ggcity.org...city of garden grove electrical permit inspection requests g2neral information public...
TRANSCRIPT
ELECTRICAL PERMIT Inspection Requests .elopment 633-6771
General lnforfiJation
• 1.. .::CTIO~J RECORD FEES For Applicant to Fill in 1 SINGL~ PHASE SERviCE SIZE Q UG (J OH IF NOT LISTED BELOW NO. EA. FEE ADDRESS .
. __ ~S VO_LTS RIG. CONDUIT ~EE ~ODE - J./ /" J '· ITHREEPH'-ESERVICESIZED3Wire 04Wire Duo 00HIRestolenttai(R·,&R·3 )sq.ft. rl ""-'-_/lu_p.mr··yt
-. • I Garage, Resid. iM) sq. ft. BLK NO. TR'fCT NO~. '"'""-*'+=lt"'L"'~r=CT=· ~:c==:=-'~ii.-....J,..j AMPS VOLTS RIG. CONDUIT ·
~----.--··----· -· I 3 IP6N£
~~--------~~~L-~~~-4--~~-------~T~a~m~p~o~ra=r~y~P~o=w~er~P~·ole___ (/~~--- ~~ ~f2 CITY
~----------~------------ ~~~~u:~ Outlets
Fixture:~. SQ. FT. :-.~.: ,
I Fi><tures, Mere, Quartz, c•c. c.u.~--= ... ~ .. "-·' .~ ... ----1 -
' I ' I I
I Heatar-No: Over 1650 W I I I I J, ~. L L }
Washer . :U~t:-2'28~~ 2- ::2 ~ :~:. ; ~·z :lin~ . r;:IMDtors Dryer ELECTRICAL CONTRACTOR STATE LIC. NO. 8c TYPE
Hot Water Heat£rs
I .-.-; Dishwasher -+-----J-J.±~~;!·'.U-'-U/--!~_..!J..tp.'.,;;l!.....-1. __ =~4--.,.,===c-----f - Z.J-iJ· Domestic Rance or Oven ----·
a-10-g --~--~~--~~~~~~~~----~~~ WO KER' OMPENS.f.TIQN~QUIREMEN'ffl .
SteteCompenuti-:Jn .._ ... A~~,'tiALr'! ~~· lnsurancol'olicy NonW¥"1' -ciZt! xplratlon Data ~ 0 I certify that In tho porformance of the work for whlchk
isaued, I shall not amp loy any ,.;rson In any inan.- 10 .. to becc!m4t subject to the Worker's Compen .. tion llivri' of Cl!llfornle. ·
NOTE: If, after making such cartlficata, tho -:l.l>iicent for the permk. should become subject to the Worker's Compensation provilioftl of this coda, ha shall forthwith comply with tho provisions "f &lctlon 3700 or his permit shall bo d"mod revoked. '
0 I ~certify thot I have read lhla application and state that tho mew 1ftformation io correct. I agrH to comply with all City ord1Mnc4ia end State lawa ralatlng to pendl~g construction. 1 further..,. .. to !Mid tl'>a City 11f Garden Grov• frM an ml- from ·IN\Y lleblllty erltl· lng ou f · jury or od a tlne.,trom wor .. ory-tlll'ftleJ ral thla __ __ J'LJJI'3.
r BO!lfNE. TAX CERTIFICATE INFORMAiflON"
~
~12-ll>--64-l ~ ~ t cor.tlfy.th.at tho.followJng.Contractor'a_LI_~ 1 4 and Clasalflcatlon ,. · Is in full f.,. and .tfect.
ITEM CODE I FEE~ I ~~------~~~~----------~~+-~--~~===---~P~Ia~n~R~ot~a~n~tl~o~n~F~ .. ~-----+----UII-----.....IIIIIdt...Ltir&:......J....j~ltti-~--:~:-'~_,u..;:::;;.. __ 1-;:Pian Chec_k_____ I ~ lt ~~""! : _
Permit
?<'".,_!~~
I ~"'~ ~-~ lssuanca - --=;2 JQ.-
TOTAL FEES ~_3i ·-
I~-;;z~ ~~om J ";ttf19 A;- ..... P&tiMf NO. V"'iiii':""H'i"'A"T."A~~------------::-:::;;:;";:;";~;:"'::;;-
:•, · COHO. ~IE"MIT NO. : ....... ,...
L,,NI) llfit£
' ~ wwfc It 11.:-t -.cl within 120 d•V• frOI\'1 data of issu• or if -=--·•;'"' ,_ tn-t 120 dW,, 1hh ~M~tmlt will be null and
---,~~·<n .~ I ~J.?/r3
(PRINT) C.:ONTitAC:TIU' (sb",r:~~=:~~~::T:::::w-1 '
DATa
.USINIEtiS TAX C.IUtTIP'ICAT~ N:J. .' _ .. ·. ._. •xii'tiAf'i~ eA'\'1[
I certify that I ani axtOmpt from Section '"01J1.!1 af ttl• ~.-I, Profeaslonal Coda, Division· 3; Chapter II, c'Contractotl'. L~ ~ undar tho foilowlng Section: · . '· . " OWnor: Sactlc>n 70<W D Minor, work uno.. l100: s.ctlen 70olil 0 Employ" working for wagas only: Sactlon 7053 0 . , Othar: ·- _
, .. ,..N~;.v~ r•u·~:'"l':...•Jc::~~-\~~ .. ~:."r• _..., A FEE MAYn Bt CHARGECF"i:JA, RE·I~i::TION DUIE .,.,. NEGLIGENCE, IN~.:IMPLETfi WC•At<;' OP !"AlLURE TO ~ J;ORBECTIONS, ·
_, -~
"~···.'·· ... ··--.....
·-·~· ·..:~
.. _ .. CITY OF GARDEN GROVE ELECTRICAL PERMIT Inspection Requests G2neral Information Public Works & Development 638-577'1 )38-6661 i i
• • INSPECTION RECORD FEES For Applicant to Fill in I
rSINGLE PHASE SERVIC:~-l UG U OH IF NOT LISTED BELOW NO EA FEE ADDRE:SS SEE CODE ' '
• AMPS VOLT RIG. CONDUIT 7 '/'tJJ cll·.arnA 1' . l· THREEPHASESERVIC(SIZE03Wire 04Wire 0\:G DOH ~esidentiai~R-l&R-3)sq.ft. n ~ I
Garage, Resld. (M) sq. ft. LOT NO, BLK NO. TRACT NOl. . ELIEC'J'iiii.C .!"ElM. '11' AMPS VOLTS RIG. CONDUIT~-. . : f·c 3 7 l
1-----....:..=:.=..-r~.--.:...::-=-:.:..---,-----_-----J SeN1ce Meter, Songle Phase ., , , ·"' APPROVAL \ DATE ~CTOR Service Meter, Thr<~e Phase ~~ ' j ~-~~~Th~re~eP~~~~~~-~~--~~~~~N~~~1-c_A_9~L~~~~~~VLS~~~~-~-~-ln~~~~~~----~~~~ .I
' Temporary Powe~- I l(jf!J_ J/ 00 1 . '\ Pole~ Power, Light, et~~ OWNER'S ADDRESS CITY
Coodu•t "'. ·-Sub·Panelsllj> '- ~ . . /;}L/btJ F-UC.J../e;} G" C.~. '
\
Sub-Panels 3 cp V c·~_;... t; c-o '1 · Wiring_ Rough . ' ....... .::;J" Nr::w eu•L~'""G oR I :l!!;xasTING ouiLOING -l'occu~ANcv lvw. oJF ~,.,., OutletS AODI'I"ION • ""EA ft&MODEL. AREA GftOU,. Oft' HU.-~111 Of"' UNITS j
. -=='."-·:-:==j.,-,-------1/. r·+------.-.. ---t-F-i¥-.1-U-re_S______ __: SQ. I"'T. SQ. FY, j
· I Heater . - ! F1xtures,. Mere. Quartz. etc. VALIDATION !::, ;!,..!"~ ~ln~o-A-...1
·. . / ~iaater- \lot Over 1650 W ISS 10 • GO Fuctut'es•& Tr~m V 111Lni i A P.-1"" ~03 r··.c·•J ·'t.' c:;· ·l Washer ,J..!ow~.!.- u ,J ~ w!-1·-·: = ~J.. ..... Ill.
Motors ( Dryer El.E:CTRICAL. CONTRACTOR rSTATE: L.lC. NO,. T1"1'K . ..i.
r------t--T---+---~Ho:.:.:_ tW:.:::at:::_er :..:::Hea:,::ter:.:_s ---1---1--+---.J.--11 IJ¥/ T/fj) £!'~J:S::lJI/C.. /U J.., _ C/ f"l _ ' ~· DishWasher V j 7 f.< 'I ;;J. V :J ~ . "" Domestic Range or Oven ADORES. s H k . CIT. v I PHONE .·
) Disposal ~w r .,'t- "· D ·41~ 1!'~~- 9171 -'
~---------+-----7£...--+--------lPower Apparatus H.P., K.W. or
(
K. V.A. Motors, Transformers, etc. WORKER'S COMPENSATION REQUIREMENT$ State Companution
Not Over 1 each Insurance Polley No. Expiration Oat•'-----
\
Over 1, Not Over 1 o each 0 I Cllt'tlfy that In tho perform one• of the work for which this permit • f--. l11ued, I sholl not •mplov any pwson In any manner .., • to -
._ Over 10, Not Over 30 each subject to th• Workor's COm-tion laws of California. . r ,. - \ . NOTE: If, aftor making such cartlficata, the ill>9licant for die J>*Mk ' lndv. CirCUitS should bacomo subjoct to the Workw's c~ ~ovhioo'a-"' ·t· Time Clock ·- of this c~•· htlh. all forthwith compl.vwith thaprovWonsOfSectlon
•·. 3700 or h•s Pllt'mlt shall be dHmed revoked • .. · ·· .. ·:.: .\ . Sign 0 I cllt'tlfy that I have rHCI this -llculon 'r.d •-e thet 1ha ._ ift•
------ _ · formtt1on Is C()rract. I agrM to comply with Jilt' CitY ordii'IIHICW erld , i. Sign Hookl•p Statel•w• relating to pandlng construction. I further .... to~ l
\
·7 --· -1
, , tha Cltv of Garden Grcwe fr• and hllt'ml• from any llebllltY •• " Ufer C..'?~fS'IZ.-A rc .e. I ;g:.:.. ;t;; tf1) lng out of Injury or bodily dam ... raaulilnt from -k P«for"""'
ral .. ant to this permit.
~ ~IU T.'P: \ 13· )b..g ~ -\f!} - - n - n- -- - - · • ·· ·- aOiiflfsi•nitttMflJial\t;;ocw.;:nar.'r' · .....,_ I certl::..wl~~~· foiJpwi.;;. Contt:aet~~~ !-'-- No. 'I
~. ftNAl t') .. _lh.. 'fi 77 .• if UndNc;rJrt.htlonA"L~~~"'" ~~ ~-~ . . 1 . . . .. _ _ .. ~ ITEM COC!E FEES (","~",.~,L~~T~~':~~'!,~~~~~".m:,fl,U:.?r:.t.t:f'~~- __ ·~~~~
lf=ty Notified~ X -l~ -r} ~ Plan Retention f'ee •uoiNKss TAll """vo .. ocAn NO, . . • .. .:,.~"-.. - .:;-..,.._...., ___ ~=t:=:4!'~:-:=~:-":~~:W-"'---1!-+--~P:!I!a~n~C:!h~a~c!k ______ ~-· 1. cartlfy that I am ak..,Pt from Section 7031.5 of ttM ..,..._ II'MI·1
•P,'J.__;_ __ ~-.,....I:.:D:.:t.::::;'N:.::T • .:.:If~I:.::CATION CODE 1 P8rmlt ·c.~ .t;1J ProfiHional Coda, OIYI•Ion 3, ChaP- I, Con_. 1..._ .._."
I. -r- ··· undar the follnwlng il~lon:
I I Issuance 1 t> ty0 Owntr: Seetlon 70<W U Minor work unciOr 1100: ...u- ,._ 0
_ _ Employ" working for Wllflll only: Sactlon 7oa3 D ~ ... ., .......... ~ ...... T NO. VI<NT, Ht< .. T, ..... TOTAL FEES J.i. I 50 Othllr: _________________ .;_ _______ _
T rGON •• NtiMIT NO. 'T" ---------- .
AUTHo"•ztto •v (~n!NT} ""o"•"Tv owNiJ" III•NATUR•i "•:&•n ~" ~,.. ~·1---------·L--- .. IL.AND u•• ~ .,.III,.OINO OATf:: OR AUT~·IUW. • •• M ',J
.. If~ It Nf-.... wlthi" 120 days from daM of,_., or If ~ , . • A FEE MAY BE CHAiUUo FOR Mif.INSHe'f'ibA Dw. 'tV ........... ,_ mer•tftan 120daya, thlllpwmlt will b•nulland • ,,_.LI'- O'!:j IIIEGL.IGENCE, INCOMPLETE WOftK, Oft FAILUIIIE '1'0 _,. ;,6fd, 111 ~-1 CORRECTIONS, _
• 1. lffSPf:!:J'O.R . " . n • ·-- J ~ --'*'~ ..... ~-· ----·-·
,.. CITY OF GARDEN GROVE ELECTRIC·AL PERMIT ~ Inspection Requests Genera! Information ··~ Public Works & Development 638-6771 638-6661 '
. , t' . INSPECTION RECORD FEES For Applicant to Fill in
'S~NGLE PHASE SERVICE SIZE U UG U OH IF NOT LISTED BELOW NO EA FEE ADDRESS r&) AMPS VOLTS ~I G. CONDUIT SEE CODE . . ·- . ;//I I /& J 1./J £?/11.
