1515 S HARBOR BLVD H314 (6)Permit Types
BLD
ELE
I MEC
PLM
X
X
Pen?;t Number: BLD2010-00192
Issued:01/22/2010 '
INSPECTION REQUEST LINE:
(714) 765 - 4626
Quarter Section: 76
Site Address: 1515 S HARBOR BLVD H314 CHARACTER CHANG
Legal Description:
CITY OF ANAHEIM
BUILDING DIVISION
200 S. ANAHEIM BLVD.
(714) 765 - 5153
Project Description: Plumbing and Mechanical for Tenant Improvement: 1116 sf. tenant improvement for "Character Head
Building" (DCA - Hollywood Pictures Backlot - Bid. # 314). Ref: BLD2009-03365
Valuation:
Construcion Types:
VB,
Fire Sprinklered?
Yes
Cool Roof
No
Total Fees paid for Penh:
330.53
People Associated with Project:
Owner WALT DISNEY WORLD CO 1313 S HARBOR BLVD ANAHEIM CA
Contractor BLUE PLUMBING CO INC 1840 FLOWER ST GLENDALE CA 91201 0000
Permit Applicant JOSE LOPEZ
Type Electrical Fixtures Qty Type Plumbing Fixtures Qty Type Mechanical Fixtures Qty
Kitchen Sink 1 Ventilation Fan - <= 300 cfm on single duct 1
Washing Machine Rough 1
Water Distribution (modify existing) 1
Gas System (1-5 outlets) 1
The permit shall expire by limitation and become null and void if the building or work has not passecifinal inspection 365 days fromthe date of permit
issuance. A new permit is required to commence orcontnue work. Ih I co;,,rc
City of Anaheim
Building Division
Do not occupy this building until the final inspections have been made.
BUILDING PERMIT DOES NOT AUTHORIZE ELECTRICAL, PLUMBING, OR
MECHANICAL INSTALLATIONS -SEPARATE PERMITS ARE REQUIRED.
INSPECTION I DATE I INSPECTOR
Do not pour concrete until the following applicable items have been signed:
Plumbing (GroundlUnderfloor Drain Waste)
Electrical Ground ElectrodelUfer
SetbacklFormslTrenches (Footings)
Do not install subfloor or pour floor slab until the follwing applicable items have
been signed:
Plumbing (Ground/Underfloor Water)
Underfloor Rough Gas
Mechanical (Groundwork)
Electrical (Underground Conduit)
Pre -slab (CompactionlMembrane Reinf.)
Floor (JoistlGlydere)
Underfloor Insulation (Raised Foundation Only)
2nd Floor (Floor Nailing)
Do not cover or conceal the work below until the following applicable items have
been signed:
1st Floor Shear
Firesprinkler (Rough) (Fire Dept.)
2nd Floor Shear
Roof (SheathinglDlaphragmlFmme)
Masonry (Relnf.lBond Beam/Pre-Grout)
Rough Plumbing (Top Out)
Rough Duct (Mechanical)
Rough Mechanical
Rough Electrical
Framing (Only after Plbg., Ele., Mac. & Fire)
Insulation (Sound/Energy)
Do not tape or plaster until the following applicable items have been signed:
Drywall
Drywall Penetrations (Ele., Mac. & Plbg.)
Interior Lath
Exterior Lath
GENERAL ITEMS
Electrical Service Meter
Exterior Plaster (Brown Coat)
T-Bar (Struct., Ele., or Mac.)
Sewer
Water Engineering Backflow (Testable Only)
Water Service
All applicable items below must be siqned before utilities will be released.
FINAL INSPECTIONS
DATE
INSPECAPR
Final Gas Test
Electrical Final
Plumbing Final
Mechanical Final
Cross Connection Control nul ms.,ua
Engineering/Grading Final ptq 7s im
Fire Dept. Final (714) 7655041
Fire Sprinkler Final (714) 765.5041
Water Engineering (714) 7654591
Sub List/Business License (714) 765.5194
Zoning (714)765-5139
Building Final (Last Inspection -
Only After Above Complete)
FINAL INSPECTION must be approved by the Building Division.
