928 S CAMERFORD LN (4)Permit Types
BLD ELE MEC PLM
X X
PermlNNumber: BLD2022-06053
Issued: 02/07/2023
www.anaheim.net/building
(714)765-4626
Quarter Section: 221
CITY OF ANAHEIM
Site•Address: 928 S CAMERFORD LN, ANAHEIM, CA 92808
Legal,Descrlptioti: N.
:13459 BLK LOT 7
APN35435107
BUILDING DIVISION
200 S. ANAHEIM BLVD. 'RNA`
1714) 765.5153
Project Description: Photovoltaic System: Installation of residential roof mounted system with (32) modules, (2) inverters, (1) 225 amp
load center, (1)125 amp load center, and (1) ESS
Living Area: Number of Stories: 2 Valuation: 30,000.00
Garage Area: Construction Types: WA
Carport Area: Occupancy Groups:
Balcony / Dock Area: Fire Sprinklered:
Cool Roof: Total Fees paid for Permit: 1,290.90
People Associated with Project:
Contractor TESLA ENERGY OPERATIONS INC 901 PAGE AVE200809171020478510 FREMONT, CA 92606
Permit Applicant Rebekah Lyash
Owner ODOWD JOHN III TR THE 928 S CAMERFORD LN
Engineer - Civil XIAOJIAN XIE
Type Electrical Fixtures Qty Type Plumbing Fixtures Qty Mechanical Fixtures Qty
Generators/Transformers -1 to 10 hp, 1 1
to 75 We.
Inverter 2
Sub PaneVTemp Pwr - Under 600 V, over 1
200 amps to 500 amps
Sub PaneVTemp Pwr - Under 600 V, up to 1
200 amps
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 building until the final inspections have been made.
INSPECTION I DATE INSPECTOR
Do not pour concrete until the following applicable items have been signed:
Plumbing (Ground/Underfloor Drain Waste)
Electrical Ground Electrode/Ufer
Setback/Forms/Trenches (Footings)
Do not install subfloor or pour floor slab until the follwing applicable items have been
sinned:
Plumbing (Ground/Underfloor Water)
Underfloor Rough Gas
Mechanical (Groundwork)
Electrical (Underground Conduit)
Pre -slab (Compaction/Membrane Reinf.)
Floor (Joist/Girdem)
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 si ned:
1st Floor Shear
Firesprinkler (Rough) (Fire Dept.)
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
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 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
FINAL INSPECTIONS I
DATE I INSPECTOR
All applicable items below must be signed before utilities are released
Final Gas Test
Electrical Final 23 t1�2�•
Plumbing Final
Mechanical Final
Cross Connection Control (714) 765-4280
Engineering Final (714) 765-5126
Fire Sprinkler (ONLY) (714) 765-5041
Fire Dept. Final (714) 765-5041
Water Engineering (714) 765-4591
Sub List/Bus. Lic. (714) 765-5194 (Allow 10 business days)
COA/Migation Measures
Building Final (714 765-5153)
Last Inspection -Final Only After Above Completed
PARTIAL INSPECTIONS
Building Inspections
Mechanical Inspections
Plumbing Inspections
It
Electrical Inspections
Permit Types
BLDALE MEC PLM
X I X
Permit Nuriber: BLD2022-06053
Issued: 02/07/2023
www.anaheim.neUbuilding
(714)765-4626
Quarter Section: 221
CITY OF ANAHEIM
Site Address: 928 S CAMERFORD LN, ANAHEIM, CA 92808
Legal Description: N TR 13459 BLK LOT 7
APN:35435107
BUILDING DPOSION
200 S. ANAHEIM BLVD. d
(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.
I hereby affirm under penalty of pedury one of the following declarations:
1 have and will maintain a certificate of consent to selfwinsure 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 carter and policy are:
Carrier. AMERICAN ZURICH INSURANCE COMPANY Policy No.: EWS107458505 Expiration Date: 1013112023
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
workers cempe3patioriaws'otealifor11a,`nd agree that, if I should become subject to the worker's compensation provisions of Section 3700 of the
forthwith comply with
Date :Z 123
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 Codeeemj, my lick e�full force an fect.
;2' 1 -7)2e,
Date
NUMBER EXPIRATION DATE LICENSE TYPE (S)
888104 12131/2022 C46, B, C10, C39, C36