Press Alt + R to read the document text or Alt + P to download or print.
This document contains no pages.
HomeMy WebLinkAboutOld Permits BUILDING AND SAFETY DIVISION ' `�
City of Arcadia ELEC./MECH./PLMBG.
240 W. HUNTINGTON DR.,ARCADIA, CA 91006 • TEL.(818)574-5416 PERMIT
Building n No. Description tion (Additions, Commercial, Industrial)
Fee 1
Adde pals, C h L h c V 2
Services
Owner r M/ J`e le (Size )
P
2 Outlets
(Receptacles, Lights, Switches)
Adri ss i s / O nL l V A V e
Fixtures
City Q -J Zip p Tel, Sig) U)
// re..aci1a �71ook, I 6`"g%vat V}) Motors ■
Contractor [ t /y > i fA —J (HP each: )
G�>r�t` ra/ T{ !/ .4 Other
Address s ,,IIyy9 /
City ,� Zip Tel. (1$1 e) I- Re de Area New
s., 9)s� / el ✓��� �] Residential Bldg.
®Y1 hb)ell Li /t:°1(D •71.5 i3-u-' W Sq.Ft. Area New 0
Stole Lit. ��� City J
Res. Accessory Bldg.
8 Clossif. Coq/426., TR._ e�(� Lic. No. W
LICENSED CONTRACTOR'S UECLAR ATION / JaJ
Misc.
I hereby affirm that I am licensed under provisions of Chapter 9(comma Ct ith Section
I S )of Division.1 of the Business and Professions Code.and my license is in full force and Pool
effect. Wiring
ELECTRICAL FEE
OWNER-BUILDER DECLARATION No. Description No. Description Fee
0 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 e 100,000 BTU to and includ. 3 HP �/ 1
permit to construct.alter,improve,demolish,or repair any structure,prior to its issuance e
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
Section 7000)of Division 3 of the Business and Professions Code, or that he is exempt N 100,000 BTU over 3HP to 15 HP 01--0 5
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($300)." M Heaters includ. 10,000 cfm
I,as owner of the property,or my employees with wages as their sole compensation,will Q Spray Booth / Air Handler
o the work,and the structure is not intended or offered for sale."Sec.7044,Business and Exhaust Hood over 10,000 cfm
Professions Code:The Contractor's License Law does not apply to an owner of property who V
builds or improves thereon and who does such work himself or through his own employees, Vent. Fan Other:
provided that such improvements are not intended or offered for sale. If, however, the Z
building or improvement is sold within one year of completion,the owner-builder will have Q includ. Duct
the burden of proving that he did not build or improve for the purpose of sale." = Misc.
LII, as owner of the property, am exclusively contracting with licensed contractor to 0
construct the project."Sec.7044,Business and Professions Code:The Contractor's License W ' .
Law does not apply to an owner of property who builds or improves thereon,and who con- M MECHANICAL FEE 3/tracts for such projects with a contractor(s)licensed pursuant to the Contractor's License Law''
❑ I am excempt under Sec. B.&P.C.for the reason ___ __ _ No. Description No. Description Fee
Bathtubs Water Heaters
Date __ __Owner W Showers Garbage Disposals
WORKERS'COMPENSATION DECLARATION N Water Closets Laundry Trays
hereby affirm that I have a certificate of consent to self-insure,or a certificate of
Worker''sCompensation Insurance,or a certified copy))thereof..((Sec.'3800,Labor Code.) r Lavatories Clothes Washers
Policy o czj���6 Company t,aie3t Arne,-I cos-,
Copy is filed Certified copy is Eno.Date CD Kitchen Sinks Sewer Connections
with the City. hereby furnished. `` _$[p>�� Z
CERTIFICATE OF EXEMPTION FROM ( �,-J `'' 'a I m Dishwashe,s Sewer Cop
WORKERS'COMPENSATION INSURANCE Shower Pan i Gas System �j
Z (This section need not be completed if the permit is for one hundred dollars($100)or less.) Replacement (No. Outlets: ! ) 7
Li I certify that in the performance of the work for which this permit is issued,I shall not J Swim. Pool Solar
Rl employ any person in any manner so as to become subject to the Workers'Compensation Law a Pipina _ Installation
of California.
o NOTICE TO APPLICANT:If.after making this Certificate of Exemption you should become MISC.
0 subject to the Workers' Compensation provisions of the Labor Code,you must forthwith PLUMBING FEE
comply with each provisions or this permit shall be deemed revoked.
I certify that I have read this application and state that the above information is correct.I ELEC. ECH. PL,B G. ' ISSUANCE FEES .64- .5e..)n agree to comply with all city and county ordinances and stale laws relating to building t
O construction,and hereby authorize representatives of this city to enter the above-mentioned
property for inspection p oses. ` l
-C Signature of Applicant �f. J Date 1al�318_2 TOTAL FEES 9 1
Mailing Address/3/0 — .;Y1 U 1"i!e
7 Processed Dote:
`ity,State,Zip •• • ''• - ! U! — - By y L�„ 7
This is a building permit when properly filled out, signed and validated, '12-03-87 '1CL7424 TOTAL 93.-15
and is subject to expiration if work thereunder is suspended for 180 days
low
INSPECTION RECOi mSPE«TORmnOnEm
UNDERGROUND CONDUIT
ROUGH WIRING
NEW SERVICE
FIXTURES ___ ----
mg FINAL ELEC. INSP.
F. TEMP. POWER POLE
OTHER
_— +
OTHER
' ----
ELEC. UTILITY CLRNCE.
U. G. DUCTS/REFRIG. LINES
' RO. MECH. u""*' c"����'
elm Supports, Vents
--'
--- pAu/Ac o"/'
v,,� Shutoffs
F|NAiAxE�H. � >4/hl—���
--- ' '~J
p OTHER
OTHER
Water,
U.G./UNDER FLR. c"� supports _ - --------
Water, Gas, Vents,
RO. PLMBG. ' '
� �"pp"'',,n°"h/"y"
---- -----'
5EVVER/PR|V D|8P SYSTEM DIAGRAM
GAS TEST /��!6 :��—_` � �
' -- w/��
No F|NALPLN\8G. fixtures ,
Services,
« '' Valves
It ,
WATER HTR
' vent, Rel. v"�
.—5EVVER/PR|V� DISP. SYSTEM ----
OTHER
OTHER
GAS UTILITY CLRNCE.
BONDING
U.G. ONDU|T
r-- ----- -------- ~ ------
— GAS PIPING Material, Depth
-`
�
GAS •
��THEATER .°"
Location, a,",°o
»G FINAL POOL ELEC.
7/0
�
FINAL POOL PLMBG.
_
OTHER
|
INSPECTION | DATE INSP. SIGN.
BUILDING AND SAFETY DIVISION ..•. —
City of Arcadia ELEC./MECH./PLMBG.
