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,411111111111W (9-1 41!47, Fill9141 1 BUILDING & SAFETY DIVISION $ ARCADIA 240 West Huntington Drive ' Arcadia, California 91006-3104 f~`\ATE/ ( 818 ) 574 - 5416 i Page 1 of 1 1238 S ENCINO AV 01/17/89 10:09 Permit No : A8900169 Autoproj No : AU002160 Status : APPROVED Validated by : LB Inspector area: 205 This type : Garden/Retaining Wall Project Applied : 01/17/89 Issued : 01/17/89 Parcel number : 5780-024-036 Finaled . • Group-occup/use: To Expire . Owner : LIN,CHING MIN AND WANG C Applicant : LAING BROS MASONRY Applicant Addr : 411 WILLOW GROVE GLENDORA, CA Job Address : 1238 S ENCINO AV Phone number : 818-963-4901 Class code .• Valuation 1, 080 Construction : OTH Permit to do : 60 L. F. -6' FML LWST ADJ GRDE CONTRACTOR : LAING BROS. MASONRY Lic. C 431963 818-963-4901 Height > 6' FRML LWST ADJ GRDE Fee description Units Fee/Unit Ext fee Data Enter Valuation > 1080. 00 . 00 . 00 Total Wall Fees 3107> 44 . 40 *** Fees Required *** *** Fees Collected & Credits *** Receipt No. Date Payment 01/17/89 44 . 40 Fees: 44 . 40 Adjustments: . 00 Total Credits: . 00 Total Fees: 44 . 40 Total Payments: 44 . 40 Balance Due: . 00 CALL FOR INSPECTION DECLARATIONS In accordance with Health & Safety Code, Section Requests for inspections should be made at least twenty-four hours in advance by telephone at 19825,all required declarations on the reverse side of twenty-four r ho A.M. -5:00 P.M. this form have been properly signed and dated by the permittee. A--)Inspectors office hours are: Verified by: 8:00-9:00 A.M.; 1:00- 1:30&4:30-5:00 P.M. Signature . �. 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APPLICATION FOR BUILDING PERMIT Application is hereby made for the approval of the specifications cmd plans herewith submitted for the erection of the building herein described. All provisions of the Building Ordinances and Zoning Ordi- nances shall be complied with in the erection of said building , whether specified or not. State License No...... .... (Sign here)..(......... City License No /3 fs Block Tract Zone Fire District Street Address 1. Purpose of the Building Number of Rooms Kind of Construction 2. Roof 3. Owner's name r- Telephone No 4. Owner's address 41( 5. Architect's name 6. Builder's name - Telephone No. I4 7. Builder's address 8. Estimated value of proposed improvements $ 9. Will the building be erected on the front or rear of lot? • 10. Size of lot Size of building x. 11. Number of stories in height _Flooy Area 12. Will there be a cellar or basement- Size Dated Arcadia, California...... , i9. • 8-49 03> .......--..., 40. 1.144 - ---- 0 0 'V '-c1 ti:1 ›. P•r1 9 7:01 P, 71. 0 . p ori o : II. Z •••C 0 DO?C) • Fr t-t■--- X1---- e V. 1- ITS-- _ r, 7%..). , 1.___ C2 ■ I _ il I.; (j■ N.: 4-- •rp , ° 1...... __,.... .... . 1 "S A...... ii--- c NI (.4 a . 4J :izt-, i It. PI --It, ■ 1---- --pa 't,* I- ra v, It-k .rr — City of Arcadia Building and Safety Division PROPERTY INSPECTION REPORT �f OSEF L E 1 BoV I Tz_ , owner of property located at (please print name) J a 3 g E Jf,!n}Q A'J E , Arcadia, California, do hereby give my consent for a property inspection at the above address by the Building and Safety Division. The purpose of the inspection is to investigate work which may have been done without benefit of permits or inspections. The undersigned agrees that any violations found by this inspection will be corrected in compliance with applicable codes and ordinances within thirty (30) days. NOTE: This is not a permit and does not constitute acceptance by this Department. All corrections herein stated must be completed prior to any approval fro this Ppa ent. Date / Signed: ► i INSPECTION REQUESTED FOR: • tsk1 , T " " Q0M ; /9/0 21 BUILDING CORRECTIONS REQUIRED: N 0 PERMITS REQUIRED: Building Demolition Electrical Heating Plumbing ZONING CORRECTIONS REQUIRED: ZONING: Setbacks Lot Coverage Open Area Parking FEE / INSPECTO" � � �„%� ' A INSPECTION DATE 11 1 (0 \ V.) APPROVAL DATE WHITE COPY — FILE CANARY COPY —APPLICANT DBS-57 BUILDING AND SAFETY DIVISION •b, - City of Arcadia - �� -.. ELEC./MECH./PLMBG. 240 W. HUNTINGTON DR., ARCADIA, CA 91006 • TEL. (818)574-5416 PERMIT 1 Building No. Description (Additions, Commercial, Industrial) Fee Address I a 0 eveihio Services Owner T (Size 1 P Q1D Lr�oV iTZ Outlets Moiling W (Receptacles, Lights, Switches)J f l� ( �I fC1 A W 1- City Zip Tel, N Fixtures Contractor� ./ Motors /n// if (,G.!/1/ ae J (HP each: r,�./r� 1 Address ,,//�� ,,//�� ,/ 4 Other �-s �' eb4TTT ���� A-V L.: (Specify: 1_ y `C'ty Zzr�� Tel Sq. F . Area New /► A A t/� r / may.�` � V Residential Bldq. r1 Stole Lit. /� {G s•J�� (� J Sq.Ft. Area New 1T City B olassrf. Lit. No. W Res, Accessory Bldg. l`y LICENSED CONTRACTOR'S DECLARATION Misc. ❑ I hereby affirm that 1 am licensed under provisions of Chapter 9(commencing with Section 7000 I of Division 3 of the Business and Professions Code.and my license is in full force and effect. i Pool wiring I ELECTRICAL FEE 9 OWNER-BUILDER DECLARATION No Description No. D Description Fee I hereby affirm that I am exempt from the Contractor's License Law for the following FAU to and i reason:"Sir.7031.5.Business and Professions Codes.Any city or county which requires a includ. Boiler/Compressor • permit to construct,alter,improve,demolish,or repair any structure,prior to its issuance X / 100,000 BTU / to and includ. 