803 S CANOGA ST (3)Permit Types
BLD ELE MECi I PLM CITY OF ANAHEIM
X X
BUILDING DIVISION
Permit Number: OLD2023-00920 200 S. ANAHEIM BLVD.
Issued: 03/22/2023 (714) 765 - 5153
www.anahaim.net/building
(714)765-0626
Quarter Section: 6
j Site Address: 803 S CANOGA ST, ANAHEIM, CA 92804
Legal Description: N TR 3676 BLK LOT 11
APN:07914314
Project Description: Photovoltaic System with Microinverters: Install residential roof mounted system with (21) modules, (21)
microinverters and 200A main service panel
Living Area: Number of Stories:
1 Valuation: 28,000.00
Garage Area:
Construction Types: N/A
Carport Area:
Occupancy Groups:
Balcony I Deck Area:
Fire Sprinklered:
Cool Roof:
Total Fess paid for Permit: 744.64
People Associated with Project:
Contractor TITANIUM SOLAR LLC
10565 CIVIC CENTER DR STE 160 RANCHO CUCAMONGA, CA
Permit Applicant Kimberly Martinez
Owner CORNEJO VENTURA TR
803 S CANOGA ST
Engineer - Electrical AHSAN CHOWDHURY
6704 HAVENBROOK COVE AUSTIN, TX 78759
Engineer - Civil Praneet R Erusu
6310 Green Valley Circle Culver City, CA 90230
Type Electrical Fixtures City Type
Plumbing Fixtures City Mechanical Fixtures City
Motor/Disc Sw - Under 600 V, up to 200 1
amps
Microinverter 21
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.
I
P�PttEIM CqC
City of Anaheim o� io
Building Division F z
DED �a�^
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) 765-4591
Electrical Ground Electrode/Ufer
Sub ListlBus. Lic. (714) 765-5194 (Allow 10 business days)
Setback/Forms/Trenches (Footings)
COAIMlgation Measures
Do not install subfloor or pour floor slab until the follwing applicable items have been
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
qignpd-
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
Sewer
Water Engineering Backflow (Testable Only)
Water Service
Permit Types
BLD ELE MEC PLM
X X
Permit Number: OLD2023-00920
Issued: 03/22/2023
www.anaheim.net/building
(714)765-0626
Quarter Section: 6
Site Address: 803 S CANOGA ST, ANAHEIM, CA 92804
Legal Description: N TR 3676 BLK LOT 11
APN: 07914314
CITY OF ANAHEIM
BUILDING DMSION
200 S. ANAHEIM BLVD.
(7141 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:
1 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:
Cartier: MIDWEST EMPLOYERS CASUALTY COMPANY Policy No.: ONUWC0157792 Expiration Date: 6 9/2 /2023
Name of Agent: Phone No.:
I certify that in the performance of the work for which this permit is issued, l 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 fo 7
comply with those provisions.
LIJ14 31
Signat re 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:
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 license is In full force and effect.
007115 -414rA��,313��) 2r,)
Date
NUMBER EXPIRATION DATE LICENSE TYPE (S)
1076974 06/30/2023 C46