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r �' FOR OFFICE USE ITY Op CITY OF ARCADIA S' 11! r DEVELOPMENT SERVICES DEPARTMENT _- BUILDING SECTION ARCADIA ''+c ,40 joy 240 West Huntington Drive C�++ MpLETEu Arcadia, California 91007 Es� poRAT%-- (818) 574-5416 I Page 1 of 1 1017 N ENGLISH OAKS DR 05/21/96 08:42 Permit No. : A9601478 Autoproj No : AU015431 Status : APPROVED Validated by : GERI Inspector area: 206 This type : Roofing Project Applied : 05/21/96 Issued : 05/21/96 Parcel number : 5769-026-044 Finaled .• Group-occup/use: To Expire .• Owner : MATHIEU Applicant : GREENBERG, RONNY LEE Applicant Addr : 12190 VENTURA BL. #105 STUDIO CITY, CA 91604 Job Address : 1017 N ENGLISH OAKS DR Phone number : 818-985-8998 Class code • Valuation 13 , 000 Construction : ALT Permit to do REROOF OVER EXIST'G HOUSE & GARAGE (4OSQ 1 CONTRACTOR : GREENBERG, RONNY LEE Lic. C 616284 818-985-8998 12190 VENTURA BL. #105 STUDIO CITY, CA 91604 Roofing Material > DECRATILE Zone > ICBO3409 Fee description Units Fee/Unit Ext fee Data Original Permit Issue Fee (YES/NO) > 35. 00 Y Enter Valuation 13000 Roof Fee 3104> 249 . 60 Refuse Fee 3027> 6. 25 *** Fees Required *** *** Fees Collected & Credits *** Receipt No. Date Payment 05/21/96 290.85 Fees: 290. 85 Adjustments: . 00 Total Credits: . 00 Total Fees: 290. 85 Total Payments: 290.85 Balance Due: . 00 J / 1 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 .............,.....+.. ...J...+L... I ..., A.......L... / .......+.,n...J,. r:+I.. n /'L....,.+...,n nn n__+.__ n nn .+i.� �.._.._.i_ ...... . ... NO OPERATION PERATION NOTES Building Inspections Date Insp. • 1 bing Inspections Date In= , 100. Setbacks 210. Under fir/bId.,drain 101. Rough grade 211. Copper underslab 102. Figs.&forms 212. Rough plumbing 103. Pre-slab 213. Roush'as 104. Floor joists 214. Shower pan 105. Steel 215. Water heater 106. Grout lift 216. Roof drains 107. Shear nailing 217. Building sewer 108. Diaph nailing 218. Water service 109. Roof nailin. 219. Final.as 110. Framing 220. Fixtures 111. Occ./Area Sep.Wall 221. Final plumbing 112. Sound walls 222. Sewer cap/demo. 113. T-bar arid 114. Insulation-fir. Pool Inspections Date I Insp. - 115. Insulation-Wall 240. Excavation/steel 116. Insulation-Ceil. 241. Rough plumbing 117. Drywall nailing 242. Light shell/bonding 118. Interior lath 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 Electrical Inspections 1 Date Insp. 249. Final Plumbing 150. Power pole 250. Pool cover 151. Sales lot lighting 251. Pool final 152. Underground conduit 153. Underslab conduit Reroof Inspections Date I Insp. 154. UFER 'round 270. Pre-reroof insp. 155. Water ground 271. Roof framing 156. Roush electrical 272. Sheathin• nailin. .--2.8- 'dim., 157. Fixtures 273. Final reroof : _1/_q6 M 158. G.F.C.I. 159. Eqpt.bonding Si.n Inspections Date 1 Insp. 160. Service panel 280. Setback/overhang 161. Final electric 281. Footing 282. Conduit/wirin. Mechanical Inspections Date Insp. 283. Disconnect -- 180. Venting/flue -- 284. Final sign �- 181. Furnace/A.C. 182. Rouch HVAC Miscellaneous Insp. Date 1 Insp. 183. Fire dampers 290. Fire alarm 184. Furnace compartment 291. Underground supply 185. Combustion air 292. Fire sprinklers 186. Smoke detectors Pc) //-16 j ,.1, 293. Monitors stem 187. Metal F.P.rough 294. Hood dry chem. 188. Compressor setback 295. Final 189. Commercial hood 190. Duct shaft Sewers&Offsite Insp. Date 1 Insp. 191. Final mechanical 300. Lateral(main to P/L) 301. Saddle/Y Block Wall Inspections Date 1 Insp. 302. Cesspool filled 200. Footings 303. Sidewalk 201. Steel/rebar 304. Driveway 202. Grout lift 305. Curb replacement 203. Final wall 306. Trash bin 1 1 g sg ! J o'E. o f 4WI'4Ed PA 2i 'a�� 5° gm 3 < 1F m d E.5 z k g m§.� m m .v 3 ° z w w 'y F £ O '�-' L- LL Q 4Wi P A M cc 0 4i € S G g- g Vg gs -11.22 ;1_32t2€.5Lgra, -8 ,Vegl t5-42-- `.-.n " R- .9 3wA`_ -2 % Oao o I m.m 3 £c a� ; ` L`,am 6I P-1 1 .g.§,?._ zo w , � a 3,nQ� � - t2 t'E Oc�.1, :4752. '� �i6. 22 _� O s ',_ o _ Q w�aiK t m ' g ki s '2_ 1. 7)4• Z ?, _�Z t o 2 g q -g V j s ¢ t � � 8 $i N ¢Z n. U , g§- �A g°o uz r 5 -2 1. Q-g--1 p o t i p r 6 $ o it g Q .. 5 8 _ 1 0 ° >woI Z c V`+ °¢m N ag $� $ rU � � ¢Q o. ��a3 Vim' 8 � ° U3 � $ € fr> zE'o¢�+ Q � �� Z -; §:� Ia m §v 0 i 2 y..7 „„i'.9_14.-=-5£ t 1sE .. y u,, , mE m-§ 3 8 � o Fi�Y' Cry g 8 z�JTi a o - ~ O 41-E gv E N.��u 2i.s W �.