295 N DALTON DR (5)Permit Types
BLD ELE MEC*
X X
Permit Number: BLD2023-01559
Issued: 05/16/2023
www.anaheim.net/building
(714)7654626
Quarter Section: 161
Site Address: 295 N DALTON DR, Anaheim, CA 92807
Legal Description: N TR 17679 BLK LOT 49
APN: 35922149 '
CITY OF ANAHEIM
BUILDING DIVISION
200 S. ANAHEIM BLVD.
(7141765-5153
Project Description: Photovoltaic System: Install residential roof mounted solar with (12) Modules, (1) inverter, (1) ESS, and (1) load
center
Living Area: Number of Stories:
1 Valuation: 13,000.00
Garage Area:
Construction Types: N/A
Carport Area:
Occupancy Groups:
Balcony I Deck Area:
Fire Sprinidered:
Cool Root:
Total Foss paid for Permit: 752.19
People Associated with Project:
Contractor TESLA ENERGY OPERATIONS INC
901 PAGE AVE200809171020478510 FREMONT, CA 92606
Owner HAHN MARINA LEE
295 N DALTON DR
Engineer - Civil Yong Heng Zhu
San Mateo, CA 94403
Type Electrical Fixtures Qty Type
Plumbing Fbdures Qty Mechanical Fixtures Qty
Generators/Transformers -1 to 10 hp, 1 1
to 75 kva.
Inverter 1
Sub PaneI amp Pwr - Under 600 V, over 1
200 amps to 500 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.
City of Anaheim
Building Division
Do not occupy this buildina until the final inspections have been made.
INSPECTION I DATE I INSPECTOR
Do not pour concrete until the following applicable items have been signed:
Plumbing (Ground/Underfloor Drain Waste)
Electrical Ground Electrode/Ufer
Setback/Forms/Trenches (Footings)
Do not install subfloor or pour floor slab until the follwing applicable items have been
Plumbing (Ground/Underfloor Water)
Underfloor Rough Gas
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
an sioned-
1st Floor Shear
Firesprinkler (Rough) (Fire Dept.)
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 COAIMitagation Measures
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 Service Meter -(Meter will be set within 2-3
business days after approval) Excludes New
Exterior Plaster (Brown Coat)
T -Bar (Struct., Ele., or Mec.)
Grease Interceptor
Sewer
Water Engineering Backflow (Testable Only)
Water Service
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
Fire Sprinkler (ONLY) (714) 765-5041
Fire Dept. Final (714) 765-5041
Water Engineering (714) 765-4591
Sub List/Bus. Lic. (714) 765-5194 (Allow 10 business days)
COAIMigation Measures
Building Final (714 765-5153)
Last Inspection -Final Only After Above Completed
PARTIAL INSPECTIONS
Building Inspections
Mechanical Inspections
Plumbing Inspections
Electrical Inspections
Permit Types
BLD ELE MEC PLM
X X
Permit Number: BLD2023-01559
Issued: 05/16/2023
www.anaheim.net/building
(714)765-0626
Quarter Section: 161
Site Address: 295 N DALTON DR, Anaheim, CA 92807
Legal Description: N TR 17879 BLK LOT 49
APN:35922149
CITY OF ANAHEIM
BUILDING DIVISION
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 at consent to selfinsure 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. AMERICAN ZURICH INSURANCE COMPANY Policy No.: EWS107458505 Expiration Date: 10/31/2023
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, I I should become subject to the workers compensation provisions of Section 3700 of the
bor e, I hal forthwith comply with those provisions.
Si nature 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:
Lenders Address:
LICENSED CONTRACTOR'S DECLARATION:
I hereby affirm under the nal fy of rjury that I am licensed under provisions of chapter 9 (commencing with Section 7000) of Division 3 of the Business and
Professions 9.8 y lice is In full force and effect. //
A3
Contractor Signature Date '
NUMBER EXPIRATION DATE LICENSE TYPE (Sl
888104 12/31/2024 C36, C46, B. C10, C39