The URL can be used to link to this page

20-90 S ANAHEIM BLVDLE L ESCRIPTI N (7 /4›, A ,j / , •I SEC MAP tP (V 75 ? 1 - MAILING ADDRESS r rG' . cos Reg /Es r'�.*9SrJ�Frtf.A C CENSUS CODE •'N /� FIRE OCCU. .8 -� Z TYP ry ZONE PANCY CONST '` � , � 1 f ENGINEERING OFF SITE , J.. K „ IMPROVEMENTS ✓ i DEDICATION�a'�� STREET IMPROVEMENT PLAN: '" -. BOND. fie S �� T �! SEWER ASSESSMENT: }�/ / (,� REVIEWED E R I He TAW, SIG. 4tss ,ff: , GYM - 70e)* 9X1, PUB. SERVICE PLAN CHECK FEE FIRE PERMIT FEE L.+Je f HEALTH STATE TAX 69.4 , SANITATION MICROFILM FEE PERM PLAN WITH PLAN WIOUT PLAN El APP BY /i( .1 TOTAL FEE +� ., , ' e, - ' y 7 APPLICATION FOR A BUILDING PERMIT PLANNING DEPT Ai' IkATO, cau o" • CONTRACTOR CI . o 6 tle - G 4 c.-',<'113 O - h}; - 4/ - le.-:. . MAILING ADDRESS r rG' . cos Reg /Es r'�.*9SrJ�Frtf.A C IC. NO. - 25445` ,MAILING ADDRESS '_> 7 6 J. '� A 7e , }'G ixte,y ii ",9117 "r STATE LIC. NO. .- - /, {'r' f` OWNER � 6 V/L L 9 E i /64' MAILING ADDRESS - et A4g 4 7.14 2 1V s/2. l e fry 7.7 ( 7 .0 r PRESENT UILDIN t-' r , 4 ' . / BUILDING USE rT �'I PROPOSED �/f4.,tve•P f p�• r A 7 /L BUILDING USE /� fT NEW ❑ ADD'N ❑ ALTER ❑ REPAIR ❑ DEMOLISH ❑ GARAGE AREA FLOOR ❑ INCREASE AREA ❑ DECREASE DESCRIBE WORK TO BE DONE SO FT DESCRIPTION OF WORK JOB ADDRESS VALUATION NOTE: i,I g, Etc." NO. OF ^f NO. OF DWELLING STORIES •- UNITS 3 STo.P/ y L /C •P L !lG /4 c rXVZ ri9( When properly validated in 151 space an paid for this form constitutes a permit to do the work described - .ereon. The issuance of this permit does not authorize the violation of any state or local law G / o BLDG9 SIGNATURE OF OWNER OR AUTRORIZED'KGENT SOFT $ 924, () )Q I have carefully read and examined the above application and know the same to be True and correct. All provisions of Laws and Ordinances covering this typepl conslruction will be corn pllea with whether specified herein or all. No per- son shall be employed In violation DI Labor Code of thp.Stata,of FINAL ELEC. 4EALTH DEPT. SEOLitAE.MEN FINAL fl, L4AOLN43 wa CONTR4CTCJA5 1.1.3T FfilP.I. . .. ' 27:4--- Reo,,,RE,4ENTs c....,...ER,NG REQu.,......,T5 .,.....TAT,. NETS 7 i .... E.L.:.• N:.:., NEP REOUISEMENTS FOUND.ATiON FRAMING PLASTER L SOF. 12■IMIN111■■ SET BACKS fg'INT MISC. INSPECTION R. SIDE INSPECTOR DATE REAR DA p aseiwwwwer LEGP DESCRIPTI. SEC MAP fL•. /— ZS 7) TEL. NO. ..c.3 .585 r 6Pe, t. CENSUS CODE `=' ,. Q �rfY fb ,�y ZONE al Y 3/ - =NST yell/", /C ENGINEERING I OFF SITE IMPROVEMENTS: � .�5 / ' DEDICATION ' ;r - ' - STREET IMPROVEMENT PLAN: .7 Aa!K & lf BOND: SEWER ASSESSMENT} REVIEWED BY OWNER tlr .1 46e vii L 46 e 1 P . /,.pe, 77e r:i:i: t 7, : c s. /4= - X4 - zoo , - fi. t: PUB. SERVICE PLAN CHECK FEE '' ',/ 6.6' FIRE PERMIT FEE /74? HEALTH STATE TAX 4 z f2 SANITATION MICROFILM FEE e. PERM. PLAN WITH PLAN ❑ WMOUT PLAN ❑ APP Qv f - TOTAL FEE , 76 ei • APPLICATION FOR A BUILDING PERMIT PLANNING DEPT ANAHEIM,'CALIFON . l CONTRACTOR CRo It -ALL C O't'P, TEL. NO. ..c.3 .585 r 6Pe, t. MAILING ADDRESS , / ' G S. 81.ES P4.sAlf:i:a CITY L(C. NO. !' , -'42- 4s^_ o ENGR ., 7A 1 i CO O .f—,� TE Z/ , :, I°e 9 - /675 MAILING ADDRESS '3 S . 4A 4 Y4 ,/',trey PAShl -- STATE LIC. NO. c— /Z S elf '% OWNER tlr .1 46e vii L 46 e 1 P . TEL NO. - 774 - /t MAILING ADDRESS 3 4ee /RAJA weiAi , c- r/ ? ?r: C. PRESENT BUILDING USE r !� A/ 7 PROPOSED BUILDING USE NEW ❑ ADD'N ❑ ALTER. ❑ REPAIR ❑ DEMOLISH ❑ GARAGE I NO. OF I NO OF DWELLING AREA SO FT STORIES 414. UNITS FLOOR AREA DESCRIPTION OF WORK INCREASE DECREASE JOB ADDRESS /4247 DESCRIBE WORK �f TO BE DONE 7 57`cn (k ,e6 1= -'NG 1"" 1 P . VALUATION NOTE: IIri g, Etc.' When properly validated in Ihis space and , paid for This form constitutes a permit to do the work described hereon The issuance of this permit does not authorize the violation of any state or local law. BLDG9 I have carelully read and examined the above application and know the same to he true and correct All prov 01 Laws and Ordinances covering this type 01 construction will SE co nWtedwilh whether Specified herein or not No per - Son shall be employed in violation of the..Labor Code of t1 YSIal , 5t alitornla. f SIGNATURE OF OWNER OR AUTHORIZED AGENT $ r 23.4OO SO. FT. DAT 4 .0.., AL-, ..:, - 44' ' .. .. A - -I • . 4. k ris i e . ,,- ow • G JrC NI ,..e...e7 „et'er_____' i ,e,k 1 eite . ...;4•:- 4 ' 4 1 te,e_ • ..) --1, CI -. 4■' - ' f Ar .• , ,e/' wr .. '" 1 I, t I.._ ,...." ',. - I - # C ' - .4.'" ...t" I d - 17 - 7f .,, _- , -A 5=41" 4 Al 2!_e-.‹.$ 7 (i•Arto., EtiCilr.12:-:RiNG p.EmpREMENTS S.v.OTAION i1a0vIREuENTS F.: 5t4, , - .:Lo:t.:, •1•1-;..p ...A ------ 19 -/' - FIRE DEPT. REUIREMEteri: III.1i ELEC. REAL IN DEPT REOLPRE NIS FINAL FLUTABISP1 SLIS CONTRACTORS LI-31 FINAL A I': STREET LK3His ZONING ENTS EtiCilr.12:-:RiNG p.EmpREMENTS S.v.OTAION i1a0vIREuENTS F.: 5t4, , - .:Lo:t.:, •1•1-;..p ...A ------ 19 -/' - FIRE DEPT. REUIREMEteri: / 4 - FOUI4t7-1.TION FRAMING PLASTER SET BACKS L. SIDE R. SIDE M SC. INSPECTION 2, INSPECTOR DATE REAP DATE LEGAL DESCRIPTION ou r4 E r C op. _ _ SEC. MAP j *I *ago p1..vd- Lltdcco1 -w 8 i / ' CENSUS ,,r b l-40.2' CC l CENSU CODE J jy ( 1 PANG j. � C YPE ZONE ZONE PANCY / i CONST F!* �� • 4 ENGINEERING I OFF SITE IMPROVEMENTS: DEDICATION: STREET IMPROVEMENT PLAN BOND REVIEWED SEWER ASSESSMENT: BY l .[ • STATE LIC NO i" . c. - 7979 OWNER TEL. NO or PUB SERVICE PLAN CHECK FEE FIRE PERMIT FEB 930 HEALTH STATE TAX SANITATION MICROFILM FEE PERM. PLAN WITH PLAN MOUT PLAN ❑ APP. GO L. 7 TOTAL FEE # /54 •7t APPLICATION FOR A BUILDING PERMIT PLANNING DEPT • BUILDING ANAHEIM, CA FON CONTRACTOR TEL. NO - .. MAILING ADDRESS •} . +`f. CITY LIC. NO. ••!•A Y C ❑ ARCH ❑ ENGR r " °. l� el L+�! $ TEL. NO4 , 0 MAILING ADDRESS t . l .[ • STATE LIC NO i" . c. - 7979 OWNER TEL. NO or MAILINIi.ADDRESS PRESENT BUILDING USE PROPOSED 9(111 DING USE NEW ❑ GARAGE AREA ADO'N ❑ 5G FT FLOOR ❑ INCREASE AREA reileif DESCRIBE WORK TO BE DONE i.; • BLDG9 JOB ADDRESS YAAt4 r Ras TAU RAt•WT DESCRIPTION OF WORK ALTER X REPAIR ❑ STORIES NO. OF I NO OF DWELLING UNITS VALUATION Wiling, Plumb., b, Heat, Mat .' DEMOLISH ❑ When properly validated In this space and paid for this form constitutes a permit 10 do the wo k described ,?on The issuance of this permit does not authorize the violation of any slate or local law SIGNATURE OF OWNER na. AIITHORITEO AGENT SOFT I have carefully read and eaammed the above application and know the same to be true and correct All provisions of Laws and Ordinances covering this type of construction will be complied with whether specified herein or not No-Der- son shall be employed in violation of the Labor Code of the State of CallIOrma.. -;■:,,' L HEALTH EPT. REOUREMENTS FINAL RulUBINO Wa C ;J5T ANAL AC SrkE.ET , q1 _ ZONING REQUIREMENTS ENIGII4EERING REQUIREMENTS SANITATION REQUIREMENTS (0 -24 - .-- Y-L- EYRE DEPT REOUIREMENTS FONT FOUNDATION FRAMING PLASTER DATE A/- Ps' SET BACKS L SIDE H. SfDE INSP REAR MISC. INSPECTION DATE DATE DATE INSPECTED - JOB ADDRESS /UNIT # - NUMBER OF METERS TYPE OF CONSTRUCTION: E COMMERCIAL ❑ RESIDENTIAL ❑ INDUSTRIAL E ❑ RE -SET slats AL INSPECT BLDG -26 CITY OF ANAHEIM BUILDING DIVISION UTILITY RELEASE (GAS) zoI 1'� 4 ...y DATE' / L- 2- This structure has been inspected and is in compliance with the applicable provisions and ordinances of The City of Anaheim. Any change of occupancy group requires renewal of this Certificate. Classification Office Su Group —' Type W " —ed No of Stories Use Zone Permit No. 553= Building Owner: Building Address' By' Anaheim Blvd. S. Moyriha Date October I6 14 4 tAi u . _ e t fl U AK¢&¢ S 4 m% «mktm72&m 1m#pa&mV caltIiYIhai Yageiti Cert is to - =11(1111V t are REGISTERED APPLICATION CONCERN No h111(1)( " r . 11th (1)(171tlhal( Stance hereof Bandini 1\11A �� rj of i 1&c ISSUED BY Canvas Specialty 7344 East Bandini Blvd Los Angeles, CA 90040 the materials described on the reverse side nonflammable). ADDRESS 7344 East o tem - Q a °, calls • . 0 i „ ± +-L° ,. °r + Date treated or manufactured 4 -4 -85. F -175 F kEl l• This retardant treated FO• .r certify that (or are inherently °- '• have been flame - Blvd CITY Los Angeles STATF Calif. 90040 Certification is hereby made that: (Check "a" or "b") ❑ (a) The articles described on the reverse side of this Certificate have been treated chemical approved and registered by the State Fire Marshal and chemical was done in conformance with the laws of the State of California Regulations of the State Fire Marshal. Name of chemical used Chem. Method of application ❑ (b) The articles described on the reverse side hereof are made from a flame registered and approved by the State Fire Marshal for such use. Trade name of flame- resistant fabric or material used Argolite The Flame Retardant Process Used Be Removed (will or will not) H. D. Conrtright B :._. , ] a 44 2 C - 2 2 ' 6 . , c! 2 \ e�}� 0 ! U. }a% §\� �I i • ALL - \ \� / \� � / \ - a UIC • -C %)f ° 0 k 0 • ± }_ - ƒ ® r } ��|} - / VI ` 2 8 , 0 0 § } \- ƒ t § Ea § ƒ ± et 777 .0 �� > « C | -0 ° � ' ) } o_( t t � �')J = § +- m • ; 2 } ( §% | ( � 7 % . § aE - ; | ' \ .— —0 $ e | & / 0 4 ® ) � (0 }J 8 7 \ , ❑ that Reg. - resistant with a flame - retardant the application of said and the Rules and No, fabric or material Reg. No F - 175 By Washing � -- Y- Name of Applicator or Production Superintendent Irwin Sack rills Manager CONTROL NO CUSTOMER ORDER NO ' # 10152 CUSTOMER INVOICE NO DATE PROCESSED 4 -5 - 85 # 5003 BT -85004 YARDS OR QUANTITY 670 Yards COLOR Lemon Yp1 OW" i130 STYLE Argolite The above material described was 1 ea. Canopy,-- interior-hip roof, 34'0" x 34'0 " - 1 ea.- Awning, Entrance 3'3" x 3'3" x 26'6" 2 ea. Awning, 3'3" x 3 x 34'6" used to make3 Pot Fuddruckers Restaurant 20- South - -Anaheim, Blvd., Anaheim, Calif. 92805 3uilding Official CERTIFICATE OF OCCUPANCY This structure has been inspected and is in compliance with the applicable provisions and ordinances of The City of Anaheim. Any change of occupancy group requires renewal of this Certificate. Classification: Interior Tenant improvement 5,142 sq. ft. Group A3 Type V rNo of Stories 1 Use Zone 4 Permit No. 714 Building Owner • Keith Phillips Building Address 20 b., Anaheim Blvd. By A Date• 01/21/93 POST IN A CONSPICUOUS PLACE lene Hernandez c 1 E 0 0 0 c 0 0 E LL - t r a 0 (o 0 0 CO STATE OF CALIFORNIA COUNTY OF QrangP on January 31st, 1985 )ae. , before me, the undersigned, a Notary Public in and for said State, personally appeared V-, W Tom Bode, Jinn t:_ Bnde and Donald F. Lee personally known to me (or proved to me on the basis of satis- factory evidence) to be the person that executed the within instrument as General partner(s), on behalf of Wood Bridge Village, Ltd. , the partnership therein named and acknowledged to me that the partnership executed it. WITNESS my hand and official seal. Signature c t,Cdt > 1 OFFICIAL SEAL E. LUCILLE MOSES NOTARY PUBLIC • CALIFORNIA ORANGE COUNTY tl Comm. expires IAN, 16, 1987 (This area for official notarial seal) OFFICE OF BUILDING INSPECTOR CITY OF ANAHEIM BUSINF FORMS,1 INSPECTOR CERTIFICATE OF OCCUPANCY This structure has been inspected and is in compliance with the applicable provisions and ordinances of The City of Anaheim. Any change of occupancy group requires renewal of this Certificate. Classification e�tiaurac ": Group % `} Type vN `' of Stories Use Zone Permit No. 53113 Building Owner: Wood Bridge Village Ltd. Building Address. 