1985 S. Santa Cruz St.
!
CONTRACTOR INFORMAflON:
J C ELECTRICAL CON-,:R#J:;:rORS INC
11806 MT EVERETT' r .
ALTALOMA, CA 9173717"," .
BUSINESS PHONE: 909 411<f8~90 . . .
,JOB DESCRIPTIONlnstallation of parking lot lights (light standards). 21 UPlir.l''f",nd various ele"trtcal atnew facade. Reference BLD2Q03-02692. (Express'
VALUATION: p'a'hl:Wg~,bo . '. ; '~ '. .' PROCESSED BY: ODC. . ,
I ." . '. " OWNER-BUILDEl'i' ECLARATION .' , " . "., I
l hereby affirm under penalty, of perjury that I am exempt from tt.1e Contraoqr.';i licens,e Law for the following reason -(Sec. 7031.5 BU$iness and
Professions Cod,e::,any city or county Which requires a pelt'r\it to construct, ~~tdr, improv"e, demolish Or repair any structure, prior to its issuance, alsri
requirf"..5.the. applicant for such permit to file a signed statement that heis li(.~j~.s..;-d pur&uant to the provisions ofthe-Contrad:or's License Law' (Chapter
9)(commericing With Section 7000 of Division 3 of the Business and Professfcib,s Code) or that h.e is exempt therefrom and the basis, fortnealleged:,~
exemption.' 'MY viOlation of Section 7031.5 by any applicant for a permit Sll~(j.~~t3 the applicant to a civil penalty of_ not more than five hund~ed dollars
~"" r . ' "
o I, as owner,~ property, or my' employees with- wages as their sole ~omhl::sation, will do the work, and the s~ructure' is not intended or offered for
sale (Sec. 7044: !3usiness and professions Code: The Contractor's licenset---h'V: G,oesnot apply to. an 9wner of property who, buHd~'or improves, _.
thereOn, and _'"Y.h~ does such Work himse_1f or herself or through-his or h,er'oi' {?mp!oyees, provided that such improvement~are not intend.ed O(
. 'offered for sal_e: If, however, th,e building or improvement is sold with one y~:::::':,:Jf completion, the owner-builder will hav~the burden of proving that he
did,notbuildofimprQVSfor,thepulPoseofsale). ", ,_{.:,~l:,' __ . . . _ _', __ _ . : _', _'
o I, as the owner ofthe property, am exdusively contracting with licens~(~l ~~n!r~ctors to constr~ct the project (Se~ 7044 Business arKI Prof~~:ions.
Code: 1:.he:Contrac.tor's Ucense:law dOe$ not apply to an oymer of propert!\.ho builds cr improVf'\s thereon, and who oontracts for' such projects with _
~ontractor(s)licensed pursuanttotheContractor'sLicenseL~). ',1-)' " ,- ": " .- :' ""'.
U lam exempt under Sec. ,- ,B&P.C.forthisreason: _M:J.J, , ',' -. ,_ ' '
Date:. . Owner:' Jt
L' WORKER'S COMPENSATION DECLARATION TI-__-,-J
.1 hereby affirm under penalty of perjury one of the f?lIowing declaratio.ns: , ". ::'i't: :.
0'1 have 'and will maintain a certificate of consent to self-insure for worke~fompen$'ation, .
, a~ provid~ f~r by. Sedion 3700 of the labor ,Code, for the performance OfihclWOrkfor w~ich
.hlS permit IS ISS . . "(~
I haY 'd will maintain wotkei's compensation insuranc~. as req~he:d ~ ['actiQn 3100 of
he ,', or Code, for the performance of the ~orkfor.which this permit IS issufr My worker's'
Compensation insurance carrier and policy' are:_, , "~,;. . ,
, Carrier: STAlE FUND '.', PoRcy Number. 046-Q01hI3 .., ",
This section need not be completed if the peRnit is fur one hundred dollars {$1~i!' ,~},.'s. ,
o I certify that in ,the perfol1Tlance ofthe work for which this _permit is' is.4fl~A-,~~\,~._"_ net_.:. .
