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OP CITY OF ARCADIA ' ', FOR OFFICE USE ONLY Development Services Department P91111 Community Development Division o'x A 240 West Huntington Drive ‹R4:!�A Post Office Box 60021 C*)M PLETEC) � Arcadia, California 91066-6021 ( 626 ) 574 -5416 Page 1 of 1 1117 S ENCINO AV 02/17/99 08 : 12 Permit No. : A9900550 Autoproj No : AU019897 Status : APPROVED Validated by : MF Inspector area: 205 This type : Roofing Project Applied : 02/17/99 Issued : 02/17/99 Parcel number : 5780-014-003 Finaled • Group-occup/use: To Expire Owner : CARLTON, ANN Applicant : A & S ROOFING Applicant Addr : 848C MERIDIAN STREET DUARTE, CA 91010 Job Address : 1117 S ENCINO AV Phone number : 626-357-7715 Class code • Valuation • 6, 000 Construction : ALT Permit to do : T/O & RE-ROOF HOUSE & GARAGE (30SQS) CONTRACTOR : A & S ROOFING Lic. C 324573 626-357-7715 848C MERIDIAN STREET DUARTE, CA 91010 Roofing Material > 30 YR COMP Zone > SHINGLE Special Case No. > ELK Date Approved > PRESTIQU Homeown Assoc. (YES/NO) > N Fee description Units Fee/Unit Ext fee Data Original Permit Issue Fee (YES/NO) > 40. 25 Y Enter Valuation 6000 Roof Fee 3104> 170. 45 Refuse Fee 3027> 6 . 25 *** Fees Required *** *** Fees Collected & Credits *** Receipt No. Date Payment 02/17/99 216. 95 Fees: 216. 95 Adjustments: . 00 Total Credits: . 00 Total Fees: 216. 95 Total Payments: 216. 95 Balance Due: . 00 IWill the applicant or future building occupant handle a hazardous material or a mixture containing 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 0 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. Chapter 2.20. Section 2.20.100 through 2.20.140 concernina hazardous materials NO OPERATION .PERATION Building Inspections Date Insp. Plumbing Inspections Date Insp. NOTES 100. Setbacks 210. Under fir/bldg.drain • 101. Rough grade 1 211. 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 rt 110. Framing 220. Fixtures 111. OccJArea Sep.Wall 221. Final plumbing 112. Sound walls 222. Sewer cap/demo. 113. T-bar grid 114. Insulation-flr. Pool Inspections Date Insp. 115. Insulation-Wall _ 240. Excavation/steel I 116. Insulation-Ceil. 241. Rough plumbing 117. Drywall nailing ) 242. Light shelVbonding 118. Interior lath 243. Underground conduit It 119. Exterior lath 244. P-trap 1 120. Finish grade 245. Gas line&test 121. Final building 246. Fence,gales&signs 122. Final demo/lot clear 247. Pool heater 248. Final electric Electrical Inspections Date I Insp. 249. Final Plumbing 150. Power pole 250. Pool cover 151. Sales lot lighting 2.51. Pool final 152. Underground conduit 153. Underslab conduit Reroof Inspections Date I Insp. 154. UFER ground 270. Pre-reroof insp. _47 1T-- to 155. Water ground 271. Roof framing 1- 156. Rough electrical 272. Sheathing nailing IZ 7 157. Fixtures 273. Final reroof 1lt� f 158. G.F.C.I. --_-j 159. Eqpt.bonding SI.n Ins.