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HomeMy WebLinkAboutOld permits `' '1t Development Services Deparrs't PERM SO. •-, • 240 West Huntington Drive, .,ac Office Box 60021 B00-026-442 )' City of Arcadia,CA 91066-6021 Permit Type: Electrical Arcadia (626) 574-5416,Fax(626) 447-9173 PROJECT TRACT NO. LOT NO. APPLICATION DATE ISSUED BY PRINT DATE PERMIT STATUS 18241 0008 11/30/2006 JB 10:28 11/30/2006 Issued PROJECT ADDRESS ASSESSORS PARCEL NO. GEO CODE 1100 Encino Ave 5780-016-009 OWNER MAILING ADDRESS , Wong, Patrick&Helen 1100 Encino Avenue PHONE NO. (626)446-2322 Arcadia, CA 91006 EMAIL ADDRESS: /1 APPLICANT MAILING ADDRESS Wong,Patrick&Helen 1100 Encino Avenue PHONE NO. (626)436 / / Arcadia, CA 91006 EMAIL ADDRESS: `� % `/� CONTRALTO R/PROFESSIONAL MAILING ADDRESS Owner/Builder PHONE NO. FAX //// EMAIL ADDRESS: , License No. Type: Expires: TENANT MAILING ADDRESS PHONE NO. FAX NO. DESCRIPTION ELECTRICAL UPGRADE TO 100 AMP SERVICE Construction Type UOM #of Units Value Construction Type UOM #of Units Value OCCUPANCY: 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 I each 0-400 Res Ser 14.10 14.10 01-3105 I each SWMF 2 Auto 1,00 1.00 88-3027 �Is��I o I. / r P 21 V aV(./f t Ce ( IltAj' (.e/C ' Total Fees: $55.35 Total Amount Paid: $55.35 Paid Today: $55.35 This permit/plan review expires by time limitation and becomes null and void if the work authorized by the Receipt#: 81327 permit is not commenced within 180 days from the date of issuance or if the permit is not obtained within 01-3105 54.35 180 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) c,,yiFOR; i I .001.11* ANN i PERMIT/PLAN REVIEW APPLICATION ,�4i-b' 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 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 performance of the work for which this permit is issued. Signature of Contractor ❑ I have and will maintain workers' compensation insurance,as required by Section 4 OWNER—BUILDER DECLARATION 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 Policy Number 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 m l 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 c mply with those provisions. ❑ 1, as owner of the property, or my employees with wages as their sole ' ` • L1 , compensation,will do the work,and the structure is not intended or offered for Date � U Applicant /.�- `an AM. 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 exeDifinder tii7.14 Bu ness and Professions Code,for this reason: Lender's Name Date I'15I nb Owner -al-.1 �� Lender's Address IMPORTANT: APPLICATION IS HEREBY MADE TO THE B 1I DING 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 qtalitegAtOr3. ( Title Gkiet I NT 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 enter upon the above-mentioned property for inspection purposes. �� I t 50 (n Signature Date -273 a y � S z. -- •. G 4-N � _ t J City of Arcadia /�{y `i-/ Building and Safety Division ``' PROPERTY INSPECTION REPORT /31.L /1y?1l1 rgVieC-ffr1 , owner of property located at (please print name) 1/Pa eNc/ki0 , Arcadia, California, do hereby give my consent for a property inspection at the above address by the Building and Safety Division. The purpose of the inspection is to investigate work which may have been done without benefit of permits or inspections. The undersigned agrees that any violations found by this inspection will be corrected in compliance with applicable codes and ordinances within thirty (30) days. NOTE: This is not a permit and does not constitute acceptance by this Department. All corrections herein stated must be completed prior to any approval from this Depa ent.t. j Date ) 7 < in 9 Signed: /Z!