1052 W LAMARK LN (3)` Permit Types
BLO ' ELE MEC PLM
X
Zvt;VJt Number: BLD2022-05066
Issued: 10/24/2022
www.anaheim.net/building
(714)765-4626
Quarter Section: 77
Site Addreiss, :1052 W LAMARK LN, ANAHEIM, CA 92802
Lege( Description' N TR 4001 BLK LOT 180
APNc23301228
Project Description: Residential for EV Charger Level 2
CITY OF ANAHEIM
BUILDING DIVISION
200 S. ANAHEIM BLVD.
(714) 765-5153
Living Area: Number of Stories: 2 Valuation: 0.00
Garage Area: Construction Types: NIA
Carport Area: Occupancy Groups:
Balcony I Deck Area: Fire Sprinklered:
Cool Roof: Total Fees paid for Permit: 167.00
People Associated with Project:
Permit Applicant Michael Shin
Owner SHIN ELAINE VU & MICHAEL 1052 W LAMARK LN
Type Electrical Fixtures Qty Type Plumbing Fixtures Qty Mechanical Fixtures Qty
EV Charger 1
The permit shall expire by limitation and become null and vold If the building or work has not passed final inspection 365 days from the
date of penult Issuance. A new permit Is required to commence or continue work.
P�PHEIM Cq<
City of Anaheim o� io
Building Division
u a
�D��►DED
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 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 ElectrodelUfer
Sub List/Bus. Lic. (714) 765-5194 (Allow 10 business days)
Setback/Forms/Trenches (Footings)
COA/Migation 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
been s*anedi
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
ac innad MA
Sewer
!
Water Engineering Backflow (Testable Only)
Water Service
EXISTING MAIN CIRCUIT BREAKER SIZE: 125- AMPS
*(Loads shown are rough estimates, actual loads may vary - for a more precise analysis, use the
nameplate ratings for appliances and other loads and consult with a trained electrical professionaQ.
✓ Check All
Applicable
Loads
Description of Load.
Typical Usage*
Wafts Used
GENERAL LIGHTING AND RECEPTACLE OUTLET CIRCUITS
Multiply the
Square foota a of house X 3
3 watts/sq.ft.
�.) 2S
KITCHEN CIRCUITS
Kitchen circuits 3,000 watts o 0 C�
Electric oven 2,000 watts j000
Electric stove top 5,000 watts 0
Microwave 1,500 watts 7
Garbage disposal under kitchen sink 1,000 watts
Automatic dish washer 3,500 watts d
Garbage compactor 1,000 watts
Instantaneous hot water at sink 1,500 watts
LAUNDRY CIRCUIT
-Laundry circuit - - - 1,500 watts
Electric clothes dryer _ 4,500 watts
HEATING AND AIR CONDITIONING CIRCUITS
Central heating (gas) and air 6,000 watts®d
conditioning
c7
Window -mounted A/C 1,000 watts
Whole -house or attic fan 500 watts
Central electric furnace 8,000 watts
Evaporative Cooler 500 watts
OTHER ELECTRICAL LOADS
Electric water heater (storage type) 4,000 watts
Electric tank less water heater_ 15,000 watts
Swimming pool or spa 3,500 watts
Other: describe
ELECTRIC VEHICLE CHARGER CIRCUIT
Level 2 Electric Vehicle Charger rating*
*Use nameplate rating in wafts or calculate as: (Ampere rating 12 coo 0
or circuit X 240 volts = Wafts)
(Addwp a&9fjAmwc t#p fgFj%e0Qjq#yg0gve checked)
NOT APPROVE VIOLATION OF ANY OF TOTAL WATTS USED J 1
THE BUILDING CODES OF THE CITY
nrPIULLJtH OF THIS PERMIT
PROCEEDS AT HIS OWN RISK.
OCT 2 4 2022
Page 3 of 5
%� (� �� Sep 2016
200 S. RnaaheE Bldd.suire naheim, California 92805 (714)765-5153 Phone (714)765-4607 Fax B837
E5%/ www.anaheim.net/building
INSTRUCTIONS: Apply the Total Watts Used number from the previous page to the table below to identify if
the existing electrical service panel is large enough to handle the added electrical load from the
proposed Level 2 EV Charger. If your electrical service is NOT large enough, then you will need to install a
new upgraded electrical service panel.
Please note that the size of your existing service must be equal to or larger than the minimum required size
identified in the table above or a new upgraded electrical service panel will need to be installed (a
separate permit is required for new service). Please note that approval from the Utilities Department will
be required for the installation of the new electrical service panel.
CAUTION: This table is NOT to be used to determine the size of a NEW UPGRADED electrical service
panel if your existing panel is too small or overloaded according to the table above. In order to determine
the size of a NEW or UPGRADED service panel, there is a completely different load calculation
methodology that applies. Sizing of a NEW or UPGRADED electrical service panel should only be done by
a qualified Electrical Contractor or Electrical Engineer.
