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HomeMy WebLinkAboutOld permits JOB ADDRESS ksNGI✓► O C: - NUMBER STREET APPLICATION FOR A SEWER-STREET CUT OR CURB AND SIDEWALK BUILDING & SAFETY DIVISION CITY OF ARCADIA, CALIFORNIA .�,OWNER TEL.NO. 0 MAILING ADDRESS CO CON;VJOR STATE LIC.NO. C.,,,) MAILING ADDRESS //�� / 7 CITY LIC.NO. LIT? 'r- U2xSa I hc?fl e 13 �1S S TEL.NO. rCc9 ,rf. PERMISSION IS HEREBY GRANTED TO MAKE SEWER CONNECTION v AT C/1 LOT BLOCK TRACT ((S Y LOCATION . LATERAL SADDLE SEWER PLAN NO. CESSPOOL FILL $2.00 $ INSPECTED 4, S TOTAL BY BY � MM S ALL CONNECTIONS MUST BE INSPECT D BEFORE BEING IACKFILLED. 0 24 HOURS NOTICE REQUIRED. CURB AND SIDEWALK 1 CURB BREAK FEE DRIVEWAY APPROACH S /Q, O CURB BREAK & DRIVEWAY APPROACH SIDEWALK FEET REPLACE CURB CURB B. GUTTER FEET CURB, GUTTER & SIDEWALK FEET STREET SUPERINTENDENT ALL WORK DONE UNDER THIS PERMIT MUST HAVE INSPECTION BY THE STREET SUPERINTENDENT AMOUNT OF DEPOSIT ESTIMATED SIZE OF PATCH @ 1.50 PER SQ. FT. AMOUNT CHARGED ACTUAL SIZE OF PATCH © 1.50 PER SQ. FT. AMOUNT REFUNDED RECEIVED FROM STREET DEPT. INSPECTION FEE 19 BY 10.00 PERMIT FEE 5.00 TOTAL FEE SIGNATURCOF CONTRACTOR OR AUTHORIZED AGENT 4111 AIN CONSTRUCTION PROHIBITED BETWEEN 7:00 P.M. AND 7:00 A.M. AND ON SUNDAYS AND HOLIDAYS AS PER ORD. #1321. INSPECTION RECORD Ra"•TIAL OR MISC. I/NSSPE TIONS AIN 7i'�G" C�� /"//. / 3- UNSUCCESSFUL TRIPS JOB ADDRESS OW 0 i g A■ere.frtes"-' CA 'Mk NUMBER STREET N APPLICATION FOR A BUILDING PERMIT BUILDING & SAFETY DIVISION 0‘. CITY OF ARCADIA, CALIFORNIA i.e.:. OW TEL.NO. E.)r - 11 v! c:;c f1,--7-G 1494 ..r..= MMLI ADD$ESS / 8 ARCH. TEL.NO. --I ENGR. N CONTRACTOR STATE LIC.NO. Lii C •t~‹ MAILING ADDRESS CITY LIC.NO. G8 W TEL.NO. co CITY -O DESCRIPTION OF WORK NEW.� ADD'N ❑ ALTER ❑ REPAIR [] DEMOLISH ❑ FLOOR AREA NO.OF NO.OF DWELLING (SQ.FT.) STORIES UNITS W PRESENT BLDG.USE PROPOSED BLDG.USE DESCRIBE WORK c1 TO BE DONES,q GLJ7/y G-QV -, JA- ► / G 1 i< /aX /cf 4 GOA..dC.dV.E7/.�- S-L--1 7 ' NOTE: PROVIDE PLOT PLAN ON BACK SIDE OF ORIGINAL COPY ONLY EXTERIOR WALL MATERIAL ROOF FRAMING MATERIAL PARTITIONING MATERIAL ROOF COVERING MATERIAL . 4'k'4.i ,5,14 jpi" 4.4--'°7L.5' LOT LOT NO.OF EXISTING WIDTH DEPTH BLDGS.ON LOT VALUATION NOTE: Include Labor, Mat., Q ii-r. Wiring, Plumb., Heat, Etc. to INFORMATION PROVIDED BY BLDG. SECTION LOT NO. •�i BLOCK __ TRACT.15". ..;fc �y ��r in USE 0 i FIRE..