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HomeMy WebLinkAboutOld permits -�`' '._ Development Services Depart -�� •- �• 240 West Huntington Drive, Office Box 60021 PER1 NO. BOO-026-345 • City of Arcadia,CA 91066-6021 Permit Type: Plumbing Arcadia (626) 574-5416,Fax (626) 447-9173 PROJECT TRACT NO. LOT NO. APPLICATION DATE ISSUED BY PRINT DATE PERMIT STATUS 182 0023 11/14/2006 SC 13:40 11/14/2006 Issued PROJECT ADDRESS 6 0 Zpg ASSESSORS PARCEL NO. GEO CODE O 5780-014-010 1009 Enclno Ave OWNER MAILING AbC.n.aa t� ER PHONE NO. Avenue ° (626)445-2254 Chin, So 1009 Encino ( ) Inspector#: JOHN Arcadia,CA 91006 EMAIL ADDRESS: APPUCANT MAILING ADDRESS Chin,So 1009 Encino Avenue PHONE NO. (626)445-2254 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 PLUMBING FIXTURES FOR MISCELLANEOUS INTERIOR REMODEL Construction Type UOM #of Units Value Construction Type UOM #of Units Value OCCUPANCY: TOTAL VALUATION: $0.00 QTY UOM DESC AMT AMT PAID ACCT QTY UOM DESC AMT AMT PAID ACCT I Flat Plmbg Issue A 40.25 40.25 01-3105 1 each Bathtub 11.30 11.30 01-3105 Ilk I each Shower 11.30 11.30 01-3105 -V 1 each Water Closet 11.30 11.30 01-3105 /�� Dm/ 2 each Lavatories 22.60 22.60 01-3105 /�f4 uit, c�`��L„/�►`'✓ 1 each Wtr htr/vent 14.10 14.10 01-3105 `" ' / _"t v / [ ` �Q/7/ �-- 1 each SWMF 2 Auto 1.00 1.00 88-3027 I,1 (A•jE/Z Ta. 0. c . 7-3'4r7 _ /I. 1, 10--1?-01. / -t'<CAL, 0,1< , J 1)0, w Total Fees: $111.85 Total Amount Paid: $111.85 Paid Today: $111.85 This permit/plan review expires by time limitation and becomes null and void if the work authorized by the Receipt P: 81210 permit is not commenced within 180 days from the date of issuance or if the permit is not obtained within 01-3105 110.85 180 days from the plan application date. This permit expires and becomes null and void if any work 88-3027 1.00 authorized by this permit is suspended or abandoned for 180 consecutive days or if no progressive work has been verified by the City of Arcadia building inspector for a period of 180 consecutive days. CALLS FOR INSPECTION INSPECTORS' OFFICE HOURS Requests for inspection should be made at least Monday-Thursday Friday one(1)business day in advance of the inspection 7:30 a.m. to 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) � 1111 •; 1 PERK, T/PLAN REVIEW Al 2LICATION ,J y Development Services Department, 240 West Huntington Drive, Post Office Box 60021 """Y°"'' 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' License Class License No. Exp.Date 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 ❑ 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 Code: Any city or county which requires a permit to construct, alter, improve, Carrier demolish,or repair any structure,prior to its issuance,also requires the applicant Policy Number for such permit to file a signed statement that he or she is licensed pursuant to the provisions of the Contractors License Law(Chapter 9(commencing with Section (This section need not be completed if the permit is for one hundred dollars or less.) 7000) of Division 3 of the Business and Professions Code) or that he or she is I certify that in the performance of the work for which this permit is issued,I shall exempt there from and the basis for the alleged exemption. Any violation of not employ any person in any manner so as to become subject to the 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 P, r' compensation,will do the work,and the structure is not intended or offered for Date 1 I-14 $ Applicant �f�W�`� 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 erformance of the work for which this p permit is issued(Section 3097,Civil '),‘ Code). I am exempt t n r En 7044,Business and Professions Code,for this reason: Lender's Name Date 'I.