20 5, Anaheim Blvd. Bu. ding Official 5e Oevoann • Date:Ocl:ober 16, 1985 OUAN ITEM AMT. GUAR - ITEM AMT fi r WATER CLOSET , / II-s OUTLETS � "- BATH TUE 6 6 OR MORE OUTLETS-PER 3= SHOWER WATER HEATER OR VENT 'F L �J LAVATORY / WATER SONER c7' FT KITCHEN SINKS I WATER DIST. SYSTEM EXISTING BLDG. ONLY GARBAGE DISPOSAL I WATER MAIN 1st 100 CLOTHESWASHER WASTE I ADDL. 100 SLOP SINK I LAWN SPRINKLER 1-4 VALVES FLOOR SINK 41 ADDITIONAL VALVES EA. + 7� 7 SEPTIC TASK AND SEEP PIT 1! ` FLOOR DRAIN DISHWASHER + SEWER CLOSED LAUNDRY TRAY . SEWER 1st 100 /r DRINK FOUNTAIN 1 ADDL 100 I I URINAL �E �{ l BACKFLOW PREVENTER INTERCEPTOR INTERCEPTOR I RAINWATER DRAINS AN INTERCEPTOR SAND I SOLAR PANELS BAR SINK I SOLAR TANK I I have caretully read and examined the above orrctAll and know the same to be roe and correct. All provisions of Laws ws and Ordinances covering pl ring tMS type of construction will be com- ied with whether specified herein or not. No person shall be employed in violation of the Labor Code of the State of California. AP f A -R TOTAL 1"6 /a? I ABOVE ISSUING F l e� �� TOTAL FEE ( / / /9 11 JOB ADDRESS 20 ., ,4vssM A /lid C !JR DDRESS wf' /uerfz-rs Wia r4F Id 1- eA OWNER MAILING ADDRESS // PROPOSED ® NEW USE: BLDG. DEsc gTION 00 WORK: mbar When properly validated in this space and paid for this form constitute a permit to do the work described hereon. The issuance Of this permit does not authorize the violation of any state or local law. BLDG 12 APPLICATION FOR A PLUMBING PERMIT BUILDING DIVISION - ANAHEIM, CALIF. (714) 9995161 EL NO CoAs-F. p30- S , - ztsf7ks AVE AgrAbeim El REMODELED El RELOCATED BLDG. BLDG. 31JAN85 TOTAL PERMIT 4 TRANSACTION 53208N SIGNATURE OF WNER OR AUTHORIZED AGENT L �h� G i (y N y O. (�/ * T LEPHO STATE uC. NO. ZUZS72 PERMANENT 1 BRNt.ITN6 WORK i:IIASTEI jel"1•1' GROUND WOPK ONPTEP-GAS) i 1 ROUGH GAS 8. PI. B G • . ..._ , SEEPAGE PIT DRAINFIELD . — , ..- i HNAL, GAS . --1 L ---INSPECTIOS RECORD D - BASIC INSPECTION cc PART!AL OR NIIISCC INSPEGT€ONS APPLICATION FOR A (HEATING AIR ON PERMIT CONDITIONING OR REFRIGERATION) (714) 999-5161 BUILDING DIVISION- ANAHEIM, CALIF. ClTVIJC /� {- �. / NO. � jjO tit rEhrt O� CONTRACTOR C / ./V.t / /AC co' AC y' v� rt ,^ M AILING ADDRES y� ® s dI ' .. 6 O WN - e,,�y/p ��/� �r.E OD+ AMcc � c H414Ati M'Fier TEL. NO, IRIAN ITEM HEATING APPLIANCES INSTALLED, REPLACED OR RELOCATED Ems., 3 0 RESIDENTIAL AIR CIRCULATING OUTLETS HEATING OR COOLING 6 COMMER0IAL AIR DISTRIBUTION SYSTEM HEATING COOLING OR VENTILATION -�V- 3 j tl EXHAUST SYSTEM ON SINGLE DUCT TO 300 CFM p �� (� g- j 7 COMMERCIAL HOOD OR EXHAUST T04000EFM' -' � f COMMERCIAL HOOD OR EXHAUST OVER 4000 EFM COMBUSTION PRODUCTS VENT - (OTHER THAN CHIMNEY) FACTORY BUILT OR METAL CHIMNEY APPLIANCE REGULATED BY THIS CODE BUT NOT SPECIFICALLY LISTED IN THIS SCHEDULE 6 COM PRESSORORO OILETO ABSORP. UN IT T50B0,000 R BTU L�-.c-.- 7 COMPRESSOR OR BOILER - 21 TO 50 HP ABSORP: UNIT 500,001 TO 1000000 BTU - COMPRESSOR OR BOILER OVER 50 HP ABSORP. UNIT OVER 1000,000 BTU HEATING OR COOLING COIL (DIRECT EXPANSION OR HOT OR COLD WATER) COOLING TOWER, EVAPORATIVE OR AIR COOLED CONDENSER rM EVAPORATIVE COOLER - (OTHER THAN PORTABLE) (� pp � /'�•�� WINDOW TYPE AIR CONDITIONER (BUILT IN) MAXIMUM 11/2 HP GAS. SYSTEM ' 1 TO 5 OUTLETS I have carefully read and examined the above application and know the same to be rue and correct. All provisions of Laws and Ordinances covering this type of con- struction will be complied with whether specified herein or not No person shall be employed in violation of the Labor Code of the State of California APPR, BY PERMIT F EE • .4. ` f I ISSUING FEE f b TOTAL FEE y MAI LING ADDRESS JOB ADDRESS 010 3> 1»,4H1Eim 841M. DESCRIPTION OF INSTALLATION NEW IQ ADD'N ❑ ALTER. ❑ REPLACE ❑ When properly validated in this space and paid for this form constitutes a permit to do the work described hereon. The issuance of this permit does not authorize the violation of any state or local law. 14FE285 TOTAL $192.O0N PERMIT 0 TRANSACTION 53614N � SIGNATURE OF OWN OR AUTH IZED AGENT BLDG 13 PERMANN IT FM1 '.4SgECTfiA r tJA E :-. GROUN ORH GAS t ROJ^R u" T`4G ROUGH AFFR.G. OA A R, FtNALHEATING F3Nh 4c FR` AtR - ON � i1� INSPECTION RECORD *LLCAr.Tnic PERMIT FORDING DIVISION • ANAHEIM, CALIF. ITT UC NO_ CONTRACTOR ,,.�y ,, -�L,/�, e. C! -"wine__ INC. T LN r It 8,3-1.3i' MAILING ADDRESS �y C(7� � . po//� Avg-- . STATE LIC. NO. �W� � CITY MO4 go'tl'i Pc /p. a0 OWN ,E �� F� �► J LO/12/i'Ppp.. tD LT /II TEL NO. r7 A/C AI @ / -hWt. Sid 81a l T .b✓ @ C2 A /p. a0 i0. eli-o 51A) G° .GS' t- /o r °n rMA;t1S:4 C it EA. �. sue. - ....516,0 ..a57am 35, d-O 14.4 73 SUS TOTAL ..-■,...♦ 1.60•074 NO. ITEM EACH SELF-CONTAINED FACTORY WIRED APPROVED UNIT asQ {� SERVICE t-20/0 t-20/0 f Sa4s diet, / • / �{ / NO. TRANSFORMERS • SIGNS - NO. LAMPS N RESIDENTIAL Square Feet GARAGE Square F eet MISC. roorR Sw am; Rb,S (o •d0 /Q 6o 1 have arefully read same and examined the and applica ion and know the Samenebt true and correct All provisions of Laws and Ordin- ances overing this type of construction will be compli d with whether specified herein or not. No per on shall be employed in violation of the Labor Code of the State of California. Ate,? TOTAL ABOVE n /b � Q(01 .711 O�� ISSUING FEE _ D . y /' TOTAL FEE 073 . 2[[ MAILING ADDRESS /r/ JOB ADDRESS ° - 4W/ l✓AP( (CATION FOR AN C(714) 999-5161 s• MIMEO( i i) . G. ❑ BLDG. ❑ CHARGE ❑ OB ESEAL NOTE! TOTALS SHOWN BELOW MUST B E SUBMITTED IN DIAGRAM ON SEPARATE WORK SHEET. f SW T T N ��`A, � U J !(� , ' a � ^I "i S L� O 4](_1- LIGHTING FIXTURE E PP 11 ` tiJf TEMPORARY POWER POLES (GENERATORS, MOTORS, TRANSFORMERS OTHER) When properly validated in this space and paid for this orm constitutes a permit to do the work described hereon. The issuance of this permit does not authorize the violation of any state or local law. BLDG 10 TURE O O NER OR AUTHOR! ED AGE Q PERMANENT DATE reap( #— .>cw �+ - 5 O Ci 4am it/' t1( 4R, _0, .c, 1 C s _za t 3 t -4 a a 20 i I � D 050 SY. F�N DLEY RiC,'_:6F1:R Of DATE TEMPORARY POLE ROUGH ELECTRICAL ELECTRICAL SERVICE INSPECTION RECORD TEM ENSPECTO ELECTRICAL FIXTURES ELECTRIC MOTORS CEILING HEAT \J c 517.44 Sat' 46 . CGRRECTIONS CR PARTIAL INS - ELM:II IL; YtMMI( i BUILDING DIVISION - ANAHEIM, CALIF. C ITYLIC. NO. oil raj ^7��/j4+ CONTRACTOR -Pets • TEL NN 4 Z � MAILING ADDRESS leilm•/4 ME /RE LIC.NO. 458074 Gm i4 OWNER tall ttdd an EA. A TEL NO. JOB ADDRESS SOO , gz 5- /PM t J - PPLICATION FOR AN (714) 999 - 5161 5 MAILING ADDRESS 50- s AA ,Nita • EXIST �• sB LOG. ❑ BLDG. ❑ CHARGE ❑ O9 RESEAL NOTE! TOTALS SHOWN BELOW MUST BE SUBMITTED IN DIAGRAM ON SEPARATE WORK SHEET � NA r O. e OUTLETS:AND SWITCHES C k LIGHTING FIXTURES TEMPORARY POWER POLES ® l e EACH a 1 (GENERATORS, MOTORS, TRANSFORMERS OTHER) When properly validated in this space and paid for this form constitutes a permit to do the work described hereon. The issuance of this permit does not authorize the violation of any state or local law. BLDG 10 25AP ^85 TOTAL PERMIT TRANSACTI0 SIG - TUBE OF OWNER OYHORIZ)NT $55.001,1 PERMANENT 1 " ` ® EA. EA. A S P 12' P JO 397 SUB O L —■■110A- ITEM '/ SELF EACH - CONTAINED FACTORY WIRED APPROVED UNIT a� SERVICE Zee,A. • �4. o 0 NO. TRANSFORMERS # SIGNS NO. LAMPS M RESIDENTIAL Square Feet GARAGE Square Feet MISC. /0 "ad /0. / 900A- I have arefully read and examined the above applica ion and know the same to be true and correct. All provisions of Laws and Ordin- ances covering this type of construction will be complied with whether specified herein or not. No person shall be employed in violation of the Labor Code of the State of California. APPR. BY con 0 a TOTAL ABOVE if 54.-60 ISSUING FEE s 3. 4G Sj. / ' TOTAL FEE JOB ADDRESS SOO , gz 5- /PM t J - PPLICATION FOR AN (714) 999 - 5161 5 MAILING ADDRESS 50- s AA ,Nita • EXIST �• sB LOG. ❑ BLDG. ❑ CHARGE ❑ O9 RESEAL NOTE! TOTALS SHOWN BELOW MUST BE SUBMITTED IN DIAGRAM ON SEPARATE WORK SHEET � NA r O. e OUTLETS:AND SWITCHES C k LIGHTING FIXTURES TEMPORARY POWER POLES ® l e EACH a 1 (GENERATORS, MOTORS, TRANSFORMERS OTHER) When properly validated in this space and paid for this form constitutes a permit to do the work described hereon. The issuance of this permit does not authorize the violation of any state or local law. BLDG 10 25AP ^85 TOTAL PERMIT TRANSACTI0 SIG - TUBE OF OWNER OYHORIZ)NT $55.001,1 PERMANENT 1 Dx E r S© C S _ 4i_: i/. 7' : 5 f-e /'n'. ' 200 3 j =� B Y +KALE ZZ T / DATE PG ARV POLE UGH ELECTRICAL TRICAL SERVICE 2 1 1 CEILING. HEAT NSPEGTIQN'REOORD CORRECTIONS OR PARTIAL PECTIONS ELM; I KR; PERMIT Lim (BUILDING DIVISION . ANAHEIM, CALIF. /, I ,mv f" O `/ ® EA. CONTRACTOR EL -6 1Lc- ILC TEL. NO. 0A gAlib AIL A4 ESS STATE 1 Z t 1 9 5 Ve nM it fl GITY MAIL L LIM1A Oa0eLA O q 17 4 OWNS VI 2,A.tt+c 0 i uL M w A TEL NO oillAth`fr 2 MAILING ADDRESS NO. APPLICATION FOR AN SA, a BL G. ❑ BLDG. ❑ CH ❑ OR RESEAL NOTE! TOTALS SHOWN BELOW MUST BE SUBMITTED IN DIAGRAM ON SEPARATE WORK SHEET. j /O, Fie? ty. TEMPORARY POWER POLES @ ' 7OUTLETS:AND SWITCHES 9 " .aq� LIGHTING FIXTURES When properly validated in this space and paid for this arm constitutes a permit to do the work described hereon. The issuance of this ermit does not authorize the violation of any state or local law. SI NATURE OF OWNER OR AUTHORIZED AGENT BLDG 10 JOB ADDRESS (GENERATORS, MOTORS, TRANSFORMERS OTHER) 05FEB85 TOTAL PERMIT 0 TRANSACTION 53342N 14) 999.5161 $99.00N PERMANENT N ® EA. ® EA. Q EA. SUB 0 AL '© O` ► NO. ITEM EACH WIRED APPROVED UNITTORY [ / / r (✓/T V / SERVICE I 000 N'T 'f../'� 1.5a /�. a °� NO. TRANSFORMERS ( N SIGNS NO. LAMPS N RESIDENTIAL Square Feet GARAGE Square Feet MISC. I have carefully read and examined the above application and know the same to be true and correct. All provisions complied with whether specified herein or not. of Laws antl Ordin- ances covering this type of construction will be No person shall be employed in violation of the Labor Code of the State of California APPR. BYJ 0 TOTAL ABOVE pia Js s� o /! 