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HomeMy WebLinkAboutOld permits �
BUILDING AND SAFETY DIVISION *-- y/Do'`
City of Arcadia
BUILDING
240 W. HUNTINGTON DR., ARCADIA, CA 91006 • TEL. (818)574-5416 PERMIT
Building I I0) E / N D A�
Ar ( , U.B.C. (Type Occ
Address e- Edition Const.
Lot Block Tract Group
No. Load F. D. Apps. Date H. D.Apps. Date
Owner Required Required
Iii' f�(S ;M °I •\ ( v, Use Zone Special Case No.
Mailing 1 T�� Homeowners Association Approval I Date
Address
City A r- C `Zip i 00.d Tel. Lot
Contractor ^ ( ,I Size
y1 m K *•J._..Q de4P.) r Special
Conditions
Address S3 L NOTE: Include:
v r c K I '`"11.) ) VALUATION Labor, Material, Plumbing, Etc. $_eODi(�
City E.—vC, c. Zip cl l-7 g 0 Tel. 7 7 ' misc. FEE
State Lic. 3 b �Yg`�
8 Classif. C-(O Lit. No Private
>/4•9aa Swimming Pool/Spa [9 Public
Arch., Engr., JJ ` 1
Designer �-.)Q Cpl. -
rte.-( cv`� . Sign-Pole❑ Wall❑ {
Address r-
1 b O 1= F0,0 A4,.., 1 i Tel, 5i-1 3g) F Temporary❑ Projecting❑
City rC-- Zip /I Oa// State Lic. No. �, K' E E Fee Based on Total Sq.Ft.
6
Proposed ��p f �fO 4 , S PLAN CHECKING FEE
Construction
S.M.LP. (F-d
Permit Fee
1 --Z' ,36...-
Floor Main Accessory Total Its Processed b y TOTAL ,/
Area
'1
New❑ Add.174, Alter.,1 Repair❑ Domolition❑ Permit No. Plan No.a�5-427 Date
LICENSED CONTRACTOR'S DECLARATION WORKERS'COMPENSATION DECLARATION
of, hereby affirm that I am licensed under provisions of Chapter 9(commencing with Section I hereby affirm that I have a certificate of consent to self-insure,or a certificate of
III)of Division 3 of the Business and Professions Code,and my license is in full force and
effect. Worker's Coompe sation Insu ante,or a certified copy thereo .(Sec.'3800,Labor Code.
Policy No.Q�' _� '1 er__-,-Company
OWNER-BUILDER DECLARATION Copy is filed ❑Certified copy is Exp.Date
❑ I hereby affirm that I am exempt from the Contractor's License Law for the following
'th the City. hereby furnished. //_./ ;/ I
reason:"Ser.7031.5.Business and Professions Codes.Any city or county which requires a CERTIFICATE OF EXEMPTION FROM I -/ ! �A O
permit to construct,alter,improve,demolish,or repair any structure,prior to its issuance WORKERS'COMPENSATION INSURANCE
also requires the applicant for such permit to file a signed statement that he is licensed (This section need not be completed if the permit is for one hundred dollars(E 100)or less.)
pursuant to the provisions of the Contractor's License Law.Chapter 9(commencing with El 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 703 1.5 by any of California.
applicant for a permit.subjects the applicant to a civil penalty of not more than five hundred NOTICE ct to the APPLICANT:If,after making this Certificate of Exemption you should become
dollars($500)." subject to the Workers' Compensation provisions of the Labor Code,you must forthwith
I,as owner of the property,or my employees with wages as their sole compensation,will comply with each provisions or this permit shall be deemed revoked.
o the work,and the structure is not intended or offered for sale."Sec.7044,Business and
Professions Codr The Contractor's License Law does no apply to an owner property who y CONSTRUCTION LENDING AGENCY
,t pp y I hereby affirm that there is a construction lending agency for the performance of the work
Z 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.)
(n provided that such improvements are not intended or offered for sale. /f, however, the
-0 building or improvement is sold within one year of completion,the owner-builder will have Lender's Name
R'1 the burden of proving that he did not build or improve for the purpose of sale."
0 ❑ I, as owner of the property, am exclusively contracting with licensed contractor to Lender's Address __
construct the project."Sec.7044,Business and Professions Code:The Contractor's License
Q Law does not apply to an owner of property who builds or improves thereon,and who con- g I certify that I have read this application and state hat the above information is correct.I
agree to comply with all city and county divan an state laws relating to building
tracts for such projects with a contractors)licensedpursuant to the Contractor's License Law.'' construction,and hereby authori prose ves this ty toe er the above-merino ed
property for inspection purpo
n ❑ I urn excempt under Sec._ __,B.&P.C.for the reason III?p
Q — Signature of Applicant ( /e.�4
-� Date____�
--"- Mailing Address S3 Zs
^^��
City,State,Zip " re.—(1L C— C`• �/ 9'4
—This is a building permit when properly filled out, Signed and validated, 0
and is subject to expiration if work thereunder is suspended for 180 days. 11-28-84 1GL0904 TOTAL 157.23
��
w~-^ ~
INSPECTION RECORD
FOUNDATION: (Gr. Certif. Comp. Tests, met- INSPECTION NOTES
backs, Rm� un�. Excavation.
_- _______�_____� ___________
FLOOR SLAB/JSTS.. GIRDERS: Mesh, yap.
���������p� �^�vovo�*nm.Z��vu� ---�--------------- • ----------
MASONRY: Reim.. Mortar Jm, Grout Lifts,
Clean-Outs,Bolts.
•
ROOF SHTG Blocking,Materia
Grade and rmrx"vm,. Roof Drains.
