HomeMy WebLinkAboutOld permits • Development Services Depar ""t -,...N 17/
:� 1: 240 West Huntington Drive,R .Office Box 60021 PER. :NO. BOO-021-367
Arcadia,CA 91066-6021
City of (626) 574-5416,Fax (626)447-9173 Permit Type: Roofing
Arcadia
PROJECT TRACT NO. LOT NO. APPLICATION DATE ISSUED BY PRINT DATE PERMIT STATUS
3/ 2 JB 10:12 3/7/2005 Issued
PROJECT ADDRESS• ,�ID ASSESSORS PARCEL NO. GEO CODE
comp
1018 English Oaks Dr 5769-026-043
OWNER MAILING ADDRESS
Stein,Alan P And Kamhi Stein Lia D 1018 English Oak Dr PHONE NO. Inspector#: JOHN
Arcadia,CA 91006 EMAIL ADDRESS:
APPUCANT MAILING ADDRESS
Grater,Guy 7115 Monterey Street PHONE NO. (909)593-4982
La Verne,CA 91750 EMAIL ADDRESS:
CONTRACTOR/PROFESSIONAL MAILING ADDRESS
D&G Roofing 7115 Monterey Street PHONE NO. (909)593-4982 FAX NO.
La Verne,CA 91750 EMAIL ADDRESS:
License No. 534986 Type: C39 Expires: 7/31/2006 12:00:
TENANT MAILING ADDRESS
PHONE NO. FAX NO.
DESCRIPTION
T/O AND REROOF HOUSE AND GARAGE WITH 25 SQS OF CLASS"A"COMP(3.5 PSF)-NEW SHEATHING
Construction Type UOM #of Units Value Construction Type UOM S of Units Value
Value Value 7,500.00 $7,500.00
OCCUPANCY: Reroof TOTAL VALUATION: $7,500.00
QTY UOM DESC AMT AMT PAID ACCT QTY UOM DESC AMT AMT PAID ACCT
Flat Bldg Issue Auto $40.25 $40.25 01-3104
each Bldg permit $203.85 $203.85 01-3104
Totals for: 01-3104 $244.10 $244.10 /
Flat SWMF Auto $6.25 $6.25 88-3027 �4( C/'//A.I.. �'
r J 'r/7 �[/
Totals tor: 88-3027 $6.25 $6.25 (/n
347 ( ,---)
Total Fees: $250.35 Total Amount Paid: $250.35 Paid Today: $250.35
This permit/plan review expires by time limitation and becomes null and void if the work authorized by the
permit is not commenced within 180 days from the date of issuance or if the permit is not obtained within 180
days from the date of plan submittal. This permit expires and becomes null and void if any work authorized by ■
this permit is suspended or abandoned for 180 consecutive days or if no progressive work has been verified by
a City of Arcadia building inspector for a period of 180 consecutive days. 141,
CALLS FOR INSPECTION INSPECTORS'OFFICE HOURS
Requests for inspection should be made at least Monday-Thursday Friday
one(1)business day in advance of the inspection 7:30 a.m. to 8:30 a.m. 7:30 a.m. to 8:30 a.m.
by telephone at(626)574-5416 for onsite work. 4:00 p.m.to 5:30 p.m. 4:00 p.m. to 4:30 p.m.
(Closed on alternate Fridays)
ti. rot! `44'
PERMIT/PLAN REVIEW APPLICATION
Mt Rsit:57� •
., 4p Development Services Department, 240 West Huntington Drive, Post Office Box 60021
04p°°'T`°- Arcadia, CA 91066-6021, (626) 574-5416, Fax (626) 447-9173
City of
Arcadia
LICENSED CONTRACTOR'S DECLARATION WORKERS' COMPENSATION DECLARATION
4 I hereby affirm under penalty of perjury that I am licensed under provisions of I hereby affirm under penalty of perjury one of the following:
Chapter 9, commencing with Section 7000, of Division 3 of the Business and
Professions Code y license is in full for - a . e -c. ❑ I have and will maintain a certificate of consent to self-insure for workers'
�j! �' �j� compensation, as provided for by Section 3700 oft
the Labor Code, for the
License Class Lice No. J,�� .• Exp.Date...7 �//��++
Signature of Contractor o..� .v .
performance of the work for which this permit is issued.
I have and will maintain workers' compensation insurance,as required by Section
OWNER-BUILDER DECLARATION 3700 of the Labor Code,for the performance of the work for which this permit is
❑ I hereby affirm under penalty of perjury that I am exempt from the Contractors issued. My worker pensati ' sura ce carrier and policy number are:
License Law for the following reason(Section 7031.5, Business and Professions
Code: Any city or county which requires a permit to construct, alter, improve, Carrier
demolish,or repair any structure,prior to its issuance,also requires the applicant
Policy Number 265r
for such permit to file a signed statement that he or she is licensed pursuant to the (This section need not be completed if the permit is for one hundred dollars or less.)
provisions of the Contractors License Law(Chapter 9(commencing with Section
7000)of Division 3 of the Business and Professions Code) or that he or she is ❑ I certify that in the performance of the work for which this permit is issued,I shall
exempt there from and the basis for the alleged exemption. Any violation of not employ any person in any manner so as to become subject to the workers'
Section 7031.5 by any applicant for a permit subjects the applicant to a civil compensation laws of California,and agree that if I should become subject to the
penalty of not more than five hundred dollars($500)): workers' compensation provisions of Section 3700 of the Labor ode, I shall
forthwith comply with those provisions.
