2560 W. Woodland Dr.
BUILDING PERMIT NO. BLD2002.00876
TYPE OF PERMIT
Tenant Improvement (Limited)
DATE: 3117/2005
JOB ADDRESS: .2560 W WOODLAND DR
~-f{~~~,
A#');iJ'"., - "<~
. "m'''' ~,"'V\
"''''''''. .,:...\\.1:i"'<;.~"
, /:'../ ". "--; ~ ;'-\,~. \;fl,'
CITY 1_": 'N . 't' -\ 'EIM
. ~.V .~. :-k,:~~..,Ii..,.~l'l i/" .
, \'\.~' ~-...~-~<:'- ....' /.
'. . '""~~4d" v j
,,~_'\L'''.-~ /" ,
'.0':'&-" +',../' . .
. ..v.,U.....""":<,y..
.~~.::::..?
BUILDING DIVISION
200 S. ANAHEIM BLVD.
-... t714}..,765 - 5153
INSPECTION REQUEST LINE:
(714) 765 - 4626
. CENSUS CODE: 437
QUARTER SECTION: 24
LEGAl DESCRIPTION: P B.K 135PG 19 PAR 33
APPLICANT: JOfiN ANCONA
OWNER INfORMATION: CONTRACTOR INFOR'-'ATION: ARCHITECT/ENGINEER INFORMATION:
Evangelical Christian Credn Union BRUCE ANDERSON
1150 N Magnolia Ave . . : 228 E. BADILO STREET
ANAHEIM, CA 92801 0000 . . . ): COVINA, CA 917230000
JOB DESCRIPTION: Tenant Improvement. 643Bsf office. Add interior walls. ~';~tend; rated corrtdor, install new rated doors, and install new T~bar ceiling.
VALUATION: ' 25,000.00 il PROCESSED BY: CAL
I,. OWNER.BUILDE~DECLARATlON .1
, hereby affirm under penalty of perjury that 1 am exempt from the Contr.aclcr!s License 'Law forth~ following' reason (Sec. 7031.5 Business and
Professions Code: any dty or cquntywhichrequiresa permit to construct, it,lt~r, im'prove, demolish or repair any structure, prior to its issuance, also' ,
requ.ires ~heapp'licant for.such, permit .to file,a signed statement that,he is II~Brsed pursuant to the proVisions of the Contractor:'s License Law (Chapter
9}(commencing ~ith Section 70000f [)iVisiOn,,3 of the Busin~ss and Profesl1':~()ns Code) or that he is exempt therefrom and the basis far the alleged'
exemption. Any violation of Sectibn 7031.5 bY,any applicantfor a permitsli~jects the applicant to? civil penalty of nQt moTe than five hundred dollars
($500). . '. .' ..( . . .
, ~asowne:T of property, _or my employees with wages as. their sole com~~nsation, will do the work,' :"lnd th~ structure" is not intendedor offered for
~ale(Sec~ 7044 Business and Professions Code: The OontractQr's License Haw does not applY,to an owner of property w~o-, build~or improves
therepn, and who does sU.ch work himself or herself or through his or he.- ov-':O employ~es. providedthat'such'improvements are not intended or
offered for sale. 'If, however, the ,building or improvement is sold with one y~ir of completion, tIle owner-builder will have the burden of proving thathe
did not build or improveJor the purpose of sate). r.. . ' - . ..; <.
o -'I, as the owner oftha property, am exduSivel}l cont'mdir;g with iicenses :::ot'\tractors to COr:strU9tthe-project_(Sec. 7044 BustneSs and Profe~ions
Code: The Contractor's License law does not apply to an owner of_propertj"who builos or improves therAOn, and who oontracts for suet) projects' with
jii.qontrador(s) IiCEm..c;~ pUrsuant to the Contractor's License law)" ,1: '
U lamexelllp un r~. . i . a~. ;....
. Date: ~ /7 ~ Owner: . _~ ,.~.
WORKER'S COMPENSATION DECLARATION . i: '. i I LICENSED CONTRACTORS DECLARATION
~h, by affirm under penalty of perjury one of the fo"bwirtgdeclarat~ons: '/, r iJerebyaffirm ~nder penalty of perjury that I am
, _, have and will maintain ~ certificate of consent to self-Insure Tor workC.r].~ comf,.lensation, 1.,.IU~enSed,(..!nder PfOVlSio~s ~f Chap1er. 9 (co~mencing
.8,S provided for,by Section 3700 of the labor Code. for the perfcrmanoo oftr;e WD_rk. for wh!ch I WIth $e~,?n !OOO}of DlvsJ<"m 3 of the Bw:;mess :,;I,nd
this permit is issued. . 'if ',' . ProfessIons Code. . '
-- 0 I have and will maintain worker's compensation insurance, _as required dj Section 3700 of 3/17/2005
the Labor Code, for the .performance of the work for which thiS permit is ;s!'>u:~'J. fliyworker's, Date: Contractor. .
