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50 S ANAHEIM BLVD (3)APkLICATION FOR A MECHANICAL PERMIT CITY UC. NO Jt FEE (HEATING AIR CONDITIONING OR REFRIGERATION) 999 -5161 BUILDING DIVISION • ANAHEIM. CALIF. TEL NO { rt < STATE LID. Na COMMERCIAL AIR DISTRIBUTION SYSTEM HEATING COOLING OR VENTILATION _ •NTRA OR ( EXHAUST SYSTEM ON SINGLE DUCT C A TO 300 CFM j} Y MAILING ADDRESS 1. { j .,}'' l� OWNER - TEL NO '. wAN ITEM HEATING APPLIANCES fie`)- INSTALLED, REPLACED OR RELOCATED tsk } -a 1 FEE RESIDENTIAL AIR CIRCULATING OUTLETSC 2 HEATING OR COOLING (.� COMMERCIAL AIR DISTRIBUTION SYSTEM HEATING COOLING OR VENTILATION _ ( EXHAUST SYSTEM ON SINGLE DUCT C A TO 300 CFM j} Y y j .,}'' l� COMMERCIAL HOOD OR EXHAUST TO 4000 EFM '. COMMERCIAL HOOD OR EXHAUST OVER 4000 EFM COMBUSTION PRODUCTS VENT IOTHER THAN CHIMNEY) FACTORY BUILT OR METAL CHIMNEY APPLIANCE REGULATED BY THIS CODE BUT NOT SPECIFICALLY LISTED IN THIS. SCHEDULE COMPRESSOR OR BOILED TO 20 HP ABSORP UNIT TO 500000 BID COMPRESSOR OR BOILER - 21 TO 50 HP ABSORP. UNIT 500001 TO 1000.000 BTU COMPRESSOR OR BOILER OVER 50 HP ABSORP. UNIT OVER 1000000 BTU HEATING OR COOLING COIL (DIRECT EXPANSION OR HOT 00 COLD WATER) COOLING TOWER, EVAPORATIVE OR AIR COOLED CONDENSER j I p/ (OTHER EVAPORATIVE r"` M3` WINDOW TYPE AIR CONDITIONER ISUILT IN) MAXIMUM 1 v= 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 Pon' siruction will be compiled with whether specified herein or not No person shall be employed in violation of the Labor Code of the State of California. Appp By. PERMIT FEE : } - 0�` 7 V ��! ISSUING FEE TOTAL FEE ♦ �`.� / Hk BLDG 13 SIGNATURE OF OWNER OR AUTHORIZED AGENT MAILING ADDRESS ye, jr DESCRIPTION OF INSTALLATION NEW ❑ ADON ❑ ALTER El REPLACE ❑ When properly validated in this space and paid 10 this form constitutes a ermit to do the work described hereon. The issuance of this perm t. does not authorize the violation of any State or local law. ITEM - INSPECTOR - DATE. GROUND WORK GAS ROUGH HEATING ROUGH REFRiG. OR AIR COND DUCTS FINAL HEATING FINAL REFRIG. OR MR GOND INSPECTION RECORD CORRECTIONS & PARTIAL INSPECTION DATE FINAL MECHANICAL CLEARANCE BY DATE;.. WAN ITEM AMT. OUAN ITEM AMT. WATER CLOSET GAS SYSTEM 1-5 OUTLETS BATH TUB. 6 OR MORE OUTLETS -PER SHOWER WATER HEATER OR VENT LAVATORY WATER SOFTNER KITCHEN SINKS WATER DIST SYSTEM EXISTING BLDG ONLY GARBAGE GARBAG WATER MAIN 1 51 100 / CLOTHESWASHER WASTE ADM.. . SLOP SINK LAWN SPRINKLER N VALVES FLOOR SINK ApgTIONAL VALVES EA. FLOOR DRAIN SEPTIC TANK AND SEEP PIT DISHWASHER SEWER CLOSED LAUNDRY TRAY SEWER 1x1100 DRINK FOUNTAIN ADD'L 100 URINAL BACKFLOW PREVENTER GREAS GREASE E INTERCEPTOR RAINWATER DRAINS SAND INTERCEPTOR SOLAR TANK BAR SINK SOLAR TANK I have carefully read and examined the application and know the same 10 IM correct All provisions of Laws and Ord p .d wit whether o1 ec'Iied rn will person peed with bee specified herein Of Labor Code of be employed odCalno California. above rue and 'tenon pa t. corn. not. No No of 15. APPR Y TOTAL ABOVE ISSUING FEE s la TOTAL FEE / 2 ---- A DRESS 6 S ^ 4rJ FN'vo o' tVD 419 ?-- ; APPLICATION FOR A 6 �j PLUMBING PERMIT (714) 999-5161 CONTRACTOR N4u6il � wu) altar 6nlL CITY last" • owN� A /) - _ r i Fr y. MAILING - ESS SI91 I / Ses S , zap, PROPOSED In NEW [ USE: DELED RELOCATED BLDG BLDG BLDG DESCRIPTION OF WORK: When properly validated in this space and paid for ihi form constitute a permit to do the work described hereon. The issuance of this permit 0005 not authorize the violation of any state or local law. BLDG 12 WILDING DIVISION • ANAHEIM. CALIF. NER OR AUTHORIZED AGENT T a i n i06 �� STATE LIG. NO 4 {b(0 0 r !477AJ0 uq/1 87952 INSPECTION RECORD BASIC INSPECTION GROUND WOK { MAST E) GROUND WORK (WATER -GAS) SEEPAGE PIT, DRAINRELD PARTIAL OR SC. INSPECTIONS BY t PERMIT APPLICATION JOB ADDRESS PART 2 PERMIT 'NUMBER 'STREET. / � f TYPE OF • NUMBER '' PERMIT 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,heat- ing and air conditioning work, That a double tee 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 Co2e LICENSEE /CONTRACTORS DECLARATION I hereby affirm that I am licensed under provisions of Chapter 9 (commencing with Sectibn 7000) of Division 3 of the Business and Professions Code/ d my license in full force and eftept. ( 7 License Class fir- -L+ O �L 6� Exp D to � '�. Contractor t j 'S5 /' )LL J.. �ZU OWNER- BUILDING DECLARATION I hereby affirm that I am exempt from the Contractors License Law for the following reason (Sec.7031.5 Business and Professions Cale: any city or county which requires a permit to construct, alter, improve. demoliem Or repair any structure, prior to its issuance, also requires the applicant for such permit to file a signed afitement that he is licensed pursuant to the provisions of the Go, ractor'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 alleged exemption- •AnyVftrfation of Section 7031.5 by any appli- cant for a permit subjects the applcant to a civil penalty of not more than five hundrgd dollars ($500). ❑ I, as owner oftepopeM, or my employees with wages as their sole compensations will do the work, and the structureis 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. IL 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 Contrator's License Law does not apply to an owner of properly who builds or improves thereon, and who contracts for such projects with a contrac- tor(s) licensed pursuant t0 the Contractors License Law). ❑ I am exempt under Sec. 19 8PC 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 oopy thereof (Sec. 3800 Lab. C) Policy No Company Certified ropy fumished Exp Date Applicant CERTIFICATE OF EXEMPTION FR .. .WORKERS' COMPENSATION INSURANCE (This section need not be completed if the / erm�t Nfp!) qn hundred dollars ($100) or less). I certify thatin the p orma r 0 a of the work far h t h i s Reid is issued. 