3370 E. Miraloma Ave (6).
BUILDING PERMIT NO. BLD2004-04212
\ ..
,
TYPE OF PERMIT
Tenant Improvement (Limited).
DATE: 1/26/2005
JOB ADDRESS: 3370 E MIRALOMAAVE
LEGAL DESCRIPTION:
CITY
A;;5i~-:;$~~;}c\, .
If<,,:-:'Y; \%'1"...\
~:PiM:'_,. : ,__'t~~\,
Q~i~8l\)UEIM
~l 1;'~'-:'";;~',0Y5~' .'~',.
\\ \:i<;":~~-';:;'3."."l'- jJ
\2:0~n:5:f~V
\(
BUILDING DIVISION
200 a.ANAHEIM BLVD.
(714) 765 - 5.,!)3 ~
INSPECTION REQUEST LINE: . .
(714) 765- 4626
CENSUS CODE: 437
QUARTER SECTION: 144
!"
APPLICANT: BOB POTTS
OWNER fNFORMA TION:
~ :
CONTRACTOR INFORM'.T10N:
TOWER ENGINEERING:;
2118 COLORADO BLVD i>
LOS ANGELES, CA 9004ibooo
Ten,ant improvement, conference room; lobby: and ad~jtjGn 634 sq.ft. for mech. room
.i;
;,
L OWNER-BUILDE~'!DECLARATION
I-hereby affirm under penalty of perjury that I am exempt from the Contractd-is Licensp. Law for the following, reason {Sec. 7031.5 Business and
Profe~sions Code: any city or county which requires a permit to construct, ar{~'~, improve, demolish or repa-:r any structure, prior _to its issuance', also .
requires the applica nt for such permit to_ file, a sig-ned statement that he isli~~hsed pursuant to the provisions of the Contrador:s License Law (ChaDter
9)(commencing with Section 7000 of Division 3 of the Business a\1d Profesi'~?,)s Code) or that he is exempt therefrom and-the basis for theall~ged' .
E::xemption. Any viol,ation of Section'7031.S by_a.ny applicant for::J 'perrnit sLibJects the npplicant to a civil penalty cf not more than five hundred dc!Jars
($500). . , . '. '),
[] I, as owner of property, or myernployees with wages as their. sote ccmffnsCltion, v...m 90 the work, and tpe struCture is n('lt'int~Jlded or offered fer.
sale (Sec. 7044 Business and Professions Code: The Contractor's Licens~~~...... does :lot apply to .&n ownnr of property who builds c:'>r imprC'ves ..
thereon, and who does such work hi'mself or herself or through his or her 6~~rt empioyees, provided that ~.!Jch improyements are not intended or
offered for sale. If, however, the building or improvemf.lnt is sold .with one yi!ar of completion, the owner-huilde>r will have the burde'n of preving that ;1e
. did not bu ild or improve for the_ purpose of-sale). " ti , . ,,~
[J I, as the owner of the property, am exdusiveiy contracting with Iicense'4\"Gntractors to ce;ns-truct the pruJet:t U-,'~c. 7011,.4. Busihess and Profess!ons
Code: 'The Contractor's license L3W does.nQt apply to an owner of prQPert<i<,:'h~) b!.,J:!d~ or improves theteon, 3nd whe oontracts for such projects with
a contractor(s) licensEKipursuant to the C~ntractor's License La\':)" .i1;' __ '.
D. 13m exempt undej' Sec. . ,8 & P.C. for thi~ reason: . _____Y-.' ' , '-.-.------:-------. --:-""___'__.
Date: Owner: - L-.:.w .. .. ..
