Loading...
HomeMy WebLinkAboutOld permits ii CITY OF ARCH Development Services tment PER. 'NO. $QQ-011-531 * mos? ;* 240 West Huntington Drivo-P.O. Box 60021 ill •• Arcadia,CA 91066-6021 `S (626)574-5416 Permit Type: Roofing PROJECT TRACT NO. LOT NO. APPLICATION DATE ISSUED BY PRINT DATE PERMIT STATUS 1/7/2002 CS 14:22 1/7/2002 Issued PROJECT ADDRESS ASSESSORS PARCEL NO. GEO CODE 629 Encino Ct �j//����////,(�� 5780-013-049 OWNER MAILING ��j T�f LEE,PATRIC �� PHONE NO. �� D Inspector#:�� Inspector#. .2.05' EMAIL ADDRESS: APPLICANT MAILING ADDRESS PHONE NO. EMAIL ADDRESS: CONTRACTOR/PROFESSIONAL MAILING ADDRESS CHARLIE THOMAS WANG 1955 BROOKHAVEN AVE 330 PHONE NO. (714)961-1266 FAX NO. PLACENTIA, CA 92870 EMAIL ADDRESS: License No. 693717 Type: B Expires: 8/31/2002 12:00: TENANT MAILING ADDRESS PHONE NO. FAX NO. DESCRIPTION T/O&REROOF HOUSE&GARAGE(38SQS)25 YR SHINGLE Construction Type UOM #of Units Value Construction Type UOM #of Units Value Lamin/fibr shing 25-30 yr square 38.00 $5,700.00 OCCUPANCY: Reroof TOTAL VALUATION: $5,700.00 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 $170.45 $170.45 01-3104 P01 Totals for: 01-3104 $210.70 $210.70 �j 'j �j Al Flat SWMF Auto $6.25 $6.25 88-3027 �.-(0 /hie /` r A*. Totals for: 88-3027 $6.25 $6.25 7` �� /1607 • ,c5 w4t /4/sAvrtr q Total Fees: $216.95 Total Amount Paid: $216.95 Paid Today: $216.95 This permit/plan revie.r 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. CALLS FOR INSPECTION INSPECTORS OFFICE HOURS ARE Requests for inspection should be made at least Monday-Thursday Fridays one(1)business day in advance of the Inspection 7:30 a.m.-9:00 a.m. 7:30 a.m.-9:00 a.m. by telephone at(626)574-5416 for onsite work. 4:00 p.m.-5:30 p.m. 4:00 p.m.-4:30 p.m. , CLOSED ON ALTERNATE FRIDAYS • DEVELOPMENT SERVICES DEPARTMENT•FORM#6600•ARCADIA PRINTING SERVICES gio City of Arcad '"i► Development Service:__apartment e! 240 West Huntington Drive- Post Office Box 60021 tip " Arcadia, CA 91066-6021 •.OgeS19,'O+ (626)574-5416 PERMIT / PLAN REVIEW APPLICATION LIC- SED CONTRACTOR'S DECLARATION WORKERS' COMPENSATION DECLARATION • I h: eby affirm under penalty of perjury that I am licensed under provisions of I hereby affirm under penalty of perjury one of the following: C :pter 9 (commencing with Section 7000) of Division 3 of the Business and P .fessions Code,and my license is in full force and effect. J O I have and will maintain a certificate of consent to self-insure for Li ense Class G. I License No. 61 3,7 / xp.Date workers' compensation, as provided for by Section 3700 of the Labor i Code, for the performance of the work for which this permit is issued. Sign: ure of Contractor: O I have and will maintain workers' compensation insurance, as required by Section 3700 of the Labor Code, for the performance of the work for which this permit is issued. My worker's compensation insurance OWNER - =UILDER DECLARATION carrier and policy number are: I hereby affirm