0 v ISSUING FEE �� / 0C OTAL FEE 00 oillAth`fr 2 MAILING ADDRESS NO. APPLICATION FOR AN SA, a BL G. ❑ BLDG. ❑ CH ❑ OR RESEAL NOTE! TOTALS SHOWN BELOW MUST BE SUBMITTED IN DIAGRAM ON SEPARATE WORK SHEET. j /O, Fie? ty. TEMPORARY POWER POLES @ ' 7OUTLETS:AND SWITCHES 9 " .aq� LIGHTING FIXTURES When properly validated in this space and paid for this arm constitutes a permit to do the work described hereon. The issuance of this ermit does not authorize the violation of any state or local law. SI NATURE OF OWNER OR AUTHORIZED AGENT BLDG 10 JOB ADDRESS (GENERATORS, MOTORS, TRANSFORMERS OTHER) 05FEB85 TOTAL PERMIT 0 TRANSACTION 53342N 14) 999.5161 $99.00N PERMANENT N ITEM TE 4FQRARY POLE UNDER •OROU t&r E_ECTP]CAL RX ELECTR't MOTi T ff iG� ,,i ,p c %.t rdisit fr LEGAL DESCRIPTION law/ /c o ,ij iggiC• r • sm. MAP CENSUS CODE / I �/ FIRE OCCU- TYPE ZONE PANCY CONST. REQ. SETBACK FRONT R SIDE L SIDE REAR 1 _ 1 1 TAREA DIST. ENGINEERING I OFF SITE IMPROVEMENTS: DEDICATION: STREET IMPROVEMENT PLAN: BOND: SEWER ASSESSMENT: REVIEWED BY ZONING: (CASE EFFECTIVE PACKING NO. DATE 5P REQ. WALL APPROVED' REQUIRED BY PUB. SERVICE PLAN CHECK FEE 28.95 FIRE PERMIT FEE d8 50 HEALTH STATE TAX .50 SANITATION P�Y 4 MICROFILM FEE. TOTAL FEE Sri 74.45 PERM. PLAN .L1L WITH PLAN ❑ W /OUT PLAN ❑ 108 ADDRESS 20 South Anaheim Blvd. APPLICATION FOR A BUILDING PERMIT 235 AVE.INDUSTRY ARCH. ENGR. MAILING ADDRESS PRESENT TENANT IMPROVEMENT BUILDING USE BUILDING USE RESTAURANT EW Ins ADD 'N ❑ ALTER. ❑ REPAIR GARAGE AREA _ SO FLOOR ❑ INCREASE AREA ❑ DECREASE HEADS PER CODE. VALUATION wi q Plunb.. H LDEN NO. OF T. STORIES 2 OWNER OR AUTHORIZED AGENT DEVELOPMENT ERYKES DEPT. BUILDING DIVISION ANAHEIM. CALIF. Rig TEL NO 1311221 CONTRACTOR GOLDEN STATE FIRE PROTECTION 91744 OWNER t +C .fAf/ � / /IE.4ce S RS T. MAILING ADDRESS DESCRIPTION OF WORK PERMANENT CITY LK. NO. 0 -32450 TEL NO. STATE TIC. NO. TEL NO DEMOLISH NO. OF DWELLING UNITS ❑ 3000 so. FT. DESCRIBE SE DONE INSTALL FIRE SPRINKLER 4/400. e1 F /et CS u ca I— Act Q M(f) 4. 5. c FIRE PROTECTION by I hove carefully read and examined the above application and know the same to be true and correct. All provisionsof Laws end Ordinances covering This type of construction wit I be complied with whether speafied herein or not. No person shall be employed in violation oi the Labor Cade of the Stole of California. RIVAL ELEC < HEALTH DEPT REQUIREMENTS F3NAL PLUMBING - SUB CONTRACTORS UST F!NAL, - A C. STREET LIGHTS 2CN; JG REQUIREMENTS .. 1 REQUIREMENTS AN' '.ON R R OL i°FNTS R ,Ej-F ItD�NC- ° ✓°.// !> la . l4--- yb FIRE REQUIREMENTS EQ REQUIREMENTS FOO tJATION FRAMING PLASTER SET BACKS 2.S DE � . .. IMPECTOR MISC. INSPECTION PHONE 5335651 - 52 DATE TEAR DATE LEGAL DESCRIPTION /'__._, fr. SEC. MAP / / �\ �4� V A gf s�/ 3 7..2 ' / 57a �/ CENSUSCODE EIRE PANG a CO N /J , (( ZONE OCCU- !//YYY T YPE L . 419 ENGINEERING 1 OFF SITE IMPROVEMENTS: DEDICATION STREET IMPROVEMENT PLAN_ BOND: REVIEWED S EWER ASSESSMENT: B #iZI3G4 -- v ?Pi PUB. SERVICE PLAN CHECK FEE FIRE PERMIT FEE a 50 HEALTH STATE TAX ° A a Oa -lb SANITATION MICROFILM FEE d PERM. PLAN 6 WITH PLAN WIOUT PLAN ❑ APP. BY 1 e T TOTAL FEE, 75. 63 APPLICATION FOR A BUILDING PERMIT PLANNING DEPT MCA CALIF - R,p/iiits ! A R ' -t T % i 2;1D) 7..2 ' / 57a � - _1 ..5ioc- ,�} /A/c tas 4,v4e CITY LIC. NO ' c 1. ! f 1 e. /N 617,131611 o A: ,{ rt /)�i6i TEL. 000 ( 7! Y MAILING SDDRESS 7 I ` 1 I,r� H or ,Co bithlo f GA- STATE LIC. N0. QDMat S' ink__ #iZI3G4 -- v ?Pi JOB ADDRESS - -- - Zt CO L€TW 4 tiAff i-n 7$L 4/1M ; 7, i /r,e / £ 54 .gr>i2 #V'd 727k/el BUILDING Cbm/A/L /) LDI D c 2 - �/'f E BR SENT USE PROPOSED U l .- C T�./G IIZrr,v l BUILDING USE J DESCRIPTION OF WORK NEW r ADD" ❑ ALTER. X REPAIR ❑ DEMOLISH ❑ GARAGE I NO. OF I NO. OF DWELLING. AREA 50 FT STORIES UNITS FLOOR ❑ INCREASE AREA ❑ DECREASE D B RIIA FORK A 'Ai I Yvt J AA)) l 4 ti 0,V VALU ION wirtnw, ,H $ O !OC/ When properly validated in tEi space and paid for this 1 rm constitutes a permit to M the wo k described hereon. The Issuance of this permit does not authorize N violation of any state or local law. I have carefully read and examined the above applicaNOn and know the same to be true and correct. All provisions M Laws and Ordinances covering this type Of COnstroctijA xrll be cOrnpl ed with whetter specified herein or not. No per- son shall be employed In violation of the Labor CpJ� of the State of Calilarnia. BLDG9 O5APF85 - TOTAL $75.63N PERMIT 0 CLG &CANOPY TRANSACTION 55425N SO. FT N SIGNATURE OF OWNER OR AUTHORIZED AGE PERMANENT PRA MNG PLASTER CATE FINAL Z ZNEMENTS IMULENTs SET ACKS C mPE f ; © FATE 1 t- CULlt 1CA - c l 1 -. S • FOR: ❑ PLAN CHECK FEE FOR VAL ) Z- S, S_r 0 $ f S t.101 PEI TA - b TRi The total amount shown in this space must be paid to tt doted by the coshier. ❑ PARK AND RECREATION FEE SINGLE DWELLINGS 0 MULTIPLE DWELLINGS ® S MOBILE HOME SPACES 0 S S S S S S S S $ OFFICE USE ONLY FUND ACCOUNT AMOUNT PLAN CHECK FEE 10 -750 PARK & RECREATION FEE 10 -865 CASHIERS VALIDATION THIS IS NOT A RECEIPT UNLESS VALIDATED IN THIS SPACE TOTAL FEE 4S /. &3 - JOB ADDRESS MHO/ APPLICAOLO oil F-iEt i MISCELLANEOUS FEE RECEIPT ANAHEIM, CALIFORNIA RKEIVED fl - O: G �A ?CO MAILING ADDRESS 2 9 {4 7' CAL \ BLDG -24 not o receipt unles OUAN ITEM AMT. OUAN ITEM AMT. WATER CLOSET / GAS SYSTEM GAS SYSTEM r BATH TUB 6 OR MORE OUTLETS-PER SHOWER WATER HEATER OR VENT LAVATORY WATER SOFTNER KITCHEN SINKS WATER DIST. SYSTEM EXISTING BLDG ONLY GARBAGE G ARBAG E WATER MAIN 1st 100 CLOTHESWASHER WASTE ADD'L. 100 SLOP SINK LAWN SPRINKLER H VALVES A ` �� I FLOOR SINK tI &W `y ADDITIONAL VALVES E& FLOOR DRAIN SEPTIC TANK AND SEEP PIT DISHWASHER SEWER CLOSED LAUNDRY TRAY SEWER 1st 10O DRINK FOUNTAIN ADD'L 10O URINAL BACKFLOW PREVENTER GREASE INTERCEPTOR RAINWATER DRAINS SAND INTERCEPTOR SOLAR TANK Z BAR SINK /11_ SOLAR TANK I have carefully read and examined the application and know the same to be correct. All provision of Laws and Or covering this type of construction will plied with whether specified herein or person she o e employed inptwn3o above rue and nances be corn. mt. No of the APPR BY TOTAL ABOVE r a S e. SSUING FEE / y9: / TOTAL FEE JOB ADDRESS ; 2O As.*-} • S. G m (1ctt ' •` APPLICATION FORA- R CITY GG NO. PLUMBING • PERMIT -0 BUILDING BUILOB DIVISION AMINEIY CALIF. CF. (714) 9995191 TiI.F n CONTRACTOR STATE LAC. NO. NI *TOO COWST MCA) Mrvle®oC MAT D ,SS ?'I w 1 a1 J Q . C Z" FLU -A- , Ch. t21MT14- Pri-1 iw �� t PS / C�MoJ C 41. w � g 3 � . t4 / a MA E T.L R 2 t y 3o&i4 `2 T PROPOSED NEW ODELED ❑ RELOCATED USE: BLDG. BLDG. BLDG. DESCRIPfinu OF Q 1 GEPAib When properly validated in this space and paid for thi form constitute a permit to do the work described hereon. The issuance of this permit does not authorize the violation of any state or local law. BLDG 12 S . 2 TiT` PERMIT TPANSACTI OS IGNATURE OF OWNER OR AUTHORIZED AGENT PARTIAL OR MISC. INSP €CTIONS Dwo -1.44 VY 1 I r �U ?It$C.IEAFANC 17 SEV- 3 iz -3e` EI=YICTA K -- - .:'e c° Gtr ')RN.P1FfEV6 _ ra tz- 2:=4.4 MINS z CA PARTIAL OR MISC. INSP €CTIONS Dwo -1.44 VY 1 I r �U ?It$C.IEAFANC 17 APPLICATION FOR A MECHANICAL PERMIT (HEATING AIR CONDITIONING OR REFRIGERATION) (714) 998 -5161 BUILDING DIVISION • ANAHEIM. CALIF. CITY LIG. NO go - 03x5 TELy j ,,,F 1 I LF 1 � TE LIG. NO. c `• C ( J ` • TCTOR '' U 6 ) ■ 1 1. 1 C-00S rWctU. MAILING ADDRESS , �� . ♦ 0 Z L I L 'mac e OWN R aI 1 LL R.4 (( L �� TtFy�. 9� Q� t 1 W Vtic QUA ITEM HEATING APPLIANCES .,�� _ / INSTALLED. REPLACED OR RELOGAT (CAT FEE - RESIDENTIAL AIRCIRCULATING OU ETS1 `. HEAATING G OROP COOLING 1 EMMEGCIOLLIN DISTRIBUTION SYSTEM HEATING AL AI OR VENTILATION H 3 e EXHAUST SYSTEM ON SINGLE DUCT TO 300 GEM • COMMERCIAL H000 OR EXHAUST TO 4000 EFM ��(( COMMERCIAL HOOD OR EXHAUST ?.`IS I I wei OVER 4000 EFM n COMBUSTION PRODUCTS VENT (OTHER THAN CHIMNEY) j FACTORY BUILT OR METAL CHIMNEY 7• �� APPLIANCE REGULATED BY THIS CODE BUT NOT SPECIFICALLY LISTED IN THIS SCHEDULE L COMPRESSOR OR BOILER. TO 20 HP ABSORP. UNIT TO 500.000 BTU 1 I� _.' 1"/ ci/— """""• •••-- '••!// 2 ✓ COMPRESSOR OR BOILER - 21 T050 HP ASSORP. UNIT 500,001 TO 1.000.000 BTU COMPRESSOR OR BOILER OVER 50 HP ABSORP. UNIT OVER 1,000.000 BTU HEATING OR COOLING COIL (DIRECT EXPANSION OP HOT OR COLO WATERI COOLING TOWER, EVAPORATIVE OR AIR COOLED CONDENSER EVAPORATIVE COOLER (OTHER THAN PORTABLE) WINDOW TYPE AIR CONDITIONER (BUILT IN) MAXIMUM 1,2 HP GAS SYSTEM -1 TO 5 OUTLETS I have carefully read and examined the above application and know the same to be rue and correct. All provisions of Laws and Ordinances covering this type of con- struction will be complied with whether specified herein or not. No person shall be employed in violation of the Labor Code at the State of California. APPR BY PERMIT FEE ISSUING FEE , TOTAL FEE O # AI JOBAODRESS ZO S - Mk IPA (3I-Vb. MAILING 024 W Ns- fT CAssetVYYVf C DESCRIPTION OF INSTALLATION NEW ❑ A00'N ❑ ALTER. REPLACE ❑ When properly validated in this space and paid for this form Constitutes a permit do the work described hereon. The issuance of this permit does not authorize the violation of any state or local law. BLDG 13 G'^L'. ti NATURE •F OWNE OR AUTHORIZED AGENT ° w ITEM INSPECTOR DATE ROUNQ WORN Y GAS HEATING -1.11111. -_ROUGH ROUGH REFRIG. OR MR COND. Iniallill maw- a H_. - FINAL F HEATING FINAL - a® FINAL REFRIG. OR AIR COND -- INSPECTIORRECORD FINAL BY CHANT CORRECTIONS & PARTIAL INSPECTIONS SIN EMI MIN n MN PERMIT APPLIPA1 O Lam+ L f `? NUMBER PERMIT > 6 NUMBER JOB ADDRESS" " PART 9- S tiw TYPE OF -. PERMIT l /) ' L To obtain this permit, the undersigned hereby files this application and agrees, certifies and declares: That notice has Deep given me that this permit may be used only in compliance with the Anaheim Municipal Code, and all other applicable ordinances and laws. That this permit does not allow occupancy, and that no occupancy is permitted of the construction for which this permit is issued until it has been approved in writing by this office for occupancy after final inspection. That this permit does not allow, and separate permits are required for. any plumbing,electrical,heat- ing and air conditioning work. That a double fee will be paid for any permit issued atter any work thereby allowed has been com- menced. I agree that the City may enter upon the job premises at any reasonable time to inspect any work . installed under this permit. and to otherwise ad as and when required by the Anaheim Municipal Code. LICENSED CONTRACTORS DECLARATION I hereby affirm 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. C License Class 1 Lic. Number t 7 .5 Pxp g Date /.. —2 Y n M�. Contractor • 4. - �0/ OWNER - BUILDING DECLARATION I hereby affirm that I am exempt from the Contractor's License Law for the following reason (Sec.7031.5 Business and Professions Code: any city or county which requires a permit to construct, alter, improve, demolish or repair any structure, prior to its issuance, also requires the applicant for such permit to file a signed statement that he is licensed pursuant to the provisions of 10e Contractor's License Law (Chapter 9) (commencing with Section 7000 of Division 3 of the Business and Professions Code) or that he is exempt Therefrom and the basis for the alleged exemption. Any violation of Section 7031.5 by any appli- cant for a permit subjects the applicant to a civil penalty of not more than five hundred dollars ($500). ❑ I. as owner of the properly, or my employees with wages as their sole compensation, will do the work, anO.the structure is not intended or offered for sale (Sec. 7044 Business and Professions Code: The Contractors License Law does nol apply to an owner of property who builds or improves thereon, and who does such work himself or through his own employees, provided that such improvements are not ' intended or offered for sale. If, however; the building Or improvement is sold within one year of completion, the owner - builder will have the burden of proving that he did not build or improve for the purpose of sale). ❑ I, as the owner of the, a'.: exclusively contracting with licensed contractors to construct the project (Sec. 7044,usine s and Professions Code: The Contrators License Law does not apply to an owner of property who builds or improves thereon, and who contracts for such projects with a contrac- lor(s) licensed pursuant to the Contractor's License Law). ❑ 1 am exempt under Sec. B & PC for reason Date Owner WORKERS' COMPENSATION DECLARATION I h ereby affirm that I have a certificate of consent to self- insure, or a certificate of Workers' Compensation Insurance. or a certified copy thereof (Sec. 3800 Lab. C) Policy No Company Certified copy furnished. Exp. Date / a1 Applicant CERTIFICATE OF EXEMPTION FR WORKERS' COMPENSATION INSURANCE (This section need not be completed if the permit is for one hundred dollars ($100) or less). 