Loading...
HomeMy WebLinkAboutOld permits w•. Development Services Depa'it '". •`. -: 240 West Huntington Drive,r.,st Office Box 60021 �;.� g PERI..�T NO. BOO-023-069 City ' 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 0017 9/15/2005 JB 13:49 9/15/2005 Issued PROJECT ADDRESS �� ���� �ASSESSORS PARCEL NO. GEO CODE 1109 Encino Ave 5780-014-004 OWNER MAILING ADDRESS Yamada,Gary&Lily 1109 Encino Ave PHONE NO. Inspector#: DON Arcadia, CA 91006 EMAIL ADDRESS: APPUCANT MAILING ADDRESS Midwest Roofing 1502 W 132nd Street PHONE NO. (310)515-1464 Gardena,CA 90249 EMAIL ADDRESS: CONTRACTOR/PROFESSIONAL MAILING ADDRESS Midwest Roofing 1502 132nd St PHONE NO. (310)515-1464 FAX NO. Gardena, CA 90249 EMAIL ADDRESS: License No. 769615 Type: C39,Hic Expires: 10/31/2005 12:0( TENANT MAILING ADDRESS PHONE NO. FAX NO. DESCRIPTION T/O AND REROOF HOUSER AND GARAGE WITH 33 SQS OF 50-YEAR WOOD SHINGLE OVER NEW SHEATHING Construction Type UOM #of Units Value Construction Type UOM #of Units Value Value Value 14,200.00 $14,200.00 OCCUPANCY: Reroof TOTAL VALUATION: $14,200.00 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 320.75 320.75 01-3104 /8 1 7Os Flat SWMF Auto 6.25 6.25 88-3027 41 6 X641 444 5 &if/lb-rev wiTAav' /O p Of AO Slifaa 70 /W. ,5774194e0 Total Fees: $367.25 Total Amount Paid: $367.25 Paid Today: $367.25 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#: 77065 days from the date of plan submittal. This permit expires and becomes null and void if any work authorized by 01-3104 361.00 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) . eft, PERMIT/PLAN REVIEW APPLICATION • 54 A j Development Services Department, 240 West Huntington Drive, Post Office Box 60021 °°"Y of"° 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 Citlez9ny license is in ful ❑ I have and will maintain a certificate of consent to self-insure for workers' License Class License No t� Exp.Date O 05 compensation, as provided for by Section 3700 of the Labor Code, for the I) erformance of the work for which this permit is issued. Signature of Contractor A/1"--*/ I have and will maintain workers' compensation insurance,as required by Section 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'co satin ins rance c ier 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 I577I4/ 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 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 co ly wi those provisions. ❑ I, as owner of the property, or my employees with wages as their sole (� �-+ D� compensation,will do the work,and the structure is not intended or offered for Date 7 /a� Applicant 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 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. Name Title MiCh8PRINT 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 e er upon the above-mentioned property for inspection purposes. Signature Date 91151 0 O''"kNER'S CERTIFICAnN - Form For sites under 1 acre disturbed area ()CI - ,. To reduce storm water pollution from construction sites —•44if- Project Name BUILDING/GRADING PERMIT NUMBER Project Location ?00.