employ any person in any manner so as to beconie subjecUo the worker's 'c1:~1;:~n$..~tion 1,<1tws'
of California, and agree, that if I should become subject to the worker's comp,;}!,..;ati9'ti
provisions of Section 3700 of the labor COde; I U forthwith com it ,~'t'~;pi' . ion:!.-:
Date: 12/9/2003 AppliGant ?t."-Q
WARNING:, FAiLURE TO SECUREWORKE 'S COMPENSATIO COVERf:$'e, ",:,,;,
UNLAWFUL. AND SHALL SUBJECT AN EMPLOYER TO'CRIMiNALPENAL ~.' i\~pCIVIL
FINES UPTO ONE HUNDRED THOUSAND DOLLARS ($100.000}~IN ADuni'bi'Lio.'tHE
COST OF COMPENSATiON. DAMAGES AS PROVIDED FOR IN SECTION ~7~OFTHE
LABOR CODE.iNTEREST,AND ATTORNEY'S FEES. ",",
I CONSTRUCTION LENDING AGENCY ". "E5:" , ., '
thereby affirm under penalty of. perjury that there /sa COl')str~ctio1i)Eindi,,~,'ag'n~Y.ts(the;';,:.:'.:i;,> ;~,~. .. "
^__,!!'!fy!,"!,,~~~~f t~"",__'.'\!~:-,~<~:.~.--:h::;:h ~~i;:. r-:.rr;,;~ :-:';'':';'';'';'''~ \C~..;. :CZ7 .~i-.;~e;.~-- ..........._~,;-.,__~~--.'JJ_-'~_____"-'""""'-,
Lender's -Information:' . .
BUILDING PERMIT NO. BLD2003-04656
,.,";-. '
TYPE OF PERMIT
Light I F!e~ Pole C I TV
.
DATE: 1219/2003
JOB ADDRESS: 1985 S SANTA CRUZ ST
LEGAL DESCRiPTION: PM 150-5, POR. PAR. C.
APPLICANT: JIM COGlEY
OWNER INFORMATION:
Ptshp Ja.s
1985 S Santa Cmz SI
Anaheim, CA 92805
Date: 12/912003
I and v()id if tffifbulllllrf!for
f t/Jll-<jafe of permit issuance. A
hiork. ,
ElM
BUILDING DIVISION
200 S. ANAHEIM BLVD,
(714) 765 - 5153
INSPECTION REQ\JEST LINE:
(714) 765,- 4626'
'CENSUS CODE: 437
QUARTER SECTION: 108
ARCHITECT/ENGINEER INFORMATION:
SHUCRI YAGHI '
LICENSED CONTRACTORS DECLARATION 'I
I here!:>y affirm under penalty of perjury. that I am
licensed under provisiOns of chapter 9 (commen in,g
with Section 7000) of Divsion 3 at the Bu.,.;nes ) :
. ProfeSSIOns ~/ . /
12/9/2003
Date:
NUMBER
454303
,TYPE'
TYPE
Contra~ "
'EXPIRATION DATE'
513112004
C10
B
Co"nstrucion Types:
VN, ,
Fire Sprinkle red? .
YES
,Ie-'
""'.:.
, -"'~~~
; i : .~-!
Fees paid for Permjf;:
rotal:
973.59
-
.. .'NSPECTION RECORD .FINAL IN~PECTIONS. . Date. Inspettor
INSPECTION DATE . INSPECTOR Electrical Final . . .
Temporary .I'!ower Pole. . PlumbirigFinal . . . '-"-
'. ,.-
Plumbing (OrainlWaste Pipe) .. . Mechanical Final .
Electrical Ground Electrode/uter A
.
Setbac/flFormsfTrenehes (Footings) . .z .q-o 7~" A Gas Test .. . .
Do. not install subfloor or pour floor slab unti I trie . ... Engineering/Grilding Final 765-5126 . . . ..
.follqwing. applicable items have. been signed: ..
. Plumbing (Water Plpe.Sprinkler Valves) Fire Dep!. Final 765-4040
Mechanical (Groundwork) .. Water Engineering 765.-5268 .
Electrical (Underground Condl!it) . ,
. pre-sllll:l (l;ompactionlMembrane.Reinf. Sub List/Business License 765-519 .
UnderP,inning {Floor Joist/Gliders) . . Zoning 765C5.139
IJO not cover or conceal the worK below until the Building Final ~ast Inspection- Only . .. .
following applicable items have been signed: . fter Above Complete) . .
1st Floor Shear '. . PARTIAL INSPECTIONS
Flresprinkler (Rough) . .. !