under penalty of perjury that I am exempt from the Contractors License Law for the following reason (Sec. 7031.5, Business and Carrier: Professions Code: Any city or county which requires a 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 Policy Number: statement that he or she is licensed pursuant to the provisions of the is section need not be completed if the permit is for one hundred dollars or Contractors License Law (Chapter 9 (commencing with Section 7000) of ess Division 3 of the Business and Professions Code or that he or she is exempt there from and the basis for the alleged exemption.Any violation of Section 7031.5 by any applicant certify that in the performance of the work for which this permit is for a permit subjects the applicant to a civil penalty of not more than issued, I shall not employ any person in any manner so as to become subject five hundred dollars($500): to the workers' compensation laws of California, and agree that if I should become subject to the workers' compensation • I, as owner of the property, or my employees with wages as their s e provisions of Section 3700 of the Labor Code, I shall forthwith comply compensation, will do the work, and the structure is not intended with those provisions. offered for sale (Sec. 7044, Business and Professions Code: The Contractors License Law does not apply to an owner of property who ate: G Z '-p Applicant: 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 sale. If, however, the building or improvement is sold within one (1) year of completion, the owner - builder will WARNING:Failure to secure workers'compensation coverage is unlawful,and shall have the burden of proving he or she did not build or improve for the subject an employer to criminal penalties and civil fines up to One Hundred Thousand purpose of sale). Dollars($100,000),in addition to the cost of compensation,damages as provided for in I, as owner of the property, am exclusively contracting with licensed contractors to Section 3706 of the Labor Code,interest and attorneys fees. construct the project (Sec. 7044, Business and Professions Code: The Contractors License Law does not apply to an owner of property who builds or improves thereon,and who contracts for such projects with a contractor(s) licensed pursuant to the Contractors License Law). CONSTRUCTION LENDING AGENCY I hereby affirm under penalty of perjury that there is a construction ❑ I am exempt under Sec. B.&P.C.for this reason: lending agency for the performance of the work for which this permit is issued(Sec. 3097,Civ.C.). 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.Construction - tivity is prohibited between the hours of 7:00 p.m.and 7:00 a.m. and on Sundays and Holidays. 2.The City's a'.roved plans and permit inspection card must remain on the job site for use by City inspection personnel. 