-Iii r 06 Owner l 4,__' 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. The permittee may be entitled to reimbursement of the permit fees if the City fails to conduct an inspection of the permitted work within 60 days of the request for final inspection. 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 $oChn Title Orkr PRINT NAME I certify that I have read this application and state that the above information is correct and that I am the owner or the duly authorized agent of the owner. I agree to comply with all City ordinances and State laws relating to building construction. I hereby authorize representatives of the City of Arcadia to enter upon the above-mentioned property for inspection purposes. Signature u1/4.) C Date 1 1' )4-C(a i 1 t- c c)6 i 'c-‘ . A A 4„,<--- c, 4._ .,_. 1 " 6 ' _ '. ,-._- - L t cc c' s 'a., 1, i 1 - 71/4.) v L.7:3 l ,3 .1 . 1.. -a- -. '4 . 7 t I ' FZIIV ' 1 4 '' *\ I ! ■ ■ w Q q Ct / i■ '' ' * c:4.Z v ■ v l , 4 3 i @4/15/2004 08:22 6263589580 AIR=TRO PAGE 03 CH )k); fgA NJ ( 6) zic1 ---a- FJrzr,itek CE PeeLn CF�iC- l4 R1DD 0 K) & e3 Iv cy1 L 9- o ,9mp Cwvic i M ) C4L EIET K L, - L 6r9- S )-- 5----T ,$/ L / -2cooAiif ,/1— ?0, ■D ,c i J v1cE F c4CE- ' l-1) vot-- ,Du, p • ►SIC - .- a ' i L Fv -'4Ce clScvi r ) — /o LE T- )--D-30 vn � • 60 Cr C) R G u 1 yr ■ (--- Oa°S ,4--. PA, P' A CI L, 1 ---' ID' --)9, 4,_it,,, 2,,,, c__ ---- ROUTING } I ACTION Date and 44I1IC+( ..)c Planning — _- A R.A ____J__ _ s Fn . L3uiidir,. FireFire ; �atc, i i _. i w• Development Services Depart�nt .:� 4 240 West Huntington Drive,lF Office Box 60021 PERK'"NO. BOO 018-658 Arcadia, CA 91066-6021 City of (626)574 5416,Fax (626)447-9173 Permit Type: EMP Combo Arcadia PROJECT TRACT NO. LOT NO. APPLICATION DATE ISSUED BY PRINT DATE PERMIT STATUS 4/19/2004 JB 16:26 4/19/2004 Issued PROJECT ADDRESS MM D ASSESSORS PARCEL NO. GEO CODE 1009 Encino Ave OMP dl�T�'D 5780-014-010 D OWNER MAILING ADDRESS Chin,Frank Co Tr 1009 Encino Ave PHONE NO. Inspector#: DON EMAIL ADDRESS: Plan#: IN FILE APPLICANT MAILING ADDRESS AIR-TRO,INC. PHONE NO. EMAIL ADDRESS: CONTRACTOR/PROFESSIONAL MAILING ADDRESS Air-tro Heating&A/c 1630 Myrtle Av PHONE NO. (626)357-5311 FAX NO. Monrovia,CA 91016 EMAIL ADDRESS: License No. 258228 Type: C Expires: 12/31/2004 12:0( TENANT MAILING ADDRESS PHONE NO. FAX NO. DESCRIPTION REPLACE FURNACE,ADD A/C AND UPGRADE ELECTRICAL PANEL TO 200 AMPS Construction Type UOM #of Units Value Construction Type UOM #of Units Value OCCUPANCY: TOTAL VALUATION: $0.00 QTY UOM DESC AMT AMT PAID ACCT QTY UOM DESC AMT AMT PAID ACCT 1 flat Elec issue $40.25 $40.25 01-3105 1 Flat Mech issue $40.25 $40.25 01-3105 C,' 2 ®(( 1 each Fum<100,000btu $17.00 $17.00 01-3105 J tJ I Flat y Com sv 200-1000 $56.35 $56.35 01-3105 /,�n / /,f o-nrr 1 D 1� I e`t% Comp 3 hp $17.00 $17.00 01-3105 I{/, /� l�ti1���• f//t/ /�� 1 each Power 1 hp $6.90 $6.90 01-3105 1 each ' Power 1-10 hp $14.10 $14.10 01-3105 Totals for: 01-3105 $191.85 $191.85 1 Flat SWMF 2 $1.00 $1.00 88-3027 1 Flat SWMF 2 $1.00 $1.00 88-3027 Totals for: 88-3027 $2.00 $2.00 Total Fees: $193.85 Total Amount Paid: $193.85 Paid Today: $193.85 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. ' 1. CALLS FOR INSPECTION INSPECTORS'OFFICE HOURS W Requests for inspection should be made at least Monday—Thursday Friday ‘ one(1)business day in advance of the inspection 7:30 a.m.to 9:00 a.m. 7:30 a.m.to 9:00 a.m. by telephone at(626)574-5416 for onsite work. 4:00 p.m.to 5:30 p.m. 4:00 p.m.to 4:30 p.m. (Closed on alternate Fridays) g, ;; PERM. f/PLAN REVIEW Al LICATION rrAbl rio Development Services Department, 240 West Huntington Drive, Post Office Box 60021 