240 W. HUNTINGTON DR., ARCADIA, CA 91006 • TEL. (818)574-5416 PERMIT
'Bddres /2/ /!� &�C./�o A No. Description (Additions, Commercial, Industrial) Fee
Address ! :x7
�/ / /l f� �_ / Services
Owner 011 /%y�7 / 'CJ, X�`, (Size foe �"i/f�, ) [� ��
I Moibnq ,,( 2 Outlets v `
�/1�y e- As' r! 4, OW (Receptacles, Lights, Switches)
Address /�cc/T /(;__ r�J
City Zip Tel. Fixtures 6
(iL'vC,I'L � P J / j�, Y
Contractor
�(�� �� ��� N Motors • /j. ` � ��t �B
G. & S. ELECTRIC / (HP each: (,�3 , ' l '�r9 ) 7 a'
Address 4 Other [
531 S . Atlantic Blvd. C? (Specify: )
7�I,, cr Sp. Ft. Area New
`Monterey Park Zip 91754 283-6317 V Residentiol Bldg.
W Sq.Ft. Area New
State"`. 248057 C1}y Res. Accessory
a Clossif. Lic. No. 21359 UJ Bldg.
LICENSED CONTRACTOR'S DECLARATION ao, Misc,
■11 I hereby affirm that I am lie d under lions of Chapter 9(commeny�n Sg lfun
III of Division 3 of the Bus Ya and Pr, ions Cody nd my license is in full n,and Pool
effect. / ,,.�
,—
V. ,�1}f ' wiring
ELECTRICAL FEE .�;
'OWN- B D R DECLARATION
No. Description No. Description Fee
E I hereby affirm that I am exemp from the Contractor's License Law for the following -
reason:"Ser.7031.5.Business and Professions Codes.Any city or county which requires a FAU to and includ. Boiler/Compressor
permit to construct,alter,improve,demolish,or repair any structure,prior to its issuance 2 100,000 BTU to and includ. 3 HP
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 W FAU over Boiler/Compressor
Section 7000)of Division 3 of the Business and Professions Code, or that he is exempt I._ 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 Flr./Wall/Susp./Pool Air Handler to and
dollars($500)." M Heaters includ. 10,000 cfm
.PI.as owner of the property,or my employees with wages as their sole compensation,will ..J Spray Booth / Air Handler
3 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 Z
building or improvement is sold within one year of completion,the owner-builder will have 4 includ. Duct
the burden of proving that he did not build or improve for the purpose of sale." I Misc.
❑ I, as owner of the property, am exclusively contracting with licensed contractor to V
construct the project.''Sec.7044,Business and Professions Code:The Contractor's License Lii
Law does not apply to an owner of property who builds or improves thereon,and who con- 2 MECHANICAL FEE
tracts for such projects with a contractor(s)licensed pursuant to the Contractor's License Law.''
❑ I am excempt under Sec. ,B.&P.C.for the reason ___ ____ No. Description No. Description Fee
Bathtubs Water Heaters
Date— Owner W Showers Gorboge Disposals
WORKERS'COMPENSATION DECLARATION I-
I Water Closets Laundry Trays
hereby affirm that I have a certificate of consent to self-insure,or a certificate of t
orker's CompentjP njry�ute,or a certified co tpelC (Sfaiona Cdr) N
I Lavatories Clothes Washers
Policy No. u// CbPrtrapBCT+f = 111 __ 'T�'
®Copy is filed ❑Certified copy is Exp.Date Kitchen Sinks Sewer Connections
with the City. hereby furnished. /�. n Q Z JJJ
CERTIFICATE OF EXEMPTION FROM I ✓ ! _�f/ 1 m Dishwashers Sewer Cop
WORKERS'COMPENSATION INSURANCE Shower Pan Gas System
(This section need not be completed if the permit is for one hundred dollars($100)or less.) = Replacement (No.Outlets'. )
2 El certify that in the performance of the work for which this permit is issued,I shall not J Swim. Pool Solar
employ any person in any manner so as to become subject to the Workers'Compensation Law a. Pioina Installation
of California. Misc.
IT1 NOTICE TO APPLI CANT:If.after making this Certificate of Exemption you should become ,PLUMBING FEE
n subject to the Workers' Compensation provisions of the Labor Code,you must forthwith
—I comply with each provisions or this permit shall be deemed revoked.
0
I certify that I have read this ap.lication and state that the above information is correct.I
agree to comply with all city an'c�.!unty ord'��.rr ces and state laws relating to building ECH.,PLBG. ISSUANCE FEES Gam,
construction,and hereby authori i" esenta r of thi ity to enter the above-mentioned
property for inspection..epos �
0
Signature of Applicant .1Li;; Date ____ ___ TOTAL FEES Cl�l ZE.
Mailing Address _ T
Processed Dote:
♦City,State,Zip __ _ ___ By;
This is a building permit when properly filled out, signed and validated, '12-0.1-87 1CL 7 388 TOTAL I-'4'.o.?CR-
and is subject to expiration if work thereunder is suspended for 180 days.
IN$PECTION RECOellk NOTES
UNDERGROUND CONDUIT
-----
ROUGH WIRING
__-_
NEW SERVICE ��-*�' fip'S;t~_ . _ --------�
FIXTURES
FINAL ELEC. |�S� ��'��� - � ��
P.: .TE&xF. P{}VVER POLE
OTHER •
OTHER
ELEC. UTILITY CLRNCE. '
U. G. DUCTS/REFRIG. LINES
--
— c� —� --' ` -' - ------
u�* Ai.
0J� 6AE[H. S . v°�* '
p�o/xc o"/,
FINAL /WECH
� Vents
OTHER --I_
'
OTHER
s *���
Li���/UNDER FLR vn
��� G� vo * ________
RO. PLAA0G. Supports,����u ,'
GAS TEST SEVVER/PR|VSYSTEM�. SYSTEM
���" ���"
FINAL PLMBG. s�.m,' '
�� �+°
VVATERHTR '
HTR. ',°�� »°/� v"l,°
�
4� SEWER/PRIV. DISP. SYSTEM
OTHER
OTHER
GAS UTILITY CLRNCE.
. �
BONDING
U.G. CONDUIT
— ' - - ---
��
— GAS PIPING Depth
. . _
§ GAS TEST
vent, cleara""° -
HEATER Location, ����� '7
—
Yea FINAL POC)LEL�C.
