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HomeMy WebLinkAboutOld permits •__ `�+. CITY OF ARC A9114 ,.� i Development Service C ment PEI :T NO. $QQ_00$_024 -. " 240 West Huntington rive-P.O. Box 60021 64 !Fr.-Am, '• Arcadia, CA 91066-60 N ' (626)574-5416 Permit Type: Roofing PROJECT TRACT NO. LOT NO. APPLICATION DATE ISSUED BY PRINT DATE PERMIT STATUS 11/27/2000 CS 8:30 11/27/2000 Issued PROJECT ADDRESS O ASSESSORS PARCEL NO. GEO CODE 1033 Encino Ave 6 �� UL p 5780-014-006 OWNER �� D MAILING A �� DDRE Strampe,Ruth D 1033 Encino Ave PHONE NO. Inspector#: 205 , CA - EMAIL ADDRESS: APPLICANT MAILING ADDRESS PHONE NO. EMAIL ADDRESS: CONTRACTOR/PROFESSIONAL MAILING ADDRESS CULVER CITY ROOFING CO 5741 ADAMS PHONE NO. (323)930-1311 License No. 496542 LOS ANGELES,CA 90016 EMAIL ADDRESS: Type: C39,HIC . Expires: 8/31/2002 TENANT MAILING ADDRESS PHONE NO. EMAIL ADDRESS: DESCRIPTION I/O&REROOF HOUSE&GARAGE(32SQS)COMP SHINGLE 40 YR Construction Type UOM #of Units Value Construction Type UOM #of Units Value Value Value 11,288.00 $11,288.00 OCCUPANCY: Reroof TOTAL VALUATION: $11,288.00 OTY UOM DESC AMT AMT PAID ACCT QTY UOM DESC AMT AMT PAID ACCT Flat Bldg Issue Auto $40.25 $40.25 01-3104 each Bldg permit $270.65 $270.65 01-3104 Totals for: 01-3104 $310.90 $310.90 Flat SWMF Auto $6.25 $6.25 88-3027 Totals for: 88-3027 $6.25 $6.25 acor 6 i-I is-4-114 IA-6. 0.K. Vto /z •/Z•ib /‘11 ,_ . . 'Dotal Fees: $317.15 Total Amount Paid: $317.15 Paid Today: $317.15 This permit/plan review expires by time limitation and becomes null and void if the work authorized by the permit is not commenced within 180 days from the date of issuance or if the permit is not obtained within 180 days from the date of plan submittal. This permit expires and becomes null and void if any work authorized by this permit is suspended or abandoned for 180 consecutive days or if no progressive work has been verified by a City of Arcadia building inspector for a period of 180 consecutive days. CALLS FOR INSPECTION INSPECTORS OFFICE HOURS ARE Requests for inspection should be made at least Monday-Thursday Fridays one(1)business day in advance of the inspection 7:30 a.m.-9:00 a.m. 7:30 a.m.-9:00 a.m. by telephone at(626)574-5416 for onsite work. 4:00 p.m.-5:30 p.m. 4:00 p.m.-4:30 p.m. , CLOSED ON ALTERNATE FRIDAYS DEVELOPMENT SERVICES DEPARTMENT•FORM#6600•ARCADIA PRINTING SERVICES nor �► City of Arcadia Development Services Department ;,..c. 240 West Huntington Drive- Post Office Box 60021 Arcadia, CA 91066-6021 Ii. . �M (626) 574-5416 R. r.A?" • �`�,� PERMIT / PLAN REVIEW APPLICATION LICENSED CONTRACTOR'S DECLARATION WORKERS' COMPENSATION DECLARATION it, 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. c� O I have and will maintain a certificate of consent to self-insure for License Class £-3Ci License " -�yZ- Exp. Date J'3k 0 2.- workers' compensation, as provided for by Section 3700 of the Labor Code, for the performance of the work for which this permit is issued. Sig lure of Contractor: 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 issued. My worker's compensation insurance OWNER - BUILDER DECLARATION carrier and policy number are: • I hereby affirm under penalty of perjury that I am exempt from he Contractors License Law for the following reason (Sec. 7031.5, Business nd Carrier: .