3. Final insp= tion of the work authorized by this permit is required.A Certificate of Occupancy must be obtained prior to use and occupancy of new buil'ings,and structures. NAM': G AL P(RI/N�,N NAME AME TITLE: C ' I ertify 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 the owner.I agree to comply with all City ordinances and State laws relating to building construction.I hereby authorize representatives of t e City of Arcadia to enter upon the above-mentioned property for inspection purposes. -7 SIGNATUR . ( DATE: /- 0 JOB ADDRESS / vv .2�` ,c�het/Ado e ri- (n S6 v Q NUMBER STREET APPLICATION FOR A SWIMMING POOL PERMIT BUILDING & SAFETY DIVISION /�CITY OF ARCADIA, CALIFORNIA /J k q TEL NO. 19 OWNER p., ADDRESS U6/ {/p / \1 co E ,lZE C,,� Qu STA E LIC. NO Ui K.41 . Q MrC-=4••••■ MAILING ADDRE . C. TEL. NO. w ••TRA/ACTOR STALE LIC. 4 .1�IN�ADDR S IF 1 CITY LIC. NO. v c Y ., (°16 4s 1 Z!4�L r*S' i --S`- i TEL. NO. s €, / 4( - , 03 NOTE! PROVIDE PLOT PLAN ON BACK Of ORIGINAL cn INC 1, POOL SIZE 0 ,,--,,�� �F'RIVATE EST. CAPACITY r ') GALS. D SEMI-PUBLIC 'P TYPE FILTEa// L BACKWASH TO Ql VALUATION (NOTE: INCLUDE LABOR, MATERIAL, ELECTRICAL, HEATING, PLUMBING $ O PLUMBING FEES 0 t► POOL 4./....' ..- GAS HEATER @ $5.00 SYSTEM @ $1.50 4."..... P POOL @ $5,00 ' '....1 P-TRAP @ $2.00 l 3 3-0 PLUMBING PERMIT FEE 2.00 • TOTAL PLUMBING FEE $ /L51 D ' ALL PERMITS MUST BE PURCHASED BEFORE INSPECTION LOT NO. BLOCK NO. TRACT INFORMATION PROVIDED BY BUILDING SECTION REQUIRED FRONT RIGHT SIDE LEFT SIDE REAR SET BACKS PLAN NO. 7 G 9 3 P. C. FEE $ APPROVAL PERMIT FEE $3 0, ;c I have read and examined the above application and know the same to be true and correct. All provisions of the Laws and Ordinances covering building con- struction will be complied with whether specified herein or not No person shall be employed in violation of the Labor Code of the State of California. w. • ..A..e. ...•,_.. SIGNATURE OF OWNS• •R THORIZED AGEN CONSTRUCTION PROHIBITED BETWEEN 7:00 P.M. AND 7:00 A.M. AND ON SUNDAYS AND HOLIDAYS AS PER ORD. #1321. 1, SPE`- €lON.. ECQRD BA ?r PFC11C',S .. --7--3° ,';�// F• ? ',- _ ' P7 - /4, sr-74.'6.? wr ' ?-z6-Ca? ' 1R` q- z`-4.? 7 K f4 e ,�. - - . w -/-e--=- '0--.^.4• 0..e. ,,,,, , 0,--/i/ -1-- . ,-- -t------2.- ,------4.74 ,4 .44., , , , , 4- , - - t---- ,-, x , 0 , t °f _� # .�. JOB ADDRESS • /I's 629 rincino Court NUMBER STREET APPLICATION FOR A BUILDING PERMIT BUILDING & SAFETY DIVISION CO Cj]N yG�,T,�$ CITY OF ARCADIA, CALIFORNIA Cf � Oo l•TILL)U�-'SE ;.LJX . CO. , U. ]L?I,79C.NO. V. MAILING ADDRESS • ] T LI�O C:34 t Duarte liti. tArnay73a. ITY LIC NO, 6 ^ 1--% 1ARCH. TEL. NO, 1 ENGR. l.:r. Gene Wilson Kt '7-3909 C, MAILING ADDRESS TEL.NO. OWNER N � nr 76X Nit _ ,y. i',rs_ John 11aly 1-x.,38 0 MAILING ADDRESS 4 N ! 2 4 South % lasadena, California ON DESCRIPTION OF WORK INJ CZ NEW X] ADD'N ❑ ALTER. ❑ REPAIR ❑ DEMOLISH [1 u '77 FLOOR AREA NO.OF NO.OF DWELLING Z (SO.FT.) 2019 STORIES 1 UNITS Sip ,l.e Z PRESENT BLDG. USE 7 PROPOSED BLDG. USE Q Sin;4e family dwelling' DESCRIBE WORK. a Q1 TO BE DONE LOn st• of single family dwelling i 0 a NOTE! PROVIDE LOT PLAN ON BACK SIDE OF ORIGINAL COPY ONLY u C) EXTERIOR WALL MATERIAL ROOF FRAMING MATERIAL x Stucco 1-X4 Dnn`.