~. THREEPHASESERVICESIZE03W;re 04w;re 0UG-U0H Residentiai(R·1&R-;>)sq.ft. 7'1L Vt'f'ff,f' / ~· Garage, Resid. (M) sq. ft. LOT NO. BLK NNiCo);,---cTTRR;;iAl<c::Tr;;Ni(o).l'j-i~~:i:t;jlt~C!i'T!ii. iiijjiiiiijjiiiJ(~-,.-~.~~ .r.1 ~ AMPS VOLTS RIG.CONCIUIT ·~f"'Y''11 ~, Service Meter, Single Phase . "W ..., ~ -·
AF'PROVAL DATE INSPECTOR Service Meter Three Phase : ., ' -- OWNER - . ' III"HONE
. . Add'l Meter, Three Phase t"{"" /)At_ A ,. Underground Temporary Power Pole / ·77 ~ <J • l{ffl,/ C~fr l/ l /-; ~;r..} 6}t- 1/2/ l> ~ Pole, Power, Light, etc. ,OWNER'S ADDR ·: CITY
, Conduit Sub-Panels 1 4> _ 9; /YY /:;.. / 7711-~ T; Sub-Panels 3 ih Wiring _ Rough '· 'f NEw uutLotNG oR !EXISTING eutLotNG .loccu,.ANcv 'use; Ofk a~J~C,.,DtNG AHO Outlets ADDITioN -AREA J REMODEL AREA vAouP cR ,..,....: .. cw UNTTS
, ~---------------+----------------~--------------·-i-F~i-X-tU-r~e-s------------------~----+----+--------~----~ SQ.FT,i SQ.FT, ~~ ;11 00 · Heater . I;.'TI;.ft • ] ,- ··-· ·-- - ----- --- ·- -- -· -· ... F!><tures,-Merc.-Ouartz, etc. VALIDATION ISS / 10.00 1 ~ .Fixtures•& Trim Heater-Not Over 1650 W 11t3241A 7-27'83 CI£CK 21.00 ' r Washer
J. ~ Dryer i .. MotorS , ELECTRICAL CONTRACTOR d~7AT. LIC, NO,. TYN ~ Hot Water Heaters -.. 4/Jt / /II rl":: · . j _. / Oishwashar .] ' l' 17 J UP ,/J //!{A !. . 'i
: ·~ ~~.::::c Range or 0ven ,;D;~e--/? /)! _s r &ti~ ~~f'.?.ltJ u
.i--"-"---------ll:!o,,----------l-----------l?ower Apparatus H.P .• K.W,. or . _ _._ _ Q
~ K.V.A. Motors, Transformers, etc. WORKER'S COMPENSATION REQ\.IIf.EMINTI. Y1 ,.·
1- State Compon .. tion o· // rz7 ~ 'I I/ Not Ovor 1 each ~uronco Policy .No. ~ 2 ExpirotiOn Dl . ·T -~~--.
\
over 1, Not Over 10 Olach ! certify that •r: tho performance of tho work for whk p;m.lt .. . ::--::-:---:---l----l---~----+----t osaued, I shall not •mploy any P«IOn in any m..,ner 10 • to boc:llme : Over 10, !\lot Over 30 each subject to tho Worker's Com-tlon laws e>f Callfernlo.
,_ ) . . NOTE: If, after making such cor.tificoto, tho opplicant f.w thtt,....it indv. Corcuots should become subject to the Worker. 's Com-tion pr~ Time Clock of this code, ho shall forthwith C<>mply with tho provisions of Soctloft
~--~~--~~,------~~--+--------~=~=~-------~--~--~----~--~ ~roo~h~pwm"sh~~dMm~~~- ~
/
Sign · certify that I hiiVo rMd this applicatiOn .m n.t~'lhet the._ 1ft-ormation is correct. I lfii'H to comply with all CitY ordl- 81111
_ Siyn Hookup ~State l•ws relating to pending constru.ctlon. I furtller •. • M Mid
( 1£.1tY of ~~d•~• :r::J,nd herml- from Ml llebilttY.,...
Ufer A ~-~~n~ rf'~Y 11:..} a;a ratultlng t;;. ~ _M
fr~~----~--------~----~--~r-=-=-=-~-=-=-=-=-=-=-=-=-~Jt==--r-~=x---=====cl==J/:~j~,~~JnL~~=A r~ . _/'J'~/,;jr f- I BUS - ;'"'c, C~;~7;;~TE I '""" d ·-- ~· J
0 -t--c?/-:=:---:--.,.-....:..:..::...c.:.::c:..:.....;;....:..:. _ __;__~-t-c"-----"l-..::..:....:.-l-"'----"-"-:.t1 _;.;..;_.J ;,:rmt"vw~:r; follo.!X'~=~~·· ..-.: _ r--1
fiiML ... - - D L ..J';. [!4,b114C'7&W ,.,.,.... ?=l.?=f3 ~ .,,J ITEM ~ODE FEES (~o;;;;r ONYucYoo l•~~uul c-TttAc_~ '"""
,..~7 ..J\_LL... ·- "" AUTHDIIuu:• ,. •• .,,..
.. Notif 'P\ -~-J+~-~c ~/='(JTC ;::::;:::tion Fee _ "I c:~;~N::(Y~x.~c~~;:;;~r~ S.Ct;on 7031.1 :':=:..~ 1l /1. ~~NTIFICATION CODE Permit ."7~~ i::.-' I · 77 -c·c Prof ... lonai Code, Division 3, Chapter 8, Contr-.• \....._ t-. ·
ndor tho following ~ti<>n: . . ·
I I . f I ttuanco ~ .6/ 7 '/ L' - Owner: Section 70<M W Minor work unci« ltOOi Mctien ?Ole C] 1 'C.. EII'IJIOYH working for walllfl only: S.CtiOn 7013 0 .-, .... _, ..... r·' .......... ..... ,v ....... HUT. AI... TOTAL FEES 2. I c Other: . i7 '
' CONa.>. r•"MIT NO. ---· - ---.-...' . ..1. AUTHOftiZII:D •v {P .. INT) flftOfiKftTV OWHKft hle:;~'r:::Jc:;.,~:: .. AT:.~r·w ··~ '--' ·~~
If-* lol- _..., wftltln 120 d•Y• fro~ date of iNUI or If '""0
uo" [/t1f•uo~oooNG ~:&~ATE Af!'EE MAY BE CHARt'IE::i5 FOR ijE·INSPIC'tiON U itS 0 .1 ~ fflt - .._ 120 dovo, thlto pormlt will be null •nd I~ NEGLIGENCE, INt;OMPLETE WORK, Oft 1"#\II..UIU! TO ""'.. ". ~ .:;:.::: , ~ COI3BEC!IONS, ··
~,,.._.,~· .. ~'·'•',· .. · ... . ... ;,·. .... 7 .. " .,p··-::.:....
,._ . ;j ·--... CITY Of GA~~ GRO\/E PLUMBING PERMIT Inspection Requests General Information
Public Works & Development 638·6711 638-6661
FEES
r J
For Applicant to Fill in
WORKER'S COMPENSATION REQUIREMENTS Stele Com~nHtloU Insurance Policy N 500-4665 Expiration Date91JOI84 r.l. I certify that in tha porformance of the work for which_ it11s ~mit ill 7i. illuad, I aha II not amploy any ~ In any manMr so • to' beCome
subject to tha Worker's Compensation laws of Cellfornlao. NOTE: If, after making ouch certificate, tha appllcont for th(-:i~lt_
should bocoma subject to tha ,Worker's Con~panHtion pro,i-'o,. of th 11 coda, he shall forthwith ci>mply with tha provisions of $aCtion 3700 or his ~rmlt shall.':>a d .. med revckad. "
lj{ I c"'tlfy that I have reed th"' application 11nd sc.ta that the 8bove In-formation 11 correct. I agrM to comply with all CitY ordlnancw end
•-• relating to pam:na conttructlon. I further .., .. to hold from any llebllltY •Je. from work ~ormad
A rFE-E-MAY BE CHARGED FOR NEGLIGENCE, INCOMPLETE WORK, CORRECTIO_"''~----- -~- -~
bW. .. OOOI•I•11
. .\: c ,''.~-.
¥1 - \ ill ' ... .,
- ,, .. CITY m' "'' .• .Jt:l'" GROVE ·-... HEATiNG, VENTILATING, lnspmion Requests C~M~n~a..fMaillatrr . ' -~. Publi~_works & Development REFRIGERATIOM & AllfCOND. PERMIT 638-6771 ...,.,
•. · :: '~ INSPECTION RECORD JO# 10 141 £ES For AppliCMt to FIJi in APPROVAl.S DATE INsPECTOR TYPE OF FIXTURE OR IT~M t·JO. i:A. $FEE Aoouss
· Furnaceto&incL100MB.T.U. 7441 Chapman Ave. FURNACE L
. More than 100M & incl. 500M '1.T.U. •u No. -~~ nu, """' " 01 I"'I:IIIMI'fliO;
1 · EN 5
More than 500M & inci.1MM B.T.U. I A I g 0 ~ , I'URNACE V T J " • ... lnstallalion or Relocation of Susp. Het1ter uWN&IIt - 1'1,.,. .. ,.,. , ' S p PI Ci Installation or Relocation of Wail Heater J ; .• A
1 N • lnstanation or Relocation of Unit Heoter • Ray Const:ruction I
OWNII:JI • ADDiinr- <:ITT ~VCTS ~l~n~st=a~lla~t~io~n~o~f~A~p~p~li~an~c=e~V~e=n~t~O~n~l~y--·--~~~---+------~----~
..... Repoir, Alterlltlon or Addition to •ny 18 8 E. 17th St. , Costa Mesa 9 26 2 7 / I'H~e~a~t~ln~g~o:.o:_r:c~o~o~lin~g~S:ys~t~em::_ ______ , _ _j~_j _ _.j. ______ +-----f:ffi~~~ifJ~--f"::~~~~~;;;--ro;~~¥Y'f:~~!i~~=:l FAN veN·r
1 'd t 1
G p· . .~tootTioN .. Alit lEA lltiEMao~:L ....... ••ou,.. • ....,..,. __.. SINGLE DUCT . t- NEW muiLDitJG ott _,.xdsTaH& •u•Lo•,.·:~FcuttAJfCY:~f·--··-- _ . " nc1 en a as 1pmg
110 ,.,. PLAN 3.98 .
__ r!Ji ...t')~ w· Each Ranga Hood Incl. Duct end Fan ' ' M. r-.r-o • c:n KITCHEN HOOO I . b~~ ;_ ") lnQ VAL.IOATION • j _:· r ii>-"' Each Vent Fan Connected to a Single Cluct ~ 7 IV IS~ 10.00 AIR HANDLING Each Ventilating System note Part of a >=~ "HECf' 2i 7 4E UNIT Heating or Air Cond!ti:>ning System 2 13 00 lit1894A 9-26'83 L- ' • · j
Authorized by Permit
.
i:VAPORATIVE - Boiler or Compressor to & incl. 5 Hp, 3 19 50 HEATING C:ONTIIACTOII -~,.,.. uc.-. • TYN
COOLER Absorption System to & incl. 1OOM B.1·.u. • , , , , 4197 58 (BOILER OR Bailor or Compressor to & incl. 15 Hp, 7 84- nn K~nney Al.r Cond~tl.Onl. g l"'-2f\
' COMPRESSOR ADDIIIESS CITY I-" Aboorption System to & incl. 500M B.T.U. _ . c _ c·
; ~~B~~~~VE Boi:er or Compressor to & incl. 30 Hp. 14 41 S. Anaheim Bl. Anaheim I 7 72-144 ';.. ·. Absorption System to & Incl. 1MM B.T.U. "'- .
Boiler or ComprRssor to & incl. 50 Hp. WORKER'S COMI'ENSATI(IN REClUifiEMEN1'1 . Su.teCom-tlon Cl997042r<' · 1/84
, .--- · Absorption System to & incl. 2MM B.T.U. lnt;Urance P'ollcy No. ..~ EJCptradoft 0..-.-:'"..;...==-:::: . . 0 · I certify thH In the perform•,.,. of the work tor.,..... tNe--" • j Boiler or Cqmpressor over 50 Hp. IHul<l, 1 thall not employ any penon In 1ftY ~ • • .. ~ 4 1 Eoch Evoporetlve Cooler subject to the Worker'l Co-tlon 1- of ~ · · ~
NOTE: If, 1ft11r meklng such certificate, the 8PPI~ fer .. ,....... , AirHond!ingUnltto&inci.2MC.F.M. lh.ould become subject to the Worket'l eon--deft~:o ill/laM.
. . of this code, he lhell fcirthwlth comply with the provlelonaef._... · 1----~---~+-----------+----------l:A" Hondllng UnIt to & .ncl. 1OM C. F .M. 3700 ur hit permit tl\1111 be d...-ned rwolced. '-' ·
Nr Hol'ldling Unit over 10M c F M G I certify that I have reed thla -'loatlon•ncl•--- ....... ' ' · formation :a corr~~et. I .., .. to comply whh 1111 City •• ••• ...
OTHER: lttte lewt rllttlnt to foendlnt 0-UCidoll. I tvr1IMr .......... the CitY of Glll'den OrOYe fr• - h..-mt.. frorft 8llf ......., .. lng out of ln!urv or bodily clerMia r.ultlftl .,_ -" ...,_ rlll111ant to thll permit. .·· ; .
