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HomeMy WebLinkAboutOld permits w•. Development Services Departs et
:7 ': 240 West Huntington Drive,�{{ ``Office Box 60021 PER�1 NO. BOO-037-008
Arcadia,CA 91066-6021
City of (626) 574-5416,Fax (626)447-9173 Permit Type: Roofing
Arcadia
PROJECT TRACT NO. LOT NO. APPLICATION DATE ISSUED BY PRINT DATE PERMIT STATUS
18241 4/20/2011 CM 8:15 4/20/2011 Issued
ADDRESS No. Dir.Prfix Street Name Street Suffix Project ASSESSORS PARCEL NO. GEO CODE
1014 Encino ® 5780-016-004 •
OWNER MAILING ADDRESS
1
Haraguchi R Trust 1014 Encino "',�''' Si NE NO.
Haraguchl R H &C Insnector#: JEFF
Arcadia Ca,CA 91006-4444 EMAIL ADDRESS:
Plan Chk#:
APPLICANT MAILING ADDRESS Plan#:
J.N. Davis Roofing PHONE NO. School Dist#:
EMAIL ADDRESS:
CONTRACTOR/PROFESSIONAL MAILING ADDRESS
J.N. Davis Roofing 235 Colorado Blvd B PHONE NO. (626)821-4665 FAX NO.
Pasadena, CA 91190 EMAIL ADDRESS:
License No. 572125 Type: C39 Expires: 11/30/2011 12:01
TENANT MAILING ADDRESS
PHONE NO. FAX NO.
DESCRIPTION
T/O AND REROOF HOUSE AND ATTACHED GARAGE WITH GERARD, CLASS A, COLOR: WINSOR, STEEL ROOFING SYSTEM OVER EXISTING
SHEATHING
Construction Type UOM #of Units Value Construction Type UOM #of Units Value
Steel roof system-A square 42.00 $15,435.00
OCCUPANCY: Reroof TOTAL VALUATION: $15,435.00
QTY UOM DESC AMT AMT PAID ACCT QTY UOM DESC AMT AMT PAID ACCT
I Flat Bldg Issue Auto 42.25 42.25 01-31047-1 I
each Bldg permit 337.45 337.45 01-3104
I Flat SWMF Auto 6.25 6.25 88-3027 Ex'„n //� 5 , - t. 1
41-- --1 I (:z �J
16011-rrEk\ `-1413.
5c-((
F/Aitkl, INspRi • Y-
'Total Fees: $385.95 Total Amount Paid: $385.95 Paid Today: $385.95
This permit/plan review expires by time limitation and becomes null and void if the work authorized by the Receipt#: 93857
permit is not commenced within 180 days from the date of issuance or if the permit is not obtained within 180 01-3104 379.70
days from the date of plan submittal. This permit expires and becomes null and void if any work authorized by 88-3027 6.25
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. N\1'`V
CALLS FOR INSPECTION INSPECTORS'OFFICE HOURS
Requests for inspection should be made at least Monday-Thursday Friday v
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. i
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)
` -F.. Li PERMS ,/PLAN REVIEW Al Y LIGATION
ii was„ �M
,4,,..,
- Development Services Department,240 West Huntington Drive, Post Office Box 60021
rM\ oo
-P...9- Arcadia, CA 91066-6021, (626) 574-5416, Fax (626) 447-9173
City of
Arcadia
ICENSED CONTRACTOR'S DECLARATION ' . WORKERS' COMPENSATION DECLARATION
I hereby affirm under penalty of perjury that I am licensed under provision of I hereby affirm under penalty of perjury one of the following:
Chapter 9, commencing with Section 7000, of Division 3 of the Busines and
Professions Cod-,a;d • ,' h•ense is in full f••e t 1/ /of/ ❑ I have and will maintain a certificate of consent to self-insure for workers'
License Class License No ` Ex 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
OWNER-BUILDER DECLARATION P I have and will maintain workers' compensation insurance,as required by Section
3700 of the Labor C••e,for the performance of the work fy which this permit is
❑ I hereby affirm under penalty of perjury that I am exempt from the Contractors issued. My worke ••mpen .tion insura• airier and • cy number are:
License Law for the following reason(Section 7031.5, Business and Professions r #r
Code: Any city or county which requires a permit to construct, alter, improve, Carrier t s
demolish,or repair any structure,prior to its issuance,also requires the applicant Policy Number I 3 0 O
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 completa 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 c ply with those rovisions.
❑ I, as owner of the property, or my employees with wages as their sole _7
compensation,will do the work,and the structure is not intended or offered for Date 2—I/ ` •Applica
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
contractor(s)licensed pursuant to the Contractors License Law). 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(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 ( 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 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 Date i4i 20 i tt_,,. ..i7.„. ._____________.
