3139 W POLK AVE (6)Permit Types
BLD ELE MEq-m-
X
Permit Number. BLD2023-01538
Issued: 04/03/2023
www.anaheim.net/building
(714)765.4626
Quarter Section: 8
Site Address: 3139 W POLK AVE, ANAHEIM, CA 92801
Legal Description: N TR 1820 BLK LOT 51
APN:13522130
CITY OF ANAHEIM
BUILDING DIVISION
200 S. ANAHEIM BLVD.
(7141765.5153
Project Description: Reroof: Tear off existing material to install (3,500) sq ft of composition shingle over house and attached garage
Living Area: Number of Stories: 1 Valuation: 20,000.00
Garage Area: Construction Types: NIA
Carport Area: Occupancy Groups:
Balcony I Deck Area: Fire Spri"red: No
Cool Roof: Total Fees paid for Psrmh: 362.60
People Associated with Project:
Contractor ALL SERVICE ROOFING 16371 HEMLOCK ST202011251212524980 FOUNTAIN VALLEY, CA 92708
Permit Applicant frank vazquez
Owner SALDANA SALVADOR 8 ESPERANZA 3139 W POLK AVE
Type Electrical Fixtures Oty, Type . Plumbing Fixtures Qty Mechanical Fixtures Oty
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 C9<
City of Anaheim D� io
Building Division F z
u >
�D�NDED �8y�
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) 765.4280
Engineering Final (714) 765-5126
INSPECTION I DATE 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 ElectrodelUfer
Sub List/Bus. Lie. (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
s'
Building Final (714 765-5153)
Last Inspection-Final Only After AbovWdete
Plumbing (GroundlUnderfloor 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 seaned*
1st Floor Shear
Firesprinkler (Rough) (Fire Dept.)
Mechanical Inspections
2nd Floor S
Ro,elCheathinglDlip ragmlFrame)
Masonry (Reinf./Bond Beam/Pre-Grout)
Rough Plumbing (Top Out)
Rough Duct (Mechanical)
Rough Mechanical
Rough Electrical
Rough COA/Mitagation Measures
Plumbing 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
CITY OF ANAHEIM
BUILDING DIVISION
BUILDING DEPARTMENT 2013 CALIFORNIA CODES
•200 S. Anaheim Blvd., Suite 145 CODE CYCLE
Anaheim, CA 92805 01/01/2014
714 765-5153 EFFECTIVEDATE
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: 8LDN2-3— 0153$ Date:
-- — -
Project address:
Property Owner: U 1 1 I iA
The undersigned d6—e& 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
unctional in all the following locations. All boxes must be checked below
moke Alarms and Carbon Monoxide Alarm: On the ceiling or wall outside of each separate
leeping 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
Signature:
carbon monoxide detectors.
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.net/building B842
SMOKE/ CO ALARM REQUIRED LOCATIONS
BedroomBedroom Family Room Bedroom
D '
Bath
Bedroom Dining
Living Room
Kitchen
J
Kitchen1 08 Living Room y
Bedroom Bedroom
Figure 1 Figure 2 4" I
Attic
Bedroom Hall Bedroom
Living Room Hall Kitchen
Basement
Figure 3
REQUIRED SMOKE ALARM LOCATION
REQUIRED CARBON MONOXIDE ALARM LOCATION
Ceiling
Acceptable 4 -
Here Never
Here. -T12"Top of Detector I
Acceptable Here 1
Garage
wall
Figure 4
Permit Types
BLD ELE MEC PLM
X
Permit Number. BLD2023-01538
Issued: 04/03/2023
www.anaheim.net/building
(714)7654626
Quarter Section: 8
Site Address: 3139 W POLK AVE, ANAHEIM, CA 92801
Legal Description: N TR 1820 BLK LOT 51
APN: 13522130
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 selfoinsure for worker's compensation, issued by the Director of Industrial Relations as provided for by
F � V J 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: STATE COMPENSATION INSURANCE FUND Policy No.: 9284028 Expiration Date: 9/14/2023
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
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
LaborCode, I all forthwith comply with those provisions.
fw�
/Slgnature of Applicant
X323
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 Section 7000) of Division 3 of the Business and
Professio de, an my livens s in full force and effect.
ontractor Signature
NUMBER EXPIRATION DATE LICENSE TYPE (Sl
1070058 10/31/2024 C39
4/3)2.,3
Datel