`4dg°� m,�; E _ io� Ti O ., ; 2, :,-it_ - --,T1,TR zw`,?rw, D ._ 9E hi BUILDING AND SAFETY DIVISION ....... — BUILDING City of Arcadia PERMIT 240 W. HUNTINGTON DR., ARCADIA, CA 91006 • TEL. (213) 446-4471 1 em, e U.B.C. Type Occ. Building -7 m I4-�� Edition I Const. Group Address k �tt/ (g _ Occ F. D.Appr. Date H. D.Appr. Date Lot I Block Tract Load Required Required No. �n n `� _ Use Zone Special Case No. t'` Owne _ e, !V�.LT' 1 '4 1 LA..) a I Date Y` Homeowners Association Approval C%� Mailing ^1 Address t © 1 t e-A( -4 S t-i 014- 5 City t� _„ 1Zip I Teo- "5-g L Sze Q t-. Contractor Special L) L/ ( p , ps P iv, Conditions NOTE: Include: -► Address Q � / QED DR_` VALUATION Labor, Material, Plumbing, Etc. $ �; Ci `�L �K Zip, e Misc. FEE t'�Y1,D ��� 17 s4- �`Z 3 t'Mo 3 Private State Lic. City t Swimming Pool/Spa Public &Classif. [ Z Z-D 1 j l-- Lic. No. /1„92L Arch., Engr., Sign-Pole 1=1 Wall ❑ Designer Address Tel. . Temporary El Projecting El ko City 'Zip State _ Fee Based on Total Sq.Ft. tY Lic. No g UI Proposed PLAN CHECKING HECKING FEE W Construction d Q � C� 4g S.M. P ° 1 V' 3 D r y Permit Fee nommino... `3 S Floor Main Accessory Total ..c Processed by TOTAL S--- ,Area CJ New❑ AddA Alter.El Repair❑ Demolition❑ Permit No. Plan No. Date , LICENSED CONTRACTOR'S DECLARATION WORKERS'COMPENSATION DECLARATION ❑ I hereby affirm that I have a certificate of consent to self-insure,or a certificate of 171 hereby affirm that 1 am licensed under provisions of Chapter 9(commencing with Section Worker's Compensation Insurance,or a certified copy thereof.(Sec.'3800,Labor Code.) I,I of Division 3 of the Business and Professions Code,and my license is in full force and effec. Policy No. _ ______—–Company Copy is filed ❑Certified copy is Exp.Date OWNER-BUILDER DECLARATION with the City. hereby furnished. I I ❑ I hereby affirm that I am exempt from the Contractor's License Law for the following CERTIFICATE OF EXEMPTION FROM reason:"Sec.7031.5.Business and Professions 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 ' (T 's section need not be completed if the permit is for one hundred dollars($100)or less.) also requires the applicant for such permit to file a signed statement that he is licensed I certify that in the performance of the work for which this permit is issued,I shall not pursuant to the provisions of the Contractor's License Law,Chapter 9(commencing with emp any person in any manner so as to become subject to the Workers'Compensation Law Section 7000)of Division 3 of the Business and Professions Code, or that he is exempt of California. therefrom,and the basis for the alleged exemption.Any violation of Section 7031.5 by any NOTICE TO APPLICANT:If,after making this Certificate of Exemption you should become applicant for a permit,subjects the applicant to a civil penalty of not more than five hundred subject to the Workers' Compensation provisions of the Labor Code,you must forthwith dollars!$500).” comply with each provisions or this permit shall be deemed revoked. I.as owner of the property,or my employees with wages as their sole compensation,will CONSTRUCTION LENDING AGENCY o the work,and the structure is not intended or offered for sale."Sec.7044,Business and I hereby affirm that there is a construction lending agency for the performance of the work Professions ild o improves Code:The Contractor's who des License Law work h ms if or h an h owner of employees, property who for which this permit is issued.(Sec. Civil Code.) 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, the Lender's Name building or improvement is sold within one year of completion,the owner-builder will have the burden of proving that he did not build or improve for the purpose of sale." Lender's Address ❑ I, as owner of the property, am exclusively contracting with licensed contractor to I certify that I have read this application and state hat the above information is correct.I construct the project."Sec.7044,Business and Professions Code:The Contractor's License agree to comply with all city and county ordinan• and state laws relating to building Law dots not apply to an owner of property who builds or improves thereon,and who con- construction,and hereby= •repre .lives., is city to enter the,.ove-me toned tracts for such projects with a contractor(s)licensed pursuant to the Contractor's License Law." property for inspectio I ii am excempt under Sec.______—_,B.