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HomeMy WebLinkAboutPermits • Try op, l v., 61 _ , , 11 C1 ' BUILDING & SAFETY DIVISION ARCADIA Ay 240 West Huntington Drive ,�c\I _,, Arcadia, pCalifornia 91006-3104 ---1-4'0 E13' ( 8 1 8 5 7 4 - 5 4 1 6 Page_._�_1 0 1 1000 S ENCINO AV 12/16/88 13 :48 Permit No : A8803744 Autoproj No : AU002012 Status : APPROVED Validated by : LB Inspector area: 205 This type : Single Family Project Applied : 12/16/88 Issued : 12/16/88 Parcel number Finaled .• Group-occup/use: To Expire .• Owner : KRATOVIL, DAVID Applicant : KRATOVIL, DAVID Applicant Addr : 1000 ENCINO AV ARCADIA, CA 91006 Job Address : 1000 S ENCINO AV Phone number : 818-447-9351 Class code . Valuation 5, 300 Construction : OTH Permit to do : CLSE DRWY S. WALL, OPEN WST WALL BATHRM Fee description Units Fee/Unit Ext fee Data Building Permit Fee 3104> 116. 05 *** Fees Required *** *** Fees Collected & Credits *** Receipt No. Date Payment 12/16/88 116. 05 Fees: 116. 05 Adjustments: . 00 Total Credits: . 00 Total Fees: 116. 05 Total Payments: 116. 05 Balance Due: . 00 DELL RA ii+ CALL FOR INSPECTION NS Requests for inspections should be made at least I n accordance with Health & Safety Code, Section twenty-four hours in advance by telephone at 19825,all required declarations on the reverse side of 574-5416, 8:00 A.M. -5:00 P.M. this form have been properly signed and dated by the permittee. Inspectors office hours are: Verified by: 4 8:00-9:00 A.M.; 1:00- 1:30&4:30-5:00 P.M. 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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 from this Department. Date Si �/ gned: /�C�l-� � INSPECTION REQUESTED FOR: 2A )2-Er-MOPS-L. Nt'1/1> F I,711(2-r--� / VjI N'P n uu), 1iuA-U ., rA-N BUILDING CORRECTIONS REQUIRED: r! tJ ttC- PERMITS REQUIRED: Budding Demolition Electrical Heating Plumbing ZONING CORRECTIONS REQUIRED: ZONING: Setbacks Lot Coverage Open Area Parking FEE INSPECTOR _ INSPECTION DATE APPROVAL DATE WHITE COPY — FILE CANARY COPY —APPLICANT DBS-57 Ci• ty of Arcadia Building and Safety Division PROPERTY INSPECTION REPORT KaAt-rove_ / ` , owner of property located at (please print name) l°°0 J -1 Q v q 33O do hereby give my consent for a property inspection at the above address by the dBuilding 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 ap. :val from it ' D- • ; nt. Date - AEI elf; Signed: /_,�. 'Amy INSPECTION REQUESTED FOR: / �}+ 12FM67120-(_- CruQ►,v �I L Wi NP-o w, 'wAI Vora" BUILDING CORRECTIONS REQUIRED: A-,t 0 N t� PERMITS REQUIRED: Building 2 Demolition Electrical Heating Plumbing ZONING CORRECTIONS REQUIRED: ZONING: Setbacks Lot Coverage Open Area Parking FEE INSPECTS, % ''�` / „�;/ INSPECTION DATE /02 APPROVAL DATE WHITE COPY — FILE CANARY COPY—APPLICANT DBS-57 CITY COUNCIL CHAR GILB OR City of Arcadia �4. FLORETTA K. LAUBER r MAYOR PRO TEMPORE 240 WEST HUNTINGTON DRIVE JAMES R. HELMS.JR. ARCADIA, CALIFORNIA JACK SAELID DR. ALTON E. SCOTT LYMAN H. COZAD CITY MANAGER CHRISTINE VAN MAANEN CITY CLERK ADMINISTRATIVE MODIFICATION M- 75-154A December 12 , 1975 APPLICANT : David Kratovil ADDRESS : 1000 Encino Avenue REQUEST : 5 ' rear yard for an existing garage to be connected to the existing house on a corner lot in lieu of 25 ' required by Code . FINDINGS : The applicant proposes to add a den to the exist ,,A.. ing house and connect it to the existing garage . The garage then loses its status as an accessory building and becomes part of the main dwelling and thus subject to the 25 ' rear yard setback. This project will not significantly affect the usable open space available to the residence. The plans have been approved by the adjoining property owners . The granting of this modification will secure an appropriate improvement . ACTION : Approved. a/tat:WI krcidetedee--___ WILLIAM WOOLARD Director of Planning WW/TM/at r MAILING ADDRESSES TELEPHONES CITY HALL P.O. BOX 60 91006 446.4471 • 681-0276 LIBRARY 20 W. DUARTE ROAD 91006 446-7111 POLICE DEPARTMENT P.0 BOX 60 91006 447-2121 FIRE DEPARTMENT 710 5. SANTA ANITA AVE 91006 446 2128 CITY COUNCIL City ,JACSAELID o- r c a d i a AYOR DAVID E. PARRY • MAYOR PRO TEMPORE 240 WEST HUNTINGTON DRIVE CHARLES E. GILB ARCADIA, CALIFORNIA — FLORETTA K. LAUBER ROBERT G. MARGETT • LYMAN H. COZAD CHRISTINE VAN MAANEN CITY MANAGER CITY CLERK December 14, 1977 Mr. and Mrs. David J. Kratovil • 1000 Encino Avenue Arcadia, California 91006 SUBJECT: Modification 77-150 • Dear Mr. and Mrs. Kratovil: At its meeting of December 13, 1977,. the Planning Commission voted to approve your requested modification for a 3 ' 8" set- back for a proposed pool and a solid 6-foot high fence on the street side property line. Approval of all modifications must be utilized within. 6 months or they become null and void. If you have any questions, feel free to contact me. Yours truly, • THOMAS W. MARTIN Assistant Planner . TWM/at • MAILING ADDRESSES TELEPHONES CITY HALL P.O. BOX 60 91006 44 •4471 • 681.0276 LIBRARY 20 W. DUARTE ROAD 91006 446.7111 POLICE DEPARTMENT P.O. BOX 60 91006 447-2121 FIRE DEPARTMENT 710 S. SANTA ANITA AVE. 91006 446.2128 Development Services Department i:44144-1;.1 4 240 West Huntington Drive, Office Box 60021 ,:4 Arcadia,CA 91066-6021 PER I NO. B0O-022-648 City of 626 5 ' Arcadia ( ) 74 5416,Fax(626)447 9173 Permit Type: Renewal PROJECT TRACT NO. LOT NO. APPLICATION DATE ISSUED BY PRINT DATE PERMIT STATUS 18241 0001 8/2/2005 JB 8:32 8/2/2005 Issued PROJECT ADDRESS ASSESSORS PARCEL NO. GEO CODE 1000 Encino Ave i,`���J Will�� L- f I r Ili 5780-016-001 OWNER MAILING ADORES- Hwang,Guang Chi 1000 Encino Ave PHONE NO. (626)294-9232 