•
SINGLE-FAMILY RESIDENTIAL DEVELOPMENT FORM
PROPERTY ADDRESS: _ tO lit fine-i v‘o A-0Q- DATE: My 2-`T1 I`tRZ
DEVELOPER/HOMEOWNER: - A1 t pC #
All the following information must be provided as part of the plan check for a building
permit for new construction and additions:
1. DWELLING:
square Footage
Existing Proposed New Total
A. First Floor: 1 575 rb + _152_ = 93 7'7
B. Second Floor: + _
C. Garage: 1-11O tfr + = 4'2_0 IP
D. Covered Entries/Porches; + _
E. Total Square Footage of Above (1A thru 1D): 7:7 Li*? 4
L. ACCESSORY BUILDINGS/STRUCTURES:
square Footage
Existing Proposed New Total
A. Covered Patios: + _
B. Gazebos and/or spa covers: _ +
C. Guest House: + _
D. Recreation Room: + _
E. Storage Sheds: + _
• Other Covered Structures: (list type of structures):
F. + _
G. + _
H. Total Sq.Ft.of All Accessory Structures (2A thru 2G): - '
3. TOTAL SQ.FT. OF ALL STRUCTURES ON THE LOT(1E+21-1): 2 7 -7 fj
4, TOTAL SQ.FT,OF GROUND COVERED ON THE LOT(3.1B): Z7 4-2 4
5. TOTAL SQUARE FOOTAGE OF THE LOT: l ) 400 44
(not including any easements for Flood Control purposes)
6. PERCENT OF LOT COVERED (4 / 5 x 100):
5/13/91
Certificate No. 1623
ARCADIA UNIFIED SCHOOL DISTRICT
234 Campus Drive, Arcadia, CA 91007, (818) 446-0131 Ext. 6332
(Certificate of Compliance with Fee Provisions of Government Code Se tio. 65995)
/r
Developer: Mr. Richard Haraguchi
S ignat re of Ap•. icant
Address: 1014 Encino Avenue The person signing represents
that he/she is authorized to sign
Arcadia, CA 91006 on behalf of the saner/developer
and that the information provided
is true and accurate to the best
of his/her knowledge.
Telephone: R1R-574-1255
Fee Schedule: The Developer Fees levied by the Arcadia Unified School District, under
the provision of Section 65995 of the Government Code, are:
Residential Development $1.65/sq. ft.
Commercial/Industrial Development $0.27/sq. ft.
Commercial/Industrial Parking Structures $0.13/sq. ft.
Tract/Project Address: 1014 Encino Avenue, Arcadia, CA 91006
Number of Buildings in Project(s) : One
Plan Check Number(s) : 92-239
Lot/Address Use of Building Area (Sq. Ft. ) Fee ($)
1014 Encino Ave Residential 752 $1,240.80
Total Fees Due $1,240.80
Receipt No. 102265
( XX) This is to certify that all fees due to the Arcadia Unified School District,
under provision of Government Code Section 65995, as a prerequisite to the
issuance of a Building Permit by the Buildling & Safety Division of the Planning
Department, have been received. Based on the information presented above, this
Certificate of Compliance is hereby executed.
( ) This is to certify that the above-described development has been determined to
be exempt from the developer fees of Government Code Section 65995 and a Building
Permit may a issue the r. '
Approved: *--11 June 8, 1992
Assistant Superintendent - Business Services Date
FOR DISTRICT USE ONLY
Request for Refund due to:
Purchase Order Report No. , as approved by the Board on , in the
amount of $ , supporting documents attached.
WHITE - Applicant YELLOW - Accounting Dept. PINK - Business Office GOLDENROD - Chrono REV. 5-11-92
AO"
41104,
•
AI%
,
i
CITY OF ARCADIA
Building Department
THIS SET OF PLANS AND SPECIFICATIONS MUST BE KEPT ON
THE .JOB AT AL 1, T ,41 e;.4.4443„„e .ES UK ALTERATIONS
;1 ! EE MADE EXCEPT BY TH: BUILDING DEPARTMENT.
:—.",;,1:' ;':. OE THIS PLAN AND SPEC:I-CATIONS SHALL
P L ' ; i'.) PERMIT OR TO BE !.N .'.P;?OVAL OF THE
VIC; .; i ANY PROVISIONS OF ANY CITY ORDINANCE
OR S ATE LAW.
E G. CHASTAIN a.��.$.�
---- ----- --------
B U I L D I N G INSPECTOR
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APPROVED I
AS TO ZONING AND YARD REOLJIREMENTh
E G. CHASTAIN
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BUILDING AND SAFETY DIVISION ` BUILDING
City Arcadia P E R I`�I IT
240 W. HUNTINGTON DR., ARCADIA, CA 91006 •TEL. (213) 446-4471
s' r
U.B.C. G
--..1144,Ad'ddiensg s /01 �N e[N V /Iv c-- ti Const. Group
Lot Block Tract Occ. F.D.Appr.Date H. D.Appr. Date
No. I I Load Required Required
Owner // Use Zone Special Case No.
Address 1 e.(AJ L Homeowners Association Approval I Date
City /� __ 1� �p l TS 7 y—/Z Size
Contractor L�(D U V[/c ) Special
/�t •� Conditions
Address NOTE: Include: / Q L'
A1 4 1 S VALUATION Labor,Material, Plumbing, Etc. SS 6 8 0
City Cvv c�S Zip 0"�S[/ Misc. FEE
State Lic. U�7 City / Private
&Classif. 4Z 7 S� Lit. No./(�'f 7 Swimming Pool/Spa a Public
Arch., Engr., Sign-Pole❑ Wall❑
Designer
Address Tel. F Temporary❑ Projecting❑
City Zip State E Fee Based on Total Sq.Ft.