r WORKER'S COMPENSATION DECLARATiO~';L__~_~ . L' LICENSED CONTRA~TO - . ~ -J
I hereby affirm under penalty of peljuryona ot the foHawing declarations:' k . .-. . l.hereby affirnl und' eilaltyof perjury that j a l'
o I t>avean~ wiJl,_rnaintain a ce:rtifi~ate of -:nnsont to self~insure for '{Jcrknr:~ c.t')mnej)s~tlcn, :'~~nsed ~,1derp~vvis' '. s ?iChapter9 (co~rne(! 9
a-, p!"ovided for by sect,ion 3700 ,of tl1e Lahar Code, for the perforrnance 0ft!-~, wor'<< for wt'lic/1 wIlh Se~tlOn"70~l')C DI\~ 3 of thE' 8USlne and
this permit is issued. , . ,'; Professlor,s Coo
~ . I
..... ..~...~ have arid will maintain. worker's compensation insurance. a~ lcquir~d?' S~f:tion 3700 of
,_he Labor Code, tor the performance of the work for which this permit :s issdd. My worker's
Compensation insurance carrier"and poiicy are: . _,1
Carrier: REPUBLIC INDEMNllY COMPANY OF Policy Number. 03376DCb
ARCHITECT/ENGINEER INFORMATION:
JOB DESCRIPTION:
VALUATION:
800,000.00
PROCESSED BY: MSM
1/26/2005
Date:
vootractOl
','
Thls section need not be completed if the pennitis for one . red dollars ($10;if',Ci less.
D I certify that in the' perfoITTl:3nce of the work tOl ich this permIt is is'3u'(~\,() shall n
employ any. person in any manner so as to beco esubject to 'the worker's c-::Jmpens on laws
of Califomia, and agree that if I shOuld become bject to the worker's Cor.lj:~ .' .on
previsions ~f Sectio'n .3700 of the Labor Code, ,shall f?rthWit~'~:se provisions
Date: 1/26/2005 Applicant: ':-..
.wARN ING: FAILURE TO SECURE KF-R'S ION COVEI-;AGE IS
'UNLAWFUL, AND SHALL'SUBJEGT.AN EMPLOYER TO CRIMINAL PENA~.TiES AND CIVIL
FINES UPTO ONE HUNDRED THOUSAND DOLLARS ($100;000). 'N ADi'ITlON TO THE
COST OF COMPENSATION,DAMAGES AS PROVIDED FOR IN SECTIOr' ~706 O'F THE
LABOR CODE, INTEREST AND ATTORNEY'S FEES.
,. CONSTRUCTION LENDING AGENCY _
I hereby affirm under. penalty of perjury that there is a construction lendi0tl Z:,:S:iCY fer ihe
,:,-~r(orf"'.~,'-:'::('>0ftt~IN~,:t.f':-'.Z_1~hjc!)_~l,i", ~.!:..':P}T:;" i".:-: '-::-'" ~8:('.;"'. ~0~7_;t;'::J.--!:'c)'- <;J>..-'''':''_''' .--
NUMBf"R
498297
lYPE
EXPlRAT10NOA1E
9/30/2006
3
Construcion Types:
I FR. ,
OccupancvGroups:
A3, S2,-.
Fire 8orink!ere::l?
LI. Area:
YES
4,037
~,:';--"----~.~
- ,
I certify that _ ave read this application and state that theabo e information is eorrecL:,!
mply with-all city ordinances'and state laws reI . 9 to.buUding ccnstruction,'and
hereby thorize representives of this City to e ter u he above mentioned property for
inspedi ~. pu~.~ '___, '
V'~....,.- ~ ~ Date: 1/26/2005
Signature of nt or Agent
The permit s re 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 pern:Ut is required to commence or continue work.
Fees paid for Permit:
Total: .
6.909.40
INSPECTION RECORD
INSPEcmoN"'" DATE INSPECTOR
Temporary Power Pole
Plumbing (DrainlWaste Pipe) , , II t!/Of>
Electrical Ground Electrode/Ufer ' v
SetbacklFormsfTrenches (Footings) ,
Do not install subfleor or pour floor slab unlilthe '
foliowing applicable items have been signed:
Plumbing (Water Pipe.Sprinkler Valves)
Mechanical (Groundwork) ,
Electrical (Underground Conduit)
Pre-slab (COll1PactioolMembrane.Rei m.1
Underpinnillg' (Floor,Joist/Girders) ,
Do not cover or'collcealthe work below until the
following a.ppiicable items have been signed:
1 st Floor Shear , ,
Firesprinkler (Rough) ,
2nd Floor Shear ' , ,;,*,
Roof (Sheathing/Diaphraam'Frame) " .' ' ,.
