Press Alt + R to read the document text or Alt + P to download or print.

No preview available

The URL can be used to link to this page

Home My WebLink AboutOld permits 1TY �'" ' FOR OFFICE USE CITY OF ARCADIA DEVELOPMENT SERVICES DEPARTMENT � ' A' J,,,DIA BUILDING SECTION cc MpLETED �\ % 240 West Huntington Drive Arcadia, California 91007 OAl'ORATE9', (818) 574-5416 Page 1 of 1 1232 S ENCINO AV 03/14/96 11: 56 Permit No. : A9600770 Autoproj No : AU015199 Status : APPROVED Validated by : GERI Inspector area: 205 This type : Roofing Project Applied : 03/14/96 Issued : 03/14/96 Parcel number : 5780-024-041 Finaled • Group-occup/use: To Expire Owner : ROHRER,JACK L CO TR Applicant : ALCHEMY ASSETS Applicant Addr : 701 S FIRST AVE ARCADIA, CA 91006 Job Address : 1232 S ENCINO AV Phone number : 818-357-0150 Class code • Valuation • 13 , 000 Construction : ALT Permit to do : T/O & REROOF HOUSE & GARAGE (30 SQ) Roofing Material > MONIER CEDARLITE Fee description Units Fee/Unit Ext fee Data Original Permit Issue Fee (YES/NO) > 35. 00 Y Enter Valuation 13000 Roof Fee 3104> 249 . 60 Refuse Fee 3027> 6. 25 *** Fees Required *** *** Fees Collected & Credits *** Receipt No. Date Payment 03/14/96 290. 85 Fees: 290. 85 Adjustments: . 00 Total Credits: . 00 Total Fees: 290.85 Total Payments: 290. 85 Balance Due: . 00 I 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 modification from the South Coast Air Quality Management District (SCAQMD)? SEE PERMITTING CHECKLIST FOR GUIDELINES. ❑ YES ❑ NO I have read the Hazardous Material Information Guide and the SCAQMD Permitting Checklist. I understand my requirements under the Los Angeles County Code, Title 2, Chapter 2.20, Section 2.20.100 through 2.20.140 concerning NO OPERATION RATION NOTES Building Inspections Date Insp. Plumbing Inspections Date Insp. 100. Setbacks 210. Under fir./bldg.drain 101. Rough grade 211. Copper underslab 102. Figs.&forms 212. Rough plumbing 103. Pre-slab 213. Rough gas 104. Floor joists 214. Shower pan 105. Steel 215. Water heater 106. Grout lift 216. Roof drains 107. Shear nailing 217. Building sewer 108. Diaph nailing 218. Water service 109. Roof nailing 219. Final gas 110. Framing 220. Fixtures 111. Occ./Area Sep.Wall 221. Final plumbing ----- 112. Sound walls 222. Sewer cap/demo. 113. T-bar.rid 114. Insulation-flr. Pool Inspections Date Insp. 115. Insulation-Wall 240. Excavation/steel 116. Insulation-Ceil. 241. Rough plumbing 117. Drywall nailing 242. Light shell/bonding 118. Interior lath 243. Underground conduit 119. Exterior lath 244. P-trap 120. Finish grade 245. Gas line&test 121. Final building , 246. Fence,gates&signs 122. Final demo/lot clear 247. Pool heater 248. Final electric Electrical Ins.ections Date Insp. 249. Final Plumbing 150, Power pole 250. Pool cover 151. Sales lot lighting 251. Pool final _ 152. Underground conduit 153. Underslab conduit Reroof Inspections Date Insp. 154. UFER ground 270. Pre-reroof insp. '('•' 6 155. Water ground 271. Roof framing 1 e156. Rough electrical 272. Sheathing nailing 3 � `1- '- 157. Fixtures 273. Final reroof 3--12-q , 158. G.F.C.I. 159. E.it.bondin. Sign Inspections Date Insp. 160. Service panel 280. Setback/overhang 161. Final electric _ 281. Footing 282. ConduiUwirin• Mechanical Ins.ections Date Ins.. 283. Disconnect 180. Venting/flue 284. Final sign 181. Furnace/A.C. 182. Rouch HVAC Miscellaneous Insp. Date Insp. ---- - 183. Fire dampers 290. Fire alarm 184. Furnace compartment 291. Underground supply 185. Combustion air 292. Fire sprinklers , 186. Smoke detectors 3 ZV?