3 HP t, s101-,C20 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 N 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/Sosp./Pool Air Handler to and dollars($500).'' N 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 o the work,and the structure is not intended or offered for sale."Sec.7044,Business and ct Professions Code:The Contractor's License Law does no{apply to an owner of property who 0 Exhaust Hood over 10,000 cfm builds or improves thereon and who does such work himself or through his own employees, Vent. Fon j Other: provided that such improvements are not intended or offered for sale. /f, 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. ❑ I, as owner of the property, am exclusively contracting with licensed contractor to 0 construct the project."Sec.7 044,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- 2 tracts for such projects with a contractor(s)licensed pursuant to the Contractor's License Law." I MECHANICAL FEE , 1-,91—_,z.1.6/ 0 I am excempt under Sec. ,B./P.C.for the reas� — No. Description No. Description Fee ' Bathtubs Water Heaters Date—_� fi JOwner VPSRkj. d 0.2 W E Showers Garbage Disposals l7 WORKERS'COMPENS• ION 1ECLAR TION /- 1 Water Closets -( Li I hereby affirm that I have a certifici to of•onsent to elf-insure,or a certificate of N / Laundry Trays '7 Worker's Compensation Insurance,or a cl rtifie copy thereof.(Sec.'3800.Labor Code.) > 1 Lavatories Policy No _ .m an N I Clothes Washers P Y ❑ Copy is filed ❑Certified copy is Exp.Date CD Kitchen Sinks Sewer Connections with the City. hereby furnished. Z CERTIFICATE OF EXEMPTION FROM I I m Dishwashers Sewer Cap WORKERS'COMPENSATION INSURANCE Shower Pan Z (This section need not be completed if the permit is for one hundred dollars($100)or less.) Replacement Gos System (No. Outlets: ) V) El I certify that in the performance of the work for which this permit is issued,I shall not J Swim. Pool Solar 'p employ any person in any manner so as to become subject to the Workers'Compensation Law a_ Pipina Instollotion m of California. 0 NOTICE TO APPL/CANT:/f,after making this Certificate of Exemption you should become l Misc. ....f subject to the Workers' Compensation provisions of the Labor Code,you must forthwith PLUMBING FEE , ,,Q0 Q comply with each provisions or this permit shall be deemed revoked. XI I certify that I have read this application and state that the above information incorrect.I C. MECH. PL,6 qt.) ISSUANCE FEES 7 7b agree to comply with all city and county ordinances and state laws relating to building s C) construction,and hereby authorize representatives of this city to enter the above-mentioned - O property for inspection purposes. Signature of Applicant _Date—__--_ TOTAL FEES Mailing Address ,� � ,State,Zip __ Processed L^M/v Dote: ♦City By: This is a building permit when properly filled out, signed and validated, 11-'17-87 -1(:L72•1� and is subject to expiration if work thereunder is suspended for 180 days_ 132.35 |NSPGCTION@ECON ISPECTOR NOTES UNDERGROUND CONDUIT || ^ ROUGH WIRING NEW FIXTURES _-- me-- � FINAL ELEC. INSP. \l/>/7/VI F. TEMP. POWER POLE OTHER OTHER ELEC. UTILITY CLRNCE. ^ , U. DUCTS/REFRIG. LINES __ Ducts C" A* nm W3 MECH. supports, Vents FINAL MECH. "«U/Ac Unit ) / //~ /r— Vents, Shutoffs g OTHER OTHER Ii- RO — U�G�/UNDER FLR. soil' Water' Gas, Supports - --- W"� �� v�� PLMBG. ' —��� Sun""ts.,,mmings � . , GAS TEST SEWER/PRIV. DISP. SYSTEM DIAGRAM FINAL---- PLMBG. Fixtures, Valves, ) >1)� /Vq Services � . . . – ^ . --------' ,�, m�� WATER HTR. ' ' . *°�� Rel. v"�° _ - _ SEWER/PRIV. 0SP� SY3TE&8 OTHER _—_- OTHER GAS UTILITY CLRNCE. BONDING `— V.G. [ONDU|T - GAS PIPING Material, Depth � GAS TEST HEATER v""`' Clearance, ` T L"""^=. Shut-off 44; FINAL POOL ELEC. �- FINAL POOL PLMBG. OTHER | INSPECTION l DATE INSP. SIGN. BUi n'NG AND SAFETY DIVISION .... BUILDING City of Arcadia PERMIT 240 W. HUNTINGTON DR., ARCADIA, CA 91006 • TEL. (213) 446-4471 •,, 4 1 Budding U.B.C. Type ��p Address I?...,3% �1 g\a Edition Const. Lot Block (Tract Occ. F. D.Appr. Date H. D.Appr. Date No. Load Required Required — Owner 01) Use Zone Special Case No. v "' '" � Mailing C Homeowners Association Approval I Date Address ) " 1.gyp„�p City Zip Tel Lot I�V-1V l Size Contractor Special \C_� !O Conditions NOTE: Include: Address 1 -,,s u.A A .e e c VALUATION Labor,Material, Plumbing, Etc. $ 7,3-66 p .1 Misc. FEE City 1\ C C t,t%- Zi Tel +„1_/ � Private Lic f3 City �"1 Swimming Pool/Spa al Public State Lic. /�/ tY &Classif. 3 V Lf?3 Lic.No.'10 g Wall Arch., Engr., Sign-Pole❑ ❑ Designer Address Tel. F Temporary❑ Projecting❑ City Zip State E Fee Based on Total Sq.Ft. tY Lic. No. E Proposed ■ S PLAN CHECKING FEE Construction A-( Ve r'Oc\-1 C S.M.I.P. f u 8-( iG\ C -e / 0 3a Permit Fee Floor Main Accessory Total Processed by TOTAL 90 Area New❑ Add.❑ Alter.❑ Repair Demolition❑ Permit No. Plan No. Date LICENSED CONTRACTOR'S DECLARATION WORKERS'COMPENSATION DECLARATION QI hereby affirm that I am licensed under provisions of Chapter 9(commencing with Section I hereby affirm that 1 have a certificate of consent to self-insure,or a certificate of 0)of Division 3 of the Business and Professions Code,and my license is in full force and rker's Co nsation Insyrance a certifi d copy tlyfaof.jSteO.l.aberl Code.) effect. Policy No _ pony fe/®'�J v�[/ -C^!] opy is filed Certif d copy is Ex .Date OWNER-BUILDER DECLARATION with the City. hereby furnished. ❑ I hereby affirm that I am exempt from the Contractor's License Law for the following CERTIFICATE OF EXEMPTION FROM reason:"Sec.7031.5.Business and Professions Codes.Any city or county which requires a WORKERS'COMPENSATION INSURANCE permit to construct,alter,improve,demolish,or repair any structure,prior to its issuance (This section need not be completed if the permit is for one hundred dollars($100)or less.) also requires the applicant for such permit to file a signed statement that he is licensed ❑ I certify that in the performance of the work for which this permit is issued,1 shall not pursuant to the provisions of the Contractor's License Law,Chapter 9(commencing with employ any person in any manner so as to become subject tothe Workers'Compensation Law Section 7000)of Division 3 of the Business and Professions Code, or that he is exempt of California. therefrom,and the basis for the alleged exemption.Any violation of Section 7031.5 by any applicant for a ermit,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 of f . J PP P h' f f subject to the Workers' Compensation provisions of the Labor Code,you must forthwith dollars as owner of comply with each provisions or this permit shall be deemed revoked. PI,as owner of the property,or my employees with wages as their sole compensation,will CONSTRUCTION LENDING AGENCY o the work,and the structure is not intended or offered for sale."Sec.7044,Business and I hereby affirm that there is a construction lending agency for the performance of the work Professions Code:The Contractor's License Law does no/apply to an owner of property who for which this permit is issued.