HomeMy WebLinkAboutOld permits .e.- •w FOR OFFICE USE
•� CITY OF ARCADIA
�e 7 DEVELOPMENT SERVICES DEPARTMENT
0 A' J11`DI, c`, BUILDING SECTION M�pPLE 1
.4"c),,-44 , o�. 240 West Huntington Drive �'�,v'
Arcadia, California 91007
PORATVD'o (818) 574-5416
Page 1 of 1
1110 S ENCINO AV 10/18/96 14 : 12
Permit no. : A9603092 Autoproj No : AU016023
Status : APPROVED Validated by : GERI
Inspector area: 205
This type : Mechanical Project Applied : 10/18/96
Issued : 10/18/96
Parcel number : 5780-016-010 Finaled .•
Group-occup/use: To Expire .•
Owner : POSEN, J D
Applicant : A & M A/C, HEAT, PLUMBING
Applicant Addr : 123 E. OLIVE MONROVIA, CA 91017
Job Address : 1110 S ENCINO AV
Phone number : 818-359-6637
Class code .•
Valuation 0
Construction : ALT
Permit to do : HVAC CHANGEOUT
CONTRACTOR : A & M A/C, HEAT, PLUMBING Lic. C 234903 818-359-6637
123 E. OLIVE
MONROVIA, CA 91017
Fee description Units Fee/Unit Ext fee Data
Original Permit Issue Fee (YES/NO) 35. 00 Y
Forced-air Unit to 100, 000 Btu/hr> 1 14 . 80 14 . 80
Boiler/Compressor to 3 HP 3105> 1 14 . 80 14 .80
Refuse Fee 3027> 1. 00
*** Fees Required *** *** Fees Collected & Credits ***
Receipt No. Date Payment
10/18/96 77 . 85
10/18/96 -12 . 25
TOTAL THIS DATE ********* 65. 60
Fees: 65. 60
Adjustments: . 00 Total Credits: .00
Total Fees: 65. 60 Total Payments: 65. 60
Balance Due: . 00
Will the applicant or future building occupant handle a hazardous material or a mixture containing a hazardous material
equal to or greater than the amounts specified on the Hazardous Materials Information Guide?
❑ YES ❑ NO
Will the proposed building or modified facility be within 1000 feet of the outer boundary of a school?
❑ YES ❑ NO
Will the intended use of the building by the applicant or future building occupant require a permit for construction or
modification from the South Coast Air Quality Management District (SCAQMD)? SEE PERMITTING CHECKLIST FOR
GUIDELINES.
❑ YES ❑ NO
I have read the Hazardous Material Information Guide and the SCAQMD Permitting Checklist. I understand my
requirements under the Los Angeles County Cana Titia 9 rhantar 0 On co,.+,,., 0 on 10n 4I-......-.L. n .,,, . .,,
,,oik ..,
NO OPERATION OPERATION NOTES
Building Inspections Date Insp. Plumbing Inspections Date Insp.
