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147 N AVENIDA CORDOBA (2)_I Permit Types f4 BLDELE IktEC TPLM X X Permit Number. BLD2022-05657 Issued: 12101/2022 www.anaheim.net/building (714)765-0626 Quarter Section: 196 CITY OF ANAHEIM Sift:Address ,147 N AVENIDA CORDOSAANAHEIM, CA 92808 Legal Description. N TR 767 kl( LOT .22 APN:'35812214 BUILDING DIVISION 200 S. ANAHEIM BLVD. (7141765.5153 Project Description: R©sldential Photovoltaic System with Microinverters 'Lw. -g-": Number of Stories: Valuation: 29,500.00 Garage Area: Construction Types: Carport Area: Occupancy Groups: Balcony / Deck Area: Fire Sprinldered: Coot Root Total Fess paid for Permit: 167.00 People Associated with Project: Permit Applicant Jake Shim 6970 Aragon Circle #3 Buena Park, CA 90620 Type -- - Electrical Fixtures Qty Type Plumbing Fixtures - Qty Mechanical Fixtures Qty Micrainverter 21 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�PHEI11q C9( City of Anaheim o� io Building Division F y u a �DUNOED �$y� 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) 765-4260 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) 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 sioneds Building Final (714 765-5153) Last Inspection -Final Only After Above Completed e 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 s' e 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 Insoections 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: BLD2022-05657 Issued: 12101/2022 www.anaheim.neUbuilding (714)765.4626 Quarter Section: 196 CITY OF ANAHEIM Site Address: 147 N AVENIDA CORDOBAANAHEIM, CA 92808 Legal Description: N TR 7617 BLK LOT 22 APN:35812214 BUILDING DIVISION 200 S. ANAHEIM BLVD. (714) 765 -5153 4N 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 ($700,000), 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 JS Section 3700 of the tabor 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 worker's Compensation insurance carrier and policy are: Cartier: STATE COMPENSATION INSURANCE FUND Policy No.: 9263951 Expiration Date: 11/9/2023 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 workers compensation provisions of Section 3700 of the Labor Code, I shall forthwith comply with those provisions. Jake Shim Signature of Applicant Date 12/1/2022 DECLARATION REGARDING CONSTRUCTION LENDING AGENCY: "-1 hereby af8rm-under penalty•of perjury that there is a construction -lending -agency for4he•per%maaace-of-the-work-for-which this -permit Is Issued (Sec.3097.Civ.C): Lenders Name: Lenders 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. ELIONE ENERGY INC Contractor Signature NUMBER EXPIRATION DATE LICENSE TYPE ISl 1073542 02/28/2023 C10 Date 12/1/2022