#3 OCCU- 1, SEC. in ZONE ZONE PANCY _ SH. REQ'D FRONT RIGHT SIDE LEFT SIDE REAR 0 SET BACKS TYPE OF k/ SPECIAL oc CONSTR. CASE NO. GRADE Z _ 0 Approval& Information by Others v CITY ENGINEER EASEMENT _ DIST.FACE OF SEWER DRIVE CURB TO P. L. FT. AVAILABLE OVER PUBLIC SERVICE PLANNING PLAN CK.FEE WATER ELECTRIC PERMIT FEE PLAN N+� CH EC L"V' --''' — I have carefully read and examined the above application and find the TOTAL FEE same to be true and correct. All provisions of the Laws and Ordinances �®Q governing building construction will be complied with whether speci- fied herein or not. No person shall be employed in violation of the Labor Code of the State of California.I agree not to occupy or allow occupancy of any buil1ing authorized by t permit until final bull 'ng inspection has been received. SIGNA URE OF OWNER OR AUTHORIZED AGENT FORM B-5l (REV. 7-61) 1M Je PERM.-.AENT J INSPECTION RECORD '^ BASIC INSPECTIONS '^6 ITEM INSPECTOR DATE TRENCHES: WIDTH DEPTH 1st. FLOOR JOIST FRAMING LATH �. FINAL �� I�'�� PARTIAL OR MISC. INSPECTIONS UNSUCCESSFUL TRIPS ITEM INSP. DATE ITEM INSP. DATE SET BACKS FRONT R. SIDE r L. SIDE REAR INSP. DATE FIELD CHECK TO APPLICANT: PLEASE DO NOT WRITE ABOVE THIS LINE PLOT /lP! I Iii�. // •ii\1111 " !fl . 11111 ■ • JOB ADDRESS 61ti Encino Court NUMBER STREET APPLICATION FOR A BUILDING PERMIT '`'Q •'T BUILDING & SAFETY DIVISION ---- CITY OF ARCADIA, CALIFORNIA ii NT A TOR STATE LIC. NO. I �.A . \ITTSEN BLDG.CO.r INC. ' 147080 E 61 a1�ILI G A rte Rd. Arcadia C TYrL�;NO, r1 ARCH.DI ENGR.H. MOOmaw 4i 1a7669 +n I IN ADDRESS TEL.NO. rT W 92b Sharon Rd.Santa. Ana 0 O NER TEL.NO lr.&krs.Kenneth V.Bone Do z MIjI�JGbrent Ave.LSo.Pasadena, Calif. '� B ,j,,J, DESCRIPTION OF WORK i NEW X ADD'N E) ALTER. [I REPAIR ❑ DEMOLISH El ' 33 FLOOR II nn (SQ.FT.) 1590 STORIIES 1 UNITS OF DW ELLIr1G U V I PRESENT BLDG. USE PROPOSED BLDG.USE z F., family dwelling .0 1_.,, DESCRIBE BE TO DO NE family dwelling f 1 NOTE! PROVIDE PLOT PLAN ON BACK SIDE OF ORIGINAL COPY ONLY \ U EXTERIOR WALL MATERIAL ROOF FRAMING MATERIAL ^'� u Stucco Douglas fir PARTITIONING MATERIAL ROOF COVERING MATERIAL Lath 82 Plaster Wood LOT r7 LOT NO.OF EXISTING r WIDTH (O DEPTH 1--.5 BLDGS.ON LOT UOf, — VALUATION NOTE: Include Labor, Mat., $ 1b 000 0 a:,Wirinq, Plumb., Heat, Etc. z F uW 7 o-w INFORMATION PROVIDED BY BLDG. SECTION a v W ..,,x LOT NO. 10 BLOCK NO. TRACT 25 11.0 3 "W zoc USE FIRE OCCU- SEC. —,., ZONE ZONE PANCY SH. m rc REQ'D FRONT RIGHT SIDE LEFT SIDE REAR g_ SET 3 0- BACKS J -,O TYPE OF SPECIAL > CONSTR. CASE NO. GRADE J Approval & Information by Others :110 CITY ENGINEER EASEMENT an DIST.FACE OF SEWER DRIVE y0 CURB TO P.L. FT. AVAILABLE OVER r PUBLIC SERVICE PLANNING mm 3a WATER_ ELECTRIC P.C.FEE PERM.PLAN.J1,Q APPROVED �i CHECKER'S APPROVAL 0 0 PERMIT FEE s W/OUT PLAN ❑ z 0 JI have carefully read and examined the above application and find the same to < be true and correct. All provisions of the Laws and Ordinances governing - in building construction will he complied with whether specified herein or not. No person shall be employed in violation of the Labor Code of the State O S of California. I agree not to occupy or allow occupancy of any building f•'— authorized by this,permit until final bui I.ing inspection has been received. r-- (._ f/' =O � _, r 2 .AN f /OP U`2 SIG ATUR OF . 