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HomeMy WebLinkAboutOld permits w• Development Services Department C. 240 West Huntington Drive, Office Box 60021 PERK'NO. BOO-018-837 Arcadia,CA 91066-6021 City of (626) 574 5416,Fax(626)447-9173 Permit Type: EMP Combo Arcadia f PROJECT TRACT NO. LOT NO. APPLICATION DATE ISSUED BY PRINT DATE 13:30 5/7/2004 PERMIT STATUS I5/7/2004 KW Issued CENMETE PROJECT ADDRESS ASSESSORS PARCEL NO. GEO CODE 1015 Encino Ave 5780-014-009 009 OWNER MAILING ADDRESS Lie 1015 Encino Ave PHONE NO. (626)254-0818 Inspector#: DON Liem,Rudy Arcadia,CA 91006 EMAIL ADDRESS: APPLICANT MAILING ADDRESS FAST TRACK PERMITS SERVIC 5030 VICEROY AVE PHONE NO. (909)279-0604 NORCO,CA 92860 EMAIL ADDRESS: CONTRACTOR/PROFESSIONAL MAILING ADDRESS Air-tro Heating&A/c 1630 Myrtle Av PHONE NO. (626)357-5311 FAX NO. Monrovia,CA 91016 EMAIL ADDRESS: License No. 258228 Type: C Expires: 12/31/2004 12:0( TENANT MAILING ADDRESS PHONE NO. FAX NO. DESCRIPTION UPGRADE ELEC SERVICE TO 200 AMP,REPLACE 9 DUCTS/REGISTERS. Construction Type UOM #of Units Value Construction Type UOM #of Units Value OCCUPANCY: TOTAL VALUATION: $0.00 QTY UOM DESC AMT AMT PAID ACCT QTY UOM DESC AMT AMT PAID ACCT 1 flat Elec issue $40.25 $40.25 01-3105 1 Flat Mech issue $40.25 $40.25 01-3105 ✓ A? ,91( 1 each 0-400 Res See $14.10 $14.10 01-3105 r 1 Flat Add/Alter Ducts $8.50 $8.50 01-3105 e1�/y/ ���,9�� 04 2 each Outlets $2.80 $2.80 01-3105 PA/ht v Cf/, Totals for: 01-3105 $105.90 $105.90 1 Flat SWMF 2 $1.00 $1.00 88-3027 1 Flat SWMF 2 $1.00 $1.00 88-3027 Totals for: 88-3027 $2.00 $2.00 Total Fees: $107.90 Total Amount Paid: $107.90 Paid Today: $107.90 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. \\(411j11/41)1 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) PERM. f/PLAN REVIEW Al LICATION t Development Services Department, 240 West Huntington Drive, Post Office Box 60021 Arcadia, CA 91066-6021, (626) 574-5416, Fax (626) 447-9173 City of Arcadia piLICENSED CONTRACTOR'S DECLARATION WORKERS' COMPENSATION DECLARATION I hereby affirm under penalty of perjury that I am licensed under provisions of I hereby affirm under penalty of perjury one of the following: Chapter 9, commencing with Section 7000, of Division 3 of the Business and Professions Code,and my license is in full force and effect ❑ I have and will maintain a certificate of consent to self-insure for workers' License Class /U o. ��/��.� x,��ate� compensation, as provided for by Section 3700 of the Labor Code, for the g � /� l performance of the work for which this permit is issued. Signature of Contractor OWNER-BUILDER DECLARATION !' I have and will maintain workers' compensation insurance,as required by Section 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' nsation ins nce carrier and policy number are: License Law for the following reason(Section 7031.5, Business and Professions rSCode: Any city or county which requires a permit to construct, alter, improve, Carrier , G demolish,or repair any structure,prior to its issuance,also requires the applicant for such permit to file a signed statement that he or she is licensed pursuant to the Policy Number provisions of the Contractors License Law(Chapter 9(commencing with Section (This section need not completed if 