1,4ball not er y person in any anner pas'Icr espbject tom oda?rs dkp /California. Date " Applic tit + + ++ SSSS ; NOTICE TO APPLICANT If after making this ben'tl )e of Exemption, you should become subject to the Workers' Compensation provisions of me-labor Code, you must forthwith comply with such provi- sions or }his permit shall be deemed revoked. CONSTRUCTION LENDING AGENCY I hereby affirm that there is a construction lending agency for the performance of the work for which this permit is issued (Sec. 3097. Civ. C): Lenders Name Lender's Address I certify that I have read this application and state that the above information is correct. I agree to comply with all city ordinances and state laws relating to building construction, and hereby authorize represen- tatives of this city to enter upon the above mentioned property for inspection purposes. THE PERMIT SHALL EXPIRE BY LIMITATION AND BECOME NULL AND VOID IF THIS WORK 15 NOT COMMENCED OR COMMENCED AND SUSPENDED AFTER A PERIOD OF 180 VMS. NEW PERMIT 15 REQUIRED TO COMMENCE WORK. • ,PR T NAME BY 1 - / OW NE GENT t j j DATE � 4 re BLDG - 18 Rev. 6/88 ITEM INSPECTOR DATE TEMPORARY POLE UNDER GROUND CONDUIT (ELK.) - -- - - ROUGH ELECTRICAL (WIRING) -- - ELECTRICAL SERVICE _ ELECTRICAL FIXTURES - - - -- _ ELECTRIC MOTORS CEILING HEAT INSPECTION RECORD CORRECTIONS OR PARTIAL INSPECTIONS DATE PIRA GELECTRIC CLEARANCE BY f3 i =c 7,3 DATE CLCl. 1 1111/4 rC741Y111 BUILDING DIVISION - ANAHEIM, CALIF. CONTACT UTILITY DEPT. 254 - 5156 CITY LIC. NO. 7 9'/ CONTRACTOR -1 WA g_..- I ll r / 4-i TEL. NO. �J� # 9 Oar 2 6/701fCa MA 75DRy n / ID CA/ /1?7J UPTO INCLUDING 50HP /37KVA @ 15.00 CITY ce -) t — c. 7/, g OWNER, PROPERTY /A )OflL?$/cip /C,/2 t1. 1.t rbr TEL. NO. S 0. 9 730 NO. CONTACT UTILITY DEPT. 254 - 5156 METERS /SERVICE RESIDENTIAL @ 18.50 UPTO INCLUDING 10HP /7.5KVA @ 7.50 RESIDENTIAL SQUARE FEET @ UPTO INCLUDING 50HP /37KVA @ 15.00 GARAGE SQUARE FEET @.010 UPTO INCLUDING 100HP /74KVA @ 30.00 POLE LIGHT STANDARDS W /FIXTURE OVER 100HP /74KVA @ 45.00 TEMP CONST. POLE SUB POLES MTS /SVG UPTO INCLUDING 200AMP @ 18.50 SELF CONTAINED FACTORY WIRED UNIT MTS /SVG OVER 200 TO 1000AMP @ 37.50 RESIDENTIAL APPLIANCE OUTLETS @ 3.00 MTS /SVG OVER 600V. /1000A. @ 75.00 MULTI - OUTLET ASSEMBLY (Wire Mold Bus Duct) MISC. MISC. APPR. 87 pa /0 OUTLETS@ FIXTURE@ 5 JOB ADDRESS — BLDG. OA SUITE NO. CO 5 - AL/As-Pie APPLICATION FOR AN (714)254-5161 1 4 ?VS' kinn; 928/S O BL G. 0 BLDG. OH OR RESEAL NOTE. WHEN INCREASING SIZE OR RELOCATING METER /SERVICE COMM. METERS — MOTORS — GEN. XFORMER ETC. When properly validated in this space and paid for this form constitutes a permit 10 do the work described hereon. The issuance of this permit does not authorize the violation of any state Or local law. White—P rmanent Green— Permitee Canary—Audit Pink —Co lectiane Goldenrod —File 290EC92 TOTAL $30.00 PERMIT 0 TRANSACTION 73344 73 3EJt/ SIGNATURE OF OWNER OR AUTHORIZED AGENT BLD 10 UPTO INCLUDING 1 HP /1 KVA @ 3.00 UPTO INCLUDING 10HP /7.5KVA @ 7.50 UPTO INCLUDING 50HP /37KVA @ 15.00 UPTO INCLUDING 100HP /74KVA @ 30.00 OVER 100HP /74KVA @ 45.00 MTS /SVG UPTO INCLUDING 200AMP @ 18.50 MTS /SVG OVER 200 TO 1000AMP @ 37.50 MTS /SVG OVER 600V. /1000A. @ 75.00 MISC. I have carefully read and examined the above application and know the same to be true and correc . All provisions of Laws and Ordin- ances covering this type of construction will be with whether specified herein or not. No pe son shall be employed in violation of the Labor Code of the State of California. APPR. 87 pa TOTAL ABOVE a 93 00 ISSUING FEE h c o TOTAL FEE 3O,COMr4, JOB ADDRESS — BLDG. OA SUITE NO. CO 5 - AL/As-Pie APPLICATION FOR AN (714)254-5161 1 4 ?VS' kinn; 928/S O BL G. 0 BLDG. OH OR RESEAL NOTE. WHEN INCREASING SIZE OR RELOCATING METER /SERVICE COMM. METERS — MOTORS — GEN. XFORMER ETC. When properly validated in this space and paid for this form constitutes a permit 10 do the work described hereon. The issuance of this permit does not authorize the violation of any state Or local law. White—P rmanent Green— Permitee Canary—Audit Pink —Co lectiane Goldenrod —File 290EC92 TOTAL $30.00 PERMIT 0 TRANSACTION 73344 73 3EJt/ SIGNATURE OF OWNER OR AUTHORIZED AGENT BLD 10 PERMIT .AP As h JOB ADDRE ,I PART 2 NUMBER STREET PERMIT 1/2„/ TYPE OF NUMBER 77 PERMIT 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 0 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 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. I hereby affirm that Division 3 of the Bu License Clas Contractor OWNER - BUILDING DECLARATION I hereby affirm that I am exempt from the Contractor's License Law for the following reason (Sec.70315 Business and Professions Code: any city or county which requires a permit to construct, alter. imp eve, demolish or repair any structure, prior to its issuance, also requires the applicant for such pe u' ile a signed statement that he is licensed pursuant to the provisions of the Contractor's Lice ¢w (Chapter 9) (commencing with Section 7000 of Division 3 of the Business and Proles. _, ode) or that he is exempt therefrom and the basis for the alleged exemption. Any violaho - • en 7031.5 by any appli- cant for a permit subjects the applicant to a civil penalty of not - an five hundred dollars ($500). perty, am e ss and Profess' Ids or improves the Contract°' ❑ 3. as owner of the property, or my em and the structure is not intended or Contractors License Law does not a who does such work himself or throu intended or offered for sale. If, howe the owner- builder will have the ❑ I. as the owner oft project (Sec. F044 B owner of prope tor(s) licens LICENSED CONTRACTORS DECLARATION m licensed under provisions of Chapter 9 (commencing with Section 7000) of s and Professions Gotle, aptl my license isjp full force any8flec� J 7 7 2J(•J� Ex G2Ee ! Qr loyees with fo Date Owner WORKERS' CO PENSATION DECLARATION their sole compensation, will do the work, . 