=ctions Date Insp. 160. Servicepanel 280. Setback/overhang 161. Final electric 281. Footing 282. Conduit/wiring Mechanical Inspections Date Insp. 283. Disconnect 180. Venting/flue 284. Final sign 181. Furnace/A.C. 182. Rouch HVAC _ iscellaneous Insp. Date Insp. 183. Fire dampers 290. Fire alarm 184. Furnace compartment 291. Underground supply I _ 185. Combustion air 292. Fire sprinklers n, 186. Smoke detectors 293. Monitor system 187. Metal F.P.rough 294. Hood dry chem. Compressor setback ° 188. Com P _ 295. Final 189. Commercial hood 190. Duct shaft --ewers&OHsite Insp. Date Insp. 191. Final mechanical 300. Lateral(main to P/L) 301. Saddle/Y Block Wall Inspections Date Insp. 302. Cesspool filled 200. Footings 303. Sidewalk 201. SteeVrebar 304. Driveway 202. Grout lift 305. Curb replacement +� 203. Final wall 306. Trash bin I 4m _ y$ 4 q t r o ` � k 'E E tl! " t 11 R y � �mr2u o 1? o,_G `s.b S 3 � o o I le.a 8 Ili 5) 2. ¢< E III' _ g i' w$ € „ o . 't4o9 � � � o ts . ti6o .b il_' !r �? I N 111'.' .� lig Q 3 f" o c G o.n i P N _E WU' } LL m NZ o g N t g g iiiiiiii g¢itillY � Z5 a4LLa-? V n "-°� sr _ $ !ti O it ra `' ' <Ig a i t 14 ai 10 f ®fi�rr q rF _ .. #_' 4 E' a� a "ta� s, r zAT. d� � IA_ ._ � Al tt4 'Op 4- CITY OF ARCADIA ANN FOR OFFICE USE ONLY Development Services Department : ON kii Community Development Division et t* 240 West Huntington Drive '''c ,,..- �7 Post Office Box 60021COMpL(TEO ...as./ Arcadia, California 91066-6021 ( 626 ) 574-5416 Page 1 of 2 1117 S ENCINO AV 03/31/99 09 :13 Permit No. : 09900046 Autoproj No : AU020068 Status : APPROVED Validated by : MF Inspector area: 205 This type : Sewer/Street/Sidewalk Project Applied : 03/31/99 Issued : 03/31/99 Parcel number 5780-014-003 Finaled .• Group-occup/use: To Expire .• Owner : ANN CARLTON Applicant : LOUIS W ROBINSON Applicant Addr : 426 W. ROSES ROAD SAN GABRIEL, CA 91775 Job Address : 1117 S ENCINO AV Phone number : 626-458-0405 Class code . Valuation 0 Construction : OTH Permit to do : NEW DRIVEWAY APPROACH CONTRACTOR : LOUIS W ROBINSON Lic. C 479370 626-458-0405 426 W. ROSES ROAD SAN GABRIEL, CA 91775 Fee description Units Fee/Unit Ext fee Data Driveway Approach 3111> 1 50. 00 50. 00 Inspection Hours 3111> 1. 50 40. 00 60. 00 110. 00 Refuse Fee 3027> 1. 00 TOTAL Encroachment R/R/R Fees 111. 00 TOTAL Sewer & Encroachment Fees 111. 00 Desc/date Act Inspector Comments ** No Entries ** ** No Entries ** ** No Entries ** *** Fees Required *** *** Fees Collected & Credits *** Receipt No. Date Payment 03/31/99 111. 00 C Will the applicant or future building occupant handle a hazardous material or a mixture containing 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 #. i to 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 I have read the Hazardous Material Information Guide and the SCAQMD Permitting Checklist. I understand my requirements under the los Anaeles County Code. Title 2. Chanter 2.20. Section 2.20.100 through 2.20.140 concerning ha7arrinus matPriaic NO OPERATION . '• OPERATION NOTES Building Inspections Date Insp. Plumbing Inspections Date Insp. , 100. Setbacks I 210. Under 11r/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 106. Grout lift 216. Roof drains 107. Shear nailin 217. Building sewer 108. .piaph nailin 218. Water service 109. Roof nailing j 219. Final gas 110. Framing 220. Fixtures 111.'Occ./Area Sep.Wall 1 221. Final plumbing - 112. Sound walls 222. Sewer cap/demo. 113. T-bar grid I 114. Insulation-fir. I Pool Inspections Date ( Insp. -115. Insulation-Wall _240. Excavation/steel 116. Insulation-Ceil. 241. Route plumbing i 117. Drywall nailing 242. Light shell/bonding I tI 118. Interior lath 243. Underground conduit 1 119. Exterior lath • 244. P-trap 1 1 120. Finish grade 245. Gas line&test I _ 121. Final building _246. Fence,gates&si ns 122. Final demo/lot clear 247. Pool healer 248. Final electric Electrical Inspections Date Insp. 249. Final Plumbing H 150. Power pole 250. Pool cover _ ; ~ 151. Sales lot lighting 251. Pool final I _ r 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 - 4_272. Sheathing nailing 1 { 157. Fixtures 273. Final reroof 158. G F.C.I ---- - - - 159. Eqpt_bonding 1 Sign Inspections Oatu Insp. 160. Service panel 280. Setback/overhang 1 - 161. Final electric 281. Footing 282. Conduit/wiring_ Mechanical Inspections Date Insp. 283. Disconnect 180. Venting/flue 284. Final sign _ 181. Furnace/A.C. j 182. Pouch HVAC I-- Miscellaneous Insp. Data Insp. 183. Fire dampers I 290. Fire alarm 184. Furnace compartment 291. Underground supply i - 185. Combustion air 292. Fire sprinklers ' 186. Smoke detectors 293. Monitorstem 187. Metal F.P.rough 294. Hood dry chem. i__ 188. Compressor setback P 295. Final -_ -i 189. Commercial hood 190. Duct shaft Sewers&Offsite Insp. Data Insp. 191. Final mechanical 300. Lateral(main to P/L) i 301. Saddle/V Block Wall Inspections Date Insp. 302. Gess tool filled t - 200. Footings 303. Sidewalk - - 201. Steelrebar 304 Driveway _ 1 _i_ f ri 9/ 4;�.pfs v/K��- 202. Grout lift 305. Curb replacement j 203. Final wall � 306. Trash bin i Avirt ---- --- 1 y9t aft �� -...t'. n q n � � ccW���ri Vi c hH CCC °;- o:11 z , , .5gizzi, lif .IJ m z jZ --ir; L:23,i g -4.1 $ �Tv Q t yE \ : � � '� z � g F- is L6'.,2 Z g . H 1ilH C u � 'a fit ihti HR e $ <pi wa5i sn� a Dn c BUILDING AND SAFETY DIVISION -- City of Arcadia ELEC./MECH./PLMBG. 240 W. HUNTINGTON^^^DR., ARCADIA, CA 91006 • TEL. (213) 446-4471 PERMIT Building ( �/ `' � No. Description (Additions, Commercial, Industrial) Fee Address //// / Services Owner (7_4c/if t c^ (Size= 1 1 P .'" Yom' Outlets ) l Moiling )1/ _7 I (Receptacles, Lights, Switches 4��) 7� /�/_ y.•.�//, U, Fixtures ., i12 � j� I Z�/�!/(�f Tel.- r, ;�/O �f� U) Motors i- , Contractor r�,'/ �} / ]"' c"---� /�� - , (HP each: (! I�` {' ) '3 eo �lV V i rL'/1/ kl C. r 9.e , ` Kit P__',ig4 Other 1 f� }��/""� l-!v Address / 7� / p C� I (Specify: Cr)h L'Di I rri ) �•a..� (,) `/ �`'� /z ?���` 'e - Sq. Ft. Area New City Zip Tel. f" {,,, , )4 14-01 v 0i2 /i Al) 7��--` / ,21/ U Sq.Ft. i Area BlNe (� y '°1 �j; ( � W Sq.Ft. Area New fr Classif.Lif. City , ^ k J r 7 -�L/ Li f W Res. Accessory Bldg. fr t.. 9 Clossif. Lit. No. �.� LICENSED CONTRACTOR'S DECLARATION Misc. T *hereby hereby affirm that I aro'censed un w s of Chapter 9(commencing with Section V 1 760(1)of Division 3 of the Bu' 17....s Jrnde,and my license is in full force and Pool effect. Wiring ELECTRICAL FEE r� J 1 , Ct1 OWNER-BUILDER DECLARATION No. Description No. Description Fee Z7 , co 0 I hereby affirm that I am exempt from the Contractor's License Law for the following FAU to and includ. Boiler/Compressor reason:"Sec.7031.5.Business and Professions Codes.Any city or county which requires a 