•O23.069 Owner Name � ``. (7 M C( OCk Contractor Name !J 'f'c I>/4"51-- T /6)\'17_1 Address l i f' ci g 'C\\n C) AV Address 15�' Z (32- Y• , C c Phone CO Z(i — /y L ^ 1/2 Phone _3i c 'sI G>-/'/G / FAX FAX 310 - 51 5 I f o The National Pollutant Discharge Elimination System (NPDES) is the portion of the Clean Water ater 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. Owner's Certification I hereby certify that I have read, understand and will comply with the requirements indicated above: Property Owner or Authorized Representative(signature) (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). f 11 BUILDING AND SAFETY DIVISION elik BUILDING City of Arcadia 240 W. HUNTINGTON DR., ARCADIA, CA 91006 • TEL.(818)574-5416 PERMIT 'r Building 1100. U.B.C. Type Occ. -is Address 9 Encino Ave. Edition I Const. Group Lot I Block Tract Occ. F. D.Appr. Date H. D.Appr. Date No. Load Required Required Owner Adam Bro ck i e Use Zone Special Case No. Mailing Homeowners Association Approval Date Address 1109 So. Encino Ave . - city Arcadia ZIR)1006 T446-5141 Lot Contractor Special Silt-Well Roof Co . Conditions Address 3310 Verdugo Road NOTE: Include: VALUATION Labor,Material, Plumbing, Etc. $ 9. 020 .00 City Los Angeles ZI'90065 Te2542888 Misc. FEE State Lic. City &Classif. Lic. No. 1910114_ Swimming Pool/Spa ""i Public Arch. ,Engr., Sign-Pole ❑ Wall ❑ Designer Address Tel. F Temporary❑ Projecting ❑ City Zip State E Fee Based on Total Sq.Ft. Lic. No. E Prsed Construction reroof house,garage & patio S PLAN CHECKING FEE with 29 sqs. Cal Shake and felt and(Ir s.M.LP. layment. Permit Fee 147 . 70 Floor Main Accessory Total Processed by Area TOTAL `,4)1481.10 -- 48 0 New❑ Add.❑ Alter.❑ Repairer Demolition❑ Permit No. Plan No. Date LICENSED CONTRACTOR'S DECLARATION WORKERS'COMPENSATION DECLARATION ❑ I hereby affirm that 1 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 76001 of Division 3 of the Business and Professions Code,and my license is in full force and Worker's Com ensation Insurance,or a cel tified copy thereof.(Sec.'3800.Labor Code.) effect 3g- WC �']/� Paliry.Na. -- 11315 6Anmpany Diission Ins. OWNER-BUILDER DECLARATION ❑Copy is filed yfi}�Certified copy is Exp.Date with the City. "1_I hereby furnished. I 6-1-87 I I hereby affirm that I am exempt from the Contractor's License Law for the following CERTIFICATE OF EXEMPTION FROM reason:"Sec.7031.5.Business and Professions Codes.Any city or county which requires a WORKERS'COMPENSATION INSURANCE permit to construct,alter,improve,demolish,or repair any structure,prior to its issuance (This section need not be completed if the permit is for one hundred dollars($100)or less.) also requires the applicant for such permit to file a signed statement that he is licensed pursuant to the provisions of the Contractor's License Law,Chapter 9(commencin with ❑ I certify that in the performance of the work for which this permit is issued,I shall not Section 7000)of Division 3 of the Business and Professions Code, or that he is exempt employ any person in any manner so as to become subject to the Workers'Compensation Law therefrom,and the basis for the alleged exemption.Any violation of Section 7031.5 by any of California. applicant for a permit,subjects the applicant to a civil penalty of not more than five hundred NOTICE TO APPLICANT.'