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HomeMy WebLinkAboutOld permits BUILDING AND SAFETY DIVISION City of Arcadia MISCELLAf�"=OUS AND OFF—SITE 240 W. HUNTINGTON DR., ARCADIA, CA 91006 • TEL. (818)574-5416 PERMIT itwIdmq f 1 " �y Addre:. 0- . j?OG,/ Ylf C/ 61. %/'t,� MISCELLANEOUS FEE RECEIPT Owner l O__ ard C e" O f #- PLAN CHECK FEE FOR VAL. Moir, I�3�—/'�e( ►?l © - V , 0 Address r CASH BOND FOR C' RC I , r,0 4 tg-4 7 Qr?€1 0 GRADING PLAN CHECK ia Con$racfor f F'y/)� _TTY- Q 0 GRADING PERMIT Address d c�AN/'V t,l` p HOUSE MOVING_____,- City 114� I Zip 7=O� � PARKS AND RECREATION FEE 0 ROUTE INSPECTION FEE Stole Lit. ��// City � 8 Clossif. p."' I Lit. No. LICENSED CONTRACTOR'S DECLARATION 0— -------- --- — I j I hereby affirm that I am licensed under provisions of Chapter 9(commencing with Section 7b7t0 I of Division 3 of the Business and Professions Code,and my license is in full force and -- -- effect. O__ _-- OWNER-BUILDER DECLARATION ` El I hereby affirm that I am exempt from the Contractor's License Law for the following TOTAL FEE reason:"Sec 7031.5.Business and Professions Codes.Any city or county which requires a it WARNING,PLAN CHECK FEES. WHERE NO ACTION IS TAKEN BY'THE permit to construct.alter,improve,demolish,or repair any structure,prior to its issuance APPLICANT IN 180 DAYS AND NO BUILDING PERMIT IS ISSUED,FEES ARE also requires the applicant for such permit to file a signed statement that he is licensed FORFEITED TO THE CITY. pursuant to the provisions of the Contractor's License Law.Chapter 9(commencing with Section 7000)of Division 3 of the Business and Professions Code, or that he is exempt therefrom,and the basis for the alleged exemption.Any violation of Section 7031.5 by any SEWER PERMIT applicant for a permit,subjects the applicant to a civil penalty of not more than five hundred PERMISSION IS HEREBY GRANTED TO MAKE SEWER CONNECTIONS AT dollars(5500).'' I,as owner of the property,or my employees with wages as their sole compensation,will o the work,and the structure is not intended or offered for sale."Ser.7044.Business and Professions Code;The Contractor's License Law does no;apply to an owner of property who LOT BLOCK TRACT 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 LOCATION fLATERAL building or improvement is sold within one year of completion,the owner-builder will have SADDLE the burden of proving that he did not build or improve for the purpose of sale.'' SEWER PLAN NO. CESSPOOL FILL I. as owner of the property,am exclusively contracting with licensed contractor to ; 3.00 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- tracts for such projects with a contractor(s)licensed pursuant to the Contractor's License Law." INSPECTED )98 El I am excempt under Sec.___ ,B.&P.C. for the reason TOTAL p BY BY Date rt-'_Sri- owneL./1 .aa-.. Le.1�a aSL CURB AND SIDEWALK WORKERS'COMPENSATION DECLARATION CURB BREAK I hereby affirm that I have a certificate of consent to self-insure,or a certificate of REPLACE CURB FT. Worker's Compensation Insurance,or a certified copy thereof.