2140 E. Winston Rd.
BUILDING PERMIT NO.
BLD2004-,04220
, !~:l~f~)4~~~,), ' ,
CITYO:E~liii\HEIM
\,~~t~;';~;;~l ' '
BUILDING DIVISION .
200 S. ANAHEIM BLVD
(714) 765.5153
INSPECTION REQUESTLINE:
, (714) 765 - 4626
CENSUS CODE: ,437
QUARTER SECTION: 116
TYPE OF PERMIT
Tenant Improvement (Extensive)
'DATE: 1/24/2005
JOB ADDRESS: 2140 E WINSTON RD BLDG 10
LEGAL DESCRIPTION: SEC 24 T 4 R 10 18.55 AC SW1/4
CONTRACTOR INFORMA,10N:
J LG ASSOCIATES INC
17821 SKY PARK CIR #L
iRVINE, CA 926140000
BUSINESS PHONE: 949 22~-1955
JOB DESCRIPTION,I: WAREHOUSE AND OFFICE,
VALUATION: 100,000,00 ,I;
..'-
I _ OWNER-BUiLDER/]ECLARATION '
I. hereby affirm under penalty of perjury that Ian; exempt from theContractOr'r Lie-ense Law for the following reZlson ($ec. 7031.5 Business and
. Professions Code: any city or county which requires a permit to constrLOcL e!t'(t, -improve; demolish Ci repair any struc.tu(e,_priC'r~o its issuance, alsQ
require'> the applicant for such permit to file a signed-statement that he is Ik::ei:sed pur::>uant to the provisions of the Cuntractor's L:cense Law (Chapter
9)(COmrne~Cing witli Se~tion 7000 of Divi$ionZ of the Business end p1')fe~eit/) C~de) or ttis~he is ex'empt therefrom an'o t~e b:s'!3is for th~a!:eged
exemption. Any vioiation of Section 7031.5 by any applicant for a pen:nH s!"!b;p-:;ts"the app!ica(lt to a dV11 penalty (;f not morl!: than five hundred,dolia.s
i$500). ' , " ,f ' " ,
LJ '1, as owner of property, or my employees with wage::. as their-sole com;::1f"lSgtiorl,,:,,,WdO the work, and the G~j~ucture is nat intended oroffcredJo~
~ale (Sec. 7044 Business and Professions Code: The Contractor's License lnw_does not a!)p1yto an oWl1er of pmperty who bUild$ or improves .
thereon, and 'whodoes such work himself or herself or through his or her Gw;JBinployees, p:-ovided that sL.'ci1impj'QvemGr:t~ Ne notintended or '
offered for sale, If. however, the buildiri!J or jmprovement is ~cld with on~: 1e!!.rofcompletion,the.cwner-bu.ilderwill ht:l\'e the burdeI10f"prov;ng'that he
did not'build O( improve for the purpose of sale}, J,.
o I: _as.the owner of the property, am exdu5ively'conti"'a.ctinq with licensed ~ntia'ctors to construct the project (Sec_ 1044 .R'j~li1ess and Professions
Code: The Contractpr's License Law-does not apply to fin owner oj prcpefty Vi1.o btljlds or jmprove~, thereol1, c.;r.d whc ccntr::tcto: for such projects with'
t:]..!for.tractof{S) licensed pursuahtto the- Cbntmc.tor's License LC'lw). Ii
_J..l am ex~mpt under Sec, ' .-!3 & P.C, for th:s 're-ason: _____x';.,.
