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5219 E SHADY GLEN LN (4)Permit Types BLD ELE MEC* EC PLM X X Permit Number: W 340?Zlll �' b Issued: 03/10/2023 www.anaheim.net/building (714)765-4626 Quarter Section: 173 CITY OF ANAHEIM Site Address: -5219 E SHADY GLEN LN, ANAHEIM, CA 92807 Legal Desi 1ption: N TR 5999 BLK LOT 21 APN:36109304 BUILDING DIVISION 200 S.ANAHEIM BLVD. (714) 765 - 5153 r0 Project Description: Photovoltaic System with Microinverters: Install residential roof mounted solar system with (36) modules, (36) microinverters, (3) disconnects, and 225A main service panel Living Area: Number of stories. 1 Valuation: 26,000.00 Garage Area: Construction Types: NIA Carport Area: Occupancy Groups: Balcony I Deck Area: Fire Sprinklered: Cool Roof: Total Fees paid for Permit: 1,038.38 People Associated with Project: Contractor SOLARMAX RENEWABLE ENERGY PROVIDE 308012TH STREET201303081329071749 RIVERSIDE, CA 92307 Permit Applicant Bobby XiaoyuYe Owner MELGOZA PETRONILO JR TR 5219 E SHADY GLEN LN Engineer - Civil Douglas M Morales 20271 Lighthouse Ln Huntington Beach, CA 9246 Type Electrical Fixtures Qty Type Plumbing Fixtures Qty Mechanical Fixtures Qty Meter/Disc Sw - Under 600 V, up to 200 1 amps Microinverter 36 Motors - up to 1 h.p. 3 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�PNEIM Cq< City of Anaheim O� io Building Division F i u a DED Do not occupy this buildinq 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) 7654591 Electrical Ground Electrode/Ufer Sub List/Bus. Lic. (714) 765-5194 (Allow 10 business days) Setback/FormslTrenches (Footings) COA/Migation Measures Do not install subfloor or pour floor slab until the follwing applicable items have been sbanede 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 ReinL) 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 saaned7 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 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 Construction Exterior Plaster (Brown Coat) T-Bar (Strutt., Ele., or Mec.) Grease Interceptor Sewer Water Engineering Backflow (Testable Only) Water Service Permit Types BLD ELE MEC PLM X X Permit Number: Issued: 03/10/2023 www.anaheim.neUbuilding (714)765-4626 Quarter Section: 173 CITY OF ANAHEIM Site Address: 5219 E SHADY GLEN LN, ANAHEIM, CA 92807 Legal Description: N TR 5999 BLK LOT 21 APN:36109304 BUILDING DIVISION 206 3. ANAHEIM BLVD. (7141765-5153 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 foilowing 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: Cartier: ACE AMERICAN INSURANCE COMPANY Policy No.: C51595695 Expiration Date: 10/1/2023 Name of Agent: Phone No.: I certify that in the performance of the work for which this permit Is Issued, l 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: 1 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 Date NUMBER EXPIRATION DATE LICENSE TYPE (S) 972048 04/30/2024 C46, C39, C10