583 S. Paseo Ganado
CERTIFICATE OF COMPLIANCE
PAYMENT OF SCHOOL FACILITY FEES
ORANGE UNIFIED SCHOOL DISTRICT
726 W. Collins, Orange, CA 92867
(714) 628-4500
Developer/ Applicant Name:
Address:
Adarsh Saigal
583 S. Paseo Ganado
Anaheim
Phone: cell 714-396-5119
Owner Name:
Address:
same
Phone:
Address/Location:
Type at Project:
Lot #:
Tentative Tract #:
No. of Dwelling Units:
583 S. Paseo Ganado, Anaheim
new home APN#:
[2J Single Family
o Multi Family/Condos/Apt.
Total Square Footage:
Multiplied by Applicable Fee:
Other:
5,952
$2.24
Applicable Fee Level: [2J J 02 0 3 0 4
Total School Facility Fees: $13,332.48
Total School Facility Fees:
Total Square Footage:
Multiplied by Applicable Fee:
$0.36
Total Schaal Facility Fees:
NO [2J YES
REASON:
The above representations as to square footage are true and correct. De
later determined that such represen tions are not true, then this Certitico
terminate and the appropriat ' ounty shall be no .
per/Applicant agrees that it it is
of Compliance shall automatically
Developer/ Applicant i
This certifies that the above named Developer/ Applicant has paid school facility fees in compliance with
Education Code Section 17620 et. seq. and Government Code Section 65995 et. seq.
A
Date: May 19,2005
Name:
Title: Executive Secretary
NOTICE: The 90-day period in which you may protest the fee described herein \ begin on the date this tee is paid. However. jf fhe fee
was imposed by the City or County as a condition ot approval for your project. and you have received the requisite notice, the 90-day
protest period began of the time your project was approved by the City or County.
certificate of compliance
Rev. 02-24-04
.
-",.
v ~ PUBLIC WORKS DEPARTMENT FEES
--TRAFFIC ENGINEERING,FEES--
BUILD # 2.(}t?S'-c 13 ~'3
PROJECTSITE:Si"3 ..:s ,.t>",S(S.o C:. ~1-JA b"
SIZE: SF C>
JKJRAFFIC SIGNAL FEES:
279-412-F724-3017
TE# l(P'Z-
-103
~RANSPORTATION IMPACT AND IMPROVEMENT FEES:,
278-412-F724-1818
-
~RAFFIC SANTA ANA CANYON FEE:
278-412-F724-2001
1'12 !;
~STERN TRANSPORTATION CORRIDOR FEE:
101-412-F724-6704
CI
()
COMMENT:
REVIEWED BY: ALFRED YALDA (714) 765-5183
,o...~
DATE: 5-\7
--DEVELOPMENT SERVICES FEES--
RIGHT OF WAY REVIEWED BY DATE:
o OLD ZONING CODE (i.e. in plan check or entitlement prior to July 8, 2004)
o NEW ZONING CODE
DEDICATION
CREDIT
STREET IMPROVEMENTIREP AIR
SEWER CONNECTION FEE
ACCT #
CITY SEWER ASSESSMENT
ACCT#
DRAINAGE ASSESSMENT FEE
ACCT #
GRADING:
WATER QUALITY MANAGEMENT PLAN (WQMP)
LAND SUBDIVISION:
REVIEWED BY:
. ...
TYPE OF PERMIT 'C' ITY
Retaining Walls
DATE: 12/8/2004
JOB ADDRESS: 583 S PASEO GANADO
LEGAL DESCRIPTION: P BK 161 PG 18 PAR 2
BUILDING DNISION
200 S. ANAHEIM BLVD.
(714) 765 - 5153
INSPECTION REQUEST LINE:
(714) 765 - 4626
CENSUS CODE: 434
QUARTER SECTION: 204
BUILDING PERMIT NO. BLD2004.04146
APPLICANT: ADARSH .SAIGAL
OWNER INFORMATION:
Neelam R Shewa
20Qll Via Ei Tajo
Yorba Linda, CA 92687
JOB DESCRIPTION:Retaining Wall. Maximum height of 7 feet.
. VALUATION: 10,000.00 I PROCESSED BY: JJJ
I '. '. '.' OWNER.BUllDER~ECLARATION" .
I hereby affirm under penalty of perjury that I am exempt from the Contractofi'i'-UC€;ns~.:LawJor the following reason (Sec. 7031.5-Busines~ and
Professions Code: any city or county which requires a permit to construct. aJf.1::-r,..imprqV:~, cf~roolish or repair any structure, prior to its issuance, alSo'
requires the 'applicant for such permit to file a"signed statementthat he is Ijeeps'sd pur~'!-Jal)qo theprovisionsof the Contractor's ,License Law (Chapter'
9)(commencing with Section 7000-of Division' 3 of the Business and ProfessiJ;~s Codel.e>r_that he is exempt therefrom and the basis for the alleged
exemption. Any violation of Secti~n 7031.5 by any applicant for a permit sutt-fcts tOO: a-ppl~Sant to a civil penalty of not more than five hundred dollars
~O~)~s owner of prop~rty, o~ my empiayees.with wages as their sole ~om!:tilSat.jon, 'will do the: work, aild the structure ~ not intended or offered for
sale (Sec. 7044; Bpsiness and Professions Code: The Contractor's Uq:Jnse l.~;w,does not apply to B.n owner of property who' builds or improv~s
thereon, and who does such work himself or herself or through his or her owirempioyees, provided that such improvements 'are not intended or
offered for sale. 'If, however, the building or improvement is sold with one ye:H of (.(,mpletion, the owner-builder will have t~ burden.of proving that he
did not buildor improve for, the purpose of sale). .' V.. .
