2852 W. BRIDGEPORT AVEPermit Types CITY OF ANAHEIMPLMMEC(5LD ELE
X
BUILDING DIVISION
200 S.ANAHEIM BLVD.
(714)765-5153
Permit Number:BLD2022-04763
Issued:10/07/2022
www.anaheim.net/building
{714)765-4626
Quarter Section:13
Site Address:2852 W BRIDGEPORT AVE,ANAHEIM.CA 92804
Legal Description:N TR 2400 BLK LOT 77
APN:12608314
Project Description:Residential EV Charger Level 2
Number of Stories:0.00LivingArea;
Garage Area;
Carport Area:
Balcony /Deck Area;
Cool Roof;
Valuation:
Construction Typos:
Occupancy Groups:
Fire Sprinkiered:
Total Fees paid for Permit:0.00
People Associated with Project:
Permit Applicant Steven A Ortiz
Type Qty Type QtyElectricalFixturesPlumbingFixtures Mechartical 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.
DATE INSPECfORFINALINSPECTIONS
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 concrele until the following applicable items have been signed:Fire Dept.Final (714)765-5041
Water Engineering (714)765-4591Plumbing(Ground/Underfloor Drain Waste)
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 foilwing applicable items have been^signed Building Final (714 765-5153)
Last Inspection-Final Only After Above CompletedPlumbing(Ground/Underfloor Water)/*●"-
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
iDu nol backtill imless siaiiL-d ottl
Sewer
Water Engineering Backflow (Testable Only)
Water Service
Permit Types
BLD ELE MEC PLM
X
Permit Number: BLD2022-04763
Issued: 10/07/2022
www.anaheim.net/building
(714)765-4626
Quarter Section: 13
CITY OF ANAHEIM
Site Address: 2852 W BRIDGEPORT AVE, ANAHEIM, CA 92804
Legal Description: N TR 2400 BLK LOT 77
APN:12608314
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.
1 hereby affirm under penalty of perjury one of the following declarations:
I have and will maintain a certificate of consent to self-Linsure 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.
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 worker's Compensation insurance carrier and policy are:
Carrier. SECURITY NATIONAL INSURANCE COMPANY Policy No.: SWC1377162 Expiration Date: 3/23/2023
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
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
Labor Code, I shall forthwith comply with those provisions.
Steven A Ortiz 10/7/2022
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:
Lenders Address:
LICENSED CONTRACTOR'S DECLARATION:
1 hereby affirm under the penally 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
Contractor Signature
NUMBER EXPIRATION DATE LICENSE TYPE (S)
900705 03/31/2024 C10
Date
10/7/2022