Date: Owner: P
r- WORKER'S COMPENSATIONDECLARATIQ!:!'~_~ --:--~=:J
1 hemby affirm underpenaJry_of per!ury on€! of the foHowing decl<l~ations: "
Ll I hav€- and will maintain a certificate of consent to self-insurft for w0rk<,,:r':}coI:1P€nsotion,
l;iS J:rovided for by Section 3700 of the Leber Code, for the performanc",,;:;fth~' ("lurK for~"'hich
this perinit is :issued. " ., '_' I
~ I hc.ve and will mainlain,worker's compensation :nsurance, as required b:; ~,eG!ion .3700 of
Th9 Labor Code, for the performance of the 'worl< for which this permit is i3SW}.::L Myworker's
CompensatiOn insurance carrier and policy are: . .. (
Carrier: EMPLOYERS COM PENSATON , Policy Number. HN05e8j;~)')2
This section need not be completed if the pennit is for ~ne hundred "dollars {S1 oo! ,-,!" lE:5s,
Cl .1 certify t~at in the perfonnance of the work for which this permit is: is.''>U&f!-~.; snail not
.employ-any person in any manner soas _to become subjeqtto the work0r's cC-:Tlpensation laws
of Califomia, and. ,agree that if I s ould be ,me subject to the worker's GO~pc,h::::~ti~1l
provisions of Section 3700 of the abo vode, I shall forthwit 'omply l/yHh 1h:'$t.'! provisions.
APPLICANT: LANCE SPRAGUE
OWNER INFORMATION:
'Chemicai C Neville
2800 Neville Rd '
Pittsburgh, PA 15225
ARCHITECT/ENGINEER INFORMATION:
JON, ZIMMERMAN
18002 COWAN
IRVINE. CA 92614
PROCESSED BY: EMA
LICENSED CONTRACTORS DECLARATION':J
, I hereby affirm unde~ pe:1alty of perjury tt.lat. I am :
iicensedt:ndsr- provis!on.s of chapterS (commencing.
WittiS...-,' ion70 OfDi'S~ir.ess,and
Plofesslo C ;;:~ ..._"
'/24/~0r.< ~ ' ,
!, ",,'" ----
Date: . Ccr.tractor .
~-~
EXPIRATION DATE
S/31/2006
B
, Date: 1/24/2005 Applicant: _ '~"
WARNING: FAILURE TO SECU EW ER'S COMPE, SATION COVER-A''':;;!:: IS
UNLAWFUL, AND :SHALL SUBJECT AN EMPLOYER TO CRIf.."INAL PENAl,t:~S-AND CIVIL
FiNES UPTO ONE HUNDRED THOUSAND DOLLARS ($100,000), IN ADDrrlON TO THE
COST OF COMPENSATION, DAMAGES AS PROVIDED FOR IN SECTION 3706 Of THE
LABOR c.ODE, INTEREST AND ATTORNEY'S FEES, ' ' ,
L ' CONSTRUCTION LENDING AGENCY ..___
. _J h""I'0bv ~ff!.rm.-~md""r._"IAn~ It" nf ~p.ritlrv ~hl=!:+ t!-:;:l,r~ 1<:. :? !""...n<t1nJ(:.Hnn ~111;ilQ~ ~.~:".t:'\t f(\f.1he ~__
pe!for~ance of the W~Ik. fOl: whiCh {hi; perr~,it is is~ed {Sec. 3097 .Civ.C):-' - ~
Lender's Information:
Construcion TYDCS: .
V N, ,
Occupancy Groups:
B, ..; .
Ffre Sprinklered?
T.!'. Area:
YES
'5,300
I certify that I have -read .this a pplicatlon -and state that the above information IS correct. I
agree_ to comply with all city ordinances and state laws relating to building constructio(l, and
hereb uthoriz~ representives of this city 10 enter upon the above mentione.a property for.
'nspe ion pur ses: '
Date: 1/24/2005
Fees paid for Permit:
Total:
1,998.54
Signatur f Appli ot or gent
permit shall expire by limitation and become null and void if the building' or
work has notpassedfinal inspection 365 days from the date of permit issuance.' A
new permit is required to commence or continue work.
INSPECTION RECORD
. INSPECTION DATE I . INSPECTOR .
Temporary Power Pole'
Plumbiilg (DrainIWaste Pipe)
Electrical Ground Electrode/lifer '.
SelbacklFormslTreilches (Footings) .
Do not install subfloor or pour floor slab until the , .
.' .following applic8ple items have been signed: .