Lic.No. E
Proposed �C — C -614C I> S PLAN CHECKING FEE
Construction
,4. CAC: 9 t& S.M.I.P.
(� , Permit Fee
Floor Main Accessory Total Processed by
Area �>l-1 TOTAL / gS
New❑ Add.❑ After.❑ Repair[]/ Demolition❑ Permit No. Plan No. Date
ar
LICENSED CONTRACTOR'S DECLARATION WORKERS'COMPENSATION DECLARATION
❑ 1 hereby affirm • am licensed under provisions of Chapter 9(commencing with Section ❑ 1 hereby affirm that I have a certificate of consent to self-insure,or a certificate
of Divis.• of e Business nd Professions Code,and my cense is in full force and Worker's Compens Lion Insura e.or a certified copy Cher f ( c.'3✓> Labor Co .)
effect. /
• ,, Ai-at_. - Policy No._� Company L,
is filed Certified copy is Exp.Date
OW'ER-BUILDER DECLARATION with the City. ❑hereby furnished. I �` /J�� l
❑ I hereby affirm that I am exempt from the Contractor's License Law for the following CERTIFICATE OF EXEMPTION FROM 1
reason:''Src.7031.5.Basin,ss and Professions Codes.Any city or county which requires a WORKERS'COMPENSATION INSURANCE
permit io 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 I3 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 NOTICE TO APPLICANT.*/j,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
P the work,and the structure is not intended or offered for sale.''Src.7044,Business and CONSTRUCTION LENDING AGENCY
Professions Code:The Contractor's License Law does not apply to an owner of property who I hereby affirm that there is a construction lending agency for the performance of the work
builds or improves thereon and who does such work himself or through his own employees, for which this permit is issued.(Ser.?097. Civil Code.)
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.7000.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 wit its and county ordinances and state laws relating to building
tracts for such projects with a rontracror(rl licrnsrdpursuanr to the Contractor's License Law." construction,and• eb•-uthori r presentatives this city to enter the above-mentioned
property for ins.e , .urpo 2
I] I am excempt under Sec._______,B.&P.C.for the reason Signature of Appr,,. r- r sate / _�__�
Mailing Address -.. =�v Gt. V /�_
`Date_ Owner City,State,Zip ,C)l/t f',- ( "'f) • t Z
This is a building permit when properly filled out, signed and validated,
and is subject to expiration if work thereunder is suspended for 180 days.
05-31-88 1GL0360 TOTAL 144.87
a
INSPECTION RECORD
FOUNDATION: (Gr. Certif. Comp. Tests, Set-
backs,Forms,Reint.Steel,Excavation. INSPECTION NOTES
FLOOR SL'iB/JST9., GIRDERS: Mesh, Vap.
Barrier,Blkg.,Spans,Access,Vents,Tr.Lmbr. +
MASONRY: Rein1., 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 Comp!. 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.
BUILDING AND SAFETY DIVISION
City of Arcadia ELEC./MECH./PLMBG.
240 W. HUNTINGTON DR., ARCADIA, CA 91006 • TEL. (213) 446-4471 PERMIT
Building No. Description (Additions, Commercial, Industrial) Fee
Address 1014 Encino Services
Owner (Size, )
Richard Haraguchi outlets
Moiling W (Receptacles, Lights, Switches)
Address 1014 Encino i" Fixtures
City Arcadia Z Tel.
U)
r 41006 574-1255 v}i Motors
4,
Contractor Ms-x., .1- 1_Ir +- o n • i-�_-,_ , —I (HP each: )
1- =y csiu t uca L. . C.x u-ki L uonta. Inc . Q Other
1,_t. Address r, U (Specify )
1350 E E. Las Tunas Drive Sq.Ft. Area New
s' `'than Gabriel (' 1776
Tel V Sq. Bldg. [�
c� W Sq•Ft. Area New
N.).) Stote Lie. City J Res. Accessory Bldg.
8 Claeeif, 221751 Lit. Na. C20 W
LICENSED CONTRACTOR'S DECLARA� IOION Misc.
E. I hereby affirm that I am licensed under provisions of Chapter 9(commencing with Section
_. 111)of Division 3 of the Business and Professions Code,and my license is in full force and Pool ELECTRICAL FEE
C effect. Wiring
Ott•
OWNER-BUILDER DECLARATION No. Description No. Description Fee
ElI hereby affirm that I am exempt from the Contractor's License Law for the following 1 FAU to and ielladq 5 1 Boiler/Compress, p
reason:"Sec.7031.5.Business and Professions Codes.Any city or county which requires a ` 100,000 BT I- to and includ• 3 • —5 18 0
ps
,� permit to construct,alter,improve,demolish,or repair any structure,prior to its issuance
-` also requires the applicant for such permit to file a signed statement that he is licensed W FAU over Boiler/Compressor
pursuant to the provisions o f the Contractor's License Law,Chapter 9(commencing with 1— 100,000 BTU over 3 HP to I S HP
Section 7000)of Division 3 of the Business and Professions Code, or that he is exempt U)
therefrom,and the basis for the alleged exemption.Any violation of Section 7031.5 by any • Flr./Wall/Susp./Pool Air Handler to and
Capplicant for a permit,subjects the applicant to a civil penalty of not more than five hundred U) Heaters includ. 10,000 cfm
dollars($500).''
