1515 S HARBOR BLVD (455)Permit Types
BLD ELE MEC PLM
X
Permit Number: BLD2010-00191
Issued: 01/22/2010
INSPECTION REQUEST LINE:
(714) 765 - 4626
Quarter Section: 76
Site Addrless: 1"515 S. HARBOR BLVD �(DCA - Hollywood)
Legal -Description:
CI EIM
BUILDING';DIVISION
200 S: bNAHEIMt-BLVD.
(714) 765 - 5153
Project Description: Plumbing for Tenant Improvement: Convert existing 4,397 sf. ABC kitchen to Central Entertainment
Atmosphere talent dressing rooms. Bld. #306 (Ref: BLD2009-04223)
People Associated with Project:
Owner WALT DISNEY WORLD CO
Contractor BLUE PLUMBING CO INC
Permit Applicant JOSE LOPEZ
Type Electrical Fixtures Qty Type
Valuation:
Construcion Types:
Fire Sprinklered?
Cool Roof
Total Fees paid for Permit:
VA, ,
Yes
No
729.60
1313 S HARBOR BLVD ANAHEIM CA
1840 FLOWER ST GLENDALE CA 91201 0000
Plumbing Fixtures Qty Type Mechanical Fixtures Qty
Shower 2
Lavatory 4
Water Closet 4
Kitchen Sink 2
Floor Drain 7
Water Distribution (modify existing) 1
The permit shall expire by Umitation and become nup 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 orcontinue work. fbld permit combo
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 applicabIs items have
been signed:
Plumbing (Ground/Underfloor Drain Waste)
Electrical Ground Electrode/Ufer
Selback/Formsrrrenches (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 (Compaction/Membrane Reinf.)
Floor (JoisUGirdem)
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
Flresprinkler (Rough) (Fire Dept.)
2nd Floor Shear
Roof (SheathfnglDiaphragm/Frame)
Masonry (Reinf.IBond BeamlPre-Grout)
Rough Plumbing (Top Out)
Rough Duct (Mechanical)
Rough Mechanical
Rough Electrical
Framing (Only after Plbg., Ele., Mac. 8 Fire)
Insulation (Sound/Energy)
Do not tape or plaster until the following applicable items have been signed:
Drywall
Drywall Penetrations (Ele., Mec. 8 Plbg.)
Interior Lath
Exterior Lath
GENERAL ITEMS
Electrical Service Meter
Exterior Plaster (Brown Coat)
T-Bar (Struct., Ele., or Mec.)
Sewer
Water Engineering Backnow (Testable Only)
Water Service
All applicable items below must be signed before utilities will be released,
FINAL INSPECTIONS
DATE
INSPECTOR
Final Gas Test
Electrical Final
Plumbing Final
Mechanical Final
Cross Connection Control (7+4)7e 90
Engineering/Grading Final p14t7esa12e
Fire Dept. Final (714) 765-5041
Fire Sprinkler Final (714) 765.5041
Water Engineering (714) 765.4591
Sub List/Business License (714) 765.5194
Zoning (714) 7655139
Building Final (Last Inspection -
Only After Above Complete)
FINAL INSPECTION must be approved by the Building Division.
PARTIAL INSPECTIONS
Building Inspections
Mechanical Inspections
Plumbing Inspections
Electrical Inspections
Permit Backs Master-2008.x1s
Permit Types
BUD ELE MEC I PLM
X
Permit Number: BLD2010.00191
Issued: 01/22/2010
INSPECTION REQUEST LINE:
(714) 765 - 4626
Quarter Section: 76
Site Address: 1515 S HARBOR BLVD (DCA - Hollywood)
Legal Description:
CITY OF ANAHEIM
BUILDING DIVISION
200 S. ANAHEIM BLVD.
(714) 765 - 5153
OWNER - BUILDER DECLARATION:
I hereby affirm under penalty of perjury that I am exempt from the Contractor's License State Law for the following reason(s) indicated below by the
checkmarlQs) I have placed next tothe applicable item(s) (Sea 7031.5 Business and Professions Code: any city or county which requires a permit to construct,
alter, improve, demolish or repair any structure, priorto its issuance, also requires the applicant forthe permit to file a signed statement that he or she is
licensed pursuanttothe 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 Contractors 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 legallysell a structure that I have built as an owner -builder lt it has not been constqucted 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 is submitted or at the following Web site: htto://www.leginfo.ca.gov/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 ordinancesand state laws relating to building construction
I authorize representatives of this city or county to enter the above -identified 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 ATTORN EY'S FEES.
I hereby affirm under penalty of perjury one of the following declarations:
I ive and will maintain a certificate of consent to self -insure for worker's compensation, issued by the Director of Industrial Relations as provided
r by Section 3700 of the Labor Code, for the performance of the work for which this permit is issued.
J 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 N#JC-Z91-452654-050
Expiration HAiS911
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 workers compensation 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.
_1A'„^- __�tjVgtu- 2212010
Sig ur of Applicant Da, e
Permit Number: BLD2010-00191
DECLARATION REGARDING 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 penult is issued
(Sec.3097.Civ.C):
Lender's Name:
Lender's Address:
LICENSED CONTRACTORS DECLARATION:
I hereby affirm under the penalty of perjurythat I am licensed under provisions of chapter 9 (commencing with Section 7000) of Division 3 of the
T'nes and Professions Code, and my license is in full force and effect.
/a a 1u 2 zo
Con for ignature I 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 passed final inspection 365 days from the date of permit issuance.
A new permit is required to commence or continue work.
Ibld permit combo declare