(Sec.3097,Civil Code.) builds or improves thereon and who does such work himself or through his own employees, provided.that such improvements are not intended or offered for sale.If, however, the Lender's Name building or improvement is sold within one year of completion,the owner-builder will have - the burden of proving that he did not build or improve for the purpose of sale." Lender's Address --- ❑ I, as owner of the property,am exclusively contracting with licensed contractor to I certify that I have read this application and state that the above information is correct.I construct theproject.'"Sec.7044,Business and Professions Code:The Contractor sLicense agree to comply with all city and county ordinances and state laws relating to building Law does not apply to an owner of property who builds or improves thereon,and who con- construction,and hereby authorize representatives of this city to enttgr the above-mentioned tracts for such projects with a contractor(s)licensed pursuant to the Contractor's License Law." property for inspection purposes. III am excempt under Sec._—_____—_,B.&P.C.for the reason Signature of Applicant to 1)---01--g2" _._ -_ Mailing Address /1-,c-f/- r te .e -er 1.44 Owner City,State,Zip � cc,d - This is a building permit when properly filled out,signed and validated, INSPECTOR COPY and is subject to expiration if work thereunder is suspended for 120 days. INSPECTION RECORD FOUNDATION: (Gr. Certif. Comp. Tests, Set- backs,Forms,Reinf.Steel, Excavation. INSPECTION NOTES FLOOR SLAB/JSTS., GIRDERS: Mesh, Vap. Barrier,Blkg.,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. %J� /a1/01,--, INSULATION: Thickness, R-Values, Piping, Sound Caulking. FIREWALLS: Material, Thickness, Dampers, Doors,Closers, Fusible Links. INTERIOR:LATH/DRY WALL:Nailing,Supports, ��jj � 9 Laps,Joint Reinf. 6.-;;A ----- EXTERIOR LATH/SIDING: Mesh, Fasteners, �� 77 _ 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, PL/Engr.Clear. Y V/e3 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. 4BUILI'NG AND SAFETY DIVISION City of Arcadia ELEC./MECH./PLMBG. 240 W. HUNTINGTON DR., ARCADIA, CA 91006 • TEL. (213) 446-4471 PERMIT eBuildinq �r�`� y ; Y No. Description (Additions, Commercial, Industrial) Fee Address J(,•) 4\\W/3 Services Owner �,1 (Size: ) ��t ,�- Outlets �/� Mailing S A IW� '� (Receptacles, Lights, Switches) 1/ 0 l Address � u1 Fixtures p (/ (J`� City \Pc1C Zip Tel, 1 0k,)`C C.1 ( lJ 40 "`, �( (/) 1 Motors Controctor J (HP each: ) Address (� 4 Other 11 F ��"e I- Q V (Specify ) (r Sq. Ft. Area New City �� C� I i Zip Tel. � � U Residential Bldg. 0 ('�{ W Sq. Ft. Area New State Lic. City t p J Res. Accessory Bldg• B Clossif, .),((,,c,� Lic. No. o W - - LICENSED CONTRACTOR'S DECLARATION Misc. Ar ❑ I hereby affirm that l am licensed under provisions of Chapter 9(commencing with Section �TT. luau)of Division 3 of the Business and Professions Code,and my license is in full force and Pool effect. Wiring ELECTRICAL FEE 1; OWNER-BUILDER DECLARATION No. Description No. Description Fee Ell I hereby affirm that I am exempt from the Contractor's License Law for the following FAU to Und includ, Boiler/Compressor reason:"Sec.7031.5.Business and Professions Codes.Any city or county which requires a 2 100,000 BTU to and includ. 3 HP permit to construct,alter,improve,demolish,or repair any structure,prior to its issuance also requires the applicant for such permit to file a signed statement that he is licensed I1.I FAU over Boiler/Compressor pursuant to the provisions of the Contractor's License Law,Chapter 9(commencing with 11 100,000 BTU over 3HP to 15 HP Section 7000)of Division 3 of the Business and Professions Code, or that he is exempt (/) therefrom,and the basis for the alleged exemption.Any violation of Section 7031.5 by any } Flr,/Wall/Susp•/Pool Air Handler to and applicant for a permit,subjects the applicant to a civil penalty of not more than five hundred U) Heaters includ. 10,000 cfm dollars($500)." PSpraI,as owner of the property,or my employees with wages as their sole compensation,will Q y Booth / Air Handler the work,and the structure is not intended or offered for sale."Ser.7044,Business and V Exhaust Hood over 10,000 cfm Professions Code.'The Contractor's License Law does not apply to an owner of property who Vent. Fan a Other: builds or improves thereon and who does such work himself or through his own employees. Z provided that such improvements are not intended or offered for sale. 1f, however, the Q includ• Duct building or improvement is sold within one year of completion,the owner-builder will have the burden of proving that he did not build or improve for the purpose of sale." I Misc. 0 I, as owner of the property, am exclusively contracting with licensed contractor to W r construct the project."Sec.7044.Business and Professions Code:The Contractor's License 2 I Law does not apply to an owner of property who builds or improves thereon,and who con- MECHANICAL FEE tracts for such projects with a contractor(s)licensed pursuant to the Contractor's License Law." nI am ezcempt under Sec. ,B.&P.C.for the reason No Description No. Description Fee Bathtubs Water Heaters Dat Owner W Showers Garbage Disposals WORKERS'COMPENSATION DECLARATION N Water Closets Laundry Trays 1 hereby affirm that I have a certificate of consent to self-insure,or Q-rtificate of - ker's Co r% t //1pps**y}'t'����aan or a certified copy •reof.