"
Masonry (ReinfJBond BeamlPre-Grout)
Rough Plumbing (Top Out) ~.44<; t?7AL LB
Rough Mechanical , ,
I KOugn t:IeCtrlC.. ,...y nail} , $/(A;l (,f}
Rough Electrical
Framing' (Only after Plbg., Elec.. Mech. and Fire) s-..n.d, ' 5.ffM.-1h
InsiJlation,(SoundlEnergy)
Do not tape or plaster until the following applicable
itemS have been signed: " ' '
'Drywall ,
Penetrations (Fire Rated) Electrical ,
Penetrations (Fire Raled) Mechanical , i
Penetrations (Fire Rated) Plumbing
Interior Lath , ,
Exterior Lath , , ,
GEN.ERAlITEMS
Exterior Plaster (Brown Coat) , ,
T -Bar Electrical
T -Bar Mechanical
T -Bar Structural
Sewer
Water'Engineering Backflow
Water Service ' .
FINAL INSPECTIONS
Electrical Final, .
... ".-
Plumbing Final
Mechanical Final
Gas Test
Engineering/Grading Final 765-5126
Fire Dept. Final 765-4040
Water Engineering 765-5268
Sub List/Business License 765-519
Zoning 765-5139
Building Final ILast Inspection- Only ,
, After Above Compiete)
J;ibUf '
~
(j)(;,
;:,.:;;;;-.,.,
. ..,.:~-~~::::~,:.
Mechanicalln~tions , '
0/1I4}'(" M' ... 'f~
alL LIw /17h1tt
": "^~' ,I<t>- '
;."....
;~...:..:::,.., ~.,
PlumbinQ InsDections
ElectricallnsDections " '
1t1lr ~. {t 4J;.~ 'VJ Ct..j/!iii~' tJk-
,
,---..--.--
~_..\?C ":'. '..~
1~;Ji~~~'r';c;~~~~;\ .
.jN~H EI M
\' "- ~~Y~i,.,;"J;..;;g.!,
,,' ""''<''''-''''1~'4'! "
'\;;~t1~~~i~/ .
.\
,
I
.
CONTRACTOR INFOR~.~\TION:
ICE BUlLDERSINC i1
421 E CERRITOS AV" ':
ANAHEIM, CA 928C5-0a!)~
BUSINESS PHONE:' 7'14 4g1 1:::'17
.,J08 DESCRIPTION:rena:1t improvement - office ~
VALUATION: 475.000.00 .,
r-- , , ,~ ' .
! OWNE1'!..BUILDEJ~DECLARAT'ON.. .
I hereby affirm under penalty of perjury that I am'exempt frcm the Contr<~ct!~:.s Licen$f:;!: Law for the following reasen (Sec. 7031.5 BllS!neS~ aDd
. Professions Code: an)' dty or countywhich requires. t' rermit to -cO;1~.t;ud. a~~~, ilT':,:.:"cNe, demolish or repai~ any structute, prior. to lis issuance,a'lso
requires tne ap~ljcant tor such permit to me a signed statemeh~ tllaHle l~ !icJ~'i~":'!a ourS:l1ant to the.orovisions of the Contractor's License Law (Chapter
9}(comrr.encing with.Section 700e of Division 3 of theE?l:sj;-'e~s 8(';1 Pn"-fes:o,+nf. C0d.e) or t:1at he ~s exempt tharefiOm and the basis for thea:leged
. exemption. Anyvioiatiori of Se~-::tion 7q31.5 by any app!icapt Tor a pem-lIt suWe<:;t::; rh28 ppik::ant to a civi( penalty of not IT\IJre than five hundred dollars
i$500i ,:.. . .
o l, c;:::; o.....nei of property, or my empioyee*, wHh wage5 a$thelr S{I;E:("Gfll?ensation, .wil] do tho;: '.-'Vofk and the structqre is noUntended or offered ter
sale' (Sec.70:}4 B:.isines3 and Professions Code: The Contractor's Li(;BfISt:~.~w does not 3pplytC' arl owner of property who builds or improves .
therecn, and WhQ, dues such -".,tork himself or herself or through his or hc;" 0...-{h e!":1p!o}fee~. provided that such improvem:o:nts are ~10t Intend~d'or
offered for sale.k h:')wev~rj the' building o(:irnprovement is~():d with c...nc y'f::-r of a:::r.!)Jet!or., the owner-bui!der w:1I hove th~ burden 'of proving tr!at he.
