1935 W WILLOW AVE (8)Permit Types
BLD ELE MEC PLM
X X
Permit Number: BLD2623-00014
Issued: 03/07/2023
www.anaheim.neUbuilding
(714)7654626
Quarter Section: 40
Site Address: 1935 W WILLOW AVE, Anaheim, CA 92804
Legal Description: IV TR 2501 BLK LOT 40
A0N:12814210
CITY OF ANAHEIM
BUILDING DIVISION
200 S. ANAHEIM BLVD.
(7141765.5153
Project Description: Photovoltaic System: Installation of residential roof mounted system with (17) modules and (1) inverter
Living Area: Number of Stories: 1 Valuation: 5,000.00
Garage Area: Construction Types: NIA
Carport Area: Occupancy Groups:
Balcony I Deck Area: Fire Sprinklered: No
Cool Roof: Total Fees paid for Permit: 1,034.65
People Associated with Project:
Contractor SATER ELECTRIC LLC 9732 STATE ROUTE 445 #339 STE #339 201706221529368934 SPARKS, NV 89441
Permit Appiicant SATER ELECTRIC 9732 STATE RT 445 STE #339 SPARKS, NV 894410000
Owner NGO CINDY QUYNH 8 JASON TAN 1935 W WILLOW AVE
Type . Electrical Fixtures Qty Type Plumbing Fixtures Qty Mechanical Fixtures Qty
Inverter 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.
City of Anaheim
Building Division
Do not occupy this building until the final inspections have been made.
INSPECTION DATE 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 foliwing applicable items have been
s'
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 sinneda
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 & Pibg)
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
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
Final Gas Test
Electrical Final
Plumbing Final
Mechanical Final
Cross Connection Control (714) 7654280
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)
COA/Migation Measures
Building Final (714 765-5153)r41
Last Inspection -Final Only After Above Completed
`'
PARTIAL INSPECTIONS
Buildinq Inspections
Mechanical Inspections
Plumbing Inspections
Electrical Inspections
Permit Types
BLD ELE MEC PLM
X X
Permit Number: BLD2021-00014
Issued: 03/07/2023
www.anaheim.neUbuilding
(714)7654626
Quarter Section: 40
CITY OF ANAHEIM
BUILDING DIVISION
200 S.'"AF(EIM BLVD:
(714) 765- 5153
Site Address: 1935 W WILLOW AVE, Anaheim, CA 92804
Legal Description: N TR 2501 BLK LOT 40
i
APN:12814210
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 penally of perjury one of the following declarations:
1 have and will maintain a certificate of consent to self4nsum 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.
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:
Cartier: INSURANCE COMPANY OF THE WEST Policy No.: WSA5059259 Expiration Date: 11111812024
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 worker's compensation provisions of Section 3700 of the
Laborr/C/�ode, I shall forthwith comply with those provisions.
�v "
//
Signature of Applicant
-31712,-3
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:
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 lice a is in full force and effect.
Contract6r Signature
NUMBER EXPIRATION DATE LICENSE TYPE ISI
976252 02@8/2023 B, C10
k7 Z3
Date