&P.C.for the reason _ Signature of Applies ! J u Date i 2-- • Z�� Mailing Address �_�, � "3!.. ' t t Date ,–_ #24 t� -- wner City,State,Zip -! M l t 10 UM LI/a 4 - 1 Z 9- This is a building permit when properly filled out, signed and validated, -�Ptfi f�1T COO PY Y and is subject to expiration if work thereunder is suspended for 180 days. fiP"pf. i t t4_ • BUILDING AND SAFETY DI ON ".... .... BUILDING City of Arcadia PERMIT 240 W. HUNTINGTON DR., ARCADIA, CA 91006 • TEL. (213) 446-4471 IN \ 4 I\ 4 Building U.B.C. - IType �. IJi Address/01 English Oak T)r_ Edition Const. Group Lot Block Tract Occ. F. D.Appr. Date H. D.Appr. Date N No. 7 33763 Load Required Required Use Zone Special Case No. Owner Orlas Construction, Inc, Mailing Homeowners Association Approval Date Address61 5 Las Tunas Dr. # E City Zip Te. Lot c Arcadia 91006 4.x.5-00'19 Size Contractor Special ° Owner Conditions NOTE: Include: C Address VALUATION Labor, Material, Plumbing, Etc. $ (2 3‘78 1.0: City Zip Tel. ' Misc. FEE CY state Lic.220387—c33+ sub E city ) Private r3<Classif. Lic. No. ! 1 Swimming Pool/Spa 0 0 Public • 01 Arch., Engr., Sign-Pole ❑ Wall❑ n Designer Groteweil Addr Tel Temporary❑ Projecting❑ 1 w. Sierra MadreBl. K- t City ip State Fee Based on Total Sq.Ft. rySierra Madre 910211 Lic. No.r n� Const on Dwelling PLAN CHECKING FEE loci PLAN # B s.M.I.P. Permit Fee 3 G 9' 7r Floor Main Accessory Total Processed by ' S�CJ Area ,1 I 21 .8 6 s f. TOTAL 3 7 5 New® Add.❑ Alter.❑ Repair❑ Demolition❑ Permit No. Plan No. Date 6,_ ;7_p0 LICENSED CONTRACTOR'S DECLARATION WORKERS'COMPENSATION DECLARATION ❑ 1 hereby affirm that 1 am licensed under provisions of Chapter 9(commencing with Section G-I hereby affirm that I have a certificate of consent to self-insure,or a certificate of 7000)of Division 3 of the Business and Professions Code,and my license is in full force and Worker's Co Aensation 1 s raa ccc orr a certified copy lb ec.'38000.L pb ode.) effect. Policy No.'aiie-', i�rtV�-f--._Company .;ftle - Copy is filed Certified copy is Exp.Date OWNER-BUILDER DECLARATION n with the City. hereby furnished. I //.,/ t ❑ I hereby affirm that I am exempt from the Contractor's License Law for the following CERTIFICATE OF EXEMPTION FROM r�`� I reason:"Sec.7031.5.Business and Professions 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 ( section need not be completed if the permit is for one hundred dollars($100)or less.) also requires the applicant for such permit to file a signed statement that he is licensed 'I\certify that in the performance of the work for which this permit is issued,I shall not pursuant to the provisions of the Contractor's License Law,Chapter 9(commencing with toy any person in any manner so as to become subject to the Workers'Compensation Law Section 7000)of Division 3 of the Business and Professions Code, or that he is exempt alifornia. therefrom,and the basis for the alleged exemption.Any violation of Section 7031.5 by any 9 applicant for a permit,subjects the applicant to a civil penalty of not more than five hundred N ICE TO APPLICANT:/f,after making this Certificate of Exemption you should become dollars($500)." su ject to the Workers' Compensation provisions of the Labor Code,you must forthwith 0o ply with each provisions or this permit shall be deemed revoked. I,as owner of the property,or my employees with wages as their sole compensation,will CONSTRUCTION LENDING AGENCY o the work,and the structure is not intended or offered for sale."Sec.7044,Business and I hereby affirm that there is a construction lending agency for the performance of the work Professions Code:The Contractor's License Law does no/apply to an owner of property who for which this permit is issued.(Sec.3097,Civil Code.) 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. lf, however, the Lender's Name building or improvement is sold within one year of completion,the owner-builder will have -- the burden of proving that he did not build or improve for the purpose of sale." Lender's Address riiIII cI. as owner of the property, am exclusively contracting with licensed contractor to ��— onstruct the project."Sec.7044,Business and Professions Code:The Contractor's License I certify that I have read chi ..'cat• ..,starn the above information is correct.I Law does not apply to an owner of property who builds or improves thereon,and who con- agree to comply with all ci an. c•. din: s and state laws relating to building tracts for such projects with a contractors)licensed ursuant to the Contractor's License Law." construction,and hereby a i an oft is city to enter the above-mentioned F property for inspection.