I ( Inspector#: DON Arcadia,CA 91006 EMAIL ADDRESS: APPLICANT MAILING ADDRESS Hwang, Guang Chi 1000 Encino Avenue PHONE NO. (626)294-9232 Arcadia, CA 91006 EMAIL ADDRESS: CONTRACTOR/PROFESSIONAL MAILING ADDRESS Owner/Builder PHONE NO. FAX NO. EMAIL ADDRESS: License No. Type: Expires: TENANT MAILING ADDRESS PHONE NO. FAX NO. DESCRIPTION RENEW PERMIT#BOO-005-851 Construction Type UOM --- s._ i - --- ---#of Units Value Construction UOM Value - - #of Units OCCUPANCY: TOTAL VALUATION: $0.00 QTY UOM DESC AMT AMT PAID ACCT QTY UOM DESC AMT AMT PAID ACCT 77 Bldg Renewal 76.88 76.88 01-3104 I Flat Other Issuance 40.25 40.25 01-3105 12/soy Total Fees: $117.13 Total Amount Paid: $117.13 Paid Today: $117.13 This permit/plan review expires by time limitation and becomes null and void if the work authorized by the permit is not commenced within 180 days from the date of issuance or if the permit is not obtained within 180 Receipt#: 76543 days from the date of plan submittal. This permit expires and becomes null and void if any work authorized by 01-3104 76.88 this permit is suspended or abandoned for 180 consecutive days or if no progressive work has been verified by 01-3105 40.25 a City of Arcadia building inspector for a period of 180 consecutive days. CALLS FOR INSPECTION INSPECTORS'OFFICE HOURS 471( Requests for inspection should be made at least Monday-Thursday Friday one(1)business day in advance of the inspection 7:30 a.m. to 8:30 a.m. 7:30 a.m. to 8:30 a.m. by telephone at(626)574-5416 for onsite work. 4:00 p.m. to 5:30 p.m. 4:00 p.m. to 4:30 p.m. (Closed on alternate Fridays) iiit jA g 0 ill Ilto..144 PER I PLAN REVIEW AI'LICATION Ilt rrY��:57� ' ,N i, a Development Services Department, 240 West Huntington Drive, Post Office Box 60021 °00',.tta, o• Arcadia, CA 91066-6021, (626) 574-5416, Fax (626) 447-9173 City of Arcadia LICENSED CONTRACTOR'S DECLARATION WORKERS' COMPENSATION DECLARATION ❑ I hereby affirm under penalty of perjury that I am licensed under provisions of I hereby affirm under penalty of perjury one of the following: Chapter 9, commencing with Section 7000, of Division 3 of the Business and Professions Code,and my license is in full force and effect. ❑ I have and will maintain a certificate of consent to self-insure for workers' compensation, as provided for by Section 3700 of the Labor Code, for the License Class License No. Exp.Date performance of the work for which this permit is issued. Signature of Contractor ❑ I have and will maintain workers' compensation insurance,as required by Section OWNER—BUILDER DECLARATION 3700 of the Labor Code,for the performance of the work for which this permit is ❑ I hereby affirm under penalty of perjury that I am exempt from the Contractors issued. My workers'compensation insurance carrier and policy number are: License Law for the following reason(Section 7031.5, Business and Professions Carrier Code: Any city or county which requires a permit to construct, alter, improve, demolish,or repair any structure,prior to its issuance,also requires the applicant Policy Number for such permit to file a signed statement that he or she is licensed pursuant to the (This section need not be completed if the permit is for one hundred dollars or less.) provisions of the Contractors License Law(Chapter 9(commencing with Section 7000) of Division 3 of the Business and Professions Code) or that he or she is ❑ I certify that in the performance of the work for which this permit is issued,I shall exempt there from and the basis for the alleged exemption. Any violation of not employ any person in any manner so as to become subject to the workers' Section 7031.5 by any applicant for a permit subjects the applicant to a civil compensation laws of California,and agree that if I should become subject to the penalty of not more than five hundred dollars($500)): workers' compensation provisions of Section 3700 of the Labor Code, I shall forthwith comply with those provisions. ❑ 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 Date Applicant sale(Section 7044,Business and Professions Code:The Contractors License Law does not apply to an owner of property who builds or improves thereon, or who does such work himself or herself or through his or her own employees,provided that such improvements are not intended or offered for WARNING: Failure to secure workers' compensation coverage is unlawful, sale. If,however,the building or improvement is sold within one(1)year of and shall subject an employer to criminal penalities and civil fines up to one completion,the owner—builder will have the burden of proving that he or she hundred thousand dollars($100,000),in addition to the cost of compensation, did not build or improve for the purpose of sale). damages as provided for in Section 3706 of the Labor Code, interest,and attorneys fees. ❑ I, as owner of the property, am exclusively contracting with licensed contractors to construct the project(Section 7044, Business and Professions Code:The Contractors License Law does not apply to an owner of property CONSTRUCTION LENDING AGENCY who builds or improves thereon, and who contracts for such projects with a I hereby affirm under penalty of perjury that there is a construction lending agency contractor(s)licensed pursuant to the Contractors License Law). for the performance of the work for which this permit is issued(Section 3097,Civil Code). ❑ I am exempt under Section 7044,Business and Professions Code,for this reason: Lender's Name Date Owner Lender's Address IMPORTANT: APPLICATION IS HEREBY MADE TO THE BUILDING OFFICIAL FOR A PERMIT SUBJECT TO THE CONDITIONS AND RESTRICTIONS SET FORTH ON THIS APPLICATION AND THE FOLLOWING: 1. The City's approved plans and permit inspection card must remain on the job site for use by City inspection personnel. 