& A 293. Monitor system 187. Metal F.P.rough 294. Hood dry chem. 188. Compressor setback 295. Final 189. Commercial hood 190. Duct shaft Sewers&Offsite Insp. Date Insp. 191. Final mechanical 300. Lateral(main to P/L) 301. Saddle/Y Block Wall Ins.ections Date Insp. 302. Cesspool filled 200. Footings 303. Sidewalk 201. Steel/rebar 304. Driveway 202. Grout lift 305. Curb replacement 203. Final wall 306. Trash bin 1(- '.:'z H ' `° 0 2 ,q,',7,752 - m .. E i a og' n §. adU ¢owe �~z H i = tOy:o d ium Low I E _ d fl ; o _ d h ` iiiA `s€ 8� a 5zow L ; o °o � �^ 3 a €dam 3a° ad dd.to ,2E-,,r1 :z w-9 . - F, Eo O.U ` \01i ,'. iQ'o �,.6 c 6.Lo ° O .`-' ffo `o Vo8 u'aO o .E2V m € sz E ~o- V m .s d o E_.N o _ 3 Q 8 - c"''J V=i w o ° z Q "a Z 2' i�_. 2o$' _ �$ il ---65 ¢zaz U ou Eg `yNm 0'2 Da �_ <,s (4"152 '.4 §1 =-9--:?,A 1 ;v `°dd= ` Ato `a < .. � 3 $ ten °>°,- ,,, 5 � .� °a (" 3 `''8 U ag�J 4 < 1°- -. -1 -o $c Hull 0 „ a '- U ._ 3; dt A ,.5°3 �_ I 5§ o b =I Y-u e, L p - t -� g Q - `° ;2 "' `y°.c:"g to7.2 , UE.i..2_ ' gt 2_0 c E, ` o ° Za _ ° d._a m �, � Zw�w Z ' .gt:5 wQr I-' ±, 7,.m_S E €5 ¢ -. ^i _ .. .,.. F a `=” t -2 3 'B Y. O E''' ' 2 . -r' n w F.w o C t _!7,1 . -9.-5. . .010‘ 4 rs . ......, , 1_ 1 ---)---, ..z.) •,) • cn 45 ',LI T *4 — e;' •//) -----/ ----- •.. o '. ‘...„ *. -0 "cs 0 .....,) Co -.0 0 \ / \) .......... u ..._, ..-, -0- '(..........) cp i--- C_D < S'• . . . , • — 6<- C-6 Cn— (--) • C%C) ... ---- ...., * 4 (--6 ---- cr) a •7z. < •-,5 I I CC (X;', CI i,: . C) •- .L • = -,..'' :`.= _ _ _ ■ , . _ _ oo - 61 -7 - 1 ( ,„ .___ ____.. I 239_ Erit trio A-u-e , BUILDING AND SAFETY DIVISION ""' BUILDING City of Arcadia PERMIT 240 W. HUNTINGTON DR.,ARCADIA, CA 91006 • TEL. (818)574-5416 Buildings r U.B.C. Occ. Address /L 3.k L-�Yt.ccr,,► Edition 1Type Const. Group Lot Block 7 Tract Occ. F. D.Appr. Date H. D. Appr. Date No. - Load Required Required Owner t. c /� — Use Zone Special Case No. Maili ► •i.[J� Homeowners Association Approval Date Addr ss 4,...-4-diraoA City Zip Tel. Lot Size Contractor - Special 1 -- — --Conditions Addre NOTE: Include: Dt s 6 7:-4-7,-a- VALUATION Labor, Material, Plumbing,Etc. $ 5C' — City Zi 5t/7 ?c., Tel.�2 7occ Mist. FEE State Lic. City Private 8 Classif. '¢�3 7 C.. Lic. No //Q�o Swimming Pool/Spa A Public Arch., Engr., Sign-Pole ❑ Wall❑ Designer Address Tel. F Temporary❑ Projecting❑ City Iiiii State E Fee Based on Total Sq.Ft. Lic. No. E _ Proposed _/ S PLAN CHECKING FEE Construction 4 A_ S.M.LP. : Permit Fee //,p Floor Main Accessory Total Processed by Area _ TOTAL /7(r- 0-0 New❑ Add.❑ Alter.❑ Repair❑ Demolition❑ Permit No. Plan No. Date LICENSED CONTRACTOR'S DECLARATION WORKERS'COMPENSATION DECLARATION I hereby affirm that 1 am licensed under provisions of Chapter 9(commencing with Section I hereby affirm that I have a certificate of consent to self-insure,or a certificate of 1 1)I of Division 3 of the Business and Professions Code,and my license is in full force and orker's Co pe ti Insu ante, r a certified copy t f.(Se .'3800 oboe C .) effect 0_ 01 Policy No. Company OWNER-BUILDER DECLARATION ICI Copy is filed ❑Certified copy is Exp.Date �] with the City. hereby furnished. I I Li I hereby affirm that I am exempt from the Contractor's License Law for the following CERTIFICATE OF EXEMPTION FROM v I reason."Ser.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 1$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 7031.5 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 Professions Code:The Contractor's License Law does no/apply to an owner of property who I hereby affirm that there is a construction lending agency for the performance of the work 2 builds or improves thereon and who does such work himself or through his own employees, for which this permit is issued.