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HomeMy WebLinkAboutOld permits ,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
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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.