;* ---- -
FINAL POOL PLM0G. �
OTHER
INSPECTION DATE INSP. SIGN.
vri OP
• v / / /
.� °_ .- ;«� . � BUILDING & SAFETY DIVISION
■ARCADIA 240 West Huntington Drive COMPLETED
.. /ob Arcadia, California 91006-3104
°RpORATEO-
( 818 ) 5 7 4 _ 5 4 1 6
c-
Page 1 of 1
1218 S ENCINO AV /'' 09/11/89 11: 34
Permit No : A890, 9 Autoproj No : AU003580
Status : APPROVED Validated by : LB
Inspector area: 208
This type : Roofing Project Applied : 09/11/89
Issued : 09/11/89
Parcel number Finaled
Group-occup/use: To Expire .•
Owner : RILEY, MIKE
Applicant : VIRGIN ROOF CO.
Applicant Addr : ro BOX J SAN G ABRIEL, CA 91776
Job Address : 1218 S ENCINO AV
Phone number : 818-287-0507
Class code .•
Valuation 2 , 971
Construction : ALT
Permit to do : RE-ROOF HOUSE AND GARAGE
CONTRACTOR : VIRGIN ROOF CO. Lic. C 160650 818-287-0507
Roofing Material > FBRGLS SHNGS
Fee description Units Fee/Unit Ext fee Data
Enter Valuation > 2971. 00 . 00 . 00
Roof Fee 3107> 81. 55
*** Fees Required *** *** Fees Collected & Credits ***
Receipt No. Date Payment
09/11/89 81. 55
Fees: 81. 55
Adjustments: . 00 Total Credits: . 00
Total Fees: 81. 55 Total Payments: 81. 55
Balance Due: . 00
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 mod-
ification from the South Coast Air Quality Management District (SCAQMD)? SEE PERMITTING CHECKLIST FOR
GUIDELINES. —
D YES ❑ NO
I have read the Hazardous Material Information Guide and the SCAQMD Permitting Checklist. I understand my re-
quirements under the Los Angeles County Code, Title 2, Chapter 2.20, Section 2.20.100 through 2.20.140 concerning
zn Si r r II v ❑- O ❑ 11IIII!U1!IEI1II1 a pg$$ ¢'❑ c g m., yOm y�°S n a Q I1:hhiI A � �- e o ao�R _.a,�a o s'm g�" ��Sm �D vxc A 3 i- m- $ i 3 g .. @@ om m % Eo`8 mf4g$gm m_m Y'Z Jm z o mp m 'm�w_.$o--m j z o m m mJ .n o m y D m D 2 O ( m �O E O 0 o I 1 Q O I $Rt m h Q h;Ow O�ZZ� n m lm ; v^ n m a�'m m � m Y:� N 3 0 �
O?� me 0 3 of�R�@ 1 o3s o °_ S =g ,7,, ,_-. .(,1. .......-2.2° 3: o .lr; o$gm
n, @ $ y 83 tio3 g^@ co
�mOI � `" S^ xrPS_ A 3 > v—g-. °- S» 3m w.gm.
`3^3 w5 mQa. 3.m _30
Dt;F u' $ �g o n a �a oQ * ' •s i Q° m aR 3�c) R °g CD2 wpm^ ) o m 0C 0. a.g in@ _
J zt C n - - >E O S R °R g� m ° o'm m C Ogg" n O�
J n A%rTi' Ro'�� ¢� ,mom$ $ Q �I, /_ g a E y� Qo g $^w 5:' m ¢^'� 3�.01 � �3 ei ° �mmx.�rXgm
• ( .. /� 9Zvg Fm 0 Q_3s 34 S ; al i5 �qo F °�3mR Dn:i� v � 3 O • ml. 71^'c omao•(Y/ T em v' Y p.o 2: 1 .m _ O_ ❑ �' �' _ V.: Ym m2.Eo =.3 $V ° o gmm z ' '-^.o T Sm AO m o$ m n° 5 v
7It, tQn D a a m m m l k o m 2 m o M
0 V fD=r $° " �C 0 3 S O 1 O - 2 . °4nS S m .o .�3 mnvo O m; O S3a o m '3 E Q n 0
biz; g 3s'% _ , ; _� • a° ; oE :e nn onv oo °, c �am z �. S212.To m' r
�' -- _a m a -I �Ra o O o arc 1 Sao oom -._.m'o r, `/ R oam �' oc mmm m
' a g- a !2.^ a s i i S n@ 4 " n r m m 3 v -. a f.
A rmngo6' . g n z Y.n E 'i ° S a gavm a=r E oS 3 g �.og y ^ O < O �3oom °p "a 13
mzDa Q.e@ r .a O G ' w O" D nm m m m(n m y n°o•m a 6 e
io m <z 7 a e A 3. 9 z S v3. n m E m a. ^ 3 m O 6.0 0 0 ' 2 m m 3a m D
�.5.> ° g�C �� ? °- Q' v eig z Q .d °.m °O- � af Qo3� no ► �Gt'n m °3 $ a.nm3 $
mas o m m a� ' m 40q w 3m _�° 83� g^ r 4o m - m
OD -a �� ark v Q 4 NY A mR O�'R O 3 o Q$ = .� $ y> 00 A m m Q" m O
a$p� 4 o 'q ° 14i o1 R � O m a` g°S mSF-^T3EN Z-7m8“I'Z'- i .ma C i.° m VW' ° N
' aj ; v g_ Q s gpai o'o c Z �'g yI . o S 3 07"y� am m 322m.r O_ m $o m o R S`�' m
iN!z l a -i i a 3 k'i a z 2 0 $m > n w. 2ga-.Q m Sm 0' oRg ^mim °- Q m v c 1 o >•
E� 0 3 o f3 a > g- m �m ii c ao`c° 0 4 nq �-'ma Q`� m S = 3.�, 5. °>>�
Y s $r>> 51 i go i Q i m i z R g.i3`ig?>IIEa m 31.;oSm m(��.3 . ; o ° ns n
1 P D Z S 3 c g o m z a r n g° ° a w. m 3 m m .S 0.z E �Co m D S v o 3 x 0 3 'a
ir1 gg o t .
g$O _ ” a+ z m m Q., ! o i 0 e$ r 3 o S m _m. m ' v- 9,
0 R o ° 3- $ o r 2 0@ 3 p ..R m m z c- o o e m a
/ ; {$fir �_ g $ Q Z m o o m °o�>> 3.a.'m °n°- o 3 "v-° t s
? b S a S8 � n c .raffi^'"m °�;. �, o$�mNf amp v o 5 !