(Sec.3:00/-,bor Code.) N Lavatories Clothes Washers Policy No. __ . J�L__`il_ Company • i�� V, IKw, Copy is filed ❑Cer[t.. copy is Ex .Date Kitchen Sinks Sewer Connections . with the City. her,. furnished. _ Z CERTIFICATE OF EXEM ION FROM / Dishwashers Sewer Cap WORKERS'COMPENSATION INSURANCE Shower Pan Gas System (This section need not be completed if the permit is for one hundred dollars($100)or less.) = Reptocement (No.Outlets: ) Ei I 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 Q_ Pioina _ Instaltotion of California. Misc. NOTICE TO APPLICANT:If,after making this Certificate of Exemption you should become PLUMBING FEE 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 certify that I have read this application and state that the above information is correct.I ELEC.,MECH.,PLB G. ISSUANCE FEES > I agree to comply with all city and county ordinances and state laws relating to building construction,and hereby authorize re resentatives of this city to enter the above-mentioned property for inspection purposes L/ - ' Signature of Applicant _ r�ii",, Date__/1.71 -6L TOTAL FEES 31/ y, Mailing Address _ ��.•JJ Processed Dote: City,State,Zip_ ` By INSPECTOR COPY This is an electrical/mechanical/plumbing permit when properly filled out, signed and validated, and is subject to expiration if work thereunder is suspended for 120 days. INSPECTION RECOki INSPECTOR NOTES UNDERGROUND CONDUIT ROUGH WIRING %�% �� j�R NEW SERVICE E FIXTURES se FINAL ELEC. INSP. ��g3 F. TEMP. POWER POLE B- OTHER OTHER ELEC. UTILITY CLRNCE. U. G. DUCTS/REFRIG. LINES RO. MECH. Ducts, Comb. Air, = Supports, Vents t FINAL MECH. FAU/AC unit Vents, Shutoffs 9 OTHER OTHER U.G./UNDER FLR. Soil, Water, Gas, Supports Water, Gas, Vents, RO. PLMBG. Supports,.Flashings GAS TEST SEWER/PRIV. DISP. SYSTEM DIAGRAM FINAL PLMBG. Fixtures, Valves, CServices WATER HTR. Vent, Valves, Press. Rel. Valve p SEWER/PRIV. DISP. SYSTEM OTHER OTHER GAS UTILITY CLRNCE. • BONDING U.G. CONDUIT 3 GAS PIPING Material, Depth GAS TEST HEATER Vent, Clearance, location, Shut-off I FINAL POOL ELEC. 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. (213) 446-4471 PERMIT Building s / No. Description (Additions, Commerciol, Industrial) Fee ` Address /2��, �Jyn i5 f pa >� I..) r-/ et 7) Q.e L,..- Services �1 /� Owner/vide zi—i,4i4//-'v CAW • Ol�i'Ps a.t11�2 / (Sizet /2 s'�'/ �r ) C c/l(/` Mailing W 3 (Receptacles, Lights, Switches) �/ Address S ex-e.-, cc- Cc be lie •..� f— ✓` .� Fixtures F y� City I Zip �Tel. � } z IY I` 1�/ Motors Contractor 1 49 `� 2 ,-� < J (HP each: ) f T Q Other Address U (Specify: ) c> in. Al, 04( C I f ill/VD4 . 4 _ ■ City Zip Tel H cc Sq. Ft. Area New S /_w„ r-C n / 2V J ; 063 Residential Bldg. 'Y I,.�i-(,� 7/0 G t! f � W Sq.Ft. Area New 1 . State Lie. _ A City e-//6 2.3 _-L- J Res. Accessory Bldg• a Clossif• 2 J 0 9(7 -- C /V Lic. No. W - ,,// LICENSED CONTRACTOR'S DECLARATION Misc. // �Jr// /�L b gyiN r 1 f'l�C �l 1 hereby affirm that I am licensed under provisions of Chapter 9(commencing with Section t' effect.of Division 3 of the Business and Professions Code,and my license is in full force and Pool ' ELECTRICAL FEE Wiring OWNER-BUILDER DECLARATION No. Description No. Description Fee ❑ I hereby affirm that I am exempt from the Contractor's License Law for the following FAU to and includ. Boiler/Compressor F reason:"Sec.7031.5.Business and Professions Codes.Any city or county which requires a 100,000 BTU to and includ. 3 HP permit to construct,alter,improve,demolish,or repair any structure,prior to its issuance 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 I— 100,000 BTU over 3HP to 15 HP . Section 7000)of Division 3 of the Business and Professions Code, or that he is exempt (1) 1,)1 therefrom,and the basis for the alleged exemption.Any violation of Section 7031.5 by any } Flr./Wall/Susp./Pool Air Handler to and applicant fora permit.subjects the applicant to a civil penalty of not more than five hundred U) Heaters includ. 10,000 cfm ( dollars($500).'' a.. OI,as owner of the property,or my employees with wages as their sole compensation,will Q SDroy Booth/ Air Handler the work,and the structure is not intended or offered for sale."Sec.7044.Business and U Exhaust Hood over 10,000 cfm t • Professions Code:The Contractor's License Law does not apply to an owner of property who Vent. Fan Other: builds or improves thereon and who does such work himself or through his own employees, z provided that such improvements are not intended or offered for sale. If, however, the Q includ• Duct ' building or improvement is sold within one year of completion,the owner-builder will have the burden of proving that he did not build or improve for the purpose of sale." = Misc. ❑ I, as owner of the property, am exclusively contracting with licensed contractor to W construct the project."Sec.7044,Business and Professions Code:The Contractor's License x ' Law does not apply to an owner of property who builds or improves thereon,and who con- MECHANICAL FEE tracts for such projects with a contractors)licensed pursuant to the Contractor's License Law." El 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 ElI hereby affirm that 1 have a certificate of consent to self-insure,or a certificate of Worker's Compensation Insurance,or a certified copy thereof.(Sec.3800.Labor Code.) N Lavatories Clothes Washers Policy No. Company OCopy is filed O Certified copy is Exp.Date l,7 Kitchen Sinks Sewer Connections with the City. hereby furnished. Z CERTIFICATE OF EXEMPTION FROM I I Dishwashers Sewer Cap \ WORKERS'COMPENSATION INSURANCE 2 Shower Pan Gos System (This section need not be completed if the permit is for one hundred dollars($100)or less.) = Replacement (No. Outlets: ) , I 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. I f g Certificate of p you Misc. PLUMBING FEE NOTICE TO APPLICANT: after making this Certi icate o Exemption ou should become subject to the Workers' .ensation provisions of the Labor Code,you must forthwith comply with each provisio ar this permit shall be deemed revoked. I certify that 1 ha rea1114., ap•lication and state tat tie above information is correct.I ELEC.,MECH.,P 8 G. ISSUANCE FEES l0 bc) agree to comply wit all • gin• county ordinances and state laws relating to building I construction,and her.