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HomeMy WebLinkAboutOld permits `�`°-, Development Services Depart` ` t PER. 'NO. . " BOO-036-076 •-: - 240 West Huntington Drive,Post Office Box 60021 City of Arcadia,CA 91066-6021 Permit Type: Roofing Arcadia (62 ) 574-5416,Fax (626)447-917'1 PROJECT TRACT NO. LOT NO. APPLICATION DATE ISSUED BY PRINT DATE PERMIT STATUS 18241 12/2/2010 CM 14:08 12/2/2010 Issued ADDRESS No. Dir.Prim Street Name Street Suffix Project ASSESSORS PARCEL NO. GEO CODE 1116 Encino Ave 5780-016-011 OWNER MAILING ADDRESS Alex Liu PHONE NO. EMAIL ADDRESS: Inspector#: JEFF Plan Chk#: APPLICANT MAILING ADDRESS Plan#: Sunshine Roofing PHONE NO. School Dist#: EMAIL ADDRESS: CONTRACTOR/PROFESSIONAL MAILING ADDRESS Sunshine Roofing PHONE NO. FAX NO. , EMAIL ADDRESS: License No. Type: Expires: TENANT MAILING ADDRESS PHONE NO. FAX NO. DESCRIPTION T/O AND REROOF HOUSE AND GARAGE WITH MONIERLIFETILE,SMOKEY, SHAKE 600-2FBCF3958,OVER OSB SHEATHING,CRRC COMPLIANT MATERIAL VERIFIED BY CM Construction Type UOM #of Units Value Construction Type UOM #of Units Value Lite concrete tile square 29.00 $11,418.75 Plywood installation square 29.00 $1,522.50 CO/ PL E T D OCCUPANCY: Reroof TOTAL VALUATION: $12,942.00 QTY UOM DESC AMT AMT PAID ACCT QTY UOM DESC AMT AMT PAID ACCT I Flat Bldg Issue Auto 42.25 42.25 01-3104 / /� each Bldg permit 287.35 287.35 01-3104 4r."I O (7 1 r I Flat SWMF Auto 6.25 6.25 88-3027 .�< F 5.�66�e/,f/&" ` t4 I ' l a2-3�—t a ['vC it.A-1, Total Fees: $335.85 Total Amount Paid: $335.85 Paid Today: $335.85 This permit/plan review expires by time limitation and becomes null and void if the work authorized by the Ras.cipt/I. 92824 permit is not commenced within 180 days from the date of issuance or if the permit is not obtained within 01-3104 329.60 180 days from the plan application date. This permit expires and becomes null and void if any work 88-3027 6.25 authorized by this permit is suspended or abandoned for 180 consecutive days or if no progressive work has been verified by the 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) PERMIT/PLAN REVIEW APPLICATION I+ 11 r—M '41,2" Development Services Department, 240 West Huntington Drive, Post Office Box 60021 °Y°'"° 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 Code,and my license is in full force and effect. Exp.t. ❑ I have and will maintain a certificate of consent to self-insure for workers' License Class C. C Ex Date 131/ f l compensation, as provided for by Section 3700 of the Labor Code, for the performance of the work for which this permit is issued. Signature of Contractor 4.101 5/711/LP /Z:9-P p1/9 ❑ 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'compensation insurance 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 // vl demolish,or repair any structure,prior to its issuance,also requires the applicant Policy Number t GO 2- 1 2- '� 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 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 44 Q0 1,p (42/(0 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(I)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. The permittee may be entitled to reimbursement of the permit fees if the City fails to conduct an inspection of the permitted work within 60 days of the request for final inspection. 