100. Setbacks _ 210. Under flr./bld..drain 1_,
101. Rough grade 211. Copper underslab
102. Figs.&forms 212. Rough plumbing
103. Pre-slab 213. Rough gas
104. Floor joists 214. Shower pan
105. Steel 215. Water heater
106. Grout lift 216. Roof drains
107. Shear nailing 217. Building sewer
108. Diaph nailing 218. Water service
109. Roof nailing 219. Final gas
110. Framing 220. Fixtures
111. Occ./Area Sep.Wall 221. Final plumbing
112. Sound walls 222. Sewer cap/demo.
113. T-bar end
114. Insulation-flr. Pool Inspections I Date Insp.
115. Insulation-Wall 240. Excavation/steel
116. Insulation-Ceil. 241. Rough plumbing
117. Drywall nailing 242. Light shell/bonding
118. Interior lath 243. Underground conduit _
119. Exterior lath 244. P-trap
120. Finish grade 245. Gas line&test ,
121. Final building 246. Fence,gates&signs
122. Final demo/lot clear 247. Pool heater
248. Final electric
Electrical Ins.ections 1 Date Ins.. 249. Final Plumbing
150. Power pole 250. Pool cover
151. Sales lot lighting 251. Pool final
152. Underground conduit
153. Underslab conduit Reroof Ins.ections Date Insp.
154. UFER ground 270. Pre-reroof insp.
155. Water ground 271. Roof framing
156. Rough electrical 272. Sheathing nailing
157. Fixtures 273. Final reroof
158. G.F.C.I.
159. Eqpt.bonding Si•n Ins.ections 1 Date Insp.
160. Service panel 280. Setback/overhang
161. Final electric 281. Footing -
282. Conduit/wiring
Mechanical Ins.ections I Date I Ins.. 283. Disconnect
180. Venting/flue 284. Final sign
181. Furnace/A.C.
182. Rouch HVAC Miscellaneous Ins.. I Date Insp.
183. Fire dampers 290. Fire alarm _
184. Furnace compartment 291. Underground supply
185. Combustion air 292. Fire sprinklers
186. Smoke detectors 293. Monitors stem
187. Metal F.P.rough 294. Hood dry chem.
188. Compressor setback 295. Final
189. Commercial hood _
190. Duct shaft Sewers&Offsite Insp. Date Insp.
191. Final mechanical /Olin-6 I 300. Lateral(main to P/L)
301. Saddle/Y
Block Wall Ins.ections Date 1 Ins.. 302. Cesspool filled
200. Footings 303. Sidewalk -__
201. Steel/rebar 304. Driveway
202. Grout lift 305. Curb replacement
203. Final wall 306. Trash bin -- - -
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Iwo FOR OFFICE USE
ry CITY OF ARCADIA
r �l DEVELOPMENT SERVICES DEPARTMENT
�� r` BUILDING SECTION
ge ;.ADIA
f *� 240 West Huntington Drive COMPLETED
Arcadia, California 91007
c'°4 - (818) 574-5416
Page 1 of 1
1110 S ENCINO AV 10/18/96 14 :04
Permit No. : A9603091 Autoproj No : AU016023
Status : APPROVED Validated by : GERI
Inspector area: 205
This type : Plumbing Project Applied : 10/18/96
Issued : 10/18/96
Parcel number : 5780-016-010 Finaled •
Group-occup/use: To Expire •
Owner : POSEN, J D
Applicant : A & M A/C, HEAT, PLUMBING
Applicant Addr : 123 E. OLIVE MONROVIA, CA 91017
Job Address : 1110 S ENCINO AV
Phone number : 818-359-6637
Class code •
Valuation • 0
Construction : ALT
Permit to do : WATER HEATER CHANGEOUT
CONTRACTOR : A & M A/C, HEAT, PLUMBING Lic. C 234903 818-359-6637
123 E. OLIVE
MONROVIA, CA 91017
Fee description Units Fee/Unit Ext fee Data
Original Permit Issue Fee (YES/NO) 35. 00 Y
Water Heater and/or Vent 3105> 1 12 . 25 12 . 25
Refuse Fee 3027> 1. 00
*** Fees Required *** *** Fees Collected & Credits ***
1
Receipt No. Date Payment
10/18/96 48 . 25
Fees: 48 . 25
Adjustments: . 00 Total Credits: . 00
Total Fees: 48 . 25 Total Payments: 48 .25
Balance Due: . 00
Will the applicant or future building occupant handle a hazardous material or a mixture containing a hazardous material
equal to or greater than the amounts specified on the Hazardous Materials Information Guide?
❑ YES ❑ NO
Will the proposed building or modified facility be within 1000 feet of the outer boundary of a school?
❑ YES ❑ NO
Will the intended use of the building by the applicant or future building occupant require a permit for construction or
modification from the South Coast Air Quality Management District (SCAQMD)? SEE PERMITTING CHECKLIST FOR
GUIDELINES.
❑ YES ❑ NO
I have read the Hazardous Material Information Guide and the SCAQMD Permitting Checklist. I understand my
requirements under the Los Anaeles Cnunty CnriP Title 9 rhantor') on „ ,,,, . .,, __
,010ft, raw
NO OPERATION _ , OPERATION NOTES
Building Inspections Date Insp. Plumbing Inspections Date Insp.
100. Setbacks 210. Under fir./bldg.drain
101. Rough grade 211. Copper underslab
-,
102. Figs.&forms 212. Rough plumbing
103. Pre-slab 213. Rough gas -
104. Floor joists 214. Shower pan
105. Steel 215. Water heater 1M A-
106. Grout lift 216. Roof drains
107. Shear nailing 217. Building sewer
108. Diaph nailing 218. Water service
109. Roof nailing 219. Final gas
110. Framing 220. Fixtures ,,,,QQ
111. 0cc./Area Sep.Wall 221. Final plumbing a Zt �/6 /�'
