2156 E. Lincoln Ave.
3UILDING PERMIT NO.
,"-
~2n04-00826
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,CITY'~~A~1:1HEIM
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BUILL!~,G D!V!SION
200 S. ANAHEIM BLVD.
(714) 765.5153
INSPECTION REQUEST LINE:
(714) 765.4626
CENSUS CODE: 437
QUARTER SECTION: 11.3
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.
WP'E OF PERMIT
Tenant Improvement (E:;dens/ve)
DATE: 7120/2004
JOB ADDRESS: 2156 E LINCOLN AVE
LEGAL DESCRIPTION:, T4R 10 SEC 12 POR SW1/4
APPLICANT: J!M LEONARD
OWNER INFORMATION: CONTRACTOR INFORM.:,T1oN:
Ca PSt MAGNUM BUILDERS :N(~ ',:~
400 P 5t 25419 NARBONNE AVE ' ,
S<!ccamento, CA 95814 LOMITA CA 907170000 I:)
, , -li_1
JOB DESCRIPTlON'renant Improvement; remod:I~~I~E~O;;S~;:~I: s~~'~~'~~l':;I~;~ffi~e & add 800sf mezzanine
"t!
VALUATION: 350,000.00,1,; PROCESSED BY: ODC
I ", 'OWNER.BUlLDER,QECLARATION . " ' ' , " ,'.'
I hereby affirm under penalty of perjury that I a,m exempt from the CcntracfC)\tto':"L.icense Law for the fallowing reason (Sec. 70.31.5 Business and
P,?fessions Code: any city or county which r~uires a permit to cbnstruct, a~i~f, Improve, demoHsh or repair any structure, ,prlorto its issuance, a,lso '
requires the :ppli:ant for .SUch permit t~ ~I~ a signed state.ment that h.e is- nc,m~Md. pursuant :0 the. provisions of the Cb~tra~or's' U~ens~ Law (C,haf?t~~'
9)(commer..-:mg with SectJon 7000 of DIVIsion 3 of. the BU5JI'~SS <:nd Profase!~t':s Code) or that he IS exempt tnerefrom and tne baSIS for the alleged
exempticfl. Ar:y violation>of.Section 7031.5 by any apoUcant ~or a-p~m;~s'_I~;;'.-,ts the applicant to a' dvil penalty of (;lot more tJlan five hundred dollar-s
($500\ .' '. ::';' .. .
o .,: as owner cf propert~, or my employees with wages as their scle c"rr:~:hl,satjon, wiii do the work, and ihe siructure isn~t intended or offereci for
sa'e(S~c: 7044 Business and Professions Code: The'Contractor's licel1seJ:~w Goes not apply to an owner of property who builds or imprOV% . '
thereon, and who does 'Such work himself o~ herself or through hls or ht'r-C~~.,1Jirnployees, providE;;ri that such improvemer.ts.are not intended or . ;'
offered for sale,. If, however. the building or improvement is sold with on6 y:li:' ot coJT1!Jletion, the owner-bu.ilder will have the Durden of proving that t'ls
didnotbu~Q6rimproveforthepU;Pbseofsale):_ _ _t~ ,- .' ,'"\ :'~'_,<><,~--:_-- .' . _/_,:,', . .
o 1, as the owner of the. property, am exdusiveJy ~ontracting w!th ii~flii3e...~:1libntf(l~oiS to .construct the.prbject (Sec.1044 8lJsjl~ess and'Pr?tes.co;.iO~$.
Code: Th~ Contractor's license Lawdoe~ not apply to an owner of y;"OfJf>,itj"f/hO bt;llds or Improves thereon, and who contracts fur such projects With
}L.qontraGtor(s) licensed pursuant to the Contractor's Ucer.se Law}. ;'Kt. .
U, I am Q~empt.underS€;c. . ,B & PoCo for 'this reason: ___~.tL---:-._~~..
iDate>'~' " WOR~~;'~ ~OMPENSATION DECLARATiON -]H.::..~ _:::'j~'GENSED CONTRACTORS DECLARATI
r hereby-affirnl under penalty of perjl\r'j'one of the.f6l1cNving declarations: .l". I hereby a irm under penalty of perjury th
o I have and will maintain a certificate of consent.to self-insurefor-Norke;t-;,(:cmper.sati'on; ,11i~enSed ~nd rovisio ~?f.# apter 9 (co:nm
as proVided for by Section 3700 of the Labor Code, for the perlormanC\3 'Of tlM work for wl,ich I WIth Section 00) of 0 51 of e BUSlOe
this permit is issued. . . .' ,!,,, Profe:s-sio\1S ...
o I have a nd will maintaIn worker's compensation insurance, as required i..;; 3ectlon 3700 of 7/20120,
the Labor Code, for the performance of the work for which this permit is !s"-'::~"';. ~.1yv"orker's Date:
Compensation insurance carrietand policy are: ",
Carrier: STATE FUND Policy Number. 169467?~
. .
