2801 E. Miraloma Ave.
TYPE OF PERMIT . .'
New Commerciat Construction.
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CITY (j~~~~jHEIM
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1:
BUILD'ING DIViSIO!li
.200 S. A!lJAHEIM BLVlJ
(7.14) 7.65 - 5153 .
I!lJSPECTIO!IJ REQUESTLI!lJE:
(7.14)7.65 - 4626
CE!lJSUS CODE: 437
QUARTER SECTIO!IJ: 120
!;tXf' q~~03>
,,"U;U:ilNG PERMIT NO.. BLD2001-00681
DATE: 9/3/2002
JOB ADDRESS: 2801 E MIRALOMA AVE
.t EGAL DESCRIPTIO!IJ: P BK.89 PG 29 PAR 1
,
APPLlCA!lJT: DbUG BROWN".
OW!lJER INFORMATfO!IJ: . . CONTRACTOR INFORMA116N: . ARCHITECT/E!lJGINEER I!lJFORMATIO!IJ:
KIPTON SHA KAHLER . - ESMAIL RASTEGARI
2801 E MIRALOMA AVE . ",.? 1150 E ORANGETHORPE
ANAHEIM, CA 92806 . '" .' ";{~,: - .PLACENTIA, CA 92670
JOB DESCRIPTIONl'lew 15,450 sq.ft. warehouse building (with;op~ning to eXi:.,t!ng '~lljl.~ing) and 3,36 new office areE':'to~existingbuilding,
VALUATION: 457,320.00"7'" PROCESSED BY: KBT
I . OWNER-BUILDERPECLARATION ..~
I hereby affirm under pen~,lty of ~erjury that I,am exempt from the Contractqrs-l2ic~nse Law fQr the,fbHowlng reason (Sec. 703,1.5 Business and
ProfessiC?l1s'Cexfe: any.dtyor ciol,lnty \yhich requires ~,permittp, cons~ryc,t;,a~q(Wn.F;'ove, demolish or repair any structure, prior to its 'ISSIJ:<:ince! --also,\:"
reguiresthe applicar)tfor-such, perinitto file a signedstatementthat'he is li~~~sE?d,Pl1rsuant to the,provisi_ons of the Contractor's License Law (Chaptei
9)(Com~encing:with Sectio'n 70DO,of Oivision. 3 of the Business an.d- P~ofos~()WGod6) or that he is exempttheretrom ,ana.t~e baSiS fSir tl1e~ll'ege:d ','I.:
exemptio'n.,'Any violation of Section 7031.5 by any applic'ant for. a' perri:1its@!~cts':tl1e a ppHcant to advil per.lalty of not mo're than five hundred dc:lars~;
($500).'. . .' ". ..'1':, _' .' . . ". '.'. '. ....c.
O' 'I,: as owner of property, _or my ,employees with, wages as th~ir 301e cornF~,~ation:,'will do thework;_'and the'structure isnofintend,ed or' offered ,for
. sale (Sec, 7044 Business and Professions Cqde:' The CC)ntractor's Ucens€';-L:l\~ doesJ,ot apply to an owner o(property whQ, bllnd's_br improves
there'on,'and,whodoe~' such work himself or.herself or through hiS,orher9V!;!,~~'pIOye_eS, provided, that such improvementS-are' not ifltended or
off.erecHor sale;,lf; however, t~e, building or improvement is: sold wiU::one %~,:.r qf'>;ompletion, the owner-builder will have the ,burden of proving tha~ he
didnotbuildori,mprove forthe purpose of sale). ".'",""'::." ,_' .', " .:',,',
'0 .L- as theownerofthe property,am exdusi ly contradingwith licen3~.(~,:ih~-:ti:tctors toconstrnctthe pto!ect(Sec. 7044Busines~ andPrufeisiuns,.-
Code::' The Contractor'$' License Law does not ,P ,to an oW:1er of propel~Y:::N,_!}o'bui;ds or improves thereon; and whc contracts' for such piOjects wft'h"'"
t5~ntra or ) 1i~ensed pursua~t t?:theC r ,ter's ice,~sa Law). ':',,', ~<-'::'.."_ . > " ,
. "\ . pt UM. er Se_c. . ': , " .,' ~J' ' . r thiS re3.". ~n: _.._~_'t.,j.._:';, ", .' . _-'"
Date: ~,Owner: ~_" ..' ".":'-'
WORKER'S COMPENSATION DECLARAT:QN .~.,:(:~"t~~ LICENSED CONTRACTORS DECLARATION ......1.
