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HomeMy WebLinkAboutOld permits =` '' Development Services Depar t
u PER1 NO. B0O-035-921
•,\ • 240 West Huntington Drive, Office Box 60021
City of Arcadia,CA 91066-6021
Y Permit Type: Electrical
Arcadia (62 ) 574-5416,Fax (6,6)447-9173
PROJECT ,
TRACT NO. LOT NO. APPLICATION DATE ISSUED BY PRINT DATE PERMIT STATUS
18241 11/10/2010 CM 12:23 11/10/2010 Issued
ADDRESS No. Dir.Prfix Street Name Street Suffix Project ASSESSORS PARCEL NO. GEO CODE
1023 Encino Ave 5780-014-008
OWNER MAILING ADDRESS
Tifft, Frances M Tr Frances M Tifft T 1023 Encino Ave •
Arcadia, CA 91006 Insaector#: JEFF
CO! PLEDRESS:
APPLICANT MAILING ADDRESS
Plan Chk#:
Plan#:
Talbott Electric 1887 Washington Boulevard PHONE NO. School Dist#:
Pasadena, CA 91 104 EMAIL ADDRESS:
CONTRACTOR/PROFESSIONAL MAILING ADDRESS
Talbott Electric 1887 Washington Boulevard PHONE NO. (626)798-1105 FAX NO.
Pasadena,CA 91104 EMAIL ADDRESS:
I,icenseNo. 196541 Type: C10 Expires: 5/31/2011 12:00:
TENANT MAILING ADDRESS
PHONE NO. FAX NO.
DESCRIPTION
MISCELLANEOUS ELECTRICAL TO GARAGE
Construction Type UOM #of Units Value Construction Type UOM #of Units Value
pkiAL/OCCUPANCY: TOTAL VALUATION:
$0.00
QTY UOM DESC AMT AMT PAID ACCT QTY UOM DESC AMT AMT PAID ACCT
I flat Elec Issue Auto 42.25 42.25 01-3105
3 each Outlets 4.41 4.41 01-3105
I each SWMF 2 Auto 1.00 1.00 88-3027
Total Fees: $47.66 Total Amount Paid: $47.66 Paid Today: $47.66
This permit/plan review expires by time limitation and becomes null and void if the work authorized by the BeCp`ft 92633
permit is not commenced within 180 days from the date of issuance or if the permit is not obtained within 01-3105 46.66
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)
1 PERK . TIPLAN REVIEW A� A LICATION
,g,, r'
443 ' 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 Busin sand
Professions Code d license is in fuller aI"c ` ❑ I have and will maintain a certificate of consent to self-insure for workers'
License Class l 1 Lice e Na 1 compensation, as provided for by Section 3700 of the Labor Code, for the
//Q � at performance of the work for which this permit is issued.
Signature of Contractor �li-�j✓ ��
On I have and will maintain workers' compensation insurance,as required by Section
OWNER—BUILDER DECLARATION i t t of the Labor Code,for t perfo f the work for which this permit is
❑ I hereby affirm under penalty of perjury that I am exempt from the Contractors issued. My wor le c pen a a insur ce c/pier and policy number are:
License Law for the following reason(Section 7031.5,Business and Professions
Carrier i Y r if/) �l/
Code: Any city or county which requires a permit to construct, alter, improve,
demolish, T /^N(
demolish,or repair any structure,prior to its issuance,also requires the applicant Policy Number 72 WE ZV'2 4
for such permit to file a signed statement that he or she is licensed pursuant to the (This section need not be completed if the permit is for one hundred dollars or less.)
provisions of the Contractors License Law(Chapter 9(commencing with Section
7000)of Division 3 of the Business and Professions Code)or that he or she is ❑ I certify that in the performance of the work for which this permit is issued,I shall
exempt there from and the basis for the alleged exemption. Any violation of not employ any person in any manner so as to become subject to the workers'
Section 7031.5 by any applicant for a permit subjects the applicant to a civil compensation laws of California,and agree that if I should become subject to the
penalty of not more than five hundred dollars($500)): workers' compensation provisions of Section 3700 of the Labor Code, I shall
forthwith comply with those provisions.
