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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.