385 N. Muller St.
BUILDING PERMIT NO. BL1j2004-03892
TYPE OF PERMIT
Tenant Improvement (Limited).
DATE: 12/14/2004
JOB ADDRESS: 385 N MULLER ST
CITY
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Q- '1i'.S.fll'If'.'HEIM
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BUILDING DIVISION
200 S, ANAHEIM BLVD.
(714) 765- 5153
INSPECTION RE.oWESTLINE:
(714) 765 - 4626
CENSUS CODE: 437
QUARTER SECTION: 39
. .
LEGAL DESCRIPTION: P BK 188 PG 23 PAR 8
CONTRACTOR INFORt/A TION:
BAYCllY ELECTRIC V:1CRKS, !NC
12208 INDUSTRY RD .'
LAKESI DE, CA 92040 OOC'}
BUSINESS PHONE: 6190"3'0200
JOB DESCRIPTION;lnstalJatioT) of equipment pad. for new 30kv g~l1eratcr W;,!; 52gal diesel fuel tank.
VALUATION: 11,000.00
I OWNER-BUlLDE;liQ,ECLAP.ATION
I hereby affirm under penalty .of perjury that I"am exemptfromthe Contract1:(~ Li.cense Law fer the following reason (Sec. 7031.5 Businessand .
Professions Coo e: any dty .or county which req uiresa permit to construct.~.1t2..f, improve; demolish or repair any struc.ture, prior tQ its issua'1ce, alser
require3 the applicant for such. permit to tile, a signed statement that he is !IGB'lSad pursuant to the'provisions ot tpe Contractor's License Law(Chaptcr
9}(comrnencir,g vvith Seetio'n 7000 of Division 3 of. the Business and prvfof3~k,rl$ Code) or that he is exempt therefrom and lhe basis for the alleged
.exempt"ion.Any viulFitioJ: 'of SlpCtion 7031.5 t'y sny applicant for Cl permit 'Sll~;eGt::; the a,pplicant to a evil penalty of not more tha ntivp, hundred dollars
,($500). '. ,.' " . .':-,. . .
o I, _8S, owner of property, or my '~.mployees with wages as their sde corncpnsation, '.viJI do the work, and the ::;truc.tw~,!':" not intended or offered for
saie,(S~c. 7044 Business and Professicns Code:, The Contractor's licfHlsellaw does not apptyto an owner ,of property V'iho builds?r improve~
thereon, and who.docs.such work himself or !";elSelf or through his' Gr her Ov/1 empJoyeas. provided that such improVE:.:TIei,!s are :lol intended or
offered for sale. If, hO\.'Jever, the builr;:fing or improvement is sold wj~h one #::i. of ccmplet:o:l,--the owner-builder "vi!l ha.Je ~!iC' b~rc.i6n of p~6vrng that he
didnotb.Llildorimp,vveforthepu,rpose.ofsale). -!:', , '. .. "'.
D. :..,I.',.O~ the ownc(o-f the. propertY, am e_,Cius!ve!y contrc;!cting .with '!c~rlS'€f-~ntra~ors to .col1struct the project (Se;::;, '7G4.4 8usiness and Pr~fecs;o~s
Gode~ 1 he Ccr:tractor's, License law_d~es'not apply to on ?wne~ of prOpf~rtY"'ino bUllds'or lmprovt"s"thereon, arid who rontrocts for sudl.proJect'S vvith
~ontr;ectcr(s) ligehsed plJrsuant tO,the Contractor'~ Lic..en~ Law). ,(
. .l-.) -I alll exempt Ll!1de~.Sec. . .: g & P.C. for thit;.reas(J~l: ''___'.___________.
Date:' Owne'r:
L' . WORKER'S COMPENSATION DEC1.ARA1Ioi-!:r-..=:-::1
I tiereoy affirm under penalty of perjury one of the follOWing d,edaratioPs: . "
o I have an::t \:viiI maintain a Certificate of CXJnsent to self-insure 'for "Jork'9~~:':;' C0n1pci1~Clt!c:"l,'
as prov.ided for by Section.3700 of the Labor Code, for the'performanc~ of i~~;.. work for '.vhil:h
this permit is iss.ued. J, .
~. have and wi!!.maintain worker's .compensaticm insurance, as requ;~d.~iY. Se:ctivll 3700 of
the LaborS;ode, for the performance of the work for which th.!S' permit i:> i5.'::'~i~~_j.. My"Vo'rker'~ .1,
ompensation in&lrance carrier and policy are; .' .:':
.Catriet: STATEFUND.,. Pvi;cy Number. 46~404~'iv5 I
',1 ,
This section nc.ed not be completed if the pennit is fOi ont! hundred d~llars_ (51~1)~ or ies~. !
~certify that in theperfolTIlanc'e of the work forwhich this permit:s rssl,:~::,(._l shall!1ti .
~PIOY any person ina~y manner so,as to.become subject to the wo:-ker'5Svr;;pensation :aws
"of California', and agree that if I should become subject tq the worker's c,'"JrTt-(l,I'lsatJon
provisi(.:ms 9f Sectio113700 oithe Labor Code, I '" U forthwith c. ITiP.!v with tilC~~i; pro~isions.