112. Sound walls 222. Sewer cap/demo.
113. T-bar grid
114. Insulation-fir. Pool Inspections Date Insp.
115. Insulation-Wall 240. Excavation/steel
116. Insulation-Ceil. 241. Rough plumbing
117. Drywall nailing 242. Light shell/bonding
118. Interior lath 243. Underground conduit
119. Exterior lath 244. P-trap
120. Finish grade 245. Gas line&test
121. Final building 246. Fence,gates&signs
122. Final demo/lot clear 247. Pool heater
248. Final electric
Electrical Inspections Date Insp. 249. Final Plumbing
150. Power pole 250. Pool cover
151. Sales lot lighting 251. Pool final
152. Underground conduit ,
153. Underslab conduit Reroof Inspections Date Insp.
154. UFER ground 270. Pre-reroof insp.
155. Water ground 271. Roof framing
156. Rough electrical 272. Sheathing nailing
157. Fixtures 273. Final reroof
158. G.F.C.I.
159. Eq.t.bondin. Sign Inspections 1 Date Insp.
160. Service panel 280. Setback/overhang
161. Final electric 281. Footing
282. Conduit/wirin.
Mechanical Ins.ections Date Insp. 283. Disconnect
180. Venting/flue 284. Final sign
181. Furnace/A.C.
182. Rouch HVAC Miscellaneous Insp. Date Insp.
183. Fire dampers 290. Fire alarm
184. Furnace compartment 291. Underground supply
185. Combustion air 292. Fire sprinklers
186. Smoke detectors 293. Monitor system
187. Metal F.P.rough 294. Hood dry chem.
188. Compressor setback 295. Final --
189. Commercial hood
190. Duct shaft Sewers&Offsite Insp. Date Insp.
191. Final mechanical 300. Lateral(main to P/L)
301. Saddle/Y
Block Wall Inspections Date Ins.. 302. Cesspool filled
200. Footings 303. Sidewalk
201. Steel/rebar 304. Driveway
202. Grout lift 305. Curb replacement
203. Final wall 306. Trash bin
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ITY QA, FOR OFFICE USE
., r CITY OF ARCADIA
DEVELOPMENT SERVICES DEPARTMENT
..4.5!► ARCADIA BUILDING SECTION !�,,�� ,,,
-"El# i ° 240 West Huntington Drive
�� �° Arcadia, California 91007
Rl'ORATVO' (818) 574-5416
Page 1 of 1
1110 S ENCINO AV 10/18/96 14 : 06
Permit NO. : A9603093 Autoproj No : AU016023
Status : APPROVED Validated by : GERI
Inspector area: 205
This type : Electrical Project Applied : 10/18/96
Issued : 10/18/96
Parcel number : 5780-016-010 Finaled •
Group-occup/use: To Expire .
Owner : POSEN, J D
Applicant : A & M A/C, HEAT, PLUMBING
Applicant Addr : 123 E. OLIVE MONROVIA, CA 91017
Job Address : 1110 S ENCINO AV
Phone number : 818-359-6637
Class code .•
Valuation 0
Construction : ALT
Permit to do : WIRING FOR A/C
CONTRACTOR : A & M A/C, HEAT, PLUMBING Lic. C 234903 818-359-6637
123 E. OLIVE
MONROVIA, CA 91017
Fee description Units Fee/Unit Ext fee Data
Original Permit Issue Fee (YES/NO) 35. 00 Y
over 1 to 10 HP,KW,KVA,KVAR > 1 12 . 25 12 . 25
Refuse Fee 3027> 1. 00
*** Fees Required *** *** Fees Collected & Credits ***
1
Receipt No. Date Payment
10/18/96 48 . 25
Fees: 48 . 25
Adjustments: . 00 Total Credits: . 00
Total Fees: 48 . 25 Total Payments: 48. 25
Balance Due: . 00
Will the applicant or future building occupant handle a hazardous material or a mixture containing a hazardous material
equal to or greater than the amounts specified on the Hazardous Materials Information Guide?
❑ YES ❑ NO
Will the proposed building or modified facility be within 1000 feet of the outer boundary of a school?
❑ YES ❑ NO
Will the intended use of the building by the applicant or future building occupant require a permit for construction or
modification from the South Coast Air Quality Management District(SCAQMD)? SEE PERMITTING CHECKLIST FOR
GUIDELINES.
❑ YES ❑ NO
I have read the Hazardous Material Information Guide and the SCAQMD Permitting Checklist. I understand my
requirements under the Los Angeles County Code. Title 2_ Chanter 2 2n Sartinn 9 on inn+1-",-...,-a, n nn 1 An
Oink /Mk
NO OPERATION _ OPERATION NOTES
Building Inspections Date Insp. Plumbing Inspections Date 1 Insp.