\1 AzYs-c-e..__ -r---4-\`� Professions Code: Any city or county which requires a permit to construct, alter, improve, demolish, or repair any structure, prior to s issuance, also requires the applicant for such permit to file a signe Policy Number. V.) C 2y ? � � � statement that he or she is licensed pursuant to the provisions of the (This section need not be completed if the permit is for one hundred dollars or Contractors License Law (Chapter 9 (commencing with Section 7000) of less). Division 3 of the Business and Professions Code or that he or she is exempt there from and the basis for the alleged exemption.Any violation of Section 7031.5 by any applicant 01 certify that in the performance of the work for which this permit is for a permit subjects the applicant to a civil penalty of not more than issued, shall not employ any person in any manner so as to become subject five hundred dollars($500): to the workers' compensation laws of California, and agree that if I should become subject to the workers' compensation O I, as owner of the property, or my employees with wages as their sole provisions of Section 3700 of the Labor Code, I shall forthwith comply compensation, will do the work, and the structure is not intended or with those provisions. offered for sale (Sec. 7044, Business and Professions Code. The Contractors License Law does not apply to an owner of property who Date: Applicant: 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 sale. If, however, the building or improvement is sold within one (1) year of completion, the owner - builder will WARNING:Failure to sears workers'compensation coverage is unlawful,1,and shell have the burden of proving he or she did not build or improve for the subject an employer to id b One Hundred Thousand purpose of sale). Coitus($100,000),in add lion to the cost of compensation,damages as provided fer In ❑ I, as owner of the property, am exclusively contracting with licensed contractors to Section 3706 of the tabor Coda,interest and attorneys fees construct the project (Sec. 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 contractor(s) licensed pursuant to the Contractors License Law). CONSTRUCTION LENDING AGENCY I hereby affirm under penalty of perjury that there is a construction ❑ I am exempt under Sec. B.&P.C.for this reason lending agency for the performance of the work for which this permit is issued(Sec. 3097, Civ.C.). Lender's Name: Date: Owner: Lender's Address: t 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. Construction activity is prohibited between the hours of 7:00 p.m. and 7:00 a.m. and on Sundays and Holidays. 2.The City's -pproved plans and permit inspection card must remain on the job site for use by City inspection personnel. 