FRAMING:Walls,Raft.,Jsts.,Blocking,Bracing,
~~
INSULATION: Thickness, n'v^/unm Piping,
� . . ��«�
_
FIREWALLS' Material, Thickness, Dampers, --
Doors,Closers, Fusible Links. ___
INTERIOR:LATH/DRY WALL:Nailing,Supports,
__�g���xmn��. �������_
EXTERIOR LATH/SIDING: Mesh, Fasteners,
•
Laps,Paper,Thickness,Backing.
~����_
FINAL /wapEcrmw: pmmhommn Certif., ~
Slope Plant., Energy Compl. Card Posted,
Pkg. Access. Fire Doors, Exit, Locking De-
vices, Landings, House Numbers, woumv,
Stripping,puengr.Clear.
11-1. g.SVVI&8K�|NG POOL/SP& '
exow«esmp.SETBACKS:Radius o",00n � ----- --�---�--����
_���z������� -------_--- -- �— —�------�----------------------- �
FENCE/GATES: Closers, Accessibility,
-_�p _ �__�_- _ ____ __-__-_______
FINAL INSPECTION:
•
--- ---------
___________
MISC.
SIGNS: ___ ______
_������_�� �� ������� �
RE-ROOF:
•
_ _-_.
3U!LDING AND SAFETY DIVISION
City of Arcadia ELEC./MECH./PLMBG.
240 W. HUNTINGTON DR., ARCADIA, CA 91006 •• TEL. (213) 446 4471
PERMI T
/ /1 ,` y 'I
wilding No. Description (Additions, Commercial, Industrial) Fee `
Address 1101 Encino Ave.
Services -
Owner
Mark Vanden Oever (Size- )
Moiling Outlets
Address 5323 N. Glickman Ave. W (Receptacles, Lights, Switches)
~ Fixtures
City Temple City Zip 1780 I T448- 9779 >"
N Motors
Contractor
Frank Marrone and Sons, Inc. ...i (HP each: )
Address Q Other
9860 Lower Azusa RI. c_ (Specify'. )
City Q' SQ. Ft. Area New
El Monte I Zip 91731 T444-2548 V Residential Bldg.
Stole lit. City W Sq.Ft. Area New
a claw. 397884 C/36 05279L J Res. Accessory Bldg.
!l
Lic. No. W . 1�7
LICENSED CONTRACTOR'S DECLARA I'f O ' Misc.
I hereby affirm that I am licensed under provisions of Chapter 9(commencing with Section
of Division 3 of the Business and Professions Code,and my license is in full force and Pool
effect. ELECTRICAL FEE
Wiring
OWNER-BUILDER DECLARATION No. Description No. Description Fee
E] I hereby affirm that I am exempt from the Contractor's License Law for the following FAU to and includ.
reason:"Sec.7031.5.Business and Professions Codes.Any city or county which requires a Boiler/includ. 3 Hr
permit to construct,alter.improve,demolish,or repair any structure,prior to its issuance 100,000 BTU to and includ. 3 HP
also requires the applicant for such permit to file a signed statement that he is licensed W
pursuant to the provisions of the Contractor's License Law,Chapter 9(commencing with 1— FAU over ovBoiler/Compressor r 3 P to 1 H
Section 7000)of Division 3 of the Business and Professions Code, or that he is exempt N 100,000 BTU over 3HP to IS HP
therefrom,and the basis for the alleged exemption.Any violation of Section 7031.5 by any }•
applicant for a permit,subjects the applicant to a civil penalty of not more than five hundred N Heat Wall/Susp./Pool Air Handler to and
dollars($500).'' Heaters includ. 10,000 cfm
I,as owner of the property,or my employees with wages as their sole compensation,will Q Spray Booth/ Air Handler
Proof ssions Code:The tContractor's License Law does not apply to an owner of Business
f who
U Exhaust Hood over 10,000 cfm
builds or improves thereon and who does such work himself or through his owproperty eploees,
Vent. Fan
provided that such improvements are not intended or offered for sale. If, however, the Z Other:
building or improvement is sold within one year of completion,the owner-builder will have Q includ• Duct
the burden of proving that he did not build or improve for the purpose of sale." = Misc.
construct the project.h Sproperty,
c.7044,Business and Professions Code t The tContractor's License U
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." MECHANICAL FEE
-
I am excempt under Sec. -- ,B.&P.C.for the reason No Description No. Description Fee
Bathtubs `/ Water Heaters y l5—
Date__ ___ Owner W / Showers / Garbage Disposals w /b
WORKERS'COMPENSATION DECLARATION ~ Water Closets /
❑ I hereby affirm that I have a certificate of consent to self-insure,or a certificate of N Laundry Trays /� `'
Worker's Compensation Insurance,or a certified copy thereof.(Sec.3800,Labor Code.)
Y -si6.7.451 (( Lavatories / Clothes Washers /,7 `O
Policy No. Company_�t3t"P �71'Y� _
QCopy is filed Certified copy is Ex..Date / Kitchen Sinks Sewer Connections
with the City. hereby furnished. Z
CERTIFICATE OF EXEMPTION FROM IrdiMr111411 m / I Dishwashers Sewer Cop
WORKERS'COMPENSATION INSURANCE
(This section need not be completed if the permit is for one hundred dollars($100)or less.) Shower Pan Gas System.
Replacement / (No. Outlets: ) ��
0 I certify that in the performance of the work for which this permit is issued,I shall not
employ any person in any manner so as to become subject to the Workers'Compensation Law J Swim. Pool s
of California. P IL Pi 01na Installation
all
NOTICE TO APPLICANT:/f,after making this Certificate of Exemption you should become Misc. 'PLUMBING FEE �
subject to the Workers' Compensation provisions of the Labor Code,you must forthwith 7i,
comply with each provisions or this permit shall be deemed revoked.
