1211 S. Magnolia
BUILDING PERMIT NO. BLD2003-0107€
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BU!LDING DIViSION'
200 S.....NAHEIM BLVD:
(714) To}. 6102.
INSPECTION REOUESTLlNE:
. (714)765-4626
CENSUS COR.~: 328
QUARTER SECTION: n
CITY
'.
.,
TYPE OF PERMiT
Miscellaneous. .
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DATE: 12/8/2003
JOB ADDRESS: 1211 S MAGNOLIA AVE
...
LEGAL DESCRIPTiON: SEC 24 T4 R 11 E 131.15 FT NE1/4
.
CONTRACTOR INFORM,'fJON'
ARNAZ ENGINEER!NG Ci)NlRACTORS
2260013 LAMBERT:; r #1'.C3'
LAKE FOREST, CA 92630,)cUO
BUSINESS PHONE: 948 ~6!::'c'93
JOB DESCRl?TIONNew w~tt~; w€:I!, ~otlt:.eC{ct""e!1 hOl::.ing building. site imr~r("\:'~;-:'Ients. and iron oipe in!)tallation project. (City PiUjp.ct Acccu~f.number tq
VALUAT10N: ~e~,)(8:3~~%)' U. Bu'om, ox', 42,. : ,PROCESSED <lY: M'M
! . ..' ..---,-_. - ~~"~"'-OW~.iER-BU1LDErii:;r.:qLAAAT!ON -_-==- -~~'=--_.
lhere.by 3tfirm under penalty of pel jury thet L::rn ~xempt from the Cnntract0t'r _1-icEnse Law for the foHowing reaeNi (S2{:.. 703!.5 Bli~in€s~ 2nd
Profession.~ Ccde:any city or countywi...ich reqlliresa permit to con!'truct.-f'l~';k, irnpr0ve, deniolish or repair any $tn1ch..Ire, orocl to it, issb8:1ce, elso
reqIJ~,a3 :):~~:j~lp!:i:c.rlt fo. ~i.lci1 pa,mi! ;,0 file ,1 ~:al'ej ::;.,;)k:-r.ent that h~ i5lic~'Jl'e~d pIJrsC~.,lttC' the provi.sions oft~f::: Ccnirad:ofs License Law (Chapter
$)'<CIJr;"~':";:il,:;>~g !f<ih '~,e~::~bl1 !~?()~ Gf~O::i'~IOf:; cf :~,~ ~~31j'jess and Pr~f~~.itf3 Coda) cr ~hat "eis e,Xeif1pt thclCf:oP'l and the~asi$ for thi;;.al/egElCJ .'
~i'ernDu;";I',r:~' \;:::;~lU;;i: t.~t ~-:,'3:';r!~:n lO......1.!: ')'1 :-j,.y ::'~PI!C;'.r:t fcr J J:.t;.-:f:-::t S!.!r:;1~9~ thd3ppl;r;ar:t ~o a avil penattyOl not.rore t"::ln fi'-'t;; hundi"6'J dollars
{$5C\1). ':"
o I. <,:,,": ...r!,';:t:'r(l~ property, or mv ~mpioyees with wapes as the;;- sols comp{":;~tic;). wii! do the work, and the stq.lc~ure is nnl intBnd("'(i ',)rO~~~";'~Gfoj'
sa!~ (Se<:.ZC4,4 eusinesc arid Professions'COde: The Contrt'l.ctcr's,U~el1'3c.:"':~'-" dces not aoply-to d,' owner c;f plOPt:lrty who builds or il1lprovt;:~:
t~ert-cn, '~nd who do~s'such ...'clkhl:T...."CJt' cr h6rs~lf or thr.oughh!:; or h~i" c',..';;:''::i~I~~OYo;es. rrovided that such imp!T~Vemen.ts1J.r~ not inte~.t~.(i v'('
o!~ered for~le. I~, however, the building Ci imr'f0\"€H'pent is sol~ '~:t;", 01"1":: ,e,';: ol.oo!T1piet;or., th'9 owner-bllilder wiii have ~i'e burden Of p~v;rlg that:-Jb
di:fr:'Jt bUlld or improve for~he purpose of ~=!El).. .' 1- . ..
