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HomeMy WebLinkAboutOld permits A,„._,3,,_. -,'
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`. ■ \ ��r BUILDING & SAFETY DIVISION
Si ARCADIA , 240 West Huntington Drive t�
Eg v Arcadia, California 91006-3104 t' ,
f�c\A T ES)-
( 818 ) 5 7 4 - 5 4 1 6 p�
N,y^pr Kr - 1-11-$-? ✓✓
Page 1 of 1
1200 S ENCINO AV 12/19/88 11:25
Permit No : A8803766 Autoproj No : AU002030
Status : APPROVED Validated by : CP
Inspector area: 208
This type : Miscellaneous Projects Applied : 12/19/88
Issued : 12/19/88
Parcel number Finaled .
•
Group-occup/use: To Expire .
Owner : LUISI, H
Applicant : CALIFORNIA POOLS
Applicant Adar : 8806 E LAS TUNAS DR SAN GABRIEL, CA 91776
Job Address : 1200 S ENCINO AV
Phone number : 818-285-2261
Class code .•
Valuation 0
Construction : OTH
Permit to do : FINAL INSPECTION/EXP. PERMIT #1CL7923
CONTRACTOR : CALIFORNIA POOLS & SPAS Lic. C 185102 818-285-2261
Fee description Units Fee/Unit Ext fee Data
Enter Route Inspection Amount 3107> 38 . 65 38 . 65
*** Fees Required *** *** Fees Collected & Credits ***
Receipt No. Date Payment
12/19/88 38 . 65
Fees: 38 . 65
Adjustments: . 00 Total Credits: . 00
Total Fees: 38 . 65 Total Payments: 38 . 65
Balance Due: . 00
CALL FOR INSPECTION DECLARATIONS
In accordance with Health & Safety Code, Section
Requests for inspections should be made at least
twenty-four hours in advance by telephone at 19825,all required declarations on the reverse side of
574-5416, 8:00 A.M. -5:00 P.M. this form have been properly signed and dated by
the permittee.
Inspectors office hours are: Verified by:
8:00-9:00 A.M.; 1:00- 1:30&4:30-5:00 P.M. Signature
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BUILDING AND SAFETY DIVISION
MISCELLANEOUS AND OFF—SITE
Ci:y f4rcadia .
240 W. HUNTINGTON DR.,ARCAD A, CA 41006 •'TEL (213)44x4471 p T. _
. e/5le/Are , T
- � , RECEIP_
e°"e eA,�P/�U a< 1-6//167 ❑ • ram ascii nut gal vat..
1 ammo o 6' /moo •94/ D CAI ,..
'" aa "` o _ w.ac Ae- v/ti c 47 e'
D MOM/S/ ( -y3 �2
o.. mit woo
',pee r - .
,,(f�� l ,�L ♦ 0 PANES .NO etcstimos FEE
.. e`er/H/7 ■ �/T IPIST-C 47i-1 NOWT NNIFECTIOM FEE
SIM Lit QN
•
•CISeW. Lie. No. 0
LICENSED COATRACTCR'E flan
❑1 sooty mom dm I so kowl mks pwMi.r.f Moor f IawMm.iA Esni.s O
1 of Owls,.3 of Mw Etttsssr sod Pwfsssls.s Code.sod sty Mom is M toll faro sod
effect. O
OMNER•WILDEU DECLARATION
0 1 wirshy=Ms Mst I a•son.Aar No CM.nesw's Laws Ls=for Ma fonts ios /EE
rrwow"Sec.7011.1.a.Mra wag hgfrnis..Cedes.An Nry or awry iii 4 ryoinr e t Vill MINOR FLAN CHECK fees. WICK NO acme fs TAKEN Or THE
perm..so roomers.a>rsre. bmollsA.or .stay sooner e.prior M to iae.•sre Apmc it NT IN-ISO MI NO NO eua.DeIS PE NIT Ei SSISOA US AaE
oho'news Ow•rue..taa>rit peal.M Ilk•Mooed a au.aa Ow M is homed
fQIWE1TE0 TOM CITT. .
forwent se fl.psieiw y Mr Cosws?sr's ln.M UMW. ho w f Irawery INC
Stem. 7400/4Orrisws.1 4 Mr a.swn Sts//Nr.eiw Coil.or Am M is MOW sEwER �s.�
terrrfros...d Mt ISMS fir MI.Year/r/e.•pbYe. rN/MIM 45..W..70J1.5 by'Mr rGa 1
ems Ter.pima.aryeen el.opoll wr Ma WWI p.M7 4 aor wore Moe fhr ba/ri/
01 ' PERI.SSR111 EI 1EEK.r eIIANTED TO YOKE RMER CONNECTIONS AT
I.a rimer Al Ne prepesq.Amy t..plsyse1 will Naps meals solo esapS.sMioe..will
o rwi work.W Me wrsean is oam iase.dd sr.RawO 1st sale. 'Sec.7MC.a.ai.rtr i.od
P.rlrs,,. .Colo:The Cwar no's Linty Vows.or oppiy Ma mow srpopeny sAse LOT SUCK TRACT
A. A w..pr.M-es*ena eel trim hoes ow*wed bat we ski ib Ma owe employs vs.
p'o..l.l net sorb oaprorearas we See. or t�wr//w sok.If. hesorrei. sM
Amish,'w.mprw.rsr U sold*WM.sr rea�iarplwioo.she oswr•bil/w will how
Si. LOCATORS gdeN11.
Fortes of From..shot M NI am amid M uyM../w Me'wow e/sole.'• MAU PLAN NO, I CESSPOOL FILL
o I.at ennui,of Ms pcopony.sty e.elwr.Nweuq
y ctrs wish lirsoad csottamot M '3,00
css.r•c.Mr prnsen.'ler.1.44.a.ssru.at Proloassoos Co,:The Compress's greets?
J....Iwo se.spills M se own of proprny who builds or iyro rs oboes?.owl wAt coa-
Q ironn for writ propos wuA•reantmns/Itoros l prrrm so Me Coesroswes Linty Low- INIPECYLO Pe ithl..
'`. 1 am eaehmps abet Sec.__ -.S.••P.C.for Ms rs.sw •
.%'`�' ,�Ua-c- CURB AND SIDEWALK
WORKERS'COM►EN ON DELL
nn I sereby affirm that I hr..•coy me of coness riot?.w•eenific.te of CURS eREAiI REPLACE CUM FT.
f" v Ike('.Ce.mpasatioa lawnace.era tench d copy ttrrwf.(Sr.MOO.lobo.Cask./
CO Y.is.N. -- —"_-Comport _ OfMV[MIAI/ APMOACN I SIDEWALK /1.
❑Cope It R m, Wispy Certified f copy is Exp.Date 3-.2 1 • rj Ei / TOTAL F[[ CCI
a nA tha Gty. ❑hen►I N PROM. MfSFECTEO• s r s
CERTIFICATE OF EXEMPTION PROM I r
WORKERS'COMPENSATION INSURANCE STREET C
(This section srrl am.M r.wpbwd r rho Fermis is for Sae M./rrl Haws(5100)N Loon I �i a wFT CUT
I certify IMP is he p.rfwwsaee of the work(Sc obith this permit is issued.I shall tot ESTIMATED SIZE OF REICH AMOIan OF DEPOSIT
.--i le),My=vim to soy mom..,M M abscess NOM=to 1l.Workhn'Compssstim Lao (^.
el shf.Ais. `Y /SOr iT,
L7
scrum.SE Of PATCH AMOUNT CHANGED vOTC[TO APPLICAA7 !f slew s d y Esr stp. o yet skalds,Meow
X. ..A.,S N.M Workers' C aprso ow.a perwa ioas 4 else
LoAw Cabe.ymr Na.fM/A..fA O /MITT.
r- comply.v'Fork premises or Mss porn shoal M elevated nvdd.