~ I, as the owner of the property, am exdusively contracting with licensed ::;:ontractors, to construct the project (See.' 7044 Business and Professions
Code: The Contractor's License Law does oot apply to an owner of prcpertY$J,lO bl..llidS or Improves thereon. and who cc~tracts for such projects with
p....qontractor{s) licensed pursuant to the Contractor's License law.). ;
Jt3 I am exe pt u der Sec. , B &'p : _":~'. B.
r!.@te: '?- 04- er: -:7 ;~~ -1.=
'S COM ENSATIO CLARATION I
I hereby affirm under penalty of perjury one of the following d~c1arati{)ns: ~
o "have. and will maintain a certificate of consent to seW-insure for worked-cornf..\ensc:.tion,
as providE'd for by SecUori3700 of the Labor Code,for the performance ofthrwork for which
this permit is is~ued, . . . i
o I have and will maintain worker's compensation insurance, as required b? Section 3700 of
the Labor Code, for, the performance of the work .for-which this. permit is_'ssu~'d. MY'Norker.'s
Compensation jnsuran~ carrier and policy are: ' ... , ii'
Carrier: , . Polley Number. "
. . . .' . . . I
'. Thi..ection need not be completed if the permit Is for one hundred doll",. ($10q or i.ess.
. . _. ., ,. -.. rt
~ I certify that in the perf~rrnance of the work for which this,permit is lssue~, I shaJi 'not
Efrrtploy any person In ~:tny manner 5:0 as 0 become subject to the worker's cq~!=ensation laws
of Califomia, and agree that if I should ecome: subject to 1heworker's COlilpd,lsaticn
provisions of Section 3700 of the a Code, I shall fort. . with th:~.5e provisi ns.
CONTRACTOR. INFORMPinON:
ARCHITECT/ENGINEER INFORMATION:
LICENSED CONTRACTORS. DECLARATION ~
I hereby affirm ul1der penalty of perjury that I, ~m
licensed under provisiorIS'of-chapter 9 (commencing
with Sectio117000) of Divsion"3 of the BuSiness and
Professions Code.
12/8/2004
Date:
Contractor
NUMBER
EXPIRATION DATE
TYPE
Date: 12/8/2004 Applicant: :.
WARNING: FAILURE TO SECU ONCOVER'.GEIS ,
UNt.AWFUL, AND SHALL SUBJ C EMPLOYE TO CRIMINA!. PENA!;TIES ANci;CiVIL
FiNES UP TO ONE HUNDRED OUSAND DOLLARS ($100,000), IN ADD:;nON.TO.;JiHE . '
COST OF COMPENSATION, D AGES AS PROVIDED FOR .IN'SECTION!37060FTHE
t.ABORCOOE, INTEREST AND ATTORNEY'S FEES.
I CONSTRUCTION LENDING AGENCY r:.
1 hereby affirm under penatty of perjury that ther'e is a constructi~m lending ag~J].ty for the
__l?erforman~.2LthfJ ~Qr~_,!QL~~J~Jl1j~Mi~}_!_ i,~j~_~~~dj~~c. 309! .Ci\l~_C): ,J':'!_ __'_ _-"____.___._
Lender's Information: ""
Construcion Types:
V-N, ,
"Fire ~prinklered?_
NO
I certify that I have read this application and state that the above information is correct. I
agree to- comply with all city ordinances and state laws relating tobullding constQJction, and
here authorize represe "ves of this city to enter upon the above mentioned property for
ins ctien py
Date: 12/8/2004
Fees paid for Permit:
Total:
802,46
ature of Ap or Agent .
rmit shall expire by limitation and become null and void if the building or
ork has not passed final inspection 365 da\lS from the date. of permit' issuance. A
w permit is required to commence or continue work:
INSPECTION RECORD
INSPECTION DATE INSPECTOR
Temporary Power Pole . .
Plumbing (DrainlWaste Pipe)
Electrical Ground Electrode/Ufer ;,/1
SelbacklFormslTrenches (Footings) J J-Af . rj If(!-.A' 1
Do not install subfloor or pour floor slab until the
following applicable Items have been signed: .
Plumbing (Water Pipe.Sprinkler Valves) .
. Mechanical (GrOundwork). .' . .
Electrical (Unde[lJround Conduit) . .
Pre-slab(Compaction/Membrane.Reinf. . . .
Underpinning (Floor Joist/Girders)
Do not cover or conceal tne work below !Jntn me
following applicable iferns have been signed: .
1st Floor Shear . .
Firesprinkler (ROugh) .
2nd Floor Shear . ".
Roof (ShealhinQ/Diaphragrn'Frame) ~ j , .
Masonry (ReinfJBoncl BeamlPre-GrouU 7,.. J
Rough Plumbing {Top.Out).' . '.'
Rough Mechanical . . .
I Rough .aectrical (Dry wall)
Rough Electrical ... .'
Framing (Only after Plbg.. EJec311ech:. and Fire)
Insulation (SoundlEnergy)
po not tape or pla~ter until the following applicable
.tems 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 Baekflow . "
Water Service .
FINAL INSPECTIONS Date inspector
Electrical Final . ..
.
Plumbing Final . . .
. . .
Mechanical'Final . .
Gas Test' ' '.
.
Engineering/Grading Fina'17.65-5126 '.
Fire Dept. Final 765-4040 .
Waler Engineering 765-5268 . ..
Sub List/Business Li.cense 765-519- .'.
Zoning 765,5139 . . .
Building Final \l-ast Inspection- Only i.db... ~</ .p. "....
Iter Above Complete} ~:ZZ~
PARTIAL INSPECTIONS
Buildina Inspections
Mechanical Inspections
Plumbinqlnspections
Electrical Inspections