' ME0 . $ 3� S4 0* A �a RE ? . 040° �I0DOmaS mS m ro ma a a
jV OD ; W fJ W to (p W N N N N N N N N j N ; 1 CD OD V OD tT A W N pi _
O t0 N Q O CO CO V OD Ut A W N O m CO OO V CD UI A W N O c 0•
O 0 0 n m 0 m 1 Z T 0 K 0 w T 0 m 31 T < = T T 31 ?1 0 7 m 7 O D fn 31 W fn T (n O
c a 7 O ® 7 o 0 0 3 c O O c m ' 7 7 m 7 m O n _ y O O fD N Cp C� O
v < p' m n g v m 3 m 3 0 3 m �. 2 °—D °-D o w m m c c `P 5 d 3 ° n m m Q Z
O c j 0) v v A- w 3 0 = m o w p: a < w O m
Zf m r m r c m n w n tp n w 0 - m o D m D Z W 0 m QO
- c d m 0 to w N x m a 3 co y c c o y m T I.
m a O y � < D
o o o m m D °
m m w 0) o m 3 ° m 7
-
2 � _ m m i n z v 7 m . o m 0
• m m m 7 Z O m m D o =
o m p O v Z o z
Z m fA
v o a z m n w o w
S . n a) -I co N to CD m Z
X 7 N
0 o a 0
s > s a
-1 -I -I -t
m m m m
z z z z
v .0 v v
OD OD 0 Of QD to OD OD N CJt Ut Ut Ut 0 TI
Ut Vt Ut Cr Ui A A A A A A . 13 A A . W W W W W m =
O,D V T m Ut A W N O CO O) V Qf Ut O A W N O Cp OD V OD Ut A W r N -+ O CO OD V O Ut r
* 0 C m 0
0 r m C- -n T c 3: 0 7 31 m r _n T 31 (n W fn T 31 ?) ?! C lA ?D C7 (n n
a m 0 v m m'_ g n m vmi c m z go m o °i o m c f - c c — — w m < E c c CD f 23
a o m m to m 7 m 0 0 -' A " 5 " ; CO tc a 0 m 3) m N CO a CO
m 13 m v n n m
c QD m m c m (n = to (� m tc G) rn - 32
T v 3 '' 0 c Qo m c c 0 3 y ?. m n y m w c 0 z 9. O er C o Z D
m CJ m 3 -� C7 -i < m m y -. c n > t- CD W _
a. n m m a' a c r Q co p m O Q �. a a m O
mm z 3 m m A
Cn 0 j i0 m H 3 tc °' to - z
a
0 c 3 c
H a m z 7 z
0 a 0
T -I m m
z
0 0 y 0
w.. . - r . i i r - - ♦ i - - • - ♦ ` (. - t
IZ
0
-4
m
N
COUNTY OF LOS ANGELES
76P463- CE 816- Cdb 7-60 DEPARTI'NT OF COUNTY ENGINEER "1"4.41`1. No.
PLOT PLAN BUiLIJING AND SAFETY DIVISION P .RMIT No.
JOHN A. LAMBIE. COUNTY ENGINEER -4,-/ //
/' ��
"- DATE -4,-// / ..
BUILDING /
ADDRESS / :AL L' / V,", . •// - , ,. A--f-- LOCALITY At /I-C„ .'-i /2/A,
1■E■rNIrrrir■r■
111 ■11111111111 V.E111111111!■■■1111■
■1 ElL ■..:III a�111 = 11■■rl�
10.1 E m1 11po ! !I)1!!mm■■■ it
1 ,.___ .._ _ ..
. -
i 'i 1
/\\ ., -n-' 4._).1 'i
II. .;
.1I., ..,,1,r'., .101,1 1,,4.i.1.
, ,-
,
■■■ ■■■r 1N11
111U7-11111111111111111111 °■■
• ! ■■11111111 -_IIIIIIIiiIIIWj 1� ■ 1■IIIr Iiir-■ ■ ■1■■■■w■■1►
■
1 HEREBY STATE THAT THIS PLOT PLAN AND THE DIMENSIONS SHOWN ARE CORRECT:
SIGNATURE OF
MAIL
APPLICANT
ADDRESS
OM. OISS
CITY OF ARCADIA
Building Department
APPROVED
THIS SET OF PLANS AND SPECIFICATIONS MUST BE KEPT ON
THE JOB AT ALL TIMES AND NO CHANCES OR ALTERATIONS
SHALL GE' MA:+E EXCEPT BY TH BUILDING LEPA TMENT.
IC il7) PLAN AND SPLOIT:C�°TIONS SHALL
., it r.Y/AL OF THE
NOT 3S ilytl:` TO PL�;fAti CR TO C� l�.;d �;
Alf; P.tQ`,'ISICNS CF ANY CITY O2D1NANCE
OR STATE LAW.
DATE l BY
BUILDING INSP "WOK
t `
•
��G� 1o,6`ti
1 .', CITY OF ARCADIA
S 91 PLANNING DEPARTMENT No. (L V - 11
•v' REPORT OF MODIFICATION COMMITTEE ACTION.
ADDRESS OF PROPERTY: • G .�,-„ .i.4.....04.,
APPLICANT: p�`� '..L
MODIFICATION REQUESTED: C" .::T...¢_ 4.5 w_A-" rilti a
4
s
_ r . �, ... ( t .i.,...±, ,,_r..,.x.�t`�.`..t. !.5 L.,
df
f
INVESTIGATION - DATE ).,,..,., 4 b f(01-BY --.... ....A1 A..
. � AA,
ACTION: - DATE / MEMBERS PRESEN,7‘) (/"'
`> r,.,ti 4 a
COMMENTS:
:
..# ../
APPROVED: (Conditions)
(!mac► �-`.��/ _^- . -.,� � , .
, 1 „,../
* � �ii/NON
DENIED: (Reasons) Y J
PERMIT MAY NOT BE ISSUED BEFORE i
/9 ' 2,
7
a • JOB ADDRESS
/1141-1EA. 1'Ve3 61;-L,c_;n_e- Clei.e.C"C
NUMBER STREET
APPLICATION FOR A
BUILDING PERMIT
BUILDING & SAFETY DIVISION
CITY OF ARCADIA, CALIFORNIA
OWNER' I TEL
i
-�y t d ��y A. -a.,24.4.—, a.e A / �Q" i
I �z DDREGn�i+tl,//MA L!L`Q '` A 1.MO.
�I
ARCH.ENGR.
IU CONTRACTQR (/ STATE LIC.NO.
L'UR.^? c. /S s a: Re-,n1-1 "a� O 7lp iZ
h�g Sr CITY LIC.NO/.
U1 r2. '''X'•CITY 7 /� /i �, TEL.NO.
Cy l/�/�// L/�."..G Y\et C yyr
N DESCRIPTION OF WORK
NEW ❑ ADD'N ALTER ❑ REPAIR ❑ DEMOLISH ❑
rC FLOOR AREA ?.... NO.OF / NO.OF DWELLING
Hi (SQ.FT.) V 4a L�' STORIES UNITS
Q'� PRESENTUSE PROPOSED LDG.USE
01 DESCRIBEWOR VM r7/1 #1.41.4a-
&
% TO BE DONE h/j,,(4, p mt, OOOO
' ♦ i // II 1
All •g. -
Lalh.rr • • _. A !�S
,. NOTE 'ROVIDE PLOT PLAN ON BACK SIDE OF ORIGI COPY. •.,LY
h EXTERI LL MATERIAL ROOF F AMING M•TERIAL
t V ,c cc0 XG 1��
N PARTITI NING MATERIAL ROOF cOVERI MATERIAL
Oiii
LOT ? LOT /s---e) NO.OF EXISTING
WIDTH ! DEPTH BLDGS.ON LOT
'.. VALUATION NOTE: Include Labor, Mat., ..r/
Wiring, Plumb., Heat, Etc. i
1
LOT NO �, BLOCK
O. TRACT G` y�
INFORMATION PROVIDED BY BLDG. SECTION
USE FIRE OCCU. SEC. �'
ZONE/ �ZONE - PANCY . SH.