!f,after making this Certificate of Exemption you should become dollars 13500). 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. 2 o the work,and the structure is not intended or offered for sale."Sec.7044,Business and CONSTRUCTION LENDING AGENCY (/) Professions Code:The Contractor's License Law does no/apply to an owner of property who I hereby affirm that there is a construction lending agency for the performance of the work 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.) m provided that such improvements are not intended or offered for sale. lf, however, the n building or improvement is sold within one year of completion,the owner-builder will have Lender's Name — t the burden of proving that he did not build or improve for the purpose of sale.' Lender's Address _-- Q O I, as owner of the property, am exclusively contracting with licensed contractor to m construct the project."Sec.7044,Business and Professions Code:The Contractor's License Law does not apply to an owner of property who builds or improves thereon,and who con- !certify that I have read this application and state that the above information is correct.I agree ree to comply with all city and county ordinances and state laws relating to building n tracts for such projects with a contractor(s)licensed pursuant to the Contractor's License Law." construction,and her by authorize representatives of this city to enter the above-mentioned Q property for inspectto rposes. ❑ I am excempt under Sec. B.&P.C.for the reason _— rs 6 Signature of Applicant +1 Date8-20—(} 3310 V — --- Mailing Address erdu o Road - Owner City,State,Zip Los Angeles, Ca. 90065 Illiir 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. 10-15-86 1CL1361 TOTAL 148.06 1 INSPECTION RECORD FOUNDATION: Isar. Carta Comp Tests. Set- I f INSPECTION NOTES backs,Forms Rernf Steel,Excavation: I FLOOR SLAB/JSTS GIRDEHS Mesh, vap- 1 Berner 81kq Spans,Access.Vents Tr,Lmbr. 1 II _ _ _.__ __ MASONRY: Reinf., Mortar Jis., Grout Lifts, I i Clean-Outs,Bolts. 1__.- —. ROOF SHTG. Nailing,Diaph.Blocking.Material I Grade and Thickness, Roof Drains FRAMING:Walls,Raft.,Jsts,Blockng,Bracing. ___ _. _ _..._..... _.._ .._—.. ....-. .. ._...._- Nailing,Backing. Diaphr. Draft Stops. INSULATION: Thickness, R-Values, Piping, Sound Caulking. FIREWALLS: Material, Thickness, Dampers, E — —r— — ._— — — — Doors,Closers, Fusible Links. INTERIOR:LATH./DRY WALL:Nailing,Supports, Laps,Joint Reint. EXTERIOR LAT iSI©ING. Mesh, Fasteners, I Laps Paper,Thickness,Backing. FINAL INSPECTION: Finish Grading Certif„ Slope Plant., Energy Compi. Card Posted, Pkg. Access, Fire Doors, Exit, Locking De- vices, Landings, House Numbers, Weather Stripping,PI,/Engr.Clear. { SWIMMING POOL/SPA EXCAV.REINF.SETBACKS:Radius Stl.,Bond- I ing,Exp.Soil, Ramp Loc.,Surcharge. i FENCE GATES. Height. Closers, Accessibility. Latcnes.Stability. ' FINAL INSPECTION: _ i MISC. SIGNS: RE-ROOF. f� -3 G I r t ii , 1NSPECTICiN DATE i r'ISP SIGN _ • Development Services Depart .1, Awl,�• 240 West Huntington Drive,i Office Box 60021 �� g PERi.