7 2 l ~
r. ·- . aili'li~g .. iftil&t iNfidMij. : _. .0 D J ·- I oertlfy thet the fol;;t"J:zrJCeul~ :;!:~ Ne _ _ · .·~ .! ~'!lAo~- c~ -- ~ .~q .... ~~ ~ . irncA-r~~ A/I.: ~I 'AA7'~ ... 7/22/IJ • ... .... ITEM CODE FEES ,P .. I .. T) •• NTIIA·u?' __ __
UTILITY CO. - - "'"- IUIWIIY NOTIFIED Pl1n Retention Foe •; PI Ch k .:::>r~ ~ ~ ~ •u•n., ••• TAX c ... ,...,.cATa .... &Wtw m 1 e In ec :::1 '> C7 ~~ i'7' ~ I , I certify that I am IICift'IPt· from ........, 7011.a ef ... ....._- '~ j.- IDENTIFICATil>N CODE Permit -<.... ~ '2.. C'J l ~"t ~ Prof-'Dntil Codt, Division 3, ~Chapter e, Ceil-'._......"-. -1 I I ..7 ,c_. -7 under the followlnt S~lon: _ · lnuonce ~~~ '7f 10 ) 0 owner: SectiOn 7044 [J Minor_.. IIMw lJOII: ...,.._,.. D ·- ,
.., ..,.. Z.4
!J ~ Em!>IO\'M worklnt for w..- enly: lltlattoll 70A I:J , PI<IIMITNO. n•cTR!& .. ,. .. ,T.NO. TOTAL FEES :r...... ''-L Other: - ~
j AUTHUIU2.. V '"'UIN1'1 P"OPa .. TV OWN ... hu•NA,.Uft ... RI ... IIIIT\' ...... >;a . ' ,· • LAND us• •utLC:IIJNta bATii: eft AU'fW'etttfte ...... ,.
.'. , _.. .• -t I!Qifed witll;r. 120 days fr<Jm det• of iMu~;- s:z;> A FE£ MAV 8E CHAIIGID 1"0111 lllfo~NiliiCfi(ii'f 0UK f6 -1 If ......... for mor• then 120 davs, this permit will b8 G J ':\I ·1'- ;:t NEGLIGENCE, INCOMPI..£TE WC.ftK, 0111 I"AII.\JIIIlE TO ""-"'' . IIUMIM .... ; -, (gy 1)_, C08RICTIONI. -
~·,·Ns~·r·r.R ~ · :. ~, .,· r~ >-' . - , . • • ...,.. .. ,. , ..
.;.)
•;... CITY OF GARDEN GROVE
, ~blic Works & Development (, .
Rough Plumbing
Gas P&ping
Gas Vent
PLUMBING PERMIT
LANQ USE
Inspection. Requests 638-6771
Gtnerlf Information 638-6661
For Applicant to Fill in
WORKER'S COMP£NSATION.:lEOUIREMENTS StllteCompen~ation~O;> ri :J37;: '7". /~ lrsurance Policy No. ey -- 7' 'l!'lrpiration C-'-· :-0 I certify that in the performance of--k for wltlcll ~ le
· i11ued, I shall not employ any perion In any ..,..._. *' • tosubject to tha Worker's COmpent~~~tlon '- of Califf..._
NOTE: If, after n':&.oking such certificate, the applice:'lt for tiM~ should becom.e 'il<!biect to the Worker's CompenHtion Pi'~ of this code, he shall forthwith cor" I ply with the provieloMof ~-3700 or his permit sh.oll be dMmed revoked; · ·
0 1 certify that I have r-.d this application - nato that 1hit •t=1 formation is correct. I avr• to comply with all CitY or"'- :.
·elating to pending conmuctlon •. l .fVt1hw ..... • Gardan ~e fr• and harm!- from - llebllitY ••
inlurvL..b6diiY dam- raoultlnt from -k P.,foitlild'
•ut:tfrtllr. •• TAX
1. c.,tify that I am itKIImpt from SectiOn ... · . . Prot-lonal . c~, Division 3, Chlpter II, Cotitractofl'· undar the following !~ion: · · · ~ .. . . .. , · owner: S.Ction 7044W· ' Minor work under ~00: s.ctlcon 'l'CMI_C EmployH workinil fr>( W .... only: Section 70153 0 ... ;.. . ,
{PftiNT) PROP&~Ty-(JW, .. E" iii'·~=Tl'::H•o':.:::ttAT.r.~,-~~~:··
-· ciTY OF GARDEN GROVE "' . • Pl(Qlic. Wbrks & Development -...·.----~ ... -. ......
• -- INSl'ECTiot4 RECORD
PLUMBING PERMIT
~·;1--f3
Inspection Requests 638-6771
General Information 838-6661
For Applicant to Fill in
WORKER'S COMPENSATION REQUIREMENTS
~=a~~'':.;, 41} -~Y Expiration O.te/2,.-J-JJ 0 I c•tlfy th•t In the perform-. of the.work f« which this parmlt k
l.ued, I :ohall not ""'PPov any penon l_n -v m.n- 10 MctO become oubject to the WOrker's ~tloit 1- of Cellfori\M.
NOTE: If, efter meklng _tuc:h c•tlficete, the epplicant for the )>ermlt should become subject to th. Work•'s com-tton pro\illio"no of this code, he shall forthwith comply with thapro¥ltlons ofSactlon 3700 or hit permit shell be deemed r011oked.
Jfrl c•tlfy thet I ....,. •-this~~- that the above In· ·. formation Is correct. I ..,.,. to comply virilh 1111 City ordlnenc• •nd
Sute Jews reletllltl to pendlnl c-~ ~ furth• •• te hold "'•-CitY of G.ird«i ~· fr.e and h.irm ... 'from any lillb"lty .,._
out of Injury ~Hy d.m ... r...,ltlllll from work l>erformed •ent_tQ · · · ·
I c•tlfy that 1. am exampt·from SectiOn 7031.5 of the lkMin- M>d Prof•lonal Code, Divlaion 3, Chepter Sl, CentrectOn' L.._ Lew, under the followl1111 $ectlon: _ Own.•: Section 7044 0 · Minor -k uftder lJ 00: lectlon 7~ 0. Emptov .. w,nrklng for- only: Section 7os:J D ,
Other:~----·--------------~--------~-----(P.UNY) PROPW .. TV OW"E"• (st•::"':~T~: .. '::::"l:c~~NI!ft 1 ~.-.-
A FEfi MAY BE CHARGED FOR RE·INSPECTION OUE TO NtGLIGENCE, INCOMPLETE WOII~, OR FAILllRE TO MA~£
.CO.RREC.TIONS. .
,'[ :, :t·
J
CITY OF GARDEN GROVE Pub!ic Works & Development
BUILDING PERMIT
P.C. :f+.--. INSPECY~ON RfCORD
lnspt!ction Requests 638-6771
General lnfor-nation 638-66C1
For Applicant to Fill in -' ... R£55 OCCU· OCC. FIRE J
~ANCV TYPE LOAD SPRINK. APPROVAL PATEt INSPiECTOR ---
FRONT LEFT RIGHT REAR !FouNDATI . 1 -J~ -- 7441 Chapman Avenue Garden Grove• •. ON & LOCATION .... -! l ,., t "0:>" NO, . ' "I
FIRE -- Eav Proj. ,;,...--;' CJ ~ I.A.._--::_ . "L' . "~ I""'"Mn No.
ZONE Sctbo<ks 5tf'5" j?l...r/ J?L -;;(fi.7_ CONCRETE FLOOR ' \ \ REINFORCING • OWr<Eft
~'i~~NG ljl../j/ /0;---8:3 .., PJ.;r:s-=s. ROOFSHTG CPI Investor:.; '6i>.'fis1S7 9. _./?/// //#' _/ DATE._ ROUG·• FRAME -- MAILING ADUR:!S$ '" y ZJ~
LAND USE ,• /~Lf ///.. / -I. -..N ~ J 2699 . 92714 APPROVED BY ,rM': '17/,J"_,. 'Z .. JJT~l:fii~'~..f INSULATION. ENERGY Wh~te Rd • Suite 150, Irvine
. PLAS. BROWN CT. -- rn ENGR. Roward Parsell I REMARKS· / / J / l LATH OR DRYWALL (d AR:H MAILING ADDitESS
____ ____ --~DINS LATION ·- • CITY Zl~ ·1 sMCKE DETECTOR 4815 Ma~n St., Yorba Linda, Ca. I
rEL. NO, PARKING lsT~TI: uc. NO. a TYPIE
LANDSCAPING 714-777-3765 fl.l1ill 10.riJ VAL.IDA. i"ION ~ ~.,.,.
G.G. SANT. DoSi FEE REQ'D.
PARCEL I\IIAP
rt/W DEDICATION
IO.C.SANT. Dl. S.l FEE REQ'D.
FEES AND BONDS
l O-A1'& iNITI-AL.
REQ'D I PROVIDED
REV. COD£ AMOUNT
ST. •oND
WATER BOND / WATER ASSMT. FEE (ACRG.) I
~----LAND USE FINAL I 1._ ./) ~- j _/ FINAL UTILITY RELEASE r1"'cf j5q.ff,/Y I
IDENTIFICATION CODE
l 1 I WORKER'S COMPENSATION REQUIREMENTS
State Compenw ,on 1 4 WATErt ASS'~T. FEE I FT.) lneurance Policy No. 440-83 Uni.xj51retion Date July 84 1---------------t-----t--T'--+---t KX1 certify th•t in the performance of the work for which this permit Ia
PAI'IKWAY TREE FEE itlued. I shall not employ any person in anv manner so as to becom• subjec~ to the Worker'• CompaniAtlon lawl of Califc.rnla.
- NOTE: If, after making such certificate, the applicant for tha porm1t P'APIK a. REC. FEE (DIST. should becam" subject to the Worker's Crmpensatlon provisions
of this code, he shall forthwith comply with the provisions of Section
}{ 3700 or h;s permit shall be dHmed revoked. I certify that I hwe reed this application and state that the abova In· t----------------t'--/-----t----+---t formation Is correct. 1 agrH to comply with all CitY ordlnanc" and State IIIWI relating to pending construction. I further agrH to hold the CitY of Ga:den Grove fr• and harml- from any liability arl•
OftAIN ASSMT. FEE IDIST.
lng ~ut of in' r b ly damage '"ultlng from work performed
CONTNACTO"
c--PER 51.00 !55 10.00
112512A 2-Q8'94 Q£Cf{ 105.84
Chuck Bell Concrete Construc.t:ion T ....... MAILING ADDIIESS CITY ztp-
17951 Skypark Circle, Suite H, Irvine TEt... NO.
714-261-5150 PRESENT BLDG. USE
STATE UC. NO.
300173 C8 PROPOSED BLDG. USE ea!!'th Statifa
1DESCRIBE WORK TO BE DONE
Cement foundation for
~arth station, and~,--~-----------1 NEW I% AOO'N 0 AL TEA. 0 REPAIR 0 DEMOLISH CJ
FLOOR AREA
(SQ.FT.I.......-, UNITS -I"LAN PIETENTION FEE relevant th ( .....-: J J ~
::::==~~~~~~~~~~~-~-~'!r~-~~~Y;;~~/1#~. ~~B~~-~=1..{== If work Is not started within 180 days from date of '-a 00' If __ _ oAit · ab•ndoned for more thon 180 doys, this """"lt-will-o.lltril ...a --
I NO.OF
STORIES - I NO. OF DWELLING
-~.!;'DQ';' PI; AN CHE-CK void. A FEE MAY BE CHARGED FOR AE·INSI'ECTION DUE TO
ai..OG. PEFIMIT FEE NEGLIGENCE, INCOMPLETE WORK,Oit FAILUI'IE TO MAKE CORRECTIONS.
ISSUANCE RELOCATION
""LUATJON .USINESS TAX CllftTIII'lCA'tC: NO. - II:X'"I"ATION OATil 3 I cortify thot I om exempt from Section 7031.5 ot the BuslnHo and PRESENT_ BLDG.
$4 580.00 Prof<llional Coda, Division 3, Chapter 9, Contractors' Lic1nse Low, AOD~ESS ' under th• following Section: 1--------------------- ----
OWner: section 7114<4 0 Miror work undor 1100: section 7048 0 MOVIN<'l AII'I'M-oaor• '"" '""" EmployH working for wages only: sect!on 7053 0 CONTRACTOR
~ 4 ~ ~,94- Othor: . V (fl'IIINT) PHo,.a•uv OWNilt4 I'II.NATuft•l ,.,.o,.aNT"»' OWNil" DATIIl ADDRESS J
L,._..,............ 0" AUT"OilllllllO AUilNT ----------------------:~=~~-~ 1. I ~ a • .,...,~-,.,. fi'-,.--._,.,~--I~&:.~>"'-~ "'" ?r··
ctTV OF GARDEN GROVE PLOT PLAN PUBLIC WORKS 8t DEVELOPMENT 1 --- -· - .. 1011 ADDit&••
CPI Investors i li1;1;T -i!J~ A 7441 Chapman Avenue
~-.,. Ce ... \<iUCTI- L&NIIIllt. llltANC:H ;~·r·:(; 5i:·~ r 1 LOT liii.:C:K -~ TltAC:T
' 1--- PLKA •• CHKCJC ONK OR MOllE
0 Ntw IXl Addition 0 Alttratlon 0 RIPIIr 0 Move 0 Dtmollsh DATil lOll rn,:tC:ItiPTION j,::; PllltMIT VAt.Uil ,. ...... C:ITY
z_- B-Bf· CCX,1CJ~J7 plT{I(/1" "
p;e. ~t<.Trl: sr4TifJ1j f- t:"8 c'. I.J1)
$.-!)IS/./ &HOW NOitTH AltltOW, l"ltOPIU.TV L.IN&S AND ADIAC:IlNT STitll&TS.
r_···~-·:-~i~~~~~,~'v~~~~~t~~~~~~~~~---;------------~-------~ i
I
~Oh6.f..S f?lh!JJ.£S'j~~ ' '
7'f'ff 61M~~tAu-
L.
~-! ..
1'•1
,. ' !
·c~:t_J l!, ~I
'i : . ! .