• au -'z-representatives of thi ity to enter the above-mentioned property for Appecti• s• e, - sa �—2-,�-YG TOTAL FEES Signature of Applican L D:te gii � J_ - -Mailing Address .0. �/ _, 19,A t^ City,State,Zip rt!171 / v Z- Processed By ,I I Date: ,— •IOW INSPECTOR COPY This is an electrical/mach: i••lu. ig permit when properly filled ou, signed and validated, and is subject • • : ration if work thereunder is suspended for 120 days. INSPECTION RECORI..� WECTOR NOTES UNDERGROUND CONDUIT ROUGH WIRING 6421 /1 NEW SERVICE �/ FIXTURES FINAL ELEC. INSP. /07 9 TEMP. POWER POLE OTHER OTHER ELEC. UTILITY CLRNCE. U. G. DUCTS/REFRIG. LINES r^ RO. MECH. Ducts, Comb. Air, �! Supports, Vents � FINAL MECH. FAU/AC of Vents, Shutoffs 9 OTHER t OTHER U.G./UNDER FLR. Soil, Water, Gas, Supports Water, Gas, Vents, RO. PLMBG. Supports,.Flashings GAS TEST SEWER/PRIV. DISP. SYSTEM DIAGRAM X. FINAL PLMBG. Fixtures, Valves, Services WATER HTR. Vent, Valves, OR Press. Rel. Valve 0 SEWER/PRIV. DISP. SYSTEM I- OTHER OTHER GAS UTILITY CLRNCE. BONDING r U.G. CONDUIT GAS PIPING Material, Depth 3 GAS TEST CHEATER Vent, Clearance, Location, Shut-off Yei FINAL POOL ELEC. FINAL POOL PLMBG. N OTHER INSPECTIONS INSP. SIGN. BUILDING AND SAFETY DIVISION _. — BUILDING City of Arcadia PERMIT 240 W. HUNTINGTON DR., ARCADIA, CA 91006 • TEL. (213) 446-4471 l r IV- Buildin c/ ,�p( U.B.C. 'Type Occ• ( Address i L.3 O S 0 eije,,�J© & ��� Edition :�> Const. Group Lot I Block Tract Occ. F. D.Appr. Date H. D.Appr. Date No. Load Required Required Use Zone Special Case No. l. Owner 11,1 ti�( LV C eeas'i'C 1,, t • Mailing Homeowners Association Approval Date Address 1.3-bi Cc)1 C•ti:L t�[C r�lt E City I fT Zip Tel... i Lot to 9(0c'6 J_,5) `t4tIC l( / Size Contractor S E H Conditions f NOTE: Include: Address (1-U 6p G e Jr7 @ t►.-;O Att,C.. VALUATION Labor, Material, Plumbing, Etc. $j� 7�,� City Zia Tel. l Misc. FEE -1/L Q- ka-- �t (CO 6 .e14b�70 1 State Lic. City ❑❑Private &Classif. Lic. No. Swimming Pool/Spa rj Public Arch., Engr., • Sign-Pole ❑ Wall ❑ Designer Address Tel. F Temporary❑ Projecting❑ ( _ City Zip State E ! Fee Based on Total Sq.Ft. Lic. No. Proposed • PLAN CHECKING FEE `q /t 5 Construction /` ►'e��i / °!r S.M.I.P. a Permit Fee 3 8, SC Floor Main Accessory Total �Y &Y ) Processed by e%Or TOTAL 1 J b 6 Area New❑ AddX Alter.❑ Repair❑ Demolition❑ Permit No. Plan No. Date LICENSED CONTRACTOR'S DECLARATION WORKERS'COMPENSATION DECLARATION 10 11 hereby affirm that I 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 of Division 3 of the Business and Professions Code,and my license is in full force and Worker's Compensation Insurance,or a certified copy thereof.(Sec.'3800,Labor Code.) effect. Policy No. _— __ —Company fl Copy is filed Certified copy is Exp.Date OWNER-BUILDER DECLARATION with the City. hereby furnished. I r 1 hereby affirm that I am exempt from the Contractor's License Law for the following CERTIFICATE OF EXEMPTION FROM I as "Sec.7031.5.Business and Professions Codes.Any city or county which requires a WORKERS'COMPENSATION INSURANCE permit to construct,alter,improve,demolish,or repair any structure,prior to its issuance (This section need not be completed if the permit is for one hundred dollars($100)or less.) also requires the applicant for such permit to file a signed statement that he is licensed ❑ I certify that in the performance of the work for which this permit is issued,I shall not pursuant to the provisions of the Contractor's License Law,Chapter 9(commencing with employ any person in any manner so as to become subject to the Workers'Compensation Law Section 7000)of Division 3 of the Business and Professions Code, or that he is exempt of California. 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 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. 1,as owner of the property,or my employees with wages as their sole compensation,will CONSTRUCTION LENDING AGENCY o t work,and the structure is not intended or offered for sale."Sec.7044,Business and I hereby affirm that there is a construction lending agency for the performance of the work Professions Code:The Contractor's License Law does no/apply roan owner of property who for which this permit is issued.(Sec.3097,Civil Code.) builds or improves thereon and who does such work himself or through his own employees, provided that such improvements are not intended or offered for sale. lf, however, the Lender's Name building or improvement is sold within one year of completion,the owner-builder will have the burden of proving that he did not build or improve for the purpose of sale." Lender's Address ❑ I, as owner of the property, am exclusively contracting with licensed contractor to I certify that I have read this application and state that the above information is correct.I construct the project.'Sec.7044,Business and Professions Code:The Contractor's License y P� Law does not apply to an owner of property who builds or improves thereon,and who con- agree to comply with all city an county ordinances and state laws relating to building tracts for such projects with a contractor(s)licensed ursuant to the Contractor's License Law.'' construction,and hereby authorize representatives of this city to enter the above-mentioned ,,,�IIII P property for inspection purposes. X1 am excempt under Sec.__ —_—,B.&P.C.for the reason Signature of Applicant Date__--_ _ Mailing Address _. bfla ((I ,Date�� _ (�_Owner /.°f`— City,State,Zip Ya INSPECTOR COPY r1", This is a building permit n properly filled out,signed and validated, and is subject to expiratio,..,work thereunder is suspended for 120 days. r► INSPECTION RECORD FOUNDATION: (Gr. Certif. Comp. Tests, Set- backs,Forms,Reinf.Steel,Excavation. ✓ /l� 3d INSPECTION NOTES FLOOR SLAB/JSTS., GIRDERS: Mesh, Vap. Barrier,Blkg.,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, `7 Nailing,Backing,Diaphr. Draft Stops. '. ✓ rp/ INSULATION: Thickness, R-Values, Piping, �!