2 100,000 BTU to and includ• 3 HP permit to construct,alter,improve,demolish,or repair any structure,prior to its issuance also requires the applicant for such permit to file a signed statement that he is licensed W FAU over Boiler/Compressor 1_1 pursuant to the provisions of the Contractor's License Law,Chapter 9(commencing with 1— 100,000 BTU over 3HP to IS HP Section 7000)of Division 3 of the Business and Professions Code, or that he is exempt therefrom,and the basis for the alleged exemption.Any violation of Section 7031.5 by any > Flr./Wall/Soso./Pool Air Handler to and 0 applicant for a permit,subjects the applicant to a civil penalty of not more than five hundred i/) Heaters includ. 10,000 cfm ��n•s dollars($500).'' V f I,as owner of the property,or my employees with wages as their sole compensation,will Spray Booth / Air Handler W4 do the work,and the structure is not intended or offered for sale."Sec.7044,Business and Q Exhaust Hood over 10,000 cfm Professions Code:The Contractor's License Law does not apply to an owner of property who U Vent. Fan Other: C, builds or improves thereon and who does such work himself or through his own employees, z provided that such improvements are not intended or offered for sale. If. however, the 4 includ• Duct IS„ building or improvement is sold within one year of completion,the owner-builder will have , the burden of proving that he did not build or improve for the purpose of sale." t Misc. 1 U ❑ I, as owner of the property, am exclusively contracting with licensed contractor to W , 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- '� MECHANICAL FEE tracts for such projects with a contractor(s)licensed pursuant to the Contractor's License Law." _ ..........1 , ■smizons 0 I am excempt under Sec. ,B.&P.C.for the reason _ No Description No, Description Fee Bathtubs ( Water Heaters rj b Date___. Owner W Showers Garboge Disposals WORKERS'COMPENSATION DECLARATION In Woter Closets Loundry Trays I hereby affirm that I have a certificate of consent to self-insure,or a certificate of ti orker's Compensation Insuranc ,or a certified copy they of.(Sec.3800,Labor Code.) N Lavatories Clothes Washers Policy No.54�04�5�_r?15 ! Company T F/11••b. 1 , ,41py is filed O Certified copy is Exp.Date U Kitchen Sinks Sewer Connections U" with the City. hereby furnished. Z CERTIFICATE OF EXEMPTION FROM I 7-/_8/ I CO Dishwashers Sewer Cap WORKERS'COMPENSATION INSURANCE Shower Pan Gas System (This section need not be completed if the permit is for one hundred dollars(8100)or less.) =, Replacement (No. Outlets: ) ❑ I certify that in the performance of the work for which this permit is issued,I shall not J Swim. Pool Solar 4.1...t...7 /a employ any person in any manner so as to become subject to the Workers'Compensation Law CL Pioina Installation I . CJJ of California. NOTICE TO APPLICANT:If.after making this Certificate of Exemption you should become Mile,- 1 <,0. - ,PLUMBING FEE subject to the Workers' Compensation provisions of the Labor Code,you must forthwith comply with each provisions or this permit shall be deemed revoked. I certify that I have read this application and state that the above information is correct.I ELEC.,MECH.,PL.B G. ISSUANCE FEES Li'3 rte-Q agree to comply with all nd county ordinances and state laws relating to building construction,and hereb :uthor ze represe tatives of this city to enter the above-mentioned • property for inspectio purpos• Signature of Applies 1�'L`r. ALAI ate/Z_'�'� TOTAL FEES j Q I3 Q Mailing Address )/f?