__f NO. BOO-013-868 City of Arcadia,CA 91066-6021 Arcadia (626)574-5416,Fax(626)447-9173 Permit Type: Electrical PROJECT TRACT NO. LOT NO. APPLICATION DATE ISSUED BY PRINT DATE PERMIT STATUS 10/7/2002 CS 14:33 10/7/2002 Issued PROJECT ADDRESS • ASSESSORS PARCEL NO. GEO CODE 1109 Encino Ave 5780-014-004- ii OWNER ,, maw L. 1 . :1 YAMADA,LILY LEONA —° 1 I PHONE NO In8 ector#: p 205 EMAIL ADDRESS: APPLICANT MAILING ADDRESS PHONE NO. EMAIL ADDRESS: CONTRACTOR/PROFESSIONAL MAILING ADDRESS BRIGHT LIGHT ELECTRIC 749 FRASER PHONE NO. (323)266-0727 FAX NO. LOS ANGELES,CA EMAIL ADDRESS: License No. 759495 Type: C Expires: 2/28/2003 12:00: TENANT MAILING ADDRESS PHONE NO. FAX NO. DESCRIPTION UPGRADE SERVICE TO 200 AMP Construction Type UOM 8 of Units Value Construction Type UOM #of Units Value OCCUPANCY: Dwellings 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 1 each Res service $14.10 $14.10 01-3105 Totals for: 01-3105 $54.35 $54.35 lall-a� 1 each SWMF 2 Auto $1.00 $1.00 88-3027 �,/�/� Totals for: 88-3027 $1.00 $1.00 iriAnar 09�fi'(/1"/U C 1P4 i)11 -- Total Fees: $55.35 Total Amount Paid: $5535 Paid Today: $55.35 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 days from the date of plan submittal. This permit expires and becomes null and void if any work authorized by this permit is suspended or abandoned for 180 consecutive days or if no progressive work has been verified by 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 9:00 a.m. 7:30 a.m.to 9:00 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) 'i4 PERMIT/PLAN REVIEW APPLICATION io,44 j,. Development Services Department, 240 West Huntington Drive, Post Office Box 60021 °`'°..t'° Arcadia, CA 91066-6021, (626) 574-5416, Fax (626) 447-9173 City of Arcadia �-�( L ENSED CONTRACTOR'S DECLARATION WORKERS' COMPENSATION DECLARATION ai I ereby affirm under penalty of perjury that I am licensed under provisions of I hereby affirm under penalty of perjury one of the following: hapter 9, commencing with Section 000, of Division 3 of tle Business and cicense rofessions Code,and my license is in ull force and effect. ❑ I have and will maintain a certificate of consent to self-insure for workers' /� ' . a2d compensation, as provided for by Section 3700 of the Labor Code, for the Class Cl 1 Lie- No. e Exp.Dat performance of the work for which this permit is issued. Sig ure of Contractor / / �, — �� ❑ I have and will maintain workers' compensation insurance,as required by Section OWN1 R UILDER 1 LARATION 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 d 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 fhould become subject to the penalty of not more than five hundred dollars($500)): ` workers' compensation provisions of Section 37 of the Labor ode, I shall forthwith comply 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 lJ 7 ;co) Applicant e(,,t t. { � sale(Section 7044,Business and Professions Code:The Contractors License 1 1 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 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 as.