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3539 W SAVANNA ST (4)CITY OF ANAHEIM BUILDING DEPARTMENT 2013 CALIFORNIA CODES 200 S. Anaheim Blvd., Suite 14S CODE CYCLE Anaheim, CA 92805 01/01/2014 714 76S-5153 EFFECTIMDATE 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 c 22" &q 1 Date: 11 I -� 1 2a7_Z Project address: ".73526 w:5AJAVAIA LI I AyAmewy\ C,,A AlaigG_ Property Owner:y c\ -)N _ Z► A\ FSA The undersigned does hereby certify that 1 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 .0 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. r la Smoke Alarms: In each room used for sleeping purposes. J 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 units with attached garages require carbon monoxide detectors. Signature: __f 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 SEPT 2015 www.anaheim.nettbuilding 6842 SMOKE/ CO ALARM REQUIRED LOCATIONS Figure 1 / Attic Bedroom Hall Living Room Hall Basement Family Room Bedroom I Dining Living Room Kitchen Bedroom g Bedroom Figure 2 4' Coiling I I Acceptable 4' Hefe Never Here �12• Top of Detector Acceptable Here vv Wall Bedroom Figure 4 Kitchen Figure 3 REQUIRED SMOKE ALARM LOCATION REQUIRED CARBON MONOXIDE ALARM LOCATION Garage Permit Types BLD ELE MEC PLM X Permit Number: BLD2022-04691 Issued: 10/03/2022 www.anaheim.neUbuilding (714)765-0626 Quarter Section: 2 CITY OF ANAHEIM Site Address::3539 W SAVANNA ST 4, ANAHEIM, CA 92804 Legal Desbiiption; N TR 11754 BLK LOT 12 APN13425136 BUILDING DIVISION 200 S. ANAHEIM BLVD. (714) 765 - 5153 Project Description: Reroof: Remove existing to install (15) sq of composition shingles over unit #4 Living Area: Number of Stories: 2 Valuation: 9,000.00 Garage Area: Construction Types: NIA Carport Area: Occupancy Groups: Balcony I Deck Area: Fire Spdnldered: Cool Roof Total Fees paid for Permit: 341.52 People Associated with Project: Permit Applicant Efrain Chavez Owner VIDAL JULIETA TR J VIDAL 3539 W SAVANNA ST 1 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�pNEIM Cq< City of Anaheim o� �o Building Division F z u > �DGNDED �a�� 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 I INSPECTOR Fire Sprinkler (ONLY) (71,4) 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 follwing applicable items have been s' a Plumbing (Ground/Underfloor Water) wlding Fina 14 765-5153)Plot spection-Final Only After Above Completed ( be Underfloor Rough Gas Mechanical (Groundwork) Electrical (Underground Conduit) Pre-slab (Compaction/Membrane Reinf.) PARTIAL INSPECTIONS Building Inspections 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 e • 1st Floor Shear Firesprinkler (Rough) (Fire Dept.) 2nd Floor Shear Mechanical Inspections of eat hin gm/Frame) Q 6� Z 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) Plumbing Inspections 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 - Constructoon Exterior Plaster (Brown Coat) T-Bar (Struct., Ele., or Mec.) Grease Interceptor (Do not backfill unless sooned off) Sewer Water Engineering Backflow (Testable Only) Water Service Permit Types BLD ELE MEC 'PLM X Permit Number: BLD2022-04691 Issued:1010312022 www.anaheim.net/building (714)765-4626 Quarter Section: 2 CITY OF ANAHEIM Site Address: 3539 W SAVANNA ST 4, ANAHEIM, CA 92804 Legal Description: N TWI11754 BLK LOT 12 APN `13425136 - BUILDING DIVISION 200 S. ANAHEIM BLVD. (7141 765 - 5153 Project Description: Reroof: Remove existing to install (15) sq of composition shingles over unit #4 Living Area: Number of stories: 2 Valuation: 9.000.00 Garage Area: Consbucdon Types: NIA Carport Area: Occupancy Groups: Balcony I Deck Area: Fire Spdnldered: Cool Roof: Total Fees paid for Permit: 341.52 People Associated with Project: Permit Applicant Efrain Chavez Owner VIDAL JULIETA TR J VIDAL 3539 W SAVANNA ST 1 Type Electrical Fixtures Qty Type Plumbing Fixtures Qty Mechanical Fixtures Qty The permit shall expire by [Imitation 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�PHEIA1 Cqf Cityof Anaheim D� �o Building Division F i DED � 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 DATE T 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/Migatio Measures Do not install subfloor or pour floor slab until the follwing applicable items have been sinned: Plumbing (Ground/Underfloor Water) 'rouilding Final (7 765-5153) spec ion•Finot Only After Above Completed Underfloor Rough Gas Mechanical (Groundwork) Electrical (Underground Conduit) Pre-slab (Compaction/Membrane Reinf.) PARTIAL INSPECTIONS Building Inspections 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 sionedi 1st Floor Shear Firesprinkler (Rough) (Fire Dept.) Floor r Mechanical Inspections bad2nd f (Sheathing/Dia ragm/Frame) r if Masonry(Reinf.l and Beam/Pre-Grout) Rough Plumbing (Top Out) Rough Duct (Mechanical) Rough Mechanical Rough Electrical Rough COA/Mitagation Measures Framing (Only after Plbg., Ele., Mac. & Fire) Plumbing Inspections 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 Permit Types BLD ELE MEC PLM X Permit Number: BLD2022-04691 Issued: 10/03/2022 www.anaheim.net/building (714)765-4626 Quarter Section: 2• CITY OF ANAHEIM Site Address: 3539 W SAVANNA ST 4, ANAHEIM, CA 92804 Legal Description: N TR 11754 BLK LOT 12 APN: 13425136 WORKER'S COMPENSATION DECLARATION: BUILDING DMSION 200 S. ANAHEIM BLVD. (714) 765 - 5153 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: I have and will maintain a certificate of consent to se[Nnsure for worker's compensation, Issued by the Director of Industrial Relations as provided for by Section 3700 of the tabor 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 carder and policy are: Cartier: Policy No.: Expiration Date: 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 Code, I shall forthwith comply with those provisions. ,7 ature of Appli 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 efTect. Cont or•Signature NUMBER EXPIRATION DATE LICENSE TYPE IS) /6 Z Date