❑ I, as owner of the property, or my employees with wages as their sole r
AA,,,14..
compensation,will do the work,and the structure is not intended or offered for Date 327.05 Applicant "'•---
sale(Section 7044,Business and Professions Code:The Contractors License
Law does not apply to an owner of property who builds or improves thereon,
or who does such work himself or herself or through his or her own
employees,provided that such improvements are not intended or offered for WARNING: Failure to secure workers'compensation coverage is unlawful,
sale. If,however,the building or improvement is sold within one(1)year of and shall subject an employer to criminal penalities and civil fines up to one
completion,the owner—builder will have the burden of proving that he or she hundred thousand dollars($100,000),in addition to the cost of compensation,
did not build or improve for the purpose of sale). damages as provided for in Section 3706 of the Labor Code, interest, and
attorneys fees.
❑ I, as owner of the property, am exclusively contracting with licensed
contractors to construct the project(Section 7044, Business and Professions
Code:The Contractors License Law does not apply to an owner of property CONSTRUCTION LENDING AGENCY
who builds or improves thereon, and who contracts for such projects with a I hereby affirm under penalty of perjury that there is a construction lending agency
contractor(s)licensed pursuant to the Contractors License Law). for the performance of the work for which this permit is issued(Section 3097,Civil
Code).
❑ I am exempt under Section 7044,Business and Professions Code,for this reason:
Lender's Name
Date Owner Lender's Address
IMPORTANT: APPLICATION IS HEREBY MADE TO THE BUILDING OFFICIAL FOR A PERMIT SUBJECT TO THE CONDITIONS AND
RESTRICTIONS SET FORTH ON THIS APPLICATION AND THE FOLLOWING:
1. The City's approved plans and permit inspection card must remain on the job site for use by City inspection personnel.
2. Final inspection of the work authorized by this permit is required. A Certificate of Occupancy must be obtained prior to use and occupancy of new
buildings and structures.
3. Per South Coast Air Quality Management District (AQMD) regulations, renovation and remodeling work that results in the removal, stripping, or
altering of asbestos containing materials requires an asbestos survey and removal prior to disturbing the asbestos. Please contact AQMD at(909)396-
2000 for further information.
7
Name_D _ tgacte9 Title Qjiitrac-ivr
PRINT NAME
I certify that I have read this application and state that the above information is correct and that I am the owner or the duly authorized agent of the
owner. I agree to comply with all City ordinan s and Sta • laws relating to building construction. I hereby authorize representatives of the City of
Arcadia to enter upon the a ve-mentioned perty fl . . ',n 1 urposes.
Signature c.------ % Date -7-05 Ai
FOR OFFICE USE
:10 01091R CITY OF ARCADIA Ps
COMMUNITY DEVELOPMENT DEPARTMENT L, �Z
BUILDING DIVISION �5
ARCADIA J 240 West Huntington Drive COMPLETED
Teo' Arcadia, California 91007"`.°RPORA o"
(818)574-5416
Page 1 of 2
1018 N ENGLISH OAKS DR 11/22/94 15 :59
Permit No. : A9403641 Autoproj No : AU013408
Status : APPROVED Validated by : SUE
Inspector area: 206
This type : Pool/Spa Project Applied : 11/22/94
Issued : 11/22/94
Parcel number : 5769-026-043 Finaled
Group-occup/use: To Expire •
Owner : ROCKWELL, PETER & JANET
Applicant : ANTHONY POOLS - 17243 67/10 go.
Applicant Addr : 4 ' : : " "' T , OAJTEdD, o • - , • ! : _ 2
Job Address : 1018 N ENGLISH OAKS DR 906,4/0
Phone number : 800-877-6657
Class code
Valuation • 18 , 178
Construction : ALT
Permit to do : POOL & SPA
CONTRACTOR : ANTHONY POOLS Lic. C 190179 800-877-6657
Plan No. > IN FILE
Assessor Book/Page > /
Fee description Units Fee/Unit Ext fee Data
Original Permit Issue Fee (YES/NO) > 35 . 00 Y
Enter Perimeter Feet Pool/Spa > 87
Pool Fees 3104> 336 . 60
Inhouse Plan Check (YES/NO) 3103> 218 . 79 Y
Electrical Wiring (YES/NO) 3105> 61 . 35 Y
Electrical Issuance Fee 3104> 35 . 00
Piping (YES/NO) 3105> 24 . 55 Y
Heater (YES/NO) 3105> 36 . 95 Y
P-Trap (YES/NO) 3105> 9 . 85 Y
Plumbing Issuance Fee 3104> 35 . 00
Refuse Fee 3027> 1. 00
*** Fees Required *** *** Fees Collected & Credits ***
Receipt No. Date Payment
11/22/94 794 . 09
J
Will the applicant or future building occupant handle a hazardous material or a mixture containing a 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
rani iiramantc i inriar tha Inc Annalac rot nty (.nria Titles 9 rhantar 9 9(1 Sartinn 9 9n inn thrni inh 9 9(1 1 do •nnrorninn
1100.. 0114.
NO.OPERATION 1•.OPERATION NOTES
Building Inspections I Date I Insp. Plumbing Inspections T Date I Insp.
