1323 E LA PALMA AVE (2)Permit Types
BLD ELE MEC PLM CITY OF ANAHEIM
X
BUILDING DIVISION
Permit Number: OLD2023-01625 200 S. ANAHEIM BLVD.
Issued: 04/06/2023 (714) 765 -5153
www.anaheim.net/building
(714)765.4626
Quarter Section: 91
L
dress: 1323 E LA PALMA AVE, ANAHEIM, CA 92805
escription:'S TWP 4 RGE 10 SEC 2 SEC 2 T 4 R 10 POR SW1/4 SW1/
7340614
Project Description: Reroof: To remove existing and install (3,000) sq of composition and shingles over house and detached garage
Living Area: Number of Stones: 1 Valuation: 12,000.00
Garage Area: Constnrd on Types: NIA
Carport Area: Occupancy Groups:
Balcony I Deck Area: Fire Sprinidered:
Cool Roof: Total Fess paid for Pemra: 340.56
People Associated with Project:
Contractor PREMIUM ROOFING SYSTEMS 2054 CONTINENTAL AVE201810291057047824 COSTA MESA, CA 92627
Permit Applicant Sumadei Vazquez Contreras
Owner ALMUETE MA ADELIA C 1323 E LA PALMA AVE
Type Electrical Fixtures Qty Type Plumbing Fixtures Qty Mechanical Fixtures Oly
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
I
Do not occupy this building until the final inspections have been made.
INSPECTION I DATE I INSPECTOR
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 been
si e
Plumbing (Ground/Underfloor Water)
Underfloor Rough Gas
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.)
Vo
r
of (Sheathin ' phragm/Frame) 2
Vemmly-ffie—inf./Bond 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)
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 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
PARTIAL INSPECTIONS
Buildinq Inspections
Mechanical Inspections
Plumbinq Inspections
Electrical Insoections
f
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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 EFFEMPE 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: BLD 2 o Z 3- G I G Z 5 Date: S f7f
Project address
Property Owner:
The undersigned d es reby 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.
Of/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 adjace t lower level provided that the lower level is less than one full story
below the upper level.) 75
All dwelling units with
Signature:
garages require carbon monoxide detectors.
Date: SX- A?1
California Residential Ovde (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)7654607 Fax FEB 2018
www.anaheim.net/building B842
Figure 1, Figure 2 4r*I`
.. Ceilin
Acoeptable �,r
Here NeverHere
Attic Top of Detector
Acce ble Here
Bedroom Hail Bedroom
Living Room Hall Kitchen
bw
Basement
Figure 3
REQUIRED SMOKE ALARM LOCATION
REQUIRED CARBON MONOXIDE ALARM LOCATION
tf
Garage
P�
Wall
Figure 4
Permit Types
BLD ELE MEC PLM
X
Permit Number: BLD202341625
Issued: 04/06/2023
www.anaheim.net/building
(714)765-4626
Quarter Section: 91
CITY OF ANAHEIM
BUILDING DIVISION
200 S. ANAHEIM BLVD.
(714) 765 - 5153
Site Address: 1323 E LA PALMA AVE, ANAHEIM, CA 92805
Legal Description: S TWP 4 RGE 10 SEC 2 SEC 2 T 4 R 10 POR SWI/4 SWI/
APN:07340614
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 selfdnsure 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
�l►` this permit is Issued. My worker's Compensation insurance carrier and policy are:
Cartier. STATE NATIONAL INSURANCE COMPANY INC Policy No.: CWC19491399 Expiration Date:1/1/2024
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, N 1 should become subject to the worker's compensation provisions of Section 3700 of the
r Code, I shall forthwith comply With those provisions.
AT J f23
Signatu 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.Clv.C):
Lender's Name:
Lender's Address:
LICENSED CONTRACTOR'S DECLARATION:
1 hereby affirm under the penalty of Perjury that 1 am licensed under provislons of chapter 9 (commencing with Section 7000) of Division 3 of the Business and
Professions Cod and my license is In full force and effect
V
Contraftf Signature
NUMBER EXPIRATION DATE LICENSE TYPE (S)
1042214 07/31/2024 C39
ly IL3
Date