814 E SANTA ANA ST (3)• r Permit Types
BLD ELE MEC*
X
Permit Number: BLD2023-00145
Issued: 01/13/2023
www.anaheim.net/building
(714)765-4626
Quarter Section: 93
Site Address: 814 E SANTA ANA ST, Anaheim, CA 92805
Legal ;Descriptlon:
APN:03731014
CITY OF ANAHEIM
Project Description: Residential EV Charger Level 2
Living Area: Number of Stories:
Garage Area:
Carport Area:
Balcony / Deck Area:
Cool Roof.
People Associated with Project:
Permit Applicant Rebecca Park -Lin
BUILDING DIVISION
200 S. ANAHEIM BLVD.
(7141 765 - 5153
Valuation: 0.00
Construction Types:
Occupancy Groups:
Fire Spdnldered:
Total Fees paid for Permit: 0.00
Type Electrical Fixtures Qty Type Plumbing Fixtures Qty 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 Anal Inspection 365 days from the
date of permit Issuance. A new permit is required to commence or continue work.
P�PNEIM Cq<
Cityof Anaheim o� io
Building Division F i
u >
DEto) Nib
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 I
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 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
sianede
Building Final (714 765-5153)
Last Inspection-Final Only After Above Cortlpleted
II
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 seaned7
j
1st Floor Shear
{
Firesprinkler (Rough) (Fire Dept.)
Mechanical Inspections {
2nd Floor Shear
Roof (Sheathing/Diaphragm/Frame)
j
Masonry (Reinf./Bond Beam/Pre-Grout)
Rough Plumbing (Top Out)
Rough Duct (Mechanical)
Rough Mechanical
Rough Electrical
{
Rough COA/Mitagation Measures
Plumbing 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
Constructap
Exterior Plaster (Brown Coat)
T-Bar (Struct., Ele., or Mec.)
Grease Interceptor
Sewer
Water Engineering Backflow (Testable Only)
Water Service
Ij
Permit Types
BLD ELE MEC PLM
X
Permit Number: BLD2023-00145
Issued: 01/13/2023
www.anaheim.neUbuilding
(714)765-4626
Quarter Section: 93
Site Address: 814 E SANTA ANA ST, Anaheim, CA 92805
Legal Description:
APN:03731014
CITY OF ANAHEIM
BUILDING DIVISION
200 S. ANAHEIM BLVD.
(714) 765 - 5153
ONU
�L�3123
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 Labor Code, for the performance of the work for which this permit is issued.
RP
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:
Cartier. OHIO CASUALTY INSURANCE COMPANY (THE) Policy No.: XWS2359299660 Expiration Date: 1/31/2023
Name of Agent: Phone No.:
1 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.
Rebecca Park -Lin 1/13/2023
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.
FARADAY ELECTRIC CORP
Contractor Signature
NUMBER EXPIRATION DATE LICENSE TYPE (S)
1046605 11/30/2022 C10
Date
1/13/2023