2127 W ROMNEYA DR (5)Permit Types
BLD ELE MEC PLM CITY OF ANAHEIM
XI �
BUILDING DIVISION
Permit Number: BLD2023-01887 200 S. ANAHEIMBLVD.
Issued: 04/20/2023 (714) 765 - 5153
www.anaheim.net/building
(714)765-4626
Quarter Section: 37
Site Address: 2127 W ROMNEYA DR, ANAHEIM, CA 92801
Legal Description: N TR 2093 BLK LOT 111
APN:07240209
Project Description: Reroof: To remove and install (650) sq. of composition and shingles over portion of house
Living Area: Number of Stories: 1 Valuation: 9,000.00
Garage Area: Construction Types: NIA
Carport Area: Occupancy Groups:
Balcony I back Area: Fire Sprinklered:
Cool Roof: Total Fees paid for Permit: 340.17
People Associated with Project:
Contractor K L C CONSTRUCTION 5482 OCEANUS DR #F HUNTINGTON BEACH, CA
Permit Applicant Elsa Lock
Owner BRICENO OSCAR O 2127 W ROMNEYA DR
Type Electrical Fixtures City Type Plumbing Fixtures Oty Mechanical Fixtures City
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 DATEINSPECTOR
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 beer
Plumbing (Ground/Underfloor Water)
Underfloor Rough Gas
Mechanical (Groundwork)
Electrical (Underground Conduit)
Pre -slab (Compaction/Membrane Reinf.)
Floor (Joist/Girders)
Underfloor Insulation (Raised Foundation
Floor Nailing (Raised Foundation Only)
2nd Floor (Floor Nailing)
Do not cover or conceal the work below until
1st Floor Shear
Firesprinkler (R
2nd Floo-r-Sbeai
nf./Bond Beam/Pre-Grout)
ling (Top Out)
J.
FINAL INSPECTIONS I DATE I 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 ListlBus. Lic. (714) 765-5194 (Allow 10 business days)
COAIMigation Measures f
Building Final (714 765-5153)
Last Inspection -Final Only After A
PARTIAL I
Building Inspections
Mechanical Inspections
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:
an
Drywall
Drywall Penetrations (Ele, Mac & 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
(nn not backfill ijnlp-.;s sinned nfn
Sewer
Water Engineering Backflow (Testable Only)
Water Service
. t BUILDING DIVISION
CITY OF ANAHEIM
BUILDING DEPARTMENT 2016 CALIFORNIA CODES
CYCLECODE
200 S. Anaheim Blvd., Suite 145
Anaheim, CA 92805 01/001/201/20177
714 765-5153 EFFECTIVE DATE
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 jol
card.
Permit Number: BI- �� 3 - Q t if 7 Date: `��2- G
&-q
Project address: ca. Or. G, 9
Property Owner: Q5 c &v r ;,C e.,n o
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.
Jff 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 with attached garages require carbon monoxide detectors.
Signature: Date:
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 FEB 2018
www.anaheim.net/building 8842
SMOKE/ CO ALARM REQUIRED LOCATIONS
Bedroom Bedroom
Bath Bedroom
Kitchen
Living Room,
Figure 1
Family Room Bedroom
Dining
Living Room
Kitchen
Bedroom Bedroom
Figure 2
'
Attie
Bedroom Hall Bedroom
Living Room Hall Kitchen
Basement
' Ceiling
Acceptablea�
Never
Here
Here �t2'
Top of Detector
4
Acceptable Here
Garage
Wall
Figure 4
Figure 3
REQUIRED SMOKE ALARM LOCATION `
REQUIRED CARBON MONOXIDE ALARM LOCATION
Permit Types .
BLD ELE MEC PLM
X
Permit Number: BLD2023-01887
Issued: 04/20/2023
www.anahelm.net/building
(714)765.4626
Quarter Section: 37
CITY OF ANAHEIM
BUILDING DIVISION
200 S. ANAHEIM BLVD.
(7141 765 - 5153
Site Address: 2127 W ROMNEYA DR, ANAHEIM, CA 92801
Legal Description: N TR 2093 BLK LOT 111:
APN:07240209
WORKER'S COMPENSATION DECLARATION: ft
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 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 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 workers 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: STATE COMPENSATION INSURANCE FUND Policy No.: 9234343 Expiration Date: 7/3/2023
Name of Agent: Phone No.:
I certify that in the performance of the work for which this permit is issued, l 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 de, t hall forthwith comply with those provisions.
d�
6)1.e'Zo 2—.,Z
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):
Lender's 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
Professions Code, and my license is in full force and effect.
( qqntractorSignature`• Date
NUMBER EXPIRATION DATE LICENSE TYPE (S)
601217 08/31/2024 C47, 8, C39