1240-00 - 240 MARIPOSA AVE E BLD S11BUILDING PER
License
I
OWNER
penalty of
reason
requires a
to as Issuance,
that he
(Chapter
Code) or
My vldabon
a owl penalty
Properly,
and the
Code
who
[trough
or
one year
or she dui
Drape ty,
(Sec
does not
contracts
License
Section
-BUILDER DECLARATION
penury that I am exempt from the Contractors
(Sec 70315 BUSINESS and Professions Code
perm( to consbuct. alter, improve, demolish, or
also tepees the applicant for suds permit
a she is licensed pursuant to the provisions or the
9 (commencing with Sec 7000) of OM 3 of the
Mal he or she Is exempt therefrom and the basis
of Sec TW 15 by any applicant for a permit
of not more man tine hundred sonars ($SW I T
or my employees won wages as Maw Sole com-
structure is not Intended or offered for sale (Sec.
The Contractors license Law does not
builds or improves thereon, and who does such
Ns or her own employees Wended Mat such
offered for sale II, however the balding or En-
of coalaetion the owner -builder will have Me
not build or improve for the purpose or sale )
am exclusively conkadire with licensed con-
7044, Business end Professions Code The
apply to an owaler of property who bolds or im-
fa such protects with a contraga(S) license
Law )
B 8P C for this reason
hereby affirm under
Law for the ?atoning
My
repair
to
Contracas
Business
for
subiectS
pensation,
7044
apply
work
improvements
provemem
burden
tr In
Contractors
proves
pursuant
City Or county which
any saulure prior
lob a signed statement
License Law
and Professions
the alleged exemption
the applicant to
0 Las owner a the
will do the work,
Business and Professions
to an creme( of property
himself or herset or
are not Intended
Is sold within
of proving that he
I, as owner of the
ors to construct the promo'
License Law
dgreon, and who
to the Contractors
0 I am exempt under
Date Signature of Owner
LICENSED
I hereby affirmunder penally
Chapter 9 Icanrnenann
Professionsl"Code Ip my
(•1L
CONTRACTORS DECLARATION
I am under provisions of - -
of penury thatlicensed
with Section ram of Dlwslon Jot the Fuseless anti
uc se is In tall 57 al - / / '
II $C p
Lken Class
iv' t
•- bein. J Expiration Date
Date Signature of Contractor
compensation,
formance
Sec
is
1
compensabon
wake'npeLWtrna,
arryW
WORKERS' COMPENSATION DECLARATION
I hereby affirm tinder penally of penury one of the following declarations
O I have and owl maintain a CCmteate a consent to sat -insure Tor 'workers
as provided for by Section 3100 of the Labor Code, for the per-
of the work for which this permit is issued
I have and vat maintain workers' compensation insurance as reawred by
TW of the Labor Code, for the performance of the work for wrath this permit
rssued My workers compensation insurance baffler and pdrcy number Sr
Comer fi�•BE'_C'•S, r M 1 Mu L.
Policy NoU/�,/ATr�'. 3F'
II
Oro tumors reed rott
I certify That in the performance any
not employ any person in any
laws of California
Rm -
mMae provisions
'V) Ira A
ate w Will
a Ir P'• Nhd, thpenal
of the soas for watch this permll is issued,
• - - as to become subject topes workers
that I should shou• •, e stated to the
Zwa the :i,,. ••: IsNn taarvaM
Af
?Vi ate •pnaNre • t: .
WARNING '?LURE TO SECURE WORKERB'CONPENSATON
COVERAGE IS NLAIWUL, AND SHALL SUBJECT AN EMPLOYER TO
CRBWAL TES AND CIVIL FINES UP TO ONE HUNDRED
TTVOUSLNO DOLLARS (SIR,OWI, IN ADDITION TO THE COST OF
COMPENSATION, DAMAGES AS PROVIDED FOR IN SECTION 37041OF
THE LABOR CODE, INTEREST] AND A RORNEYS FEES
t
for
Lenders
Lenders
CONSTRUCTION LENDING AGENCY
hereby affirm under penalty of penury that there Is a conswudcn lending agency
the performance of the work for which this permit Is Issued (Sec 3097, Clv C )
Name
Address
I
correct
lating
twits'
