2736 W ROWLAND CIRPenne Types
BLD ELE MEC PLM
X X
Permit Number: BLD2022-05487
Issued: 01/03/2023
www.anaheim.neUbuilding
(714)765-4626
Quarter Section: 20
CITY OF ANAHEIM
Site Address: 2736W ROWLAND,CIR, ANAHEIM, CA 92804
Legal DescIz Nptit n: N:TR`2864 BLK,LOT 18
APN:12606466'
BUILDING DIVISION
200 S. ANAHEIM BLVD.
(714) 765 - 5155
Project Description: Photovoltaic with Micro -Inverters: Install (27) modules, (27) micm4nverters and a 125 amp combiner.
Living Area: Number of Stories: 0 Valuation: 23,000.00
Garage Area: Construction Types: VB
Carport Area: Occupancy Groups:
Balcony I Deck Area: Fire SprinMered:
Cool Roof: Total Fees paid for Pernik: 811.99
People Associated with Project:
Permit Applicant Mayra Ruiz
Owner MARGEDANT ARGENTINA & JUSTIN JOSEPH 2726 W ROWLAND CIR
Type Electrical Fbttures Oty Type Plumbing Fbttures Qty Mechanical Fixtures Qty
Microinverter 27
Sub Panel/Temp Pwr - Under 600 V, up to 1
200 amps
The peen@ shall expire by limitation and become null and void N 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�PNEIM Cq<
City of Anaheim o� io
Building Division
>
�DGNDED ^
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 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)
COA/Migation Measures
Do not install subfloor or pour floor slab until the follwing applicable items have been
si n d:
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 sioned7
lot 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
(Do not backfill unless sinnad nffi
Sewer
Water Engineering Backflow (Testable Only)
Water Service
Permit Types
BLD ELE MEC PLM
X I X
Permit Number: BLD2022-06487
Issued: 01/03/2023
www.anaheim.net/building
(714)765.4626
Quarter Section: 20
CITY OF ANAHEIM
Site Address: 2736 W ROWLAND CIR, ANAHEIM, CA 92804
Legal Description: N TR 2864 BLK LOT 18
APN:12606406
BUILDING DIVISION
200 S. ANAHEIM BLVD.
(7141766.6153
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:
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 peril is issued.
C) 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. Stemet Insurence Policy No.: ONUWC0157271 Expiration Date: 06111742023
Name of Agent Cynthia Perez -Delgado Phone No.: (530)378-2106
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.
01/03/2023
Signature o pplicant Date
DECLARATION REGARDING CONSTRUCTION LENDING AGENCY:
I hereby affirm under penalty of perjury that there Is a construction tending agency for One performance of the work for which this permit Is issued
(Sec.3097.Civ.C):
Lenders Name:
Mosaic
Lender's Address: 12520 High Bluff Dr Suite 340, San Dieno. CA 92130
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.
NL!'�B� c�alL�Qr�ey
Contractor
Signature 1
NUMBER EXPIRATION DATE LICENSE TYPE ISl
1079237 =3142023
01/03/2023
(Dale)