AMOUNT It FUNDED
I caru(y that I with red NM .mote sad stsa that the ahs•I•n(srmaia is come:.I RECEIVED FROM STREET DEPT. �r
P'4 afar us comply with all cMy • ewsq std eats Iowa(elan.to Wildia
counseling.sad MM►y a� 'a repmsaoso s . • • •. cloy so eater Me dot mhmioned
0 Pmprny lot tsspsnM• .,q i`�� INSPECTED M sr PERMIT FEE
sgeatrn of Applies. - -- 7F
C' Maiinf Adams - TOTAL FEES
`Coy.Starr. q _ .4
INSPECTOR COPY
This is a building permit when property filled out. signed and validated.
. ant is subject to expiration If Work thereunder is suspended for 110 days.
Eiji-WING AND SAFETY DIVISION — BUILDING
City of Arcadia PERMIT
240 W. HUNTINGTON DR., ARCADIA, CA 91006 • TEL.(818)574-5416
Building -7 U.B.C. Type Occ.
Address ' wb l I.S L 11-54 Edition I Const. Group
Lot Block Tract Occ. F. D. Appr. Date H. D.Apps. Date
No. Load Required Required
Owner -t Lot i Use Zone Special Case No.
Mailing S t Dr ` dr • Homeowners Association Approval Date
Address
City A Zip Tel 9335 Lot
kirLci,-pt f0 q' lGb 6 I "Z- Size
Contractor p a- Conditions �G J /�Pa°37 j �iq� /c
Address, Q�`/aT NOTE: Include: 730 / , '/
z5,�� ��c t... Lc�Sr1 t V„'�-c,�.JZ VALUATION Labor, Material, Plumbing, Etc. $ 'S Op°
Cityc0%""�attc,•� Zip'[(2 Tey_,,a_�r Misc. FEE )
State Lic. [tb City Nd2rivate
&Classif. 1 fS SI,C)Z G—Fj3 Lic. No. 3 Z 9 Swimming Pool/Spa In Public _
Arch., Engr., Sign-Pole ❑ Wall ❑
Designer
Address Tel. F Temporary❑ Projecting❑
City Zip State E Fee Based on Total Sq.Ft.
Lic. No. E
Proposed S PLAN CHECKING FEE
Construction P+�t k S aL pe V ( O S S g
t S.M.I.P.
DdS ter•
Permit Fee 2 E , f 5
Floor Main Accessory Total Processed by �{ / 3
Area TOTAL I( 31 tP
New❑ Add. g, Alter.❑ Repair❑ Demolition❑ Permit No. Plan No. Date
•
LICENSED CONTRACTOR'S DECLARATION WORKERS'COMPENSATION DECLARATION
�4 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
r t t)of Division 3 of the Business and Professions Code,and my license is in full force and Worker's Compensatio ns an e,or certified copy therof./�S�ee�."38010y,J—Labor Codr.)
effect. JJ S J_`*rf t♦ f )'Sec 3`�
Policy No __ "[' _Company—NOWNER-BUILDER DECLARATION Copy is filed ❑Certified copy is Exp.Date
/ g with the City. hereby furnished. I (v
❑ I hereby affirm that I am exempt from the Contractor's License Law for the following CERTIFICATE OF EXEMPTION FROM I 4-� t�O ,d"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 (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 7031.1 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 erformance of the work
Professions Code:The Contractor's License Law does no;apply to an owner of property who 8 B Y P
for which this permit is issued.(Sec.3097,Civil Cade.)
(/j builds or improves thereon and who does such work himself or through his own employees.
-D provided that such improvements are not intended or offered for sale. If, however, the Lender's Name
rn building or improvement is sold within one year of completion,the owner-builder will have -- -- -----
C7 the burden of proving that he did not build or improve for the purpose of sale.'' Lender's Address ___ __ _
--I ❑ I, as owner of the property, am exclusively contracting with licensed contractor to
Q 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
x 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 a size representatives of this city to enter the above-mentioned
property for inspection , .es.
Q iii I am excempt under Sec. ,B.&P.C.for the reason -- Signature of App'• _. Date
•3 AP
-< —. _ Mailing Addre / yam.^
iiIhlate_._._ Owner— City,State ip ._
This is a building permit when properly filled out, signed And validated,
and is subject to expiration if work thereunder is suspended for 180 days. 01-11-88 1CL793 TOTAL 3-16.73
INSPECTION RECORD
FOUNDATION. (Gr. Certif. Comp. Tests, Set-
INSPECTION NOTES
backs,Forms,Reint.Steel.Excavation.
FLOOR SLAB/JSTS., GIRDERS: Mesh, Vap.
Barrier.Bikg.,Spans,Access,Vents,Tr.Lmbr.
MASONRY: Reint., Mortar Jts., Grout Lifts,
Clean-Outs,Bolts.
ROOF SHTG.:Nailing,Diaph.Blocking,Material
Grade and Thickness,Root Drains.
FRAMING:Walls,Raft.,Jsts.,Blocking,Bracing,
Nailing,Backing,Diaphr. Draft Stops.
INSULATION; Thickness, R-Values, Piping,
Sound Caulking.
FIREWALLS: Material, Thickness, Dampers,
Doors.Closet*Fusible Links,
INTERIOR:LATH/DRY WALL:Nailing,Supports,
Laps,Joint Reint.
EXTERIOR LATH/SIDING: Mesh, Fasteners,
Laps,Paper,Thickness,Backing.
FINAL INSPECTION: Finish Grading Certif.,
Slope Plant., Energy Compi. Card Posted,
Pkg. Accass, Fire Doors, Exit, Locking De-
vices, Landings, House Numbers, Weather
Stripping,Pl./Engr.Clear
SWIMMING POOL SPA
EXCAV.REINF.SETBACKS:Radius 511.,Bond-
ing,Exp.Soil, Ramp Loc.,Surcharge. z —I cze.4./
FENCE/GATES: Height, Closers, Accessibility.
Latches,Stability.
_
FINAL INSPECTION:
•
--
MISC.
SIGNS:
RE-ROOF:
INSPECTION DATE INSP.SIGN.
BUtLDING AND SAFETY DIVISION
City of Arcadia ELEC./MECH./PLMBG.
240 W. HUNTINGTON DR.,ARCADIA, CA 91006 • TEL. (818)574-5416 PERMIT
'Building No. Description (Additions, Commercial, Industrial) Fee
Address 1[. cc, (V C—i v,Z Services
Owner tA". L,V r is (Size: )
lr 2 Outlets
I Moiling 1.11.1 (Receptacles, Lights, Switches)
Address 3 . At a A (-
Fixtures
City /� t1 t Zip_ el. N
1'V O C�'T� ( P. l aQ I 44-1-‘3335 V) Motors
Controctorn r� (HP each: )
+ 4 Other
Address ii:ii./(4, w��J V (Specify- )
LC So. Ft. Area New
City /' Zip Tel.Z �' zz / V Residential Bldg.City. ��� �-�"_ Lii Sit. Ft. Area New
State Lit. l r^.' 1 0? r —S 3 Lic .Z� J Res. Accessory Bldg
•B Classic. a J 1 Lic. No. W
LICENSED CONTRACTOR'S DECLARATION Mi / /
OP hereby affirm that I am licensed under provisions of Chapter 9(commencing with Section (p O
t r l I of Division 3 of the Business and Professions Code.and my license is in full force and Po I ELECTRICAL FEE /0
•
effect. Wirin
OWNER-BUILDER DECLARATION No. Description No. Description Fee
EI 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 u 100,000 BTU to and includ. 3 HP
permit to construct,alter,improve,demolish,or repair any structure.prior to its issuance 2 _
also requires the applicant for such permit to file a.signed statement that he is licensed Li.l FAU over Boiler/Compressor
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 1.... 100,000 BTU over 3HP to 15 HP
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 r Flr./Wall/Susp./Pool Air Handler to and
dollars($500)." fn Heaters includ. 10,000 cfm
I,as owner of the property,or my employees with wages as their sole compensation,will Q Spray Booth / Air Handler
d
o the work,and the structure is not intended or offered for sale."Sec.7044.Business and
Professions Code:The Contractor's License Law does not apply to an owner of property who V Exhaust Hood over 10,000 cfm
builds or improves thereon and who does such work himself or through his own employees. — Vent. Fan Other:
provided that such improvements are not intended or offered for sale. If. however, the
building or improvement is sold within one year of completion,the owner-builder will have Q includ• Duct
the burden of proving that he did not build or improve for the purpose of sale." I Misc.