la-
certify Mat l have read - ,. • ton ands : a that the above information Is
I agree to corn o fy and .. manses and state laws re-
to buddmcons nt neaoh/neoV a representatives ens o
uDD thee,. propel••-. ,uryoses
rUD
Date • Signature• Aoohcent a Agent
BUILDING SAFETY DIVISION
COMMUNITY, ECONOMIC, 8 DEVELOPMENT
SERVICES DEPARTMENT
350 Main Street
El Segundo, CA 90245
Inspection Request Line' 1310) 524-2378
smE.1WmE55 Building 511
2040 E. Maripota Avenue
El Segundo. CA 90245
SUITE / OENrwyaG NRMER
ADEATIONAL INFORMATION I LEGAL DESCRIPTION
ASSEES0R PARCEL MASER
Bap( PAGE PARCEL
APPLI4Nt r CONTACT PERSON
Don Heep for Hughes Space 8 Comm. -
PHONE no
416-2421
FAxeo
416-2426
PROPERTY OWNER
Hughes Space 8 Cone
PHONE NO
416-2421
AIRSE
909 N. Sepulveda Blvd.
an
El Segundo
STATE
CA
nP
90245
ARCMIECT -
Don Heep
PHONE NO
416-2421
ADDRESS
909 N. Sepulveda Blvd.
Div
El Segundo
STATE
CA
ZS
90245
ENGINEER
PFp4E NO
ADDRESS
MY
STATE
ZIP
t1oil$
Eyeef1rEVjiC
4 co 6. P�N�p•N,E�/W,E
e
n7642,16 s
sue4
R
5 (301
PLAN CHECK/PERMIT NUMBER:
124') _CO
DESCRIPTION OF WORK .Install -temporary sign at
existing exterior location(s).-/
/
CCC ORDER
IwPPEE44/AFL\ate COxaTRUCTON
NO OF ST�a
VMuec FOOTM£ V
FIRE WARMERS REQUIRED
YES
NO
STATISTICAL CMTS
wD
lit
CODE
CBC
R EFFECT
98/'���Fq
RAN CAECA FEE
ILINO
/y��..-�J
$ ✓ B • / V-
r•
H� ENERGY FLAN CHECK
s
T TEL PLAN CHECK FEE
[/��4E /nn
I �� ,J' ' / I
RECEen NEseEA
III
DA / /
047
$ - - PLAN CHECK FEE
REvEED VALUATICh
ENERGY FLAN 0FCN
TOTAL REVISED PLAN CHECK FEE
E
0.ECEIPT NUMBER
RITLLLs
(DATE
BEM SCHOOL FEES PAID HEALTH DEPT APPROVAL
SANITATION DIST PAID FIRE DEPT APPROVAL
MM PUBLIC WORKS FEES PO SCAOMD APPROVAL
M INDUSTRIAL WASTE APPROVAL
OSHA PERMIT OBTAINED
�2''
BUILDING PERMIT FEE. f va�sH'//.' ''rt7
)
RETENTION FEE $ IJCr CC
SMIP FEE f
(V
r.
f
I//]�Ct
TOTAL BUILDING PERMIT FEE ' S LyTAO�-/✓/Q�0
RECE�MNaER�
141E�j
/ ' b)
FsuLEDDAk
, 1 ' 0-0
0
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0
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MP
Tin
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so
so
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NO
INSPECTION
DATE
INSPECTOR
REQUIRED BUILDING INSPECTIONS AND APPROVALS
Bt
London and setbacks
82
Sees Engineer's Approval
,
B3
FoundatioMrends fours
B1
Structural concrete slab on grade
85
Raised Boor framing
B6
Under floor insulation
B2
First level floor sheathing
B8
Second level floor sheathng
B9
TOW level floor sheatMg
BID
Roof sheaamg
Bl1
Concrete dock
1st Grout la
2nd Grout lit
3rd Grout lift
an Grout kit
B12
Steel framing
813
Foe Dept frame nspecoon
B14
Busing Dept frame inspection
B15
Foe spaikke hangers
1316
BtsulatwrW.eaner sotppng
817
Intenor lath and/or drwee
B18
Enenor tun
1319
Rated BoonCeeng assembles
820
Rated wall assemblies
B21
Rated opening protection
822
Rated shaft constnrlvt
B23
Taos mines
824
Lot drainage
B25
Manning Dept Approval
B26
Fire Des Approval
827
Pubic Works Dept Approval
B28
Final Building inspection approval
DESCRIBE COMPLETELY THE INTENDED USE OF AU. SPACE APPLICABLE TO THIS BUILDING PERMIT
The following statement must be signed by the Building owner.
(Itnen approved by the Bulhgnp ORkhl, the comes agent may sign for permits other than the Initial or shell bulking permit
We the applicant or future building occupant handle a hazardous material or couture containing a hazardous rnatenal equal to or greater than the amount
specified on the hazardous materials Intonation guide'? Yes or No Ivey)
If the answer to the question was yes, wa Be proposed budding or nndfied faculty be wnn 1000 feet of me outer boundary of a schwa
Yes or No harm
I have read the hazardous material Information guide and the SCAOMD permuting checkint I understand my requirement under the State of Cahfomia
mean and Safety Code Section 25585, 25513 and 25634 concerning hazardous materals reposing Yes or No tv!)
NAME SIGNATURE
INSPECTION NOTES:
�C+r,D,^4ESS sizol}n .
OWNER
PERM A
u-- T ITY OF E,L SEGUNDO
`E Ot LDENG & AFEI
M n
7 EL,
///y)
Tisc±: IRA
Lf=C'Tnh,iL 1a,,?,�iila _ 7 ��r"
^t! n
rliZ,'., Y4fa✓C rY i It-IN
PUBLIC W
C r?rt j _
CITY OF EL SEGUNDO
DIV OF BUILDING SAFETY
APPROVE
Ni oesirgn E. installations shall comply with 1997 ED. UBCIUP
& 1996 ED NEC The approval of permits. plans, a •
specification shall not be deemed an approval of an
violation of any of the provisions of any codes Or codeshrp policies
enforced by the city No change al be
nt of
made
ontheseplans without
ing wntSaften coo ent geld Insppection indicates
Planning and Building n aplf provals may no longer be valid.
the plans ate Inaccurate, Nan app
RECEIVED
SEP 2 9 2000
BUILDING SAFETY DEPT
g.
rt
Temporary Sign Cover (+/-8' x '3.75')
Building S11 - 2040 Mariposa Avenue
26 September 2000
•
SHEET NO
U
W
m
N
O
2
m
O
a
m
II
0
Y-Z
O
CITY -OF EL SEGLNDO
pIV. OF Bl1DGv E
FETY
A 'ff �� I with 7997 ED UBCIU?C!U
06
The approval of permits, plans, anclior r
NI design B Installations shell comply ,oval of an{
g peci ED NEC copes or policiesbma
spetion of ny c the provisions Ipany approval
violation of any No changes or alterations shall be 1
enlorcetl plans the citywritten ntMentPlannion e Plans without Seidl 11 a held inspection nohe ogar be vah4s 1,
Planning and Building then approvals maY vww'
the plans are inaccurate,
RECEIVED
SEP 29
Cc�FF1N DEPT