1324 S. Sanderson Ave. Nextel Ca.-821
BUILDING PERMIT NO.
&j~~:J;~~;>~\.. .
CITY QlS~':~" ,~HEIM
,\ V<"X;.'~"-~::--'""f~'~' t, :
DATE' 11/23/2004 \'t ~'.b.~::.~:f-j.':~;~: /I
. '.~_#6"z~~-,,"~~"~;'
JOB ADDRESS: 1324 S SANDERSON AVE NEXTEL CA-821, ',~", ;~;, 'J:/
. ";'-. ~-;.~.;~.....
LEGAL DESCRIPTION: PARCEL MAP 27.9-45 PAR 1 POR OF PAR
-
BLD2004.03306
BUILDING DIVISION
200 S. ANAHEIM BLVD.
(714) 765 - 5153
INSPECTION REQUEST LINE:
(714) 765 - 4626
CENSUS CODE: 328
QUARTER SECTION: 126
TYPE OF PERMIT
New Commercial Constr~ction
CONTRACTOR INFORM\TION:
NET COM SERVICES, INC
26007 HUNTINGTON LN #B.
VALENCIA, CA 9135500C.}
BUSINESS PHONE: 661 257-0888
'JOB DESCRIPT10NPrefabricated shelter for housing batteries in conjunctio..... :.:j/ 8L02Q04-03305 (telephone anten.n3s)
VAWATION: . 30,000.00 .. . . 1, ... PROCESSED BY: KBT
I -. OWNER-BUILDEFJOECLARATION
I-hereby affirm 1lll(:3er penalty of perjury that i am exempt from the ContractoJ~ Ucenso Law for the following reason (Sec. 7031.5 Bus'ir.ess end
PiC'fessrons 'Gode,: any dty or cQuntywhich requires a permit to C,jnstruct. <:l.j~r, (mprc'Je, demoiish OJ repaIr any $tructure, priu(to itsissuanc€, also'
requires U1e app'licant for. such permit to. tile a signed statement that he js'H~~'sed pursuant to the 'provisions of the Contractor's license Law (Chapter
9)(commencing wi~h Sect~r. 7000 o~ Di\lision 3 of trle Business ~nd Pi-ofe;';~;:~tls Code) Qr that he is exempt thelefrom a.nd the basis for the aHeged
exemption, Any violation.of Sectlcn 7031.5 by any applicant for a permit sU,t1(.ds the apptic_ant to a civil pE:lnalty ot not more lhan five h-unQled.doilurs
($500).. ,>, ',' ). . .
o }, as owher of property, or my emptoyep.5 w!th wages as the1!- ,scl~ ~~~57>_{';S<:ltIOl), will do the WOrk, andl:hp::.huctur:e is riot :r.tended cfoff<3red for
sale (Sec. 7944 Business and Professions Codo:... Tt:~ Contractor's U::;eiiS}~:',"(GiW does not applY to an owner oi property who builds or impro'le'S
thereon, and whC". does such w?rl<. himself orhe:self oi"yhrOllpll hib" or har o'/Jl~mplo~/ee$, provided thClt &uch !mplD\'enj€alts are not in~tlhded or
offered far sale. If, however, the building or improvement is so_id witi": c'r!8 ye'!r- of O'iftl~~etior., the_cwne:---oui\der 'NiH nave the CJrceil of- plc\.ing-thaf he
dJdnoi:bui;~,9rimprcveforthepu;poseofsele).. ~ . ,...
o ''l,~ as the owner, (,If tile pruperty, am exdusively contracting Vvith licerlse(f l~"1t:t....acto(s to C0i1strUGt the project (Sf!c. 7044 8u's1ness and" proiese:ons
Cede: ThG Contract(.;r's License Law does not apply to:1O ow~~er of prop,1!!if;!~ builds or improves thereQr" ~w,d wh?"oor:tjact~ fer such prcjfx.1s with
;a-qontrac.tor(.s) licens~d .pI.;rsuont to the Contractor's License Lc:w). 1
'L-.J ! am exempt ur.der BB~~_ '__.__ ,8 & ~.C. fOi this rea5bn~ _._l.-_~_.______.____.____-_____ ____
Date: OWr1e.r: . ~J.l-:.- .
