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HomeMy WebLinkAbout000-000-000607 W DUARTE RD
ermit No. : A9800585
Status : APPROVED
This type Plan Check
Parcel number : 5778 - 008 -001
Group —occup /use:
EXPIRED
02/25/98 15:13
Autoproj No : AU018068
Validated by : CS
Inspector area: AFD
Applied : 02/25/98
Issued : 02/25/98
Finaled
To Expire
Owner : ARCADIA ROYALE
Applicant : HONEYWELL
Applicant Addr : 514 S LYON STREET SANTA ANA, CALIFORNIA 92701
Job Address : 607 W DUARTE RD
Phone number : 714 - 836 -6691
Class code
Valuation 475
Construction : ALT
Permit to do : PC 98 -89 CENTRAL STATION MONITOR
Fee description Units Fee /Unit Ext fee Data
---------------------------------------------------------------------------
Inhouse Plan Check (YES /NO) 3103> 26.42 Y
* ** Fees Required * ** * ** Fees Collected & Credits * **
---------------------- - - - - -- --------------------------------------------
Receipt No. Date Payment
02/25/98 26.42
Fees: 26.42
Adjustments: .00 Total Credits: .00
Total Fees: 26.42 Total Payments: 26.42
Balance Due: .00
Will the applicant or future building occupant handle a hazardous material or a mixture containing hazardous
material equal to or greater than the amounts specified on the Hazardous Materials Information Guide?
❑ YES ❑ NO
Will the proposed building or modified facility be within 1000 feet of the outer boundary of a school?
❑ YES ❑ NO
Will the intended use of the building by the applicant or future building occupant require a permit for construction or
modification from the South Coast Air Quality Management District ( SCAQMD ) ?
SEE PERMITTING CHECKLIST FOR GUIDELINES.
❑ YES ❑ NO
I have read the Hazardous Material Information Guide and the SCAQMD Permitting Checklist. I understand my requirements
under the los Angeles County Code, Title 2, Chapter 2.20, Section 2.20.100 through 2.20.140 concerning hazardous materials
reporting.
Owner or Authorized Agent. X
CALL FOR INSPECTION
uests for inspections should be made at least twenty -
hours in advance between 7:30 A.M. and 5.30 P.M.
)lephone at (626) 574 -5416 for onsite work and (626)
5490 for offsite work.
Inspectors Office hours are
7:30 - 9:00 a.m.; 4:00 - 5:30 p.m. Mon - Thur
7:30 - 9:00 a.m.; 4:00 - 4:30 p.m. Alt Fridays
DECLARATIONS
In accordance with Health & Safety Code, Section 19825, all required declarations on
the reverse side of this form have been properly signed and dated by the permittee.
Verified by:
CITY OF ARCADIA
°
= ,
Development Services Department
Community Development Division
AHCADIAI
240 West Huntington Drive
I'3
Post Office Box 60021
ORPORATE eo
Arcadia, California 91066 -6021
( 626 ) 574 - 5416
607 W DUARTE RD
ermit No. : A9800585
Status : APPROVED
This type Plan Check
Parcel number : 5778 - 008 -001
Group —occup /use:
EXPIRED
02/25/98 15:13
Autoproj No : AU018068
Validated by : CS
Inspector area: AFD
Applied : 02/25/98
Issued : 02/25/98
Finaled
To Expire
Owner : ARCADIA ROYALE
Applicant : HONEYWELL
Applicant Addr : 514 S LYON STREET SANTA ANA, CALIFORNIA 92701
Job Address : 607 W DUARTE RD
Phone number : 714 - 836 -6691
Class code
Valuation 475
Construction : ALT
Permit to do : PC 98 -89 CENTRAL STATION MONITOR
Fee description Units Fee /Unit Ext fee Data
---------------------------------------------------------------------------
Inhouse Plan Check (YES /NO) 3103> 26.42 Y
* ** Fees Required * ** * ** Fees Collected & Credits * **
---------------------- - - - - -- --------------------------------------------
Receipt No. Date Payment
02/25/98 26.42
Fees: 26.42
Adjustments: .00 Total Credits: .00
Total Fees: 26.42 Total Payments: 26.42
Balance Due: .00
Will the applicant or future building occupant handle a hazardous material or a mixture containing hazardous
material equal to or greater than the amounts specified on the Hazardous Materials Information Guide?
❑ YES ❑ NO
Will the proposed building or modified facility be within 1000 feet of the outer boundary of a school?
❑ YES ❑ NO
Will the intended use of the building by the applicant or future building occupant require a permit for construction or
modification from the South Coast Air Quality Management District ( SCAQMD ) ?
SEE PERMITTING CHECKLIST FOR GUIDELINES.
❑ YES ❑ NO
I have read the Hazardous Material Information Guide and the SCAQMD Permitting Checklist. I understand my requirements
under the los Angeles County Code, Title 2, Chapter 2.20, Section 2.20.100 through 2.20.140 concerning hazardous materials
reporting.
Owner or Authorized Agent. X
CALL FOR INSPECTION
uests for inspections should be made at least twenty -
hours in advance between 7:30 A.M. and 5.30 P.M.
)lephone at (626) 574 -5416 for onsite work and (626)
5490 for offsite work.
Inspectors Office hours are
7:30 - 9:00 a.m.; 4:00 - 5:30 p.m. Mon - Thur
7:30 - 9:00 a.m.; 4:00 - 4:30 p.m. Alt Fridays
DECLARATIONS
In accordance with Health & Safety Code, Section 19825, all required declarations on
the reverse side of this form have been properly signed and dated by the permittee.
Verified by:
NO OPERATION
NOTES
Building Inspections Date
100. Setbacks
r.
210. Under flrJbld . drain
101. Sough grade
211. Copper underslab
102. Figs. & forms
212. Rough plumbing
103. Pre -slab
213. Fourth us
104. Floor' ists
214. Shower an
105. -Steel
215. Water heater
106. Grout lift
216. Roof drains
107. Shear nailin
217.: Building sewer
108. Dia h_nailin
218. Water service
109. Roof nailing
219. Final gas
110. Framing
220. Fixtures
111. OocJArea Se . Wall
221. Final plumbing
112. Sound walls
222. Sewer up/demo.
113. T -bar grid
114. Insulation - ft.
'115. Insulation - Well
240. Excavatiordsteel
r .
116. Insulation - Coil.
241. Rough plumbing
..117. D vall nailing
242. Light shell/bonding
118. Interior lath
1
243. Underground conduit
119. Exterior lath
244. P -trap
120. Finish grade
245. Gas line & test
121. Final building
246. Fence, gates & signs
122. Final demo/lot clear
247. Pool heater
248. Final electric
1150. Power pole
r . -
249. Final Plumbin
250. Poolcover
151. Sales lot lighting
251. Pool final
1152. Under round conduit
153. Underslab conduit
154. UFER ground
270. Pre - reroof
-
155. Water ground
271. Roof framing
156. Rough electrical
272. Sheathing nailing
157. Fixtures
273. Final reroof
158. G.EC'I'
159. Eqpt. bondingr.
160. Service panel
280. Setbackloverhan
161. Final electric
281. Footing
282. Conduit/wirin
180. venting/flue
283. Disconnect
284, Final sign
181. Furnace/A.C.
182. Pouch HVAC
183. Fire dampers
290. Fire alarm
r
184. Furnace compartment
291. Underground supply
185. Combustion air
292. Fire sprinklers
186. Smoke detectors
293. Monitors stem
187. Metal F.P. rou h
294. Hood dry chem.
188. Compressor setback
295. Final
189. Commercial hood
190. Ductshatt
191. Final mechanical
r
300. Lateral main to P/L
r.
301. SaddleN
r.
200. Footings
302. Cesspool filled
303. Sidewalk
201. Steellrebar
304. Driveway
202. Grout lift
305. Curb replacement
203. Final wall
306. Trash bin
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REV. 895
Arcadia Fire Department =4' v A-v p G4 ✓t d v ylV °d 7"7-(,% f FPB - 6
O l J e G w a .^^o O
FIRE REPORT TO CITY BUILDING DEPARTMENT W
This is to notify you that a fire occurred on QGT 13 / !may
at --& ) W Z .
Probable cause of fire was: 7Zr3 aQyA7L.
.cr l �✓G� Te7
�?te,�n- LIgnIr /N6 Z l )
Remarks: ( Re rebuilding, rewiring, etc.)
S/h a-- 447W /7362. <.
Signed �L�
11 UFO ��
BUILDING & SAFETY DIVISION
ARCADIA 240 West Huntington Drive
Arcadia, California 91006 -3104
pORATE9" ( 8 1 8) 5 7 4` 5 4 16
06/01/88 08:48
607 W DUARTE RD
Activity No : A8800055 Project No : AU000034
Status : APPROVED Validated by : CP
Inspector area: 206
This type : Sewer /Street /Sidewalk Project Date Applied : 06/01/88
Date Issued 06/01/88
Parcel number Date Finaled
Group -occup /use: Date To Expire:
Owner
Applicant
Applicant Addr
Job Address
Phone number
Construction
Permit to do
WILCOX & WILCOX
P O BOX 340 NEWHALL CA 91322
607 W DUARTE RD
805 - 259 -6262
NEW
STREET CUT
Contractor : WILCOX & WILCOX
This type : OFFSITE
Est. Size Patch(Sq Ft) > 50
Fee description
---------------------
To Calculate Deposit
Enter Sq Ft Asphalt
Total Deposit
Inspection Fee
Permit Fee
* ** Fees Required
---- --- ------- - - - - --
Total Fees:
Lic. C 232050
Units Fee /unit
------------------- -- - - -- --
> 50.00 3.00
805 - 259 -6262
Ext fee Data
150.00
150.00
20.00
10.00
* ** * ** Fees Collected & Credits * **
- - - - -- --------------------------------------------
Receipt No.. Date Payment
06/01/88 180.00
180.00 Total Payments: 180.00
Balance Due: .00
CALL FOR INSPECTION
Requests for Inspections should be made at least
twenty -four hours in advance by telephone at
574 -5416, 8:00 A.M. - 5:00 P.M.
Inspectors office hours are:
8:00 - 9:00 A.M. 1:00 - 1:30 & 4:30 - 5:00 P.M.
DECLARATIONS
In accordance with Health & Safety Code, Section
19825, all required declarations on the reverse side of
this form have been properly signed and dated by
the permittee.
Verified by:
Signature
DECLARATIONS
TooddntW pwmltMUndxNpmd MngOW lhbepplkWOnsnd eprses,oedflwand
dedarea:
Thai pOncsnp DsenOMnmstnntnl •pwmnmmpeusaa odylnwmWancewnnla'
ArcWla Muni coal end all other applical crdlnsmas - - Ipws.
Thai lNapwm dap nd ailowodaernry ,andmainooaeroebpermffte0.d1M
construction for which this permit Is Would until it hp Dean approved In wdtirg by mb
omca nor occupancy after final inspection.
That thb permit doaa not Wow, and separate perm" are required for, am plumbing,
Nactndai, mat day and y entlyuponp work.
lewsemaitMdty my actor upon the job prembpaiarry raasonsbb umsmirolkcl
pry work mm, rural under arr pwW4 t0 remora ern ronaniwmiry Aroma m
are saperol w to ctMrMse xt p end when reqdrad q the Arcad4 MuNdpal
Ciodl
LN:easEO CONYNAeTOSe xcwunoN
egaMrmthatl amobanpd under wodalomdCheplwglwmmentlnp wnh Saailw
1000) of D,40op 3 0 the Budnep find Prohoo oro Code, and my INanse b In VI farce
andallao 2 3Z�� om. / -�
l r
6UlLLo)( tolLLO (
NO. `OPERATION
NO. OPERATION
NOTES
BUILDING INSPECTIONS
DATE
INSP.
ELECTRIC INSPECTIONS
DATE
INSP.
1 Setbacks
35 Power Pole
2 Ft s. 8 Forms
36 Sales Lot Lighting
3 Pre Slab /Floor Joists
37 Conduit/Underground
4 Steel /Grout
38 Rough Electrical
5 Bond Beams
39 Fixtures
6 ROOF Nailing
40 Service
7 Framing
41 LIFER Ground
8 Shear /Did h. Nailing
42 Final Electrical
9 Attic Vents
n
10 Occ./Area Se. Wall
tt Sound Walls
Cmtredw
O"EaaullDlN DlDUNavoN
❑ 1 Mroby affirm nut I am arampt from 104 Camacta's License law fw IM futloMng
12 Insulation
PLUMBING INSPECTIONS
DATE
INSP.
13 Exterior Lath
43 Building Drain
rseson:I5w. 7031.5. Bud. and Fdpdonal Code Anycgwcourtlywhichrequlrpa
pwmlltocwoUUCl. dter, Imwovs, demdbh ,wrepdram/atrucWre.wbrto "bwanadw
requtrsemaappgwnllasta :hpwmtlmNSatlpMdstaieroentihai Mbtloerued errwantt0
theprahMmsdtMCmyedafslacsesetaw ,Cheptw0lcwnmwpdrowkn5ectbn10Wld
14 Internal Lath
44 Rough Plumbin
15 Drywall
45 Rough Gas
gddon3dtMBUtlnspW ProWdwecad ..wawheba . ampltwdran.w,dlM bpi.
f w the alleged ammptbn. Airy vlatetlon ot Sactlon 1031.5 q airy seplkent Ic r a pwmfl, w b
Mcn u,a.pplkern m.tlNl erpelya not mere men fire nundred ddwalfSDD)).
o kpp WIMwopwty.wmysmplopeawnhwg ntwrw&mmma on,Mlldo
the work, and the structure b not lntendal or offered for aW. sec. 7044, But. and Pro-
National Code: The COmrsaiCYfi license Lew does not apply to an owmr d properly wno
Mlids or Implores t1mr. and wM dose such wort brand or through Gown empiopes.
16 Finish Grade
17 Reroof
46 Fixtures
47 Sewer Cap/Demo
18 Final Demo /Lot Clear.
48 Building Sewer
19 Final Building
49 Water Heater
aoaaeaMaiwnctnmworemerabwidwnNnwNywacwnpsdon ,ngowraw0dlderwitl
nare iM badw of wMrg mat he did fiat build w trnprae for Me purpose d tole.)
❑ 1. as owner d the wwwn, am efiduwep odrnVectlrnp wnh licensed contractor to con-
strudthe wolact(Sac. 7044, eu ftwesand Prolasdons coact: The connector'. Uot. law
does not appyto an rr r of proerrlywho builds or lmpropptMrwn, andwnoCOWeGD for
ouch prolecta with aoeottectorle) Iloamad pursuant to the Caroactals Lloenae law.)
❑ lam eAplN under seq. e.SP.C. Ire m. report_
50 Shower Pan
51 Water Service
52 Roof Drain
MECHANICAL INSPECT.
DATE
INSP.
53 Final Gas Test
20 Venting
54 Final Plumbing
Date �,nN,
21 Furnace -A.C.
MM "MN OECLARAn"
19kMroq affirm mn IMre fiprti"ele olcwuera to senamrre, or a cenmcals d wprkw'o
dwnpamplon Ippwllwm, or A AW repY "NaNd (sec. 3000. Labor Cade
Pat" No. 717�� Sd�o/e0! F„p, Dde h 3/
Company —� -
22 Rough HVAC
23 Fire Damper
24 Commercial Hood
POOL INSPECTIONS
DATE
INSP.
25 Furnace Compartment
155 Excavation /Steel
\9y9" la mp inn me cq. 0Caraflad copy it n.wr nrmd»d.
ClRfMICATE OF d1IEMPTION FROM WORNERW COM N"MM INWRANC!
(TNa asctlwmWnotMwmpbMntM permnbmr aN MndrWdWrs1F1a01wlpa)
❑ I «my tnd In iM prrormefo of iM work b wNCh IMO pwmn b Wnred. I shell oel
amplq airy person In any miner w p to become wDNd m IM Waken' Canoemaimn
l OTICETllahil
NOTICE TOAPPLx:sNC *n,aflwmaMnpthisns of Lbor Code.ouyou Should! Dwmr
wq.wmtMwak«.•canperoWOnwwwa . dm.t.bw bad. you must
ply w1m awn wMOlarN a mb pwmll atoll b daanNa rvakse.
CONtITIl1 MNlll ="MV
Iher.ey aMrm that tare is a construction liming agency, for the pwmrmaroe d lMwak
fir wnkn mb permnb WUw.lsc 30P7, CAaa odder)
Larmefa Name
26 Smoke Detector
56 Rough Plumbin
27 Combustion Air
57 Light Shell& Bonding
28 Motel Fireplace
58 Gas Line 8 Test
29 Compressor/Setback ressor /Setback
30 Final Mechanical
59 Heater
60 Underground Conduit
61 P -Trot
62 Fence B Gates/Signs
1163
Final Electrical
Lanpera,bpaaa
SIGN INSPECTIONS
DATE
INSP.
64 Final Plumbing
Io. nymaila.. rwfineppkcdknwmdr .mNmedwreDda.mWa,bmrpa.I.gr..
to oomply mth a Wy and County odlnnwcp and d Mary, rdSol mDUl5ingerrsLUNarn.
" hwv*aVlhdDerpraaalMW 4w dym- m"WOw,Mrm.awopwya
im p`uop purertal,
THE PERMC SHALL UPIRE BY LIMITATION AND BECAME NULL AND ID VO IF THIS
WORN IS NOT COMMENCEDw111011M DAY& sixtAD ANY WORK AUTIgpIIp W
T PFrIMe, BESUSPENDEDOR ABANDONEDFOR tMD11YaT P8WIT sHAILBE
NIrtl ANO VOID.ANEw PVwlrWU aE REOURi ®FOR ANyF�WFD PERWT.
Z /L ' Dltey/1LL9d1
31 Setback/Overhang
65 Job Completed
32 Footing
33 Conduit/Wiring
34 Final
SEWERS
66 Lateral
DATE
INSP.
MISC. • OFF -SITE INSP.
DATE
INSP.
67 Saddle /Y
69 Sidewalk
68 Cesspool Filled
Pdnt Nanwa Mpecant
q
70 DrIveway Approach
mss`h�
nnar.
0 Agora, ula..ONCw
71 Curb Replacement
BUILDING & SAFETY DIVISIONCOMPLEfED
ARCADIA 240 West Huntington Drive
o�
Arcadia, California 91006 -3104
,ORPORATO a ( 8 18 ) 5 7 4 - 5 4 16
607 W DUARTE RD
09/30/88 10:29
Activity No : A8802421
Project No :
AU001440
Status : APPROVED
Validated by :
LB
Inspector area:
206
This type : Sewer /Street /Sidewalk Project
Date Applied :
09/30/88
Date Issued :
09/30/88
Parcel number
Date Finaled .
Group -occup /use:
Date To Expire:
Owner : PRESTIGE HOMES
Applicant : GOLDRICH & KEST CONSTRUCTION
Applicant Addr : 5150 OVERLAND AVENUE CULVER CITY,
CA 90231
Job Address : 607 W DUARTE RD
Phone number : 213 - 204 -2050
Construction : OTH
Permit to do : 3 DWAY APPROACH AND CURB BREAK
Contractor : GOLDRICH & KEST CONSTRUCTION Lic.
C 313423 213
- 204 -2050
This type : OFFSITE
Curb Break > 1
Driveway.Approach > 3
Replace Curb (Lin. Ft) > 104
Fee description Units
Fee /unit Ext
fee Data
---------------------------------------------------------------------------
To Calculate Deposit
Driveway Approach 3107> 3.00
10.00
30.00
Combo Curb Break & Driveway 3107> 1.00
10.00
10.00
Combo Sidewalk,Curb & Gutter 3107> 104.00
12.50
Total Curb Break Project Fees 3107
52.50
* ** Fees Required * **
Total Fees: 52.50
CALL FOR INSPECTION
Requests for Inspections should be made at least
twenty -four hours in advance by telephone at
574-5416,8:00 A.M. - 5:00 P.M.
Inspectors office hours are:
8:00 - 9:00 A.M.; 1:00 - 1:30 & 4:30 - 5:00 P.M.
* ** Fees Collected & Credits * **
Receipt No. Date Payment
09/30/88 52.50
Total Payments: 52.50
Balance Due: .00
DECLARATIONS
In accordance with Health & Safety Code, Section
19825, all required declarations on the reverse side of
this form have been properly signed and dated by
the permittee.
Verified by:
Signature
DECLARATIONS
To odaln thus PermKthe unlorm EMreUy mee this application and prove, artl0m and
decleroc
Thai notice has bepglven methaithls permit may be used onylncomplianceWth the
Noodle Municipal Code. and at other pplbade ordnsm'es and leer.
Thai thus perndt ao. aMaibwodcupency ,andinetwwcupaMybpermbled, ofihe
construction for vmach this permit Is based until It has been approved In welting by this
oma for wcupancysner final impaction.
That this permit does not snow. end separate permits era reeubw for, any plumdp,
alemrkN, heap and fur condnionlp wont.
Ipeee that need, maywsw upon the rob prambmai any remanepledme to Impact
am work Imaaibd under this permit, to remne arty nonce formlp conanuctlw at my
own expense, and to pfoBMlee sort as and when regdred by the Ncadd Municipal
Code.
ucEASED CONTRACTORS DECUMMN
�Olffwrabyemrm lheuem licensed under Wodecmdchapbrglcommendpwlthsesi
] ) of D Zoom 3 d IN BuNmm and Prolmslons code, and my Ikenee Is In foil brae
Liosom No. Gate
r
NO. OPERATION
NO. OPERATION
NOTES
/O • j/' � Win+ (� /2!
BUILDING INSPECTIONS
DATE
INSP.
ELECTRIC INSPECTIONS
DATE
I INSP.
1 Setbacks
35 Power Pole
2 Figs. & Forms
36 Sales Lot LI htin
wA• OK is ;r
3 Pre Slab /Floor Joists
37 Conduit/Underground
4 Steel /Grout
38 Rough Electrical
_ /_6r� 04-* t Ca.Rb
5 Bond Beams
39 Fixtures
V D/c i3
6 Roof Nailing
40 Service
7 Framing
41 UFER Ground
8 Shear /Die h. Nailing
42 Final Electrical
9 Attic Vents
10 Occ. /Area Sep. Wall
11 Sound Walls
Contractor t—
OWNER- SUnoeR OECOUTION
❑ I thereby therm that I sex attempt born Ina Comrodors Ucelne Law for the fdlowng
12 Insulation
PLUMBING INSPECTIONS
DATE
INSP.