- ..s ❑ I am excempt under Sec._ —,B.&P.C.for the reason -- Signature of Appl ice" Z .�� '�'e4-'°Date - _ Mailing Address /D __ ate_ _ Owner __. City,State,Zip / INSPECTOR COPY This is a building permit wi properly filled out,signed and validated, and is subject to expiration if work thereunder is suspended for 120 days. s•►. IMAPECTION RECORD '1, FOUNDATION: (Gr. Certif. Comp. Tests, Set- backs,Forms,Reinf.Steel,Excavation. INSPECTION NOTES FLOOR SLAB/JSTS., GIRDERS: Mesh, Vap. Barrier,Blkg.,Spans,Access,Vents,Tr.Lmbr. MASONRY: Reinf., Mortar Jts., Grout Lifts, _ Clean-Outs,Bolts. // ROOF SHTG.:Nailing,Diaph.Blocking,Material !'. Grade and Thickness, Roof Drains. FRAMING:Walls,Raft.,Jsts.,Blocking,Bracing, '!/ c. Backing, Diaphr. Draft Stops. ��yrd- Nailing, INSULATION: Thickness, R-Values, Piping, �� Sound Caulking. 'i /FIREWALLS: Material, Thickness, Dampers, ,' f' �' Doors,Closers,Fusible Links. �.17 i ; INTERIOR:LATH/DRY WALL:Nailing,Supports, - Laps,Joint Reinf. A/ 1 a//,�) EXTERIOR LATH/SIDING: Mesh, Fasteners, 1 , f Laps,Paper,Thickness,Backing. s —FINAL INSPECTION: Finish Grading Certif., Slope Plant., Energy Compl. Card Posted, Pkg. Access, Fire Doors, Exit, Locking De- e, ,I • vices, Landings, House Numbers, Weather it-3)A-7 Stripping,PI./Engr.Clear. �'� SWIMMING POOL/SPA EXCAV. REINF.SETBACKS:Radius Stl.,Bond- ing,Exp.Soil, Ramp Loc.,Surcharge. FENCE/GATES: Height, Closers, Accessibility, Latches,Stability. FINAL INSPECTION: --- MISC. IIGNS: IE-ROOF: • INSPECTION DAKro. INSP.SIGN. .I. BUILDING AND SAFETY DI 'ON City of Arcadia ELEC./MECH./PLMBG. 240 W. HUNTINGTON DR., ARCADIA, CA 91006 • TEL. (213) 446-4471 PERMIT No. Description (Additions, Commercial, Industrial) Fee illk Building Address LOT #7, 1017 ENGLISH OAKS DR. services 1 (Size: ) 5.00 owner ORLA'S CONSTRUCTION, INC. Outlets P g W (Receptacles, Lights, Switches) Address 615 LAS TUNAS DR. W Fixtures i` City 1 Zip Tel. >-ARCADIA 91006 I 445 0039 Cl') Motors Contractor 1 (H P each: ) 5.00 u JERRY'S ELECTRIC, INC. —J 4 Other (-- Address U (Specify: 1 BOX 159 Sq. Ft. Area New 333Q .01 33.30 City Zip Tel U Residential Bldg. (� BALD-WIN PARK I 91706 962 9188 w sq•Ft. Area New State Lit. City --I Accessory Bldg• 500 (D .005 2.50 a classic, 010259475 Lit. No.0-11075-1, W — LICENSED CONTRACTOR'S DECLARAW3Ff Misc. FAI I hereby affirm that 1 am licensed under provisions of Chapter 9(commencing with Section O rt III)of Division 3 of the Business and Professions Code,and my license is in full force and Pool ELECTRICAL FEE 45.80 f` effect. Wiring OWNER-BUILDER DECLARATION No. Description No. Description Fee I hereby affirm that I am exempt from the Contractor's License Law for the following FAU to and includ. Boiler/Compressor reason:"Sec.7031.5.Business and Professions Codes.Any city or county which requires a x 100,000 BTU to and includ. 3 HP `) permit to construct,alter,improve•demolish,or repair any structure,prior to its issuance also requires the applicant for such permit to file a signed statement that he is licensed W FAU over Boiler/Compressor (.) pursuant to the provisions of the Contractor's License Law,Chapter 9(commencing with P'"" 100,000 BTU over 3HP to 15 HP Section 7000)of Division 3 of the Business and Professions Code, or that he is exempt Cl) therefrom,and the basis for the alleged exemption.Any violation of Section 7031.5 by any Fir./Wall/Susp./Pool Air Handler to and applicant for a permit,subjects the applicant to a civil penalty of not more than five hundred (r) Heaters includ. 10,000 cfm dollars($500)." ' ( J Spray Booth/ Air Handler I,as owner of the property,or my employees with wages as their sole compensation,will b. o the work,and the structure is not intended or offered for sale."Sec.7044,Business and U Exhaust Hood over 10,000 cfm t Professions Code:The Contractor's License Law does not apply to an owner of property who Vent. Fon Other: builds or improves thereon and who does such work himself or through his own employees, z provided that such improvements are not intended or offered for sale. If, however, the Q includ• Duct building or improvement is sold within one year of completion,the owner-builder will have the burden of proving that he did not build or improve for the purpose of sale." = Misc. 0 I, as owner of the property, am exclusively contracting with licensed contractor to W construct the project."Sec.7044,Business and Professions Code:The Contractor's License 2 Law does not apply to an owner of property who builds or improves thereon,and who con- 1 MECHANICAL FEE tracts for such projects with a contractor(s)licensed pursuant to the Contractor's License Law." No• Description No. Description Fee ❑ I am excempt under Sec. __,B.