1129 W VERMONT AVE (4)• Permit Types
BLD ELE MEC PLM
X
Permit Number: BLD2022-04546
Issued: 09/23/2022
www.anaheim.net/building
(714)765-0626
Quarter Section: 64
CITY OF ANAHEIM
Site Address: 1129_ WYERMONT AVE, ANAHEIM, CA 92802
.Lega-fDoss"cription: 00620 61-K LOT 64
APN:03631205
BUILDING DIVISION
200 S. ANAHEIM BLVD.
1714) 765-5153
Project Description: Reroof: Remove existing to install (20) sq of composition shingles over entire house and attached garage
Living Area: Number of Stories. 1 Valuation: 13,000.00
Garage Area: Construction Types: N/A
Carport Area: Occupancy Groups:
Balcony / Dock Area: Fire Sprinldered:
Cool Roof: Total Fees paid for Permit: 339.69
People Associated with Project:
Permit Applicant Hilda Millan
Owner SLOSS MARY JANE & MEREDITH BRACE 1129 W VERMONT AVE
Type Electrical Fixtures City "Type Plumbing Fixtures Oty 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
Building Division
Do not occupy this building until the final inspections have been made.
INSPECTION I DATE I INSPECTOR
Do not pour concrete until the following applicable items have been signed:
lumbing (Ground/Underfloor Drain Waste)
lectrical Ground ElectrodelUfer
not install subfloor or pour floor slab until the follwing applicable items have been
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
FINAL INSPECTIONS DATE I INSPECTOR
All applicable items below must be signed before utilities are released
nal Gas Test
ectrical Final
umbing Final
echanical Final
ross Connection Control (714) 765-4280
igineering Final (714) 765-5126
re Sprinkler (ONLY) (714) 765-5041
re Dept. Final (714) 765-5041
ater Engineering (714) 765-4591
ib List/Bus. Lic. (714) 765-5194 (Allow 10 business days)
DA/Migation Measures
wilding Final 14 765-5153) dd� ��ql
final Only After Above Com leted / n%7
PARTIAL INSPECTIONS
Buildinq Inspections
list Floor Shear
Firesprinkler (Rough) (Fire Dept.) Mechanical Inspections
2nd Floor Shear i _
Masonry einf./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., Mac. & 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 I i I
Exterior Plaster (Brown Coat)
T -Bar (Struct., Ele., or Mec.)
Grease Interceptor
Sewer
Service
Backflow
CITY OF ANAHEIM
BUILDING DEPARTMENT 2013 CALIFORNIA CODES
200 S. Anaheim Blvd., Suite 145 CODE CYCLE
01/01/2014
Anaheim, CA 92805
714 765-5153 EffECl7VEDATE
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.
a
Permit Number: ZZ. e Date:
Project address:
,
Property Owner: WIVI Mk a c5U to
The undersig ed 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
f
❑ 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.
❑ 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 t�e adjacent lower level provided that the lower level is less than one full story
below the oper�tdvel.)
All dwellings ed garages require carbon monoxide
Signatu
California Residentilll 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.nettbuilding 8842
SMOKE/ CO ALARM REQUIRED LOCATIONS
Family Room
Dining
I Kitchen
Living Room
6D
Bedroom Bedroom
Figured Figure 2
/ Attic
kD
Bedroom Hall Bedroom
Living Room Hall Kitchen
Basement
Figure 3
.I REQUIRED SMOKE ALARM LOCATION
r0 REQUIRED CARBON MONOXIDE ALARM LOCATION
Acceptable J
Never 4' I
Here ' Here �12"
Top of Detector
Acceptable Here
Wall
Figure 4
Garage
Permit Types _
BLD ELE MEC PLM
X
Permit Number: BLD2022-04546
Issued: 09/23/2022
www.anaheim.nebbuilding
(714)7654626
Quarter Section: 64
CITY OF ANAHEIM
Site Address: 1129 W VERMONT AVE, ANAHEIM, CA 92802
Legal Description: N TR 1620 BLK LOT 64
APN:03631205
BUILDING DIVISION
200 S. ANAHEIM BLVD.
(714) 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 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:
Cartier; STATE COMPENSATION INSURANCE FUND Policy No.: 9309580 Expiration Date: 11/2612022
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 subjeet to the workers comoensation orevisiois of Sactinn AM ni fho
Labor Code, l shall forth th comply with those provisions.
S-ibnhfu-rVof Applicant
- Oq/2,3�?,:Z
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:
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 Session 7000) of Division 3 of the Business and
Professions Code, and my license is in fill and effect.
C6Rtmct IF Signature Date
NUMBER EXPIRATION DATE LICENSE TYPE IS]
1085645 01/31/2024 C39