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3177 W MONROE AVECITY OF ANAHEIM BUILDING DEPARTMENT 2016 CALIFORNIA CODES 200 S. Anaheim Blvd., Suite 145 CDDECrcr.E Anaheim, CA 92805 01/01/2017 714 765-5153 EFFECHVEDAM www,anabeim.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: ell b 7,00z, ' bo Z l �- Date: 31z -,12b2,; Project address: 3149 /A O -V\ r-0-0— Property Owner: VC, I ( rFs As>,� 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 S I ng area in the immediate vicinity of bedroorp/s or in each hallway outside of the rooms. 'o 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.) %iii dwelling unit- iiiiti auac cw y--awas ra iu-irs ca bor. m.c.mox-1-wo do- toewre. Signature: ..G✓ . Date: �� 3 2 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.n 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)765-0607 Fax FEB 2018 www.anaheim.net(building 8842 :V� Y i SMOKE/ CO ALARM REQUIRED LOCATIONS Bedroom Bedroom Bath Bedroom Kitchen Living Room Figure 1 Family Room ArilcTop Bedroom of Detector acceptable Here Wall Dining Hall Bedroom Living Room Kitchen Bedroom Bedroom Figure 2 -'I 4• I` Ceilin Acceptable �tl Never Hen: r / ArilcTop of Detector acceptable Here Wall Bedroom Hall Bedroom Figure 4 Living Room Hail Kitchen Basement Figure 3 REQUIRED SMOKE ALARM LOCATION REQUIRED CARBON MONOXIDE ALARM LOCATION Garage Permit Types BLD ELE MEC* EC PLM X Permit Number: BLD2023-00216 Issued: 01/17/2023 www.anaheim.net/building (714)765-4626 Quarter Section: 8 Site Address: Address:.3177 W MONROE AVE, ANAHEIM, CA 92801 Legal-Descfiptlon: N TR 1820 BLK LOT.122 APN:13523239 CITY OF ANAHEIM BUILDING DIVISION 200 S. ANAHEIM BLVD. (714)765.5153 Project Description: Reroof: Remove existing to install (18) sq of composition shingles over house only Living Area: Number of Stories: 1 valuation: 11,695.00 Garage Area: Construction Types: N/A Carport Area: Occupancy Groups: Balcony / Dock Area: Fire Sprinldered: Cool Roof: Total Fees paid for Permit: 340.52 People Associated with Project: Permit Applicant Luba Batioff Owner BROWN RANDALL L TR 3177 MONROE AVE 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 CqC City of Anaheim o� io Building Division F z u > �04�►DED fah^ 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 Fina( Plumbing Final Mechanical Final Cross Connection Control (714) 765-4280 Engineering Final (714) 765-5126 INSPECTION 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 List/Bus. Lic. (714) 765-5194 (Allow 10 business days) Setback/Forms/Trenches (Footings) COAIMigation Measures Do not install subfloor or pour floor slab until the follwing applicable items have been Building Final (714 765-5153) Last Inspection-Final Only After Above Completed r3 Plumbing (Ground/Underfloor Water) 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 e 1st Floor Shear Firesprinkler (Rough) (Fire Dept.) 2n h ar Mechanical Inspections of (Sheathing/Dia hragm/Frame) -- nd 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 Constructmon 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: BLD2023-00216 Issued: 01/17/2023 www.anaheim.net/building (714)765.4626 Quarter Section: 8 Site Address: 3177 W MONROE AVE, ANAHEIM, CA 92801 Legal Description: N TR 1820 BLK LOT 122 APN: 13523239 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. 1 hereby affirm under penalty of perjury one of the following declarations: I have and will maintain a certificate of consent to selfwInsure for worker's compensation, issued by the Director of Industrial Relations as provided for by rJ 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: Policy No.: WC5060019MSZ Expiration Date: 111/2024 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, if I should become subject to the worker's compensation provisions of Section 3700 of the Labor Code, l shall forthwith compV with those provisions. Signature of Applicant V 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 SecOon 7000) of Division 3 of the Business and Professions Code, and my license is In full force and effect. N o—'ga wl Contractor Signature NUMBER EXPIRATION DATE LICENSE TYPE (S) 575002 08/31/2023 C39, 8 l -1-7-a-;3 Date