V I,as owner of the property,or my employees with wages as their sole compensation,will
J Spray Booth/ Air Handler
do the work,and the structure is not intended or offered for sale."Sec.7044,Business and Q Exhaust Hood over 10,000 cfm
In- Professions Code:The Contractor's License Law does not apply to an owner of property who V Vent. Fan Other:
1 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 Q includ• Duct
building or improvement is sold within one year of completion,the owner-builder will have
the burden of proving that he did not build or improve for the purpose of sale." = Misc.
0 I, as owner of the property, am exclusively contracting with licensed contractor to W .
construct the project."Sec.7044,Business and Professions Code:The Contractor's License
Law does not apply to an owner of property who builds or improves thereon,and who con- MECHANICAL FEE 18 0
tracts for such projects with a contractor(s)licensed pursuant to the Contractor's License Law."
El I am excempt under Sec. ,B.&P.C.for the reason _ No Description No. Description Fee
Bathtubs Water Heaters
Date—_ _ Owner _ _ W Showers Garbage Disposals
WORKERS'COMPENSATION DECLARATION N Woter Closets Laundry Trays
❑ I hereby affirm that I have a certificate of consent to self-insure,or a certificate of
Worker's Compensation Insurance,or a certified copy thereof.(Sec.3800,Labor Code.) 0 Lavatories Clothes Washers
Policy No.X2_884.9 Company Zenith -
rz,Copy is filed ❑Certified copy is Exp.Date CP Kitchen Sinks Sewer Connections
with the City. hereby furnished. I I Z
CERTIFICATE OF EXEMPTION FROM m Dishwashers Sewer Cop
WORKERS'COMPENSATION INSURANCE Shower Pan Gas System
(This section need not be completed if the permit is for one hundred dollars($100)or less.) ? Replacement (No.Outlets: )
❑ I certify that in the performance of the work for which this permit is issued,I shall not J Swim. Pool Solar
employ any person in any manner so as to become subject to the Workers'Compensation Law d Pioina Installation
of California. Misc.
NOTICE TO APPLICANT:If,after making this Certificate of Exemption you should become PLUMBING FEE
subject to the Workers' Compensation provisions of the Labor Code,you must forthwith 1 -
comply with each provisions or this permit shall be deemed revoked.
I certify that I have read t is application and state that the above information' correct.I ELEC.,MECH.,PL.B G. ISSUANCE FEES 21 75
agree to comply with all it and county finances and state laws relatin• to boil 'ng
construction,and hereby•uth.ri • o•r-• Ives of this city to enterth• .b• a-menu ned - - -I
property for inspection. rpf. / rt II
Signature of Applicant /�/ f>�'.-•��il�■ D. _? _ TOTAL FEES 40105
Mailing Address � � � Processed Dote'
♦City,State,Zip _ .�/r��Ia�/r __- By
INSPECTOR COPY This is an electrical/mechanical/plumbing permit when properly filled out,signed and
validated, and is subject to expiration if work thereunder is suspended for 120 days.
INSPECTION RECOR .SPECTOR NOTES
UNDERGROUND CONDUIT
ROUGH WIRING
NEW SERVICE
m
FIXTURES
le FINAL ELEC. INSP.
F. TEMP. POWER POLE
OTHER
OTHER
ELEC. UTILITY CLRNCE.
U. G. DUCTS/REFRIG. LINES •
RO. MECH. Ducts, Comb. Air,
= Supports, Vents
Z FINAL MECH. Vents, f
vents, Shuu tooffs
OTHER
OTHER
•
U.G./UNDER FLR. Soil, Water,
Gas, Supports
RO. PLMBG. Water, Gas, Vents,
Supports,-Flashings
GAS TEST SEWER/PRIV. DISP. SYSTEM DIAGRAM
✓ FINAL PLMBG. Fixtures, Valves,
C Services
• WATER HTR. Vent, Valves,
a Press. Rel. Valve
O SEWER/PRIV. DISP. SYSTEM
OTHER
OTHER
GAS UTILITY CLRNCE.
BONDING
U.G. CONDUIT
• GAS PIPING Material, Depth
3 GAS TEST
Vent, Clearance,
r'• HEATER Location, Shut-off
NI FINAL POOL ELEC.
FINAL POOL PLMBG.