(Sec.3097.Civil Code.) N provided that such improvements are not intended or offered for sale. !f, however, the Lender's Name -D building or improvement is sold within one year of completion,the owner-builder will have — -__ rnl the burden of proving that he did not build or improve for the purpose of sale.'' Lender's Address C) ❑ I. as owner of the property, am exclusively contracting with licensed contractor to —I 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 O 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 author' e presentatives of this city to enter the above-mentioned property for inspection pu os . ,i7 / 0 ❑ I am excempt under Sec. ____,B.&P.C.for the reason Signature of Applicant 7 '''°,f .y Date l 2-p/ -13 -- Mailing Address __ Date 1-2'' i( a Owner City,State,Zip T ) his is a building permit when properly filled out, Signed and validated, and is subject to expiration i f work thereunder is suspended for 180 days. o/-29-8' ''.C:L:?39 TOTAL ,5 0 1.18 erliN INSPECTION RECORD FOUNDATION: (Gr. Certif. Comp. Tests, Set- INSPECTION NOTES backs,Forms,Reinf, Steel,Excavation. FLOOR SLAB/JSTS., GIRDERS: Mesh, yap. Barrier,81kg.,Spans,Access,Vents,Tr.Lmbr. MASONRY: Reinf., Mortar Jts., Grout Lifts, Clean-Outs,Bolts, ROOF SHTG.:Nailing,Diaph.Blocking,Material • • Grade and Thickness,Roof Drains. FRAMING:Walls,Raft.,Jsts.,Blocking,Bracing, Nailing,Backing,Diaphr. Draft Stops. INSULATION: Thickness, R-Values, Piping, Sound Caulking. FIREWALLS: Material, Thickness, Dampers, Doors,Closers,Fusible Links. INTERIOR:LATH/DRY WALL:Nailing,Supports, Laps,Joint Reinf. EXTERIOR LATH/SIDING: Mesh, Fasteners, Laps,Paper,Thickness,Backing. FINAL INSPECTION: Finish Grading Certif., Slope Plant., Energy Compl. Card Posted, Pkg. Access, Fire Doors, Exit, Locking De- vices, Landings, House Numbers, Weather Stripping,P1./Engr.Clear. SWIMMING POOL/SPA • EXCAV. REINF.SETBACKS:Radius Stl.,Bond- ing,Exp.Soil, Ramp Loc.,Surcharge. FENCE/GATES: Height, Closers, Accessibility, Latches,Stability. __ _ ._.................... _________ _______ . FINAL INSPECTION: MISC. SIGNS: RE-ROOF. INSPECTION .DATE INSP.SIGN. � m• Development Services Depart t -.. 240 West Huntington Drive,Pr 'ffice Box 60021 PER1 NO. BOO-017-331 Arcadia,CA 91066-6021 City of 626 574-5416,Fax (626)447-9173 ermit Type: EMP Combo Arcadia ( ) ( )PROJECT TRACT NO. LOT NO. AP QN7III ON DATE ISSUED BY PRINT DATE PERMIT STATUS 11/3/2003 KW 11:58 11/3/2003 Issued PROJECT ADDRESS ASSESSORS PARCEL NO. GEO CODE 1232 Encino Ave 5780-024-041 OWNER MAILING ADDRESS Rohrer,Jack&Norma PHONE NO. Inspector#: 205 EMAIL ADDRESS: APPLICANT MAILING ADDRESS PHONE NO. EMAIL ADDRESS: CONTRACTOR/PROFESSIONAL MAILING ADDRESS Jordanair,Howard 129 Hacienda PHONE NO. (626)963-3313 FAX NO. Glendora,CA 91741 EMAIL ADDRESS: License No. 560429 Type: C Expires: 3/31/2005 12:00: TENANT MAILING ADDRESS PHONE NO. FAX NO. DESCRIPTION CHANGE OUT FAU AND ADD A/C. Construction Type UOM #of Units Value Construction Type UOM #of Units Value OCCUPANCY: TOTAL VALUATION: $0.00 QTY UOM DESC AMT AMT PAID ACCT QTY UOM DESC AMT AMT PAID ACCT I flat Dec issue $40.25 $40.25 01-3105 1 Flat Mech issue $40.25 $40.25 01-3105 //-cD Z 1 each Furn<100,000btu $17.00 $17.00 01-3105 // ! ,fy,� /,�//�_� 1 each Comp 3 hp $17.00 $17.00 01-3105 lla f��17' ' 4'/`.