3. Final insp-ction of the work authorized by this permit is required.A Certificate of Occupancy must be obtained prior to use and occupancy of new buil-'ings and structures. NAM': 10.rnJi ` i� TITLE: )Pe'2PCt0∎'N (-00C2 17N4\v431e- •-IN N. I ertify 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 f the owner.I agree to comply with all City ordinances and State laws relating to building construction.I hereby authorize representatives of e City of Arcadia to enter -the_ bove-mentioned property for inspection purposes. \ �7 SIGNATU--. t (\ DATE: \ \- 2- C 1■ OWNER'S CERTIFICATION 4•14,, LOCAL STORM WATER POLLUTION PREVENTION PLAN FOR SITES UNDER 2 ACRES DISTURBED AREA ONLY Form ‘i417 trio �� j,, —isturbed area less than 1/4 acre RroaArL°'s' ❑ Disturbed area between 1/and 2 acres Project Name o© � BUILDING/GRADING PERMIT NUMBER Project Location 1 33 SCNC-k•C\ 4-64-) 6f a) Owner Name �C�' r� Contractor Name Cam` - • Address .c 33 arc\Yno Address Si y\ \-0 1.4", c \v C7 Phone 624 44 L c, Phone 3z3 c-t3o ti\ \ FAX FAX of Z9 The National Pollutant Discharge Elimination System (NPDES) is the portion of the Clean Water Act that applies to the protection of receiving waters. Under permits from the Los Angeles Regional Water Quality Control Board (RWQCB), certain activities are subject to RWQCB enforcement. To meet the requirements of the Los Angeles County Municipal Storm Water Permit (CAS614001), minimum requirements for sediment control, erosion control and construction activities must be implemented on each project site. Minimum requirements include: SEDIMENT CONTROL: Eroded sediments from areas disturbed by construction and from stockpiles of soil shall be retained on site to minimize sediment transport from the site to streets, drainage facilities or adjacent properties via runoff,vehicle tracking or wind. This will be accomplished by(check all that apply): ❑ Sand Bags ❑ All work will be completed between ❑ Silt Fence April 16 and October 31 Ei Other (describe) CONSTRUCTION MATERIALS CONTROL: Construction related materials, wastes, spills or residues shall be retained on site to minimize transport from the site to streets, drainage facilities or adjoining properties by wind or runoff. Runoff from equipment and vehicle washing shall be contained at construction sites unless treated to remove sediment and pollutants. This will be accomplished by(check all that apply);,.1'Ilowing the BMP pamphlets guidelines ❑ "Blueprint for a Cleaner Ocean" ❑Other (describe) Owners Certification ereby certify that I have read, understand and will comply with the requirements indicated above: •--rty Owner or Authorized R-!resentative(signature) (printed) Title Date SITES WITH DISTURBED AREAS GREATER THAN Y ACRE MUST SUBMIT A SITE PLAN SHOWING SIZE AND LOCATION OF BMP'S TO BE USED. ADDITIONAL INFORMATION MAY BE REQUIRED BASED UPON A REVIEW OF THE SUBMITTAL "ni nc nc noinIMAI nnr'f inecNir is no ir_F BUILDING AND SAFETY DIVISION ph., �a BUILDING City of Arcadia PERMIT 240 W. HUNTINGTON DR., ARCADIA, CA 91006 • TEL. (213) 446-4471 0 a 44% 1 Building f U.B.C. Type Occ. V Address /l /J C/ /f Q Jve Edition Const. Group �' Lot Block Tract Occ. F. D.Appr. Date H. D.Appr. Date No. Load Required Required v Owner Use Zone Special Case No. "Mf sfires vii Pe Mailing 1 o, Homeowners Association Approval Date Address !03 3 .E.h--i N a Ca, City Zip Tel. Lot iv 444f -1634i Size Contractor Special 4, 54411 e c er F: "5 �0 Conditions Address (� r. C NOTE: Include: C� S u r VALUATION Labor,Material, Plumbing,Etc. $S 2 S u- City Zip Te Misc. FEE f/I Tel._g16jG ' '7-3014 ; State Lic. City Private &Classif. a.