2022 W VICTORIA AVE (3)CITY OF ANAHEIM
BUILDING DEPARTMENT 2016 CALIFORNIA CODES
200 S. Anaheim Blvd., Suite 14S CODE CYCLE
Anaheim, CA 92805 01/01/2017
714 76S-S1S3 EFFECTIPEDATE
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: 1 / Date: 1 2
Project address:%ZZ Itv �l C W A1 -
ke
Property Owner: GGI G 3 c M !S! am L
The undersigned does hereby certify that I am Fi property owner of the above referenced
property. I further certify that smoke alarms and carbon monoxide alarms are present an_d
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.
PSmoke 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.
Signature:
T�
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 B842
SMOKE/ CO ALARM REQUIRED. LOCATIONS
Bedroom Bedroom
6
Bath Bedroom
rAchen
Living Room
.-1
Bedroom
Family Room Bedroom
Dining
Living Room
Kitchen
Bedroom
Bedroom
Attic
Hall Bedroom
Living Room 'IL Hall Kitchen
Basement
Figure 3
REQUIRED SMOKE ALARM LOCATION
REQUIRED CARBON MONOXIDE ALARM LOCATION
a• �—�
Acceptable -J—t 4�
Here Never
Here f
Top of Deterdeor
Acceptable Here
Garage
Wail
Figure A
Permit Types
BLD ELE MEC PLM
X
Permit Number: BLD2022-06128
Issued: 12128/2022
www.anaheim.neUbuilding
(714)765.4626
Quarter Section: 40
Site Address: 2022 W VICTORIA AVE, Anaheim, CA 92804
Legal Description: N TR 2299 BLK LOT 293
APN: 12803504
CITY OF ANAHEIM
BUILDING DIVISION
200 S. ANAHEIM BLVD.
(714) 765-5153
l
• �gbn�c cy
�r.
Project Description: Reroof: Remove existing material, resheath as necessary and install (25) squares of composition shingles on to
house and attached garage and (3) squares of flat on to attached patio cover.
Living Area: Number of Stories: 0 valuation: 91800.00
Garage Area: Construction Types: N/A
Carport Area: Occupancy Groups:
Balcony / Deck Area: Fire Sprinklered:
Cool Roof: Total Fees paid for Permit: 340.27
People Associated with Project:
Permit Applicant Alex Vasquez
Owner LEAL JESS M TR J M LEAL 2022 W VICTORIA AVE
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�PtiEl1W Cq< FINAL INSPECTIONS DATE INSPECTOR
City of Anaheim o� io All applicable items below must be signed before utilities are released
Building Division r i Final Gas Test
Electrical Final
Plumbing Final
DED %ah^ Mechanical Final
Cross Connection Control (714) 765-4280
Do not occupy this buildinq until the final inspections have been made. Engineering Final (714) 765-5126
INSPECTION 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) 7654591
Electrical Ground Electrode/Ufer
Sub List/Bus. Lic. (714) 765-5194 (Allow 10 business days)
Setback/Forms/Trenches (Footings)
easures
Do not install subfloor or pour floor slab until the follwing applicable items have been
sinned:
uilding 14 765-5153)
O
Las nal Only After Above Completed
Plumbing (Ground/Underfloor Water)
Underfloor Rough Gas
PARTIAL INSPECTIONS
Buildinq Inspections
Mechanical (Groundwork)
Electrical (Underground Conduit)
Pre-slab (Compaction/Membrane Re)nf.)
Floor (JoisUGirders)
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'
1st Floor Shear
Firesprinkler (Rough) (Fire Dept.)
Mechanical Inspections
2nd FI
of (Sheathing/ ' phragm/Frame)
sonry einf./Bond Beam/Pre-Grout)
Rough Plumbing (Top Out)
Rough Duct (Mechanical)
Rough Mechanical
Rough Electrical
Rough COA/Mitagation Measures
Plumbinq 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
Permit Types
BLD ELE MEC PLM
X
Permit Number: BL62022-06128
Issued: 12/28/2022
www.anaheim.net/building
(714)765-4626
Quarter Section: 40
Site Address: 2022 W VICTORIA AVE, Anaheim, CA 92804
Legal Description: N TR 2299 BLK LOT 293
APN: 12803504
WORKER'S COMPENSATION DECLARATION:
CITY OF ANAHEIM
BUILDING DIVISION
200 S. ANAHEIM BLVD.
(714) 765 - 5153
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 ATTORNEYS FEES.
I hereby affirm under penalty of perjury one of the following declarations:
1 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
Sction
3700 of the Labor Code, for the performance of the work for which this permit is issued.
ave 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:
Carrier: STATE COMPENSATION INSURANCE FUND Policy No.: 9262616 Expiration Dale:Ot /17/2023
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
workern
s co eation laws of California, and agree that, If should become subject to the workers compensation provisions of Section 3700 of the
Le Co shall forthwith comply with those provisions.
Z-
Signa Ore of Appil t 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):
Lender's 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 I se is in full force and effect.
Contrac or Signature
NUMBER EXPIRATION DATE LICENSE TYPE ISI
1059373 10/31/2021 C39
/Z- 2-s-- Z- -7,
Date