REQ'D FRONT RIGHT SIDE LEFT SIDE REAR --o!
SET r. 3' �. ,7 O
BACKS L G-�
v
TYPE OF SPECIAL a
CONSTR. ) CASE NO. GRADE Z
AO
Approval& Information by Others
CITY ENGINEER EASEMENT
DIST.FACE OF 1` SEWER DRIVE
CURB TO P. L. FT. AVAILABLE OVER
PUBLIC SERVICE PLANNING PLAN CK.FEE
-v
WATER ELECTRIC PEI F EE
PLAN NO. CHECKER' /
170/,13 /
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 sped- ^'--, _
fled herein or not. No person shall be employed in violation of the Labor C--L
Code of the State of California.I agree not to occupy or allow occupancy
of any building authorized by his rmit until final building inspection has been received.
ftopi
SIGMA URE OF OWNER Cj�AUTHORIZED AGENT ,Oak
FORM B-51 (REV.5-64) 2M O►
INSPECTION RECORD
BASIC INSPECTIONS . .
- I T E M INSPECTOR �(J DATE
TRENCHES: WIDTH DEPTH ---j 9-66
1st. FLOOR JOIST ..-
FRAMING --- ---- ; --
LATH 6
•
FINAL _.- ... a S'(PG it..
PARTIAL OR MISC. INS TIONS__
•
• • UNSUCCESSFUL TRIPS •
ITEM INSP. DATE ITEM INSP. DATE
SET BACKS FRONT R. SIDE L. SIDE REAR INSP. DATE
FIELD CHECK
•
TO APPLICANT: PLEASE DO NOT WRITE ABOVE THIS LINE
PLOT
,I E
JOB ADDRESS
01 fi•
/f
NUMBER STREET r;i�
APPLICATION FOR A i�S
� PLUMBING PERMIT !`�`
BUILDING & SAFETY DIVISION i
I1--I-TY_OF IA RR.CADDIIA, CALIFORNIA
OWN/�C L/�E ) f‘f
MAILING%�RE� 444.ci
CONX7CTOR STATE LIC.NO.
.ems .2o3ar'3
N MAILIN ADDRESS CITY LIC.NO
do / w3.01 �✓�(4.c-,�/-� 3,0-12-rd i ro t/d
TEL.NO.
CITY 16:04, / X4,4
ON
PkOPOSED USE
USE_ ZONE
FEE COMPUTATION
BATHTUBS CLOTHES WASHERS
REPLACEMENT
SHOWERS SHOWER FANS
WATER CLOSETS DRINKING FOUNTAINS
0 LAVATORIES URINALS
SINKS, KITCHEN,$AR
FLOOR, SERVICE SAND TRAPS
LAUNDRY TRAY'S CLARIFIERS
DISHWASHERS' GREASE TRAPS
GARBAGE DISPOSALS "Wed WATER SOFTENERS
WATER HEATERS AND/OR VENTS
TOTAL NO. OF ABOVE FIXTURES: / @ 1.00 EA. /(r°
LAWN SPINKLER
SYSTEMS: @ 2.00 EA.
BACK FLOW 0.5 DEVICES ADD.DEVICES
DEVICES: @ 2.00 @ 25¢EA.
SWIMMING POOL PIPING SYSTEM @ 1.00
WATER SYSTEMS @ 1.00
0.5 OUTLETS ADD.OUTLETS
GAS SYSTEMS: @ 1.00 @ 20C EA.
BOILERS STEAM OR HOT WATER @ 2.00
SEWER CONNECTIONS ON PROPERTY
SEWER CAP OR CESSPOOL FILL @ 2.00
SEPTIC TANK,SEEPAGE PIT
AND/OR DRAIN FIELD @ 3.00
I have carefully read and examined the above PERMIT FEE 1 00
application and know the same to be true and
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
Labor C e of the State of California. TOTAL FEE 'OP
1/).1"-td.d : :: T SIGNATURE OF CONTRACTOR OR AUT
FORM B-52 (REV.7-61) 1M ®I
eos INSPECTION RECORD
BASIC INSPECTIONS
ITEM INSPECTOR DATE
GROUND WORK •
-
ROUGH GAS
PLUMBING TOP OUT
HEATING VENTS
FINAL GAS
FINAL PLUMBCING r/"
Y t
PARTIAL OR MISC. INSPECTIONS •
, NE lo(?Cr►-7;a v I Q_i4.• 4A 4- 1 1 s y'
•
•
UNSUCCESSFUL TRIPS
•
•
•
•
•
/ JOB ADDRESS
.,00j .
NUMBER STREET ,ryo''9
N iii APPLICATION FOR AN
I--1 ELECTRIC PERMIT 44s
BUILDING & SAFETY DIVISION
OD CITY OF ARCADIA, CALIFORNIA
OWNER TEL.NO.�
IV
MAILING ADDRESS
g CONTROR // ^ STATE LIC.NO
MAILING D R S L LIC.NO.
2 2 - - l9 47
TEL.NO.
DESCRIPTION OF WORK
USE
=(�j Oi,/
❑ "Bled"g. N Serv. Reconnect
Bldg. Bldg.. ❑Charge o ❑or Reseal ZONE
FEE COMPUTATION FEES
NOTE: TOTALS SHOWN BELOW MUST BE SUBMITTED IN DIAGRAM
O SEPARATE WORK SHEET PROVIDED FOR THIS PURPOSE.
({O .OUTLETS,BASE PLUGS,SWITCHES,FIXTURES @ 10¢EACH
kin
O LESS THAN 18 APART @ 5¢EACH
► FIXTURE PERMIT FEE @$1.00 r ;/�' e9
1 MOTORS
�r°�
QUAN. RATE
0 to 1/2 HP @ .25 EA.
OVER 1/t to 2 HP @ .50
/ OVER 2 HP to 5 HP @ $1.00 / i Q
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. / g5
RANGE,OVEN, CLOTHES DRYER @ 50¢ EACH
RESIDENTIAL ENTRANCE SERV-100A MIN.