Plumbing (Water Pipe.Sprinkler Valves) .
Mechanical (Groundwork)
Electrical (Underground Conduit)
Pre-slab (Compaction/Membrane.Reinf.
Underpinning(Roor Joist/Girders) '.
Do nol.cover or conceal the wOrK'below until the
following applicable items have been signed: .
1st FlOor Shear . . .
Flresprinkler (Rough) "
2nd Floor Shear
Roof (Sheal:hing/Diaphragm/Frame)
Masonry (RelnfJBond BeamlPre-Grout)
Rough Plumbing (Top Out)
Rough Mechanical
Rougn l:IectrlCallury walll
Rough.Elec:trical"
Framing (Only after PIbg., EJec..-Mech.. and Fire) . l
Insulal:ion (SoundlEnergy) !
Do not tape or plaster until the following applicable
items have been,signed: '. " .
Drywall .
Penetral:ions (Fire Ral:ed) Electrical
Penetral:lons (Fire Rated) Mechanical l
Penetral:ions (Fire Rated) Plumbing . !
Interior Lath'
Exterior Laih .
GENERAL ITEMS
Exterior Plaster (Brown Coal) >~~/ ,
T -Bar Electrical .
T -Bar Mechanical . ~(5.,
T -Bar Structural . t 1""4' ~
Sewer. . .
Wa..r Engin..ring Backflow
Water Service
FINAL INSPECTIONS
Electrical Final
Plumbing Final
Mechanical Final
Gas Test
Engineering/Grading Final 7~126 .
Fire Dept. Final 765-4040
Water Engineering 765-5268
Sub List/Business License 765-519
Zoning 765.5139'
Building Final ILastlnspection. Only
After Above Complete)
. Date
. Inspector
rt, (l-
ollcS' ~ 'Wd1). . .
echanicall~ions . ::to
v~~A<: ~.. ~;<11 y
I .
Plumbin~nsDectio.ns '. . ....~
ehlo.riltxP.DU( I>> ~US f)J(. '.. -
, . - . - .
CIJOOB
OMB ELECTRICAL ENGINEERS, INC.
Jeffrey C. Overmyer
Dennis E. McVay
Roy L. Lopez
March 10, 2005
Inspector
City of Anaheim
Building Division
200 S. Anaheim Boulevard
Anaheim, CA 92805
Project: Stadium West - Building 10
2140 East Winston Road, Anaheim CA
Case Number: ELE 2005-00102
OMB Job # 4028700-016
Subject: Service ground rod - Correction
Dear Inspector:
Regarding the correction notice referenced above, OMB approves the steel ground
rod to be installed in the service side of the new electrical switchgear, size shall be
5/8"x 8 foot in length, located near of the. center electrical cabinet.
Please feel free to contact me if you should have any questions.
Sincerely
Mario E. Castro
Project Manager
Copy: Mike Beeson of JLC
(1
8659 Research Drive . Suite 100 . Irvine, California 92618 . (949)753-1553 . Fax (949)753-1992
TYPE OF PERMIT
Storage Racks CITY
DATE: 3/14/2005
JOB.ADDRESS: 2140 E WINSTON RD SLOG 10
LEGAL DESCRIPTION: SEC24 T 4R 1018.55 AC SW1/4
. ,,~-:;~[~'!'l:"~:~_,.