100. Setbacks 210. Under fir./bldg.drain
101. Rough grade 9 9 211. Copper underslab
102. Ftgs.&forms 212. Rough plumbing
103, Pre-slab 213. Rough gas
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 nailing 219. Final gas
110. Framing 220. Fixtures
111. 0cc/Area Sep.Wall 221. Final plumbing
112. Sound walls 222. Sewer cap/demo.
113. T-bar grid
114. Insulation-flr. Pool Inspections I Date I Insp.
115. Insulation-Wall 240. Excavation/steel
116. Insulation-Ceil. 241. Rough plumbing 0 c2.2n• "`- .Fri
117. Drywall nailing 242. Light shell/bonding
118. Interior lath 243. Underground conduit Z•Z•Q> WI"
119. Exterior lath 244. P-trap
120. Finish grade 245. Gas line&test c Z• La• y 3'T'
121. Final building 246. Fence,gates signs ;.1.3-/5 i .
122. Final demo/lot clear 247. Pool heater
248. Final electric
Electrical Inspections I Date I Insp. 249. Final plumbing ' 6- 11.
150. Power pole 250. Pool cover I
151. Sales lot lighting 251. Pool final
152. Underground conduit
153. Underslab conduit Reroof Inspections Date I Insp.
154. UFER ground 270. Pre-reroof insp.
155. Water ground 271. Roof framing
156. Rough electrical 272. Sheathing nailing
157. Fixtures 273. Final reroof
158. G.F.C.I.
159. Eqpt.bonding Sign Inspections I Date Insp.
160. Service panel 280. Setback/overhang
161. Final electric 281. Footing
282. Conduit/wiring
Mechanical Inspections I Date I Ins . 283. Disconnect
180. Venting/flue 284. Final sign
181. Furnace/A.C.
182. Rough HVAC Miscellaneous Insp. I Date I Insp.
-
183. Fire dampers 290. Fire alarm
184. Furnace compartment 291. Underground supply
185. Combustion air 292. Fire sprinklers
186. Smoke detectors 293. Monitor system
187. Metal F.P.rough 294. Hood dry chem.
188. Compressor setback 295. Final
189. Commercial hood
190. Duct shaft Sewers&Offsite Insp. I Date I Insp.
191. Final mechanical 300. Lateral(main to P/L)
301. Saddle/Y
Block Wall Inspections I Date Insp. 302. Cess.00l filled
200. Footings 303. Sidewalk
201. Steel/rebar 304. Driveway
202. Grout lift 305. Curb replacement
208. Final wall 306. Trash bin VI
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BUILDING AND SAFETY DIVISION BUILDING
City of Arcadia PERMIT
240 W. HUNTINGTON DR., ARCADIA, CA 91006 • TEL. (213) 446-4471
4
Building U.B.C. Type Occ• 1
-1., Address,(/� �/dlt��5`h' e 40,4;1-, ..„_< . �, Edition (Const. Group
0 No. 6 Block (Tract �c 3 76 Load Required r. Date H.Required
Date
l,(, Use Zone Special Case No. g/ •�j
Owner O�e�is f��✓5.l•�U er7/On/, irir ( �J/
N
Mailing C� �� �� Homeowners Association Approval Date
Address a(o 94y_
' Zip Tel Lot
N City e.,. /;0- i e
YfS-Od,3, Size
LA Contractor Special
0. � e..2A/e"� Conditions
04 NOTE: Include:
Address VALUATION Labor, Material, Plumbing, Etc. $ `,,,a
City Zip Tel. Misc. FEE
State Lic. City E Private
&Classif. Lic. No. Swimming Pool/Spa Public
U' Arch., Engr., � Sign Pole❑ Wall❑
Designer /l/l�lz/S f
til Addresses, Tel. E F Temporary❑ Projecting❑
//S/l' �?f� stg.� E
Q City �/Zije? State E Fee Based on Total Sq.Ft.
i?J" %�/�r ,31 ,37/'Lic. No.
- —
1 Proposed \ S PLAN CHECKING FEE
Construction ��//,//,/,, A'>.6".14.1- Gr/
S.M.I.P.
Permit Fee
Floor Main Accessory Total Processed by
Area TOTAL
New❑ Add.❑ Alter.❑ Repair❑ Demolition❑ Permit No. Plan No. Date
LICENSED CONTRACTOR'S DECLARATION WORKERS'COMPENSATION DECLARATION
1 hereby affirm that I am licensed under provisions of Chapter 9(commencing with Section I hereby affirm that I have a certificate of consent to self-insure,or a certificate of
of Division 3 of the Business and Professions Code,and my license is in full force and ker's p t,ion Ins ranee,o certified copy f.(Sec.'3800,La or Code.
effect. Policy No /r ______Company
■
Copy is fled Certi led copy is x .Date
OWNER-BUILDER DECLARATION with the City. hereby furnished.
❑ 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 INSURANC
permit to construct,alter,improve,demolish,or repair any structure,prior to its issuance (This 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 Ej 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 employ 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
applicant for a permit,subjects the applicant to a civil penalty of not more than five hundred NOTICE TO APPLICANT:If,after making this Certificate of Exemption you should become
dollars($500).'' subject to the Workers' Compensation provisions of the Labor Code,you must forthwith
comply with each provisions or this permit shall be deemed revoked.