`%�/�� 7 121 • Sound Caulking. FIREWALLS: Material, Thickness, Dampers, Doors,Closers,Fusible Links. INTERIOR:LATH/DRY WALL:Nailing,Supports, u /��� Laps,Joint.Reinf: G EXTERIOR LATH/SIDING: Mesh, Fasteners, Laps,Paper,Thickness,Backing. /ff/ FINAL INSPECTION: Finish Grading Certif., Slope Plant., Energy Compl. Card Posted, Pkg. Access, Fire Doors, Exit, Locking De- vices, Landings, House Numbers, Weather �j Stripping,PI./Engr.Clear. 6/� �i SWIMMING POOL/SPA ,/ EXCAV.REINF.SETBACKS:Radius Stl.,Bond- log,Exp.Soil, Ramp Loc.,Surcharge. FENCE/GATES: Height, Closers, Accessibility, Latches,Stability. • FINAL INSPECTION: • MISC. SIGNS: RE-ROOF: • INSPECTION _D550, INSP.SIGN. BUILDING AND SAFETY DIVISION MISCELLAF DUS AND OFF-SITE I City of Arcadia 240 W. HUNTINGTON DR., ARCADIA, CA 91006 • TEL.(818)574-5416 PERMIT 'Building MISCELLANEOUS FEE RECEIPT 1 Address 1,� '3 d5 €l4Ql 4 0 A\) C Owner;to S cP' r ) E) SO. 17 z 0 # PLAN CHECK FEE FOR VAL. Addre i 4 r \'- -r ^ t b V` 1 f ( � A v c 0 CASH BOND FOR _ . Address w K(-}N v( f'r City A ke.4 0 to Zip Q/1")(,6I Tel. G?Er GRADING PLAN CHECK Contrucldr /1 0 GRADING PERMIT Vy` "•"C, Imo` / - 1(�,F ^` 0 HOUSE MOVING_ Address 1 L. W (TQ AN 6 J I6W A i E I 0 PARKS AND RECREATION FEE City I Zip 1 Tel. 4 A�2-CA be A ' 191 ODe, ��t0 s 0 ROUTE INSPECTION FEE State Li City S Clossif. I Lit. No. 0 2 Q q 0 �Y l j n ? iF °,_ LICENSED CON1RACTOR'S DECLARATION 0 ;II hereby affirm that I am licensed under provisions of Chapter 9(commencing with Section t:)of Division 3 of the Business and Professions Code.and my licence is in full force and effect. 0— e / r OWNER-BUILDER DECLARATION TOTAL FEE $... C� ir 0 I hereby affirm that I am exempt from the Contractor's License Law for the following PLAN CHECK FEES. WHERE NO ACTION IS TAKEN BY THE reason:"Sec.7031.5.Business and Professions Codes.Any city or county which requires a ') WARNING'PLAN permit to construct.alter,improve,demolish,or repair any structure,prior to its issuance APPLICANT IN 180 DAYS AND NO BUILDING PERMIT IS ISSUED,FEES ARE also requires the applicant for such permit to file a signed statement that he is licensed FORFEITED TO THE CITY. pursuant to the provisions of the Contractor's License Low,Chapter 9(commencing with Section 7000)of Division 3 of the Business and Professions Code, or that he is exempt SEWER PERMIT therefrom.and the basis for the alleged exemption.Any violation of Section 7031.5 by any applicant fora permit,subjects the applicant to a civil penalty of not more than five hundred PERMISSION IS HEREBY GRANTED TO MAKE SEWER CONNECTIONS AT dollars($500).'' I,as owner of the property,or my employees with wages as their sole compensation,will do 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 LOT _BLOCK TRACT builds or improves thereon and who does such work himself or through his own employees. Y 1 provided that such improvements are not intended or offered for sale. If, however, the LOCATION LATEgR AL building or improvement is sold within one year of completion,the owner-builder will have SADDLE the burden of proving that he did not build or improve for the purpose of sale." SEWER PLAN NO. CESSPOOL FILL ElI, as owner of the property, am exclusively contracting with licensed contractor to _ 1 3.00 construct the project."Sec.7044,Business and Professions Code:The Contractor's License Law does not apply to an owner of property who builds or improves thereon,and who con- 8 tracts for such projects with a contractors)licensed pursuant to the Contractor's License Law." INSPECTED )98 TOTAL ElI am excempt under Sec._____---_,B.&P.C.for the reason _ BY BY $ CURB AND SIDEWALK Date ___ __ _____ ---Owner — WORKERS'COMPENSATION DECLARATION CURB BREAK REPLACE CURB FT. ElI hereby affirm that I have a certificate of consent to self-insure,or a certificate of Worker's Compensation Insurance,or a certified copy thereof.(Sec.'3800,Labor Code.) DRIVEWAY APPROACH SIDEWALK FT. Policy No. ..Company I 0 Copy is filed Certified copy is Exp.Date INSPECTED TOTAL FEE with the City. 0 hereby furnished. I 1 CERTIFICATE OF EXEMPTION FROM t WORKERS'COMPENSATION INSURANCE STREET CUT - (This section need not be completed if the permit is for one hundred dollars($100)or less.) Z O I certify that in the performance of the work for which this permit is issued,I shall not ESTIMATED SIZE OF PATCH AMOUNT OF DEPOSIT Cn employ any person in any manner so as to become subject to the Workers'Compensation Law /S0•FT. Z) of California. ACTUAL SIZE OF PATCH AMOUNT CHARGED P1 NOTICE TO APPLICANT:If.after making this Certificate of Exemption you should become 0 subject to the Workers' Compensation provisions of the Labor Code,you must forthwith ® /SO-FT. —{ comply with each provisions or this permit shall be deemed revoked. AMOUNT REFUNDED 0 I certify that I have read this applic•Lion and state that the above information is correct.I RECEIVED FROM STREET DEPT. agree to comply with all city and unty ordinances and state laws relating to building INSPECTION FEE construction,and hereby aut iorize• prese tives of th'.city to enter the above-mentioned INSPECTED I98 BY o property for inspection pu // ` -p Signature of Applic • - F/1 ALI Date.L�jL� PERMIT FEE _ i �V��' • - Mailing Address v e TOTAL FEES r ' t City,State,Zip w we '1 A.- e� . i • l This is a building permit when properly filled out, signed and validated, 11-•12"87 1CL7134 TOTAL 3,6.80 and is subject to expiration if work thereunder is suspended for 180 days. e/ JOB ADDRESS IN. /^ /i 3y $ �,�G/..—U NUMBER STREET ,4' APPLICATION FOR AN ELECTRIC PERMIT 1171 BUILDING & SAFETY DIVISION CITY OF ARCADIA, CALIFORNIA W OWNER_ �is�/s� �i'� TEL.NO. / MAILING/o44 RYRS �� / �� ����i�v — I z3 y s. c,.