13 Exterior Lath
43 Building Drain
reardn: (5x.7011.5. Bueieemend RObidanW Codes. Amdyorcoumy atdch regMaas
parmll b construct. Me,. Imwow, ostracism. orrpatr sex alrucrem, wear tom Net. Nato
,pulres me applicant for won Permit to file a gig rand! sletemam that he is licensed purouant to
:he roylsons d the Ccntrxtorr, License Lew, chapter 9 (pmmendp a hsection]000)of
14 Internal Lath
144 Rough Plumbing
15 Drywall
45 Rough Gas
OWIOn 3 of the Businemerai Robsatsmcede, or that he ba.emil tnermwn, and the ows
for the alleged exemption, eery Ndaibn d section 7031.5 by wry pplkent for a pwmb, w b-
jects the eplicmt to a cal panel, of not .than and hundred cdlwe 1$50077.
❑ i,mowmrdtMWap",Mmyempl%' Mthwpeemlheired0wmMne on.Mlldo
the wont,and lhesbucturabrr lmanded wonwed roe eeb.(Sx.]Oaa, BUNmespaPro-
faexbm CObe:The caWxtors Llartee lw does not apply"'pownerapropertywnd
buWa w ImwovesiMreon end Ma Om wcnwprk humeerf w Impgn W wm wnplpyeea,
16 Finish Grade
17 Reroof
46 Fixtures
47 Sewer Ca /Demo
16 Final Demo /Lot Clear.
48 Building Sewer
19 Final Building
49 Water Heater
proalded foaiwcnlmprovemembadd WtMnoeeyeer wamwMa , iheawmr- wader will
heve the burden of poNp that he did fort build or improve for the arpae d sale.)
❑ I, m owner of the property, can exclusively wmeas, with Ikamed eomrecor to
Mucl the Project fsec. 7044. Submit erld ROM Code: The Comrectore Lkwme Law
does ml Wry to p www dpraarryWw builds wlmpromstherxn, end WWCwerx'le lw
such p0lxm Wm a contractor(l) leaenaed purwem to the Common•License Law.)
o lam eeempl anew sx. &A P.C. lwthereeeen
50 Shower Pan
51 Water Service
52 ROOF Drain
MECHANICAL INSPECT.
DATE
INSP.
53 Final Gas Test
20 Venting
54 Final Plumbing
Dan cwrw
21 Furnace -A.C.
WORKERS' COMPENUTION DECORATION
fby emrmtwlnmaeawunc redowwme'seso re.wseeNnweolwwker•e
nw ed 1 ad. law:. 3800. tnor Ep. Date
7
22 Rough HVAC
23 Fire Dam er
24 Commercial Hood
POOL INSPECTIONS
DATE
INSP.
25 Furnace Compartment
55 Excavation /Steel
-
.
❑ Dopy 4 Ned with ins Cm. Need coq b Iraq NrntaiheO.
cERTmATe or ammow PSI wo""r counNEArON 1xwRAllce
(TN. aedlw need not be pOrnplated if the permit is for om hundred dollars 1510 o1 or ism.)
0 1 army that in the arormanca d the work for whuch this permit is based, I shell wt
a mplay am person In am manner p W Ip become eebject to the workers' Cwnama0ort
Lawdcwl
NOTICE TO APPLICANT: IL aW mexleg IMe CaNlldata d Exemption you Mould become
wbppt form wwkwrcompneMonworNOm oil" Labor coa,yw mwlronnymmeam-
ply whit sad, prOM110ns or this permit "be deemed rawkaa.
cONETRmmw 1210,11010 MENDY
I 11 aby aMrmtwtherabacwatmctlm boring psrKylw the perwmamadurwwk
for wnfoh this arml b Need. (sac. Ner, Cleft Code.)
Landw'e Name
26 Smoke Detector
56 Rough Plumbin
27 Combustion Air
57 Light Sheila Bonding
26 Metal Fireplace
66 Gas Line & Test
29 Compressor/Setback
30 Final Mechanical
59 Heater
60 Underground Conduit
61 P -Trap
62 Fence B Gates/Signs
63 Final EIBC1rICel
LaWSY. Admen
SIGN INSPECTIONS
DATE
INSP.
64 Final Plumbing
IdNMthatlhevarwdtNSapptrsbnaMaitlelntltheabowlnlwmbbnbmrrat .lprae
"'comply Win eddy and county wdnwwes am "a law rebtip to terYdp analnaben,
and yheroq asmprba ropresemmvee of this ray to amw Uhe Wow- memlwrd pope, for
Iropxtlapapow.
THE PERMIT SHALL EXPIRE BY UWATON AND BECAME NULL AND MD r 7105
WORK IS NOT COMMENCED WITHIN IN DAYS. SHOULD ANY WORK NUTHoll DV
THIS PERMIT, SESUSPENDEDOR ABANOCNED FOR IN WYS, THIS PENMRSNALLBE
NULL AND VOID, A NEW PERMIT III SE REOUll FOR ANY Exisil PERM
! C� 1
Dais /- 7�
31 Setback/Overhang
65 Job Completed
re
32 Footle
33 Conduit/Wiring
34 Final
SEWERS
DATE
INSP.
66 Lateral
MISC. 8 OFF -SITE INSP.
DATE
INSP.
67 Saddle /Y
69 Sidewalk
68 Cesspool Filled
Pr6q
70 Drivewa A roach
e
oexlw. Roam seed.. olxr
71 Curb Replacement
�la a Vn A �� „�.. / FT✓ N
Y BUILDIN'�NG &SAFETY DIVISION
ARCADIA 240 West Huntington Drive
9�
Arcadia, California 91006 -3104
°RP9RA'CE9' 0 ( 8 18 ) 5 7 4 - 5 4 16
607 W DUARTE RD
Activity No : A8800779
Status : APPROVED
This type : Sewer /Street /Sidewalk Project
Parcel number .
Group -occup /use:
Owner
Applicant
Applicant Addr
Job Address
Phone number
Construction
Permit to do
WOMAET &
07/07/88 12:02
Project No :
AU000034
Validated by :
CP
Inspector area:
206
Date Applied :
07/07/88
Date Issued :
07/07/88
Date Finaled .
Date To Expire:
WILCOX & WILCOX
P O BOX 340 NEWHALL CA 91322
607 W DUARTE RD
805 - 259 -6262
NEW
EXTEND 2ND LATERAL & HOOK UP TO MAIN
Contractor : WILCOX & WILCOX
This type : OFFSITE
Type of Connection > LATERAL
Fee description
Lateral
Total Sewer Project Fee
To Calculate Deposit
* ** Fees Required * **
---------------------------
Total Fees: 10.00
CALL FOR INSPECTION
Requests for inspections should be made at least
twenty -four hours in advance by telephone at
574 -5416, 8:00 A.M. - 5:00 P.M.
Inspectors office hours are:
8:00 - 9:00 A.M.; 1:00 - 1:30 & 4:30 - 5:00 P.M.
Lic. C 232050 805 - 259 -6262
Units Fee /unit Ext fee Data
---------------------------------
1.00 10.00 10.00
10.00
* ** Fees Collected & Credits * **
--------------------------------------------
Receipt No. Date Payment
07/07/88 10.00
Total Payments: 10.00
Balance Due: .00
DECLARATIONS
In accordance with Health & Safety Code, Section
19825, all required declarations on the reverse side of
this form have been properly signed and dated by
the permittee.
Verified by:
Signature
DECLARATIONS
To ob,ehbxa Wme, lneundaaignea basebyae, this application ark press, prune, and
baess:
Thai make has been 91"n mathal this parmu my M used one In compllenaeWih the
Mcadla Municipal Code, and all piMr applkmbb adipnoes ark Ises.
ThattNa Wanitdoas net allow Cdpppancy and that nooaupencYlapemuted. of the
NO. OPERATION
INO. OPERATION
NOTES
BUILDING INSPECTIONS
DATE
INSP.
ELECTRIC INSPECTIONS
DATE
INSP.
1 Setbacks
35 Power Pole
2 Figs. & Forms
36 Sales Lot Lighting
3 Pre Slab /Floor Joists
37 Conduit/Underground
Combuctbm for �dtich this pemb Is blued until hhe, been b0fx w In salting by this
oaks fa appalwy ahe nnal lmpsolloh.
That this permit does not anew, ana expenses, pmmus are nexhared fa, any plumbing.
aleclbtl. Meting and as cakuiping sank.
I epre, this the city may eaP upon the lob la-mass' rynamonebha None m osepas
any sank Imdegad under Ntla pe m11, to remora arty rorv<onfamlrp prNtiaohan tl my
own mpenae, am to aMrWe, as a and Wen moulrne by the Mcedla Municipal
C
LIOewaco coNrRAeroRS DecuRArgN
I a Ymme Vast I.. mmadunMrpo +'niom0CMplP9lpmmwMrgrnth5 ioh
a gNslon 3 of the Butlpn and Prole,abna Coda, and my [ft. he In Nil lap
and ahav,
WILCOX -A WILCOX oen
4 Steel /Grout
38 Rough Electrical
5 Bond Beams
39 Fixtures
6 Roof Nailing
40 Service
7 Framing
41 UFER Ground
6 Shear /Die h. Nailing
42 Final Electrical
9 Attic Vents
10 Occ. /Area Sep. Well
11 Sound Walls
Comrwa
OWNS ulL DECLARATION
❑ I hemay save, that I w emmpt hen Ns, Coaraaora umma taw for the IalbMng
12 Insulation
PLUMBING INSPECTIONS
DATE
INSP.
13 Exterior Lath
43 Building Drain
mson:tSec. 7031.5. Bualnmen0 RolsWOnW COdm. Mycuya ccuay Wticnrseubaas
vmtitoconserua. War, Imaowr, bmdbh ,armWerryalru:Nra,au,olbbeuancatlw
jimmappucerdtwouch permMlomeeelpnedseMmsmihsiMbticensed purmarmto
aeNUSatMComreolaYm Lks,w Law.CNpte Blcommentlng Win Sectbn 70001a
14 Internal Lath
44 Rough Plumbing
15 Drywall
45 Rough G89
. MYal3alnaBVtlnse,WProfmNpmCOda .atnalMleeaemgthmsham,uklMbmb
f P the alleged exemption. AM violation a Sacllon 7031.5 by eery applkani b a What. sub-
jam the epokers W a evil penally of not more than Ma hundred dolled 13501
❑ Lseornstheamops,ty. Pmyampld. oth lnwpe,mNtlrwMsa.Bux tbn.W m-
hMew&. W, M me 2,mahhanolir lose.Lalarne fa apply to an 44, 0inroene Pm-
Mmlom coda:Tsm.adaLkerem Law dose not apply tomomen a POpMysand
own employees,
bWmiedImaoms tMroonan0sanddessashworks,
16 Finish Grade
17 Reroof
46 Fixtures
47 Sewer Cap/Demo
18 Final Demo /Lot Clear.
48 Building Sewer
19 Final Building
49 Water Heater
or coalNapne
Posited ltwen olmPOmmaa is "014 noN uildorerapforthe the ad Wa
hew as brbn the up uW Moliorefbald m on,v lth Ice pPpose aasee.1
❑ I, m owmr a the Poper,y, w exciuehaly pmectlnp wnn Ilcemnd pmrema k pen
e,ucllMPolaa.l5ac. 7044, Bualnamand Prob44lom Cods: TMCOmecta'slkerw Lew
dpmnolapaytoanowtsaPOpMywlebWmalmaovwlMreon, W Wkpmranbkr
50 Shower Pan
$1 WetBr S0NIC8
52 ROOT Drain
fuch POlacta Wm eoawsetapltiprema wmwatotM Cs,rewole lhww Lew.)
❑ I am exempt ones, sac. B. &P.C. ha the mason
MECHANICAL INSPECT.
DATE
INSP.
53 Final Gas Test
`
20 Venting
54 Final Plumbing&SM�'
Deu Dwrs
21 Furnace -A.C.
WORE W COMPENEAnON DECLAMIRON
I elbm that lhna• earthiness a caws to e,lf4murs, .PaprNncMolworkefe
Inenaro, a • prNAmd copy iMmot. ISac. 3800. LeOCr Cah
Polley No. 6%? 360/ Up. Date S
comwln i5e V77" /NS
22 Rough HVAC
23 Fire Damper
24 Commercial Hood
POOL INSPECTIONS
DATE
INSP.
.
25 Furnace Compartment
55 Excavation /Steel
Is film! •ith t e CJty. O cmrel W copy b heney hmYehs 1.
[NTIRCAI'D' SEMTON FR01e WORxpIF CONPENMMN INWRIIHCE
(This section rased not M mm~ If the perm Is for one hundred opium Rt001w be,.)
1 prtlry ihtl In IM paHammriva a iM cart Icr Watch iMm parmti b wcrt wbeW' CO, mpasalwr I ands rs
pby mrlY permon In amy sews e,0 e, k become NrbNpi u, vie
26 Smoke Detector
56 Rough Plumbing
27 Combustion Air
57 Light Shell &Bonding
28 Metal Fireplace
58 Gee Line &Test
saCtltiarni&
NOTICE TO APPLICANT: If, mbr mMing this catllkW of Exemption you should become
subject tothe Vlorkw' Cpmpmm bon POamkm ohm tabor Cods. you mmtlmlwmnpan-
py Win such Movitlonm a NM perm"b bred e,apkad.
CONSTRUCTION K OM AGENCY
I Meby aMrm that mars, b• caWuc9on handing speray, b tie performance 0 lMwaa
kr Wapn ntl. pmrmllhabNeo.lSec.OW7.IxW easel
larks'. Name
29 Compressor/Setback
30 Final Mechanical
59 Heater
60 Underground Conduit
61 P -Trap
62 Fence & Gates /SI n9
63 Final Electrical
LeMmim Admese
SIGN INSPECTIONS
DATE
INSP.
64 Final Plumbing
I oNeythd l hie"ed this legislation and alsuthat the abp.m lmamalkn Note learn
replyWth oumy Pal11 andYWhewmhatlrOkbWalrOCproDPeb14
ano lenOy mdtboxim seor Sea City ,o we,nr mbwe- mantiPro property far
i °pebpn purposes,
THE PERMIT SHALL Ex M BY LIMITATION AND BECOME NULL AND VOID F This
WORK IS HOT CONMENCED yYIT1@I 180 DAYS. seloaa AHr WORK A rrHopitFD BY
THIS PERMIT. BE SUSPENDED OR ABANDONED MR IM DAY& THIS PERMIT SHALL BE
NULL AND VOID. A NEW PERMIT V A L BE RMUWED FOR ANY E%PIRED FFRMIT.
Q p
A / \ 1 D rL C P owes ?/Zhi f
31 Setback/Overhang
65 Job Completed
32 Footing
33 Conduit/Wiring
34 Final
SEWERS
DATE
INSP.
66 Lateral
MISC. • OFF -SITE INSP.
69 Sidewalk
70 Driveway Approach
DATE
INSP .
67 Saddle /Y
68 Cesspool Filled
d�P
g,Apee.
71 Curb Replacement
HUING AND SAFETY DIVISION
Nucj%vi lAm. A pe AND OFF -SITE
City of is,Maala
240 W, NJNv'INGTON DR.. ARCADI& CA MOO R TEL. (213),"65-"71
PERMIT
Mw s • buddlov permit 9MMSr1 propspr ow Mo wowd No •dld "
9! Y wbo" OD 0 emuek>wEO�rita�dElplu► f�91ya
05- 31-88 1CLO374
TOTAL -3.0.00
MISCELLANEOUS FEE RECEIPT
D S, PLAN CHECK FEE PON VAL.
O.rrHr !J /h
F"
t n'1 e. s /1,J
TQ '/�
❑ coal treMO wR
❑ WADIMS F9111 CHECK ,
.YaM s� r0
C e I (
/,�
Z.
So.
-J
fl
D GII.D.ID mHIKT 11 n n
pMOI1S .ovuD
/
%
❑ PANKS AM RECREATION FEE
Cary
lCA
2-2-
.
ROUTE IMMSPECTOM FEE
D
sIW. Lie."
S [Mri1. Q. 7 �0
Lit as-'q S % Q r C
CI EN N 'RAL A A .
Tre1 l M./ 0,.u.. 3 a KIM a... W W In O 4sisoc is Cl Ws. 7W Ap. H fe.n W HU
9 IIeiAm.rr ei se u. p b nl N
❑
❑
silly T m a
drttl.
Ow NER-SVILDER DECLARATION
I Nrr[e..Irirm IYI I ...w Fa., Hit GOrrHCr'. Liver L. fr 1M. IWw -on
TOTAL FEE
l PLAN CHECK FEES. WHERE NO ACTION IS TAKEN rM THE
)0!I.Y.Irrru . ✓h{rui...CW..wn rN).rr..r!MiN nrl•o a
p..?r")rr.
1. r..lr.Nl, .Ir••. I.rp..rc. Irr.elW. N rc1.:•.N memo. Inn ro In rune,
ApPIILAMT M 190 DAYS AND HD SMOKING PERMIT 6 E SUED,AEES ARE
.1... ,•...•, IM .Mluur jN N Mm.l ro/ b • r�W surer IYI M n Ir•rr/
FORFEITED TO"i ITY.
1.....1 , rA• pwns...l Y Cwp orr.i . W .
S m.... AAI f Or., ! r4 Irmo WI f Y n rc I,
.rfre .N 14 Yu, Hr HIM •/ rx � Imo. A., 1n1WUw NI Mir I0 II.3 A r !
S EWER PERMIT
uppl.reu JNap•.n. ulleruW YIIIr.0 I..M.rlpr.Hq Isimerr Hn(rrbNa1
dialer, IM)001."
PERMISSION 61ERESY DRAHIED TO MWe[ FEWER CONNECTIONS AT
o..er of rlrt puprn). N ry.apbp. riY �rFnH lYb..Ir eamprAw"... all
P "br.
n1.8.
.M . arL, ..d INe nr.o.r, a .Cl rr✓.I r dfenOb Wt. 74rd. Iu;mr.✓
Fnbn.on.CNr:TArCMV.fIN'/ 41em Y./rrn.l.pplcrouwvr {pryrrn N.
LOT SLACK TRACT
n..lm ..r mprm n rAr.re..w/ .An M, uN .w/ MlmrffN rMrII b, w. •aplrnn.
p•nu010 IAaI urD il......... or {I o Ir rI,. If, kp. ' . IAr
LOCATION
Aald..x m.nryn•...•m„e/d W. urlwr.Irial lr iw "Im, erMil /rr rillYrc
l.. D.,d•n nJ Amoy I", hr di /..I MriN r is Ns,,v /N lY MrN.r { rlr:
SEINER PLAN MIX
CESSPOOL FILL
. . [I pI Ilrt prept..'..A ..e1..iY 1, [OrlKlrnF seals li, .rd eMrrKlr M
)•DD
.u[I .Dr Prn)ecl "Srr Ywi.lurrn �/Ir{wu.0 CNr:TYCwrrrs•', 4rrur
4.d rl ulN.. Ie aw sired A.rrp.A.Ir/4NIy. r, rlrrc.N,.✓vY rs.
r .I,INIUrAprgrn,.nl..rmronm.11;rcW pmroNr C.H.am'. Lnrr Y.'"
1MSPECTEO 195
❑ I .m e.c.mpl s ✓N S.e �____. S. A F. C. Ir lY ru.a.
�, RY
AL ®[ Da
CURS AND SIDEWALK
1l wONKERS' COMPENSATION DECLARATION
CURS BREAK REPLACE CURS PT.
DTI ntn D) ff.. h., I Mr.. «nl)K.rr of cenrnr re rII -Ibr.. r . «n.IK.1t .1
Y..r1[rl CnTPtngllnn In.Yr.M0. N . tmfad Cep) tst'w IS". Mo. VYr Call
Yr.ln _I A'. (� �'� • 31 L CmnW.Y. °J{� r.l / III R G,
ORIVEI/AY APPROACH SOEKMLK FT.
. flee [mdnd cop>> ��. Ery Dne
' ❑.rrtT)
Inc f.m.bed.
�^
INSPECTED TOTAL FEE
ERTI EXEMPTION FROM
CERTIFICATE OF
wORKE0.5'fOMPN."'if.,..URANfE d /
S TION I
STREET CUT
17." ,rain. ref rl 6, re.pinrd l IM K.mu n jor sr A.W.I Lll.n 171001 er lu..l
1 crnlT IYr n.he peffrw.ner of IM .`arM rm.hieA Iha pemil is HM✓. 1 .hill sol
ESTIMATED SIZE OF PATCH AMOUNT OF DEPOSIT
.Ale) MY P.r.. i. u) ro...er r H roYeom Mhjen to lr N c rhtt.' Cemp..unon U.
/ sO. FT,
of TICE T u.
NOTICE APPLICANT: /Adu.l. rb, CrnlPlsl• ul ErrmpnN rr .YH /Heir.
ACTUAL SIZE-OF PATCH AMOUNT CHARGED
1
r.Dlrr I re IM WNMrn' C.,Pr.r., Ike, YY• ys. mill frrorilA
/SOFT.
,, k.11r r ,dr,
nwpy ..;IM r.rA /.rurr, « rMr prr..n rNlf M heel Led✓.
AMOUNT REFUNDED
IctnilyIM, IIN..u.d Oir yWH.IH. W sivir WI H. Wn +HraMlros r.torrem. I
RECEPM FROM STREET DEPT.
FFrte ID campy .ah wl sky W ewq alrAre..W Roe Is.. rbuq Io Wimm
eenr.rumnn. LereNy
099-ECTM FEE
s✓ rq.rm MpsinasHiwf v1 W ICO) locrer 1Y.M..c•mMllaprs
pmprny IN ,.spemro. perea
NGKCTED m SY
S Vnbrr of Aglsrl r 196'1 DH. C ( % i1r .
FEE
ffIMOTAL f EEs
tlr.. S..r. Z.o P/,(! A"'l� �a "3 1 L
Mw s • buddlov permit 9MMSr1 propspr ow Mo wowd No •dld "
9! Y wbo" OD 0 emuek>wEO�rita�dElplu► f�91ya
05- 31-88 1CLO374
TOTAL -3.0.00
^� 61
BUILDING & SAFETY DIVISION
ARCADIA 240 West Huntington Drive
Arcadia, California 91006 -3104
PORAT E9 8 1 8) 5 7 4 - 5 4 16
607 W DUARTE RD
Permit No : A8803423
Status : APPROVED
This type : Miscellaneous Projects
Parcel number .