I, hereby. affirm ,Unde;:r penalty of perjury one of the fo/lo-....ing c!eclaraUons: " ' , J hereby affirm ur.d~r ,:;>el'}aity of perjury that lam
o ''I have 'and will maintain a certi.ficate otconsent to selPn3ure fer Wt1('j{er'.> (~d~nper.sation, licensed under provisions of chapter,9, (corrllnencing
d d f b ~'cl' 3700 f th L bo Cod < lh ~ f I~ ., ~ h'ch o;.yith Sel?tion 7000) of DivsiO.n 3oftheBU3ineSs and
. .a~,rovi e ,or y= lon" 0, ear. e" ,or ' ePCllo.rmariC<:l~,a:'4'.;;'V~(1rK fo.rw I Professions Code. . .
t' permit is issued. "\'~";i> , ":~. " , '
',', I have'andwilfmaintain worker's-compensation,in.s'urance,',as :-eqUi~d L,,,'s-t'ctic.o' 3700 of 9/3/2002
, the-Labor Code. for.the.perfQrmance of the wor.k for which this perm,lt.is isslJl,':::L Mywork~r's D.ate: Contractor,
Compensation insurance carrier and policy <::Ire: ~,
Carrier: . Policy Number. NUMBER EXPIRATION DATE
. .
: rhissectlon ne,i3d not be oompletedifth~ permit is fOr or:.e,hundrecJ dQllar.s'($1Cu~ orJess. , _
,0 ,1,certIPJ that in -th~'per:t9m1a:nteolthew.ork -fop.~'hich -this pe;rmitis fsi;1.le;t./;Shall nut;
emp/oyanY'person in ~my mannerso a~ to. be me subject to. the W9rker'~,''::-=IT.1,B'~n,saHon laws
of Califomia, and agree thatifl,should becc,' s ject to_thewolter'3 cOrDper.sRti.on : '.
provisions of Section 3700 of the .Labor de, ,h f rthwit,h comply Wi~~:,th:~s'e)~0Visibns..
"'j. ,,~: -',:
Dat~: 9/3/2002 Appli~nt:. " <.~,' ,.::::';:;.-,~
WARN ING: FAILURE TO SECURE KER'SCOMPEN SA TION COVER '~p~\S' , .
UNLAWFUL, AND SHALL SUBJECT AN EMPLOYER TO CRIMINAL PEN,?,l:l:IE:;;::ANDCIVI~
FINESUPTO ONE HiJNDRED THOUSAND DOLLARS ($100,000); IN ADrnTON.<rO THE
CeiST OF COMPENSATION: DAMAGES AS PROVIDED FOR IN SEC'nO>] ~70a'OF THE
LABORCODE, INTEREST AND ATTORNEY'S FEES. '. "'~,I,,<~; ,'::.t
I . .CONSTRUCTION LENDING AGENCY. "1., "t,:;
I, hereby affirm underpena,lty, of perjury that-there ~<;aconsti-uctiaQ-lendrogc:t'mc1~fcir:~~ ,.
p~t:forh1a~ce_ofthe ~/ork.for_which this permit is issued (Sec.309(G,iv.c):' i'.: ~:.'];t\$J;:{,~:'_': -:f::'"
i...tii'i'u'i;:/':g'inibrmaiivll: ~,- .~--~...~..., -- .
. 'TYPE
",'"
Cans.trucion Types:
III N, " '.
Occupancy Groups:
B, S2,.... .
Fire Sprinkle red?
