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8276 E MARBLEHEAD WAY_ Permit Types _ BLD ELE MEC PLM X Permit Number: BLD2022-05972 Issued: 12JI912022 www.anaheim.net/building (714)765.4626 Quarter Section: 227 CITY OF ANAHEIM Site Address: 8276 E, MARBLEHEAD WAY, ANAHEIM, CA 92808 Legal Desdrlptlon: N TR 13534 BL•K LOT 17 APN: 35455317 Project Description: Residential EV Charger Level 2 BUILDING DIVISION 200 S. ANAHEIM BLVD. (714) 765.5153 �V ONw tv.F- Living Area: Number of Stories: Valuation: 0.00 Garage Area: Construction Types: Carport Area: Occupancy Groups. Balcony / Deck Area: Fire Sprinldered: 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 Qly Mechanical Fixtures Qty EV Charger 1 The permit shall expire by limitation and become null and void it 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. I P�PHEIM CqC City of Anaheim o� io Building Division F z a Ai �$h^ 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 la.1i6[u- Plumbing Plumbing Final Mechanical Final Cross Connection Control (714) 765-4280 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) 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 signed: 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 s' ed: 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 Constructao 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: BLD2022-05972 Issued: 12119/2022 www.anaheim.net/building (714)765-0626 Quarter Section: 227 CITY OF ANAHEIM Site Address: 8276 E MARBLEHEAD WAY, ANAHEIM, CA 92808 Legal Description: N TR 13534 BLK LOT 17 APN: 35455317 BUILDING DIVISION 200 S. ANAHEIM BLVD. (714 11765-51153 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 SA 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 worker's Compensation insurance carrier and policy are: Cartier: SECURITY NATIONAL INSURANCE COMPANY Policy No.: SWC1377162 Expiration Date: 3/13/2)23 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, N I should become subject to the workers compensation provisions of Section 3700 of the Labor Code, I shall forthwith comply with those provisions. Steven A Ortiz 12/19/2022 Signature of Applicant Date DECLARATION REGARDING CONSTRUCTION LENDING AGENCY: 1 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: 1 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, and my license is in full force and effect. ECO -TECH ELECTRICAL SERVICES INC 12/19/2022 Contractor Signature Date NUMBER EXPIRATION DATE LICENSE TYPE (S) 900705 03/31/2024 C10