1761 N WOODWIND LNPermit Types
BLD ELE MEC PLM
X
Permit Number: BLD202341878
Issued: 04/20/2023
CITY OF ANAHEIM
www.anaheim.net/building
(714)765.4626
Quarter Section: 165
Site Address: 1761 N WOODWIND LN, ANAHEIM, CA 92807
Legal Description: N TR 5989 BLK LOT 25
APN:34307206
BUILDING DIVISION
200 S. ANAHEIM BLVD.
(714) 765-5153
Project Description: ReroofJo remove and Install (21) sq of composition and shingles over house and attached garage v
Living Area: Number of Stories: 1 Valuation: 6,300.00
Garage Area: Construction Types: NIA
Carport Area: Occupancy Groups:
Balcony I Deck Area: Fire Sprinldered:
Cool Roof: Total Fns paid for Permit: 339.82
People Associated with Project:
Contractor ADVANCED ROOFING SYSTEMS INC 3673 N INDUSTRY AVE 101 LAKEWOOD, CA 90755
Permit Applicant Carlos Castillo
Owner FIORONI PETER FORD 1761 WOODWIND LN
Type Electrical Fixtures Qty Type Plumbing Fixtures Qty Mechanical Fixtures City
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<
Cityof Anaheim o� io
Building Division i
u >
�DUNDED ��y1
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 Electrode/Ufer
Sub List/Bus. Lic. (714) 765-5194 (Allow 10 business days)
Setback/Forms/Trenches (Footings)
COAIMigation Measures
Do not install subfloor or pour floor slab until the follwing applicable items have been
B ding Fi�(7110,65-5153)
Insly After Above Completed
Plumbing (Ground/Underfloor 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
been s*aneda
1st Floor Shear
Firesprinkler (Rough) (Fire Dept.)
Mechanical Inspections
2nd Floor Shear
Roof (Sheathing/Diaphragm/Frame) L3'
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
h2ckfill linlpq% signed 0111
(nn not
Sewer
Water Engineering Backflow (Testable Only)
Water Service
BUILDING DIVISION
CITY OF ANAHEIM 2016 CALIFORNIA CODES
BUILDING DEPARTMENT c
200 s Anaheim Blvd. Suite 145 01/001/201/20177
erFecnvenAre
Anaheim, CA 92805
714 765.5153
wwwanabeimnet/building
SMOKE DETECTORS AND CARBON MONOXIDE SELF CERTIFICATION
Final inspection approval will require this completed form to be on site along with the lob card.
Permit Number: f�� Date:
Project address: 176 t' A) WOO raw I &I D 1' fi'''t"''' `''l 0 A
Property Owner: A C,--> ' Ly
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
S 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.
O Smoke Alarms: In each room used for sleeping purposes.
O 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 saffice for the adjacent lower level provided that the lower level is less than one full story
below the upper level.)
All dwelling ur�fi with attached garag s require carbon monoxide detectors.
sk
Signature: � _ Date: "'
9 - 2�
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 8315.2 defines required locations as
indicted above.,
NOTE: This cert cation 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. Mahaim Blvd., Suits 145 Anaheim: Callf0mI8 92805 (714)765-5153 Phone: (714)765.4607 Fax
1642
018w+vw.anahelmnetlfiullding $
Permit Types
BLD ELE MEC PLM
X
Permit Number: BLD2023-01878
Issued: 04/20/2023
www.anaheim.net/building
(714)765-4626
Quarter Section: 165
CITY OF ANAHEIM
Site Address: 1761 N WOODWIND LN, ANAHEIM, CA 92807
Legal Description: N TR 5989 BLK LOT 25
APN:34307206
BUILDING DMSION
200 S. ANAHEIM BLVD.
1171411765 - 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 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 the work for which this permit Is issued.
�l 1 have and will maintain workers compensation Insurance, as required by Section 3700 of the Labor Code, for the performance nce of the work for which
this permit is issued. My workers Compensation Insurance carrier and policy are:
Cartier: CAROLINA CASUALTY INSURANCE COMPANY Policy No.: BNUWC0143710 Expiration Date: 4=024
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, It I should become subject to the workers compensation provisions of Section 3700 of the
Labor Code, I shall forthwith comply with those provisions.
Cel. C&-
Signature of Applicant
Date
L4 Iso
DECLARATION REGARDING CONSTRUCTION LENDING AGENCY:
I hereby afram 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
Professions Code, and my license is in full force and effect.
Gam. Nak1w
Contractor Signature
NUMBER EXPIRATION DATE LICENSE TYPE (S)
1018039 09/30/2022 C39
Date
LA 170 --2-3