-105 -oir v i PARTITIONING MATERIAL ROOF COVERING MATERIAL Lath G, plaster Shake us LOT LOT NO.OF EXISTING = r7 WIDTH 75 DEPTH 110 BLDGS.ON LOT Ilene _. , NOTE: Include Labor, Mat., VALUATION wiring, Plumb., Heat, Etc. 19.500.00 W� aZ v o-w INFORMATION PROVIDED BY BLDG. SECTION LIZ x l Ja LOT NO. ./...--:" BLOCK NO. TRACT � � ('� W m V Z oc USE FIRE OCCU- : SEC. u ZONE �/ ZONE . PANCY 4' SH. \\ su 1�s REQ'D FRONT RIGHT SIDE LEFT SIDE REAR -- ,. 'T SET x BACKS YId'L—0 TYPE OF 'PECIAL ^j/ j CONSTR. IL CASE NO.'Y GRADE _y Y= Approval & Information by Others CITY ENGINEER EASEMENT io DIST. FACE OF SEWER DRIVE ' ,. a0 CURB TO P.L. FT. AVAILABLE OVER },,, Z~ PUBLIC SERVICE PLANNING v =* 4C 3d WATER_ ELECTRIC x O P.C.FEE , PERM.PLAN ❑ CHECK tS PROVAL Z o PERMIT FEE .3 6 APPROVED , / n W/OUT PLAN ❑ j J ea I have carefully react and examined the above application and find the same to U Q he true and correct. All provisions of the Laws and Ordinances governing CQ building construction will be complied with whether specified herein or -. w not. He person shall he employed in violation of the Labor Code of the State of California. I agree not to occupy or allow occupancy of any building 0 N authorized by this permit until final building inspection has been received. f ��.��`y /(/r gaZ bb V SIGNATURE OF VJ OR AUTHORIZED AGENT .fit. f .oe V O FORM B•S1 PERMANENT N. INSPECTION RECORD _ ^BASIC INSPECTIONS Adok ITEM INSPECTOR DATE TRENCHES: WIDTH DEPTH C hhaiL. - W4.- 12 Arjallfy/3 2....., ,ss. FLOOR JOIST 6 -_ .. FRAMING / I'., , - 6.•? .' • , "f„ A FINAL- / —awe PARTIAL OR MISC. INSPECTIONS . 101:2"t'V. ---1 --1 1 . • 1 I 1 UNSUCCESSFUL TRIPS 1-- ITEM INSP. 1 D,TE ITEM i INSF I L'AIE I I ! 1 . . • I I . I 1 I i FR:DNT I.EEACKS P SITE SIDE I REAR I It:SP ThiLTL T FIELE CHECK I 1 . • 10 APPLICANT: PLEASE DO NOT WRITE ABOVE IRIS LINE NOTE. LOCATE ALL STRUCTURES ON LOT, MAKE EOTTOM I • OF PAGE THE STREET.FRONTAGE. M ___ _ a - III• - - ril _ 1 .. .... il • . ____ 1 _ ______ „.... • I . JOB ADDRESS illiallr......,0____.1, ci., ...... k..A o ,.., NUMBER STREET t APPLICATION FOR A us 0141,11EATING, VENTILATING, AIR- CONDITIONING OR REFRIGERATION 0 PERMIT Z BUILDING & SAFETY DIVISION o Z CITY OF ARCADIA, CALIFORNIA yr O / � STC 7 ((qNT? CTOs L GAD R m I,7 CITY LICpNO, a N `1'- I Ti.NO. O o , ', J 2 7 9 M•!LING ADDRESS Z 3 K; DESCRIPTI•N OF WORK Q Z° = EATING ❑ AIR CONDITIONING USE o ❑ REFRIGERATION El VENTILATION ZONE 1- FEE CO T IOI ) f VALUATION --_- a- N a REFRIGERATION SYST MS, IN AILED aQ U w 01 '^W• REPLACED, REPAIRED OR RELOCATED O 0 W 0 EVAPORATIVE COOLERS OR s x 0 0 0 •' VENTILATING SYSTEMS 1 SUB TOTAL —! HEATING APPLIANCES (verNirs) (INSTALLED, ALTERED, REPLACED, REPAIRED (�O RRRRELOCATED) TYPE ST ' — B.T.U. FEE l —� ram � CIRCULATING AIR OUTLETS OR