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 1140614-0 Title PRINT 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 enter upon the above-mentioned property for inspection purposes. tt Signature /146931t Date (21/ Z/ ( 0 t1 _ Solar Reflective Index (SRI) Calculation Worksheet SRI-WS Computer Generated Form Date: k 12/2/2010 Climate Zone: 9 Building Type: Residential Nonresidential Project Name: Project Address: 1116 Encino Ave, Arcadia, CA Roofing Products(Cool Roof) Roofing products with high solar reflectance and thermal emittance are referred to as"Cool Roof", which refers to an outer layer or exterior surface of a roof. As the term implies, the temperature of a cool roof is lower on hot sunny days than for a conventional roof, reducing cooling loads and energy required to provide air conditioning. The benefit of a high reflectance surface is obvious: while dark surfaces absorb the sun's energy (visible light, invisible infrared, and ultraviolet radiation)and become hot, light-colored surfaces reflect solar energy and stay cooler. However, high emittance is also important. Emittance refers to the ability of heat to escape from the surface once it is absorbed. Surfaces with low emittance (usually shiny, metallic surfaces) contribute to the transmission of heat into the roof components under the roof surface. The heat can increase the building's air conditioning load, resulting in increased energy costs and detracting from the comfort level of the home. High-emittance roof surfaces give off absorbed heat relatively quickly through the path of least resistance: upward and out of the building. Rating and Labeling Initial Weathered Roofing products that are used for compliance ;.; ..4" Solar Reflectance 0.00 Pending with the standards (prescriptive and performance Thermal Emittance 0.00 Pending approaches)are required to be tested and labeled C R C Rated Product ID Number ———— by the Cool Roof Rating Council (CRRC). t x,t>7_ROt IF Licensed Seller ID Number Roofing product manufacturers must have their RUIN(:G,<.YI.,NC1L ® ——o Classification Production Line roofing product tested for solar reflectance and thermal emittance, and be labeled according to Coot Roof Rating Camtoil rating are denerruoe.d fora fixed set of conrdilious,and may not be apprtrpriatr g far detrnrurung seasonal energy perforntaturo.T'lse actual effect of rnlar reflectance and.thermal e,i tat�ce CRRC procedures. See example of a CRRC on building perfoimamce may vary label at right. 4faoufactuter of product stipulates that the ratings were determined in accordance with.the applicable 9 Cool Roof Rating Council procedures CRRC-1 Label Attached to Submittal (Note:If no CRRC-1 label is available, this compliance method cannot be used and another method is required to meet compliance) CRRC Product ID Manufacturer Brand Model Product Type Number 0942-0063 Monierlifetile Smokey Shake-600 Roof Slope Product Weight SRI Calculations Aged CRRC listed Calculated Relfectance Initial Solar Thermal 52:12 >2:12 <51b/sq ft ?5Ib/ft Listed with Aged Solar Reflectance Aged Solar Emittance CRRC? Reflectance Reflectance t i.