(Sec.'3800,Labor Code.) Policy No. _ DRIVEWAY APPROACH FT. Y Company SIDEWALK ❑ withCopy is City. Certified copy is Exp.Date /��` i I /if.) �� the City. ❑hereby furnished. I I INSPECT �- TAL FEE CERTIFICATE OF EXEMPTION FROM WORKERS'COMPENSATION INSURANCE z (This section need not be completed if the permit is for one hundred dollars($100)or less.) STREET CUT N ❑ I certify that in the performance of the work for which this permit is issued,I shall not ESTIMATED SIZE OF PATCH AMOUNT OF DEPOSIT employ any person in any manner so as to become subject to the Workers'Compensation Law nl of California. ® /SO.FT, l7 NOTICE TO APPLICANT:lf,after making this Certificate of Exemption you should become ACTUAL SIZE.OF PATCH AMOUNT CHARGED subject to the Workers'Compensation provisions of the Labor Code,you must forthwith /SO.FT. -I comply with each provisions or this permit shall be deemed revoked. 0 AMOUNT REFUNDED X I certify that I have read this application and state that the above information is correct.I RECEIVED FROM STREET DEPT. agree to comply with all city and county ordinances and stale laws relating to building n construction,and hereby authorize representatives of this city to enter the above-mentioned INSPECTION FEE O property for inspection purpose t INSPECTED 198 BY 71 Signature of Applican ✓j 4" Dale Tar` ^ it p PERMIT FEE Mailing Address City,State,Zip AllOr TOTAL FEES This is a building permit when properly filled out, signed and validated, 09-08-86 1CL0923 TOTAL 1.0.00 and is subject to expiration if work thereunder is suspended for 180 days. APPLICATION FOR BUILDING PERMIT Application is hereby made for the approval of the specifications and plans herewith submitted frr 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 / 2 l ,? (Sign here),... - r -0 - City License No / ..5� 2.S Lot Block Tract I X1'1 Zone Fire District Street Address._./.4.. x, 1. ..,i •P 1. Purpose of the BuildingC: Number of Rooms Kind of Construction 2. Roof JJ //- ,/ 3. Owner's name # GN�.�1.�J Telephone No.1 (, a/S- 4. Owner's address...Z63..6'. d :& 5. Architect's name 6. Builder's name-_/.C2_W"1.1- _.CQ-5 !X- �.:-y—SIU./41 2Y�-- /1./C.. p f jl.lS� .t.Z. I _ _. S._f�f('Tele hone No.- . :... 7. Builder's address._ 6 2 4/2) e r Pc, �xx4�-� 6 Q � 8. Estimated value of proposed improvements $ 9. Will the building be erected on the front or rear of lot? P Y .-10. Size of lot x Size of building / S x. `V 0 11. Number of stories in height .Floor Area 12. Will there be a cellar or basement- Size // / ... Dated Arcadia, California,..- .. .L.- 19, B-49 NM& Oft W _ P i.C 4 .. •••4 0 1 - - K.) - i-z( N c P Ciz (r) 1/1 yy-, i 0 'CrN ,-- c ;........ - - BUILDING AND SAFETY DIVISION BUILDING City of Arcadia PERMIT 240 W. HU NTINGTON DR., ARCADIA, CA 91006 • TEL. (213) 446-4471 (Building "v U.B.C. Type Occ. Address /0, Q.