1,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 1 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. 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
OI, as owner of the property, am exclusively contracting with licensed contractor to
construct the project."Sec.7044,Business and Professions Code:The Contractor's License I certify that I have read this application and state that 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 city and county ordinances and state laws relating to building
tracts for such projects with a contractor(s)licensed pursuant to the Contractor's License Law." construction,and hereby authorize representatives of this city to enter the above-mentioned
P property for inspection purposes.
❑ I am excempt under Sec._—____,B.&P. for the r- . - Signature of Applicant Date
y �∎ :...# Mailing Address
Date— _ V'd7_Owner =l%//5i�..--_ `- Tom__. City,State,Zip
INSPECTOR COPY / This is a building permit when properly filled out,signed and validated,
and is subject to expiration if work thereunder is suspended for 120 days.
INSPECTION RECORD
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,
Nailing,Backing, Diaphr. Draft Stops.
INSULATION: Thickness, R-Values, Piping,
Sound Caulking.
FIREWALLS: Material, Thickness, Dampers,
Doors,Closers, Fusible Links.
INTERIOR:LATH/DRY WALL:Nailing,Supports,
Laps,Joint Reinf. •
EXTERIOR LATH/SIDING: Mesh, Fasteners,
Laps,Paper,Thickness,Backing.
FINAL INSPECTION: Finish Grading Certif.,
Slope Plant., Energy Compl. Card Posted,
Pkg. Access, Fire Doors, Exit, Locking De-
vices, Landings, House Numbers, Weather
•
Stripping, Pl./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.
SIGNS:
RE-ROOF:
INSPECTION DATE INSP.SIGN.
BUILDING AND SAFETY DIVISION r; PLAN # B '
BUILDING
City of Arcadia PERMIT
240 W. HUNTINGTON DR., ARCADIA, CA 91006 • TEL. (213) 446-4471
Building U.B.C. / Type Occ.
l\`. Address 1018 English Oaks Dr. Edition 7l'' I Const. Group
It Lot 6 Block [Tract Occ. F. D.Appr. Date H. D. Appr. Date
L; No. 33763 Load Required Required
Owner Orla' s Constructiom, Inc. Use Zone Special Case No.
Mailing , Association Approval Date
Address61,) Las Tunas Dr. # _
cn
60 City Arcadia z91006 ITe'4.S-0039 Sze
w. Contractor Special
Owner Conditions
'-moo' Address NOTE: Include: �
VALUATION Labor, Material,Plumbing, Etc. $ 54h _ C`
City Zip Tel. Misc. FEE
h'
State Lic22o387_ C33+sub B1 city 101 Private
NJ &Classi. Lic. No. R , Swimming Pool/Spa n Public
(r. Arch., Engr., Sign-Pole❑ Wall ❑
Designer Groteweil
151 Address Tel. F Temporary❑ Projecting ❑
t'. ; w_Sierra Had e Blvd 35552187 E
City [Zip State E Fee Based on Total Sq.Ft.
1v'f_ �j�gggq 11 02L1 Lic. No.
Proposed S PLAN CHECKING FEE ?(I.
Construction Dwelling
S.M.I.P. 7S—
PLAN # R
Permit Fee 3 G q J 3
Floor Accessory Total Processed by
Area= '-- I 0 ):7(, 2t486 sf.. TOTAL ?i S O
New E Add.❑ After.❑ Repair❑ Demolition❑ Permit No. Plan No. Date 6 g-6 2)
LICENSED CONTRACTOR'S DECLARATION WORKERS'COMPENSATION DECLARATION
❑ 1 hereby affirm that 1 am licensed under provisions of Chapter 9(commencing with Section hereby affirm that I have a certificate of consent to self-insure,or a certificate of
of Division 3 of the Business and Professions Code,and my license is in full force and orker's Cort}pp/eynsation urance,or• certified copy thereo (Sec.'3800,La� e.)
effect. Policv No. � � Company eF'�Fjoar
1-1 Copy is eked Certified copy is Ex..Date
OWNER-BUILDER DECLARATION L_J with the City. hereby furnished. STAMM'S
❑ 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 (This 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
pursuant to the provisions of the Contractor's License Law,Chapter 9(commencing with ❑ I certify that in the performance of the work for which this permit is issued,I shall not
Section 7000)of Division 3 of the Business and Professions Code, or that he is exempt employ any person in any manner so as to become subject to the Workers'Compensation Law
therefrom,and the basis for the alleged exemption.Any violation of Section 7031.5 by any of California.
applicant for a permit,subjects the applicant to a civil penalty of not more than five hundred NOTICE TO APPLICANT:If,after making this Certificate of Exemption you should become
dollars($500).'' subject to the Workers' Compensation provisions of the Labor Code,you must forthwith
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 Code:The Contractor's License Law does no;apply to an owner of property who B B Y P
builds or improves thereon and who does such work himself or through his own employees, for which this permit is issued.(Sec.3097,Civil Code.)
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 Mr-
construct the project."Sec.7044,Business and Professions Code:The Contractor's License I certify that I have read this••.. tion y7-at that 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 city . .unt .non es d state laws relating o building
tracts for such projects with a contractor(s)licensed pursuant to the Contractor's License Laws'' construction,and hereby out•. ep •-r:. Ives, is. ity to enter the above-mentioned
property for inspection pu .•
p `�
❑ I am excempt under Sec._ __ ,B.&P.C.for the reason Signature of Applicant / /ii�.y a ate 47�-'�s/
Mailing Address iir
Date__________________Owner City,State,Zip
INSPECTOR COPY This is a building permit why. •roperly filled out,signed and validated,
and is subject to expiration if work thereunder is suspended for 120 days.
