1228 E ADELE STi
Permit Types
BLD ELE MEC PLM
X
Permit Number: BLD2023-00817
Issued: 02/23/2023
www.anaheim.neUbuilding
(714)765-0626
Quarter Section: 92
CITY OF ANAHEIM
BUILDING DMSION
• Idiit. ANWdEIM BLVD.
(714) 765.5153
Site Address: 1228 E ADELE ST, ANAHEIM, CA 92805
Up! Deseription: N:TR 1542 BLK LOT 30
AP --k,. 03530308
Project Description: Residential EV Charger Level 2
Wng Area: Number of Stories: Valuation: 0.00
Garage Area: Consbucdon Types:
Carport Area: Occupancy Groups:
Balcony / Deck Area: Fire Sprinldered:
Cool Roof: Total Fees paid for Permit: 0.00
People Associated with Project:
Contractor STEVE CAVENEE ELECTRIC 2328 N BATAVIA 104 ORANGE, CA 92865
Permit Applicant Steve Cavenee 2328 N Batavia #104 Orange, CA 92865
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 final inspection 365 days from the
date of permit Issuance. A new permit is required to commence or continue work.
P�PNEIM C�<
City of Anaheim o� io
Building Division F i
a
�DGNDED �ah1
Do not occupy this building until the final inspections have been made.
FINAL INSPECTIONS
DATE INSPECT i
All applicable items below must be signed before utilities are released
Final Gas Test
Electrical Final VIA&
Plumbing Final
Mechanical Final
Cross Connection Control (714) 766.4280
Engineering Final (714) 765-5126
INSPECTION 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 ElectrodelUfer
Sub List/Bus. Lic. (714) 765-5194 (Allow 10 business days)
Setback/Forms/Trenches (Footings)
COA/Migation Measures
Do not install subfioor 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 seaneds
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
Plumbina 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 S 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
Sewer
Water Engineering Backflow (Testable Only)
Water Service
Permit Types
BLD ELE MEC PLM
X
Permit Number. BLD2023-00817
Issued: 02/23/2023
www.anaheim.net/building
(714)7654626
Quarter Section: 92
Site Address: 1228 E ADELE ST, ANAHEIM, CA 92805
Legal Description: N TR 1542 BLK LOT 30
APN:03530306
CITY OF ANAHEIM
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 pedury one of the following declarations:
I have and will maintain a certificate of consent to self4nsure 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.
SC
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. EMPLOYERS PREFERRED INSURANCE COMPANY Policy No.: EIGS14380100 Expiration Date: 1/3/2024
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.
Steve Cavenee 2/23/2023
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, end my license is in full force and effect.
STEVE CAVENEE ELECTRIC 2/23/2023
Contractor Signature Date
NUMBER EXPIRATION DATE LICENSE TYPE (S)
467884 01/31/2023 C10
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