HomeMy WebLinkAboutOld permits Development Services Depart nt —''�
:-•.. I. 240 West Huntington Drive,rJffice Box 60021 PEI �T NO. BOO-013-332
•m, ..r.
'YG' Arcadia,CA 91066-6021
City of (626) 574-5416,Fax(626)447-9173 Permit Type: Electrical
Arcadia
PROJECT TRACT NO. LOT NO. APPLICATION DATE ISSUED BY PRINT DATE PERMIT STATUS
8/8/2002 CS 15:56 8/8/2002 Issued
PROJECT ADDRESS ASSESSORS PARCEL NO. GEO CODE
1030 Encino Ave 5780-016-007
OWNER MAILING
ALBA,JORGE Min PHONE
MAa. DD Inspector#: 205
EIS EMAIL ADDRESS:
APPLICANT MAILING ADDRESS
ALBA,JORGE PHONE NO. (626)255-9356
OWNER EMAIL ADDRESS:
CONTRACTOR/PROFESSIONAL MAILING ADDRESS
OWNER/BUILDER PHONE NO. FAX NO.
EMAIL ADDRESS:
r
License No. Type: Expires:
TENANT MAILING ADDRESS
PHONE NO. FAX NO.
DESCRIPTION
UPGRADE SERVICE TO 100 AMP
Construction Type UOM #of Units Value Construction Type UOM #of Units Value
OCCUPANCY: Dwellings TOTAL VALUATION: $0.00
QTY UOM DESC AMT AMT PAID ACCT QTY UOM DESC AMT AMT PAID ACCT
1 flat Elec Issue Auto $40.25 $40.25 01-3105
1 each Res service $14.10 $14.10 01-3105 9,//OIL
Totals for: 01-3105 $54.35 $54.35 /(` 04/
each SWMF 2 Auto $1.00 $1.00 88-3027 f/,/� iNi2 �y/. 7�y Totals for: 88-3027 $1.00 $1.00 /V 7 4/�' U/��
Total Fees: $55.35 Total Amount Paid: $5535 Paid Today: $55.35
This permit/plan review expires by time limitation and becomes null and void if the work authorized by the
permit is not commenced within 180 days from the date of issuance or if the permit is not obtained within 180
days from the date of plan submittal. This permit expires and becomes null and void if any work authorized by
this permit is suspended or abandoned for 180 consecutive days or if no progressive work has been verified by ii,
a 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 9:00 a.m. 7:30 a.m.to 9:00 a.m.
by telephone at(626)574-5416 for onsite work. 4:00 p.m.to 5:30 p.m. 4:00 p.m.to 4:30 p.m.
(Closed on alternate Fridays)
(tA
0 PERMIT/PLAN REVIEW At JLICATION
Development Services Department, 240 West Huntington Drive, Post Office Box 60021
'a\t/ Arcadia, CA 91066-6021, (626) 574-5416, Fax (626) 447-9173
City of
Arcadia
LICENSED CONTRACTOR'S DECLARATION WORKERS' COMPENSATION DECLARATION
❑ I hereby affirm under penalty of perjury that I am licensed under provisions of I hereby affirm under penalty of perjury one of the following:
Chapter 9, commencing with Section 7000, of Division 3 of the Business and
Professions Code,and my license is in full force and effect. ❑ I have and will maintain a certificate of consent to self-insure for workers'
License Class License No. Exp.Date compensation, as provided for by Section 3700 of the Labor Code, for the
Signature of Contractor performance of the work for which this permit is issued.
OWNER—BUILDER DECLARATION Li I have and will maintain workers' compensation insurance,as required by Section
3700 of the Labor Code,for the performance of the work for which this permit is
❑ I hereby affirm under penalty of perjury that I am exempt from the Contractors issued. My workers'compensation insurance carrier and policy number are:
License Law for the following reason(Section 7031.5, Business and Professions
Code: Any city or county which requires a permit to construct, alter, improve, Carrier
demolish,or repair any structure,prior to its issuance,also requires the applicant
for such permit to file a signed statement that he or she is licensed pursuant to the Policy Number
provisions of the Contractors License Law(Chapter 9(commencing with Section (This section need not be completed if the permit is for one hundred dollars or less.)
