02/2023 www.anaheim.net/building (714)765-4626 Quarter Section: 85 CITY OF ANAHEIM BUILDING DIVISION 200 S. ANAHEIM BLVD. (714) 765 - 5153 Site Address: 841 S LEMON ST, ANAHEIM, CA 92805 Legal Description: S TWP 4 RGE 10 SEC 15 SEC 15 T 4 RIO LOT 70 X 154 APN:03707307 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. I hereby affirm under penalty of pedury one of the following declarations: I have and will maintain a certificate of consent to self -insure 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. JV 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.: 9258598 Expiration Date: 8/6/2023 Name of Agent: Phone No.: I certify that In the performance of the work for which this peril 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 worker's compensation provisions of Section 3700 of the Labor Code, I shall forthwith comply with those provisions. � ID4 gnature 4JA04icant 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 9 of the Business and Professions Code, and my license Is In full force and effect. 6nctoi—Sig9atut Date NUMBER EXPIRATION DATE LICENSE TYPE (S) 1059050 08/31/2024 C39