'ER OR AUTHORIZED AGENT • F PERMANENT FORM 8-51 INSPECTION RECORD BASIC INSPECTIONS • I T M INSPECTOR ATE TRENCHES: WIDTH DEPTH X/ 1st. FLOOR JOIST i -(—ZZ FRAMING FINAL- I/Sze/r PARTIAL OR MISC. INSPECTIONS • UNSUCCESSFUL TRIPS I T E M T INSP. j DATE ITEM 'NSF DATE • F BACKS t...�Nt R SIDE I SIDE i REAR i NSF GATL Fi _HECK 10 APPLICANT: PLEASE DO NOT WRITE ABOVE THIS LINE Of NOTE; LOCATE PAGE ALL TRUSTREECTURES T ON FRONTAGE.LOT, MAKE BOTTOM THES 1f "/". -- ^--- JOB ADDRESS(WHERE APPLICABLE) 618 Encino Ct . NUMBER STREET MISCELLANEOUS FEE RECEIPT OT BUILDING & SAFETY DIVISION CITY OF ARCADIA, CALIFORNIA 61 RECEIVED OF 0. M. Knutsen Bldg. Co . MAILING ADDRESS 39 E• Duarte Rd . Arcadia , Calif . 3) FOR: ❑ *PLAN CHECK FEE FOR VAL. $ 16,000•00 ❑ CASH BOND FOR ❑ PURCHASE OF BUILDING CODE , ❑ PURCHASE OF PLUMBING CODE • ❑ USE AND OCCUPANCY CERTIFICATE FEE C) ❑ ROOFING 1 ❑ PLASTERING ❑ HOUSE MOVING r a hi a ❑ a. d ❑ REMARKS Plan Check #1;27 AMOUNT DUE $ 25 .50 PAID by: CK. M.O. CASH When properly validated this is a receipt for the amount shown on the VALIDATION STAMP. fr7; L *WARNING: PLAN CHECK FEES, WHERE NO ACTION IS TAKEN BY THE APPLI'+' IN NINETY (90) DAYS AND NO BUILDING PERMIT I'411"SUED, ARE FORFL TO THE CITY. FORM B-58 TEMPORARY JOB ADDRESS e"___ 618 ENC INO S T — r"►__. NUMBER STREET _ APPLICATION FOR A PLUMBING PERMIT Lil BUILDING & SAFETY DIVISION c• CITY OF ARCADIA, CALIFORNIA in A OR STATE LIC.NO. E ©J� F}I CADILLI PLI3G. Co. 134935C36 - MAILING ADDRESS CITY LIC.NO. U z 07821 E. GARVEY AVE. 1802 TEL.NO. a, W X50. SLY GABRT1 L, CALIF. AT 053491 0"1 WNER TEL.NO. ? m o' . Iii. KNUDSEN W MAILING ADDRESS a W N 39 E. DUARTE RD. ,ABCLDII;, CALIF. ° x PROPOSED USE > a r\-.) USE - ZONE t 3 Na FEE COMPUTATION W v. . s O - N 1 BATHTUBS _- 1 CLOTHES WASHERS d o 'O z co O .1. HOWERS SHOWER PANS 3 ,_ W f 2 WATER CLOSETS DRINKING FOUNTAINS p W z d LAVATORIES URINALS z z_ T n SINKS, KITCHEN, BAR m •V, 1 FLOOR, SERVICE SAND TRAPS f (O LAUNDRY TRAYS CLARIFIERS a Q Q ///� ''rr�� d v ,,ILI 1 DISHWASHERS GREASE TRAPS a 0 O W F h 1 GARBAGE DISPOSALS WATER SOFTENERS i i O 1 WATER HEATERS AND/OR VENTS U IJ TOTAL NO. OF ABOVE FIXTURES : 12 @ 1.00 EA. 22_,00 LAWN SPRINKLER SYSTEMS: @ 2.00 EA. BACK FLOW 0.5 DEVICES ADD. DEVICES DEVICES: C'2.00 Cr 25¢ EA. SWIMMING POOL PIPING SYSTEM a$1.00 1 WATER SYSTEMS C! 1.00 1.00 0-5 OUTLETS ADD.OUTLETS 