INSPECTION RECORD
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. r_
ROOF SHTG.:Nailing,Diaph.Blocking,Material
Grade and Thickness, Roof Drains. L`�
FRAMING:Walls,Raft.,Jsts.,Blocking,Bracing, / P
Nailing,Backing, Diaphr. Draft Stops. j�
INSULATION: Thickness, R-Values, Piping,
Sound Caulking. P-4k
FIREWALLS: Material, Thickness, Dampers, '`
Doors,Closers,Fusible Links. 'G7 8--in
INTERIOR:LATH/DRY WALL:Nailing,Supports,
Laps,Joint Reinf.
EXTERIOR,Paper,LATH/SIDING:Thickness, cking Fasteners, �� r.
Laps,Paper,Thcknes Backing.
FINAL INSPECTION: Finish Grading Certif.,
Slope Plant., Energy Compl. Card Posted,
Pkg. Access, Fire Doors, Exit, Locking De-
vices, Landings, House Numbers, Weather ��. is I
Wir
Stripping,Pl./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.
SIGNS:
RE-ROOF:
INSPECTION DOW► INSP.SIGN. i011‘k
BUILDING AND SAFETY DIVISION
City of Arcadia ELEC./MECH./PLMBG.
.240 W. HUNTINGTON DR., ARCADIA, CA 91006 •TEL. (213) 446-4471 PERMIT
e ui LOT 6, 1018 ENGLISH OAKS DR. No. Description (Additions, Commercial, Industrial) Fee
1 Services
1 5.00
Owner ORLA'S CONSTRUCTION, INC. (Size: )
2 Outlets
Mailing (Receptacles, Lights, Switches)
Address 615 LAS TUNAS DR. Fixtures
Citill
ARCADIA r°91006 1 Tel. 445 0039 }
U) Motors
D Contractor JERRY'S ELECTRIC, INC. Q 1 or Breach: ) 5 00
,�. Address t) (Specify: )
B011 159 Sp. Ft. Area New
gj City - Zip Tel. I— Residential Bldg. 3330 p .01 33. 30
BALDWIN PARK I 91706 962 9188 W Sq.Ft. Area New
State Lic. City J Res. Accessory Bldg. 500 @ .005 2, 50
DO a claw. C10259475 Lic. No. 0-11075—L W
LICENSED CONTRACTOR'S DECLARATION Misc.
a-.
Q irj I hereby affirm that I am licensed under provisions of Chapter 9(commencing with Section
ITI Ill)of Division 3 of the Business and Professions Code,and my license is in full force and Pool ELECTRICAL FEE 45. 80
r- effect. Wiring t
OWNER-BUILDER DECLARATION No. Description No. Description Fee
El I hereby affirm that I am exempt from the Contractor's License Law for the following FAU to and includ. Boiler/Compressor
re son:"Sec.7031.5.Business and Professions Codes.Any city or county which requires a 2 100,000 BTU to and includ. 3 HP
permit to construct,alter,improve,demolish,or repair any structure,prior to its issuance
CI 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 1— 100,000 BTU over 3HP to 15 HP
LI , Section 7000)of Division 3 of the Business and Professions Code, or that he is exempt (/)
therefrom,and the basis for the alleged exemption.Any violation of Section 7031.5 by any Flr./Wall/Susp•/Pool Air Handler to and
applicant for a permit.subjects the applicant to a civil penalty of not more than five hundred U') Heaters includ. 10,000 cfm
• dollars(8500)."
C^s —1 Spray Booth / Air Handler
� 1,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 Q
OExhaust Hood over 10,000 cfm
Professions Code:The Contractor's License Law does not apply to an owner of property who V Vent, Fan Other:
s 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." = Misc.
OI, as owner of the property, am exclusively contracting with licensed contractor to U
-
construct the project."Sec.7044,Business and Professions Code:The Contractor's License x
Law does not apply to an owner of property who builds or improves thereon,and who con- MECHANICAL FEE
tracts for such projects with a contractor(s)licensed pursuant to the Contractor's License Law."
DI am excempt under Sec. ,B.&P.C.for the reason No. Description No. Description Fee
Bathtubs Water Heoters
Date Owner _. LL1 Showers Garbage Disposals
WORKERS'COMPENSATION DECLARATION I-
& Water Closets Laundry Trays
I hereby affirm that I have a certificate of consent to self-insure,or a certificate of
Worker's C �iatj I nce,or a certified cop lief,p,(-,(S�Labor Code.) N Lavatories Clothes Washers
Policy No. � Company--AA�,JJ,,�,,,��
mil is filed ❑Certified copy is Exp.Date C7 Kitchen Sinks Sewer Connections
with the City. hereby furnished. I o Z
CERTIFICATE OF EXEMPTION FROM l 11-13-80 1 m Dishwashers Sewer Cop
WORKERS'COMPENSATION INSURANCE 2 Shower Pan Gos System
(This section need not be completed if the permit is for one hundred dollars(SI00)or less.) = Replacement (No.Outlets: )
0 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 Q. Pioina - Installotion 1
of California. Misc.
