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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,
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