1700 W CERRITOS AVE 21700\�V--e tv
Permit Types
BLD ELE MEC PLM CITY OF ANAHEIM
X
BUILDING DIVISION
P�rm(t Number: OLD2022-05704 200 S. ANAHEIM BLVD.
Issued: 12/02/2022 (714) 765.5153
www.anaheim.net/buiiding
(714)765.4626
Quarter Section: 50
F Site Address: 1700 W CERRITOS AVE 217, Anaheim, CA 92804
Legal Description: N TR 11653 iBLK LOT 4 UN 106T A 11053 LOT.4 UNIT 10
APN: 93978339 ------- - ------------------- ------ ----— ---
Project Description: Residential EV Charger Level 2
LWq Area: Number of Storks. Valuation: 0.00
Garage Area: Construction Types:
Carport Area: Oeeupanry Groups:
Saleany / Dock Area: Fire Sprinldered:
Cool Roos: Total Fees paid for Pernik: 0.00
People Associated with Project:
Permit Applicant Amends Betts 308 W Monterey Ave Pomona, CA 91768
Type—Electrical Fixtures Oty Type Plumbing Fixtures Qty,-- - Mechanical Fixtures Qty
EV Charger 1
_ —
The permit shall expire by [Imitation 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 DATE FINSPECTOR
Do not pour concrete until the following applicable items have been signed:
Plumbing (Ground/Underfloor Drain Waste)
Electrical Ground ElectrodelUfer
Setback/Forms/Trenches (Footings)
Do not install subfloor or pour floor slab until the follwing applicable items have been
Plumbing (Ground/Underfloor Water)
Underfloor Rough Gas
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'
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 DATE I INSPECTOR
All applicable items below must be signed before utilities are released
Final Gas Test _
Electrical Final 3�
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
Buildina Inspections
Mechanical Inspections
Plumbing Inspections
Electrical Inspections
Permit Types .
LD ELE MEC PLM
PBM
X
Permit Number. OLD2022-05704
Issued: 12/02/2022
CITY OF ANAHEIM
BUILDING DIVISION
200 S. ANAHEIM BLVD.
(714) 765 - 5153
www.anaheim.net/building
(714)765.4626
Quarter Section: 50
Site Address: 1700 W CERRITOS AVE 217, Anaheim, CA 92804
Legal Description: N TR 11053 BLK LOT 4 UN 106 TR 11053 LOT 4 UNIT 10
APN: 93978339
WORKER'S COMPENSATION DECLARATION:
WARNING: FAILURE TO SECURE WORKERS' COMPENSATION COVERAGE IS UNLAWFUL, AND SHALL SUBJECT AN EMPLOYER TO CRIMINAL PENALTIES
FOR IN SECTION 3706 OR THE LABOR CODE. INTEREST, AND ATTORNEY:AND CIVIL FINES UP TO ONE HUNDRED THOUSAND DOLLARS ($100,000), IN ADDITION TO THE COST OF COMPENSATION, DAMAGES AS PROVIDED
S FEES.
I hereby affirm under penalty of perjury one of the following declarations:
I have and will maintain a certf iicate of consent to selfansure for worker's compensation, issued by the Director of industrial Relations as provided for by
AS Section 3700 of the Labor 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 worker's Compensation insurance carrier and policy are:
Cartier. CONTINENTAL INDFMNITY COMPANY Policy No.: 462753300101 Expiration Date: 411P2023
Name of Agent:
Phone No.: - —
I certify that in the performance of the work for which this permit is issued, I shall not employ arty person in any manner so as tobecome subject to the
worker's compensation laws of California, and agree thaf,`if I should become subject to the workers compensation provisions of Section 3700 of thi -- i
Labor Code, I shall foMwith comply with those provisions.
Amanda Batts
12FMO22
'—' Signature of Applicant Date ----
DECLARATION REGARDING CONSTRUCTION LENDING AGENCY: —'
I hereby-affism•andeF•penalty of perjury4hat there18a-emsbudimWe
(Sec.3097.Civ.C): for which•this permit Is Issue"
Lender's Name:
Lender's Address:
LICENSED CONTRACTOR'S DECLARATION:" -
1 hereby affirm under the penalty of Perjury that I em 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. ' " - - -
SUSTAINABLE ELECTRIC SOLUTIONS INC
Contractor Signature
NUMBER EXPIRATION DATE LICENSE TYPE tSt
1009030 11/30/2023 C10
wale
12rMO22