I certify that I have read this application and state that the above information is correct.I ELEC.,MECH.,PL.B G. ISSUANCE FEES f
agree to comply with all city and county ordinances and state laws relating to building �1 �L-
construction,and hereby authorize representatives of this city to enter the above-mentioned J
property for inspection p r authorize r
Signature of Applicant ;/ 1 i 1.4_Z Dat%-/'-7/' TOTAL FEES I ,.
9860 Lower Azusa 13d. `
Mailing Address I> :._)
,City,State,Zip El Monte, CA. 91731 Processed Date:
`♦ By: 12-10-84 ICL1012 TOTAI 9*-1 c
INSPECTOR COPY This is a building permit when properly filled out, signed and validated,
and is subject to expiration if work thereunder is suspended for 180 days.
INSPECTION RECORD INSPECTOR NOTES
UNDERGROUND CONDUIT
ROUGH WIRING
NEW SERVICE •
FIXTURES
A
xi FINAL ELEC. INSP.
TEMP. POWER POLE
OTHER
OTHER
•
ELEC. UTILITY CLRNCE.
U. G. DUCTS/REFRIG. LINES
Ducts, Comb. Air,
RO. MECH.
Supports, Vents
> FINAL MECH. FAU/AC unit
Vents, Shutoffs
Y OTHER
r-
OTHER
U.G./UNDER FLR. Soil, wa , ';? % /
Gas, Supterports / .Q
RO. PLMBG. water, Gas, Vents,
Supports,.Fleshings
GAS TEST
�� SEWER/PRIV. DISP. SYSTEM DIAGRAM
i�%?� 1
sue,. FINAL PLMBG. Serer ces Valves,
Vent, Valves,
OP WATER HTR. Press. Rel. Valve
CR SEWER/PRIV. DISP. SYSTEM
OTHER •
OTHER
GAS UTILITY CLRNCE.
BONDING
40 U.G. CONDUIT
3 GAS PIPING Material, Depth
G GAS TEST
0 HEATER Vent, Clearance,
Location, Shut-off _
V FINAL POOL ELEC.
FINAL POOL PLMBG.
OTHER 1 INSPECTION 11 DATE INSP. SIGN.
BUILDING AND SAFETY DIVISION
City of Arcadia ELEC./MECH./PLMBG.
240 W. HUNTINGTON DR.,ARCADIA, CA 91006 • TEL. (818)574-5416 PERMIT
Building 1 ► \ 1 No. Description (Additions, Commercial, Industrial) Fee
Address I ' o t ���..rd\f 0 ��- k(- (.
C ] Services (� -7�^
Owner W\ 1/. l (Size '.?..-00 Q✓tip` r ) /a/
S le �� l Outlets c'
Moiling W 2 ) (Receptacles, Lights, Switches) /6 IXD
Address �r—�. �--.
City d �C [ZiP ) 6 Tel. } Fixtures �O
Contractor V Ir-P N Motors
1 ` s"C—� V s_.ev CI e h) be^v`(_ J • (HP each: )
Address / 4 Other
1--.5- N - 6\i C_t'C v.-, c y\,f . C.) (Specify: 1
City Er So. Ft. Area New
Y 1 Zip Tel. Residential Bldg Ill Sq.Ft. Area New
State Lic. j ' City ��/e�rr.,/CJ�/'� Res. Accessory Bldg
.
Clossif. Q-' f '— I _Lit. No. pY /'7�E../ LLl Y 9•
LICENSED CONTRACTOR'S DECLARATIO Misc.
eby affirm that 1 am licensed under provisions of Chapter 9(commencing with Section
I of !vision.5 of the Business and Professions('ode,and my license is in full force and Pool ELECTRICAL FEE
effect. Wiring
OWNER-BUILDER DECLARATION No. Description No. Description Fee
I hereby affirm that I am exempt from the Contractor's License Law for the following
reason:"Sec.7031.5.Business and Professions Codes.Any city or county which requires o FAU to and inclu d. Boiler/Compressor
permit to construct,alter,improve,demolish,or repair any structure,prior to its issuance X 100,000 BTU to and includ. 3 HP
also requires the applicant for such permit to file a signed statement that he is licensed
W FAU over Boiler/Compressor
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 N 100,000 BTU over 3HP to 15 HP
therefrom,and the basis for the alleged exemption.Any violation of Section 7031.5 by any
applicant for a permit,subjects the applicant to a civil penalty of not more than five hundred Fir,/Wall/Susp./Pool Air Handler to and
dollars($500)." Cr) Heaters inelud. 10,000 cfm
I.as owner of the property,or my employees with wages as their sole compensation,will .l Spray Booth / y Air Handler
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 o Exhaust Hood over 10,000 cfm
builds or improves thereon and who does such work himself or through his own employees, Vent. Fon Other:
provided that such improvements are not intended or offered for sale. lf, however, the Z
building or improvement is sold within one year of completion,the owner-builder will have 4 inelud• Duct
the burden of proving that he did not build or improve for the purpose of sale:' = Misc.
❑ I, as owner of the property, am exclusively contracting with licensed contractor to U
construct the project."Sec.7044,Business and Professions Code:The Contractor's License W -Lou' -
does not apply to an owner of property who builds or improves thereon,and who con- 2 MECHANICAL FEE
tracts for such projects with a contractor(s)licensed pursuant to the Contractor's License Law.''