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. Date Applicant NOTICE TO APPLICANT: It after making Certificate of Exemption, you should become subject to the Workers' Compensation provisions of the Labor Code, you must forthwith comply with such provi- sions or this permit shall be deemed revoked. CONSTRUCTION LENDING AGENCY I hereby affirm that there is a construction lending agency for the performance of the work for which this permit is issued (Sec. 3097. Cie. O): . Lender's Name Lenders Address I certify that I have read this application and state that the above information is correct I agree to comply with all city ordinances and state laws relating to building construction, and hereby authorize represen- tatives of this city to enter upon the above mentioned property for inspection purposes. THE PERMIT SHALL EXPIRE BY LIMITATION AND BECOME NULL AND VOID IF THIS WORK IS NOT COMMENCED OR COMMENCED AND SUSPENDED AFTER A PERIOD OF 180 DAYS. NEW PERMIT I5 REQUIRED TO COMMENCE WORK. BY PRIN N E F A¢PLIQAN .� 1 OWN R- AGEAT- BUILDER - OFFICER DATE BLDG - 16 Rev. 6/88 LEGAL DESCRIPTION SEC MAP 83 P Aac 4 —■ 1 MAIM M.I( ) 041 q CENSUS CODE •7LJ 7 ZO EE PANCY CONST FIR PANC CON ENGINEERING OFF SITE IMPROVEMENTS DEDICATION STREET IMPROVEMENT PLAN BOND REVIEWED SEWER ASSESSMENT BY TE 1 Ig_SYQ0 MAILIN ADDRESS O 5 . Pi+11 'xv tb PUB. SERVICE PLAN CHECK FEE at .. FIRE PERMIT FEE 40 • HEALTH STATE TAX 1d% SANITATION MICROFILM FEE PERM PLAN CJ WPTH PLAN WIDUT PLAN ❑ APP 8Y.-- IS SUING FEE & r TOTAL FEE ft, 71 APPLICATION FOR A BUILDING PERMIT RE B UILDING DIVISION (714) 254 -5161 71 HEIM,CALIF. 71 AN A l co N�n�rDR 6aLrf PLO V, was r s 1 -- jt i MAIM M.I( ) 041 q Ctry N Y` p P" L 1 / k 0 ARCH GR T .: � Z 3 7 MAILING A STATE LIC NO OWNER _col a"ROc VI. L At, �i�' (�'J�^�' (� i 'I 1A,L /' 1 TE 1 Ig_SYQ0 MAILIN ADDRESS O 5 . Pi+11 'xv tb GARAGE AREA BLDG9 10 5. i'-t' 13W(J. B 1 V ¥24 T 0 BRILDING USE C .��! l V t{�IA,) 1 G- PROPOSED BUILDING USE DESCRIPTION OF WORK NEW ❑ ADDN ❑ ALTER ❑ REPAIR ❑ DEMOLISH ❑ ! NO OF 50 F T STORIES J08 ADDRESS vatl FLOOR ❑ INCREASE AREA ❑ DECREASE SO FT DESCRIBE WORK 1) Chia— ELL_ SP FI t`A K TO BE DONE , KRQ••"1�/• VALUATION VrTy. e:,,` «i Et! NO OF DWELLING UNITS $ 2, 0o0. ' When properly validated m this space and paid Ice INS I m Constitutes a Meet l0 do me Ware deacrlbeO hereon The Issuance Of this permit does not authorize the vrolaron of any State or local haw 24DEC92 TOTAL $91.75 FERnI I) FIRE SPRKL TRANSACTION 73266 I have caremly read and examined the above appncandn and know m:.. me Lo 35 true and COrreCl All proNSICnS 01 Laws and Ordinancescovermr ros type or w struchon will be candP lh whether specified herein or not No pen son snail be employed In donna .line La y r ..e or the Slate or . 'forma GNAT OWNER 0 AUTHOR ED AGENT FR041 - FOUNDA'!ON OATE 01cti GL FC SET BACKS M!SC. INSPECTION LEGAL RIPTION .4' I 3 W1.W-P S1 -2-S2- SK , 7 PGA 4.(- CENSUS CODE '(3 / 1 447 p FE PARC ZZ O 43TTPE L , /S�iet (nf ZONE PANCT f CONST /° ENGINEERING OFF SITE IMPROVEMENTS N 1 DEDICATION STREET IMPROVEMENT PLAN 14 1— BAND. 1111 SEWER ASSESSMENT REVIEWED R I TEL 'PUB. SERVICE PLAN CHECK FEE FIRE PERMIT FEE 7ilia, HEALTH STATE TAX < -f7-O? SANITATION MICROFILM FEE _.(� PERM. PLAN ❑ WITH PLAN ❑ 0IODT PLAN ❑ APP av ISSUING FEE i g,00 p TOTAL FEE I7e9' a APPLICATION FOP A BUILDING PERMIT PL A UNLDING DIVISION (714) 254-5161 ANAHEIM.CA IF giocl a L.o1JSIT2wj 04 idt `(aac.5 W CALL.E P?t vo e 'tioo ❑ ARCH ❑ ENGR TEL NO MAILING ADDRESS STATE0pp ory lVwlVv ° E KbITt P I _J ..I PS TEL AN4u6/M �& "E Eo E LDIN BUILDING USE RVOP0SED E.4 BUILDING USE NEW ❑ GARAGE AREA ADD'N ❑ ❑ INCREASE ❑ DECREASE DESCRIBE WORN TO BE DONE V FLOOR AREA I have carefully read and exam Laws and Ordinances ca 9011 shall be employed m BLDG9 So L) 7. A. s Rtg1U t2M-e.trLs DESCRIPTION OF WORK ALTER I12KREPAIR ❑ DEMOLISH ❑ SO ET I STORIES NO. OF / I NO OF DWELLING / UNITS - 9-EwLOpc_L— VALUATION W�ilia. i When properly validated in Mt space aria paid mr this 1 rm cMamWes a perms to do me coo x described tale or Iota law the above appecaeM and know 11�� to be true and correct. A l plovislg5 of construction I Ise b 000pl with whether speCd'ed herein or M n 1. No par SPINA IREDF OWNER OR AUTNORI$D AGENT FINAL EEE� /G� 3. E4.TI- CEW. FECy,,,,,,CCCJJJr MEN(7 JJ , S Y7J7 / c"AEET UCH's P LUM2ING/ Z o-1i3 F t C A N J 2 e lb ENGMEERINO f REQWRFMENTS SANITA' REOLAREMENTe IWL uJRL P¢. d��F. /(��//, (./ /Ae )/I .( /Y �AV // // ''jj FIRE EQ DEPT T / / '7y REQUIREMENT Vol w.i� V V (.�[V ui' _ I /- FaUNDA DATE SET BACKS , w .�� -- R_SIDE REM E -2 -r i MISC. INSPECTION T/!7l/ -f-7 (_ >M 6 d.x /C .t/ :1 DATE Recording and requested by, and when recorded, return to: Anaheim Engineering Division P0. Box 3222 1 . 3/41 aheim, CA 92803 SAVE HARMLESS AGREEMENT AND COVENANT NOT TO SUE 4 TT ndersigned, WOOD BRIDGE VILLAGE, LTD. , being the legal owner(s) hat certain property legally described as 5o S. ANAHEIM BLVD., ANAHEIM, CA 92805 ■i ons o f bei permi t ins t a ll an d mai SU atACE DRAIN X IlJE within the City of Anaheim easement at the location and in tt manner shown on Exhibit "A" attached hereto and incorporated herein by s reference, does hereby covenant and agree to indemnify, protect, and ho =d and save harmless the City of Anaheim, its officers, employees, agents, and representatives, from and against any and all claims for damages to ctures or property or for injury to or death of any persons, and from suits, claims, demands and actions of any kind whatsoever arising from, any manner occasioned by, the aforesaid installation, maintenance, use of said easement by the undersigned. The undersigned further • enants and agrees to protect, indemnify, covenant not to sue, and hold 11 1• save harmless the City of Anaheim, its officers, employees, agents, and N esentatives, from any and all damages or liabilities of whatsoever re to any person or party whomsoever arising out of or in connection any damage to the aforesaid installation which may occur by reason of se of said easement by the City of Anaheim. The undersigned further s that the use of said easement for the purposes described herein shall way create any right whatsoever in the undersigned which is adverse to ghts of the City of Anaheim, and that the rights herein given by the Cit all be revocable or terminable by the City at any time upon thirty (30) days advance written notice. This agreement shall be binding upon and inure to the benefit of the heirs, administrators, executors, successors, assigns and transferees of the parties hereto. Executed this 3/4,x" day of dk , 1985 B7 / *e4, � �ipel Agreement is to be notarized, recorded and a co y eturned to City. Donald F. Lee, General Partner APRIL 25, 1985 Department ` oT - Building City of Anaheim Q X 1 04 E. Lincoln Ave. A naheim, CA. WOOD BRIDGE VILLAGE, LTD. service at is days. and Safety 20, 30, 40, 50A,B,C,D,F,G &H, for a period of E 3U AND 92. SOUTH ANAHEIM BOULEVARD, ANAHEIM, CA If said job does not comply with all codes and ordinances of the City of Anaheim, we give the serving utilities the right to disconnect service until � said building or buildings meet code requirements and /or ordinance. GEC O`f` /f0 isus oeJMno, proms. Contract Owner request temporary electric Y 't • O gi B IDLE LA AA G V.W. TOM BODE, MANAGING GENERAL PARTNER ,OE., LTD. ,_ _ 0 0 To Parking Structure 'u -- FUDDRUCKERS 0, — EUROPEAN COFFEE SHOP 10 — FRAN'S DELI 50 — WOOD BRIDGE OFFICE SUITES D. JACKSON DRUG SULLIVAN—SMITH - AtDS 96 CROWN EMPLOYMENT AGENCY SOS so .1/24 Pd c -L n F) 1 0 DESCRIPTION: OFFICE AREA: RETAIL /RESTAURANT AREA: FREE PARKING: OCCUPANCY DATE: ANAHEIM BOULEVARD CLAUOINA STREET SITE PLAN Project Profile — 72' C5b 1 7 "' —eta 5o• 7 - 4 - /1726 jj /T Mixed use — office /retail /restaurant — 2 building modules Approximately 16,000 sq. ft. — divisible to 750 sq. ft. Approximately 16,000 sq. ft. — divisible to 600 sq. ft. 60 on -site spaces for customer use 120 covered spaces in adjacent parking structure March 1985 • APRIL 25, 1985 Department of Building and Safety City of Anaheim 204 E. Lincoln Ave. Anaheim,- CA:;-- - WOOD BRIDGE VILLAGE, LTD. request temporary electric service at 20, 30, 40, 50A,B,C,D,F,G &H, for a period of E — "9U AND 92 SOUTH ANAHEIM BOULEVARD, ANAHEIM, CA days. If said job does not comply with all codes and ordinances of the City of Anaheim, we give the serving utilities the right to disconnect service until said building or buildings meet code requirements and /or ordinance. Contract Owner y' O`MW P9vE T. otAiOo, py .s, IDGE „ LTD. V.W. TOM BODE, MANAGING GENERAL PARTNER DATE JOB ADDRESS 20 S ANAHEIM EL LEGAL DESCRIPTION OCCUPANCY DWELLING UNIT(S) CENSUS CODE OWNER ** VERIFICATION e „. 'i #3f ADDRESS CITY ANf +HEIM PHONE (714 ) 7° —206 CITY SOUTH GATE PHONE (. 13 .1504 — ; 321 ARCHITECT /ENGINEER STATE PERMIT NUMBER 5 `14L_` TYPE OF PERMIT ELECTRICAL PERM IT TYPE CONST. GARAGE AREA ZONE APPLICANT ANGELES ELECT /J. _ CONTRACTOR ANGELES ELECTRIC ADDRESS 9325 ATLANTIC AVE STATE C A PLAN TRACK # CITY LICENSE # `6c "9 ADDRESS CITY STATE ZIP CODE PHONE CALIF. REG. # # OF STORIES SQ. FT. ZIP COD ZIP CODE JOB DESCRIPTION ADD RECEPT C /SWI TCHE I L ' &HTG tSP 5`9/ ITEM ISSUANCE FEE RECCPT /SW TH/L.IiHT rLi RE PTrSiuiTH/LIGWT := 0) VALUATION PRIOR BLDG. USE QUANTITY 1 TOTAL FEES nT CITY OF ANAHEIM QS H. FEE C. 1 rS . 