i . WORKER'S COMPENSATION DECi.ARATIOl't:L~ ~ I LICENSED CONTRAGTORS DECLARATiON j
I 'hereby ,affirm under pena.ltY,of.p~rjury onenf the foHowing declarat;ons: l i I hei'':'lb''j a:'firrn ufll.-1er penalty of e:-ju:y chat I am
D' I h-ave and will ma)r~tain:ac3rt!tlcate of consent!o self-insl.:re for '.t.;6ry.1:i'~5:,);TI~)ensatjon, I lic,e~sed mider fJroVIsit:ns oJ c' (<;.~t)m:nen.;ing
as provided for by Section :~700 of the LJ;1oor Cede, for the palfQnnance ofth'j\"'o~i< for whiC:-1 ,. with Sect10n 70nD) tJi the f3usiriess and'
~hi permit is issued, . : 1, Professions Cod
,- -' I have ~nrl wiH ;nf<. 1rltatn wcr'Ker's c:omp~i1$at!0n in~llrance, as requil~"d I~){-S€'~ibn ~H00 of I' 11/23f200~
, . t ,EO'. Labor Coeta, for the performance of the work for wt'!i.:;r, ::;[S r~~rmit is, fs."L.::;.,::. rvlj'w(Jd.;er":; l Date: Cont:Plclcr
Compensation insurance earlier and pciliC',,' are: ;~.. I
.Carrier: STATE FUND, ~ Policy Number: 1690375:\ ' I'
This section need not be completed if the pemlit is tor one hundrea do:lar& {$100~ ~. i~s. I
o I cerMy thaI In the performance of the w!xk fer whIch; this pelT('llt IS 1S3:,:E:-l.; sl,ell not I
employ any person in any manner so as to becQme subject to the workers c-..:.....psi15atiofl laws
of Czlifo01ia, and agree that If I should become 'Subject to thO"! .er's cumpr.-'~2tion
prOVISions of Section 3700 of the Labor Code, I 'I fa ompiy WIth th:'l-=e pm\';8!OnS ConstnJclvn Types.
/ / __ V N, ,
Date: 11/23/2004 . Applicant: /[(~.,. . !._"":._L4;.,-l'r OcctJDanC'{ Grol!Ps:
WARNING; FAILURE TO SECURE MPENSATION COVERo.C;; IS S1, , , ,
UNLAWFUL, AND SHALL SUBJECT AN EMPL ER TO CRIMINA\. PENALnES AND CIVIL Fire Spnnkiere~? .
FINES UPTO ONE HUNDRED 11-I0USAND DOLLARS ($100,000), IN ADD; nON TO THE New/Additional Area'
COST OF COMPENSATION, DAMAGES AS PROVIDED FOR IN SECTION :<(06 OF THE
LABOR CODE, INTEREST AND ATTORNEY'S FEES.
I. CONSTRUCTION LENDING AGENCY .
lil~rebY affirm,under p~m?t~ of. ~erj~ry that ~~~rel<; a ~o~struc.t~'~n Jenning ag'::i.:Y fO;:~!_l~'
p":;~::'''i.'''':'t~C". .~;~_;.~-::\.... ''.Ji'N~'';':l,'l;ll~';'-:::f:iki.-i$ !~5lJE:\.. (;""Ivc.''':;l,~r.t''\f.G):
Lender:s; Information:
. .APPLlCANT: BEN PREACH
. OWNER INFORMATION:
EI Bekal Temple Assn.
1320 S Sanderson Ave
Anaheim,CA 92806
ARCHITECT/ENGINEER INFORMATION:
WALLACE FU C26061
357 VAN NESS 'Ny ~10-78:H422
TORRANCE, CA90501
1
NUMBER
771322
TYPE
TYPE
EXPIRA T!ON DATE
~1;30/20C15
9
C7
NO
230
...." -.
..,
, ,~,,~
I certify that r have read this application and state that the above information is correct. I
agree to oomply with dinances and state laws relating to building comitruction, and
herebyautho" Ives of this city to enter upon the above mentioned oroperty for
inspectio ur:
Fees paid for Pe~mft:
Total;
-.
,.v',
Signature of AppliCant or Agent
shall expire by limitation and become nuJl and void if the building or
not passed final inspection 365 days from the date of permit issuance. A
mit is required to commence or continue work.
I';/t:",
Date: 11/23/2004
1,329,30
. INSPECTION. RECORD
. INSPECTION . DATE INSPECTOR
Temporary Power Pale .
Plumbi 00 (DrainlWaste Pipe)
Electrical Ground Electrode/lifer II
SelbacklFormslTrenChes (Footings) .. . ..L 1M?! ~
Do not install subflooror pourfloor slab until the .
following applicable items have been signed: ..
Plumbioo (Water Pipe.Sprinkler valves)
MeChanical (Groundwork)
Electrical (Underground Condu it)
Pre-slab (CompactionlMembrane.Reim.
Underpinning (Floor Joist/Girders)
Do not cover or conceal the work below until the
following applicable itl'>ms have been signed: .
1 st Floor Shear .
Firesprinkfer . (RQlighl .
2nd Floor Shear .
Roof (ShealhinglDiaphragnVFramel. .
Masonry (ReinfJBond BeamlPre-Grout) ..
Rough Plumbing (Top Out)
Rough Mecl1anical . . ..
Rough ElectrICal (Dry waPI .