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 licens • in ' II force and effect. ❑ I have and will maintain a certificate of consent to self-insure for workers' License Clas• I • Licens- o. / 1"/Exp.DateIZ/O 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 /�i I have and will maintain workers' compensation insurance,as required by Section OWNER-BUILDE' : CLARATION 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 workegionlygnsatigalpsuranie carrier and policy number are: License Law for the following reason(Section 7031.5, Business and Professions Iviajesfic 'rj,�cui,.�hC,p Code: Any city or county which requires a permit to construct, alter, improve, Carrier �/�yy�� -+�IrJ �ICCAAllttdd++ demolish,or repair any structure,prior to its issuance,also requires the applicant Policy Number C�/�/202 (46 for such permit to file a signed statement that he or she is licensed pursuant to the provisions of the Contractors License Law(Chapter 9(commencing with Section (This section need not be completed if the permit is for one hundred dollars or less.) 7000)of Division 3 of the Business and Professions Code) or that he or she is ❑ I certify that in the performance of the work for which this permit is issued,I shall exempt there from and the basis for the alleged exemption. Any violation of not employ any person in any manner so as to become subject to the workers' Section 7031.5 by any applicant for a permit subjects the applicant to a civil compensation laws of California,and agree that• •ould become s .ject : e penalty of not more than five hundred dollars($500)): workers' compensation provisions of Sec 3700 If the Labo •.e hall forthwith comply with those provisions. ❑ 1, 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 +19-0+ 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 agent contractor(s)licensed pursuant to the Contractors License Law). for the erformance of the work for which this p permit is issued 4Section 3097,Ci 1 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 Title PRINT 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 a 'ty ordinances d St to 1 s relating to building construction. I hereby authorize representatives of the City of Arcadia to enter upon the abo -me tinned pro o n c • n purposes. 4 Q Signature ` j i Date `r 1 I-04 BUILDING AND SAFETY DIVISION o.••, MISCELLAN(\JS AND OFF—SITE City of Arcadia 240 W. HUNTINGTON DR., ARCADIA, CA 91006 • TEL. (213) 446-4471 PERMIT Building // MISCELLANEOUS FEE RECEIPT Address /O 9 1�/Cj I.,ve I/'/e Owner /0//Les �/OAS ra * PLAN CHECK FEE FOR VAL. Moiling /� O CASH BOND FOR Address ��/S g'O P .C. /j . City ax.. aR Zip? /®��p Tel..-. 0 GRADING PLAN CHECK I-- Controelo ��vG� D GRADING PERMIT m sSe 77 O HOUSE MOVING Address /Si 7 Zs-G<.€v di e City Zip -T.44.1. , ❑ PARKS AND RECREATION FEE *0,0' Oe WO/ G '_3o ROUTE INSPECTION FEE State Lic. City B Clossif. ata, �o g Lic. Na. / 07g'i o LICENSED CONTRACTOR'S DECLARATION ❑ l hereby affirm that I am licensed under provisions of Chapter 9(commencing with Section of Division 3 of the Business and Professions Code,and my license is in full force and effect. O OWNER-BUILDER DECLARATION $ 0 I hereby affirm that I am exempt from the Contractor's License Law for the following TOTAL FEE reason:"Sec.7031.5.Business and Professions Codes.Any city or county which requires a ..WARNING,PLAN CHECK FEES. WHERE NO ACTION IS TAKEN BY THE permit to construes,alter,improve.demolish,or repair any structure,prior to its issuance APPLICANT IN 180 DAYS AND NO BUILDING PERMIT IS ISSUED,'FEES ARE also requires the applicant for such permit to file a signed statement that he is licensed FORFEITED TO THE CITY. pursuant to the provisions of the