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, ':-':':,'::::'"1'1\'1'.\\
. ..~l.HEIM
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, BUILDING DIVISION
200 S. ANAHEIM BLVD.
(714) 765 - 5153
INS.PECTION REQUEST LINE:
(714) 765' 4626
CENSUS CODE: . 437'
QUARTER SECTION: 116
BUILDING PERMIT NO. BLD2005-00698
CONTRACTOR INFORMATION:
T K SYSTEMS INC
1060 RICHFIELD 'ROAD
PLACENTIA, CA 92870
BUSINESS PHONE: 714/57t.7380
JOB DESCRIPTIOllilnstall1921f of strorage shelving/racks
VALUATION: 4,800.00
I OWNER-BUILDER DECLARATION
I hereby affirm under penalty of perjury that! am exempt frornthe Contractor\::; Ucellse Law for the following reason (Sec. 7031;5 Business and
Professions Code: any dty or county which ~equjres a perm"it to construct, aiter. improve. demolish Or repair any structure, prior to its issuance,. also
requires the applicant for suCh permit to file;a signed statement that he is Ileer,sed pursuant to the provisions of the Contractor's License Law (Chapter
9)(commencing with Section 7000'of Division 3 of the Business and ProfeSsk;;:s'Code) or that he rs exempt therefr9m 'and the basis for the alleged
exemption. ,Any violation of Section 703'1.5 by any applicant for a permit subjee;'t$the applica_nt to a dvil penaltyof.not more than five, hundred dollars
~~ . .
o I, as owner,of property, or my emplqyees with wages as their sole COnlpt.1nsation, will d9.the work, ,and ,the structure is not in~e!lded cr offered for
s&le (Sec.-7044, Business and Professions COde: The'Contractor's Licens~ Luw-doe-s not spplyto an owner of property who builds or itllprO\leS
there.on, 'and who does su<t1 work himself or herself or through his or her QWr;.'smptcyees, provided that such improvements a're not intended or
offered' for sa Ie. If,. however, the build jng or improvement is. sold with 'on e ye.~j'ot- 00 i!1pl ebon, the owne r-bu i1der IN ifl have ~he burde n of pioving that he=
didnot b~ild or improve for the purpose of sale). 'j, . ,-' .
o I, as the owner of the property,~me)(dusively contracting with llcensed ~xmTra'.::tors to construct ~he projeqt (Sec. 7044 Business and Professions
Code: The Contractor's ,License_ Law does not apply to an owner of properiy;vho builds or improve~tliereor.; andw-hocontracts for such projects with
~ontrador(s) licensed pursuant.to the Contractor's License Law). .
l,--.J I ani exempt under Sec.- , B & P.C. for this reason: ____
Date: Owner:
I WORKER'S COMPENSATION DECLARATION
I hereby affirm under penalty of perjury one of the folla"."ing declarations:
o I ha.~e and will maintain ,8 certificate of consent to se-lf-insure for worl<er'd.c('lmpE!nsatJon,
as provided for by S'ection 3700 of the Labor Code, for the performance ofthd,work for which
~hiS rmit is issued. ' . , j
I have and.wil"1 main.tain worker's compensation insurance, as reQUirec;l.t'lY;SectkJl1 3700 of
bor Code, for the-performance of the work for which this permit is issued Myworker's
ompensatlon insurance carner and poli?J are: .
Carrier: STATE FUND. . . Policy Number. 164379.1 .
APPLICANT: ROBERT AGRACEWICZ
OWNERJNFORMATlON:
Chemical C NevJlle
2800 Neville Rd
Pittsburgh, PA 15225
ARCHITECT/ENGINEER INFORMATION:
. NARESH J PALKHIWALA
1725 S. DOUGLAS RD.
ANAHEIM, CA 92806
PROCESSED BY: SAM
C_-l
' ",
.i ..
This section need not be completed if the pennit is for one hundred dollars ($100) or Icl_s.
o .1 certify that in the perforrnanc~ofthe work for which this permit Is issued,l ~n not
, emp!oy any person in any manner so as to become subject to the worker's coi:1pens.~tian laws
of California, and agree that if I should . become subject to the worker's cor.lperlsatibn'
provisions of Section 3700 of the tabor Code, I shaH fort with comply'with th~l:;e provisions.
. .