&P.C.for the reason Bathtubs Water Heaters Date Owner _-_ - W Showers Garbage Disposals WORKERS'COMPENSATION DECLARATION N Water Closets Laundry Trays 4 I hereby affirm that 1 have a certificate of consent to self-insure, or a certificate of Worker's Compensation Insurance,or a certified copy thereof. Sec.3800,Labor Code.) U) Lavatories Clothes Washers Policy No. __550115-79 Company STAVE FUND Kitchen Sinks Sewer Connections rrn Copy is filed Q Certified copy is Exp.Date CD (•,'J' with the City. hereby furnished. I 11-13-80 I Z CERTIFICATE OF EXEMPTION FROM m Dishwashers Sewer Cop WORKERS'COMPENSATION INSURANCE 2 Shower Pon Gas System (This section need not be completed if the permit is for one hundred dollars($100)or less.) = Replacement (No.Outlets: 1 El I certify that in the performance of the work for which this permit is issued,I shall not J Swim. Pool Solar employ any person in any manner so as to become subject to the Workers'Compensation Law a Piping _ Installation of California. Misc. NOTICE TO APPLICANT:lf,after making this Certificate of Exemption you should become PLUMBING FEE subject to the Workers' Compensation provisions of the Labor Code,you must forthwith I — comply with each provisions or this permit shall be deemed revoked. I certify that I have read this.pplication and st i that the above information is correct.I ELEC•,MECH.,PLB G. ISSUANCE FEES 10.00 agree to comply with all city d county ord•n nccCCs and state laws relating to building construction,and hereby a h, ize representati this city to enter the above-mentioned property for inspection p f. yes. I 10-23-80 TOTAL FEES 55 80 Signature of App .a:,.. �A - ...D...-• Mailing Address BOX 159 Date' BALDWIN PARK, CA. 91706 By cessed City,State,Zip --- P."1 INSPECTOR COPY • This is an electrical/mechanical/plw. .g permit when properly filled out, signed and validated, and is subject to expiration if work thereunder is suspended for 120 days. INSPECTION RECORD PECTOR dOTES t UNDERGROUND CONDUIT - ROUGH WIRING :►- NEW SERVICE f/ �r� `! f FIXTURES ',� 1 .Pd, FINAL ELEC. INSP. /}t t^�/ 9.. TEMP. POWER POLE OTHER OTHER 1 J ELEC. UTILITY CLRNCE. //3,//�',?' t O �IQ/, 11g3 t 301ki U. G. DUCTS/REFRIG. LINES el RO. MECH. Ducts, Comb. Air, Supports, Vents FINAL MECH. FAU/AC unit vents, shutoffs ,p,-. OTHER t t OTHER U.G./UNDER FLR. Soil, Water, Gas, Supports RO. PLMBG. Water, Gas, Vents, Supports,.Fleshings GAS TEST SEWER/PRIV. DISP. SYSTEM DIAGRAM ro FINAL PLMBG. Fixtures, Valves, CServices WATER HTR. Vent, Valves, a Press. Rel. Valve 0 SEWER/PRIV. DISP. SYSTEM OTHER OTHER GAS UTILITY CLRNCE. BONDING H U.G. CONDUIT 3 GAS PIPING Material, Depth p GAS TEST C HEATER Vent' Clearance, Location, Shut-off t D FINAL POOL ELEC. NFINAL POOL PLMBG. OTHER INSPECTION `"`''E INSP. SIGN. BUILDING AND SAFETY C ;ION City of Arcadia ELE ./ I�___ECH. MBG. 240 W. HUNTINGTON DR., ARCADIA, CA 91006 •TEL. (213) 4464471 P R M IT Lot #t7 i'lan No. Description (Additions, Commercial, Industrial) Fee Building Address J-017 English Oaks Drive Services ••,! (Size= ) , i\; Owner Orla's Construction Outlets (�-, G Moiling W (Receptacles, Lights, Switches) Address 615 Las Tunas Dr. F , I'— Fixtures (.d1 Tel. U) City Arcadia I zip91006 I >- V)V) Motors tf::', Contractor Bees Heating & A/C J (HP each: ) CO Q Other (Specify'. ) Address 712 North Loren Ave. U U 1"" A Sq. Ft. Area New City Azusa IZrp 91702 Tel. 337-6732 )-- Residential Bldg. C .J f W Sq.Ft. Area New ;3,: State Lic. 257573 C-20 City O—r4 Cjt8—L W _Res. Accessory Bldg. G^. a Clossif. Lic. No. v�^rJ'�� • LICENSED CONTRACTOR'S DECLARATION Misc. 