1109 W. CHEVY CHASE DR6ai I nePermitTypesCITYOFANAHEIMPLMdLD'ELE MEC
XX BUILDING DIVISION
200 S.ANAHEIM BLVD.
(714)765-5153
Pennit Number:SLD2023-00550
Issued:02/27/2023
I
www.anaheim.net/building
(714)765^626
Quarter Section:60
Site Address:1109 W CHEVY CHASE DR,ANAHEIM.CA 92801
Legal Description:N TR 2624 BLK LOT 43
APN:07344104
Project Description:Residential Photovoltaic System with Inverters
26,270.00Valuation:Living Area:
Garage Area:
Carport Area:
Balcony /Deck Area:
Cool Roof:
Number of Stories:
Construction Types:
Occupancy Groups:
Fire Sprinklered:
Total Fees paid for Permit:293.00
People Associated with Project:
2065 W OBISPO202011161613225750 GILBERT,A2 84020Contractor
Permit Applicant
NERD POWER CA LLC
CA Processing
Qty Type Qty Mechanical Fixtures QtyTypeElectricalFixturesPlumbingFixtures
1Inverter
Sub Panel/Temp Pwr -Under 600 V.up to
200 amps
1
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.
DATE ‘lNo|-FINAL INSPECTIONS
City of Anaheim
Building Division
All applicable items below must be signed before utilities are releaseo
Final Gas Test
Electrical Final
Plumbing Final
Mechanical Final
Cross Connection Control (714)765-4280
Do not occupy this building until the final inspections have been made.Engineering Final (714)765-5126
INSPECTION 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
Sub List/Bus.Lie.(714)765-5194 (Allow 10 business days)Electrical Ground Electrode/Ufer
Setback/Forms/Trenches (Footings)COA/MIgation Measures
Do not install subfloor or pour floor slab until the follwing applicable items have been
SKined Building Final (714 765-5153)
Last Inspection-Final Only After Above Completed a.Plumbing (Ground/Underfloor Water)
Underfloor Rough Gas
PARTIAL INSPECTIONSMechanical(Groundwork)
Building InspectionsElectrical(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 vjork below until the following applicable items have
been signed
1st Floor Shear
Mechanical InspectionsFiresprinkler(Rough)(Fire Dept.)
2nd Floor Shear
Roof (Sheathing/Diaphragm/Frame)
Masonry (Relnf./Bond Beam/Pre-Grout)
Rough Plumbing (Top Out)
Rough Duct (Mechanical)
Rough Mechanical
Rough Electrical
Plumbing InspectionsRoughCOA/Mitagation Measures
Framing (Only after PIbg Ele Mec &Fire)
Insulation (Sound/Energy)
Do not tape or plaster until the following applicable items have been signed
Drywall
Drywall Penetrations (Ele,Mec &PIbg)
Interior Lath
Electrical InspectionsExteriorLath
Electrical Service Meter-iMeter 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
-v,;iin >simiecl olfi
Sewer
Water Engineering Backflow (Testable Only)
Water Service
Permit Types
BLD ELE MECPLM
X X
Permit Number: BLD2023-0059"x' - -t
Issued: 02/27/2023
www.anaheim.net/building
(714)7654626
Quarter Section: 60
CITY OF ANAHEIM
Site Address: 1109 W CHEVY CHASE DR, ANAHEIM, CA 92801
Legal Description: N TR 2624 BLK LOT 43
APN:07344104
BUILDING DMSION
200 S. ANAHEIM BLVD.
(7141 765 - 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 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.
CP
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 worker's Compensation insurance carder and policy are:
Cartier. WCF NATIONAL INSURANCE COMPANY Policy No.: 3466038 Expiration Date: OM/2023
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
worker's compensation laws of California, and agree that, if I should become subject to the worker's compensation provisions of Section 3700 of the
Labor Code, I shall forthwith comply with those provisions.
CA Processing 227/2023
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.
N E R D POWER CA LLC 2272023
Contractor Signature Date
NUMBER EXPIRATION DATE LICENSE TYPE (S)
1019100 10/312022 C10, 6