NOTICE TO APPLICANT:If,after making this Certificate of Exemption you should become 'PLUMBING FEE
subject to the Workers' Compensation provisions of the Labor Code,you must forthwith -
comply with each provisions or this permit shall be deemed revoked.
I certify that I have read this ap'lication and state ,t the above information is correct.I ELEC. MECH PLB G. ISSUANCE FEES
, , 10,00
agree to comply with all city a • county ordinan•'• and state laws relating to building
construction,and hereby aut..r e representativ• .f his city to enter the above-mentioned •
property for inspection pu .•- s.
eint
Signature of Applies• `_at....• ._,--Bore 10-23-80 TOTAL FEES 55180
Mailing Address
BOX 159
g BALDWIN PARK, CA. 91706 Processed Date:
City,State,Zip
—
INSPECTOR COPY This is an electrical/mechanical/ph. ig permit when properly filled out, signed and
validated, and is subject to expiration if work thereunder is suspended for 120 days.
— INSPECTION RECOF'.... !SPECTOR NOTES
UNDERGROUND CONDUIT
ROUGH WIRING f.NEW SERVICE 4, r ;., ,
1 FIXTURES 1 —taLAY
/ t
am FINAL ELEC. INSP. L ...f
t
F TEMP. POWER POLE
OTHER
OTHER ('''''-------
ELEC. UTILITY CLRNCE. �-�/_G , W _' , , ,
11 '
U. G. DUCTS/REFRIG. LINES
'k" RO. MECH. Ducts, Comb. Air, ill
I Supports, Vents —
FINAL MECH. FAU/AC Unit
Vents, Shutoffs
g OTHER
t OTHER
U.G./UNDER FLR. Soil, Water,
Gas, Supports
RO. PLMBG. Water, Gas, Vents, •
Supports,.Flashings
GAS TEST SEWER/PRIV. DISP. SYSTEM DIAGRAM
FINAL PLMBG. Fixtures, Valves,
Services
3 WATER HTR. Vent, Valves,
CO Press. Rel. Valve
cs SEWER/PRIV. DISP. SYSTEM
OTHER
OTHER
GAS UTILITY CLRNCE.
BONDING
H U.G. CONDUIT
• GAS PIPING Material, Depth a
3 GAS TEST
G HEATER Vent, Clearance,
,` Location, Shut-off
X FINAL POOL ELEC.
NFINAL POOL PLMBG.
OTHER
INSPECTION CAF INSP. SIGN.
BUILDING AND SAFETY DIVISION
City of Arcadia EL' C./MEC .IPLMBG.
240 W. HUNTINGTON DR., ARCADIA, CA 91006 •TEL. (213) 446-4471 —'MOND MIT
Lot #6 Flan 3r' r
•� -
No. Description (Additions, Commerciol, Industrial) Fee \
Buildin
Address 1018 English Oaks Drive Services
(Size: )
Owner Orla's Construction f Outlets
Address
(Receptacles, Lights, Switches)
Mailing 615 Las Tunas Dr. #r`E 1- -
N Fixtures
Nj City Arcadia I Zi91006 I Tel. > Motors
C' Controctor 7 (HP each: )
U Barnes Heating & A/C J a I Other
f- Address U (Specify: )
712 North Loren Ave. tr ^Sq.Ft. Areo New
Cr City Zip Tel. I— Residential Bldg. Q
Azusa 1 9172 337-6732 W Sq.Ft. Areo New ^
State Lit. City Res. Accessory Bldg. S�
Cit J
- 8 Clossif. 2,57573 C-20 Lic. No.0-04'5f8—L W Misc.
LICENSED CONTRACTOR'S DECLARATION
•
' hereby affirm that I am licensed under provisions of Chapter 9(commencing with Section s,
Sill 1 of Division 3 of the Business and Professions Code,and my license is in full force and
effect. Pool
Wiring ELECTRICAL FEE
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 1 100,000 BTU 10C)I to and includ. 3 HP
permit to construct,alter,improve,demolish,or repair any structure,prior to its issuance W FAU over Boiler/Compressor
R. also requires the applicant for such permit to file a signed statement that he is licensed /'
� pursuant to the provisions of the Contractor's License Law,Chapter 9(commencing with I"- 100,000 BTU 1 over 3 HP to 15 HP `'Y ton
i4 Section 7000)of Division 3 of the Business and Professions Code, or that he is exempt
therefrom.and the basis for the alleged exemption.Any violation of Section 7031.5 by any >• Flr,/Wall/Susp./Pool Air Handler to and
-tit applicant for a permit,subjects the applicant to a civil penalty of not more than five hundred (.1) Heaters includ. 10,000 cfm
dollars($5001. '
J Spray Booth / Air Handler
LP 1,as owner of the property,or my employees with wages as their sole compensation,will
r
Mlle 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 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." V MisVal•, 26f,6•27
LII. as owner of the property, am exclusively contracting with licensed contractor to W i MECHANICAL FEE 22.•75
construct the project."Sec.7044,Business and Professions Code:The Contractor's License
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."