Group -occup /use:
Owner
COMIPLEI LL)
11/28/88 11:36
Autoproj No :
AU001718
Validated by :
LB
Inspector area:
207
Applied :
11/28/88
Issued :
11/28/88
Finaled
Units Fee /Unit
To Expire
---------------------------------------------------------------------------
Enter
Applicant : RIGOLI FIRE EXTINGUISHER
Applicant Addr : 1979 -A POTRERO GRANDE MONTEREY PARK, CA 91754
Job Address : 607 W DUARTE RD
Phone number : 818- 572 -4877
Class code
Valuation 900
Construction : ALT
Permit to do : FIRE SYSTEMS
CONTRACTOR : RIGOLI FIRE EXTINGUISHER
Lic. C 524249
818 - 574 -4877
Plan No.
>
Fee
description
1Z
Units Fee /Unit
Ext fee Data
---------------------------------------------------------------------------
Enter
Valuation Amount
>
900.00 .00
.00
Enter
Miscellaneous Charges
3107>
38.70
38.70 FIRE SY
* **
Fees Required * **
* **
Fees Collected &
Credits * **
----------------------
- - - - --
--------------------------------------------
Receipt
No. Date
Payment
11/28/88
38.70
Fees: 38.70
Adjustments: .00 Total Credits: .00
Total Fees: 38.70 Total Payments: 38.70
Balance Due: .00
CALL FOR INSPECTION
Requests for inspections should be made at least
twenty -four hours in advance by telephone at
574 -5416, 8:00 A.M. - 5:00 P.M.
Inspectors office hours are:
8:00 - 9:00 A.M.; 1:00 - 1:30 & 4:30 - 5:00 P.M.
DECLARATIONS
In accordance with Health & Safety Code, Section
19825, all required declarations on the reverse side of
this form have been properly signed and dated by
the permittee.
Verified by: 211 1
Vi Ylafure
DECLARATIONS
NO. OPERATION
NO. OPERATION
NOTES
BUILDING INSPECTIONS
DATE
INSP.
ELECTRIC INSPECTIONS
DATE
INSP.
1 Setbacks
35 Power Pole
TOoepin this permit, the undmatgwd Mmbyllles this application she agrees, confirm and
dacleros:
2 Figs. & Forms
36 Sales Lot Lighting
That notice hall been given methat this WMR may be used only In comgiancewim the
eda Municipal Code, and all turner applicable wdlnarwes and levee.
That this permit does not allow occupancy, and that no occupancy is permitted, of the
conatrugbn for which this o It ts issued until it has bean epwtved In w "ting by this
office for occupanoy after final impaction.
3 Pre Slab /Floor Joists
37 Conduit/Underground
4 Steel /Grout
38 Rough Electrical
5 Bond Beams
39 FIXIUreS
That this permit does not allow, and separate Mrmre ere rwulrw for, any pnumaiM.
electrical. INWIN and sir conditioning work.
6 Root Nailing
40 Service
I Was that the city may order upon the lob preplem at apt reammi lime to Impact
any work inspired under her pmmi, to renew an)' mrvconbrmir0 tomtrucfion at my
own upends, and to aMrwba act w and when moved by the &r m Mtntdp r
7 Framing
41 LIFER Ground
Code.
1 LN;emscD eoNTMCTOae DecuMTlox
8 Shear /Die h. Nailing
42 Final Electrical
9 Attic Vents '
10 Occ. /Area Sep. Wall
a llwany elfirmtmt l emlkamed under «oWlomaCMgmB(mmmmwlrpwrnsMian
] a Divubn a ill Bualmm ell Praesalom Code. are MY license la in run face
and effect. �
License No. Deta
Kit /./
11 Sound Walls
Commotor
o IEIMUILDER DECLARATKIN
12 Insulation
PLUMBING INSPECTIONS
DATE
INSP.
13 Exterior Lath
43 Building Drain
0 1 Mreby affirm that I em exempt from the Contractors License law for the fdlow"O
reason: (Soo. 70314 Bualwwue Prolew wore Ctdm. Artydryw coomywnk:h requires
permntocomvua, otter, lm« pve. denmltsn . «rep.ir.metruaure.«lostofther calm
14 Internal Lath
44 Rough Plumbing
15 Drywall
45 Rough Gas
Tulrestheapsicantfw such pmmittofibetlgmd atatsmentiMl Mle OCemed pumumito
prMtlons oltnecommctor8 License Lew, Chepter (ctmme chM with section ]000101
adon3ofrMBualnnsehe Pm ussionsc000. orthatheis exempt therefrom, and IN brats
errme ahepede ermAur. Artyefotsfion of section 7031.5 by my VPI"MIseapermit,sub-
16 Finish Grade
46 Fixtures
Fors, pr apWcmr to a dNl Danish, of rot m «e than rw Mrkred "hers Issm) 1.
17 Reroof
47 Sewer Ca /Demo
18 Final Demo /Lot Clear.
48 Building Sewer
0 I, mmmratM« apmry,wmyemploywewalhwweewmalreddc mmneellon,willdo
tMwolk,mMlMetr debroHaanded wormed for."(Sm.7Naa, B.W. and Pro-
factions Code: The Comractars Loans Law, does M apply to an owwr of gtpeHy, who
Wllds or Imyrowa Ihermw end whe does soon work himw" or thrwpn he am employment.
19 Final Building
49 Water Heater
«Mded that such impmvemere la sold within wstyw or compMtlon, the wnier -Willer will
her IM burden of prorN that he did not build or Imprge for IN perpew of war.)
50 Shower Pan
51 Water Service
0 I, we uvmer a the property, am exclu l c me ing with Ilcmnwd correct« to con.
MIAt ill «tqa. (bac. ]Mm, Butlneas ell Ramtloro Cade: The contrrtct «'s f tome law
aoesmtappytowowrwolwoWnywnobuiMawimproaemeraon.enawMCamecnl«
52 R001 Drain
MECHANICAL INSPECT.
DATE
INSP.
53 Final Gas Test
such prolern wM a tomrwt «)s) 1loemed pursuant to the COmrmtor'3 License Law.)
❑
20 Venting
54 Final Plumbing
Data Over
21 Furnace -A.C.
WORMERB' COMIENMTION DECLARITION
22 Rough HVAC
Ilrroby efilrm that l haweoemfloetedcwrwu to wffJwurgwecMlMNeal WOrkerl
loT IruuJe w art p d espy IMrea. (Sat. s800, labor Coda.) r�
pdby No. WC.- Exp. DSte —�•�?�
23 Fire Damper
24 Commercial Hood
POOL INSPECTIONS
GATE
INSP.
25 Furnace Compartment
155 Excavation /Steel
ctmpmw �
0 Co ts fired wish fist Cloy. ❑ ceHi00 copy b hereq WrftW.
q
CERTIFICATE OF OIEMPTON MOM WORMERR' COMPENSATION INBUMNCE
26 Smoke Detector
56 Rough Plumbin
27 Combustion Air
57 Light Shell &Bonding
(Tints sealoe nod not M ownplaw if the Namur w or sew thrstrea dolpia)Elop)or low)
0 1 cerdry that In the Wen. of IN work for whits lent perm" accused I instal mI
•plq any Derwn In erR' mnnx w n to become WDRa 10 Me Workers Cwnpenaalbn
28 Metal Fireplace
58 Gas Line 8 Test
29 Compressor/Setback
59 Heater
r of cmforda
JTK:E TO APPLICANT: x this making this cerfiecate of Exemption you Mould become
wbNabtMwwkwi compensation of the LabOr Cods. yeu most lwtMMhpwn-
30 Final Mechanical
60 Underground Conduit
ply am each Dromalwr or this pmmr sewn be camped rwaaso.
• CONSTRUCTION LEMDIMD AGENCY
61 P -Trap
62 Fence &Gates/Signs
l MrMramrm that lhereia. Mnslmt4Mlendi ^g Pnq lm tMpmlwmercealMStark
-
63 Final Electrical
Wwhile this permittsmaw .(Sec. 30117, Chill Codes)
Lander'. Nom
LAMer'a Md.
SIGN INSPECTIONS
DATE
INSP.
64 Final Plumbing
lcwurytnatlnaw rawtMapgltMltnmamM .tnrtn . aW..imdrmmlontsctn . a.l.gw
31 Setback/Overhang
65 Job Completed
to comply with all cry are county wdrwu W atmtswaralwrGlO bdlding COmtrudbn.
and hereby aumwlw rogawmaDws a pay Opt to ewer IN isogon ,for
32 Footing
Impecfion purposes.
THE PERMIT SHALL EXPIRE BY UMITATIDM AND BEDOME NULL AND VOID IF THIS
33 Conduit/Wiring
34 Final
SEWERS
DATE
INSP.
WORK IS HOT COMMENCED WInIM in DAYS SNOULDANY woRII. AUTIIOWIFD BY
THIS PERMIT, BESUSPENDEDORMANDONEDFOR 1MIOAYS, THISPERMITSIULL BE
NULL AND VOID. A NEW PERMIT WILL BE REQUIRED FOR ANY EXPIRED PERMIT.
66 Lateral
MISC.A OFF -SITE INSP.
DATE
INSP.
67 Saddle /Y
_
6L C [_ , � t/ Dal. // - -Z,9• 9
69 Sidewalk
70 Driveway Approach
68 Cents I Filled
vnm aAC peer p
By Canes.,
71 Curb Replacement
0 nstr. AIFmt BrJder. Olacer
BUILDING & SAFETY DIVISION
ARCADIA 240 West Huntington Drive
Arcadia, California 9!1006 -3104
,ORPOaxrE9• e� ( 8 18 ) 5 7 4 - 5 4 16
607 W DUARTE RD
Permit No
Status
This type
A8803071
APPROVED
: Plan Check
Parcel number .
Group -occup /use:
Owner
Applicant
Applicant Addr
Job Address
Phone number
Class code
Valuation
Construction
Permit to do
RIGOLI FIRE EXTINGUISHER
1979 -A POTRERO GRANDE
607 W DUARTE RD
818- 572 -4877
900
OTH
P/C 88 -637 (FIRE SYSTEM)
CONTRACTOR : RIGOLI FIRE EXTINGUISHER
Fee description
Inhouse Plan Check
Energy Fee:
* ** Fees Required
Fees:
Adjustments:
Total Fees:
(YES /NO) 3103>
COMPLETED
11/03/88 15:26
Autoproj No :
AU001718
Validated by :
LB
Inspector area:
207
Applied :
11/03/88
Issued :
11/03/88
Finaled
To Expire
MONTEREY PARK, CA 91754
Lic. C 524249
Units Fee /Unit
818 - 574 -4877
Ext fee Data
25.16 Y
* ** * ** Fees Collected & Credits * **
- - - -- --------------------------------------------
Receipt No. Date Payment
11/03/88 25.16
25.16
.00 Total Credits: .00
25.16 Total Payments: 25.16
Balance Due: .00
CALL FOR INSPECTION
Requests for Inspections should be made at least
twenty -four hours in advance by telephone at
574 -5416, 8:00 A.M. - 5:00 P.M.
Inspectors office hours are:
8:00 - 9:00 A.M. 1:00 - 1:30 & 4:30 - 5:00 P.M.
DECLARATIONS
In accordance with Health & Safety Code, Section
19825, all required declarations on the reverse side of
this form have been properlys.Loned and dated by
the permittee.
Verified by: y I
Signature
DECLARATIONS
ToNtanmb pafmll theundarpOnal teroby Bit this application and apnea, c«XMe and
4H:
Tali mike hea bean GNan methatthie earmft may be Total only in compliance with the
arcalla M.ndipal coda, and all anar applicable ordleamH and 1.
rnNtN.p«mndoaa mltlToraodcupamy .andmNmpdweanryls pwmmal.oune
conatrudbn b wNm Ihil permit Is Owed % mil It nH bean Top «ored In wdttrp by Ih4
onin Tor w.cupanq after final Inspection.
Thai Ii,armft don not allow, and eaperate white are repuned Tor, any plUmbiro,
shoorcel, dewrp and tlr condXlonlro work.
le twtmcfty yMwuponllwlobpreTb muryfenonebb Xmatolneped
art, work iafeded under tha permit. W remove any noncom.,min, c«utnxtlon W my
own queande, and to oilwal as a and when rHulred by the arcada Munklpal
code.
LICENSED CONTRACTORS GECURATION
❑ lM by lMmV t mlkarleW undafpo'AtlondCMWw9lmmmenc[Ww hS on
7000) of Dhdtlon 3 of the Boelnea end Prdmporo Code, and my Ikea. b In NII Inca
and alter..
Ucama No. Bata
NO. OPERATION
NO. OPERATION
NOTES
BUILDING INSPECTIONS
DATE
INSP.
ELECTRIC INSPECTIONS
DATE
INSP.
I Setbacks
35 Power Pole
2 Figs. & Forms
36 Sales Lot Lighting
3 Pre Slab /Floor Joists
37 Conduit/Underground
4 Steel /Grout
38 Rough Electrical
5 Bond Beams
39 Fixtures
6 Roof Nailing
40 Service
7 Framing
41 UFER Ground
8 Shear /Die h. Nailing
42 Final Electrical
9 Attic Vents
10 Occ. /Area Sep. Wall
11 Sound Walls
tamed«
owNCR- BGILOER OCCwunoN
o I Mreby aMrm that I am aaampt ham the Comedies Udeaea law for Ind Idlowiry
12 Insulation
PLUMBING INSPECTIONS
DATE
INSP.
13 Exteri Or Lath
43 Building Drain
reason: (Sec. 7031.5. BTo dneaand %daMlonab Coda. Anycity«cwmywhichrapuiras
wmlltowmtrua .aitw,Impaea,demdl.Rwleptlr anyabucture. pN«tollslauance a4o
tuka IM appncanl Ira wdl permit to fib a tlpned ppeleam mp nd b ILYrual purwM to
powaloadiMCOmredoYtlJCwee leer, CnapbRlcommendrormnsealw7000)OI
14 Internal Lath
44 Rough Plumbing
15 Drywall
45 Rough Gas
.v WOn3dtMBUalneaena PfoYalon Coda,wthwne4esemptinarehwn, erldihebale
T« the pboal a am ix ion Any wdmi.ri d sewon 7M I.5 by arty apWkem Ira a permit, wb-
Nor the apprem to a awl eanwy' a not more than fire nundfal titian Swill)),
16 Finish Grade
17 Reroof
46 Fixtures
47 Sewer Ca /Demo
❑ I,nowealdlM Wapwry,wmyamgoyeatwtmwaonaropr wlACwneanatim ,winde
ide wvk,end ide wucturabndlmendal «oitwalbveb.(Bec.7044,BUpean oral Pro-
Tatlons code: The colmadort license Law does nor apply to an owner d proearty who
wito.w Improae thereon and whoala such wwk Nnean or through The own employees.
18 Final Demo /Lot Clear.
48 Building Sewer
19 Final Building
49 Water Heater
WorMallMSanlmpowmsnl b add"Idn onsymr orcomyletiw,iMOSw- wilder are
nave the bwden a prM, imp M del M build or Im««e T« the ",tol of Nee.)
❑ L as owner d the propwy, am wcNNVely wades[tiro with ncanfed contract «to con-
struct the «elect. (Bet. 7044, Butlneea end PrdawaOne Coda: The CMractor'e License Lew
dear not splytow owner of proeaMwho builds or lm«ovaa tnenon, andwlrommrec4 for
such WoleM withedwmedaNp heamed I"TanM To the Contractor'. ucelw, lira.)
O 1MenmW under Bad. B. a P.C. bf '.h
50 Shower Pan
51 Water Service
-
52 Roof Drain
MECHANICAL INSPECT.
DATE
INSP.
53 Final Gas Test
20 Venting
54 Final Plumbing
21 Furnace -A.C.
WORKERA'COMPEISATIONDECUMTION
❑ IhNrebyemrm lnNlnmaearplkmdaNmmmeanJaura ,wacMlfltpedW«kw't
CompaHtllon In amenoa, or e dMned copy ther". (sec. 3900, lab« Code.)
Policy No. Eap. D.ro
22 Rough HVAC
23 Fire Damper
24 Commercial Hood
POOL INSPECTIONS
DATE
INSP.
company
O Copy Bad Be City. ❑ thereby Tumaned.
25 Furnace Compartment
55 Excavation /Steel
b with Calmed coq 4
CERTIFICATE Of EXEMPTION FROM WORKFRW COMPENSATION INSURANCE
(TNt eawea read That badomdafad if the pewit lab One numeral "we (Sim)or Nee)
I earthy LM In 144 aaa«mwlw d hie ward b w11kn i o permit Y bwnaU. I wwa rot
IWq aq portal In ally mnMl ea n 10 becMla wbNa To IM WorkM� (r«IIpHWIM
.w of CpXOmla
NOTICE TO APPLICANT: II, aft. makin, IN. cwtiRcpa of E .NdIn you a1nuM bamm i
wq.awll.wwkM•cwnpwl. won« mlYwmatlelabwcoa..wTowmronmmndwn -
pry with ash prowil or that permit aNG Its cleaned remkal.
coNRm mm LENDING AGENCY
I haraby alllrm that there We conwuwon ltnEiro agency b the yarlomace of the work
b wNCnter parna Y 4w.a. (etc 30%, CIrII cods.)
landt/t Name
26 Smoke Detector
56 Rough Plumbin
27 Combustion Air
57 Light Shell &Bondin
28 Metal Fireplace
58 Gas Line & Test
29 Compressor/Setback
30 Final Mechanical
59 Heater
60 Underground Conduit
61 P -Trap
-
62 Fence &Gates/Signs
63 Final Electrical
Lalalw't Andress
SIGN INSPECTIONS
DATE
INSP.
64 Final Plumbing
IrNrlrymplNwleadflatapdkpbnendpMtwmepewwlntormpbn YOpnM.lgrw
31 Setback/Overhang
65 Job Completed
ro comm with w City andmumywdln.now andpateYn rawro1.boa lroearwtrltdon.
and Map auperlo reoruentpNHaBY dryroaaw phi VlON (A.IItidWwpwyb
THE Pswurpora
THE K Is NO SILL ENTIRE BY HII IN DAY AND BECOME NULL AND HO M THIS
WORKBNOT CE SUSPENDED ABAND NE MR WAYS WORK ARACTIT FO By
THIS PERMIr.BE AUSPENDEDOR it BE N(FFORIRODAYS, EBTFED pi rWr. BE
NULL AND VOE, A NEW PERMIT WR1 BE REOUYiED rOP ANY F3NIED PERMIr.
CL 103 new //-3 -86'
32 Footing
33 Conduit/Wirin
34 Final
SEWERS
66 Lateral
DATE
INSP.
MISC. & OFF -SITE INSP.
DATE
INSP.
67 Saddle /Y
69 Sidewalk
70 Driveway Approach
68 Cass pool Filled
Pica" a
a
�j7 mw, pal Ada.. Dade,
Curb Replacement
BUILDING & SAFETY DIVISION
ARMIA 240 West Huntington Drive
• Arcadia, California 91006 -3104
�pRPpa ATE9 eo ( 8 1 8) 5 7 4 - 5 4 16
607 W DUARTE RD
Permit No : A8800430
Status : APPROVED
This type : Miscellaneous Projects
Parcel number .
Group -occup /use:
Owner
Applicant
Applicant Addr
Job Address
Phone number
Valuation
Construction
Permit to do
OOMPLETLO
06/20/88 11:47
Project No :
AU000317
Validated by :
CP
Inspector area:
207
Date Applied :
06/20/88
Date Issued :
06/20/88
Date Finaled .
Date To Expire:
GOLDRICH & KEST
HAVEN MECHANICAL
16281 DORILEE LQ ENCINO, CA 91436
607 W DUARTE RD
818 - 995 -4592
80,000
ALT
FIRE SPRINKLERS & UDRGR HYDRANT LINE
Contractor : HAVEN MECHANICAL Lic. C 470382 818 - 995 -4592
This type : MISC
Fee description Units Fee /unit Ext fee Data
---------------------------------------------------------------------------
Enter Valuation Amount > 80000.00
Inhouse Plan Check (AMOUNT) > 452.99 452.99
Enter Miscellaneous Charges > 696.90 696.90
* ** Fees Required * ** * ** Fees Collected & Credits * **
---------------------- - - - - -- --------------------------------------------
Receipt No. Date Payment
06/20/88 1,149.89
Total Fees: 1,149.89 Total Payments: 1,149.89
Balance Due: .00
CALL FOR INSPECTION
Requests for inspections should be made at least
twenty -four hours in advance by telephone at
574 -5416, 8:00 A.M. - 5:00 P.M.
Inspectors office hours are:
8:00 - 9:00 A.M. 1:00 - 1:30 & 4:30 - 5:00 P.M.
DECLARATIONS
In accordance with Health & Safety Code, Section
19825, all required declarations on the reverse side of
this form have been properly signed and dated by
the permittee.
Verified by: `
Signature
DECLARATIONS
Toobbin this pwmk the umerslpred MmgNes this application am aprep, caNpes and
otctima:
That Mtke has bean Alvan methat this pwmX may M uaw onwncompliancaWthlM
Arcadia MYNCIpN CWe. am NI other applicable ordinances am laws.
iyat this pwmndoa nd atlwadcopaMy.wbthat MOaupar�cybp «mMed. oI1M
commute, for vNch this canmlt Is bwW t mli X has been approved In "I ft by thle
oake tor occupancy after line) impaction.
That this What aces not all", am aeparate Minna ere required ion, any plumbing,
Naddcal, MwM are an cundM«XM rmnk.
Uwee Phw iM wY meymrter upw tM pis prambwat wyrareoneble tlmetolrepxt
aq work whow u Ww this permn, to remove arty non-oonl «mirp oommudion N my
wn aapanta, am to dMrWaa act at and whin repaired by tM Arowni Mahldyel
Cods.
LIOlNSED CONTRACTORS D[CIARATgN
agammmat itan io aim under proMNOredCnapler B(c«nmeMIMwXM1 Section
j d gMelon � d iM Bueinm W %oMNOro Coda. aM mY Ilceme b In NII bca
and Ile?. yB 4 %OSZ
Lkeree No. 4�' Deb
F.NNiL;Gb1At.91cAt --
NO. OPERATION
NO. OPERATION
NOTES
BUILDING INSPECTIONS
DATE
INSP.
ELECTRIC INSPECTIONS
DATE
INSP.
