847 S LEMON STa
Permit Types
BLD ELE MEC PLM CITY OF ANAHEIM
X
BUILDING DIVISION
Permit Number: BLD2023-02095 200 S. ANAHEIM BLVD.
Issued: 05/01/2023 (714) 765 - 5153
www.anaheim.net/building
(714)765.4626
Quarter Section: 85
Slte Address: 847 S LEMON ST, Anaheim, CA 92805
Legal Description: S TWP 4 RGE 10 SEC 15 SEC 15 T 4 R 10 LOT 65 X 154
APN:03707308
Project Description: Reroof: Tear of( and install 15 squares of shingles over house only.
Living Area: Number of Stories: 0 Valuation: 9,000.00
Garage Area: Constriction Types: VB
Carport Area: Occupancy Groups:
Balcony / Deck Area: Fro Spdnklered:
Cool Roof: Total Fess paid for PerrnR: 340.17
People Associated with Project:
Contractor J D F CONSTRUCTION INC 2915 E LA JOLLA ST ANAHEIM, CA 92821
Permit Applicant Jay Weber
Owner JOHNSON, RANDALL T 847 S LEMON ST
Type Electrical Fbdures Qty Type Plumbing Fbdures Qty Mechanical Fbdures Qty
City of Anaheim /01,
tc',PHEIIN
- -
I FINAL INSPECTIONS I DATE I INSPECTOR I
I All applicable items below must be signed before utilities are released I
aunuing uivisiun F i
v >
Do not occupy this building until the final inspections have been made.
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 List/Bus. Lic. (714) 765-5194 (Allow 10 business days)
Setback/Forms/Trenches (Footings)
COAIMigation Measures
Do not install subfloor or pour floor slab until the follwing applicable items have been
skinedb
Building Final (714 765-5153)
Last Inspection -Final Only After Above Completed 7
Plumbing (Ground/Underfloor Water)
Underfloor Rough Gas
PARTIAL INSPECTIONS
Buildinq Inspections
Mechanical (Groundwork)
Electrical (Underground Conduit)
Pre -slab (CompactionlMembrane 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 Mane&
1st Floor Shear
Firesprinkler (Rough) (Fire Dept.)
Mechanical Inspections
2nd Floor
(Sheathing/Dia ragm/Frame) r
Masonry (Reinf./Bond Beam/Pre-Grout)
Rough Plumbing (Top Out)
Rough Duct (Mechanical)
Rough Mechanical
Rough Electrical
Rough COA/IlAitagation 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
Sewer
Water Engineering Backflow (Testable Only)
Water Service
CITY OF ANAHEIM
BUILDING DEPARTMENT 2016 CALIFORNIA CODES
CODE CYCLE
200 S. Anaheim Blvd., Suite 145
01/01/2017
Anaheim, CA 92805
714 765-5153 EFFECT/VEDATE
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 ZDV ? — 0 t C A) Date: 5-3b--��
LeAw_iProject address:Quq—?5. s -
Property Owner:
The undersigned does here 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
❑ 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 it with a ch ar , s e uire carbon monoxide detectors.
Signature: Date:
i
California Residential Code (CRC) Sect' n R314.6.2,CRC R315.2 states in part that existing dwellings be
"retrofitted with smoke detectors and capon 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.anahe*.neftilding B842
y
SMOKE/ CO ALARM REQUIRED LOCATIONS
Bedroom Bedroom
6
Bath
Bedroom
Kitchen
Living Room
�n
Figure t
Family Room Bedroom
Dining
Living Room
Kitchen
Bedroom Bedroom
Figure 2
Figure 3
REQUIRED SMOKE ALARM LOCATION
REQUIRED CARBON MONOXIDE ALARM LOCATION
4. 1
Acceptable -
Here Never
Here -T,
Top of Detector
Acceptable Here
Well
Figure 4
L.
Permit Types
BLD ELE MEC PLM
X
Permit Number: BLD202342095
Issued: 05/01/2023
www.anaheim.net/building
(714)765.4626
Quarter Section: 85
CITY OF ANAHEIM
BUILDING DIVISION
200 S. ANAHEIM BLVD.
(7141 765 - 5153
Site Address: 847 S LEMON ST, Anaheim, CA 92805
Legal Description: S TWP 4 RGE 10 SEC 15 SEC 15 T 4 R 10 LOT 65 X 154
APN:03707308
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.
1 hereby affirm under penalty of perjury 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 Indusbial 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:
Carrier. FALLS LAKE FIRE AND CASUALTY COMPANY Policy No.: FLA00086506 Expiration Date: 0/15/2023
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
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.
Yk'- 5--)--2-3
Signat#a 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):
Lender's Name:
Lender's Address:
LICENSED CONTRACTOR'S DECLARATION:
1 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.
Con T
r Signature
NUMBER EXPIRATION DATE LICENSE TYPE (S)
956749 01/31/2025 B. C20, C39, C10, ASB, D41, C17
Date