❑ I am excempt under Sec. ___,B.&P.C.for the reason ' — No. Description No. Description Fee
Bathtubs Water Heaters
Date __ Owner W Showers Garbage Disposals
WORKERS'COMPENSATION DECLARATION Water Closets Laundry Trays
0 I hereby affirm that I have a certificate of consent to self-insure,or a certificate of }
Worker's Compensation Insurance,or a certified copy thereof.(Sec.-3800,Labor Code.) I Lavatories Clothes Washers
Policy No. Company
STCopy is filed Certified cop is Exp.Date C9 Kitchen Sinks Sewer Connections
with the City. hereb furnished.
CERTIFICATE OF EXEMPTION FROM I I m Dishwoshets Sewer Cap
WORKERS'COMPENSATION INSURANCE
(This section need not be completed if the permit is for one hundred dollars($100)or less./ Shower Pan Gas System
M - Replacement (No. Outlets: )
Z 0 I certify that in the performance of the work for which this permit is issued.I shall not J Swim. Pool Solar
(/) employ any person in any manner so as to become subject to the Workers'Compensation Law a_ Pioina Installation
of California.
M NOTICE TO APPLICANT:If,after making this Certificate of Exemption you should become Misc.
(•) subject to the Workers'Compensation provisions of the Labor Code,you must forthwith - _ !PLUMBING FEE
—{ comply with each provisions or this permit shall be deemed revoked.
I certify that I have read this application and state that the above information is correct.I ELEC. MECH. PL.B G. ISSUANCE FEES '3 27,-.3"Z7 agree to comply with all city and cou ordinances and state laws relating to building •f t
construction,and hereby out , 'ze rapt r ves of y is city to enter the above- entioned
C) property for inspection pu.• •. /
/,Y I 1 1 ar
Signature of Applicant _ Date TOTAL FEES
Mailing Address Z-S t,-
. �/ w�~�i. O D
pity,State,Zip \ • ` C--s Ay 9 1-7 �� , Processed Dote:
` By
This is a building permit when properly filled out, signed and validated, 11-28-84 1CL0905 TOTAL 50. 60
and is subject to expiration if work thereunder is suspended for 180 days.
INSPECTION RECO. .01 NSPECTOR NOTES
UNDERGROUND CONDUIT
ROUGH WIRING
NEW SERVICE
SERVICE
FIXTURES
le FINAL ELEC. INSP. � •
F TEMP. POWER POLE
OTHER
OTHER
ELEC. UTILITY CLRNCE.
U. G. DUCTS/REFRIG. LINES
RO. MECH.
Ducts, Comb. Air,
Supports, Vents
Z FINAL MECH. FAU/AC Unit
Vents, Shutoffs
F. OTHER
OTHER
—
U.G./UNDER FIR. Soil, Water,
Gas, Supports
RO. PLMBG. Water, Gas, Vents,
Supports,.Floshings
GAS TEST SEWER/PRIV. DISP. SYSTEM DIAGRAM
Fixtures, Valves,
Xi FINAL PLMBG. Services
WATER HTR. Vent, Vales,
Press. Rel. Valve
p SEWER/PRIV. DISP. SYSTEM
OTHER
OTHER
GAS UTILITY CLRNCE.
BONDING
U.G. CONDUIT
GAS PIPING Material, Depth
GAS TEST
r. HEATER Vent, Clearance,
Location, Shut-off
FINAL POOL ELEC. A'
FINAL POOL PLMBG. • �V
OTHER
INSPECTION DATE INSP. SIGN.
BUILDING AND SAFETY DIVISION '`" "., Z`1 —7.02
City of Arcadia MISCELLANEv&JS AND OFF-SITE
240 W. HUNTINGTON DR., ARCADIA, CA 91006 • TEL. (213) 446-4471 PERMIT
er.
Address not FNGI Jr, .AVE MISCELLANEOUS /P FEE RECEIPT .,///
Ovener MI3 N' S MiLG'�GH I K '1- PLAN CHECK FEE FOR VAL. /� G3
0 Address i f c./`i m(c CASH BOND FOR
City /k t &AI IA Zip I Tel,3J''[57 73, '7' Q GRADING PLAN CHECK --.—
;. Coritructor I 0 GRADING PERMIT
C. Address HOUSE MOVING
•
R. City (Zip Tel. PARKS AND RECREATION FEE_--_
C- -- 0 ROUTE INSPECTION FEE
State sif. City �./� _ —._ _
8 flosfif. LiC. NO. O ' p j
LICENSED CONTRACTOR'S DECLARATION ,�r� ,( ,/� • (j �/
[j I hereby affirm that l am licensed under provisions of Chapter 9(commencing with Section 0 ® ( iU�(, y t _ -
{-i 1 of Division 3 of the Business and Professions Code,and my license is in full force and i VV ( V
effect.
�' OWNER BUILDER DECLARATION 0 j
�: . I hereby affirm that I am exempt from the Contractor's License Law for the following —
�"'f O O
reason:"'Sec.703/.3.Business and Professions Codes.Any riry or county which requires a ,t� .