1 Setbacks
35 Power Pole
2 Ft s. & Forms
36 Sales Lot Lighting
3 Pre Slab /Floor Joists
37 Conduit/Underground
4 Steel /Grout
38 Rough Electrical
5 Bond Beams
39 Fixtures
6 ROOF Nailing
40 Service
7 Framing
41 UFER Ground
8 Shear /Die h. Nailing
42 Final Electrical
9 Attic Vents
10 Occ./Area Sep. Wall
11 Sound Walls
cwp.d«
OWNER.0111LDlR DECLARATION
O I hsreby affirm that I am emmpt Mom Ie L•wbRip(s Unama taw 1« IM b nathO
remon:(Sen 7031.s BuNmasand %obsaoneb COdM. AMchymoo,mty wNChnawkaaa
,Ytt000nwr Wwjot,ao ademob,. «repwwryN ,., prbrblbisaii. Nat
rnlMapplkwabrarch prmatoaMealpnW atatanrnUW Mbacented purwemto
FoMYOm N1MCOmed«'s Lkww Lew.CMpiw BlcomnxnGM W nSacllon7000jd
.. niYOn3dtMBUNnenaM% obul« nCOds . «OWMbazempttMrNr«n,eMtMbmis
bale Nbpad eaempaon Aq Maly and mohet and1.5 bywry ddoltan, I( aparmX,wF
*U ma applkem betlMl penatydrM m«atMn mw nerW oaten (SSDS) j.
12 Insulation
PLUMBING INSPECTIONS
DATE
INSP.
13 Exterior Lath
43 Building Drain
14 Internal Lath
44 Rough Plumbing
15 Drywall
45 Rough Gas
16 Finish Grade
17 Rerooi
46 Fixtures
47 Sewer Cap/Demo
❑ LMOwwdlMwapwy,«wemploYeeewXM1wepn MiMlnsdecomntnsatlon ,wllldo
mawork, enelMwudurobnd lmwgW «o1MWd «Mb.I5sc.7Ml, Bubmnena %o-
Itnwnt code: TM COmrador. Lktme Law loss Mt eppN to an. of Wnpwy wM
bullde or Into. Penton end into dose each work N.ew «thicoph N. awn emplgees,
18 Final Demo /Lot Clear.
48 Building Sewer
19 Final Building
49 Water Heater
proMaealMlwpn lm«ovamembaddwXNnoreyew «compbdon,PMOwnw- bunarwlX
nave In location of proNnp tlW he dM not bald «Improve for the purpose d me.)
O I, as whir d me t oprty, am mcluLVdy mmecUnp nth Iklraa0 cwbacl« to cart
WW the proles. (Sec 7ma, Bud. end %olembnt Code: The Comsd «Y Lkeres Lew
ones nct appN loan caner of yopwtywM builds«ImponsiMwoon, W wno«mtracb M
auw WoNda with. Mined «lsl basses purwm to the Coreradore Lkwme Lew.l
❑ Ism sumps undw Soo. 8.8 P.C. 1«iM sawn_
50 Shower Pan
51 Water Service
52 ROOF Drain
MECHANICAL INSPECT.
DATE
INSP.
53 Final Gas Test
20 Venting
54 Final Plumbing
uN. Ow,rwr
21 Furnace -A.C.
WOWERB' COMKNSATION DECLARATON
hangsM.mod l hnwaowulkneof contain tpralbmr n. «a«Nbcatedw«keh
O«nowati�,I �g y !B d coy Inwood. (sc �8pp, labor Gap
PdkYNp. k'r U"1➢51f� E.a Date. t
22 Rough HVAC
23 FITS Damper
24 Commercial Hood
POOL INSPECTIONS
DATE
INSP.
25 Furnace Compartment
55 Excavation /Steel
boleocaw MsIMy. O FRMW cogb MrtgkuNwW.
CRMIFlCAn OF OIlYTON FROM wORK[RM COYPlMSATIOM IMWMMC!
�rNa setup, nwdrw MC«nplatW UtM pwmnbbrarenWrW dmra(Stroj«Wai
Ind In iM aMw oma, a 1M wa I« ubF, tat pima N bau o I Nap w
eq pmwn In wry mww w o to btc«na wbNd to tla Workers' Compematbn
�0caX«Na
jY6T1QE TO APPLICANT: II, atlw maklro INS Cwdapate N Etumgkn you NI«W bworne
bNdt0th1w0i kw .•c«npemawnproMabMatnl.b«coat.yw mmrontwnnapm.
phi with awh proMatom «iNS pmmX"M dasnbd nwhad.
CONSTRUCTION IEItDINO"MY
Illswaq star. PlaPlMraba a« wwwmleWlnp .pe«,Ywm . perwmro.NlM.«k
for wNch=ft p limited. (Sac. a7• em eoae)
Lamar.
26 Smoke Detector
56 Rough Plumbing
27 Combustion Air
57 Light Shell &Bonding
28 Metal Fireplace
58 Gas Line 6 Test
29 Compressor/Setback
30 Final Mechanical
59 Heater
60 Underground Conduit
61 P -Trap
62 Fence &Gates/Signs
63 Final Electrical
L,pp,Ya Admts
SIGN INSPECTIONS
DATE
INSP.
64 Final Plumbing
IaatiNtiatlnnr.edlNaeppklan.W aN.Inrm.abw.lm«m . mnNml.w Isom
tocompy caw w city atw caumy «dhuMw aW atW laaw main, to trading o«rwictim
wdh by sutiwlas rMKrrawcws of this City aft wtlwrd Wopwtybr
Inspection purposes.
THE PERMIT SMALL EXPIRE BY LIMITATION AND BECOME NULL AND VOID IF TNIS
WORK IS NOT COMMENCED WITNp1100 DAYS. SHOULD ANY WORK AUrItORIIID BY
THIS PERMR, BE SUSPENOED OR ABANDONED FOR I W DAY; TwS PERMIT 51U1LL BE
NULL AND VOID. A NEW PERMIT WILL BE REQUIRED FOR ANY EXPIRED PERMIT.
i�u= e7' ✓/� 7r% �irO,s �� --ZO
31 Setback/Overhang
65 Job Completed
32 Footing
33 Conduit/Wiring
34 Final
SEWERS
DATE
INSP.
66 Lateral
MISC. 8 OFF -SITE INSP.
DATE
INSP.
67 Saddle /Y
9 Sidewalk
68 Cesspool Filled
Print No" d ADOX"'" '' — " "-- ^
By
70 Driveway Approach
o.aw. Apws, sad., Otao.r
71 Curb Replacement
BUILDING AND SAFETY DIVISION
City of Arcadia
240 W. HUNTINGTON DR., ARCADIA, CA 91006 • TEL. (818)
BUILDING
574- 54�'s9�IPLETI�P E RM IT
9uuding coo!. PUA, !=- 'f:04D U.B.C. 2
Address^ _ Edition 8
NO. -.4 Bock Tract ; 34 /1 O 'Load.
Owner i _ �..., . _ . t . �... r Use Zone
1YPe v
No.
T Z
2103
��ET�R�M>vtir uoM� S s
- Mailing -
Addreea.15z3�,.�ENTvRA'=
-
F3�"p
Homeowners Association Approval
N Or
Date
° MEtt kfsKS
zip
IS - 041.1741
LS
'
G /w4.
Sp I
Conditlons
1 1.7 0
u,1
NOTE: Include:
VALUATION Labor, Material, Plumdn , Etc. S
7/
'City ' . .; r, - .•
;'
Tel.: ••
, . 7,80 -sa/a
a
N
P
I Misc. FEE
Permit No. Plan No. 22707 Date
State Ltc: -
•8 Classif. 3'1 'Y/ L.
city
Lich No. Z ?5744
Swimmin Pool / S
Private
Public
Arch., Engc, RE�p. �� .ti�g�e� N�1.1� ter•
Designer ��Mat� ac'.�•' {.
Sign - Pole ❑ Wall ❑
_ OWNER BUILDER DECLARATION " '
;,I
AEI s . V LYt ✓R •
TB`552 -lot i
Temporary ❑ Projecting ❑
F
.-' E
WORKERS' COMPENSATION INSURANCE
dbye
'l Y PALLS
1z"'962.1 �7
Lp
Una No.
Fee Based on Total Sq. Ft.
Proposed' —�yk.� - v ' � 4a ��t
ConsWction .. 1. Pt iP
PLAN CHECKING FEE
of Division) if he Business and Prof ... cor Code, or has he is empt
therefrom, and the basis for the alleged esrmption. Any violation of S,,,ion 7031.3 by any
person
of Cabfomu.
S
pI
C,�u- 45 RIW
S.M.I.P.
dollar. (550(j)."
l l
T Z
2103
��ET�R�M>vtir uoM� S s
Permit Fee
11 5—olio
1141
'
Film •, Main Accessory Total
z�
Processed by
1 1.7 0
7/
TOTAL
1
{.
Nei Add![:] After. ❑ Repair ❑ • Demolition ❑
Permit No. Plan No. 22707 Date
LICENSED CONTRACTOR'S DECLARATION _
I hereby Lffirm ihstl am Iinnsed under provisions of Chapmr9 (commencing wish Section
WORKERS' COMPENSATION DECLARATION
❑ I hereby affirm that I have a certificate of consent so self insure. or a certificate of
NNNN�) of Division l of the Business and Professions Code, and my license is in full force and
effect. •
Worker's Compensation Insurance. or ayy�aeevvnificd copy thereof. (Src: 1800, labor Cole )
Polity Na. w�.��?13J�]_4/COmpany �� {NS 4p
_ OWNER BUILDER DECLARATION " '
C py is filed Certified coyy Es Dsm
1� wnh the City. hereby far.,, hcd. 1
kill
❑ I hereby affirm that 1 am exempt from the Contractor's License Law for the following '
CERTIFICATE 0 E% MPTION FROM
canon: "See. ]OILS. Basinns and Prof ..:a.r Codes. Any city or county which requires a
WORKERS' COMPENSATION INSURANCE
permit to construct, alter, improve, demolish, or repair any structure, prior to its issuance
also ,,air,, the applicant far such permit to fur a signed statement that he is licensed
(This section nerd nor be completed it the permit ssfor one hundred dollar, (5/00) or less.)
pursuant m the provision, of he Conrrarroi s Linn,. Law, Chapter 9 (rommenring wish
Section 7000)
❑ I certify that in the performance of the work for which this vomit is issued, 1 shall not
employ any in any manner so as to become subject the Workers' Compensation Law
of Division) if he Business and Prof ... cor Code, or has he is empt
therefrom, and the basis for the alleged esrmption. Any violation of S,,,ion 7031.3 by any
person
of Cabfomu.
appliromfor a permit, subjeunhr applicamou ari,ilpe..Iq ofmo moor tharfiv, hundred
NOTICE TO APPLICANT: If. after making this Certificate fEc, ..... YOU should become
dollar. (550(j)."
subject to the Workers Compensation provisions of the Labor Cade, vau must forthwith
withwages as compensation , will
I, as owneroftheproperty,or myetended
comply
amply with mrh provisions or this permit .hall be deemed revoked.
. Z
sstheirsole
o the work,andthee Contratnot License eneda offeredforsale. "Se c.]044.Business and
,
Professions The Conti actor's to an
Law does nojelfor emplo who
CONSTRUCTION LENDING AGENCY
affirm that the,, a aeunuruaion lend ing agency font, performance of the work
N
o improves
build. eo improve. tim ron and who den, such wort
des sch through his own
through his own employers.
for which this rail is issued. (Sec. 3097, Civil Code.)
a
�
ITT
or offered
provided that putt improvements are not intended or offered for ,air. bu however, the
building or improvement is hold within one Year a the uildo will have
Lender's Name
0
he burden of proving that he did not build o, improve fa. he purpose of sale J
iproorfia, e aseuf
Lender's Address
�t
❑ 1, as own,. of she property, am exclusively contracting with licensed contractor to
Q
e�
nstrucnhe project. 'See. 7044, Business and Professions Code: The Contractor's License
Lawd s not apply to an owner ofpro t who builds or im c
pr. y improves thereon, and who
1 certify that I have read this ap dViand sate sun me above information is correct 1
etocom I with all l
afire p Y a y ord- and state laws cluing to building
construction,, end hereby au
tracts /or such projects with a ronmactor(s)liceneedpur,uam m the Conrracrois License Law.'
El f am cxcempt under Sec B. k P. C. for the reason
seen omit city mem,r the .bovo-sp�,ymaned
properly for inspection e� i
/'wy+
Q
___
Signature of Ap at
Mailing Ad ll
D.E. -- _ Owner
City, St , Zip
This is a building permit when properly filled out, sigrled end validated,
and is subject to expiration if work thereunder is suspended for 180 days. 02— '12 -88 1CL8444 TOTAL 17770.26
INSPECTION RECORD
FOUNDATION: (Gr. Caret. comp. Tests, Set-
INSPECTION NOTES
backs. Forms. Reinf. Steel. Excavation.
FLOOR SLABIJSTS., GIRDERS: Mesh, Vap
•J
3 S f - o f Ott
Barrier, Bikg.. Spans, Access, Vents, Tr. Lmbr.
Ole-
/ '0_� O ,t
.0 *
G[_Z4 2_ °T
MASONRY: Reinf., Mortar Jta., Grout Lifts,
assn =outs, Bona.
w T A( r m. t f != !ra•
-- _
s_s a e p� xT Ac 1�-2A w& f�r�
ROOF SHTG.: Nailing, Diaph. Blocking. Material
z2 -8" + - "(d'AA G�A•y!D'�•Z ^'� - =��e�+ pf�
Grade and Thickness, Roof Drains.
FRAMING: Wells, Raft., Jsts., Blocking. Bracing,
Nailing, Backing, Diaphr. Draft Stops.
4 -IO -BY :,�P� L9°w-" 2 Neef qe= Sl..s�r•w.. oK
fN 4aCrvj"v+V / �i�u•a r+1 r cou Pu,(I r-{0. 01<Ot<
_may_ jma _. aT -• S�r#2 rt.61/ OK '
INSULATION: Thickness, R- Values, Piping,
Sound Caulking ___
..�
_
(,_Z2's -S-fl Z^'r' e•r� Z.,° q.OE S A.c.
(Ojsc µ'r<uN O!c' T ��V2
—•.
—
FIREWALLS: Materiel, Thickness, Dampers.'
-
J
-� cast r,z (l N•� r � l
b0oa',Gw4p}rs, u
z7-Yd_ AM.ISAAO %LoeF rJP -r(iwo cn' o °e OK•
INTERIOR' LATH /DRY WALL: Nailing,
9 Supports.
Zwx S
Laps, Joint Reinf. _
ZA+�° (can•Du Pa.l•w G, lwruL o
EXTERIOR LATH /SIDING: Mesh. Fasteners,
.7._y ^ ^ -F'b-. / +T r /,i / •T C•�Ya'i2 ^Y r
Laps, Paper, Thickness, Backing.
-9 -d'S ' r'(�F �✓ G..a- a�jrlr �+•+fa —L. wit
WM� �'s'I`'
7-/3"8'5' !'rr�e.a IN ER+�. /���""t efG T /w
^jO • °,° in' i o/f
FINAL INSPECTION: Finish Grading Certif.,
Slope Plant., Energy Compl. Card Posted,
f��
Pkg. Access, Fire Doors, Exit. Locking De-
vices, Landings, House Numbers. Weather
^/ p
/'
/` 11�
'Z f=%erZ / yew¢ -�2
?_(�'.d' -q �rt'O %[2 '�,CFl"e C°R•2�✓hrt� IAf4.0 tee CA
Stripping, PIJEngr. Clear.
1.'
\
7 ze. i MA j(n I", (,aye,+ I�rFjC °Z' S�%��
SWIMMING POOL /SPA
EXCAV. REINF. SETBACKS: Radius Sti., Bond-
ing Exp. Soil; Ramp Loc., Surcharge_
FENCE /GATES: height, Closers, Accessibility,
Latches, Stability_
FINAL INSPECTION:'
MISC.
SIGNS:
RE -ROOF:
rr"
ti
INSPECTION DATE INSP. SIGN.
^Erb' - 2 uF- yoo,�- Cv.x.z, rJu � / ` �^YtrYt - ✓� '
$'- 6' -6`Fr 2"o F/es/i Cows, /Jet (ter /- °e/t /7R� -d•`' "'7
.. (zG C4*+ A'Y( WA- /1 e,u
(�e'Y.w�
tfi"- %•'L!1'� ZGeJI• P_-C' CM �.
T_
t /_ /.7 -�Y N - 8 /�,a,zr4 N C•' to 7 el /�°!e s =oe Tiu6/
/t•S'-�5- 3jQ Lil�uvt G'cAA,.io�Ge'utv,�lrLVr.r1..
oK
K
Ts
4
Z
in
U
Tell
C)
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BUILDING AND SAFETY DIVISION ��, n_C1
City,of Arcadia , y
240 W. HUNTINGTON DR., ARCADIA, CA 91006 se
CIZAWa PLE ztj P E -y rnELEC. /MECH.
TEL. (818) 574 -5416 R M
Building /_O`7 Y"�,•♦A 1'7i'C
No.
Descriotion (Additions, Commercial, Industrial)
Fee
Services
(Sire+ 1
Address (i1 / 1.�i.lAP— I L
Owner, �Oi �S',
W
Outlets
(Receptacles, Lights, Switches)
Mailin g C�Gw �V i �i all
Addres s
U)
U)
Futures
-
2ip Qi�
�%
Tel�j Qi� i'��,( —a
Motors
(HP each: )
C «
.. I
Q
U
Other
(specify: )
Add 1 `_�n
�J
Sa• Ft. Area New
Pesidantial BId9State
Gil _
�IR C-ill"r 1t0231
P311.
W
Ft..Area New
Res. Accessory Bldg.
Ltiee..
��
a Clossif. , 7 ,3 ��
Cit 2 3s %Sa.
Lic. N 2'^r /
I
Misc.
LICENSED CONTRACTOR' DECLARA 10
hereby aff Irm Thal I am licensed under prnvisions .I Charms 9l cum menring wish Srniof D,O,JJ . 1 at the &,in,,, and Yndesei.ns Code. and my I lceme is in full l.rce a
wren.
Pool
Wiring
ELECTRICAL FEE
No.
Description
No.
Description
Fee
OWNER - BUILDER DECLARATION
❑ 1 hereby affUm that I em exempt from the Contractor's Lice... Law for the following
reason: " Ste. 7031.5. Business and ProfeSians Codes. Any riry or county which, wires°
permit to construct, alter, rave, demolish, or repair any structure, prim ro iu lssuo„cr
also requires the applicant )o such perms, Jeff, a signed stosement Chas he is licensed
punuam to the provisions of the Contractor's License Law, Chapter 9 (commencing with
Anion 7000) of Division 3 of she Business and Professions Code, or has he is exempt
therefrom, and the basis for the alleged exemption. Any violation of Section 7031.5 Dy any
vplirantfora permit, subjects the applicant roe rivilpenaliy Trot more rhanfi.e hundred
dollars fS300)."
FAU to and includ.
100,000 BTU
Scher/Compress.,
to and includ 3HP
W
H
FAU enter
100,000 BTU
Boiler /Com«essor
over 3HP to 15 HP
r
N
Ffidwall /Su.p /Pool
Healers
Air Handler to and
includ. 10.000 cent
y eployees with wages as their so In compensation. will
I, a ...... fit. progeny, or m m
P o the work, and the structure is not Intended or offered for sale. "Sec 7044, Business and
Professions Code: The Contractor's License Law does no, apply to an owner ofproperry who
builds or improves lherren and who does such work himselfor through his awn employers,
pr 'ded that such improvements are not intended or offered for sale. If, however, the
building. improvement is sold within one year ofcompletion, the owner - builder will have
aJ
U
Spray Booth /
Exhaust Hood
Air Handler
war 10,000 cfm
Z
Q
Vent. Fan
includ. Duct
Other:
=
U
W
Misc.
the burden of proving that he did not build or improve for the purpose of sale:'
❑ 1, a owner of the prop rty, am exclusively contracting with licensed contractor to
construct the project. ''See. 7 044, Business and Professions Cods, The Conrrarrois License
Low don nor apply to an owner ofproperty who builds or improves thereon, and who can.
tract, for inch projects with a rontrartar()) llrrNrdPYrlaanr La the Contractors License L w."
_
MECHANICAL FEE
No.
Description
No.
an
Description
Fee
❑ 1 am excempt under Sec. ______, B. k P. C. for the reason
51
Bathtubs
Water Heaters
0
Date Owner
W
)7f
Showers
gy
Garbage Disposals
WORKERS' COMPENSATION DECLARATION
I hereby affirm that 1 have • certificate of consent to self - insure, or a certificate of
rties's (io�m{ .La/t�i n n ura ice. as crtified copy tl��yr}c7of ( .y'3gy0s0 L bar sC,�o(dr)
Policy NO. Y`- s!_N!- -mia Ll� Company r-ssi"ew T�'r 1Y I �WJ
�/g Copy is fled ❑ Certified copy d E, xp. Dose
LIJi,- wit the City, hereby furvuhed. ®
CERTIFICATE OF EXEMPTION FROM
WORKERS' COMPENSATION INSURANCE
(Thissrrtion need Mt be completed if rheperm it isforone hundreddollars($100) a, less.)
❑ I certify the, in the performance of the work for which this ,y,emit is iuucd, I shall not
empploy any person in any manners as to become subject tothe Workers'Compensation Law
H
7
Water Closets
2
laundry Trays
V
y
_
Lavatories
PIr
Clothes Washers
O
Kitchen Sinks
f�l
Sewer Connections
Z
m
Dishwashers
Sewer Cap
O
Shower Pan
Replacement
I
Gps. system j
INO.OV11ets: 193 1
n
`
G(/
J
CL
Swim. Poet P /s
i l.i
Solar
loll ti
OGC-,
ADO
Misc.
PLUMBING FEE
of Califamia.
NOTICE TO APPLICANT: If. after making this Certificate of Exemption you should become
subject to the Worker: Compensation provisions of the Labor Coda you must forthwith
comply with each provisions or this permit shall be deemed revoked.
l anify thulheverU1h,11Cc41n1.0n and true @at the above ivfarmnian is correa.l
agree to comply with auty inmces evd true laws constructionand Mrebres ts'v of this city towtctproperty to.....el.. �Signature of A,Plir.nt
Data L °_ --
ELEC.,MEC ,PLB G. ISSUANCE FEES
TOTAL FEES
Q3g(v
.
Mailing Addrcas
Processed Date:
City. Seale. Zip
9Y I /
This is a building permit when properly filled out, signed and validated, 03 -11 -88 'ICL8937 TOTAL 7346.64
and is subject to expiration if work thereunder is suspended for 180 days. -
INSPECTION RE
INSPECTOO NOYES
i
UNDERGROUND CONDUIT
j:!p
(s
ROUGH WIRING
-$rk /I nor All C. ' S.-T a 'u s
NEW SERVICE
nn�n61C
u 4 ( eea
(s- tI -b-S^ ""� F ti Rs -5 c w t R
FIXTURES
n
FINAL ELEC. INSP.