.i. ~ ! I j ' I .
'
··-··•1"
CITY OF GARDEN GROVE Publi~ Works & Development
INSPECTiON RECORD
AMPS VOLTS
APPROVAL OATE INSPECTOR
Underground
Fixtures•& Trim
Motors
_,te/#h ·,,,..,,fNl ~F'"•~t _7l"~M~A'-'.<'!"- ~r_ 7/ t..;:~T _- , 1-,.f~~i'
ELECTRICAL PERMIT FEES
NO. EA.
LAND US•
FI?:E
,,
Inspection Requests 638-6771
General Jnfcwmation 6~1
For Applicant to Fi!i in ADDRESS
•ustN•ss TAX CKIITIFICATK N •• - iiiiiiiliA:'1iiiiliiKW" I cwtlfy that I .m exempt from l!lectlon 703t.l., t:w ........_ _. Prof_.OMI Code, ,Divfllon 3, ~--··Con......, 1.- u.,undef the foltowlnt ~on: " .. . · · ·· -Owner: lectiOn 71M4 0 . Minor worll llnCIIIW l1eG: ~ ,.. C EMpi<)Y• -king for w..- only: Sectleft 7013 0 - ~-0~: - .
''"'""r .... o ........... o ..... ., .. •&••::r:.~~-=xa .... v.r-- ·~r--... ,,
... -......,~ll'f_,~.,.,,"1fn t' r
IW>:.T"'R ASSMT. FEE (ACRG.)
lllf.t.TII; .. ASSMT. FEE lfT.)
APPROVAL
Stat• Compensatoon /'f .4 -5- ' -:") Insurance Polley No.U_ ~ I - Expiration Date · .r ' _, -
0 I certify that in the performance of the work for which thfs pefmit is i11ued, I shall not employ any person In any manner so as to becoma subject to the Worker's Compensation laws of California.
NOTE: 11. after <Tlak ing such certificate, the applicant for the permit should become sub,ect to the Worker'-s Compensation provisions of this code. h• shall forthwith comply with the provisions of Section
){3700 or h:s permit sholl be deemed revoked. I certify that I have r .. d this application and ltate that the abova in·
1----------------f.-~----l-------+l----11 formation is correct. I agrH to comply with all City ordinances and
'f..A) tYrrO . :Yv
g ~;,, ·8)
State laws relating to pending construction. I further agree to hold tile Citv of Garden Grove frM and harml- from any liability arising out of injury or bodily da~ge resulting frorn work performed refwa~,-t~ thit. p~rmit._ ~;- .. -{~,.- -.. :.. _._
~~ ... "--~~-- ~_;;--~:.~~-f: . .(. /F-Y-: .-? ~· .-~~·~'4 : •-.
.... JtrrUT Af'fiOLICANT .IGHATU"tE OAT.
BUSINESS TAX CERTIFICATE INFORMATION I certify th•t th• following Contractor's Licen .. No. ________ _ on(l Cl .. siAceon _ ., _ It In full !,o;ce and.irff'":'t. -"'- ,, __ .•
(L -1---- --,J.:4 ,- ·~ U' ,..-'.x{<-:.-r- -·--c;.._· ·-......... T) CONTMIACTOIII (ab~N:~¥t':~~~~::T:oA:~~" DATa
-~-.~uSfN'"i"'S;T"A;~·C&NTIP ICATC NO. I:"- .. I .. ATIOhl OAT£
I cartify that I om ex•mpt from Section 7031.5 of the Business and Professional Coc!e, Division 3, Ch•pter 9, Contrectorij' license Law, under the followrng Ser;:tion: Own•r: Section 7044 LJ Minor work under $JOO: Section 7048 0 Employ•• workong for wag•• only: S•ctlon 7053 0 Other: _________ ~----------~-----------·
-r;,;·;;;.L., J ,,.O;a;;-;-~-w;;;-,;- f•I•NATU"•) II'"DII'Il"l 't oW;;&;i ON AUTHOittii:D AU& NT
DA'IR
(SQ. FT
STATE LIC.
/?-. PROPOS EO BLDG. USE
252.21
q'l..&t-7
:?...(,
A:NT£1')/V/v'
PI'T r;!X?. A.VTP.!"
If work Is not started within 180 days from date of 111ue Of if abandon•d for mm• than 180 days, this permit will be null and
MAY BE CHARGED F() NEGLIGENCE, oNCOMPLE TE WC.RK. OR FAILURE TO Mil-KE CORRECTIONS .
PRESENT BLIJG. ADDRESS
11.·10VING CONTRAClOI~
ADDRESS
RhOCATION
r~ t. l. I, v } ' L-.-· .,
l-1 ,; I • I , . L !.: ~· ! .
!· " .
SHOW NOIITH AIIIIOW. PIIOPIEIITY LIMit. ANt> ADJACENT STIIItiETS,
- p ~-,J ~719JIJ,A t: "ft1 '
- t-1.5"' T,ru.J££(.!J47 A rAt~!- T o,s
7# .1$ Pelt/1tT)
l/ UA1'.
INSPECTION RECORD
APPROVAL DATE INSPECTOR
-----.usih.K-.s·-;-A·M.CENTiriCAH~- -"~-~. OA'T.--1 cer~ifv that I am a•empt from Section 7031.5 ol the Bu>!""~ and flrot ... ional Cod•. Divi1ion 3f Chapter 9, Contractorl 1 Llc:en•• !.aw. under the following Section: Owner. Section 704• 0 Minor work under lJOQ: Section 70<111 0 EmployH working lor waget onlv: Section 7()53 0 Other:·--· . . __ -------· -·-·- ·---
... ,.n.. ......... .... 771
For Applicant to Fill in
lulo..ve 1 CA
~oo-74-ss 6SfU>68> PROPOSED
Zl,.
't~c?S"
A
BLDG. usE Tower
Cnn:-~lruetion eft:;; 11&' tt":..U~'f-
N!::W (2g Al.lD'N CJ ,,, i 1_11, ::J REPAIR 0 DEMOLIS>~ 0
FLOOR AREA
(SQ. FT.l
No, OJ' I NO. oF DWELLING
STClUIES____ UNITS
II work ia not atertad within 180 dev• from due of i....,e or if abendonad lor more than 180 days, this permit will be null and void. 1\ FEE MAY BE CHARGED FOn RE INSPECTION DUE TO NEGLIGENCE, INCOMPLETE WO~H(, OR FAILURE TO MAICE
RRECTIONS
PRESENTALOG. ADORES~
MOVING CONTRACTOR
~ELOCATION
7 . .,J _ t2.~ ------ . 1 ..... ~ .. o;a--;;-;;-;;;-.;;; .A.,. ,.. •\P t'" .,I 1-••.,•1 -•••auv aw .. a• •••::'..'unoo•ouo A•INT ••-•·•~ ADDRESS
F-~---··-··
I ' • ' ,
- .
'
f: ·-_f-.;.\. }--l--·--
l-· ~". ~-- .• . ~!--< t,_ ·-
SHOW NOftTH AftftOW, PftOI'EftTV LIN IS AND ADJACINT STftiiTS.
•1 lulldlnt '""'" e2 AIHtlutld '-tmlltll/tt4 I'll• I ciiii1Y lh•lnfounellon hltrtOn lltomt·l~~lftd """'· ly __ -!._ _ _._. ________ _
R ASSMT. FEE (ACRG.)
.. .__ ••• IT
INSPECTIOf4 RECORD
APPROVAL DATE
INSULATION, ENERGY
INSPECTOR
lft~lctielt "--·-131-1n1 ........ ..., ....... ... ,
LATH OR DRYWALL <'
PLAS. BROWN CT.
WORKER'S COMPENSATION REQUIREMENTS Stat• Compensation lnouranca Poli=y No. ____ , Expiration Data 0 I certify th.,t in the performance of the work for which this permit is
issued, I shall not employ any person in any manner so •• to become subject to the Worker's CompanNtion laws of California.
NOTE: If, ahar making such cartificate, the applicant for the parmit should h.c:oma suhjet:t tp the Worker's Compen\:•tion provisions of this code, he sh•ll forthw+th comply with the provisions ot StJction 3700 or h.s permit shall ba dMm«< revok«t.
0 I certify that I have rNd this application and state that the abov• in· formation is correct. I •ern to comply with all City ordinanc• and State laws ralatinll to pending construction. I further agrN to hold th• Catv of Gard•n Grove frH and harml .. from any Jiabifity •rit· ing out of injury or bodily damage rasulting frorn work i:>arform«< r•lerwant to this pwmit.
Pa .. MtT AP"LICANT-aWIIiNATUI'I''K OATil
f\USINESS TAX CERTIFICATE INFOR'1t!l0~ ~ I cartify that tha fo.J!o.,i.ng Contractor's LicanH No. Y 9 (____ end Clat~ilic.ation.a.:£. I& in full f~;r:l.:;;::. ____ .. __ ....:.. ' ,,.._:z_,~_L$ ~~fiiHTJ CONT.AC:Ttllt .IONATU .. &l CON ACTOfl OAT&
0 .. AUTHOittz•D ,._ •• NT
IIUSI,_.._ •• T,X C&IIITIP'ICATa NO. &JIIPJ•ATION tJATI:
I certify that I am axampt from Section 7031.5 of the Businan end Profntional Cod•. Division 3, ChaPt•r 9, Contractors' License Law, undar tha following Section: Ownar. Section 7044 0 Minor work under 1.100: Section 7048 0 EmoloyH working for wages only: Section 7053 0 O~her: ________ .. ______________________ _
STATE LIC. NO, • TY~IE
B-PL~,r~ 4-6.~t:
4-6,.:::~
/6 .C"hA.IA..,:;i G~;.;rt r-e»<~ *" .,~ ··• ..-r 3o ' 1 Jt "' ..r- /6 ''/II rill Nt:w'f ADD'N 0 ALTEfl. 0 Rf.I'AIH 0 OE~OL15H 0
FLOOR AR~A
(SQ.FT.i
NO. OF
STORIES __ _
NO. OF DWELLING
UNITS
If work is not lt~rted within 180 daya from data of i.aue or If ab•ndonad for more than 180 daVI, this l>"'mlt will M null andvoid.
f MAY BE CHARGED ~ NEGUGE:NCE, INCOMPLE 1 E WORK, OR fAILURE TO MAKE CO~iRECTIONS.
RELOCATION
... -
1
2 ~ ~·-- - - 1 at ""o"a""" OWN&" - ,: ,7 v ......:> l•own) ... 0 ...... 0....... so•::T.\'.:'TMO .. I .. D ...... , ·~-t·l-------CU":'a
CITY
SHOW NOitTH AltltOW, PltOPIEitTY Ll
' ~. '
~·
•
~'r-0
~
INSPECTION RECORD
APPROVAL DATE INSPECTOR
WOR Sta·1e Compensation '"' /! ,~ "]'!;> 4/"1 ICy/ ~ranee Policy No. V'"\./ El<Piratior' Data f/_. f.-J!r..! ~ c"rti1y that in the parforma.,ca of tha work for which thi!. p~rmit is
.. issuedp I lh•tl not employ anv person in any m•nner 10 •• to become
subject to the Worker's Compensation laws of C•lifornia.
NOTE: If. altar mokon~ such certificate, the applicant for tha permit
should b~teom• subJect to the Worker's Con,pensation provisions
of this code. he sh311 torthw1th comply with the provisions of Section
v3700 or h.s permit shall he d"m~ revok~.
~" .... "' .... 771 Gltnerll lltfor!Mtioft
1311411.
fot' Applic:Mt to FiM in
C/1,4{/,A.f.d,.iJ
§ § 4.~
STA'fl£ LIC. NO .• TYPIE
DESCRIBE W(11tl< ,- "'£1.v <"' r,$' t.h. r TO BE OONF · 1 ~- · • lw.:•- _·;,r.:·-""' I t:""' 4 c.~ / (._ .!_ : '<! .(_ f; ("I .:: ";tl fi!
I ·- 4 J.."X_•:::_. _::...___1.J.::..:.:.~ - · I '"" 4 ''" •·•· ··• I • I
~! cwtify that I hav• read this application end atat• that the above in·
-1-l---,;,.1--4\---ilt------rl---tl formation is correct. I agr~omply with all CitY ordinanc .. and
State laws relating to p•nd(ng cpnstruction. I further agree to hold
NEW ~AOD'N 0 1\LTIIL 0 REPAIR 0 OEMOLIS.H 0
I "'~--;
I l...-/ ' ) -::2. .. ) .../
tha City of ~r n Grove \r ...... nd harml- from any liability aro• FLOOR AREA NO. OF NO. OF DWELLING
lng out of i ·ury · v~lrinave rnultlng from wor'f parfhm~ (SQ FTl'"2Ll . .;.Oz:J STORIES ·~ _. --
relevant to tho ar . • .:..._"\.. 'f/.r' ..r> ·· '"""" · ·- ----- UNITS
- .
4
' • i.- ( f? .:;> If work is not started within 180 davs from data of IMu• or If
--- abendoned for more than 180 days, this p•rmit will be null and
.USINIESS TAJC. CR .. TI,..ICAT& , .. -;:;:--- -a;t"if'' .. "'AT'i"Q,;-t;;\~
certify that I am al<ampt from Section 7031.5 of tha Businns and
Protnsional Cod•. Division 3, Chapt•r 9, Contractors' License Law,
under th• following Section: Ownar: Section 7044 0 Minor work under lJOO: Section 70<&8 0 Empluy" working for waves only: Section 7053 0
Other'-----·
IP .. INT) PROfl .... fY OtltN ... lta•NAT\IH) ,.,_.,,..,nv DWNW" OW AUTHOMti:I!D AA.NT
DAT&
void.
