1211 S WEST PL (2)Permit Types
BLD ELE MEC PLM
X
Permit Number: BLD2022-05791
Issued: 12/07/2022
www.anaheim.net/building
(714)765-4626
Quarter Section: 65
CITY/OF ANAHEIM
BUILDING DIVISION
4 _ 200 S. ANAHEIM BLVD.
(7141765-5153
Site Address: 1211 S WEST PL, ANAHEIM, CA 92802
Legal. Des&11pti6n:,P-BK'29 PG 14 PAR 2 SEC 21 T 4 R 10 POR NE1/4
'APN: 12929107
Project Description: Commercial Reroof. Remove existing to install (51) sq of flat polyfresko
Living Area: Number of Stories: 1 Valuation: 17,900.00
Garage Area:
9 Construction Types: N/A
Carport Area: Occupancy Groups:
Balcony / Dock Area: Fire Sprinklered:
Cool Roof: . Total Fees paid for Permit: 410.01
People Associated with Project:
Permit Applicant Natalie Guitierrez
Owner SUNPRITT CORP 1211 S WEST ST
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 D� io
Building Division F i
�OVNDED
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) 7654280
Engineering Final (714) 765-5126
INSPECTION I DATE I INSPECTOR
Fire Sprinkler (ONLY) (714) 765-5041
Do not pour concrete until the following applicable items have been signed:
Fire Dept. Final (714)P65-5041
Plumbing (Ground/Underfloor Drain Waste)
Water Engineering (7 765.4591
Electrical Ground Electrode/Ufer
Sub List/6us. Lic. (714) 7!!!!!.94 (Allow 10 business days)
Setback/Forms/Trenches (Footings)
COA/Migatlon Measures
Do not install subfloor or pour floor slab until the follwing applicable items have been0
s' ned:
ilding Final 4765-5153) � I �
action-Final Only After Above Completed100
O '"
�"
2
Plumbing (Ground/Underfloor Water)
Underfloor Rough Gas
M PARTIAL INSPECTIONS
Buildinq Inspections
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.)
Mechanical Inspections
�2n�rftear/Diaphragm/Frame) aL
Masonry (Reinf./Bond Beam/Pre-Grout)
Rough Plumbing (Top Out)
Rough Duct (Mechanical)
Rough Mechanical
Rough Electrical
Rough COA/Mitagation 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
Amk .
IN
BUILDING DIVISION
CITY OF ANAHEIM
BUILDING DEPARTMENT 2013 CALIFORNIA CODES
200 S. Anaheim Blvd., Suite 145 CODE CYCLE
Anaheim, CA 92805 01/01/2014
714 765-5153 EFFECTREDATE
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:
Project address:
22 ' 0 51 0
Date: 1 -' S - -Lf..
Property Owner: 0LA4X /yet L.UV
The undersigned dods hereby certify 11hat 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.
�p Smoke Alarms: In each room used for sleeping purposes.
p 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 n' with attached garages require carbon monoxide detectors.
Signature: Date: i 2 -
California
Califomia 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 a
Figure 1
Bedroom
Living Room
Basement
Family Room Bedroom
I Dining
Living Room
I
Kitchen
Bedroom Bedroom
Figure 2
6
Bedroom
Kitchen
Figure 3
REQUIRED SMOKE ALARM LOCATION
REQUIRED CARBON MONOXIDE ALARM LOCATION
4'
IAcceptable J 4'Never
Here Here �tz•
Top of Detector
Acceptable Here
Garage
Figure 4
M
Permit Types
BLD ELE MEC PLM
X
Permit Number: BLD2022-05791
Issued: 12/07/2022
www.anahelm.net/building.
(714)765-4626
Quarter Section: 65
CITY OF ANAHEIM
BUILDING DIVISION
200 S. ANAHEIM BLVD.
(714) 765 - 5153
Site Address: 1211 S WEST PL, ANAHEIM, CA 92802
Legal Description: P BK 29 PG 14 PAR 2 SEC 21 T 4 R 10 POR NE1/4
APN: 12929107
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.
I hereby affirm under penalty of perjury one of the following declarations:
I have and will maintain a certificate of consent to selfninsure 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.
1 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:
Cartier., MIDWEST EMPLOYERS CASUALTY COMPANY Policy No.: BNUWC0157499 Expiration Date: 8 8/ 3
Name of Agent:
Phone No.:
I certitypal h 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
workl co pensation laws of California, and agree that, if I should become subject to the workers compensation provisions of Section 3700 of the
A
e, I all forth th comply with those provisions.
Signatur of nt 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 CONTRA
I herebya rrn under the
Profej� ns de, and n
NUMBER
1057468
DECLARATION:
rerjury�t I am licensed under provisions of chapter 9 (commencing with Section 7000) of Division 3 of the Business and
in fur rce and effect.
EXPIRATION DATE
08/31/2023
LICENSE TYPE IS
B, C39
Date