INLETS/// REFRIGERANT COMPRESSORS (INSTALLED OR REPLACED) • QUANTITY OVER INCL. ACTUAL H.P. RATE F E E 0 20 20 50 50 UP I have carefully read and examined the above application and know the same to be true and PERMIT FEE correct. All provisions of Laws and Ordinances covering this type of construction will be com- plied with whether specified herein or not. No INVESTIGATION FEE person shall be employed in violation of thy) ! !I"• 5.Labor Code of the Stat'tits.:l iforni a. TOT •I FEE ��� � r SIG,,oTURE OF CONTR•CTOR OR AUTHORIZ'• AGENT FORM B-SS PERMA ENT INSPECTION RECORD - ; T E M II INSPECTOR DATE ROUGH HEATING - --- --{ dC!`7r V II�, •✓ ROUGH REFRIG. OR AIR COND.--- -_ I DUCTS.._ FINAL HEATING - • FINAL REFRIG OR AIR CONi PARTIAL OR MISC. INSPECTIONS I I UNSUCCESSFUL TRIPS -_1 JU. 'ADDRESS _i,jilli .42 Fines!e3 NUMBER STREET APPLICATION FOR AN ELECTRIC PERMIT BUILDING & SAFETY DIVISION CITY OF ARCADIA, CALIFORNIA OWNER /j��i TEL.NO. MAILIN ADORE a/"" �7 �9�g, h) SO1(02 E a..ey �tee.r f TR CTOR STATE LIC.NO. CO • Doo�S l�S'< UI 1I L / RESS J CITY LIC.NO. O.Vc L d 1.eJ C 4,00 TEL^O. .> . n 661?41 e_( yi,-)31-,S- 4 st Exist. 0 No. Serv. ❑ Reconnect 0 Bldg. Cher9a or Reseal F..1 ;�ry i 40 OUTLETS,BASE PLUGS,SWITCHES,FIXTURES @ 20*EACH 1 & MOTORS I"' 0 to 1 HP 1.00 /t OVER 1 HP to 3 HP © 1.50 / it Q OVER 3 HP to 8 HP @ 2.00 I OVER 8 HP to 15 HP 0 2.50 OVER 15 HP to 50 HP @ 3.00 I I OVER 50 HP to 100 HP 0 5.00 I W OVER 100 HP to 500 HP @ 10.00 I I O OVER 500 HP 0 15.00 I p HEATING CABLE UNIT 0 1.00 1 I 1 RANGE OVEN HEATERS 0 100 KIT. FAN DISPOSAL DISHWASHER 0 1.00 i FURNACE CLOTHES DRYER HAIR DRYER 0 1.00 I 1 RESIDENTIAL ENTRANCE SERV. 100 A MIN. @ 300 I COMMERCIAL ENTRANCE SERVICE I 6.00 I ADDITIONAL SERVICE METERS 0 1.00 1 TEMPORARY POWER POLE O 200 I 1 TEMPORARY UNDERGROUND POWER POLE 0 5.00 1 TEMPORARY SALES LOT LIGHTING 0 1000 I I 220 V POWER OUTLET 0 1.00 I MISCELLANEOUS 1 i I I have carefully read and examined the above application and know the same to be true and PERMIT FEE @ 2;00 correct. All provisions of the Laws and Ordl• nanees governing this type of construction will SUPPLEMENTARY be complied with whether mentioned herein or PERMIT FEE not. No person shall be employed In violation of the Labor Code of the State of California. INVESTIGATION . ^ ell.. FEE&":". `^+ TOTAL FEE y0 f ' S GNATURE OF CONTRACT R , .n.. AUTHORIZED AGENT c� CONSTRUCTION PROHIBITED BETWEEN 7:00 P.M. AND 7:00 A.M. AND ON SUNDAYS AND HOLIDAYS AS PER ORD. #1321. NSPECTION--tECORD BASIC INSPFCTIeNc AI% f,T4LiH 'XI■RES . 1 PNA,„ II:S—, . ,(.,.s. „,e , • 9-24,-(..e. PARTIAL OR MISC. INSPE TIONS , -r-z2.