APPLICANT: TONY' FINEBERG
OWNER INFORMATION:
Crescent Corporate Center'
265 Franklin SI #18
Boston, MA 02110 '
."~';:"""
ARCHITECT/ENGINEER INFORMATION:
PROCESSED BY: JJJ
'-LICENSEDCONTR~CTORSDECLft.f.ATION J
I I,hereby affirm u"nder pemalty' .of-perjury thi'l:t I am
licensed under piovir;idns of c.haptei 9 (camrnencing
~ith 3e::tion~. 10. 00) of .Di ,io.n 3.0f.th6~. "sl sand
ProfeSSions ..0 e. . . . ' 7 '
12/14/2004 . . ~ . --_
Date: . Contractor ' .
NUMBER EXPIRATiON DATE
748133 4/30/2006
TYPE C10
Date: 12/14/~004 Applicant:
WARNING: FAILURE TO SECURE ORKER'S MPENSATION COV"ilAGE IS
UNLAWFUL, AND SHALL SUBJECT AN EMPL ER TO CRIMINAL PENr,LTiES AND CIV!L
FiNES UP TO ONE HUNDRED THOUSAND DOLLARS ($100,000), iN ADS!TIQN TO rHE .
COST OF COMPENSATION, DAMAGES AS PROVIDED FOR IN SECTiOli370GOF THE
LABOR CODE, INTEREST AND ATTORNEY'S FEES,
~._-~--
,. CONSTRUCTION LENDING AGENCY 1 .
i herebyaff.irm .und~r penalty of. ~erjury that th:re is a.c~~stru....c!~~n ~~n~!~~~Kj.?r'9Y fcr-th,e.
P~-::~~P!D'l,"!.....~. r,r U'r.- w'.).:"k..fu~'d-4::.-:.!h:-Z-~-(>, ~-:;t-,.-',;;.,;;.c;.-:.;'~S0-'~.,<C-tk'::>~~.I"=W.'l:Ji;--;' - ,. .''1"
i
Cor;strucion Typeg;
VN, ,
Fire Sprinkl~red?
NO
Lender's fi"lformati0rr:;
I certify that I have I'ea~ this application and state that the above information is correct. I
, agree to comply with all city ordinances and state Jaws relating' to building GO:'1struction, and
herebY,authorize re resentives of this city to enter upon the above m~ntioned property for,
inspe io ur
Fees paid for Permit:
Total:
850.61
-Date: 12/14/2004
Sig ture of Applicant or Agent
The permit shall xpire by limitation and become null andvoid if the building or
work has not passed finaHnspeption 365 days from the date of permit issuance. A
new permit is required to oommence or continue work.
INSPECTION RECORD
INSPECTION , DATE INSPECTOR
Temporary Power Pole " "
Plumbing (DrainlWaste Pipe)
,Electrical Ground ElectrodelUfer
SetbacklFormsrrrenches (Footings) IJU'/{);; J?,i-'}., A#-<-
[lo not install sub floor or pour floor slab until the ..
following applicable items have been signed: '
Plumbing (Water Pipe.Sprinkler Valves)
Mechanical (Groundwork) ,
Electrical (Underground Conduit) , ,
!,re-slab (Compaction/Membrane.Rei nt, //2.Wa~ 17 ~vft
Underpinning (Floor .Joist/Girders)
Do not cover or conceal the work below until the
fo!lowlng applicable items have been signed:, '
" 1 st Floor Shear ,
Firesprinkler (ROugh) ,
2nd Floor Shear , ,
ROof (Sheathing/Diaphragm/Frame)
Masonry (RelrifJBond, BeanlPre-Grout)
Rough Plumbing (Top Out)
Rough Mechanical . ,
, 'KOugn ElectrICal (ury wall) "
Rough Electrical"
Framing (Only after Plbg., Elec.. r...1ech.. and Fire) ,
Insulalion (SoundlEnergy)
Do not tape or plaster until the following applicable " "
items have been signed: ..' .
Drywali, " -c- ,
Penetralions (Fire Rated) Electrical ,
Penetrations (Fire Rated) Mechanical
Penetralions (Fire Rated) Plumbing
Interior Lath , . ' ' ,
Exterior Lath , ,
GENERAL ITEMS
Exterior Pla$ler (Brown Coat) ,
T .Bar Electrical -
T .Bar Mechanical ,
T .Bar Structural " ' ,
Sewer ' ' ,
Water Engineering Backflow
Water Service ' ' , '
FINAL-'NSPECTIONS
Electrical Final
Plumbing Final'
Mechanical 'Final'
Gas Test ' '
Engineering/Grading Final 765-5126
Fire Oept. Final 765-4040
Water Enginllering 765.5268
Sub List/Business LicenJ<e 765-519
Zoning 765.5139
Building Final (last Inspection- Only
'., After Above Completel
PARTJALINSPECTIONS
Buildina Insoections
',pate
Inspector
MechanicallnSDections
Plilmbina InSDections' ,
ElectricallnSDections