�C-41.7 INSPECTION REQUESTED FOR: . /C7-1W11 C. . / BUILDING CORRECTIONS REQUIRED: X G c ---S PERMITS REQUIRED: _ E- • Building Demolition Electrical Heating Plumbing ZONING CORRECTIONS REQUIRED: ZONING: Setbacks Lot Coverage Open Area Parking FEE INSPECTO10.�t...$ INSPECTION DATE I / / APPROVAL DATE WHITE COPY — FILE CANARY COPY —APPLICANT DBS-57 % O\A"NER'S CERTIFICATIAN ^ Form For sites ender 1 acre disturbed area OCI To reduce storm water pollution from construction sites R)p4T1f BUILDING/GRADING PER T NUMBER Project Name Project Location - � & Owner Name Contractor Name L Vf C cft3St iloccF . co• Address Address 3t i-oz -vm)e . s (. Cleo Phone Phon& - Z?0 / FAX FAX�c�Z '4 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 (CAS004001), 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. 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. NON STORMWATER RUNOFF: Non stormwater runoff from equipment and vehicle washing and any other activity shall be contained at the project site. EROSION: Erosion from slopes and channels shall be controlled by implementing an effective combination of BMPs (as approved in Regional Board Resolution No. 99-03), such as the limiting of grading scheduled during the wet season; inspecting graded areas during rain events; planting and maintenance of vegetation on slopes; and covering erosion susceptible slopes. Minimum BMPs include:(1)soil piles must be covered with tarps or plastic, (2) Leaking equipment must be repaired immediately, (3) Refueling must be conducted away from catch basins, (4) Catch basins must be protected when working nearby, (5)Vacuum all concrete saw cutting, (6) Never wash concrete wastes in to the street, (7)Keep the site clean, sweep the gutters at the end of each working day and keep a trash receptacle on site. 1111S __:A111.161d0 Certification -•reby certify t .t I h. ore d stan. and ill comply with the requirements indicated above: Or"al 4110 •r%r''• �:=�n'^�7�is+ we(signa = (Name printed) Title Date _=_` Best Management Practices implemented shall include those recommended in the pamphlets describing Stormwater BMPs for construction sites, Blueprint for a Cleaner Ocean, and the California Storm Water Best Management Practice Handbook (Construction Activity). • Development Services Depart t 1: 240 West Huntington Drive,pr )ffice Box 60021 PER1I"NO. B0O-024-564 Ci of Arcadia,CA 91066-6021 Arcadia (626) 574-5416,Fax (626)447-9173 Permit Type: Roofing PROJECT TRACT NO. LOT NO. APPLICATION DATE ISSUED BY PRINT DATE PERMIT STATUS 18241 0008 3/28/2006 JB 10:14 3/28/2006 Issued PROJECT ADDRESS ASSESSORS PARCEL NO. GEO CODE 1100 Encino Ave - ! 