00 47.00 y N R -A LDE'- OFFICER CASHIER VALIDATION ONLY BUILDING DIVISION 2Qp AN.414E[vl BLVD INSPECTION REQUEST LINE t.714):765-51s1 To obtain this permit, the undersigned hereby files this application and agrees, certifies and declares: That notice has been given me that this permit may be used only in compliance with the Anaheim Municipal Code, and all other applicable ordinances and laws. That this permit does not allow occupancy, and that no occupancy is permitted, of the construction for which this permit is issued until it has been approved in writing by this office for occupancy after final inspection. That this permit does not allow, and separate permits are required for, any plumbing, electrical, heating and air conditioning work. That a double fee will be paid for any permit issued after any work thereby allowed has been commenced. I agree that the City may enter upon the job premises at any reasonable time to inspect any work installed under this permit, and to otherwise act as and when required by the Anaheim Municipal Code. OWNER- BUILDER DECLARATION I hereby affirm under penalty of perjury that I am exempt from the Contractor's License Law for the following reason (Sec.7031.5 Business and Professions Code: any city or county which requires a permit to construct, alter, improve, demolish or repair any structure, prior to its issuance, also requires the applicant for such permit to file a signed statement that he is licensed pursuant to the provisions of the Contractor's License Law (Chapter 9) (commencing with Section 7000 of Division 3 of the Business and Professions Code) or that he is exempt therefrom and the basis for the alleged exemption. Any violation of Section 7031.5 by any applicant for a permit subjects the applicant to a civil penalty of not more than five hundred dollars ($500). ❑ I, as owner of property, or my employees with wages as their sole compensation, will do the work, and the structure is not intended or offered for sale (Sec. 7044 Business and Professions Code: The Contractor's License Law does not apply to an owner of property who builds or improves thereon, and who does such work himself or herself or through his or her own employees, provided that such improvements are not intended or offered for sale. If, however, the building or improvement is sold within one year of completion, the owner - builder will have the burden of proving that he did not build or improve for the purpose of sale). ❑ I, as the owner of the property, am exclusively contracting with licensed contractors to construct the project (Sec. 7044 Business andtrofessions Code: The Contractor's License Law does not apply to an owner of property who builds or improves thereon, and who contracts for such projects with a contractor(s) licensed pursuant to the Contractor's License Law). LICENSED CONTRACTORS DECLARATION I hereby affirm under penalty of perjury that I am licensed under provisions of Chapter 9 (commencing with Section 7000) of Divisiom3 of the Business and Professions Code, and my license is in full force and . t, effect. , — C1t? 00 4/70/98 License Class Lic. Number Exp. Date Contractor WORKERS' COMPENSATION DECLARATION I hereby affirm under penalty of perjury one of the following declarations: O I have and will maintain a certificate of consent to self- insure for worker's compensation, as provided for by Section 3700 of the Labor Code, for the pertormance f. 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 workers' compensation insurance carrier and policy number are: Carrier ULIC0 CASUALTY COMPANY Policy Number LEMMO4r iZ,t 1 000 (This section need not be completed if the permit is for one hundred dollars ($100) or less). I certify that in the pertormance of the work for which this permit is issued, I shall 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 workers' compensation provisions of Section 3700 of the Labor Code, I shall forthwith comply with those provisions. I hereby agree to indemnify and hold harmless the City of Anaheim, its officers and employees from any liability for damages incurred by any person, of persons, resulting from work or activities undertaken pursuant to this permit. WARNING: FAILURE TO SECURE WORKERS' COMPENSATION COVERAGE 13 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 OF THE LABOR CODE, INTEREST, AND ATTORNEY'S FEES. 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 I agree to comply with all city ordinances and state laws relating to building construction, and hereby authorize representatives of this city to enter upon the above mentioned property for inspection purposes. THE PERMIT SHALL EXPIRE BY LIMITATION AND BECOME NULL AND VOID IF THIS WORK IS NOT COMMENCED OR SUSPENDED AFTER A PERIOD OF DAYS. NEW PERMIT IS REQUIRED TO COMMENCE WORK. DATE Building Inspe PARTIAL INSPECTIONS Type of Inspection INSPECTION RECORD Date Plumbing IDrain/Waste Pips) Electrical Ground Electrode /Ufer Set back / Forrrs / Trenches (F ootings) Pl umbing (Water Pipe /Sprinkler Valves M echanical (Groundwork) Pr e -slab {Compaction/ Membrans /Rein L iJ nderpinning (Floor Joist/Gird 1st Floor Shear Mechanical Inspections Firesorinkler (Rough 2nd Floor Shear Rcafi { Sheathing /Diaphragm /Frame M asonry (Reinf!Bo Beam / °re- Gro R ough P{umbing (Top Out) R ough Mech, � Rough Elect. Walls fw7 p Rough Electrical Framing Only after Plbg., Elec,. Mech., and F re) insulation (SoundlEnergy) Drywall nterior Lath Exterior Lath Pium bin• ins.ections GENERAL. iTEM1S E xt. Plaster (Brown Coat) F ermarent Electrical Pole C onstruction Pole Service • aril T - Electrical , T -Bar Mechanical T -Bar Stru ctural Sew W ater Service 1 I nntrrATSI Electrical Final Plumbing Final Mechanical Finer Electric Inspections Gas Tes E ngineering /Grading Final ?65 -612 Fire Deot. Final 755 -4040 Water Engineering 785 -5265 - -- - _ 1.. Sub List/Business 7E5 -5 "9a -, _ )-- - --_fi -- Zoning 765 -5139 Bukling Final (Last Inspection Building Inspe PARTIAL INSPECTIONS Type of Inspection INSPECTION RECORD Date PERMIT NUMBER TYPE OF PERMIT DUILDiNCth PEFMIT DATE 03i JOB ADDRESS 20 S MNAHETtfi BI— LEGAL DESCRIPTION OCCUPANCY CENSUS CODE ADDRESS VALUATION 26,000 TYPE CONST. V N DWELLING UNIT(S) GARAGE AREA ZONE CITY STATE PHONE` C v 'I fr APPLICANT PLAN TRACK # PRIOR BLDG. USE # OF STORIES SQ. FT. ZIP CODE CONTRACTOR SHE L.DON ST :FENS ONS i UCT J ON C, ADDRESS L 33 W LEMON AVE CITY STATE MONRGV1A C :A ZIP CODE ` 1 0 1 ;; PHONE CITY LICENSE # { 81 81 0Z —. 893 1 9598 ARCHITECT /ENGINEER ADDRESS CITY STATE ZIP CODE PHONE CALIF. REG. # JOB DESCRIPTION ADD Y 4 !REMODEL, OFF IC-rS. QUANTITY S B a FEE 8 z 1 CATA nQFIY *2 ES 1 TOTAL FEES it: 304 QS FEE .G1. 25N'. 50 3.46 CITY OF ANAHEIM BUILDING DIVISION 200 S ANAHEIM Q,LVD INSPECTION REQUEST LINE 4.714 t 1 cr To obtain this permit, the undersigned hereby files this application and agrees, certifies and declares: That notice has been given me that this permit may he used only in compliance with the Anaheim Municipal Code, and all other applicable ordinances and laws. That this permit does not allow occupancy, and that no occupancy is permitted, of the construction for which this permit is issued until it has been approved in writing by this office for occupancy after final inspection. That this permit does not allow, and separate permits are required for, any plumbing, electrical, heating and air conditioning work. That a double fee will be paid for any permit issued after any work thereby allowed has been commenced. I agree that the City may enter upon the job premises at any reasonable time to inspect any work installed under this permit, and to otherwise act as and when required by the Anaheim Municipal Code. OWNER- BUILDER DECLARATION I hereby affirm under penalty of perjury that I am exempt from the Contractor's License Law for the following reason (Sec. 7031.5 Business and Professions Code: any city or county which requires a permit to construct, alter, improve, demolish or repair any structure, prior to its issuance, also requires the applicant for such permit to file a signed statement that he is licensed pursuant to the provisions of the Contractor's License Law (Chapter 9) (commencing with Section 7000 of Division 3 of the Business and Professions Code) or that he is exempt therefrom and the basis for the alleged exemption. Any violation of Section 7031.5 by any applicant for a permit subjects the applicant to a civil penalty of not more than five hundred dollars ($500). 0 I, as owner of property, or my employees with wages as their sole compensation, will do the work, and the structure is not intended or offered for sale (Sec. 7044 Business and Professions Code: The Contractor's License Law does not apply to an owner of property who builds or improves thereon, and who does such work himself or herself or through his or her own employees, provided that such improvements are not intended or offered for sale. If, however, the building or improvement is sold within one year of completion, the owner - builder will have the burden of proving that he did not build or improve for the purpose of sale). -° 0 I, as the owner of the property, am exclusively contracting with licensed contractors to construct the project (Sec. 7044 Business and Professions Code: The Contractor's License Law does not apply to an owner of property who builds or improves thereon, and who contracts for such projects with a contractor(s) licensed pursuant to the Contractor's License Law). LICENSED CONTRACTORS DECLARATION I hereby affirm under 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. co License Class k ; ' Lic. Number ` 4 Exp. Date Contractor WORKERS' COMPENSATION DECLARATION I hereby affirm under penalty of perjury one of the following declarations: 0 I have and will maintain a certificate of consent to self- insure for worker's compensation, 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 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 number are: Carrier ACORD Policy Number W ' 4 ' r / 621840103 (This section need not be completed if the permit is for one hundred dollars ($100) or less). 1 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 workers' compensation provisions of Section 3700 of the Labor Code I shall forthwith comply with those provisions. I hereby agree to indemnify and hold harmless the City of Anaheim, it's officers and employees from any liability for damages incurred by any person, of persons, resulting from work or activities undertaken pursuant to this permit. WARNING: FAILURE TO SECURE WORKERS' COMPENSATION COVERAGE I5 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 OF THE LABOR CODE, INTEREST, AND ATTORNEY'S FEES. 