O 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 ■
Law does not apply roan owner of property who builds or improves thereon,and who con- 2 MECHANICAL FEE
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 1 Water Heaters Z7 70
Date--__ .__— _____—_Owner .__ W Showers ` Garbage Disposals
WORKERS'COMPENSATION DECLARATION N Water Closets Laundry Trays
I hereby affirm that I have a certificate of consent to self-insure,or a certificate of
Wo er's Crmi i/ t sir ce,or certified copy th1re0 ISec.'3800, ab rCode.) N Lavatories Clothes Washers
Policy No _ _�_ !__ i_L_ Company l•
mvp is filed Certified copy is Ex .Date C.7 Kitchen Sinks Sewer Connections
fa ith the City. hereby farmshed. Z
CERTIFICATE OF EXEMPTION FROM ` m Dishwashers !/Sewer Cae�P
Z WORKERS'COMPENSATION INSURANCE Shower Pan Gos System
(This section need not be completed if the permit is for one hundred dollars(5100)or less.) j Replacement (No. Outlets: )
❑ I certify that in the performance of the work for which this permit is issued,I shall Mat J . _../Swim. Pool Solar laMw
M employ any person in any manner so as to become subject to the Workers'Compensation Law d (/ Pivina In tallotion
of California. Misc.
NOTICE TO APPLICANT:lf,after making this Certificate of Exemption you should become PLUMBING FEE 53 SD
subject to the Workers' Compensation provisions of the Labor Code,you must forthwith
0 comply with each provisions or this permit shall be deemed revoked.
y P ELEC.,MECH.,PLBG. ISSUANCE FEES
I certify that I have read this a p coup and state that the above l information is correct.I 5�
n agree to comply with all city and coon.. ordi � - • � rate laws relating to building J
0 construction,and hereby authorize rep tents es of this city to enter the above-mentioned —__ -
property for inspection purposes. I
-C Signature of Applies. i Date _ TOTAL FEES 7�
Mailing Address ,1 dyr"-
II _ _. I' 2 'v��� ice Processed Date:
f`ity,State,Z,. —__
OOP
This is a building t_ it •• en properly filled out, signed and validated, 0.1_•1.1_88 1CL792
and is subject to expiration if work thereunder is suspended for 180 days. 4 TOTAL 1 52
.'10
ori.„ work
INSPECTION REC INSPECTOR NOTES
UNDERGROUND CONDUIT
ROUGH WIRING
NEW SERVICE
FIXTURES
se FINAL ELEC. INSP.
TEMP. POWER POLE
OTHER
OTHER
ELEC. UTILITY CLRNCE.
U. G. DUCTS/REFRIG. LINES
RO MECH.
Ducts, Comb. Air,
et Supports, Vents
2 FINAL MECH. FAU/AC Unit
Vents, Shutoffs —
3► OTHER
OTHER
U.G./UNDER FIR. Sal, WaSupporter'
_ Gos, ts
RO PLMBG.
Water, Gas, Vents,
Supports,,Fleshings
GAS TEST SEWER/PRIV. DISP. SYSTEM DIAGRAM
'O FINAL PLMBG. Servi es, Valves,
,.."41
--..._ Services
3 WATER HTR. Vent,valves,
Press. Rel. Valve
p SEWER/PRIV. DISP. SYSTEM
OTHER
OTHER
GAS UTILITY CLRNCE.
BONDING � 1—Ly - �
,,, U.G. CONDUIT Z —fa-ee ay./3 _GAS PIPING Material, Depth —T---
8 G AS TEST
Vent, Clearance,
HEATER location, Shut-off
FINAL POOL ELEC. — .I
FINAL POOL PLMBG.
OTHER p_ Ty ?-22–gr? Qaci
INSPECTION(� j DATE INSP. SIGN.
ran
JOB ADDRESS ojnikk I
/2a7 ,c',i-fe, . --e
NUMBER STREET
'� APPLICATION FOR AN
ELECTRIC PERMIT
W �11,. BUILDING & SAFETY DIVISION
CITY OF ARCADIA, CALIFORNIA
1--‘ OWNER
� TEL.NO.
i" __Vd?kt(e65
MAILING ADDRESS
CONTRACTOR 1 STATE UC.NO.
AILI�A.D SS / ~
CITY L N•.
v CIT
ON
/ T
\O New Exist.J No. Serv. ❑ Reconnect
P Bldg. A Bldg. Charge or Reseal
rrr��� I
OUTLETS,BASE PLUGS,SWITCHES, FIXTURES @ 200 EACH
I
MOTORS
I
o to 1 HP I
@ Loo I
OVER 1 HP to 3 HP 0 150 1
b OVER 3 HP to 8 HP 7 I
0 2.00 /Y` �s 1 C Z ''.."—
O OVER 8 HP to 15 HP 0 2.550
It. OVER 15 HP to 50 HP 0 300 i
'1 OVER 50 HP to 100 HP 1
® 5.00 I
OVER 100 HP to 500 HP ® 1000 I
OVER 500 HP I
0 15.00 l
HEATING CABLE UNIT 0 1,00 l
I
RANGE
OVEN HEATERS 0 100 I
KIT. FAN DISPOSAL DISHWASHER 0 1.00 s
FURNACE CLOTHES DRYER HAIR DRYER 0 1.00 1
RESIDENTIAL ENTRANCE SERV. 100 A MIN. 0 3.00 I
COMMERCIAL ENTRANCE SERVICE I
@ 6.00 l
ADDITIONAL SERVICE METERS 0 100 1
V l
TEMPORARY POWER POLE @ 200 1
I
TEMPORARY UNDERGROUND POWER POLE 0 5.00 r
i
TEMPORARY SALES LOT LIGHTING t
® 10.00 1
220 V POWER OUTLET 0 1.00 I
MISCELLANEOUS I
i
1 have carefully road and examined the above 1
application and know the same to be true and PERMIT FEE @ 2;00
eorreet. All provisions of tho Laws and Ordl- i
naness governing this type of eonstrvetlon will SUPPLEMENTARY
be complied with whether mentioned herein or PERMIT FEE
not. Ne person shall be smarmed in violation
of th r • to of alifornla.
INVESTIGATION
ei-
FEE
lf�,�,, f„TOTAL FEE l� �
SI NAT OF CONTRACTOR OR
AUTHORIZED AGENT ,^�
CONSTRUCTION PROHIBITED BETWEEN 1;00 P.M. AND 7:00 A.M.
AND ON SUNDAYS AND HOLIDAYS AS PER ORD. #1321.
• . _ _ .._ _ _ ______ _ _
v 1
0•14NSPECTION 'RECORD
: ..4%
z BASIC INSPECTIONS
- ,,,
.....