No. Description No, Description Fee
11 I am excempt under Sec. ,B.&P.C.for the reason
Bathtubs Water Heaters
(----- U.1 Showers Garbage Disposals
Date Owner - -
WORKERS'COMPENSATION DECLARATION N Water Closets Laundry Trays
(^` xcp I hereby affirm that 1 have a certificate of consent to self-insure, or a certificate of
\ _ rker's Co ensati n Insurance,or a certified copy thereof.(Sec.3800.Labor Code.) N Lavatories Clothes Washers
I+75098 State Fund
Policy No. _ Company C7 Kitchen Sinks Connections
+�(Copy is filed Certified copy is Exp.Date Z
}J with the City. hereby furnished. 112�1�80 I
CERTIFICATE OF EXEMPTION FROM C� m Dishwashers Sewer Cop
WORKERS'COMPENSATION INSURANCE Shower Pon Gas System
(This section need not be completed if the permit is for one hundred dollars($100)or less.) = Replacement (No. Outlets: )
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 Q, Piping
Installation
of California. Misc. PLUMBING FEE
NOTICE TO APPLICANT:IJ,after making this Certificate of Exemption you should become !Sewer
subject to the Workers' Compensation provisions of the Labor Code,you must forthwith 1 -
comply with each provisions or this permit shall be deemed revoked. r7 K
I certify that I have read this application and state that the above information is correct.I ELEC.,MECH.,PLB G. ISSUANCE FEES 22• /.l
agree to comply with all city and county ordinances and state laws relatin to building
construction,and hereby..thorize re.resentatives of this cit to enter the ab a-me coned I
property for inspection rposes. 22. • 75
�_% �� // �� TOTAL FEES
Signature of Appl is _ Date---- -
Mailing Address , /i.'Z-ar " i / ' Date
'7/ n Processed
`City,State,Zip .�f 7Q . By
INSPECTO-COPY This is an electri•= mach: ic: Ipi ing permit when properly filled out, signed and
validated, and i- bject i• a •iration if work thereunder is suspended for 120 days.
AIM
..� INSPECTION RECOF ... ASPECTOR NOTES
UNDERGROUND CONDUIT
ROUGH WIRING
NEW SERVICE --
5 FIXTURES
3 FINAL ELEC. INSP.
F. TEMP. POWER POLE
F.
OTHER
OTHER -----
ELEC. UTILITY CLRNCE.
U. G. DUCTS/REFRIG. LINES
RO. MECH. Ducts, Comb. Air,
Supports, Vents
FINAL MECH. FAU/AC Unit :0111R.i
Vents, Shutoffs .G /
F OTHER
I OTHER -----
' U.G./UNDER FLR. Soil, Water,
Gas, Supports
RO. PLMBG. Water, Gas, Vents,
Supports,-Flashings
GAS TEST SEWER/PRIV. DISP. SYSTEM DIAGRAM
11 FINAL PLMBG. Fixtures, Valves,
CServices
3 WATER HTR. Vent, Vales,
W Press. Rel. Valve
O• SEWER/PRIV. DISP. SYSTEM
OTHER
OTHER
GAS UTILITY CLRNCE.
BONDING
N U.G. CONDUIT
• GAS PIPING Material, Depth
a GAS TEST
G HEATER Vent, Clearance,
location Shut-off A
Xel FINAL POOL ELEC. T
To
FINAL POOL PLMBG. — n1
OTHER 11
INSPECTION D. INSP. SIGN. --`
RUILDING AND SAFETY DIVISION
City of Arcadia
.0` MISCELLAR'"`�)US AND OFF—S11 E
240 W. HUNTINGTON DR., ARCADIA, CA 91006 • TEL. (213) 446-4471 PERMIT
♦soodmc �� \ •t. a/c� (��s� MISCELLANEOUS FEE RECEIPT
Address �' �t �1--�"1,
Owner / ��+-e.-A-1...,11
lE PLAN CHECK FEE FOR VAL.
Moiling n, Idt- t S iM�j 0 CASH BOND FOR
Address �V7 A
CityZip Tel, GRADING PLAN CHECK t_
C I
Controclo '\j D -r�y 0 GRADING PERMIT
Address C� �j '"7 HOUSE MOVING
1 tl `� v� s^� 1.& 0 PARKS AND RECREATION FEE
Cep "` iii T794? 119 0
"�'LY ROUTE INSPECTION FEE
Stole L"`ic.. �.r'�} /1y'9 41 C--- C�//. City !nn Q
& Closslf, aC_7 I / 1 3 ( Lic. No.8..-,1( S'i -------- _.-
a LICENSED CONTRACTOR'S DECLARATION
s- ❑
' I hereby affirm that I am licensed under provisions of Chapter 9(commencing with Section
cf1 e - of Division 3 of the Business and Professions Code,and my license is in full force and
Zt effect. O
r
OWNER-BUILDER DECLARATION
0 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 a -111-WARNING,PLAN CHECK FEES. WHERE NO ACTION IS TAKEN BY THE
H-s. permit to construct,alter,improve.demolish,or repair any structure,prior to its issuance APPLICANT IN 180 DAYS AND NO BUILDING PERMIT IS ISSUED5IfEES 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 Law,Chapter 9(commencing with
�• Section 7000)of Division 3 of the Business and Professions Code, or that he is exempt
therefrom,and the bases for the alleged exemption.Any violation of Section 7031.5 by ant SEWER PERMIT
applicant fora permit,subjects the applicant to a civil penalty of not more than five hundred
dollars lS.500).' PERMISSION IS HEREBY GRANTED TO MAKE SEWER CONNECTIONS AT
(i IL'J�I I,as owner of the property.or my employees with wages as their sole compensation,will
I. do the work,and the structure is not intended or offered for sale."Sec.7044,Business and
S Professions Code:The Contractor•s License Law does not apply to an owner of property who LOT BLOCK TRACT
builds nr 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 LOCATION R. RAL
building or improvement is sold within one year oJ'rtompletion,the owner-builder will have
the burden of proving that he did not build or improve for the purpose of sole." SEWER PLAN NO. CESSPOOL FILL
LE 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
Law does not apply to an owner of property who builds or improves thereon,and who con- / j '
/
tract.,for such projects with a contractor(s)licensed pursuant to the Contractor's License Low:" INSPECTED / 98
TOTAL
• I am excerpt under Sec_______ B.& P.C.for the reason
BY BY ' # I
CURB AND SIDEWALK
Date ___. _____.____Owner
WORKERS'COMPENSATION DECLARATION CURB BREAK REPLACE CURB FT.