HEATING ELEMENTS @ 50¢ EACH HEATER
AIR CONDITIONER
WELDERS (TRANSFORMER TYPE) _KVA @ 50c PER KVA ,
((FEE-GREATER 000s)
. WELDERS (MOTOR GENERATOR) HP\75%MTR.A�oNE 1
s __CONSTRUCTION OR TEMPORARY LIGHTING @ $2.00
_MISCELLANEOUS
POWER POLE $1.00 T__
I have carefully read and examined the above PERMIT FEE @ I DO
application and know the same to be true and
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 California. INVESTIGATION
FEE
TOTAL FEE G 0
SIGNAT OF CONTRAC TOKOR
itelk A THORIZED AGENT ink
FORM 8-53 (REV. 7.61) 1'/2M Or
INSPECTION RECORD
BASIC INSPECTIONS INN
ITEM INSPECTOR DATE
--------- ---------------
GROUND WORK •. 2.2 - '.
ROU(2)
FINISH �_.
FIXTURES
FINAL, R 27_6
PARTIAL OR MISC. I PECTIONS
CQNeVV 77 ir o Aot 0 h.ZQ t
eretSt Ape t t a It� gi e 1 $-z —at JC
Lutcovet! vNDlp' rov ,,,z., G Ec • _
014 Z 1' '
UNSUCCESSFUL TRIPS
.
RECORD INFORMATION
O.H. U.G. TEMP.OK. TEMP.CONSTR. NO.OF METERS
LITE WIRE' PWR PHASE HEAT KW
RANGE OVEN TABLE TOP W.HTR. DRYER
OTHER kES. APPLIANCES OVER 2 KW.
TOTAL KW OR HP. TOTAL HP.
Sd> 34)
.
/"" JOB ADDRESS
/f/ .--IL r A."ef-`' rt
NUMBER STREET Co`v' )
APPLICATION FOR A V
PLUMBING PERMIT %c<4
BUILDING 8 SAFETY DIVISION
N CITY OF ARCADIA, CALIFORNIA -
OWNER e''''''' - TEL e1
W MAILING ADDRESS ����ff
S M,
© CONTRACTOR STATE L .
O, -, 22i/C4o 4L.6C ,04e. L'7 z
9 MAILING ADDRESS 7/// X- i II I Cat-.' 1 �e.-°, CITY
Ze'. /c--
CITY TEL.NO
.s C7 r4 es7f=A2 s—
J PROPOSED USE
CPs USE ZONE
-v
FEE COMPUTATION
CV
BATHTUBS _ CLOTHES WASHERS
REPLACEMENT
SHOWERS SHOWER FANS
WATER CLOSETS DRINKING FOUNTAINS
•W LAVATORIES URINALS
O SINKS, KITCHEN, BAR
FLOOR, SERVICE SAND TRAPS
0
LAUNDRY TRAYS CLARIFIERS
i DISHWASHERS GREASE TRAPS
GARBAGE DISPOSALS WATER SOFTENERS
WATER HEATERS AND/OR VENTS
TOTAL NO. OF ABOVE FIXTURES: @ 1.00 EA
LAWN SPINKLER
SYSTEMS: @ 2.00 EA.
BACK FLOW 0.5 DEVICES ADD. DEVICES
DEVICES: @ 2.00 @ 25;'EA.
SWIMMING POOL PIPING SYSTEM @ 1.00
WATER SYSTEMS @ 1.00
0.5 OUTLETS ADD.OUTLETS
GAS SYSTEMS: @ 1.00 @ 20c EA.
BOILERS STEAM OR HOT WATER @ 2.00
SEWER CONNECTIONS ON PROPERTY Z!.." -
SEWER CAP OR CESSPOOL FILL @ 2.00
SEPTIC TANK,SEEPAGE PIT
AND"OR DRAIN FIELD @ 3.00
I have carefully read and examined the above PERMIT FEE 1 00
application and know the same to be true and
correct. All provisions of Laws and Ordinances -- --
covering this type of construction will be com• INVESTIGATION
plied with whether specified herein or not. No FEE
person shall he employed in violation of the
Labor Code of the Sta a of California. TOTAL FEE -++
SIGNATURE OF CONTRACTOR OR AUTHORIZED AGENT
FORM B-52 (REV.7-61) 1 M 0 I
yr
I". INSPECTION RECORD . 414k
BASIC INSPECTIONS
ITEM INSPECTOR DATE
GROUND WORK
• ROUGH GAS
PLUMBING TOP OUT
HEATING VENTS
' FINAL GAS
-2.7-GC. •
FINAL PLUMBING
• PARTIAL OR MISC. INSPECTIONS
•
30 -
C.'
UNSUCC SSFUL Taws
•
Job L)Kt55
zoo E. . . •
NUMBER STREET IV:4
' " APPLICATION FOR A N
/T, UMBING PERMIT N/�
!--• ,/ • IL�ING 8 SAFETY DIVISION
A ITY OF ARCADIA, CALIFORNIA
N OWNER TEL.t
f
1....1 M A IL IyNG�t1V.EE SSer z DE
mein Fes/ �j•`J'
CONTRACTOR A //Ol'►1t/ E DE f�l l F
MAILI CN I l l''i gI • y eT A Z cV
i T
AC I T Y
(3-2'3 r j 4 R D A ;)AM
PROPOSED
USE
03 USE _ZONE
p. FEE COMPUTATION
01
-u BATHTUBS / CLOTHES WASHERS
02
REPLACEMENT
SHOWERS SHOWER FANS
WATER CLOSETS DRINKING FOUNTAINS
LAVATORIES URINALS
'f"` SINKS, KITCHEN, BAR
FLOOR, SERVICE SAND TRAPS
O
0 LAUNDRY TRAYS, CLARIFIERS
b► DISHWASHERS GREASE TRAPS
GARBAGE DISPOSALS WATER SOFTENERS
___I WATER HEATERS AND/OR VENTS
TOTAL NO. OF ABOVE FIXTURES: 2 @ 1.00 EA 200
LAWN SPINKLER •
SYSTEMS: @ 2.00 EA.
BACK FLOW 0.5 DEVICES ADD.DEVICES
DEVICES: @ 2.00 @ 25C EA.
SWIMMING POOL PIPING SYSTEM @ 1.00
WATER SYSTEMS @ 1.00
I0.5 OUTLETS ADD.OUTLETS
RI GAS SYSTEMS: @ 1.00 @ 20f EA. / •�www•
BOILERS STEAM OR HOT WATER @ 2.00 •
SEWER CONNECTIONS ON PROPERTY
SEWER CAP OR CESSPOOL FILL @ 2.00
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 corn- INVESTIGATION
plied with whether specified herein or not. No FEE
person shall be employed in violation of the I
l Labor Code of the State of California. TOTAL FEE Q
.----77-ii:,? a
SIGNATURE OF CONTRACTOR OR AUTHORIZED AGENT
AIIIIIk
FORM B-52 (REV.7-611 1 M 0 I
el" INSPECTION RECORD
BASIC INSPECTIONS
ITEM INSPECTOR ' DATE
2.2`44
GROUND WORK 40,
■ROUGH GAS •
•
2-7-G 6
PLUMBING TOP OUT --- 511'21'-«'.4
HEATING VENTS
FINAL GAS •
FINAL PLUMBING / - y
• •
PARTIAL OR MISC. INSPECTIONS
•
UNSUCCESSFUL TRIPS
JOB ADDRESS
0`, 12.19 Encino St.