`stos containing materials requires an asbestos survey and removal prior to disturbing the asbestos. Please contact AQMD at(909)396- 2000 for fu'i er information. Name Title PRINT NAME I certify at I have read this pplication and state that the above information is correct and that I am the owner or the duly authorized agent of the owner. agree to comply w' all City ordinancs'and Stag laws relating to building construction. I hereby authorize representatives of the City of Arca' a to enter upon the ove-mentioned prdperty for inspection purposes. • Signature •(,,/1 4/ 0--� -(3 ____.—.... Date Q(7 , 7 21.)O JOB ADDRESS , 4 S�j c, e� — �� >STREET NUMBER APPLICATION FOR A SWIMMING POOL PERMIT , 0 & SAFETY DIVISION 0 Q i. CITY OF ARCADIA, CALIFORNIA 0 i. TEL.NO. Q OWNER r • • al . > Imo- u '" MAILING ADDRESS �c .� i I a u STATE lIC NO. z -- ENGIN ER t 1 . Q !•..a u 113 e, ; TEL. NO. MAILI�JG ADDRESS . {�h _ 7 L (`� STATE LIC.NO. i.; CONTRACTOR au,h • 700 S x - MAILING ADDRESS CITY CIT�� ` ."o \ u - /6 se�. CTc�Ye Hu TEL NO. /Vd ZZ,,ILJ I C' r'•.'' PROVIDE PLOT PLAN ON BACK OF ORIGINAL COPY ONLY ac POOL SIZE_ /G X-3-- --_- .PRNATE 4 . O GALS. ❑ SEMI-PUBLIC r--, EST.CAPACITY_�— TYPE FILTER _ BACKWASH? C� 1 NOTE: Include Labor.Material,\ Ay VALUATION( Electrical,Heating,Plumbing 1$ - 74l PLUMBING FEES ,y0P / u L—POOL HEATER __ GAS SYSTEM @ $1.00 ® O il Ipp O O -/----POOL PIPING - -DRYWELLS @ $2.00 --- ' N R PLUMBING PERMIT FEE_ 51G o TOTAL PLUMBING FEE -__ N INFORMATION LEGAL DESCRIPTION DING SECTION F Z LOT NO/ BLOCK NO. TRACT/k2"V/ W SECTIONAL o ZO SHEET _ "__---"— REAR Q FRONT ' RIGHT SIDE LEFT SIDE > _ REQUIRED �— p SETBACKS _ oc . APPROVAL BY OTHERS - - m SPECIAL PLANNING r cNGINEERING PUBLIC t DIVISION CASE NO. so SECTION SERVICE — p Z Y 2 Ss in CHECKERS �' 3 3 P.C. FEE �DO -- 4 a S 'O� z o °C- D' PERMIT FEE LS-�-- •- APPROVAL_-- - , I have read and examined the above application and know the same to be true �s W and correct. All provisions of the Laws and Ordinances covering building con- Y a. struction will be complied with whether specified herein or not. No person M Q shall be employed in violation of the Labor Code of the State of California. IL u Q W W FD. 0 N P. Z SIGNATURE OF OWNER ERMANENT AGENT j FORM B-56 INSPECTION RECORD BASIC INSPECTIONS '^► E%CAVATION--.-- _ 1ro, MAIN DRAIN -- - L.. C - REINFORCING SWIMMING POOL FILL LINE — ---------- ROUGH PLUMBING - _-.-__--_-_-_--1_ ---- — —_-- — ROUGH GAS-- - -. -- - FINAL PLUMBING ---- il- FINAL GAS- I / -—LT2.ji PARTIAL OR MISC. INSPECTIONS I E___, _ UNSUCCESSFUL TRIPS TO APPLICANT: DC) e7 Nc;'[ •__ .. VF 1lilS L:4E PLOT PLAN NOTE LOCATE All STRUCTURES ON LOT. MAKE BOTTC . OF PAGE THE STREET FRONTAGE. I Fr T- _. I- • - -- •! _II i ____ ■ ii■ • II pm --i_ 1 ! I- 11.1 1 - 1 • - JOB ADDRESS ilk P4* //Q q S. NUMBER STREET APPLICATION FOR AN ELECTRIC PERMIT _ BUILDING & SAFETY DIVISION CITY OF ARCADIA, CALIFORNIA -, l- OWNER/1` 7i0 4 ' TEL.NO. L, MAILING ADDRESS j STATE LIC. O. CON CTOR `- - 7 MAILING ADD ESS L'ITY LIC.NO. E-' !6 TEL- �_44 .��.�w ^?am .� f ..