N
OTHER
INSPECTION I DATE INSP. SIGN.
r- FOR OFFICE USE
VrY OF
It, 63#c :Y(-PCAlid'et
Il
q''. 11.9111 Ile- BUILDING & SAFETY DIVISION
.11- ARC IA 240 West Huntington Drive
f� i 7 Leo, Arcadia, California 91006-3104 /=Ypj'
OR!'ORATo- ( 818 ) 574 - 5416 C /�►-
Page 1 of 1
/ 1014 S ENCINO AV 06/22/92 09 : 35
Permit No. : A9202128 Autoproj No : AU008729
Status : APPROVED Validated by : GERI
Inspector area: 205
This type : Single Family Project Applied : 06/22/92
Issued : 06/22/92
Parcel number : 5780-016-004 Finaled /� 1
Group-occup/use: To Expire : 7 1 1 5
Owner : HARAGUCHI
Applicant : FUJIMOTO & ASSOC
Applicant Addr : 2046 W ONTARIO AV CORONA, CA 91720
Job Address : 1014 S ENCINO AV
Phone number : 714-734-3176
Class code .
Valuation 54 , 820
Construction : ADD
Permit to do : FAMILY ROOM & BATH
CONTRACTOR : FUJIMOTO, GARY Lic. C 346443 818-962-9159
Plan No. > 24721
School Certification No> 1623
Fee description Units Fee/Unit Ext fee Data
Original Permit Issue Fee (YES/NO) > 33 . 15 Y
Dwelling(Enter Sq Footage) 3104> 752
Building Permit Fee 3104> 698 . 25
S.M. I.P. Fee 714-2207> 5. 48
*** Fees Required *** *** Fees Collected & Credits ***
Receipt No. Date Payment
06/22/92 736 . 88
Fees: 736. 88
Adjustments: . 00 Total Credits: . 00
Total Fees: 736. 88 Total Payments: 736 . 88
Balance Due: . 00
J
K \
Will the applicant or future building occupant handle a hazardous material or a mixture containing a 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 mod-
ification from the South Coast Air Quality Management District (SCAQMD)? SEE PERMITTING CHECKLIST FOR
GUIDELINES.
❑ YES ❑ NO
I have read the Hazardous Material Information Guide and the SCAQMD Permitting Checklist. I understand my re- ,
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�� ARCADIA 240 West Huntington Drive
Arcadia, California 91006-3104 X A
tHCO pO TE9-,�o ( 8 1 8 ) 5 7 4 - 5 4 1 6 F'`� ' D
Pago 1 of 1 1
1014 S ENCINO AV 08/11/92 10: 35
Permit no. : A9202768 Autoproj No : AU008729
Status : APPROVED Validated by : GERI
Inspector area: 205
This type : Mechanical Project Issued : 08/11/92
Parcel number : 5780-016-004 Finaled ,/
Group-occup/use: To Expire : '�'1`� g,
Owner : HARAGUCHI
Applicant : FUJIMOTO & ASSOC
Applicant Addr : 2046 W ONTARIO AV CORONA, CA 91720
Job Address : 1014 S ENCINO AV
Phone number : 714-734-3176
Class code .•
Valuation 0
Construction : ADD
Permit to do : FAU ONLY (7 ' MIN SIDEYARD SETBACK)
CONTRACTOR : FUJIMOTO, GARY Lic. C 346443 818-962-9159
Fee description Units Fee/Unit Ext fee Data
Original Permit Issue Fee (YES/NO) 35. 00 Y
Forced-air Unit to 100, 000 Btu/hr> 1 14 . 80 14 . 80
Ea Ventilation Fan including Duct > 6 7 . 40 44 . 40
*** Fees Required *** *** Fees Collected & Credits ***
Receipt No. Date Payment
08/11/92 94 . 20
Fees: 94 . 20
Adjustments: . 00 Total Credits: . 00
Total Fees: 94 . 20 Total Payments: 94 . 20
Balance Due: . 00
/
Will the applicant or future building occupant handle a hazardous material or a mixture containing a 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 mod-
ification from the South Coast Air Quality Management District (SCAQMD)? SEE PERMITTING CHECKLIST FOR
GUIDELINES.
❑ YES ❑ NO
I have read the Hazardous Material Information Guide and the SCAQMD Permitting Checklist. I understand my re-
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;: 11 BUILDING & SAFETY DIVISION Oa
ARCA`IA 240 West Huntington Drive
�' , Arcadia, California 91006-3104 .x p'1 9
,N c o\A T E 9''0 o ( 8 1 8 ) 5 7 4 - 5 4 1 6 y
Page 1 of 1
1014 S ENCINO AV 08/11/92 10: 37
Permit No. A9202769 Autoproj No : AU008729
Status APPROVED Validated by : GERI
Inspector area: 205
This type : Plumbing Project Applied : 08/11/92
Issued : 08/11/92
Parcel number : 5780-016-004 Finaled .