- ,-t..i~.-.4,--w..,c; Edition (Const. Group Lot Block Tract Occ. F. D.Appr. Date H. D.Appr. Date No. Load Required Required Owner Use Zone Special Case No. Mailing Homeowners Association Approval Date Address k. City Zip Tel. Lot Size Contractor . Special . i ;;,. { i ,xr. A: .. ..- Conditions Address NOTE: Include: / [ - ( VALUATION Labor, Material, Plumbing, Etc. $ f C ` <.... City , Zip, Tel. Miser FEE . (,. . . . . State Lic. City ❑Private &Classif, d i C' I Lic. No / r • Swimming Pool/Spa ❑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 S PLAN CHECKING FEE Construction - , , S.M.I.P. /. Permit Fee • Floor Main Accessory Total Processed by Area TOTAL J� New❑ Add.❑ Alter.❑ Repair❑ Demolition p Permit No. Plan No. Date LICENSED CONTRACTOR'S DECLARATION rte. WORKERS'COMPENSATION DECLARATION S I hereby affirm that I am licensed under provisions of Chapter 9(commencing with Section �'7 hereby affirm that I have a certificate of consent to self-insure,or a certificate of of Division 3 of the Business and Professions Code,and my license is in full force and Worker's Comensation Insurance,oya certified copy therepf.(Sec.'3,$00,Labor Coe.) effect. Policy No. '..r .___Company OWNER-BUILDER DECLARATION Q Copy is filed ❑Certified copy is Exp.Date with the City. hereby furnished. I • 1 ❑ 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 I hereby affirm that there is a construction lending agency for the erformance of the work Professions Code:The Contractor's License Law does not apply to an owner of property who B B Y P 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. 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 ❑ 1,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. ❑ I am excempt under Sec.__________,B.&P.C.for the reason Signature of Applicant Date Mailing Address _ `Date Owner City,State,Zip _ This is a building permit when properly filled out, signed and validated, FILE COPY and is subject to expiration if work thereunder is suspended for 180 days. .+vo ,yuUKt55 NUMBER STREET APPLICATION FOR A BUILDING PERMIT BUILDING & SAFETY DIVISION CITY OF ARCADIA, CALIFORNI• OWNER .filiaTEI.NO. 01 MAILING AD.R'SS CO A C / ' 0 LIE N- 1 Lys'l6-~ 1.\:' TEL.NO. ----- CONTRACTOR '� _" MAILING ADDRESS J 1∎4.1.x. J STATE LIC.NO. �C I CITY LIC.NO. I-J ��`, TEL.NO. ON t....4 DESCRIPTION OF WORK ---0 NEW ❑ ADD'N i ALTER __._'_'_------- FLOOR AREA ❑ REPAIR [] DEMOLISH ❑ (SO.FT.) CO .0.: NO.OF NO.OF DWELLING PRESENT BLDG.U E STORIES UNITS PROPOSED BLDG.USE �!' DESCRIBE WORK �e/T` G- TO BE DONE O NOTE: PROVIDE PLOT PLAN ON BACK SIDE OF ORIGINAL COPY ONLY 0" EXTERIOR WALL MATERIAL 1 ' C.C`e, ROOF4Jfg0©Mi;" PARTITIO�NIINnG/ MATERIAL _ Cam'lJ'/�' ROOF ZING MATERIAL- WIDTH 7� �1Dc9p ����`_ IOT 7 -a NO.OF EXISTING ---- DEPTH /'k•v BLDGS.ON LOT VALUATION Wiring IPumb.L°Heat,MEfc. INFORMATION PROVIDED BY BLDG. SECTION x + , LOT — NO. BLOCK _--__.