11 5780-016-009 , OWNER MAILING AD. b v HUB Wong, Helen&Patrick 1100 Encino Avenue PHONE NO. Inspector#: DON Arcadia,CA 91006 EMAIL ADDRESS: APPLICANT MAILING ADDRESS Lares Construction&Roofing,Cori 8348 Terradell Street PHONE NO. (562)861-1278 Pico Rivera,CA 90660 EMAIL ADDRESS: CONTRACTOR/PROFESSIONAL MAILING ADDRESS Lares Construction&Roofing Corp. 8348 Terradell Street PHONE NO. (562)861-1278 FAX NO. Pico Rivera, CA 90660 EMAIL ADDRESS: License No. 705675 Type: B C39 Hic Expires: 8/31/2008 12:00: TENANT MAILING ADDRESS PHONE NO. FAX NO. DESCRIPTION T/0 AND REROOF HOUSE AND GARAGE WITH 28 SQS OF 30 YEAR CLASS"A"COMP OVER NEW SHEATHING. Construction Type UOM N of Units Value Construction Type UOM #of Units Value Lamin/fibr shing 25-30 yr square 28.00 $4,200.00 Plywood installation square 28.00 $1,400.00 OCCUPANCY: Reroof TOTAL VALUATION: $5,600.00 QTY 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 170.45 170.45 01-3104 g`5'0 Flat SWMF Auto 6.25 6.25 88-3027 1� / i Pft_ ri2r AriC—4,f y - '' 1(‘lO o4, /'yam /Z4ai ?7 Total Fees: $216.95 Total Amount Paid: $216.95 Paid Today: $216.95 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 Receipt#: 78918 days from the date of plan submittal. This permit expires and becomes null and void if any work authorized by 01-3104 210.70 this permit is suspended or abandoned for 180 consecutive days or if no progressive work has been verified by 88-3027 6.25 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 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) �LWOJ/L eft. 1 PERrC T/PLAN REVIEW At i LICATION o\® Development Services Department, 240 West Huntington Drive, Post Office Box 60021 °y•Y.r 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 penalt . • • ry that I am licensed under provisions of I hereby affirm under penalty of perjury one of the following: Chapter 9, commencing •ith Section 71':4 of Divis; the usin..s and Professions Co-•,a . �V license is in full foie and 8 ❑ I have and will maintain a certificate of consent to self-insure for workers' VA License Class � �i„rcense Nq. �A./7 x V/ compensation, as provided for by Section 3700 of the Labor Code, for the performance of the work for which this permit is issued. Signature of Cont • • �'i�i� Gi�L At/L■ olar I have and will maintain workers' compensation insurance,as required by Section OWNER— • =1" gib! • LOOP' 3700 of the Labor Code,for the performance of the work for which this permit is ❑ I hereby affirm • .enalty of perjury th• am exempt from the Contractors issued. My workers'compe s ion sur.nce carr-r and policy number are: License Law for the following reason(Sec on 7031.5, Business and Professions (�1 t7e 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 f (9-7 for such permit to file a signed statement that he or she is licensed pursuant to the 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 perform.• e of the work for whi his permit is issued,I shall exempt there from and the basis for the alleged exemption. Any violation of not employ any person • any manner so as to becom. subject • w.rkeig. Section 7031.5 by any applicant for a permit subjects the applicant to a civil compensation laws of California,and agree that if I shoul• be..• e su•ec to the penalty of not more than five hundred dollars($500)): workers' compensatio provi •.