245 S. Willowcreek Ln.
TYPE OF PERMIT
Blockwalll Columns
.,
.
CITY
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~~:;"",;%,"'~:HEIM'
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BUILDING DIVISION
200 S, ANAHEIM BLVD,
(714) 765- 515~
INSPECTION REQUEST LINE:
(714) 765 - 4626
CENStJSCODE: ' 434
QUARTER SECTION: 197
BU;lDING PERMIT NO, ' BLD2004-00832
DATE: 3/24/2004
JOB ADDRESS: 245 S WllWWCREEK IN
lEGAL DESCRIPTION: TRACT NO 13716l0T'10 POR OF lOT
CONTRACTOR INFORMj).!ON:
GATE mONICS SYSTE~,i,
5430 GRANBY DR l
YORBA UNDA,:CA 9268i'(r~;')
BUSINESSPHONE: 714693-0809
JOB,DESCR,'PTIO, N:lnstall (2) Weest gates Wi,th, mOlors,', ' ,1 ," '
VALUATION",_ 35,00000 , _~____,_,_ _', PROCESSED BY: ODC, " ,',
I , "c " " __~---9J1YE1"K:1I.kH!_D0B_ EClARATION ' ' ' ""', ' "'I
I, her~by~ffi.(;.-! under ?E::J~lty.o, perjury that l::r;.I'e.:-:/~mpt if,)r:'! t:':~:_ C'vnttJ'::.:;.r'[Dcense',L<'3W for the follo,wing. fl3ason (Sec~_703-1,5,,~uSiness~nd '.
PflAe~,$icr:$ ~re: ih~'Jcn~' or >:::QontYwhiC~j (6quj~s.3.p~rr'1it tc -:;~nstl'(J.:;r, ;;;_:~_;, rirr:r.:-rove, demolish or repair any'structure, priort~ its,issuarce, also
f,,;iq:l\,.c....'31:hc.a,?p!icJ;/_,:o:'" ;3":Jt;h_ :.'ermit to'tile'~ $:gnE.'-d ::;t?t/;:~~'(..\!;':t that h.~ ;f:'i>:.:+.:~d purs!-,ant,to the provisions of the Contractor's.Licens,e Law (C~apte;
g)(Gcmn'~e-:'d~tl with,S~~c~l(~'r. IOUO of m\~sjC;1 :3 d_ ~:1e BU!Ji~ec,'3 aile: p;nff;':;~i:fj'i Code) or that he i3 exempt therefrom and the basis,fo"f-the allege9
. ~~A~\,~~,~.;')n,'),n~!"._::)t~t.~>n d_8':::c~jon ZO~~.5 by -:"iY ?1;plfGa;lt f~I' r. p~~~{i .~pi.;,I{':;~S: ~.~e,apPlicant, .to a ~Vif p_enalty of not m":e ~~~?,~,Ve,h~nd~;1:.dOllars ,
CJ, ,I, i.;.:. GWn<ir (IT p;,cpe,'l1.Y, or my, e, mpIoyees with W, ages as thejr,Sq~_e CO~i'F',t, ~3,dfjt)n"'NJ,'UdO. the. work, arid th, e struc,' ture is,' '00t,!ote",nd,ed"o,,r'Offe,red for
sale (Sac. 7044 Business and Professions Code: The-Ccntractor's Ucens'J [f'~' does notappfyto an owne"-of pro perty who buUdsor improves:
. thereon, ::Ina wno.does'suCh ',;:::.rk himself or herself or through hiS or her Co';,,;], t:~i1lp!':)\Iei-:!s,orovidedthat'such implO"emerlts are,nQt !'1~eOdedor>
offered for sa.le. If; hOwever, the'buildh~g or Improv'ement !s sold. witl"l one-y~y.,~ot cOmpletion, the Qwner-bui'det wHlhave the_burden q( prOVing tha;t he.
did not buCdo( improVe fC'fth'epulpose of-sale). . _ \lr: ..< .. . -: .:, '_-__ .. ' _,__".... _._'_-'
o .I,as 'the:owner'ofthe prop~rty, am exdus~veiy cOrlhacting with ik::er:sc::u 'todradorsto con::;tructthe project (Se~_ 70~_l3usiness,and Pmfessicns
Code: .Tt'leContractor's license. law does not.,~pply. to an owner of propsrtyvhO b:.lj;ds,or improves .the~eon,'and wno-oontracts.-for such pt\}jec~:with
~Qntr~Ctor(~)J~censed P\.lrsuantto the Contractor's License Law). . ~ .' - '..
U lam.e;:<em~t.underSj;lc.. , . .B'&.P.C.forthis'reason: _ ___:.?~
Gate: Owner: __.:.~.
t WORKER'S COMPENSATION DECLAAATlON jL.
: I hereby 3ffirw under p~nalty_:ofpe~uryone of the Jail OWing, declarations: :1
o J have and wi l lnt~in' a certifICate of oonsent to self-inSUre forwori<ei '\~Oi npensaiio/l,
as-.provided ,Y Sed,ion 3700 of the Labor Code, for the performznca ot t!1b! ~'>'~)r.< fOiwt.id"l
t is "t'is issued. . . ,:]:,' ','
'"' .have and w'iIImaintain worker's compensation'j1"Surance, as requi:"9d t;}i;.Scction 370G_of
. , "",, , ,,'
U-,e Labor.Code, f~r the performance.9fJf1e work for which this permit is,;S$:'i~.;:. My.work?r's
Compensation insurance carrieran<~,p6liCj are: " > ,. .