■ C (� No 0.12 eta ` Solar Reflective 1 0 Index 2008 Residential and Nonresidential Roof Certificate December 2009 Cool Roof Rating Council Page 1 of 1 tS •4111 Rated Products Directory: Search Results [new search][print friendly view] (last updated 23 Nov 2010 19:48 CST) Showing Search Results for: Company: MonierLifetile Product Type: Tile or Slate,Shingles, Shakes,Tile or Slate Brand: Smokey Model: Shake 600-2FBCF3958, Shake 700-3FBCF3958, Split Shake 600- 2FDCV3958,Split Shake 700-3FDCV3958, Slate-1 FACS3958 select*from products where company_name='MonierLifetile'and(type like'Tile or Slate%'or type like'Shingles, Shakes,Tile or Slate%') and brand='Smokey'and model--'Shake 600-2FBCF3958, Shake 700-3FBCF3958, Split Shake 600-2FDCV3958, Split Shake 700- 3FDCV3958,Slate-1 FACS3958'order by company_name asc previous i 1 I next (showing records 1 - 1 of 1) 25 Records per Page Manufacturer Solar Reflect. Therm Emit. SRI CRRC Information Color Product Slope Prod.ID (sorted+) Brand Model Category Type init 3 yr init 3 yr init Application 0942-0063 MonierLifetile Smoker Shake 600- Grey, Tile or 0.08 pending 0.92 pending 5 pending Steep Kayla Kratz 2FBCF3958, Black, Slate (949-228- Shake 700- Multicolor 7100) 3FBCF3958, Split Shake 600- 2FDCV3958, Split Shake 700- 3FDCV3958, Slate- 1FACS3958 previous 11 I next (showing records 1 - 1 of 1) 25 Records per Page About the CRRC I Product Rating Program I Rated Products Directory I CRRC Members I CRRC News Become a Member I How Do I I Contact Us I Cool Roof Links I Home http://www.coolroofs.org/products/results.php?keyphrase=&select type=select&type%5... 11/29/2010 grow A04%, DEVELOPMENT SERVICES w., DEPARTMENT iii! -10614!R E ROOF PERMIT BUILDING AND SAFETY 10/ A rtico\_41jo• A P P LI CAT I 0 N 240 West RO BoxHuntington 1 Drive City of Arcadia, CA 91066-6021 F ORM Arca(626) 574-5416 Arcadia ADDRESS ( ' c( o v AV r OWNER q�-� )C )--" C4 APPLICANT ADDRESS CITY STATE ZIP TELEPHONE 6 6?3 CONTRACTOR ADDRESS >I v ,. 94/l"I 42-Y-d 14)- g3 CITY J atit 0'110( / STATE al ZIP 91 ?6 ( TELEPHONE 90 toir STATE LIC.NO. /t , 7 3� �-S 2 IC NO. &CLASSIFICATION (�' 6 LI TYPE OF BUILDING BEING REROOFED jj House (Y Garage LV Other (Specify)? a1'i N'ovd.Sk((re iQGK f it ile(IP,I are EXISTING ROOF DATA "g ` ' � 4e s '6 g , 5. 6 fJS, ZcC - (647 , (-fou$P4Gp add/t i`itch e yti,aodr Tile ❑ Comp ❑ Wood Shake IL/ Wood Shingle L Built Up ❑ Other (Specify) Existing Sheathing Solid ❑ Spaced ❑ No.of Existing Roofs NEW ROOF DATA Tile CV Comp ❑ Wood Shake ❑ `W-ood Shingle ❑ Built Up ❑ Other (Specify) Roofing Manufacturer" niI8' (' tt. Style: /12/ 6017 ICBO/ER#: /61? Color Name or #. iflA2P' si Weight Per Square t 6 b5 Roofing Class: Restructure Yes ❑ No @/ Tear Off: Yes LU/ No ❑ New Sheathing: Yes Y No ❑ Number of Roofing Squares 24: SQ If Comp, Number of Years of Manufacturer's Warranty: 20 Years ❑ 25 Years ❑ 30 