.jid r,oi: build or imp,~cvefofthe purpo3eof-'3ale). .t .'
[1. I, as th~ owner of tl1e p,cperty, ~m 3xdu:;i"e:y cont:-al.:tlng with 1;!;a~is'7~':-::cr:ti<:lctCi"S ~o cor...;;truCt the project (Sec. 7044 Busiiles~ ~nd profess:Qn~
Cod.e: The Contr~GT.cr's License Law doe~ nct a~ply to ?In cwr,ei' or properi,y>t1ho bU3C3 ':'f il"fl~roves thereon, and who contracts fer :.:;uch 'DlOj~cts w:th
Q~ontractel(S) !ir;en";e(i pursuant to the Contrac~Oi'$ ~':~ns~ LaW). ~ :f
L.. I am exernrit unde; Se.c. _.. . ,3& P .G, for :his rea~0n: __T~:!____
Date: O\vner: . ~ . '1-
r--:--' WORKER'S COMPENSATION DE<~lARAT:();~ ~".I i
i hereby a:'iirm u~er pen~!ty of perjury one of tilefoi!O~;~i6g d.J:;_;;-;';;M;-~--~i -
d 1~2ve'arld will ri1::aintClln a certl"ficate of o:.r.~nib self-insure for ',r./:::r~.cri~cor'lP::-jlsatiCr1, j
as ;:.r~\1jdec for by ~diC'n ~70a of ~he Labor Code. fCI. the ~erfol'rn~n~ of t~:f WOI:-<: for "':'hid': f
)gN permit:s :ss:!e-i. , .'- \ . I
1.1 rave and win nJi:llntc.;n-':vo1<er's compensation insurar.ce, a.s.reQt!!ffid t~>' S<;>'(~t~.ji'i 370.0 of I
. 'Labci Co~e;f('r the performance of the wor.k fcr whic.h this pennit b; iSSt~i~d. Mywoiker's i
Cempel1sation insuf<".lnce ~nier and policy are: . _.~ i
Carder: ACOR.D Policy Number. VTC2J,l,;B:;"':5'j3&'&'b I
TIl!S sectiun need not be. completed iflt'Je permit is fo. ion. e t:undred dcilars (il'.:1lj~), '1r less. "
. '" I TYPE
D i C""itJfy that in tha performance of the work for wh!cn th;s r.erm't i:? ;:;:;,....~d. ! S:'Blt (lot I TYPE B
employ any peiSon in any mallner so as to be~cm~ subject b ~he 'Nulr..l):"S :'; ':'!~p~llsatIDn laws I TYPE C8 CONC
of CZl:ifornl<=:!, cmd agree that If I should become subjo t~:torJ<.er's :;o-m"<r.sar,on ~E CJe-.
proviSions of Seellon 3700 of the ~ c~' ' I al~ t:(j~om;;lj t' ,; '1/'0 ;orovls,ons I ~,or,~tr~cion Tvpee.
Date: 2/3/2005 Appltcant: __! Occupancy Groups:
WARNING. FAILURE TO SECU WORK R'S COMPENSATIOfI COV"f"\C" IS .'18, , , ,
UNLAWFUL, AND S'IAlL SUBJ CT AN EMPLOYER TO CRIMINAL PENA':nr.;S ANJ)CIVll i Fire Spnnklsmd,
FINES UPTO ONE HUNDRED THOUSAND DOLLARS ($100.000), IN ADOllION TO l~E T.!. A.rea:
'-::OST OF COMPENSATION, DAMAGES AS PROVIDED r:OR IN SECTi:.......,.~ 3706 OF THE
LABOR CODE. INTEREST AND ATTORNEY'S FEES. " .
I CONSTRUCTION LENDING AGENCY 1'-- ___
I hereby affIrm under penalty?f perjury that there is a con::itrudion !e,'d'nc B 1nc.yfor the I
performance of the WOi.!{ for whic.'1 ~his permit IS issued (~e~_ 3097 Giv.Cl:' I .