2. Final inspection of the work authorized by this permit is required. A Certificate of Occupancy must be obtained prior to use and occupancy of new buildings and structures. 3. Per South Coast Air Quality Management District (AQMD) regulations, renovation and remodeling work that results in the removal, stripping, or altering of asbestos containing materials requires an asbestos survey and removal prior to disturbing the asbestos. Please contact AQMD at(909)396- 2000 for further information.Name Chi I l fll a Title Offilei PRjNT NAME I certify that I have read this application and state that the above information is correct and that I am the owner or the duly authorized agent of the owner. I agree to comply with all City ordinances and State laws relating to building construction. I hereby authorize representatives of the City of Arcadia to enter upon the above-mentioned property for inspection purposes. 0/0 Signature — 4z. Date _ CITY OF ARCADE '� Development Services r*' ent PE, . ,NO, BOO-005-851 • ` �� 240 West Huntington D P.O. Box 60021 •t\�; • Arcadia, CA 91066-6021 (626)574-5416 Permit Type: Roofing PROJECT TRACT NO. LOT NO. APPLICATION DATE ISSUED BY PRINT DATE PERMIT STATUS 5/2/2000 MF 13:32 5/2/2000 Issued PROJECT ADDRESS ASSESSORS PARCEL NO. GEO CODE 1000 Encino Ave 5780-016-001 OWNER MAILING ADDRESS Hwang,Guang Chi 1000 Encino Ave PHONE NO. Inspector#: 205 Arcadia, CA 91006 EMAIL ADDRESS: APPLICANT MAILING ADDRESS PHONE NO. EMAIL ADDRESS: CONTRACTOR/PROFESSIONAL MAILING ADDRESS Champion Roofs 3257 Verdugo Rd PHONE NO. (818)796-3925 License No. 429481 Los Angeles,CA 90065 EMAIL ADDRESS: Type: C39 Expires: 9/30/2000 TENANT MAILING ADDRESS PHONE NO. EMAIL ADDRESS: DESCRIPTION Reroof T/0&RE-ROOF HOUSE&GARAGE (31SQS) HOT-MOP Construction Type UOM #of Units Value Construction Type UOM #of Units Value Built up square 31.00 $4,030.00 OCCUPANCY: Reroof TOTAL VALUATION: $4,030.00 OTY UOM DESC AMT AMT PAID ACCT OTY UOM DESC AMT AMT PAID ACCT Flat Bldg Issue Auto $40.25 $40.25 01-3104 each Bldg permit $153.75 $153.75 01-3104 5.y'aJ Totals for: 01-3104 $194.00 $194.00 /� I Flat SWMF Auto $6.25 $6.25 88-3027 4.27,-- 909724/4-1(- / E- ^,t,/ /�-�Totals for: 88-3027 $6.25 $6.25 ('�7t/(' j/(/"� Total Fees: $200.25 Total Amount Paid: $200.25 Paid Today: $200.25 This permit/plan review expires by time limitation and becomes null and void if the work authorized by the permit is not commenced within 180 days from the date of issuance or if the permit is not obtained within 180 days from the date of plan submittal. This permit expires and becomes null and void if any work authorized by Vi this permit is suspended or abandoned for 180 consecutive days or if no progressive work has been verified by a City of Arcadia building inspector for a period of 180 consecutive days. CALLS FOR INSPECTION INSPECTORS OFFICE HOURS ARE Requests for inspection should be made at least Monday-Thursday Fridays one(1)business day in advance of the inspection 7:30 a.m.-8:30 a.m. 7:30 a.m.-8:30 a.m. by telephone at(626)574-5416 for onsite work and 4:30 p.m.-5:30 p.m. 4:00 p.m.-4:30 p.m. at(626)574-5490 for offsite work. CLOSED ON ALTERNATE FRIDAYS 1 ,- .r City of Arcadia °` ,__f,_'l,, Development Services Lb,.u,._.ent • „ lit 240 West Huntington Drive-Post office Box 60021 ` x.:".. •- k Arcadia,CA 91066-6021 0 AD y * (626)574-5416 ,M� /,, PERMIT ! PLAN REVIEW APPLICATION °RpOAATS LICENSED CONTRACTOR'S DECLARATION WORKERS COMPENSATION DECLARATION 11 I hereby affirm under penalty of perjury that I am licensed under provisions of I hereby affirm under penalty of perjury one of the following: Chapter 9 (commencing with Section 7000) of Division 3 of the Business and Professions code,and my license is in full force and effe t. ❑I have and will maintain a certificate of consent to self-insure for License Class c � License Exp.Date 9-3(7-(27)° workers compensation as provided for by Section 3700 of the Labor Code , for the performance of the work for which this permit is issued. Signature of Contractor' �Z-7/�� i') N. a I have and will maintain workers compensation insurance, as required OWNER -BUILDER DECLARATION I hereby affirm under penalty of perjury that I am exempt from t by Section 3700 of the Labor Code, for the performance of the work y Contractors License Law for the following reason (Sec. 703 1.5, Business a d for which this permit is issued. My workers compensation insurance Professions Code: Any city or county which requires a permit to carrier and number are: construct, alter, improve, demolish, or repair any structure, prior to its �f issuance also requires the applicant for such permit to file a signed ` Carrier: i4e.