-Gyi i I i UNSUCCESSFUL TRIPS — '- 1 ! ' — I — , 1 RECORD INFORMATION :P.AP ;,-.',Ist I NO or,•.,e-rr, ■ i . _ 1 1 1 1 °HASE i HF AT KW k'A'NGE i OVEN 1 TABLE TOP 1 W kIR : DRKF.Z I t i ■ . I —0(HER RE . -ANCES OR 2 KW. Mil. KW OR HP I 'OTAL tit, (1) I ;4).1 Ir.' ,oris JOB ADDRESS • __ 629 Encino Court ,/10•4„ NUMBER STREE APPLICATION FOR A 44,ii PLUMBING PERMIT f 0 °" BUILDING & SAFETY DIVISION Q CITY OF ARCADIA, CALIFORNIA LL CONTRACTOR STATE LIC.NO. _ O'1 Joseph Cadilli Plbg. Co. 134935C36 .M7 21 E.ESSGarvey Ave NO. d O �' So. Ban Gabriel, Cal. `TEAT-05349 _ OWNER TEL.NO. ? W Gene Wiison _ o .,MAILING ADDRESS a ,X p ON PROPOSED USE j IN3 •e USE ZONE_-_ - ; °' FEE COMPUTATION d 0 - 1 BATHTUBS 1.00 1 CLOTHES WASHERS 1.00 - o z 1 SHOWERS 1 00 SHOWER PANS 3 O %') 3 WATER CLOSETS.00 DRINKING FOUNTAINS O`- W a ^O 4 LAVATORIES 4 00 URINALS Z Z �"! 1 FLOOR,KSERV CE1 U I SAND TRAPS 1 LAUNDRY TRAYS1 0 CLARIFIERS G „_, a a. a V N u. 1 DISHWASHERS 1 01 GREASE TRAPS W 0 Q Cl . W F 17 L GARBAGE DISPO•'L 5 WATER SOFTENERS a. i L WATER HEATERS AND/OR VENTS 2.00 V O TOTAL NO. OF ABOVE FIXTURES : 16 @ 1.00 EA. 16.00 LAWN SPRINKLER SYSTEMS: @ 2.00 EA. BACK FLOW 0.5 DEVICES ADD. DEVICES DEVICES: @ 2.00 @ 250 EA. SWIMMING POOL PIPING SYSTEM @$1.00 1 WATER SYSTEMS @ 1.00 1.00 0-5 OUTLETS ADD.OUTLETS 1.00 1 GAS SYSTEMS: L@ 1.00 @ 200 EA. BOILERS STEAM OR HOT WATER @ 2.00 SEWER CONNECTIONS aim SEWER CAP OR CESSPOOL FILL @ 1.00 SEPTIC TANK,SEEPAGE PIT AND/OR DRAIN FIELD @ 3.00 I have carefully read and examined the above application and know the same to be true and PERMIT FEE 1.00 correct. All provisions of Laws and Ordinances covering this type of construction will be com- plied with whether specified herein or not. No person shall be employed in violation of the Labor TOTAL FEE 19.00 Code of the Sta y of California. , SIG' •TUBE OF CONTRA •- eR AUTHORIZED AGENT .411114, • 52 PERMANENT INSPECTION RECORD . „elk BASIC INSPECTIONS IIIIIIk I T . INSPECTOR DATE " SPPE GROUND WORK IV/ _ 1.••••• ROUGH GAS&PL'B'G . L4 ��/v�� SEWER,SEPTIC TANK • ,e SEEPAGE PIT, DRAINFIELD • • FINAL GAS•- ., fLd 6e7#16 FINAL PLUMBING �I O Z G-L'•-'" PARTIAL OR MISC. INSPECTIONS ild,r / s e Vez------ 6,141/, 'i X‘y es,;0 el/fli . Iv/ ' a/- A1-3/f ‘/0- /(. .97,-..r . 41111r6 I, UNSUCCESSFUL TRIPS JOB ADDRESS 629 1incino Court "I"N NUMBER STREET _ APPLICATION FOR A SEWER— STREET CUT OR CURB AND SIDEWALK BUILDING & SAFETY DIVISION CITY OF ARCADIA, CALIFORNIA OWNER TEL.NO. rvir. & Mrs• John Daly Sy 3-;6)38 DRESS,Ari_Leon, Pasao ena -0 CONTRACTOR STATE LIC.NO. O.M.Ifnutsen 131dg. Co. , Inc. 147980 MAILING ADDRESS CITY LIC.NO. �7 3o E. Duarte Rd. , Arcadia 67 G-� CITY TEL.NO.3 Arc�,d9 a Hi 21 8 Col 7- 3 PERMISSION IS HEREBY GRANTED TO MAKE SEWER CONNECTION AT LOT _. BLOCK TRACT ( LOCATION { Y LATERAL n ( SADDLE lV SEWER PLAN NO. Ci ,f O wit $ 0 INSPECTED_ 196 $ TOTAL 1 BY _ BY ALL CONNECTIONS MUST BE INSPECTED BEFORE BEING BACKFILLED. 