7044 Business and Professions Code: The er of properly who builds or improves thereon, and mployees, provided that such Improvements are not or improvement is sold within one year of completion, he did not build or improve for the purpose •f sale). nestling with licensed contr. - ••nstruct the T-,Ca ratoes Li aw does not apply le an o • m .r such projects wdh a contrac- B 8 PC for this reason I hereby aflr • . - 1 l have a cerlficate of consent to self- insure, 0- - -. . n - - - - - - -G o . . - nsa' • Insurance, or a certified copy thereof (5ep 3 Lab. C) Poli. o.le . /'Ie Con•- m. x/4I $ / Certified copy famished. Exp. Date A•• . ... 0 -r CERTIFICATE OF EXEMPTIO FROM WORKERS' C• E ,• ION INS I' E (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. Date Applicant NOTICE TO APPLICANT: If, after making this 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. Div. 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 IS NOT COMMENCED OR COMMENCED AND SUSPENDED AFTER A PERIOD OF 180 DAYS. NEW PERMIT IS REQUIRED TO COMMENCE WORK. BY Gfi�, NAME r AP 1- DATE U' V V4 BLDG - 18 Rev. 6/88 LE SC !FT! - -•' 1 T M t 04.,_ 914 Z g l (L T3 ' ) ZONE P� CONST p �+ 9Y! ENGINEERING OFF SITE IMPROVEMENTS: DEDICATION STREET IMPROVEMENT PLAN: BOND: SEWER ASSESSMENT: REVIEWED BY ' PUB. SERVICE PLAN CHECK FEE rwr ---- ///III y/ FIRE PERMIT FEE 7I fL �. HEALTH STATE TAX 1 - SANITATION- MICROFI EE I PERM. W H PLA �( WOUT PLAN ❑ Y TOTAL FEE /�. I 5 - 1 f+ l N /-JtwQ El Q.il.4 i s S 220 APPLICATION FOR A PLANNING DEPT BUILDING DIVISION (794) 254 -5161 ANAHEIM, CALIF. IT o GR 3 DESCRIPTION OF WORK NEW ❑ ADD'N ❑ ALTER. REPAIR ❑ DEMOLISH ❑ GARAGE NO. OF I NO. OF DWELLING AREA 5O FT 1 STORIES UNITS S LIC /2 c_a TEL. NcrY7 So-a, STATE LIC. NO. BUILDING PERMIT ✓ ✓ o X yJ Y. ' ,rn,4a Okl 9 /.lfi/1ili1 e #4.01e5S7 PRESENT PROPOSED Sa e k ee r BUILDING USE U if'��LE+E FLOOR ❑ INCREAS ES D AREA ❑ DECRE TEL Na nt V b 50 Fr DESCRIBE WORK 7 .v� . y,� T e TO B DONE bbb N, _TLS /�� ,IIy`J VAI LSATION = , 'Er in thi hereon. The issuance of this Pe BLDG9 $V -oO w n- e and paid for this I rm constitutes a permit t0 do the work described does not authorize the Nda4M of any state or local law. :applies this d cons Labor ... v> 1 TOTAL Q ACTiO7C1 553 I have carefully read and ex.. be true and correct - I provable d tnxS and O diina ces ovens- ti whether specified here ret. No per- son Weill be employed in v • f Ca tomie. SIGNATURE OF OWNER OR AUTHORIZED AGENT $135.91N FINAt , EI C. HEALTI+ D REC'W EMENEVr TS FINAL PLUMBING ANAL AC . ZOM NG €Ot) REdUiAt^?+tENi ENGINEERING REQUIREMENTS -- AIMN, REO T SANITA EMFNI9 MI EMI 'N a >n FIRE REQUIREMENTS INSPECTOR FOUNDATION FRAMIN PIASTER /7k9) C INS 441 4 7/ PERMIT EXPRIED NOT COMPLETED DATF• BY EC 10 e ; 1• A �R co . L ,� / LEGAL DESCRIPTION : GJ // SEC. MAP 85 ( Jf v 4 Abp/E /At "L C) - CENSUS 000 /y'- E ��Y FIRE GCCU- TYPE _.., ZONE PANCY CONST REO FRONT R SIDE L SIDE REAR 1 AREA DIRT. SETBACK 1 i I ENGINEERING I OFF MTE IMPROVEMENTS: DEDICATION: STREET IMPROVEMENT PLAN: BOND: REVIEWED SEWER ASSESSMENT: EY ZONING ICABE NO. EFFECTIVE DATE PACKING SP.K-0. WALL APPROVED REWIRED BY I PUB. SERVICE PLAN CHECK FEE ih1 ` FIRE PERMIT FEE 1� 5o HEALTH STATE TAX r Se SANITATION MICROFILM FEE S. So PAN AN „IC P WITH PLAN ❑ W/OUT PLAN ❑ "A ?p / / 5 , p / / j ( '� - / / r / 5 Y ' 4 TOTAL FEE _„ /Og - '7 6k ,-,624/2 APPLICATION FOR A DEVELOPMENT SERVICES DEPT. BUILDING PERMIT ANAHEIM CALIF. COMPACTOR MAILjN ,IOgESS. ❑ ARCH. 5 ❑ ENGR. TE LTC. NO. /y�� OWNE �✓ C e TT T . ' o-5i MAILING ADDRESS PRESENT BUILDING USE BUILDING USE 0r St; 1 (,e DESCRIPTION OF WORK NEW tiji ADD'N ❑ ALTER. ❑ REPAIR ❑ DEMOLISH ❑ GARAGE NO. OF I NO. OF DWELLING AREA SO. FT I STORES UNITS FLOOR ❑ INCREASE AREA ❑ DECREASE DESCRIBE WORK /NS* //c ftobt m I ode / j4 TO C DONE 04 C.:;?_ 16 10 6.hrs VALUATION Nolthiclst LaSr. Plumb., Heat. Etc. X SIGNATURE OF PERMANENT ADDRESS / ! L Al int-bon M4I 4 /4rk 'I/Y ✓'Z -• NO - AGENT NG SO. FT. I Mw carefully reed and examined MB above epgl allai and kw/ the Same to N true and correct: All provisions of Laws and aSMllces covering this type of cMaNUctiai will M cpnWied with whetter specified herein or not. No Mr- an Mull be employed in ANON, of 1M Labor. Code ot the State d California. FOUNDATION FRAMING PLASTER DATE FINAL E E19AL ZONING REC M MENTS ENGINEERING R UREMENTS SANITATION REQUIREMENTS FIRE DEW. REQUIREMENTS ERONT.. _ L. SIDE M SET BACKS PE C.I ECTION ttVSt'ECTION N COMPLETED - r� SVEET LIGHTS EN SOB EONTRACTORS EY PHONE 533 5651-52 R DATE REAR DATE PERMIT JOB ADDRESS E�� P S �etli9/.4 V,2>. NUMBER STREET PERMIT sJ00 � TYPE OF ,I� NUMBER PERMIT J6� V PUBLIC W RKS DEPARTMENT To obtain this pemmit, the undersigned hereby files this application and agrees, certifies and declares: That notice has been given me that this permit maybe used Doty in compkarce wit 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 wining 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 fine to inspect any work installed under the permit, and to otherwise act as and when required by the Anaheim Municipal 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 lone a deffect License Class Lic Nu leer Data 9 �` `� C _ Ts Contractor /C ii (' 13/y-,S�{^t/ C 1 0 n. OWNER- BUILDER 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, alts, 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 Contractors License Law (Chapter 9) (commencing with Section 7000 of Division 3 of the Business and Professions Code) or that he S 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 dvil penalty of not more than five hundred dollars ($500). ❑ 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 tor the purpose of sale). ❑ I, as 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 at 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). _. ❑ I am exempt under