,Number of Stories "
New / Additional Area:
',1"
YES
l'
15,786,
I certifY that I have read this ap'plication and state that the above information is correct I
agre:e to- com with all city ordinances and 'state laws relating -to building con~tructian. and
herebyau e p~sentive$ of 'this dty to enter upon-the above menticmed proPerty"for
,i~$Ped. n p . .
Date: 9/3/2002
ignature of Appltcant or Agent ,
Thepermilshall expire by limitation and become null and void if the building or
Work has not passed final inspectio,; 365 days frain the date of permit issuance. A
new permit is required to commence or continue work.
Fe'es paid for Penn it:
Total:
9.582,85
......INSPECTION RECORD
INSPECTION. . . . DATE .
. ..INSPECTOR' .
T emporaryPowe'r Pole . . . '. . . .
Plumbing (OrainIWaste Pipe) . . .d.
Electrical Grourld Electlode/Ufer .
.' . . . '.
SetbaeklF6fmslTrenc:hes (Footings) . . . . .
.' 00 notinstansubfloor.or pour floor slab unti.l the.
-following applicable items have 'been signed: '.' . .
Plumbing (Water Pipe~Sprjnkler' Valves) ..
. ~echanical (GroundwOrk) '" .
'. . .
Electrical (Underground CondUit) ..' .
Pre-slab.(Compac.tion/Membrane.Reinf. '. :'.
Underpinning (AOorJoi$llGiril~s) . . . .'.
00 not cover or conceal the wor!< below. .untilthe . . I
following applicableilems have been signed:.. . . .. .'
1st FioorShear . . ... ....
Firesprink!8I' (Rough) .', , ... ' . ,
2nd Floor Shear .' '." '. , , .
Roof (Sheathing/Diaphragm/Frane) . . , .
Masonry (ReinfJBond BeamlPreoGroilt) . .'
Rough Plumbing (Top Out) . .' ..... . .' . "',
Rough Mechanical, ,co' . . ':.,
t Rough'Bectrical (lJrY wall) , . '. ,
.Rough Electrical . ". ",.' '. .'.'
Framing. (Only after Plbg.,Elec..Mecl1., and Fire) , . ' .
Insulation (S()UlJd/El'Hlrgy) .
Do not tape or plaster until the following applicable ,.:..
items have been, signed:. .'.' '. . "',' '. ,
DryWall .... . .. . , , . '. "
Plllletrations (F'lreRated)Electrical .' . , '
Plllletrations(Fire Rated) Mechanical ' . ..... .
Perletrations (Fire Rated) Plumbing . . "
Interior Lat/1 . . ". , " ' " '.
Exterior Lath ..' .' ',' '. .
,.'" ..',' ' GENERAL ITEMS '. '. .
Exterior Plaster (Brown Coat) . .' .
.T-Bar Electrical . '. ' " . '. .
T,Bar Mech,lnical .' '.' " .
'. . T.Bar Structural , " ., ," .:
sewer , ' " .
Water Engineering Backflow . . '.., .',' " . I',
"
Water Service '." , , ",
,
FINAL INSPECTIONS
ElectricalFinal .
Plu~bing Fina/'
Mechanical Final
Gas Test
Enginel1ringiGrading Final 165,s.126
Fire DepkFinal765:4040 . .
Water Engineering 765.5268 . '
Sub List/Business License 765-519
Zoning 765-513~
Building Final '/Last.ln.spection..O,nlY) "
. " AfterAbo.veComplele'
. . . . PARTIAL INSPECTIONS.
Buildina trlsDections
, Date
Inspector
Mechanical.lnSDections
PlurnbinalnSDections
. Electrical'lnSD&ctions
;
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P'.r-RHi"- CXP1P'E'D'
t.:VI '.1, .,-:,', .' dl. < ,,'
. ,..' tNSPE ell ON' ... .. .'
hOT COMPLETED
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PLANNING I!)EIi'ARTME. .
APP VED
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FLOOD ZON~(~j
HI DISTRICT REVIEW:
N/A See stam this a e
. e one on above line
SEE BUILDING PERMIi FOR
ANY CONDITIONS
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