This section need not. be completed if the p~nnit is for one hundred dolfars ($1';:)~~'; res~
o I certify .that in the perfonnance bfthe work for which this permit is Is ;. ::~:} shall not _'
employ any person in: any manner so as to become subject to the WorKe 5 _ -J,i.lpensation laws
of Califomia, and agree that if I sho become ubj to the worker'~ ..' ~;fnsati.;)n-
provisions of Section 3700 of the l Code, I sh 0 h ith comp!y Y ,:( ,ti;S.se orcvisio~.
ARCHITECT/ENGINEER INFO,RMATION: .
NUMBER
713775
TYPE
EXPIRATION DATE
. 10J31J2005
.B
Date: 7120/2004 ApP'i nt:
WARNING: FAILURE TO SECU .
UNLAWFUL, AND SHALL SUBJE
FINES UPTO ONE HUNDRED TH USAND DOLLARS ($100,000), IN ADri/DON TO THE
COST OF COMPIi'NSATION, DAM GES AS PROVIDED FOR IN SiOCTICl\i "706 OF THE
LABOR CODE, INTEREST AND ATTORNEY'S FEES. . .' c: ...' .
I CONSTRUCTION LENDING AGENCY. __ -, ,-
I ~.ereby affirm ~n~er penalty_of p~rjury that theie ~f.l const"iJction!~rlfl!n~~1fc.n~y, for the c>--:?I~:
---IJC':-;vljfJ.~II;"'::. oj, i.i.l~ ;.."u~i;. 101 '..-il-,i.;i, i.(ii~ p~'lflil: is i.:o::iUeu (8~lA.)Q~(':CW:;;;i:.....;-(".' 2'."-:----:'_" ..~i
Lender's Information: .
'. ,.~
-.
Construcion Types:
VN, ,
Occupan'cy Groups:
Fire Sprinklered?
New I Additional A{ea:
T.I.Area:
NO
800
4,035
'_"_:~-<-i-~ _
the above informaticn is correct. I
relating to building construction, and
n the above mentionecj property for
Fees paid for Permit:
Total:
5.064,91
Date' 712012004
Sign ture Appiicant arAgent
Th ermit shall expire by limitation and become null and void if the building or
. WOI: has not passed finalinspeetion 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 (DrainlWaste Pipe)
Electrical Ground l:lectrodelUfer
.
SetbacklFormslTrenches (Footings) ,
00 not install sub floor or pour floor slab until the
fOllowing applicable items have been signed:
Plurnbing (Water Pipe.Sprinkler Valves)
Mechanical (Groundwork) "
Electrical (Underground Conduit) ,
Pre,s,lab (CompactjonlMembrane.Recnf.
Underpinning (Floor Joist/GirderS) ,
DO not cover or conceal the wort< below until the
fOllowing applicable items have been signed: "
1 st Floor Shear ,
Firesprinkler (Rough)
2nd Floor Shear
Roof (Sheathing/Diaphragm/Frame) , ,
Masonry' (ReinfJBond BeainlPre.Gtout)
Rough Plumbing (Top Out) ,
Rough Mechanical , ,
, I Rough BectricallDry wall) ,
Rough Electrical ' ", ,
Framing. -(Onry after Plbg.. Elec.. Mech.; and Fire! I ~
Insulation (SoundlEnergy) I .
Do not tape or plaster until the following applicable ,/ ,"
items have been signed: .
Drywall
Penetrations (Fire Rated) Electrical ,L
,PenetratlollS(Flre Rated) Mechanical
Penetrations (Fire Rated) Plumbing, ,
Interior Lath ~
Exterior Lath
.., ' GENERAL ITEMS .
Exterior Plaster (Bl'C7Nn Coat) , ,
T -Bar Electrical, '
T -Bar Mechanical ' //
T -Sar Structural, , lUX, f/ . 'Ui ..
Sewer , "
Water Engineering Backflow '
Water Service ,
.
FINAL INSPECTIONS.
Electrical Final
Inspector
Plumbing Final
'Mechani,cal Final '
Gas Test
Engineering/Grading Final 765'5126
Fire Dep!. Final 765-4040
Water Engineering 765-5268'
Suli List/Business License 765-519
Zoning 765-5139
Building Final (last Inspection- Only
, After Above Complefe,, - -t))""
PARTIAL INSPECTIONS'
. Buildina Inspections ,
-g.'Z:7,..<>q.. Hez..f='L.~.wALl. 1N.<:;:'~l.".4+&
~ :J9"'9 1'1J.GT/I~"S"(X{.P ~11I/~ d'l2.
-/1
Mechanical Inspections
PlumbirlQ Inspections
Electrical Inspections