______ NO. TRACT '•2 yI USE '� FIRE ZONE ZONE PANCY �f" SEC. `? REO'D FANC _ SH. SET FRONT RIGHT SIDE LEFT SIDE i. BACKS - REAR K TYPE OF O SPECIAL ` CONSTR. v CASE NO. Q GRADE ce Approval Information by Others ®_0 CI TY Y ENGINEER DIST. FACE OF CURB TO P. L.10____ SEWER DRIVE FT. AVAILABLE OVER PUBLIC SERVICE _ - PLANNING PLAN CK.FEE WATER ELECTRIC pp PLAN NO. �� CHECKER'S AP RpVAL ' PERMIT FEE 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 TAI,FEE governing building construction will be complied with whether speci- U tied herein or not. No person shall be employed in violation of the Labor Code of the State of alifornia. I agree not to occur of any building eat orized by this .. it u or allow occupancy 7t II tin buil,ing i speetion has been received. .ate G• TURE OF(D`' NER OR AUTHOR ED AGENT FORM B-S1 (REV. 7-6I) 1M ®e Nl I INSPECTION RECORD •.► BASIC INSPECTIONS ---'-"- INSPECTOR DATE 111 BIM - ITEM TRENCHES: WIDTH—1---DEPTH 1st. FLOOR JOIST------------------ ------111111111111— , P��•� D r� FRAMING---------------'-'- BIFENIMI LATH---------------------------------- ------------------ � ��a FINAL_------__-___--- PARTIAL OR MISC. INSPECTIONS /4/a 1111111111111111 1111111111M 11111111W1 -- UNSUCCESSFUL TRIPS ®® DATE 11. -■ ■ DATE 1111111 SI L.L SIDE FRONT SET BACKS FIELD CHECK TO AP PLOT` PLEASE DO NOT WRITE ABOVE THIS LINE PLOT 1111■■■■ 1111■■ 1111 1111111111111111111111 ■ ■1111■ 1111111111111111111111 ■ ■ 1111■■■1111■ 1111 ■1111■ 1111■ 1111■1111■ ■�■■■11 ■i■11 ■ ■1111■■■ ■ 1111 ■ ■11 ■INN NMI • 111110111.1 — el 47 - APPLICATION FOR A J,t , BUILDING PERMIT BUILDING II SAFETY DIVISION IV CITY OF ARCADIA, CALIFORNIA OWNE• �.� TE . NO.4110' y— ;�/N MAILIN G ADDRESS Q i vLr . 5' CONTRACTOR ^^ TEL NO. f^-4 [.: 'A/Ad: ,;.• STATE LIC. NO. MAILING ADD', SS �'� CITY LID. NO -,..1 TEL. NO to CONSTRUCTION -O LENDER TEL NO. DESCRIPTION OF WORK NEW F OOR AREA ADD'N ❑ ALTER "" REPAIR ❑ DEMOLISH❑ MAIN BLDG GARAGES OR CARPORTS TOTAL (A NO. OF NO. OF DWELLING AREA UNITS ©,14 N) PRESENT BLDG USE PROPOSED BLDG USE ,....0 4=4 L. �± Iv. DESCRIBE WORK 54^AE- TO BE DONE - „✓- 4444'i y c L • - 1 �' EXTERIO• WALL MATERIAL ROOF FRAMING G MATERIAL S J< `� PARTITIONING MATERIAL L.c'j V ���t� ROOF COVERING MATERIAL ,�lZl EG CQQ 'iviAt6 jr VALUATION NOTE:Include Labor,Mat. LOT Wiring, Plumb., Heat, Etc.,O pe.Cf 0 NO. BLOCK —� NO, LOT �— TRACT WIDTH LOT DIST FA �_ DEPTH_ FACE OF NOTE: PROVIDE PLOT PLAN ON BACK CURB SIDE O P L FT. OF ORIGINAL COPY ONLY INFORMATION BY BLDG. SECTION USE FIRE ZONE OCCU-OCCU- 1 REQ'D FRONT �PANCY /_�_ N SET RIGHT SIDE LEFT SIDE °= BACKS O TYPE OF ,.