939 N WEST STPermit Types
BLD ELE MEC PLM
X
Permit Number: OLD2023-00508
Issued: 01/31/2023
www.anaheim.net/building
(714)765.4626
Quarter Section: 61
Site Address: 939 N WEST ST, ANAHEIM, CA 92801
Legal l)escriptlon: PSK 246 PG 1 PAR 2
APN: 0341)4253
CITY OF ANAHEIM
BUILDING DIVISION
200 S. ANAHEIM BLVD.
(7141 765 -5153
Project Description: Reroof: Remove existing to install (23) sq of composition shingles and (5) sq of flat roof torch down over entire
house and attached garage
Living Area: Number of Stories: 1 valuation: 11,000.00
Garage Area: Construction Types: NIA
Carport Area: Occupancy Groups:
Balcony / Deck Area: Fire Sprinklered:
Cool Roof. Total Fen paid for Permit: 340.43
People Associated with Project:
Contractor BENITEZ ROOFING 3302 S BIRCH ST202008061435100930 SANTA ANA, CA 92707
Owner DE LA CRUZ ARMANDO 939 N WEST ST
Type Electrical Fixtures Qty Type Plumbing Fixtures Qty Mechanical Fixtures Qty
t
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
Building Division
Do not occupy this building until the final inspections have been made.
INSPECTION DATE I INSPECTOR
Do not pour concrete until the following applicable items have been signed:
Plumbing (Ground/Underfloor Drain Waste)
Electrical Ground Electrode/Ufer
Setback/Forms/Trenches (Footings)
Do not install subfloor or pour floor slab until the follwing applicable items have been
s' ned:
Plumbing (Ground/Underfloor Water)
Underfloor Rough Gas
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 si ne
1st Floor Shear
Firesprinkler (Rough) (Fire Dept.)
2n
Ro (Sheathing/D' phragmlFrame) —
ason inf./Bond 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)
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 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
FINAL INSPECTIONS I DATE I INSPECTOR
All applicable items below must be signed before utilities are released
I Gas Test
trical Final
nbing Final
hanical Final
;s Connection Control (714) 765-4280
ineering Final (714) 765-5126
Sprinkler (ONLY) (714) 765-5041
Dept. Final (714) 765-5041
er Engineering (714) 765.4591
List/Bus. Lic. (714) 765-5194 (Allow 10 business days)
UMigation Measures
ding Final (7 4 765-5153)
In - inal Only After Above Completed
PARTIAL INSPECTIONS
Building Inspections
Mechanical Inspections
Plumbing Inspections
Electrical Inspections
Alb
BUILDING DIVISION
CITY OF ANAHEIM
BUILDING DEPARTMENT 2016 CALIFORNIA CODES
CODE
200 S. Anaheim Blvd., Suite 145 CYCLE
Anaheim, CA 92805 01/001/201/20177
714 765-5153 EFPECT/VEDATE
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: 9 L ® 2023 (90 50 Date:
Project address: 93TAf JA/eS+ Sfi
Property Owner: t)O r-Je L c, CkLjZ
The undersigned does hereby certify that I am the property owner of the
property. I further certify that smoke alarms and carbon monoxide alarms
functional in all the following locations. All boxes must be checked below
above referenced
are present and
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.
XSmoke Alarms: In each room used for sleeping purposes.
�9- 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.
Signature:
(3 - -L3
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
4.
SMOKE/ CO ALARM REQUIRED LOCATIONS
Bedroom Bedroom
6
Bath Bedroom
-D
Kitchen
Living Room
Figure 1
Family Room Bedroom
Dining
Living Room
Kitchen
IN
Bedroom Bedroom
Figure 2
/ Attic \
VD
Bedroom Hall Bedroom
Living Room 6 Hell Kitchen
Basement
Figure 3
REQUIRED SMOKE ALARM LOCATION
REQUIRED CARBON MONOXIDE ALARM LOCATION
V
Acceptable 1 4•
Here Never �
Here tz�
Top of Detector I
Acceptable Here
Garage
Wall
Figure 4
Y
Permit Types
BLD ELE MEC PLM
X
Permit Number: BLD2023-00508=
Issued: 01/31/2023
www.anaheim.net/building
(714)765-4626
Quarter Section: 61
CITY OF ANAHEIM
BUILDING DIVISION
200 S. ANAHEIM BLVD.
(714) 765-5153
Site Address: 939 N WEST ST, ANAHEIM, CA 92801
Legal Description: P BK 246 PG 1 PAR 2
APN: 03404253 r ry
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 seBinsure 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
this permit is issued. My workers Compensation insurance carrier and policy are:
Cartier., STATE COMPENSATION INSURANCE FUND Policy No.: 9233191 Expiration Date: 6/14/2023
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
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.
--JGaGe!�
Signature of Applicant
)-31 -7z
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):
Lenders Name:
Lenders 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.
0
Contractor Signature
NUMBER EXPIRATION DATE LICENSE TYPE (S)
1041404 07/31/2022 C39
Date