...~J~d<;!['.slrhrJT.'';;l.U:;;:l:.__---"----____.__._. ~___ __'--____ _ _ c,_:" I
TYPE OF PERMIT
Tanant Improvement (Limited)
CITY
BUiLDING OIVISION
2003. ANAHEIM 8LVD.
(714) 765 - 5153
INSPECTION REQUES-:-lINE'
'(714) 765- 4626
BUill?:NG p'e'RM!T NO.
. 8LD20114.<l4516
DATE: 213/2005
,iOB ADDRESS: 3370 E MIRALOMA AVE
CENSUS CODE, 431
. QUARTER SECTION: 144
LEGAL DESCRIPTION:
APPLICANT: LORI MULVANEY
OWNER' INFORMATION:
ARCHITECT/ENGINEER INFORMATION:
JAMES RENEAU
933 ARCADIAAVE. UNiT C .
ARCAD IA, CA 91007
PHOCESSED BY: CDL
~
L1CEUSED CONTRACTORS DECL,\RATfON 1
j i1ereby affirm under penalty of periury -th~)t I::'IIT:
.J:cansed ~l1tier provis.ions oj c.h~pter 9 {commencing
~;_~~e~~~~~}~' 7~i}5J rrrJi ";f~~B'_.JnestJ
,2/.3/2005. I ~jd-:', -l(J.
Da~e:.. .. . Contr3ctrjr,
NUMBER
775947
EXPIRATION DATE
3/31/2006
A
y~S
5.004
I certify that I have read this appl1cation and state that the above informatiOn is'correct. I
agree to com-ply with all city ordinances and state laws relating to building ccnstruction, and
~ere '. y ,?uthbriz~. re re .' es f..this city to ente~::)the a bove mentioned property for
ms ealo pu s $. . . . , ,
, ". ' . - Dall:: 213/2005
Signature of Applicant or Agent
T 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 permitissuance. A
new permit is required to commence or continue work. .
Fees paid for Permit:
Total:
2,037.13
.'
INSPECTION RECORD
..
INSPECTION DATE' INSPECTOR
Temporary Power Pole
Plumbing (DrainlWaste Pipe).
EledricaJ Ground Electrode/uter
SetbacklFormslTrenches (Footings)
Do not install sllbfloor or pour floor slab until the
following applicable items have been signed; .
Plumbing (Water Pipe.Sprinkler Valves) .
Mec/lanicaJ (GroundwOrk)
Eledrical. (Underground Conduit)
Pre-slab (CompactiQnlMelTlbrane,Rei nf.
Underpinning (RoorJoistlGirders) .
Do not cpver or conceal the work. below until the
following applicable items have been signed: .
1st Floor Shear .
Firesprinkler(Rough) . .
2nd Floor. Shear
Roof (SheathinalDiaphragmlFranel
Masonry (RelnfJBond BeanlPr~roUtl
Rough Plumbing (Top Out) :>.11.0-.f/
Rough Mechanical . . -1/ Y II) flU.;7
. KOugn l:IectrlC II) (Jeg/or /)'1,/ . .
Rough Electrical ' .
.Framing (Only after Plbg" Elec... Mech.. and Fire) 11; gy -1J7M.- fAr,
Insulation (SOIIndlEnergy) ~L<
Do not tape or plaster until the following applicable .
items have been signed: '
Drywall. .
Penetrations (Fire Rated) Electrical
Penetrations '(Fire Rated) Mechanical
Penetrations (Fire Rated) Plumbing
Interior Lath.
Exterior Lath
z.B.:"';;""
-.
-"/.. -{
.. /
.
.
-
.
. .
GENERAL ITEMS
Exterior Plaster (Brown Coal) : J >J.k
T.Bar Electrical . Ii r> iE 'Via
T-Bar Mechanical . ~I or
T-Bar Structural. . :n/o'" f}wk;,
Sewer &.
Water _~ngil1~ring._Backflow
Water Service
FINAL INSPECTIONS
Electrical Final
Inspector
;-
Plumbing Final. <
Mech~nical Final ..\::. .