❑ I, as owner of the property, or my employees with wages as their sole � ,q
compensation,ensation,will do the work,and the structure is not intended or offered for Date 1 MO^ D Applicant
sale(Section 7044,Business and Professions Code:The Contractors License
Law does not apply to an owner of property who builds or improves thereon,
or who does such work himself or herself or through his or her own
employees,provided that such improvements are not intended or offered for WARNING: Failure to secure workers' compensation coverage is unlawful,
sale. If,however,the building or improvement is sold within one(1)year of and shall subject an employer to criminal penalities and civil fines up to one
completion,the owner—builder will have the burden of proving that he or she hundred thousand dollars($100,000),in addition to the cost of compensation,
did not build or improve for the purpose of sale). damages as provided for in Section 3706 of the Labor Code, interest,and
attorneys fees.
❑ I, as owner of the property, am exclusively contracting with licensed
contractors to construct the project(Section 7044, Business and Professions
Code:The Contractors License Law does not apply to an owner of property CONSTRUCTION LENDING AGENCY
who builds or improves thereon,and who contracts for such projects with a I hereby affirm under penalty of perjury that there is a construction lending agency
contractor(s)licensed pursuant to the Contractors License Law). for the performance of the work for which this permit is issued(Section 3097,Civil
Code).
❑ I am exempt under Section 7044,Business and Professions Code,for this reason:
Lender's Name
Date Owner Lender's Address
IMPORTANT: APPLICATION IS HEREBY MADE TO THE BUILDING OFFICIAL FOR A PERMIT SUBJECT TO THE CONDITIONS AND
RESTRICTIONS SET FORTH ON THIS APPLICATION AND THE FOLLOWING:
1. The City's approved plans and permit inspection card must remain on the job site for use by City inspection personnel.
2. Final inspection of the work authorized by this permit is required. 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 �//i+`G %e � '�7 Title _____Cfflikrbil
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 S • e laws relating to building construction. I hereby authorize representatives of the City of
Arcadia to enter upon the above-mentioned a •: ,•rty fo 1 pection purposes. ri1
Signature
�/ '�/" _ �� Date ' /—'O �i V
APPLICATION FOR BUILDING PERMIT
Application is hereby made for the approval of the specifications and plans herewith submitted for the
erection of the building herein described. All provisions of the Building Ordinances and Zoning Ordi-
nances shall be complied with in the erection of said building , whether specified or not.
/State License No (Sign here): ..-11-4.2.1,..4e--- k/YeZ#Plyi
YO
City License No
Lot 7/ Block Tract--1 6 > /
Zone / Fire District '3
Street Address...1...0.2 3 ',..„.,.,.C..:,(r►-„
"7'
1. Purpose of the Building � � P Dl`'`.- �”,,,�,.-,--° ��. �.. �,.�,�n
Number of Rooms 2'
Kind of Construction N,!-`+x''—' �• (, -s.
2. Roof i—
3. Owner's na e._.•r /. C.$' 7..x.
Telephone No
4. Owner's address /..b -2--? i 4r/*1-- Q...
5. Architect's name
-
6. Builder's name.... _. ..... .. s� � Telephone No
7. Builder's address L/7 .................g,.G 3.t
8. Estimated value of proposed improvements $ .2 G. d e, " �'
9. Will the building be erected on the front or rear of lot? , 4,,41...*
10. Size of lot x Size of building 3 F x ,‘5'
11. Number of stories in height / y Floor Area 5 7 0
12. Will there be a cellar or basement- .1V/O Size
1�
Dated Arcadia, California, /r�' ,+j 19 4
B-49
P.m` 414S
•to C \ p, P..
\k,■
,
,'` ' Development Services Departm i�"
11
• 240 West Huntington Drive,Pos,..ffice Box 60021 PERM1 i.O. B0O-035-815
City of Arcadia,CA 91066-6021
Arcadia (626) 574-5416,Fax(626)447-9173 Permit Type: Roofing
I PROJECT TRACT NO. LOT NO. APPLICATION DATE ISSUED BY PRINT DATE PERMIT STATUS
18241 10/26/2010 CM 13:38 10/26/2010
Issued
I
ADDRESS No. Dir.Prfir Street Name Street Suffix Project J ASSESSORS PARCEL NO. GEO CODE
1023 Encino Ave 5780-014-008
OWNER MAILING ADDRESS
Tifft, Frances M Tr Frances M Tifft T 1023 Encino Ave PHONE NO.