. . . BuilditiQ Inspections
2nd .Floor Shear
.. .
Roof (Sheathlng/Diaphragrn'Framll} . . ..
Masonry (RliinfJBond BeanlPre-Grout) .. .:. .. . ..... ,. .
Rough Plumbing (Top Out) . .
Rough Mechanical . . ..
Rough aectrical (Dry wall) . . .
. . .
ROl!gh Electrical . . . . ,
Framing (Only after Plbg., Elec:, MeCh. and Fire) . ..
Insulation (SoundlEnergy) .. .. . : ..
. Mechanical.lns.pections
po not tape or pla~terunlillhe following applicable . .
Ilems have been SIgned: . . . .. ..
Drywall .. . .
Penetrations (Fire Rated) Electrical .
Penetrations (Fire Rated) Mechanical . . .. .
Penetrations (Fire Rated) Plumbing . .
Interior Lath .. PlumbinQ Inspections . . .
-
Exterior Lath . .. . .
GENERAL ITEMS .
Exterior Plaster (Brown coat). -
T -Bar Electrical . . .
T-Bar Mechanical . .
.
T-Bar Structural .
Sewer -~ .
0
Water Engineering Backflow . Electrical Inspections
Water Service ..
PERMIT. EXPfRE[),<
INSPECT/ON
NOT COMPLETED
DATE: I JbtJ( b~
t < . ... .
...
BUILDING P!j:RMIT NO. BLD2003-04284
TYPE OF PERMIT
Tenantlmpro'~ment (Limited) . CITY
. DATE:"11/1712003 . ..'
JOB ADDRESS,' 1985 S SANTA CRUZ sT N/E CORNER OF r
LEGAL DESCRIPTION: PM 150-5, POR. PAR. C.
%.,{ .
APPLICANT: CLI FF LEGAULT
OWNER INFORMATION:'
Plshp Jas
1985 S Santa Cruz St
Anaheim, CA 92'805
CONTRACTOR INFOR!i;\!:TION:
,',-
BUILDING DIVISION
200 S. ANAHEIM BLVD.
. (714) 765- 5153'
INSPECTION REQUEST LINE:
(714) 765 - 4626
CENSUS CODE: 437
QUARTER SECTION:. 108
ARCHITECT/ENGINEER INFORMATION:
SHUCRII YAGI-!I .
112 E. CHAPMAN AVE."C"
ORANGE, CA 92866
. .
.' i
MILNER SCHREIJ;lER;.j
.3002 DOW AVENUE'; I'
TUSllN, CA 92780 L .
JOB DESCRIPTION,enant improvement, install store front in exist. roll up dot' operying and cut In store front
VALUATION:' 4,100.00 PROCESSED BY: MJL
OWNER-BUILDE:~ DECLARATION .
I hereby a ir.munder penalty 0 perjury that I am exemptfrom ,the, ontrado;s:Llcense law for the JoIlowing reason ( ec.70 1.5 Business.8,M
Professions CoCte: anY,dty or county which requires a. permit to_.construc(ajl~r; improve, demolish or repairanystr-ucture. prior to its issu~n6e. also' .
requires,the appUcantfor such permit.to file. a sIgned statement that he is ncdn'sed pursuant to ~he provisi9nsofthe Contractor's Licens~ Law (Chapter
9)(comhlencing with Secti,on;7000,of Division,3 of the Business and Profestf.i~~S Code) or.ttyit he is exempt therefro.rp and the basis' for the alleged:'
exemption. Anyviolation -of Section 7031.5 by any applicant for a p_ermit sll:"i,:~cts the applicant to a civil penalty of not more than five hundred dollars
($500).' '.' . .. .c, .. ." . .
o I,' ~~;.oWi1er of pro perty, or my employ~eS with wages _as their sole c'crry~~!lSatio;,._ w~1I do- th~ work, - and. the struc:~ure Is not intended or' offered ,for
sale {Sec. 7044 Business and Profession's Code: The Contracto(s LicensEfi4w does not app/yto an owner of property who builds or ,improves
,thereon, ,and who 'does_such work himself or h~lSelf or through his or her o~l;!~ernployeeS. provided that such improvements are not intended. or
offered fqr ~ Ie. If.. ho~ever, the: bLiild ing or improvement is sold with one yp~r of pompletion. theowner-bu ijder will have the burden of proving that he
didnotbu,jldoriniproveforthep~tposeofsale)." ,"',';, .-:, " '. ", . _ ""..,'
o J~ as:the owner of the property; am exd.usively contracting with licenseQ:~contrad6rs to construct the proJect (Sec. 7044 Business arid ProfeSsions .