, TELL iI,SPECTOR
, ...----
I I 1
GROLNO WORK i
ROUGH
# 14-7o-et
EiXTURES . "LW/ Jr_ i 0..d
I 1 NAt ;1;i AS" re 0:)51,1c snzv 1
1.
...
PARTIAL OR MISC. INSPECTIONS
1 .
I 1
1
i.
,. i
1
UNSUCCESSFUL TRIPS
.
,
.1-- s
1 I
RECORD INFORMATION
Tii. U.G. ■ TEMP.OK i TEMP CONSTR. NO OF METERS
II I RANGE I OVEN 71 TABLE TOP 1- W.KR, I DRYER
E.- I
L I
OTHER RES. APPLIANCES O'v ER 2 KW.
TOTAL KW OR HP TOTAL HP.
41
S 4> _ 3F
,
+vu nUUKtJ1
irk
I
APPLICATION FOR A
HEATING, VENTILATING, AIR-
CONDITIONING OR REFRIGERATION
PERMIT
fjoi
BUILDING ii SAFETY DIVISION
CITY OF ARCADIA, CALIFORNIA • J os t,, OWNER / (
V A C? A44-e. TEL. NO
0 MAILIrtADITS 1 C • - ..-.••••,
CON/R CTOR(D y)� S�
0\ / et114=n 1 �F ,� STATE Lti. NO.
0 MA LING AD�Q7RE Z _ C� yl
//��• CITY LIC. NO.
Q
CITY • t ...--.A.7
s • rQ c ¢„c TEL. NO.
N
DESCRIPTION OF WORK D V f F7?
ON [j] HEATING AtAIR CONDITIONING
❑ REFRIGERATION ❑ VENTILATION
g FEE COMPUTATION
VALUATION-$ _
DESCRIBE WORK '.'�'
TO BE DONE J 1
e 5t.-.
0D ) s
b ralluicrAIWAIVAIIN
o
Ig. HEATING APPLIA ■INCL.
(INSTALLED, ALTERED, VENTS/
T I a:, REPAIRED OR RELOCATED)
® FEE
mentimmin t..ir -Zr1^0
immmiiiim
CIRCULATING AIR OUTLETS OR INLETS
REFRIGERANT COMPRESSORS (INSTALLED OR REPLACED)
*QUANTITY© OVER ®®®
® F E E
0 20
- 20 50 _
- 50 m®
I have carefully read and examined the above
application and know the same to be true and
correct. All provisions of Laws and Ordinances PERMIT FEE
covering this type of construction will be com. INVESTIGATION---
plied with whether specified herein or not. No FEE
person shall be employed In violation of the
Labor Code of the State of California.
TOTAL FEE "'"-
SIGNATURE OF CONTRACTOR R AUTHORI D AGENT
F.8-55 (REV. 11-62) 2M r?c
Ilegogommemmialumminuminummou
INSPECTION RECORD
ITEM INSPECTOR DATE
�OUGH HEATING " ��
ROUGH REFRIG. OR AIR COND.
DUGS
FINAL HEATING
i
FINAL REFRIG. OR AIR COND.
a
PARTIAL OR MISC. INSPECTIONS
✓ %
gll""MlimmiujmjjpjMIMIM' 1111111
__
111 ,111111,
UNSUCCESSFUL TRIPS
Jvo yuUKESS
/i*"
.16'0Cic' r , A 4,
NUMBER
STREET
APPLICATION FOR A
BUILDING MIT
BUILDING IL I& SAFETY PER DIVISION CO PLETLC/
© CITY OF ARCADIA, CALIFORNIA
ko Or R I
....3 r .- T .N•. 9 J
. MAILING ADDRE S cG!!
1 at /4_
TEL.NO.
Cr)) CONTRACTOR ` ;'A
V•� 11 'e tr. STATE LIC.NO.
G7 MAILING ADDRESS
I._hf CITY LIC.NO.
v r TEL.NO.
O\
L' __DESCRIPTION OF WORK_
-1..) NEWO.+I ADD'N
FLOOR AREA G ❑ ALTER ❑ REPAIR ❑ DEMOLISH ❑
(SO.FT.) r NO.OF NO.OF• ELLING,
PRESENT BLDG.USE STORIES UNITS i .
PROPOSED BLDG.USE
DESCRIBE WORK - /fit Ate L'S e
W TO BE DONE
b
NOTE. PROVIDE PLOT PLAN ON BACK SIDE OF ORIGINAL COPY ONLY
rr' EXTERIOR WALL MATERIAL
e S. ROOF FRAMING MATERIAL
1 t"
PARTITIONING MATERIAL Z
`Y e tit 1` ROOF COV 4,T S k et i f
LOT �! !/li �(r
WIDTH G DEPTH y', X�•• BLDGSS.ON LOT EXISTING
VALUATION NOTE: Include Labor, Mat., QD",4„e Wiring, Plumb., Heat, Etc.
INFORMATION PROVIDED BY BLDG. SECTION
LOT BLOCK ��-}}
NO. --
NO. C.3 r
TRACT o�
USE FIRE
ZONE OCCU- w
ZONE_ PANCY SEC.
REO'D FRONT SH.
el
SET RIGHT SIDE LEFT SIDE REAR
BACKS p
TYPE OF SPECIAL V
CONSTR. CASE NO.
GRADE .t-
Approval& Information by Others Z
0
CITY ENGINEER EASEMENT
DIST.FACE OF SEWER DRIVE
CURB TO P. L. FT AVAILABLE OVER
PUBLIC SERVICE OVER
PLANNING PLAN CK.FEE
WATER ELECTRIC
PLAN NO. CHECKER'S APPROVAL PERMIT FEE
I have carefully read and examined the above application and find the
same to be true and correct. All provisions of the Laws and Ordinances TOTAL FEE
governing building construction will be complied with whether speci-
fied herein or not. No person shall he employed in violation of the Labor r
Code of the State of California.I agree not to occupy or allow occupancy
of anyb�rC/,ildin authorized by this per -t until final building inspection has been received.
./
.qgn. SIGNATr'E OFF NER OR AUTHORIZED AGENT talk
FORM B-51 (REV. 7-61) 1M IJ e
_ PERMANENT
oft,INSPECTION RECORD ,,,,,,k
BASIC INSPECTIONS
ITEM
INSPECTOR DATE
TRENCHES: WIDTH DEPTH 111111111111111111 1st.\ LOORJOIST . V
FRAMING i Q %
SWAM^•Ad
LATH 4fakIE A
FINAL.
PARTIAL OR MISC. INSPECTIONS
P701011"Alli
UNSUCCESSFUL TRIPS DATE
. INSP. DATE W
11111111.1 al
-• REAR INSP. DATE
FRONT R. SIDE L. SIDE
SET BACKS
FIELD CHECK
TO APPLICANT: PLEASE DO NOT WRITE ABOVE THIS LINE
PLOT
■
iIIIi1h11 ■11
r anow um_
�vo rruUKtSS —
r
f2.Go E'YTCii2 4+.' .
NUMBER
0
STREET
APPLICATION FOR AN
- ELECTRIC PERMIT
'! YLOF A CADIAT CALIFORNIA Ca PLETED
'4111b, O/�AVNER /1
k0 t.--(f N,01 '0 , V ti�, k1 -'_ TEL.NO.
MAILING ADDRESS
G) CONTRACTOR . L5 L t
,~„ STATE LIC.Np
V7 MAILING ADDRESS ir �/ a
W 4 / CITY LIC.NO.