- r-(%/?CD statement that he or she is licensed pursuant to the provisions of the ( `'�/�� f Contractors License Law (Chapter 9, commencing with section 7000 of Policy Number: Zi/ t/�( 1 Lt I 19 C) (This section need not be completed if the permit is for one hundred ($100) or less). ❑I, as owner of the property, or my employees with wages as their sole ❑ I certify that in the performance of the work for which this permit is compensation, will do the work, and the structure is not intended or issued, I shall not employ any person in any manner so as to become offered for sale (Sec 7044, Business and Professions Code: The subject to the workers compensation Laws of California, and agree Contractors License Law does not apply top an owner of property who that if i should become subject to the workers compensation builds or improves thereon, and who does such work himself or herself or provisions of Section 3700 of the Labor Code, I shall fortwith comply through his or her own employees, provided that such improvements are not intended or offered for sale. If, however, the owner-builder or with these provisions. improvement is sold within one(1)year of completion,the owner-builder will have the burden of proving he or she did not build or improve for the Date: Applicant: purpose of sale). I, as owner of the property, am exclusively contracting with licensed con- WARNING Failure to secure Worker's Compensation Coverage is tractors to construct the project (Sec. 7044, Business and unlawful and shall be subject an employer;o cnmtnal penalttas and Professions Code:The construct the License Law does not apply to an owner Civil fines up to One Hundred subject ThousanC C li�rS ( if 4..P.n. IE1 atddi», of property who builds or improves thereon, and who contracts tion to the cost of compensation,damages as provided for in Section for such projects with a contractor(s) licensed pursuant to the 3706 of the Labor Code, interest aftd attorneys fees.�_ Contractors License Law). CONSTRUCTION LENDING AGENCY I am exempt under Sec. , B. &P.C.for this reason: I hereby affirm under penalty of perjury that there is a construction lending agency for the performance of the work for which this permit is issued(Sec. 3097, Civ.C.). Lenders Name: Date: Owner: Lenders Address: IMPORTANT: APPLICATION IS HEREBY MADE TO THE BUILDING OFFICIAL FOR A PERMIT SUBJECT TO THE CONDITIONS AND RESTRICTIONS SET FORTH ON THIS APPLICATION AND THE FOLLOWING: 1. Construction activity is prohibited between the hours of 7:00 a.m. and on Sundays and Holidays. 2. The City's approved plans and permit inspection card must remain on the job site for use by City inspection personnel. 3. Final inspection of the work authorized by this permit is required.A certificate of Occupancy must be obtained prior to use and occupancy of new buildings, structures and remodeling work. NAME: . s A° .j - • ' t J TITLE:___„ •RI- AT- I certify that I have read this application and state that the above information is correct and that I am the owner or the duly authorized agent of the owner.I agree to comply with all city and state laws relating to building construction.I hereby authorize representatives of the City of Arcadia to enter upon the above-mentioned property for inspection purposes.If,Afetr making the certificate of Exemption from the Worker's Compensation provisions of the Labor Code, I should become subject to such provisions, I will forthwith comply. In the event I do not comply with Worker's Compensation law, this permit shall be deemed revoked. -!. "'-"----- �4 , SIGNATURE: `r t3 X1'2%)4: `6 DATE: J - — "`+ CITY OF ARCM"— /I �`� Development Services Dt .,anent * � 4: i �_» 240 West Huntington Drive-P.O. Box 60021 PERMIT NO. BOO-005-891 Ole' Arcadia, CA 91066-6021 `�E '�''� (626)574-5416 Permit Type: Roofing 4o..n If PROJECT TRACT NO. LOT NO. APPLICATION DATE ISSUED BY PRINT DATE PERMIT STATUS 5/4/2000 CS 14:46 5/4/2000 Issued l PROJECT ADDRESS ASSESSORS PARCEL NO. GEO CODE 1000 Encino Ave 5780-016-001 OWNER MAILING ADDRESS Hwang,Guang Chi 1000 Encino Ave PHONE NO. I Arcadia, CA 91006 EMAIL ADDRESS: I Inspector#: 205 APPLICANT MAILING ADDRESS PHONE NO. EMAIL ADDRESS: CONTRACTOR/PROFESSIONAL MAILING ADDRESS Champion Roofs 3257 Verdugo Rd PHONE NO. (818)796-3925 License No. 429481 Los Angeles,CA 90065 EMAIL ADDRESS: Type: C39 Expires: 9/30/2000 TENANT MAILING ADDRESS PHONE NO. EMAIL ADDRESS: DESCRIPTION T70&REROOF HOUSE ONLY(31SQS)ROCK&FELT ConstructionType UOM #of Units Value Construction Type UOM #of Units Value Value Value 6,591.00 $6,591.00 OCCUPANCY: Reroof TOTAL VALUATION: $6,591.00 OTY UOM DESC AMT AMT PAID ACCT OTY UOM DESC AMT AMT PAID ACCT Flat Bldg Issue Auto $40.25 $40.25 01-3104 each Bldg permit $187.15 $187.15 01-3104 Totals for: 01-3104 $227.40 $227.40 Flat SWMF Auto $6.25 $6.25 88-3027 (0\1) Totals for: 88-3027 $6.25 $6.25 kXj.‘ Total Fees: $233.65 Total Amount Paid: $233.65 Paid Today: $233.65 This permit/plan review expires by time limitation and becomes null and void if the work authorized by the permit is not commenced within 180 days from the date of issuance or if the permit is not obtained within 180 days from the date of plan submittal. This permit expires and becomes null and void if any work authorized by this permit is suspended or abandoned for 180 consecutive days or if no progressive work has been verified by a City of Arcadia building inspector for a period of 180 consecutive days. CALLS FOR INSPECTION INSPECTORS OFFICE HOURS ARE Requests for inspection should be made at least Monday-Thursday Fridays a one(1)business day in advance of the inspection 7:30 a.m.-8:30 a.m. 7:30 a.m.-8:30 a.m. by telephone at(626)574-5416 for onsite work and 4:30 p.m.-5:30 p.m. 4:00 p.m.-4:30 p.m. at(626)574-5490 for offsite work. CLOSED ON ALTERNATE FRIDAYS -,,— I City of Arcadia !r, Development Services Department �• 240 West Huntington Drive-Post office Box 60021 �, x• Arcadia,CA 91066-6021 I� •±"AD Ili (626)574-5416 ...