1565 W CERRITOS AVE (2)Permit T!MeEC:*
s
BL' ELE
X
Permit Number. BLD2023-01540
Issued: 04/03/2023
www.anaheim.net/building
(714)765-4626
Quarter Section: 56
CITY OF ANAHEIM
Site Address: 1565 W CERRITOS AVE, ANAHEIM, CA 92802
Legal Ds scription: N TR 1979 BLK LOT 13
APN: 12922217
Project Description: Residential EV charger Level 2
LMng Area: Number of Stodes:
Garage Area:
Carport Area:
Balcony I Deck Area:
Cool Roof:
BUILDING DIVISION
200 S. ANAHEIM BLVD.
(714) 765.5153
1 Valuation: 0.00
Construction Types: NIA
Occupancy Groups:
Fire Sprinklered:
Total Fns paid for Permit: 167.00
People Associated with Project:
Contractor SON POWER INDUSTRIES INC 3625 E THOUSAND OAKS BLVD,SUITE 206201804191145597830 THOUSAND OAKS, CA 9 -
Permit Applicant Lalauni Bdmacomb
Owner NGUYEN VINH VU 1565 W CERRITOS AVE
Type Electrical Fixtures Qty Type Plumbing Fixtures Oty Mechanical Fixtures Qty
EV Charger 1
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
i ned:
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 sinned:
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., Mac. & 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 MPECYOR
All applicable items below must be signed before utilities are released
Final Gas Test
Electrical FinalBY'Zl
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
Electrical Inspections
Permit Types
BLD I ELE I MEC I PLM
X
Permit Number: BLD2023-01540
Issued: 04/03/2023
www.anaheim.net/building
(714)765.4626
Quarter Section: 56
CITY OF ANAHEIM
Site Address: 1565 W CERRITOS AVE, ANAHEIM, CA 92802
Legal Description: N TR 1979 BLK LOT 13
APN: 12922217
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.
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.
1 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
iv this permit is issued. My worker's Compensation Insurance carder and policy aro:
Cartier. SIRIUS AMERICA INSURANCE COMPANY Policy No.: WC8577001 Expiration Date: 12/4/2023
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 forthwith comply with those provisions.
S17MV Applicant
0111
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.Ciiv.C):
Lenders 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 Com and my license I; In full force and effect.
q Nw3
Date
NUMBER EXPIRATION DATE LICENSE TYPE (S)
962785 03/31/2022 C10