- 1 each Power 1-10 hp $14.10 $14.10 01-3105 �( //(� —�� Totals for: 01-3105 $128.60 $128.60 1 Flat SWMF 2 $1.00 $1.00 88-3027 1 Flat SWMF 2 $1.00 $1.00 88-3027 Totals for: 88-3027 $2.00 $2.00 Total Fees: $130.60 Total Amount Paid: $130.60 Paid Today: $130.60 This permit/plan review expires by time limitation and becomes null and void if the work authorized by the permit is not commenced within 180 days from the date of issuance or if the permit is not obtained within 180 days from the date of plan submittal. This permit expires and becomes null and void if any work authorized by this permit is suspended or abandoned for 180 consecutive days or if no progressive work has been verified by a City of Arcadia building inspector for a period of 180 consecutive days. CALLS FOR INSPECTION INSPECTORS' OFFICE HOURS Requests for inspection should be made at least Monday—Thursday Friday one(1)business day in advance of the inspection 7:30 a.m.to 9:00 a.m. 7:30 a.m.to 9:00 a.m. by telephone at(626)574-5416 for onsite work. 4:00 p.m.to 5:30 p.m. 4:00 p.m.to 4:30 p.m. (Closed on alternate Fridays) ,'44.4. r'� li" PERT IT/PLAN REVIEW A� 'LICATION FrAin r:-40 •►�4 'a' Development Services Department, 240 West Huntington Drive, Post Office Box 60021 �. ---'1;°. -.....To- Arcadia, CA 91066-6021, (626) 574-5416, Fax (626) 447-9173 City of Arcadia LICENSED CONTRACTOR'S DECLARATION WORKERS' COMPENSATION DECLARATION c] I hereby affirm under penalty of perjury that I am licensed under provisions of I he eby affirm under penalty of perjury one of the following: Chapter 9, commencing with Section 7000, of Division 3 of the Business a o Professions Code,and my license is in full f• e� dje t. r-� I have and will maintain a certificate of consent to self-insure for workers' License Clang ^�� Lic�•�e No ��—/�j xp. !ate 1 compensation, as provided for by Section 3700 of the Labor Code, for the �' performance of the work for which this permit is issued. ignature of Contrac;sr /./ i / ❑ I have and will maintain workers' compensation insurance as required by Section OWNER-BUILDER DECLARATIi7 3700 of the Labor Code,for the performance of the wor for which this permit is ❑ I hereby affirm under penalty of perjury that I am exempt from the Contras r issued. My w.rk: s'co pe sati.: ' . . •, ier . policy number are: License Law for the following reason(Section 7031.5, Business and Professio' �r'; `� / Carrier Code: Any city it county which requires a permit to construct, alter, improve, �� demolish,or repair any structure,prior to its issuance,also requires the applicant Policy Number / / for such permit to file a signed statement that he or she is licensed pursuant to the provisions of the Contractors License Law(Chapter 9(commencing with Section (This section need not be completed if the permit is for one hundred dollars or less.) 7000)of Division 3 of the Business and Professions Code)or that he or she is ❑ I certify that in the performance of the work for which this permit is issued,I shall exempt there from and the basis for the alleged exemption. Any violation of not employ any person in any manner so as to become subject to the , srkers' Section 7031.5 by any applicant for a permit subjects the applicant to a civil compensation laws of California,and agree that if houl.become s t to th penalty of not more than five hundred dollars($500)): workers' compensation provisions of Section 1! of a Labo o:e, I hwit coma wit .: o • on . ❑ I, as owner of the property, or my employees with wages as their sole SPY compensation,will do the work,and the structure is not intended or offered for Date pplic.