100, Setbacks 210. Under flr./bld..drain `
101. Rough grade 211. Copper underslab
102. Figs.&forms 212. Rough plumbing
103. Pre-slab 213. Rough gas
104. Floor joists 214. Shower pan
105. Steel 215. Water heater
106. Grout lift 216. Roof drains
107. Shear nailing 217. Building sewer
108. Diaph nailing 218. Water service -
109. Roof nailing 219. Final gas
110. Framing 220. Fixtures
111. Occ./Area Sep.Wall 221. Final plumbing
112. Sound walls 222. Sewer cap/demo.
113. T-bar grid
114. Insulation-flr. Pool Inspections Date I Insp.
115. Insulation-Wall 240. Excavation/steel
116. Insulation-Ceil. 241. Rough plumbing
117. Drywall nailing 242. Light shell/bonding
118. Interior lath 243. Underground conduit
119. Exterior lath 244. P-trap
120. Finish grade 245. Gas line&test
121. Final building 246. Fence,gates&signs
122. Final demo/lot clear 247. Pool heater
248. Final electric
Electrical Ins.ections Date Insp. 249. Final Plumbing
150. Power pole 250. Pool cover
151. Sales lot lighting 251. Pool final
152. Underground conduit
153. Underslab conduit Reroof Inspections Date I Insp.
154. UFER ground 270. Pre-reroof insp.
155. Water ground 271. Roof framing ____
156. Rough electrical 272. Sheathing nailing
157. Fixtures 273. Final reroof
158. G.F.C.I.
159. Eqpt.bonding Si.n Inspections Date 1 Insp.
160. Service panel 280. Setback/overhang
161. Final electric /U-ri 281. Fooling
282. Conduit/wiring
Mechanical Ins.ections Date Ins.. 283. Disconnect -
180. Venting/flue 284. Final sign _ ._
181. Furnace/A.C.
182. Rouch HVAC I Miscellaneous Ins.. Date I Insp.
183. Fire dampers 290. Fire alarm
184. Furnace compartment 291. Underground supply
185. Combustion air 292. Fire sprinklers
186. Smoke detectors 293. Monitor system
187. Metal F.P.rough 294. Hood dry chem.
188. Compressor setback 295. Final
189. Commercial hood
190. Duct shaft Sewers&Offsite Insp. Date Insp.
191. Final mechanical 300. Lateral(main to P/L)
301. Saddle/Y
Block Wall Ins.ections Date Insp. 302. Cesspool filled
200. Footings 303. Sidewalk
201. Steel/rebar 304. Driveway
202. Grout lift 305. Curb replacement
203. Final wall 306. Trash bin
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BUILDING AND SAFETY DIVISION ...,
BUILDING
City of Arcadia
240 W. HUNTINGTON DR., ARCADIA, CA 91006 • TEL. (818)574-5416 PERMIT
'r
Building I \ j O
C-- LJ—NC i ,,0 0 U.B.C. Type Occ.
Address ` Edition Const. Group
Lot Block Tract Occ. 'F. D.Appr. Date H. D. Appr. Date
No. Load Required Required
Owner OOS C Use Zone Special Case No.
Mailing M
City 144.... Homeowners Association Approval Date
Address
_/ i f
C� ei c Zip T `t -� (�' Lot
zee —
Contractor d Special
C C� Al Us CJ//A-V4t-/A.) Conditions
(N NOTE: Include: ?e-0 x C O (/e.0 L____ VALUATION Labor, Material, Plumbin a, Etc. $
City CC) t N Zip C7� Z3 Tel. >C(J3 co y Misc. FEE
&
State Li f. `'t Z U.3.S� C/-3 9 City >J!/ / Private
Lic. No./((J�!7 Swimming Pool I Spa ®Public
Arch., Engr., Sign-Pole❑ Wall❑
Designer
Address Tel. F Temporary❑ Projecting ❑
City Zip State E Fee Based on Total Sq.Ft.
C— Lic. No. E
Construction 1 —" CO�> C�&c s S PLAN CHECKING FEE
✓ L —C / S.M.I.P. /
Permit Fee /644
6 90
Floor Main Accessory Total Processed by
Area TOTAL /55- 9'O
New❑ Add.❑ After.❑ Repair V DemolitloE Permit No. Plan No. Date
LICENSED CONTRACTOR'S DECLARATION COMPENSATION DECLARATION
G hereby affir t m license under provisions of Chapter 9(commencing with Section �❑ I hereby affirm that I have a certificate of consent to self-insure,or title:of
t t t)of Division 3 of e Busin a 'rofessions Code,an. my license is in full force and Worker's Com ri su e,r•r a certified copy t eo:_(Sy."38 abor C
effect. —i i� ' S//ii11__ CJY / N
Policy No. _ Company �.