7000) of Division 3 of the Business and Professions Code) or that he or she is ❑ I certify that in the performance of the work for which this permit is issued,I shall
exempt there from and the basis for the alleged exemption. Any violation of not employ any person in any manner so as to become subject to the workers'
Section 7031.5 by any applicant for a permit subjects the applicant to a civil ompensation laws of California,and agree that if shou d become subject to the
penalty of not more than five hundred dollars($500)):
workers' compensation provisions of Section 37 i I I .bor Code, I shall
forthwith comply with those provisions. f III/`
I, as owner of the property, or my employees with wages as their sole �r `�,�r�
compensation,will do the work,and the structure is not intended or offered for Date $I O ((i Z- .,//,/
Applicant ,l
sale(Section 7044,Business and Professions Code:The Contractors License \
Law does not apply to an owner of property who builds or improves thereon, dill
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' compensa rn 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
who builds or improves thereon,and who contracts for such projects with a CONSTRUCTION LENDING AGENCY
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:
OUbA til sr✓ KJvi �CI F✓
ate Lender's Name
l [01 �Owner V Q 4 Lender's Address
IMPO TANT: APPLICATION IS HEREBY MADE TO THE BUILDING OFFICIAL FOR A PERMIT SUBJECT TO THE CONDITIONS AND
REST TIONS 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.
,' dn,„ � pNat fu, i„a Title old tAk r
// 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 ci ply with all City ordinances and State laws relating to building construction. I hereby authorize representatives of the City of
Arcadia to enter u'.1 II,11;��'ove-mentioned property for inspection purposes.
Date J (ot.Signatutp
i
6qzfg/Acac&l2
II:/� 1;- II BUILDING & SAFETY DIVISION
it 'A' ADIA 410 240 West Huntington Drive
"4i ' Arcadia, California 91006-3104
f�cO\ATE/�� ( 818) 574 - 5416
PAGE 1 OF 1
1030 S ENCINO AV 09/02/88 14 : 29
Activity No : A8801908 Project No : AU001182
Status : APPROVED Validated by : LB
Inspector area: 205
This type : Sewer/Street/Sidewalk Project Date Applied : 09/02/88
Date Issued : 09/02/88
Parcel number Date Finaled .
Group-occup/use: Date To Expire:
Owner : BABAJIAN
Applicant : WILLIS-CONCRETE CONSTRUCTION
Applicant Addr : 927 SIERRA BLANCA DR MONROVIA, CA 91016
Job Address : 1030 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
Driveway Approach > 1
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
09/02/88 10 . 00
Total Fees: 10. 00 Total Payments: 10 . 00
Balance Due: . 00
CALL FOR INSPECTION DECLARATIONS
In accordance with Health & Safety Code, Section
Requests for inspections should be made at least
twenty-four hours in advance by telephone at 19825,all required declarations on the reverse side of
574-5416, 8:00 A.M. -5:00 P.M. this form have been properly signed and dated by
the permittee.
Inspectors office hours are: Verified by: L\/
8:00-9:00 A.M.; 1:00- 1:30&4:30- 5:00 P.M. Signature
as.
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JOB ADDRESS
AN
NUMBER STREET
APPLICATION FOR A
(� `� BUILDING PERMIT /�
V t `,J^ BUILDING&SAFETY DIVISION �I r'!a g
l v CITY OF ARCADIA,CALIFORNIA au
1 OWN R J _e 1 TEL.NO
„..3 MAILING ADDRESS
i O 2_0 i-4„.c c.x1y-
'.i ARCH. TEL.NO.
ENGR.
CONTRACTOR^1 A ' 3(j e�+7
IV MAILING ADDRESS. CITYyLIC. NO.
CITY TEL.NO.
f '
CONSTRUCTION TEL.NO.
LENDER
DESCRIPTION OF WORK
NEW❑ ADD'N❑ ALTER❑ REPAIR DEMOLISH 0
FLOOR AREA GARAGES OR TO AL
[\..., MAIN BLDG CARPORTS AREA
cp NO.OF NO.OF DWELLING
STORIES UN ITS
Ul PRESENT BLDG.USE PROPOSED BLDG.USE
in' DESCRIBE WORK '�l��►�C�t,(/*/ ,, y
i TO BE DONE >,J`JZ U����L-w4c,..7 `L .
EXTERIOR WALL MATERIAL ROOF FRAMING MATERIAL
PARTITIONING MATERIAL ROOF COVERING AAATEIVAL
Nee, 5ktAke..
NOTE:Include Labor,Mat„ i 2 3 go C+� •�.