Years ❑ 40 Years ❑ 50 Years ❑ Total Value of Labor and Materials $ II/ gt9CN REV.5/03 DEVELOPMENT SERVICES DEPARTMENT PLAN REVIEW/ 04 ��. BUILDING AND SAFETY 0 #% BUILDING PERMIT 240 West Huntington Drive City of P.O. Box 60021 APPLICATiON Arcadia Arcadia, CA 91066-6021 (626) 574-5416 FOR M BUILDING ADDRESS OWNER MAILING ADDRESS CITY STATE ZIP _TELEPHONE CONTRACTOR ADDRESS CITY STATE ZIP TELEPHONE STATE LIC. CITY &CLASSIF LIC.NO. APPLICANT ADDRESS CITY STATE ZIP TELEPHONE PROPOSED CONSTRUCTION REMODELED NEW SQUARE FT.OF SQUARE FT. MAIN STRUCTURE NEW SQUARE FT.OF ACCESSORY NEW SQUARE FT.OF STRUCTURE(SPECIFY) PATIO(S)/PORCH(ES) NEW SQUARE FT.OF MISCELLANEOUS STRUCTURE(S)(SPECIFY) __, OCCUPANCY CLASSIFICATION(S) TYPE OF CONSTRUCTION VALUATION: REV.5/03 BUILDING AND SAFETY DIVISION City of Arcadia '` MISCELLAM:40US AND OFF-SITE 240 W. HUNTINGTON DR., ARCADIA, CA 91006 • TEL. (213) 446-4471 PERMIT 'Building Address ///� �;�`/ —1 /./ MISCELLANEOUS FEE RECEIPT Owner 0 PLAN CHECK FEE FOR VAL. Moiling (2 CASH BOND FOR Address City 1 Zip Tel, 0 GRADING PLAN CHECK City adiA - f/PUes' Conrroctor GRADING PERMIT O GRAD G �: SSrTy NI 6iSSa4.-, - - Address _ O HOUSE MOVING /`S/ 7 .4.4-C lis-af f. .4 tJ! City Zip i! Te� 3®r PARKS AND RECREATION FEE V �7DtiAr4JA,. 6 t'- / 0 ROUTE INSPECTION FEE Stote Lit. City taa 8 Clossif. a,/ _ pg Lic. No./3�1„ -L Q r-� LICENSED CONTRACTOR'S DECLARATION - �__I I hereby affirm that I am licensed under provisions of Chapter 9(commencing with Section EJ 7(1(11))of Division 3 of the Business and Professions Code,and my license is in full force and effect. OWNER-BUILDER DECLARATION I hereby affirm that I am exempt from the Contractor's License Law for the following TOTAL FEE reason:"Sec.7031.5.Business'and Professions Codes.Ans city or county which requires a IP 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 pursuant to the provisions of the Contractor's License Law,Chapter 9(commencing with FORFEITED TO THE CITY, Section 7000)of Division 3 of the Business and Professions Code, or that he is exempt thetefrotn,and the basis for the alleged exemption.Any violation of Section 7031.5 by ant SEWER PERMIT applicant fora permit,subjects the applicant to a civil penalty of not more than five hundred dollars($300).'' PERMISSION IS HEREBY GRANTED TO MAKE SEWER CONNECTIONS AT 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.''See.7044.Business and Professions Code:The Contractor's License Law does not apply to an owner of property who LOT builds or improves thereon and who does such work himself or through his own employees. BLOCK TRACT prneidrd that such improvements are not intended or offered for sale. If, however, the LOCATION (:'LATERAL building or improvement is sold within one year o1 tlontpletion,the owner•builder will have G SADDLE the burden of proving that he did not build or improve for the purpose of sale.