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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 It b Ni/ I APPROVED I AS TO ZONING AND YARD REOLJIREMENTh E G. CHASTAIN I 4"1140, i j________ -4 igxz 1 t — _ _ __.____ ___________ _ , _ . i • • ';,) L. , • 411014M3119017 (191 NY OVA 301140S CYT ZA 03V051cliA VII12:12.1kHO .3 .3 K;-• " .10 • Itf■ t,14■.;. • ‘• A. `' Y 4-6444:r) - /6' f( ea.,,,,te, ,' '-'. ( ..x z/r-eA,,0 _ /6," L4 2s, e'l .., 1 ems( s CS'` t t b I OF ABCADIA BLDG• 901, t n. CHASTAiN i -, 0. .! ---.! fir . ." ! ■4 . ' , -,. , I ....... , i ' I . . , . . . , , . ', ., ' ,,. ii I : I f N------,; 1 V Sze» i.' ., .............._ ._____ ' 1 , 1 ..i ' lt, I ?:. ....,,. I,, , ,............. ...............i] • 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- , IOW mim = ":,2„7,7, m m o- omZ mm❑y� ❑C7 v c7 O ❑ on^❑ oo-m . 3 ; -, m `_^,°_ °a n c Q O, F -1,1�,n (�3 3 m - °-,-,,- �.3 o n F.❑ .c w v m❑ o c�- _ 0 0 y(Erix-o ...2 B3 `= °-m ,<am �.°<m a -83, -2 m �� m�oQ3o°N nu roc°mo �$ 2,1,_,L, ,T--g: g nG l! mvz3 Rs.. Dn y F� �.o m°' .� "- ° u� x ;,'4F F.at no Qo.3vet'3r%0 0 `° `i°- mF4 FOR OFFICE USE A• 6q/1 %ccwà2�. . i 11 i, y : ., BUILDING & SAFETY DIVISION �� 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. 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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)? 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'8l l 6wpuoq/flays 146!1 'ZPZ 6u!Ieu VEMAJa Ill 6wgwnld 1.16nod '14Z -pee-uoge!nsul '911 laals/uo!1eneox3 '04Z IleM-uwlelnsul .5l l •dsul I also I suo!laadsul food 'ill-uo!lelnsul •pl l pub Jeq-1 'et l 'owep/deo JemeS 'ZZZ s11eM punoS .Z l l 1 -22-2! 64wnldfeu!j 'l?Z Hem.des eeiwooe 'lll SOJnix!j 'OZZ 6wWEJd '01.1. se6leu!j '6L? 611u111 innu •ani 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)? 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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)? 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JOB AC DRESS t ,ts-Awy '"" ✓ 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 , i , 1 1 1 [ :......] 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 ro 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'- � 1 µµ6K.., • /,h Pipe & Jointc 1 3 i 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 7 ' \ i ' ','--•-- 'k 1