A FEE: MAY BE CHARGED FOR RE INS .. ELTION DUE TO
NEGLIGENCE, t"'COMPLETE WORI.:,OR FAILURE TO MAKE
CORRECTIONS
lNG lRACTOR
AODRESS
RELOCATION
...I
Ill;.·~ " .. -.:'~~i.::,-<·-
BUILIIIB PEIMIT ~R...w.. IGROV£ a..-.. w.,~ telopment 131 .. 771 Gl~
INSPECTION RECORD For ApptiCMt to Fill ift
~-'-· =l= [""""'" occ. FIRE APPROVAL v3z__ TYPE LOAD SPRINK.
DATE ~ 744-1 Cfb?~U#A) FltONT LEFT RIGHT REAR . I'OUNOATION & LOCATION (l.O' 'I<>. •~• "'· T,.A<,; •v l"a""' .,..,, · Pntt; f a• Prot. -
CONCRETt FLOOR _ f'a. 6. 9 s 5 ~ ZONE Setbacks JER4 r REINFORCING
C-.1N';.. T Pl;ANNING ROO>' SHTG ACT lOIII PLANS IMAILI"<O ADD .. I<H Cl Y ....
DAn: ROUGH FRAME
UI.NDUSE INSULATION. ~NERGY ~ROVED BY I[] ARCH 4 LATH OR DRYWALL
i'!ENGR c 1.. Vt/I.J C4..J(.I o L!.: Z:: )" ~MARKS' PLAS. BROWN CT MAiLING ADDitE'SS CITY II" SOUND INSULATION I BtOt:J; 'S/:7' ?Ai:'K t;R. UJ/;A)£. 1:.714-SMOKE DETECTOR riEL. NO. I STATIE LJC. NO. •. TY,.~
- ----------- ---- ------ --- P.ARKING .. (;4!- ~f;S'D ,RCE '?101::;;> ' .. LANDSCAPING VAL.IPATION e:- ... u~w 70.~ G.G.SANT. DIS., -~ ~~-C.SANT.DIS., • t Pm .ilikV/ FEIE REQ'O. .. FEE REQ'D. ,__..l7l7. :7-, ?:-' l/ B-PER 134.00
REQ'D • P'RO IPED ISS 10.00
I'I'JICEL MAP 11t3243A 7-27'83 Ct£CI< 2.1.4.00 ftiW DEDICATION LAND USE FINAL . -
CONTUC\J I \ k-o e.tC)I,_)~ C.o. FEES AND BONOS FINAL " / J ?,' Jf5.:. ifY UTILITY RELEASE
REV.COOE AMOUNT MAILING ADDJitKIS ~ CITY 1JJ?t:· .. ~ / IDENTIFICATION CODE SF. 80NO
I I 'tJ'b r: 1'71f_--v ~). eo..;j""4 MeSA I t v•
WATER BONO / TELL41--.f 2.(0 STATIE F£'b 4Z& -.
WATE!t ASSMT. FEE {ACRG.l / WORKER'S COMPENSATION REQUIREMENTS~
/ Stet• Compensetion 4,::; ~~ 4 · . PRESENT PROPOSED WATEft ASSMT. FEE !FT.l I renee Policy No. 0 ~ E><piretion Dete_ ) BLOG.USE BLOG.USE ,2:(1 certify that in the performence of the work for which Th p rmit is
'DEscRIBE WORK 'c. PARKWAY TREE FEE / ISsued, I sh•ll not employ any person in any manner 10 •• to become subject to th• Worker's Compensation lew1 of California. TO BE DONE . NOTE: If, after rnakong such certific•te, the applic•nt for the permit 6124 P;;-J (~ P'AI'il< & REC. FEE !DIST. ) I shoulr1 httt:ome subJect 10 the Worker's Compensation provi~ions
- lftf this Cll<IC, he shall forthwith comply with the provisions of Section
OftAIN ASSMT. FEE !OIST. !-/ 700 or h.s permit shall be d"emed revok•d. NEW 0 ADD'N 0 AI. TEn. 0 REPAIR 0 DEMOLISH 0 <••"• -"•~•'•• ooo •u•o '""' '"' -'••• '" - -- ' formetion Is corrotet. I •gr- to ply with •If City ordin•ncet end v - Stet11 18wt rei o'ifw.,_to~ding struction. I f•HthtH' egr•• to hold
the City of G d•n~rov ·tr nd harml- from •ny li•blllty •rlt- FLOOR AI1EA • ,4 NO. OF I NO. OF OW£LLING
PLAN I'JE TENTION FEE ing out of inju or ;t ily · age rasul!lng frorn ?Z_ performed
(SQ. F T.til.?l!!:!. {, STORIES UNITS __ ralwant to this p i. ~ '7 ~-1-7 f. ....-:'
1---· - ' t { ;::;:; If work Is not started ll'llthln 180 d•ys from data of ltaua ot il h. ai.DG•"LAr~ CHECK l3's- 2.& - '.:) en> . -- ~ .. it~liMtT ---~ Coiii. .. T &IG ... ,I(' v•u: . 01\ E ebendonad for more- thun 180 days, this permit-will bo null an·1 --
BUSIN~~AX CERTIFICATE INFORMATION void. . (- -r---I cartify that the to lowing Contr•ctor's LicenHl1.. _____ -_-~- A FEE MAY BE CHARGED FOR RE INSPECTtON DUE ltl --IILPG. ,.E RMI T FEE 3-z .. ? ( I 21-/-:-r) _rJ ~"t{fi~tio'l -)!'/~:full~~~ :;,09{! /-)7. ~3 NEGLIGENCE. INCOMPLETE WOf;K, OR FAILURE ti) MAKE - . --- .CAI<);iliJLfiC'N : 10 .... H. ' (,..,.-:-_ ----- CORRECTIONS.
ISSUANCE. 3517 _.LJ~ ..... IHT) CONT .. ACTO.. C81Q ... ~~fltR! CONTrtACTOrt!J OAT. Ort AUTHO lllt,D AGo I: NT
RELOCATION --.-= - --~---VALUATION , I -tiiJiiN"iS.T"A;l(;.Hn..-u;ATK NO, •x~U,ATION OAT£ PRESENT Bl.llti. TOTAL 2-/ f-i tJO I certify th•t I •m uempt from Senion 7031.5 of the Business •nd
Sooo,o-o FEES Profe111on•t Code, Division 3, Ch•pter 9, Contractors• License Law, ADDRESS
I undar tha following S•ction: Own•r. Section 7044 0 Minor work und•r soo: S..:tiun 704B [] MOVING • .,TNOIIUZ ...... OATt: Employee working for w•gas only: Section 7053 CONTRACTOH
.JP~ .-, -.-, n-. Other: --·-·· .. ~-· ·-------~-I· t~;- o.:_,;
"(;;;;;:.,-, "" 0 ,. ..... v 0 w,.." T;-;;;;;-,.i:;;-r;;;;;;;-~-;;;-;;;-; ---- o<1.00RES!> ,,.,.,.. Ollt AUTMO"'tiKD AQ.NT
...._~ --. .... ~- ~ .-.
F.
-
'
t : t·; L .. ~ .. -
t. !. \ 1, ,.
f I
'·' I, (' '-'·
1HOW NORTH Alti.OW, I'"OI'I:Iti'Y 1.-INI:S ANC ADJACI:NT iiT"IllrTII.
,//41.-.,. 'J/6 4dthPO
I ;f pl? (1·~ • trt>
!
Bp#
I:;;,, -1 1l4 4-/3 o ~.,~·sA
•1 8ulldlnll lntP./ •2 AH~tnm/• 3 l'tttnlttft/d rllt I ctttll't I hi lnfotrnlllon htrtun ll cumj.llllt •nd CCitrtcl.
0 OemoliJh
Be~-t.J
CERTIFICATE of OCCUPANCY CITY OF GARDEN GROVE -PUBLIC WORKS 6 DEVELOPMENT
THII ClltTII"ICAT[ ISSU!O PUn5UANT TO THE ltiOUIItEMINU 01" SI:CTION 501 01" Toll UN"OitM IUILDING COOl Cl!ltT.,YINII THAT,
AT TKI TIME 01" ISSUANCE, THIS StltUCTUit[ WU IN COMP'LIANCE WITH THE YAIIIOUS OltOIN,.N,Cf:S Of' THE CITY ltltiiULATIN G
CONITitUCTIOH 011 USt: I"Oit THE i<OLLOWINQ:
JOB ~DDRESS _ _.7:.:.4L:J4ul___..C.ull.uA.~...Piw•'11.li'l!u.i _______ , _______ PERMIT N9. 1}'19~!,1\
usE oF sLoG. -""'o"'"E._F .x. c .... Er...-~..;P.-..ri.._tL,...D""'tL.:.N~G'----- __ _ GROUP tif: TYPE _,V ... t.._l ___ _
BLDG. APPROVED BY 'Tad ~obi n:;on DATE USEZONE~f-~V~D ____ _
ZONING REMARKS _-.J.: t:~JP....:·;;...l~-;'.:..;·:1~.;;··;...3""3L---------------·
8LOG. OWNER J. :t,'\Y CO:::~mUCTIO:~ ADDRESS 1Ai1 E. l7TI: ST., COSTA l~fSJl .. CA. ~2627
Stetrart 0. l1111cr OY OATE~9-·-~2~f._-~B~4 ______ ___
H111 ian !~. l!illcr BLDG. OFFICIAL POST IN A CONSPICUOUS PLACE
P.W.D.-0012-11/75
~ ....
I '""' . --. .. - --·
~~~=~~~~ o--~-~-c=• · =-•· ,.._,_, _______ ,
• 1:-JSPE ',; -------··
-·- ~-
~:";~Al F'H;<;
__ 4_~---
-;· s. ~~
(. c.? -i ~.
--------
.-.cnoN AlCON)
DATE INSPECTOR
S:a't' '~'"='':" t/ 1 ' 0 ~ '• a'\·"' ~ • '1: '_f ·-, '""S:.,"<1'X€ ~- .::-} ".;( -~ , "'1'1 ' v ; £~,pratl0n Date .:::>/ \J • ::J ! cer:•·-. •..-.71t r .... ~ ;>'-·~:r,....._::.-.c~ r:l ~""'€ wor..._ for o·,'t"i!C'' ''1:5 t)e"I'T'f~ rS SS~P-:!
BUSINESS TAX CERTIFICATE tNFORMATI ... • ,,..._f: •- J;.· •·.; ~-- ~·':•.:_·::· 5 L1r~-'1":'lf' \-J~-
:- ------ .:, ~ l ~ t.:r<.~· tlnl~ t~!'ect
s. • ._ .. ~.. :*t ::;:J<tt"-•.:'o• c• .t. .. • .. ·;•·zlto .ac;,~ ~of
-~·_,,---
.......... R~---------·-~ ..... 1 .,, '·~· .. ,.__.,,II((. 1 ........ ~. ~ ~- .....
:~ .. ~~·, •r-.) .. JOT"! PJ~·,..,....<Ct •~(r"' ·;,.:-~•-·,,, -J.~l f:. Of 111P Bt~:.:~"V·!",S dll.'::! Pr·•,.-'", .. :·~i~ [;;, S.¥f :.- c~..a~,t~.,. 1 (..i..r.rt ·t:~:>rs l.:.eflSP L.w-.. ~.f'k!H ~ ... If~ •o.~,-h•'"• :"'''. ;:-.. ""......,.,. ~ooE.-G~J(.,., -:"(..44 :J ~ ..... ~ ro.or IF.>~ ~~x1l•r ~.?Ot- ·,;:~t~h}'"' - "f~ ·_ :::-·~ ;:..v~ 'fV'""J"Kt'""'G t.:>t ~-tf¥ •, -~g·~·,. Se..::t.cn :-y:;} C ·::~r.r.r --·--------------
.....,, HOI't~• ., ..... ---- t Q.;Af-;.il .. oH •t' O.W ... • o• &wf..utltlltl WI"' ~···
lni,ICIIoft ........... .... 771
a..... ........ .. ••• 1
For Applic2nt to Fill in
:.=: .... -·, --.. ",...,
:u2~:~C!A t-~~·s'~ ...... ';.......=--
Gkk.
l PC>E::E\.-i s.....:G ~s:::-.
:;--::-:--~-- .. ,. .. - ----~~~---.:""--·-· :_···· ·.
; .. -2-=.-. . - ----=--~-=:.... __ --;::-.. ~:...= ----------
•, (" <: • ...._ • ··;;:--''~ • _·, !"\_· :_ n ...
t A ::EE '.•A... ~E C I-1Aj:""":,:,£:: ~ ->· ·-~.
~E.-~ ,,c--•.•:-_~ : ~ t::-'•E.
.... :~~ ... -~ J •. _ ...
E._:-- ...._"•,~::-
_____ ,.. RELOCATION }·---····-----·- ----1 "'*· ·-c•. • t- _:,_;
i,!'~::~L :. .... -l ~ ... _~·;;~~- •, -H
AtDr·~~t: <',!S
~ ""'..:. .,.._ ._,__
t J.;..;:
•
•
'
..:. ; .
DIVELOPMCNT IIRVtCEI ,'1
DEPARTMENT
l"'"'" .. !'"~'' f"\ t A "ilL ...:.Hr:~ ... <":~,... C.")H .._.,.,~~··
, .. -.. ., t'r .I' ~,n
-~·1 )nfl OJ "'':;,t;f."Ti::"'N
i \\, ,,. ! l>1 1n1r·,, .._t·
r •.• ·~ t~ .,. v .... ~ .. , I
SHO~ .. NORTH AH~O'•\' PROPCRT'" LINES AND ADJACENT STRE£TS
r= I
. ~ .
t:.... :. ~ .-:~ ;·. ~'
.· ·t
'..1::: \~.
ljJ, :_ :'~ ~.-.
