90 S ANAHEIM BLVD(
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 _ ai
Group B Typet"J =' No of Stories Use Zone<�m Permit No. �"
Building Owner
Building Address: = Yd
OFFICE OF
BUILDING INSPECTOR
CITY OF ANAHEIM
IN ECYOK 'i<
2x13 LIG PLo3 X16 N cgrJ
01) LINCOL
rEMPORN
ra AI Le 2 S
19 ,7ACk5ok1 i21)6r5 I
11
PR v6k7 &D si i ,J s
MARCH 29 1983
sUILDINO DIVISION OF ANAHEIM
APPROVED p CANS MC 112
' ,.?
PI5Z Rad)N AND "WC NOl
APR 6 1983
THE ISSUANCE OF THIS PERMIT DOES
NOT APPROVE VIOLATION OF ANY OF
THE BUILDING CODES OF THE CITY,
THE HOLDER OF THIS PERMIT
PROCEEDS AT HIS OWN RISK,
ZONdNG
S1 Aa
'V19; ON
OVAL
1
{
cANs TO , r LA6- 13OG1' (3 1(i 1
I\ACKsc&. Jrdss
To 5 ANAIUEIM
TENINtS / 1)/ CI'
New (It P "1O( v )
(Com ice)
,OLU%J,
APPROVAL SUBJECT TO OBTAINING REQUIRED PERMITS FROM CITY OF ANAHEIM
ANAH 1 REDE$ELOPMENT AGENCY
PERMIT APPLICATION JOB ADDRESS PART 2
90 s AN4A&'A l
NUMBER ,
N UMB I - STREET
- 1 - G' /A nJ
NUMBER v / ° TYPE OF PERMIT
•
PUBLIC WORKS OfPARTMENT
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 a6nances 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 alter foal
inspection.
That this permit does not allow, and separate permits are required for, any plumbing, electrical,
heating and air conditioning wok
That a double fee will be paid for any permit issued after any work thereby alowed has been
Commenced.
I agree Nat the dry 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 (commenting with Sedan 7000) d
Dtvisan 3 of the Business and Professions Code, and my license is in full Mme and effect.
License Class C. 7 \ La. Number' 02 // 7 Date
Contractor AP17411t7. C
OWNER- BUILDER DECLARATION
I hereby affirm that I am exempt from the Contractor's License Law for the Rationing reason (Sec. 7031.5
Business and Professions Code' Any dry 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 morethan five hundred dollars ( ).
I, as owner of the properly, 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 properly 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 purposed 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 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).
ID I am exempt under Sec. B 8 PC for this reason
Date Owner
WORKERS' COMPENSATION DECLARATION
I hereby affirm that ll ,;.j'ja�certi d t to salt - insure, or e cet caatta d Wo Compennssa*ton
Insurance, or a cek4 Coy; Sec. Lab. C) Policy No. r ' company ) G.Q../
Certified copy is furnished. D 4 / " 9 Applicant _i4i//uy / rs /C-✓ S
CERTIFICATE OF EXEMPTION FROM WORKERS' COMPENSATION INSURANCE
the of nottie the work for which the issued, 1 shall not not employ any or person n any w a manner
so as m become subject to the Workers' (�pensatan Laws of California.
Date Applicant
NOTICE TO APPLICANT: t, after making this Certificate of Exemppti0on, you should become subject to the
Workers' Compensation provisions of the Labor Code. you must forthwith comply with such provisions of
Nis 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 s issued (Sec. 3097 Civ. C.):
Lender's Name
Lender's Address
I certify that 1 have read this application and state that the above information is correct. I agree to comply
with all city or)nances and state laws relating to building construction, and hereby authorize representa+
fives of this sty 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
PERMIT REQUIRED TO COMMENCE WORK.
BY
/ \ /Ck' ri •' tS
P gINT' NAME OF APPLICANT
OVMES/G - OFFICER
DATE 1— Z 7- .,U
ENGINEERING
TRAFFIC
PLAN CHECK FEE
ZONING
BLDG. FEE
/C/ T
OTHER
FLEC FEE
/D
I have carefully read and examined the
above application and know the some to be
true and correct. All provisions Of Laws and
Ordinances compiled covering this type of specified here.
will be compiled covering whether hether spec'if Ted here.
b
In or not No person shall be employed in
.
violation of the Labor Code of A the State of
California.
APPR.
By
t�
` ,G \
41I)1(\1` \
SUB. TOTAL
MICROFILM
FEE
STATE
FAX
// //✓// ✓a
TOTAL
O al
SIGN PERMIT
DEVELOPMENT SERVICES DEPT.
BUILDING DIVISION - ANAHEIM CALIF.
