140 N AVENIDA MALAGA (2)' Permit Types
L BLD ELE MEC PLM CITY OF ANAHEIM
X
BUILDING DIVISION
Permit Number: BLD2025.01705 200 S. ANAHEIM BLVD.
Issued: 04/09/2025 (714) 765.5153
www.anaheim. net/building
(714)765-4626
Quarter Section: 196
Site Address: 140 N AVENIDA MALAGAANAHEIM, CA 92808
Legal Description: N TR 7735 BLK LOT 14
APN: 35823111
Project Description: Reroof: Remove and install (27) sq of composition shingles over the house and attached garage
Living Area: Number of Stories: 1 Valualion:
Garage Area: Construction Types:
Carport Area: Occupancy Groups:
Balcony / Deck Area: Fire Spdnklered:
Cool Roof: Total Fees paid for Permit
People Associated with Project:
Contractor JAY'S ROOFING 1117 COUNTRY CLUB LNEABCDE11142952 CORONA, CA 92878
Permit Applicant Jay Moreau 1117 Country Club Ln Corona, CA 928783628
Owner JOHNSON, ERIK VINCENT TR 140 N AVENIDA MALAGA
1 L1
6,800.00
NIA
369.88
Type Electrical Fixtures City Type Plumbing Fixtures Qty 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.
P�I,HEIM C
Cityof Anaheim D� io
Building Division i
�DNNOED B�^
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
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 ElectrodelUfer
Sub LisUBus. Lic. (714) 765-5194 (Allow 10 business days)
Setback/Formslrrenches (Footings)
COAIMigation Measures
Do not install sub0oor or pour floor slab until the follvnng applicable items have beensigned
Building Final (714 765-5153)
Last Inspection -Final Only After Above Completed
yI
\�
Plumbing Ground/Underfloor Water)
Underfloor Rough Gas
PARTIAL INSPECTIONS
Building Inspections
Mechanical (Groundwork)
Electrical (Underground Conduit)
Pre -slab (Compaction/Membrane Reinf.)
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
beensioned
1st Floor Shear
Firesprinkler (Rough) (Fire Dept.)
Mechanical Inspections
2nd Floor Shear
Roof (SheathinglDiaphragmlFrame)
Masonry (Reinf.lBond Beam/Pre-Grout)
Rough Plumbing (Top Out)
Rough Duct (Mechanical)
Rough Mechanical
Rough Electrical
Rough COAIMitagation 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, Mac & Plbg)
Interior Lath
Exterior Lath
Electrical Inspections
Electrical Service Meter -(Meter will be set within 2-3
business days after approval) Excludes New
Exterior Plaster (Brown Coat)
T-Bar (Struct., Ele., or Mac.)
Grease Interceptor
On not hnrkf 11 url sinned off)
Sewer
Water Engineering Backflow (Testable Only)
Water Service
BUILDING
DIVIS
16401
CITY OF ANAHEIM
BUILDING DEPARTMENT 2013 CALIFORNIA CODES
CODE ClUE
200 S. Anaheim Blvd., Suite 145
Anaheim, CA 92805 EFFEM 2014
FFECTIFE Od]E
714 765-5153
w .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: Date:
Project address:
140 N Avenida Malaga
Property Owner: Erik Johnson
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
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.
E3( Smoke Alarms: In each room used for sleeping purposes.
V/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' ith attahhed rages require carbon monoxide re: detecto s.
SignatuDate: Z
12-
California Residential Code (CR ) Section R314.6.2,CRC R315.2 States in part that existing dwellings be
"retrofitted with smoke detectors a d 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)7654607 Fax SEPT 2015
w .anaheim.ne0building B842
Permit Types
BLD ELE
MEC
PLM
X
Permit Number: BLD2025-01705
Issued: 04/09/2025
www.anaheim.net/building
(714)765-4626
Quarter Section: 196
CITY OF ANAHEIM
Site Address: 140 N AVENIDA MALAGAANAHEIM, CA 92808
Legal Description: N TR 7735 BLK LOT 14
APN: 35823111
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.
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.
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 worker's Compensation insurance carrier and policy are:
Carrier: INSURANCE COMPANY OF THE WEST Policy No.: WSD507433101 Expiration Date: 12/2/2025
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
worker's compensation laws of California, and agree that, if I should become subject to the worker's compensation provisions of Section 3700 of the
Labor Code, I shall forthwith comply with those provisions.
1A -
Ig ure of Applicant 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:
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.
Go ractor Signature
NUMBER EXPIRATION DATE LICENSE TYPE ISl
512051 12/31/2025 C39
"VC\
Date