-C/•4 CONTRA/TOR STATE LIC.NO. R) MAILING ADDRESS CITY LIC.NO. CITY gr TEL.NO. t>= Bill p'/ L t. N ❑ New Exist. No. Serv. Reconnect y Bldg. Bldg. Charge or Reseal C) P1 I r OUTLETS,BASE PLUGS,SWITCHES,FIXTURES @ 200 EACH I 1 MOTORS T' o to 1 HP @ 1.00 I OVER 1 HP to 3 HP @ 1.50 I .. OVER 3 HP to 8 HP 1 @ 2.00 I U OVER 8 HP to 15 HP @ 2.50 0 OVER 15 HP to 50 HP @ 3.00 I F OVER 50 HP to 100 HP @ 5.00 I OVER 100 HP to 500 HP I 1 @ 10.00 I OVER 500 HP @ 15.00 I HEATING CABLE UNIT @ 1.00 t 1 Z. OVE HEATERS @ 1.00 ZI Z KIT. FAN DISPOSZ) = © 1.00 Z FURNACE CLOTHES DRYER HAIR DRYER @ 1.00 RESIDENTIAL ENTRANCE SERV. 100 A MIN. @ 3.00 COMMERCIAL ENTRANCE SERVICE @ 6 .00 ADDITIONAL SERVICE METERS @ 1.00 TEMPORARY POWER POLE 0 2.00 TEMPORARY UNDERGROUND POWER POLE @ 5.00 I TEMPORARY SALES LOT LIGHTING @ 10.00 220 V POWER OUTLET @ 1.00 ',L MISCELLANEOUS 1, I have carefully rood and examined the above PERMIT FEE application and know the same to be true and • 2 00 eorreet. All provisions of the Laws and Ordl• nanees eoverninp this type of construction will SUPPLEMENTARY be compiled with whether mentioned herein or PERMIT FEE not. No person shall be employed in violation of the Labor Code of the State of California. INVESTIGATION PEE � lr TOTAL FEE S GNA CSF CONTRA OR O Ans. AUTHORIZED AGENT Alllik CONSTRUCTION PROHIBITED BETWEEN 7:00 P.M. At. ,:00 A.M. AND ON SUNDAYS AND HOLIDAYS AS PER ORD. .'1321. 0,4NSPECTION RECORD BASIC INSPECTIONS "IN -- ITEM INSPECTOR i DAVE GROUND WORK 1 1 I 1 I ROUGH I FINISH I . . L : 1 FIXTURES. I 4tIrilr ...'41111" fArif FINAL illimos01•1111111•10611110P ". A 4.,1.?_0:,c..7 ? PARTIAL OR •MISC. INSPECTIONS [ • . _ -t- UNSUCCESSFUL TRIPS L--- T i i r RECORD INFORMATION 0.H. 1 U.G. I TEMP.OK. . ! TEMP.CONSTR. NO.OF METERS I 1. t J. I . RANGE I OVEN -.1. TABLE TOP I W.HTR. DRYER 1 1- I i OTHER RES. APPLIANCES OVER 2 KW. ,.. TOTAL KW OR NP. TOTAL HP. S(1) 3(1) • • - . of", AN • ,, , JOB ADDRESS' 04 4/2 Q s E,W/4-o UMBER STREET APPLICATION FOR A V4,�;I/�' PLUMBING PERMIT BUILDING & SAFETY DIVISION • CITY OF ARCADIA,'CALIFORNIA W OW ER MAILING ADDRE /2-3 0) CONTRACTOR STATE LIC.NO. p.-3. 6d0/e�y MAILING ADDR 55 CITY LIC.NO CITY I"'l` TEL.NO. FEE COMPUTATION BATHTUBS FLOOR DRAINS SHOWERS REPLACEMENT SHOWER PANS WATER CLOSETS URINALS LAVATORIES CLOTHES WASHER SINKS DRINKING FOUNTAINS U / GARBAGE DISPOSALS _ DENTAL UNITS b e DISHWASHERS LAUNDRY TUBS 0 TOTAL NO. OF ABOVE FIXTURES z @ 1.50 j 1 WATER HEATERS AND/OR VENTS @ 2.00 WATER SYSTEMS @ 1.50 GAS SYSTEMS 0.5 OUTLET ADD. OUTLET CO 1.50 @ .50 EACH LAWN SPRINKLER SYSTEMS @ 2.00 SAND TRAPS @ 1000 CLARIFIERS @ 10.00 GREASE TRAPS @ 10.00 WATER SOFTENERS I @ 2.00 r SWIMMING POOL "P" TRAP @ 2.00 SEWER CAP I @ 2.00 A I CESSPOOL FILL @ 2.00 SEWER CONNECTION ON PROPERTY @ 5.00 1 have carefully read and examined the above application and know the same to be true and PERMIT FEE 2 00 Correct. All provisions of Laws and Ordinances inp 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 Labor Code of the State of California. TOTAL FEE • L ,I" AIGRI THORIZEo plc CONSTRUCTION PROHIBITED BETWEEN 7:00 P.M. AND '1 A.M, AND ON SUNDAYS AND HOLIDAY' 1 NSPECT:ON...-RECORD BASIC INSPECTIONS A I I i.,,AL Fi,ii,',E,NG : (1.11,1X---46"' i 3 .z_n ______ _,.......„._ PARTIAL OR MISC. INSPECTIONS E i ■ I UNSUCCESSFUL TRIPS 3 eiN A JOB ADDRESS OW 1238 Encino Ave . _ NUMBER STREET C: _ APPLICATION FOR A a SWIMMING POOL PERMIT IN. BUILDING & SAFETY DIVISION Z CITY OF ARCADIA, CALIFORNIA O Q U. Zones OWNER TEL.NO. o MPIDLZ$ESS a CD 1 ncino Ave . `' ENGINEER __NTibor GVimesi SE112 STATE LIC.NO. MAILING ADDRESS Q a. 4G•. 129 N. Mariposa TEL. NO. I,\_ CONTRACTOR Blue_Haven Pools STATE LIC. 3 NO. AILING�r�DDRESS 199236 145 2 E. Valley - CITY BUS�L,C�N O. 1 Z �l La Puente, I a NO3 0 Calif . 2 6 " ci NOTE! PROVIDE PLOT PLAN ON BACK OF ORIGINAL COPY ONLY F • C POOL SIZE---- �5 x 32 — Q EST.CAPACITY"_ 221 0O0 PRIVATE — ---GALS. ❑ SEMI-PUBLIC N. Deck T TYPE FILTER NO -- - BACKWASH? _ INOTE:Include Labor.Material'\ VALUATION Electrical,Heating,Plumbing L$ PLUMBING FEES POOL HEATER __GAS SYSTEM @ $1.00___ 1 POOL PIPING 1 .00 F DRY WELLS @ $2.00 _ _ O PLUMBING PERMIT FEE ______________1.00 TOTAL PLUMBING FEE 2.00 INFQRMATION PROVIDED BY BUILDING SECTION v, Yor.. LEGAL DESCRIPTION ., LOT NO._72_BLOCK NO. ? ---- TRACT 808 SECTIONAL W -- - _ SHEET � z • REQUIRED FRONT—7 RIGHT SIDE --"— 0 SET BACKS LEFT SIDE REAR a W APPROVAL BY OTHERS w ENGINEERINGT PUBLIC T _ SECTION SERVICE PLANNING SPECIAL m m DIVISION CASE NO. O N Z o CHECKERS— -- ---------.—_. Li Y tf P.C. FEE_ 6.00 3 APPROVAL — PERMIT FEE__ 12.00 Z I have read and examined the above application and know th• same to be true O and correct. All provisions of the Laws and Ordinances covering building con- .- cc struction will be complied with whether specified herein or not. No person a. shall be employed in violation of the Labor Code of the State of California. i 2 W• Q Q Q V w _Via Mail W 4 O .?- SIGNATURE OF OWNER F .7 OR AUTHORIZED AGENT 2 FORM B-56 PERMANENT O V V INSPECTION RECORD ' BASIC INSPECTIONS glina I '__0 EXCAVATION- - ----- l' - MAIN DRAIN REINFORCING- - -- �- I `/ SWIMMING POOL FILL LINE ---- - �--- I ROUGH PLUMBING -------- -- r" I i ROUGH GAS-- - --- --- FINAL PLUMBING - - - - FINAL GAS- - -- - 3 FENCE -.. _ -74----- G PARTIAL OR MISC. INSPECTIONS r- ---------17------i 1 -- -- UNSUCCESSFUL TRIPS _____TO APPLICANT: DO NOT ,A p .: r..-J;. 1f,' L.NE PLOT PLAN NOTE LOCATE ALL STRUCTURES ON LOT. MAKE BOTTCM C-'F PAGE THE STREET FRONTAGE.__ ... .r- 1 1 1 TI _LT:,_ T- -T I 111 - - -I .4_ I r- ■ i bii III I II all R __ _ _m a , • , , , 4' L . Iii in , , , , , " :, , 1 I. 70 JOB ADDRESS ,:- /g3Y.S . eti c A/O 4 NUMBER STREET APPLICATION FOR AN ELECTRIC PERMIT BUILDING & SAFETY DIVISION yTyy /y CITY OF A�RCADIIA, CCAALIFORNIAt GV ,'�A // 6-ii- h�G. T6 r MAIJrI e 111//:e.--- 87 /y}6 iv >=�,1✓c7�i�'� 741% INSPECTION RECORD elk BASIC INSPECTIONS AN% - -,-- I T E M 1 i',3FECTOP :A' i . GROUND WORK i S. i • I ROUGH. 