CONT TOR
� L I� Q p) �NJ
`KJ-[ bc/- fftiefati
ENGINEER
MAILING ADDRESS
OWNER
AILIN ADORES
1 .6f #a' f S $
NEW
SIGN
ON spy ALL
SITE
OFF
SITE
105 FRONTAGE
LEGAL
DESCRIPTION:
90 S 4!1/163 1 // s
APPLICATION FOR A
/.Y: A/ btC
BILLBOARD ❑ TEMP TRACT ❑
DIMENSI9NS
SIGN q i rSIGN 4
HEIGHT _`..L /L WIDTH 1 AO1' ,J AREA
OVERALL HEIGHT
HEIGHT ABOVE ROOF
VALUATION Wiring. NG In Nume. Lo Heal. Mat , $
BOND
REQ. ❑ AMOUNT
JOB ADDRESS
DESCRIPTION OF WORK
ADDITION ❑ ALTERATION
TYPE OF SIGN
ROOF ❑ POLE ❑
ELECTRICAL
UNITS WITH /BALAST @
ADDITIONAL BALAST
PROVIDE A SIGN SKETCH ON THE BACK OF FIRST SHEET
SIGNATURE OF PERMITTEE OR AUTHORIZED AGENT
PHONE 533 -5651
HONE TELEPHONE
'3S-21g1
STATE LIC. N0.
3 0/j/
TEL. NO
STATE LIC. NQ
BOND
NUMBER
TEL NO
c35 9'0
PERMANENT
E
FRONT SEBACK
INSPECTIONS
FOUNDATIONS
WELDING
ZON N3
CLEARANCE
FINAL
ELECTRICAL ° q,7
LOCATION
DISTANCE FROM PROPERTY LINE
BY DATE
ElzrCK
tO P 3 11
tAL-« -/ Ofi P '-�! � ` ' ' " 92
83 MAP
/ p
[ _ "le trz
GJ
7 41 7 4 6 4,6
NSUS 7 ODE
FIRE /3 - e �> ���j�
ZONE PANCY / J ` CONST�/V�-.T/T�a�
�/
ENGINEERING
OFF SITE
IMPROVEMENTS: DEDICATION:
STREET IMPROVEMENT PLAN: BOND:
REVIEWED
SEWER ASSESSMENT:
TEL NO
h et4,i,,
q raps hea bid. AVA
PUB. SERVICE
•
PLAN CHECK FEE
FIRE
PERMIT FEE
...ae
G� ! s
HEALTH
STATE TAX
2 -v/ /
SANITATION
MICROFILM FEE
3
WITH PLAN
WITH PLAN
MOUT PLAN ❑
" " ""!!l!��dddd
/ / \I
i
TOTAL FEE (n
-�� (J I
XV `l, AL3)b.- {ilein.. IS 10CAe
APPUCATION FOR A
BUILDING PERMIT
-
PLANNING DEPT
=I, Ur" -
n rtocrivfre,
7 41 7 4 6 4,6
M . l.G `- �I
A00; 0
t , . A
ST LIC NO
Fite ! d F.
OA s Vy
TEL NO
h et4,i,,
q raps hea bid. AVA
PRESENT
BUILDING USE
PROPOSED
BUILDING USE
NEW ❑ ADD'N ❑ ALTER. ❑ REPAIR ❑ DEMOLISH ❑
GARAGE NO. OF
AREA 50. FT I STORIES
FLOOR ❑ INCREASE
AREA ❑ DECREASE
DESCRIBE WORK
TO BE DONE
W
OMv VALUATION
t
a
V
BLDG9
JOB AODRESS
� Re4 r„ -. 1
DESCRIPTI N OF WORK
ravi4x, X n i D n t ei eiv r
NOTE Include Later, N.I.
WMng, Plumb, Heal, Ele.
When properly validated in tai space d W ibI'this form constitutes a permit to do the work described
hereon. The issuance of this permit d 1 authorise th violalon 01 any state or loyal law.
O3AFR85 TOTAL $258.0 N _
PERMIT
TRAA 3SACT?
NO. OF S DWELLING
UNIT
3rd
50 FT
$ 4 T
I have carefully read alt examined Ih above application and know the same to be true and correct. All provisions M
Laws and Ordinances covering this f construction will beymIed with whether specified herein or not. No per-
son shall be employed in violation of a Labor Code of the a$f to o intik
1 - -utirt
SIGNATURE OF OR AUTHORIZED AGENT
ERMANENT
FF?ONj
FOUNGA?!ON
DATE
HEALTH DEFT
PEOUREMENTS
FINAL
FLEE
PLUM4'.NG
:I Ai
EOUIRENE
NG
"- NOU:EEM-
REONIREMEN AS
SAN TAT[ON
REOUmEMENTS
NSPECA O R
LEGAL DESCRIPTION:
, /
SEC. MAP
/
te a// A 9! ' 835
//
MAILING ADD' ...
41 "*" — v
r
L IC r
CE US CODE
FIRE
ZONE
CGCU- TYPE
PANCV CONST.
Q
NO
ENGINEERING
OFF SITE
IMPROVEMENTS:
DEDICATION
STREET IMPROVEMENT PLAN:
BONO:
SEWER ASSESSMENT:
REVIEWED
B
I
TEL Iq.