Gas Test . Pvwl!-
Engineering/Grading Final 765-5126
Fire Dept. Final 765-4040
Water Engineering 765-5268
Sub ListlB.usiness License 765-519
Zoning 765-5139
Building Final (Last Inspection- Only ~(
After Above Complete) ,
PARTIAL INSPECTIONS.
Buildina Inspections
MeChanical hlspections
I
Plumbina Inspections
Electrical Inspections
BUILDING PERMIT NO. . I'LD2005-01009
..
,G
\ .'''~J~~'
~(j..___,_ ~t;,
":~E_r!l \
ElM
BUILDING DIVISION
200 S. ANAH'EIM BLVD. .
(714) 765 - 5153
INSPECTION REQUESTLINE:
(714) 765 - 4626
. CENSUS CODE: 647
QUARTER SECTION: 144
TYPE OF PERMIT
Tenant Improvement (Extensive) CITY
DATE: 5/16/2005
JOB ADDRESS: 3370 E MIRALOMA AVE
LEGAL DESCRIPTION:
APPLICANT: JOHN. GOW
OWNER INFORMATION: CONTRACTOR INFORMATION: ARCHITECT/ENGINEER INFORMATION:
PACIFIC ENVIRONMENTAL TECHNOLOGliMlISON G MCCOOK
'35 ENTERPRISE CT 2731 VIA MONTECITO
CORONA, CA 928820000 SAN CLEMENTE, CA 92672
BUSINESS PHONE: 909582.9306
JOB DESCRIPTIONNew modular clean lab. interior remodel
VALUATION:
115,000.00
PROCESSED BY: KBT
OWNER-BUILDER DECLARATION
I hereby affirm urigerpenalty of perjury that I am exempt from the Contractor's;,ucense Law for the following reason (Sec. 7031.5 Business and
Professions Code: anycjty or county which requires a permit to construct, atter, improve, demolish or repair any structure, prior to its issuance, also
requ!res the applicant for such parmi't to file a signed statement that he is licen~d pursuant to the provisions of t~e. Contractor's License Law (Chapter
9)(commer;lcing with Section 7000 of Division 3 of the Business and Profession's Code) or that he is exempt therefrom and the basis for the alleged
ex~mption. Any violation of Section 7031~5 by any applicant for a permit subjeCts the applicant to a civil. penalty of net more than five hundred dollars
($500). . . .' .
o I, as owner of property, or my employees with wages as their sofe 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 laIN does not apply to an owner of property who builds or improves
thereon, and who does such work himself or helSelf or through his or her own emptoy~es: 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 purpose of sale). ;
D I, i?s 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 01 propertyw~o builds or improves thereon, ?nd who contracts for such projects with
a contractor(s) licensed pursuant to the Contractor's License Law). .
D I am exempt under Sec. , B & P.C. for this reason:
Date: Owner:
I WORKER'S COMPENSATION DECLARATION
I hereby affirm ~nder penalty of perjury one 01 the following declarations: .
o I have and will maintain a certificate of consent to self-insure for worker's dompensation,
as prov.ided for by Sec\ion 3700 01 the Labor Code, for the performance of the work' for which
~hiPermit is issued. ' , .
, I have andwill maintain worker's compensation insurance, as requi~d by $ection 3700 of
t Labor Code, for the performance of the work for which this permit is issued.: Myworker's
ompensation insurance ;carrier and policy are: {.
Carrier: ATATE FUND Policy Number. 0469103-2005
LICENSED CONTRACTORS DECLARATION
I hereby affirm-under penalty of perjury that J am
licer')sed unde rovisions of chapter 9 (commencing
with Seetion l 00 of Divsion 3 of the Business and
Pro1essio s ode.
Contractor
5/16/2005
Date:
. .
This section need n~be completed if the permit is for'onehundr~ dollars ($100) or less.
o l-certify that in the performance of the work for whiCh-this permit is issued,: I shall not _
employ any person in any manner so as to become subject to the worker's compensation laws
of Califomia" and agree that if I should become bject tethe workeris comperisation
provisions of Section 3700 of the La~ot Code, r sh II forthwith comply with those provisions.