PARTIAL INSPECTIONS
Building Inspections
Mechanic PITA
Ell
Plumbing Inspections
Electrical Inspections
Permit Backs Master-2008.xis
Permit Types
BLD
I ELE
I MEC
1 PLM
X
X
Pem% Number: BLD2010-00192
Issued: 01/22/2010
INSPECTION REQUEST LINE:
(714) 765 - 4626
Quarter Section: 76
Site Address: 1515 S HARBOR BLVD H314 CHARACTER CHANG
Legal Description:
CITY OF ANAHEIM
BUILDING DIVISION
200 S. ANAHEIM BLVD.
V14) 765 - 5153
OWNER - BUILDER DECLARATION:
I hereby affirm under penalty of perjury that I am exempt from the Contractor's License State Lawforthe following reason(s) indicated below by the
checkmark(s) I have placed next tothe applicable ltem(s) (Sea 7031.5 Business and Professions Code: any city or county which requires a permit to construct,
after, improve, demolish or repair any structure, prior to its issuance, also requires the applicant forthe permit to fie a signed statement that he or she is
licensed pursuant tothe provisions of the Contractors' State License Law Chapter 9 (commencing with Section 7000) of Division 3 of the Business and
Professions Code) or that he or she is exempt from licensure 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).
-- I, as owner of property, or my employees with wages as their sole compensation, will do (__) all or ( —) portions of the work, and the
structure is not intended or offered for sale (Sec. 7044 Business and Professions Code: The Contractors' State License Law does not apply to an
owner of property who, through employees' or personal efforts, builds or improves the property, provided that the improvements are not Intended
or offered for sale. If, however, the building or improvement is sold within one year of completion, the Owner -Builder will have the burden of
proving that it was not built or improved for the purpose of sale).
I, as the owner of the property, am exclusively contracting with licensed Contractors to construct the project (Sec. 7044 Business and Professions
Code: The Contractors' State License Law does not apply to an owner of property who builds or improves thereon, and who contracts for the
projects with a licensed Contractor pursuant to the Contractor's State License Law).
— I am exempt from licensure under the Contractors' State License Law for the following reason:
By my signature below I ackonowledge that, except for my personal residence in which I must have resided for at least one year prior to completion of
the improvements covered by this permit, I cannot legally sell a structure that I have built as an owner -builder 9 it has not been constructed in its entirety
by licensed contractors. I understand that a copy of the applicable law, Section 7044 of the Business and Professions Code, is available upon request
when this application issubmitted or at the following Web site: htto://www.lecinfo.ca.cov/calaw.html.
By my signature below, I certify to each of the following:
I am the property owner or authorized to act on the property owner's behalf.
I have read this application and the information I have provided is correct.
I agree to comply with all applicable city and county ordinances and state laws relating to building construction
I authorize representatives of this city or county to enter the above-idenfrfied property for inspection purposes.
Signature of Property Owner or Authorized Agent Date
WORKER'S COMPENSATION DECLARATION:
WARNING: FAILURE TO SECURE WORKERS' COMPENSATION COVERAGE IS UNLAWFUL, AND SHALL SUBJECT AN EMPLOYER TO
CRIMINAL PENALTIES AND CIVIL FINES UP TO ONE HUNDRED THOUSAND DOLLARS ($100,000), IN ADDITION TO THE COST OF
COMPENSATION, DAMAGES AS PROVIDED FOR IN SECTION 3706 OR THE LABOR CODE, INTEREST, AND ATTORNEY'S FEES.
I hereby affirm under penalty of perjury one of the following declarations:
I eve and will maintain a certificate of consent to self -insure for worker's compensation, issued by the Director of Industrial Relations as provided
or by Section 3700 of the Labor Code, for the performance of the work for which this permit is issued.
I have 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: WAUSAU UNDERWRITERS INSURANCE
Name of Agent:
Phone No.:
Policy NPJC Z91-452654-050 _ Expiration HAW"
_ I 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 worketscompensation laws of California, and agree that, if I should become subject to the worker's compensation provisions of Section
3700 of the labor Code, I shall forthwith comply with those provisions.
Sig ire o Applicant
at
Permit Number: BLD2010-00192
DECLARATION REGARDING CONSTRUCTION LENDING AGENCY:
I hereby affirm under penally of perjury that there is a construction lending agencyfor the performance of the work for which this permit is issued
(Sec.3097.Civ.C):
Lenders Name:
Lender's Address:
LICENSED CONTRACTORS DECLARATION:
I hereby affirm under the penalty of perjurythat I am licensed under provisions of chapt r 9 (commencing with Section 7000) of Division 3 of the
Bu 'ness and Professions Code, and my license is in full force and effect.
h N ? z d/,b
cto Signature e
NUMBER EXPIRATION DATE LICENSE TYPE (S)
755714 10/31/2010 A C20 HTAC
C36
The permit shall expire by limitation and become null and void if the building or work has not passedfinal inspection 365 days from the date of permit issuance.
A new permit is required to commence or continue work.
fbld permit combo declare