1519 W. Mabel St. Srpint Cell EMt
TYPE OF PERMIT
Miscellaneous CITY
ElM
BUILDING DIVISION
200 S. ANAHEIM BLVD.
(714)765 - 5153
INSPECTION REQUEST LINE:
(714) 765 - 4626
CENSUS CODE: 437
QUARTER SECTION: 54
BUILDING PERMIT NO. BLD2004-04029
DATE: 3/3/2005
JOB ADDRESS: 1519 W MABEL ST SP.RINT CELL EM
LEGAL DESCRIPTION:
CONTRACTOR INFORMATION:
STC NETCOM, INC.
11611 INDUSTRY AVE
FONTANA, CA 923376931
BUSINESS PHONE: 909665-8181
JOB DESCRIPTION: Add new cell antenna, tower bts cabinets and 80lf of 6'-0" CMU wall (Ori9inally issued under 1515 W. Mable St.)
VALUATION: 50,000.00 PROCESSED BY: GAQ
I OWNER-BUILDER DECLARATION
I hereby affirm under penalty of perjury that I am exempt from the Contractcr's License Law for the following reason (Sec. 7031.5 Business and
Professions Code: any city or county which requires a permit to construct, alter, 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 licensed pursuant to the provisions of the Contractor's License Law (Chapter
9)(commencing with Section 7000 of Division 3 of the Business and Professions Code) or that he is exempt therefrom and the basis for the alleged
exemption_ Any violation of Section 7031.5 by any applicant for a permit subjects the applicant to a civil penalty of not more than five hundred dollars
($500).
o I, as owner of property, or my employees with wages as their sole compensation, will do the work, and the structure is not intended or offered for
sale (Sec. 7044 Business and Professions Code: The Contractor's License Law does not apply to an owner of property who builds or improves
thereon, and who does such work himself or herself or through his or her o.....n employees, provided that such improvements are not intended or
offered for sale. If, however, the building or improvement is sold with one year of completion, the owner-builder will have the burden of proving that he
did not build or improve for the pu rpose of sale).
o I, as the owner of the property, am exclusively contracting with licensed contractors to construct the project (Sec. 7044 Business and Professions
Code: The Contractor's License Law does not apply to an owner of propertywho builds or improves thereon, and who contracts for such projects with
P-Qontractor(s) licensed pursuant to the Contractor's License Law).
U I am 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 following declarations:
o I have and will maintain a certificate of consent to self-insure for worker's compensation,
as provided for by Section 3700 of the Labor Code, for the performance of the work for which
this perm it is issued.
~ave and will maintain worker's compensation insurance, as required by Section 3700 of
the Labor Code, for the performance of the work for which this permit is issued. My worker's
Compensation insurance carrier and policy are: .
Carrier: STATE FU ND
APPLICANT: JEFFRY KINNE
OWNER INFORMATION:
RONDEUX lNVESTMENTS,LLC
1515 W MABLE ST
ANAHEIM, CA 928000000
ARCHITECT/ENGINEER INFORMATION:
ALBERT R TENG
2601 MAIN STREET
IRVINE, CA 926140000
LICENSED CONTRACTORS DECLARATION
I hereby affirm under penalty of perjury t at I am
licensed under provisions of chapter 9 (comme ing
with Section 7000) f Dr ion 3 of B
Professions Cod . (
6/30/2005
Date:
Contractor
NUMBER
658768
TYPE
TYPE
EXPIRATION DATE
11/30/2006
B
A
Date: 6/3012005 Applicant:
WARNING: FAILURE TO SECURE WORKER'S COMPENSATION COVERAGE is
UNLAWFUL, AND SHALL SUBJECT AN EMPLOYER TO CRIMINAL PENALTIES AND CIVIL
FINES U P TO 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.
CONSTRUCTION LENDING AGENCY
I hereby affirm under penalty of perjury that there is a construction lending agency for the
- performance of the work for which this permit is issued (Sec. 309-7.Civ .C}:--' --
Lender's Information:
Construcion Types:
VN, ,
Fire Sprinklered? NO
I certify that I have react this application and state that the above information is correct. I
agree to ply with all city ordinances an state laws relating to building construction, and
hereby uthor representives is city enter upon the above mentioned property for
insp ro purpo
Date: 6/3012005
Fees paid for Permit:
Total: 2,012.65
Signature of Applicant or Agent
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 Dermit is reauired to commence or continue work.
City of Anaheim
Building Division
INSPECTION RECORD
INSPECTION DATE INSPECTOR
Temporary Power Pole
Plumbing (DrainlWaste Pipe)
Electrical Ground Electrode/Ufer ~
SetbacklFormslTrenches (Footings) i/ktM /.
Do not install subfloor or pour floor slab until the /
fOllowing applicable items have been signed:
Plumbing (Water Pipe/Sprinkler Valves)
Mechanical (Groundwork) ~
Electrical (Underground Conduitl ~,6z~ I .....~
Pre-slab (CompactionlMembrane Reinf.) 'I/z{ J /: ,
Underpinning (Floor Joist/Girders) /
Do not cover or conceal the work below untlJ the
following applicable items have been signed:
1 st Floor Shear
Firesprinkler (Rough)
2nd Floor Shear
Roof ISheathinalDiaphragmlFrame) /\
Masonry (Relnf JBond Beam/Pre-Grout) c/',L r- 7,
Rough Plumbing (Top Out) /
Rough Mechanical
!Rough Electrical (Dry Wall)
Rough Electrical
Framing (Only after Plbg.. EIe., Mec. And Fire)
! Insulation (SouncllEnergy)
Do not tape or plaster until the following applicable
! Items have been signed:
!Drywall
: Penetrations (Fire Rated) Electrical
!Penetrations (Fire Rated) Mechanical
I Penetrations (Fire Rated) Plumbing
Ilnterior Lath
I Exterior Lath
I GENERAL ITEMS
! Exterior Plaster (Brown Coat)
'T -Bar Electrical
T -Bar Mechanical
T-Bar Structural
Sewer
Water Engineering Backflow
Water Service
FINAL INSPECTIONS
Electrical Final
Plumbing Final
Mechanical Final
Gas Test
Engineering/Grading Final 765-5126
Fire Dept. Final 765-4040
Water Engineering 765.5268
Sub List/Business License 765-5194
Zoning 765-5139
Building Final (Last Inspection. Only
After Above Complete) 7,
INSPECTOR
CVrbl~
5 a./t.vk
PARTIAL INSPECTIONS
,~4;':r j:!7 ifF?' t2K_ L. .lJ;e(~K. .
Mechanical Inspections
Plumbina Inspections
Elect~allnS;eCtions ~ ~?
f'II e s- tCll "N(j 12M' I"')r, -