/ S. g'' i...,-�-' 7 / / rprocessed Dote: t�City,State,Zip i. y INSPECTOR COPY This is an electrical/mechanical/plumbing permit when properly filled out, signed and validated, a)d is subject to expiration if work thereunder is suspended for 120 days. INSPECTION RECO; ,vSPECTOR NOTES UNDERGROUND CONDUIT ROUGH WIRING NEW SERVICE E FIXTURES FINAL ELEC. INSP. F. TEMP. POWER POLE OTHER 62f 2 7. - �C-c� 4,1),,v/ /ck4 /rr/ OTHER o`( ELEC. UTILITY CLRNCE. 1- U. G. DUCTS/REFRIG. LINES ^' RO. MECH. Ducts, Comb. Air, Supports, Vents = FINAL MECH. FAU/AC Unit Vents, Shutoffs F. OTHER OTHER U.G./UNDER FLR. Soil, Water, Gas, Supports RO. PLMBG. Water, Gas, Vents, Supports,-Fleshings GAS TEST SEWER/PRIV. DISP. SYSTEM DIAGRAM CFINAL PLMBG. Fixtures, Valves, WATER HT `"'' Val . el. Valve /21Z-YS 3 a.“ 0 SEWER/PRIV. DISP. SYSTEM OTHER 5 _ I - 12--6'5 Q/4/ OTHER GAS UTILITY CLRNCE. BONDING U.G. CONDUIT GAS PIPING Material, Depth GAS TEST HEATER Vent, Clearance, Location, Shut-off FINAL POOL ELEC. NFINAL POOL PLMBG. OTHER INSPECTION DATE INSP. SIGN. Pi JOB ADDRESS NUMBER STREET APPLICATION FOR A Eiti�^ BUILDING PERMIT al �//'.�' BUILDING C SAFETY DIVISION (_ _ df j C.- CITY OF ARCADIA,CALIFORNIA (Wei CD OWNER T 70�? MAIL DRES • T CD ARCH. TEL. NO. ENGR. '/ C , / c IP• �� M DpRESS / CIT I / CONSTRUCTION TEL. NO LENDER is DESCRIPTION OF WORK NEW ADD'N❑ ALTER❑ REPAIR❑ DEMOLISH❑ MA V. GARAGES OR AREA�; MAIN BLDG _CARPORTS AREA it Ai C NO OF NO. OF DWELLING (,J 1 —,'. STORIES I UNITS PRE ENT BLD . USE PROPOSED BLDG. USE DESCRIBE WORK TO BE DONE '.'1%."Z li w EXTERIOR WALL MATERIAL ROOF FRAMING MATERIAL PARTITIONING MATERIAL ROOF COVERING TERIAL �of)Q 1)--X NOTE:Include Labor,Mat., VALUATION Wiring,Plumb.,Heat,Etc. $ , LOT BLOCK NO. NO. TRACT LOT LOT DIST. FACE OF WIDTH DEPTH CURB TO P.L. FT. NOTE:PROVIDE PLOT PLAN ON BACK SIDE OF ORIGINAL COPY ONLY INFORMATION BY BLDG. SECTION 1— USE FIRE OCCU- 7) ZONE ZONE PANCY en REQ'D FRONT RIGHT SIDE LEFT SIDE REAR O SET BACKS , Q TYPE OF SPECIAL ce CONSTR. CASE NO. Z 0 PLAN NO. CHECKER'S u APPROVAL PLAN CK FE I hove carefully read and examined the above application and 1AL'I// find the some to be true and correct. All provisions of the Laws PERM EE and Ordinances ni g building construction will be complied .� with whethe ecified herein or not Na perso -hall be employed � in violati of the Labor Code of the State -California. I me S,M.I.P. not too upy or allow occupancy of any bung authorized y this �� permi ntil final building inspection has be., received. TOTAL FEE d C. S RE OF OWNER e A T ORIZED AG f ANN liabk CONS1...zCTION PROHIBITED BETWEEN 7:00 P.M.A 7:00 A.M. ©I AND ON SUNDAYS AND HOLIDAYS AS PER ORD.#1321. ■ INSPECTION RECORD Pak ANN BASIC INSPECTIONS .. I T E.M INSPECTOR DATE TRENCHES:WIDTH DEPTH 1st FLOOR JOIST FRAMING LATH // J FINAL 9/� PARTIAL OR MISC.INSP TIO UNSUCCESSFUL TRIPS ITEM INSP. DATE ITEM INSP. DATE SET BACKS FRONT R. SIDE L. SIDE REAR INSP. DATE FIELD CHECKS _ TO APPLICANT:PLEASE DO NOT WRITE ABOVE THIS LINE PLOT l � JOB ADDRESS iiii 1/17 /xcz.