Rough Electrical . .
Framing"(Only.afterPlbg., Elec.. Mech. and'Fire)
Insulation (SoundlEnergy) ..
DQ not tape or plaster until the folfowingapplicable
items have been signed:
Drywall . .
. Penetrations (Fire Rated) Electrical .
Penetrations (Fire Rated) Mechanical
Penetrations (Fire Rated) Plumbing
Interior Lath . .
Exterior Lath .
.. GENERAL. ITEMS
exterior Plaster (Brown Coat)
T -Bar Electrical
T'Bar Mechanical
T -Bar Structural . .. .
Sewer ..
Wat",r Engineering Backflow
Water Service .
FINAL INSPECTIONS . Date Inspector
Electrical Final . .
Plumbing Final
Mechanical Final .
Gas Test . .
Engineering/Grading Final 76505126
Fire Dept. Final 765-4040
Water Engineering 765-S268 ... .
Sub L.ist/Business L.icense 765.519 . .
Zoning 765.5139 .
.
Building Final Itast Inspection. Onli "I./'. ,~ ~Jf1... 7J
--. . fter Above Complete) ~
PARTIAL. INSPECTIONS
BuildinQ Inspections
Meehanicallnspections
Plumbina Inspections
~'E"~'~'12#"~
BUI\..DINGPERMIT NO.
.- ,~ ...,>-
A(~~~J?"":~~.r~i{:~:{::
a~~~^J~~~siH ElM
CITY Y'",~~~t~~
DATE' 11/23/2004 ' ,~~';):'''fi'jJ:.f" 1
. . '\~,:o;.~t:.-~~~<;,,)
JOB ADDRESS: 1324 S SANDERSON AVE NEXTEL CA-821. '<:{:,.~r;,_~);
LEGAL DESCRIPTION: PARCEL MAP 279-45 PAR 1 POR OF PAR
BL02004'-03305
fJuiLDING DIVISION
200,S. ANAHEIM BLVD,
(714) 765 - 5153
INSPECTION REQUESTL1NE:
(714) 765.4626
CENSUS CODE: 437
QUARTER SECTION: 126
, TYPE OF PERMIT
, Light / Flag Pole
APPLICANT: BEN PREACH . i
OWNER INFORMATION: CONTRACTOR INFORM/iTION:
Ei Bekal Temple Assn NET COMSERVICES.IN't "
1320 S Sanderson Ave 26007 HUNTINGTON LN #9 ~
Anaheim. CA 92806 VALENCIA, CA 91355 OOCQ
, BUSiNESS PHONE: ,66j 2s:ipS88 ' ,
JOB DESCRIPTIONlristallatlon oftelephone company antennas (12 w/3 ~ect(:}5) on existing pole.
VALUATION: 30,000.00 ~. PROCESSED BY: JNJ.
I ,OWNER.BUILliERiVECLARATION . ~
I hereby,affirm under penalty of perjury thatl am exempt from-the Contractor':?:Ucense Law ro:- the follo~iVin9 rMason (Sec. '1031.5 Business <'\nd _'
Professions Code: any City o~ county_which reauires a permit to ~onstruct, ;jl.~r~ improve, der.{olish 'orrepeir Cln'vstruc:tllrl~, j.lriOr to its !scuRnce~ also
requires the applicantfor such permitto file a 6irlned statement that he is I!c:';?:sed purs'usnt f.o the prOviSi?r)S nfthe Contractor's license Law"(Chapter
. 9)(commenc;il)g'witl-t Section 700e of Divisio!13 of ihe 81:sk,es$-?nd.Prof~s.;~;}~ Code) n( th:Jt he is exempt_ therefr.)m and the basis tort:le afleged
exempiion. Any V~"I;5t1on of Section 7031.5 by any i30pHcant !.;Ji a perMit :';l)t{"ct:;-the apoll<;anr to a c1v!i ~"1t3r\a!tvvf l)O~ more than-frye-hundred doliars
($500) , ..1', , . ,','
II I, ~s o"vller.of property, or my emptoy'~<::s 'filth v:agt::S (;If. their 801s cor0lJ~l;satio!\ wHI doth~ wod(; -~nd.th~ structure is r'Qt:ntcnded.or off~red for
sale '(Sec. 7044 Business ane! Pt-eft>ssJons Gode:' Tr..e .Co'1ira~tr.;r'$ U,::ensG .J:~w aQes riot apply to c:rr owner of (:ropcrty who b\..:ilds-or improves
. ther~on, and wt'-.o does.sud1 work ilimSl3lf ,orhtorsel-f or U"';r\)\~gh'l1isor b~r o~~Al'<;>tr1p~Qyee"', provided 1hat~:;...;ch ;mpio\'e~T1311ts are not interr.ied or
'offered forsala. i,~', however, the bujkHn~l or improv~:-r'ent 1$ S0ld _with C>?1~ Y0i,~! ofcomplE'ticn.the own.3;-":;):;i:de::rwi,lhave the burden \)f pr'.Jv:ng that he
did 110t build or improve ,for the pU~P'O:.~9 of sale). . -' Y,: '.'" _ " :_";,' " '__
D.. " as theownerof the property, am e),elusively G0ntrBcting wlth licen;:;e.d:z.:mtrc::ctors to con3truct the pr?j~t ($ec. 7044:. .HU:;::;1~SS .3nd PfO:f~$oior.s.