./-
Date: 5/16/2005 Applicant:
WARNING: FAILURE TO SECURE ORKER' C MPENSATION COVERA(lE IS
UNLAWFUL, AND SHALL SUBJEC AN EMPL ER TO CRIMINAL PENAL ilES AND CIVIL
FIN.ES U P TO ONE HUNDRED USAND DOLLARS ($100,000), IN ADDI~ON TO THE
COST OF COMPENSATION, DA. AGES 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.3097.Civ.C):
Lender's Information: -
NUMBER
599654
TYPE
TYPE
TYPE
PIRATION DATE
8/3112006
B
CtO
C20 HT AC
Construcion Tvpes:
II N, ,
Occupancy Groups:
B, , , ,
Fire_Sprinklered?
T.!. Area:
YES
516
ro__-l
Date: 5/16/2005
Fees paid for Permit: .
Total:
.775.95
s1' ature of Applicant or Agent
The permit 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.
-
INSPECTION DATE INSPECTOR Electrical Final bl{1llo:r rf7Z/JA/
,Temporary power Pale Plumbing F[nal . i
Plumbing (DrainlWaste Pipe) Mechanical Final' .1' / lf7i/ Ir
Electrical Ground Electrode/uter !l' I" 'P
SelbacklFormsfTrencheS (Footings) Gas Test ,
Do not install subfloor or pour floor slab until the Engineering/Grading Final 765-5126
following applicable items have been signed:
Pl!Jmbing (Water Pipe.Sprinkler Valves) Fire Depl. Final 765-4040
,Mecllanical (Groundwork) , , -,-
Water Engineering 765-5268
Electrical (Underground Conduit) , "
Pre-slab(CompactionlMembrane:Reinf. Sub List/Business License 765-519
Underpinning (Floor Joist/Girders) . Zoning 76,5-5139 ,
, ,
Do,not cover or cqnceal the work below until the Building Final \l:ast Inspection. Only '4110 "4 ~
following applicable items have been signed: ' fter Above Complete)
15t Floor Shear ' , PARTIAL INSPECTIONS' ' ,
Fire5prinlder (Rough) ,
2nd Roar Shear , 'Building Ins= " "
Roof (Sheathing/Diaphragm/Frame) ,7/nlvr { hUi m ~ /n(k~
Masonry (ReinfJBond BeamlPre-Grout) ", ,
Rough Plumbing (Top Out) , , - -
Rough Mechanical ' w7-o -'
Rough l:IectrlCal (Dry wall) v ~
Rough Elect . aJ - -7-<>J ~ ~~ o~; L-' , ,
Framing-J<i<f ~ ,'1ectl. and.Fire) G. '7-"j
Insulation (5 nergy) '-', , , ? MechanicallnSDections
00 not tape or plaster. until th,e following applicable ','
items .have been signed: . ,
Drywall ' , ,
Penetrations (Fire Rated) Electrical ,
,
Penetratllinil (Fire Rated) Mechanical
Penetrations (Fire Rated) Plumbing , " "
Interior Lath , ,
Exterior Lath ' ' , PlumbinalnsDections
GENERAL ITEMS -,- , , , ,
Exterior Plaster (Brown Coat) ,
T .Bar Electrical.
T -Bar Mechanical ,
T.Bar Structural ,
,Sewer
Water Engineering 'B;ockflow Electrical Inspections ' ,
Water Service
,
INSPECTION RECORD
FINAL INSPECTIONS
Date
Inspector
I ne tloelng ......ompany
3370 Miraloma /\vcnue
PO. 130x 3105
Anaheim, CA 92803<3105
,;
t
June 16, 2005
Dzu Le (Inspector)
City of Anaheim Building Division
200 South Anaheim Blvd.
Anaheim, CA.
rt1-
BOEING
Dear Mr. Dzu Le:
Boeing authorizes the re-use of the following
Challenger Dry Transformer, rated at 75 KV
Mode13BN, serial number; 29-4/85-158621 in
connection with new building permit BLD2005-
01009 and accepts all liability associated with its
use.