'ill I hereby affirm that I am licensed under provisions of Chapter 9(commencing with Section ' t ill of Division 3 of the Business and Professions Code,and my license is in full force and Pool i ELECTRICAL FEE t effect. Wiring ` OWNER-BUILDER DECLARATION No. Description No. Description Fee t 1 ❑ I hereby affirm that I am exempt from the Contractor's License Law for the following c 1 FAU to and incluct;nr'y I B ler/Compressor • reason:"Sec.7031.5.Business and Professions Codes.Any city or county which requires a i 100,000 BTU t tU•and inelud• 3 HP permit to construct,alter,improve,demolish,or repair any structure,prior to its issuance also requires the applicant for such permit to file a signed statement that he is licensed W FAU over 1 Boiler/Compressor /l, ton 01 pursuant to the provisions of the Contractor's License Law,Chapter 9(commencing with F- 100,000 BTU over 3HP to 15 HP 4 Section 7000)of Division 3 of the Business and Professions Code, or that he is exempt V> r■ therefrom,and the basis for the alleged exemption.Any violation of Section 7031.5 by any > Flr./Wall/Susp./Pool Air Handler to and t applicant for a permit,subjects the applicant to a civil penalty of not more than five hundred U) Heaters inctud. 10,000 cfm dollars($500)." J Spray Booth / Air Handler I,as owner of the property,or my employees with wages as their sole compensation,will do the work,and the structure is not intended or offered for sale."Sec.7044,Business and U Exhaust Hood over 10,000 cfm Professions Code:The Contractor's License Law does not apply to an owner of property who Vent. Fan Other: 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, the Q inelud• Duct building or improvement is sold within one year of completion,the owner-builder will have the burden of proving that he did not build or improve for the purpose of sale." V Mi l... 264[ . OI, as owner of the property, am exclusively contracting with licensed contractor to W '7 — r construct the project."Sec.7044,Business and Professions Code:The Contractor's License MECHANICAL FEE 22.75 Law does not apply to an owner of property who builds or improves thereon,and who con- tracts for such projects with a contractors)licensed pursuant to the Contractor's License Law: ❑ I am excempt under Sec. ,B.&P.C.for the reason . No Description No. Description Fee Bathtubs Water Heaters Date Owner W Showers Gorboge Disposals A WORKERS'COMPENSATION DECLARATION N Water Closets Laundry Trot's I;gl hereby affirm that I have a certificate of consent to self-insure, or a certificate of Worker's Competttytp r�pnee,or a certified co thereof.(S 380 .Labor Code.) N Lavatories Clothes Washers '�Y(�[J`JV Compaq' tate Yana Policy No. Citchen Sinks Sewer Connections Copy .h filed ❑Certified copy d Exp.Date Z with the City. hereby furnished. ( _ CERTIFICATE OF EXEMPTION FROM I ishwashers Sewer Cop CO m WORKERS'COMPENSATION INSURANCE Shower Pan Gas System (This section need not be completed if the permit is for one hundred dollars($100)or less.) = Replacement (No. Outlets'. ) ❑ I certify that in the performance of the work for which this permit is issued,I shall not J Swim. Pool Solar employ any person in any manner so as to become subject to the Workers'Compensation Law FZ Piping I"gtallotian , of California. Misc. 'PLUMBING FEE NOTICE TO APPLICANT:lf,after making this Certificate of Exemption you should become subject to the Workers' Compensation provisions of the Labor Code,you must forthwith ) t 22. 5 comply with each provisions or this permit shall be deemed revoked. I certify that I have read this application and state that the above information is correct.I ELEC.,MECH.,PLB G ISSUANCE FEES agree to comply with all city and county ordinances and state laws relatin to building ' construction,and hereby au a.rize repr• entatives of this city to enter the ab a-me ry Toned property for inspection pu y tses. / C ,/7VI ??�I �� , ..��/� i TOTAL FEES Signature of Applica Date--- MailingAddress _ A Processedi fir Dote: • '' `City.State,Zip �..� _./ . _ / � _. By: .11� / INSPECTOR COPY This is an electric' ec-= icaliph. ,ing permit when properly filled out,signed and validated, and is le•i • expiration if work thereunder is suspended for 120 days. INSPECTION RECORD ' IN.-ACTOR rvOTES UNDERGROUND CONDUIT ROUGH WIRING — NEW SERVICE 1 FIXTURES — g FINAL ELEC. INSP. F. TEMP. POWER POLE OTHER OTHER ELEC. UTILITY CLRNCE. . it U. GI`�e/REFRIG. LINES f pn Ducts, Comb. Air, / - '� Supports, Vents .`� a'`.' --_--_ FINAL MECH. FAU/AC Unit Vents, Shutoffs 0.0',/ / FOTHER -- - I OTHER U.G./UNDER FLR. S°'I' �'°' ` — Gas, Supports RO. PLMBG. Water, Gas, Vents, Supports,,Flashings GAS TEST SEWER/PRIV. DISP. SYSTEM DIAGRAM —FINAL PLMBG. Fixtures Valves 11 — CServices, , • WATER HTR. Vent, Valves, to Press. Rel. Valve O SEWER/PRIV. DISP. SYSTEM OTHER OTHER GAS UTILITY CLRNCE. BONDING N U.G. CONDUIT 3 GAS PIPING Material, Depth p GAS TEST G HEATER Vent, Clearance, ttsl Location, Shut-off t FINAL POOL ELEC. FINAL POOL PLMBG. N OTHER INSPECTION De —... w.' SIGN. ""` BUILDING AND SAFETY DIVISION MISCELL!''