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 agr-- at if I hould become subject 4e- penalty of not more than five hundred dollars($500)): workers' compensation provisions o ection 3700 of the Lab. Code all forthwith comp wit those provisi. s. ❑ 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 S Q Applic. t // 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 who builds or improves thereon,and who contracts for such projects with a CONSTRUCTION LENDING AGENCY contractor(s)licensed pursuant to the Contractors License Law). I hereby affirm under penalty of perjury that there is a construction lending agency 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 ildiAinr&VO Title 't PR i T AME / I certify that I have ead this ap t lication and sta • hat the ab. • '.rmation is correct and that I am the owner or the duly authorized agent of the owner. I agree to •omply with a City ordina'1 . :d State . : relating to building construction. I hereby authorize representatives of the City of Arcadia to enter pon the abo • ik entione• I • or i ction purposes. Signature , / Date O •: Development Services Depart —^ : r4 All Rik ` PERMIT/PLAN REVIEW AP,�LICATI it r ON . g41j� Development Services Department, 240 West Huntington Drive, Post Office Box 60021 • o...=o Arcadia, CA 91066-6021, (626) 574-5416, Fax (626) 447-9173 City of Arcadia LICENSED SED CONTRACTOR'S DECLARATION WORKERS' COMPENSATION DECLARATION affirm under penalty of perjury that I am licensed under provisions • I hereby affirm under penalty of perjury one of the following: 9, comet ing with Section 7000, of Division 3 of the Business . d ns Cody, license is in full fo .nd effects ❑ I have and will maintain a certificate of consent to self-insure for workers' Class (�/ /se'o � / S E�(p.Date ( - , compensation, as provided for by Section 3700 of the Labor Code, for the ■e of Contractor eft 0/ performance of the work for which this permit is issued.R-BUILD DECLAR: ION ❑ I have and will ..aintain workers' compensation insurance,as required by Section affirm under penalty of perjury that I am exempt from the Con actors 3700 of the 4 ode,for the perfo ance • • k for which . permit is Law or a following reason(Section 7031.5, Business and Pro ssions issued. M rs' o• pensati�uran e c. i d p• •/ 1Q!' are: Code: Any city or county which requires a permit to construct, alter, im'rove, Carrier �_���1 demolish,or repair any structure,prior to its issuance,also requires the app'cant lc-1 / for such permit to file a signed statement that he or she is licensed pursuant to .• Policy Number �i `"' .%5176..2��t provisions of the Contractors License Law(Chapter 9(commencing with Section B' tion 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 sho . .ecome subject to the penalty of not more than five hundred dollars($500)): workers' compensation provisions of on 700 •, Labor Code, : all forthwith o ply with those provision I/ ❑ I, as owner of the property, or my employees with wages as their sole ((JJ�o// // �� 4 compensation,will do the work,and the structure is not intended or offered for Date sale(Section 7044,Business and Professions Code:The Contractors License Applican, 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 who builds or improves thereon,and who contracts for such projects with a CONSTRUCTION LENDING AGENCY contractor(s)licensed pursuant to the Contractors License Law). I hereby affirm under penalty of perjury that there is a construction lending agency 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 containin: materials requires an asbestos survey and removal prior to disturbing the asbestos. Please contact AQMD at(909)396- 2000 fo er i form. 