Arcadia, CA 91006 EMAIL ADDRESS: Inspector#: JEFF
APPLICANT MAILING ADDRESS Plan Chk#:
J. N. Davis Roofing PHONE NO. Plan#:
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
REROOF REAR DWELLING WITH BUILT-UP ROOF OVER EXISTING SHEATHING(TPO,TITLE 24 COMPLIANT,WHITE,60 MIL)
Construction T ------ --- ------- _- __. -__
ype UOM #of Units Value Construction Type UOM b of Units Value
Built up square 8.00 $1,092.00
pi L I,` 2----1 V Lt ,
OCCUPANCY: Reroof TOTAL VALUATION: $1,092.00
QTY UOM DESC AMT AMT PAID ACCT QTY UOM DESC AMT AMT PAID ACCT
I Flat Bldg Issue Auto 42.25 42.25 01-3104 I� (Y Z
each Bldg permit 65.85 65.85 01-3104 e5 1 ��� Q
I Flat SWMF Auto 6.25 6.25 88-3027 / ,...1
Total Fees: $114.35 Total Amount Paid: $114.35 Paid Today: $114.35
This permit/plan review expires by time limitation and becomes null and void if the work authorized by the Receipt+l: 92513
permit is not commenced within 180 days from the date of issuance or if the permit is not obtained within 01-3104 108.10
180 days from the plan application date. This permit expires and becomes null and void if any work 88-3027 6.25
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 1 �
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. f
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)
(4 '
1 PERMIT/PLAN REVIEW APPLICATION
0., t--�
.,¢3�" 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
A 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 Business and
Professions Co. , • • ' license is in full f. .. effect ❑ I have and will maintain a certificate of consent to self-insure for workers'
� compensation, as provided for by Section 3700 of the Labor Code, for the
License Class License N. llb 2 Exp.Date /�� I performance of the work for which this permit is issued.
Signature of Contractor .i i` ��
I have and will maintain workers' compensation ins nce,as required by Section
OWNER—BUILD` ' •ECLARATION 3700 of the Labor Code,for the performance of the ork for which this permit is
❑ I hereby affirm under penalty of perjury that I am exempt from the Contractors issued. My work pen;,tion insurance carr' . d policy number are:
License Law for the following reason(Section 7031.5, Business and Professions Carrier .. &•itf ►Lay� I
Code: Any city or county which requires a permit to construct, alter, improve,
demolish,or repair any structure,prior to its issuance,also requires the applicant Policy Number 1.49 7o &) - 200/
for such permit to file a signed statement that he or she is licensed pursuant to the (This section need not be completed if the permit is for one hundred dollars or less.)
provisions of the Contractors License Law(Chapter 9(commencing with Section
7000)of Division 3 of the Business and Professions Code) or that he or she is ❑ I certify that in the performance of the work for which this permit is issued,I shall
exempt there from and the basis for the alleged exemption. Any violation of not employ any person in any manner so as to become subject to the workers'
Section 7031.5 by any applicant for a permit subjects the applicant to a civil compensation laws of California,and agree that if I should become subject to the
penalty of not more than five hundred dollars($500)): workers' compensation provisions of Section 3700 of the Labor Code, I shall
forthwith comply with those provisions.
❑ I, as owner of the property, or my employees with wages as their sole
Date [/O �/a
compensation,will do the work,and the structure is not intended or offered for Applicant -- --�
sale(Section 7044,Business and Professions Code:The Contractors License
Law does not apply to an owner of property who builds or improves thereon,
or who does such work himself or herself or through his or her own
employees,provided that such improvements are not intended or offered for WARNING:Failure to secure workers'compensation coverage is unlawful,
sale. If,however,the building or improvement is sold within one(1)year of and shall subject an employer to criminal penalities and civil fines up to one
completion,the owner—builder will have the burden of proving that he or she hundred thousand dollars($100,000),in addition to the cost of compensation,
did not build or improve for the purpose of sale). damages as provided for in Section 3706 of the Labor Code, interest,and
attorneys fees.
