912 S MICHAEL WAY (3)Permit Types
BLU ELE MEC PLM
X
Permit Number: BLD2022-04825
Issued: 10/11/2022
www.anaheim.net/building
(714)765-0626
Quarter Section: 95
Site Addre1n,i..�i:�:.912 S MICHAEL WAY, ANAHEIM, CA 92805
Legal Description: N TR'6758 BLK LOT 5
APN:23401205
CITY OF ANAHEIM
BUILDING DIVISION
200 S. ANAHEIM BLVD.
(714)765.5153
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Project Description: Reroof: to remove existing, and install (21) squares of composition and shingles for house and attached garage.
Living Area: Number of Stories: 1 valuation: 7,000.00
Garage Area: Consbucion Types: J vB
Carport Area: Occupancy Groups:
Balcony / Deck Area: Fire Sprinldered:
Cool Roof: Total Fees paid for Permit: 339.91
People Associated with Project:
Permit Applicant Joel Ortiz
Owner JONES NORMA SUE TR PO BOX 11668
Type Electrical Fixtures Qty Type Plumbing Fixtures Qly 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.
City of Anaheim
Building Division
Do not occupy this building until the final inspections have been made.
INSPECTION DATE I INSPECTOR
Do not pour concrete until the following applicable items have been signed:
Plumbing (Ground/Underfloor Drain Waste)
Electrical Ground Electrode/Ufer
Setback/Forms/Trenches (Footings)
Do not install subfloor or pour floor slab until the follwing applicable items have been
i ned•
Plumbing (Ground/Underfloor Water)
Underfloor Rough Gas
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 sinned:
1st Floor Shear
Firesprinkler (Rough) (Fire Dept.)
2nd Floor Shear
Roof (Sheathing/Diaphragm/Frame) i l i�r .t�. 19-A,
Masonry (Reinf./Bond Beam/Pre-Grout)
Rough Plumbing (Top Out)
Rough Duct (Mechanical)
Rough Mechanical
Rough Electrical
Rough COA/Mitagation Measures
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 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
PARTIAL INSPECTIONS
Building Inspections
Mechanical Inspections
Plumbing Inspections
Electrical Inspections
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
Fire Sprinkler (ONLY) (714) 765-5041
Fire Dept. Final (714) 765-5041
Water Engineering (714) 765-4591
Sub List/Bus. Lic. (714) 765-5194 (Allow 10 business days)
COA/Migation Measures
Building Final (714 765-5153)
Last Inspection -Final Only After Above Completed
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PARTIAL INSPECTIONS
Building Inspections
Mechanical Inspections
Plumbing Inspections
Electrical Inspections
CITY OF ANAHEIM
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.01
BUILDING DIVISION
BUILDING DEPARTMENT 2013 CALIFORNIA CODES
CODCYCLE
200 S. Anaheim Blvd., Suite 145
Anaheim, CA 92805 01/001/1/ 2001414
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: W `� 09 2— () ±-S 9.. Date: 4
Project address: -1 17 1S I ► I I C 1,4a_ 1,N1 PM
Property Owner: 11(11 LH L-tt1�Js:Ip1�
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.
M, Smoke Alarms: In each room used for sleeping purposes.
W 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 with atta -.0 uire carbon monoxide detectors.
Signature:
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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 SEPT 2015
www.anaheim.net/building B842
SMOKE/ CO ALARM REQUIRED LOCATIONS
Figure 1
6
Bedroom
Living Room
Basement
'Family Room Bedroom
I Dining
Living Room
Kitchen
Bedroom ! Bedroom
Figure 2
Attic
v'D
Hall Bedroom
Hall Kitchen
Figure 3
4 REQUIRED SMOKE ALARM LOCATION
'o REQUIRED CARBON MONOXIDE ALARM LOCATION
4•
Acceptable 1 4• I
Here Never
Here �tY
Top of Detector
Acceptable Here
Garage
Wall
Figure 4
Permit Types
BLD ELE MEC PLM
X
Permit Number: BLD2022-04625
Issued: 10/11/2022
www.anaheim.net/building
(714)765.4626
Quarter Section: 95
Site Address: 912 S MICHAEL WAY, ANAHEIM, CA 92805
Legal Description: N TR 8758 BLK LOT 5
APN:23401205
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 ($10000), 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 perjury one of the following declarations:.
I have and will maintain a certificate of consent to selfinsure for worker's compensation, issued by the Director of Industrial Relations as provided for by
Section 3700 of the Labor Cade, 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.: 1949902 Expiration Date: 121112022
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, it I should become subject to the worker's compensation provisions of Section 3700 of the
Labor C9de, I shall forth ith comply with se provisions.
Signat of ticant
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 3 of the Business and
Professions Code and my license Is In full force and effect.
4? oigz�-
tract r Signature
NUMBER EXPIRATION DATE LICENSE TYPE (S)
956843 01/31/2023 C39
Date