Group-occup/use: To Expire 7/1 ��
Owner : HARAGUCHI
Applicant : FUJIMOTO & ASSOC
Applicant Addr : 2046 W ONTARIO AV CORONA, CA 91720
Job Address : 1014 S ENCINO AV
Phone number : 714-734-3176
Class code .•
Valuation 0
Construction : ADD
Permit to do : FIXTURES FOR FAM RM & BATH ADD'N
CONTRACTOR : FUJIMOTO, GARY Lic. C 346443 818-962-9159
Fee description Units Fee/Unit Ext fee Data
Original Permit Issue Fee (YES/NO) 35 . 00 Y
Bathtubs 3105> 1 9 . 85 9 . 85
Showers 3105> 1 9 . 85 9 . 85
Water Closets 3105> 1 9 . 85 9 . 85
Lavatories 3105> 1 9 . 85 9 . 85
Water Heater and/or Vent 3105> 1 12 . 25 12 . 25
*** Fees Required *** *** Fees Collected & Credits ***
Receipt No. Date Payment
08/11/92 86 . 65
Fees: 86. 65
Adjustments: . 00 Total Credits: . 00
Total Fees: 86. 65 Total Payments: 86. 65
Balance Due: . 00
1
/
Will the applicant or future building occupant handle a hazardous material or a mixture containing a 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 mod-
ification from the South Coast Air Quality Management District (SCAQMD)? SEE PERMITTING CHECKLIST FOR
GUIDELINES.
❑ YES ❑ NO
I have read the Hazardous Material Information Guide and the SCAQMD Permitting Checklist. I understand my re-
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FOR OFFICE USE
Z'TYOFS
6ipg1 %cadth,
BUILDING & SAFETY DIVISION
ARCADI i 240 West Huntington Drive
E Arcadia, California 91006-3104 EI112Ei)
.�,c0\ATo-90 ( 818 ) 574 - 5416
Pago 1 of 1
1014 S ENCINO AV 08/11/92 10: 32
Permit NO. : A9202767 Autoproj No : AU008729
Status : APPROVED Validated by : GERI
Inspector area: 205
This type : Electrical Project Applied : 08/11/92
Issued : 08/11/92
Parcel number : 5780-016-004 Finaled
Group-occup/use: To Expire 7/1 �3
Owner : HARAGUCHI
Applicant : FUJIMOTO & ASSOC
Applicant Addr : 2046 W ONTARIO AV CORONA, CA 91720
Job Address : 1014 S ENCINO AV
Phone number : 714-734-3176
Class code •
Valuation 0
Construction : ADD
Permit to do : 200 AMP SVC/OUTLETS/FIXTURES FOR ADD'N
CONTRACTOR : FUJIMOTO, GARY Lic. C 346443 818-962-9159
Fee description Units Fee/Unit Ext fee Data
Original Permit Issue Fee (YES/NO) 35 . 00 Y
. Residntl Sery to 600 volt/400 Amp> 1 12 . 25 12 . 25
Outlets 3105> 28 30. 40
Fixtures 3105> 4 4 . 80
*** Fees Required *** *** Fees Collected & Credits ***
Receipt No. Date Payment
08/11/92 82 . 45
Fees: 82 . 45
Adjustments: . 00 Total Credits: . 00
Total Fees: 82 . 45 Total Payments: 82 . 45
Balance Due: . 00
I
1
Will the applicant or future building occupant handle a hazardous material or a mixture containing a 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 mod-
ification from the South Coast Air Quality Management District (SCAQMD)? SEE PERMITTING CHECKLIST FOR
GUIDELINES.
DYES 0 N
I have read the Hazardous Material Information Guide and the SCAQMD Permitting Checklist. I understand my re-
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AMY. - FOR OFFICE USE
A Q Z 1 1641'�Z
:> _ BUILDING & SAFETY DIVISION
Ul
AEcADIA 240 West Huntington Drive
f\�jo,, Arcadia, California 91006-3104 e l" 11ZEP
�C°RPORATE9-,9
( 818) 5 7 4 - 5 4 1 6
.- - a
/ 05/29/92 12 : 36
1014 S ENCINO AV
Permit No. : A9201808 Autoproj No : AU008729
Status : APPROVED Validated by : CYN
Inspector area: 205
This type : Plan Check Applied : 05/29/92
Issued : 05/29/92
Parcel number : 5780-016-004 Finaled
: 7(14.1.
7(�Ii7(14.1.Group-occup/use: To Expire
Owner : HARAGUCHI
Applicant : FUJIMOTO & ASSOC
Applicant Addr : 2046 W ONTARIO AV CORONA, CA 91720
Job Address : 1014 S ENCINO AV
Phone number : 714-734-3176
Class code .
Valuation 54 , 820
Construction : ADD
Permit to do : P/C #92-239 (FAMILY ROOM & BATH)
Fee description Units Fee/Unit Ext fee Data
Dwelling (Enter Sq Footage) 3103> 752
(Enter Cost Per Sq Ft) > 72 . 90 54820 . 80
Inhouse Plan Check (YES/NO) 3103> 453 . 86 Y
Inhouse Energy Fee (YES/NO) 3103> 139 . 65 Y
*** Fees Required *** *** Fees Collected & Credits ***
Receipt No. Date Payment
05/29/92 593 . 51
Fees: 593 . 51
Adjustments: . 00 Total Credits: . 00
Total Fees: 593 . 51 Total Payments: 593 . 51
Balance Due: . 00
J
Will the applicant or future building occupant handle a hazardous material or a mixture containing a 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 mod-
ification from the South Coast Air Quality Management District (SCAQMD)? SEE PERMITTING CHECKLIST FOR
GUIDELINES.