Cede: fhe Contractor's Licenr:>e Law coesnot apply to an. owner ~f proper;y .~"Ijh? bu;!ds \~r improves thp.(66n,';'3ndwhO'~(i;r~"icts .for Bud1 proj~cts'_with
~jOi~~;o~~~;::C;:;dS~~?Udnt (0 the c~rXic:~ l~~~:~e::;:: ___',~,~___---, .i....~iiL___.__~"'-_..:__~
Dat'J: Owner: ....
ARCHITECT/ENGINEER INFORMATION:
WALLACf FU C26061
357 VAN NESS WY 310-783-7422
TORRANCE. CA 90501
I
Ut:l'NSEDC<:'I.lTHi\CT0f!!:,OECLARAT!ON J '.,
. ! hen:;:~yc:frirmu{lde,-;::38a;ly of jJerjury that 'j B.m
licens\3':Ju,;d~r provif:,:i<..n~ c~,\.her.'ter 9 {COmlflenciilG
<i,'W, S~cb)!l i'COO; ofDiv s:ne$s and
P:-ofosc:ons Code.
111'23/200.1 ;,>C:
Date:
WORKER'S <;9MPENSATION OECLAit'moN
~'
~'i!:!Di2Q05
B
C7
NO
-i '-;-'~';i
"r_
, certify thoU I have read this a
a.gree to comply wit i
hereby'author' t'
ins e n p ,
Ie . n and state that the above information'Ir-;,correct.'..1
. nces and state iaws relating to building construction, and
sof this city to enter tJpo0 the above mentioned property for
Fees paid for Permit:
Total:
772.95
Date: 11/23/2004
Signature of Applicant or Agent
all expire by limitation and become null and void if the building or
w()I'k has n passed final inspection 365 days from the date of permit issuance. A
new permit is required to commence or continue work.
INSPECTION RECORD
INSPEcnON DATE INSPECTOR
Temporary Power Pole . ,.
Plumbing (OralnlWaste Pipe) . .
.. Electrical Ground ElecttodelUfer
SetbacklFormslTrenches (Footings)
Do nolinstall subfloor or pour floor slab until the
following applicable items have been signed: ..
Plumbing (Water Pipe.Sprinkler Valves)
Mechanical (GrOUndwork) .
Electrical (Underground Conduit) . .
Pre-slab (CompactiorilMembrane.Reinf.) .. .
Underpinning (Floor Joist/Girders)
Do not cover or conceal the. work below until the
following applicable items have been signed:
1 st Floor Shear. . .
Firesprinkler (Rough) . .
2nd Floor Shear . . ..
RoOf (Sheathing/Diaphragm/Frame)
Masonry (RelnfJBOnd BeamlPre-GJ'OIJt)
Rough Plumbing (Top Out) .
Rough Mechanical . . .
I Rough 8ectrlC... '''' T .' all> .
Rough Electrical .... .
FraminG', (Only affer P!bg.. Elec,;'Mech:.and Fire)
Insulation (SoundlEnergy) .... .
00 not tape or plaster until the following applicable .
items have peen signed:. . . . .
Drywall .
'Penetrations (Fire Rated) Electrical
. Penetrations (Fire Rated) Mechanical
Penetrations (Fire Rated) Plumbing
Interior I.aIh . . . .
. .
Exterior Lath .
.. . . GENERAL ITEMS . . .
Exterior Plaster (Brown Coat) .. .
T -Bar Electrical'
T -Bar Mechanical
T -Bar Structural .
Sewer
Water Engineering Backflow '
Water Service .
FINAL INSPECTIONS Date, ,Inwector
Electrical Final . ~
Plumbing Final I
Mechanical Final . .. ,
Gas Test . .
Engineering/Grading Final 765-5126 .
.
Fire Dept. Final 765-4040 . .
,
Water Engineering 765-5268 , '
Sub ListiBusiness License 765-519 .
Zoning 765-5139
BuildingFinal jl;ast Inspection-. Only. l !jt.f-65 .~'" 1/.'
, fter Above Completel
PARTIAL INSPECTIONS
Buildinq Inspections
,
Mechanical Inspections
.~
!Il'I' '. . .
PlumbinQ Inspections
Electrical Inspections