1230 N DOLORES STPermit Types
BLD ELEMEC PLM
X X
Permit Number: BLD2023-00540
Issued: 03/08/2023
www.anaheim.net/building
(714)765.4626
Quarter Section: 194
Site Address: 1230 N DOLORES ST, ANAHEIM, CA 92807
Legal Ds'acfiptiori: N TR 7.471 BLK LOT 50
APN: 35T1�1213
CITY OF ANAHEIM
BUILDING DIVISION
`J ° 200 S. ANAHEIM BLVD.
(714)765.5153
Project Description: Photovoltaic System: Installation of residential roof mounted system with (30) modules and (1) Inverter
VITe-Ktn
Living Area: Number of Stories: 1 Valuation: 40,592.54
Garage Area: Consbuclion Types: NIA
Carport Area: Occupancy Groups:
Balcony / Dock Area: Fire Sprinldered: No
Cool Roof: Total Fen paid for permit: 837.28
People Associated with Project:
Contractor BETTER EARTH ELECTRIC INC 1815 WILSHIRE AVE STE 9081909 SUITE 9081909 SANTA ANA, CA 92705
Permit Applicant Madison Darsow
Owner ANDERSON CLAUDIA TR 9221 TIMOTHY LN
Type Electrical Fixtures Qty Type Plumbing Fixtures Gty Mechanical Fixtures Qty
Inverter 1
B
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 �9C
City of Anaheim D� �O
Building Division i
u a
DEC) lay^
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 I 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)
COAIMigation Measures
Do not install subfloor or pour floor slab until the follwing applicable items have been
s' e •
Building Final (714 765-5153)
Last Inspection-Final Only After Above Completed
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 sionedi
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
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
kfill unless Maned nffl
Sewer
Water Engineering Backflow (Testable Only)
Water Service
Permit Types
BLD ELE MECPLM
X X
Permit Number. BLD2023-00540
Issued: 03/08/2023
www.anaheim.net/building
(714)7654626
Quarter Section: 194
Site Address: 1230 N DOLORES ST, ANAHEIM, CA 92807
Legal Description: N TR 7471 BLK LOT 50
APN: 35111213
CITY OF ANAHEIM
«, BUILDING OMSION
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 CML 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 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 workers Compensation insurance carrier and policy are:
Carrier: TECHNOLOGY INSURANCE COMPANY INC Policy No.: TWC4102876 Expiration Date: 4/1511023
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 compensation laws of California, and agree that, If I should become subject to the workers compensation provisions of Section 3700 of the
bor Code, I shall forthwith comply with those provisions.
Signat of piicant 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):
Lenders Name:
Lenders 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 Code, and my license is in full force and effect.
Contractor igna
NUMBER EXPIRATION DATE LICENSE TYPE (SI
1024460 03/31/2023 C70
Date