715 E VALENCIA ST (3)Permit Types
BLD ELE MEC PLM
X
Permit Number: BLD2023.00436
Issued: 01/26/2023
www.anaheim.neUbuilding
(714)765-4626
Quarter Section: 94
CITY OF ANAHEIM
BUILDING DIVISION
200 S. ANAHEIM BLVD.
(7141765-5153
Site Address: 715 E VALENCIA ST, ANAHEIM, CA 92805
1.
Legal Description: N TR 17422 BLK LOT 3 LIN 15 LOT 3 OF TRACT 17422 OF
APN: 93541436
Project Description: Residential EV Charger Level 2
. Ala }fin.
Living Area: Number of Stories: Valuation: 0.00
Garage Area: Construction Types:
Carport Area: Occupancy Groups:
Balcony / Deck Area: Fire Sprinklered:
Cool Roof: Total Fees paid for Permit: 0.00
People Associated with Project:
Contractor PERKINS ELECTRIC 1291 W CERRITOS AVENUE UNIT 85200809180954192530 ANAHEIM, CA 92802
Permit Applicant Francis Nguyen
Type Electrical Fixtures Qty Type Plumbing Fbdures 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.
h1EIM FINAL INSPECTIONS DATE INSFECTOR
P C
City of Anaheim q
O� P CSO All applicable items below must be signed before utilities are released
Building Division z Final Gas Test
u > Electrical Final 2..
Plumbing Final
�DUNDEC) �$y^ Mechanical Final
Cross Connection Control (714) 765.4280
Do not occupy this building 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)
COAIMigation Measures
Do not install subfloor or pour floor slab until the follwing applicable items have been
si ned:
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 si ned:
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
Construction
Exterior Plaster (Brown Coat)
T -Bar (Struct., Ele., or Mec.)
Grease Interceptor
(Do not hackfill unless sioned off)
Sewer
Water Engineering Backflow (Testable Only)
Water Service
L
Permit Types
BLD ELE MEC PLM
X
Permit Number: EMD2023-00436
Issued: 01/26/2023
wormanaheim.neUbuilding
(714)765-4626
Quarter Section: 94
CITY OF ANAHEIM
BUILDING DIVISION
200 S. ANAHEIM BLVD.
17141765 - 5153
Site Address: 715 E VALENCIA ST, ANAHEIM, CA 92805
Legal Description: N TR 17422 BLK LOT 3 UN 15 LOT 3 OF TRACT 17422 OF
APN:93541436
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
Section 3700 of the Labor Code, for the performance of the work for which this permit is issued.
FN
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 carder and policy are:
Cartier. Policy No.: Expiration Date:
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.
Francs Nguyen 1/27@023
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, and my license is in full force and effect.
PERKINS ELECTRIC
Contractor Signature
NUMBER EXPIRATION DATE
LICENSE TYPE is)
741414 10/31/2021 C10
Date
1@7@023