Sec. • B & PC for this reason BY Date Owner WORKERS' COMPENSATION DECLARATION I hereby affirm that I have a certificate of consent to self- insure, or a .. e of orkers' Corypen Oop�. Insurance, or a certified coq thereof ( Lab. C) Policy t ± / 7� pan F / t JJ' Certified copy is furnished Date y Applicant - E r ! CERTIFICATE OF EXEM I FROM WORKER COMP (This section need notbe completed if the permit is for one hundred dollars IS r 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: If, after making this Certificate of Exemp0on, you should become subject b the Workers' Compensation provisions of the Labor Code, you must turtle/Rh comply with such provisions or this permit shall be deemed revoked. CONSTRUCTION LENDING AGENCY 1 hereby affirm that there is a construction lending agency for the performance of the work for which this permit s issued (Sec. 3097 Civ. C.): /,I6/ j / Lender's Name f9N 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 represented rives of this city to enter upon the above mentioned properly 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 120 DAYS. NEW 1 PERMIT REQUIRED TO COMMENCE WORK. DATE 3- 13"-83 ER- ENT- BUILDE' a ICER PART 2 _I 5 LEGAL DESCRIPTION: 1 `� C. M2P, l (IM 1 4 A 4.1 �l > -- CENSUS CO r, ZONE PANCT + WNST ZONE PANG • TYPE al/- ENGINEERING OFF SITE IMPROVEMENTS: DEDICATION' STREET IMPROVEMENT PLAN: BOND: SEWER ASSESSMENT REVIE IEWED - o 0 E ARCH. ' T NO. EL. 0 PUB. SERVICE STATE LIC. NO. re 6 3'1S c -Ho PLAN CHECK FEE 21 AI 33L id M i d FIRE l PERMIT FEE HEALTH STATE TAX SANITATION MICROFILM FEE 1 in PERM. ❑ PE RM PLAN W/0UT PLAN ❑ RM. P . PP 3 TOTAL FEE . / 55116 APPLICATION FOR A BUILDING PERMIT PLANNING BUILDING DIVISION (714) 254 -5161 ANAHEIM, CALIF. CONTRACT c c.. L I 4S aS257 -0224 Fll- fote MJJL'�ADDRE /G SS aT a( ST IT . A 8 a Tf , CjTV TE LIC. NO. o 0 E ARCH. ' T NO. EL. 0 MAILING ADDRESS STATE LIC. NO. re 6 3'1S c -Ho OWNE '&at 81biP+� TEL NO l I A ' ! N 9 • aNE11-- BUILDING USE VAietzstsar BUUll.D usE (2.EST- DFra1/4.01 GARAGE I N0. OF I NO. OF DWELLING AREA SO FT STORIES UNITS FLOOR ❑ INCREASE AREA ❑ DECREASE SO. FT TTO BE D e O E EgiK b E.+LOC. \ (4- ff g ,E 6ID T` klp-e - P�3 VALUATION When properly validated in thi space and paid for INS form constitutes a permit lo W the work described hereon. The issuance of this permit does not authorize Me violation W any state or local law. $55, •cfo ti�.. SPRINKLERS I have carelully read and examined Ins G�ove apyliWdcn and blow Me same to be true and correct. All provisions of Laws and 0r complied nances covering this type of construHicn vnn be gl ed with whether specified herein or rot. No pr' win sh be emplo in violation of Me L ± Lab �� or W Of Me Stale M Celmmiia I / AL • � BLDG9 NEW ❑ ADD'N ❑ ALTER.711 REPAIR ❑ DEMOLISH ❑ NOTE IncW• Libor, MN., WRME, Nunn, Neat Etc. OM-kg M 51,47 � �� y JOB ADDRESS �C W^ T� i `+ DESCRIPTION OF WORK TUR[ OF OWNER OR AUTHORED /DENT 5 7 4-24 �_ 44 Es ECTRICAL PERMIT NO. ELE2001 -00765 TYPE OF PERMIT Alteration or Addition to Existing DATE: 04 /24/2001 JOB ADDRESS: 50 S ANAHEIM BLVD #90 LEGAL DESCRIPTION: APPLICANT: MIKE CLARK OWNER INFORMATION: JOB DESCRIPTION: PROCESSED BY: MJF OWNER - BUILDER DECLARATION I 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 ofproperty, or my employees with wages as their sole compensation, will do the work, and the structure is not intended or offered ffir 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 with 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). ❑ 1 am exempt under Sec. ,I3 & P.C. for this reason: Date: Owner: 71L1 . 77) — rj'L(o C 3 CONTRACTOR INFORMATION: C S R CONSTRUCTION 1206 W BARKLEY ORANGE, 92686 0000 CA Electrical for new non - bearing wall in office at Suite 90. Ref # BLD2001 -01438. WORKER'S COMPENSATION DECLARATION I hereby affirm under penalty of perjury one of the following declarations: 1 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 cf the work for which t rmit is issued. 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 a issued. My worker's Compensation insurance carrier and policy are: Carrier: STATE FUND Policy Number: 4610035 This section need not be completed if the pennrt is for one hundred do lays ($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 worker's compensation laws of California, and agree that ifI should become subject to the worker's compensation provisions of Section 3700 of the Labor Code, I shall forthwith comply with those provisions. Date: 04/24/2001 Applicant: WARNING: FAILURE TO SECURE WORKER'S 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 ATTORNEYS FEES. I certify that I have read th agree to comply with all ci hereby authorize r-. rese inspection purposes. CONSTRUCTION LENDING AGENCY CITY OF ANAHEIM 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 Infan: _ - - -. lication and state that the above information is correct. I antes and state laws relating to building construction, and of this city to enter upon the above mentioned property for ignatu = o Applicant or • gen Date: 04/24/2001 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: 04/24/2001 NUMBER: 706723 TYPE: TYPE: TYPE: BUILDING DIVISION 200 S. ANAHEIM BLVD. (714) 765 - 5153 INSPECTION REQUEST LINE: (714) 765 -4626 QUARTER SECTION: 213 ARCHITECT /ENGINEER INFORMATION: LICENSED CONTRACTOR DECLARATION I hereby affirm under p— y of perjury that I am licensed under provisions ter 9 (commencing with Section 7000) of the Business and Professions Code. B C33 PAIN HIC Receptacles, switches, lights Contractor EXPIRATION DATE: 05/31/2001 tees pain tor rermrt: Total: 40.00 - r. INSPECTION DATE INSPECTOR Temporary Power Pole Plumbing (DrainlWaste Pipe) Electrical Ground Electrode/Lifer Setback/Forms/Trenches (Footings) Do not install subfloor or pour floor slab until the following applicable items have been signed: JJumbing'(Water` npaSprinklerValves }• Mechanical (Groundwork) Electrical (Underground Conduit) Pre-slab (Compaction/Membrane.Reinf.) Underpinning (Floor Joist/Girders) fib not wvera conceattheworlrbelow until the following applicable items have been signed: 1st Floor Shear Firesprinkler (Rough) 2nd Floor Shear Roof (SheathinglDiaphraginPrame) Masonry (ReinfJBond Beam/Pre -Grout) Rough Plumbing (Top Out) Rough Mechanical Rough Electrical Dry Wall) rg ,per Rough Electrical Framing:: E Eafter:Pmg;, Eiee.; rAed>, andfirel r. ihsutation (SoundEnergy) Do not tape or plaster until the following applicable items have been signed: Drywall Penetrations (Fire Elated) Electrical Penetrations (Fire Rated) Mechanical Penetrations (Fire Rated) Plumbing Interior Lath Exterior Lath GENERAL ITEMS Exterior Plaster (Brown Coat) T -Bar Electrical T -Bar Mechanical T -Bar Structural Sewer Water Engineering Backflow Water Service INSPECTION RECORD % FINAL INSPECTIONS Electrical Final Plumbing Final Mechanical Final Gas Test Engineering/Grading Final 765 , FineDept.°Finak765 -4045 Water Engineering 765 -5268 Sub List/Business License 765 -5191 Zoning 765 -5139 Building Final fast Only AfterAbaveComplete} Date 5 //1; Inspector PARTIAL INSPECTIONS Building Inspections Mechanical Inspections Plumbing Inspections Electrical Inspections CITY HEIM encyfor.the LICENSED CONTRACTO;, 'DECLARATION I hereby affirm under pe ty of perjury that I am licensed under provis ran t apter J (commencing with Section 7000). of Di� the Business and Professions Code 04/24/2001 Date: - r Con NUMBER 706723. TYPE TYPE - C33 PAIN TYPE HIC _ EXPIRATION DATE 05/31/2001 Construcion Types: II N, ; Fire Sprinklered? YES Feet paid for Permit: Total: - 179.69 BUILDINC NO BLD2001- 01438 TYPE OF PERMIT Tenant Improvement (Limited) DATE: 04/24/2001 JOB ADDRESS: 50 5 ANAHEIM BLVD #90 LEGAL DESCRIPTION: 'APPLICANT: MIKE CLARK OWNER INFORMATION: J l y -- 7 - 71- 5260 CONTRACTOR INFORMATION:.. CSR CONSTRUCTION - 1206 W BARKLEY - - ORANGE, 926860000CA JOB DESCRIPTION: Add non bearing wall and door in office at Suite 90. VALUATION: 3;69400 PROCESSED BY: MJF OWNER - BUILDER DECLARATION "{ I hereby affirm under penalty perjury that I "am exempt from the Contractor s License Law for the following reason (Sec 70315 Business and Professions Coda any . Sty or county which requires a permit to construct, - ah+: r, improve, demolish or repair any structure, prior to its issuance, also requires the app li cant for su ch permit to file ;a signed statement that he is Iice. iced pursuant to the provisions of the Contractor's License Law (Chapter 9)(commencing with Section 7000 of Division 3 of the Business and Professi: Code) or that he is exempt therefrom and the basis for the alleged exemption. Any violation of Section 7031,5 by any for a permit sub the applicant a civil penalty of not morethan five hundred doltars ($500) - • n !, as owner of property, or my employees with wages as their sole cor^nnsation, will do the vwnrk, and the structure is not intended or offered for sale ( Sec, 7044 Business and Professions Code: The Contractors License raw does not apply to an owner of property who builds or improves thereon, and who does such work hi mself or herself or through his or her owl employees, provided that such improvements are not intended or offered for sale. If however, the building or improvement is sold with one year of completion, the owner - builder will have the burden of proving that he • did not build or improvefor the purpose of sale). �] 1, as the owner of the property, am exdusively contracting with licensed contractors to construct the project (Sec. 7044 Business. and Professions • Coder The Contractor's License Law does not apply an owner of property who builds or improves thereon, and who contracts for such projects with a contractor(s) licensed pursuant to the Contractors 'License Law). I am exempt under Sec. - B & P.C. for this reason: Date: Owner: - _ • 1 WORKER'S COMPENSATION DECLARATION - I I hereby yaf affirm under penalty of perjury one of the following declarations ❑ I have and will maintain a certificate of consent to self - insure for worker : compensation, . as provided for by Sed ion 3700 of the Labor Code,' for the performance ofth 3 work fo which thi permit is issued. I have and will maintain workers compensation insurance, as required b• Section 3700 of the. Labor Code, for the performance of the work for which this permit is issued. My werker's Compensation insurance earner and policy are Carrier. STATE FUND Policy Number. 4610085'- This section need not be completed if the permit is for one hundred dollars ($1001 or less. I certify that in the performance of the work for which this permits issued, I shall not • employ any person in any manner 5o as to becomesubject to the worker's C'' ;npensation laws of California, and agree that if. I should become subject to the worker's compel nsation provisions of Section 3700 of the Labor Code, 1 shall forthwith comply with tcose provisions. Data 04/24/2001. Applicant: :. 