STATEMENT Of COMPLIANCE
By my signature, I attest that the information provided is true and accurate.
Job Address: ��S Z '�.� l c„w�cv 1 v\ vin
job address)
Signature: '� %0 Z 2 a Z Z
(Signa ure of applic #)—. (Date)
Please note that this is a voluntary compliance alternative and you may wish to hire a qualified individual
or company to perform a thorough evaluation of your electrical service capacity in lieu of this alternative
methodology. Use of this electrical load calculation estimate methodology and forms is at the user's risk
and carries no implied guarantee of accuracy. Users of this methodology and these forms are advised to
seek professional assistance in determining the electrical capacity of a service panel.
Page 4 of 5
Sep 2016
200 S. Anaheim Blvd., Suite 145 Anaheim, California 92805 (714)765-5153 Phone (714)765-4607 Fax 8837
www.anaheim.net/building
Minimum Required
Size of Existing 240
Total Watts Used 'Total Watts Used
✓Check
Volt Electrical
Before Adjustments
the
Service Panel
appropriate
(Main Service
line
Breaker size
� (P Up to 48,000
y
100 amps
48,001 to 63,000
125 amps
63,001 to 78,000
150 amps
78,001 to 108,000
200 amps
108,001 to 123,000
225 am s
Please note that the size of your existing service must be equal to or larger than the minimum required size
identified in the table above or a new upgraded electrical service panel will need to be installed (a
separate permit is required for new service). Please note that approval from the Utilities Department will
be required for the installation of the new electrical service panel.
CAUTION: This table is NOT to be used to determine the size of a NEW UPGRADED electrical service
panel if your existing panel is too small or overloaded according to the table above. In order to determine
the size of a NEW or UPGRADED service panel, there is a completely different load calculation
methodology that applies. Sizing of a NEW or UPGRADED electrical service panel should only be done by
a qualified Electrical Contractor or Electrical Engineer.
STATEMENT Of COMPLIANCE
By my signature, I attest that the information provided is true and accurate.
Job Address: ��S Z '�.� l c„w�cv 1 v\ vin
job address)
Signature: '� %0 Z 2 a Z Z
(Signa ure of applic #)—. (Date)
Please note that this is a voluntary compliance alternative and you may wish to hire a qualified individual
or company to perform a thorough evaluation of your electrical service capacity in lieu of this alternative
methodology. Use of this electrical load calculation estimate methodology and forms is at the user's risk
and carries no implied guarantee of accuracy. Users of this methodology and these forms are advised to
seek professional assistance in determining the electrical capacity of a service panel.
Page 4 of 5
Sep 2016
200 S. Anaheim Blvd., Suite 145 Anaheim, California 92805 (714)765-5153 Phone (714)765-4607 Fax 8837
www.anaheim.net/building
OTHER HELPFUL INFORMATION FOR EV CHARGER INSTALLATIONS:
The table below illustrates the type and size of wire and conduit to be used for various electric vehicle
chargers based on 75 degrees' Celsius termination provisions.
***Based on 4 wires in the conduit (2 - current carrying conductors, I - grounded conductor, 1 -
equipment ground).
As an alternate, Nonmetallic Sheathed Cable (aka: Romex Cable or NMC) may be used it it is protected
from physical damage by placing the cable inside a wall cavity or attic space which is separated from
the occupied space by drywall or plywood.
The table below illustrates the required supports for various types of electrical conduit or cable.
Electrical
Conduit Type and Size::.
Size of
Required
Electrical
Rigid
Flexible Metal
EV Charger
Minimum Size
Metallic Tubing
Nonmetallic
Conduit
Circuit Breaker
of Conductors
(EMT)
Conduit -
(FMC)
(FMC)
(THHN Wire)
Schedule 40
RNC
Conduit
RNNC
20 ams
#12
1/2"
1
1/2"
30 ams
#10
1/2"
1/2"
1/2,
40 amps
#8
3/4"
3/4"
3/4"
50 ams
#8
3/4"
3/4"
3/4"
60 ams
#6
3/4"
3/4"
3/4"
70 ams
#6
3/4"
3/4"
3/411
***Based on 4 wires in the conduit (2 - current carrying conductors, I - grounded conductor, 1 -
equipment ground).
As an alternate, Nonmetallic Sheathed Cable (aka: Romex Cable or NMC) may be used it it is protected
from physical damage by placing the cable inside a wall cavity or attic space which is separated from
the occupied space by drywall or plywood.
The table below illustrates the required supports for various types of electrical conduit or cable.
In addition to the above noted requirements, the currently adopted version of the California Electrical
Code contains many other provisions that may be applicable to the installation of a new electrical circuit.