//, / Lic. No. 9£9'4 Swimming Pool/Spa 11 Public Arch., Engr., Sign-Pole❑ Wall ❑ Designer . Address Tel F Temporary❑ Projecting❑ i City Zip State E Fee Based on Total Sq.Ft. Lic. No. E Proposed S PLAN CHECKING FEE Construction fiQ S.M.I.P. S.n r) f\/1 Permit Fee 6 �_ ,erri�/y .e,/,S Floor ain Accessory Total Processed by p �" Area , )y TOTAL S? ©t New❑ • .d.❑ Alter.❑ Repair❑ Demolition❑ Permit No. Plan No. Date LICENSED CONTRACTOR'S DECLARATION WORKERS'COMPENSATION DECLARATION I hereby affirm that 1 am licensed under provisions of Chapter 9(commencing with Section -IIC hereby affirm that I have a certificate of consent to self-insure,or a certificate of VII)of Division 3 of the Business and Professions Code,and my license is in full force and _' orker's Compenion Insurance,or a certified copy the��Q"f c.'3¢QQ,Laborr,,C/pde.) effect. . icy No. __ J--_____-- ____Company V / b' n'� OWNER-BUILDER DECLARATION is filed Certified copy is Ex..Date with the City. hereby furnished. ❑ I hereby affirm that I am exempt from the Contractor's License Law for the following CERTIFICATE OF EXEMPTION FROM reason:"Sec.7031.5.Business and Professions Codes.Any city or county which requires a WORKERS'COMPENSATION INSURANCE permit to construct,alter,improve,demolish,or repair any structure,prior to its issuance (This section need not be completed if the permit is for one hundred dollars($100)or less.) also requires the applicant for such permit to file a signed statement that he is licensed pursuant to the provisions of the Contractor's License Law,Chapter 9(commencing with ❑ I certify that in the performance of the work for which this permit is issued,I shall not Section 7000)of Division 3 of the Business and Professions Code, or that he is exempt employ any person in any manner so as to become subject to the Workers'Compensation Law therefrom,and the basis for the alleged exemption.Any violation of Section 7031.5 by any of California. applicant for a permit,subjects the applicant to a civil penalty of not more than five hundred NOTICE TO APPLICANT:/f,after making this Certificate of Exemption you should become dollars($500).'' subject to the Workers' Compensation provisions of the Labor Code,you must forthwith comply with each provisions or this permit shall be deemed revoked. I,as owner of the property,or my employees with wages as their sole compensation,will CONSTRUCTION LENDING AGENCY o the work,and the structure is not intended or offered for sale."Sec.7044.Business and Professions Code:The Contractor's License Law does not apply 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.(Sec.3097,Civil Code.) provided that such improvements are not intended or offered for sale. /f, however, the Lender's Name building or improvement is sold within one year of completion,the owner-builder will have the burden of proving that he did not build or improve for the purpose of sale.'' Lender's Address ❑ I,as owner of the property, am exclusively contracting with licensed contractor to construct the project."Sec.7044,Business and Professions Code:The Contractor's License I certify that I have read this application and state that the above information is correct.I Law does not apply to an owner of property who builds or improves thereon,and who con- agree to comply with all city and county ordinances and state laws relating to building tracts for such projects with a contractor(s)licensed pursuant to the Contractor's License Law." construction,and hereby authorize representatives of this city to enter the above-mentioned property for inspection purposes. ❑ 1 am excempt under Sec. ,B.