[] I, 8:=. the owner oPhe property, amexdLlSiveJy cQnlr.3("tlt'g v,jth ;i(;",,::~..< f..r:;.r~dC'r,; ~u f;0~S'inlct thl:l: orojec! (Sec. .....(,44 Bu:::iness 8!"lO Prcfp.ssidns
Code~ ThEl Contractor's liCE.. nse. Law d('lc,:> ~lvt ~~~rl>j to a:t n.....n'r 0.f ~'~~;",crty ~I:; ho bu~:u$ OI~ improves. there\?n, and V:~r(.. m;-;~r2ct~ for su6, o:olec!$ Witil
p-.::;orytractor(5) licensed9Ursuar.t to the CcptrClf.to(::; l'Cf"",5e !.:'"1'fl). ',. '. . . . .
~~, ~am.E'xef:'";::'tund'9rSe~.. .. . ,8&.P.C.forlhisrea~on: ,__..:...{._,__'_., ... _' .. . , ___~_;..
Da~c. Owner. "
L WORKER'S COMPENSATiON DECLARJ\Tiqii_~:l~~~._~=:J. I . LICENSED CONTRAGTORS DECI.AP.ATJor~
~hE>:reb/ affhm un;:lf!f penalty of p\'~llry one ofthe f.:>llow!nq deuaratic~s: . f' . I I hereby affirm under penalty of petj~I""J that I am
I_J. I have anc .Will 013.. intau1 C:I. c~rtificate o~ -corsent to seif.:r$llre foro .....,or~'~~..!:r.,.':".~..nIPel.I~:i;tion,'.II:~~nsed ~nd~r prCviSi0.~~aPter 9 (l;c:r.ml:l:ncino
03.3 p:"oVlrj~ f~(lJy S3ction :r1OO cf tn~ Labo~ Cctie, for the peno! man~ of ..r..:1h,,", ro; \..mi<.h . WI',' sec.1I0~. ....;,.' ~~\ ::.1. f'\."I"SIO'1 '. .of thf'! B UJ"irICSS ard
thls permit IS issued. ,;. P~ofess~ons! l;~ p.., III . .
[JI i'q..ve and v,m maintain worker's cnmpe:,satic.n ilisur::mce, :lS iC.r:::J::"cH! ~;\~'::':C~tit..;oil3700 (;f 112/8/2003 __ ~ ULLL c,_________
ti;,.. Labor Cede, for the. perforrnanca,bf tht:: \Vci"k for whk::"'; th::-: 'pel mit. ::;:~G:;<;:;. My .."101 !<~!'"''S I D~te: -' .. Contractor .
CompenSation insurara:l carrier and jX>licy ale: '. .' _. _...'~ .'
Carri.er:..' Po~:cy NlJmDe~ t:XC.I"lI,)~..l.' jo'".. . II EXPIRATION DATE
..' 'IC/;3:Ii.2004'
~iS !;ection neEd 11.0t be completed if the pennit.istc.r .one hun~red t.Iollm;!:{$1Ji}r;:!-!~s. 'I'
I certify that in the performance of ~he work for whlcil this p~'r:TI;t is!~Ur,;.S ,j ~f,aH{Y.)t_
lo,Yany person in any manner'so as tb becomf'! subject to the wOiker's' c:1>p<msc:.tionlaws.
of Califomia, and agree that if I should becom~ su~e:t: 0 the worker's ~ijrr.;;i-:!),'5';:,.~ion .'
provisions of Section 3700 Ofthe~Labor Code, I.',"'! f rthwith ccmply wi,h "-rf~ pro'/islo"".
Date: 12/812003 Applicant: '. ?2:.
WARNING: FAILURE TO SECUR 0 KE' COMPENSATIOr-: C')'/E'i/:'JE IS. .
UNLAWFUL, AND SHALL SU9JE T AN EMf-LOYER TO CRIMINAL P~,:'iA;'l (~;; A,r-jt.pI'JIL
FINES UPTO 9NE HUNDRED THOUSAND DOLLARS ($100,OOO),IN Avrj;\lm~TO'n-lE
COST OFCOMPENSATIO.N, DAMAGES AS PROVIDED FOG IN SECTIC.>''-;Y6CfTl;E
LABOR CODE, INTEREST AND ATTORNi:Y'S FEES, " i ~...'