. ,
LICENSED CONTRACTORS DECLARATION '! i
I hereby a irm under penalty of perjury that lam::
licensE:ld under provisions of cnapter 9 (commenc.ing'
. with Section 7000)of Divsion 3 of the Business an,d.
profeSSions~.e6 /
3/14/2005
.Date:' . .....ontractor
NUMBER . EXPIRATION DATE
. 800845 11/30/2005
TYPE C61 AWN
TYPE 024
Date: 3/14/2005 . Appll
WARNING: FAILURE TOSECUREWORKER'S COM SATION COVEPJ,GE IS
UNLAWFUL, AND SHALL SUBJECT AN EMPLOYER TO CRIMINAL PENALTIES AND CIVIL
FINES UPTO ONE HUNDRED'THOUSAND DOLLARS ($100,000), IN ADDITION TO THE
COST OF COMPENSATION, DAMAGES AS PROVIDED FOR IN SECTION 3706 OF.THE
LABOR CODE, INTEREST AND ATTORNEY'S FEES.
I CONSTRUCTION LENDING AGENCY ._
I "emby affirm lIhder penell': bf pt:>rjllry that there i<;;3 r.cndn.lc!io:'! leNkt.J ::&g.._..-.cyfor thp.
performance of the work for which this permit is issued (Seo.3097 .Civ.C):
. Lender's Information:
Construcion Types:
VN" .
Fire:Spriilklered?
YES
I certify that' have read this application and s~te that th:e above information" h:; correct. I
agree to oomply'withall city ordinances and state laws relating to building constructi'on, a'nd
hereby authorize representives of this city to enter upon the above mentioned property for
inspectionp'Jr: ~~. . Date: 3114/2005
. \(j ~ Si~li~t""' ;h;;1cant or Agent
The permit shall expire by limitation .and become null and void if the building or
work has not passed final inspection 365 days from the date of permit issuance. A
new' permit is required to commence or continue work.
Fees paid for Permit:
Total:
428.72
INSPECTioN RECORD
INSPECTION . . . DATE . INSPECTpR
Temporary Power Pole
Plumbing (DrainIWaste Pipe) .
Electrical Groun~ Electrode/uter .
SelbacklFor'msfTrenches (Footings).
Do not.install subflooror pour. floor slab until the
following applicable items'have been signed':
Plumbing (WlIter Plpe.Sprinkler VlIlves)
Mec:hlInical (Groundwork) .
E.lectriclll (Underground Conduit) .'
.
Pre-slllb (CompactionlMembrooe.Reinf. .
Underpinning (Floor Joist/Girders) . . .
.. Do f10t cover or conceal the work below until the .
following applicable items have been signed:.
1 st Floor Shear . .
FireSprinlder. (Rough) . ... .
2nd Floor Shear
RQof (Sheillh.ing/DiaphragmlFrame)
Masonry (ReinfJBond Beam/Pre-GlO\It) . .
Rough Plumbing (Top Out)
Rough Mechaniclll .
ROugh t:IectriCaI (ury Wall) . ...
Rough Elecirical . .
Framing {Only after Plbg.. EleC_.. Mech and FIre)
Insulation (SoundlEnergy) . . .
Do not tape or plaster until the following applicable
items have been Sig~8d:', . . . .
Drywllll
Pene!rlllions (Fire Rated) E/ectriCll/ . .
Penetrillions(Flre Rated) Mech.ooiCllI .
Penetrillions (Fire RlIled) P1umbil19
Interior Lath . .
Exterior Lath
. . GENERAL ITEMS
Exterior Plaster (BlOWn Coa) .
T -Bar Electrical ..
T -Bar. MechaniUI .. . ...
T -Bar Structural .
Sewer
Water Engineering Backflow . .. . .
Waler Service
FINAL INSPECTIONS . Date. Inspector
Electri.cal Final . .
Plumbh'g Final .
Mechanical Final : .
. .
Gas Te~t. .
Engineering/Grading Final 765-5126
Fire Dept. Final 765-4040 . . .
Water EngineerinQ 765-5268 !
Sub List/BusIness License. 765-519' !
Zoning 765-5139 ."
Building Final ~.stlnspection. onl~)~ ifp.5 ~-f;... ;,
, fter Above Complete)
. PARTIAL INSPECTIONS
.'
Buildina Inspections
Mechanical Inspections
PlumbinA Inspections
Electrical Inspections
'.