209 E ADELE ST (3)Permit Types
BLD ELE MEC PLM
X X
Permit Number: BLD2022-05418
Issued: 12/07/2022
www.anaheim.net/liuilding
(714)765-4626
Quarter Section: 83
CITY OF ANAHEIM!
BUILDING DIVISION
200 S. ANAHEIM BLVD.
(7141765.5153
Site Address: 209 E ADELE ST, ANAHEIM, CA 92805
LegalDescription: A TR HEIMANN & GEORGES ADD BLK B LOT 19
APN:03511206
Project Description: Photovoltaic System: Install new residential roof mounted solar system with (11) modules, (1) inverter, and 200
main panel upgrade
Living Area: Number of Stories: 2 Valuation: 10,000.00
Garage Area: Construction Types: N/A
Carport Area: Occupancy Groups:
Balcony/ Deck Area: Fire Sprinklered:
Cool Roof: Total Fees paid for Permit: 722.30
People Associated with Project:
Owner GARCIA YOLANDA C & IGNACIO M 209 E ADELE ST
Engineer - Civil PHONG L TRUONG 3000 E BIRCH ST STE 201202105051424237730 BREA, CA 92821
Type Electrical Fixtures Qty Type Plumbing Fixtures Qty Mechanical Fixtures Qty
Inverter 1
Meter/Disc Sw - Under 600 V, up to 200 1
amps
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�PY1E1114 CqC
City of Anaheim D� �o
Building Division i
u >
�D�NDED "ID
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 A23 i'
Plumbi 'nal
echanical Final Cross Connection Co rol (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) 765-4591
Electrical Ground Electrode/Ufer
Sub List/Bus. Lic. (714) 765-5194 (Allow 10 business days)
Setback/Forms/Trenches (Footings)
COAIMigation Measures
Do not install subfloor or pour floor slab until the follwing applicable items have been
Building Final (714 765-5153)
Last Inspection -Final Only After Above Completed
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 sdoneda
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 (Struct., Ele., or Mec.)
Grease Interceptor
(Do not hackfill unless sianpri off)
Sewer
Water Engineering Backflow, (Testable Only)
Water Service
Permit Types
BLD ELE MEC PLM
X I X
Permit Number: BLD2022-05418
Issued: 12/07/2022
www.anaheim.net/building
(714)7654626
Quarter Section: 83
CITY OF ANAHEIM
BUILDING DIVISION
200 S. ANAHEIM BLVD.
(714) 76S - 5153
Site Address: 209 E ADELE ST, ANAHEIM, CA 92805
Legal Description: A TR HEIMANN & GEORGES ADD BLK B LOT 19
APN:03511206
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 selfansure 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 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 carrier and policy are:
Cartier: Policy No.: Expiration Date:
Name of Agent Phone No.:
Nat 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
compensation laws of California, and=agrees that, it I should become subject to the worker's compensation provisions of Section 3700 of Ore
ide, l shat ,"Wjk comply with u,o� provisions.
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:
LI
CON CTOR'S DECLARATION:
1 hereby rat under a pan of Perjury that I am licens d and provts of ns of 9 (commencing with Section 7000) of Division 3 of the Business and
Protessi ns Code, d my license Is in•fu�Glbrce�a act. _ i
EXPIRATION DATE
09/30/2023
1IN-4`.
B, C10, C36, A
Date