1435 S. Vernon St.
. r
. BUILDING PERMIT NOi 6L02004,o2986
TYPE OF PERMIT
TenaoTlmprovemenf(Limited)
DATE: 9/1 0/2004
JOB ADDRESS: 1435 SVERNON ST
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CITY gWJ~~tdiHEIM
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BUiLDiNG DIVISiON
200 S. ANAHEIM BLVO.
(714) 765 - 5153
.INSPECTION REQUEST LINE:
(714) 765 - 4626
CENSUS CODE: 437
QUARTER SECTION: 106
. LEGAL DESCRIPTION: P BK 144 PG 27 PAR 2
,
i
CONTRACTOR l~jFoRM!(nON:
SEASHORE CONSl 1<\JC'';ON, INC
1930 OLD TUSTIN AVE j
SANTA ANA, CA 92705 73'<1
. BUSINESS.PHONE: 714 2"~-1600. .
JOB DESCRIPTIGN:renant Improvement, CoveT1 a portion, of existing warehoi;:~!': to office and remodel existing office, (Express PIC)
Vi\LUATION: 90,000.00 .l. P,ROCESSED BY': CDL
I . OWNER-BUILDER:PECLARATION _ . .
'hereby ,affirm, unde_f penalty of perjury that i am exemptfro~ the co~tracto~:tc.ucensa ~aw for the following reason (See, 7031.5 6ustness anG
projessionspode: any-city or county which requires a permR to constn..!ct; 3!~; i, improve, ~emojish or rel'alr any structurE', prior to-its issoarce, also
requires,theappli,cant for such permit to !ilea ~ig-ned stCl~ement that he)s HC~";S6d pt.:rsuant 19 the provisions of the Contractor's Ucen~e L~w (Chapter
, 9)(c.()(llmencing.withSection 7000 of Division ,3 of the Busin~s and pro.fass#ls Code) or ti,at h~ is exempt. therefrom and the basis for the ~i1e_ged
. exemptian.,.Any.violation of Section 7031.5 by any_applice:rnt for a permit SLJ!jOj!3cts the apDlicant to a dv~ pena.lty of not mvre ltv:'ln five hunored dollars
. ($500). .' .' .. . '. '. ..\'1'. . ." .'
. [J \, as O'Nner ot prop8:11y, or my employees with wag~:J as t;1eir scle cornqJI~s.c::\~icn, '.Nil! do th'7. work, and the structure IS, not ir:t€:Il{~:;!d 0.1' o.ffered for
saie (Sec. 7044 Buslne~$ and,Professions Code: Th>::! COl'J-tractor';;;.Uccn5C_H'N does not apply to an. owner of property who buikIs or improyes
thefeon, and who does ;SU?"' work himself or herse:l or through f,ieor her oy~;i!templcye~s, pro~it1ed that such improvements are n01 intended.or
offered forsale. Jf, t'lowever;the buildin~ 'or.lmprovt'mer:t is sold wIt:, oneyc4r of ccrnpletion, then,owner-buildei will ha\l~ the bur.den of provil1gthathe
didnotbuildcrimprove;~orthepurp-oseofsnle). n_ '..11 ,__ .. _ .
01,. as the owner oJthe property, am exclusivel~i contracting \V;UI Ucensed.dootractors :to-ccn:::truc;t t:Oe prcj~t (Sec.. 7044. BusinE-ssandProfess-ivl1s \
CQ~~, .The Contrac;tor's Licer:se Law does nct apply toan.owncr of 'ilfope>tY~::JhO builds or.hfr?roves U-;ereon, and who ";:or.tracts fOf sucH p,-ojecT$,wifh
. tJ-ontt:acfor(s) Iicenseo pursuant to the Conttai:;tor's Ucer;~,= L~w). ,i1 '
:~:,.,Jam exempt:/jn~er ~b.C., " , a & P.C:formls reason: '-"'---1~---
D8.tc:'. . "<-Qwner: __ ,__.~.L----,__.,,______~_._,.' ,_
r~VORKER'S COMPENSAT:CN DECLARAnciN-\L_..~':'_.:~ [LiCENSED CONTRA~i<S DEC;l.ARA-rICN J
I hereby affirm.utlde!'" pei1alty of perjury one of the foH"\'ltin~ cqclarat:on-;:. _.U: ,. I .1 hereby affirm IJnd&r p .nalN perjury that I Z!m
o I hpve ~i1d w;il ma.inbin.a certificate of oorlsent to se:f.insu.e for. WQr!~I3~Ycompens.aticn, I licensed under piC /: of C i P r 9 (commencing
as pr v;ded for by S_ ection 3-700 of the Labor Code. fOf the perfor man{-e orti~'~'I,...WOrK-fOr Which',1 wi.th Se~tion 70 ' . e Business and
~i. permit is issued; . '.. .;:: . . .. Profes.slons C
~J I have and \fo!iil maint~in worKer's. compens<'!tion insllrcmce,. as required bt'~>ectioJ1.3700 of !;)/10/2004
the Labor Code, fOI" ~he.performance of the 'work for which this pc-;rmit, is,;sSou.}d. tvlyworker's Date:
Conipensation 'ins:urance,carrter and policy S:-e: ~
C:3rrier: STATE COMPENSATION FUND Policy Numbe:-: 162791n:l--."......
