3454 E. Miraloma Ave. (2)
BUILDING PERMIT NO. BLD2005-03323
TYPE OF PERMIT CITY
Storage Racks
DATE: 11/4/2005
JOB ADDRESS: 3454 E MIRALOMA AVE
LEGAL DESCRIPTION: KRAEMER TR LOT 18 BLK K POR OF LOT
APPLICANT: BILL TABOR
OWNER INFORMATION:
NORm AMERICAN AID
2201 SEAL BEACH BLVD
SEAL BEACH, CA 90740
CONTRACTOR INFORMATION:
NEW WAVE INSTALLATIONS
250 MOONACHIE RD
MOONACHIE. NJ 070740000
BUSINESS PHONE: 201 994-C911
ARCHITECT/ENGINEER INFORMATION:
ANDREWL KIRBY
5562 ROCK TREE DRIVE
AGOURA HILLS, CA 90301
JOB DESCRIPTIONl\dd 785 If storage racking
VALUATION: 88,428.00
ElM
BUILDING DIVISION
200 S. ANAHEIM BLVD.
(714) 765 - 5153
INSPECTION REQUEST LINE:
(714) 765 - 4626
CENSUS CODE: 437
QUARTER SECTION: 149
PROCESSED BY: MJL
OWNER-BUILDER DECLARATION
I hereby affirm under penalty of perjury that I am exempt from t e Contractor's License Law for the following reason (Sec. 7031.5 BUSiness and
Professions Code: any city or county which requires a permit to construct, atter. improve, demolish or repair any structure, prior to its issuance, also
requires the applicant for such permit to file a signed statement that he ;slicensed 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 own 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 ownerMbuilder will have the burden of proving that he
did not buffd or improve for the purpose of sale),
o I, as the owner of the property, am exclusively contracting with licensed contractors to construct the project (See, 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 contracts for such projects with
~ontractor(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 selHnsure 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.
'Ehave and will maintain worker's compensation insurance, as requimd by Section 3700 of
t bar Code, for the performance of the work for which this permit is issued. My worker's
ompensation insurance carrier and policy are:
Carrier: GRANNITE STATE Policy Number. WC6808159
This section need not be completed if the pennit is for one hundred dollars ($1 00) cr less.
~certify that in the perlonnance of the work for which this permit is issued, I shall not
e y any person in any manner so as to become subject to the worker's compensation laws
o Callfomia, and agree that if I should become subject to the worker's compensation
provisions of Section 3700 of the bor e,l sh fortlJwith comply with those provisions.
Dale: 11/4/2005 Applicant
WARNING: FAILURE TO SECURE
UNLAWFUL, AND SHALLSUBJEC AN EMPLOYER TO CRIMINAL PENALTIES AND CIVIL
FINES UP TO ONE HUNDRED USAND DOLLARS ($100,000), IN ADDITION TO THE
COST OF COMPENSATION, DA AGES AS PROVIDED FOR IN SECTION 3706 OF THE
LABOR CODE, INTEREST AND TTORNEY'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 ;s issued (See. 3097.Civ.C):
Lender's Information:
I certify that I have read thisappJication and state that the above information is correct. I
agree to comply with all city ordinances and state laws relating to building construction, and
hereby uthor" ptesentives of this city to enter upon the above mentioned property for
inspectio pur 0 s. d~ R / ~
pr -''-'''-f Date: 11/4/2005
Signature of Applicant or Agent
The permi 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.
LICENSED CONTRACTORS DECLARATION
I hereby affirm under penalty of perjury that I am
licensed under provisions of chapter 9 (commencing
with Sectio 7000) of . ion 3 o~th Business and
Professions ode.
11/4/2005
Date:
NUMBER
698549
TYPE
Construcion Types:
V N, ,
Fire Spr;nklered?
Contractor
EXPIRATION DATE
11/3012006
D21
YES
Fees paid for Permit:
Total:
1.619.78
City of Anaheim
Building Division
INSPECTION RECORD
INSPECTION DATE INSPECTOR
Temporary Power Pole
Plumbing (DrainlWaste Pipe)
Electrical Ground Electrode/Ufer
SetbackiFormslTrenches (Footings)
Do not install subfloor or pour floor slab until the
following applicable items have been signed:
Plumbing (Water Pipe/Sprinkler Valves)
Mechanical (Groundworkl
Electrical (Underground Conduit)
Pre-slab (Compaction/Membrane Reinf.)
Underpinning (Floor Joist/Girders)
Do not cover or conceal the work below until the
following applicable items have been signed:
1 st Floor Shear
Firesprinkler (Rough)
2nd Floor Shear
,Roof (Sheathing/Diaphragm/Frame)
Masonrv (Reinf./Bond Beam/Pre-Grout)
Rough Plumbing (Top Out)
Rough Mechanical
Rough Electrical (Dry Wall)
Rough Electrical
Framing (Only after Plbg., Ele., Mec. And Fire)
Insulation (Sound/Energy)
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
GENERAL ITEMS
Exterior Plaster (Brown Coat)
T -Bar Electrical
T -Bar Mechanical
T -Bar Structural
Sewer
Water Engineering Backflow
Water Service
FINAL INSPECTIONS DATE INSPECTOR
Electrical Final
Plumbing Final
Mechanical Final
Gas Test
Cross Connection Control (714) 765-4280
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(Lasllnspection . Only 1/(1) I~ Wwl,t'
After Above Complete)
PARTIAL INSPECTIONS
BU~ldina Ins~ections .