Contractor's License Law,Chapter 9(commencing with Section 7000)of Division 3 of the Business and Professions Code, or that he is exempt thee efrom.and the bases for the alleged exemption.Any violation of Section 7031.5 by any SEWER PERMIT applicant for a permit,subjects the applicant too civil penalty of not more than five hundred PERMISSION IS HEREBY GRANTED TO MAKE SEWER CONNECTIONS AT dollars(5300)." I.as owner of the property.or my employees with wages as their sole compensation,will as the work,and the structure is not intended or offered for sale.''Sec.7044.Business and Professions Code:The Contractor's License Law does not apply man owner of property who LOT BLOCK TRACT builds or improves thereon and who does such work himself or through his own employees, (' provided that such improvements are not intended or offered for sale. If, however, the LOCATION f LATERAL building or improvement is sold within one year of tlontplrsion,the ot•ner•builder will have SADDLE the burden of proving that he did not build or improve for the purpose of sale.'• SEWER PLAN NO. CESSPOOL FILL EI. us owner of the property, am exclusively contracting with licensed contractor to $ 3.00 8 construct the project."Sec.7044,Business and Professions Code:The Contractor's License Law does not apply to an owner of property who builds or improves thereon,and who con- tracts for such projects with a controctor(s)licensed pursuant to the Contractor's License Law." INSPECTED (98 8 EI am excempt under Sec. B.& P.C.for the reason TOTAL BY BY CURB AND SIDEWALK Date _________..._ _Owner WORKERS'COMPENSATfON DECLARATION CURB BREAK REPLACE CURB FT. 1 hereby affirm that I have a certificate of consent to s If-insure,or a certificate of '< er's C a' n4��ur/�n r.[� died cup the f (Sec.3800,Labor de.) Policy No. __ .Sl_Sel L.L Company __ DRIVEWAY APPROACH lga SIDEWALK r FT. Copy is filet ❑Certified copy is Ex Dat T�' 1 10 �� with the Cit hereb y furnished. _ INSPECTED OTAL FEE J t CERTIFICATE OF EXEMPTION FROM WORKERS'COMPENSATION INSURANCE STREET CUT (This section need not be completed if the permit is for one hundred dollars(5100)or less.) O I certify that in the performance of the work for which this Permit is issued,I shall not ESTIMATED SIZE OF PATCH AMOUNT OF DEPOSIT R employ any person in any manner so as to become subject to the orkers'Compensation Law /SO.FT. of California. ACTUAL SIZE•OF PATCH AMOUNT CHARGED NOTICE TO APPLICANT:If,after making this Certificate of Exemption you should become subject to the Workers' Compensation provisions of she Labor Code,you must forthwith ® /SO.FT. comply with each provisions or this permit shall be deemed revoked. • AMOUNT REFUNDED I certify that 1 have read this application and state that the above information is correct.I RECEIVED FROM STREET DEPT. agree to comply with all city and county ordinances and state laws relating to building INSPECTION FEE construction,and hereby authorize representativ f i ity to enter the above•mentioned property for inspection pct�qs es. INSPECTED 198 BY Signature of Applicant Date /40-4(-0.0. PERMIT FEE Mailing Address /5—/ -�---� -Ala TOTAL FEES %City.State.Zip ��ILi<"C..