2812 W. DE VOY DRPermit Types CITY OF ANAHEIMPLMBLDELEMEC
X X BUILDING DIVISION
200 S.ANAHEIM BLVD.
(714)765-51S3
Petmit Number:BLD2022-05291
Issued:11/30/2022
www.anaheim.net/building
(714)765-4626
Quarter Section:14
Site Address:2812 W DE VOY DR.Anaheim,CA 92804
Legal Description;N TR 2705 BLK LOT 18
APN:12624608
liyntP J
Project Description:Photovoltaic System:Installation of residential roof mounted system with (27)modules and (1)inverter
1 20,196.00NumberofStories:Valuation:
Construction Types:
Occupancy Groups:
Fire Sprinklered:
Total Fees paid for Permit:
Living Area:
Garage Area:
Carport Area:
Balcony /Deck Area:
Cool Roof;
N/A
No
622.63
People Associated with Project:
Permit Applicant
Owner
Engineer ●Civil
Maggie Matthews
SCHIDLER MARK D &MARGARET A
Ryan J McPherson
2812 W DEVOY DR
6169 Sunny Cirice Mira Loma,CA 91752
Qty Type Qty Mechanical Fixtures QtyTypeElectricalFixturesPlumbingFixtures
1Inverter
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.
DATE INSPECTORFINALINSPECTIONS
City of Anaheim
Building Division
All applicable items below must be signed before utilities are released
Final Gas Test
Electrical Final
Plumbing Final
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
DATE INSPECTOR Fire Sprinkler (ONLY)(714)765-5041INSPECTION
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
Sub List/Bus.Lie.(714)765-5194 (Allow 10 business days)Electrical Ground Electrode/Ufer
COA/Migation MeasuresSetback/Forms/Trenches (Footings)
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 CompletedPlumbing(Ground/Underfloor Water)C -f c .
Underfloor Rough Gas
PARTIAL INSPECTIONSMechanical(Groundwork)
Building InspectionsElectrical(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 signed:
1st Floor Shear
Mechanical InspectionsFiresprinkler(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
Plumbing InspectionsRoughCOA/Mitagation Measures
Framing (Only after PIbg.,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
Electrical InspectionsExteriorLath
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
(Da not backMI cnless sia.'iL-d offl
Sewer
Water Engineering Backflow (Testable Only)
Water Service
Permit Types
BLD I ELE I MEC PLM
X I X
Permit Number: BLD2022-05291
Issued: 11/30/2022
www.anaheim.net/buiiding
(714)765-4626
Quarter Section: 14
Site Address: 2812 W DE VOY DR, Anaheim, CA 92804
Legal Description: N TR 2705 BLK LOT 18
APN: 12624608
CITY OF ANAHEIM
BUILDING DIVISION
200 S. ANAHEIM BLVD.
(714) 765 - 5153
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 self4nsure 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.
I have and will maintain workees 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. TECHNOLOGY INSURANCE COMPANY INC Policy No.: TWO41028M Expiration Date: 4/15/2023
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 worker's compensation provisions of Section 3700 of the
Labor Cods khalrfSr hwh omp with those provisions.
11 Z
Signaturef Applican Date
DECLARATION REGARDING CONSTRUCTION LENDING AGENCY:
-- I herebyaftirrrwnder-penalty of perjury•that there is a construction lending agencydor4he•perfornance4ae*rork for which chis 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
essions Code, and my I cone is in full fa, and effect.
Contfor Signa u
NUMBER EXPIRATION DATE LICENSE TYPE ISI
1024460 03/31/2023 C10
�ll 3a �Z
Date