NUMBER STREET
APPLICATION FOR A
4),V PLUMBING PERMIT ` I! t
BUILDING & SAFETY DIVISION -
CITY OF ARCADIA, CALIFORNIA
Cr OWNER R. Stewart 446-66h/sic'.
MAILING ADDRESS
1218 Encino
;;. CONTRACTOR STATE LIC.NO.
General Installation C36151039
C-3 MAILING ADDRESS CITY LIC.NO.
6558 West Blvd. 15101
CC
CITY LEA 43 PL-3-25541 TEL NO.
: PROPOSED USE
C USE ZONE
FEE COMPUTATION
BATHTUBS CLOTHES WASHERS
REPLACEMENT
SHOWERS SHOWER FANS
1\, WATER CLOSETS DRINKING FOUNTAINS
LAVATORIES URINALS
SINKS, KITCHEN, BAR
FLOOR,SERVICE SAND TRAPS
T LAUNDRY TRAYS CLARIFIERS
DISHWASHERS_ GREASE TRAPS
GARBAGE DISPOSALS 1 WATER SOFTENERS
WATER HEATERS AND/OR VENTS
TOTAL NO. OF ABOVE FIXTURES: 1 @ 1.00 EA.
LAWN SPINKLER
SYSTEMS: @ 2.00 EA.
BACK FLOW 0.5 DEVICES ADD.DEVICES
DEVICES: @ 2.00 @ 25¢EA.
SWIMMING POOL PIPING SYSTEM @ 1.00
WATER SYSTEMS @ 1.00
0.5 OUTLETS ADD.OUTLETS
GAS SYSTEMS: @ 1.00 @ 20¢EA.
BOILERS STEAM OR HOT WATER @ 2.00
SEWER CONNECTIONS ON PROPERTY
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 -X�
covering this type of construction will be com- INVESTIGATION /� vag
plied with whether specified herein or not. No FEE
person shall be employed in violation of the �Q
Labor Code of the State of California. TOTAL FEE 2
Ready for inspection
SIGNATURE OF CONTRACTOR OR AUTHORIZED AGE
FORM 8-52 (REV.7-61)21/2M Cr). ,"'\
^INSPECTION RECORD Araik
BASIC 'INSPECTIONS
ITEM INSPECTOR DATE
GROUND WORK
ROUGH GAS
PLUMBING TOP OUT
HEATING VENTS --.
FINAL GAS , /It
FINAL PLUMBING rA • ' '
PARTIAL OR MISC. INSPECTIONS
UNSUCCESSFUL TRIPS
JOB ADDRESS(WHERE APPLICABLE)
0",' a / ' &fQ ST c'�"
NUMBER EET
MISCELLANEOUS FEE
RECEIPT
BUILDING & SAFETY DIVISION
C CITY OFF ADIA, CALIFORNI �40.114/'
RECEIVED OF;
MAILING ADDRESS V Y ` /r `' '""mot++'
FOR:
!U
co 111 *PLAN CHECK FEE FOR VAL. $
N ❑ CASH BOND FOR -
a ❑ PURCHASE OF BUILDING CODE
❑ PURCHASE OF PLUMBING CODE
❑ USE AND OCCUPANCY CERTIFICATE FEE
❑ ROOFING
0
0❑ PLASTERING
1 ❑ HOU E MOVING
/
• ti. I! t 's. .
W
N
El i� d
El
REMARKS
AMOUNT DUE $ iPAILS—by: CK. M.O. CASH
When properly validated this is a receipt for the amount shown on
the VALID ION STAMP. r
x'-41t,.
* R NG: PLAN CHECK FEE , WHERE NO ACTION IS TAKEN BY THE
APP I$ P IN NINETY I90) DAYS AND NO BUILDING PERMIT IS ISSUED, ARE
FORF TO THE CITY.
FORM B-W8 TEMPORARY
01 JOB ADDRESS
NUMBER STREET �
APPLICATION FOR A
BUILDING PERMIT
BUILDING & SAFETY DIVISION
CITY OF ARCADIA, CALIFORNIA
0 OWNER pr 4A}eL.bt Xi•C,NO7G 3 v2.W M DRE55
/ i 4 Q l
ARCH.
T. N O.
0-, ENGR.. �-° -4� 2,S'/re,0
CU;.TRA TOR v STATE LIC. O.
V°
• %._- / - �i/
5. MAILIGA. i te-c j CITY LI
Da CITY T NO.
�, �j CL . 7 <6-/ fi 7L7
o, DESCRIPTION OF WORK
`N) NEW ❑ ADD'N$... ALTER ❑ REPAIR ❑ DEMOLISH ❑
OJ
—0 (SQ.FT.)REA/,71X//_ / -� STORIOF NOITOP DWELLING UNS
PRESENT BLDG.USE PROPOSED BLDG.USE
DESCRIBE WORK / p,�
TO EO E DO�- / �Q / 7 x I!' �Y'� LV-l'l
Ul b 4- / 4' XII
NOTE: PROVIDE PLOT PLAN ON BACK SIDE OF ORIGINAL COPY ONLY
©
EXTERIOR WALL MATERIAL ROOatAMIALX-'L.
1 PARTITIONING MATERIAL R QFVERING MATERIAL
L!/Y7.7
LOT LOT BLDGS.S. EXISTING N LOT �" ,co
VALUATION NOTE: Include Leber, Mat., $ O d O __
Wiring, Plumb., Heat, Etc. $
INFORMATION PROVIDED BY BLDG. SECTION
LOT / BLOCK
NO. J / NO. TRACT e)
ZONE/1/ ZONE 3 POANCY SHC J
REQ'D FRONT RIGHT SIDE LEFT SIDE REAR ee
SET 0
BACKS Q
TYPE OF r SPECIAL /� 1
CONSTR. - CASE NO Lit/ GRADE Z
0
Approval& Information by Others U
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 NO. l - CHECKER'S APPROV
I have fatefully 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- {Cr.; -'
tied 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 building authorized by this permit until final building inspection has been received.
727. '0..)-c214--air-<
AIM.