+>4.....131" PERMIT I PLAN REVIEW APPLICATION oRPOIITO CENSED CONTRACTOR'S DECLARATION WORKERS COMPENSATION DECLARATION I hereby affirm under penalty of perjury one of the following: hereby affirm under penalty of perjury that I am licensed under provisions of hapter 9 (commencing with Section 7000) of Division 3 of the Busine s and Professions code and my license is in full force and effect. ❑ I have and will maintain a certificate of consent to self-insure for a-3 G 9 C --))--C'O workers compensation as provided for by Section 3700 of the Labor License Class ( License N C� Exp.Date / �/ Code , for the performance of the work for which this permit is issued. - ure of Contractor: ��� / '- I have and will maintain workers compensation insurance, as required OWNER -BUILDER DECLARATION by Section 3700 of the Labor Code, for the performance of the work I hereby affirm under penalty of perjury that I am exempt from the for which this permit is issued. My workers compensation insurance Contractors License Law for the following reason (Sec. 703 1.5, Bu iness and p Professions Code: Any city or county which requires a permit to carrier and number are: construct, alter, improve, demolish, or repair any structure, p or to its �) issuance also requires the applicant for such permit to file - signed Carrier: 5 i7,,/c �� 'L7 statement that he or she is licensed pursuant to the provision of the • � `- / // Contractors License Law (Chapter 9, commencing with section 70e. r y Number:_ !/ (This section need not be completed if the permit is for one hundred ($100) or less). I, as owner of the property, or my employees with wages as their sole ❑ ❑ I certify that in the performance of the work for which this permit is compensation, will do the work, and the structure is not intended or issued, I shall not employ any person in any manner so as to become offered for sale (Sec 7044, Business and Professions Code: The subject to the workers compensation Laws of California, and agree Contractors License Law does not apply top an owner of property who that if i should become subject to the workers compensation builds or improves thereon, and who does such work himself or herself or provisions of Section 3700 of the Labor Code, I shall fortwith comply through his or her own employees, provided that such improvements with these provisions. are not intended or offered for sale. If, however, the owner-builder or improvement is sold within one(1)year of completion,the owner-builder will Date: Applicant: have the burden of proving he or she did not build or improve for the purpose of sale). I, as owner of the property, am exclusively contracting with licensed con- WARNING. Failure to secure Worker's Compensation Co■urugsu Is tractors to construct the project (Sec. 7044, Business and unlawful and shall be subject an employer to criminal penalties and Professions Code:The Contrators License Law does not apply to an owner civil fines up to One Hundred Thousand Dollars ($W0,000).it addi,: of property who builds or improves thereon, and who contracts ton to the cost of corrpensati..... darnages as provided for ir, ,',ection for such projects with a contractor(s) licensed pursuant to the 3706 of the Labor'code,Interest and attorneys fees.. Contractors License Law). CONSTRUCTION LENDING AGENCY I am exempt under Sec. , B. &P.C.for this reason: I hereby affirm under penalty of perjury that there is a construction lending agency for the performance of the work for which this permit is issued( Sec. 3097, Civ.C.). Lenders Name: Date: Owner: Lenders Address: IMPORTANT: APPLICATION IS HEREBY MADE TO THE BUILDING OFFICIAL FOR A PERMIT SUBJECT TO THE CONDITIONS AND RESTRICTIO' S SET FORTH ON THIS APPLICATION AND THE FOLLOWING: 1. Construction activity is prohibited between the hours of 7:00 a.m. and on Sundays and Holidays. 2. The City's approved plans and permit inspection card must remain on the job site for use by City inspection personnel. 3. Final inspection of the work authorized by this permit is required.A certificate of Occupancy must be obtained prior to use and occupancy of new buildings, structures and remodeling work. N•ME: 7-4 -f r" O /2 --;.<//— ` TITLE: /`--=;. PRI"- A E I certify that I have read this application and state that the above information is correct and that I am the owner or the duly authorized agent of the owner.I agree to comply with all city and state laws relating to building construction. I hereby authorize representatives of the City of Arcadia to enter upon the above-mentioned property for inspection purposes.If,Afetr making the certificate of Exemption from the Worker's Compensation provisions of the Labor Code, I should become subject to such provisions, I will forthwith comply. In the event I do not comply with Worker's Compensation law, this permit shall be deemed revoked. /J �� ' _ _ay") &TUR • /" a 9 d7/1- , • DATE: / /I, TIy�C>F.4?- " )• BUILDING & SAFETY DIVISION 4. `"" .P 240 West Huntingfon Drive COMPLETED Arcadia, California 91006-3104 'O0Rp RATE/" ( 81I8) 574 - 546 Page-1-61-1: _ 1000 S ENCINO AV 12/15/88 16: 01 Permit No : A8803731 Autoproj No : AU002012 Status :APPROVED Validated by : CP Inspector area: 205 This type : Miscellaneous Projects Applied : 12/15/88 Issued : 12/15/88 Parcel number Finaled .• • Group-occup/use: To Expire .• Owner : KRATOVIL, DAVID Applicant : KRATOVIL, DAVID Applicant Addr : 1000 ENCINO AV ARCADIA, CA 91006 Job Address : 1000 S ENCINO AV Phone number : 818-447-9351 Class code . Valuation 0 Construction : OTH Permit to do : REAL ESTATE INSPECTION/BATH REMODEL Fee description Units Fee/Unit Ext fee Data Enter Route Inspection Amount 3107> 38 . 65 38 . 65 *** Fees Required *** *** Fees Collected & Credits *** Receipt No. Date Payment 12/15/88 38. 65 Fees: 38 . 65 Adjustments: . 00 Total Credits: . 00 Total Fees: 38 . 65 Total Payments: 38 . 65 Balance Due: . 