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 ADD, 1 1ON TO THE COST OF COMPENSATION, DAMAGES AS PROVIDED FOR IN SECTION •3706 OF THE LABOR CODE, INTEREST AND ATTORNEYS FEES. �.. CONSTRUC11ON LENDING AGENCY I hereby affirm under penalty of perjury that there is a construction lending ag performance of the work for which this permit is. issued (Sec 3097.Civ.C): II I certify that I have read this ai• ation and state that the above information is correct. I agree to comply with all - ces and state laws.relating to building construction and hereby author¢e repres his city. to enter upon the above mention I property for inspection purposes �ss .. Date: 04/24/2001 Signature of Applicant or Agent 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. BUILDING DIVISION 200 S. ANAHEIM BLVD: (714) 765 - 5153 INSPECTION REQUEST LINE:: (714) 765 - 4626 CENSUS CODE: 437 QUARTER SECTION: 213 ARCHITECT /ENGINEER INFORMATION: - INSPECTION DATE INSPECTOR Temporary Power Pole Electrical Final Plumbing (Drain)Waste Pipe) .t Electrical Ground Electrode/Ufer Plumbing Final Setback/Forms/Trenches (Footings) Do not install subfloor or pour floor slab until the following applicable items have been signed Plumbing (Water Pipe.Sprinkler Valves) Mechanical (Groundwork) Gas Test Electrical. (Underground Conduit) Pre -slab (CompactionlMembrane.Reinf.) Underpinning (Floor Joist/Girders) Fire Dept. Final 7654040 Do not cover or conceal the work below until the following applicable items have been signed' 1st Floor .Shear Firesprinkler (Rough) 2nd Floor Shear Sub List/Business License 765 -5191 %of (Sheathing/Diaphragm/Frame) Masonry (ReinffBond Beam/Pre -Grout) Zoning 765 =5139 Rough Plumbing (Top Out) Rough Mechanical f 3a-15 Rough Electrical (Dry Wall) -�j/ —\ Rough Electrical � - 80 - 7 /1 Framing (Only after Plbg , Dec_ Mech and Fire) Insulation "(Sound/Energy) De not tape or plaster until the following applicable . items have been signed: y � —.- Drywall 5 l� ru�c� c-- Penetrations (Fire Rated) Electrical Penetrations (Fire Rated) Mechanical Penetrations (Fire Rated) Plumbing Interior Lath Exterior Lath GENERAL ITEMS Exterior Plaster (Brown Coat) T -Bar Electrical T-Bar Mechanical - T -Bar Structural Sewer Water Engineering Backflow Water Service IFINAL INSPECTIONS Date Insplo-tor Electrical Final s - A//5/ .t Plumbing Final Mechanical Final - Gas Test Engineering/Grading Final 765-5126 Fire Dept. Final 7654040 j- '- C,1 Water Engineering 765 -5268 Sub List/Business License 765 -5191 Zoning 765 =5139 Last Inspection- Building Final ( a Y Rer Above Complete) f 3a-15 -�j/ —\ INSPECTION RECORD PARTIAL INSPECTIONS Building Inspections Mechanical Inspections Plumbing Inspections Electrical Inspections DATE 03/11/93 JOB ADDRESS 50 5 ANAHEIM L& LEGAL DESCRIPTION OCCUPANCY TYPE CONST. 8 5sf N DWELLING UNIT(S) CENSUS CODE i`./ %' tZONE OWNER ADDRESS CITY -: PHONE (;744. APPLICANT SHELDON S1"E. CDNST/FR'ANK. CONTRACTOR SHELDON STEVENS VENS CONS I r5UC T r ON CO ADDRESS 133 W LEMON AVE CITY MONROV I A PHONE (018)303-3883 ARCHITECT /ENGINEER F "r "y ADDRESS CITY STATE PHONE JOB DESCRIPTION AOLI T I -° REMODEL OF FILES — sTES. tars() VALUATION GARAGE AREA PERMIT NUMBER TYPE OF PERMIT BUILDING PERMIT T STATE CA PLAN TRACK # CITY LICENSE # 1 891 CALIF. REG. # PRIOR BLDG. USE # OF STORIES SQ. FT. ZIP CODE ZIP CODE q 1 0 1 d ZIP CODE ITEM QUANTITY FEE 1 ?, FrRNIr FEE 03 t Tai'¢ CATAOORY W22 B9 1 CITY OF ANAHEIM QS cS i BUILDING DIVISION 200 S L INSPECTION REQUEST LINE 714),x23-5101 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. N1 t 414 6.°50/9 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 performance 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 N9, 0 b4V1 .:, (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 1 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 and state the above information is correct. FEE j � j � 20. \Ib'. 51S.00 1523'7 TOTAL FEES 8 55331 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 3.65 DAYS. NEW PERMIT IS REQUIRED TO COMMENCE WORK. BY AGENT-BUILDER -' ER CASHIER VALIDATION ONLY DATE If- Building Inspections PARTIAL INSPECTIONS INSPECTION RECORD Tvue of Inspection Date Inspector Plumbing (emir /Waste Pipe) Electrical Ground Electrode /Ufe Set back /Forms /Tre ( Footi n gs) Plumbing Mater Pipel5prinkier Valves) Mechanical (mroundtnM Pre-slab pmpadicnf MembrenelRein )G IC Underpinning (Floor Joist /Girders) lst Floor Shear Mechanical Inspections Firesprinkler (Rough 2nd Floor Shear Roof (Sheathing(Diaohragrn /Frame) Masonry (Reint. /Bond Beam /Pre - Grout) Rough Plumbing (Toe Out Rough Mech Rough Elect. Walls Rough Electrical Framing (Only after Plbg., Elec., Mech., and Fire) iW r farin Insulation (Sound /Energy) Drywall i nterior Lath Exterior Lath Plumbing Inspections GENERAL ITEMS Eva. Plaster (Brown Goat) Permanent Electrical Pole e E lect r °ola Se rvice T_Br T -Ba Elecfiical T -Bar Mechanical T -Bar Structural Sewer Water Service Electrical Final t za p, Mtg. 2 b na Fina le al Final Electrical Inspections G as Te Enginesrin /Grading Fi 765 - 5125 Fire Dept. Final ?65 -4040 .__ .— _.. _. - -. :. _..___. _`.^iateoEcnjute _ Sub List /Business License 765 -5194 _. _.__ _ Zoning 765 -5139 _ I Building Final (Last Inspection) Building Inspections PARTIAL INSPECTIONS INSPECTION RECORD Tvue of Inspection Date Inspector DATE 03/12/98 JOB ADDRESS 50 S ANAHEIM @t.. LEGAL DESCRIPTION OCCUPANCY TYPE CONST # OF STORIES DWELLING UNIT(S) GARAGE AREA • SQ. FT. CENSUS CODE ZONE PERMIT NUMBER e ✓1E; TYPE OF PERMIT F>E =:tiiT PLAN TRACK # OWNER ** VERIFICATION REQUIRED ** ADDRESS 50 ANAHEIM Si_ CITY STATE ANAHEIM CA PHONE (714)774 — APPLICANT ANGELES ELECT /J. 1 CONTRACTOR ANGELES ELECTRIC COMP.4N4 ADDRESS 9325 ATLANTIC AVE CITY STATE SOUTH GATE CA PHONE CITY LICENSE # (213 ) 564-3321 2629 ARCHITECT /ENGINEER ADDRESS CITY PHONE JOB DESCRIPTION ADD RECEPTS. /LIGHTS /SWITCHES 50 .0 59/3/ VALUATION PRIOR BLDG. USE CALIF. REG. # ZIP CODE 92805 ZIP CODE 90790 STATE ZIP CODE ITEM QUANTITY FEE B3 1 'T /SWTH /LIOATiTO : s)B3 20 WTHrLIGHT0 B3 TOTAL FEES CITY OF ANAHEIM QS S FEE 20. „ CM) BUILDING DIVISION 2Q0 S, ANAHEIM VD, 14rrh'ts 1P.w ,_ INSPECTION REQUEST LINE 1714;'1 To obtain this permit, the undersigned hereby files this application and agrees, certifies and declare& 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 2ed laws. That this permit does not allow occupancy, and that no occupancy is perrwded, 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 insp44 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 C Lic. Number ' �' 767 i 3 Exp. Date 7.;0/98 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 Qf the work for which this permit is issued. 