T"' , /... '! TEL.NO.
b ESCRIPTION OF WORK
oo -----
Bldg. LJ Bldg. Charge Reconnect USE
g or Reseal ZONE
FEE COMPUTATION
NOTE: TOTALS SHOWN BELOW MUST BE SUBMITTED IN DIAGRAM FEES
•
W ON S P`'ATE WORK SHEET PROVIDED FOR THIS PURPOSE. •
b , -OUTLETS,BASE PLUGS,SWITCHES,FIXTURES @ 100 EACH )i v
4 LESS THAN 18 APART @ 50 EACH
lbw
t FIXTURE PERMIT FEE @$1.00
QUAN. MOTORS
0toy=HP RATE
@ .25 EA.
OVER l/x to 2 HP
@ .50 "
OVER 2HPto5HP '
@ $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
TOTAL AIR COND.H.P. $10.00
RANGE, OVEN, CLOTHES DRYER @ 50¢ EACH
RESIDENTIAL ENTRANCE SERV-100A MIN. ---- —
HEATING ELEMENTS @ 500 EACH HEATER
AIR CONDITIONER
WELDERS (TRANSFORMER TYPE),__
KVA @ SOc PER KVA '
WELDERS (MOTOR GENERATOR) 1 FEE-GREATER THAN
CONSTRUCTION OR TEMPORARY LIGHTING MOO. ALONE J
@ $2.00
MISCELLANEOUS_.___,_____
POWER POLE $1.00
I have read application eandyknow thedsameexamined
to ebe the
true and PERMIT FEE @
correct. All provisions of the Laws and Ordi- $X00
natives governing this type of construction will
be complied with whether mentioned herein or SUPPLE
50
not. No person shall be employed in PERMIT FEE @
of the Labor Code of the State ofCalifornia�
INVESTIGATION
FEE
&f w• . r4 VAL. TOTAL FEE 3
SIGNATU• OF • TRACTOR OR
AM. AUTHOR D AGENT
•^
FORM B-53 (REV.7-61) 21/=M U a
"(INSPECTION RECORD '"s
BASIC INSPECTIONS
INSPECTOR DATE
ITEM
-------- 111111111111111111
GROUND WORK------------------
ROUGH._.------------------------------ ,.
FINISH
Ard Mil
ANNFIXTURES-----------------------------
FINAL RELEASE TO PUBLIC SERV.
PARTIAL OR MISC. INSPECTIONS
1111111111111111101
IMAIWINIMIWI
UNSUCCESSFUL TRIPS al
RECORD INFORMATION
U.G. TEMP.OK. TEMP.CONSTR. NO.OF METERS
O.H.
WIRE PWR PHASE
LITE_-----�-- ® DRYER
® OVEN TABLE TOP
OTHER RES. APPLIANCES OVER 2 KW.
TOTAL HP.
TOTAL KW OR HP. 3(�)
S CD
NUMBER
STREET
Alk APPLICATION FOR A
PLUMBING PERMIT
BUILDING & SAFETY DIVISION
CITY OF ARCADIA, CALIFORNIA
•.r E
MAILING App S a 'P� TE •
Cl r 7 / ••
r
4 CO TRACTOR
IV M• �� e'ht I. p ,/ v_Q,
(LING DDRESS STATE LIC.NO.
tTt ~�•
4. ' `'�� �' CITY LIC.NO.
PROPOSED TEL.NO.
USE USE
f" ZONE
FEE COMPUTATION
BATHTUBS I
IV
CLOTHES WASHERS
CO-0 SHOWERS I REPLACEMENT
SHOWER FANS
WATER CLOSETS I
DRINKING FOUNTAINS
LAVATORIES I
SINKS, KITCHEN, BAR URINALS
FLOOR, SERVICE
W SAND TRAPS
bLAUNDRY TRAYS I
0 DISHWASHERS I
a. GARBAGE DISPOSALS I •..
WATER SOFTENERS
WATER HEATERS AND/OR VENTS
TOTAL NO. OF ABOVE FIXTURES:
LAWN SPINKLER 0 @ 1.00 EA.
SYSTEMS: @ 2.00 EA.
BACK FLOW 0.5 DEVICES
ADD.DEVICES
DEVICES: �GQ
5
@2.00
@ 25¢EA.
SWIMMING POOL PIPING SYSTEM
@ 1.00
WATER SYSTEMS @ 1.00
GAS SYSTEMS: 0.5 OUTLETS ADD.OUTLETS
@ 1.00 '
@ 20z EA.
BOILERS STEAM OR HOT WATER
SEWER CONNECTIONS ON PROPERTY 2.00
SEWER CAP OR CESSPOOL FILL @ 1.00 '
SEPTIC TANK SEEPAGE p17
AND/OR DRAIN FIELD @ 3.00
I have carefully read and examined the above
application and know
correct. All the same to be true and PERMIT
correct provisions of Laws and Ordinances
FEE •
A this type of construction will be con]- I ��
Person with whether specified,herein or not. No FEE INVESTIGATION
shall be employed NVE ATION
Labor Code of p ypd in violation of the
the State of California. '
/ TOTAL FEE
SIGNATURE OF NTRACTOR
OR
gUT HOR GIZ E_"_!
—
PERMgh.:NT FORM B-52 (REV.7-611 2/M ;pi r
°I.I'INSPECT ION INSPECTIONS
BASIC INSPECTOR
DATE
I T E M
GROUND WORK -------------
ROUGH GAS______________
PLUMBING TOP OUT________--
---'-'----IIIIIIIMIMIII
HEATING VENTS___-------"" Q
FINAL GAS___---------
V�
FINAL PLUMBING----------
PARTIAL OR MISC. INSPECTIONS
---------__
_____1.6
II Imi____-__
iiiiiir.---i.,_
-----11 .
----
UNSUCCESSFUL TRIPS
00.0.111111111111111111111
�I ruUKt$$ _
NUMBER E� Gi r1 v'e,
STREET
M APPLICATION FOR AN
l ELECTRIC PERMIT
BUILDING 8 SAFETY DIVISION
CITY OF ARCADIA, CALIFORNIA
ER
MAILING ADDRESS Q TEL.NQ.-
�` /2..c9c' 6�a - ,yt
CONTRACTOR �t �/�
U ,,�
Lvi MAILING ADDRESS ' STATE L��NO.
C, /
CITY C CITY LIC.NO.
koTEL.ylA._.—_._
DESCRIPTION--OF OW R
Q\
❑New Exist. ni Bldg, Bldg. No Serv. (�Reconnect USE
IV
Charge L_J or Reseal ZONE
Imo— FEE COMPUTATION --
NOTE: TOTALS SHOWN BELOW FEES
SUBMITTED IN DIAGRAM SEPARATE WORK SHEET PROVIDED FOR THIS PURPOSE.
DIAGRAM
OUTLETS,BASE PLUGS,SWITCHES,FIXTURES @ 10¢EACH
LESS THAN 18 APART @ S¢EACH
FIXTURE PERMIT FEE @$1.00
0 ouAN. MOTORS '
0 ----
0 to 1/2 HP RATE
T OVER V2 to 2 HP @ •25 EA.
OVER 2 HP to 5 HP @ •50 "
°
OVER 5 HP to 15 HP � $1.00 "
OVER 15 HP to 50 HP @ $1.50 ••
O $2.50
OVER 50 HP to 200 HP � ,
EACH MOTOR MORE THAN 200 HP @ $5.00 '' --�'--
TOTAL AIR COND.H.P. - $10.00
_��
OVEN, CLOTHES DRYER @ 50¢EACH
—1_____-RANGE,
•
RESIDENTIAL ENTRANCE SERV-100A MIN.
