Loading...
The URL can be used to link to this page
Your browser does not support the video tag.
Home
My WebLink
About
Old 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