DYES ❑ NO
I have read the Hazardous Material Information Guide and the SCAQMD Permitting Checklist. I understand my re-
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419,4.)--00Lok 1014 ENCINO AVE
NUMBER STREET
APPLICATION FOR AN
ELECTRIC PERMIT
BUILDING & SAFETY DIVISION
CITY OF ARCADIA, CALIFORNIA
OWNER TEL.NO.
ROBERTSON 446-3087
t MAILING ADDRESS
SAME
F- CONTRACTOR STATE LIC.NO.
�... FRIESS ELECTRIC 201026
Li MAILING ADDRESS CITY LIC NO.
1042 S. SAN GBBRIEL BLVD 19048
"F" CITY EL
. SAN GABRIEL 286.NO-.1155
G) New ❑ Exist. 0 No. Serv. ® Reconnect
Bldg. Bldg. Charge or Reseal
N- I
OUTLETS,BASE PLUGS,SWITCHES,FIXTURES @ 20$EACH I
1
r—
MOTORS I
0 to 1 HP
1.00 '
1 OVER 1 HP to 3 HP CO 1.50 A/C 1: 50 ,
OVER 3 HP to 8 HP @ 2.00 I
OVER 8 HP to 15 HP @ 2.50
CI OVER 15 HP to 50 HP @ 3.00 r
I
in OVER 50 HP to 100 HP @ 5.00 l
0 OVER 100 HP to 500 HP CO 10.00 I
I
p- OVER 500 HP @ 15.00 I
1 HEATING CABLE UNIT @ 1.00 r
1
RANGE OVEN HEATERS @ 1.00
KIT. FAN DISPOSAL DISHWASHER @ 1.00 t
FURNACE CLOTHES DRYER HAIR DRYER CO 1.00 I
I
RESIDENTIAL ENTRANCE SERV. 100 A MIN. @ 3.00 31 00
COMMERCIAL ENTRANCE SERVICE CO 6.00 I
ADDITIONAL SERVICE METERS @ 1.00 i
l
TEMPORARY POWER POLE I
@ 2.00 I
TEMPORARY UNDERGROUND POWER POLE @ 5.00 i
TEMPORARY SALES LOT LIGHTING 1
@ 10.00 1
220 V POWER OUTLET @ 1.00 I
I
MISCELLANEOUS I
. i
i
I hays earofully read and examined the above I
application and know the same to be true and PERMIT FEE @ 2 OO
correct. All provisions of the Laws and Ordl-
ounces aovernin■ this type of construction will SUPPLEMENTARY
be complied with whether mentioned herein or PERMIT FEE x
net. No person shall be employed In violation
of the Labor Code of the State of California.
INVESTIGATION
FEE '
� TOTAL FEE 6 :50
SIGNATURE OF CONTRACTOR OR
O►. AUTHORIZED AGENT slOOk
CONSTRUCTION PROHIBITED BETWEEN 7:00 P.M. AND 7:00 A.M.
AND ON SUNDAYS AND HOLIDAYS AS PER ORD. #1321.
•.
114SPECTIdiN RECORD
BASIC INSPECTIONS Auk
1"--
1 •',::'.•(.K.;H i
:i!AlF>■I
ru;,:Fs
To.pMC SER., •''..
1...-, '7.0 E...6.1..1.0.!SL7 • q-712-1
PARTIAL OR MISC. IN ECTIONS
[
1 ,
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, 1
1 1
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1 i
UNSUCCESSFUL TRIPS
[ :
RECORD INFORMATION
.1 U.G.
1 •-'1MP.OK. --TT ' CONSTR. 1 NO.OF METERS
1.:.
LI TE . ........__________W:RE PWR -PHASE"IlEAT._________
RANGE
i
O
OTHER RES. APPLIANCES W.HIP.
[OVER 2 1- W TOP
TOTAL KW OR HP. KT.ABLE 1 DRYER
S(I)
TOTAL HP.
,..,
1(1)
Piligi*' "Mils
JOB ADDRESS
... ° A .■
NUMBER STREET
0 APPLICATION FOR A
1L; BUILDING PERMIT
BUILDING & SAFETY DIVISION
© CITY OF ARCADIA, CALIFORNIA
W OWNER V\ • c /C). TEL.NO. (/
�, MAILING�a0/ADDRESS C.,14�f �y/'� 7 ��
C ARCH. TEL.NO.
ENGR.
tV CONTRACTOR
�
STATE LIC.NO.
Vl
MAILING ADDRESS CITY LIC.NO.
W CITY TEL.NO
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DESCRIPTION OF WORK
NEW `P ADD'N ❑ ALTER ❑ REPAIR ❑ DEMOLISH ❑
FLOOR AREA NO.OF NO.OF DWELLING
(5Q.FT.) //1 STORIES UNITS
W PRESENT BLDG.USE 7 PROPOSED BLDG.USE
ODESCRIBE WORK �/�j),,, ,.�,/(j
TO BE DONE ✓�� —'�f��% '`..