::::::••'
' -.
I I
0
I I L_'
I .....;
• ' I' ' 11 ' '' .,, f, I'
'" j h •"rt' , ...... ,.
\IJ 7 "'i.
I I
l I
'I I
_Q_D ()F 9ARDE_N GROVE Ptablil: Works & Development
INSPECTION RECORD ----·-~ . --· - -·
lOAO ()(.C .:.,.q,_
APPROVAL DATE INSPECTOR ~P.Llt:".lK .fi!._-.__ ......... --~_., ____ ,_# ________ ------·---
RIGHT i.i~~'f"'-l...ld:-~~~-~~_... ___ _
c...a." PtO)l
t·
.,__ -- --- ---;--
i S•tbfiC~s
II; - ------~-~--~~-llitARKSo
?L"'-S. SA OWN CT. --- ·- ----- --------SOUI'oit:' t!'ISULATI0'\1
I ~--'- --~-'0-~=o=~------.- o.c.s.::._!'.iT.w•s.
f"EE PE~·o.
/.C. •• ~
"l~ . ;:-
~ ~ :-
I"LA"' A! • '•,- •• ' ~-
;BLDG l"l:.· •• ~ -. ~.
'8LOr_, P'f- ·-·~· ~ ;: ~ '-~
:ssut.a"( ~ - c.o
VA.._:_;/ .... . r:_1•. ·cc ~ 1 'V
s . :•-.;.,~: . . ~. ',ro.
/.
r//
/
'
TOT At FHS
-,---'~"''7-
~c-. J
t(:, ---; .--
( !' " ' ·~ ' . ~I
LIA ••
Y/ORKER'S COMPENSATION REQUIREMENTS
Stou Ccmpen .. tl0" '1U., I be.~ \ - l <.)I w r :!!&urance Pel ICY No.___ ......,. L li>Piratton o.,. __ _( ____ _ __. I c,trr•fy that H'\ t11a p•r1ormanc• of the work for wh1ch tt-i5 pe.-m:; ''
~nue-.j_ \ lhai: f"!Ot emolov anv person in anv rnann•r so as_to b«om• sut: ,Kt ~o tne WorK•r·s Cornpenut10l"'' laws of C:•l.forni•.
'-"OiE !f ,..,fter !Y·-a-.1n9 St•CM cer~iftC3fa, the aD~-~~~ .sn! for the 01Hf'r'•1 s.•·-:1 .. 1 ~ '"·P-l"·o .... 9 ~'-~\llr:t tn th~ VVorker's Cor..-'lpRr••·atl'-)n prov,r •. 1or.-: v~ ·--.·~ c.:-:JCP. ne s~-ta'l tonr.,_., ·th compiy with thl!' proJ1119ns of Stte1«.1n ::-oo ~-' ~ ~ per~-:11~ -sh<1ll t'e deemed re"'olr:ect. ' ce"t,fy 1hlt ! h•"'• read this applrcat•on ana UJII~• th•t ~he above'" f0 .. 1""'111tiOn 11 correct. I agrn to comely w•th Jill\ Crty Ofd!nances •nd S"!ltte ''""'' reJ•tmg to P•ndmg construction. 1 fu,thtt,. aore• to hold ~!"le C•iV o-f Garde, Grove fr" and harmiHJI fro~ any liability aril·
Ol•t o 4 ,n1urv c.r bo~dy da-nage resulting from v.or.-; p.,-t·orm.a
' cer 6:1fv thtt th• followmg Contrilctor's L~eenw t·-.1o. anc Cl•ssi1tcatto,.. ______ ,, '"'full force and eH..:t
-~--- ~G,., N:~¥:~i~'i~~'f'::Ec:~;.-- OA.Tt
a.at .... T~<!!I~--;;;_;_---C!W.~TJt·tcAT~ ...,C:O, - ~,_~,;.,~,.~oA"fi-
ear~Ay "'~at 1 &""'"1 extrT"P1 from Sec.tion 7031.5 of the BustnatS and ro 4 &U or.ai Code. O•v-s;,on 3, ChaDter 9, Contr•c1ors' L•cense Law. .,._;::er th• .. Ollowmg :-;ac.t•on·
o ... ~,., Se,t,.;,n 70" :_: M1nor wcrk undtr $.f00 Stct,cn 7048 :::J ;;,,._C.IO¥•• wtJtktng for w•"" only S•ctton 70~3 [j
• • -, I r _. I /},r·_ / C~~ f•~.~ ... -,- ~;.~-;--;;-;;--u~ (;,Q·N·~-;-~;;;J-;.-;-g;.--.--;;;o;-,.-;; -~ "·•'till
Inspection ~J 131·6771
For Apph~nt to Fill i11
------ --r.---Pt:A~t -B-PER
ISS
•n·r&
-~--·
!2.00 :D.OO
MCl:
: Pf<ESI;'NT f r ;BLDG. USEe \~IC::-_c.::.~ ' , __ - -·----- -· .. ~-·~-- K iDESCRiE·H 'NQP~·.. ~ \TO 13[ Dl1NF ...t;"(; ,L,, 1
~- (~::[·-~ -~. C?4~~~ _o;;.p~~-----INE\'v'·-~ 1-~[)C.,'N = ~~·~~ >t(REP;'l,~- ~·-·--~·· I '-------· - -·-
FL O;._'R /\~'""•"l .,-- ~n_ Cf- ..... ,.-
(S'l- FT L----..., s r --, ~ 1 t . _____. ·.
1 aba\donll!!t1 fr., • ....,P'"~ n•a· ;£J --:;J.~ ~"'·1 ;-~·-· .....
' 1.010 ........ - ---·· . A FEt- \c1 .. \\- E£ c~ .... ~_;:::-. ::.(_'~ ~Et~S~~...:. ...
• - .·.f_
NE(3L::..3tNCE .--...,,:_1\'.:'.e•t,\,:..'RK.CAt:~ t tt~· ...
COAPt:Ci~C'-..5
--: ''' E'SEN r BLUe. 'Al11H·H.5l._,
MOVING CO'IIlfl"<.;t<Jq
ESS
RELOCATION
·.-
_ ... ' ' ' ' ) CUI ,t,t'fHolfii!IJRD AeB,..T --'----~.......-. "-""'--=
I /--;I/ I •-"XJI I I<
•t Bu•d'"~ "'W •:t Allr~'''' •1 "~"tHIP~ all J'.!~ lt'l'rt•ly ·~• ,.,lo•"'•'"'" h•••"" ,, rr.m111rtP •' , eh''""' I'~
1' V\
-.• w- '! t?:<*.-~h as t a,. . 1 t . 3 .. · t. , ¥ 1f 44 c. , 1f** c TV OF GARDEN GROVE, CALIFORNIA ,,
Dewlopment Service" Dflpartment ii ~ I ./ 11391 ACACIA PARKWAY. P.O .BOX 3070, GARDEN GROVE, CALIFORNIA 92642
.. .,. ... ,.
NO. 11.152 :H :12/05/91 :Tl HVAC
;7~41 CHAPMAN AVE
:1~165136
Inspector area:ZH v
Owner: BUK & ASSOC (PT)
:K & S AIR CONDITIONING z:se VIA MARTENS A~AHEIM CA 92816
Phone Number i630-0123
I certify that I am I'J<etnpl fr.xn >ec!ion 7031.5 r1 !he a.silless and Professional Cod&. DMsion 3, Char l!r 9, Conlr2c!ors" IJcense J.:aw. Ulldel" tile !olcwing Section: Owner: Sac M 7044 0 M"IIIOr wrJ<k ooder $200: Seclicn 70-48 0 E!t111oyee w lll<ir1g lor W3!;U$ ody: Section 7053 0 Olher: ---------------
!~-OF£;,1"1'CP[:nYCMINE"4
Qlt.ti,~.I(Et,1t
INSPECTION RECORD APPROVAL DATE INSPECTOR
rnac e _____ ---:---------rnace Vents
as Piping _______________ __ cts __ _ ct Fan Vent ___ . ________ _ tchen Hood ___________ _
ir Handl Unit __________ _
ap Cooler ___ -----------.Ller Comp __ _
ec or Ap p 1 ___ ----------
ssuance epair/Alter Cool System EN PLAN/CULT ART r 1
15 .• 00 9.00 3~00.
280
I I I I l
l :;
l H PERt 9.00 . ·• MISC. 3.00 . ISS 15.00 ·· ..
019852A12l'91 .· CK 27.00 I . j
229 HEATING PERM 51.7 ISSUANCE fEE
3.00 9.00
15.00
f work is not started within 80 days from date of issue or
"f abandoned for more than 188 ays. this permit will be null nd void.
FEE MAY BE CHARGED FOR RENSPECTION DUE TO NEGLIGENCE. NCOMPLETE WORK • OR ,FAILURE TO ~KE CORRECTIONS.
··""" :;
..
~- .•. CITY Of G~RDE~~~-~q~VE, GALIFOR~IA Development Services Department ..
11391 ACACIA PARKWAY, P.O. BOX 30?0, GARDEN GROVE, CALIFORNIA 92642
~ddr~~s : 7441 CHAPMAN AVE i S~ite: PERMiT NO.: 11~53
~arch! No: 131651~6 Type: 87 1 Date : 12/A2/91 Insp Dist : ZB .:.:~·-:.----------'--- ..... -----------------------1--------~--------------.:....;. ______________ _ ,(h,~rier : BUK & ASSOC (PT) I Applicant: B C I GENE~AL CONTRACTORS Address: I Address : 152 TECHNO LOGY. *200
:'~ . . Phone: I Phone: 735-1585
~---------------------------------------1--------------------~------------------:Archltect: . I Engineer: ----·~---~-------~ddress I Address :
I .LIC: EXP: PH: J LIC: --- EXP: PH:
"""""""'"""' I certify that I am exempt frnm Section 7031.5 of the Business and Professional Code, Division 3, Chapter 9. Contractors' License law, under the
, following Section· Owner: Section 7044 D Minor work under $200: Section 7048 0 Employe" working for wa9E'S only: Section 7053 D
~---------------------------DATE
INSPECTION RECORD APPROVAL DATE INSPECTOR
~::::::_::~:~_:::::::_::::: __ j _____ j _______ _ alue : 8000 1 I loor Area: 0 1 I
LAN CHECK FEE PAID 1 ermit 3. 100.06 ssuance 1 10.00 EN PLAN/CULT ART 1 16.00 ln.Ret.Lgr.Size 25 25.00
E: PERl 100•06 ISS 10.00
MISC.~ 16.00 · PL RET · 25~00
'91 .. CK 151.06
'~'
Pre Inspect _______________________ _ Foundation _____________________ ___ Concrete Floor ________________ _
l . . Reinforcing _______________ _ Masonry _________________________ __
Roof Shtg Rough Frame l-et·~ l,.. '-',.....
Insul I fner~~~-~-~~---Drywall_l. ""'~ -'tl,..o .......,_,.... Lath ______ ,
Plas.Brown Ct. Lande cap in g ___ ----------Pre Gunite ___ ~------------Pre Deck ___________________ ___ Pre Plaster ___________________ _
Planr.ing Fin
iid9 Finai_.~·-H~~~~~--~-----Utility Not!
""!---------------1. INSPECTOR
200 226 BLDG PERM & 517 ISSUANCE FEE 542 PLAN RETENTI
16.00 100.06
10.00 25.00
TOTAL FEES 151.06
f work is not started within 80 days from date of is~u• or f ~bandoned for more than 181 aye. this permit will be null nd void.
FEE MAY BE CHA~GED FOR RENSPECTION DUE TO NEGLIGENCF.. NCOMPL~TE WORK, OR FAILURE TO AKE CORRECTION$.
• ...
• • ....
...._ -lAND UK _.., -8 DU-o.
', 't:. ' .... '• •' • f 'I CITY Of=, G•ARDEN ri<ROVE,
Development . Services Department
lA 92642'
I Suite: 'PERMIT no.: 2267M 13166136 Type: B7 I Dote : · :i. ·,sp · Di.st · ; ZB
----------------------1------------------~------~---~---------0wner BUK & ASSOC {PT) I Applicont: OWNER, A~dress: I Address. 7441 tHAPMAN AVE
I . . . Phone: I Phone:
~-----------~~-------~------------------1-------------------~---~---------------Archi teet.: I Engineer: Address I Address
EXP: PH:
"WORKER'S COMPENSATION REQUIREMENTS State eompe~ation Insurance Policy No. · · Expiration Date--:--:-:-~-~ 0 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 Worker's Compensation laws of California.