• /,e sale(Section 7044,Business and Professions Code:The Contractors License Law does not apply to an owner of property who builds or improves thereon, or who does such work himself or herself or through his or her own employees,provided that such improvements are not intended or offered for WARNING: Failure to secure workers'compensation coverage is unlawful, sale. If,however,the building or improvement is sold within one(1)year of and shall subject an employer to criminal penalities and civil fines up to one completion,the owner—builder will have the burden of proving that he or she hundred thousand dollars($100,000),in addition to the cost of compensation, did not build or improve for the purpose of sale). damages as provided for in Section 3706 of the Labor Code, interest, and attorneys fees. ❑ I, as owner of the property, am exclusively contracting with licensed contractors to construct the project(Section 7044, Business and Professions Code:The Contractors License Law does not apply to an owner of property CONSTRUCTION LENDING AGENCY who builds or improves thereon,and who contracts for such projects with a I hereby affirm under penalty of perjury that there is a construction lending agency contractor(s)licensed pursuant to the Contractors License Law). for the performance of the work for which this permit is issued(Section 3097,Civil Code). ❑ I am exempt under Section 7044,Business and Professions Code,for this reason: Lender's Name Date Owner Lender's Address IMPORTANT: APPLICATION IS HEREBY MADE TO THE BUILDING OFFICIAL FOR A PERMIT SUBJECT TO THE CONDITIONS AND RESTRICTIONS SET FORTH ON THIS APPLICATION AND THE FOLLOWING: 1. The City's approved plans and permit inspection card must remain on the job site for use by City inspection personnel. 2. Final inspection of the work authorized by this permit is required. A Certificate of Occupancy must be obtained prior to use and occupancy of new buildings and structures. 3. Per South Coast Air Quality Management District (AQMD) regulations, renovation and remodeling work that results in the removal, stripping, or altering of asbestos containing materials requires an asbestos survey and removal prior to disturbing the asbestos. Please contact AQMD at(909)396- 2000 for further infopnation. Name / ! Ii l A A W Title arAJP1Pikr/ , PRINT NAME I certify that I have read th' .pplication and state, t the above in •rmation is correct and that I am the owner or the duly authorized agent of the owner. I agree to corn' '' itli l ity ordinaptes d State laws elating to building construction. I hereby authorize representatives of the City of T __Arcadi. • • . •o• he ahoy: mention I I ro ty for' p• on purposes. true Date ! 63 / JOB ADDRESS __ 1232 Encino Ave. ...‘„, NUMBER STREET APPLICATION FOR A BUILDING PERMIT BUILDING & SAFETY DIVISION CITY OF ARCADIA, CALIFORNIA "V.Fir.ylku. C sTATf.I TSE BLDG. co. , rT 1791 ‘01 ov I IN M Q, ESS Arcadia cIT-14 1lo 3� �AD�uartand.., (.4 ARCH. IT i"9-r7(1q Oltt H ENGR. H. Moor w MAILING ADDRESS TEL.NO. .. 920 Sharon Rd. ,SantaAna TEL NO. N Q0.M.uNL.TTSr,N BLDG.CO. , TEL Hi 7-2138 o MAILING ADDRESS 39 E. Duarte Rd. , iircadia, California -Ni, DESCRIPTION OF WORK NEW ADD'N ❑ ALTER. ❑ REPAIR ❑ DEMOLISH ❑ • u FLOOR AREA NO.OF NO.OF DWELLING 1 (SQ.FT.) 1597 STORIES 1 UNITS PRESENT BLDG.USE PROPOSED BLDG.USE o. tt l family dwelling V' DESCRIBE WORK o TO BE DONE family dwelling C " f , 1P .._ C. NOTE! PROVIDE PLOT PLAN ON BACK SIDE 6F ORIGINAL COPY ONLY u 1 EXTERIOR WALL MATERIAL ROOF FRAMING MATERIAL u Stucco PARTITIONING MATERIAL ROOF COVERING MATERIAL Lath & Plaster Wood N LOT LOT io v NO.OF EXISTING none e .