1 GAS SYSTEMS: n` 1.00 @ 20{' EA. 1.00 BOILERS STEAM OR HOT WATER a, 2.00 SEWER CONNECTIONS - SEWER CAP OR CESSPOOL FILL @ 1.00 SEPTIC TANK,SEEPAGE PIT AND/OR DRAIN FIELD Cr 3.00 I have carefully read and examined the above application and know the same to he true and PERMIT FEE 1.00 correct. All provisions of Laws and Ordinances covering this type of construction will be corn- INVESTIGATION FEE plied with whether specified herein or not. No person shall employed in violation of the Labor TOTAL FEE Code of th ate of California. f�_6M ` I �....1 i� / / .. �,r �J�1 �FOn .-52 ,, GNA URE OF •• RACTOR OR AUTHORIZED AGENT / PERMANENT INSPECTION RECORD BASIC INSPECTIONS I NSPECTOR DATE GROUND WORK !! - 1Wiz 01:11)eett 46a1D' y / ...ROUGH GAS P. P1'B' ,dr Q(` ll ___._/ SEWER,SEPTIC TANK SEEPAGE PIT, DRAINPIELD _..."44/ I . FINAL GAS• - FINAL PLUMBING � PARTIAL OR MISC. INSPECTION /o-7f UNSUCCESSFUL TRIPS f JOB ADDRESS LIN - NUMBER STREET APPLICATION FOR AN ELECTRIC PERMIT BUILDING & SAFETY DIVISION CITY OF ARCADIA, CALIFORNIA 0 OWNER TEL.NO. 1 t MAILING ADDRE 1—% SS � L 4 el" Co ro ,....3 CO ACTOR STATE LIC.NO. US e �k E/,e I x' 09% vQ �j JMAILING ADDRESS CITY LIC.NO. 8 /0€P' 3 f L. e•eN. ..5'7e-, /'/3 201_, —I C:• ----- N) /.,� ,. /l C. }�' G /3 "d l0 W DE RIPTION OF WORK New Exist. No Serv. Reconnect USE Or f�+ ✓L TBldg. Bldg. Charge or Rascal ZONE MI FEE COMPUTATION FEES NOTE: TOTALS SHOWN BELOW MUST BE SUBMITTED IN DIAGRAM ON S A TE WORK SHEET PROVIDED FOR THIS PURPOSE. } 'i OUTLETS,BASE PLUGS,SWITCHES,FIXTURES @ 10¢EACH V Q 96 //„A�� LESS THAN 18 APART @ 5¢EACH V1 FIXTURE PERMIT FEE @ $1.00 , 0 MOTORS QUAN RATE J/�; © IIP 0to1 1/2 7 HP @ .25 EA. / eV I OVER 1/2 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. I RANGE, OVEN, CLOTHES DRYER @ 50¢ EACH f�j U RESIDENTIAL ENTRANCE SERV-100A MIN. G 0 2/HEATING ELEMENTS @ 50¢ EACH HEATER / :CO AIR CONDITIONER WELDERS (TRANSFORMER TYPE) KVA @ 50c PER KVA ' FEE-GREATER THAN\ WELDERS (MOTOR GENERATOR) _HP 75%MTR.ALONE 1 CONSTRUCTION OR TEMPORARY LIGHTING @ $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 Ordi- nances governing this type 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 Callfo nia. INVESTIGATION FEE ' A ' NATURE TOTAL FEE /46./46. D ATURE OF�OR OR AUTHORIZED AGENT .1.4, FORM B-53 (REV.7-61) 21/2M ©< PERMAhiaNT +mm. INSPECTION RECORD ea` BASIC INSPECTIONS ITEM INSPECTOR •DATE GROUND WORK //,,'' ROUGH f /G/ FINIH g/i4/ *A FIXTURES.