G I _
� FERs -. Iffi ul✓ -61z-
ID
TEMP. POWER POLE
yJ- 2 -FS`r' 3l' z K0054 e�
r
OTHER
OTHER
ELEC. UTILITY CLRNCE.
U. G. DUCTS /REFRIG. LINES
RO. MECH. Duch, Comb. Air,
$
S. ph vents
$
FINAL MECH. FAU /AC. Unit
Vent,, Sharon,
OTHER
OTHER
U.G. /UNDER FLR. 50il' water,
Cos supporh
o fr8- SaarH sroe o -cp,
RO. PLMBG. Water, Gas, Vents,
Supparp. Flashings
GAS TEST
8"%8�
.v
SEWER /PRIV. DISP. SYSTEM DIAGRAM
r
FINAL PLMBG. Never. Voles,
Services
a • 1'�J
:�"µ'�
c
1
PWATER
HTR. Vent V'I"'
Press. Rel. Valve
SEWER /PRIV. DISP. SYSTEM(2
7-5-8'
OTHER VVL/�''
OTHER G%-j5
GAS UTILITY CLRNCE.
�•
wh
BONDING
U.G. CONDUIT
d,
.
GAS PIPING Material, Depth
GAS TEST
HEATER Vent., Clearance,
Location, Shut -off
`
FINAL POOL ELEC.
D
FINAL POOL PLMBG.
OTHER
INSPECTION
DATE
INSP. SIGN.
i
Z
Cn
'D
m
n
0
70
"L7
C7
O
{
BUILDING AND SAFETY DIVISION
City of Arcadia ©�'� ELEC /MECH. /PLMBG.
240 W. HUNTINGTON DR., ARCADIA, CA 91006 as TEL. (818) 574.5'" 16 i PERMIT
Building /��•� ('1,.. /r
Addroe (AJ .L�1 r'
Description (Additions, Commercial, Industrial)
Ft.
Services /��I//
(Size: 2eca I&VA I
ny�
_IL•
wry
o
Owner /"y9t Y� ; I �j l�� j
�Y �riJ�j{I L I�G d
W
FNo.
Lipnb, Switcno)
Moiling
g y)1SO -1e'P�j',
✓C 17�^ S/ ar
N
Fiaturn
usts
(Addeo
WLYG I? Csl�.
�L
Z' OZ3)
Tal. -aJ' -- ,.,,+{
J
J
Motors Lr��
(HP earn: / - /5 klU 6401• ,
Contract
G.
so:�ilyt i06, / Y'R
147z
iD as
Adli
•• Willi A& 6 -10 rr/�
W
W
a
a -- --, a,r i DfS %PA1V
/&155
619
L!
atCl .u. 31 �q-2 .�, I 3 i ✓
Lttc, No. 37
Misu. p/r t},LG
L.
2J10 k
G!/ I
Li
Z7
LICENSED CONTRACTOR'S UF.CLARATIO�
1 hereby affirm that 1 am licensed ands Vrovi.inro m Chapter 9 tcmnmrnring .Ilh Sention
lteci of Division 3.f me Bu,nc,, and vrmemn:r, code. and my license Is in till cores and
r f (/g.�J
�
Pool
wlrinq
ELECTRICAL FEE
6/30
11Z
No.
Description
No.
Description
Fee
OWNER-BUILDER DECLARATION
F1 I hereby affirm that 1 am exempt from the Contreras's License Law for the following
reuon: "far. 7031.5. Business and Profrnis iCodes. Any city or county which requires a
permit re construct, slur, improve. demolish. or repair any srrvrmre, prior loll, i ... once
al o require the applimnt Jor s ch pnmir a Jilr a signed uarcmeu that hr is lirrmed
pur'o' ro the p visions oJ,h, Conr,armr's Lice ve Law, Chapter 9 (rommrnciIS with
Barrios 7000) of Division 3 of the Basin,,, and Professions Code, or that be i....mp.
therefrom. and the basixfor the alleged exemption. Any violation affection 7031S-Yany
appliray permit. subjects the applicant to a civil penalty after more rhanfivr hundred
dalla , (J500)."
FAU to and inelud,
100,000 BTU
Boliar/ Competitor
to andinclud. 3HP
W
In
FAU over
100,000 BTU
Boiler /Compressor
over 3HP 10 15 HP
N
Flr. /W011 /SueP /Pool
Heaters
Air Handier f0 and
inelud. I0,000 cfm
RI,esawnc,.f hep,openy,ormyempa,,,, wish wefes es their solecompc.seti.a, will
o me wort, end the structure is not intended or offered for sale. "Sec. 7011, Business and
Professions Code: The Contractor's License Law don nor apply to an owner ofproperty who
builds or improves thereon and who does inch work himself or through his own employ,,,,
provided char such improvements are not intended or offeredfor sale. If• han,,,r, the
building. imps. ens I, said within one Yea. oft amp /nfon, the owns. builder will have
the burden of proving rhat he did not builder improve for the purpose of sale:'
❑ 1, a owner of the propPerty, am exclusively contracting with licensed contractor to
construct the project. ''Sec.] Ogg, Business and Professions Code: Thr Connarrar's Llcenss
Law don not apply to an owner ofpropenr who builds or imp, vex thereon. and who eon.
yarn for inch projects with a coarracror(s) licnaredpunuant to the Contractor's License Law:'
Q
U
Spray Booth /
Exhaust Hood
Air Handler
war 10000 efm
Z
rQ
Vent. Fan
inelud. Duet
Other:
=
W
Mise.
=e
MECHANICAL FEE
1 am excempt under Sec. _— __, B. k P. C. for the season
No.
Description
No.
Description
Fee
-
Bathtubs
water Kenitra
Data ____ __ Owner
W
Shower
Garbage Disposals
WORKERS' COMPENSATION DECLARATION
1 hereby affirm that I have a certificate of consent to seilf insure, or a certificate of
.rite,'. C % s� iii {/nu,si cy,,rtifieit copy th;�wf ((Sir. 38rz0, Labor C&d�
1zy
water Closets
Laundry Trays
Lavatories
Clothes wasters
Policy No. '!?^_%- isc -'�!l -SG Co no a T,s%�'otL)AYk /'
C%
Kitchen Sinks
Sew *, Connections
oyyy is Died Certi Pied cop)) is �Exy. D)I.
th the City. ❑hereby furnished. IT7
t CERTIFICATE OF EXEMPTION FROM I'--1_O` /' IY/�W' ]—I
WORKERS' COMPENSATION INSURANCE
(Thissectian need eat be romplrud iJ the permit ,,far one hundred dollars ($100) or less.)
1 certify that in the performance of the work for which thi, permit is issued, 1 shall not
empvloy any person in any manner sees to become subject to the orkeri Compensaion Lew
Z
m
Dsnwosnen
Sewer Cap
j
Shower Pan
Replacement
Gas System
(No. Outlets: )
J
d
Swim. Pool
..;T
Solar
Misc.
PLUMBING FEE
of C.1ionte'
NOT/CETO APPLIC ANT: If. after making this Certificate oJExemplion you should become
subject to the Workrri Compensation provisions of the Labor Code, you must forthwith
comply with each p,.vi,iom or this permit shall be dr,med revoked.
(certify thin have rwday. pli.w.,. and.,.te the the above iaformuion i ,correct.)
a8rce to comply with alh {zsE�'ty stEd county dineoeyces Ad neze laws seeing to buildiaf
construction, std heresy uthon s cep... fthiscity to enter the a eve memione
property for inspection p oa .
Sigmturc of Appliom Date 3 _
ELEC. ECHyPL9 G. ISSUANCE FEES
�V
�!
LJ
TOTAL FEES
5 j�HA
Mailing Address
PrProcessed Date:
C try. State, Zip
By
This is a building permit when properly filled out, signed and validated, 03- 11-88 1CL8936 TOTAL 5157.17
and is subject to expiration if work thereunder is suspended for 180 days.
INSPECTION RECL -
INSPECTOR NOTES
UNDERGROUND CONDUIT
3- ISr - -5$- 0.6. F. T �leto u
ROUGH WIRING
- 1p -6fs C-0. Out @ 1ST l� °ti S
NEW SERVICE
'L •(�-$%
w^
w'-`y i,-
2
FIXTURES
((�,-fi$ y�gisK�.or/i lo% _ N•t Gjt Co�+/��•J'o�
FINAL ELEC. INSP.
TEMP. POWER POLE
OTHER
OTHER
ELEC. UTILITY CLRNCE-
25 -�
U. G. DUCTS /REFRIG. LINES
Duch, Comb. Air,
RO. MECH.
supporb, venri
$
FINAL MECH. FAU /AC•Unit
venh, Shutoffs
OTHER
OTHER
U.G. /UNDER FLR. wil• Vote"
Gus, Suppwri
RO. PLMBG. WO1 venh.
'
" Flashings
Suppo orriH
GAS TEST
SEWER /PRIV. DISP. SYSTEM DIAGRAM
FINAL PLMBG. Fi.tmes, vof•et.
c,
Services
WATER HTR. vent, Volves,
Press. Rd. V.N.
`p
SEWER /PRIV. DISP. SYSTEM
OTHER
OTHER
GAS UTILITY CLRNCE.
BONDING
U.G. CONDUIT
_
GAS PIPING Moteriol, Depfh
GAS TEST
HEATER Vent, Cfeamnce,
s'
AA
(,S
`
Lwotion, Shut -off
f
FINAL POOL ELEC.
D
s /
FINAL POOL PLMBG.
�IUI
OTHER
INSPECTION
DATE
INSP. SIGN.
BUILDING AND SAFETY DIVISION
City of Arcadia
MISCELLAN *US AND OFF -SITE
240W. HUNTINGTON DR., ARCADIA, CA 91006 • TEL.(818)574.5416 PERMIT
Z
rn
U
m
n
O
:0
n
Q
U
eaiieing
Address /
MISCELLANEOUS FEE RECEIPT
❑ # PLAN CHECK FEE FOR VAL, _ 1
CASH BOND FOR
❑
Dw.e•
Moiling
o
X01 GRADING PLAN CHECK
V\r GRADING PERMIT
'''Address
f
101
Z o
T I �-2�
C o a
�e
❑ HOUSE MOVING
v
❑ PARKS AND RECREATION FEE
❑ ROUTE INSPECTION FEE
❑
0*
Z / t e1 / rjr
I Cal
��%Q'
alCtoMlf. �LJ �L�/�����c �y /�nsr�/
�JJj I Lit. No. G"3 /
LICENS D COFINALTON'1 DECLARA ISO
�1 lhcrehv affirm thalam linnud undo prnvisiam of Chapter 9lcomment ing wish Seclion
�f,�1 of Disfsion 3 of the Business and Proessines Code, and my licence is in full force and
❑
eftea.
G
OWNER BUILDER DECLARATION
I hereby affirm that 1 am exempt (,..,he Carl naar's License Law for IM1C following
it. son:– Sm. 7031.5. facar,cra.dP fescoms Coder. Anyriv ....... v whirh.rqui1's
TOTAL FEE
d
{t WARNING I PLAN CHECK FEES. WHE RE NO ACTION IS TAKEN BY THE
perm;, m connrae, oho. improve, demolish. or meat. env st .ss...... prior to in inuanre
APPLICANT IN 180 DAYS AND NO BUILDING PERMIT IS ISSUED, FEES ARE
also ,,quires rhr appbrant far such permit .fit, a signed statement has he is licensed
pursuant to the provisions of the Contractor's License Law. Chapter p (commencing with
FORFEITED TO THE CITY.
SEWER PERMIT
Si Mon 7000) of Division 3 of the Bu,mrs. and Profession, Code, a, inn, he it rsemp,
therefrom.and,he basis far the allrgedesrmprion. An, vichinim of S,c,,cn 7031.5 by a ay
appliran,fora permo, nblmuthe applirantroa civil proof, afro, morerhamfivr hundred
dollar, (1500)."
PERMISSION IS HEREBY GRANTED TO MAKE SEWER CONNECTIONS AT
P has owner ofthe properly. ormY employees with wages as their sole compensation, will
the Wnrk. and lhC SIIUC1Yre 11 and Intended a, offered far sale. "Sir. 7040, business and
Professions Code The Convarro:, License Low does nasupply roan owner ofproprny who
builds or improves thereon and who does such work himself or through his own employers.
Provided has such improvements err, an, intended or off r..it for sale. IL however, the
building m cmprovrmrnr is sold within one.... ofrmnylrtion. he ownrrbuilder will have
he burden of proving char he did not build or improve for the purpose of sole:'
L M owner of the properly, a. exclusively contveting with licensed contractor to
LOT BLOCK TRACT
LOCATION LATERAL
ADDLE
SEWER PLAN NO.
CESSPOOL FILL
3.00
construe the project. 'Sir. 7044. Business and Professions Code The Contractor's License
Low does not apply to an owner of property who builds or improves Hereon, and who ran -
martsfor such projects with acamnart ar(j) Iicentedpurruam to the Contractor s License Law.'
INSPECTED Ise
1 am excempl under Sec. B. A P. C. for the reason
BY BY
TOTAL
I•
CURB AND SIDEWALK
Dam Owner
WORKERS' COMPENSATION DECLARATION
❑ I hereby affirm that I have a certificate of come., to self - insure, or • certificate of
Worker's C,o-m /Pe salioln�Inmr t lice copy the I'Seke:3800. Lobo. Cade.)
Polity No. �k?��r '/J crCampany r ii�Uµr
CURB BREAK REPLACE CURB FT.
DRIVEWAY APPROACH SIDEWALK FT,
Ty
Copy is filed Certified cop yy i �EaQJ�D I
❑
with the City. hereby furnished.
INSPECTED TOTAL FEE
CERTIFICATE OF EXEMPTION FROM�� v ✓ 1
WORKERS' COMPENSATION INSURANCE
IThi „eei...,adnmbeenm,1,,ad itch, permit u farane hundred dollars ($10o) is, le,r.)
STREET CUT
❑ 1 certify that in the performance of the work for which ,his permit is issued. 1 shall rat
ESTIMATED SIZE OF PATCH AMOUNT OF DEPOSIT
mPtoy any person in any .... e tons to become subject ra the Workers' Compensation Law
of California.
NOTICETO APPLICANT: If,after making this Certificate of E.,mp,ion you shaaldberomr
(j)_ /SO. FT,
ACTUAL SIZE OF PATCH AMOUNT CHARGED
,cab /ace to he Worker' Compensation provision, afire Labor Code, ya..sign forthwith
amply with each provisions or chi, permit ,hall be deemed revoked.
/SO.FT.
AMOUNT REFUNDED
(certify than have read ay licaliona that the above information i ... irect.I
agree to comP1Y with all c ly and c my dine s and state laws relating to building■
construction, end hereby a ho ize re9s set e f this city to enter the above- rAentIrm d
pis for inspcnion p os ) L(K 191
Signnurc of Applicant Dam __— —I
RECEIVED FROM STREET DEPT.
INSPECTION
INSPECTED K8 aY
PERMIT FEE
1 s
Mailing Address
City. State. Zip
TOTAL FEES
This is a building permit when properly filled out, signed and validated, 12 -14 -87 1CL7564 TOTAL 124.'15
and is subject to expiration if work thereunder is suspended for 180 days.
Z
U
M
M
Q
n
O
BUILDING AND SAFETY DIVISION
City of Arcadia MIISCELLAN )US AND OFF —SITE
240W. HUNTINGTON DR., ARCADIA, CA 91006 • TEL. (813) 574.5416 PERMIT 00'�F`7 -164-'
Building / LrA ��D
MISCELLANEOUS FEE RECEIPT
Address I„7
ref ) nn7
IRU } PLAN CHECK FEE FOR VAL. // ✓/ 716
0 C45M BOND FOR
❑ GRADING PLAN CHECK
/GYi p� )
Owner $ I p—gr
"Ke ", 523.�i vEV7 �,G N"
'a- f✓
City ,. "'/y� / O
/V
ZiP
e� ` /
�L
�7 G -174
❑ GRADING PERMIT
Con".00,
❑ HOUSE MOVING _
Add,,,, _
❑ PARKS AND RECREATION FEE
C'ly
zip Tel.
❑ ROUTE INSPECTION C'F�EEE (y-� ^/p ge
0 L g Y LTI.s -'� rl / /� /V
IJCI NGT�
1--�
City
State 1pf. Lic.
B Gossit. ILic. No.
LICENSE CUMIl ACTOR' S DECLARATION
�I h.,h, .fhrm.hal I .m Iv en.ed under provision, of Chapter 9 (commencing with Section
❑
of Di. ko,s 3 of me 9usme,,,nd Frofes,inn, Code. and my licenrr is in full force and
0 -96F ,X 7-0 OWNER
rflect.
OWNER - BUILDER DECLARATION
_
3 TOTAL FEE
1 hereby affirm mat 1 am exempt from In, Comranor's Loa.,C Law for the following
WARNING, PLAN CHECK FEES, WHERE NO ACTION IS TAKEN BY E
n: "Srr.]03 /.S.Bmma +and P.oJnnom Codo. Anyrirymrounry which rrquirua
permit to construct. ahrr. improve, demolish, or repair any structure, prior to its "source
APPLICANT IN 180 DAYS AND NO BUILDING PERMIT IS ISSUED, FEES APE
also requires the appGroni for such permit to file a signed smsemenr that he is licensed
FORFEITED TO THE CITY.
pursuant ro rhr provisions of the Contractor's lmenee Law. Chapter 9 (commencing with
Seerefrom. and he basi:i r th the Business
cfSenio r70?isby
ptioProfessions uon a r
SEWER PERMIT
appbmmforapermir. rvblrrNeMappliram roanvilpenalryofnarmornhan ftchuni"d
PERMISSION IS HEREBY GRANTED TO MAKE SEWER CONNECTIONS AT
dp11a..($500)."
1, s owner of the property, or my employees wile wages as Ihcir sole comprnsation, will
o the work, and the structure is na, mended or offered for sale. "Svc 7044. Business and
Professions Code The Conreaoar'sLirrmr Law does oaf applvra an ownoafpropory who
LOT BLOCK TRACT
builds or improves Me.eon and who does such work himself or through his own rmplagn,
provided has such impravemrnN a,, nor imendrd or afford Jar rate. If, howrvn, rhr
_
LOCATION LAT RA
building orhnprpvemenr is sold within one sear olcompletian. rhe awns. -buddo wiOha is
A
the burden of proving that he did nor build or improve for the purpose of sale."
SEWER PLAN NO.
CESSPOOL FILL
❑ 1. as owner of the properly, am exclusively contracting with licensed contractor to
3.00
construct the project. "Sec. 7044. Business and Professions Code The Contractor's License
-
Law don nor apply loon awnsk ofpraperty who builds or improves thereon, and who can-
a
raves( mchp 11111 - ilk- rohrrarror(rlfirrnrrdparraam torhe Conrmrror, Lxers, Law:'
INSPECTED 19a
I ,m ucempl under Sec. B. A P. C. for the reason
an
BY
TOTAL
CURB AND SIDEWALK
Due owner
WORKERS' COMPENSATION DECLARATION
nI hereby affirm that 1 have a certificate of consent to self insure, or a cenificam of
CURB BREAK REPLACE CURB FT.
Worker's Compensation Insurance, at a certified copy thereof. f5ec'3800. Labor Cade.)
Policy No._ Company
DRIVEWAY APPROACH SIDEWALK FT.
❑Coyy is filed Certified coyyy i EaVV Dim
with the City. ❑ hereby furmsAcd.
INSPECTED TOTAL FEE
CERTIFICATE OF EXEMPTION FROM u
COMPENSATION
STREET CUT
(This sect ion need wt br1omplk,,df,h far an, hundred dollars(3100) o. less.)
❑ I certify that in the performance or the work for which this yermit is issued, 1 shall not
ESTIMATED SIZE OF PATCH AMOUNT OF DEPOSIT
emylay any person In any manner so a to become subject the W orkcn' Compensation Law
Of California. s
(a_ /SO. FT.
NOTICE TO APPLIC.INT:II•afm. making tAisCnrificare aJE.emption YOU Shau/d brromr
ACTUAL SIZE OF PATCH AMOUNT CHARGED
subject to the Workers* Compensation provisions of the Labor Cade, you muss Jorthwiih
/S0. FT.
comply with each provisions or this permit shall be deemed revoked.
AMOUNT REFUNDED
I certify that l havereadthis app U.siti. em lose ,boy in(ormnioniuorrecl . l
RECEIVED FROM STREET DEPT.
,grcc to comply nh II ctIY knd ordlp,ncex�and rule 1, s rel,tm8 to buildin``
nesecy.nm
IN ION
c. nstractin. and epee as Hlhis city me eslh <aDOSC.Ivcmioned
Propery for u -
INSPECTED 19B_BY
PERMIT FEE
Akwwnctlaon
Signature of Da �___ - --
M,ili Od
TOTAL FEES
city, Stale. Zip
This is a building permit when properly filled out, signed and validated, 05 -06-87 1CL4022 TOTAL 22758.32
and is subject to expiration if work thereunder is suspended for 180 days.
BUILDING & SAFETY DIVISION
ARCADIA_ 240 West Huntington Drive
Arcadia, California 91006 -3104
�Rf'ORATEO •,0o ( 8 18 ) o 5 7 4 - 5 4 16
607 W DUARTE RD
Permit No : A8801065
Status : APPROVED
This type : Mechanical Project
Parcel number .
Group -occup /use:
Owner
Applicant
Applicant Addr
Job Address
Phone number
Construction
Permit to do
ARCADIA ROYALE PARTNERSHIP
D.C. AIR CONDITIONING & HTG
18751 NAPA AV PASADENA CA 91324
607 W DUARTE RD
818 - 349 -8533
NEW
INSTALL HTG & A/C
Contractor : D.C. AIR CONDITIONING & HTG
This type : MECH
Fee description
Original Permit Issue Fee (YES /NO)
Forced -air Unit to 100,000 Btu /h>
Boiler /Compressor to 3 HP >
Ea Ventilation Fan including Duct >
* ** Fees Required * **
---------------------------
Total Fees: 4,560.60
CALL FOR INSPECTION
Requests for inspections should be made at least
twenty -four hours in advance by telephone at
574 -5416, 8:00 A.M. - 5:00 P.M.
Inspectors office hours are:
8:00 - 9:00 A.M.; 1:00 - 1:30 & 4:30 - 5:00 P.M.
(" I J) IM'Pl 'F"
07/21/88 13:40
Project No :
AU000701
Validated by :
RF
Inspector area:
206
Date Applied :
07/21/88
Date Issued :
07/21/88
Date Finaled .