—WIDTH DEPTH BLDGS.ON LOT — > 1�5,000�00j Q a_ NOTE: Include Labor, Mat., d u2 VALUATION Wiring, Plumb., Heat, Etc. N� �� INFORMATION PROVIDED BY BLDG. SECTION a sc 25340 W LOT NO. 19 BLOCK NO. TRACT Z Fo 7` SEC. USE FIRE OCCU- s- rm. la ZONE FANCY SH. r s REQ'D ['FRONT RIGHT SIDE LEFT SIDE REAR .. e-co SET Il O BACKS j O TYPE O SPECIAL .. roONST CASE NO. GRADE t IX, W O Approval & Information by Others ' o_o CITY ENGINEER EASEMENT ra 00 DIST.FACE OF SEWER DRIVE ` o-, 'JRB TO P.L. FT. AVAILABLE OVER PUBLIC SERVICE PLANNING ■ == v 3a WATER ELECTRIC `O Z P.C.FEE PERM.PLAN Li CH ECI 'S PPROVAI Z° �� Q W/OUT PLAN ❑ PERMIT FEE J�.-- m I have carefully read and examined the above application and find the same to 4 be true and correct. All provisions of the Laws and Ordinances governing W ul building construction will be complied with whether specified herein Pr not. rson shall be employed in violation of the Labor Cod. of the •1 fee 0 of alifor ia. I agree not, ' occupy or allow oce ancy o ' ed∎by this,Berm. I fin I ding ins- ction arAplalee- - Z /I Ai UO Q V //. .� - r�GENT �' uoc S GNA UREOF-•W E•O' A O I m PERMANENT V o FORM B-51 INSPECTION RECORD aink BASIC INSPECTIONS ITEM INSPECTOR DATE TRENCHES, WIDTH DEPTH C '-'`'( '1 /6/ 1st. FLOOR JOIST 1 �� )'/;,-7/L FRAMING ,/�j�/J'4:/ FINAL Ad PARTIAL •R MISC. INSPECTIONS U'l � day tom (t, , j' / 1 1 1 UNSUCCESSFUL TRIPS r 1 T E .M INSP. j DATE I T E M s INSF j LATE -_-_—__ — _t E PACKS — T FRONT 1 R SIDE I L.S'DE 1 REAR ,,,SF T l DA FI _HECK t I TO APPLICANT: PLEASE DO NOT WRITE ABOVE THIS LINE NOTE: LOCATE ALL STRUCTURES ON LOT, MAKE EOTTOM j I F • _ , OF PAGE THE STREET FRONTAGE. - III II ______ _ III III r _ides_ . 1 JOB ADDRESS(WHERE APPLICABLE) '"1232 Encino /Ave . NUMBER STREET CD MISCELLANEOUS FEE RECEIPT r.► BUILDING & SAFETY DIVISION H.► CITY OF ARCADIA, CALIFORNIA RECEIVED OF 0• N. Knutsen MAILING ADDRESS • E. Duarte Rd. Arcadia -( FOR: }-� [�*PLAN CHECK FEE FOR VAL. $ 16 000.00 rn ~ ❑ CASH BOND FOR ❑ PURCHASE OF BUILDING CODE 0 I�) ❑ PURCHASE OF PLUMBING CODE lJl ❑ USE AND OCCUPANCY CERTIFICATE FEE O ❑ ROOFING ❑ PLASTERING ❑ HOUSE MOVING a a a. ❑ Q roOp- a. a. ❑ REMARKS Plan Check ;124 AMOUNT DUE $ 2----5-5Cs---PAID by: CK. M.O. CASH When properly validated this is a receipt for the amount shown on the VALIDATION STAMP. G: PLAN CHECK FEES, WH"'E NO ACTION IS TAKEN BY THE AP' \NT IN NINETY (90) DAYS AND NO BUILDING PERMIT41•1/4ISSUED, ARE FO.. .fED TO THE CITY. TEMPORARY FORM B-58 • JOB ADDRESS I1'*- __l2 SWIN0 AMa------STREET — NUMBER APPLICATION FOR A PLUMBING PERMIT f a< BUILDING & SAFETY DIVISION OLL CITY OF ARCADIA, CALIFORNIA = JOSEPH CADILLI PIRG. CO STATE LIC.NO. r CONTRACTOR • _ �ITYlIr�.NO � Z MAILING 82 ADDRESS AD� AVE a°„ O Ol.. E 1.A Y1C+�IF'. TEI�'°053k9 1 SO. SAN GABR TEL.NO. d '_a OWNER HI 'z_ O W u n1 ADDRESS DSE11 _ aW MAILING ADDRESS CALIF. ° 32 E. DUARTE RD. ARCADIA a USE > O C PROPOSED ZONE t 61 USE ce FEE COMPUTATION u 9 y BATHTUBS CLOTHES WASHERS Z 0 1- iO SHOWER PANS (JI 1 SHOWERS W f 2 WATER CLOSETS DRINKING FOUNTAINS Z i 0 2 URINALS z LAVATORIES SINKS, KITCHEN,BAR 1 SAND TRAPS 3 FLOOR,SERVICE = a. Y as LAUNDRY TRAYS CLARIFIERS d u v+ I. I GREASE TRAPS '^ O a DISHWASHERS a Y° W J N 1 WATER SOFTENERS s Z GARBAGE DISPOSALS O u u C 1 WATER HEATERS AND/OR VENTS 1 TOTAL NO. OF ABOVE FIXTURES : 11 @ 1.00 EA. 11.00 LAWN SPRINKLER SYSTEMS: @ 2.00 EA. BACK FLOW 0.5 DEVICES ADD. DEVICES DEVICES: @ 2.00 @ 250 EA. SWIMMING POOL PIPING SYSTEM @$1.00 1.00 1 WATER SYSTEMS @ 1.00 0-5 OUTLETS ADD.OUTLETS 1�� 1 GAS SYSTEMS: @ 1.00 @ 20 EA. i BOILERS STEAM OR HOT WATER (ii 2.00 SEWER CONNECTIONS gam 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 00 '1 1 .00 correct. All provisions of Laws and Ordinances INVESTIGATION FEE 'u+ covering this type of construction will be com- plied with whether specified herein or not No TOTAL FEE person the k e of California.violation of the Labor Code of the State of Clor , L. _,/J 7 j .