NC!TE: If, .aiter making such certificate, the. applicant for the permit should become subject to the Worker's Compensation provisions of this code, he shall forthwith comply with the provisions of Section
· 3700 or his permit shall be deemed revoked. 0 I certify that I have read this application and state that the above
information is corract . .f agree to.comply with all City ordinances a.1d State laws relating to pending construction. I further agree to hold the City of. Garden Greve free and harmless from any liability arising out of injury or bodily damage resulting from work performed re-levant tc. this permit. ·
f::i.RMIT APPUCANf SIGNATURE DATE
BUSINESS TAX CERTIFICATE INFORMATION . I certify that the following Contra~:tor's Ucense No.=,-------
.. and Classification Is in full force and effect.
lSIGNATUAE) CONTRACTOR OR AUTHORIZED AGENT
DATE
BllSIESS TAX CE!UJFICATE NO. EXPIRATION DATE
I certify that I am exempt from Section 7031.5 of the Business and Professionai.Code, Division 3, Chapter 9, Contractors' Ucense Law, under the following Section· Owner: Section 7044 0 Minor work under $200: Section 7048 D Employee working for wages only: Section 7053 D Other:-----------------
(PPM! PROPERTY O'NNER (SIGNATURE) PROPERTY O'NNER OR AUTHOAJZEO AGENT
INSPECTION APPROVAL DATE
DATE
· Pre Inspect __________________ ~~---Foundation ______________ ~~~~-----Concrete Floor __________ ~~~-------Reinforcing __________ -4~r-~~ Masonry _____________ -r--~~--------Roof Shtg _________ ~~------~--Rough Frame ______ ~~~--Insul I Energy~~~----------------Orywall _____ -~-+r-·~~--·--------Lath ____ _
I I LIC: EXP:
Proposed Work: REMODEL LOBBY
PH:
LAN C ECK
------------------------------·+-- ----;-----------Value 8000 Floor Area: 0
Plon Check ---------. -·---, 1 64.68
'f/ 5''-/
........ ~
3627 BUILDING P. 64.68
TOTAL FEES Pla•.&rol.m .·t·-r+o-.....c~-· Landscaping ... \ ----- ~;-~--::.+-1-~I..J-----------'------------p r • Gun i te_.~....,,_~.:------P r • '0 e c k __ ....:-r.-.t~c:----------- 7 41.- ~.:!'I :!'1 :2 p r • p la 5 t e r • Gohetll lmOrMlltlot•
741-5317
- _,.,..,.__~~ .. Utility Notified ____ ......._ __
I
Xf work 1~ hot 1t1rted within 1ae day1 from d1t1 of issue or if abandontd for more than 181 d•~•· th1e permit will be null anCI void. A FEE MAY 8! CH~RSEO FOR ftElNSPECT!ON bU! Tb N!GLXGEMCEt l:NCOMPI.~'I·~ WORK • OR I'~ILUftl TO M~KE CORRI~1IOHS~
1. INSPECTOR ................ ~~........:.......~- .. 1 .. ~~ ~~--~-~~~--------'---......:O.-.i~-..... 1'1-.-..----.... ----·
. . . . .· . . . ·: . ~···,.··-.-.•-::r·-........ -.--_,·.:""'?H""···'!'"'"'."".,. ....... ., .... r ... l'T"" ........ ---. _,.., ...... ~.--.. ,...._ ..... ~ .. ~----
ciTY O,f, G.ARQE'\ GROVE~ CALIFORNIA · . · : . Development Service a Department ·
1.13S1 ACACIA PARKWAY, P.O. BOX 3070, GARDEN GROVE, CALIFORNIA 92642
PERMIT NO. Type Date Iss(Jed Title Oesc Lobation · Suite
11287 :E :12/18/91
:7441 CHAPMAN AVE
' arcel number :13165136 cc;:upancy
. ppli?ant ~SOUTH COAST ELECTRIC 3600 W WARE
EKPIRATICN DATE
I cer:ify that I am exempt from Section 7 0:31 .5 of too Business and Profnsional Code, Division 3, Chapter 9, Contractors' License Law, under the foliowing Section· Owner: Section 7044 D Minor work under $200: $eclion 7046 0 Employee w:>ri<ing for wages only: Section 7053 D
~---------------------------------
INSPECTION RECORD APPROVAL DATE INSPECTOR
lin de 1"9 round _________________ _ Conduit ____________________________ _
Wiring -· Rough ______ _ Heater _____________________ , ___ __
Fixtures & Tl"im ____________ _
Motors Ufe r ________________ , __ _
Service -------------------------·-,..._.--------- -------------·--------------------------- -
----------------------·--------·-----------~-------------
------.... -........................... ...._. ... _~
1. INSPECTOR
Inspecto~ area:ZE
Owner: PARAGON CABLE
Phone Number :556-3131
u tlets 1-20 ixtures 1-20
! 16 12.00 16 8.00
enl plan/cult art lan check
I 1 20
3.00 13.00
ssuance
200
1
E CHEK .E PER HI.SC.
ISS 0#1164·A12-1 '91
15.00
"13.00 · .. 20.00 3.00
15.00. c•{ , s1.oo
227 ELECTRICAL P 517 ISSUANCE FEE
16.00 20.00 15.00
Authorized by: X Inspection Requ 741-5332
TOTAL FEES 51,
ork is not st~rted within 80 days from d~te of issue or f abandoned for more th~n 181
lliYt'>• ttlie IHH'In.f.t: w.Ul. be 11ull tHl void.
FEE MAY ae CHARGHD FOR RENSPECTION OU& TO NEeLIGENCE. NCOMPLETE WORK~ OR FAILURE TO AI<!: COIHH:CTIONS,
·j I
;~
CITY OF G/\RDEN GROVE, CALIFORN A Development Services Department
11391 ACACIA PARKWAY P,O. BOX 307 GARDE'N GROVE CALIFO .92642.
13412 Ine~ector area:ZH z H '"·''''';:~::-"'··.·.:::'
:06/05/92 :RELnCATE 2 SCPPLV & RETURN GRILLS . : _ . ,.,.--·r"':~~~~'~_-.~~;~_::~:: ~:;.,_~_:.:~>,'r.:~:··T: ~::~:·:-- .. ·: ~_-,_ .. • _.7:-,t-~a:~JtatL:.~v~,.-- .. ;o
i''''~'"''·"·········--'·--·-·.·:: _ _"·::·;·-·:-·>
reel nu~ber :13165136 cupancy
Owner: BUK & ASSOC (PT)
plicant. :K & S AIR CONDITIONING 23~0 VIA MARTENS ANAHEIM CA 92806
i Phone Number ~636-0123
epair/Alter Cool S ssuance EN PLAN CULT ART
tern 1 1 1
. 9.18 . is .. ee. · ·
s .• ee
EXPIR'\TlON OATE
I certifY' that I amexempl from Section 7031.5 of the Business and Professional Code; Division 3, Chapter 9, Contractors' Ucense Law, under the
. following Section· Owner. Section 7044 0 Minor work under $200: · Section 7048 0 Employee working for wages only: Section 7053 0 Other:-------------·----
(PRINT) PROPERTY O'lif'£R ISIGHATUREI PROPERTY OWNER OR AUTHORIZED AGEHr
DATE
INSPECTION RECORD APPROVAL DATE INSPECTOR
Furnace ___________________________ __ Furnace Vehts ______________________ _
Ga• Piping~---------------------Duct•------Duct Fan Vent ___________________ __
itchen Hood ______________________ _ .Air Handl Unit __ .. _________ _ Evap Cooler ________________________ __ Boiler Comp ______________________ __ Decor Appl ________________________ ___
Utility
HEATING PERM ISSUANCE FEE
3.00 '-9.00
15.00
2.7,00
TOTAL FEES 27.tt
f work i• not •t1rted within 81 deya from date of ittue or f abandoned for mo~e than 181 ~~·· thia ptrmit will bt null ni':f void.
FEE MAV !E CHARGED fOft ftENSPECTXON DUE TO NEGLIGENCE. NCOMPLETE .WORK • Oft FAILUftE TO AKE CORRECTIONS.
CJTY or:: .GARDEN GROVE, CALIFORN1
IA ' ... • · Development Services Department :
11391 ACACIA PARKWAY, P.O. BOX 3070, GARDEN GRO::.:V;.:E;.:.•.;::C:.:,AL::I:.;FO:::;R:.;.:N:,::I:.:.A..::9;,:2.;::6,;:;,4::;,2 ________ _
ddress ;':··;~~~i7t·~-~~--:~,A:N .. AVE .' '/ suite: PERMIT NO.: 13297 arcel No: 13165136 Type: 87 I D~te : 05/2~/92 Insp Dist : ZB; ...; _______ ..,. ____ _,. ________________ ._....; _______ 1------------- -----------------:-----·-··.--wner.· .PARAGON CABLE I Applicant: BCI GENERAL CONTRACTORS ddress: I Address : 152 TECHNOLOGY f200,IRVINE
. . . I l, II
_· · Pi1one: . I Phone: 7 )3 -1_$'"8~ . ·~~-------------------------------------1-----------· ---------------------------·rchitact: I Engineer: f .ddress I Address :
I .IC.J\;~~;;,';<i;..>·'.'\·-~-··EXP:::· PH: I LIC: EXP: PH:
', ......
•. ··• WORKER'S COMi4h~WiiiMENTS . .--..._._ .'; ·' · ·· Stat& ComPensation ')t::i"" · . F~ 1-~.A:,3 P r o posed Wo r k : TEN A 1)1 T _ J}f.'P'R·Q v_ EM NT
lneurance Policy Nce::.L~ I Exj:)inition Date .•. , -L. ~ . . ~ -0 I certify that in the performance-of the work for Ylf1ich this permit ! _:---: ;· . is~. I shall not employ any person in any manner so as to ----- -· .. become eUbject to the Worker's Compensation laws of california. _ ---- _ · f
NOTE: If, =.ne ~--. ~ ~':f.:e~tiontorpr~. -~ ---------:-T-;:·?!\------------- ---. code, he shal forthNilh comply with the prtMsions of .Section V a 1 u e : · f10 0 0 . r:ert:%~==~~~statethatthe~ Floor ~~44 --
inla metion is correct I agree to co111ply with all Cfty ordinances and -~ f Slate laws l1lleting to 'pending construction. I ful1her agree to hold .....__ • ' the City of Garden Grove free arid harmless from any liability arising P 1 a n c h e c k p-a ~ d 4-7- 9 2
~~-~~ :~~~~!~,Lgr.~ize ::::· ~ · . · · . G nl pl'anh::.~.lt art i~::!~~SS111X~~,.l} Issuance · · .• J~~~~~~and ___:!__~ ~
.....,.,CCIH'f.w:IQII · iSJMIIJURElCOfrrf11W:l'OR DATE • • - OR AUTHOfiiZED AGEHf
. ' -....:ss-.xcs-.;ACRENO. ~OG'E
1 certify that J·am exempt from Section 7031.5 of the Btisiness and Profeslionlll Code, Oivil!ion 3, Chapter 9, Contractors' License Law, under the
' following Section: Owner: Section 7044 0 Minor work under $200: Section 7048 El Employee INOOOng for wages only: Section 7053 0 ~r. ____________________________ ___
INSPECTION RECORD APPROVAL DATE INSPECTOR
re Inspect _ _:. ___________ _ ·oundation ___________________ ~
oncrete Floor
1 .10
1 - 1
B PER PL RET
MISC. ISS
e info r c in g ___ ;..._ __________ __,. asonry _________________________ ___ 3200
\ .. Olt1736A 5- 6'92 10.75
oof Shtg ___ -r~~~--------------ough Frame G/3 Z.:z h.- D' Xlfi)/lV nsul I ~nergy~ 7. r ywa 11. &-l.,...t.~--Z..;,.-,9,.....:z---...,?8_,.41£s_ ath ' 1 las.Brown Ct. __________________ __ andscaping re Gunite -----------------------
3226 BLDG PERM & 3517 ISSUANCE FEE 3542· PLAN RETENTI
Authorized by: X
.72. 86 10.00 10.00
TOTAL FEES
' ' ~·
72.86 10.00 10.75 10.00
72.86 10.00 10.175 10.00
ECK ~ 103.61
183.61
re Deck r• Plas_t_e_r ______________________ __. lnapectlon R
741-6332 General Information
7111-:-5307
If work is not •t~rted within 180 days from date of is•u• or if abandoned for more than 18P day~. thi~ pe~mi~ will be null ~nd void. '
2. STATISTICS
A F~~ MAY JE CH~RGEU FQR REINSPECTION DUE TO N~OLIGENCE. INCOM~t.TE WORK. OR FAILURE TO MAt<~'. ECTIONS. I
',I ,
, - ·.- ·---.... i+i .f ~:"' *:! . 'fl'f!'ll' . . . ..... , •. ""· : i ., .,H~ . • ,,, ~ • .r".lll' lTV OF G,ARDEN GROVE, CALIFORNil~
Development Servlooa Department 1:
P I '*' Mf'W ;;,
~
RM!T NO. pe : t• Issued tl•
reel numt>er cqupancy
Applic•nt
13312 :E :06/13/92
92642 
CITY OF GARDEN GROVE, CALIFOA Development .Service• Departm~~nt
:M :08/li/92
:7441 CHAPMAN AVE
:131651.36
:K & S ArR CONOIT~ON~NG 2380 VIA MARTENS ANAHEIM CA 92806
320~
.~wner: BUK & A~SOC (PT)
·Phone Number :630-0123,
CULT ART
HEATING PERI4 ISSUANCE FEE
3.00 45.00 15.00
···within·'·· iSS\Ht 01~ ·.
f' abandoned fo 11: more than· tal>. < aye. th i. s perm ... ' t will b~ null.': •.. ·. n d v o i d • · :i , · · · •· ·
II · '
FEE MAY BE CHRRGED PO~ ~~-N:,p~::c r:t:ON UUE. l:io NI:!.IH;.''tGEMCE • :: NCOMPLETE W~RKJ OR F~XLU~I TO·· ~kE CO~RECTiON~. . '
ciTY OF GARDEN GROVE, CALIFOR :lA Development Services Department
11391 ACACIA PA"KWAY P.O. 3070, GARDEN 92642
PERIIIIT NO. 13948 Inspector ar~a:ZE Typ"
at. ... Issued tle
:E :07/16/92 :INTERIOR MODIFICATIONS
:7441 CHAPMAN AVE
reel number :13165136 cup'ancy
Owner~ BUK & ASSOC (PT)
pplicant :GILL ELECTRIC Phone Number 181 W ORANGETHORPE "C" PLACENTIA CA 92670
COMPENSATIOtJ REQUIREMENTS State~ion lnsuraoo~ Polic1 No._-= ___ Expiration Date--,-:-;--,' ,..,· ,....--= 0 I certii\y that in too performance of the work fe>r which this permit
Is ~ed. I shall not employ any person in an!l manner so as to become subject to the Worker's CofllPilnsation' laws of California
NOTE: If,: after ml.'king such C'Jrtif~eate, the appli<:ant f~r the penmit should become subject \'J the Worker"s Compe.1sation provisior>.s of
. . this ro.:le, he. shall forthwith comply with the pmvisions of Section • 3700 or his permit shall be lleemed revoked.
