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127 S CAMPHOR STPermit Types BLD ELE MEC X !LM— Permit Number: BLD2022-05217 Issued: 11/02/2022 www.anaheim.net/building (714)765-4626 Quarter Section: 93 CITY OF ANAHEIM BUILDING DIVISION 200 S. ANAHEIM BLVD. 17141 765 -5153 Project Description: Reroof: Remove existing to Install (21) sq of composition shingles over entire house and attached garage Living Area: Number of Stories: 1 Valuation: 12,500.00 Garage Area: Construction Types: N/A Carport Area: Occupancy Groups: Balcony / Dock Area: Fire Spdnidered: Cool Root Total Fees paid for Permit: 340.63 People Associated with Project: Permit Applicant Takeo Tokillas Owner RAMOS SENECA A TR 127 S CAMPHOR ST Type Electrical Fixtures Qty 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. City of Anaheim Building Division Do not occupy this buildinq until the final inspections have been made. 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) 765-4591 Electrical Ground Electrode/Ufer Sub List/Bus. Lic. (714) 765-5194 (Allow 10 business days) Setback/Forms/Trenches (Footings) COA/Migation Measures Do not install subfloor or pour floor slab until the follwing applicable items have been sinned: ' mg Final (7 765-5153) La`sf7nspection-Final Only After AbovC let I Plumbing (Ground/Underfloor Water) Underfloor Rough Gas PARTIAL INSPECTIONS Buildinq 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' ne • 1st Floor Shear Firesprinkler (Rough) (Fire Dept.) Mechanical Inspections 2nd Floor Shear Roof (Sheathing/Diaphragm/Frame) 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 (Do not backfill unless smanad ofn Sewer Water Engineering Backflow (Testable Only) Water Service Permit Types BLD ELE MEWa- Permit X Number: BLD2022-05217 Issued: 11/02/2022 www.anaheim.neUbuilding (714)765-4626 Quarter Section: 93 Site Address: 127 S CAMPHOR ST, ANAHEIM, CA 92805 Legal .Do criptloe: N TR :14866 BLK LOT 50 APN: 03715469 1 CITY OF ANAHEIM BUILDING DIVISION 2011 S. ANAHEIM BLVD. (714) 765 - 5153 Project Description: Reroof: Remove existing to install (21) sq of composition shingles over entire house and attached garage Living Area: Number of Stories: 1 Valuation: 12,500.00 Garage Area: Construction Types: N/A Carport Area: Occupancy Groups: Balcony / Deck Area: Fire Sprinklered: Cool Roof: Total Fees paid for Permit: 340.63 People Associated with Project: Permit Applicant Takeo Tokillas Owner RAMOS SENECA A TR 127 S CAMPHOR ST Type Electrical Fixtures City Type Plumbing Fixtures Qty Mechanical Fixtures Qty 0 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�pHEIM cq< FINAL INSPECTIONS DATE INSPECTOR' Cityof Anaheim o� io All applicable items below must be signed before utilities are released Building Division F i Final Gas Test a Electrical Final Plumbing Final �DVNDED 'k Mechanical Final Cross Connection Control (714) 765-4280 Do not occupy this building 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) 765-4591 Electrical Ground Electrode/Ufer Sub List/Bus. Lic. (714) 765-5194 (Allow 10 business days) Setback/Forms/Trenches (Footings) COA/Migation Measures Do not install subfloor or pour floor slab until the follwing applicable items have been sinned: Bu' ding Final 4 765-5153)' ion-Final Only After Above Cfmp-lbete� 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 smanedo 1st Floor Shear Firesprinkler (Rough) (Fire Dept.) Mechanical Inspections 2nd Floor Shear oof (Sheathin iaphragm/Frame) Masonry (Reinf./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 (Do no Sewer Water Engineering Backflow (Testable Only) Water Service BUILDING DIVISION CITY OF ANAHEIM BUILDING DEPARTMENT 2016 CALIFORNIA CODES CODCYCLE 200 S. Anaheim Blvd., Suite 145 Anaheim, CA 92805 01/001/1/ 2001717 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: Q () 243. — 05 Date: Project address: Property Owner: 1" !n6t h L&L j1) The undersigned does hereby certify that I am the property owner of the property. I further certify that smoke alarms and carbon monoxide alarms functional in all the following locations. All boxes must be checked below above referenced are present and pro"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 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: &neiz di�a •LDate: 110,002— California Residential Code (CRC) Sdction 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 8842 SMOKE/ CO ALARM REQUIRED LOCATIONS Bedroom Bedroom 6 Bath OBedroom 0 Kitchen Living Room Figure 1 Family Room Bedroom Dining Living Room Kitchen Bedroom Bedroom Figure 2 / Attic \ Bedroom Hall Bedroom Living Room Hall Kitchen Basement —/ Figure 3 REQUIRED SMOKE ALARM LOCATION REQUIRED CARBON MONOXIDE ALARM LOCATION Calling - `I _,' I_ Acceptable S Here Never Here T". Top of Detector Acceptable Here Well Figure 4 Garage Permit Types BLD ELE MEC PLM X Permit Number: BLD2022-05217 Issued: 11/02/2022 www.anaheim.netlbuilding (714)765-0626 Quarter Section: 93 Site Address: 127 S CAMPHOR ST, ANAHEIM, CA 92805 Legal Description: N TR 14866 BLK LOT 50 APN: 03715469 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 ($700,000), 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 tabor 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 carder and policy are: Cartier. ZURICH AMERICAN INSURANCE COMPANY Policy No.: WC112580503 Expiration Date: 12131=22 Name of Agent: Phone No.: 1 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 1 should become subject to the workers compensation provisions of Section 3700 of the Labor Code, I s forthwith comply with thasammulsions. Signature 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 perm is Issued (Sec.3097.Civ.C): Lender's Name: Lender's Address: LICENSED CONTRACTOR'S DECLARATION: 1 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 IIInse is in full force and effect. l� Z Contractor Signature Date NUMBER EXPIRATION DATE LICENSE TYPE (S) 606111 12/31/2022 C39, D24, C-2