Installers are cautioned to be aware of all applicable requirements before beginning the installation. For
additional information or guidance, consult with the Building Division staff or a qualified and experienced
electrical contractor.
Pace 5 of Jr,
200 S. Anaheim Blvd., Suite 145 Anaheim, California 92805 (714)765-5153 Phone (714)7654607 Fax Sep 2016B837
www.anaheim.net/building
Electrical
Rigid
Nonmetallic
Conduit
Metallic
Nonmetallic
Flexible Metal
Sheathed
Support
Tubing
Conduit -
Conduit
Cable
(EMT)
Schedule 40
(FMC)
(NMC)
RNC
Conduit
Support
10'
3'
4-1/2'
4-1/2'
Intervals
Maximum
Distance from
Box to
3'
3'
1'
1'
Conduit
Su ort
In addition to the above noted requirements, the currently adopted version of the California Electrical
Code contains many other provisions that may be applicable to the installation of a new electrical circuit.
Installers are cautioned to be aware of all applicable requirements before beginning the installation. For
additional information or guidance, consult with the Building Division staff or a qualified and experienced
electrical contractor.
Pace 5 of Jr,
200 S. Anaheim Blvd., Suite 145 Anaheim, California 92805 (714)765-5153 Phone (714)7654607 Fax Sep 2016B837
www.anaheim.net/building
Permit Number: BLD2022-05066
Issuer: 10/24/2022
• www.anaheim.net/building
(714)765-4626
Quarter Section: 77
CITY OF ANAHEIM
BUILDING DIVISION
200 S. ANAHEIM BLVD.
1714) 765- 5153
OWNER -BUILDER ACKNOWLEDGEMENT AND INFORMATION VERIFICATION FORM
Dear Property Owner:
An application for a building permit has been submitted in your name listing yourself as the builder of the property improvements
specified at 1052 W LAMARK LN. ANAHEIM. CA 92802.
We are providing you with an Owner -Builder Acknowledgement and Information Verification Form to make you aware of your
responsibilities and possible risk you may incur by having this permit issued in your name as the Owner -Builder.
We will not issue a building permit until you have read, initialed your understanding of each provision, signed, and returned this
form to us at our official address indicated. An agent of the owner cannot execute this notice unless you, the property owner,
obtain the prior approval of the permitting authority.
Directions: Read and initial each statement below to signify you understand or verify this information.
_ 1.1 understand a frequent practice of unlicensed persons is to have the property owner obtain an "Owner -Builder" building
permit that erroneously implies that the property owner is providing his or her own labor and material personally. I, as an
Owner -Builder, may be held liable and subject to serious financial risk for any injuries sustained by an unlicensed person
and his or her employees while working on my property. My homeowner's insurance may not provide coverage for those
injuries. I am willfully working as an Owner -Builder and am aware of the limits of my insurance coverage for injuries to
2.1 understand building permits are not required to be signed by_ property_owners unless they are responsible for the _
construction and are not hiring a licensed Contractor to assume this responsibility.
3.1 understand as an "Owner -Builder" I am the responsible party of record on the permit. I understand that I may protect
myself from potential risk by hiring a licensed Contractor and having the permit filed in his or her name instead of my own.
4.1 understand Contractors are required by law to be licensed and bonded in California and to list their license numbers on
permits and contracts.
5.1 understand if I employ or otherwise engage any persons, other than California licensed Contractors, and the total value
of my construction is at least five hundred dollars ($500), including labor and materials. I may be considered an "employer"
under state and federal law.
6. 1 understand if I am considered an "employer" under state and federal law, I must register with the state and federal
government, withhold payroll taxes, provide workers's compensation disability insurance, and contribute to unemployment
compensation for each "employee". I also understand my failure to abide by these laws may subject me to serious financial
risk.
7.1 understand under California Contractors' State License Law, an Owner -Builder who builds single-family residential
structures cannot legally build them with the intent to offer them for sale, unless all work is performed by licensed
subcontractors and the number of structures does not exceed four within any calendar year, or all of the work is performed
under contract with a licensed general building Contractor.
8.1 understand as an Owner -Builder if I sell the property for which this permit is issued, I may be held liable for any financial
or personal injuries sustained by any subsequent owner(s) that result from any latent construction defects in the
workmanship or materials.
9.1 understand I may obtain more information regarding my obligations as an "employer" from the internal Revenue Service,
the United States Small Business Administration, the California Department of Benefit Payments, and the California
Division of Industrial Accidents. I also understand I may contact the California Contractors' State License Board (CSLB) at
1-800-321-CSLB (2752) or www.csib.ca.gov for mon; information about licensed contractors.
10.1 am aware of and consent to an Owner -Builder building permit applied for in my name, and understand that I am the
party legally and financially responsible for proposed construction activity at the following address: 1052 W LAMARK LN.