- cc CONSTR. SPECIAL cc CASE NO. PLAN NO. -- Z CHECKER'S v0 APPROVAL � hove carefully read and ezom,ned the `' PLAN CK find the some to be true a above a and Ordinances and correct PP of anen and '/ with whether s •,overning building construction lswilll be complied PERM I F E• in with h wheth ofp, ed Labor efein or Iof No person shall be employed not permit occupy• llow occupan of any sbuieldiinf California agree S M.IP until .wilding i .pectin 9 ived by this - /"s •-e received. I O / TOT EE e. SIFNATURE OF •''NER O• v� ,,77/ ,� PI.' A THORIZED AGENT CON JCTION PROHIBITED BETWEEN 7:00 P.M. AND 7: ,^k —_ AND ON SUNDAYS AND HOLIDAYS AS PER ORD.«1321 A.M. Ot_ INSPECTION Ktwm.., /w BASIC INSPECTIONS DATE T E M M TRENCHES'. WIDTH DEPTH 1st FLOOR JOIST FRAMING aimerak, LATH II11 MI FINAL PARTIAL OR MISC. INS CTIO ' UNSUCtE55fUL TRIPS �� pATE ® m. DATE FRONT SIDE L. SIDE SET BACKS FIELD CHECKS TO APPLICANT: PLEASE DO NOT WRITE ABOVE THIS LINE PLOT iiiiiiiiiiiiJiii '°r �°rrrr�°� ■rrrrr■ 11111 �� 0.11I ©3 a MISCELLANEOUS FEE RECEIPT BUILDING & SAFETY DIVISION CITY OF ARCADIA, CALIFORNIA RECEIVED OF MAILING ADDRESS as f-s OWNER (.)t S�9Jrtir TEL. NO MAILING ADDRESS c S- h1 Ls• FOR: ❑•PLAN CHECK FEE FOR VAL. $3 49 00 00 H ❑CASH BOND FOR (.)4 ❑GRADING Cr) ❑PLASTERING L,.. 1 ❑ HOUSE MOVING 0 0 0 0 TOTAL FEE $ 38 REMARKS 1.7 ARNING• PLAN CHECK F' S, 'HERE 1 / FO IN NINETY (90) DAYS AND N 0 ACTION IS TAKEN BY THE ED TO THE CITY. O BUILDING PERMIT IS ED. ARE FORM 8-58 (REV. 11-62) 1M Or L '_ l,Un • ilk — . 6, APPLICATION FOR AN 1 ELECTRIC PERMIT l / �,J BUILDING & SAFETY i CITY OF ARCADIA DIVISION OWNER CALIFORNIA I / MAILING AD RE �+�! TEL NO. CONTRACTOR ._�tic "` } 1`;C' 3 V _'--R. STATE LIC. NO. AA• LING ADDRESS • ' CITY LIC NO t TEL. NO New ❑ Es Bldg. Bldxig.t. a No. Sere Charge . 0 Reconnect or Reseal _ OUTLETS, BASE PLUGS, SWITCHES, FIXTURES e 305 EACH MOTORS .0 to 1 Hp 1.50 i r • 11111 OVER 1 HP to 3 HP • @ 2.50 -OVER 3 HP to 8 HP 3.00 -OVER 8 HP to 15 HP 3.50 -OVER 15 HP to 50 HP @ 10.00 -OVER 50 HP to 100 HP @ 25.00 --OVER 100 HP to 500 HP (a? 30.00 OVER 500 HP @ 3.50 --HEATING CABLE UNIT DISPOSAL DISHWASHER 1.25 RANGE OVEN HEATERS 0 1.25 • - DRYER KIT. FAN CLOTHES HAIR DRYER @ 1.50 • -FURNACE -RESIDENTIAL ENTRANCE SERV @ 1.50 NS ENTRAN COMMERCIAL 100 A MIN. @ 3.00 ENTRANCE SERVICE ■ S ADDITIONAL SERVICE METERS @ 6.00 II TEMPORARY POWER POLE @ 2.00 @O III TEMPORARY UNDERGROUND p 3.00 11111 TEMPORARY OWER POLE @ 5.00 SALES LOT LIGHTING MI 220 V POWER OUTLET @ 10.00 III MISCELLANEOUS @ 125 ' • I have careful) above a Y read and examined t be true fcorrecfd know the sameto PERMIT FEE @ ■ the Laws and Ordinances All overningns of 3 00 whet of constru. on will be complied with SUPPLEMENTARY FEE person she herein or not. No PERMIT FEE the Labor ., employed in violation of 1.75 • ,/of the to e of Ca'for 'a, INVESTIGATION ' �.