• of Section 3700 .f t or C•• , I shall forthwith amply ,ith t s .rovisio ❑ I, as owner of the property, or my employees with wages as their sole r � 14; — compensation,will do the work,and the structure is not intended or offered for Date ; I,i\�•r (�.i%�i..��� _ 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'co, pensation coverage is unlawful, sale. If,however,the building or improvement is sold within one(1)year of and shall subject an employer to crimina 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 a,• on 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. 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. pC, , Name _f1 W •E .411 •, 0.1■ Title ddrdakf PRINT NAME I certify that I hav• . • • ••lication and^ 9• ' t e above information is correct and that I am the owner or the duly authorized agent of the owner, I agre• • comply with,. ity o ' - d Sta • laws relating to building construction. I hereby authorize representatives of the City of cadia, er upon the ab6v• • e '• • • ••rty for inspection purposes. 06 G4i i�b //".- Date -`k'� Development Services Depart '°� •- • 240 West Huntington Drive,Pt,,,t Office Box 60021 ' PERM .�O. B00-026-273 City of Arcadia,CA 91066-6021 Permit Type: EMP Combo Arcadia (626) 574-5416,Fax (626)447-9173 PROJECT TRACT NO. LOT NO. APPLICATION DATE ISSUED BY PRINT DATE PERMIT STATUS 18241 0008 12/11/2006 JB 11:00 12/11/2006 Issued PROJECT ADDRESS ASSESSORS PARCEL NO. GEO CODE 1100 Encino Ave 5780-016-009 OWNER MAILING ADDRESS Wong, Helen& Patrick 1100 Encino Avenue PHONE NO. spector#: CRIS Arcadia,CA 91006 EMAIL ADDRESS: el,;0r�( t UAW/ ■ IN FILE APPLICANT MAILING ADDRESS -.V, Continental Air Conditioning 3220 Cosbey Avenue PHONE NO. (626)813-2006 �lie'. Baldwin Park,CA 91706 EMAIL ADDRESS: CONTRACTOR/PROFESSIONAL MAILING ADDRESS Continental Air Conditioning 3220 Cosbey Avenue PHONE NO. (626) 813-2006 FAX NO. Baldwin Park,CA 91706 EMAIL ADDRESS: License No. 532536 Type: C10 C20 Expires: 6/30/2006 12:00: TENANT MAILING ADDRESS PHONE NO. FAX NO. DESCRIPTION HVAC INSTALLATION Construction Type UOM #of Units Value Construction Type UOM #of Units Value OCCUPANCY: TOTAL VALUATION: $0.00 QTY UOM DESC AMT AMT PAID ACCT QTY UOM DESC AMT AMT PAID ACCT 1 Flat Mech issue 40.25 40.25 01-3105 1 each Fum<100,000btu 17.00 17.00 01-3105 I each Comp 3-IShp 31.10 31.10 01-3105 I Flat SWMF 2 1.00 1.00 88-3027 Fi Ot q C'' . 11614 it.C. (X,V_C. /2 ic7 Total Fees: $89.35 Total Amount Paid: $89.35 Paid Today: $89.35 This permit/plan review expires by time limitation and becomes null and void if the work authorized by the Receipt ff: tf 1594 permit is not commenced within 180 days from the date of issuance or if the permit is not obtained within 01-3105 88.35 180 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. I CALLS FOR INSPECTION INSPECTORS' OFFICE HOURS ti 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) i l II 4 PERMIT/PLAN REVIEW APPLICATION IF,,oJ Development Services Department, 240 West Huntington Drive, Post Office Box 60021 "°"'oco° Arcadia, CA 91066-6021, (626) 574-5416, Fax (626) 447-9173 City of Arcadia LICENSED CONTRACTOR'S DECLARATION WORKERS' COMPENSATION DECLARATION j'7�1 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 ..