0 I Certify that I have read this application and state that the above lnformati'on .is correct. l agree to comply with all City ordinances and
·. Stal& la.\'S relating to pending construction. I further agree to hold · 1he City .Df Garden GI'O'ole free and harmless from any liabilii'J arising
out of ini!!!X..._ or bodily damage resulting from work· pe' rtorrr;:;:l re-, levant toiiiJ!t llermit ' ·.. . ~ .""' \u;o:lQ~ ....;_ __ i~r J..f"PP.X"JNr_.s:GtWURE
. I eerlily that I a'!'l exempt from Section l031.6o of the Business and Pro
. tilllional Code. Division 3, Chapter 9, Contractflrs' License law, under the ; ·fllllowillg Section· Owner: Section 7044 0 Minor work under $200: ~ 7048 0 Employee ·NOfking for wa!;es only: Section 7053 ~
INSPECTION RECORD AP~ROVAL DATE INSP~CTOR
nd.e rg round _____________ _ nduit ____________ _
ring - Rough_·------------ter ________________ _
ixtures & Trim tor•------------·---------~----
Outlets 1-20 outlets over 20 Fixtures 1-20 Fixtures over-20 Plan Chock GENL PLAN/CULT ART Issuance
ELECTRICAL P ISSUANCE FEE ELECTRICAL P
0179'71A
25.95 39.85 15.00 42.71
'J'OTAL FEES
20 33 20 51 63
1 1
EPER E Cf£K HISC~
ISS
15.11 14 .as 11 •••••... 22.95 42,;71
3 •. 11 15.11
123.6t
If work is not Gtbrted within 180 d~ys from date ~f lcsue or if abandoned f~r ~ore than 111 days, ~hie permit will be null
' . ~ 7~1-5317
and void. · A FEE MAV OF. CHARGED FOR R!XNSPECTION DUE TO,NfGLIG!NCf. lNCOMPLET~ WORK. OR FAtLUR! TO
Ak! C~RRECTXONS •.
'
.. ~· ~ .. ·~
r' CITY· OF GARDEN "G R'pVt£, c'·ALIFOR
Development Services Department
11391 ACACIA PARKWAY P.O. 3070 GARDEN GROVE, CALIFORNIA 926
: 7441 CHAPMAN AVE Suite: PERMIT NO.: 13911 Parcel No: 13165136 Type: ~7 1 Date : 07/14/92 Insp Dist : ZB
-~--~-------~~--------------------------1------------------------~--------------er Address:
PARAGON CABLE I Applicant: BCI GENERAL CONTRACTORS . I Address : 152 TECHNOLOGY t200,IRVINE
-'-----------...,P:-..-h-o_n_e_:_______ I Phone: 753-1.5 86
---------------~-------------------------1------------------------~----~---------Architect: · 1 Engineer: · • Address 1 Address ~
I ---------~-~---·· tic:· EXP: -----· PH:
.. _ . ' 'M>RKER'S_ C OMPE~N REQUIREM~ State Compensation . ; ' ~ inllunince Policy No. &o, 'f'\ k~ XPI Date P..·
· 0 I certify that in the performance of the wori< for whichJS permit · is:'islued, I shall not employ B>lY person in any manner so as to
•. t:Jecome subject !o the Worker's Compensation laws ot California. NOTE: It, alter making such certifocate, !he app!:cant lor the permit
ahouki ~ subject to th- Worker's ~ensation provisiclns of · this code, he shaH forthwith comply with tile provisions of Section
3700 or his permit shall be deemed revoke<:!. certify th~ I have read this applicatio., and state that the above
. lion is correct. I agree to comply .:"th al! c;zy ordinances and · . Sfale laws relating to pending construction. ! further agree to t>old . . . , the City Of Garden Grove free and harmless fr .:-m any liability arising • ;pt ~. . . ....,... resulting from :.vorl< performed re-~ 'f/"~ I /fd97_. ~~ P'EJUTJtl.1iFIUCMfr~ r : <WE
. :·· BUSINESS 1U CERT1FICATE INFOR~neN. ~ ' .. ' c;ertify that the following Contractor's license No. ~ d '"l ')...
~CIIIssi!ication ~in f)IJI ~eA"Kl en · .. _:crS/£:fi;J(;ai ~~=- '-j/li.r.~ ·v . · '~ - ~ss Wt CERTH;ATENO. ~ OATF.
. I ca1lly that I am exempt from Section 7031.5 of the Bu$iness and ProfulliDI1al Code, Oi·;~ 3, Chapter 9,· Contractors' license Law, under IM lollowinQ Sedion; ~JWner: Section 7044 0 Minor work. under $200:. s.cJion 7048 0 Empbyee working for wages only: Section 7053 0 Other: .
INSPECTION RECORD APPROVAL DATE INSPECTOR
.. · • .lr own C t ·-·------!----dtc•ping ________ ......;... __ _ · i.unita ___ _
oeck~------------------~--. 'la•te r ___ ...:::;;:;:;a..~=---:----
I LIC: EXP: PH: .·.
roposed Work: INTERIOR RENOVA
----------------------------~--·-lue 110000
loor Area: 0
LAN CHECK PAID 5.13.92
I!P.T FEE
BLCG PERM & ISSUANCE FEE
180.75 753.36 10.00
TOTAL FEES
1 1 1
If work is not •1
rted within General Information 180 duys from da. e of 1••u• or 741-&317 f abandnned for'more than 111
ays, this permit w1ll bt null nd void. i: · . . • ·
FEE MAY BE CHARGED FOR RlNSPECTION DU~ Tti N~GLlAEMCE. NCOJIIPLETE WORt< • .OR F~XLUftt TO AkE CORRECTIONS.
.:·
---------------.:···;:·1 --·-... -----, . ... • CITY OF Gf\RDEvrOVE J
PLANNING \~ ACTION /?
LNIDUS£0(fl/.··bf/ l
Al'f'RO'JED . >'
Rf:IOARI<S: ''\]
I ~'SE
J ZONE
ril'it·i)rt occu-DA ?: ' ,.J.NCY
\J...-'! I TVI'E
I
FIRE SPRINK.
PLOT PLAN DEVELOPMENT SERVICES DEPARTMENT LOT SIZE JOIADDRE.SS 7 44 l Ct1·~r Pm lirJ l'i?;j l \ LOTCOV!MGE . &&si·?:, ~ ILOT LK I TRACT
"ri_, (P!EASEOHECKONEORMOIIE}
"'INCIIEAio£ CHEW 0 ADOITION ALTERATION 0 REPAIR 0 ~~VA~EQ.f..!!2l:!!!i. JOI DEaCniPTION
DATE ln-knb-r A t+e·r-c."~-A (n.s. II 01
(]1)'0 ,,...
~- ~·. . .. ...~ ...,. ... ~ ... ~. ..; . .. ... ~ . . . ~.,.... .·· r .... i .... i. i ~ L !.
F.~, •. H .. f··+·H·+ .... ei ... lll·- >'l·h~-- .. ;---H]I-:7 · ~ : H H H .. l Q w ~: · .,... : ,hl .,:: ,@J h . r1·1 i: 1:· ~·_: .. ·:·_· :,:·:r~· i··, ;:: ~~ / ... , )~- .. -~ j .. ··:· ~.,· ... , ... , .... , .... ; .... ;.-.. ''·.:.
~--+IHJ .... ; ... .; ... ; .... ; .... !--+·1+·.,1--+ .. I··+•L .. : .r.. · ... ).:7.;: .... ;' ... ;:--o: ..... '; .. -.i:' .... , ... + .. -~:-..... , .... · ... ; .... • .... ::;t .... ; ... · .'I :- : ' :: · : .... : .. · · ·: : .. ' .. ~ ... , .... ... y: . -~~ ., ...... ; .... ; .... , .... ,;, : . : : .. Jt: : , , , :__· ' : ~ L. ~v
l'c: .. :-·: ''"""'~- . .c.: ·< ' 1 ........
',,''
4P #4
CITY OF GARDEN GROVE, CALIFORNIA l . . I
v~~- ~ ..,
11
15710 Inspector area:ZE :E :11/16/92 ;ELEC FOR TENANT IMPROVEMENT
:7~41 CHAPMAN AVE
:13165136 'rct>l number . _ cupancy pplice~nt :DATA SPECIALTIES INC
8400 KASS BUENA PARK CA 90620
. . : ·,. WORKER'S COMPENSATION REQUIREMENTS .. ., Siatit cOrnpensation..,..~'2aGJ:!'1 ~ ~ _ _,.., · ~r.M~Ce Policy No.~~Exoiration Date I 0 -}-I...;J - l pertify that in the performance of the work for which this permit , : • "issued; I shall not employ any person in any manner so as to • -becofre &J!Jject to the Worker's Compensation laws of California.
HIJTE: If, after making such certificate, the applicant· for the permit - _· · . should become subject to the Worker's Compensation provisions ol
-· :-· this code, he shall forthw~h comply with the provisions of Section
~700 or his permit sha!l be deemed revoked.
- ' certify !hall have read !his applicabn and state that tb above - . _infOrmation is correct. I agree to comply with all City ordinances and
- · SIZIIe laws relating to pending construction. I further agree to hold -th<.i. City of Garden Grove free and harmless from any. liRbility arising out of il~ury or bodily damage resulting from work pEorformed re-
• . _ ~ant to this .permit . I "* \!...: " . ..t c. \A/y'-0. 'i= '"tict· .. ~· . · PEFitrRT N='f'l..lCAHT SIGNATURE iE
·. · BUSINESS .li\X CERTIFICATE INFORMATION I certify th8t the foi~ Con!rw.:tor's License No. 62.z._3«;S"' and Classifocation ... -· i:: in full force and effect. ~ ,.,,. . C.· P-1 ~- Jc. .< Gt I II/JrfiJ'1 -~~__..
!SIGI'WUREI CONTAACTOR . 0A N.ITHORIZEC AGENT
EXPIRATION DATE
: I certify that I am exempt fwm Section 7031.5 of tha Businuss and Profesl;ional Code, Division 3, Chapter 9, Co~tractors' License law. under the follOwing S6ction· Owner. Section 7044 0 Miner work under $200:
. Section 7048 0 Employee working for w~ges only: Section 7053 0 Other: . .
(~MTVREl PROPERTY CY'INER CfiAUll-IDRJZED~NT
DATE
INSPECTION APPROVAL DATE
RECGRD INSPECTOR
Undergrou~d---------~--------------Conduit ___________________________ _
Wiring - Rough ________________ _
Heater------~---------...----fixtures & Trim ____________ ~-----
- 7' .- / t~ tJ:- #;;?~~-.-----'Uti 1i ty No ti f i tl d--~---·~-.....,..--
Owner·: PARAGON
Phone Number
SUBPANEL. 3 PHASE
Outlets 1-20 Fixtures 1-20 Outlets over 20
:523 8489
P~R APPAR UPTO lHP KW KVA PWR·APPAR 10HP KW 1\.VA MAX Issuance CULTURAL ARTS
GENERAL PLAN PLAN.CiiECK
-200 3223 PERMITS/GENE ~224 PERMI•S/CULT 3227 ELECTRICAL P 3517 ISSUANCE FEE
Olt 331{~11
58.07 2.00 1.00
74.35 15.00
TOTAL.FEES
EPER E CHEl{
ISS . MISC.
MISC. 92i.
aln~tai fn~o~~atlon 7 41-·5 30 7
It work i~ not st~rted within 180 days from date of issue or if abandoned f~r more th~n 181 d~ys. this permit will b• null ~nd void. : · A FEE MAY ~E CHARGED FOR R~lNSPECTlON OUE TO NEGLIGENCE, INCOMPLETE WO~K,. OR FAILU~E TO MAKE CORRECTIONS.
CITY OF GARDEN GROVE, CALIFORNIA Development Services Department
11391 ACAC:A PARKWAY P.O. BOX 3070, GARDEN GROVE, CALIFORNIA 92642
Address : 7441 CHAPMAN AVE I Suite: PERMIT NO.: 18180 Parcel No: 13165136 Type: 816 Date : 05/10/93 Insp Dist : FS ----------------------------------------1---------------------------------------
'owner PARAGON CABLE I Applicant: CALIFORNIA SUPPRESSION Address: ------ I Address 2505 MIRA MAR AVE
I LONG BEACH CA 90815 Phone: I Phone:
., ':_ .... ~---.-----------------------------------l--------------------------*·------------
EXP: PH:
RECORD INSPECTOR
. ;
1 Engineer: I Address I I LIC: EXP~
Proposed Work: INSTALL HALON
---~---------Value 23400 Floor Area:
Plan Check Permit Issuance General Plan Cultural Arts
----019540A
1 1 1 1 1
158.74 244.72 15.00 29.48. 14. 52.
B. PER . ~~-. 12 B CfliK .158. ?.t fiiSC. 2'1;.~;.,;; MISC. 1~-a~ }
ISS
3223 PERMITS/GENE 3224 PERMITS/CULT 3226 BLDG PERM & 3517 ISSUANCE FEE 3527 BLDG P C FEE
29.48 14.52
24£1.72 15 •. 00
158.74
O:otnerai •nA •• ,.., • .,, ...
141-6307
TOTAL. Fa::ES
If work is not started within 180 days from date of issue or if abandoned for more th~n 181 da~s, thi~ permit will be nu~l anu void. A PEE MAY BE CHAR~EO FO~ RE~
INS P E C l' :t 0 N flUE T 0 NEG L I G EN C f! • INCOMPLETE WO~K. OR FAILURE TO MAKE CORR!CTIONS.