HEATING ELEMENTS @ 50¢ EACH HEATER
,
AIR CONDITIONER
WELDERS (TRANSFORMER TYPE) KVA
° 50c PER KVA
WELDERS (MOTOR �
GENERATOR) HP FEE-GREATER THAN)
CON$TRU �75 MOO.ALONE
■
CTION OR TEMPORARY LIG TING $2
MISCELLANEOUS (Gk j / '
POWER POLE UO��!' /..V
I have $1.00 r •AP y, —S.
carefully read {/- '(�
application and know and examined t e above
application on the same to be true and PER I+
corces provisions of the Laws and Ordi- E
governing this type of C X00
be complied with whether construction will
bet.complied person shall be employed meptioned herein or SUPPLEMENTARY
of the Labor Code of the tate in liflrnion PERMIT FEE @ .50
State of California. '
INVESTIGATION
FEE
i
'
la-...6....t........m.D` 4/ 4.-.1 TOTAL FEE
jLGNATURE OF .Zr RACTOR OR - .:60 s"'-' AUTHORI AGENT
AN\
PERM/km IENT
FORM B-53 (REV.7-61) 21/2M U e
0014NSPECTION RECORD -
BASIC INSPECTIONS ATE
INSPECTOR
ITEM �
. i
GROUND WORK---------------"-'--- ifiliiiiiii
..
ROUGH- _--------'
fINISH___-_-----
EM .
FIXTURES____------ M A ill
FINAL REL�"F-�'P"°L INSPECTIONS
PARTIAL OR MISC.
_■
NOM
MOM
UNSUCCESSFUL TRIPS
RECORD INFORMATIONONSTR. NO.OF METER
OM .O.H.
KW
PHASE HEAT
PW R_-- ® DRYER TEMP.OK.
111.08 OVEN TABLETOP
APPLIANCES OVER 2 KW.
OTHER RES.
TOTAL HP.
TOTAL KW OR HP. S d>
L.L.,KtJS
1200
NUMBER
Ecnino Ave. r4,
APPLICATION FOR A STREET
BUILDING PERMIT
C BUILDING & SAFETY
N� CITY OF ARCADIA, DIVISION
F.,,, COZy• • !� CALIFORNIA
W M'I • D pnut serf 3ld_ •Co• STATr `r- '414(1.
�y IA7},R_ESS ?�� I 1
V 6 ARCH �U3r e "`*• •� N
ENGR. �sCadi. C1Ty IC NO. f4
• .$ MoolZlaw
MAILING ADDRESS T 'i
T'cT OWNER 20 Sharon Rd Santa TEL N�-.7669
nta Ari= O
}n MAIL DRESS G p f TEL NO. I
/ 5209 Windermere =It_„ N
ti DESCRIPTION�s x."e'es 4l I °
W OF WORK Calif if. o
jT NEW ADD'N [l ALTER. (] REPAIR S LI
FLOOR AREA
FLOOR FT.) 2OJrn NO.OF ❑ DEMOLISH ❑
PRESENT BLDG. USE
STORIES NO OF DWELLING
y
1 UNITS l +
PROPOSED BLDG. USE le U
0) DESCRIBEIWWORK c il
�T TO BE DONE Single famil' dwel I l Z
d Oonst. of single family dwe?. i ng�
0 o
NOTE! PROVIDE PLOT �
r EXTERIOR PLAN ON BACK SIDE OF
WALL MATERIAL ORIGINAL
T S c ROOF FRAMING COPY ONLY
PARTITIONING MATERIAL TT FRAMING MA7ERIgL U
�aITI & 77��
ROOF COVERING MATERIAL
lOT �1E?c'te*• u
WIDTH-92,5 `or �- Shake Shi,._les
DEPTH •• NO.OF EXISTING
BLDGS.ON LOT
VALUATION NOTE: Include Leber Mal I
Wiring, Plumb., Heal,
INFORMATION PR Etc. $__:_______.'''. .r o0
PROVIDED BY
LOT No. BLDG. SECTION a
BLOCK
NO.
USE FIRE -- �—TRACT _ �R y
ZONE o
E _ZON OCCU-
SETO D FRONT _—�—FANCY Z m
RIGHT SIDE
BACKS i SIDE LEFT u"i
TYPE OF 11111111 w
SPECIAL a
CONSTR. G Y
Approval & Information NO.!=G` GRADE q O
mation by Others
DIST FA CITY ENGINEER Q
CE OF F
CURB TO p,1..______________ SEWER 0
F7. AVAILABLE DRIVE °o
PUBLIC SERVICE —OVER d o
WATER
—�ELECTRIC Z~
P.C.FEE W
3�
PERMIT FEE PERM.PLAN
y
PPROVED
CHECK ..O
I hav W/OUT PLAN [� K i'ROVAL Z
•e carefully read and examined the try` Oo
he trueg and correct All Provisicomplied n of the Laws andn and anc the same Zm
VI
building above applicatio
not. Nn person construction will be
n C o erso (shall he employed i l with whether ortlinanco to
au agree not in violation specified governing
ef
by this permi to occupy or °f the Labor Co d herein
su
,til final; ilding wins,cul'ancy of the S e
i ctian s be-.. hui e'ng O>
_I / f�
•F r'A R OR •U !R , 1414 O
U 'iRlrs'
FORM B-S I PERMANENT
ac
Su.
sitSPECTium
BASIC INSPECTIONS aI
:-... . pi,,, L.:.__,-- , of
WIDTH-_------ cs✓r�
TRENCHES, .°', ''� �i 'J
1st. FLOOR JOIST -------------- ----- - II
mew
III
FRAMING --
FINAL------------------------ -------
-- - - INSPECTIONS
PARTIAL OR MISC_
"VW i , ZS .
..
____.
,___T_______---_________ ___________
wo 001 // . 9ff
à -
iiEIi _ ___
1
NSP. D__--� ' • i_.—R.SIDE II
_E' SACKS .... .--.+ 1
OTO APB PLEASE DO NOT WR;TE ABOVE THIS LINE
NOTE; pFCPGTHE T EETRF RONAG , MKE EOTT O I
■
iiiiiia[ IITL
u ■■■•■ ■■"SIX"
JOB ADDRESS(WHERE APPLICABLE)
Aaste
Allok
NUMBER
STREET
MISCELLANEOUS FEE
©
hi f BUILDING RECEIPT VISION
l"L CITY OF ARCADIA, CALIFORNIA
CO RECEIVED OF / .
3
©MAILING ADDRESS ✓�� �.
C7
FOR:
CO[ "*PLAN CHECK FEE FOR VAL. $
I / e:..)OO\
❑ CASH BOND FOR
❑ PURCHASE OF BUILDING CODE
❑ PURCHASE OF PLUMBING CODE
c ❑ USE AND OCCUPANCY CERTIFICATE FEE
an ❑ ROOFING
0
1„,. ❑ PLASTERING
❑ HOUSE MOVING
❑ a
0
[11 a0'
REMARKS / 3 9 2_
>g7)
AMOUNT DUE $ �
��_PAID by: CK. M.O. CASH
When properly validated this is a receipt for the amount shown on
the VALIDATION STAMP.
WARNING: PLAN CHECK F ES, WHERE NO ACTION IS TAKEN BY THE
APPLI( IN NINETY (90) DAYS AND NO BUILDING PERMIT IS JED, ARE
FORFE. TO THE CITY.
FORM B-58 TEMPORARY
/°► eel
Akaaa
NUMBER
APPLICATION FOR A STREET
SEWER_STREET CUT
OR
CURB A
p ND SIDEWALK
BUILDING & SAFETY DIVISION
LJ'J CITY OF ARCADIA, CALIFORNIA
I"L OWN g.R--1 e
,rl _ l T L NO,
t.C% MAILING ADDRESS f..itL
Lo CO�0TQ ../i • ' `t//I-
/ j f �/ 7- / STATE LIC.NO.■= MAILING ADDRESS - �� ♦� - {�7Ff0
��_ CITY tic.NO.