- a . . license is in full for - .4I�f- ❑ I have and will maintain a certificate of consent to self-insure for workers' License Clas ' i A 'cense No �//J compensation,ensation, as provided for b Section 3700 of the Labor Code, for the 1'♦ .! Exp.D � p p by Signature of Contractor performance of the work for which this permit is issued. J ❑ I have and will maintain workers' compensation insurance,as required by Section OWNER-BUILDER D, CLA ATION 3700 of the Labor Code,for the performance of the work for which this permit is Li I hereby affirm under penalty of perjury that I am exempt • e 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 Policy Number 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 m y with those provisions. ❑ I, as owner of the property, or my employees with wages as their sole compensation,will do the work,and the structure is not intended or offered for Date I 1 I Applicant 1. i 1, _ it sale(Section 7044,Business and Professions Code:The Contractors License _. Law does not apply to an owner of property who builds or improves thereon, ki ■ 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. Li 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. A Name r;:U=,L l Iit�Oli-I,( Title ,MO PRIN 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 ti • e upon the above- entioned property for ins. tion purposes. • Signature Date 12/l 10(0 1 ` r� ót13e/(9f il Cdr 11111 ��.'_ ' •`_ BUILDING & SAFETY DIVISION .„,1- ARCADIA 240 West Huntington Drive Arcadia, California 91006-3104 fNC\ATE9.90 ( 818 ) 574 - 5416 *. d - • 1100 S ENCINO AV 11/28/90 08:37 Permit No. : A9004928 Autoproj No : AU006014 Status : APPROVED Validated by : CYN Inspector area: 208 This type : Miscellaneous Projects Applied : 11/28/90 Issued : 11/28/90 Parcel number : 5780-016-009 Finaled . Group-occup/use: To Expire Owner : PULLIUM, ROBERT Applicant : PULLIUM, ROBERT Applicant Addr : 1100 S ENCINO AV ARCADIA, CA 91006 Job Address : 1100 S ENCINO AV Phone number : 818-447-1023 Class code . Valuation 0 Construction : OTH Permit to do : REAL ESTATE INSPECTION (SCREENED LANAI) Fee description Units Fee/Unit Ext fee Data Enter Miscellaneous Charges 3107> 43 . 00 43 . 00 R.E. INS *** Fees Required *** *** Fees Collected & Credits *** Receipt No. Date Payment 11/28/90 43 . 00 Fees: 43 . 00 Adjustments: . 00 Total Credits: . 00 Total Fees: 43 . 00 Total Payments: 43 . 00 Balance Due: . 00 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- riiiirAmAntfi iinr1Ar the I nc Annnlnc rnll'1*\. r•n'-In T.H', n r+......a.... n nn c•-_a:_- n nn •nn .____._.._ .. .... _. ... 4901. 1 .T d.■ CigI an'Q > j R �Qgr3DD ) S o❑ O ❑ fl. L mo$. 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T T T IIn . _ . — .d _ E a=o Z z : a N 0 � v OD V O1 ` (OJ( A W N O (0 OND V Obi (NI( O A CO N N 0 (O OD V 1 0) 01 A W C N A 0 (0 Co V 0) 01 r- * O m m x O 5 5 - O m m (p O X r ?7 T 33 * N * W (n T 3) 33 W ; -Ti e CD ?7 31 C7 Vi -o n n m 0 m a m N c (� — 'm_ 'm_ o m o m �. CD c° c° c CO 5 -n m o o m o -1 O m 0 m m m m r t° < O m f m a co c (o m a z m <. c (n Qa (On m o rn tD p 13 m v IS — 0 ' m V 0 G) v (� m z- D" 5 A m " c n T 9. T -c v_ 3 0 +n c Q7 m E g n 3 - 5. m w m 7) m N m c p Z n O O N tD C O Z-4 7 m O m n QD v (A N O O f N 3 m. V 3 p 7 a (133- m 9 ma 'O w w 0 y S m 0 (o cD m m 3 T m a m m 0 Cl) r0 H 3 (� m 0 - _ D O N m Z Z 0 a 0 0 0 0 0 m in In m m T an 'z z co) N y - - ,. .