1 -1 1 I FINISH „ I i 1 1 1 f:XTIIRES i I AlliAlleW' . , 4 FINAL PEtEASElitPUBOat SW,' 1, ' . ...2 - I 1-12PARTIAlVelhiSe 11:4SPEICTION'S I 1 _ - I i UNSUCCESSFUL TRIPS ..._ : i • i---- I 1 I RECORD INFORMATION O.H. I u.G, , :EMP.GIs. 1 rEmF CONSTR. I NO OF METERS 1 I 1 J I 1 I 1 1 , liTE WtRE_LpshR PHASE LHEAT _ION RANGE 1 OVEN I TABLE TOP { W,HIP, ---i DRYER OTHER RES. APPLIANCES OVER 2 KW. '--TCTAL KW OR HP. ------ TOTAL HP. 3 q) _ _ 1.11k AMIN JOB ADDRESS • NUMBER STREET APPLICATION FOR A PLUMBING PERMIT BUILDING & SAFETY DIVISION CITY OF ARCADIA, CALIFORNIA OWNER j TEL.NO. _ MAILING ADD E55/Oni 2 V/VC/' /44' I. CONTRACTOR STA[TEE�LLIIC.NO MAILING ADDRESS &Ry�ry 7 Pigs I ZV T C VO. U C- 4�, �y z3c3 CITY PROPOSED USE USE ZONE_ FEE COMPUTATION tV _ BATHTUBS CLOTHES WASHERS CO REPLACEMENT SHOWERS SHOWER FANS WATER CLOSETS DRINKING FOUNTAINS -__ LAVATORIES URINALS SINKS, KITCHEN, BAR 4=)* __ FLOOR, SERVICE SAND TRAPS LAUNDRY TRAYS CLARIFIERS 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. / 00 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 --,--_- covering this type of construction will be corn- INVESTIGATION plied with whether specified•herein or not. No FEE wr1 O person shall be employed in violation of the TOTAL FEE P Labor Code of the State of California. SIGNATURE OF CONTRACTOR OR AUTHORIZED AGENT F0 4-52 (REV.7.61)21/2M CP_ a PE�nINT L Ark INSPECTION RECORD BASIC INSPECTIONS ITEM INSPECTOR DATE GROUND WORK _,f // / VE1 ROUGH GAS &( 1/ �Q j� �'/ PLUMBING TOP UU_11/#6.F_A4 HEATING VENTS FINAL GAS / j U /6-'03 FINAL PLUMBING 4U Q �� PARTIAL OR MISC. INSPECTIONS UNSUCCESSFUL TRIPS JOB ADDRESS Loh.. '.. /23e S. _ NUMBER STREET APPLICATION FOR AN C ELECTRIC PERMIT BUILDING & SAFETY DIVISION CITY OF ARCADIA, CALIFORNIA d.' OWN TEL.NO. M A I L I D R E S S [},,►� COACTOR L STATE LIC.NO. CJY A Ly`� �Rt` / 5/4"v?7 M MAILING A D D R E S S ( /7 CITY LIC.NO. CIT"`� TEE N DESCRIPTION OF WORK USE 11 New Exist. No Serv. Reconnect ZONE Bldg. ❑ Bldg. ❑ Charge ❑or Reseal FEE COMPUTATION FEES NOTE: TOTALS SHOWN BELOW MUST BE SUBMITTED IN DIAGRAM 03 ON SEPARATE WORK SHEET PROVIDED FOR THIS PURPOSE. '43 OUTLETS,BASE PLUGS,SWITCHES,FIXTURES @ 10/EACH __ Cr Q LESS THAN 18 APART @ 5/EACH FIXTURE PERMIT FEE @ $1.00 [ ! MOTORS QUAN. RATE 0 to 1/2 HP @ .25 EA. / OVER 1/2 to 2 HP .3 @ .50 " OVER 2 HP to 5 HP @ $1.00 " OVER 5 HP to 15 HP @ $1.50 " OVER 15 HP to 50 HP @ $2.50 " OVER 50 HP to 200 HP @ $5.00 " EACH MOTOR MORE THAN 200 HP $10.00 TOTAL AIR COND.H.P. RANGE,OVEN, CLOTHES DRYER @ 500 EACH RESIDENTIAL ENTRANCE SERV-100A MIN. HEATING ELEME, @ 50/ EACH HEATER S(TIO _W W DES (PA; — ER TYPE) KVA @ 50c PER KVA HP\ //FEE 75 -G R MT EATR ER TN AN ) DE';MOTOR GENERATOR) % . ALONE W L CONSTRUCTION OR TEMPORARY LIGHTING @ $2.00 MISCELLANEOUS_ POWER POLE $1.00 _ I have carefully read and examined the above PERMIT FEE @ 00 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 02 ,gel SIGNATURE OF CONTRACTOR OR 0111/* Ask AGENT Ask PER? ENT FORM B-53 (REV.7.61) 21/2M ®c INSPECTION RECORD oak BASIC INSPECTIONS ..�� I T E M INSPECTOR DATE GROUND WORK r_ ROUGH. ( �, �-- FINISH _ FIXTURES FINAL 1 I /S'G PARTIAL OR MISC. INSPECTIONS 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 RES. APPLIANCES OVER 2 KW. TOTAL KW OR HP. TOTAL HP. S 3(13 I 39 Efl sic Aoe . ^ .. n _ -'�c � y Location fTV D _ A Sewer Permit No. 1,493 - 3 d Co. No. Lot ri 7 2- Bik. Tract 2-(02' I Legend Owner War r e rr Jo tics 1 Length Date Inep. Contractor tiZ,A(ff,n9Aavr, eo 0 S,• eat ilefE-nci♦,h9ham -1rPFiz17-1eessixI.g3H6y3 ok 7 l 32N a'`7.IA..cy 44 ! �( 47_-- !-,U f/"1 Gc" �' Ge 1 Ai)tiM�� i(( � alt P „s �., Pipe S Joint, YC P C?1 Pry-kw"! NO / 0 0 9 , Street Location .1 2. 3g CvvC)N 0 e►, Location /2_, y , 4/4/ALO Sewer Permit No. /L, U 9 5 Co. No. Lot r7 Bik. Tract koy- I Legend I' Owner Wes'r HEN.. -.(' /-"S - I Length Date Insp. Contractor j, . p t.. i !. ( 9'7.-j 474 (Li I 17-.1 p ufor r ``'t 0 `iP,.'f F,`� i 14 ^JI. 'S Pipe & Jointe — -_.__________ . l Street Location �14/ 1.--.2.-11 I —2 — +'.t,Aws. ADDRESS 4'4` 1•V�RER �ea 7 n/�Lµ..�3=a eneS STRUCTURE - Se - .tONTRACTORSC1 lYn.6rlQlBldrs, DA. 1-Ci.c PERMIT INSPE QED REMARKS MARRKS PLAN 210.`thLA POWER POLE U 0 1 7-3/-/11 /6, 7-3/-5 L.KORMS zytsi --/ -CZ -- --------- Kilio. PLUMB. 341-4F1 Z J-3!-5-. f" T'� � / 7-/ 7-r(rC ---- GAS WO'3/-Tb� IN BLDG. _ TO STREET/6"jl•'.. *4c •.2? -1-2' 77 w.c. -RNACE *344QZ aD--2]-51) ROUGH VENT5--64-V S RO. WIRE LAOZZ, --v"S 8'R% �O CURB / c9$ 5----.5- S FRAME Y''' `/ � '/ LATH V/_' d-13-�g /V Ipc. FIX. `i O Z.Z.D/O -31-r�r C) /`PLUMB F1X. 54'47:4 ,v{- r,Q ELECTRIC /7e z //-tea-s?. GAS 94740-/A�C�J �/ SUB-CONTRACTORS �, _/0._ B-43 /'�-�n op, " 4‘\ `4 k 1 ADDRESS .L�LJ=�7 rQ'�-" '• ,YNER �)(.1��_F'41 PQ Vie} tUCTURE w c a vn e_ y. 6 Ca. STRUCTURE CONTRACTOR 1\V11/1[£'v�1 << ' r-xl s�,fA DCT ( - DA-1= �_19- ERMIT IN PECTED REMARKS PLAN NO. :- -- ; POWER POLE � FORMS �_. 'L)� ig 4'e 43-14"1/4. +LrI.T RO. PLUMB. GR. WK. GAS IN BLDG. TO STREET cIca..{1-uC°td Sl` ERr_K L -27-h4 W.C. FURNACE ROUGH VENT RO. WIRE CURB / (_,?-e"--,4. FRAME di/77 Ike 600 /�� G. & J. LATH )l�� �''-L"/�ELEC. FIX. PLUMB FIX. ,. ELECTRIC GAS SUB-CONTRACTORS B50 � 4 I;g` ce. . ,z, As i N k c-L. 1,,$ 01 {vr �� ei* AD�JDRESS n /0 l�t°IMO�E.' _ • LIV 1. �CONTRACIR lnlLrtS�PV�1� �1 D 1 STRUCTURE -- DA1 G sGr(v ;PERMIT INSPECTED REMARKS PLAN NO. POWER POLE _—_— FORMS 2 RO. PLUMB. GR. WK. GAS IN BLDG. TO STREET __ SEWER W.C. FURNACE ROUGH VENT yy RO. WIRE 1320C> �('p}'- /, � :�._'t. ,.4-1-A 1 CURB j)4.. .J _ 31 1?I rL40!" -- FRAME G• & �I LATH ELEC. FIX. 3 2...0 D ,_ PLUMB FIX. ELECTRIC GAS SUBCONTRACTORS B50 . F LOCATION * - Qom'" '° 11Q VALUE S I 0 1 400. nW e_.t.t LA� &x.ra� e L�s.6a O BLOCK TRACT SO 8 LOT "�Z OWNER (..13arre.V\ ( • 4k0 Y\ Zarvaa.}..b^�v:ie113u�tc ers,1,, . 1-1-s$ 7��3{ct 5`d PLUMBING-RI P,,Ft r I V k.\Stn k1.11-ft\ 11 I l -� 3 49 Z. HEATING II J ti V VI II ON M)f•k S.c2.0-:t�T�ap A K , 34 64 SEWER 1�. e . 1\O l,43hhamQD ,,Di .c, d -2V -"`. k - WIRING �Qrci f F+1 e_C�\ l �Q,I. - 1 _S [ I. 0Z.Z FIXTURES " ,... 11 " ELECTRIC 110 tc9-- II-1 0-Sg GAS 39 0 l i-10-S-2 PLAN NO.ZOI 0-50 \ `/ , ! % \ 0 \ / t 00 » 7 - \ n E 4- | ri P- �� ° F m E 2 7 a a , _z \ � Is ' , F & \ r/ t0 2P4 rxs9 ��_ 5 ?9 « ~ ?16 ��\\ $ • O —5 � m @,q . \/ 0 \ \ 7 .s — , ,--,\ ` , 2, { 4 I � y to / f $ ¥ ® i � & � � ~ ƒ �� '$�CO 4.