�. �. FEE 'GNATURE OF TOTAL FEE / �' AUTHORIZED R C OR OR AGENT Ilk CONSTRUCTION PROHIBITED AND ON SUNDAYS AND BETWEEN 7:00 P.M. AND 7: HOLIDAYS AS P 7:00 A.M. ER ORD. X 1321 INSPECTION RECORD Amik BASIC INSPECTIONS DATE INSPECTOR GROUND WORK 1I01111111 ROUGH 111 FINISH I. FIXTURES MO FINAL RELEASE TO PUBLIC SERV V INSPECTIONS PARTIAL OR MISC. _ INIIIMIIIIIIIIIIINIIIIIIIIIIIIII ONIIIIIIIMIIIIIIIIIIMMIIII UNSUCCESSFUL TRIPS ini RECORD TINFORMATION CoNSTR NO OF METERS EMP OK TEMP off NMI"PWR_______—PHASE IIIIMIIII Mill DRYER OTHER RES A OVEN TABLE TOP APPLIANCES OVER 2 KW. . TOT AL HP 3 TOTAL KW OR HP SCI) 4) Al.ik ANN N IBER ' c 'Af v STREET APPLICATION FOR AN `" I) c ELECTRIC PERMIT ir t\) /i( BUILDING Et SAFETY DIVISION /.., OW ER CITY OF ARCADIA, CALIFORNIA - 1`. —�DDRES'�L �` /5/4.1y S,C.a �TEL NO MAILING ADDRES / +�t ,61 if aJwS.rZ c- CONTRACTOR �"`p- .�.. J td.!^i'�_'t • STATE LIC NO (J] MAILING ADDRESS �� 1 lb� CITY LIC. NO 0) dr...."'" '"'""'TEL. NO New Bld Exist g' Bldg. ❑ No Serv. Charge Reconnect � or Reseal `� OUTLETS, BASE PLUGS, SWITCHES, FIXTURES e 30t EACH (y (j MOTORS v?„ ,� 0 to 1 Hp 4:4 1111 @ 1.50 OVER 1 HP to 3 HP • C -OVER 3 HP to @ 2.50 ' o8HP 3.00 • Sr OVER 8 HP to 15 HP @ 3.50 -OVER 15 HP to 50 HP @ 10.00 • -OVER 50 HP to 100 HP 25.00 -OVER 100 HP to 500 HP @ 30.00 III500 HP -HEATING @ 3.50 • CABLE UNIT DISPOSAL DISHWASHER 1111 RANGE OVEN 25 HEATERS -K17, FAN CLOTHES DRYER @ 1.25 IIIFURNACE HAIR DRYER @ 1.50 @ 1.50 -RESIDENTIAL ENTRANCE SERV. 1pp A MIN. @ 3.00 • -COMMERCIAL ENTRANCE SERVICE ADDITIONAL SERVICE METERS @ 6.00 • @ 2.00 TEMPORARY POWER POLE - OUND TEMPORARY UNDERGROUND @ 3.00 POWER POLE @ 5.00 TEMPORARY SALES LOT LIGHTING III 220 V POWER OUTLET @ 10.00 .MISCELLANEOUS @ 125 • • above carefully application read and examined the be above and and know the some to the to correct. All provisions of ws and Ordinances 3'00 type of construction will be governed. this whether mentioned herein with SUPPLEMENTARY persons •II be em loved not.in violation of 1 75 State of California. INVESTIGATION FEE �/ I � TOTAL FEE .IGNATURE • �`7^ AUTHORIZED A ACTOR OR v GENT / ,ONSTRUCTION PROHIBITED BETWEEN 7:00 P.M ^ AND 7:Ov ..4.M.AND ON SUNDAYS AND HOLIDAYS AS PER INSPECTION RECORD r� !r • BASIC INSPECTIONS ITEM DATE INSPECTOR -� GROUND WORK ,,iy�C ROUGH ,- ao,/ Mil FINISH ���� FIXTURES FINAL RELEASE TO PUBLIC SERV lg-- PARTIAL OR MISC. INSP CTIONS 111111 .11 MN MN 111111111111111111111111111 ---- II 11111111111111111111111111 UNSUCCESSFUL TRIPS mii RECORD TINFORMATION coNSTR NO OF METERS EMP OK TEMP off 111° DRYER OTHER RES OVEN TABLE TOP APPLIANCES OVER 2 KW. TOTAL HP. 3 CP TOTAL KW OR HP S ell\ Ails J NUMBER �4 /'V AI% /' ' STREET �tJ r G APPLICATION FOR A ' �� PLUMBING PERMIT SAFETY DIVISION le, OWNE5 •�/ OF ARCADIA, CALIFORNIA /`/ ft/ 'I �`'1 MAILING AD�r S -- L MINIM TEL. NO. -ice C3 C r C•• ••C OR — C M'ILING, n.J -s IP II 9pD'ESS �// STATE C O. ii rri (� / CITY LIC. NO. ..to TEL. NO. FEE C•MPUTATION f 1 ' •1. ' -r, BATHTUBS Cu SHOWERS FLOOR DRAINS REP WATER N7 SH CLOSETS PANS LAVATORIES in • S • 1-1. IMIN111111111ftwai - GARBAGE DISPpggls DRINKING FOUNTAINS ��INF � ;__ DENTAL UNITS 0-1 TOT•L NO. OF Ago LAUNDRY TUBS VE IX' RES WATER HEATERS 0 1.75 7 AND/OR VENTS /� �°? 