VALUATION Wiring,Plumb.,Heat,Etc.
LOT BLOCK
NO. — NO. TRACT
LOT LOT DIST. FACE OF
WIDTH DEPTH CURB TO P.L. FT.
NOTE:PROVIDE PLOT PLAN ON BACK SIDE OF ORIGINAL COPY ONLY
INFORMATION BY BLDG.SECTION
o
USE FIRE OCCU-
ZONE ZONE PANCY _u-)
1 EQ'D FRONT RIGHT SIDE LEFT SIDE REAR 12
SET Q
BACKS _ a
TYPE OF SPECIAL Z
CONSTR. CASE NO. 0
V
PLAN NO. CHECKER'S
APPROVAL PLAN CEF,1
I{f r
I have carefully read and examined the above application and
find the some to be true and correct. All provisions of the Laws PER F -.,
and Ordinances governing building construction will be complied �J (),/
with whether specified herein or not.No person shall be employed
in violation of the Labor Code of the State of California. I agree s.M.l.P. �".�
not to occupy or allow occupancy of any building authorized by this 6 J
permit until fi I building inspection has been received.
TOT L FbrE
o✓L2/YN'' , r 1,4 td
SIGNATURE OF OWNER OF AUTHORIZED AGENT
40111%. .alok
CONST.....:TION PROHIBITED BETWEEN 7:00 P.M.AND 7:00 A.M. OO I
AND ON SUNDAYS AND HOLIDAYS AS PER ORD.#1321.
INSPECTION RECORD
AIN
BASIC INSPECTIONS
T E M INSPECTOR DATE
TRENCHES:WIDTH DEPTH
1st FLOOR JOIST
FRAMING
LATH
FINAL '7 / /)`�
PARTIAL OR MISC.INSP T1O �/
UNSUCCESSFUL TRIPS
ITEM INSP. DATE ITEM INSP. DATE
SET BACKS i FRONT R SIDE L.SIDE REAR INSP. DATE
FIELD CHECKS
TO APPLICANT:PLEASE DO NOT WRITE ABOVE THIS LINE
PLOT
Location/D 5 v five /A/0 A V E
A"•g-`3 t^ Sewer Permit No.5 95-4 Co. No.
Lot E Blk. Tract /g 9.44 / I Legend '• `F
Owner 1 o jo/ii 5 op; /3 I O S I Length Date Insp.
Contractor fr7. ItUre i c l) I S - I if
I
L._ - s
).N-----—-° a
I I
3 _ .,
Pipe & Jointe' IV
Street Location 10 S Lj G
i
LOCATION mac) E,nei n 0 g 0 e . VALUE S 1 (o IMO
IJ ui e I I 1 ',Net . Ga_rdge.
LOT BLOCK TRACT 12,z-4-'
OWNER To b.%vsor r ds.
BUILDING Sex ink e 1-_,70- re, _ a.1 102
PLUMBING(1)erl in L Getrie.s 3-(0-s& ou's
HEATING Norris Fr �lJ�'�. 1---1-J� B�+ib�it,
SEWER /.0,ac (e/��1 5----9'-5-L, -? lJ �O(-�
WIRING F, D , " ! C l�l,n sIvf-c -9 sJl� (1 2. ?S
FIXTURES
ELECTRIC 1$4 Q I 'l .30,tr. GAS g'Z bZ %_1-.- PLAN NO./0017
ADDRESS 10%0 E•tctr b %lie•OWNCR M04.-��Q„Xr1�•
irk STRUCTURE �dii�ONTRACTOR 1VA P -
DATE PERMIT INS TED JJ REMARKS PLAN NO.10011
POWER POLE
FORMS 2A 1 bg E....,v,i,..t,7.
RO. PLUMB. 3pnteS NEMI +GAS $rpm Cl `t' • TO STREET _
SEWER Q.� . 3--i - ) Cf W.C.
FURNACE _31 0 1 ta `',/ ' ��' VENT■-6INS7.
RO. WIRE 1 12..8 v 1Air
CURB AIMI
FRAME I/.S i �
LATH bAff_C;
ELEC. FIX. '-iC1z.Q) I 3c Z eJJ ��
PLUMB FIX. 3Qgbs A C 1,.
ELECTRIC Iw o/ _ c ) GAS 7 --S--'—
SUB-CONTRACTORS,rM —6 4
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