1
. t~is'sectiOp. need root be compieteti if the peimit,iS_fc.r one hundred dOllars:.(i~~:,br)()r lt$s.
o ! certify,that in the ~erfonnance of the workJor which U"'js permit ;~.i;~~~~, 1,~ha;1 nol. I
employ any person-in any manner so as to bee e~u 'ec to 1he worke{s:r:,<3rt.penseltion laws.
of CaHfomia,~and agreetha.t if I should be" 'bje itq, wor,{ej'sc6nip~;'I$ation
provisions of Section 3700 of the Labor all p>1t w. co!:nPlY with V~;:se pro~j5ions.
APPLICANT: BiLL IUCKER
OWNER INFORMATION:
Precision I Anchor
1435 S Vernon St
Anaheim: CA 92805
ARCHiTECT/ENGiNEER INFORMATION:
NUMBER
,\69215
TYPE
"
Construclon Types:
Iii N, ,
. Date: 9/1 Of2004 Applicant: i~.. Occupancy Groups:
WARNING: FAILURE TO SECUREW K PEMSATiONCOVE.~;GE is B" "
UNLAWFUL, AND SHALL SUBJECT AN "L E TO CRIMINAL PENk TIf'SAND CIVIL Fire Sprinklered? '.
FINES UP TO ONE HUNDRED "tHOUSAND [\ .LLARS ($100,000), INI(DD. TIQN fa TI-IE I Number of Stories .
. COST OF COMPENSATION, DAMAGES AS OVIDED FORIN SECTfO~! 3706 OF THE I T.I. Area: . . . .
LABOR CODE, INTEREST AND ATTORNEY'S FEES. ....., . . . . .
L . - CONSTRUCTION LENDING AGENC..:!l.~' . ~__~ . . .
-1 herp.by affirm_ l)~.der pen,alt}' _of perjury that therej~__a CO!1st~lJctjo" lending a~~:;r'.(;y f'1r the
-Periunnance-oi tn-e -Work-for wnidl- t6is iJerinjfjs isslJea. (tiec. 30'-:1/ :Cw-.G~J: -- -----=--.-::-~:~;_.----::- ..,-;:-~=---~:---:-.;--: ;::,- - ,- ~~,-.:
Lender'S Information: - , .
NO
1
2,864
4
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. ". ~
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agree to romp':
herebY. aut (
?o
pplication-and state that the above Information is correct. I
ity rdin~nceS.and state,laws relating to bunding construction, and
nt' ,e of this city to enter upon th~ above mentioned property for
Fees paid for Permit:
Total:
2:572.75
Date: 9/10/2004
I oat 'of pplicant or Ageht .
The per ' shall xpire by limitation a,nd become null and v.oid if the building or
work has not p" ~d final inspectiQn 365 days from the date of permit issuance. A
new permit is r' uired to commence or continue work.
INSPECTION RECORD
FINAL INSPECTIONS
rical Final ,
bing Final,
hanical Final,
Test
Date, ' Inspeclor
, ' " 'PATE' Elect
, INSPECTION ,,' INSPECTOR ,
, Temporary Power Pole' , , Plum
,
Plumbi,ng (OrainIWaste Pipe) , ,
Elec;trical Groomf Electrode/Ufer Mec
SelbacklFormslTrencheslFootings) J ~'5-04 ~ Gas
Do not install subftooror pour floor slab until the Engi
following applicable items have been signed:
Plumbing (Water Pipe.Sprinkler Valves) Fir~
Mechanical (Groundworkj' : ", Wale
,
Electrical (UndergrallndConduit) , , "
, Pre-slab (CampactianlMembrane.Reim. Sub
,Underpin,ning (Floor Joist/Girders) , Zoni
," Do not cover or conceal the work belOW until the ,
following appHCal:lJe iterf1s,have been signed:' Build
1,stftoot Shear: ' . ',' , : "
Firesprinkler(Rough) , , "
2nd Floor Shear .. Bui!
Roof (5heathing/Diaohragm'Frane) , ~<
Masonry (ReinfJBond BeanlPre-GrO\It) "
" Rough Plumbing (Top Out) ,
Rough Mechanical ' , ,
Roll9h BeclriCaI (DryWall) , ' ,
. Rough Elecfrical ,,' , ' , ,
Framing (O"~a~erPI!>;j,E/ec,MI/i;hanQF"e), '~'
Insulation (SoundlEnergy) , ,,'(117 to, / ~ ' Mec
po notlape or pla~ter until the fOIlOWJng'applicabl~ /I' ' '
Items have been SIgned: " ',' " h '
~rvwall ',", ' , /; I'Z f)'f' ..
v Penelralions (Fire Rated) Electrical "
Penetrations (Fire Rated) Mechanical " :
Penelralions(Fire Ratlit;l) Plumbil1!l ,,' ,
Interior Lath , ,,' ,
Exterior Lath '. ' , Plu
" GENERAL ITEMS
Exterior Plaster (Brown Coat) ,
,T.Bar Electncal , ,
T-Bar Mechanical " ", )J
T -Bar 'Structural ' -'Y'
Sewer ' , ,- , "
. Water Engineering Backflow , , Elec
,
Water Service ' ,
z,-ZS'O
, zA.f, '
p
neeringlGrading Final 765-5126
Dept. Final 7654040
rEngineerin'g 765.5268
List/Business License 765-519
ng, 765-5139'
ing Final (Last inspection, Only ,
Alter Above Completel '2-0
PARTIAL INSPECTIONS
~~~I~;;",,~~
hanicallnspections
mbinq Inspections
trical'lnspections
"