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225 N RANCHITO STBUILDING DIVISION CITY OF ANAHEIM BUILDING DEPARTMENT 2016 CALIFORNIA CODES CODE CYCLE 200 S. Anaheim Blvd., Suite 145 01/01/2017 Anaheim, CA 92805 EFFECT/VEDATE 714 765-5153 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:- Z r Date: Project address:�� Property OWher: The undersigned does her&y 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. FSmoke 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 dwellinglic he garages require carbon monoxide detectors. Signature: _ Date: 7-22-- Z1.3 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 FEB 2018 www.anaheim.net/building B842 SMOKE/ CO ALARM REQUIRED LOCATIONS Family Room Bedroom Dining Living Room Kitchen Bedroo1;8edmom Figure 1 Figure 2 ' Attic \ Bedroom Hall Bedroom Living Room Hell Kitchen 64n Basement �I 4• Ceilin la Acceptable 4• Here Never Here ?��• Top of Detector Acceptable Here Wall Figure 4 Figure 3 REQUIRED SMOKE ALARM LOCATION ~J REQUIRED CARBON MONOXIDE ALARM LOCATION Garage Permit Types BLD ELE MEC PLM X Permit Number: BLD2023-00822 Issued: 02/21/2023 www.anaheim.neUbuilding (714)765.4626 Quarter Section: 32 Site Address: 225 N RANCHITO ST, ANAHEIM, CA 92801 �. A i fI . 1.6gal.;Deseription: N TR ;1569 BLK LOT 25 AP . 67118206 ' CITY OF ANAHEIM BUILDING DIVISION '240 S: ANAL BLVD. (714) 765.5153 Project Description: Reroof. Overlay (1,6) sq of composition shingles over entire house and attached garage Living Area: Number of Stories: 1 Valuation: 61500.00 Garage Area: Construction Types. NIA Carport Area: Occupancy Groups: Balcony I Deck Area: Fire Spdnldered: Cool Roca Total Fear) paid for permit: 339.85 People Associated with Project: Contractor ROCKET ROOFING 39991 FALCON WAY20211OD41245515418 MURRIETA, CA 92562 Permit Applicant Patrick Gault Owner TIMCHALK JOHN 12697 JALEPENO AVE Type Electrical Fbdures 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 �q< City of Anaheim o� io Building Division F z u > �DGNDED day^ Do not occupy this buildinq 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 Electrode/Ufer Sub List/Bus. Lic. (714) 765-5194 (Allow 10 business days) Setback/Forms/Trenches (Footings) COA/Mjqgtiaq Measures A. Do not install subfloor or pour floor slab until the follwing applicable items have been s' e • wilding Fina (714 765-5153)(% Last Inspe n -Final Only Ager Above Completed —16 ,gs Plumbing (GroundlUnderfloor Water) Underfloor Rough Gas PARTIAL INSPECTIONS Building 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 ens' e• 1st Floor Shear Firesprinkler (Rough) (Fire Dept.) Mechanical Inspections 2nd cof (Sheathin iaphragm/Frame) WMMrn-ry (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 (Do nnt backfill unless Maned off) Sewer Water Engineering Backflow, (Testable Only) Water Service Permit Types BLD ELE MEC PLM X Permit NuWe�: BLB2023-00822 Issued: 02/21/2023 www.anaheim.net/building (714)7654626 Quarter Section: 32 Site Address: 225 N RANCHITO ST, ANAHEIM, CA 92801 Legal Description: N TR 1569 BLK LOT 25 APN:07118206 CITY OF ANAHEIM BUILDING DIVISION 200 S. ANAHEIM BLVD. (714) 765.5153 .firms.. 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 self -Insure for workers 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 this permit Is issued. My workers Compensation insurance carrier and policy are: Carrier. STATE NATIONAL INSURANCE COMPANY INC Policy No.: CWC719491378 Expiration Date: 11112023 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 workers compen on laws of California, and agree that, if I should become subject to the workers compensation provisions of Section 3700 of the r , I sh 1 th se rovisions. ure of Applicant Date DECLARATION REGARDING CONSTRUCTION LENDING AGENCY: 1 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): Lenders Name: Lender's Address: LICENSED CONTRACTOR'S DECLARATION: I hereby affirm under the Ity of Perjury that isemsedvnderprovisions of chapter 9 (commencing with Section 7000) of Division 3 of the Business and Prole Co nd m li se Is in force and effect. ZZI 2� Contractor Signature Date NUMBER EXPIRATION DATE LICENSE TYPE (Sl 1068508 09/30/2022 C39