❑ I, as owner of the property, am exclusively contracting with licensed
contractors to construct the project(Section 7044, Business and Professions
Code:The Contractors License Law does not apply to an owner of property CONSTRUCTION LENDING AGENCY
who builds or improves thereon,and who contracts for such projects with a I hereby affirm under penalty of perjury that there is a construction lending agency
contractor(s)licensed pursuant to the Contractors License Law). for the performance of the work for which this permit is issued(Section 3097,Civil
Code).
❑ I am exempt under Section 7044,Business and Professions Code,for this reason:
Lender's Name
Date Owner Lender's Address
IMPORTANT: APPLICATION IS HEREBY MADE TO THE BUILDING OFFICIAL FOR A PERMIT SUBJECT TO TIIE 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 i `� `_� / / /''` — Title
1 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 ente/ •on the above-. ntioned property for inspection purposes.
�, e
Signat -,'MALL Date /0 cam '
6 (..9(i/64aziai<;(t
Pr,. ,, , , , , ,
.., 6
xi ,. ,,,���� BUILDING & SAFETY DIVISION
lk AE A; -4, 240 West Huntington Drive
.�� �o, Arcadia, California 91006-3104
4P0RATE9-
( 818 ) 5 7 4 - 5 4 1 6
1023 S ENCINO AV PAGE 1 OF 1
Activity No A8801696 08/23/88 13 : 54
Status Project No : AU001059
APPROVED Validated by : CP
Inspector area: 205 This type : Sewer/Street/Sidewalk
Project Date Applied : 08/23/88
Parcel number Date Issued : 08/23/88
Date Finaled
Group-occup/use: Date To Expire:
Owner : TIFFT, FRAN
Applicant : WILLIS CONCRETE
Applicant Addr : 927 SIERRA BLANCA MONROVIA, CA 91016
Job Address : 1023 S ENCINO AV
Phone number : 818-446-8149
Construction : ALT
Permit to do : DRIVEWAY APPROACH
Contractor : WILLIS CONCRETE Lic. C 366561 818-446-8149
This type : OFFSITE
Fee description Units Fee/unit Ext fee Data
To Calculate Deposit
Driveway Approach 3107> 1. 00 10. 00 10. 00
Total Curb Break Project Fees 3107 10. 00
*** Fees Required *** ***
Fees Collected & Credits ***
Receipt No. Date Payment
08/23/88 10. 00
Total Fees: 10. 00 Total Payments: 10. 00
Balance Due: . 00
CALL FOR INSPECTION DECLARATIONS
Requests for inspections should be made at least In accordance with Health & Safety Code, Section
twenty-four hours in advance by telephone at 19825,all required declarations on the reverse side of
574-5416, 8:00 A.M. -5:00 P.M. this form have been properly signed and dated by
the permittee.
Inspectors office hours are:
8:00-9:00 A.M.; 1:00- 1:30&4:30-5:00 P.M. Verified by:
TSI ature
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w, FOR OFFICE U;
CITY OF ARCADIA
ibli ,:. DEVELOPMENT SERVICES DEPARTMENT
7 ARCADIA BUILDING SECTION
f -4 # . A 240 West Huntington Drive
"� % Arcadia, California 91007 CO M PLETED
RpORATo- (818) 574-5416
Page 1 of 1
1023 S ENCINO AV 04/06/95 15: 08
Permit No. : A9500881 Autoproj No : AU013828
Status : APPROVED Validated by : GERI
Inspector area: 205
This type : Roofing Project Applied : 04/06/95
Issued : 04/06/95
Parcel number : 5780-014-008 Finaled
Group-occup/use: To Expire .•
Owner : TIFFT
Applicant : J W ROOFING SERVICES
Applicant Addr : 745 E VALLEY BL, #127 SAN GABRIEL, CA 91776
Job Address : 1023 S ENCINO AV
Phone number : 818-572-9797
Class code .•
Valuation 9 , 100
Construction : ALT
Permit to do : T/0 & REROOF HOUSE & GARAGE (26 SQ)
CONTRACTOR : J W ROOFING SERVICES Lic. C 662149 818-572-9797
Roofing Material > FIRE FREE
Fee description Units Fee/Unit Ext fee Data
Original Permit Issue Fee (YES/NO) > 35. 00 Y
Enter Valuation 9100
Roof Fee 3104> 206. 10
Refuse Fee 3027> 6. 25
*** Fees Required *** *** Fees Collected & Credits ***
Receipt No. Date Payment
04/06/95 247 . 35
Fees: 247 . 35
Adjustments: . 00 Total Credits: . 00
Total Fees: 247 . 35 Total Payments: 247 . 35
Balance Due: . 00
Will the applicant or future building occupant handle a hazardous material or a mixture containing a hazardous material
equal to or reater than the amounts specified on the Hazardous Materials Information Guide?