PUB. SERVICE
PLAN CHECK FEE
- 9/ /3
FIRE
PERMIT FEE
'Ji Z J Q
HEALTH
STATE TAX
A S
SANITATION
MICROFILM FEE
r
PITH. PLAN
WITH PLAN
PLAN PLAN
ST
0
❑
TOTAL FEE
61, ‘3
CONTRACTOR f
, /
I
/
te a// A 9! ' 835
//
MAILING ADD' ...
41 "*" — v
r
L IC r
El ARC H.
Q
NO
MAILIN DDRESS
•
.._.i •
TE. NOp
/
OWN -.
�- //. Zgr/
TEL Iq.
gO 3 . ( ik °
APPLICATION FOR A PUNNING DEPT
BUILDING PERMIT A CA IF.
MAILT/ A 1 60 4,4
PRESENT
BUILDING USE
PROPOSED
BUILDING USE
NEW Lp ADD'N ❑ ALTER. ❑ REPAIR ID DEMOLISH ❑
GARAGE I NO. OF 1 NO. OF DWELLING
AREA 5O FT. STORIES UNITS
FL ❑ DEC
EA SO FT
WORK
DESCRIBE WORK
TO C BE DONE
VALUATION
When properly validated in Ini span pe for this 1 ml liWles a permit to do Inc e wo k described
hereon. The issuance of this permit s not umorize m violalion oI any state or local Iaw.
I have carefully read
Laws and Ordinances
son all be employ
BLDG9
, g3ESCRIPTION OF WORK
NOTE: Include Labor, Mat,
Wiring, Plum., Neat, Etc.
ISA IG8` TOTA . $54.63N
PERMIT
TRANSACTIOI
/,°1,14-1 --
of application to be construction n the Led th same whether s erACdrherei n or not. No W Labor Code 01 Vnl p l mwneM ery { eGifiedne¢inar,ol. NO per-
Laborcodeoim a ca��� G � Nb1
ATORE OF OWNER OR AUTHORIZED AGENT PERMANENT
.A!
ENGINEERING
RECVi REN£fll
FINE :)EPT
■tQ'.IREME
M1T SI;S < TIDE
SETBACKS
MISC. INSPECTION
PEA=
DATE
APPLICATION FOR A
MECHANICAL PERMIT
(HEATING AIR CONDITIONING OR REFRIGERATION)
(714) 999-5161
BUILDING DIVISION - ANAHEIM, CALIF.
CITY uG. NO.
nt
TE
6
S �C
5q0
//
/
•
R i k40 : e c.
J
.4- / J/
HEATING C OR DISTRIBUTION ENTILATIONTEM / / 170
a 11 ` I
0$RESB
33 • - Lis
C4 '- X77
3
/ � � 'N / ' y/ . l a
' /M66
O YVO / V /- �� y N 42 /f i
TEL NO.
COMMERCIAL HOOD OR EXHAUST
OVER 4000 EFM
NEW . ADD'N I ❑ REPLACE
(Am,ITEM
HEATING APPLIANCES
INSTALLED, REPLACED OR RELOCATED
FEE
RESIDENTIAL AIR CIRCULATING OUTLETS
HEATING OR COOLING
J
.4- / J/
HEATING C OR DISTRIBUTION ENTILATIONTEM / / 170
a 11 ` I
EXHAUST SYSTEM ON SINGLE DUCT
TO 300 CFM
COMMERCIAL HOOD OR EXHAUST
To 4000 EPM
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
COMPRESSOR OR BOILER TO 20 HP
ABSORP. UNIT TO 500,000 BTU
COMPRESSOR OR BOILER - 21 TO 50 HP
ABSORP. UNIT 500,001 TO 1,004000 BTU
-
COMPRESSOR OR BOILER OVER 50 HP
ABSORP. UNIT OVER 1,000,000 BTU
HEATING OR COOLING COIL
(DIRECT EXPANSION OR HOT OR COLD WATER)
COOLING TOWER, O
AIR C OOLED C ONDENSEVAPRATIVE OR ER
EVAPORATIVE COOLER
(OTHER THAN PORTABLE)
WINDOW TYPE AIR CONDITIONER (BUILT IN)
MAXIMUM Ph HP
GAS SYSTEM - 1 TO 5 OUTLETS
I have carefully read and examined the
above application and know the same 10
be true and correct. Al] 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 0 violation of the Labor Code
of the State of California.
APPR
e T
PERMIT
FEE
ISSUING FEE
y�
TOTAL FEE
? D
' fr HEi 4 ` 4-vb
JOB ADDRESS
is -19tri j3Jvt thwhain
DESCRIPTION OF INST LIATION
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.
13
1$APR35 TOTAL
PERtIlT 0
TRANSACTION 55394w
$34.00N
JL o
SIGNATUR OF OWNS AUTHORIZED AGENT
PERMANENT
( \AGRI(
FAL HEATING
FINAL REFRIG OR AIR CON
INSPECTION RECORD
LTEm_ .
ROUGH HEATING
ROUGH RUMS, OR MP GOND
„
on ft:
CORRECTIONS & PARTIAL NSPECTONS 1
"%Si
BY DATE