6 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,Eolicy number are: Carrier UL I C O CASUAL f `Y COMPANY Policy Number LR" .#4 1444 ` I`'6 100t ) (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, 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 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 and state that the above information is correct. r agree '• co' try 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 ;..a^, DAYS. NEW MIT IS QUIRED TO COMMENCE WORK. BY BUILDER — OFFICER CASHIER VALIDATION ONLY DATE Buildnq p cns PARTIAL INSPECTIONS INSPECTION RECORD Tyne of Inmeclion Date Inspector Plumbing (Drain /Waste Pipe) Electrical Ground Electrode /titer Setback /Forms /Trenches (Footings) Plumbing (Wailer Pipe /Sprinkler Valves Mechan (Groundwork) Fre -slab (Compaction /Membrane /R einf.) Underpinning (Floor Joist /Girders) 1st Floor Shear Mechanical Inspections Firesprinkler (Rough) 2nd Floor Shear Poof (Sheathing /Diaphragm /Frame) Masonry (Rein). /Band Beam /Pre- Grout) t Rou gh Plumbing (Top Cut) Ro ugh Mech. ` i r ,. R ough Elect. Walls ° Rou Electric - Framing {Only after Plbg_ Elec Mech. one Fire) nsulatian (Sound /Energy Drywall Interior Lath Exterior Lath Plumbing Inspections GENERALiTEMS Ext. Plaster (Brawn Coal) Permanent Electrical Pole Construction Pole Service T -Bar Electrical aM �! T -Bar Mechanical T -Bar Structural Sewer Water Service • Alf„�yan Electric Final Plumbing Fina Mechanic P in aY Electrical Inspections Gas Test Engineering /Grading Final 765 -512 Fire Dept. Fir ai 705 -4 Water Engi neering 765 - -_ — -- - --... _ - _ _.:- = �Cr, _tart csw _ 5 =�" Z oning 7 65 -51$9 Build Final (Last Inspection Buildnq p cns PARTIAL INSPECTIONS INSPECTION RECORD Tyne of Inmeclion Date Inspector are N OUAN ITEM AMT. O AN ITEM AMT. WATER CL ET GAG SYSTEM 1.5 OUTLETS \ BATH TUB fU rant) 7OO 114 6 OR MORE OUTLETS•PER WATER HEATER OR VENT 1 SHOWER :, LAVATORY 1 oO WATER SOFTNER KITCHEN SINKS fi e. g EXISTING BLDG. SYSTEM GARBAGE DISPOSAL 7 WATER MAIN 151 100 CLOTHESWASHER WASTE ADM_ 100 SLOP SINK LAWN SPRINKLER 1.4 VALVES FLOOR SINK ADDITIONAL VALVES EA. FLOOR DRAIN SEPTIC TANK AND SEEP PIT DISHWASHER SEWER CLOSED ) LAUNDRY TRAY SEWER 1st 100 DRINK FOUNTAIN ADD'L 100 J URINAL BACKFLOW PREVENTER GREASE INTERCEPTOR RAINWATER DRAINS SAND INTERCEPTOR SOLAR TANK BAR SINK SOLAR TANK I application correct. covering pli person Labor have carefully read and examined the above and know the same to be True and All provisions o1 Laws and Ordinances this type of construction will be com- with whether specif herein or not. No shall be employed in violation of the Code of the Stale of California. A PPR BY TOTAL ABOVE 1 .• 1, V ISSUING FEE a0 TOTAL FEE 4/ ., l7 ADDRESS APPLICATION FOR A CITYLIC. PLUMBING PERMIT U 3�J (714) 999.5181 LEP ONE BUILDING DIVISION • ANAHEIM, CALIF. 0 f 1/ � l�k CONTRACTOR STA E LIC. NO. MAILING ADDRESS i 7 �� ciftte filo uvi ivt9 C7- 79 4 4 OWNER I TEL N0. ,L l0� /)V I)c l!fC. — r // Gi �I I T 7 ; i8e6 41.4-0674-1 MAIL,IN O SS j 6t o. i`-4 t/ 0-1 USE: PROPOSED NEOG. BLDG DELED I RELOCATED ATED DESCRIPTION OF 1 fJ 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 stale or local law. BLDG 12 .... ../ 92-- SIGNA URE OWNER OR AUTHORIZED AGENT GROUND WORK MASIEl 2 _/` 5' 1 `)ROUND WORK MATER-GAG) ROUG S& L B•G� SEWER, SEPTIC TANK SEEPAGE PIT, DRAINFIELD FINAL GAS INSPECTION RECORD BASIC INSPECTION PARTIAL OR MISC. INSPECTIONS FINAL PLUMBING CLEARANCE r APPLICATION FOR A MECHANICAL PERMIT (HEATING AIR CONDITIONING OR REFRIGERATION) (714) 254 -5161 BUILDING DIVISION • ANAHEIM, GA • CITY j t C LIC. 0 N 65,05 cooN 'u ,/} C CA u , 4 . g ' T ill `� ...6 a / T -// j / 7,TAB p 4Qp_ l/L l L l,_ " ...xi __ 4g44 4 t11PN ITEM FEE HEATING APPLIANCES, INCLUDING VENT (GAS, ELEC., HEAT PUMP) RESIDENTIAL AIR CIRCULATING OUTLETS (HEATING OR COOLING) EACH COMMERCIAL AIR DISTRIBUTION SYSTEM (HEATING, COOLING OR VENTILATION) PER 1,000 SO. FT. EACH COMBUSTION PRODUCTS VENT (OTHER THAN CHIMNEY AND NOT INCLUDED IN APPLIANCE PERMIT) EACH FACTORY BUILT OR METAL CHIMNEY EACH COMPRESSOR OR BOILER TO HP CONDITIONERS) (INCLUDES BUILT -IN WINDOW TYPE AIR ABSORPTION UNIT TO BTU /H Z AIR HANDLING UNIT (HEATING, COOLING OR VENTILATION SUPPLY) N EVAPORATIVE COOLER (OTHER THAN PORTABLE) EACH `V / ENTILATION FANS TO 300 CFM ON SINGLE DUCT (INCLUDING DRYER I(\ EXHAUST DUCT) EACH ' /4,-,o % � ENTILATION FANS 301 CFM AND OVER EACH COMMERCIAL HOOD (INCLUDING DUCTS )EACH HEATING OR COOLING COILS (NOT PART OF FACTORY ASSEMBLED UNIT EACH (V.A.V. UNIT, COOLING TOWER, EVAP. OR AIR COOLED CONDENSE ) 1 SPECIFICALLL OR PIECE LISTED, P ` REGULATED T IS CODE BUT NOT Kl O a GAS SYSTEM 1 TO 5 OUTLETS EACH 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 type of construction will be complied with whether specified herein or not. No person shall be employed in violation of the Labor Code APPR BY PERMIT FEE �1 n • E I> ISSUING FEE ISSUING TOTAL FEE MAI IHG AD ESS v . JOB ADDRESS Xon; £L-* 1 4 � 1 k,/✓�r DESCRIPTION ,OF INSTALLATION NEW ADD'N_. ALTER REPLACE of the Sta or Ga 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 -13 Rev. 3 3 SIGNATUR OF 0 b ER OR AUTHORIZED AGENT rTIC s ITEM INSPECTOR DATE 'GROUND WORK_ GAS ROUGH HEATING ROUGH REFRIG. OR AIR COND. DUCTS ' FINAL HEATING r� ` '� •y` / FINAL REFRIG. OR AIR COND. INSPECTION RECORD DATE CORRECTIONS & PARTIAL INSPECTIONS BY FINAL MECFj(INICAL C AP.ANCE 23 f'/ LEGAL DESCRIPTION: SEC. MAP �� /�W. c: G / /63/1 / 7 — SL/ 11 o �� 1 C b1..1, CENSUS CODE {A r 3 1 FIRE - jam t/ ¥ ZONE PANC IJ� ONST sv r ENGINEERING OFF SITE IMPROVEMENTS: DEDICATION: STREET IMPROVEMENT PLAN: BOND: REVIEWED SEWER ASSESSMENT: BY I 7/ ahe PUB. SERVICE PLAN CHECK FEE FIRE PERMIT FEE HEALTH STATE TAX 2. 