LIYES CI NO
Will the proposed building or modified facility be within 1000 feet of the outer boundary of a school?
Ll 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
I have read the Hazardous Material Information Guide and the SCAQMD Permitting Checklist. I understand my
requirements under the Los Angeles County Code, Title 2, Chapter 2.20, Section 2.20.100 throuoh 2.20 140 nnn- rninr,
NO OPERATION . OPERATION NOTES
Building Inspections Date Insp. Plumbing Inspections 1 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. Roush'as
104. Floor joists 214. Shower pan
105. Steel 215. Water heater
106. Grout lift 216. Roof drains
107. Shear nailing 217. Building sewer
108. Diaph nailing 218. Water service
109. Roof nailins 219. Final gas
110. Framing 220. Fixtures
111. Occ./Area Sep.Wall 221. Final plumbing
112. Sound walls 222. Sewer cap/demo.
113. T-bar grid
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 shell/bonding
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&signs
122. Final demo/lot clear 247. Pool heater
248. Final electric
Electrical Inspections Date I Insp. 249. Final Plumbing
150. Power pole -- 250. Pool cover
151. Sales lot lie htinS 251. Pool final
152. Underground conduit
153. Underslab conduit Reroof Inspections Date 1 Insp.
154. UFER ground 270. Pre-reroof insp. °*Q°1" 1
155. Water ground 271. Roof framing AV
156. Roush electrical 272. Sheathin• nailin. 0•r' to
157. Fixtures 273. Final reroof Milani 158. G.F.C.I.
159. Eqpt.bonding Si.n Inspections Date I Insp.
160. Service panel 280. Setback/overhang
161. Final electric 281. Footing
282. Conduit/wirin.
Mechanical Inspections Date Insp. 283. Disconnect --
180. Venting/flue 284. Final sign --
181. Furnace/A.C.
182. Rouch HVAC Miscellaneous Insp. Date I Insp.
183. Fire dampers 290. Fire alarm --
184. Furnace compartment 291. Underground sup.l
185. Combustion air 292. Fire sprinklers --186. Smoke detectors 293. Monitors stem
187. Metal F.P.rough 294. Hood dry chem.
188. Compressor setback 295. Final
189. Commercial hood
190. Duct shaft Sewers&Offsite Insp. Date I Insp.
191. Final mechanical 300. Lateral(main to P/L)
- 301. Saddle/Y
Block Wall Inspections Date Insp. 302. Cesspool filled
200. Footings 303. Sidewalk
201. Steel/rebar 304. Drivewa
202. Grout lift 305. Curb replacement
203. Final wall 306. Trash bin
Q o £ t odd $ ZL< d sd ZmW a
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F-
ooa2
�IZ'Y OFD. /'~, ..� FOR OFFICE USE
•' ej ��
' BUILDING & SA
�At • ����� to, SAFETY DIVISION Mtn
E ` I i 240 West Huntington Drive "'rLL TED
r�� ��' Arcadia, California 91006-3104
°Rl'ORATo ( 818 ) 574 - 5416
C
1023 S ENCINO AV Paso 1 of 1
Permit no. A9201628 05/18/92 12 : 17
Status Autoproj No : AU008664
APPROVED Validated by : CYN
This type Inspector area: 205
YP : Mechanical Project Applied : 05/18/92
Issued : 05/18/92
Parcel number : 5780-014-008 Finaled
Group-occup/use: •
To Expire •
Owner : TIFFT
Applicant : AAA GRANGER'S A/C CO
Applicant Addr : 16336 ARROW HWY IRWINDALE, CA 91706
Job Address : 1023 S ENCINO AV
Phone number : 818-579-3680
Class code .