TOTAL FEE
permit to Sec.70rt,alter,improve,demolish,or repair any structure,prior to its issuance 1' WARNING s PLAN CHECK FEES. WHERE NO ACTION IS TA N BY THE
APPLICANT IN 180 DAYS AND NO BUILDING PERMIT IS IS$UEDs
also requites the applicant for such permit to file a signed statement that he is licensed [,FEES ARE
pursuont to the provisions of the Contractor's License Law.Chapter 9(commencing with FORFEITED TO THE CITY.
i� Section 7000)of Dmrision.3 of the Business and Professions Code, or that he is exempt
V, the.(from.and the bases 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 fire hundred
dollars(3500)." PERMISSION IS HEREBY GRANTED TO MAKE SEWER CONNECTIONS AT
❑ I.as owner of the property,or my employees with wages as their sole compensation,will
it the work,and the structure is not intended or offered for sale."Sec.7004,Business and -'-'--'-
CProfessionss Code:The Contractor's License Lame dors not apply to on owner of property who
builds rte improves thereon and who does such work himself or through his own employees. LOT BLOCK TRACT
provided that surh improvements are not intended or offered for sale. If, however, the
building or improvement is sold within one year of ontpletion,the owner-builder will have LOCATION ATERAL
the burden of proving than he did not build or improve for the
�
LJ p rove J purpose of sale." SEWER PLAN N0. CESSPOOL FILL
I. us owner of the property, am exclusively contracting with licensed contractor to $1
construct she project."Sec.7044,Business and Professions Code:The Contractor's License - 3.00 P
Law does not apply to an owner of property who builds or improves thereon,and who con• l
',tit for such projects with a contractors)licensed pursuant to the Contractor's License Law." INSPECTED )98 $
0 I am encamp?under Sec.___ ,B.& P.C.for the reason _ TOTAL
BY BY
Date ---------------_ owner—__ _ _ _ CURB AND SIDEWALK
WORKERS'COMPENSATION DECLARATION
I hereby affirm that I have a certificate of consent to self-insure,or a certificate of CURB BREAK REPLACE CURB FT.
Worker's Compensation Insurance,or a certified copy thereof./Sec.3800,Labor Code.)
Policy No. .__ Company_ DRIVEWAY APPROACH_ SIDEWALK FT.
QCopy is filed a Certified copy is Exp.Dale I
with the City. hereby furnished. I INSPECTED TOTAL. FEE
CERTIFICATE OF EXEMPTION FROM
WORKERS'COMPENSATION INSURANCE
(This section need not be completed if the permit is for one hundred dollars 13100)or less.) STREET CUT
ED 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 Vsorkers'Compensation Law California. a /S0.FT,
NOTICE TO APPLI CANT:If.after making chit Certificate of Exemption you should become ACTUAL SIZEOF PATCH AMOUNT CHARGED
subject to the Workers' Compensation provisions of the Labor Code,you mwst forthwith
Ig)comply with each provisions or this permit shall be deemed revoked. /SQ.FT. _
I certify that I have read this application and state that the above information is correct.I AMOUNT REFUNDED
agree to comply with all city and county ordinances and state laws relating to building RECF.IVEO FROM STREET DEPT.
construction,and hereby authorize representatives of this ci)to enter the abose•mentioned INSPECTION FEE
property for inspection purpo s. INSPECTED
196 _BY
Signature of Applies .,. . 424' o '`a' '_A Z-3-84- PERMIT FEE
Mailing Address ` v' f�.TH AL_
•Cjty,State.Zip 4AyjA� G4 O©_ TOTAL FEES
INSPECTOR COPY •�
This is a building permit when properly filled out, signed and validated,
and is subject to expiration if work thereunder is suspended for 180 days.
JOB ADDRESS
JIM'S
1
eibl //a/ R/VCirv0
NUMBER STREET
APPLICATION FOR A
HEATING, VENTILATING, AIR-
CONDITIONING OR REFRIGERATION
1, c00 PERMIT /�
�v 0 BUILDING 8 SAFETY DIVISION //�i J
(p CITY OF ARCADIA, CALIFORNIA L /��
UI O N TEL. NO.
T MAILING ADDRESS f 7
// 0/ hi C f,ry 0 Svc
CONTRACT R STATE LIC. NO
o% wt- ti SO- 4$ / • /s7616
MAILING ADDRESS�� /� / / CITY LIC.NO.
�j
62 ]yf V/ 6a)S6)r'v 'cd $�t' 7 B I
�.1 CIT
`) a S ( // 9//O' 7 <-o/90
c- DESCRIPTION OF WORK
X HEATING "g AIR CONDITIONING
❑ REFRIGERATION ❑ VENTILATION
FEE COMPUTATION
a) VALUATION -- $ ? a O° 2' vv
bDESCRIBE WORK e
TO BE DONE
0 e.-C:9l/T
1.
1
HEATING APPLIANCES INCL.
VENTS
(INSTALLED,ALTERED, REPLACED, REPAIRED OR RELOCATED)
TYPE B.T.U. I FEE
i9 CA' /60 Amt
CIRCULATING AIR OUTLETS OR INLETS
REFRIGERANT COMPRESSORS(INSTALLED OR REPLACED)
QUANTITY OVER INCL. ACTU�AL/H.P. RATE 1 FEE
/
l 0 20 �!' is
20 50
50 UP
GAS SYSTEMS 0 5 OUTLET
@ 1.75
I have carefully read and examined the
above application and know the same to PERMIT FEE
be true and correct. All provisions of
Lows and Ordinances covering this type INVESTIGATION
of construction will be complied with FEE
whether specified herein or not. No
PPerson shall be employed in violation of
the Labor Code of the Steal.'
ate of California. TOTAL FEE 2gep0
SIGI�17C•�'
jj{i O CONT ACT R OR AUTHORIZED AGENT i
STRUCTION PROHIBITED BETWEEN 7:00 P.M.AND 7:00 A.
AND ON SUNDAYS AND HOLIDAYS AS PER ORD. It 1321.
.01114. INSPECTION RECORD
''M%
ITEM INSPECTOR DATE
ROUGH HEATING
ROUGH REFRIG.OR AIR COND.