OF OWNER OR AUTHORIZED AGENT
AIR
FORM B.51 (REV.7-61) 21/2 M c
PERI% .LENT
I
elk INSPECTION RECORD -
BASIC INSPECTIONS
I T E M INSPECTOR DATE
TRENCHES: WIDTH DEPTH
1st. FLOOR JOIST
FRAMING
•
LATH
FINAL
PARTIAL OR MISC. INSPECTIONS
0/4/4- _•11/2d.d /Le WARE
irA 411-4/
,1/1 %r, �/� 12 M M s�
UNSUCCESSFUL TRIPS
ITEM INSP. DATE ITEM INSP. DATE
SET BACKS FRONT R. SIDE L. SIDE REAR INSP. DATE
FIELD CHECK
TO APPLICANT: PLEASE DO NOT WRITE ABOVE THIS LINE
PLOT QC I
�1 .�c i
,Dirt/ ��
MEE A,
,I
JOB ADDRESS
NUMBER STREET
APPLICATION FOR A
PLUMBING PERMIT
BUILDING & SAFETY DIVISION
CITY OF ARCADIA, CALIFORNIA
O�MIJ$k TEL.NO.
0 7DDRES�+ ,.•t• .ACT OR STATE LIC.NO.
•
c._ r •. A 4 . _ ida
LIN ADrESS fr.--'7 / Y L C.NO.
V { 0 [ . Aril
1TY //;1,1 TEL.NO. 38
PROPOSED USE
USE ZONE
000 FEE COMPUTATION
a.
le'•' _ BATHTUBS CLOTHES WASHERS
-o
REPLACEMENT
SHOWERS SHOWER FANS
WATER CLOSETS DRINKING FOUNTAINS
LAVATORIES URINALS
N SINKS, KITCHEN, BAR
FLOOR, SERVICE SAND TRAPS
LAUNDRY TRAYS CLARIFIERS
0
DISHWASHERS GREASE TRAPS
GARBAGE DISPOSALS WATER SOFTENERS
WATER HEATERS AND/OR VENTS
TOTAL NO. OF ABOVE FIXTURES: @ 1.00 EA.
LAWN SPINKLER
SYSTEMS: @ 2.00 EA.
BACK FLOW 0.5 DEVICES ADD.DEVICES
DEVICES: @ 2.00 @ 25¢EA.
SWIMMING POOL PIPING SYSTEM @ 1.00
WATER SYSTEMS @ 1.00
0.5 OUTLETS ADD.OUTLETS
GAS SYSTEMS: @ 1.00 @ 20¢EA.
BOILERS STEAM OR HOT WATER @ 2.00
SEWER CONNECTIONS ON PROPERTY
SEWER CAP OR CESSPOOL FILL @ 1.00
SEPTIC TANK,SEEPAGE PIT
I
AND/OR DRAIN FIELD @ 3.00
I have carefully read and examined the above PERMIT FEE 1 00
application and know the same to be true and
correct. All provisions of Laws and Ordinances
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 ode of the State of California To AL FEE A ;Do
SIG A RE• .NTRA• • OR AUTHORIZED AGENT
pE '
FORM B-52 (REV.7-61121/2M (PIe .���T
0.4 INSPECTION RECORD 41/44,
BASIC INSPECTIONS
ITEM INSPECTOR DATE
GROUND WORK
ROUGH GAS
PLUMBING TOP OUT
HEATING VENTS
FINAL GAS
FINAL PLUMBING
PARTIAL OR MISC. INSPECTIONS
UNSUCCESSFUL TRIPS
Am.
JOB ADDRESS
/UM U R.I.)!� /IOC) 2 'c zD
NUMBER STREET
APPLICATION FOR A
SEWER—STREET CUT
OR
C11 CURB AND SIDEWALK
BUILDING & SAFETY DIVISION
Q CITY OF ARCADIA, CALIFORNIA
'.{My TEL.NO.
OW TEL.
1a /!r' Z
411' MIyI1.131GA.D;RESS
o 5 v 1*L�
C RACTOR STATE LIC.NO.
w '
�. �;�..�.'±-fit� t 1.141 /7,5740
y M L'I}N�ADD RESS C T ,',LIC.N
fly
C Y /j TEL..NO. 4 17(S G `...� Gil, a
PERMISSION IS HEREBY GRANTED TO MAKE SEWER CONNECTION
AT
LOT ( /
BLOCK TRA CT�Y1 f
T
LOCATION a
, SADD LE (� u u
SEWER PL Ng. ^ _ESSPOOL
FILL $1.00 $
INSPECTED_� OD
,may l
�.J BY BY $
O ALL CONNECTIONS MUST BE INSPECTED BEFORE BEING BACKFILLED.
t+r 24 HOURS NOTICE REQUIRED.
I — CURB AND SIDEWALK
FEE
CURB BREAK
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 `LEPHONE -/ BY
SIGNATURE OF CONTRACTOR •R AUTHO D AGENT
PERMA' NT
FORT (REV.7-61) 21/2M v e
INSPECTION RECORD
. .r(TIAL OR MISC. INSPECTIONS ._►
:fr
UNSUC ESSFUL TRIPS
—Gra
-- > /?'
):-< to e4
� v. 3 U
x mot?
w '-
tb / ; r'r
0 - - 3, I.
r�J
7`
tk
3
.5 4 ill
r
1)1- r, t....`'
1
M 5- [
1.y
r -_
G \i
1 )b
3
(J� � L
0 ti Ip
igij ,E1‘ICiNO dF FRONT Area-5t,
�� �� I'' VALUE S ��'
LOCATION -
jiO� �a����
i -,a c X� j.`IeT.S °t 1 •'S TRACT i h1
LOT I BLOCK r
OWNER L £5 ' L2 A 6 r-
}. � . �� !�-_,tea '7 ' c.
BUILDING re::LL l ✓'E �' I d e r`
PLUMBING I Q..
Ls
HEATING 3 O\
Mart';4 ► 0 e .3 -�3 _
SEWER (,J n�r� .p � � � ��
WIRING a, . I �i 'I
11 \
■l
FIXTURES ^y
ELECTRIC Iz447 9'"10-J3
GAS /O-s 3 I�47 PLAN NO.J/ 7
csiv0 /AvE - REAR Naas&�
VALUE S
�.9 ��L�11• FL3Ii .�
LOCATION � �'��
u-,f ` L°r` , (� f
ex: aj S a- TRACT C .T
/ BLOCK
Lot __-----
,�c2.I e Y-- - 1
OWNER 1 11 � a 1 %z�_ � —
BUILDING �re 3-- I_ a.I - '�j ��� —
PLUMBING a a t . .
I
HEATING (o - S-3 C� 3 S
�l a.rf o rd
SEWER Oh Fro,. .`` oL�. i' O � /� 3a�3
r c_ -s-
WIRING �� I� ��
FIXTURES ,--���!�
/d-S3 '-'707 PU►N No.� J/
4-/o-s3 GAS4 -
ELECTRIC 12.4 47