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HomeMy WebLinkAboutPermits • Try op, l
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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. Signature
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City of Arcadia
Building and Safety Division
PROPERTY INSPECTION REPORT
, owner of property located at
(please print name)
I i F (\J`-4 i\,J ,-'*-1
, 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 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. Signnys e
'� 3 E2*2aSo3 n 3 R Yop jDi ❑O g °❑ s ° �1c O4P gn� SDIRs °j D g 2 nJ❑- ()o. m@ 0. go
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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.
Inspectors office hours are: Verified by:
`8:00-9:00 A.M.; 1:00- 1:30&4:30-5:00 P.M. J ignature
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• :: BUILDING & SAFETY DIVISION
W. 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.
Inspectors office hours are: Verified by:
8:00-9:00 A.M.; 1:00- 1:30&4:30-5:00 P.M. ignature
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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. Signature
..
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JvtsADDRESS �
,.► 1000 ENCINO •
NUMBER
STREET
MISCELLANEOUS FEE
RECEIPT
BUILDING 8 SAFETY DIVISION
CITY OF ARCADIA, CALIFORNIA
iV
U) RECEIVED OF A -.•
0 MAILING ADDRESS 101 E. HUNTIN -TON I; /
m ARCADIA CA
OWNER
CA
DAVE KR TO I TEL NO.
N MAILING ADDRESS � �_
(51 1000 ENCINO AR A A. 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-__