1515 S HARBOR BLVD (459)Permit Types
BLD ELE MEC PLM
Permit Number: BLD2010-04088
Issued: 11/01/2010
INSPECTION REQUEST LINE:
(714) 765 -4626
Quarter Section: 76
FANAHEIM
CALIFO
CITY OF ANAHEIM
BUILDING DIVISION
200 S. ANAHEIM BLVD.
(714) 765-5153
Site Address: 1515 S HARBOR BLVD
Legal Description:
Project Description: Electrical for DCA Esplanade entry turnstiles (Ref. BLD2009-00888)
Valuation:
People Associated with Project:
Owner WALT DISNEY WORLD CO
Contractor ANDERSON & HOWARD ELECTRIC INC
Fire Sprinklered?
Construcion Types:N/A,
No
No
136.73
Cool Roof
Total Fees paid for Permit:
PO BOX 4741 %WALT DISNEY CO ATTN TAX DEPT GLENDALE
1791 REYNOLDS IRVINE CA 926140000
Permit Applicant YO YU CHANG
Type Electrical Fixtures Qty Typе Plumbing Fixtures Qty Type Mechanical Fixtures Qty
Receptacle, switches, lights 149
Conduit and Conductors - per 50 ft.4
Under floor raceways - per 100 ft.2
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.fbld_permit combo
City of Anaheim
Building Division
NAHE
I
M
CALI
F
O
РITY OF ANOUNDED 18
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 DATE
Do not pour concrete until the following applicable items
Plumbing (Ground/Underfloor Drain Waste)
Electrical Ground Electrode/Ufer
Setback/Forms/Trenches (Footings)
INSPECTOR
have been signed:
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 (Joist/Girders)
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 (Sheathing/Diaphragm/Frame)
Masonry (Reinf./Bond Beam/Pre-Grout)
Rough Plumbing (Top Out)
Rough Duct (Mechanical)
Rough Mechanical
Rough Electrical
Framing (Only after Plbg., Ele., Mec. & Fire)
Insulation (Sound/Energy)
Do not tape or plaster until the following applicable items have been signed:
Drywall
Drywall Penetrations (Ele., Mec. & Plbg.)
Interior Lath
All applicable items below must be signed before utilities will be released
FINAL INSPECTIONS
Final Gas Test
Electrical Final
Plumbing Final
Mechanical Final
Cross Connection Control (714) 765-4280
Engineering/Grading Final (714) 765-5126
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) 765-5139
Building Final (Last Inspection -
Only After Above Complete)
DATE INSPECTOR
FINAL INSPECTION must be approved by the Building Division.
PARTIAL INSPECTIONS
Building Inspections
Mechanical Inspections
Plumbing Inspections
Exterior Lath
GENERAL ITEMS
Electrical Service Meter
Exterior Plaster (Brown Coat)
T-Bar (Struct., Ele., or Mec.)
Sewer
Water Engineering Backflow (Testable Only)
Water Service
Electrical Inspections
FINAL
3/28/2013
Permit Backs Master-2008.xls
Permit Types
BLD ELE MEC PLM
Permit Number: BLD2010-04088
Issued: 11/01/2010
INSPECTION REQUEST LINE:
(714) 765 - 4626
Quarter Section: 76
Site Address: 1515 S HARBOR BLVD
Legal Description:
OWNER - BUILDER DECLARATION:
ANAH
E
I
M
CALI
F
O
R
CITY OF ANAHEIM
BUILDING DIVISION
200 S. ANAHEIM BLVD.
(714) 765-5153
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
checkmark(s) I have placed next to the applicable item(s) (Sec. 7031.5 Business and Professions Code: any city or county which requires a permit to construct,
alter, improve, demolish or repair any structure, prior to its issuance, also requires the applicant for the permit to file a signed statement that he or she is
licensed pursuant to the 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 apermit 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 ofproving 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 theprojects 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 if 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 requestwhen this application is submitted or at the following Web site: http://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 ordinances and 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
WORKER'S COMPENSATION DECLARATION:
Date
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:
_have and will maintain a certificate of consent to self-insure for worker's compensation, issued by the Director of Industrial Relations as provided
for 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: TRUCK INSURANCE EXCHANGE
Name of Agent:
Policy N09301 162
Phone No.:
Expiration D2011
__ I certify that in the perfomance 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 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.lSignature of Applicant 11/1/10Date
Pérmit Number: BLD2010-04088
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 permit is issued(Sec.3097.Civ.C):
Lender's Name:
Lender's Address:
LICENSED CONTRACTORS DECLARATION:
I hereby affirm under the penalty of perjury that I am licensed under provisions of chapter 9 (commencing with Section 7000) of Division 3 of theBusiness and Professions Code, and my license is in full force and effect.
pyceyContractor Signature
NUMBER EXPIRATION DATE LICENSE TYPE (S)
258268 4/30/2012 C10
11/1/10
Date
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.
fbld permit combo declare