• � SEWER PLAN NO. CESSPOOL FILL `J I. as owner of the property, am exclusively contracting with licensed contractor to # 3.00 construct the project."Sec.7044,Business and Professions Code:The Contractor's License Las does nut apply to an owner of property who builds or improves thereon,and who con- tracts for such projects with a contracoirls)licensed pursuant to the Contractor's License Law." INSPECTED X98 I am eacempt 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. Wosker•s c •r a certified cup•there f.(Sec 0, r Code.) / I' Pole,t , _ !,gig/41404 ____Company _ DRIVEWAY APPROACH OACH SIDEWALK FT. Copy is filed ❑hereby Certified copy is his . Date ,// .ra with the City. hereby furnished. INSPECTED : ea ems• l0 TOTAL FEE r CERTIFICATE OF EXEMPTION FROM WORKERS'COMPENSATION INSURANCE STREET CUT t7ht s section need not be completed if the permit is for one hundred dollars($100)or less.) O 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 Workers'Compensation Law of California. ® /SO.FT, 4'OT/CE TO APPLICANT:/f,after making this Certificate of Exemption you should become ACTUAL SIZE-OF PATCH AMOUNT CHARGED salve,t to the Workers' Compensat;un provisions of the Labor Code,you must forthwith /SO.FT. comply with each provisions or this permit shall be deemed revoked. AMOUNT REFUNDED I certify that I have read this application and state that the above information is correct.I RECEIVED FROM STREET DEPT, agiec to comply with all city and county ordinances and state laws relating to building construction,and hereby authorize representatives of is city to enter the above-mentioned INSPECTION FEE property for inspection pit oses. INSPECTED 198 BY Signtture of Applicant y Date.1._`__41___- _ PERMIT FEE Mailing Address i` 7 . :tc ar•-''? City.State.Zip /�70.�'/7f1/ F A+ I'//i` TOTAL FEES INSPECTOR COPY This is o miscellaneous and off-site permit when properly filled out,signed and validated,and is subject to expiration if Work thereunder is suspended for WO days. JOB ADDRESS elk 1116 Encino NUMBER STREET APPLICATION FOR A HEATING, VENTILATING, AIR- CONDITIONING OR REFRIGERATION PERMIT BUILDING&SAFETY DIVISION h CITY OF ARCADIA,CALIFORNIA OWNER TEL. NO. Mr. & Mrs. David Garrett j447-8655 MAILING ADDRESS 1116 Encino 1 CONTRACTOR STATE LIC. NO. AAA CONDITIONED AIR, INC. 29'i529 h MAILING ADDRESS CITY LIC NO. 10160 E. Valley Blvd. 0-07732-L CITY O. El Monte, CA. 91731 jet —1800 DESCRIPTION OF WORK�Sl HEATING AIR CONDITIONING ❑ REFRIGERATION /❑ VENTILATION FEE COMPUTATION VALUATION -- $ d■04 ' DESCRIBE WORK TO BE DONE CEreAL i1&7-/N6„.. V- /9-As e p&p, 3 pan/ L 67r/Np/ C, 4' DU7 1 INCL. HEATING APPLIANCES VENTS (INSTALLED, ALTERED, REPLACED, REPAIRED OR RELOCATED) TYPE B.T.U. I FEE / 4 ,wV0K 2'c2 /9 CIRCULATING AIR OUTLETS OR INLETS REFRIGERANT COMPRESSORS(INSTALLED OR REPLACED) QUANTITY OVER INCL. ACTUAL H.P. RATE 1 FEE 0 '20 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 person shall be employed in violation of the Labor Code of the State of California_ TOTAL FEE 2 .7 SIGNATURE OF CONTRACTOR OR AUTHORIZED AGENT © INSTRUCTION PROHIBITED BETWEEN 7:00 P.M. AND 7:00 AND ON SUNDAYS AND HOLIDAYS AS PER ORD. # 132 INSPECTION RECORD ITEM INSPECTOR DATE ROUGH HEATING ROUGH REFRIG.OR AIR COND. DUCTS FINAL HEATING FINAL REFRIG.OR AIR COND. /4 p PARTIAL OR MISC. I SPE ION /- IONS \44c. UNSUCCESSFUL TRIPS Arbk Avis JOB ADDRESS a. • 4010` 11111k 1116 Encino NUMBER STREET APPLICATION FOR AN ,7' ELECTRIC PERMIT 3''I BUILDING ft SAFETY DIVISION l/! ,,,✓✓✓✓ CITY OF ARCADIA, CALIFORNIA OWNER TEL. NO. Mr. & Mrs. David Garrett 447-8655 MAILING ADDRESS 1116 Encino CONTRACTOR STATE LIC. NO AAA CONDITIONED AIR, INC. 293529 MAILING ADDRESS CITY LIC. NO 10160 E. Valley Blvd. 0-07732-L CITY TEL. NO . El Monte, CA. 91731 579-1800 riNew Exist. No. Serv. Reconnect Bldg. Bldg. Charge or Reseal / OUTLETS, BASE PLUGS, SWITCHES, FIXTURES 0.30c EACH 30 MOTORS 1 0 to 1 Hp @ 1.50 / OVER 1 HP to 3 HP @ 2.50 .2 LS O OVER 3 HP to 8 HP @ 3.00 • OVER 8 HP to 15 HP @ 3.50 • OVER 15 HP to 50 HP @ 10.00 , 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 /450 RESIDENTIAL ENTRANCE SERV. 100 A MIN. @ 3.00 • COMMERCIAL ENTRANCE SERVICE @ 6.00 ,• / ADDITIONAL SERVICE METERS @ 2.00 c,2 iO0 1e TEMPORARY POWER POLE @. 3.00 I 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 PERMIT FEE above application and know the same to 3;00 be true and correct. All provisions of j the Laws and Ordinances governing this SUPPLEMENTARY type of construction will be complied with PERMIT FEE 1 75 whether mentioned herein or not. No person shall be employed in violation of INVESTIGATION the L or Code of the State of California. FEE TOTAL FEE 9 30 SIGNATURE OF CONTRACTOR OR OW AUTHORIZED AGENT ..0111111114, ,ISTRUCTION PROHIBITED BETWEEN 7:00 P.M. AND 7:00 ...M. AND ON SUNDAYS AND HOLIDAYS AS PER ORD. # 1321. — INSPECTION RECORD Amok BASIC INSPECTIONS ITEM INSPECTOR DATE GROUND WORK ROUGH FINISH FIXTURES FINAL RELEASE TO PUBLIC SERV /G� PARTIAL OR MISC. SPECTIONS UNSUCCESSFUL TRIPS RECORD INFORMATION O H U G TEMP OK TEMP CONSTR NO.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 Sc 3q • 01"k ANIN elk Location///C E/y e,INC A V L s9-CZ Sewer Permit No. 8 96=3 Co. No. Lot /n Blk. Tract / 2�,c / I Legend Owner /lob,y}v s- Bras I Length/ Date Insp. Contractor n, /(Orc L! k FT-1. '2, ' r J !u t Pipe & Joints', Street Location/d S L=—'3 ;. IA ADDRESS III(I 2 .011.1..."." E1 •%eLno/! l�}oea OWNER 11`MeNI 1 IdY 0 STRUCTUF',Dt iet II I16 tt9QYa_ CONTRACTOR 4-+ e— _-__ DATE�_7S0.Qr.PERMIT I IN ECTED REMA-KS PLAN NO. MOIZ' POWER POLE 4.1- IFi ,L�� /fe"f�7- ��6-f- FORMS g.110121101 /' f RO. PLUMB. 74/'Lj�/'II�IIy�y 27®f GAS r : 7�J6 ✓l G. �,(-- TO STREET _ SEWER t/ 3 3 ''/I— s p -71 W.C. �J'Q/A FURNACE _ J _ qp 4 ��-�///��ISk�r-GH VENT i�/,Y96 RO. WIRE 7AIq s Oi(O 6,.. 'Z✓ CURB , FRAME I S O i '' . LATH ELEC. FIX. I 0 4,,,V 4217-2.4_/ PLUMB FIX. O: ✓ -vl-/fz p ELECTRIC ...c2/7�3"7 I• --2.7 GAS x7,7- 8"--7-7-K-S SUB-CONTRACTORS-fir-7-"b" s 1 r LOCATION Erica 0 Rue, • VALUE $ 1 gto Duo e,lU \hq LSQt'0.�C� LOT l 0 J BLOCK TRACT 1 g 2.1.I OWNER 13 Qb'thgOvs 'le%r0S . y BUILDING Zn Yom` 1-30-VA 2,1 11 1�0 PLUMBING �r' It r st L , CirLeS �Q,-(Q-J� 3021 HEATING t-i aaLr-r�y�n/s C. �Y�l� Q.nr • 1 T _S�/ at 6 SEWER ' LV� 3 '"?- CJ 81./3 F, y� 1(� t� [ o WIRING [ �, D, MC- K1 •1S` v- .] _ I_S I 1 O11 FIXTURES • ELECTRIC 541:-/1- a-vi-St,GAS g'12 J g-2?-rx, PLAN NO.1OO1't , N ,0 A 11 A S 0 3 _] h P N