7668 E HOLLOW OAK RD (3)Permit Types
BLD ELE MEC PLM
X
Permit Number: BLD202244549
Issued: 09/26/2022
www.anaheim.neUbuilding
(714)765-4626
Quarter Section: 215
CITY OF ANAHEIM
Site Address:'7668 E HOLLOW OAK RD, ANAHEIM, CA 92808
Legal Descriptlon: N TR -12688 BLK LOT 85
APN:354494404
Project Description: Residential EV Charger Level 2
BUILDING DMSION
200 S. ANAHEIM BLVD.
17141765-5153
Living Area: Number of Stories: Valuation: 0.00
Game Area: Construction Types:
Carport Area: Occupancy Groups:
Balcony I Deck Area: Fire Sprinklered:
Cool Roof: Total Fees paid for Permit: 0.00
People Associated with Project:
Permit Applicant Steven A Ortiz
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 965 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 building until the final inspections have been made.
INSPECTION 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
signed:
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
been si n
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 COA/Mitagation 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
Construction
Exterior Plaster (Brown Coat)
T -Bar (Struct., Ele., or Mec.)
Grease Interceptor
(Do not backfill unless slaned ofl)
Sewer
Water Engineering Backflow, (Testable Only)
Water Service
FINAL INSPECTIONS i DATE I INSPECTOR
All applicable items below must be signed before utilities are released
I Gas Test
trical Final Cl Z
nbing Final
hanical Final
rs Connection Control (714) 765-4280
ineering Final (714) 765-5126
Sprinkler (ONLY) (714) 765-5041
Dept. Final (714) 765-5041
er Engineering (714) 765-4591
List/Bus. Lic. (714) 765-5194 (Allow 10 business days)
dMigation Measures
ding Final (714 765-5153)
Inspection -Final Only After Above Completed
PARTIAL INSPECTIONS
Buildinq Inspections
Mechanical Inspections
Plumbing Inspections
Electrical Inspections
Permit Types
BLD ELE MECPLM
X
Permit Number: BLD2022-04549
Issued: 09/26/2022
www.anaheim.net/building
(714)765-0626
Quarter Section: 215
Slfe Add... . 'Feee r .
CITY OF ANAHEIM
- - -- --- • --� • ,�+���+.• vnn rcv, PUMMMIM, GA 92a06
Legal Description: N TR 12688 BLK LOT 85
APN:35449404
BUILDING DIVISION
200 S. ANAHEIM BLVD.
(7141 765 -5153
bk
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:
1 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
SA Section 3700 of the Labor Code, for the performance of the work for which this permit is issued.
1 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 workers Compensation insurance carrier and policy are:
Carrier: SECURITY NATIONAL INSURANCE
COMPANY Policy No.:.SWC1377162
E
Name of Agent: Phone
Date: 3 0
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.
Steven A Ortiz
9426/2022
Signature of Applicant
Date
DECLARATION REGARDING CONSTRUCTION LENDING AGENCY.
I hereby affirm under penalty of perjury that there is a construction fending agency for the performance 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 1 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.
ECO -TECH ELECTRICAL SERVICES INC
Ww"al at'Lul 01f1rahure
NUMBER
EXPIRATION DATE
03/3142024
LICENSE TYPE fsl
C10
942642022
Date