1
NOTE: PROVIDE PLOT PLAN ON BACK SIDE OF ORIGINAL COPY ONLY
EXTERIO ALL MATERIAL ROOF FRAMING MATERIAL
PA I ONING MA TERIgL RO OVBRING MATERIAL
—/C
LOT ���j LOT / NO.OF EXIS G 7J
WIDTH DEPTH /7G BLDGS.ON L /
VALUATION NOTE: Include Labor, Mat.,
Wiring, Plumb., Heat, Etc. $ ©C Op
INFORMATION PROVIDED BY BLDG. SECTION
LOT NO. B O. TRACT r/1147,A Y/
USE �jP I FIRE #" '.Z OCCU- 7" SEC. -7:
ZONE/�I ZONE •J PANCY l SH.
REQ'D FRONT RIGHT SIDE LEFT SIDE REAR o:
SET
BACKS FO
u
TYPE OF SPECIAL -
CONSTR. CASE NO. GRADE Z
z
Approval& Information by Others —.Ou
CITY ENGINEER EASEMENT
DIST.FACE OF SEWER DRIVE
CURB TO P. L. FT. AVAILABLE OVER
PUBLIC SERVICE 1 PLANNING PLAN CK.FEE
WATER ELECTRIC
PERMIT FEE
PLAN NO. CHECKER'S AP AL
/i/eCf
I have carefully read and examined the above application and find the
same to be true and correct. All provisions of the Laws and Ordinances TOTAL FEE
governing building construction will be complied with whether speci- L.;C)
tied herein or not. No person shall be employed in violation of the Labor C
Code of the State of California.I agree not to occupy or allow occupancy
of any building authorize y Lim anti fiPal building ins ection has been received.
Ai
SIGNA URE OF OWNER OR AUTHORIZED AGENT
FORM B-51 (REV. 7-61) 1M ®e PERMANENT
INSPECTION RECORD
BASIC INSPECTIONS "oki
I T E M INSPECTOR DATE
//
TRENCHES. WIDTH DEPTH Ale 0 '/)
1st. FLOOR JOIST
FRAMING ( }Z'i, �A3
LATH__011_ fIL I/
FINAL , 11-/-63
! -63
PARTIAL OR MISC. INSPECTIONS
v„..
UNSUCCESSFUL TRIPS
ITEM INSP. DATE ITEM INSP. DATE
SET BACKS FRONT R. SIDE L. SIDE REAR INSP. DATE
FIELD CHECK
TO APPLICANT. PLEASE DO NOT WRITE ABOVE THIS LINE
PLOT
OWN
ANIS
LOCATION I0ti Elnetno live • VALUE S ' &'850
Du.5ell;na1 4 c&c:tra Je
LOT 3 BLOCK TRACT 1 $2,4 1
OWNER ... C.111)i V So n lii. r0%t ll
BUILDING Qme • % 3o-va 2,110
PLUMBING I 1
M x. I .Geddes 3-t_ a- , 30$Si
HEATING% Heir ris 4// Ff t 0 - . -q.-1-.s� 3 u t
SEWER F`VRDlC. IC J 5%-- C -St 42'..5-9'
WIRING Ft) , "MC 1' " i 1l S-1. r. 5.-C1— --(--, ricA�1
FIXTURES / 1
ELECTRICA.SV`>/9f S g- �v GAS 7j)r'/� f 3/Se- PLAN NO100
k
A
I
3
W
r Location /O/'/ JN cm/0 AVE
Sewer Permit No. f 959 Co. No.
Lot 3 BIk. Tract / 5/ / I Legend
Owner r e�ji rt s c�'1 ores
I Length V Date Insp.
Contractor If n r k/,`(,
r'-
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1 µµ6K..,
•
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Pipe & Jointc 1 3
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Street Location I./ N14L-1-3-1--
ADDRESS 1014 any.1rlp rttlq..O''JNCR 13061nSen. C3ros.
STRUCTURE bus MO V CONTRACTOR __ SQ V1AC All=
DATE I.36. PERMIT _ INS-ECTED REMARKS PLAN PLAN NO.1O�01y
POWER POLE l 5'l 3 .f�/ � '‘� y�-��S7.. 2 -/e..`J c��
FORMS .�„_.1,-1 CI S 1's / J/(o G /
RO. PLUMB. 0/7"G+ li(?tY" tv e4' �� ). /I-/c,e,
GAS hog / 3�� (. . DG.C,Z�/I TO STREET _
SEWER r 7 5 . - I{f- Ili W.C.
FURNACE 3 f 0 4,( .'--If//3-- n s '-- VENT �A$ 1
RO. WIR 1951 Jj q/.S6 [rt2y,
CURB t
FRAME �2 /ss e.-pat,-
LATH 1 9 /��, �ir/Gl/
i
ELEC. FIX. /
_PLUMB FIX. j • Z /
ELECTRIC tS)L - - 6 GAS ,�'73�!" G -J`
SUB-CONTRACTORS —y.1 r 7_C f` J
i fati t V 0111k
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