24 HOURS NOTICE REQUIRED. CURB AND SIDEWALK FEE CURB BREAK $ DRIVEWAY APPROACH $ "'7'0°0 CURB BREAK & DRIVEWAY APPROACH �OD SIDEWALK FEET REPLACE CURB CURB & GUTTER FEET C RB, GUTTER & SIDEWALK FEET G�S z- STREET SUPERINTENDENT ALL WORK DONE UNDER THIS PERMIT MUST HAVE INSPECTION BY THE STREET SUPERINTENDENT STREET CUT AMOUNT OF DEPOSIT AT 75c PER SQ. FT. ESTIMATED SIZE OF PATCH AMOUNT CHARGED AT 75c PER SQ. FT. ACTUAL SIZE OF PATCH AMOUNT REFUNDED RECEIVED FROM CITY OF ARCADIA, STREET DEPT. TOTAL FEE 196 $ __ SIGNED STREET SUPT. BY ADDRESS ELEPH•NE BY X it' / 7? elk SI. ATURE• ONTRACTOR OR AUTHORIZED AGENT .M B-54 (REV. 7-61) 2I/2M (r. PER-ANENT JOB ADDRESS 629 Encino Court Aws NUMBER STREET (CATION FOR A ( SEWER STREET CUT Q OR 4:11. CURB AND SIDEWALK BUILDING 8 SAFETY DIVISION ��yq � CITY OF ARCADIA, CALIFORNIA t,, OW•EtVI•h.Iut s en TEL.NO. co MAI N1AQ.IjRESSt Duarte Road CONTRCCACTOj�Rj STATE LIC.NO. (; L. D. a i • Construction co . 11:/613 MAILING AQD.ESS, CIT1�L�JyC�. t V I• ,ox 208 CITY Baldwin Park , .uDE1• 3024 N PERMISSION 15 HEREBY GRANTED TO MAKE SEWER CONNECTION AT 629 Lncino Court LOT 1 BLOCK TRACT 25340 LOCATION /LATERAL 7e' L 5/IYStE CSEWERTLAN `/ $ v INSPECTED 196 - $ 111. TOTAL 2 ,C C? BY BY ALL CONNECTIONS MUST BE INSPECTED BEFORE BEING BACKFILLED. 24 HOURS NOTICE REQUIRED. CURB AND SIDEWALK CURB BREAK FEE DRIVEWAY APPROACH CURB BREAK & DRIVEWAY APPROACH SIDEWALK REPLACE CURB _CURB & GUTTER FEET CURB, GUTTER & SIDEWALK FEET STREET SUPERINTENDENT ALL WORK DONE UNDER THIS PERMIT MUST HAVE INSPECTION BY THE STREET SUPERINTENDENT STREET CUT AMOUNT OF DEPOSIT AT 75c PER SQ. FT. ESTIMATED SIZE OF PATCH AMOUNT CHARGED AT 75c PER SQ. FT. ACTUAL SIZE OF PATCH AMOUNT REFUNDED RECEIVED FROM CITY OF ARCADIA, STREET DEPT. TOTAL FEE 196 $_ SIGNED STREET SUPT. BY ADDRE / TEL PHONE BY SIGNATURE OF CONTR 0 0 AUTHORIZED AGENT 4r� .M B-54 (REV. 7-61) 21/2M rv-a A PEF 1NENT INSPECTION RECORD PAP \L OR MISC. INSPECTIONS '"b UNSUCCESSFUL TRIPS R ' "y7.17*-5: soligs a ,l' (!%,mil/ .._�.-. :'-Z--c�lZt4 �-4" e-2. �—e APP L.ic.AIs.N ltUit A ELECTRIC PERMIT f o BUILDING A SAFETY DIVISION C ,_IT� YOF o E r `fONTRACTOR,� ' TEL NO. OU'AAILJNG9DD�S� N /� STATLEILIC.NO, a 0 ce G j`�y//� /7 Jf° - n x OWN` q /�s?` y CITY LIC.NO. z W U i /- /17. , 753 Z MAI GADDRESS N TE NO. W a 0 DESCRIPTION OF WORK 0_ „NEW C° ❑ BLDG. ❑ BLDG. ❑ CHOANGE ❑ OR RESEALT ZONE > 3 OV NJ FEE COMPUTATION ce rrtNOTE! TOTALS SHOWN BELOW MUST BE SUBMITTED IN DIAGRAM ON a 0 t SEPARATE WORK SHEET PROVIDED FOR THIS PURPOSE. O O ce OUTLETS,BASE PLUGS,SWITCHES,FIXTURES Z = rg 100 EACH x occ a W v }}���� LESS THAN 18 APART @ .5,t EACH 1— lV Z "U' FIXTURE PERMIT FEE @ $1.00 MOTORS a a O QUAN. RATE FEE U !,". 1- 0 to I/: HP @ .25 EA. O .2 1 OVER Veto2HP @ .50 " .= Z OVER 2 HP to 5 HP @ $1.00 " U OU OVER 5 HP to 15 HP @$1.50 " a OVER 15 HP to 50 HP 4 @$2.50 W OVER 50 HP to 200 HP @$5.00 " 4 w -- S EACH MOTOR MORE THAN 200 HP $10.00 s TOTAL AIR COND. H. P.1 SUB TOTAL---->. RANGE OUTLETS OR CLOTHES DRYER(ir 504 EACH RESIDENTIAL ENTRANCE SERV-IOOA MIN. HEATING ELEMENTS (i 5C EAt,H HEATER AIR CONDITIONER, WELDERS (TRANSFORMER TYPE) KVA r SOc PER KVA WELDERS (MOTOR GENERATOR) HP( FEE 75%G MTaaEAT. ALER ONTHe AN )/ CONSTRUCTION OR TEMPORARY LIGHTING rp $2.00 MISCELLANEOUS POWER POLE $1.00 , &./�' I have carefully