'on. ` ,,_ , / -, ame �� '771'4 Title I'419; rger NAME I certify , : I have read this applicati, and state that the above information is correct and that I am the owner or the duly authorized agent of the owner. I agree to comply with all City ordinances and State laws relating to building construction. I hereby authorize representatives of the City of Arcadia to enter_L,n the • .ove • ioned property for inspection purposes. gnature •�/� , `r r711 /(1— '� - Date BUILDING AND SAFETY DIVISION MISCELLAN' )US AND OFF-SITE City of Arcadia 240 W. HUNTINGTON DR., ARCADIA, CA 91006 • TEL. (818)574-5416 PERMIT /Building , ` eA r+ r`� ^ MISCELLANEOUS FEE RECEIPT 1 Address t **j/.• E.n,1 c.-.) 0 A�C..s..A(C,a1 t ri p,,,,n1, ,�/1`Ar t K. Ev ve 0 # PLAN CHECK FEE FOR VAL. Moiling l\ r \ qp 0 CASH BOND FOR Address t Oi c. E1 C.i AV C.:0 tY �Z vs 1 Tel, �]9C 0 GRADING PLAN CHECK ft.An't A [I1 6 6G -its b (i— a COn'roCtd GRADING PERMIT Address �t..121-.—, p HOUSE MOVING - - -. I r 0 PARKS AND RECREATION FEE City Zip Tel, Il to ROUTE INSPECTION FEE Stole Lic. City B Clossif. I Lic. No. LICENSED CONTRACTOR'S DECLARATION t j I hereby affirm that I am licensed under provisions of Chapter 9(commencing with Section 0 7I1 iO)of Division 3 of the Business and Professions Code,and my license is in full force and effect. 0 OWNER-BUILDER DECLARATION TOTAL FEE 0 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 a IF WARNING'PLAN CHECK FEES. WHERE NO ACTION IS TAKEN BY THE permit to construct,alter,improve,demolish,or repair any structure,prior to its issuance APPLICANT IN 180 DAYS AND NO BUILDING PERMIT IS ISSUED,FEES ARE also requires the applicant for such permit to file a signed statement that he is licensed FORFEITED TO THE CITY. pursuant to the provisions of the Contractor's License Law,Chapter 9(commencing with Section 70001 of Division 3 of the Business and Professions Code, or that he is exempt SEWER PERMIT 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 PERMISSION IS HEREBY GRANTED TO MAKE SEWER CONNECTIONS AT dollars 13300)." PI,as owner of the property,or my employees with wages as their sole compensation,will 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 LOT BLOCK TRACT builds or improves thereon and who does such work himself or through his own employees, Y provided that such improvements are not intended or offered for sale. If, however, the LOCATION LATERAL building or improvement is sold within one year of completion,the owner-builder will have SADDLE the burden of proving that he did not build or improve for the purpose of sale." SEWER PLAN NO. CESSPOOL FILL O I. as owner of the property,am exclusively contracting with licensed contractor to $ 3.00 8 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- tracts for such projects with a contractor(s)licensed pursuant to the Contractor's License Law." INSPECTED X98 $ TOTAL O I am excempt under Sec._—_ ,B.