� s CIT �G75�
O\ 6..e.,- 46E..e TEL.NO.
Iv PERMISSION IS HEREBY GRANTE, TO MAKE SEWER CONNECTION �a/31
AT•
LOT
Y BLOCK
- —TRACT
--_
LOCATION LATERAL _
SADDLE
TV SEWER PLAN NO.
eflgaRINEfferL
SOW $
Q INSPECTED ----__—
0 196 $
BY TOTAL
/"" BY $
ALL CONNECTIONS MUST BE INSPECTED BEFORE BEING BACKFILLED.
24 HOURS NOTICE REQUIRED.
CURB AND SIDEWALK
URB BREAK
FEE
DRIVEWAY APP Q-p
$
CURB BREAK & DRIVEWAY APPROACH
SIDEWALK FEET
CURB & GUTTER — REPLACE CURB
-----__FEET
..r CAB,-GUTTER & SIDE, FEET
■
_ ST• "' i PER INTENDENT
ALL WORK DONE UNDER THIS PERMIT MUST HAVE INSPECTION BY THE
STREET SUPERINTENDENT
STREET CUT
AMOUNT OF DEPOSIT
ESTIMATED SIZE OF —AT 75c PER SQ. FT.
AMOUNT CHARGED
ACTUAL SIZE OF PATCH AT 75c PER SQ. FT.
RECEIVED FROM CITY OF ARCADIA AMOUNT REFUNDED
STREET DEPT.
196g TOTAL FEE
SIGNED
BY STREET SUPT.
ADDRESS % --r Irn e
r 1T 'E OF CON •-C •+ OR A HO•J ED .G
B-54 (REV. 7-61) 21/2M a PER/ --
r ANENT
INSPECTION.RECORD
PpahTIAL OR MISC. INSPECTIONS A\,
- UNSUCCESSFUL TRIPS
re cc, r Ac
NUMBER
STREET
CD APPLICATION FOR A
SEWER-_ STREET CUT
' 4 CURB AND OR CURB
i'''3" BUILDING & SAFETY DIVISION
1 CITY OF ARCADIA, CALIFORNIA
\a OW
I I G '� �•/ TEL NO.■G3 MAILING ADDR'A N i
C• TRACTOR
N STATE LIC.NO.
O MA IN AD i� ..CAI," i; 'ice ra
/' CITY LI NO.
CITY �. I _ ��
L/ i TEL.NO.
PERMISSION IS HEREBY GRANTED TO MAKE SEWER CONNECTION 72./
AT ,
t LOT
V Y BLOCK___ TRACT
O LOCATION LATERAL
SADDLE
0 SEWER PLAN NO.
INSPECTED_ $— --
196
BY
BY $TOTAL
ALL CONNECTIONS MUST BE INSPECTED BEFORE BEING BACKFILLED.
24 HOURS NOTICE REQUIRED.
CURB4.;- -1/-6.2- .-e..,AND SIDEWALK
CURB BREAK � FEE
0 42
DRIVEWAY APPROACFyfje 2
/ice $ ��.
CURB BREAK & DRIVEWAY APPROACH
SIDEWALK FEET
-----_REPLACE CURB
CURB & GUTTER FEET
my CUR/B� UTTE/e- �
/ Y" 1D FEET
STREET
ALL WORK DONE UNDER THIS PERMIT MUST HAVE INSPECTION EBY THE DENT
STREET SUPERINTENDENT
STREET CUT AMOUNT OF DEPOSIT
ESTIMATED SIZE OF PATCH AT 75c PER SQ. FT.
AMOUNT CHARGED
ACTUAL SIZE OF PATCH AT 75c PER SQ, FT.
RECEIVED FROM CITY OF ARCADIA, STREET DEPT. AMOUNT REFUNDED
196__$ TOTAL FEE
SIGNED STREET SUPT.
BY
ADDRESS TELE ONE
X �t BY
SIGN URE OF CONTRALTO' •' UTHORIZED AGENT—-.,-
illilik
I i B-54 (REV. 7-61) 21/2M •a PERI .NENT
INSPECT1-:,RECORD
P TIAL OR MISC. INSPECTIONS oak
UNSUCCESSFUL TRIPS
�,,, `� 02 Encino &vee
NUMBER
STREET
APPLICATION FOR A
SEWER-_ STREET CUT
OR
O - I') CURB AND SIDEWALK
BUILDING & SAFETY DIVISION
CITY OF ARCADIA, CALIFORNIA
NER,,
v. . i. Knutsen Bid TEL.N-p;
MAIL ING ADDRESS ii ��•
CONTRACTOR ~
L. D M C f _ ,STATE LIC.No
MAILING ADDRESS - f-! Vf .N
CITY ^ • CITY[IC.NO.
r, a T` i
Baldwin O _
ON win -rk C_ TEL.NO.
N PERMISSION IS HEREBY GRANTED TO MAKE SEWER 4ONNECTION,
= AT 1200 Encino Ave•
LOT 15
BLOCK TRACT 25340
LOCATION LATERAL �` , _
1 SEWER PLAN NO. S
lV �, C .SPOOL FILL
�` 51.00 $
O INSPECTED '- ----
`� 196 $
a. BY BY TOTAL ©G
1 $
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
—CURB & GUTTER __________REP LACE CURB
FEET
CURB, GUTTER & SIDEWALK
---__FEET
STREET SUPR
ALL WORK DONE UNDER THIS PERMIT MUST HAVE INSPECTION`BYNTHEDENi
STREET SUPERINTENDENT
STREET CUT AMOUNT OF DEPOSIT
ESTIMATED SIZE OF PATCH AT 75c PER SQ. FT,
AMOUNT CHARGED
ACTUAL SIZE OF PATC AT 75c PER SQ. FT.
RECEIVED FROM CITY OF ARCADIA, STREET DEPT. AMOUNT REFUND'D
196 $
TOTAL FEE
SIGNED
BY STREET SUPT.
ADDRESS-------,- s TELEPHONE BY
X SIGNAT-;-, CONTRA TO `r /. l
OR AUTHORIZED AG NT �`,
B-54 (REV.7-61) 21/2M ©. PERU ENT
INSPECTION RECORD
p/"KrIAL OR MISC. INSPECTIONS wok
— 11111111
MINI
INIIIIIIIIIIIII
UNSUCCESSFUL TRIPS
•
r' ''''s
I
w
AT '''S ,
v
/ .. Z
LI
o
s h S�
x s 1 . i IN
c IN S'
W r ;o
f
4
JOB ADDRESS
1200 Encino Ave.
NUMBER STREET
APPLICATION FOR A
,1 PLUMBING PERMIT
BUILDING a SAFETY DIVISION f
CITY OF ARCADIA, CALIFORNIA O
CONTRACTOR
G Jose.h Cadilli Plb:. Co. 1T34935C36 v,
X- •
MA/vv GATRESh arvey Ave. uYVu 20. u Q
Z G
U• So. San Gabriel Calif. At 05349 i =
O E .x- x
�j inn D. James TEL.NO. Z w
m
MAILING ADDRESS— — f•
i-
< 2
u
PROPOSED o
USE USE a
ZONE —
> p
FEE COMPUTATION
ON
E...) 0 '-
—0 1 1 BATHTUBS 1 CLOTHES WASHERS 0
a
l O
Z
SHOWERS SHOWER PANS =
3 ,..
3 WATER CLOSETS DRINKING FOUNTAINS w
3 LAVATORIES
2 d
URINALS O
SINKS, KITCHEN, BAR ?
O
al I FLOOR, SERVICE SAND TRAPS m
F
7
O LAUNDRY TRAYS CLARIFIERS Y x ..
a. •'24
P. 1 DISHWASHERS V
GREASE TRAPS N�+� ."