00 ' "\ DECLARATIONS CALL FOR INSPECTION Requests for inspections should be made at least In accordance with Health & Safety Code, Section twenty-four hours in advance by telephone at 19825,all required declarations on the reverse side of 574-5416,8:00 A.M. -5:00 P.M. this form have been properly signed and dated by the permittee. Inspectors office hours are: Verified by: 8:00-9:00 A.M.; 1:00- 1:30&4:30-5:00 P.M. 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(9r; 69-"" P _ BUILDING & SAFETY DIVISION ARCADIA 240 West Huntington Drive Arcadia, California 91006-3104 xe � --o ( 818 ) 574 - 5416 Page o 1000 S ENCINO AV 12/16/88 13 :50 Permit No : A8803745 Autoproj No : AU002012 Status : APPROVED Validated by : LB Inspector area: 205 This type : Electrical Project Applied : 12/16/88 Issued : 12/16/88 Parcel number Finaled Group-occup/use: To Expire • Owner : KRATOVIL, DAVID Applicant : KRATOVIL, DAVID Applicant Addr : 1000 ENCINO AV ARCADIA, CA 91006 Job Address : 1000 S ENCINO AV Phone number : 818-447-9351 Class code • Valuation • 0 Construction : OTH Permit to do : ELEC FOR RL EST INSP Fee description Units Fee/Unit Ext fee Data Original Permit Issue Fee (YES/NO) 27 . 55 Y Outlets 3105> 14 . 00 13 . 30 Each Motr to 1 HP,KW,KVA,KVAR 3105> 1. 00 4 . 85 4 . 85 *** Fees Required *** *** Fees Collected & Credits *** Receipt No. Date Payment 12/16/88 45.70 Fees: 45.70 Adjustments: . 00 Total Credits: . 00 Total Fees: 45. 70 Total Payments: 45. 70 Balance Due: . 00 CALL FOR INSPECTION DECLARATIONS Requests for inspections should be made at least In accordance with Health & Safety Code, Section twenty-four hours in advance by telephone at 19825,all required declarations on the reverse side of 574-5416,8:00 A.M. -5:00 P.M. this form have been properly signed and dated by the permittee. 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ARCADIA 240 West Huntington Drive Arcadia, California 91006-3104 C�OATE �� ( 818 ) 574 -5416 Page 1 of 1 1000 S ENCINO AV 12/16/88 13 :52 Permit No : A8803746 Autoproj No : AU002012 Status : APPROVED Validated by : LB Inspector area: 205 This type : Mechanical Project Applied : 12/16/88 Issued : 12/16/88 Parcel number Finaled . Group-occup/use: To Expire .• Owner : KRATOVIL, DAVID I Applicant : KRATOVIL, DAVID Applicant Addr : 1000 ENCINO AV ARCADIA, CA 91006 Job Address : 1000 S ENCINO AV Phone number : 818-447-9351 Class code .• Valuation 0 Construction : OTH Permit to do : FOR BATHROOM REMODEL W/O PERMIT Fee description Units Fee/Unit Ext fee Data Original Permit Issue Fee (YES/NO) 27 . 55 Y Ea Ventilation Fan including Duct > 1. 00 5. 85 5. 85 *** Fees Required *** *** Fees Collected & Credits *** Receipt No. Date Payment 12/16/88 33 . 40 Fees: 33 . 40 Adjustments: . 00 Total Credits: . 00 Total Fees: 33 . 40 Total Payments: 33 . 40 Balance Due: . 00 CALL FOR INSPECTION DECLARATIONS Requests for inspections should be made at least In accordance with Health & Safety Code, Section twenty-four hours in advance by telephone at 19825,all required declarations on the reverse side of 574-5416, 8:00 A.M. -5:00 P.M. this form have been properly signed and dated by the permittee. 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N m s rn z z z z en to en en 9 •5 :0 le • - I \ ♦ - . I . ♦ - . - I _ - Z 0 Ili N I s " I BUILDING & SAFETY DIVISION ' ARCADIA 240 West Huntington Drive " I/ Arcadia, California 91006-3104 * �cO4l'ORAT SD-- 9 ( 818 ) 574 - 5418 _.- Page 1 0 1000 S ENCINO AV 12/16/88 13 :53 Permit No : A8803747 Autoproj No : AU002012 Status : APPROVED Validated by : LB Inspector area: 205 This type : Plumbing Project Applied : 12/16/88 Issued : 12/16/88 Parcel number Finaled . Group-occup/use: To Expire .• Owner : KRATOVIL, DAVID Applicant : KRATOVIL, DAVID Applicant Addr : 1000 ENCINO AV ARCADIA, CA 91006 Job Address : 1000 S ENCINO AV Phone number : 818-447-9351 Class code .• Valuation 0 Construction : OTH Permit to do : FOR BATH ATL W/O PERMIT Fee description Units Fee/Unit Ext fee Data Original Permit Issue Fee (YES/NO) 27 . 55 Y Bathtubs 3105> 1. 00 7 . 75 7 . 75 Showers 3105> 1. 00 7 .75 7 .75 Water Closets 3105> 1. 00 7 . 75 7 . 75 Lavatories 3105> 1. 00 7 .75 7 .75 *** Fees Required *** *** Fees Collected & Credits *** Receipt No. Date Payment 12/16/88 58 . 55 Fees: 58 . 55 Adjustments: . 00 Total Credits: . 00 Total Fees: 58 . 55 Total Payments: 58 . 55 Balance Due: . 00 L.-----_ 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 574-5416, 8:00 A.M. -5:00 P.M. this form have been properly signed and dated by the permittee. / Inspectors office hours are: Verified by: l 8:00-9:00 A.M.; 1:00- 1:30&4:30-5:00 P.M. 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A 3738 FOR: vi ❑ *PLAN CHECK FEE FOR VAL. $ ht Et CASH BOND FOR Swimmin. Pool C ❑ GRADING C. ❑ PLASTERING ❑ HOUSE MOVING a i 0 0 ❑ TOTAL FEE $ 100.00 REMARKS Aie Wir'" SIGNATURE * WARNING: PL•/CHECK FEES. WHERE NO ACTION IS TAKEN BY THE FroAPPLICANT IN NINETY(•0) DAYS AND NO BUILDING PERMIT IS ISSUED. ARE cITED TO THE CITY. � FORM B-58 (REV. 11-62) IM Or L ION ■V��vvnCJJ " °Ski r. 001 ' , Ciiiiif 1 tF UMBER ST• T APPLICATION FOR A Ln BUILDING PERMIT BUILDING B SAFETY DIVISION +A CITY OF ARCADIA, CALIFORNIA cin itilini.ii di'0 we '... " Allsok �.r co tA roR k N �N ADD I �- ♦ iffirii OT sp] IT" "t1 CONSTR CTION LENDER `��..., EL. NO DESCRIPTION OF WORK ■ NEW ❑ ADD'N ALTER ❑ REPAIR 0 DEMOLISH❑ .0 FLOOR AREA MAIN BLDG I GARAGES OR TO TAL 1ry CARPORTS AREA W NO. OF NO. OF DWELLING STORIES ` UNITS OPRESENT BLDG USE PROPOSEDry�BLDG. USE DESCRIBE WORK �,V 7 TO BE DONE • 7 .l L ^ , • L EXTER • C TE AL �R ROOF FRAMING MATERIAL PARTITION NG MATERIAL Rye •VE•IN M•TERI• bIj 1/ 0t - 0..