Code: The Contractor's license Law does not apply to an owner of propertyfwho builds or improves' thereon, and who o:mt~cts for such projec,ts with
acontrador(s) Iic'.:msed pursuant to the-.contractor's License: La:w).- -.:] .
.0"' l.a~'exe",pt under Sec. ,B & P.C. for this reason: ..
Date: 'Owner:, ~~
I WORKER'S COMPENSATION DECLARATION -!"
I hereby affirm .under penillty of perjury-one ofthe following declarations:
o I have antI' will ma intain a certificate of CX?nSentto self-i'nsure fa r workeh'-~compensation;
as 'provided, for by Section 3700 of the Labor Gode, for the pelformance of 1;;~ walk for which
~hiS . erThit.-jg issued. - " . " 1,-
..... I have and will maintain work er'~compens-atjon insurance,.a~,reqlJired f::./,section 3700 of
,t labor Code, forthe performance of the work for which this permit is issu.'Y.!. Myworker's
. pensation insurance carrier and policy are: '. . , > i
Carrier: STATE FUND POlicy Numbe" 172,?~37i '. .
. . '.' .....',... i.c,"
This section need,not be completed if the pennil is for one hundred dollars'(~1 Oi)o< less.
o I certify that 0 the 'performance of the work for whiChihiS permit,iS~{~t~d/~ shall not'.
employ any person in a'ny mannerso as to 'becol:Tle su~jectto the work.Ei'~s',p~lmpeQsa~ion laWs
of Califomia"and agree that if I should:beco . ct to theworker's _co'mpJnsation
provisions 'of. Section 3700 of the Labpr C - a"' with comply wmlt} t>-~~ provisions.
LICENSED CONTRACTORS DECLARATION
. J ere ya irm u er pena 0 perjury' that am
licensed under provisions ot-chapter 9 (commencing
with Section 70 i' n 3 of the Business and
Professions- C .'
. 11117120~
Date: /'\
NUMBER
814943
TYPE
TYPE
Construcion Types:
VN, ,
Fire Sprinklered?
Dale: 1111712003 Applicant:
WARNING: FAILURE TO SEC E ORKE ENS!'-TIONCQV,EP,\GE IG
UNLAWFUL, AND SHALL SUBJECT AN EM OYER 0 CRIMINAL PEN,WilES AND CIVIL
FINES UPTO ONE HUNDRED THOUSAND OL S ($100,000), IN JlDf).TION TO THE
COST OF COMPENSATION, DAMAGES AS P VIDEO FOR IN SSCT1C~J 3706 OF THE
LABOR CODE, INTEREST AND ATTORNEY'S FEES. , . (,
I CONSTRUCTION LENDINGAGENCYi1",:<" ---,-
-\- ,",p.r~hy alf;rrrl.llnrf.;>_r~<;'r!'?ltY_0f.r-c>rl!.~~~_!~$~ t,",<:!""",-;,;:~_,~-:-,"!<;!!"~!""_!!,:--!;.!~~~:::.-<:~,,~,~~yf-:,"':~~ .
performance of the work for whi'ch this permit is issued (Sec.3097 .Clv.C); ,
Lender's Information: - .
. I certify that J have read 'this application ,and state that the above informatio"n is correct. .,
_agree to crimp!' ith alrcity ordinances and state laws relating to bullding construction, and
hereby_auth e r~ sentivesof this city to enter upon the above n:tentiooe<.l proPerty for
inspectlo s. .
Date: 1111712003
Signat re 0 . Applicant pr Agent
lexp e by limitation and become null and void if the building or
work has n as a final Inspection 365 days from the date ofperrrJtissuance. A
new permit is' required to commence or. continue work.
8
HIC
NO
--"-----~_.:'_:--".-.
