621 S DALE AVEPermit Types
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Permit Number: BLD2024-06264
Issued: 11/27/2024
v .anaheim.net/building
(714)765-4626
Quarter Section: 14
Site Address: 621 S DALE AVE, Anaheim, CA 92804
Legal Description: N TR 2797 BLK LOT 5
APN: 12615305 J.
CITY OF ANAHEIM
BUILDING DIVISION
200 S. ANAHEIM BLVD.
1714l 765 - 5153
Project Description: Reroof: Remove and install (24) squares of composition shingfes over house and detached garage
Living Area: Number of Stories: 0 valuation:
Garage Area: Construction Types:
Carport Area: Occupancy Groups:
Balcony / Deck Area: Fire Sprinklered:
Cool Roof: Total Fees paid for permit:
People Associated with Project:
Contractor WILLIAM J BURKEN 12975 AVENIDA EMPRESA RIVERSIDE, CA 92503
Permit Applicant WILLIAM J BURKEN, OWNER 12975 AVENIDA EMPRESA RIVERSIDE, CA 92503 0000
Owner GROSSBIER DONALD ALOYSIUS TR 27653 HYSSOP LN
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17,500.00
N/A
361.26
Type Electrical Fixtures City 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.
` iyCity of Anaheim ittxP~EIrN C7C
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Building Division y
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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
DATE
I 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/Lfer
Sub List/Bus. Lic. (714) 765-5194 (Allow 10 business days)
Setback/Forms/Trenches (Footings)
COA/Migation Measures
Do not install subfioor or pour floor slab until the follwing applicable items have been
sioned
Building Final (714 765-5153)�
Last Inspection -Final Only 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 sianed
1st Floor Shear
Firesprinkler (Rough) (Fire Dept.)
Mechanical Inspections
2nd Floor Shear
Roof(Sheathing/DiaphragmlFrame)
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., Be., Mec8 Fire)
Insulation (Sound/Energy)
Do not tape or plaster until the following applicable items have been signed:
Drywall
Drywall Penetrations (Ele, Mec 8. 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
BUILDING DIVISION
CSTYMel W0,I:\:IaILl
BUILDING DEPARTMENT 2016 CALIFORNIA CODES
200 S. Anaheim Blvd., Suite 145 COD£CFCLE
Anaheim, CA 92805 Ol/01/2017
714 765-5153 EFFECTIVE DATE
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:
Project address:
Property Owner:
WSJ
Date: /Z - /dp — at/
Cg 2 / S , Do- le- i4V a 4?io ie t a+ , %_,ct, 92 6'0 Y
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The undersigned does hereby certify that I am the prd(erty 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
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.
LEI Soke 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
Signature:
rages
ges require carbon monoxide detectors.
7u/ Date: /2 — /Q zV
California Residential Code (CX) 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
w .anaheim.net/building B842
SMOKE/ CO ALARM REQUIRED LOCATIONS
Bedroom Bedroom
6
W
Bath Bedroom
Kitchen
n Living Room
Figure t
6
Bedroom
Living Room
Attic
0
00
6 @P
Basement
Family Room Bedroom
Dining
Living Room
Kitchen /
Bedroom Bedroom
Figure 2
Bedroom
Kitchen
Figure 3
REQUIRED SMOKE ALARM LOCATION
l REQUIRED CARBON MONOXIDE ALARM LOCATION
Ceilin
Acceptable a
HNever
we -
Here �tr
Top of Detector
Acceptable Here
Wall
Figure a
Garage