2.00 WATER SYSTEMS 2.00 5 OUTLET ADD, OUTLET _ @ 1.75 @ .50 EACH LAWN SPRINKLE• SYSTEMS ;73-'--EMS 0 2.00 SAND TRAPS @ 10.00 ■ CLARIFIERS @ 10.00 ■ GREASE TRAPS @ 10.00 ■ WATER SOFTENERS @ 2.25 SWIMMING POOL -P- ' TRAP @ 2.00 SEWER CAP @ 3 00 CESSPOOL FILL SEWER CONN @ 3.00 ECTION ON PROPERTY @ 10,00 I hays carslui:),road and examined th• above application and know the sam b• tru• and correct.All provisions of Laws and Ordinances ' plied dn with h•fh•r,sps�li•du he will not.c No INVES IGATIO 2'00 or Labor Cods of be the SP�Y•d i viol.ion o/ the FEE N • of alit rnia, �j •IGNATURE OF CONTR i0• OR AUTHORIZED AGENT • STRUCTION PROHIBITED #11114, ©I AND ON SUNDAY BETWEEN 7:00 P.M. AND S AND HOLIDAYS AS P 7" ER ORp• ..M. # 1321. INSPECTION RECORD +� BASIC INSPECTIONS pgTE INSPECTOR I T E M GROUND WORK 1641r-� P ROUGH GAS t../7 j PLUMBING TOP OUT HEATING VENTS _M FINAL GAS , FINAL PLUMBING 1102WAIM11111 PARTIAL OR MISC. INSPECTIONS I I I I I 111 I I I la.111 I 111 I I I I I I IM WWI UNSUCCESSFUL TRIPS .. / awe. — ',golly? j.CO NUMBER (S/,' 0 STREET APPLICATION FOR A ‘,C () PLUMBING PERMIT ti BUILDING & SAFETY DIVISION CITY OF ARCADIA, CALIFORNIA OWNER Ki %/ n ` , MAILINGAcD•ESS TEL.NO. ,-• rr_ , ,41111.111b O TO MAILI... ..DDR_..S 't,.,.,��, S LIC.NO. /t IT ' I EO PROPOSED USE USE ZONE FEE COMPUTATION BATHTUBS I CLOTHES WASHERS SHOWERS' REPLACEMENT SHOWER FANS 0 WATER CLOSETS I DRINKING FOUNTAINS LAVATORIES' lie- 1 SINKS, KITCHEN, BAR FLOOR, SERVICE' SAND TRAPS LAI.If.4DRY TRAYS I DISH CLARIFIERS WASHERS GARBAGE DISPOSALS I . —or WATER SOFTENERS WATER HEATERS AND/OR VENTS TOTAL NO. OF ABOVE FIXTURES: 1.00 EA. " LAWN SPINKLER � SYSTEMS: BACK FLOW @ 2.00 EA, • DEVICES: 0.5 DEVICES @ 2.00 ADD.DEVICES SWIMMING POOL PIPING SYSTEM @ 25Q EA, WATER SYSTEMS @ 1.00 @ 1.00 1 AMMAN/GAS SYSTEMS: @ �00 ■ T BOILERS STEAM OR HOT WAT •_m SEWER CONNECTIONS- 00 ON^pROPERyTY .3/ 1.,,,,91,,t, i •SEWER '-OrCESSPOOL I c@ 1.00 EPTI6TA $EA 4.17T 4.17T , -'�- '°`' /OR DRAEP IIVEP `'��-�/�,,' 3.00 el .��(,AI-tier,. C �_ ( /1�.. i'have carefully read and examined the O application and know the same correct. above covering All provisions of Laws to be din and 9 this type of construction will Ordinances � � Plied with whether specified, will be co person sh: be employed i herein or not, m- INVESTIGATION Labor in violation of the FEE "e f the State of California. i �/.- i ��e jT`O�TAL FEE '2 k20 • 4." SIGNATURE OF C•NTRACTOR OR AUTHORIZED AGEN ----- FORM B-52 (REV.7-61)21/2M c e f pSPECTION RECORD 1044 BASIC INSPECTIONS DATE NSPECTOR I T E M GROUND WORK ROUGH GAS-------'------------------- PLUMBING TOP OUT_-. _-- "-- - HEATING VENTS_-------- ---- FINAL c^s----_ MIIIIIIIIII FINAL PLUMBING---------- INSPECTIONS PARTIAL OR MISC.ai..NNIIIIINIII"NIB 111111116VM r 10.6-0-11-1- wi ...taterms_idm implivois ....... UNSUCCESSFUL TRIPS 111111 , lam IIIIININNIIIII. 