__ ____ - //�/7 ` FIN RASE TO PUBLIC SERV / j 5o PARTIAL OR MISC. INSPECTIONS /4,eu.e4.4.4-i-L-4-1-)s Pc 1-dx "■et V-4/6/1. UNSUCCESSFUL TRIPS RECORD INFORMATION O.H. U.G. TEMP.OK. TEMP.CONSTR. NO.OF METER, 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. Sc 34, &)1 C7 JOB ADDRESS "Iili F 5.n CI1 h o =tzte Crk r&- o NUMBER STREET = 0 APPLICATION FOR A ~ I" HEATING, VENTILATING, AIR- LI CONDITIONING OR REFRIGERATION t.0 PERMIT Z 41` BUILDING & SAFETY DIVISION - ZO 8 A CITY OF A CADIA, ALIFORNIA Q W 9.„ CO TRAC ' ' S Ali l'F�� o a �� .� �. 1 a �... > m MAILING D RESS TY LIC. NO. 73/Z� 1� 1 0 2x o MAILING ADDRESS = 3 = DESCRIPTION OF WORK $ ° HEATING El AIR CONDITIONING USE o W III REFRIGERAT, NE] VENTILATION ZONE b Ei COMPL TION Q VALUATION > a a REFRIGERATION SYSTEMS, INSTALLED, a. V '^ - u. HN Q 1 REPLACED, REPAIRED OR RELOCATED W f r a Z EVAPORATIVE COOLERS OR 0 VENTILATING SYSTEMS SUB TOTAL( � HEATING APPLIANCES \VENTSINCL `/ (INSTALLED, ALTERED, REPLACED, REPAIRED OR RELOCATED) TYPE B.T.U. FEE -—CIRCULATING AIR OUTLETS OR INLETS EFRIGERANT 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 he com- plied with whether specified herein or not. No person shall be employed in violation of the Labor Code of the State of,alifornia. TOT, L FEE 3, 0 I ANN, SIGNA.,,RE OF CONTRACTOR OR AUTHOR) D AGENT FORM B-55 PER , NENT INSPECTION RECORD I T E M INSPECTOR DATES ROUGH HEATING--- - - - ------- JO :/'! + ii r ROUGH REFRIG. OR AIR COND. DUCTS. FINAL HEATING - ---- --- - -- L_ eb4/ /{K_l F,NAL REFRIG Ow AIP PARTIAL OR MISC. INSPECTIONS _ I - I y UNSUCCESSFUL TRIPS �"� - JOB ADDRESS NUMBER STREET APPLICATION FOR A SEWER - STREET CUT OR © CURB AND SIDEWALK '.J BUILDING 8 SAFETY DIVISION CITTY�Y OF ARCADIA, CALIFORNIA 0742/j// m CONTRACTOR C�_�� STATE LIC.�O3 f-s MAILING ADDRESS CITY LIC.NO. W CITY TEL.NO. G', W y PERMISSION IS HEREBY GRANTED TO MAKE SEWER CONNECTION AT LOT BLOCK TRACT LOCATION Y LATERAL *� SADDLE IV SEWER PLAN NO. CESSPOOL FILL $1.00 $ QO INSPECTED 196 $ TOTAL BY BY $ ALL CONNECTIONS MUST BE INSPECTED BEFORE BEING BACKFILLED. 24 HOURS NOTICE REQUIRED. CURB AND SIDEWALK CURB BREAK I FEE !_DRIVEWAY APPROACH $ :JS C-CD CURB BREAK &,EWAY APPROACH SIDEWALK EET REPLACE CURB CURB & GUTTER FEET -'' ik)U'''' & SIDEWAL E 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 STREET SUPT. SIGNED BY ADDRESS (�(���///,,�,�.. TELEPHO BY X SIGNATURE OF CONTRACTOR I AGENT .B-54 (REV. 7-61) 2y M �.;e PER( ENT 1 INSPECTION RECORD Ir'TIAL OR MISC. INSPECTIONS UNSUCCESSFUL TRIPS eik a JOB ADDRESS /b ;ye, NUMBER STREET APPLICATION FOR A SEWER—STREET CUT OR CURB AND SIDEWALK BUILDING & SAFETY DIVISION CITY OF ARCADIA, CALIFORNIA 'V OWNER TEL. �.xi. ![/-'7✓ '-� fit 7. MA_Ij,J_NG_ADDR C7 CON,: CT STATE LIC.NO. rn C ��T• (57-4:4- //SO3-C-4. MAIL /ADDRESS CITY LIC.NO. CI V _ TEL NO. /�y,J 1-1• PcRMMIISSSIION IS HEREBY GRANTED TO MAKE SEWER CONNECTION AT i/?- LOT I) BLOCK A� TRACT.2,3'T6 ('LATERAL fI`tq LOCATION { LA I w/o 9ABYii h) SEWER PLAN NO.