„ �� r:1T TEL N ,-.4.,l-'' DESCRIPTION OF WORK/08G`f USE I-' New Exist. ❑No Serv. ❑ Reconnect ZONE r ❑ Bldg. ❑ Bldg. Charge or Reseal —/ FEE COMPUTATION FEES NOTE: TOTALS SHOWN BELOW MUST BE SUBMITTED IN DIAGRAM ON sgARATE WORK SHEET PROVIDED FOR THIS PURPOSE. OUTLETS,BASE PLUGS,SWITCHES,FIXTURES @ 10¢EACH t1 LESS THAN 18 APART @ 5¢EACH C.s... FIXTURE PERMIT FEE @ $1.00 / FCS a MOTORS d"' QUAN. RATE 5 0 to 1/2 HP @ .25 EA. OVER 1/2 to 2 HP ,'" @ .50 " OVER 2 HP to 5 HP @ $1.00 " OVER 5 HP to 15 HP @ $1.50 " OVER 15 HP to 50 HP @ $2.50 " OVER 50 HP to 200 HP @ $5.00 " EACH MOTOR MORE THAN 200 HP $10.00 TOTAL AIR COND.H.P. RANGE,OVEN, CLOTHES DRYER @ 50¢ EACH RESIDENTIAL ENTRANCE SERV-100A MIN. ) HEATING ELEMENTS @ 50¢EACH HEATER —AIR CONDITIONER WELDERS (TRANSFORMER TYPE) KVA @ 50c PER KVA -- ((FEE-GREATER THAN _WELDERS (MOTOR GENERATOR) HP\75%MTR. ALONE / CONSTRUCTION OR TEMPORARY LIGHTING @ $2.00 —_MISCELLANEOUS POWER POLE $1.00 I have carefully read and examined the above PERMIT FEE @ 00 application and know the same to be true and correct. All provisions of the Laws and Ordi- nances governing this type of construction will SUPPLEMENTARY be complied with whether mentioned herein or PERMIT FEE @ .50 not. No person shall be employed in violation of the Labor Code of the State of California. INVESTIGATION FEE Re�-f 4^ CAL, TOTAL FEE , 7 ;n SIGNATURE OF CO�ACTOR OR �" AUTHORIZED AGENT ON PERM._.4ENT FORM B-53 (REV.7-61) 21/2M cis INSPECTION I1CORD . _ ,I• BASIC INSPECTIONS Aulk E M INSPECTOR DATE GROUND WORK ROUGH FINISH FIXTURES �/ FINAL RpTE, €-Tp ruBLIC SERV, ‘14/. /v 8.1./4• PARTIAL OR MISC. INSPECTIONS UNSUCCESSFUL TRIPS RECORD INFORMATION O.H. U.G. TEMP.OK. TEMP.CONSTR. NO.OI -;:RS LITE WIRE PWR PHASE HEAT KW RANGE I OVEN I TABLE TOP W.HTR. f DRYER OTHER RES. APPLIANCES OVER 2 KW. TOTAL KW OR HP. TOTAL HP. S(13 3 #1196k AIN Location ll0 ! ENC IN 0 / V E togilif .1-4-_.5-4 Sewer Permit No. S 9�f g Co. No. Lot /7 Blk. Tract /$ Z rf/ I Legend ✓ -- Owner Po b i e is on 0 r 03 I Length Date Insp. Contractor ,1. Kordle k. I .ryC 'Is'_ ro....'�I i F ` _-_------. I 1 7; Pipe & Joint%Ve("-ePYI! (� Street Location ? ,� �--'3 lC • LOCATION 1101 E.vV'truD Rue. VALUE $ 14 t Soo �t�P I ` ` n ���� LOT i �LO TRACT I O 211 l OWNER .1... t,1011 In%on 3rin BUILDING '&a *\S 1-z.(5-t�14� -III 4 PLUMBING \•Ip r11hL .Geddks `GO—&-"C ."6.OR70 H EAT INGI H//O4- -r., • F"rus�°,or le' I.1--.M Ji oioy�[/ SEWER )�..(J"�L c4 V ,Y1 `J (J f lJ M 4 r WIRING F,, b . {r\ K,1,1s-trt { `l3_V� '1 (. FIXTURES ELECTRIC 1 5 3g3 11-2,15-IMP AS g4 g4 1-24-`PLAN N000II 1 t II ll ADDRESS I Loci Eve-i n n 11p• OWNER �r o t IA ton air oS STRUCTURE ttp NTRACTOR 4ZQ1Ae. "11141§= DATE I_ ..rt 'ERMIT I INSP D REMARKS PLAN NO.IObl, POWER POLE FORMS Z( I i L -a MIN' '�� -- �/ RO. PLUMB. 3b9i° 'I j„vrq/ �/ .07Z /Y S` " GAS ZOVIC - •G. �'//9 TO STR ET __ SEWER 7' 9' i 6- 11 - .� JJJ W.C. 4,1/f FURNACE 3 o/ J1/7431 RJ '''•.= iI12 VENT RO. WIRE 77 -/AL. CURB FRAME m�'C AV LATH .+v - ELEC. FIX. 78 s 4 I ' ( g I ' / �/' PLUMB FiX. 7'"..c .S _ ;�� ELECTRIC aCH•' �••c GAS . .- dr '�7-3"'f'--': SUB-CONTRACTOR$.. -7 ---I-4- /