&P.C.for the reason $ BY BY - CURB AND SIDEWALK -- WORKERS'COMPENSATION DECLARATION CURB BREAK REPLACE CURB FT. ❑ 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.) Com an DRIVEWAY APPROACH SIDEWALK FT. Policy No. d0 ❑Copy is filed ❑Certified copy is Exp.Date �(�'1'.g2 .C,/��� TOTAL FEE {[ I with the City. hereby furnished. I I INSPECTED L! CERTIFICATE OF EXEMPTION FROM WORKERS'COMPENSATION INSURANCE STREET CUT (This section need not be completed if the permit is for one hundred dollars($100)or less.) Z t'SY certify that in the performance of the work for which this permit is issued.I shall not ESTIMATED SIZE OF PATCH AMOUNT OF DEPOSIT oy any person in any manner so as to become subject to the Workers'Compensaticn Law /S0.FT, of California. P1 NOTICE TO APPLICANT:If,after making this Certificate of Exemption you should become AMOUNT CHARGED C) ACTUAL SIZE OF PATCH subject to the Workers' Compensation provisions of the Labor Code,you must forthwith ® /SQ.FT. comply with each provisions or this permit shall be deemed revoked. AMOUNT REFUNDED X I certify that I have read this application and state that the above information is correct.I RECEIVED FROM STREET DEPT. agree to comply with all city and county ordinances and state laws relating to building INSPECTION FEE n construction,and hereby authorize repr sentatives of is city to enter the above-mentioned 0 property for inspection pytapone; � ..,(� INSPECTED 198 BY Signature of Applicant JYL4r9.e//Y,I'9v{ 4.,, Date_f�fZ•'I.LA I:4 PERMIT FEE °> )U Mailing Address I©1 S G) <. Ca Ave A TOTAL FEES City state.Zip .c c .ADS ■ C'A l t - cj i e (� , This is a building permit when properly filled out, signed and validated, 07-29-86 •1CL0367 TOTAL 10.00 and is subject to expiration if work thereunder is suspended for 180 days. OP lopme, 69(2y-64cadetCOMPLETED • PlaYM BUILDING & SAFETY DIVISION mi. A IAA 240 West Huntington Drive 0 /o5 / Arcadia, California 91006-3104 4.QORI'ORATE9'e / ( 818 ) 574 - 5418 C /(/ Page 1 of 1 1015 S ENCINO AV 09/05/89 09 : 00 Permit No : A8904171 Autoproj No : AU003552 Status : APPROVED Validated by : LB Inspector area: 208 This type : Roofing Project Applied : 09/05/89 Issued : 09/05/89 Parcel number : 5780-014-009 Finaled . Group-occup/use: To Expire .• Owner : EVERETT Applicant : CAL PAC ROOFING TT 77 Applicant Addr : 5720 AYALA IRWINDALE, CA Job Address : 1015 S ENCINO AV Phone number : 818-969-3370 Class code .• Valuation 10, 000 Construction : ALT Permit to do : RE-ROOF HOUSE AND GARAGE CONTRACTOR : CAL PAC ROOFING Lic. C 379503 213-661-3711 Roofing Material > DECRA-TILE Fee description Units Fee/Unit Ext fee Data Enter Valuation > 10000 . 00 . 00 . 00 Roof Fee 3107> 162 . 05 *** Fees Required *** *** Fees Collected & Credits *** Receipt No. Date Payment 09/05/89 162 . 05 Fees: 162 . 05 Adjustments: . 00 Total Credits: . 00 Total Fees: 162 . 05 Total Payments: 162 . 05 Balance Due: . 