1 GARBAGE DISPOSALS a O
WATER SOFTENERS su
d 2
Z
u u
1 WATER HEATERS AND/OR VENTS
TOTAL NO. OF ABOVE FIXTURES 13.00
LAWN SPRINKLER @ 1.00 EA.
SYSTEMS: @ 2.00 EA.
BACK FLOW 0.5 DEVICES ADD. DEVICES
DEVICES: @ 2.00 m 25¢ EA.
SWIMMING POOL PIPING SYSTEM x@$1.00
1 WATER SYSTEMS n, 1.00
1.00
1 0-5 OUTLETS ADD.OUTLETS
GAS SYSTEMS: L1 1,00 l 0O
@ 20{ EA.
BOILERS STEAM OR HOT WATER @ 2.00
SEWER CONNECTIONS
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
correct. All provisions of Laws and Ordinances �.00
covering this type of construction will be com-
plied with whether specified herein or not No INVESTIGATION FEE
person shall : in violation of the Labor
Code of thate of California./ „gm TOTAL FEE
16.00
•Rh 2 NAT RE OF CONTRACTOR OR AUTHORIZED AGENT
PERMANENT
#144SPECTION RECORD
BASIC INSPECTIONS
INSPECTOR DATE
GROUND WORK I T E M
- � / -
ROUGH GAS 8 PL'B'G ( ' 6 Y
SEWER,SEPTIC TANK
SEEPAGE PIT, DRAINFIELD l‘
FINAL GAS.
FINAL PLUMBING
PARTIALL,OR MISC. INSPECTIONS
bitit.e f ;__Lam..-
,�' ' i - - (_4<..e-c.a.. ;
��;� t r �cG nth r
,..0. i
✓
Xe,gie &e JDA ; .-/76-)/
UNSUCCESSFUL TRIPS
JOB ADDRESS
l� d er
�F O
NUMBER STREET _
APPLICATION FORA F.
HEATING, VENTILATING, AIR- a
o CONDITIONING OR REFRIGERATION
a.
N PERMIT
IL' BUILDING & SAFETY DIVISION z
1!` CITY OF ARCADIA, CALIFORNIA ° Z
W W O
C• TRA a es
1'i/ ST T uc. •O. °
f� r - i
AILINe ADDR S a °
k s ; r- CITY LIC. NO J
1 m u
OWNER 7 W N
i T• ,NO.. a W
o ,► 5,ti 6 -lays` o Y
MAILING ADD•ESS Q
ON
W
= DESCRIPTION OF WORK 3
EATING ❑ AIR CONDITIONING USE z °
❑ REFRIGERATION❑ VENTILATION
ZONE
FEE , 0 POTATION
, VALUATION 4.34/ °`
L.
V^ ui REFRIGERATI•N SYSTEMS, INSTALLED, Y
n
N
W
et ~
CO REPLACED, REPAIRED OR RELOCATED f F O W
EVAPORATIVE COOLERS OR n Z
u u
VENTILATING SYSTEMS
SUB TOTAL .
HEATING APPLIANCES INCL.
(INSTALLED, ALTERED, REPLACED, REPAIRED OR RELOCATED)
TYPE B.T.U.
FEE
Q. . ? fit;
CIRCULATING AIR OUTLETS OR INLETS
REFRIGERANT COMPRESSORS (INSTALLED OR REPLACED)
QUANTITY OVER INCL. ACTU
RATE ' P E E
0 20
■
20 50
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 • violation of the
Labor Code of the Stat 4 lifornia. TOT• ep e,
1I °d�
FEE
� ,
SIGN. c OF CONTRACTOR OR AUTHORIZ,• AGENT "�--
FORM B-55 PERMA 'ENT
414SPECTION RECORD 'oak
T r
INSPECTOR DOTE
M
ROUGH HEATING ��
ROUGH REFRIG. OR AIR COND -. --- -- -
DUCTS 0:7A
FINAL HEATING - -
J 4'
FINAL REFUIG C'" P (( ----- -- -
PARTIAL OR MISC., INSPECTIONS
-------------------
UNSUCCESSFUL TRIPS
- l l
A'l Jvo ruUKES$ —
/r i •
NUMBER
— STREET
APPLICATION FOR AN
ELECTRIC TY DAO_, / BUI DI GSFE DIVISION
CITY OF ARCADIA, CALIFORNIA
OWNER
4".../../ C� TEL.NO.
MAILING ADDRESS
IV
CONTRACTOR
L O. / STA LI— �,NO
/r I /e .
��'+�'+� MAILIN A•DrESS
QT ` � CITY LIC.NO.
CITY
�Z/
.EL.NO.
New O WORK— _
Lj Bldg. Bldg. No Serv. (-1 Reconnect
ON
Charge L_1 USE
-------___ g or Reseal ZONE
FEE COMPUTATION
NOTE: TOTALS SHOWN BELOW MUST BE SUBMITTED IN DIAGRAM FEES
ON SEPARATE WORK SHEET PROVIDED FOR THIS PURPOSE.
p UTLYTS,BASE PLUGS,SWITCHES,FIXTURES @ 10¢EACH G.
LESS THAN 18 APART @ 5¢EACH
.4. FIXTURE PERMIT FEE @$1.00
QUAN. MOTORS ©�
0 to 1/2 HP RATE
@ .25 EA.
OVER 1/2 to 2 HP .116.
@ .50 "
OVER 2 HP to 5 HP
@ $1.00 "
OVER 5 HP to 75 HP
@ $1.50 "
OVER 75 HP to 50 HP '
@ $2.50 "
OVER 50 HP to 200 HP
EACH MOTOR MORE THAN 200 HP @ $5'00 '•
TOTAL AIR COND.H.P.
$10.00
■
RANGE, OVEN, CLOTHES DRYER @ 50¢ EACH �^;
RESIDENTIAL ENTRANCE SERV-100A MIN.@ 50¢ EACH HEATER �'v:E70 0 O
HEATING ELEMENTS y
AIR CONDITIONER
—WELDERS (TRANSFORMER TYPE)
KVA @ SOc PER KVA '
WELDERS (MOTOR GENERATOR) HP(75%GREATER THAN
CONSTRUCTION OR TEMPORARY / MTR. LONE 1
MPORARY LIGHTING @ $2,00
MISCELLANEOUS
POWER POLE $1.00
I have carefully read and examined the abRve
application and know the same to be true and
correct. All provisions of the Laws and Ordi- 00
nancos governing this type of construction will
be complied with whether mentioned herein or SUPPLEMENTARY
not. No person shall be employed MENTARY
of the Labor Code of the State eof'Californlia. PERMIT FEE @ .SO
INVESTIGATION
FEE
•
�` ' ' TOTAL FEE
SIG'ATURE OF CONTRACTOR OR
�" AUTHORIZED AGENT
p�� J�
FORM B-53 (REV.7-61) 21/2M O a �'E ..,ENT
INSPECTION RECORD
ORN BASIC INSPECTIONS
INSPECTOR DATE
I T E M
GROUND WORK------------------------
ROUGH.--------------------------------
/
FINISH
FIXTURE -----
F L RELEASE TO PUBLIC SERV.
PARTIAL OR MISC. INSPECTIONS
fin
illirillallilli
UNSUCCESSFUL TRIPS in
RECORD INFORMATION
TEMP.OK. TEMP.CONSTR. NO.OF METERS
O.H.
IIMMIIIMINI HEAT KW
NM ®OVEN TABLE TOP DRYER
OTHER RES. APPLIANCES OVER 2 KW.
TOTAL HP.
TOTAL KW OR HP. 3 CD S