-1. GNATURE OF CO RACTOR OR AUTHORIZED AGENT /F�„"�B-52 PERMANENT INSPECTION RECORD BASIC INSPECTIONS INSPECTOR DATE GROUND WORK (` ROUGH AM PL'B'G SEWER,SEPTIC TANK SEEPAGE PIT, DRAINFIELD FINAL GAS I y� I��A FINAL PLUMBING INTWArilra ARTIAL OR MISC. INSPECTIONS ' - - Z -■,_ UNSUCCESSFUL TRIPS _ - r"\ JOB ADDRESS f �4 '4'4 o R �� I STREET = NUMBER W APPLICATION FOR A HEATING, VENTILATING, AIR- N CONDITIONING OR REFRIGERATION z N �h PERMIT - z o p BUILDING JE SAFETY D ISION W W r ec ITY OF A.i DIA, CA FORNIA o i 61 VIII► �(1��'�.it • •0 I I— o C'�TRACT• , m .r ' W W M RING A'js' , _—� d p 1 ! �--�' ` NO. / 6 O se se rr • - - - Z ��S��VI\I\\ W AILING ADDRESS z = ..r HEADESCRIPTION OF WORK Z S TING 0 AIR CONDITIONING USE o 0 REFRIGERATION 0 VENTILATION ZONE r FEE C PUTA ION cji • ! y a VALUATION 4 Q B. ++ u REFRIGERATION YSTEM , INSTALLED, a.7 O W Z (� REPLACED, REPAIRED OR RELOCATED 4 B. £uu 1 EVAPORATIVE COOLERS OR VENTILATING SYSTEMS SUB TOTAL -* INCL.1 HEATING APPLIANCES VENTS/ FEE (INSTALLED, ALTERED, REPLACED,REPAIRED OR RELOCATED) V ` i CIRCULATING AIR OUTLETS OR INLETS REFRIGERANT COMPRESSORS (INSTALLED(IN®R REPLACED)) F E E QUANTITY OVER ®_ 0 20 20 50 50 m- I have carefully read and examined the above application and know the some to be true and PERMIT FEE correct. All provisions of Laws and Ordinances INVESTIGATION FEE person covering this type of construction will be com- plied n shall be with l whether employed on specified herein eviolati not. No the Labor Code of the State of Californ, T!TAL FE I"'#.16* (11M " 1 ....,NATURE OF CONTRACTO' OR AUTHORIZED AGE PERMANENT FORM B-55 INSPECTION RECORD : T F M ---------._�—i INSPECTOR 9d iE ROUGH HEATING ROUGH REFRIG - OR AIR COND. ----�.-____ {I DUCTS FINAL HEATING FINAL REFRIG OR AIP CONC -'/"61'`/ '{�L-/- PARTIAL OR MISC. INSPECTIONS -__- --UNSUCCESSFUL TRIPS ----------- __ JOB ADDRESS • .0.... 0.. Ii32 Eh G/% r STRttI Hi__ MBER APPLICATION FORA 00L E4771 G. !ill PERMIT BUILDING & SAFETY DIVISION 0 CITY OF ARCADIA CALIFORNIA Z o TEL.NO. a �G OWNER e4C . Lji MAILING ADDRESS s< u i i�N'r'I STATE LIC.NO. u �q` ENGINEER Z Q (V TEL.NO. ° J MAILING ADDRESS O's STATE LIC.rNO. N W COt{7 CTOR x 6 V PJ a p _, e " /�j ADDR SS R,/� CITY BUS.QLIIC.NO. MAILING/tf v / �rePY S� 3 v Z"' O f TV,.NO. �►tr. 1To0 ya bi 01 DESCRIPTION OF WORK A •RY SIGN n i (Addveve BILL BOARD rt'. • dealing with BILL ti si • 'OT connected vity on the with • ises on which the © goods or si• s erected) premises) B. TYPE OF SIGN: i�Prx ti 0 n -------- PORAR N 111 WALL SIGN n GROUND SIGN ❑ COMB. SIGN ❑ ROOF SIGN PROJECTING SIGN NOTE! PRO r PLOT PLAN ON BACK OF ORIGIN• COPY_ONLY F TOTAL O° Y O SI _KVA Q 6 ANUFACTURER W '" NOTE: THE U.L. APPROVAL DECAL SHALL BE EXPOSED FOR ELECTRICAL N � INSPECTOR AT TIME OF INSPECTION. Q ELECTRICAL FEES 9 00 a gO OUTLETS Cp? 0 EA. ul I`tp ca�tefo Oven & Dray ..--_Z. I Hearte 's .25 EA._ I _ z or are rans o{��ers bery . ZI GAL PERMIT FEE W Q Z 1 .00 4 Motors TBTAL - _ i .-.•• t I.' •?'•VIDED BY BLDG. SE O > m ; li LOT BLOCK o< co NO. TRACT NO. O FIRE SECTIONAL o a Y USE SHEET o. O0 LONE ZONE z ; Lu s P. C. FEE— 3 = CHECKER'S . APPROVAL__--.— — PERMIT FEE 16. 0 Z o O I hiec true eeand read and examined the of La application Ordinances herein covering r not.this r No person shall be employed in violation of the Labor Code of the State d � of Cal itorn ia. � N as V sn r ZTUFOTHOZE . O rte. D AGE NT f - PERMANENT U O FORM B•57 INSPECTION RECORD ek*IASIC INSPECTIONS t ITEM INSPECTOR DATE HOLE: DIA. DEPTH ROOF FOOTING------------- ROUGH WIRING._______________ ___ �i �p� F ILSH WI --- - -- FINAL ____ _ L �me PARTIAL OR MISC. INSPECTIONS UNSUCCESSFUL TRIPS MM.TO APPLICANT: DO NOi WRITE ABOVE THIS tINE PLOT PLAN NOTE: LOCATE ALL STRUCTURES ON LOT. MAKE BOTTOM OF PAGE THE STREET FRONTAGE. ■■■■■■■■■.