~~
o k Tanimoto
Project Engineer
Work Place Services
Boeing Company
!YLO <J..J'<>S - 01 'V 01
(l,c ?-<sv, - tJ1> bg~
tuc' 'Z-voS - P b >,~
'1acEntia-Yorba Linda
miREd School District
DEVELOPER FEE CERTIFICATE OF COMPLIANCE
TO: City ofYorba Linda
Dennis M. Smith, Ed.D.
SupelntEndEnt
Board of Education
Carol Downey
Karin FrEEman
Judy Miner
Craig Olson. D.D.S.
Jan WagnEr
The authorized representative of the PLACENTIA.YORBA LINDA UNIFIED SCHOOL DiSTRICT (hereinafter "District") has
reviewed the building proposal for Commercial Addition Construction located at 3370 E Miraloma Ave, Anaheim CA 92830-
3105, consisting of 634 Sq, Ft., and has collected fees of TWO HUNDERED TWENTY EIGHT DOLLARS 24/100 CENTS. The
Project has been evaluated and has been determined that the fees imposed are necessary to meet the cost of providing
education for students resulting from the Project, and that the District facilities cannot accommodate this new enrollment of
;..
students without reconstruction or construction of new school facilities consistent with the
District's facilities plan,
This will certify that the above-named ProponenUApplicant has paid school facilities fees in compliance with Government Code
Sections 53080 and 65995, and that building permits for the square footage in this proposed deveiopment may now be issued by
your jurisdiction,
DATE: January 26,2005
PLACENTIA-YORBA LINDA UNiFIED SCHOOL DISTRICT
<J?MMod ~
~;":""'4., .,'"
By:
Richard Philippi
Executive Director, Maintenance & Operations
'.."- ,',
The Proponent/Applicant representations as to square footage are true, Proponent/Applicant agrees that if it is later determined
that such representations are not true, then this certificate shall automaticall te ' e a propriate City/County shall be
notified,
January 26, 2005 By:
devcert,01/28/97
Serving students In the communities of
rba Linda, Anaheim, Brea and Fullerton
'1acEntla- Yorba Linda
miFfEd School District
.!',
1,!01 e. OrangethorPE AVEnUE, PlacEntla, California 92870
. elEphonE (714) 996-2550 Fax (714) 524-3034
DEVELOPER FEE RECEIPT
DEnnis M. Smith, ed.D.
SupEdnftmdmt
Board 0' Education
Carol DownEY
Karin FrEEman
Judy MinEr
Craig Olson, D.D.S.
Jan Wagner
The Placentia- Y orba Linda Unified School District adopted Resolution No. 89 on March 10, 1998, imposing fees
pursuant to A.B. 1600, effective May I, 1998. The following project was reviewed on January 26, 2005
OWNER: BOEING
PROJECT NAME: COMMERCIAL ADDITION CONSTRUCTION
PROJECT ADDRESS: 3370 E. MIRALOMA AVE, ANAHEIM 92830.3105
Sq It: 634
TOTAL AMOUNT OF FEE: $ 228.24
HIGH SCHOOL ATTENDANCE AREA:
VALENCIA
MIDDLE SCHOOL ATTENDANCE AREA:
KRAEMER MIDDLE
ELEMENTARY SCHOOL ATTENDANCE AREA:
DISTRICT RECEIPT NUMBER:
ACCOUNT NO.:
TYNES
81
869475
DATE: January 26,2005
PLACENTIA.YORBA L1N~;::;L DI~
Received By: K) ~
Rich Philippi
Executive Director, Maintenance & Operations
NOTICE
DEVELOPER FEES
Assembly Bill 3081 (CHAP 549, STATS. 1996) requires each local agency to provide the applicant a statement in writing at the
time of imposition of fees or project approval of the amount of fees, description of dedications, reservations, or other exactions and
a notification that the 90-day approval period in which the applicant may prote s as e
This will serve to notify you that the 90-day approval period in w' you may protest any imposed fees, scription of dedications,
reservations or other exactions will begin to run from the app ed rate as indicated on the building it which describes the
fees, description of dedications, reservations or other exac' ns.
Acknowledgment:
DATE: January 26, 2005 By:
p Icant
Devfee012897
SErving studEnts In thE communities of
rba l.lnda, AnahEim, Brea and Fullerton