111,111111111111111111 el ,\: N _e /' 1 4L D N I" 103 NUMBER `ACe • STREET "1114111 APPLICATION FOR A BU Lo MBING PER/NIT CITY i SAFETY bIV1S!ON OWNER OF A RCA DIA, CALIFORNIA MAILING ADDRESS • a& a • ■~ CONTRACTOR k ti� TEL NO. �` OR r1 �e MAILING'i G ADDRESS � , �, STATE LIC.NO. C `y CITY LIC NO ��. TEL.NO. c� W FEE COMPUTATION Vol BATHTUBS I SHOWERS FLOP I REPLACEMENT FLOOR DRAINS WATER CLOSETS EAAENi I SHOWER PANS / LAVATORIES URINALS GARBAGE 11111112111M DISHWASHERS WASHER W GE DISPOSALS DRINKING DISHWASHERS I OUNTgINS �� TOTAL NO. DENTAL UNITS OF ABOVE FIXTURES LAUNDRY TUBS Os- WATER HEATERS A @ 1.50 1 VENTS 2.00 / I WATER SYSTEMS 1 ND/OR I GAS SYSTEMS 0.5 pU LT.S ET 150 CO 1.SD ADD. OUTLET LAWN SPRINKLER SYSTEMS @ .� EACH I I SAND TRAPS @ 10.00 @ 2.00 I CLARIFIERS 1 I 1 GREASE TRAPS @ 10.00 I WATER SOFTENERS 10'00 I 1 SWIMMING POOL "p" TRAP @ 2.00 i SEWER CAP @ 2.00 I r CESSPOOL @ 2.00 I �OOL FILLFILL SEW 1 ER CONNECTION O @ 2.00 I N PROPERTY I @ 5.00 applieahoa�efullY read an --`��- I Correct. and knot d examined a toverina this provisions the Laws to be the above ' tserau With is type of constructionnwi l be coin- PERMIT FEE Person shall et specified herein be coin- INVESTIGATION Labor Code o the cloyed In violation not. he FEE 2' �� State of California. o/ the ,i� TOTAL FEE TUBE I CONST OF CON RACTOR OR AUTHORIZED AGENT RUCTION PROHIBITED BETWEEN AND ON SUNDAYS AND T:OO P.M.N SUNDAYS AND 7:00 p HOLIDAYS AS PER AND 7:00 O R D. A.M. �1 f 6'/3��-3 r Oink STRUCTURE ''OWNER ! _ , - SWIMMING POOL CONTRACTOR H'COUVStijl IS, DATE _I -.�.(� PERMIT �.1 INSPECT D 1 h -----y, PLAN NO. 3' STEEL REMARKS RO. PLUMB. t,i ELEC. COND. ,;'� L� , GAS HEATER AT POOL 111111111111111.111 TO STREET SEWER ROUGH VENT P TRAP DRYWELL FINAL ELEC. . FINAL PLBG. 9 39 / '1 FENCE / Fa �� `� • GATES -m � ITENSI SUBCONTRACTOR GAS r Location /036 E/vC//vo 4 V L /� 3-q—s Sewer Permit No. 63 96`6'-' �l L, Co. No. l Lot 7 BIk. Tract /it.2 4i / I Legend Owner }/�o,bi l7 S Oh ar-D 5. I Length Date Insp. Contractor M Ho r,die' /( _ L.___ r ..._._ 1 3fr ft i Pipe & Joints b'C P- %`^ n, 3 Street Location./ 3 ��13 L .11∎ ■ elk ADDRESS 1 03`Ere.I VI 0 Ili_`.OWNER ! Son Brog- STRUCTURE , • leONTRACTOR P v 1•e DATE t-I/Az +JERMIT INSPE T 0 REMARKS �fiV PLAN NO.t welt POWER POLE FORMS 2_" 0 '# egi RO. PLUMB. 31Y 7 3 f!" GAS 0� .11,„' � 4_ - TO STREET SEWER 5 5-T 3= 1I'J4 4/ W.C. FURNACE _3 1 O'1. t S ROUGH VENT V....5/4/-e U WIRE 1qZq CALL CURB 1 1 AMIE FRAME O� &AV LATH H---- I ��:11 P4 ELEC. 2. Me r fo PLUMB FIX WE!P Z ' -C ELECTRIC J$7 - GAS '7)-70„„47,,z3,41.1 SUB-CONTRACTORS �Pf-j +/ f • ■ t { i i i • LOCATION I 0 3 Ce, +he 1 Y1(nli V e. VALUE $ "p1 Qwa (I ► ng kGcLrcJ LOT BLOCK TRACT ' g Z:11" I OWNER oioknsoln 1-3ros• BUILDING Sa`*`1e 1 1 - 10-S. Z, 1 01 PLUMBING Mrtty L. ( re a_ys rZQ -sr. ^Z g0/ HEATING 1-lax r iT Frs �cD . 1' -I-= 3(cg s- SEWER �Y t � /3`1S15-- WIRING F, D . MC I<iv1s-t r' l� d1-llta 197-1 - ., p FIXTURES ELECTRIC Is+1 - g-27-,--c,„ �-7 GAS f 2.7 2-2'7 7 PLAN NO.%60'7 s 0 0 7 m C7 F/a^r E,. , \ O NIP N S a r S .5 ro-c j-/S .*75, w --' 1