I CONSTRUCTION LENDING AGENCY
! he(~by__~ffirm under pe.na!ty _of p~rjl~ry.t~a~ ~1-j.~r~_!s_ac-~r"!.!"tr>Jcti'J'1!.e,0inf: ~2~~.;;'.;.t-;' fL~-
-, ~:.:;,r,Ofiitdrice Oi. tnt:i ...vori< i(.;j-'Wnidl this p~rmit is issued (Sec.30!:l7 .Civ.C): .
Lellder's Information:
APPLICANT: All Y AZDANSHERA
OWNER INFORMATION:.
City Of Anaheim
PO Box 3222
.Anaheim, CA 92803
ARCHITECTiENGrNEER Ir-:FORMATION:
. I
-'
. NUMBER
755332
TYPE
TYPE
A
B
Construcion Types:'
III N, ,
Fire Sprtnklered?
NO
'-'-- -
..;.:,
I certify that I have read this application and state that the above information i:: correct. I
agree to romply with 'ty ordinances and state laws relating -to bu~ding coru.truC:tion, and
hereby authorize r re tives of this dty to enter upon the above mentionM .>ropertyfor
in$pedio'~ pur - .
Fees paid for Permit:
Total:
3.409.95
Date: 121812003
griature of ARplicant or Agent
Th permit shall expire by limitation and become null and void if the tMJiJding or
work has not passed final inspection 365 days from the date of permi! issuance. A
new permit is required to commence or continue work.
INSPECTION RECORD
FINAL INSPECTIONS
Electrical Final
Plumbing Final
Date
.
Inspector.
. .INSPECTIOrl-.c-~
Temporary Power Pole'
Plumbing (DrainlWaste Pipe)
Electrical Ground ElectnodelUfer
Setb3!:IdFa:msJTrenches (Footings)
Do not .install subfloor or pour floor slab unt; I the
following applicable;items have. been signed:
Plumbing (WlIter Pipe.Sprinkler Valves)
Mechanical (Groundwork)
Electrical (Underground Conduit)
oS b C actionl embrane.Rei
Underpinni (FIca: Joist/Girders)
Do not cover or concea the work below unt.1 the
following applicable items .have been signed:
1st Floor Shear
"i~sprinkler (Rough)
.2nd Floor Shear
Roof (Sheathing/Di hragrn/Frame) 'l,\
Masonry (ReinfJBOnd Bearn/Pre-Grout)
Rough Plumbing (Top Out) I. D
Rough Machanical
Rough ectrlCaI ( II .
Rough Electrical
Framing -(Only after Plbg" Elec..l;1ech. and Fire)
Insulation (SoundlEnergy)
00 not tape or plaster until the following applicable
it~ms hav"e been signed:. .
Drywall
Penetrations (File Rated) Electri.cal.
Penetrations (File Rated) Mechanical
Penetrations (File Rated) Plumbing
Interior Lath
Exterior Lath
DATE
r/"1/; r
Engineering/Grading Final 765-5126
Fire Oept. Final 765-'4040'-...
Water Engineering 76~-5268
Sub List/Business License]65-519
Zoning 765-5139
Building Fi~al .(Last Inspection. Only
. . After Above .Complete)
. PARTIAl INSPECTIONS
. .
. ~lfWldinalnspections ..;....... ... . .
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GENERAL ITEMS
exteriOr Plaster (BlOWn Coat)
T -Bal' Electrical
T -Bar Mechanical
. T -Bar Structural.
Sewer
Water Engineering Backflow. .
Water Service'
.
. .
5;
CITY OF ANAHEIM
PUBLIC UTILITIES DEPARTMENT
MEMORANDUM
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DATE:
NOVEMBER 30, 2004
TO:
ARTHUR HOPKINS, BUILDING DIVISION
SARAM~PRINCIPAL WATER ENGINEER
FROM:
~SUBJECT:
PERMIT # BLD2003-01076
1211 S. MAGNOLIA A VB. - WELL #53
Please be advised that we made a field change on the permitted building
construction drawings for the subject project On construction drawing sheet M-l of plan
number W-2990, we directed the contractor to delete the "2' X 2' Prefab Concrete Box
With Cover" from the buried 3-inch ball check valve. Due to the depth ofthe buried
check valve (4-ft below grade), and the size ofthe specified box, we found that the
specified box would not serve its purpose for allowing servicing ofthe valve at some
future date.
Should you have any questions regarding this decision, please call me at
extension 4298. Thank you.
c: Richard Bentwood, Parsons
John Lamar, COA
Mike Wegner, COA