Compensation insurance carrier and pOlicy are~ '!
Carrier: Policy Number. NUMBER EXPIRATION bATE
, , , . ' .
Tills section need n.at be completed if the pennit is for a"'" hundred dollars ($10"1 <l\" leSs.. .
o I c~rtify that in the perfonnance of the work for. Whi<(h this permit is issuid: l-shaU not ' .
emplo_y any per!?on in any m<=!nner $0 as to become s'ubj~ct to the worker's cbmpensation laws
of Califomia, ,and agree that if lshould b~Ome $Ub~ct to tt"leworker:s corrij,f:n:;at/on
provisions of Section 3700 of the Labor Code. I shall forthwith_comply with th:'se provisions.
. Date:. 311712005 AppHcant:; _, .~ '~'----.2... .
WARNING: FAILURE TO SECORE WORKER'S .COMPENSA TION COVER,'.CE IS
UNLAWFUL, AND SHALL SUBJECT AN EMPLQYER TO 'CRIMINAL PENALTIES AND CIVIL
FINES UP-TO ONE HUNDRED THOUSAND DOLLARS ($100.000), IN ADDrTION TO THE
COST OF COMPENSATION, DAMAGES ASPROVIDED FOR IN SECTION 3706 OF THE
LABOR CODE, INTEREST AND ATTORNEY'S FEES. .
., CONSTRUCTION LENDING AGENCY i
I.hereby affirm u.nder,penalty of perjury that there is a construction lending ag~;"Icyfor the
performance of the work fer which this permit is issued (Sec.309? .eke): . j~__
Lt;;:nd€::r's informatton:
TYPE
Construcion Types; ,
VN, , .
Fire Sprinklered?
Nl!mber of Stories
T,-l.Area:
NO
1
6,436
I certify that I have read this application and st~tethat the above information i:? correct. I
agree to comply with all ity ordinances and state laws relating to buUding COf;struction, and
hereby authorize repre nt/ves.of this city to enter upon the abOve mentioned property for
inspedion pu
Fees paid for Permit: '
Total:
990.41
.-
----
Date: 3117/2005
Signatu of Applicant or Agent
The p mitshallexpir by limitation and become nun andlloid if the building or .
wOrk as not passed fj al inspection 365 days from the date of permit issuance. A
new permit is required to commence or continue work.
INSPECTION RECORD
. .
. '.' . .
.' INSPECTION "",:!" DATE INSPECTOR
Temporary Power Pole .
Plumbing (OrainlWaste Pipe)
Electrical Ground ElectrpdelUfer I
SelbacklForrnslTrenches (Footings) .
Do not install subfloor or pourfloor slab until the
following applicable lIems have been signed: '.
Plumbing (Water Plpe.Sprinkler Valves) .
Mechanical (GrOundwork)' ..
. Electrical (Unde'1;lround Conduit)
Pre-slab (l;ompactionlMembrane.Reinf.
Underpinning (Floor Joist/Glrders)
. Do not cover or conceal the WOrk below until the .
following applicabie items have been signed:
1 st Floor Shear .' . '.
Firesprinkler (Rough)'
2nd Floor Shear . . . .
Roof (Sheathing/Diaphragm/Frame)
Masonry .(ReinfJBondBeamlPTe-Grout)
Rough Plumbing (Top Out)
Rough Mechanical
I Rough Bectrlcal\LJI"Y wall)
Rouah Electrical'
Framing (0n~ afterPlbg.. Elec.. Mech.. and Fire)
Insulation (SoundlEnergy) .
Do not tape or plaster until the following applicable .
items. have been signed: . .. '. .
[)rywall . .
Penetrations (Fire Rated) Electrical .
Penetrallons (Fire Rated) Mechanical
PenetrationS (Fire Raled)PlumIling '.. .
Interior Lath. .. .'
. exterior Lath '. .
GENERAL ITEMS
Exterior Plaster (Bl1'Wn Coat)
T -Bar Electrical
T -Bar Mechanieal
T-Bar Structural .
Sewer .
Water Engineering Backflow . . .
Water Service
FINAL INSPECtiONS
Electrical.Final
Plumbing Final
Mechanical Final
Gal! Test
Engineering/Gracling Final 765-5126 ,
Fire Dept. Final 765-4040
Water El)gineering 765-5268 .'
Sub list/Business,license 765-519 ./
Date
Inspector
Zoning 765-5139
Building Final {lastlnspeetion- Only
After Above Completel
PARTIALINl>PECTI
. Buildina Inspections
Mechanical Inspections
Plumbina Inspections
Electrical Inspections