C.'3rrier: S'TATE FUND PollcyNumber: t73157'{;
j"
T:~!~ ~<:;.ction: n~ednot be completed ifthepennit is for one h~ndred dollars ($'w~ibr"es~';_ "
o . I certify that in. the perfonnance of the' work f<:,(.W.hi~h this perm.it- is ;ss,~/~;~l;f;,~3:~ '~9t
employ any person in ~ny !TI~nnerso 8$ to bec_ome.;;ubJect-to the wcr.ker'5'(;~j:-j}.R-~4';~<:ltl~.nlaws
'of California, and agree th~tif I should become subJe<;;t t the, w~rker's comp.~~;y;<;-tjS1.n :'~'>'
provisions of Section'~700 of the laborCod I sharl.~ 'thcomply withtli::.~>?:pfovisi-9n~~::
O.le, 3/24/2004 !lPPlicant:'~ ,_,_,j""" ",-",'
WARNING: FA/LURE TO SECURE WORKER'S COM SATION COVEP,,\r>E~S_,,"F ,"
UNLAWFUL, AND SHALL SUBJECT AN EMPLOYER TO CRIMINAL PENAt:Ti~S'-"ND;CIVIL
FINES UPTO ONE HUi!DRED 11-fOUSAND DOLLARs ($100,000), IN f'DDiT!GN):O>;LHE
COST OF COMPENSM'l6N, .DAMAGES AS PROVIDED FORIN SE<.:TIOkW>6 O.FTHE
LABOR CODE, fNTEREST AND ATTORNEY'S FEES, ' ..
C CONSTRUCTION LENDING AGENCY ."
l hereby affirm unde'f pena~ of per-jury that the~e is ~.,?onstruction lendiilg ~s::f~ny,forthe ._.,
0~>:-t"~;t..,;~",,,,,=_!'fl'"':e_,,,~..t,_.:'",.,r_'\'''';<'h iN" ;,,,,r;-it l,:" i,;,:":'~.:! (co:::;. :.o:>:? .::.'.2';: c._ ~~~~_~,--_, _! - .__--=-<~.-
Lendar'slnfo~ation: . . -
APPLICANT: MICHAEL MCKEEHAN
OWNER INFORMATION:
Kami'ar Karimpour
245 S Willowcreak In
Ana/1eim, CA 92505
ARCHITECTIENGINEER INFORMATION:
LONNIE MOUNT ' , ' ,
~.
LICENSED CONTRACTORS DECLARATIONj , '
I_ryerebyaffirm'underpenal. 'of perjury rh~t I ~m <';'
ncensed uriderproYii,ions of cha, ter 9 (c.ommen"ina
with Sectio.n 7000) 0 Di ion 0 the Business and
Professions C. e. ' '. . :./
3124/~004
. Date:
NUMBER
665511
,TYPE
EXPIRATIO~f DA TE
3/31/2005
D28
Constr\Jcion Types:
VN, ,
. Fire Sprinklered?
NO
',"
, ,
, '
,lce"rtify" t~.allhave, read:thi1f}, a PP,I, ication and statethattheabo~ infer,matian'i:; correct. J
. agree to com. y withal! city 'rdinanCes and state laws relating to building con.truction, and
hereby author erep se:nti of this dty'~ enter upon the aboye mentioned property for
insR or pur s, "./ , " ' ,
, ., Date: 3/24/2004
Signa re of Applicant or Agent
The permit shall expire by limitation and ,beCome null and void if the building or
work has 'not passell final inspection 365 days from the date of permit issuance. A
new permit is required to commence ,or continue work.
Fees paid for Per~it:
Total:
867,72
INSPECTION RECORD
, INSPECTION DATE INSPECTOR I
Temporary Power Pole ,
Plumbing(DrainlWa~e Pipe) " , ,
Electrical Ground Electrode/Ufer " '~
SetbacklFormsfTrenches(Footings) -:"~-Dt '
Do not install subfloor or pour floor slab until the
fOllowing applicable items have been signed: I
Plumbing (Water Plpe.Sprinkler Valves) ,
Mechanical (Groundwork) ,
Electrical (Underground Conduit) I
Pre..siab (CompactionlMelT1brane .Reinf.
Underpinning (Fioor Joist/Girtlers) , I
Do not cover or conceal the work below until the
following applicable items have been signed: . '
1 st Floor Shear
Firesprinklel' (Rough)
2nd Flollr Shear
Roof (Sheathing/Diaphragm/Frame) ~
Masonry (ReinfJBond BeamiPr.Grout)
ROll9h Plllmbing (Top Ollt)
ROllgh Mechanical. ,
RolI9h Electrical (Dry Wail) ,
ROllgh EI&l:trical ,
Framing (ori~ afterPlbg,:E1eC"MeCll, and Fire)
Insulation (SoundlEnergy) ,
Do not tape or plaster IIntil the following applicable
items hav-!! been signed: -..
"D~a" ' "
,Penetrations (Fire Rated) Electrical ,
Penetrations (Flre'Rated) Mechanical
Penetrations (Fire Rated) Plumbing
, In,terior Lath , .
Exterior Lath ,
GENERAL ITEMS .
Exterior Plaster (Brown Coat)
T -Bar Electricai I
T -Bar Mechanical
T -Bar Stl'l!ctural ,
Sewer " ,
Water Engineering BacJdlow ,
Water Service
,
FINAL INSPECTIONS "'-
,Oate Inweel;)
'Electrical Final . 9j..v0f/ A'L 7,
Plumbing Final /'
Mechanical Final ,
Gas Test ,
Engineering/Grading Final 7,65.o12~ ,
Fire Dept. Final 765-4040 ,
Water Engineering 765'5268,.
Sub List/Business License 765-519 , "
Zoning 765-5139
Building Final ~ast Inspection-Only /;',{hj 1 /? .fh(/
fter Above Complete)
PARTIAL lNSPECTIOf!jS
BuildinQ Inspections
Mechanical. Inspections "
Plumbina Inspections,
Electrical Inspections