• • VALUATION NOTE:Include Labor,Mat., , e'r1lali� Wiring, Plumb., Heat, Etc. ' ��l LOT BLOCK NO. NO. --____ TRACT LOT LOT DIST. WIDTH DEPTH CURB FACE OF ---�_CURB TO P. L FT NOTE: PROVIDE PLOT PLAN ON BACK SIDE OF ORIGINAL COPY ONLY INFORMATION BY BLDG.SECTION Lo USE ZONE FIRE OCCU- ZONE PANCY SETS D F RONT 0 RIGHT SIDE LEFT SIDE REAR BA KS O u TYPE OF SPECIAL cc cc CONSTR. -- CASE NO. Z PLAN NO. O CHECKER'S APPROVAL I hove careful) PLAN CK. FEE y read and examined the above application and find the same to be true and correct. All provisions of the Lows PERMIT FEE and Ordinances governing building construction will be complied with iwhether specified Labor Code rof the NStaterson shall be employed not to occupy i Califor zed I agree his S.M.L P py or allow occupancy of any building ouch. zed by this permit un final build: sp"Iasi t•n has been race:l:d. �a _ ' • ki asi till (' TOT•�EE •'T RE le. ,SW E' OR AUTHORIZED AGE T CO. .UCTION PROHIBITED BETWEEN 7:00 P.M. AND 7:00 A.M. AND ON SUNDAYS AND HOLIDAYS AS PER ORD.#1321• O►I_ INSPECTION RECUKu d"" BASIC INSPECTIONS DATE TRENCHES: WIDTH DEPTH tie VI 10 FLOOR JOIST 111111111 FRAMING LATH ./f IMEN FINAL PARTIAL OR MISC. INSPECTIONS aummm■ UNSUCCESSFUL TRIPS .IIIIIUICNIIIE . !NSF DATE INSP. DATE . SET BACKS _ FRONT. R. SIDE L. SIDE INSP DATE FIELD CHECKS TO APPLICANT: PLEASE DO NOT WRITE ABOVE THIS LINE PLOT ill111111111111111 IMMIMMINIMMINals la IMMENIMMIE JUti ADDRESS — Oil /a NUMBER STREET APPLICATION FOR A PLUMBING PERMIT Ul BUILDING & SAFETY DIVISION CITY OF ARCADIA, CALIFORNIA OWNER David Kratovil j MAitio(�D is no Ave T LSN5738 J Arcadia ct686* Plumbing Mechanical Div szimoo. M41�1{�A D{i6 nUt st CITY LIC. NO 1■1 OTTY OO ri W lal Pasadena r 79D -2375 FEE COMPUTATION BATHTUBS CO FLOOR DRAINS SHOWERS REPLACEMENT SHOWER PANS WATER CLOSETS URINALS LAVATORIES CLOTHES WASHER SINKS DRINKING FOUNTAINS • 4b. GARBAGE DISPOSALS DENTAL UNITS DISHWASHERS 0 TOTAL NO. OF ABOVE FIXTURES LAUNDRY TUBS 1.75 WATER HEATERS AND/OR VENTS 2.00 WATER SYSTEMS I 2.00 GAS SYSTEMS 5 OUTLET ADD. OUTLET @ 1.75 @ .50 EACH LAWN SPRINKLER SYSTEMS @ 2.00 SAND TRAPS @ 10.00 CLARIFIERS @ 10.00 GREASE TRAPS @ 10.00 WATER SOFTENERS @ 2.25 SWIMMING POOL "P" TRAP 2.00 SEWER CAP @ 3.00 CESSPOOL FILL @ 3.00 SEWER CONNECTION ON PROPERTY r7a 10.00 I have corefully read and examined the above application and know the some to be true and PERMIT FEE correct. All provisions of Laws and Ordinances 2;00 covering this type of construction will be vom INVESTIGATION plied with whether specified herein or not. No FEE person shall be employed in violation of the Labor Cod``of the State of California TOTAL FEE W SIGNATURE • i -I Z s CO CO`i"ACTO .. ' A THORIZ s AGENT ©L .ONSTRUCTION PROHIBITED BETWEEN 7:00 P.M. AND 7 A.M. AND ON SUNDAYS AND HOLIDAYS AS PER ORD. # 1321. INSPECTION RECORD ,,,I� BASIC INSPECTIONS INSPECTOR DATE ITEM GROUND WORK �v ROUGH GAS MEM PLUMBING TOP OUT HEATING VENTS FINAL GAS FINAL PLUMBING PARTIAL OR MISC. INSPECTIONS UNSUCCESSFUL TRIPS "1 !VC) HUUKtSS • 1000 Encino cino NUMBER STREET APPLICATION FOR AN ELECTRIC PERMIT BUILDING S SAFETY DIVISION CITY OF ARCADIA, CALIFORNIA OWNER TEL. NO. David Lratovil I 41.5-5738 MAILING ADDRESS SPm f t CONTRACTOR-1 • Waxy ecte STATE LIC. NO MAILING ADDRESS ITY 15834. Workman CITY. NO. Ul CITY la_ Puente TEL. 22,3-5918 New Exist. No Sery Bldg. ® Bldg. Charge ❑ o or RecReseal nnect 4, 12 OUTLETS, BASE PLUGS, SWITCHES, FIXTURES e7301 EACH 3 60 MOTORS 0 to I Hp @ 1.50 OVER 1 HP to 3 HP @ 2.50 �Jt OVER 3 HP to 8 HP @ 3.00 0\ OVER 8 HP to 15 HP @ 3.50 P" OVER 15 HP to 50 HP @ 10.00 OVER 50 HP to 100 HP @ 25.00 OVER 100 HP to 500 HP @ 30.00 OVER 500 HP @ 3.50 q) HEATING CABLE UNIT DISPOSAL DISHWASHER 1.25 RANGE OVEN HEATERS 2 oz. FAN CLOTHES DRYER HAIR DRYER @ 1.50 O 00 FURNACE �► @ 1.50 .1 RESIDENTIAL ENTRANCE SERV. 100 A MIN. @ 3.00 COMMERCIAL ENTRANCE SERVICE 6.00 ADDITIONAL SERVICE METERS @ 2.00 TEMPORARY POWER POLE @ 3.00 TEMPORARY UNDERGROUND POWER POLE @ 5.00 TEMPORARY SALES LOT LIGHTING @ 10.00 • 220 V POWER OUTLET @ 1.25 MISCELLANEOUS • I have carefully read and examined the above applicot on and know the same to PERMIT FEE @ 3'00 be true and correct. All provisions of the Laws and Ordinances governing this SUPPLEMENTARY type of er constrmentiuction oned h wilereil be n complied or not.with PERMIT FEE I 75 wh No person shall be employed in violation of the Labor Co a of tie Stote,of California. INVESTIGATION FEE A4/„) TOTAL FEE 60 SIGNAT E OF CONTRACTOR OR w Oak AUTHORIZED AGENT ,S% ..JNSTRUCTION PROHIBITED BETWEEN 7:00 P.M. AND 7:00 A.M. AND ON SUNDAYS AND HOLIDAYS AS PER ORD. # 1321. elb* INSPECTION RECORD 'EN BASIC INSPECTIONS ITEM INSPECTOR DATE GROUND WORK ROUGH ,6 #e* FINISH FINISH FIXTURES FINAL RELEASE TO PUBLIC SERV PARTIAL OR MISC. INSPECTIONS UNSUCCESSFUL TRIPS RECORD INFORMATION 0 H ( U.G TEMP. OK TEMP CONSTR. NO OF METERS LITE WIRE PWR PHASE HEAT KW RANGE I OVEN TABLE TOP r W. HTR. DRYER OTHER RES. APPLIANCES OVER 2 KW TOTAL KW OR HP. TOTAL HP Sc 3cp �vLJnCJJ . 1000 ENCINO • low. NUMBER STREET APPLICATION FOR A I4 IIMMING POOL PERMIT I B SAFETY DIVISION ,jJ CITY OF ARCADIA, CALIFORNIA rife) OWNER TEL NO r\... DAVE KRATOVTL 445-3738 MAILING ADDRESS Ul 1000 ENCINO, ARCADIA, CA Q ENGINEER . BARRY BARON STATE LIC. NO. MAILI DRESS 5057 13b24 Ventura,Shermanoak TE`7b3_O195 CLt CONTRACTOR 1'' AQUATIC POOLS STATE LIC NO. Ui MAILING ADDRESS 315620 101 E. HUNTINGTON DRIVE CIrTY�IC_IV. CITY ARCADIA CA 1+ T�-4 61 NOTE! PROVIDE PLOT PLAN ON BACK OF ORIGINAL POOL SIZE 531 Sq.Ft. 24x33 ^` EST. CAPACITY 21,000 GALS �RIVATE '7— El SEMI-PUBLIC (J TYPE FILTER SWIMQUIP 51 BACKWASH TO e- Ul VALUATION (NOTE: INCLUDE LABOR, MATERIAL, t ELECTRICAL HEATING PLUMBING) $ 3755 OO T AeL PERMITS MUST BE PURCHASED BEFORE INSPECTION LOT NO BLOCK NO. TRACT _____K__ PLUMBING FEES • POOL GAS HEATER n$5.00 SYSTEM,i,SYSTEM. $1 75 • POOL %3, 2%5— PIPING @$5.00 P-TRAP T$2 00 PLUMBING PERMIT FEE 2.00 PLUMBING FEE $ INFORMATION PROVIDED BY - BUILDING SECTION P.C. $ REQUIRED FRONT RIGHT SIDE PERMIT $ , . op SET BACKS I S.M.I.P. $ . 