Date To Expire:
Lic. C 518412 818 - 349 -8533
Units Fee /unit Ext fee Data
--------------------------- - - - - --
26.25 Y
131.00 11.10 1454.10
131.00 11.10 1454.10
293.00 5.55 1626.15
* ** Fees Collected & Credits
Receipt No. Date Payment
07/21/88 4,560.60
Total Payments: 4,560.60
Balance Due: .00
DECLARATIONS
In accordance with Health & Safety Code, Section
19825, all required declarations on the reverse side of
this form have been pl; ne7nd dated by
the permittee. / /
Verified by:
,� % I
Signa re
* **
DECLARATIONS
To obtain this mX, is umw•Iyhad Mred/Iuss this application and agrees, omfilm and
apbnia:
Thathatbs hash ngi~mothmtN•W"=y WuWwylncompianc th lM
Arcadb M=pM coda. am ell other ppbable on irmoss am leant.
-Trust this par" does not atbwoaYPenry. and Mat - -panty is pwmmad. a Ina
NO. OPERATION
INO. OPERATION
NOTES
BUILDING INSPECTIONS
DATE
INSP.
JELECTRIC INSPECTIONS
DATE
INSP.
1 Setbacks
35 Power Pole
2 Figs. & Forms
36 Sales Lot Light!
3 Pre Slab /Floor Joists
37 Conduit/Underground
oprobuctbn for which this permit la hoot Ymll X has bean epWowed In "if, W this
olma for owvpncyatbi niter ltlwonnn.
That this permit does not allow, and separate Permits are rpulred for, any plumbing,
atactrkat, haenag•nd air corldMOpag wM.
I agraa that UN city may mar upon mo lob prmmbmat eryraeamebbdmeloltlpxY
wry w'«k hws. an urlder mans perms, and eq mww by this C« adid mum at my
awn aeDantl, .M to anNrMtl act tl em wnwt rpbrm W dN NWb MuNctpal
Code.
LICQS[D CONTRACTORS DECLARATION
Isrobyemrm Matlamlkmssd umber paWebnap CSper3 (pmmerldnO WMSacdon
1 w DIWIm 3 W Is Buatnaw end Probaelona DOde. am mY Ilprm b In MX
ma app.
_Lars Z /
4 Steel /Grout
38 Rough Electrical
5 Bond Beams
39 Fixtures
6 Roof Nailing
40 Service
7 Framing
41 UFER Ground
8 Shear /Die h. Nailing
42 Final Electrical
9 Attic Vents
10 Occ. /Area Sep. Wall
11 Sound Wells
comrw, «fir rHL -•-'�
OWNER-BUILDER DECLARMON
O I Meby atMm that I mm aasmp hot Me Comrectae Lksma taw f« am folbWp
12 Insulation
PLUMBING INSPECTIONS
DATE
INSP.
13 Exterior Lath
43 Building Drain
.:(Sm. 7 031.5. Busher end Rob W «W s Codtl. Aq chy «coumy wMCn rpusa e
mmtopomouct.atbr.im «otl . damabnor rpstr agatmpYra, prior too samproasom
�uhtllseppkmXbr. pnpwmXmORea .lppd.tatamerathatsblksryed purpmmw
aproNelatlptpc«webor•lAxmelaw, Cneplerg(commanclrgwXn Sealon7W0)a
gM•Im3w ISBwlmutlwb R0ltlsloroCOp,« In •lnel•ezempinsrNrom.endmena+t•
foams atbgm thump hen. Agvasmmossmu n7W1.5q aq sppbamfor a Pwrma, sub-
facts the applicant to a ciAl pneq 0 M mare than Ow humanist dollars )).
14 Internal Lath
44 Rough Plumbing
15 Drywall
45 Rough Gas
16 Finish Grade
17 Reroof
46 Fixtures
47 Sewer Ca /Demo
O Ltlowwpmspapwy, oamymmpoyeasWtnwagtltltnatr •ctlpmptlatlon, Wnp
mhawark enddN SMAtarsbmlimended« otTerm br.ela. (bp. )041. Buatnm end Pro-
bs.bro COds:Tp Cwdreaara lAxmet.w ao.. nom appr to an ownwp MOO.rly who
pibs«Im«oawinwpn pd wsdoeeeucn eras NmeeN «iMOUpn nlsoxn empoyaea
18 Final Demo /Lot Clear.
48 Building Sewer
19 Final Building
49 Water Heater
proHdeOtnat.ucnlmpowmmm b•ddwttninoroyaar «wmpbdon , ls«nw- builder WX
Mu me b «dm 0 orWng Mat M did not build or Improve for is Wrposa of sate.)
0 I, a• owner w the orpsry. mm excbsnot, d«memag ash ucwued contractor to cm-
straw of pplpLISwmar0 volsotlmo ildatlbNro'sTss"'.am 'a LiptlaLaw
dOtlpl• ppymopownerWorap. ryWapildawimpoveemtwaan ,•mwmamtracuf«
som polsat. WMacopaatpr(n Xmbass purpmm to maDOp•ct «'a llpma Lew.)
O l em asamp under Sac. B. 8 P.C. lot ms madam
50 Shower Pan
51 Water Service
52 Root Drain
MECHANICAL INSPECT.
DATE
INSP.
53 Final Gas Test
20 Venting
54 Final Plumbing
Iwe Owns,
21 Furnace -A.C.
WOQEMCONF "MNOECLA VON
I neniq amrm that l hw.aswHlikams of consent to a a - nsura, «•oeniwamew •
m"a on Itl nice r e had a rep. ISp. SSW, labor Cod
policy NO. E,o. Der,
r p
22 Rough HVAC
23 Fire Damper
24 Commercial Hood
POOL INSPECTIONS
DATE
INSP.
25 Furnace Compartment
55 Excavation /Steel
Coq b sled vain Me EM ❑ C M copy b srsW tanbhp.
CERTIFx:ATl OF QLYmOM FRDY EIORNQCCOYP EMEATON INIUMRC[
nH. wctlonpmrtbtswmpatm Hts pemXb bat anemmrod stoner .If1W1 «latl.l
" I poly Mat In ms"man o, p t work for sLkh man• permit b ar &;d I atoo not
mplp wy pwsm In wry mNnw p tl to ba[PnN pANq b IM MYMkera' Cpmpeptlbn
26 Smoke Detector
56 Rough Plumbin
27 Combustion Air
57 Light Shell &Bonding
28 Metal Fireplace
58 Gas Line & Test
'l"'p10fA1L
NmTCE ro APPLICAM: N •lbr m•hMg dtl caramala w Eaernpbn yon amrm b.conls
wbNptotlrwon.:c«nper . atlmwpl.IOt . oltm L.b«cop.r«rn.m Nnnwlmpm-
. ply Win aph oroWbp «1N, permit.hap M d..mm rwmkm.
OONETRUCTTON LQDD10 AGENCY
I ltarepy affirm that there Is.ewmucdon landing agency, b the perl«marp of is work
as Wei thadal lbbsum.(B.a 3W). tier cos..)
Urldara Nate
29 Compressor/Setback
30 Final Mechanical
I u"a,
59 Heater
80 Underground Conduit
-
81 P -Tate
62 Fence &Gates/Signs
63 Final Electrical
Lendar, Amr,tl
SIGN INSPECTIONS
DATE
INSP.
64 Final Plumbing
IcwuyMatitw...mlwapprslpatam.tn + m..bp..Mrorm . wnlapnsoL lagni.
bCOmpywXn WcXY.mwuwy «dlrtwvam ranI•tlr.hum mob LVwmlNon,
m h"by•Nnoabaraortlertlw wct cKyuanbrnNWwwtlNyafoaN won rNr
bspaspot pYrpO°
THE Main SMALL QP1RE BY LIMRATM AND BECOME NULL AND VOID i THIS
WORT( bt NOT 00tawk CED WITHIN 1p DAYS. shoui.0 ANY WORK AInHDWIID BY
THIS PERMn. BE SUSPENDED OR ABANDONED FOR 150 DAY& The PERMR SHALL BE
NULL AND VOID, A NEW PERMn WBl BE REOUttIFD FOR ANY EXPIRED PERMR.
31 Setback/Overhang
65 Job Completed
32 Footing
33 Conduit/Wiring
34 Final
SEWERS
DATE
INSP.
66 Lateral
MISC. e OFF -SITE INSP.
DATE
INSP.
67 Saddle /Y
69 Sidewalk
68 Cesspool Filled
P1Mq p
-� —y^ '�
70 Driveway Approach
.ner.
0 Agera. Bad..ONOr
71 Curb Replacement
BUILDING & SAFETY DIVISION
tARCE—AA'DIA 240 West Huntington Drive
Arcadia, California 9!1006 -3104
eo ( 8 11 8) 5 7 4 - 5 4 16
607 W DUARTE RD
Activity No : A8802422
Status : APPROVED
This type : Garden /Retaining Wall Project
Parcel number .
Group -occup /use:
JAWLETEt
09/30/88 10:31
Project No :
AU001440
Validated by :
LB
Inspector area:
206
Date Applied :
09/30/88
Date Issued :
09/30/88
Date Finaled .
Date To Expire:
i
Owner : PRESTIGE HOMES
Applicant : GOLDRICH & KEST CONSTRUCTION
Applicant Addr : 5150 OVERLAND AVENUE CULVER CITY, CA 90231
Job Address : 607 W DUARTE RD
Phone number : 213 - 204 -2050
Valuation 1,593
Construction : OTH
Permit to do : 64LF, 61,42LF.3.6'FRM LWST ADJ GRADE
Contractor : GOLDRICH & KEST CONSTRUCTION Lic. C 313423 213- 204 -2050
This type : WALL
Height'.> 64LF 6', 42LF, 4'
Fee description - Units Fee /unit Ext fee Data
------------------------------=-_-------------------------------------------
Enter Valuation / 1. > 1593.00
Total Wall Fees '3107 56.50
* ** Fees Required * ** * ** Fees Collected & Credits * **
---------------- -- -- -- - - - - -- --------------------------------------------
Receipt No. Date Payment
09/30/88 56.50
Total Fees: 56.50 Total Payments: 56.50
Balance Due: .00
CALL FOR INSPECTION
Requests for Inspections should be made at least
twenty -four hours in advance by telephone at
574 - 5416,8:00 A.M. -5:00 P.M.
Inspectors office hours are:
8:00 - 9:00 A.M.; 1:00 - 1:30 & 4:30 - 5:00 P.M.
DECLARATIONS
In accordance with Health & Safety Code, Section
19825, all required declarations on the reverse side of
this form have been properly signed and dated by
the permittee.
Verified by:
Si etura
DECLARATIONS
TppbiatntMe pernal, nss,elpMd fatasy files thisapplk:atlon ano W., Cs,tlfies and
deciaras:
That nmbe ha.Cee, Own me thatthle ps,ms, may de used only In wmpllancewlth the
meadla Municipal Code, and all atMr appllCAble oidimmoss, and lama.
That iNeps,mlt does not atl«y odcuperay, and that no occupancy Is permitted. of tM
NO. OPERATION
NO. OPERATION
NOTES
BUILDING INSPECTIONS
DATE
INSP.
ELECTRIC INSPECTIONS
DATE
INSP.
1 Setbacks
35 Power Pole
2 Ft s. & Forms
36 Sales Lot LI htin
3 Pre Slab /Floor Joists
37 Conduit/Underground
cpmmbot to" this parmh la Issued urod It has Dean approved In wrlting by thb
.1111 for opwpat,uy after final lmpemlpn.
ThMthbps,mltdnaanmahow, answwmeps,mnwer.w.redf «,arryplumwm.
atamrlwl, the"N and alr Watford, work.
I prate that this city my nos, upon that job pramlMa'"nasspnehMtlmatomah"n
any work ImtYMd under This wind. to rem«. shy con- wnf«m.np wmttuouon M my
pan expome, and to mMrw.es act as and ~ re.uired by this Mcedla Mun.mpal
code.
LICENSED CONTRACTORS DECORATION
O Ihereby f rmihetlamlkenseduM VWo OmMCnem«9(wmm«wiM"hSection
pOSp) of OMlelw 3 0l the Bond. all Prokmbm Cade, arse my 1". Is In NII tatty
effect.
me NO'
comram« f (f�.. s—C2A
4 Steel /Grout
38 Rough Electrical
5 Bond Beams
39 Fixtures
6 Roof Nailing
40 Service
7 Framing
41 UFER Ground
8 Shear /Die h. Nailing
42 Final Electrical
9 Attic Vents
10 Occ. /Area Sep. Well
11 Sound Walls
01111ER- eu1LDER DECORATION
0 I hereby affirm that I am exampl Dom this Contrectn s Llsens, taw for ins fplloMnp
12 Insulation
PLUMBING INSPECTIONS
DATE
INSP.
13 Exterior Lath
43 Building Drain
raeson:ISsc 7WL5. BuatneM and ProkpeloneNCOdm. Anycity, My wnkh...... --
oxmmocgMtrucLMU, Impove, demdNn, s,rape0arryatrumure,prl «tohalMUanesatw
qukwiMeppllCantloswhps,mhtofibeelpnadatata ,ham[hatMNllcemns purs.amto
a povlN«NOf the C«rcremNf licrnalaw.ClMpls, Slc«nmendtOwnn Semlon 7000)m
14 Internal Lath
44 Rough Plumbing
15 Drywall
45 Rough G85
oMNm2athaa.Nnanand Proroesiomcpaa «Ins MhexempliMrehom.enatM besH
f«iM alleged emmpWn. Am Mmahanof Semldm 7021.5 by" applicants lots W.R. wb-
16 Finish Grade
46 Fixtures
IacN this applkam to if dvll penalty, of not m «e than fiae hunal dollars (M) ).
17 Reroof
47 Sewer Ca /Demo
0 I.MOw WtMpopwty,«myemploy "hwapes MthatrW6wmMe tion,Mlldo
lMwmk ,anstmetrumurelanmlMwdWMMW"Im« .(Sse.7044,SuNmseans Pro-
feWom Code: This Comrector's Llcem, Lew does not apply to an MMr m propery, Mto
WING «ImprowstMraon tons who does such work himself os tMwlh his own ampbyees.
18 Final Demo /Lot Clear.
48 Building Sewer
19 Final Building
49 Water Heater
provided that sech lm «ovenNm of sold Wuhan om yav« wmpbtiw.iM Owner -Winds, Mn
nm ins b «den of povbp tlW M did M WIId «Impose its the purpose of al
0m. es owrw m the property.mez cater ly wmsant, wnn uC.med Comm «to con.
strucf the politics. (Sec. 7044, Sual mM and ProlesalOm Code: TM C«orecl «'a Lkeme Law
does not appryto an owner W properly who builds« ImprorestMreon, all who collects for
such project ath a comrsm «(a) ncs,NW pur.aM to has COmrea «'e License Lea)
0 lam exempt under Sac. B. 6 P.C. for ins..on
50 Shower Pan
51 Water Service
52 Roof Drain
MECHANICAL INSPECT.
DATE
INSP.
53 Final Gas Test
20 Venting
54 Final Plumbing
Dan Oamr
21 Furnace -A.C.
�l WOMEW COMPENSATION DECURATION
QJMeby afitrm that l hannia fiuN moonaem to aatfJmure. of a wrunwe of wrier '•
Omye anind Ins renes, or a carufied co Y thereof. :dxo, lab« Cada.l
Pddy NO. �- Eap.o.te
Company
22 Rough HVAC
23 Fire Damper
24 Commercial Hood
POOL INSPECTIONS
DATE
INSP.
25 Furnace Compartment
55 Excavation /Steel
0 Coq N filed Mth this C ty. Combed copy la Mreby lumDlNd.
Clal MAT! OF UEMMON FROM WOTIKMW COMPINBATON INSUM C!
(TMs eeObpn msd hat hat«npMed 11tH pumh bl«aa Mnsrad dmra(E110I «NMI
0 1 tally that In IM pinata anu of ins wok dr wNm, this Wroh N obasid, I srue n«
employ any parson In airy mane. as M to became a di to plat worsen' CompemWOn
L. MCMMrPa
NOTICE TO APPLICANT: compensation ensationpr hsl Cs,fm e pl Eaemptlouyw ahodd become
pay otMWrswan somparwatdn« ovlNomofiMLW «COM,ywmuplMMAlnc«n-
ply Mtn each prodatona or this ps,mh ahtll of aean»d rwokaa.
CONSTRUCTION LENDING "MY
I MrMy anm that Isere N a C«Ntrumbnlanilry a(lenry for the pM«mercw m us, wok
fo, am" iNa ps,mh N ltatHd. ($a- 2097, clvB Cods.)
Lsfifil Nunn
Ler,ds,: Md.
26 Smoke Detector
56 Rough Plumbing
27 Combustion Air
157
Light Shell &Bonding
2& Metal Fireplace
56 Gas Line &Test
29 Compressor/Setback ressor /Setback
30 Final Mechanical
-59 Heater
60 Underground Conduit
61 P -Trap
-
62 Fence &Gates/Signs
63 Final Electrical
SIGN INSPECTIONS
DATE
INSP.
64 Final Plumbing
IesrlllythatlhewreadlNUppllcatlwensatWlMlMabmelnMmatlonNCmattlelPse
31 Setback/Overhang
65 Job Completed
toconpty, ath 01 City and county odlmrces ens Nate mavas, to WhdlnOwrwup0on,
a nslaeebyeudgr.nraPaas,aaev atlhadtydsees, tM ebovsmar,tldr,ad palNary lr
I Iasi - ramose,
THE PERMIT SHALL UMM BY UMITATION AND BECOME HULL AND VOID S THIS
WORT( IS HOT COMMENCED WTH1W tall DAYS. SagULO ANY WORK AUTHOR„cn BY
THIS PERMR, BE SUSPENDED OR ABANDONED MR 100 DAYS, THIS PEI W rT SHALL BE
NULL AND VOW. A NEW PERMrt WALL BE REOUME° FOR ANY E (FIRED PERMIT.
32 Footing
33 ConduiVWirin
34 Final
SEWERS
66 Lateral
DATE
INSP.
MISC. S, OFF -SITE INSP.
DATE
INSP.
67 Saddle /V
69 Sidewalk
68 Cesspool Filled
,
Pd"r"'"i° pl Af°d�j'"
By
70 Driveway Approach
� `ley
tor: Again B,j1 e.
71 Curb Replacement
O�
BUILDING & SAFETY DIVISION
ARMIA 1 240 West Huntington Drive
Arcadia, California 91006 -3104
RpRATO 'e� ( 8 1 8) 5 7 4 - 5 4 16
607 W DUARTE RD
Permit No : A8803586
Status : APPROVED
This type : Plumbing Project
Parcel number .
Group -occup /use:
Owner
Applicant
Applicant Addr
Job Address
Phone number
Class code
Valuation
Construction
Permit to do
AMERICAN NURSURSIES, INC.
4521 -A VAN NUYS BLVD, 101
607 W DUARTE RD
818 - 907 -7019
0
OTH
LAWN SPRINKLER SYSTEM
CONTRACTOR : AMERICAN NURSURIES, INC
Fee description
------------------------------------
Original Permit Issue Fee (YES /NO)
Lwn Sprnklr Sys any 1 meter 3105>
* ** Fees Required * ** * **
---------------------- - - - - -- - - - --
I
CO)01liu;I,"
12/08/88 11:06
Autoproj No :
AU000034
Validated by :
LB
Inspector area:
206
Applied :
12/08/88
Issued :
12/08/88
Finaled
To Expire
SHERMAN OAKS, CA 91403
Lic. C 458624 818 - 907 -7019
Units Fee /Unit Ext fee Data
1.00 11.65
Fees Collected &
Receipt No. Date
12/08/88
Fees: 39.20
Adjustments: .00 Total Credits:
Total Fees: 39.20 Total Payments:
Balance Due:
CALL FOR INSPECTION
Requests for inspections should be made at least
twenty -four hours in advance by telephone at
574 -5416, 8:00 A.M. - 5:00 P.M.
Inspectors office hours are:
8:00 - 9:00 A.M.; 1:00 - 1:30 & 4:30 - 5:00 P.M.
--------------- -
27.55 Y
11.65
Credits * **
--------------- -
Payment
39.20
DECLARATIONS
.00
39.20
.00
In accordance with Health & Safety Code, Section
19825, all required declarations on the reverse side of
this form have been properly signed and dated by
the permittee.
Verified by: "
� S�ignature
DECLARATIONS
To obleln this ParmlL the undarYpned heredraed this application and prep, c°nlee°and
declines :
That home has aesnghian methethis permit may M Geed onyin compliance wimme
Mu die Municipal Code, and all other applicable ordlnames and lees.
That this permit does not albw occupancy, and that no occupancy is permmed, athe
mnstructlon for aldch this permit is Issued until b has been approved In smiling by this
office for « aupaney after nnY Intimation.
Thai this permit does net allow, end espvate Perms me repWrad for, any plumbing,
alectriew. MaOrp end air Conditioning Bork.
I pro In& the city may enter upon the lob premlees al vy retainable time to Impact
any w «k Installed under this permit, to remop sny nonconforming construction N my
man expands, and to doormat act as and when required by the Arcadia Municipal
code.
LlccxscO CONTRACyoas DeeuRAnoN
O
LIhe) 0re1 bg yi. YOn L 3 0- l iM Bual�M'a" e and ProlpC Y_ Ona Code, and mDy . tle ic ense b — I n NII
.medaPr
nse NO
NO. OPERATION
NO. OPERATION
NOTES
BUILDING INSPECTIONS
DATE
INSP.
ELECTRIC INSPECTIONS
DATE
INSP.
1 Setbacks
35 Power Pole
2 Ff S. & Forms
36 Sales Lot Lighting
3 Pre Slab /Floor Joists
37 Conduit/Underground
4 Steel /Grout
38 Rough Electrical
5 Bond Beams
39 Fixtures
6 Roof Nailing
40 Service
7 Framing
41 UFER Ground
8 Shear /Did h. Nailing
42 Final Electrical
9 Attic Vents
10 Occ. /Area Sep. . Wall
11 Sound Walls
CaMrectos
12 Insulation
.
PLUMBING INSPECTIONS
DATE
INSP.