■.■ iiiiIiiiiiiiiii EMMINIMMENIMINIE Iiiiiiiiiiiiii■■ ■■ ■■ 11111111.1111111111111111111111111111.111 JOB ADDRESS N F ,... ''' W STRT 1232 Encino a NUMBER EE v CATION FOR A ° + 0 •,.SEWER STREET CUT .,, i OR zi, CURB AND SIDEWALK ' BUILDING & SAFETY DIVISION W 0 CITY OF ARCADIA, CALIFORNIA c a STATE IIC.NO A� G LC'`D`G �TO , Co. 11 • , 4 o ions tr. CITiEp31(5 Y INC MA{� AD Baldwin Pk t �v W o PvIC•BOX Tt.COi— °3 di)Ii�iutsen Bld- .Co. 3� li 3 4#6 tADit rte Road, Arcadia _° F, o % SEWER Bldg Co W W PERMISSION IS HEREBY GRANTED TO----pWNER) Z L.D. & M. Construction Rwin�Park _ 5i3. o.Bleech�4°, a a*- (ADDRESS i "� eLf I • u Z lv TO MAKE SEWER CONNECTION AT i Q. uO TRACT2 W 0 LOT 19 _BLOCK s YO O LOCATION i LATERAL T/LflF �pr • • - i ' u LL l SADDLE�B, T� _ t SEWER PLAN NO.��t_�- FEE RECEIVED $� — INSPECTED-- _ CITY ENGINEER BY—______E--5BY *. / a —__ — ALL CONNECTIONS 24 MUST BE HOURS NOTICE BEING BACKFILLED. R QU RED. CURB AND SIDEWALK FEE RECEIVED —CURB BREAK _—DRIVEWAY APPROACH CURB BREAK & DRIVEWAY APPROACH REPLACE CURB _SIDEWALK— FEET = —_CURB & GUTTER— FEET __CURB, GUTTER & SIDEWALK— _FEET STREET SUPERINTENDENT ALL WORK DONE UNDER THIS PERMIT HAVE INSPECTION BY THE STREET SUPERINTENDENT STREET CUT • --- _AT 75c PER SO. FT. &AMOUNT OF DEPOSIT ESTIMATED SIZE OF PATCH _AT 75c PER S0. FT. $AMOUNT CHARGED ACTUA SS EZIL OF PATCH RECEIVED FROM CITY OF ARCADIA, STREET DEPT. $AMOUNT REFUNDED --- —I9 $ _ STREET SUPT. SIGNED BY_-- A D cyfi[S----- PHONE—.- —BY ----- FORM B•54 PERMANENT INSPECTION RECORD - HING AND PLASTERING -- _ INSPECTOR DATE LATHING - EXTERIOR SCRATCH INTERIOR BROWN EXTERIOR BROWN INTERIOR FINISH_ __ FINAL --._ . PARTIAL OR MISC. INSPECTIONS • UNSUCCESSFUL TRIPS ROOFING SHEATHING • all, DATE (COM ERCIAL) / .. f'!+ IN L Nallial1.1 • PARTIAL OR MISC. INSPECTIONS 111 <a-----\----„,„_ Nil win 1111r1/WIRINIMINIMME II •FUL TRIPS laillillin. stismin JOB ACTRESS 3„,2 ,s. -4. NUMBER 5 •EAT APPLICATION FOR A SEWER-STREET CUT o 1 _,... --= ) OR F-' �`t' CURB ND SIDEWALK .\ BU NG 8 SAFETY DIVISION TY OF ARCADIA, CALIFORNIA 0 OW 1�� TEL. O.'/J, MALI ADDRES fit ...J t; _ '` '� �? �L �� STATE LIC.NO. �' n CONTR•CTOR /V p O F" � CITY LIC.NO. MAILING ADDRESS �d!. .75 as TEL.NO. 1-� CITY PERMISSION IS HEREBY GRANTED TO MAKE SEWER CONNECTION AT BLOCK,__— —TRACT LOT Y f\\ LOCATION 1 LATERAL SADDLE SEWER PLAN NO. CESSPOOL FILL $1.00 $ 0 $ 196_ TOTAL INSPECTED_. $ BY BY__-- -----' ALL CONNECTIONS Z MUST BE INSPECTED N C E BEFORE RED,BEING BACKFILLED. CURB AND SIDEWALK FEE CURB BREAK G1d/Y�'" p-v'3. d-v DRIVEWAY APPROACH � ' $rr- ,e CURB AK DRIVEWAY APP A'A REPLACE CURB � � /:,{ / FEET r.�----- %' c,�� FE T CURB, GUTT '�'L(7 £ ' '' r -°'`Z / - ..4�, STREET SUPERINTENDENT TT US HA INSPECTION BY THE ALL WORK DONE UNDER SUPERINTENDENT STREET CUT AMOUNT OF DEPOSIT AT 75c PER SQ. FT. AMOUNT CH ESTIMATED SIZE OF PATCH AT 75c PER SQ. PT. AMOUNT REFUNDED ACTUAL SIZE OF PATCH RECEIVED FROM CITY Of ARCADIA, STREET DEPT. TOTAL FEE 196_$ STREET SUPT. SIGNED BY fDRESS , EPH•:�� . - , E R OF ONTRAC •' OR AU HO' Z D AGENT PEI NENT RM B-54 (REV.7-61) 21/2M !t e INSPECTION RECORD PA&TIAL OR MISC. INSPECTIONS --- =Milli 1.11.1111111111 UNSUCCESSFUL TRIPS MILLOMMINIMIIIIIIIIII MMIIIIIIIIIIIIIIIMIIIIIIIMIMIIII i2.- / 5;-4. / 4.2, /4, 146,7„/., .l*C"".. 1 111.11101; _I , / -; •-: ',- _ / - / -VI' ( 5 ri- frois ,-....„..............................____