0 LEFT SIDE REAR I TOTAL , PLAN NO. �� CHECKER'S A� / 2d Z//‘ I have read and examined the above application and now the same to be true and correct. All provisions of the Laws and Ordinances covering building con- struction will be complied with whether specified herein or not. No person shall be employed ' violation the Labor Code ofilb Tae of C lifornia. „4:f-S ATURE OF OWNER OR AUTHORIZED AGENT Imo` ^R CONSTRUCTION PROHIBITED BETWEEN 7:00 P.M. AND 7:00 A.M. AND ON SUNDAYS AND HOLIDAYS AS PER ORD. 41321. C L INSPECTION RECORD ' BASIt INSPECTIONS A% EXCAvAliON j 3-23 MAIN DRAIN i REINFORCING f ROUGH PLUMBING SWIMMING POOL FILL LINE ROUGH GAS P—TRAP 1/CJ .T',:. FENCER - - ' // GATES 8 SIGNS , FINAL GAS -' a / FINAL PARTIAL OR MIS I PECTIONS UNSUCCESSFUL TRIPS TO APPLICANT: DO NOT WRITE ABOVE THIS LINE . PLOT PLAN NOTE LOCATE AL STREET STRUCTURES O E LOT MAKE BOTTOM OF PAGE THE 11111111111111111111111111111 .......!.................... 111111111111111111111111111111 .. ...................... ...... . 111711111 IIIN 11 ! 1111111111 111111 ii 1111111111 11111111111 11111 111111111111111111111111 ; ■ 1111119111111111111 ■ .. • tt All I }_-1 ..-- - i , 1000 ENCINO N NUMBER STREET APPLICATION FOR AN 4,/g ELECTRIC PERMIT l•-' BUILDING ft SAFETY DIVISION // CITY OF ARCADIA, CALIFORNIA !j ((((VVVV OWNER TEL NO Ui DAVE KRATOVIL 445-3738 U MAILING ADDRESS (-TN 1000 ENCINO, ARCADIA • CONTRACTOR - AQUATIC POOLS STA L NO MAILING ADDRESS 3,].566 20 0 CITytu C NO I--+ 101 E. HUNTINGTON DRIVE JAS P�s' CITY TEL(.51 ARCADIA, CA 446-4661 New Exist. No Sery n f n Bldg. Bldg I 1 Reconnect 9 9. 11:1 Charge or Reseal 2 OUTLE BAS PLUGS SWITCHES, FIXTURES e 355 EACH MOTORS 0 � 0 to 1 Hp M 1.50 J ;50 : ,,,,,yeOVER 1 HP to 3 HP @ 2.50 A Ps •OVER 3 HP to 8 HP @ 3.00 {1' OVER 8 HP to 15 HP @ 3.50 OVER 15 HP to 50 HP 1 @ 10.00 OVER 50 HP to 100 HP @ 25.00 OVER 100 HP to 500 HP @ 30.00 OVER 500 HP @ 3.50 HEATING CABLE UNIT DISPOSAL DISHWASHER 1.25 RANGE OVEN HEATERS @ 1 25 KIT. FAN CLOTHES DRYER HAIR DRYER @ 1.50 FURNACE @ 1.50 RESIDENTIAL ENTRANCE SERV. 100 A MIN. @ 3.00 COMMERCIAL ENTRANCE SERVICE @ 6.00 ADDITIONAL SERVICE METERS @ 2.00 TEMPORARY POWER POLE @ 3.00 TEMPORARY UNDERGROUND POWER POLE @ 5.00 TEMPORARY SALES LOT LIGHTING @ 10.00 220 V POWER OUTLET @ 1 25 MISCELLANEOUS I hove carefully read and examined the above application and know the same to PERMIT FEE 3 00 be true and correct. All provisions of the Laws and Ordinances governing this type of construction will be complied with PERMIT FEE 1 75 whether mentioned herein or not. No PERMIT FEE 1 75 person shall be employed in violation of the L r Code of the State$flal'fornia INVESTIGATION l'GvC�, y!��, tom f FEE -ter z,z TOTAL FEE SIGNATURE OF CONTRACTOR OR -�••� �D .Mx AUTHORIZED AGENT ,cam ..ONSTRUCTION PROHIBITED BETWEEN 7:00 P.M. AND 7:00 A.M. AND ON SUNDAYS AND HOLIDAYS AS PER ORD. k 1321. #0`k INSPECTION RECORD • BASIC INSPECTIONS ITEM I 'E • DATE GROUND WORK /40r/ ROUGH FINISH FIXTURES FINAL RELEASE TO PUBLIC SERV PARTIAL OR MIS . INSPECTIONS UNSUCCESSFUL TRIPS RECORD INFORMATION O H I U G TEMP OK TEMP. CONSTR NO OF METERS LITE WIRE IPWR PHASE HEAT KW RANGE I OVEN I TABLE TOP W. HTR. I DRYER OTHER RES APPLIANCES OVER 2 KW. TOTAL KW OR HP. [OTAL HP 3c ea" .dals JUrs ADDRESS I000 ENCINO NUMBER STREET MISCELLANEOUS FEE RECEIPT" BUILDING B SAFETY DIVISION CITY OF ARCADIA, CALIFORNIA RECEIVED OF AQUATIC POOLS u MAILING ADDRESS 101 E. HUNTINGTON DRIVE rn ARCADIA, CA OWNER TEL NO. DAVE KRATOVIL 445_ MAILING ADDRESS LA 1000 ENCINO, ARCADIA,CA 3738 ,.a FOR: *PLAN CHECK FEE FOR VAL. $ 3755.00 ilk ASH BOND FOR 4 1'"1 ❑ GRADING ❑ PLASTERING C ❑ HOUSE MOVING 1 ❑ 0 0 TOTAL FEE $ 14-.00 REMARKS pC 0 SIGNAT U R E * WARNING: P N CHECK FEES WHERE NO ACTION IS TAKEN BY THE AVANT IN NINET (90) DAYS AND NO BUILDING PERMIT 1� ED. ARE Fl TED TO THE CITY. "FED FORM B-58 (REV. 11-62) 1M Or L ADDRESS \ 1OO F_nc inn AVQOWNER __ in/SC) If)cfI `Z arr(k STRUCTURE bwe.M1 AF C ONTRACTOR _ q Yf\_e___ OA. `(_gyp.311PERMIT j INS E E`/`D REMARKS PLAN mit POWER FORMS POLE_ �� �/ 7 ,//6 6 -2'4°off) RO. PLUMB. .33244 I /if1`rfr7 r' .I ,Mentzer, .,:.' .�.�c .� GAS 33 a`f 7 (, O OBLDG. o </TO STREET SEWER �5-? a /0 10 ) - i___� FURNACE _ Q �� .. -7 V N S J D/.i RO. WIRE +-:: S.f -- --+��.-- CURB 4 c FRAME 1 57 ' "4 LATH ( ee''/Y n., ._1 ELEC. FIX. 1 2 3Q QS j` s .. L�'�/i�G/ PLUMB FIX. 3 3 z' D /i .1 / Liles/ q fimy, -, ELECTRIC 1 1433 J/Y". GAB t �-S 14-:_i s SUB-CONTRACTORS B-43 ( � • • r LOCATION 1000 r n c. ono ` Lye_ _ VALUE $ t dek.1 O0c) D u3 e,11 1 vA G Ca 04 e_ LOT 4 LOCK TRACT ' $'L.G4. I OWNER 10 dSL° a a.. rr BUILDING m!,lt_. 7 ^ l D -S 7 ZZ ' g PLUMBING?)00 h p - �m,-th g - � -s� 332,432 HEATING a r% `0 N 6,at 1 hqc.-00.�.-Z10 -S1 "6301 SEWER G . —P. C`.O Y1 St Y'. QQ . 1 t 1-.z. GI 81- WIRING �. L . _ n lA.D r 9 -221-s1 9 !� s- _ FIXTURES 'I ,' I s .I I� ELECTRIC 1 `433 1l--24.-SS GAS q 111.6 ti-24-s7 PLAN NO.1 I 71 rr . ..s v v Cri G m dv- C-' G ..O —0O � N Location / 000 / le I/Y 0 A V�- , q-17- ,p-�/•q-5 ) Sewer Permit No. y.5-F - Co. No. 'tot 40I.f Blk. Tract / D / / I Legend q , Owner j c s TA.. ' v r r a I Length Date Insp. Contractor 6 Co„,,, 13r I/2-/a-57I —rr -Z 5e, k,_ ck Pipe & Joints ` • °' Street Location,9'.5`.'s L--1 3 6' • if-__