�- l0/•• • INSPECTOR COPY This is a miscellaneous and off-site permit when properly filled out,signed and voldated,and is subject to expirolion if work thereunder is suspended for MO days. BUILDING AND SAFETY DIVISION BUILDING �. City of Arcadia PERMIT 240 W. HUNTINGTON DR., ARCADIA, CA 91006 • TEL. (213) 446-4471 Building ` U.B.C. Type Occ. Address /(30 Q I 0e) t-,c),f.3 61,- Edition Const. Group ___ Lot Block Tract Occ. F. D.Appr. Date H. D. Appr. Date No. _ Load Required Required Owner 474, %/ e, t3 Use Zone Special Case No. Mailing Homeowners Association Approval I Date Address City i4 Zip Tet),,� f� Size Contractor �� I )) ) '' 7� Q Special/ty C Conditions Address M� J J 11444-- NOTE: Include: 3.. , /vd /\a ex ,..e N VALUATION Labor, Material, Plumbing, Etc. $ 100-0(----- City��� Zipgm TEA.s -7 g 11� PLAN CHECKING FEE �� State Lic. ^ 1 / City / Private &Classif. (-~3�} 2 136<7) Lic. No�/d'i - Swimming Pool/Spa D Public Arch., Engr., Sign-Pole ❑ Wall ❑ Designer F Address Tel. E Temporary❑ Projecting❑ City IZip State E Fee Based on Total Sq.Ft. 11 Lic. No. S Proposed (� Other Construction %?12.. k0 t S.M.I.P. 95 _ a L� Permit Fee j Floor Main Accessory Total Processed by G Area TOTAL New❑ Add.❑ Alter.❑ Repair® Demolition❑ Permit No. Plan No. Date LICENSED CONTRACTOR'S DECLARATION WORKERS'COMPENSATION DECLARATION goI hereby affirm that I am tic nsed under provisions of Chapter 9(commencing with Section t I hereby affirm that I have a certificate of consent to self-insure,or a certificat of of Division 3 of the sygd Professions Code,and my license is in full force and rker's Co or a certified copy �/p(' e/�..JrO,Labor Code.) effec. y Policy No -- - -- Company 6 f Copy is filed ❑Certified copy is Ex .Date OWNER-BUILDER DECLARATION with the City. hereby furnished. ❑ I hereby affirm that I am exempt from the Contractor's License Law for the following CERTIFICATE OF EXEMPTION FROM reason:"Sec.7031.5.Business and Professions Codes.Any city or county which requires a WORKERS'COMPENSATION INSURANCE permit to construct,alter,improve,demolish,or repair any structure,prior to its issuance (This section need not be completed if the permit is for one hundred dollars($100)or less.) also requires the applicant for such permit to file a signed statement that he is licensed pursuant to the provisions of the Contractor's License Law,Chapter 9(commencing with ❑ I certify that in the performance of the work for which this permit is issued,I shall not Section 7000)of Division 3 of the Business and Professions Code, or that he is exempt employ any person in any manner so as to become subject to the Workers'Compensation Law therefrom,and the basis for the alleged exemption.Any violation of Section 7031.5 by any of California. applicant for a permit,subjects the applicant to a civil penalty of not more than five hundred NOT/CE TO APPLICANT:If,after making this Certificate of Exemption you should become dollars($500)." subject to the Workers' Compensation provisions of the Labor Code,you must forthwith comply with each provisions or this permit shall be deemed revoked. .? I,as owner of the property,or my employees with wages as their sole compensation,will CONSTRUCTION LENDING AGENCY the work,and the structure is not intended or offered for sale."Sec.7044,Business and I hereby affirm that there is a construction lending agency for the performance of the work Professions Code:The Contractor's License Law does not apply to an owner of property who for which this permit is issued.(Sec.3097,Civil Code.) builds or improves thereon and who does such work himself or through his own employees, provided that such improvements are not intended or offered for sale. If, however, the . Lender's Name building or improvement is sold within one year of completion,the owner-builder will have the burden of proving that he did not build or improve for the purpose of sale." Lender's Address ❑ I, as owner of the property, am exclusively contracting with licensed contractor to construct the project."Sec.7044,Business and Professions Code:The Contractor's License I certify that I have read this application and state that the above information is correct.I Law does not apply to an owner of property who builds or improves thereon,and who con- agree to comply with all city d county ordinances and state laws relating to building tracts for such projects with a contractor(s)licensed pursuant to the Contractor's License Law." construction,and hereby aut,f are.resenta' es of this city to enter the above-mentioned property for inspection s. �p'�J\ ❑ lam excempt under Sec. ,B.