&P.C.for the reason Signature of Applicantd/Irtrna n//.!-4,....,� Date r 7d—S/2' Mailing Address __.._ //7J. Owner City,State,Zip This is a building permit when properly filled out,signed and validated, INSPECTOR COPY and is subject to expiration if work thereunder is suspended for 120 days. INSPECTION RECORD FOUNDATION: (Gr. Certif. Comp. Tests, Set- INSPECTION NOTES backs,Forms,Reinf.Steel, Excavation. FLOOR SLAB/JSTS., GIRDERS: Mesh, Vap. Barrier,Blkg.,Spans,Access,Vents,Tr.Lmbr. MASONRY: Reinf., Mortar Jts., Grout Lifts, Clean-Outs,Bolts. ROOF SHTG.:Nailing,Diaph.Blocking,Material Grade and Thickness, Roof Drains. — FRAMING:Walls,Raft.,Jsts.,Blocking,Bracing, Nailing,Backing, Diaphr. Draft Stops. INSULATION: Thickness, R-Values, Piping, Sound Caulking. FIREWALLS: Material, Thickness, Dampers, Doors,Closers, Fusible Links. INTERIOR:LATH/DRY WALL:Nailing,Supports, • Laps,Joint Reinf. EXTERIOR LATH/SIDING: Mesh, Fasteners, Laps,Paper,Thickness,Backing. FINAL INSPECTION: Finish Grading Certif., Slope Plant., Energy Compl. Card Posted, Pkg. Access, Fire Doors, Exit, Locking De- vices, Landings, House Numbers, Weather Stripping,Pl./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. JOB ADDRESS Jak, /033 A/c)/✓.° NUMBER STREET APPLICATION FOR AN ELECTRIC PERMIT BUILDING & SAFETY DIVISION CITY OF ARCADIA, CALIFORNIA OWNER TEL.NO. t.1J, e. ST,444, W MAILING ADDRESS / 3 3 eA/C i,vv Ui CONTRACTOR STATE LIC.NO. . UI c/ , (J , ,VoL-M ELtiC7, r9N3X5/0 MAILING ADDRESS CITY LIC.NO. CITY TEL.NO. 7 E,L4 L F e I Ty Veig-4'P,77 0—; New Exist. No. Serv. Reconnect ❑ Bldg. Bldg, ❑ Charge ❑ or Reseal JI I OUTLETS,BASE PLUGS,SWITCHES,FIXTURES @ 20p EACH !/JD P3 MOTORS l`Y Oto 1 HP @ 1.00 1 OVER 1 HP to 3 HP @ 1.50 I 1 / OVER 3 HP to 8 HP @ 2•00 4/A2 CD/Web r r0J0 0 OVER 8 HP to 15 HP @ 2.50 1 J OVER 15 HP to 50 HP @ 3.00 I p. OVER 50 HP to 100 HP @ 5.00 1 a OVER 100 HP to 500 HP @ 10.00 1 • S. OVER 500 HP @ 15.00 I 1 HEATING CABLE UNIT @ 1.00 l RANGE OVEN HEATERS @ 1.00 t 1 KIT. FAN DISPOSAL DISHWASHER @ 1.00 o I FURNACE CLOTHES DRYER HAIR DRYER @ 1.00 1 / RESIDENTIAL ENTRANCE SERV. 100 A MIN. @ 3.00 3 I QQ COMMERCIAL ENTRANCE SERVICE @ 6.00 I ADDITIONAL SERVICE METERS @ 1.00 j - 1 TEMPORARY POWER POLE @ 2.00 i TEMPORARY UNDERGROUND POWER POLE @ 5.00 TEMPORARY SALES LOT LIGHTING @ 10.00 1 220 V POWER OUTLET @ 1.00 I I MISCELLANEOUS I I I I have carefully read and examined the *bow application and know the eam•to be true and PERMIT FEE @ 2:00 correct. All provisions of the Laws and Ordi- nances *overmans this type of canstruetion will SUPPLEMENTARY be complied with whether mentioned herein or PERMIT FEE not. No person shall be employed In violation of the Labor Cede of the State of California. INVESTIGATION FEE �) /� TOTAL FEE 7 yd SRE OF CONTRACTOR OR Jotiv"--- MIa, A UTHORIZED AGENT ANN., CONSTRUCTION PROHIBITED BETWEEN 7:00 P.M. AND 7:00 A.M. AND ON SUNDAYS AND HOLIDAYS AS PER ORD. #1321. INSPECTION RECORD deks BASIC INSPECeIONS ollik INSPECTOR DATE ...._ ORC4iND WORK . . - t ---1 i ROUGH t . FiNISH, , • • . . FIXTURES. . • f ' 01-1:;01Prr' TZ7.07 FINA1.. EA E'TO PUBLICS py, . •SeLAI , -3 . PARTIAL OR MISC. 