617 S MOTIF STPermit Types
BLD ELE MEC PLM
X
Permit Number: BLD2023-01134
Issued: 03/09/2023
www.anaheim.neUbuilding
(714)765-4626
Quarter Section: 94
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CITY OF ANAHEIM
BUILDING DIVISION
c 200 S. ANAHEIM BLVD.
1714) 765.5153
Site Address: 617 S MOTIF ST, Anaheim, CA 92805
: Legal;Deiscriptlon: N TR .18101 BLK LOT 15 UN 125 LOT 15 OF TRACT 18101
APN:93541642'
Project Description: Residential EV Charger Level 2
I
Fv
3 /o /23
Living Area: Number of Stories. Valuation: 0.00
Garage Area: Construction Types:
Carport Area: Occupancy Groups:
Balcony / Deck Area: Fire Sprinkiered:
Cool Roof: Total Fees paid for Permit: 0.00
People Associated with Project:
Contractor FARADAY ELECTRIC CORP 2684 A STREET SAN DIEGO, CA
Permit Applicant Jorge Porres 2684 A Street San Diego, CA 92102
Type Electrical Fixtures Qty Type Plumbing Fixtures City Mechanical Fixtures Qty
EV Charger 1
The permit shall expire by [Imitation and become null and void if the building or worts has not passed final inspection 365 days from the
date of permit Issuance. A new permit Is required to commence or continue work.
C�PHEIM cq FINAL INSPECTIONS DATE INSPECTOR.
City of Anaheim o� P <�o All applicable items below must be signed before utilities are released
Building Division z Final Gas Test
u > Electrical Final 713 or3i,
Plumbing Final
��G�►DED %a�^ Mechanical Final
Cross Connection Control (714) 765.4280
Do not occupy this buildinq until the final inspections have been made. 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
smanede
Building Final (714 765-5153)
Last Inspection -Final Only After Above Completed
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
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 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: BLD202341134
Issued: 03/09/2023
www.anaheim.net/building
(714)765-4626
Quarter Section: 94
CITY OF ANAHEIM
-BUILOINGDMSION
200 S. ANAHEIM BLVD.
(714) 765 - 5153
Site Address: 617 S MOTIF ST, Anaheim, CA 92805
Legal Description: N TR 18101 SLK LOT 15 UN 125 LOT 15 OF TRACT 18101
APN:93541642
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 selfinsum for worker's compensation, issued by the Director of industrial Relations as provided for by
JP 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 workers Compensation insurance carrier and policy are:
Cartier: OHIO SECURITY INSURANCE COMPANY Policy No.: XWS2459299600 Expiration Date: 1131/2024
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
workers 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.
Jorge Porres 3/9/2023
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):
Lenders Name:
Lender's 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.
FARADAY ELECTRIC CORP
Contractor Signature
NUMBER
1046805
EXPIRATION DATE
11/30/2024
LICENSE TYPE (S)
CIO
Date
3/9/2023
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