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2129 S VERN STPermit Types BLD ELE MEC PLM X Permit Number: BLD2023-02165 Issued: 05/04/2023 www.anaheim.net/building (714)765.4626 Quarter Section: 99 Site Address: 2129 S VERN ST, Anaheim, CA 92802 Legal Description: N TR 3916 BLK LOT 4 APN:13735108 CITY OF ANAHEIM BUILDING DMSION 200 S. ANAHEIM BLVD. (7141765-5153 Project Description: Retool: Remove existing to install (30) sq of composition shingles over the entire house and attached garage Living Area: Number of Stories: 1 Valuation: 15,000.00 Garage Area: Construction Types: N!A Carport Area: Occupancy Groups: Balcony / Deck Area: Fire Sprinklered: Cool Roof: Total Fees paid for Permit: 340.95 People Associated with Project: Contractor HEXAGON ROOFING INC 21515 HAWTHORN BLVD #200 TORRANCE, CA Permit Applicant Cesar Cebailos Owner PRAM, KHANH CONG TR THE K 12002 MORRIE LN 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. City of Anaheim FINAL INSPECTIONS items below must be DATE IINSPECTOR before utilities are released �UIIUIf19 UIVIUI0I1 Z J a �Ot'anev gay^ Do not occupy this building until the final inspections have been made. 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/M' ation Measures Do not install subfloor or pour floor slab until the follwing applicable items have been sioned7 Plumbing (Ground/Underfloor Water) u ding Fin 1(714 765-5153) n -Final Only Atter AbovCompleted 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 been sianed: 1st Floor Shear Firesprinkler (Rough) (Fire Dept.) 2nd Floor S Mechanical Inspections Sheathin aphragm/Frame) Masonry (Reinf./Bond Beam/Pre-Grout) Rough Plumbing (Top Out) Rough Duct (Mechanical) Rough Mechanical Rough Electrical Rough COAIMitagation 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 Construction Exterior Plaster (Brown Coat) T -Bar (Strutt., Ele., or Mec.) Grease Interceptor fill unlPsr, Monad nffi Sewer Water Engineering Backflow (Testable Only) Water Service CITY OF ANAHEIM BUILDING DEPARTMENT 2013 CALIFORNIA CODES 200 S. Anaheim Blvd., Suite 145 CODE Cyt IL , Anaheim, CA 92805 01/01/2014 714 765-5153 HFFE1 711'Aarr: www.anaheini.net/building SMOKE DETECTORS AND CARBON MONOXIDE SELF CERTIFICATION k Final inspection approval will require this completed form to be on site along with the job card. Permit Number: BLD2023-02165 2129 s Vern Project address: Anaheim. CA 92802 Property Owner: Khanh Pham Date: 06/07/2023 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 12 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. Cid 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 units Signature: attached garages require carbon monoxide detectors. 06/07/2023 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 Permit Types BLD ELE MEC PLM X Permit Number: BLD2023-02165 Issued: 05/04/2023 www.anaheim.nef/building (714)765.4626 Quarter Section: 99 CITY OF ANAHEIM BUILDING DMSION 200 S. ANAHEIM BLVD. (7141 765 - 5153 Site Address: 2129 S VERN ST, Anaheim, CA 92802 Legal Description: N TR 3916 BLK LOT 4 Y; APN:13735108 9. 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 worker's compensation, issued by the Director of Industrial Relations as provided for by Section 3700 of the Labor Code, for the performance of Our 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 G - Cr this permit Is issued. My workers Compensation insurance carrier and policy are: Carrier: STATE COMPENSATION INSURANCE FUND Policy No.: 9309158 Expiration Date: 1112412023 Name of Agent: ) c i x' - O Phone No.: y I certify that in the performance of the work for which this permit is Issued, l shall not employ any person in any manner so as to become subject to the workers compensation laws of California, and agree that, if I should become subject to the workers compensation provisions of Section 3700 of the Labor Code, I shall forthwith comply with those provisions. 5 N 2 Sign lure o Applica t Date DECLARATION REGARDING CONSTRUCTION LENDING AGENCY: I hereby affirm under penalty of peh jury 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 Professions Code and my license is In full force and effect. Cont c(or Si n NUMBER EXPIRATION DATE LICENSE TYPE ISl 1085614 01/31/2024 C39 S /(-// Z 23 Date