� I Z 0 —I m Cl) V JOB ADDRESS "A' Ai IN 1/06 6),,..„6,0,,,,_ _„ NUMBER STREET APPLICATION FOR AN ELECTRIC PERMIT BUILDING & SAFETY DIVISION CITY OF ARCADIA, CALIFORNIA O R TEL.NO. j_I l:ti-L/ . y7•/GL ? 1 ING e - UI I I/ 4 . .l_.` A... . _ C•4'ACTOR , / / / TATS LIC.NO. Q / a .f40I ...•.. I. a A-, 1 a UI MAILING ADD .:ii ✓ i IT LIC.NOy. Ul III, TEL.NO. s* 410•A • ./. :/ JO "° ❑ �ni Exist. No. Serv. n Reconnect 1..! :dg. pLJ Bldg, jIi Charge El or Reseal I 1 �r1 OUTLETS,BASE PLUGS,SWITCHES,FIXTURES @ 20f EACH f"" MOTORS V//� I / 0 to 1 HP @ 1.00 ,� :/1 0. /i oe) OVER 1 HP to 3 HP @ 1.50 OVER 3 HP to 8 HP I ® 2.00 I .1 OVER 8 HP to 15 HP @ 2.50 W !� 3.00 OVER 15 HP to 50 HP I O OVER 50 HP to 100 HP 0 5.00 I © ® OVER 100 HP to 500 HP 10.00 N. OVER 500 HP 0 15.00 I HEATING CABLE UNIT i @ 1.00 1 RANGE OVEN HEATERS 0 1.00 KIT. FAN DISPOSAL DISHWASHER 0 1.00 FURNACE CLOTHES DRYER HAIR DRYER 0 1.00 I RESIDENTIAL ENTRANCE SERV. 100 A MIN. 0 3.00 COMMERCIAL ENTRANCE SERVICE 0 6.00 ADDITIONAL SERVICE METERS 0 1.00 TEMPORARY POWER POLE 0 2.00 TEMPORARY UNDERGROUND POWER POLE 0 5.00 TEMPORARY SALES LOT LIGHTING © 10.00 220 V POWER OUTLET 0 1.00 I I MISCELLANEOUS I I haw carefully read and examined the above PERMIT FEE 2 00 appllsation and know the same to be true and correct. All provisions of the Laws and Ordi- nances governing this type of construction will SUPPLEMENTARY be complied with whether mentioned harsin or PERMIT FEE not. No person shall be employed in violation of the Labor Cede of the State of California. INVESTIGATION FEE c�(//f(�j �° TOTAL FEE SIGNATURE OF CON/Oc ) ACTOR OR ifiare+ AUTHORIZED AGENT .411%, CONSTRUCTION PROHIBITED BETWEEN 7:00 P.M. AND 7:00 A.M. AND ON SUNDAYS AND HOLIDAYS AS PER ORD. #1321. INSPECTION RECORD BASIC INSPECTIONS ROUGH ?X'OPES.._ FIN 1t. ar :AS 1C; PUE!tr. sEp,r. PARTIAL OR MISC. INSPECTIONS UNSUCCESSFUL TRIPS.___-_ � i RECORD INFORMATION H. ; 1.1.G. TEMP OK _:v?. CONSTR. NO OF MEFERS OTHER RES. APPtANCfS C7*ER 2 KW. TOTAL. 1W 01 HP. y - TOTAL HP. ___.._.. ......._........_S(1) • f LOCATION 100 EA/c-ovO YR - VALUE S /S700 • WELL /NG & 64R AGE" .7 LOT /� yB�LOCK TRACT AO 2+ OWNER O B I Ir S d iV 2 R o V BUILDING 4,5)74 M�. 1 1^2.F-5'6 -2.- 2.7-T PLUMBING �erli r L.G eadeS ozf t' HEATING ►4ay. Y-is FrtQorp• / gig,-1 C/ ,M �}- V Ste' —. !7 OQgT WIRING F. p , I' J C. �� r 1 r C.� _�� 191.0 FIXTURES p 7 ELECTRIC 464173 7-6; 'C GAS �7'�-s ^j/f PLAN NO./00I 7 J i f. ',/ l'A`` E o oRdiSot1t' tBR4Is'• eillik ADDRE45 //0 `���`�'��--���' OWNER � STRUCTURE • - -- CONTRACTOR aA•M`A.: -_ D ATE=,.3,a_SQ, PERMIT INSPECTED REMARKS PLAN NO. POWER POLE ��/j ` L FORMS 'Yf 7-} Mira Ca�2�E / RO. PLUMB. 3' •b fJ®r �Z� GAS '30$68 1' �`��1 •G. /2.1 TO STREET 4/ 4 SEWER - _ J -// - W.C. FURNACE 3 l o '-3 y1 fff RO. WIRE O i,56, WL°/ CURB /��,(� FRAME i 1E �/� LATH Ll, MilirAIV ELEC. FIX. , • '/=1141/] ���'� �' �i ✓' PLUMB FIX. • i ELECTRIC I / M= SUB-CONTRACTORS.r-b- 7- I __ _ 1 9111‘ . I I 1 P I 1 1 1■1111M. ■ F Location 1/00 EjiciNO �� ILL- .5- -S(o Sewer Permit No. 89,3-4 Co. No. Lot $ Blk. Tract / B °. / I Legend A Owner 779b ro s I Length Date Insp. i� gi Contractor pi. ltord,'ok. I 7: Is I r� Pipe & Joints A/ ' Street Location 3,'A" 1 Q'