5224 E TANGO AVE (3)Permit Types
BLD ELE MEC PLM
X
Permit Number: BLD2022-04863
Issued: 10/13/2022
www.anaheim.net/building
(714)765.4626
Quarter Section: 177
CITY OF ANAHEIM
BUILDING DIVISION
200 S. ANAHEIM BLVD.
(7141 765 -5153
Project Description: Reroof: Remove existing material, resheath as necessary and install (25) squares of composition shingles on to
house and attached garage and (6) squares of flat over patio cover.
Living Area: Number of Stories: 1 Valuation: 14,000.00
Garage Area: Construction Types: NIA
Carport Area: Occupancy Groups:
Balcony/ Deck Area: Fire Sprinkle:
Cool Roof: Total Fess paid rmit: 361.82
People Associated with Project: 11
Permit Applicant DON G HOLMES 10113 SCOTT AVE WHITTIER, CA 90000 0000
Owner SCHULTZ NATHANIEL T & CARRIE E 5224 E TANGO AVE
Type Electrical Fixtures Oty 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�PHEIM Oqc
City of Anaheim o� �o
Building Division F i
U D
�DGNDED day^
Do not occupy this buildinq 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
4
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/Migation Measures
Do not install subfloor or pour floor slab until the follwing applicable items have been
sioned7ding
Fina 714 765-5153) 00
ion-Final Only After Abovefompleted
Plumbing (Ground/Underfloor Water)
Underfloor Rough Gas
Mechanical (Groundwork)
Electrical (Underground Conduit)
Pre-slab (Compaction/Membrane Reinf.)
PARTIAL INSPECTIONS
Buildinq 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 s'
1st Floor Shear
Firesprinkler (Rough) (Fire Dept.)
2nd Floor Shear
Mechanical Inspections
o Bathing iaphragm/Frame)
a einf./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
Construction
Exterior Plaster (Brown Coat)
T-Bar (Struct., Ele., or Mec.)
Grease Interceptor
I unless sinned ofA
Sewer
Water Engineering Backflow (Testable Only)
Water Service
JJ
BUILDING DIVISION
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 EFFECTIVE DA TO
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: g (D Z b a ] — 0 q ?63 Date: � � �Z-
Project address: -.5 Z 4 4 tj f Lo
Property Owner:�J �� SL 14U �` r—
The undersigned does hereby 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 units with attached
Signature:
reggire carbon monoxide detectors.
�J i i
California Residential Code (CRC) Section R314.6.2,1CRC 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 B842
1
SMOKE/ CO ALARM REQUIRED LOCATIONS
Bedroom Bedroom
Qb 1 6
Bads Bedroom
Kitchen
Living Room
Figure 1
6
Bedroom
Living Room
Family Room Bedroom
Dining
Living Room
Kitchen
BedraDm Bedroom
Figure 2..
Attic
& 6
Hall Bedroom
�. Hall Kitchen
6@5
Basement
Figure 3
REQUIRED SMOKE ALARM LOCATION
REQUIRED CARBON MONOXIDE ALARM LOCATION
4'
Ceilin. _
Acceptable a'
Here Never
Here 7/2'
Top of Detector
Acceptable Here
Garage
wall
Figure 4
Permit Types
BLD ELE MEC PLM
X
Permit Number: OLD2022-04863
Issued: 10/13/2022
www.anaheim.net/buiiding
(714)765-0626
Quarter Section: 177
Site Address: 5224 E TANGO AVE, ANAHEIM, CA
Legal Description: N TR 4181 BLK LOT 105
APN:34337303
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 ($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 selfansure for workers 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 workers Compensation insurance carrier and policy are:
Carrier. STATE COMPENSATION INSURANCE FUND Policy No.: 1407963 Expiration Date: 5/1/2023
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 she with comply with those provisions.
� 6-4u�zz "> --7-
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:
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.
Contractor Signature
NUMBER EXPIRATION DATE LICENSE TYPE (SI
746135 02/29/2024 C39
eA0[ --�p Z_^,
Date