OWNER"BUILOER DECURATION
D I hereby affirm that I an exempt from the CCMIb:tm -a uJCense law far the fotlmang
.:(Sec. 7031.5. Busiresi Professionals Codes. Ay ftyarcountywnlch reaulresa
wormtomnstrua, mar, Improp.demdlM,«repter"structure, prlortoftslswemealw
quintems"pticaiatorwch pvmfttoflbe YprvdYaieneatnetM lalicanpE purouavto
ipreWonsa1MComnactore Lkenes Line Chapter 91commera nge mSection 70001of
13 Exterior Lath
43 Building Drain
14 Internal Lath
44 Rough Plumbing
15 D 811
45 Rough Gas
nation 3oftM Bustnsas and Professions Code, mind he issxempt therefrom, and the basis
fats alleged exemption. Amy Abarfon of Secon 7031.5 by"applic•nt f« a pvmft, sub -
i as the apakam to a cal panafty ot not moss than n e hundred dollars ISS00l ).
16 Finish Grade
17 Reroof
46 Fixtures
47 Sewer Ca /Demo
❑ I,poxrwathe «Oparty, «myemplo shwa mtMrW6comNm tion.Mlldo
the work. and the structure is not intended «osred l« phi.("Ho.7041. BUYMp and Pro-
1psbnd Code: The Contractors Licence Lp does not apply to an owner a props and
s or Impre°ihern and or d won Work himself through his own employees,
cola ov p s m «
18 Final Demo /Lot Clear.
48 Building Sewer
19 FIOeI BUIId10
49 Witter Heater
Provided that each lmmpemem is said within Om year or completion, he aaner -cols «Will
hap the burden of praying that he did not build or Improve for the purposs of °and.)
❑ 1, as owner of the prepay, an °xcluW.y comracling with licensed cOmract« to son
waucttM project. (sm. 7Ma, Business and Professions Code: The Coarecmi s License Law
does not ppyto w Owner, a prnpanywho builds or Improvestheram. end wno comnacNM
each Projects efth a coMrea «p)bosomed pursuers to the Connector'. Licenp Les.)
O l em exempt under Sec. B. B P.C. for am reason_
50 Shower Pan
51 Water Service
$2 ROOT Drain
MECHANICAL INSPECT.
DATE
INSP.
53 Final Gas Test
20 Venting
54 Final Plumbing
1' 'g
1, --'1
D,te chmef
21 Furnace -A.C.
WORKKRS'COMPENSATK)N DKCURATION
D( 11Nraby- rmmYlheva acMlllcetaac•n°enl'0 -"4 uro. «eesmflcataol WaReh
C pansailon Inwnnca, « c dftled w tMrwl.lSx. 3800, Labor )
Palsy NO. —t— In. Data
Compssry ��'�`��
22 Rough HVAC
23 Fire Damper
24 Commercial Hood
POOL INSPECTIONS
DATE
INSP.
25 Furnace Compartment
55 Excavation /Steel
❑ Copy I• mea waft me CIy. ❑ Card ed copy le hereby fu rrom ed.
CERTIFICATE OF 1WHAPT10N FROM WORKERS' COM NMnON INSUIUNCK
(This section need not s co ~if the pvmft is for one hundred delve (Sim) or bp.)
O I unity thin In the W... of the work for which this What N Issued, I "I fat
nploy, am person In afy mentor w as to Mcome subject to the Workers' &• PeMYbn
ew a Cellforals.
NOTICE TO APPLICAm: II, aftai maktrp this Calabasas of Exemption you should scam•
wbjea to thrWaskulsty COmpenNwn Voysom onM Lmorcods. you hand forthwith corn-
ply With each proyisleM or this pared "I M dsenwd revoked.
CONRRUCTIDN ""DIM MMCY
I MrebyaNm the there he acamvuctlm lending agency loathe performance 0tMw«k
for which this great Is IwNd. eae. 3087, Chill COs.)
Lander. Name
26 Smoke Detector
56 Rough Plumbin
27 Combustion Air
57 Light Shell &Bonding
26 Metal Fireplace
58 Gas Line 8 Test
29 Compressor/Setback
30 Final Mechanical
59 Heater
60 Underground Conduit
61 P -Trot
-
62 Fence &Gates/Signs
63 Final Electrical
Lends. Md.
SIGN INSPECTIONS-
DATE
INSP.
64 Final Plumbing
lc iytWiM ye thWappOp aW.w tMedmalnWmY bmnw Ia«ee
tommptywfth W Cfty" CmmyosdlnvreaMststafvnvlatingtoWMingmpbtKaon,
and hereby aumprbare ,,aftee, a this city as mast m..bpya"muti«Nd ProOedY f«
ImpaN. purposes.
THE PERMIT SMALL EXPIRE BY LIMITATKNI AND BECOME NULL AND WAD K THIS
WORK IS NOT COMMENCED WITHIN IN DAYS. SHOULD ANY WORK AUTHORIZED BY
THIS PERM n, BE SUSPENDED OR ABANDONED FOR IN DAYS, THIS PERMR SHALL BE
NU D VOID. A NEW PERMIT WILL SE REQUIRED MR ANY EylPI11EO PEA O.
r �I
\ h V J OYeo
31 Setback/Overhang
65 Job Completed
32 Footing
33 Conduit/Wiring
34 Final
SEWERS
DATE
INSP.
66 Lateral
ISE & OFF -SITE INSP.
DATE
INSP.
67 Saddle /Y
9 Sidewalk
70 Driveway Approach
68 Cesspool Filled
vd am.a ADpl
. ABUt Bawer.Omur
71 Curb Replacement
'',,,,.��DATE 5 a � / 5�' `j'
TO: PLANNING DIVISION, ATTENTION //a
FROM: BUILDING DIVISION
SUBJECT: FIELD INSPECTIIOO�N REQUEST FOR THE PROJECT
AT: �o -7 ( �
The Building Division requests your cooperation in an inspection of the subject
project.
This ( is, is not ) a final inspection.
Please inspect the following checked items for conformance with applicable
Planning Division requirements:
Type of Inspections
Inspections
Date /Initial
Date /Initial
inal Approval
Date /Initial
'E2_ Land sca in /Irri ation
Trash Areas
�—
Parking/Driveways
/
Stora a Areas
Al Lk !!
oG
Location
Mechanical Equipment
Wall Hei ht!
Light He ig is
Shielding
3 hi
8
C"a
0
[1 111111 �� 111111
l!"1111111 111111111p,
/I _�.: � � i/ iif�� ;�y� ✓r,:; / %iJilLL�r7 /G"���- ���r�
l it �i w i ll
NJ WHOM
s/�z7- 6q 2-z)
DATE / ".7, (g-f�9
TO: DEPARTMENT OF PUBLIC WORKS, ATTENTION
FROM: BUILDING DIVISION
SUBJECT: FIELD INSPECTION( REQUEST FOR THE PROJECT
AT: %0 7 � l" -v" 76;
The Building Division requests your cooperation in an inspection of the subject
project.
This ( is, is not ) a final inspection.
Please inspect the following checked items for conformance with applicable
Department of Public Works requirements:
IInsoections
Type of Inspections
Date /Initial
Date /Initial
Final Approval
Date /Initial
❑ Grading
l� Drainage rAf,
QI 13
Street Lights (�
► 1
P
❑ Driveway /Apron
'4EI— Parkway Trees
13 fV
Other -Site
Improvements
ieA 0171 PO '�i
COMMENTS:
RECEWl'.'_
FEB 21 1989
CITY OF ARCAJIA
Bull-DING DEPT. DATE
TO: FIRE DEPARTMENT, ATTENTION
FROM: BUILDING DIVISION
SUBJECT: FIELD INSPECTION REQUEST FOR THE PROJECT
AT: (p o % DUCL't ;r
The Building Division requests your cooperation in an inspection of the subject
project.
This ( is, is not ) a final inspection.
Please inspect the following checked items for conformance with applicable Fire
Department requirements:
Inspections
Type of Inspections
Date /Initial
Date /Initial
Final Approval
Date /Initial
Fire Sprinklers
Fire Alarms
Fire Hydrants
,
Exit Lights
r� Fire Doors
Fire ZK-ItS
L1l
INK
WASTF W,1nR
RFCLRMRiION
SOLID WASTE MANAGEMEM 0
�.yTT` ;:rd'r•�rT "v «rw-f. T'r�as.- w.3�.i. svn, .-,v- .., r�u+vv <
COUNTY SANITAl'tiON
1955 Workman Mill Road / Whittier, California
Mailing Address: P.O. Box 4998, Whittier, California 90607
Telephone: (213) 699.7411 / From Los Angeles (213) 685 -5217
Hours: 7:30 a.m. - 4:00 p.m. Mon. - Fri.
SEWERAGE SYSTEM CONNECTION FEE
1. Name of Applicant I
2. Address of Property
a Contact SoL
4.
a 5.
6.
7.
3/39
DISTRICTS;
t
OF LOS ANGELES COUNTY n
CHARLES W. CARRY
Chief Engineer and General Manager
Account No.:
District No.: /3
Complete Items 1 through 9 — PLEASE TYPE OR PRINT
Date: 5 I 20 / O O
(MONTH) (MY) (YEARI
(STATE)
Phone Number: ( 213) Z— 0`1 —
Mailing Address J /SU Wt4<LYt7V11 /YV &–A/(/E L:(/LVe--Ff LF /Y L:
(IF DIFFERENT FROM ABOVE) (STREET) (CITY( \ (STAM
County Assessor Map Book, Page, and Parcel Number: - OO - 766 I
Structure is: X lJ rope se El Ex�i , Date CoPstruction
User Category and Units of Usage: (Check the appropriate box and provide the applicable information)
a. Residential: ❑ Single Family Home(s) > Number of Units:_
❑ Duplex ❑ Triplex ❑ Fourplex i2 > Number:
(ZIP)
(ZIP)
❑ Five Units or More > Number of Units:
El Mobile Home
um Park ` � C<,,J > Number of Units:
b. Commercial: ❑ otellMotel `- "� �� S _ > Number of Rooms: �s
r_i
��
Convalescent Hospital /��� �i
l;
Home for the Aged,; �� � ;� > Number of Beds:
Other (Speciry): J��> Improvement Square Footage:
c. Institutional: ❑ CollegelUniversity J) \j > Number of Students:
�\
❑ Private School Improvement Square Footage:
❑ Church <.`� > Improvement Square Footage:
d. Industrial ❑ All Categories y ... > All industrial dischargers must obtain a,permit for
industrial wastewater discharge.
8. In order to process this application a copy of the floor plan, plot plan, or subdivision map, showing square footage /number
of dwelling units and use of the structure must be submitted. Attached is: ❑ floor plan ❑ plot plan ❑ subdivision map.
This Is not required for one detached, single family home.
9. 1 certify that the information provided in this application is true and correct to the best of my
knowledge.
❑ APPLICANT
X AGENT FOR APPLICANT
.•
Please pay by check or money order only. (Cash will not be accepted.)
Make checks payable to: COUNTY SANITATION DISTRICTS OF LOS ANGELES COUNTY.
Returned checks will be subject to a penalty.
FEE CALCULATION FOR RESIDENTIAL, COMMERCIAL, AND INSTITUTIONAL CATEGORIES
is-, X $ . $
Number of Units of Usage .. Connection Fee Per Unit of Usage - Conn lion Fee
y,SPECIAL CREDITS (Only if Applicable) 'In order to receive credit, proof of demolition
DEMOLITION CREDIT' or former use must be submitted with your
[g application (e.g. Demolition Permits, original
CHANGE IN USE CREDIT' plans).
❑ AD VALOREM TAX CREDIT t
/ i./ A ." 1 r elm
I � Connection Fee Due
FN 797
(For Districts' Use Only)
A,N1 7 ION DI
('t(N
Fee Payment Received:
Personal Check
Processed by:
A
Amount:
❑
Certified Check
Money Order D.C. El Yes iR--' r No
Approved by:
,��/.+ fi
' %
.�
Ck. No. ❑
Date:3
COPY — COUNTY SANITATION DISTRICTS OF LOS ANGELES COUNTY
YELLOW COPY — BUILDING DEPARTMENT
CHARLES %'J CAryRy
PINK COPY — APPLICANT
DO NOT SEPARATE
CHIEF ENGINEEF —^ S
FN 797
Z
fn
m
C7
0
:S7
0
Q
V
{
BUILDING AND SAFETY DIVISION
City of Arcadia . ( �qp
240W ` HUNTINGTONDR.,ARCADIA,CA91006 • TEL.(81AIRA416LETE®
ELEC. /MECH. /PLMBG.
PERMIT
Building
Address 607 W Duarte Road
No.
Description (Additions, Commercial, Industrial)
Fee
services
(Size:
Owner Prestige Homes Inc
W
Outlets
(Receptacles, Lights, Switches)
Mailing t t
Address 5150 Overland Ave. Ste A
N
Fixtures
City
Culver City
Zip
90230
Tel.
213/280 -5010
N
J
Motors
(HP each: )
Conhodoo
Belvedere Plumbic Company
d
U
mhe,
(Specify:
I
Address
13350 Ector Street
a[
U
Sq. Ft. Area No
Residential Bldg.
City
Industry
Zip
91746
Tel.
818/369 -440
W
W
Sq. Ft. Area New
Re :. accessory eI Oe
State Lic' 179568 C -36
a Closer.
duty - 22597
Loc. No.
se
Misc.
LICENSED CONTRACTOR'S DECLARATION
Q.11 hereby affirm thatlam llcemed under prrv'omn, nl Chupmr9tunnrtirnring xph Section
rr Division of me Bu.mes, and Pnde,.mr, Code. and my Den.e i, .n Will lore and
effect.
Pool
Wiring
ELECTRICAL FEE
No
Description
No.
Description
Fee
OWNER - BUILDER DECLARATION
❑ 1 hereby affirm that I am exempt from the Contractor's License Law for the following
reason: "Sec. 7031.3. Business and Professions Coda. Any city or county which requires a
permir ra ronnrua, .her. impro e, demolish, stream, anY urunurr, prior to its issuance
also requires the applicant Jars such permit to file a signed nntemem has he is licensed
pu ruant lathe provisions of the Convaoor's Liver- Low. Chapter 9 (romm enrfng with
Section ]000) of Division 3 of the Business and Professions Cade, ar that he is exempt
therefrom, and the basis for the alleged exemption. Any violation of Section 7031.5 by any
applicamfor a permit, subjects the applicant to a civil penalty of war more than five hundred
dollars (SSW).'
FAU m and inelud.
100,000 BTU
Bailor / Compressor
to and inelud. 3 HP
LLJ
N
FAU war
100,000 BTU
Boiler/ Compressor
over 3His to IS HP
N
Fir./wall /suso /Paul
Heaters
Air Handler to and
inelud. I0,000cfm
1, as owner of the property, or my employees with wagesastheirsolecomp ion, will
o the Pwork, and the structure is not intended or offered for sale. 'Sec. ]Ore. ensatBasineas and
Professions Cade The Camnscror's license Law does not apply roan owner afproprrty who
builds or improves thereon and who does such work himself or through his own employees.
provided that such improvements are not intended or offered for sale. If. however, he
building or improvement is sold within one year (completion, the owner - boomer will have
J
Q
g,
Spray Booth/
Exhaust Hood
Air Handler
wet 10,000 chat
2
st
Vent. Fan
inelud. Duct
Other:
=
Misc.
the burden of proving that he did not build or improve for the purpose of sale."
❑ I, as owner of the property, am exclusively contracting with licensed contractor to
construct the project. "Sec.JOrr, Business and Professions Code: The Co....., isLicense
Lewd net avplr roan pwnr. olvrpvraY who builds or improve, thereon. and who ran-
ancestor each projects with a coarrarror(s) Bcaaed purruaar to the Contractors license Law'
W
MECHANICAL FEE
No.
Descriplion
No.
Description
Fee
❑ I am excempt under Sec. _ - - -- . B. k P. C. for the reason
55
Bathtubs
water Heaters
414
40
Date__— - - -- _Owner
W
48
showers
2
Garbage Dlsrmals
370
-N00
WORKERS' COMPENSATION DECLARATION
❑ I hereby affirm that 1 have a certificate of consent to salt - insure, or a Carl init. of
Worker' Cam turn Insurance, or • certified copy thereof. (5ec.3800, Labor Code!
62- 030237_ 017campwy L betty M
1—
In
107
Water Closets
Laundry Trays
806
00
>_
108
Lavolories
3
Clothes Washers
821
40
c%
20
Kitchen Sinks
0
Sewer Connections
148
00
Paur� b2- I lal
❑Copy is filed I—'I Certified copy is Ea Dates
wit City. ID herebyfurga`1UL 6 30 88
CERTIFICATE OF EXEMPTION FROM
WORKERS' COMPENSATION INSURANCE
(This anion need not be camp/ maltthe permit is /or one hundred dollars lf1001 or /rv.l
❑ I certify that in the performance of the work for which this vyomit is issued. 1 shall not
mployany person in say ma nn ers outobec omesubjec uo.heWmkax,CompensstionLaw
Z
m
1
Dishwashaa
0
serer cap
7
4O
j
shor<r Pan
Replacement
1
Gas system
(No. Outlets: 11 i
20
00
J
d
swim. Pool
I fall .
-
59
20.
oMJ'sc.
8
lea F1XtllreS
PLUMBING FEE
2647
00
of California. -
NOTICE TO APPLICANT: If, af,,r mokingrhis Certificate of Exemption you should become
subject ra rbe Worker' Compensation provisions of the Labor Code, you mart forthwith
comply with each provisions ar this permit shall be deemed revoked.
I certify that l have read this i pplicationand state that the above information is extract. l
agree to comply with all cot an county dinanca. and late laws relating a mildias
construction, end hereby a rim rep, t fives aft city m eater a above.memiane
property for aspect on sex. py
Signature of Applica o
Mailing Address - Ector Str et
ELEC.,MECH.,PLBG. ISSUANCE FEES
26
25
TOTAL FEES
2673
25
Prooesad Dote:
City, Sum, Zip
By :
This is a building permit when properly filled out, signed and validated, 02 -23 -88 1C:LB629 TOTAL 2673,25
and is subject to expiration if work thereunder is suspended for 180 days.
INSPECTION RECJO
69114SPECTO11 NOTES
UNDERGROUND CONDUIT
�y -Z -8-5' JA7 ezT-A O e
ROUGH WIRING
At olzrN Sr/JG r---)
NEW SERVICE
3- 10'8' �o�TH S �tr /�vw /ire K O/L
FIXTURES
3 eu t O uae-/+ -6rwu t-0 %O
FINAL ELEC. INSP.
4vs lr%s•sv SOa W ti/k; OK
TEMP. POWER POLE
OTHER
OTHER
ELEC. UTILITY CLRNCE.
U. G. DUCTS /REFRIG. LINES
°
RO. MECH. Duch, Comb. Air,
A
Supports, Vents
FINAL MECH. FAU /AC unit
Vents, Shutoffs
OTHER
OTHER
U.G. /UNDER FLR. Soil, wote.,
Gos, Supports
RO. PLMBG. w1h4 Go,, V.nh,
Supports, ,Flashing,
GAS TEST
SEWER /PRIV. DISP. SYSTEM DIAGRAM
v
FINAL PLMBG. Fixtu,es, VoNes,
Selricei
WATER HTR, Vent• Vale,,
Press: Rel. Vohe
SEWER /PRIV. DISP. SYSTEM
OTHER
OTHER
GAS UTILITY CLRNCE.
BONDING
U.G. CONDUIT
GAS PIPING Motvml, Depth
GAS TEST
p"
HEATER vent, Cleoranco,
Location, SW-Off
`
FINAL POOL ELEC.
D
s r
FINAL POOL PLMBG.
r
J�
OTHER
INSPECTION
DATE
INSP. SIGN.
'Belvedere Plumbing Company
13.350 Ector Street. City of Industry, Califoria 91746
Telephone (818) 369 -4401
;, 1988
,a
CITY OF ARCADIA
9UILDINQ DEPT'
March 21, 1988
BUILDING & SAFETY DIVISION
City of Arcadia
240 W Huntington Dr
Arcadia, Ca 91006
ATTN: Rud Franta
RE upTicate Payment
on Plumbing Permits
Dear Mr. Franta:
Enclosed is a copy of the plumbing permits that we took out on February
23, 1988, total amount paid was $2,673.25.
We would like a refund for the amount paid on the permits as the builder
also took out plumbing permits.
Thank you for your co- operation in handling this matter.
Sincerely,
Martin J L r� amie
Vice President
MJL:m
Conlractor: License Number 179568
i9z
RE CE! V ED
I FEB 16 1989
Goldr�Ch (((``` Kest PLANWNG DEPT.
5150 Overland Avenue • Post Office Box 3623 • Culver City, California 90231 -3623 • (213) 204 -2050
February 14,1989
Arcadia Building Department
Attention: Mr. Bill Tarin
City of Arcadia
240 West Huntington Drive
Arcadia Ca.91006
Dear Mr. Tarin,
RE: ARCADIA ROYALE RETIREMENT HOME
607 Duarte Road, Arcadia California
Pursuant to my telephone conversation with Donna Butler, and
in conjunction with my numerous conversation with Fire Marshall
Earl Curtis, I hereby submit for your approval the following
statement:
1) We used the car parking stalls in Arcadia Royale for
temporary storage space of some furniture.
2) We are currently in the process of removing said furnitures
from the permises.
I therefore request you to accept this letter as our formal
and irrevocable guarantee that all items stored in the parking
area of Arcadia Royale be permanently removed within a period
of 10 days.
I further hereby request that you approve the connection of
the gas meter of the above mentioned building, based on
your said approval and acceptance of the contents of this
letter, without any further delays.
Thanking you for your cooperation in this matter, I wish to
remain,
Most sincerely yours,
GOLDRICH & KEST
Car C en
Vice resident Q
Royale Retirement Homes >.�:
m
m
0
ti
m
Foundation Engineering Co., Inc. 996 -1600
18344 Oxnard St., Tarzana, CA. 91356 873 -5032
Messages Before 8 am, Afterr5 pm, & °Holidays (Rec vw3 11365
below we'rdbse4'ved and appe4r to extend into the approved foundation
materials or support of footings as described in the Geotechnical Report
dated 16- )VJZ I . ( . _ I IP Q-1
The following footing 16catIons were observed: _ 6O V S
-)r' r a % o a-G AAi% k, 41h f;�5A2-r .rte I -rn
V
NOTE: This is not intended to verify footing locations, size of foolMng's,
reinforcement requirements, or that the excavations are clean at the time
concrete is poured, and does not constitute authority for pouring footings
without approval from the Department of Building and Safety. The footing
excavations should be thoroughly moistened prior to pouring concrete.
Caisson and friction pile excavations are to be cleaned and inspected by a
co
deputy concrete inspector just prior to placing steel and conTrete. The
cc deputy concrete inspector is to verify the dimensi f s e tions.
Date - �rq -�j�me Field Representative % �h
Foundation
18344.Oxnard
Engir,eer,ing Co., Inc.