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 I agree to comply with all city ordinances and state laws relating to building construction, and hereby authorize representatives of this city to enter upon the above mentioned property for inspection purposes. THE PERMIT SHALL EXPIRE BY LIMITATION AND BECOME NULL AND VOID IF THIS WORK IS NOT COMMENCED OR SUSPENDED AFTER A PERIOD OF 'DAYS. NEW PERMIT IS REQUIRED TO COMMENCE WORK. fit.4 d. Rt CASHIER VALIDATION ONLY DATE Buildi Pe ti PARTIAL INSPECTIONS Type o INSPECTION RECORD ;portion Date Inspector P ERT' 9 v �hC' B B L L ` •r DATE: �- 3 _g Plumbing (Crain /Waste Pipe) Electrical Ground Electrode /Ufer Setback/Forms /Trenches (Footings) Plumbing (Water Pipe /Sprinkler Valves) Mechanical (Groundwork) Pre -slab (Compaction /Membranes Reint.) Underpinning (Floor Joist/Girders) 1st Flcor Shear Mechanical Inspections Firesprinkler (Rough) 2nd Floor Shear Roof (Sheathing /Di €phragmf Frame) Masonry (RBinf'Bond Beam / Pre - G rout) Pouch Plumbing (Top Gut) Rough Mech. Hough Elect. Walls Rough Electrical '7-9'( , . Vf - ,,,,, Framing (Only after Plbg., Elec., Mech., and Fire) '- Insulation (Gound /Energy) Drywall Interior Lath Exterior Lath Plumbing Inspections GENERAL ITEMS Ext. Piaster (Brown Goat) Permanent Electrical Pole C onstruction Pole Se rvice T -Bar Electric T -Bar Mechanical T -Bar Structural Sewer W afer Serv Electrical Final Plumbing Final Mech anical Fina Electrical Inspections Gas Test Engineering /Grading Final 765-5 Fire Dapt. Final '65 -J643 Water Engineering 7 - 5266 Sob List /Business License 765 -5994 F5 al ( La ? nS '�"�■■■ B uildial {Last Inspectio B uildin Fin Buildi Pe ti PARTIAL INSPECTIONS Type o INSPECTION RECORD ;portion Date Inspector P ERT' 9 v �hC' B B L L ` •r DATE: �- 3 _g DATE 01/A2/98 JOB ADDRESS 2 v ANAHEIM BL LEGAL DESCRIPTION OCCUPANCY DWELLING UNIT(S) CENSUS CODE OWNER 3E "A' YE es , - .i ADDRESS TYPE CONST. GARAGE AREA ZONE CITY ANAHEIM PHONE (7 i 4) 752-2(.366 APPLICANT WILSON, RERNIE CONTRACTOR WILSON PLUMQ_NG CO, ADDRESS 24:370 VIA LENARD° CITY STATE YOREA LINDA CA ADDRESS CITY PHONE JOB ADO {� DESCRIPTION LA FLOOR DR 4. I VALUATION STATE ITEM ISSUING FEE LAVATORY WATER CLOSE I DRINKING FtOUNTFa I FLOOR DRAIN PERMIT NUMBER TYPE OF PERMIT UNEiINV PERMIT PLAN TRACK # PHONE CITY LICENSE # ( 714) rant - 1773 29745 ARCHITECT /ENGINEER $f -4# STATE WATER REG. # WA ER CL PRIOR BLDG. USE # OF STORIES SQ. FT. ZIP CODE B2 QUANTITY E2 I B2 i B2 1 1 CITY OF ANIAHEIM QS 83 BUILDING DIVISR1`Y` 200 S ANAHEIM BLVD.xi INSPECTION REQUE4T LINE To obtain this permit, the undersigned hereby files this application and agrees, certifies and declares: That notice has been given me that this permit may be used only in compliance with the Anaheim Municipal Code, and all other applicable ordinances and laws. ° That this permit does not allow occupancy, and that no occupancy is permitted, of the construction for which this permit is issued until it has been approved in writing by this office for occupancy after final inspection. That this permit does not allow, and separate permits are required for, any plumbing, electrical, heating and air conditioning work. That a double fee will be paid for any permit issued after any work thereby allowed has been commenced. I agree that the City may enter upon the job premises at any reasonable time to inspect any work installed under this permit, and to otherwise act as and when required by the Anaheim Municipal Code. OWNER- BUILDER DECLARATION I hereby affirm under penalty of perjury that I am exempt from the Contractor's License Law for the following reason (Sec. 7031.5 Business and Professions Code: any city or county which requires a permit to construct, alter, improve, demolish or repair any structure, prior to its issuance, also requires the applicant for such permit to file a signed statement that he is licensed pursuant to the provisions of the Contractor's License Law (Chapter 9) (commencing with Section 7000 of Division 3 of the Business and Professions Code) or that he is exempt therefrom and the basis for the alleged exemption. Any violation of Section 7031.5 by any applicant for a permit subjects the applicant to a civil penalty of not more than five hundred dollars ($500). ❑ I, as owner of property, or my employees with wages as their sole compensation, will do the work, and the structure is not intended or offered for sale (Sec. 7044 Business and Professions Code: The Contractor's License Law does not apply to an owner of property who builds or improves thereon, and who does such work himself or herself or through his or her own employees, provided that such improvements are not intended or offered for sale. If, however, the building or improvement is sold within one year of completion, the owner - builder will have the burden of proving that he did not build or improve for the purpose of sale). ❑ I, as the owner of the property, am exclusively contracting with licensed contractors to construct the project (Sec. 7044 Business and Professions Code: The Contractor's License Law does not apply to an owner of property who builds or improves thereon, and who contracts for such projects with a contractor(s) licensed pursuant to the Contractor's License Law). LICENSED CONTRACTORS DECLARATION I hereby affirm under 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. License Class °� t Lic. Number sy,y s Exp. Date Contractor WORKERS' COMPENSATION DECLARATION I hereby affirm under penalty of perjury one of the following declarations: ❑ I have and will maintain a certificate of consent to self- insure for worker's compensation, as provided for by Section 3700 of the Labor Code, for the performance of the work for which this permit is issued. a I have and will maintain worker's compensation insurance, as required by Section 3700 ZIP CODE of the Labor Code, for the performance of the work for which this permit is issued. My _ -' workers' compensation insuranc@ carrier and policy number are ti 9 2: 68 C 3 ,' . 3 E ELIND s � ` .. ZIP CODE TOTAL FEES FEE 20.00 7. 00 1,00 Policy Nu _ � ti.� �— C� 1 `. } � .� (This sectiorineed not be ° completed if the permit is fi one ktrmdrgd dollars or less). , r- Y L _ C y . 1. I certifytlJ t,in.,thQ'.perfo nce of_ the w or k fo h this-permit is issued, I shall not employ any per'on'1n avy 'Manner' s01 as to become SuUlecttto J,Tkje = workers' compensation Ifws 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. I hereby agree to indemnify and hold harmless the City of Anaheim, it's officers and employees from any liability for damages incurred by any person, of persons, resulting from work or activities undertaken pursuant to this permit. WARNING: FAILURE TO SECURE WORKERS' COMPENSATION COVERAGE I5 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 OF THE LABOR CODE, INTEREST, AND ATTORNEY S FEES. 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 I agree to comply with all city ordinances and state laws relating to building construction, and hereby authorize representatives of this city to enter upon the above mentioned property for inspection purposes. THE PERMIT SHALL EXPIRE BY LIMITATION AND BECOME NULL AND VOID IF THIS WORK IS NOT COMMENCED OR SUSPENDED AFTER A PERIOD OF -_ =,DAYS. NEW PERMIT IS REQUIRED TO COMMENCE WORK. BY OWNER -AGENT- BUILDER- OFFICER CASHIER VALIDATION ONLY �rlZ -1 7 ±5 DATE Building Inspections Mechanical Inspections P Electrical I nspec do rs PARTIAL INSPECTIONS Rough Plumbing (Top Ou Pough Mech. Rough Elect. Wails Hough Electrical Framing (Only after Plbg.. Elea. Mech., and Fir I Poof (Sheathing /Diaphragm /Frame) Masonry ( Reintf Bond Beam/Pre-Grout) INSPECTION RECORD Type of Inspection Date Plumbing (Drain /Waste Pipe) Electrical Ground Electrode/Lifer Selback /Forms /Trenches (Footings) Plumbing (Water Pipe /Sprinkler Valves) Mechanical {Groundwork} Pre -slab (Compaction /Membrane /Reinf.) Underpinning (Floor Joist/Girders) 1st Floor Shear Firesorinkler (RoughI 2nd Flcor Shear Drywall Inspecto Interior Lath E,terior Lath Construction Pole Service T -Bar Elec T - Bar Mech T - Struc Sewer Wa ter Servi Plumbing Mechanical Final Gas Test Engineering /Grading Final 765 -5125 Fire Dept. Final 765 -4040 Water Engineering 765 -5266 uh List /Business License 765 -5194 no 76 g Final (Last Inspec GENERAL TE TYPE CONST. DWELLING UNIT(S) GARAGE AREA ZONE DATE 03/19: JOB ADDRESS :? ' A AHEIM BL_ LEGAL DESCRIPTION OCCUPANCY CENSUS CODE OWNER *•* VERIFICATION RE Oi_I I RE D ADDRESS 0 .� +NAiE I t1 F!_ CITY STATE ZIP CODE ANAHEIM CA 9280E5 PHONE 71 774-1a64 APPLICANT KEY AIR CisNDIARMAN E CONTRACTOR KEY AIR CONLti TIONIN ADDRESS 10905 LAUREL. CITY STATE ZIP CODE SANTA re SPRIN CA 90e74 PHONE CITY LICENSE # ( 310)941- -2u?33 11E85 ARCHITECT /ENGINEER ADDRESS CITY STATE ZIP CODE PHONE JOB DESCRIPTION ADD VENT FANS/ REGISTERS TO SUITES &210 BLDG PERM ?#59131 VALUATION ITEM FEE ".(1000 0 50 ) . FAN ,. PERMIT NUMBER TYPE OF PERMIT i PERMIT PLAN TRACK # CALIF. REG. # PRIOR BLDG. USE # OF STORIES ** SQ. FT. QUANTITY 1 TOTAL FEES CITY OF ANAHEIM QS FEE %0. To obtain this permit, the undersigned hereby files this application and agrees, certifies and declares: That notice has been given me that this permit may be used only in compliance with the Anaheim Municipal Code, and all other applicable ordinances and laws. That this permit doesnot allow occupancy, and that no occupancy is permitted, of the construction for which this permit is issued until it has been approved in writing by this office for occupancy after final inspection. That this permit does not allow, and separate permits are required for, any plumbing, electrical, heating and air conditioning work. That a double fee will be paid for any permit issued after any work thereby allowed has been commenced. I agree that the City may enter upon the job premises at any reasonable time to inspect any work installed under this permit, and to otherwise act as and when required by the Anaheim Municipal Code. OWNER - BUILDER DECLARATION I hereby affirm under penalty of perjury that I am exempt from the Contractor's License Law for the following reason (Sec. 7031 Bu iness and Professions Code: any city or county which requires a permit to cojrst ter, improve, demolish or repair any structure, prior to its issuance, also requires t pplicant for such permit to file a signed statement that he is licensed pursuant t¢ the ions of the Contractor's License Law (Chapter 9) (commencing with Section 7000 of Division 3 of the Business and Professions Code) or that he is exempt therefrom and the basis for the alleged exemption. Any violation of Section 7031.5 by any applicant for a permit subjects the applicant to a civil penalty of not more than five hundred dollars (5500). -""� ❑ I, as owner of property, or my employees with waggsae ifieir sole compensation, will do the work, and the structure is not intended -ert'ffered for sale (Sec. 7044 Business and Professions Code: The Contractors E nse Law does not apply to an owner of Property who builds or improyestfiereon, and who does such work himself or herself or through his or her own.esrployees, provided that such improvements are not intended or offered for sale._1trfiowever, the building or improvement is sold within one year of completion, 1he"owner- builder will have the burden of proving that he did not build or improve for the purpose of sale). ❑ I, as the owner of the property, am exclusively contracting with licensed contractors to construct the project (Sec. 7044 Business and Professions Code: The Contractor's License Law does not apply to an owner of property who builds or improves thereon, and who contracts for such projects with a contractor(s) licensed pursuant to the Contractor's License Law). LICENSED CONTRACTORS DECLARATION I hereby affirm under 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 iggiq�full force and effect., i,.s. 4' License Class Lic. Number Exp. Date Contractor WORKERS' COMPENSATION DECLARATIO I hereby affirm under penalty of perjury one of the fo . .