DUCTS
FINAL HEATING 5
FINAL REFRIG. OR AIR COND. U`0�
PARTIAL OR MISC. 1 SPECTIONS -
1
UNSUCCESSFUL TRIPS
//elf •kA/C� 4/a
NUMBER STREET
APPLICATION FOR AN
ELECTRIC PERMIT /
i`r BUILDING & SAFETY DIVISION C//e/
� CITY OF ARCADIA, CALIFORNIA TTTSSSf.
OWNER
ITEL. NO
G\ MAILING ADDRESS
)1 l /27A/c-/,v o
CONTRACTO
a 14.)- ,� L o LA4 L yL C STATE LIC NO.
MAILING ADDRESS s�Y��O
tU !`ye-,// 11(d,/�,6 A CITY LIC NO
CITY
P' / -y-- N" /©(/���
New
rte1 El Bldg 9 Ch El Ex st, El gerv. I I Reconnect
or Reseal
IOUTLETS, BASE PLUGS, SWITCHES, FIXTURES B 30a EACH fI
MOTORS
0 to 1 Hp @ 1.50
OVER 1 HP to 3 HP @ 2.50
V1 / OVER 3 HP to 8 HP @ 3.00
0 OVER 8 HP to 15 HP @ 3.50
OVER 15 HP to 50 HP @ 10.00
1
OVER 50 HP to 100 HP @ 25.00
OVER 100 HP to 500 HP @ 30.00
OVER 500 HP @ 3.50
HEATING CABLE UNIT DISPOSAL DISHWASHER 1,25
RANGE OVEN HEATERS @ 1.25
KIT. FAN CLOTHES DRYER HAIR DRYER @ 1.50
FURNACE @ 1.50
/ RESIDENTIAL ENTRANCE SERV. 100 A MIN. @ 3.00 3 ��.) c)
COMMERCIAL ENTRANCE SERVICE @ 6.00
ADDITIONAL SERVICE METERS @ 2.00
TEMPORARY POWER POLE @ 3.00
TEMPORARY UNDERGROUND POWER POLE @ 5.00
TEMPORARY SALES LOT LIGHTING @ 10.00
220 V POWER OUTLET @ 1 25
MISCELLANEOUS
I have carefully read and examined the
above application and know the same to PERMI7 FEE (a) 3 00
be true and correct. All provisions of
the Laws and Ordinances governing this
type of construction will be complied with SUPPLEMENTARY
whether mentioned herein or not. No PERMIT FEE 1 75
person shall be employed in violation of
the Labor Code f the State of Calif° INVESTIGATION
FEE
•
TOTAL FEE �f
NATURE OF CONTRACTOR OR
AUTHORIZED AGENT ,^+
CONSTRUCTION PROHIBITED BETWEEN 7:00 P.M. AND 7:00 ...M.
AND ON SUNDAYS AND HOLIDAYS AS PER ORD. r: 1321.
.014"'• INSPECTION"RECORD Amok
BASIC INSPECTIONS
ITEM INSPECTOR DATE
GROUND WORK _■_
ROUGH
FINISH
FIXTURES
• � r l�i
ELEASE TO PUBLIC SERV
IrMLIrYM it 11
PARTIAL OR MISC. S' 'C I• S
UNSUCCESSFUL TRIPS
RECORD INFORMATION
0 H I U Cs TEMP OK TEMP CONSTR.INO.OF METERS
LITE WIRE PWR PHASE HEAT KW
RANGE OVEN TABLE TOP W. HTR. DRYER
OTHER RES. APPLIANCES OVER 2 KW.
TOTAL KW OR HP. TOTAL HP.
Scp 3 c
1101 E Gino Ave.
NUMBER
STREET
APPLICATION FOR AN
ELECTRIC PERMIT
BUILDING i SAFETY DIVISION
CITY OF ARCADIA, CALIFORNIA
OWNER
Don Milefchick TEL.NO.
/ `tiff Gcino Ave. -1 6
CONTRACTOR
Pacific Installers Inc. STATE LIIC.NO.
.4.., MAILING ADDRESS 211898
Ul 10920 E. Grand Ave. CITY LIC.NO.
CITY
•t•�
ample City TEL.NO.
0 New t42-7070
Bldg. Exist. No. Serv.
© Bldg. 0 Charge 0 or RecRoeseannect l
r- ig .
111
I
•to.
OUTLETS,BASE PLUGS,SWITCHES,FIXTURES @ 20s EACH I
MOTORS 1
0 to 1 HP I
@ LW
-OVER 1 .�ch o II /D
•
HP to 3 HP 1
-OVER 3 @ 1.50
Pto8HP �I
/ .OVER„ ; A 2.�, I�
Ql s ue,, ,o 50 Hp @t� ,i
•O azito 100 HP '� �-
11111=1:1:11 o 500 HP @, ►-;! .1 l
® ,'i@ 1.00
OVE !1/ ,! 1 ,� i
�,• u 1.00 I
■� 1 I�DISH 21 © 140
FURNACE 'eTHES D•
H I• DRYER @ 1.00 I
.RESIDENTIAL ENTRANCE SER o A MIN.