1- tai" SANITATION MICROFILM FEE 3 PERM. PLAN iQ WITH PLAN . „Er "' WfOUT PLAN l ❑ A Y ISSUING FEE $20.00 TOTAL FEE fig , TF APPLICATION FOR A BUILDING PERMIT PUNNING DE 2C-1712, NAHEIM, CALIF. (714) 254-5161 11 o �� 1 C b1..1, C • (24 q • ��. I AD t 71` ? + Pfe1S Om uc NO. — 300 5 `1 EN«�S �o2 G -Tory NO (it./ o 6se S TATE IC. NO. / Z 7 MAILING S EM Sti,RM j frilla2ToO OWNER tea) a f3Qt.DU&. I/2 G 1...9- 64 7/ ahe JOB ADDRESS SD 6. 4.44 h/ WILING ADDRESS 7IO c- � � Z! r /! • �/ A/ ' e/ 41, [ 1 �A2G 1L sffA/ ( A-2E DESCRIPTION OF WORK PRESENT BUILDING USE PROPOSED BUILDING USE Q N NEW ❑ ADD'N ❑ ALTER. REPAIR ❑ DEMOLISH \ \S GARAGE I NO. OF / I NO. SF DWELLING I AREA SO FT STORIES � FLOOR ❑ I INCREASE AREA ❑ DECREASE SO. FT cd mrv 0� "1 Cpl J S DECRIBE WORN /4 1 „ iz / /(p DE C DONE / 72��1J- r /�'. C 7.� r r ta w When properly validated in thl apace e BLDG9 NOTE: Include Labor, Mel., Wiring, Plumb., Heel, Elc. Id for this form conslllutes a permit to do the work described hereon. The Issuance of Ihis permit does /hd authorize the violation of any state or local law. I have carefully read and e i the Button end 1n ow the same .. hue and coned. All provisions of Laws and Ordinances cover) yy of c • 11 will be complied with y'T her specified herein or not No per- son shall be employed In viol the Stale of California FOUNDAIION FRAM NO PLASTFP R SID- MISC. INSPECTION SPECT0 rILALTH DEP QUIFTMENTS LATL: - PERMIT APPLICATION JOB ADDRESS PART 2 NUMBER STREET PERMIT TYPE OF NUMBER PERMIT 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 tor. any plumbing,electrical,heat- ing and air conditioning work. That a double lee 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 wont installed under this permit, and lo 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 Division 3 of the Business and Professions Code, and my license is In full force and effect. License Class BY PRINT NAME OF APPLICANT Lic Number Exp Date Contractor OWNER - BUILDING DECLARATION I hereby affirm that 1 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- cant for a permit subjects the applicant to a civil penalty ol not more than five hundred dollars ($500). ❑ 1, as owner of the property, or my employees with wages as their sole compensation, will do the work, and the structure is not intended or offered for sale (Sec. 7044 Business and Professions Code: The Contractor's License Law does not apply to an owner of property who builds or improves thereon, and who does such work himself or through his own employees, provided That such improvements are not intended or offered for sale. If, however, the building or improvement is sold within one year of completion. the owner - builder will have the burden of proving that he did not build or improve lor the purpose of sale). ❑ 1, as the owner of the property, am exclusively contracting with licensed contractors to construct the project (Sec. 7044 Business and Professions Code: The Contrator's License Law does not apply to an owner ol properly who builds or improves thereon, and who contracts for such projects with a contrac- tor($) licensed pursuant to the Contractor's License Law). ❑ I am exempt under Sec. 8 & PC for thls 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 ceeiried copy thereof (Sec. 3800 Lab. C) Policy No. Company Certified copy furnished Exp Date Applicant CERTIFICATE OF EXEMPTION FROM WORKERS' COMPENSATION INSURANCE This section need not be completed if the permit is lor one hundred dollars (5100) 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. Dale • Applicant - - - NOTICE Tr` APPLICANT: If, alter making this 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 lor 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 W THIS WORK IS NOT COMMENCED OR COMMENCED AND SUSPENDED AFTER A PERIOD OF 180 DAYS. NEW PERMIT IS REQUIRED TO COMMENCE WORK. OWNER-AGENT-BUILDER-OFFICER DATE BLDG - 18 Rev. 6/88 '-~ • • • • • ilo • • • • • • • • • • • • • • • • • • •••• ^ • • • • • • • ••• —• • • • •••• • • •••• • •- • • •• • • •••• • • •00• •••. ••• • • • • • • • •• • • 0 • • • • • • • • • 5610 aa.37- 0011q 50 5, an.ain-ei-YNn E_ee;U B3 bturi, .4*(Do a The permit has expired and/or no final inspection has been completed These plans may not reflect "As Built' tIonditions, 3426 Norwalk, Project Roseu. _. Ave #G CA 90650 CHEL ACUPUNTURE Address i 50 5. ANAHEIM BLVD. *202 City & St ANAHEIM, CA Sales Asp, Louis Lee Date 5/15/2007 Note Pointer 33'50'10.03' N'.117'5 41G3' W stew 158 ft SIGN I CO. . Dimensional Letters Large Format Digital • Trade Show Display Approved by the Client Any reproduction or exhibit is strictly prohibited. This drawing is a property of SIGN HAUS CO. Client is responsible for providing dedicated 120V Main Circuit to the sign. Signalers Date • ••• • Quality & Commitment Integrity & Honesty matters to us! •• •• • .. 46" J IC I cupunctur 1=1 1 • 106" e perms ,,�,a /9fT� .090 ROUTED ALUMINUM FACE WITH 1/2" THI CF (f GLA?'�NPTIr PPEl smay not reflect INTERNALLY ILLUMINATED WITH DAYLIGHT LA 5 ‘5ALLI* ClQfl& HALO LIGHTING WITH 15MM NEON TUBE BEHIND THE FACE ALONG THE EDGE. STORE FRONT: 30 FT. SIGN LENGTH: 1r" .090 CAD ROUTED ALUMINUM, PAINTED OLYMPIC BLUE 1/2" THICK WHITE PLEXI PUSH THRU LTRS, 15MM WHITE NEON HALO LIGHTING DISCONNECT SWITCH HIGH OUTPUT DAYLIGHT LAMPS-- - FASTENERS:1 /2 "LAG SCREW & LEAD SHIELDS, 5 PC5. JUNCTION BOX TO MAIN POWER GROUND BRICK WALL — r / k. r PLANNING DEPARTMENT SIGN APPROVAL BY & DATE t /Slo7 - = c0:16. =---. P.V6/ li opo.o: 1 s Ls" \M SIGN HAUS CO. ■ Dimensional Letters Large Format Digital MI Trade Show Display 13426 Rose•_i Ave #G Norwalk, CA 90650 Project CHELACUPUNTURE Address 50 5. ANAHEIM BLVP. *202 City & St ANAHEIM, CA Sales Rep. Date Note Louie Lee 8/15/2007 Approved by the Client Any reproduction or exhibit is strictly prohibited. This drawing is a property of SIGN HAUS CO. Client is responsible for providing dedicated 120V Main Circuit to the sign. Signature Date • • •.• • Approved by the Landlord Signature Date • • . • •••• • • Quality & Commitment Integrity & Honesty matters to us! • • •• • • •• •• •• • •