&P.C.for the reason Signature of Applic: .015/:. Date j1—V Mailing Address . _ Date L..- 12__ Owner r _ City,State,Zip IR ) INS ;TOR COPY ^— This is a+"►lding permit when properly filled out,signed and vat" ' d, and is sL A to expiration if work thereunder is suspended for 12. ,ays. INSPECTION RECORD FOUNDATION: (Gr. Certif. Comp. Tests, Set- .SPECTION NOTES backs, Forms,Reinf. Steel,Excavation. FLOOR SLAB/JSTS., GIRDERS: Mesh, Vap. Barrier,Blkg.,Spans,Access,Vents,Tr.Lmbr. MASONRY: Reinf., Mortar Jts., Grout Lifts, Clean-Outs,Bolts. ROOF SHTG.:Nailing,Diaph.Blocking,Material Grade and Thickness, Roof Drains. FRAMING:Walls,Raft.,Jsts.,Blocking,Bracing, Nailing,Backing,Diaphr. Draft Stops. INSULATION: Thickness, R-Values, Piping, Sound Caulking. FIREWALLS: Material, Thickness, Dampers, Doors,Closers,Fusible Links. INTERIOR:LATH/DRY WALL:Nailing,Supports, Laps,Joint Reinf. EXTERIOR LATH/SIDING: Mesh, Fasteners, Laps,Paper,Thickness,Backing. FINAL INSPECTION: Finish Grading Certif., Slope Plant., Energy Compl. Card Posted, Pkg. Access, Fire Doors, Exit, Locking De- vices, Landings, House Numbers, Weather Stripping, PI./Engr. Clear. SWIMMING POOL/SPA EXCAV.REINF.SETBACKS:Radius Stl.,Bond- ing,Exp.Soil, Ramp Loc.,Surcharge. FENCE/GATES: Height, Closers, Accessibility, Latches,Stability. FINAL INSPECTION: MISC. SIGNS: RE-ROOF: INSPECTION DATE INSP.SIGN. / I'ly OF CITY OF ARCADIA FOR OFFICE USE ONLY / -�0.. Development Services Department• Community Development Division(, s. 11 . � 240 West Huntington Drive COMPLETED ARCADIA Post Office Box 60021 f4,cORPORATE9- Arcadia, California 91066-6021 ( 626 ) 574 -5416 Page 1 of 1 /1009 S ENCINO AV 10/23/97 08 : 54 Permit No. : A9703246 Autoproj No : AU017557 Status : APPROVED Validated by : CS Inspector area: 205 This type : Roofing Project Applied : 10/23/97 Issued : 10/23/97 ' Parcel number : 5780-014-010 Finaled . Group-occup/use: To Expire .• Owner : CHIN Applicant : RAIN DANCE ROOFING Applicant Addr : 1506 S NEWHAVEN LANE GLENDORA, CA 91740 Job Address : 1009 S ENCINO AV Phone number : 818-339-1455 Class code .• Valuation 6, 250 Construction : ALT Permit to do : T/O & REROOF HOUSE & GARAGE (27SQS) CONTRACTOR : RAIN DANCE ROOFING Lic. C 683813 818-339-1455 1506 S NEWHAVEN LANE GLENDORA, CA 91740 Roofing Material > 30 YR ELK COMP Homeown Assoc. (YES/NO) > N Fee description Units Fee/Unit Ext fee Data Original Permit Issue Fee (YES/NO) > 40. 25 Y Enter Valuation 6250 Roof Fee 3104> 187 . 15 Refuse Fee 3027> 6. 25 *** Fees Required *** *** Fees Collected & Credits *** Receipt No. Date Payment 10/23/97 233 . 65 Fees: 233 . 65 Adjustments: . 00 Total Credits: . 00 Total Fees: 233 . 65 Total Payments: 233 . 65 Balance Due: . 00 L,.. , Will the applicant or future building occupant handle a hazardous material or a mixture containing hazardous material equal to or greater than the amounts specified on the Hazardous Materials Information Guide? ❑ YES ❑ NO Will the proposed building or modified facility be within 1000 feet of the outer boundary of a school? ❑ YES ❑ NO Will the intended use of the building by the applicant or future building occupant require a permit for construction or modification from the South Coast Air Quality Management District( SCAQMD ) ? SEE PERMITTING CHECKLIST FOR GUIDELINES. ❑ YES ❑ NO f'..:,J.. .....J at•... er'Ar RA �,.....:4+,.,.. r'I•.....IA:..