1111 COMMERCIAL ENTRANCE SER rE @ 3 _
11111 ADDITIONAL SERVICE METERS © 6.00 l
1111 TEMPORARY POWER POLE @ 1.00 i
.TEMPORARY UNDERGROUND POWER POLE @ 2.00 I
ITEMPORARY SALES LOT LIGHTING @ 5 i
220 V POWER OUTLET @ 10 I
MISCELLANEOUS @ 1.00
Branch circuit to i
I have earefull ara•e .. ip b
applieatien and yk reed the game oaai.i.ad the above
cornet. All provisions of U,. a be true and
PERMIT FEE
oases governing Um Lams and OMI-
ne complied Bove with this typo mfncontr etHn will
not. No person shall be employed In herein or SUPPLEMENTARY
of the Labor Cod, of the State of California. PERMIT FEE
INVESTIGATION
E
,i , ter. / TOTAL FEE / f
SIGNATURE OF CONTRACTOR OR M VV
OW
AUTHORIZED AGENT
CONSTRUCTION PROHIBITED BETWEEN 7:00 P.M.
FOS
AND
AND ON SUNDAYS AND HOLIDAYS AS PER ORD. *1332121 A.M.
.
INSPECTION RECORD
OPIS BASIC INSPSCTIONS "111110
GR
ouND WORK '
T E 44'
r _ -.;.-....-
' -
ROuGH
FIN:SW
r,KrORES
FI
NAL Ril E 'T
ASE O PUEL:C SERv
____
i
' •
+ .
• \
I
,--]
PARTIAL OR MISC. INSPECTIONS
1 •
1
; t
•
UNSUCCESSFUL TRIPS
. 1
RECORD INFORMATION
0 N. . CONSTR I NO O.METERS
_ ..}._
1 t I
KW
RANGE 1 OVEN -I-TABLE TOP I W.EfiR : DRYER
1 . I 1
ONER RE . OVER 2 KW,
TOTAL KW OR HP TOTAL HP
elS "illli
-----•■dir■••■•■■•■■■■■,............
lV6 ADDRESS
NUMBER
APPLICATION FOR A STREET
SWIMMING POOL PERMIT
BUILDING & SAFETY DIVISION �,,
CITY OF ARCADIA, CALIFORNIA ' z
O„ R /f ! �1 0
MALL ING ADDRESS
V
!/tai >
V)
Alit, - 4,,6-- >
ENGINEER v
W G W
61 •AILING ADD S / / & 2
<- NT Cr dire_ A.
i7 .
I-1
c G, fXc�°; i SSte. .
Ln M•ILIGADD/SS ,/f �� '�f
may/ t L�.A°oz. s1r "IL- CITY :U` I �N, �-/j''f}}`�`
,/ , TEL NO. '
NOTE! PROVIDE PLOT PLAN �� NO.
.41
ON BACK OF O'IGINAL COPY ONLY O
POOL SIZES f
EST.CAPACITY_ PRIVATE u
4_0__CO42_GALS. ❑ SEMI-PUBLIC (�
NJ TYPE FATE
BACKWASH?_ V
U1 VALUATION Electrical,Include labor.Maferial,l
k Electrical,Heating,Plumbing /
/� PLUMBING�FEES
$ ��
1 y POOL HEATER
GAS SYSTEM @ $1.00 •"""..".
POOL PIPING/".....�
. ___DRYWELLS @ $2.00 _ F
PLUMBING PERMIT FEE_ p
TOTAL PLUMBING F €,____
INFORMATION p --- Q� u
ROVID BY BUILDING SECTION a
LEGAL L $CRIPTION TION N
LOTH ��Xy kk' x
O•.. 1_BLOCKN 4' 4y 0
�' TRACT 03• ?
_ �`.' SECTIONAL
0
SHEET W
REQUIRED FRONT _ •
SET BACKS —r SIDE LEFT o O
----`—�_ fc SIDE REAR m
APPS j =
ENGINEERING BY OTHERS
SECTION PUBLIC PLANNING -, o
SERVICE DIVISION SPEUAL
W m
CASE NO.
O N
or CHECKERS ___ Z p
P.C. FEE C'n 3
su 0
APPROVAL-- PERMIT FE
E � Dta
I have read and Z �
examined the above application and know the same FO
and correct. All provisions of the Laws and Ordinances covering
struction will to be true
be complied with whether specified t No person con-
-et be employe 1'in violation of herein or not. No person .Fr
o the Labor Code of the
State of California, 6 a.
---� i_ Q u vn
W F
fii
SIGNATURE OF OWNER O F
WNER OR E
FORM 8-56 D AGENT N
ANENT U o
INSPECTION RECORV
BASIC INSPECTIONS
— 11111111111111111...."..011M
111411110
EXCAVATION -"
MAIN DRAIN —-- y
1--__
REINFORCING--'-
-"
SWIMMING POOL Hit LINE _.-- -
ROUGH PLUMBING -- - - '
ROUGr+GnS- - - I - /
./ 10
FINAL PLUMBING - - -----"�-- �—
FINAL GAS -------- --------I I�
PARTIAL OR MISC. INSPECTIONS
r-
I
UNSUCCESSFUL TRIPS //—
41 n_ Yi 7�
, 1 4, L...wow, Ii . 1�, r
C' , i4 / - C
TO APPlI '•NT DO NOT ": - '
•LOT PLAN
NOTE LOCATE All STRUCTURLS ON LOT. MAKE BOTTCV Of
E STREET FRONTAGE. .___.__.- r —r
i i---H- -- t 't i ' + 1 T —r -r—
r--
} I t 1. , mill,
:-. NIL
ii" _
t. 1,- . ____,-
__ ..___ ,„„„....____. iii, ..
1111111 si I
_ ____1_. ,,i__ 1_
0,004104, \ iii ---
__________------------------.
APPLICATION FORA STREET
ELECTRIC PERMIT
t
BUILDING 4 SAFETY DIVISION
CITY OF WAWA O
CONT. CTOR - £A�'-T
4' TEL.NO. _
MAI •G ADDRESS_ ife c- , <c 172--C.3-0 fy
OWNER ,h7.-
' A40-a9 S� STATE LIC.NO. a O
5.
