6820 E KENTUCKY AVECITY OF ANAHEIM
BUILDING DEPARTMENT 2013 CALIFORNIA CODES
200 S. Anaheim Blvd., Suite 145 CODE CYCLE
Anaheim, CA 92805 01/01/2014
714 765-5153 EFFECTIVE DATE
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:
I5L� 2022— ��3%�] Date: zA z
/' AVe,,�" " nProjectaddress: bqZUEKeV1�uL��� /-A M N YA I CTS 17 4`0
Proaerty Owner: V°1kf`J,- lylyov�-�Q,\\
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.
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 unit with attac ed arages require carbon monoxide detectors.
t�
Signature: -4 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.neVbuilding B842
SMOKE/ CO ALARM REQUIRED LOCATIONS
Figure 1
6
Bedroom
Living Room
Basement
Attic
=W)
Family Room
Dining
Kitchen
Bedroom
,0
Living Room
Figure 2
Bedroom
Kitchen
Figure 3
REQUIRED SMOKES ALARM LOCATION
REQUIRED CARBON MONOXIDE ALARM LOCATION
Ceiling 14" I
4"
Acceptable Never
Here Here 712"
Top of Detector
Acceptable Here
Garage
Figure 4
Wall
Permit Types
BLD ELE MEC FLM
X X
Permit Number: BLD2022-05377
Issued: 11/14/2022
www.aniheim.net/building
(714)765-4626
Quarter Section: 211
CITY OF ANAHEIM
Site Address: 6820 E KENTUCKY AVE, ANAHEIM, CA 92807
Legal.D6Ali.tion: N TR 8377 BLK LOT 13
APN.36511111
BUILDING DIVISION
200 S. ANAHEIM BLVD.
(714) 765 - 5153
Project Description: Residential Photovoltaic System with Microinverters
Living Area: Number of Stories: Valuation: 42,577.47
Garage Area: Construction Types:
Carport Area: Occupancy Groups:
Balcony ! Deck Area: Fire SprinNered:
Cool Roof: Total Fess paid for Permit: 264.54
People Associated with Project:
Permit Applicant Hans Greenwood
Type Electrical Fixtures Qty Type Plumbing Fixtures Qty Mechanical Fixtures Qty
Sub Panel/Temp Pwr - Under 600 V. up to 2
200 amps
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.
1
P�p.HE1M CqC
Cityof Anaheim o� io
Building Division F z
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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 a3 Act/
Plumbing Final
Mechanical Final
Cross Connection Control (714) 765-4280
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) 765-5041
Plumbing (Ground/Underfloor Drain Waste)
Water Engineering (714) 765-4591
Electrical Ground Electrode/Ufer
Sub Ust/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
sinned:
Building Final (714 765-5153)
Last Inspection -Final Only After Above Completed
��
�3
"JAM
Plumbing (Ground/Underfloor Water)
Underfloor Rough Gas
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 si
1st Floor Shear
Firesprinkler (Rough) (Fire Dept.)
Mechanical Inspections '
'
2nd Floor Shear
Roof (Sheathing/Diaphragm/Frame)
Masonry (Reinf./Bond Beam/Pre-Grout)
Rough Plumbing (Top Out)
Rough Duct (Mechanical)
Rough Mechanical
Rough Electrical
Rough COAIMitagation Measures
Plumbinq Inspections
Framing (Only after Plbg., Ele., Mec. & Fire)
Insulation (SoundlEnergy)
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
(Do not harkfill unless Maned off)
Sewer
Water Engineering Backflow (Testable Only)
Water Service
Permit Types
BLD ELEQ MEC PLM
X X
Permit Number: OLD2022-05377
Issued: 11/14/2022
www.anaheim.net/building
(714)76514626
Quarter Section: 211
CITY OF ANAHEIM
Site Address: 6820 E KENTUCKY AVE, ANAHEIM, CA 92807
Legal Description: N TR 8377 BLK LOT 13
APN:36511I'll
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 selfansum for worker's compensation, issued by the Director of Industrial Relations as provided for by
HG Section 3700 of the Labor 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 carrier and policy are:
Cartier. CAROLINA CASUALTY INSURANCE COMPANY Policy No.: SNUWC0156693 Expiration Date: 3012023
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, if 1 should become subject to the workers compensation provisions of Section 3700 of the
Labor Code, l shall forthwith comply with those provisions.
Hana Greenwood 11114/2022
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 1 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
ALTAIR SOLAR INC
Contractor Signature
NUMBER EXPIRATION DATE LICENSE TYPE (Sl
1001983 03/31/2023 C46
Date
1111412022