` OUS AND OFF—SIT E City of Arcadia 240 W. HUNTINGTON DR., ARCADIA, CA 91006 • TEL. (213) 446-4471 PERMIT 'Baa;e f � L� MISCELLANEOUS FEE RECEIPT Owner - i 0 IF PLAN CHECK FEE FOR VAL. Moiling 4..) t - Add,e ss f is '� 0 CASH BOND FOR City /'1 p n e Zip el, GRADING PLAN CHECK �. Constructs 5j ., 0 GRADING PERMIT Address a HOUSE MOVING JJ C� r `�. 7 C Do \ %l e -".-..- _ 9 {A PARKS AND RECREATION FEE C,f -5 p Tel. 1 81 1 0 ROUTE INSPECTION FEE BICIe sif.e�. 9 7i in C, 1 ) Lic. No. 0°11 tl 51' LICENSED CONTRACTOR'S DECLARATION 1 hereby affirm that I am licensed under provisions of Chapter 9(commencing with Section ,. )of Division 3 of the Business and Professions Code,and my license is in full force and G effe t. O- T OWNER-BUILDER DECLARATION ❑ I hereby affirm that I am exempt from the Contractor•s License Law for the following - TOTAL FEE reason:"Sec.7031.5.Business and Professions Codes.Any city or county which requires is WARNINGS PLAN CHECK FEES. WHERE NO ACTION IS TAKEN BY THE perms to construct,alter.improve,demolish,or repair any structure,prior to its issuance APPLICANT IN 180 DAYS AND NO BUILDING PERMIT IS ISSUEDSSFEES ARE also requires the applicant for such permit to file a signed statement that he is licensed FORFEITED TO THE CITY. pursuant to the provisions of the Contractor's License Low.Chapter 9(commencing with Section 7000)of Division 3 of the Business and Professions Code, or that he is exempt SEWER PERMIT O therefrom,and the basis for the alleged exemption.Arty violation of Section 7031.5 by any applicant for a permit,subjects the applicant to a civil penalty of not more than five hundred PERMISSION IS HEREBY GRANTED TO MAKE SEWER CONNECTIONS AT dollars(5500).'' o oI,as owner of the property,or my employees with wages as their sole compensation,will the work,and the structure is not intended or offered for sale."Sec.7044.Business and Professions Code:The Contractor's License Law does not apply to an owner of property who LOT BLOCK TRACT Illw builds or improves the rr on and who does such work himself or through his own employees. provided that such improvements are not intended or offered for sale. If, however, the LOCATION building or improvement is sold within one year oJrtonepletion,the owner-builder will have the burden of proving that he did not build:or improve for the purpose of sale." SEWER PLAN NO. CESSPOOL FILL ❑ I. as owner of the property, am exclusively contracting with licensed contractor to $ 3.00 construct the project."Sec.7044.Business and Professions Code:The Contractor's License Lew does not apply to an owner of property who builds or improves thereon,and who con- traets for such projects with a conrractorls)licensed pursuant to the Contractor's License Law.'' INSPECTED 4p/ ry 198_7 $k. {/+/� // ❑ P BY BY T"A I 1'1 I am extent t under Sec.___ ,B.& P.C.for the reason — CURB AND SIDEWALK• Date___ _—___-.___Owner _ _. t� WORKERS'COMPENSATION DECLARATION CURB BREAK REPLACE CURB FT. 'RI hereby affirm that I have a certificate of consent to self-insure,or a certific to of evrker's Corn ensati Insu nee,or a certified copy ther of.( cc.3 �i0,Labor de.) Policy No --15O Z M_�2(e2 Company DRIVEWAY APPROACH SIDEWALK r FT. P ti 1 rf Copy is filed Certified copy is Exp. Date u with the City. hereby furnished. I ( r — f?ti,1 INSPECTED TOTAL FEE CERTIFICATE OF EXEMPTION FROM LO I cx WORKERS'COMPENSATION INSURANCE STREET CUT This section need not be completed if the permit is for one hundred dollars($100)or less.) ❑ I certify that in the performance of the work for which this permit is issued.I shall not ESTIMATED SIZE OF PATCH AMOUNT OF DEPOSIT employ any person in any manner so as to become subject to the Workers'Compensation Law /50.FT, of California. ACTUAL SIZEOF PATCH AMOUNT CHARGED NOTICE TO APPLICANT:lf,after making this Certificate of Exemption you should become subject to the Workers' Compensation provisions of the Labor Code,you must forthwith ® /SO.FT. comply with each provisions or this permit shall be deemed revoked. AMOUNT REFUNDED I certify that I have read this application and state that the above information is correct.I RECEIVED FROM STREET DEPT. agree to comply with all city and county ordinances and state laws relating to building INSPECTION FEE construction,and hereby authorize representatives of this city to enter the above-mentioned property for inspecti oses.n . i �f INSPECTED 198 BY L Signature of Applicant - a',- Dam�'!