gI hereby affirm that I have a certificate of consent to self-insure,or a certificate of
'o er's Compens' ion I u c'C.C,or a certified copy th eof. 0,Labo Code.)lic)Polity No _ ,S_ oat an _ DRIVEWAY APPROACH SIDEWALK FT.
r Copy is filed Certified copy is Exp. Date
1_1 l with the City. ❑hereby furnished. �
INSPECTED TOTAL FEE
CERTIFICATE OF EXEMPTION FROM �+' �
WORKERS'COMPENSATION INSURANCE STREET CUT
(This section need not be completed if the permit is for one hundred dollars($100)or less.)
O 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 /SO.FT,
of California.
NOTICE TO APPLICANT:lf,after making this Certificate of Exemption you should become ACTUAL SIZE OF PATCH AMOUNT CHARGED
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 ut this city to enter the above-mentioned
property for inspection�ss�useI� INSPECTED 98 BY
Signature of Applicant"tn7+-�-'c Q Date 11-3_�� PERMIT FEE
Mailing Addrerx ICI 4,11 f� � TOTAL FEES
` ity.State.Zip -�-- ---___—.-
INSPECTOR COPY This i's o rniscetloneous and off-site permit in roper/y filled out,signed and
validated,and is subject to expiration if work thereunder is suspended for 110 days.
E
tin
C.O.
To t R4DE
C.O.
b4� Pc..
BUILDING DEPARTMENT
City of Arcadia 574-5416
INSPECTORS IN OFFICE — CITY HALL
8 - 9 a.m., 1 - 1:30 and 4:30- 5 p.m.
Job Address _ /d' Feu 67 6 s i OAK 5 CORRECTION NOTICE
AIU ity r?ce(
N
fr- del 5 r S62IÔ
Se.) ,t �d
A /( rlS� c:)
When above correction is made, please notify
Building Department for re-inspection.
Inspector (1 114-121
Date 5 - (I —
JOB ADDRESS
°II /(7)/6 66/-4Z 6.14fL
NUMBER STREET
APPLICATION FOR A
PLUMBING PERMI7wC
BUILDING B SAFETY DIVISION 7 J^�
CITY OF ARCADIA, CALIFORNIA
� OW ER p TL. NO.
w M,A/I ING •DDR�S,S
lei cofv r.�:d",%/11I[�-� 6477 LCGG- `?/eleAL-
UI / /� ./ _ STATE LIC NO.
,+. Iii; / CITY LIC. NO.
HCI / I.,•
.!� FEE COMPUTATION
C L.9. BATHTUBS FLOOR DRAINS
CO
/ SHOWERS REPLACEMENT SHOWER PANS
3 WATER CLOSETS URINALS
LAVATORIES / CLOTHES WASHER
/ SINKS DRINKING FOUNTAINS
0 / GARBAGE DISPOSALS DENTAL UNITS
tU / DISHWASHERS LAUNDRY TUBS
TOTAL NO. OF ABOVE FIXTURES } 4.1 @ 1.75 Y,/i S
Ow- / WATER HEATERS AND/OR VENTS @ 2.00
1
WATER SYSTEMS @ 2.00
/ GAS SYSTEMS 5 OUTLET ADD. OUTLET ,.
@ 1.75 a .50 EACH / 7,
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 have carefully read and examined the above
application and know the some to be true and PERMIT FEE 4;00
correct. All provisions of Laws and Ordinances
covering this type of construction will be cam- INVESTIGATION
plied with whether specified herein or not. No FEE
person shall be employed in violation of the ,______i___,.....
aborJC/bode of the Stle of liforma. TOTAL FEE 30 ia.1�
+IGNE C T ACTOR OR AUTHORIZED AGENT
1_
CONSTRUCTION PROHIBITED BETWEEN 7:00 P.M. AND 7:00 A.M.
AND ON SUNDAYS AND HOLIDAYS AS PER ORD. # 1321.
INSPECTION RECORD
BASIC INSPECTIONS ANN
IT E M .,INSPECTOR DATE
GROUND WORK _
rA 0 nall a
ROUGH GAS r
PLUMBING TOP OUT �. +
HEATING VENTS /O- 7
FINAL GAS ,+ Qj Win
FINAL PLUMBING u'�
it
PARTIAL OR MISC. 'SPECTIONS
All
Wilirlifgrag7 k ,..
LW
UNSUCCESSFUL TRIPS