` CESSPOOL FILL $1.00 $ INSPECTED /2.. 7- I 196 4 $ TOTAL 0 o. 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 FEET 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_. STREET SUPT. SIGNED BY ADDRESS TELEPHONE BY c - 0 . SIGNATURE OF CONTRACTOR OR AUTHORIZE AGENT B-54 (REV. 7-61) 21/=M R�.NENT INSPECTION RECORD P TIAL OR MISC. INSPECTIONS UNSUCCESSFUL TRIPS ) Z - 7- 6 ( 2 �G P' Zd'c.44 f_4(` ■■ ,7;1) I s /111411V__—+- /111411V__f JOB ADDRESS L., fig., 6/t? &:y c.../"7 L. G ,: s. 4 NUMBER STREET APPLICATION FOR A • D BUILDING PERMIT V , �'' BUILDING & SAFETY DIVISION CITY OF ARCADIA, CALIFORNIA G OWNER TEL.NO. (v, ., dee?.1 c?-r-11 I✓1 'c? i e H76-11:44. MAJJ.INP(+ DRESS„ TEL.NO. C ARCH. c., ENGR. STATE LIC.NO. CONTRACTOR a.101--e- i•--t MAILING ADDRESS CITY LIC.NO. • CITY TEL.NO DESCRIPTION OF WORK NEW ADD'N ❑ ALTER ❑ REPAIR ❑ DEMOLISH ❑ FLOOR AREA NO.OF NO.OF DWELLING (5Q.FT.) STORIES (UNITS PRESENT BLDG.USE PROPOSED BLDG.USE k.A A -7.4 17 z a.,c ;Th DESCRIBE WORK TO BE DONE Q /7�Li_rsi Z ,.</,—// G,/ xe"14 fl P./.. a,. NOTE: PROVIDE PLOT PLAN ON BACK SIDE OF ORIGINAL COPY ONLY EXTERIOR WALL MATERIAL ROOF FRAMING MATERIAL PARTITIONING MATERIAL ROOF COVERING MATERIAL LOT LOT NO.OF EXISTING WIDTH__ _ DEPTH BLDGS.ON LOT NOTE: Include Labor, Mat., $ 3 0 VALUATION Wiring, Plumb., Heat, Etc. $ INFORMATION PROVIDED BY BLDG. SECTION LOT / '° l� NO. / BLOCK CK TRACT,• t' N USE FIRE OCCU- SEC. ZONE ZONE PANCY SN. ,n REQ'D FRONT RIGHT SIDE LEFT SIDE REAR oe SET 0 BACKS TYPE OF SPECIAL CONSTR. CASE NO._ GRADE Z 0 u Approval& Information by Others EASEMENT CITY ENGINEER DRIVE DIST.FACE OF SEWER OVER CURB TO P. L. FT. AVAILABLE PUBLIC SERVICE I PLANNING PLAN CK.FEE WATER ELECTRIC PERMIT FEE PLA CHECKER'S APPROVAL I have carefully read and examined the above application and find the TOTAL FEE same to be true and correct. All provisions of the Laws and Ordinances governing building construction will be complied with whether speci- , fled herein or not. No person shall be employed in violation of the Labor Code of the State of California.I agree not to occupy or allow occupancy of any hu'Idin• authorized by this .ermit until final building inspection has been received. L_�isai...:--/ , rte- r� SIGNATURE OF OWNER OR AUTHORIZED AGENT PEk ANENT FORM B-51 (REV.7-61) 21/2M il",). a. INSPECTION RECORD BASIC INSPECTIONS I T E M INSPECTOR DATE TRENCHES: WIDTH DEPTH IIII A 16/ 1 St. FLOOR JOIST �oJ��LL�i FRAMING LATH FINAL nim PARTIAL OR MISC. INSPECTIONS UNSUCCESSFUL TRIPS I T E M INSP. DATE I T E M INSP. DATE SET BACKS FRONT R. SIDE j L. SIDE REAR INSP. DATE FIELD CHECK (II TO APPLICANT: PLEASE DO NOT WRITE ABOVE THIS LINE PLOT I 1