-1- 6 PERMIT FEE Mailing Addres- OA 1� + a_ TOTAL FEES `Cos.state.Zlp _ INSPECTOR COPY This is o miscellaneous and off-site permit when properly fi lled out,signed and validated,and is subject to expiration if work thereunder is suspended for IZO days. phark glpE �tar - C.O. , be c.o. pt,. JOB ADDRESS /0/7 Cam' NUMBER STREET APPLICATION FOR A •, .I . PLUMBING PERMIT ?�'eQ( BUILDING S SAFETY DIVISION CITY OF ARCADIA, CALIFORNIA -...3 OW R 7EL�N0. MLAkirl.NG ADDRESS W /C �. rC∎ y , `J`' W C C STATE LIC NO.. Z a' M t DD ESS CITY LIC. NO. c,,, But, -Y.1. - 411 /DsZ L.- C � -p zh '`�/i�7 --1 el/ il) FEE COMPUTATION gip, BATHTUBS FLOOR DRAINS 1:1 / SHOWERS REPLACEMENT SHOWER PANS a' 3 WATER CLOSETS URINALS if LAVATORIES / CLOTHES WASHER / SINKS DRINKING FOUNTAINS (.,),! / GARBAGE DISPOSALS DENTAL UNITS 0 / DISHWASHERS LAUNDRY TUBS h.) TOTAL NO. OF ABOVE FIXTURES )4/ @ 1.75 ,2 ii 50 V' / WATER HEATERS AND/OR VENTS @ 2.00 i _� 1 WATER SYSTEMS @ 2.00 5 OUTLET ADD. OUTLET r GAS SYSTEMS @ 1.75 @ .50 EACH / 7 5 LAWN SPRINKLER SYSTEMS @ 2.00 SAND TRAPS @ 10.00 CLARIFIERS @ 10.00 GREASE TRAPS @ 10.00 WATER SOFTENERS @ 2.25 SWIMMING POOL "P" TRAP @ 2.00 SEWER CAP @ 3.00 CESSPOOL FILL @ 3.00 SEWER CONNECTION ON PROPERTY @ 10.00 I haw carefully rood and examined the above PERMIT FEE 2;00 application and know the same to b• true and correct. All provisions of Laws and Ordinances INVESTIGATION covering this Type of construction will be com- FEE , plied with whether specifi.d herein or not. No j person shall be employed in violation of the TOTAL FEE y? Labor ode of th• State of California /� ../C`" SI NATURE ONT A 0 OR AUTHORIZED AGENT O► CONSTRUCTION PROHIBITED BETWEEN 7:00 P.M. AND 7:00 A.M. AND ON SUNDAYS AND HOLIDAYS AS PER ORD. # 1321. JNSPEP'ON RECORD BASIL INSPECTIONS ITEM NSPECTOR DATE - ' S (1/ GROUND WORK `/�/' j ROUGH PT= c� �Q�- ROUGH GAS 0 �G O—a: PLUMBING TOP OUT /,�/O 6-P HEATING VENTS �Ar!IRi/I ` FINAL GAS FINAL PLUMBING V PARTIAL OR MISC. INSPECTIONS UNSUCCESSFUL TRIPS BUILDING DrIRTAIENT City of Arcadia 446-4471 INSPECTORS IN OFFICE — CITY HALL 8- 9 a.m., 1 - 2 p.m. Job Address , .._r t .,:� ; .`4.? $, W.. / )" itif CORRECTION NOTICE ii i.. ( * �� ?} 10, /1 ice ' . 1 t , 1, I .off` / c! - Fxcf1# 74 l A� '<< # Jr, '(:4 ('i.),, r jt;;e,.t^, j ..rw J/_ t' r a( I .. ..I.V?- " x,#vi,w.1 6t" :i,„011'-, When above correction is made, please notify Building Pepartment for re-inspection. Inspector , I/A-.L,•' ►^ ., :'?' "-* \. //.....,...F ..c,,., ----1 C) Date _ I BUILDING DE ' RTKENT City of Arcadia 446-4471 INSPECTORS IN OFFICE — CITY HALL 8- 9 a.'m., 1 -2 p.m. Job Address 1,47/1 1,�� 4 A,+ "h CORRECTION NOTICE P bi 4,a c n C (,; , ' I �'.�`U C ., 'N ;,..- G.L. (De'r �A'iF' S! + (✓� ,/ -.-r;:�i. i... j„"), When above correction is made, please notify Building Department for re-inspection. per?rInspecto " Date ? y � 0 J B ADDRES� Lis o' ,.l NUMBER STREET MISCELLANEOUS FEE RECEIPT BUILDING & SAFETY DIVISION CITY OF ARCADIA, CALIFORNIA RECEIVED OF40711.7 61D'a,; ,ZZ/(' ' MAILING ADDRESS,e; ae 74 c OWNER TEL NO. ccrc� TEL. NO. ADDRESS- FOR: ❑ *PLAN CHECK FEE FOR VAL. $�Gd���.0 ❑ CASH BOND FOR 3 2/14 IN GRADING Id Caro C o L 4 P,4. �D��Q &,P /3,c,t ❑ PLASTERING I ❑ HOUSE MOVING 3Z, !•• ' ❑ f lee 678, 38 ❑ PJ - Zgy11 - 346 . 37 ❑ tit)L --- 37"----. . / 262,0/ 0 TOTAL FEE 4of, 0/ REMARKS SIGNATURE / * WARNI G: PLA 'CK FEES, WHERE NO ACTION IS TAKEN BY THE APPLICANT IN NINETY (•0 DAYS AND NO BUILDING PERMIT IS ISSUED, ARE FORFEITED TO THE FORM B-58 (REV. 11-62) 1M C)L J JOB ADDRESS P,r0LiS he 9,9KS ANS NUMBER STREET MISCELLANEOUS FEE `,14. RECEIPT BUILDING IL SAFETY DIVISION _ CITY OF AARCCADIA, CALIFORNIA ,�.�J�� RECEIVED OF �/e i s �S- ��i.��b' MAILING ADDRESS 64:6"..'.•41 ''1141T OWNER TEL NO. MAILING ADDRESS FOR: ❑ *PLAN CHECK FEE FOR VAL. $ ❑ CASH BOND FOR ❑ GRADING ❑ PLASTERING ❑ HOUOVI ❑ 'CC o o 0 TOTAL FEE $ �. REMARKS Ed"',( U,r/i 7`S I 't - / - 3 --1--6 - 41111" SIGNATURE 4„,,.. .�� ��� * WARNIN : PLAN C FEES, WHERE NO ACTION IS TAKEN BY THE APPLICANT IN NINETY (90 '•YS AND NO BUILDING PERMIT IS ISSUED, ARE FORFEITED TO THE CITY. FORM B-58(REV. 11-62) 1M (DI_