10r,!J( r ~d/ I,l a.{;
. I
. J~ @1(
Mechanicallnsoections
Plumbina Insoections
Electricallnsoections
TYPE OF PERMIT CITY
Storage Hacks
DATE: 4/7/2005
JOB ADDRESS: 3454 E MIRALOMA AVE
ElM
BuilDING DIVISION, ,
200 S, ANAHEIM BLVD.
(714)765 - 5153
, INSPECTION REQUESTLINE:
(714) 765 - 4626
CENSUS CODE: 437
QUARTER SECTION: 149
BUILDING PERMIT NO. BLD2005-00582
CONTRACTOR INFORMATION:
'N~WAVE INSTALLATIONS
250 MOONACHIE RD
MOONACHIE, NJ 07074 0000
BUSINESS PHONE: 201 994.0911
JOB DESCR1PTIONlnstall storage racks in exist. warehouse
VALUATION: 45,700,00
APPLICANT: Bill TABOR
OWNER INFORMATION:
"North American Aid
2201 Seal Beach Blvd
Seal Beach, CA 90740
ARCHITECT/ENGINEER INFORMATION: :
ANDREW l KI RBY
5562 ROCK TREE DRIVE
AGOURA HI LLS, GA 90301
PROCESSED BY: CDl
OWNER-BUILDER DECLARATION
I her.eby a irm under penalty of perjury that I am exempt from the Contractor's License Law for the 'following reason (Sec. 7031.5 Business and.
Professions Code: any city' or courttywhich 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 <;l signed statement that he is licensed pursuant to the provisions of the Contractor's License Law (Chapter
.9)(commencing with Section 7000 ,of Divfsion 3 of the Businessahd Professiol1S Code) or that. he is exempt therefrom and the basis for the al,leged
exe.mption. ..Any violation of S~tion 7031.5 by any applicant for a permit subjects the applicant to a civil penalty,of not mqre than five hundred dollars
-~, ' ,
o I, as owner of property, or my employees whh wages as their sole compensation, will do the work, and the structure is not intended or offered for
sale (Sec. .7044 B~siness and Professions Code: The Contractor's.license Law does riot apply to an owner of property who builds or improves
ther~on, and-who does such work himself or' he lSelf or through his or her own employees, provided that such imprqvements 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 purpos~ of sale). .
O,I,as the owner of the property, am exclusively contracting with licensed cbntractors to construct the project (Sec. 7044 Business and P~ofessions'
Code: The Contractor's Li~nse Law does not apply to' an owner of property who builds or improves thereon, and who contracts for such projects with
a cOhtraqor(s)'licensed pursuant to the Contractor's License Law);. .
01, 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
thi:;; permit is issued.
'~ I have, and will m,'aintai,n worker's compensation insurance, as required by Section 370.0 of 4/7/2005
e Labor Code, for the performance of the. work for which this permit is issued. Myworker's Date:
ompen'sation insurance carrier and policy are:
Carrier: . ' Policy Number:
,LICENSED CONTRACTORS DECLARATION
I hereby a irm under penalty 0 perjury that I am
licensed under provisions of chapter 9 (commenciflg
. with Sectio'n 000) of Divsion 3 of the Business and
Professions 'ode.' . .'
Contractor
NUMBER
698549
TYPE
EXPIRATION DATE
11130/2006
D21
Date: 4f712005
, Applicant:
Construcion Types:
VN, "
Fire Sprinklered?
YES
I certify that 1 have read this application and state thatthe above information is correct. I
agre to comply with all city ordinances and state: laws relating to building construction, and
here " authorize ~epresentives of this city to en~er upon the above mentioned prop.erty for
i W. ion purposes.
Date: 4/7/2005
Fees paid for Permit:
Total:
1,216.53
~ ignature of Applicant or Agent
The permit shllll expire by Iim~ation and become null and void if the building or
work has not passed final.inspection 365 days fr9l1l the date of permit issuance. A
new permit is ,required to commence or continue work.
INSPECTION RECORD
" ,INSPECTION " , DATE ' INSPECTOR
Temporary, Power, Pole ' " , , ,
Plumbing (OralnlWaste Pipe)
'Electrical Ground ElectrodeHJfer
SetbacklFOrmslTrimcheS (Footings) ,
Do not install,subfloo,r or pour floor slab until the ,
following applicable Items have been signed: ,
Plumbing (Water Pipe.Sprinkler Valves)
Mechanical (GroundWork) ,
Electrical (Underground Conduit) "
Pre-slab (Compaction/Membrane,Remf.
Underpinning (Floor Joist/Girders) ,
Do not cover or concealthe work below until the
, following applicable items have been &igned:
1st Floor, Shear ,
Flresprinklef (Rough).., ,
2nd Floor Shear
Roof (Sheathing/Diaphraam/Frame)
Masonry (RelnfJBondBeamlPre-Graut)
. Rough PlumbIng (Top Out) ,
Rough' Mechanical ' , '
Rougn ElectrICal (Dry wall'
Rouah Electrical ' , ' , ,
, Framing" (Only after Plbg:, Elec.. Mech.. and Fire) "
Insulation (SoundlEnergy) ,
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 ,
, GENERAL ITEMS
Exterior Plaster (Brown Coat) ,
T -Bar Electrical ' ,
:T-Bar Mechanical ,
T -Bar Structural ,
Sewer
Water Engineering Backflow ' ,
Water Service
FINAL INSPECTIONS Date Inspector: "
Electrical Final
Plumbing Final
Mechanical Final , ' , '
Gas Tesi " ,
, ,
Engineering/Grading Final 765-5126 "
Fire Dept. Final 765-4040
Waier Engineering 765.5268 ,
,
Sub List/Business License 765-519
Zoning 765-5139
Building Final \kast Inspection- Only ~/'1.; ~ Wllle
fter Above Complete)
PARTIAL INSPECTIONS'
Buildina Inspections
MechanicallnSDections
, Plumbinalnspections
ElectricallnSDections,