00 J Will the applicant or future building occupant handle a hazardous material or a mixture containing a hazardous material equal to or greater than the amounts specified on the Hazardous Materials Information Guide? ❑ YES ❑ NO Will the proposed building or modified facility be within 1000 feet of the outer boundary of a school? ❑ YES ❑ NO Will the intended use of the building by the applicant or future building occupant require a permit for construction or mod- ification from the South Coast Air Quality Management District (SCAQMD)? SEE PERMITTING CHECKLIST FOR GUIDELINES. ❑ YES ❑ NO I have read the Hazardous Material Information Guide and the SCAQMD Permitting Checklist. I understand my re- quirements under the Los Angeles County Code, Title 2, Chapter 2.20, Section 2.20.100 through 2.20.140 concerning Tt CZOZ � n > > 4 �v0rl❑� ❑o Y ❑ ❑m�Og 0 Q0^ ❑ O rmvC7 1161 a \,maC^ �o/ n n + Y- n n3 - 3� - `m4n�°° - m_ ='�$ �e- ° $ ��- O m m o° ° � -m3'-01i3,- �#i3, u tt g-i. I1_c3g,g $ m ov .. 3 8 G � g! -moo 3° a m- V '101�-x8-8. 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O MAILI �ADDR ADDRESS - �" —I CaQ CITY LIC.NO. }�) CITY �� _���� / TEL.NO. O� PROPOSED J� .1.1 A USE SE ZONE FEE COMPUTATION BATHTUBS' CLOTHES WASHERS SHOWERS I REPLACEMENT SHOWER FANS IV WATER CLOSETS I DRINKING FOUNTAINS .C1 LAVATORIES' SINKS, KITCHEN, BAR I URINALS C) FLOOR, SERVICE SAND TRAPS go- LAUNDRY TRAYS DISHWASHERS GARBAGE DISPOSALS WATER SOFTENERS WATER HEATERS AND/OR VENTS TOTAL NO. OF ABOVE FIXTURES: @ 1.00 EA. ! 0 6 LAWN SPINKLER SYSTEMS: @ 2.00 EA. BACK FLOW 0.5 DEVICES ADD.DEVICES DEVICES: @ 2.00 @ 25¢EA. SWIMMING POOL PIPING SYSTEM @ 1.00 WATER SYSTEMS @ 1.00 GASGAS SYSTEMS: 0.5 OUTLETS ADD.OUTLETS SYST___________EMS: @ 1.00 @ 20¢EA. BOILERS STEAM OR HOT WATER @ 2.00 SEWER CONNECTIONS ON PROPERTY SEWER CAP OR CESSPOOL FILL @ 1.00 SEPTIC TANK,SEEPAGE PIT AND/OR DRAIN FIELD @ 3.00 I have carefully application ay d know the same to examined t be true and PERMIT FEE correct. All provisions of Laws and Ordinances �0 covering this type of construction will be corn- INVESTIGATION plied with whether specified,herein or not. No FEE person shall be employed in violation of the Labor Code of the State of California. TOTAL FEE �:Cep 4^ SIGNATURE OF CONTRACTOR OR AUTHORIZED AGEI�� FORM B-52 (REV.7-61121/2M o)c ^INSPECTION�REECORD I T E M. BASIC INSPECTOR DATE GROUND WORK. ROUGH GAS PLUMBING TOP OUT HEATING VENTS FINAL GAS 45"111111 FINAL PLUMBING (, PARTIAL OR MISC. INSPECTIONS UNSUCCESSFUL TRIPS • ADDRESS(DiS EV1CmciFtu`OWNR n n ` rets• STRUCTURE `+SQNTRACTOR\ vvt` DATE 1-'4,10-4ERMIT INSPE ED REMARKS PLAN NO. Z112.6 POWER POLE FORMS 2..1 IZ.O . d"G • RO. PLUMB. 30$40 ✓ , , : p 3 4 /SG ` GAS 1:41.4o 4 . �!l S/+�J.��� TO STREET SEWER i LI�.3 /-�._/ l��e �"�esi '- W. C. FURNACE 3/0/6 a //�/e/� VENT �� RO. WIRE 3� ,_ , ii, CURB FRAME � Iw r Ci �+ LATH III [� 1 ELEC. FIX. I I��s1 i PLUMB X_ u, 4 ���i.r.e �y ELECTRIC /SYS ,�1/'�/'I .� �� -'b� gr/3J -5-‘ SUB.CONTRACTORS GAS f Location/0/5 EficINO AvC_. "41 54-S4 Sewer Permit No. E39 AI 3 Co. No. Lot a.62, Blk. Tract/12. 174. / I Legend V Owner fflo L ,pi s c vi B cc c I Length Date Insp. Contractor Al. t(Co r 4. 6 it , I r---- 1 , ) / /'- Pipe & Joints '1' ' ' - -• Street Location % 111,12.,(- .iff.. LOCATION l o i S F...he i r1 b V - VALUE S I $l Chop b we.l( i 11% �9raraog LOT ,?. BLOCK rRACT V(a 2.41 OWNER ,T V h Sort 1-) rQS I BUILDING y�Q e //� QC - 1'� -�/ aU2. O PLUMBING (eY'1I r1 L C�edd�_3 - �-s� 74)ot‘O HEATING Har r I S . Fr �o r b . '4T^ 1 _� 3( 06,t) SEWER (<'o R IC y�! D 1J -54 1 ely- WIRING F. D. �c i�{ tr� J_��_U� 1119 FIXTURES ,�/ o y ELECTRIC I 6 $'Zq:yp GAS $�3.' p-Z.9-•-b PLAN NO.10017 I