read and examined the above application and know the same to be true and PERMIT FEE @ 1.00 correct. All provisions of the Laws and Ordinances _ governing this type of construction will be com- SUPPLEMENTARY plied with whether mentioned herein or not. No PERMIT FEE @ .50 person shall be employed in viol.tion of the Labor INVESTIGATION Code of the State o California. FEE 1O'TRACTO1 /;/ / ./c TOTAL FEE sled SIGNt O CR OR AUTH IZED AGENT AIN FORM B-53 INSPECTION RECORD ?A'gASIC INSPECTIONS T c '4SPECTOP DATE GROUND WORK ROUGH FINISH-• FIXTURES FINAL RELEASE TO PUBLIC SERV PARTIAL OR MISC. INSPECTIONS ?awe tZ 9oL C C /AZ_ UNSUCCESSFUL TRIPS RECORD INFORMATION _ O.H. l U.G. TEMP.CK. TEMP.CONSTR. NO OF METERS I LITE _WIRE FWR PHASE HEAT KW RANGE OVEN TABLE TOP W.HTR. I DRYER_ OTHER RES. APPLIANCES OVER 2 KW. TOTAL KW OR—T-ii.-1 TOTAL HP. S4) _ 3d) JOB ADDRESS NUMBER STREET APPLICATION FOR AN ELECTRIC PERMIT BUILDING 8 SAFETY DIVISION CITY OF ARCADIA, CALIFORNIA OWNER,ap 0.2 TEL.NO. © �!/r t1 MAILING ADDRESS 11,C) STATE LIC.NO. CONTRACTOR L Ek r6-f0 tx MAILING ADDRESS CITY LIC.NO. f Q S}' T 70 2, CITY t C':7�r �bt QvYQ ft�� DESCRIPTION OF WORK USE ice' New Exist. No Serv. Reconnect ZONE Bldg. ❑ Bldg. ❑Charge ❑or Reseal tv FEE COMPUTATION FEES r" TOTALS SHOWN BELOW MUST BE SUBMITTED IN DIAGRAM OA RATE WORK SHEET PROVIDED FOR THIS PURPOSE. ,�, -Eil'l�l OUTLETS,BASE PLUGS,SWITCHES,FIXTURES @ 10¢EACH LESS THAN 18 APART @ 5¢EACH FIXTURE PERMIT FEE @$1.00 Ul / t" � n MOTORS V i QUAN. RATE O 0 to 1/2 HP @ .25 EA. / I 4' P ! OVER 1/,to 2 HP @ .50 " OVER 2 HP to 5 HP @ $1.00 " OVER 5 HP to 15 HP @ $1.50 " OVER 15 HP to 50 HP @ $2.50 " OVER 50 HP to 200 HP @ $5.00 " EACH MOTOR MORE THAN 200 HP $10.00 TOTAL AIR COND.H.P. Q7- RANGE,OVEN, CLOTHES DRYER @ 50¢ EACH / f-0 RESIDENTIAL ENTRANCE SERV-100A MIN. 421. HEATING ELEMENTS @ 50¢ EACH HEATER / 400 AIR CONDITIONER WELDERS (TRANSFORMER TYPE) KVA @ 50c PER KVA _— (FEE.GRERTc.R THPN\ WELDERS (MOTOR GENERATOR) HP\75%MTR. ALONE J CONSTRUCTION OR TEMPORARY LIGHTING @ $2.00 MISCELLANEOUS ---- — POWER POLE $1.00 I have carefully read and examined the above PERMIT FEE @ 00 application and know the same to be true and correct. All provisions of the Laws and Ordi- nances governing this typo of construction will SUPPLEMENTARY be complied with whether mentioned herein or PERMIT FEE @ .50 not. No person shall be employed in violation of the Labor Code of the State of California. INVESTIGATION FEE TOTAL FEE /S 5-0 SIGNATURE OF CONTRACTOR OR ` AUTHORIZED AGENT PEk...ANENT FORM B-53 (REV.7-61) 21/2M (v). INSPECTION RECORD "l ' BASIC INSPECTIONS ITEM INSPECTOR DATE GROUND WORK ( ROUGH "Tr/ o•/ FINISH FIXTURES (G/�// NA FIASE TO PUBLIC SE V. 4 ?-)' c� Z/ PARTIAL OR MISC. INSPECTIONS UNSUCCESSFUL TRIPS RECORD INFORMATION O.H. U.G. TEMP.OK. TEMP.CONSTR. NO.OF METFILS LITE WIRE PWR PHASE HEAT KW RANGE OVEN TABLE TOP W.HTR. DRYER OTHER RES. APPLIANCES OVER 2 KW. TOTAL KW OR HP. TOTAL HP. S 1 3(1)