- clarations: ❑ I have and will maintain a certificate . -' ent to self- insure for worker's compensation, as provided for . 00 of the Labor Code, for the performance the work for whit IC I have and .' aintain worker's compensation insurance, as required by Section 3700 of the .' ode, for the pertormance of the work for which this permit is issued. My workers' compensation insipance,,parfief end policy nuypbet pie 4r'`:, +L:3 i" I 1 nLr1 t € t... ..Ur'..._3r , _. INL Carrier ::= r Policy Number , ' - (This section need not be completed if the permit is for one hundred dollars ($100) or less). 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 workers' compensation provisions of Section 3700 of the Labor Code, I shall forthwith comply with those provisions. I hereby agree to indemnify and hold harmless the City of Anaheim, it's officers and employees from any liability for damages incurred by any person, of persons, resulting from work or activities undertaken pursuant to this permit. WARNING: FAILURE TO SECURE WORKERS' COMPENSATION COVERAGE I5 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 OF THE LABOR CODE, INTEREST, AND ATTORNEY'S FEES. 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 co I agree to comply with all city ordinances and state laws relating to building construction, and hereby authorize representatives of this city to enter upon the above mentioned property for inspection purposes. THE PERMIT SHALL EXPIRE BY LIMITATION AND BECOME NULL AND VOID IF THIS WORK IS NOT COM 4 1 •' SUSPENDED AFTER A PERIOD OF 7,7 DAYS. NEW PE' IT ' EQUTRE • O COMMENCE WORK. BY OWNER- AGENT - BUILDER- OFFICER ( ATE CASHIER VALIDATION ONLY BUILDING DIVISIeN• ." 200 S ANAHEJM �LVF). ;.A . INSPECTION REQUEST LINE 1 Zonino'65 -5139 Building °inal (Last Inspection) io PARTIAL INSPECTIONS INSPECTION RECORD Type o f Inspection Date Plumbing tDrain /Waste Pipe) Electrical Ground Electrade/Ufer Setback /Forms /Trenches (Footing Plumbing (Water Pipe /Sprinkler Valves) Mechanical (Groundwork) Pre -slab (Compaction /Membrane /Reins.) Underpinning (Floor Joist /Girders) 1st Floor Shear Mechanical Inspections 2 Firescrin.kler (Rough) 2nd Floor Shear Roof (Sheathing /Diaphragm /Eramei M asonry (Reint.aSand Beam /P - Grout) Rough Plumbing (Too Gut) Rough Mes Rough Elect. Walls Rough Electrical Framing (Only after Plbg., Elec., Mech., and Fire insulation (Sound /Energy Drywall Interior Lath Exte rior Lath 'lumb g Inspections E GENERAL ITEMS Ext, Master (Brown Coat) Permanent Electrical Pole Construction Pole Service T -Bar Electrical __ VL I T -Bar Mechanical Y-70 _ T -Bar Structural Sewer Water Service Electrical Final Plumbing Final � �nS . .,c Mechanical Final 3 Electrical Inspections E Gas Test Engineering /Grading Final 765 -5125 Fire Dept Final 765 -4-340 Water Engineering 765 -5266 Sub List /Business License 765 -5194 io PARTIAL INSPECTIONS INSPECTION RECORD Type o f Inspection Date PERMIT APPLICATION NUMBER PERMIT yam/ 3 NUMBER 7 / L' JOB ADDRESS t;RT 2 iJi hill U'. 1� C� • 4 'rUN DATE PR)I NAMEOle1 CANT BV ( ` 7 C'..�r,. .r � — - WNERtAGENT- BUILDER- OFFICER STREET TYPE OF T1 r+ • PERMIT L- To obtain this permit, the undersigned hereby files this application and agrees, certifies and declares: That notice has been given me that this permit may be used only in compliance with the Anaheim Municipal Code, and all other applicable ordinances and laws. That this permit does not allow occupancy. and that no occupancy is permitted, of the construction for which this permit is issued until it has been approved in writing by this office for occupancy after final inspection. That this permit does not allow, and separate permits are tor. any plumbing,electricaf,heat- ing and air conditioning work. Thal a double fee will be paid for any permit issued after any work thereby allowed has been com- menced. I agree that the City may enter upon the job premises at any reasonable time to Inspect any work installed under this permit, and to otherwise act as and when required by the Anaheim Municipal Code. LICENSED CONTRACTORS DECLARATION I hereby affirm that I am licensed under provisions of Chapter 9 (commencing with Section 7000) of ivision 3 of the Business and Professions Code, and my license is in full force and eft ct. yj License Class 1 Lie Number b 5... Exp Date , 2■ Contractor \1 (-Vt ) try 41- v:i I' ( C C) f st 0 ()(.11c %. OWNER - BUILDING DECLARATION I hereby affirm that I am exempt from the Contractor's License Law for the following reason (Sec.7031.5 Business and Professions Code: any city or county which requires a permit to construct, alter, improve, demolish or repair any structure, prior to its issuance, also requires the applicant for such permit to file a signed statement that he is licensed pursuant to the provisions of the Contractor's License Law (Chapter 9) (commencing with Section 7000 of Division 3 of the Business and Professions Code) or that he is exempt therefrom and the basis for the alleged exemption. Any violation of Section 7031.5 by any appli- dant for a permit subjects the applicant to a civil penalty of not more than live hundred dollars (5500). ❑ I, as owner of the property, or my employees with wages as their sole compensation, will do the work, and the structure is not intended or offered for sale (Sec. 7044 Business and Professions Code: The Contractor's License Law does not apply to an owner of property who builds or improves thereon, and who does such work himself or through his own employees, provided that such Improvements are not intended or offered for sale. If, however, the building or improvement is sold within one year of completion, the owner - builder will have the burden of proving that he did not build or improve for the purpose of sale). ❑ I, as the owner of the property, am exclusively contracting with licensed contractors to construct the protect (Sec. 7044 Business and Professions Code: The Contrator's License Law does not apply to an owner of property who builds or improves thereon, and who contracts for such projects with a contrac- tors) licensed pursuant to the Contractor's License Law). ❑ I am exempt under Sec. B 8 PC for this reason Date Owner WORKERS' COMPENSATION DECLARATION I hereby affirm that I have a certificate of consent to self- insure, or a certificate of Workers' Compensation Insurance, or a certified copy thereof (Sec. 3800 Lab. C) Policy No Company Certified copy furnished Exp Date • Applicer�l� CERTIFICATE OF EXEMPTION FROM WORKERS' COMPENSA ION INSURANCE (This section need not be completed if the pe mit fan, one hundred doll .l- $100) or less). I certify That in the performance of the work for which ftills ernl�jt Is ss d. I shal •play-any person in any manner so as to become subject tc theNtygrkers' Comp osio�La s- alifornia. Dag-- Applica / -h' ,rte C NOTICE TO APPLICANT: 11, after making his Certificate of Exemption, you should become subject to the Workers' Compensation provisions of the Labor Code, you must forthwith comply with such provi- sions or this permit shall be deemed revoked. CONSTRUCTION LENDING AGENCY • I hereby affirm 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 I certify that I have read this application and state that the above information is correct. I agree to comply with all city ordinances and state laws relating to building construction, and hereby authorize represen- tatives of this city to enter upon the above mentioned property for inspection purposes. THE PERMIT SHALL EXPIRE BY LIMITATION AND BECOME NULL AND VOID IF THIS WORK I9 NOT COMMENCED OR COMMENCED AND SUSPENDED AFTER A PERIOD OF 180 DAYS. NEW PERMIT IS REQUIRED TO COMMENCE WORK. BLDG - 18 Rev. 6 /88 APPLICATION FOR A SIGN PERMIT PLAN CHECK FEE CONTRACTOR TEL NO. MAILING ADURF SS ZIP CODE CITY LIC NO BLDG. FEE TEL NO ENGINEERING STATE LIC NO OWNER ELEC. FEE TRAFFIC SUB TOTAL ZONING STATE TAX OTHER MICROFILM FEE PERM PLAN WITH PLAN = WITHOUT PLAN APP BY TOTAL FEE APPLICATION FOR A SIGN PERMIT PLANNING DEPT. BUILDING DIVISION ANAHEIM, CA (714) 999 -5161 CONTRACTOR TEL NO. MAILING ADURF SS ZIP CODE CITY LIC NO ARCH ENGR TEL NO MAILING ADDRESS STATE LIC NO OWNER TEL. NO MAILING ADDRESS ON SITE OFF SITE NEW ❑ WALL ❑. I( LS BILLBOARD ❑ BOND REQ. I AMOUNT $ DESCRIPTION OF WORK VALUATION WIIri g! Plumb. Hoot. Etc.. JOB ADDRESS AWN ❑ ALTER ❑ TYPE OF SIGN ROOF ❑ POLE ❑ TEMP TRACT ❑ SIGNATURE OF OWNER OR AUTHORIZED AGENT • ZIP CODE REPAIR ❑ DEMOLISH ❑ $ 1 '1C. DIMENSIONS r (� (�� HEIGHT .1' WI ') n 1 AREA G L1 sr' I- I . E A "N OVERALL HEIGHT HEIGHT 1 r ABOVE ROOF LOT FRONTAGE I .1 1 - - BOND NUMBER When properly validated in 1110 space and pad for IhIS form conslltu es a perm' to do the Work described hereon The Issuance 01 this perm' does not authorize the violation of any slate or local law I have camtully mad and examined the above application and know the same to be true and correct. All provisions of Laws and Ordinances covering This type of construction will be complied wilt whether specified herein or not No person shall be employed In violation 01 the Labor Code 01 the Stale of California. FRONT SETBACK INSPECTIONS FOUNDATIONS WELDING BY 0.47E FINt6,SIGN PECTION BY DATE ZONING CLEARANCE FINAL ELECTRICAL LOCATION DISTANCE FROM PROPERTY LINE BY DATE OUAN ITEM AMT. OUAN ITEM AMT. WATER CLOSET 1 GAS SYSTEM 1.5 OUTLETS 7 + BATH TUB 6 OR MORE OUTLETS -PER SHOWER WATER HEATER OR VENT LAVATORY WATER SOFTNER KITCHEN SINKS WATER DIST. SYSTEM EXISTING BLDG. ONLY GARBAGE DISPOSAL }} 1 WATER MAIN 161 100 1 U CLOTHESWASHER WASTE ADM_ 100 SLOP SINK LAWN SPRINKLER 1.4 VALVES FLOOR SINK ADDITIONAL VALVES EA. FLOOR DRAtN SEPTIC TANK AND SEEP PIT DISHWASHER SEWER CLOSED LAUNDRY TRAY 1 SEWER 1st 100 10 DRINK FOUNTAIN ADD'L 100 URINAL BACKFLOW PREVENTER GREASE INTERCEPTOR RAINWATER DRAINS SAND INTERCEPTOR SOLAR TANK BAR SINK SOLAR TANK i roof drains 14 I nave carefully read and examined the above application and know the same to be true and correct. All provisions of Laws and Ordinances covering this type of construction will be com- plied with whether specified herein or not. No person shall be employed in violation of the Labor Code of the State of California. APPR BY TOTAL TO TO TAL J ISSUING FEE i L. TOTAL FEE 45. _c JOB ADDRESS APPLICATION FOR A PLUMBING PERMIT (714) 999-5161 (818) 796 -0291 BUILDING DIVISION • ANAHEIM, CALIF. �.. CONTRACTOR STATE LIC. NO. 