Fees paid for Penn it:
Total:
231.16
INSPECTION RECORD
,I ' INSPECTION' ' , DATE iNSPECTOR I
T empor~ry Power Pole ' "
Plumbing (DrainlW~ste Pipe) , ,
'Electric~1 Ground Eleetrode/Ufer ' , , /I ,
SelbacklFormslTn;nches (Footings) 'J4tlz. f:
Do not install subfloor or pour floor sl~b ufltiffile
follOwing applicable ilems have been signed:, ,,'
, PlumbilJ9 (Water Pipe.Sprh,kler Valves) ,
Mechanical (Groundwork) ,
Electrical (Underground Conduit) ,
Pre-slab (CompactionlMembrane.Reim. ' '
, Underpinning (Floor Joist/Girtfers) , ,
Do not cover or conce~J the worl< below until tile
following applicaQle items have been signed: ' ,
1st Floor Shear . "
Firesprinkler (Rough)' , ' "
2nd Floor Shear ,
Roof (Sheathing/D1aphragm'Frill1le) ,,' "
Masonry (ReinfJBond Beill1llPre-Grout)
Rough Plumbing (Top Out)
Rough Mechanical . , ' '
Rough Bectrical (Dry Wall)
Rough Electrical '
Framing (Only after P.lbg... Bee.. Mech. and-Fire)
In$ulation (SoundlEnergy) '" ' "
po not tape or pJa~ter until the following,applicable ,
ttems have '.been signed:. .
Drywall " ' ,
Plinetrlitions(Fire Rated) Electrical
Penetrations (Fire Rated) Mechanii:oll
Penetrations (Fire Rated) Plumbing , ,
Interior Lath " '
Exterior Lath ,
" GENERAL ITEMS
Exterior Plaster (Bl'O\Nn Coat) ,
T -Bar Electrical
T-Bar Mechanical
T -Bar Structural, "
Sewer' , ,
Water Engineering Backflow
Water Service' , , ,
FINAL INSPECTIONS " Date Inspector '
Electrical Final
Plumbing Final , .
, "' " '
, Mechanical Final,' , -
, ,
Gas Test ' "
- . ' ,
Engineering/Grading Final 765-5126
," ,
Fire Dept. Final 765-4040 ',' ,
Water Engineering 765-5268 :
Sub ListlBu,siness License 765-519 "
"
Zoning 765-5139 ' , , "
Building Final ~ast Inspection. Only ,
fler Above Complete)
, '.
PARTIAL INSPECTIONS
BuildinQ Inspections
Mechanical Inspections
PlumbinQ Inspections
Electrical Inspections
PERMiT EXPIRED
I N$PECTION
NOT COMPLETED
OAT &:~-1)P~~ o,\S ~.~-"r
JAS Inves~~
C ~85 S. Santa Cruz St.
nahelm, llU5
p\ tLo-~/+\ l~
~
"
Q
-
-
April 7, 2005
City of Anaheim
Attn: Gerry Quast
200 S. Anaheim Blvd.
Anaheim, CA 92805
Dear Mr. Quast:
Per our discussion, I would like to formally request new addresses for the property
located at 1985 S. Santa Cruz St. The new addresses for the property that we discussed
would be 1950 through 1998 Anaheim Way. I have attached a building plan with
entrances identify for these new addresses. Thank you for your assistance in this matter.
If you need to c tact me, I can be reached at (714) 978-9000 x 300.
Jim Shab
Property own
JAS Investments
~~
s
/
~/ ~~~~~ ~\("~~ ~T,
. ~~e.. \;?, k<::. . t-\~~r
l q ~ 5' s, s ~'" -t:o... C\.o-.~
36192.6687 GROSS
\<150
<
AlRCALl
6.932.3732 USF
6.977.8951 RSF
TO 8E ADDED TO
ADJACENT SUITE
1.533.5772 USF
1.543.6475 RSF
ROAD RUNNER
7,590.1064 USF
7,639,9473 RSF
" "' "C~"'" ~
SQ. FT.
2.977.9696 USF
2.997.5246 RSF
'~70
k~~:\;V\
.
v
COMMON
236.1111
q 04\ E:. S~{e,-rdG.'
~,- ----7 ill
+
u
HOCKEY GIANT
12,140.7580 USF
12,220.4811 RSF
u
~
c-fl
{
~
~
>1
I
1 q<JO ill
I
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LEFTOVER
4.781.7732 USF \ 01 0"....
4,813.1730 RSF ~ 0'-.)
\D 0-(
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