St.,°°Tarzara, ' °CA. 91356
(81 10)996 -1600
(213)87315032
y
Messages Before 8 am,
After 5 pm, & Holidays, Recorder (818)996 -1365
NOTICE REGARDING FOUNDATION EXCAVATIONS
Job Address:
A' -'
The _
Q--r 6k, cewrJ
00 s footing excavations
indicated
below we'rdbse4'ved and appe4r to extend into the approved foundation
materials or support of footings as described in the Geotechnical Report
dated 16- )VJZ I . ( . _ I IP Q-1
The following footing 16catIons were observed: _ 6O V S
-)r' r a % o a-G AAi% k, 41h f;�5A2-r .rte I -rn
V
NOTE: This is not intended to verify footing locations, size of foolMng's,
reinforcement requirements, or that the excavations are clean at the time
concrete is poured, and does not constitute authority for pouring footings
without approval from the Department of Building and Safety. The footing
excavations should be thoroughly moistened prior to pouring concrete.
Caisson and friction pile excavations are to be cleaned and inspected by a
co
deputy concrete inspector just prior to placing steel and conTrete. The
cc deputy concrete inspector is to verify the dimensi f s e tions.
Date - �rq -�j�me Field Representative % �h
indation Engineering Co., Inc. (818)996 -1600
18344 Oxnard St., Tarza'na,'CA. 91356 (213)873 -5032
.�� Messages Before 8 am, After'5 pm, & Holidays, Recorder (818)996 -1365
NOTICE REGARDING FOUNDATION EXCAVATIONS
Job Address: _ 0 0A&—� p
The � footing excavations indicated
below wer ob ervediand ppe r t extend into the approved foundation
materials for support of footings as described in the Geotechnical Report
dated 9pC
The following ooting locations were observed: d
✓,, a�Zo�u 1i G . S s— 3 —�
NOTE: This is not intended to verify footing locations, size of footings,
reinforcement requirements, or that the excavations are clean at the time
concrete is poured, and does not constitute for pouring footings
without approval from the Department of Building and Safety. The footing
excavations should be thoroughly moistened prior to pouring concrete.
C)
Caisson and friction pile excavations are to be cleaned and inspected -by a
deputy concrete inspector just prior to placing steel and con rete. Tie
co deputy concrete inspector is to verify the dimensions th s exca S.
Date time Field Representative
Foundation Engineering Co., Inc. (813)996 -1600
18344 Oxnard St., Tarzana, -CA. 91356 (213)873 -5032
Messages Before 8 am, After 5. pm, & Holidays, Recorder (818)996 -1365
Job Address:
The _ ps f�{; footing excavations indicated
were below were o served'and appear to extend into the approved foundation
materials f support of footings as described in the.Geotechnical Report sliaw
dated 0 f
The followin ooting to a ions were observed: o
il l Y7 r 32cS O
1
NOTE: This is not intended to verify footing locations, size of footings,
reinforcement requirements, or that the excavations are clean at the .=e
concrete is poured, and does not constitute authority for pouring footings
without approval from the Department of Building and Safety. The footing
excavations should be thoroughly moistened prior to pouring concrete.
cli Caisson and friction pile excavations are to be cleaned and.inspected by a
CD deputy concrete inspector just prior to placing steel and con rete. The
co deputy concrete inspector is to verify the dimensions h excav s.
Date z Z ime "�� Field Representative �klc
roundation Engineering Co., Inc. (818)996 -1600
18344 Oxnard St., Tarzana, -CA. 91356 (213)873 -5032
Messages Before 8 am, After 5 pm, & Holidays, Recorder (818)996 -1365
NOTI
Job Address:
The
below were bsery
materials for sup
dated Z.,,Qd/
CE REGARDING FOUNDATION EXCAVATIONS
EW J footing excavations indicated
and appear to extend into the approved foundation
t of footings as described in the Geotechnical Report
L
ions were observed:
NOTE: This is not intended to verify footing locations, size of footings,
reinforcement requirements, or that the excavations are clean at the time
concrete is poured, and does not constitute authority for pouring footings
without approval from the Department of Building and Safety. The footing
excavations should be thoroughly moistened prior to pouring concrete. 4M
Caisson and friction pile excavations are to be cleaned and inspected by a
deputy concrete inspector just prior to placing steel and concrete. The
deputy concrete inspector is to verify the dimensi rhs 9f hesfe exc�va ons.
Date ,.4 Vime Field Representative
11f/� Foundation Engineering Co., Inc. 996 - 1,,x00
Y+ 18344 Oxnard St., Tarzana, CA. 91356 873 -5032
Messages Before 8 am, After 5 pm, & Holidays (Recorder) 996 -1365
MEMORANDUM r
N
O
H
996 -1600 ~'
873 -5032
996 -1365
co
({(�� Foundation Engineering Co., Inc.
�+ 18344 Oxnard St., Tarzana, CA. 91356
Messages Before 8 am, After 5 pm, & Holidays (Recorder)
MEMORANDUM
0
re�re�e
l
co
N
O
^f
Foundation Engineering Co., Inc. 996 -1600
18344 Oxnard St., Tarzana, CA. 91356 873 -5032
Messages Before 8 am, After 5 pm, & Holidays (Recorder) 9.--, 01365
MEMORANDUM I I
Job Address: (1107 J/ cz I�d • j_ ��1 Cc (it 4_
Message to: wI-
0
Foundation Engineering Co., Inc. 996 -1600
18344 Oxnard St., Tarzana, CA. 91356 873 -5032,
Messages Before 8 am, After 5 pm, & Holidays (Recorder) 996 -1365
MEMORANDUM
Job Address: 6o 7 ?
Message to:
Ito, 4.-:-,- }� l¢ �,�)�t �.✓v �4 iv GP's �I l v/�
Ito, dca= t�'1 I -. A C- A I CG& WL X17 �4f �W �P Jh e*
.n« -
Date 31 I) 1'; Time � O � 30 �.qi ���- -�� - -� +
N Field Representative
CO
0
UZ
TIP'S DEPUTY INSPECTION SERVICE, INC..
15760 MARLINTON DRIVE., — WHITTIER, CA 90604 -3403
(213) 947 -0441
JOB REPORT OF INSPECTION
�Yf /N L.A._CI_TY L.A.0 -O? UBC TITLE 21 OTHERS
Building. Permit No. �� Date of Inspection: From "`- 1� Thru
& Date
Project Name
Project Address 9i/ '~ ' t
/ /, I! • Address
General Contractor
Address
Sub Contractor
Structural Engineer
Architect
BILL TO:
TYPE OF INSPECTION:. Field ' "- . Welding Other
Shops y ,Bolting
Off -Site Fabricato4
At
Size of Bldg. _' No. of Stories ,
Electrodes: �U
Welder Certifications:
Daily Hours Worked: Mon. "_" Tues.
Thurs. Fri.
Sat.
Wed.
Sun
Inspection% based on a Minimum of 4 Hours and over 4 Hours • 8 Hour Minimum. In addition, any
inspection extending past noon hour will be an 8 Hour Minimum.
Miles: Parking Fees:
Inspector's Signature
Contractor's Representative
(Signature to verify Inspector's presence only .)
Distribution: White & Yellow -- TIP'S Pink -- Customer -- Goldenrod -- Deputy
OFFICE USE
Ile
O.T.
Pay Hours
Benefits.
Remarks
Initials
Report:
TYPE OF INSPECTION:. Field ' "- . Welding Other
Shops y ,Bolting
Off -Site Fabricato4
At
Size of Bldg. _' No. of Stories ,
Electrodes: �U
Welder Certifications:
Daily Hours Worked: Mon. "_" Tues.
Thurs. Fri.
Sat.
Wed.
Sun
Inspection% based on a Minimum of 4 Hours and over 4 Hours • 8 Hour Minimum. In addition, any
inspection extending past noon hour will be an 8 Hour Minimum.
Miles: Parking Fees:
Inspector's Signature
Contractor's Representative
(Signature to verify Inspector's presence only .)
Distribution: White & Yellow -- TIP'S Pink -- Customer -- Goldenrod -- Deputy
OFFICE USE
HOURS
Regular
O.T.
Pay Hours
Benefits.
Remarks
Initials
PRINTED BY MR. INSTANT PRINTER -Div. AL'S RUBBER STAMP & SPEC. WORKS- (213)696 -1415 WHITTIER, CA.
�4UL =
11 C. F0 AND PrEDANUA99OC;A'TE0 .A(iCHITECTUnE. r RL�..NINO • ENOINEERINO
1170 SOUTH BE VG Y
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PRINTS
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REV, DATE
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P, DEPT-
roles TO: Ryl
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III
REED'AND REED AND ASSOCIATES ARCHITECTURE • PLANNING ENGINEERING
470 SOUTH BEVERLY DRIVE BEVERLY HILLS, CALIFORNIA 90212 (213) 552 -1011
T R A N S M I T T A L
To OTrr of
Attention: 'lIM
We are sending you herewith:
PRINTS
❑ TRACINGS
❑ CALCULATIONS
❑ COPY OF LETTER
❑ SPECIFICATIONS
Cl SHOP DRAWINGS
X L=7r-m sv.E
. • 5r
PROJECTKd��Lk
❑
AS REQUESTED
❑
FOR REVIEW AND COMMENT
❑
FOR YOUR APPROVAL
❑
FOR INFORMATION AND USE
❑
CORRECT AND RESUBMIT
❑
AS NOTED
❑
BY MAIL
❑
BY BLUEPRINTER
❑
PICKED UP
❑
BY MESSENGER
t.�D SCap�
QUANTITY
DRWG. NO.
DATE
REV. DATE
DESCRIPTION
CORE*
t.�D SCap�
GaPi�S
MC t5j&TE W 10
a► p«l�s 01,3
MJC+ -0SU M
04K me- e 8 -!0 q
COPIES TO:
�" r"' F; I \i F
JAN 1:'. 1989
CRY OF ARCAOIA
PLANNING DEPT.
BY: �61 `
� h
il Li: Ei r, -2
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/ 1 2
o �! 61cLL c�N
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zria
' AL :_
JOHN A. REED y
7
HT Z f rl9l RCHITECT����
,1:7 Cz ,
..
LA
la-'ri DEPT.
JOHN A. REED
T
A
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GLE6f�c�] FROM
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BUILDING AND SAFETY DIVISION
City Arcadia _ MISCELLANE"AUS AND OFF —SITE
240 W. HUNTINGTON DR., ARCADIA, CA91006 • TEL. (818) 574 -5416 PERMIT
z
(n
U
Fit
O
.'O
n
Q
eaitdi ". 7/ /���r
MISCELLANEOUS FEE RECEIPT
Ann,.,,
Owner
PLAN CHECK FEE FOR VAL.
❑ CASH BOND FOR
it
Add,..,
GRADING PLAN CHECK
❑ GRADING PERMIT
ZiP 902 <1,
❑ HOUSE MOVING
Addre.s.
✓a .1 ^ r.� r
FTS'C G \I(
L
❑ PARKS AND RECREATION FEE
Cp �(
18, 5
Z��?'� rF`\M+
S
�P-��� "I
fi;Lo -WIC
❑ ROUTE INSPECTION FEE
❑ jrn e,
Slot: Lice City
B CIO „If. I Lie. No.
LICENSED CONIRACTOR'5 DECLARA 10?
1 I hereby affirm that l am licensed under provlsinns of Chapter 9 commencing w ish Seclion
Elge
of D.,is,on 3 of the Business and Profosinm Code, and my license is in full force •nd
❑
afters.
ii
OWNER - BUILDER DECLARATION
❑ I hereby affirm etas 1 em exempt from the Contractor's License Law for the following
TOTAL FEE
(J
*- ARNINGt PLAN CHECK FEES. WHINE NO ACTION IS TAKEN of THE
water: "Sec7031.3. Business and Professions C odes. Any cry or county which.... Ices a
perm ro construct, alto. rmprovr, demolish, or .real. any ..tact...., prior miss usuan.e
APPLICANT IN 180 DAYS AND NO BUILDING PERMIT IS ISSUED, FEES ARE
also requiter she applicanf for such permit to fire a signed statement that he is licensed
FORFEITED TO THE CITY.
pursuant to the pro”. ons of the Commrwr s License Low. Chapter 9 (commencing with
Section )000) of Division 3 of the Business and Professions Code. or shat he is eremp,
therefrom, and the basis for she alleged exemption. Any violation of Section 7031.5 by any
SEWER PERMIT
appleanrforapermi,subjects the applicant to a civilpenalry ofnor more rhanfrvn hundred
PERMISSION IS HEREBY GRANTED TO MAKE SEWER CONNECTIONS AT
dollar, ($500) ."
I, as owner of the propcny, or my employees with wages as their sole compensation, will
o the wort, acts she is nm offered far sale. "n c. Bmerry and
a Contra owner
Law dor ma apply ownemployee,, ry who
Covesthereon heonrandwb
LOT BLOCK TRACT
buildiiom
build. improve does through his own
and who dens rush work
provided improvements or offered f evirr,
than such not intended or "JQred ,ale. harrier, she
LOCATION LATERAL
ant is old ware her
building or improvement it sold within one vmr efromplmon, the own .. - builder will have
building bu
q OLE
the burden of proving that he did not build or improve for the purpose of role. °
SEWER PLAN NO.
CESSPOOL FILL
❑ I. as of she property, am exclusively somucting with licensed cantwet °r m
3.00
construct the project. 'Sec. 7001, Business and Professions Code. The Contractors License
Law does nor apply to an owner ofproperry who builds or improves thereon. and who can -
♦
ma ctr for such projects wish a ronsmcrorls) licrnsecipursuam to the Contractors License Law'
INSPECTED 198
i
TOTAL
f
❑ I am escempt under Sec. _ - -. B. A P. C. for the reason
BY BY
CURB AND SIDEWALK
Date Owns,
WORKERS' COMPENSATION DECLARATION
❑ 1 hereby affirm that I have a certificate of consent to self- insure, or a certificate of
CURB BREAK REPLACE CURB FT.
Worker's Compensation Insurance, or a certified copy thereof. (Sec. 3800, Labor Code.)
Policy hw Company
DRIVEWAY APPROACH SIDEWALK FT.
is filed Certified copy i Ea Dam
❑
❑Copvy
witM1 the City. M1ercby furnished.
INSPECTED TOTAL FEE
CERTIFICATE OF EXEMPTION FROM
garatial
WORKERS' COMPENSATION INSURANCE
STREET CUT
(This section nerd nos be campinrd if she permit is Jar err hundred dollars ft /00) or
❑ I certify that in the performance of the work for which this yermit is issued, 1 Nall not
ESTIMATED SIZE OF PATCH AMOUNT OF DEPOSIT
employ any person in any manner so as to become subject to the W orkcri Compensation Law
�_ /SQ. FT,
of California.
NOTICETO APPLICANT: If, after onakingthls Cersifimre efE.,.p,,.. yo.sEoWd became
ACTUAL SIZE OF PATCH AMOUNT CHARGED
subject sa she Worker' Compensation provi ions of she Labor Code. you mast forthwith
/S0. FT.
comply with each provisions or this permit shall be deemed revoked.
AMOUNT REFUNDED
I certify that I hive read Nis up tic ore in(ormnion ix correct. 1
RECEIVED FROM STREET DEPT.
agree to comply with all c' my .,did sand at wa rehung to buildinii
IN ION F
construmion, and he short a of thi stirrers Nc abovnmentioned
property for i ton parts -7
INSPECTED 198BY
PERMIT FEE
Signawrea - i"� -�Ya
p�DMe
Mailing Address �4 ✓ W!d r
(�
Iferviip / °O
TOTAL FEES
City, State. zip-
This is a building permit when properly filled out, signed and Validated, 12 -14-87 1CL7586 TOTAL 1648.97
and is subject to expiration if work thereunder is suspended for 180 days.
BUILDING AND SAFETY DIVISION F,7!
City of Arcadia MISCELLANY "SUS AND OFF —SITE
240 W. HUNTINGTON DR., ARCADIA, CA 91006 As TEL. (818) 574.5416 PERMIT ek g ,7-54- /
ewdina 77 L-C.)777TE 747- MISCELLANEOUS FEE RECEIPT
Addrasa
Mailing -1• —V ill` G,G�Li7 /ACID
Address C/
Syr'. i__....w .-r' -L zip Ter-.7 /;,1'e, .r
IAdd w7i% V aW�v �gra o c sJP, i
A i
B Clossif. I Lie. No.
I hereny OLrm sb.t I am licensed anew pmvisioro or Cbpm 9lrommmeinp wish section
1 of D,.ision 3 of the Business and Pmfessinm Code, and my liceme a in full farce and
,Net.
OWNER BUILDER DECLARATION
I hereby affirm that 1 am exempt from the Contractor's License Law for the following
son: "Se,. 7031.3. Business and P,pfrnipns Codex. A ray acv or coumy which ...... Is a
permit to mnavuct. alter. improve, demolish. or repair any mucmrr, prior calls issuance
also rpuims the applira sir far such permit ra file a signed aanmem char he is licensed
part... ro the pravlaons of rhr Contract— s Li,rnrc Law. [hopes 9 (commencing wish
Secsian 70001 of Division 3 of the Businns and Prafessson, Cad,, or shat he is .,m,
th ... fee. and the basis for Ins allrged urmption. Any violarion of5,ctian 7031.5 by any
applicanrfor a permit. subjects she applicant so a civil penalty of not more rhanfive hundred
dollars f$5006"
P o.as owner of the property, or my employees with wages as their sole compensation, will
Ibe work, and the structure is not intended or offered for sale. "Sec 704e. Business and
Prof ...... Code TAr CannanarT Li,rnsr Law does no/ apply t an owner olproprny who
builds or improves thereon and who does such work himselfor through his own employers,
provided that such improvements are nor fliresided or offered for sale. If, however, the
building or improvement is sold wirhm one rear Jcomplenon, the owner-budder will have
the burden al proving that he did not build or improve for she purpose of sale.'
Ell. • er of the property. am exclusively contracting with licensed contractor to
construct he project. ''See. 7044. Business and Professions Code: The Contractor's License
Law don nor apply loan owner ofproperry who builds or improves thereon, and who con -
traas for such projects with a canttaorf,) licensed pursuant ro the Conmanoi s License Law.'
❑ 1 am excempt under sec. _ _ —. B. a P. c for the reason
Date - -- __ -- -- Owner
WORKERS' COMPENSATION DECLARATION
I hereby affirm that i have a certificate of consent to self - insure. or a certificate of
Worker's Compensation Insurance, or a certified copy thereof. (See. 3800. Labor Code.)
Policy No. _ - -_— Company
❑Cayy is filed Certified copyy i EEspp Data
with the city. ❑ nercby fumishrd.
CERTIFICATE OF EXEMPTION FROM u
WORKERS' COMPENSATION INSURANCE
(This section arm oar be ramplel,d if the permit is for one handr,d dalla,s (6100) ar less.)
U) [3 1 certify that in the performance of the work for which this ermit is issued, I shall not
a employ any person in any manner so as to become subject to the Workers Compensation Law
m of California.
n NOTICETO APPLICANT !f, after making This ConJirare ofEsemprioa you sAoa/db,,aAa,
subject to the Warkeri Compensation provisions of the Labor Code, you must forthwith
0 amply with each provisions or this permit shall be deemed revoked.
I certify that 1 have read this apVHCat100 and state that the above information ix correct. I
agree m comply with alt city and c miaow d to bwa reluing to nuildin■■
0 construction, and hereby am�DS rescmatives o his �mr the abovnmcntroned
O property Tor inspe<tio srf6o
'10 signature or
Mailing Adaress
City. Sine, Zip -%
IF PLAN CHECK FEE FOR VAL.
Q CASH BOND FOR
QGRADING PLAN CHECK
Q GRADING PERMIT
Q HOUSE MOVING
Q PARKS AND RECREATION FEE
❑ ROUTE INSPECTION FEE
❑ M l L U l
180 DAYS AND NO BUILDING PERMIT IS ISSUED, FEES ARE
SEWER PERMIT
PERMISSION IS HEREBY GRANTED TO MAKE SEWER CONNECTIONS AT
LOCATION
INSPECTE
CURB AND SIDEWALK
CURB BREAK REPLACE CURB
DRIVEWAY APPROACH SIDEWALK
STREET CUT
ESTIMATED 512E OF PATCH AMOUNT
/SO. FT,
ACTUAL SIZE OF PATCH AMOUN7
RECEIVED FROM STREET
INSPECTED—IN—By
"N r,7VV 1 D(10%
This is a building permit when properly filled out, signed and validated, 12 -14 -87 1CL7585 TOTAL 1708.14
and is Subject to expiration if work thereunder is suspended for 180 days.
6
BUILDING & SAFETY DIVISION
240 West Huntington Drive
Arcadia, California 91006 -3104
( 8 1 8 ) 574 -5416
607 W DUARTE RD
Activity No : A8800055
Status : APPROVED
This type : Sewer /Street /Sidewalk Project
Parcel number .
Group -occup /use:
Owner
Applicant
Applicant Addr
Job Address
Phone number
Construction
Permit to do
WILCOX & WILCOX
P O BOX 340 NEWHALL CA 91322
607 W DUARTE RD
805 - 259 -6262
NEW
STREET CUT
Contractor : WILCOX & WILCOX
S.This type : OFFSITE
z Est. Size Patch(Sq Ft) > 50
Fee description
To Calculate Deposit
Enter Sq Ft Asphalt
Total Deposit
Inspection Fee
Permit Fee
* ** Fees Required
Total Fees:
(�0 MP LF TF0
06/07/88 11:24
Project No :
AU000034
Validated by :
CP
Inspector area:
206
Date Applied :
06/01/88
Date Issued :
06/01/88
Date Finaled .
Date To Expire:
LiC. C 232050
Units Fee /unit
---------------------------
> 50.00 3.00
805 - 259 -6262
Ext fee Data
150.00
150.00
20.00
10.00
* ** * ** Fees Collected & Credits * **
- - - - -- --------------------------------------------
Receipt No. Date Payment
06/01/88 180.00
180.00 Total Payments: 180.00
Balance Due: .00
CALL FOR INSPECTION
Requests for inspections should be made at least
twenty -four hours in advance by telephone at
574-5416,8:00 A.M. - 5:00 P.M.
Inspectors office hours are:
8:00 - 9:00 A.M.; 1:00 - 1:30 & 4:30 - 5:00 P.M.
9
at'7�
/o -349
DECLARATIONS
In accordance with Health & Safety Code, Section
19825, all required declarations on the reverse side of
this form have been properly signed and dated by
the permittee.
Verified by:
Signature
t -1