+ I .....1,.... .-...,.1 ....., .,.....■,,,.....,...F.. /s► issue NO OPERATION NO OPERATION NOTES Building Inspections Date Insp. Plumbing Inspections Date Insp. 100. Setbacks 210. Under fir/bldg.drain 101. Rough grade 211. Copper underslab 102. Figs.&forms 212. Rough plumbing 103. Pre-slab 213. Rough gas 104. Floor joists 214. Shower pan 105. Steel 215. Water heater 106. Grout lift 216. Roof drains 107. Shear nailing 217. Building sewer 108. Dia.h nailin• 218. Water service 109. Roof nailin. 219. Final.as 110. Framing 220. Fixtures 111. OccJArea Sep.Wall 221. Final plumbing 112. Sound walls 222. Sewer cap/demo. 113. T-bar arid 114. Insulation-flr. Pool Inspections Date I Insp. '115. Insulation-Wall 240. Excavation/steel 116. Insulation-Ceil. 241. Rough plumbing 117. Drywall nailing 242. Light shelVbonding 118. Interior lath 243. Underground conduit 119. Exterior lath 244. P-trap 120. Finish grade 245. Gas line&test 121. Final building 246. Fence,gates&suns 122. Final demo/lot clear 247. Pool heater 248. Final electric Electrical Inspections 1 Date I Ins . 249. Final Plumbing 150. Power sole 250. Pool cover 151. Sales lot lighting 251. Pool final 152. Underground conduit 153. Underslab conduit Reroof Inspections Date Insp. 154. UFER around 270. Pre-reroof ins.. Q E•i7rfM- 155. Water ground 271. Roof framing 7� . 156. Rough electrical 272. Sheathing nailing 1•rr•91 e_ 157. Fixtures 273. Final reroof 04/7 1'7 158. G.F.C.I. 159. Eqpt.bondins Sign Inspections Date I Insp. 160. Service•anel 280. Setback/overhan. 161. Final electric 281. Footing 282. Conduit/wiring Mechanical Inspections I Date 1 Ins . 283. Disconnect 180. Furnace/A.C. 2828 i.n 181. Furnace/A.C. 182. Rouch HVAC Miscellaneous Insp. Date I Insp. 183. Fire dampers 290. Fire alarm 184. Furnace compartment 291. Underground supply 185. Combustion air 292. Fire sprinklers 186. Smoke detectors 0.307 4,1 293. Monitor system 187. Metal F.P.rough 294. Hood dry chem. 188. Compressor setback 295. Final 189. Commercial hood 190. Duct shaft Sewers&Offsite Insp. Date Insp. 191. Final mechanical 300. Lateral(main to P/L) 301. Saddle/Y -- Block Wall Inspections Date Insp. 302. Cess.00l filled 200. Footings 303. Sidewalk 201. SteeVrebar 304. Driveway 202. Grout lift 305. Curb reslacement 203. Final wall 306. Trash bin .. 113 1T�j Vg cl VI-MI q4; °g ill A g g aA ?E< o §m§ 1X q m p 21,4;11,2 t >� >� , 31 oy �f Q J Z W i < o ;,7-, ;. dam $. s i a� _ g ,§8 ;or a � H° fro Q :� "^� o o°� �4{ wp �s"j Wpm; Q 1� C B �S (c<[gNZZ �$. -CI C ¢ O Z N Q X Q '6 L'D.n ¢ C g C .$O w t l 7.Q Z N C �• -^ R N m G}{ �S d 4 f�' 8 cn38 . 1 s ;u1g ¢ vo.43$-. ..m ,t "age a g _ 6 .g $ Tg Z)45�¢ � 7 1 c .c _ s'S_ W t;A Q 6.L".,g,2* 2� �.E� , .n W m �. «,j 1 8 A E1 OCD._W .. E.i.-11 g3 �vo;;VVKtJJ idillk NUM -R STREET APPLICATION FOR A . HEATING, VENTILATING, AIR- U'1 CONDITIONING OR REFRIGERATION PERMIT BUILDING 8 SAFETY DIVISION �; • CITY OF ARCADIA, CALIFORNIA DER E �Ke9.)/ M• LI G ADORES a►QC ORS /`7 � A '.2-.. ' STATE LIC. N•.r �n wl M•IL 0 ADORE `; r / i ,� — a Q- y.�A) I TIC. NO. , iV CITY. 1� 4._.'"". N C�., TEL NO. DESCRI• ON OF WORK O D U HEATING k AIR CONDITIONING L7 REFRIGERATION ❑ VENTILATION FEE COMPUTATION Cr; nVALUATION --- $ �1 0 DESCRIBE WORK TO BE DONE ' Vie_ ; r c� 1e1 / 1 HEATING APPLIANCES INCL. VENTS (INSTALLED, ALTERED, REPLACED, REPAIRED OR RELOCATED/ TYPE B.T.U. FEE CIRCULATING AIR OUTLETS OR INLETS REFRIGERANT COMPRESSORS (INSTALLED OR REPLACED) ti. QUANTITY OVER INCL ACTUAL H P RATE FEE 0 ZO I t' 20 50 ■ 50 UP 1 1 I have carefully read and examined the above application and know the same to be true and PERMIT FEE correct.All provisions of Laws and Ordinances __ covering this type of construction will be com- INVESTIGATION plied with whether specified herein or not No FEE person shall be employed in violation of the Labor Code of the State of California. J TOTAL FEE ,6;• 1 aaLie. „.