Valuation 0
Construction : ADD
Permit to do : REPLACE HTG & ADD A/C (8 ' MIN SETBACK)
CONTRACTOR : AAA GRANGERS HEAT & A/C Lic. C 273569 818-579-3680
Fee description Units Fee/Unit Ext fee Data
Original Permit Issue Fee (YES/NO) 33 . 15 Y
Forced-air Unit to 100, 000 Btu/hr> 1 14 . 05 14 . 05
Boiler/Compressor to 3 HP 3105> 1 14 . 05 14 . 05
*** Fees Required *** *** Fees Collected & Credits ***
Receipt No. Date Payment
05/18/92 61 . 25
Fees: 61. 25
Adjustments: . 00 Total Credits: . 00
Total Fees: 61. 25 Total Payments: 61. 25
Balance Due: . 00
.1
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-
quirements under the I nc Anncicc r,,,,.,4., (' J T:.i_ ., „, . .. __ _
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a„ a
• "" FOR OFFICE USE
(*1110944 h
BUILDING & SAFETY DIVISION
Al '� " QNiPLE TED
240 West Huntington Drive T
ffii
Arcadia, California 91006-3104
fNC\�AT/p A
( 818 ) 574 - 5416
/ Page 1 of 1
1023 S ENCINO AV 05/18/92 12 : 19
Permit NO. : A9201629 Autoproj No : AU008664
Status : APPROVED Validated by : CYN
Inspector area: 205
This type : Electrical Project Applied : 05/18/92
Issued : 05/18/92
Parcel number : 5780-014-008 Finaled .•
Group-occup/use: To Expire .•
Owner : TIFFT
Applicant : AAA GRANGER'S A/C CO
Applicant Addr : 16336 ARROW HWY IRWINDALE, CA 91706
Job Address : 1023 S ENCINO AV
Phone number : 818-579-3680
Class code .
Valuation 0
Construction : ADD
Permit to do : WIRING FOR HVAC
CONTRACTOR : AAA GRANGERS HEAT & A/C Lic. C 273569 818-579-3680
Fee description Units Fee/Unit Ext fee Data
Original Permit Issue Fee (YES/NO) 33 . 15 Y
over 1 to 10 HP,KW,KVA, KVAR > 1 11. 60 11. 60
*** Fees Required *** *** Fees Collected & Credits ***
Receipt No. Date Payment
05/18/92 44 . 75
Fees: 44 . 75
Adjustments: . 00 Total Credits: . 00
Total Fees: 44 . 75 Total Payments: 44 . 75
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.
❑ YES ❑ NO
I have read the Hazardous Material Information Guide and the SCAQMD Permitting Checklist. I understand my re-
nuiramante
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ADDRESS'OL3 Enet„O IkUP, OWNER SJil`ZMSAraLtGS
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STRUCTURE bbI • CONTRACTOR VI\P 4111111=
DATE - ,. ■ -ERM IT I IN CTED REMARKS PLAN NO. • a,
POWER POLE
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RO. PLUMB. StY$� mill, `T .
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ADDRESS __.__;]._ 11'• ( �� 1 \•OWNER ....' ` 1 L- ..
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PLAN NO.
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Owner /10 b%h s o h Bros I Length Date Insp.
Contractor M. /ford e k I 7_7 I , I
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271
Pipe & Joints
Street Locati��on/9 IS L !`3�° : T-r.R e.41 G-i�:.__5,%T
LOCATION 10 Z1 hC`»o Ft V e , VALUE $ ` S 00
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LOT ?_i J BLOCK TRACT 1 $ 2.4.1
OWNER "-- 01p,wnsorn 3roz 1
BUILDING aVA Q. 1. ")%o-Vt. ?-_I
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SEWER I`c^K/M� fCI<. `J\ a.7 -q"S {O e! /
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FIXTURES " 'S .,
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ELECTRIC I54fl g.3 -J-r,=,GAS g7 31 $ -29 - r PLAN NO.10017
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