2961 W ROWLAND CIR (6)Permit Types
BLD ELE MEC PLM
X
"Plemi Wuniber: BLD2023-00167
Issued: 01/13/2023
www.anaheim.net/building
(714)76514626 .
Quarter Section: 13
CITY OF ANAHEIM
Site Address: 2961 W ROWLAND CIR, ANAHEIM, CA 92804
Legal:Desc�iptlon: N TR 2655 BLK LOT 39
APN: 12611201
Project Description: Residential Remodel: Replace (1) patio door
BUILDING DIVISION
200 S. ANAHEIM BLVD -
1714) 765-5153
Living Area: Number of Stories: 0 Valuallon: 5,319.00
Garage Area: Construction Types: NIA
Carport Area: Occupancy Groups:
Balcony I Deck Area: Fire Sprinklered:
Cool Roof: Total Fees paid for Permit: 167.00
People Associated with Project:
Contractor HOME DEPOT USA INC'DBA THE HOME DEPO P 0 BOX 105451 ATTN LICENSE MANAGEMENT 200408130950507570 ATLANTA, GA 9280
Permit Applicant Jeffrey Pao
Owner HAACK MARJORIE R TR M R 2961 W ROWLAND CIR
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�Pt1Elm Cq<
Cityof Anaheim k
Building Division
u >
DED fah^
Do not occupy this building until the final inspections have been made.
FINAL INSPECTIONS I DATE
I 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 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)
COA/MigIlLo-o Measures
Do not install subfloor or pour floor slab until the follwing applicable items have been
s' e •
VD a C
it mg Fina 14765-5153) `-"r
ast In on-Final Only After Above Comp ted
Plumbing (Ground/Underfloor Water)
Underfloor Rough Gas
PARTIAL INSPECTIONS Ql/1 l
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 smanedo
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 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
If
to, 64
. t � BUILDING DIVISION
CITY OF ANAHEIM
BUILDING DEPARTMENT 2016 CALIFORNIA CODES
CODCYCLE
200 S. Anaheim Blvd., Suite 145
Anaheim, CA 92805 01/001/1/ 2001717
EFFECTIVE DATE
714 765-5153
www.anaheim.net/building
SMOKE DETECTORS AND CARBON MONOXIDE SELF CERTIFICATION
Final inspection approval will require this ompleted form to be on site along with the job card.,wl
Permit Number: ;z 0,z3 d/OD(a Date: 3 1 7 /Lfl
Project address: 3 63q im . I oy Oy Fr MEN* AN &H -H M , CA-, 9'RQq
Property Owner:
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.
VSmoke 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 units with attached garages require carbon monoxide detectors.I
Signature: —� Date: h Z�
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 8842
`.➢ zh : s .
SMOKE/ CO ALARM REQUIRED LOCATIONS
Bedroom A Bedroom
Balli
Bedroom
Kitchen
Living Room
Figure 1
6
Bedroom
Family Room Bedroom
Dining
Living Room
Kitchen
o
Bedroom Bedroom
Figure 2
Attic \
Hall Bedroom
Living Room "L, Hall Kitchen
Basement
Figure 3
1� REQUIRED SMOKE ALARM LOCATION
REQUIRED CARBON MONOXIDE ALARM LOCATION
�I q• I`
Ceilin
Acceptable a•
Here Never
Here ?��•
Topp Oatector
Acceptable Here
Wall
Figure 4
Garage
Permit Types
BLD ELE MEC PLM
X
Permit Number: BLD2023-00167
Issued: 01/13/2023
www.anaheim.net/building
(714)765.4626
Quarter Section: 13
CITY OF ANAHEIM
Site Address: 2961 W ROWLAND CIR, ANAHEIM, CA 92804
Legal Description: N TR 2655 BLK LOT 39
APN:12611201
BUILDING DIVISION
200 S. ANAHEIM BLVD.
1714) 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 self4nsure 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 worker's compensation insurance, as required by Section 3700 of the Labor Code, for the performance of the work for which
`r this permit is Issued. My worker's Compensation insurance carrier and policy are:
Cartier: ACE AMERICAN INSURANCE COMPANY Policy No.: WCUCS8916446 Expiration Date: 3/1/2023
Name of Agent: Phone No.:
I certify that in 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 m ensation laws of California, and agree that, if I should become subject to the worker's compensation provisions of Section 3700 of the
Labor ode, I shall forthwith c(9pWNf those provisions.
0 -- 11de,
Signature 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):
Lender's Name:
Lenders Address:
LICENSED CONTRACTOR'S DECLARATION:
I hereby affirm u r5e penalty of Perjury that I am licensed under provisions of chapter 9 (commencing with Section 7000) of Division 3 of the Business and
Professions C e, nd my lice a is in I force and effect.
Contractor Signature Date
NUMBER EXPIRATION DATE LICENSE TYPE (S)
602331 09/30/2022 C70, S. D12, C-2, C39, C-6, C17, C36, D34, D41, D24