'larrington Plumbing Co.,Inc. 240768 MAILING ADDRESS 493 7. y alnut )t. CITY Pasadena, Calif. 91101 OWNER 400ibridge Project MAILING ADDRESS USE PROPOSED 1-.21 NL G. BLDG REMODELED RELOCATED DESCRIPTION OF WORK: 'urnish and install CITT,LIC. NO. applied for TELEPHONE TEL. NO. When properly validated in this space and paid for this form constitutes a permit to do the work described hereon. The issuance of this permit does not authorize the violation of any state or local law. SIGNATURE OF OWNER OR AUTHORIZED AGENT BLDG 12 PERMANENT • • GROUND WORK (WASTE) GROUND \NORK t'WATER -GAS) ROUGH GAS Pt. '3 G ( :O -4/..& SEWE4 ?. SEP1 TANK SEEPAGE PIT, GRAINFIELD FINAL GAS INSPECTION RECORD BASIC INSPECTION PARTIAL OR MISC. INSPECTIONS FiNk �BRJG LeARAN ;E DATE APPLICATNA FO N A SIGN PERMIT PLANNING DEPT. BUILDING DIVISION ANAHEIM, CA (714) 999-5161 PLAN CHECK FEE 1 (ol . '4 s w ei N i A Ra a( SPRINGS RD— !VM5 ARCH ,--.. ENGR. TEL. NO. MAILING ADDRESS BLDG. FEE mttibDRUCKERS TEL. NO. ENGINEERING ELEC. FEE TRAFFIC SUB TOTAL _ ... "2. S ZONING STATE TAX .5-0 OTHER MICROFILM FEE PERM. PLAN WITH PLAN WITHOUT PLAN - 7 , ,__J .7 7 APP BY TOTAL FEE S I APPLICATNA FO N A SIGN PERMIT PLANNING DEPT. BUILDING DIVISION ANAHEIM, CA (714) 999-5161 CONTRACTOR C-OPET NrrIN 1, PLASTII: !a LAS rt1 T 9) 7454195 , CITY LC. w ei N i A Ra a( SPRINGS RD— !VM5 ARCH ,--.. ENGR. TEL. NO. MAILING ADDRESS STATE LIC. NO. mttibDRUCKERS TEL. NO. MAILING SO:1$XAMIN BLVD. ON SITE OFF SITE NEW / ADD'N fl WALL Ex ROOF POLE 0 BILLBOARD El M, VALUATION NOM Unshod, Labor, IA Winne, Numb., Wei, Eft. BOND REQ. 11 AMOUNT JOB ADDRESS ORRORSIPTION OF WORK ALTER. El REPAIR tl TYPE OF SION TEMP. TRACT El 1 SIGN DIMENSIONS ;ArV 11 Al •• `,` I ■1 TR t.itCT IfY '54287N ZIP CODE SIGN 16" =1-. 18' AREA 24 SQ. FT. HEIGHT OVERALL HEIGHT HEIGHT ABOVE ROOF LOT FRONTAGE kJe j fti- 4- ') IC Air $ 1 ,500 . E E BOND NUMBER When properly valideeed in this space and pad for this form ccestiltMts • pent* to do the work described Manion. The issuance of Ibis permit does not authorize the violalion el any Vats or local law. S ggl DEMOLISH 0 I have carefully read and imamineddm above applicalionandlmoss same to Ile ape sodomise. MI previsions of Liss and Ortlawneei covering this type of construction will be complied Wet **her Nomallea Neer or *0 .40 perm+ Weal be employed in vidadon of the Labor Cede al the Stale of California. FRONT SETBACK INSPECTIONS FOUNDATIONS WELDING N O pc ,ti.1 S BY DATE FINALS N INSPECTION DATE ZONING CLEARANCE FINAL ELECTRICAL LOCATION DISTANCE FROM PROPERTY LINE BY DATE OUAN ITEM AMT. OUAN ITEM AMT. `� WATER CLOSET .1 0� _ GAS SYSTEM S OUTLETS BATH TUB 6 OR MORE OUTLETS-PER SHOWER WATER HEATER OR VENT 3 4 LAVATORY 12* WATER SOFTNER KITCHEN SINKS WATER DIST. SYSTEM EXISTING BLDG. ONLY GARBAGE DISPOSAL 1 WATER MAIN 1st 100 10 CLOTHESWASHER WASTE gDD'L. 100 1 SLOP SINK • LAWN SPRINKLER 1.4 VALVES FLOOR SINK ADDITIONAL VALVES EA. 4 FLOOR DRAIN L 2 • SEPTIC TANK AND SEEP PIT DISHWASHER SEWER CLOSED LAUNDRY TRAY 1 SEWER IV 100 t 3 1 DRINK FOUNTAIN 3 • ADD'L 100 I URINAL 3 • BACKFLOW PREVENTER GREASE INTERCEPTOR RAINWATER DRAINS SAND INTERCEPTOR SOLAR TANK BAR SINK SOLAR TANK 4 root Drains 1 I have carefully read and examined the application and know the same to be true correct. AU provisions of Laws and Ordinances covering this type of construction will plied with whether specified herein or person shall be employed in violation Labor Code of the State of California. above and be corn- not. No of the APPR BY TOT TOT AL ABOVE 86 ISSUING FEE .� TOTAL FEE 96 CONTRACTOR APPL'_; ATION FOR A t'LUMBING PERMIT BUILDING DIVISION • ANAHEIM, CALIF. T arrin iton Plumbing :Co.Inc MAILING ADDRESS 493 _,_ Walnut t_ Q asadena, Ca. 91191 OWJJER ;•loodbri,_ige Project MAILING ADDRESS USE: I CI rBBL G BLDG REMODELED El RELOCATED DESCRIPTION AF ORK urnis and install When properly validated in this space and paid for this form constitutes a permit to do the work described hereon. The issuance of this permit does not authorize the violation of any state or local law. JOB ADDRESS r--I(2I ° f / (714) 999-5161 SIGNATURE OF OWNER OR AUTHORIZED AGENT CITY LIC. {d 0., ze:1 for TELEPHONE (`_i13) 79n-029 STATE LIC. NO. 240768 TEL. NO. BLDG 12 PERMANENT • • GRC UND V. RK (WASTE ; ,7JC3-.. S GR UND GRK f'WATER -GAS) , 1v i J- .13 - S ; PI. B G • PCOUGHG / / �• /.. a R. SEWE SEPTIC TANK SEEPAGE PIT, DPAINFIEL.D FINAL GAS INSPECTION RECORD BASIC INSPECTION PARTIAL OR MISC. INSPECTIONS i ;NAL PLU. .JG NCE DATE JOB ADDRESS LEGAL DESCRIPTION OCCUPANCY TYPE CONST. # OF STORIES DWELLING UNIT(S) GARAGE AREA SQ. FT. CENSUS CODE ZONE OWNER ADDRESS CITY PHONE APPLICANT CONTRACTOR ADDRESS CITY VALUATION •v. ITEM STATE PERMIT NUMBER TYPE OF PERMIT ZIP CODE STATE ZIP CODE PHONE CITY LICENSE # ARCHITECT /ENGINEER ADDRESS CITY STATE ZIP CODE PHONE JOB DESCRIPTION f•_,I , ,)l.. 1L CALIF. REG. # PRIOR BLDG. USE QUANTITY FEE CITY OF ANAHEIM BUILDING DIVISION 200 S. ANAHEIM BLVD. INSPECTION REQUEST LINE To obtain this permit, the undersigned hereby files this application and agrees, certifies and declares: That notice has been given me that this permit may be used only in compliance with the Anaheim Municipal Code, and all other applicable ordinances and laws. That this permit does not allow occupancy, and that no occupancy is permitted, of the construction for which this permit is issued until it has been approved in writing by this office for occupancy after final inspection. That this permit does not allow, and separate permits are required for, any plumbing, electrical, heating and air conditioning work. That a double fee will be paid for any permit issued after any work thereby allowed has been commenced. I agree that the City may enter upon the job premises at any reasonable time to inspect any work installed under this permit, and to otherwise act as and when required by the Anaheim Municipal Code. OWNER- BUILDER DECLARATION I hereby affirm under penalty of perjury that I am exempt from the Contractor's License Law for the following reason (Sec.7031.5 Business and Professions Code: any city or county which requires a permit to construct, alter, improve, demolish or repair any structure, prior to its issuance, also requires the applicant for such permit to file a signed statement that he is licensed pursuant to the provisions of the Contractor's License Law (Chapter 9) (commencing with Section 7000 of Division 3 of the Business and Professions Code) or that he is exempt therefrom and the basis for the alleged exemption. Any violation of Section 7031.5 by any applicant for a permit subjects the applicant to a civil penalty of not more than five hundred dollars ($500). ❑ 1, as owner of property, or my employees with wages as their sole compensation, will do the work, and the structure is not intended or offered for sale (Sec. 7044 Business and Professions Code: The Contractor's License Law does not apply to an owner of property who builds or improves thereon, and who does such work himself or herself or through his or her own employees, provided that such improvements are not intended or offered for sale. If, however, the building or improvement is sold within one year of completion, the owner - builder will have the burden of proving that he did not build or improve for the purpose of sale). ❑ 1, as the owner of the property, am exclusively contracting with licensed contractors to construct the project (Sec. 7044 Business and Professions Code: The Contractor's License Law does not apply to an owner of property who builds or improves thereon, and who contracts for such projects with a contractor(s) licensed pursuant to the Contractor's License Law). LICENSED CONTRACTORS DECLARATION I hereby affirm under 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. License Class (.', t Lic. Number +`` -'t'' , �" Exp. Date .I. • ` Contractor WORKERS' COMPENSATION DECLARATION I hereby affirm under penalty of perjury one of the following declarations: ❑ I have and will maintain a certificate of consent to self- insure for worker's compensation, as provided for by Section 3700 of the Labor Code, for the performance of the work for which this permit is issued. 1:1 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 workers' compensation insurance carrier and policy number are: Carrier 601-..L €!'4 EAGLE Policy Number NWC 48 046017 (This section need not be completed if the permit is for one hundred dollars ($100) or less). 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 workers' compensation provisions of Section 3700 of the Labor Code, I shall forthwith comply with those provisions. I hereby agree to indemnify and hold harmless the City of Anaheim, it's officers and employees from any liability for damages incurred by any person, of persons, resulting from work or activities undertaken pursuant to this permit. 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 OF THE LABOR CODE, INTEREST, AND ATTORNEY'S FEES. 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 I certify that I have read this application arid state that the above information is correct. I agree to comply with all city ordinances and state laws relating to building construction, and hereby authorize representatives of this city to enter upon the above mentioned property for inspection purposes. THE PERMIT SHALL EXPIRE BY LIMITATION AND BECOME NULL AND VOID IF THIS WORK IS NOT COMMENCED OR SUSPENDED AFTER A PERIOD OF DAYS. NEW PER IS REQUIRED TO COMMENCE WORK. • BY OWN - AGENT- BUILDER - OFFICER DATE CASHIER VALIDATION ONLY Building Inspections Mechanical Inspections Plumbing Inspections Electrical Inspections \if r'N 1 DATE: PARTIAL INSPECTIONS T E yPRE D L L 4 [1 INSPECTION RECORD Type of Inspection Date GENERAL ITEMS Inspector Plumbing (Drain/Waste Pipe) Electrical Ground Electrode/Ufer Setback/Forms/Trenches (Footings) Plumbing (Water Pipe/Sprinkler Valves) Mechanical (Groundwork) Pre-slab (Compaction/Membrane/Reinf.) Underpinning (Floor Joist/Girders) 1st Floor Shear Firesprinkler (Rough) 2nd Floor Shear Roof (Sheathing/Diaphragm/Frame) Masonry (Reinf./Bond Beam/Pre-Grout) Rough Plumbing (Top Out) Rough Mech. Rough Elect. Walls Rough Electrical Framing (Only after Plbg., Elec., Mech., and Fire) Insulation (Sound/Energy) Drywall Interior Lath Exterior Lath Ext. Plaster (Brown Coat) Permanent Electrical Pole Construction Pole Service T-Bar Electrical T-Bar Mechanical T-Bar Structural Sewer Water Service Electrical Final Plumbing Final Mechanical Fine Gas Test Engineering/Grading Final 765-5125 Fire Dept. Final 765-4040 Water Engineering 765-5266 Sub List/Business License 765-5194 Zoning 765-5139 Building Final (Last Inspection)