N W
W
CITY LIC.NO. . _
MAlll ' L _
G ADDRESS °
L/ TEL.NO. Z m
..e-ele
NEW DESCRIPTION OF WORK y " W
BLDG. EXIST. NO SERV RECONNECT USE _a x
BLDG. ❑CHANGE ❑OR RESEAL ZONE ° g
a O
FEE COMPUTATION >. 3
NOTE! TOTALS SHOWN BELOW MUST BE SUBMITTED
SEPARATE WORK .�, `_.,
K SHEET PROVIDED FOR THIS PURPOSE.
DIAGRAM ON . p
a°
_.OUTLETS,BASE PLUGS,SWITCHES, O
FIXTURES O
a
O1
a
0 104 EACH e f(/ =F
11.." LESS THAN 18 APART @.54'EACH
61
FIXTURE PERMIT FEE o u
?,. @ W
BAN. MOTORS e/ Z w
1')
ly
0 to l/:HP RATE FEE a a
OVER V2 to 2 HP O •25 EA.
OVER 2 HP to 5 HP
@ 51.00
u ca
OVER 2
5 HP to 15 HP
OVER 15 @ ' 50 a-
5 HP to 50 HP Q
OVER •5� .. -- d
50 HP to 2e. W
EACH MOTOR M• 11 '00 • t s W
TOTAL AIR COND. �Il i IO.Op ------------- •.
(.4
H. P.WWI n
�UBTOTAI�� � •
• RANGE OUTLETS OR CLOTHES DRY , ,�•
—RESIDENTIAL ENTRANCE SERV-IO0Ar MIN.
EACH
HEATING ELEMENTS
AIR CONDITIONER,. r'EACH HEATER
WELDERS (TRANSFORMER TYPE) KVA
Fr, PER o
WELDERS (MOTOR
GENERATOR) HP( GREATER•1HAN
FEE 75 RE �op E. )
CONSTRUCTION OR TEMPORARY LIGHTING L,$2.00
MISCELLANEOUS
POWER POLE
I have $1.00.
—
earetully read and examined the above
_
application and know the same to be true and
correct. All provisions of the .M
crrect.governing this type Laws and Ordinances PERMIT FEE
ype of construction will be corn. i•00
plied with whether mentioned herein or SUPPLEMENTARY
Person shall be employed in violation not.Labor
PERMIT FEE
Code of the State of of the Labor @ .50
California. INVESTIGATION
FEE
SIGNATURE OF CONTRACTOR O - TOTAL FEE UTHORIZED AGENT
i
FORM B-53 "Ilk
INSPECTION RL.,..•---
BASIC INSPECTIONS DATE
INSPECTOR _T`
I E M -'—"-----
GROUND WORK ------"`-
ROUGH - --------
FINISH ri Ai • l
FIXTURES ------ _-
FINAL RE'_-.EASE TO PUBLIC SERV. NS
PARTIAL OR MISC. INSPECTIONS
(' /i1( i
t- t_
IIIIIII
UNSUCCESSFUL TRIPS
RECORD INFORMATIONpNSTR. NO.OF METERS
_._\_____
. TEMP. OK.
11111 U.G KW
PHASE HEAT___.---____—_ R
WIEE FW W.HTR
LITE—=----WIRE TABLETOP RANGE
OTHER RES APPLIANCES OVER 2 KW.
TOTAL HP.
TOTAL KW OR HP. S d II))
) I,
JOIN Allimit
LOTION
•
VALUE S T"—
LOT BLOCK TRACT
OWNER
s • • .. A
BUILDING •
PLUMBING '. Min HEATING ■ • F •
•
SEWER A,, • � -.k. ; 1- ,1
WIRING �
• r
FIXTURES 'I%
�`
I.
M
ELECTRIC 1 S.�71 9-Z7-� GAS $7Z. ,I
7 4 -z.7`4,PLAN NO.1 oo/7
1 �
∎• N
V-1 I
i
•
•
ADDRESS ES` E.IAet p`1 v`tOWNER Re/10 meson Brea
STRUCTURE Dm%el11 h � ` Star*ONTRACTOR p
DATE%-'iw.Z-PERMIT I INS TED REMARKS
MAO PLAN NO. 'oewi
POWER POLE y
FORMS Z.II 12— '� 73/ J {.
RO. PLUMB. 3D$6 Y/S !6 GZh/f.3jY/Z G j--
GAS 4 L I
�n Z°s / /5u' i iBJ J6 6Ple:-. TO STREET
SEWER 7 Q£/ s'-17- S-1,
w.C.
FURNACE _ 31 1( VI/1j , 4fi od� VENT /,./RO. WIRE 1 (1 u e°,4:-•-•CURB
/���
V /b J Zi. .. y'-1 �d
FRAME J S6 Vil
LATH
ELEC. 114_ (y y�� )4 got.,..../....---
PLUMB FIX. �O/ 6 D /i/ft P4 Z e7)-7-
ELECTRIC /J74 ' GAS (9-)..7-4--e
SUB-CONTRACTORS---,A-. 7.-6-44
r Location 1/0/ c/V C in/0 A V E ''„
.5-q-S-4 Sewer Permit No. 8 917t 7 Co. No.
Lot f g Blk. Tract f g 4c i I Legend
j*J (
�
Owner � $ re� I '�
I j [+ 6.1 Lengt Date Insp.
Contractor pi, /'or d r k. I ,/j 15-,7-= 149
Pipe S JointsVe-' '"4
Street Location 458'N 1;s:::19
s.