0 NER-BUILDER DECLARATION is filed Certified copy is En,.Date
with the City. hereby furnished
El I hereby affirm that I am exempt from the Contractor's License Law for the following CERTIFICATE OF EXEMPTION FROM �� I
reason:"Sec.7031.5.Business and Professions Codes.Any city or county which requires a WORKERS'COMPENSATION INSURANCE
permit to construct,alter,improve,demolish,or repair any structure,prior to its issuance (This section need not be completed if the permit is for one hundred dollars($100)or less.)
also requires the applicant for such permit to file a signed statement that he is licensed
pursuant to the provisions of the Contractor's License Law,Chapter 9(commencing with ❑ I certify that in the performance of the work for which this permit is issued,I shall not
Section 7000)of Division 3 of the Business and Professions Code, or that he is exempt employ any person in any manner so as to become subject to the Workers'Compensation Law
therefrom,and the basis for the alleged exemption.Any violation of Section 7031.5 by any of California.
applicant for a permit,subjects the applicant to a civil penalty of not more than five hundred NOTICE TO APPLICANT./f,after making this Certificate of Exemption you should become
dollars($500)." subject to the Workers' Compensation provisions of the Labor Code,you must forthwith
1,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 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.)
zprovided that such improvements are not intended or offered for sale. If, however, the
building or improvement is sold within one year of completion,the owner-builder will have Lender's Name
the burden of proving that he did not build or improve for the purpose of safe."
"0 Lender's Address
P1 ❑ I, as owner of the property, am exclusively contracting with licensed contractor to - - --
n construct the project."Sec.7044,Business and Professions Code:The Contractor's License I certify that I have read this application and state that the above information is correct.I
'-'I Law does not apply to an owner of property who builds or improves thereon,and who con- agree to comply with all and c. my ordinances and state laws relating to building
Q tracts for such projects with a contractor(s)licensed pursuant to the Contractor's License Law'' construction,and au orize� s tatives o� is city to enter the above-mentioned
property for ins act' pose
XI ❑ I am excempt under Sec. ,B.&P.C.for the reason
Signature of Applic/05" /
Date__4/__7_7c
0
Q . - Mailing Address 6/a� ` V (( (S ^�,�
< , Date— Owner City,State,Zip CO 1i' / /V 1 / C/'- ( Z.
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. 06-17-87 1CL4729 TOTAL 155.90
Fits
Location �C /./) s,o. 4"N(i AJ
Sewer Permit No. /d/ 5 i Co. No.
Lot 9 Blk.. Tract 1$�.4/ I Legend '`
Owner j• O. ]-70 5/_ I Length Date Inap.
Contractor A 81.. g 7" I 3�'' 13—t -:>
Pipe & Joint*
Street 4ocati�
Iz ' S-/3fo
ADDRESS ^ 0__ J\C‘.1n hh°.OWNER .�o_ _-�y.� �me 0
77111STRUCTURE �LIA2 5�O NTRACTOR Same
1114'6-1 .- PERMIT INS CTED REMARKS PLAN NO.l2ijg
POWER POLE I 1 0 Q 7 I 8.-7,7,5--t � --.X69'7- cp-/9-17
FORMS 2.1-O e . 1 L )
RO. PLUMB. 4104?,?- ,,d y-6' s - C . —2 p
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GAS .j u _' ��jl•'' .,�'� TO STREET --1 SEWER /0/ 5' 1 3 / F -I W.C.
FURNACE D 7 11-g /! f VEN/TQI43-Tic
RO. WIRE 1 I S I7 /"/.3-s Q/ 4d��1� $. cif.,•'
CURB S/9--3 �`'' 9 - 5
FRAME /'/3-c gV
LATH —,2./"'5 X`.J Jy
ELEC. FIX. \\S I 'LW ,� /�i
PLUMB FIX. y64GG �� /SV Z. �7
ELECTRIC 473�y 'Jppp e/J GAS q�/Q - ,"^- ..,
SUB-CONTRACTORS,y�a _ ../. //
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LOCATION l` Q Ev- c 1 Y\ .vt.V e VALUE S I 9-SE)
` • • G Z! • 4' --
LOT BLOCK TRACT Ia $Z4J
OWNER ICA\h D ' �mss?r)
BUILDING // __ 0. Vim! e. 8- 3-s- _ - • Z
PLUMBINGAK &f Pie d �2-JO J4 42
HEATING NA r) e n� Inc �n , ( - C'�- SI �-8
SEWER 1 YJ\ , �OV\,StV�.G.O . 13 - O/ .- �� O �1y"
WIRING 0.' 1 Z 1�O"J I S I I
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FIXTURES _ Ca..OAP n q
ELECTRIC 11.ScA 3-31-,1 GAS `, IS 3-3I�J 1 PLAN NO.r4o
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