„. , Or _ ,„, I. ATURE OF ONTRACTOR OR AUTHORIZED AGENT F'8-55(REV. 11-62) 2M ©f AIN plik INSPECTION RECORD ITEM INSPECTOR 1 DATE i ' ROUGH HEATING- �J ROUGH REFRIG. OR AIR COND. • DUCTS • FINAL HEATING-- FINAL REFRIG.OR AIR COND. d �..-._.. PARTIAL OR MIS( :ONS • • • • • T - i I � 1 UNSUCCESSFUL TRIPS • 4 • JOB ADDRESS • .•• ii f ei/V c, /4C,cQ NUMBER STREET APPLICATION FOR AN ELECTRIC PERMIT BUILDING S SAFETY DIVISION CITY OF ARCADIA, CALIFORNIA 7ER TELL.NNO. NAILING ADD /�� �/ //"vfE V,1 /k'/ CA C/'l1 STATE L,15.N lC.. cj//42( ib/�F% //t/S7>;?-460,J ._//r% Y t AILING ADDRESS CI C.NO �. C L /� ft',/ T ,)-7e New Exis/ No. Serv. Reconnect Bldg. Bldg, Charge or Reseal (r I OUTLETS,BASE PLUGS,SWITCHES,FIXTURES @ 200 EACH tv MOTORS r 0 to 1 HP @ 1.00 OVER 1 HP to 3 HP @ 1.50 OVER 3 HP to 8 HP @ 2.00 1 OVER 8 HP to 15 HP @ 2.50 OVER 15 HP to 50 HP I @ 3.00 I OVER 50 HP to 100 HP @ 5,00 I C OVER 100 HP to 500 HP @ 10.00 I C OVER 500 HP @ 15.00 I HEATING CABLE UNIT @ 1.00 RANGE OVEN HEATERS @ 1.00 KIT. FAN DISPOSAL DISHWASHER @ 1.00 I FURNACE CLOTHES DRYER HAIR DRYER @ 1.00 �I ` RESIDENTIAL ENT f V. le3r7 111. © 3.00 COMMERCIAL ENTRANCE SERVICE @ 6.00 ADDITIONAL SERVICE METERS @ 1.00 TEMPORARY POWER POLE @ 2.00 TEMPORARY UNDERGROUND POWER POLE @ 5.00 TEMPORARY SALES LOT LIGHTING © 10.00 e 220 V POWER OUTLET © 1.00 MISCELLANEOUS 1 I have lenand reed and eme to b the above PERMIT FEE applieatlon and hoer the same h M trim and @ 2 00 correct. All provisions of the Laws and Ordi. Canoes governing this type of $$$$$motion will SUPPLEMENTARY be complied with whether mentioned herein or PERMIT FEE not. Ne person shall be employed In violation of the Labor Code of the State at California. INVESTIGATION FEE TOTAL FEE GGi SIGNATURE OF CONTRACTOR OR AUTHORIZED AGENT iala, CONSTRUCTION PROHIBITED BETWEEN 7:00 P.M. AND 7:Ou A.M. AND ON SUNDAYS AND HOLIDAYS AS PER ORD. #1321. • A1SPECTION RECORD BASIC INSPECTIONS oillIk ' T F m. I WORK +- INSPECTOR ---1- ! DALF i _ T:T4.15ii. F!XIDITES 1 , • • . , lii.5.- PARTIAL OR MISC. INSPECTIONS 1 .. , UNSUCCESSFUL TRIPS [. i 4.. ! 1 ! . --t RECORD INFORMATION TEMP.OK. 1 TEMP CONSTR. NO OF METERS I LITE, WIRE !RWR PHASE I HEAT, KW qA,POI, i OVEN r TARTE TOP i w.HTR. DRYER .11 I L OTHER RES. APPLIANCES OVER 2 KW. - TOTAL KW OR HP. TOTAL HP. S(I) I _ 3l _ t LOCATION IDO t EA CA L f D V e- VALUE $ I 5 3bO Dwelt tP 4 ' .r a 11..c LOT 2,3 V� BLOCK TRACT 824 I OWNER iob y�L • l50 ' 1 ' ro BUILDING �r/ PLUMBING �er� t L. 19e��es 3-4)-ZZ. 301S2, HEATING Rea rDr1s 4 `Frei c0r 1-44-C--sue COS./ SEWER 1<O R D c 1� �� (J / 44Z WIRING F. O . (T)c. ns't'tit 3 21-CZ '1'11-0 FIXTURES •• ELECTRIC IS.3Cit 1-Z Z-St GAS $ZOZ $ ��.iT PLAN NO.10017 (r) • ADDRESS(nog a„„ch elk ,1 �ta @1 R� 4 ue.OWNER S�1-J�•i �\ B.�• STRUCTURE Q+se(t I vteLk �arci��\�ONTRACTOR _ iQ me, DATE S-3-&PERMIT INSPECTED REMARKS PLAN NO.legai°'� POWER POLE ` FORMS I /Odes RO. PLUMB. 3pug / 6c; ✓% A GAS a/iQSQ /�Ugl/rEi/gr�L►1`Ses- �' STREET SEWER ri 9 �/ b -1 '.' 7 W.C. FURNACE _c (US 7 /j U(s--' H 7 j VENT <jC�Ty RO. WIRE '1 '11.0 / CURB FRAME a 6611,%.e LATH AM Z �+ / ELEC. FIX. 7-110 / S _-s ___ PLUMB FIX. i�/�jQ��'4 7.17 06 �� 1�ELECTRIC �. _ GAS a 7(,� - y "�c j, SUB-CONTRACTORS --.—"0 -?- - --r4P Location /DOA ANC/NO A v E. s-1--54 Sewer Permit No. 8 q64 9- Co. No. Lot P.„�j Blk. Tract /ff /41 / I Legend � _` Owner Pj dk/pis 0,--, la rOS . 1 Length Date Insp. Contractor Marhn r►ntdi'ck. I '/I ,'!`', I , T..._ r Pipe & Jointc Street Location jIl ,S J-_'3 ' � L s -.i -