Permit Number: BLD2022-05066
Issued: 10/24/2022
www.anaheim.neUbuilding
(714)765-0626
Quarter Section: 77
CITY OF ANAHEIM
BUILDING DIVISION
200 S. ANAHEIM BLVD.
(7141765.5159
Permit Number: BLD2022.05066
11.1 agree that, as the party Legally and financially responsible for this proposed construction activity, I will abide by all
applicable laws and requirements that govern Owner -Builders as well as employers.
12. 1 agree to notify the issuer of this form immediately of any additions, deletions, or changes to any of the information I
have provided on this form. Licensed contractors are regulated by laws designed to protect the public. If you contract with
someone who does not have a license, the Contractors' State License Board may be unable to assist you with any
financialloss you may sustain as a result of a complaint. Your only remedy against unlicensed Contractors may be in civil
court. It is also important for you to understand that if an unlicensed Contractor or employee of that individual or firm is
injured while working on your property, you may be held liable for damages. If you obtain a permit as Owner -Builder and
wish to hire
Contractors, you will be responsible for verifying whether or not those Contractors are properly licensed and the status of
their workers' compensation insurance coverage.
Before a building permit can be issued, this form must be completed and signed by the property owner and returned* to the
agency responsible for issuing the permit.
Note: A copy of the property owner's driver's license, form notarization, or other verification acceptable to the agency is required
to be presented when the permit is=issed to verify the properly owner's signature.
�2 � 2 Z2
Property Owner's Signature -'-7' Date: '..-
a
Permit Types
BLD ELE MEC PLM
X
Permit Number: BLD2022-05066
i.
+ Issued: 10/24/2022
www.anaheim.net/building
(714)765-0626
Quarter Section: 77
Site Address: 1052 W LAMARK LN, ANAHEIM, CA 92802
Legal Description: N TR 4001 BILK LOT 180
APN: 23301228
OWNER - BUILDER DECLARATION:
CITY OF ANAHEIM
BUILDING DIVISION
200 S. ANAHEIM BLVD.
(714) 765 -5153
1 hereby affirm under penalty of perjury that 1 am exempt from the Contractor's License State Law for the following reasons) Indicated below by the
checkmark(s) I have placed next to the applicable Item(s) (Sec. 7031.5 Business and Professions Code: any city or county which requires a permit to
construct, alter, Improve, demolish or repair any structure, prior to Its Issuance, also requires the applicant for the permit to file a signed statement that he
or she Is licensed pursuant to the provisions of the Contractors' State License Law Chapter 8 (commencing with Section 7000) of Division 3 of the
Business and Professions Code) or that he or she is exempt from licensure and the basis for the alleged exemption. Any violation of Section 7031.5 by any
applicant for a permit subjects the applicant to a civil penalty of not more than five hundred dollars ($500).
I, as owner of property, or my employees with wages as their sole compensation, will do I I all or"portions of the work, and the structure is not Intended or
offered for sate (Sec. 7044 Business and Professions Code: The Contractors' State License Law does not apply to an owner of property who, through employees' or
personal efforts, builds or improves the property, provided that the Improvements are not amended or offered for sale. If, however, the building or Improvement is sold
within one year of completion, the Owner -Builder will have the burden of proving that It was not buil or Improved for the purpose of sole).
0 I, as the owner of the property, am exclusively contracting with licensed Contractors to construct the project (Sec. 7044 Business and Professions Code:
The Contractors' State License Law does not apply to an owner of property who builds or Improves thereon, and who contracts for the projects with a licensed
Contractor pursuant to the Contractor's State License law).
I am exempt from licensure under the Contractors, State License Law for the following reason:
By my signature below I acknowledge that, except for my personal residence in which I must have resided for at least one year prior to completion of the
improvements covered by this permit, i cannot legally sell a structure that I have built as an owner -builder if it has not been constructed in its entirety by licensed
contractors. I understand that a copy of the applicable law, Section 7044 of the Business and Professions Code, is available upon request when this application
Is submitted or at the following Web site: htto://www.leeinfo.ca.aov/celaw.html.
By my signature below, I certify to each of the following:
I am the property owner or authorized to act on the property owner's behalf.
I have read this application and the Information I have provided is correct.
I agree to comply with all applicable city and county ordinances and state laws relating to building construction
I authorize representatives of els cityo runty to enter the above4dentified property for inspection purposes.
Signature of Property Owner or Authorized Agent Date
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.
1 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 workers Compensation insurance carrier and policy are:
Cartier: Policy No.: Expiration Date:
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
Labor Code, I shall forthwith comply with those provisions.
Signature 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:
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 Signature
NUMBER EXPIRATION DATE . LICENSE TYPE (Sl
Date