'LCTION _ ( 1 t [ 1 . , i UNSUCCESSFUL TRIPS ! ±---- ., 1 . I 1 , RECORD INFORMATION U.G. I TEMP.OK TEM .CONSTR. NO OF METERS I - LI I LfTE _WIRE I PWR PHASE HEAT._ KW RANGE 1.-- OVEN ,r TABLE TOP 1 W.HTR, I DRYER ...1 i i I L E. OTHER RES. APPLIANCES OVER 2 KW. TOTAL KW OR HP. TOTAL HP. S 43 3'I elik ..... JOB ADDRESS /0.3.3 4.7/1/e//2/6) NUMBER - STREET APPLICATION FOR A HEATING, VENTILATING, AIR- CONDITIONING OR REFRIGERATION PERMIT (.),1 ,a BUILDING 8 SAFETY DIVISION ty CITY OF ARCADIA, CALIFORNIA OWNER (I / + STJFA /�A PE TEL NO Os MAILING ADDRESS ST RA!�'' CGNTR /Q33 E4✓C'/�r✓a STATE LIC. NO. ) / �f— S 6c lx e _ /5-76 z(:, S MAILING ADDRESS, CITY DC NO t\-) r'GC' • �o s e rk,ga 34r�' //K'/6 CITY TEL. NO �' 1D-cA rz DESCRIPTION OF WORK C) Sr HEATING . AIR CONDITIONING LI REFRIGERATION ❑ VENTILATION FEE COMPUTATION N VALUATION --- $/57166—AS" / GJ D v 0 DEESCERIBE WORK t ` J / /4/s>/7 i,11/PCV fur/Jeep 0 c.7(d/` cg p' Qc of liaK I2p / /� tom" ,v ct�co`f ca1ar i J u�A C�'uc HEATING APPLIANCES (VENTINCLS (INSTALLED, ALTERED, REPLACED, REPAIRED OR RELOCATED, TYPE B.T.U. FEE ,c,46( ",ad CIRCULATING AIR OUTLETS OR INLETS REFRIGERANT COMPRESSORS (INSTALLED OR REPLACEDI OUANTITY OVER INCL ACTUAL H.P. RATE I FEE 3 0 20 2O SO SE UP I have carefully read and examined the above i • application and know the same to be true and PERMIT FEE correct.All provisions of Laws and Ordinances INVESTIGATION covering this type of construction will be com- plied with whether specified herein or not.No person shall be employed in violation of the /�aIV/f Labor Code of the State of California. TOTAL FEE I/J1 r SIGNATURE OF CONTRACTOR OR AUTHORIZED AGEN FORS(REV. 11.621 2M ©f AIN MMr e,, INSPECTION RECORD ITEM INSPECTOR • DATE ROUGH HEATING- ROUGH REFRIG OR AIR COND. DUCTS- , �N 1'7 '" 0 • FINAL HEATING-- rp `' Z7IO FINAi REFRIG- OR AIR COND. PARTIAL OR MISC. INSPECTIONS 1 • • • • • • • • • - i - i - UNSUCCESSFUL TRIPS • • LOCATION 1033 ne tl►1ro 'l o - VALUE $ , 9 o eo t� lL Ga ro LOT ' BLOCK TRACT 12 2.4-1 Q-1 OWNER i*:,binnvn Nbros . BUILDING Some PLUMBING Cflerl i n L eccCles -A-st' DIG(0 HEATING -%arms Fr or p- ■ _T�(tt 3L012_ SEWER xr1,641- L{Mt/I� } ,S vim✓ 1 ' gy�V WIRING F, S , �� �t rist Y`1i 1-_11_Sr. 11 ' FIXTURES / Q ELECTRIC 153a`/ v/y0� GAS p4457 — 7-3 PLAN No.10017 • • ADDRESS '0-3-a "^ 1NeONfINER ''` L ONTRACTOR STRUCTU PEDAL/ � • CTED REMARKS PLAN NO. , , PERMIT INS' CTED POWER POLE FORMS _ j�l �/_!El/ r�►�/������ . �� A�F�7I7.%LZ" .; RO_PL'UMB. /���/_r�/�'JI� TO STREET _ : (car LEV =LDG. GAS r , S -ft - . W.C. ,/� SEWER !v VENT !�-7 I . FURNACE _ �y !0 � /� / RO. WIRE I 11 I -BMW' CURB �+ / FRAME �/� LATH / e�1� �_1w/ ` ELEC. FIX. 1 { : 1 I '/i''��'`' 'S -/ PLUMB FIX. + a6iG I�f..�7 �/ ELECTRIC i'a"�Z ` ~' GAS _ 7- r cI IR_CONTRACTORS 7,4/c f, / I Location /0 3 3 f C I N O A V F 5-c;-3-4 Sewer Permit No. f3 q.516,, Co. No. � Lot / Blk. Tract (Q`,l Legend �V V � Owner 'O b j,„7 S C ores I Length Date Insp. Contractor ti. K e r d j e k I '.S l:—l'`' \-.l' I Ir, t r 1 Pipe & Joints'i' Street Location