-10 ...., NUMBER STREET APPLICATION FOR A St( PLUMBING PERMIT BUILDING & SAFETY DIVISION /j� CITY OF ARCADIA, CALIFORNIA (.fi`W /f�� OWNE I. �%lJ�i� MAILING ADDRESS CONTR ,FIC INSTALLERS STATE L MAILINiAc WIRES/ E. GRAND AVE. CITY i` s'°. CITY TEMPLE CITY, CALIF. T�-7Dlef FEE COMPUTATION BATHTUBS FLOOR DRAINS SHOWERS REPLACEMENT SHOWER PANS WATER CLOSETS URINALS LAVATORIES CLOTHES WASHER SINKS DRINKING FOUNTAINS • GARBAGE DISPOSALS DENTAL UNITS DISHWASHERS *DRY TUBS TOTAL NO. OF ABOVE FIXTURES ' I / WATER HEATERS AND/OR VENTS p o (No ...to WATER SYSTEMS 14111 2.00 5 OUTLET we GAS SYSTEMS ‘AA, D. OUTLET 0 1.75 4. 50 EACH LAWN SPRINKLER SYSTEMS% 4 2.00 SAND TRAPS A,i ` ca 10.00 4,. :, CLARIFIERS @ 10.00 GREASE TRA @ 10.00 WATER %O ERS @ 2.25 AP . (.02 S 1C4 ING POOL "P" TRAP @ 2.00 CAP 0 3.00 CESSPOOL FILL 0 3.00 SEWER CONNECTION ON PROPERTY C? 10.00 I hove carefully read and examined the above application and know the some to be true and PERMIT FEE 2;00 correct. All provisions of Laws and Ordinances covering this type of construction will be corn- FEE ` plied with whether specified herein or not. No FEE 1�/"j'(J/� person shall be employed e D Labor code of the• seat.employed TOTAL F SIGNATURE OF CONTRACTOR OR AUTHORIZED AGENT 101- r _NSTRUCTION PROHIBITED BETWEEN 7:00 P.M. AND 7:0AMINA. AND ON SUNDAYS AND HOLIDAYS AS PER ORD. # 1321. INSPECTION RECORD BASIC INSPECTIONS ITEM INSPECTOR DATE GROUND WORK ROUGH GAS PLUMBING TOP OUT HEATING VENTS FINAL GAS 00e //f�¢�'�1f FINAL PLUMBING C 4;S PARTIAL OR MISC. INSPECTIONS UNSUCCESSFUL TRIPS I JOB ADDRESS 1117 c► do 41, c• NUMBER STREET C APPLICATION FOR A +� PLUMBING PERMIT \� , BUILDING i SAFETY DIVISION CITY OF ARCADIA, CALIFORNIA OWNER I• I MAILING ADDRESS d CONT CTOR '{�J"''^ ..}n. _ l J s,,t- �SyTAT Lp�CK pi MAI I 4 DJRE/l 1�C- hf//( 101cJ fl`� (!y (/ CI ��� V s ra Kai CITY�LIC S le C. - � yea° FE COMPUTATION --;j BATHTUBS FLOOR DRAINS SHOWERS REPLACEMENT SHOWER PANS WATER CLOSETS URINALS LAVATORIES CLOTHES WASHER SINKS DRINKING FOUNTAINS GARBAGE DISPOSALS DENTAL UNITS DISHWASHERS LAUNDRY TUBS t51 TOTAL NO. OF ABOVE FIXTURES @ 1.75 WATER HEATERS AND/OR VENTS @ 2.00 WATER SYSTEMS @ 2.00 5 OUTLET / GAS SYSTEMS ADD. OUTLET 7,5 6 1.75 (7a .50 EACH LAWN SPRINKLER SYSTEMS @ 2.00 SAND TRAPS 10.00 CLARIFIERS Ri 10.00 GREASE TRAPS @ 10.00 WATER SOFTENERS @ 2 25 SWIMMING POOL ''P" TRAP @ 2.00 SEWER CAP @ 3.00 CESSPOOL FILL @ 3.00 SEWER CONNECTION ON PROPERTY @ 10.00 I hove carefully read and examined the above application and know the some to be true and PERMIT FEE 2;00 correct. All provisions of Laws and Ordinances INVESTIGATION covering this type of construction will be com- FEE plied with whether specified herein or not. No person shall be employed in violation of the 3 „� Labor cade of th• State of California, / TOTAL FEE C7 � � V SIGNAT E OF CONTRA OR O A UTHORIZED AGENT (DL ASS _ONSTRUCTION PROHIBITED BETWEEN 7:00 P.M. AND 7:b. ..M. AND ON SUNDAYS AND HOLIDAYS AS PER ORD. # 1321. itv5r`'tt a s R CORD BASIC INSPECTIONS I R O I I�:,H A‘,--- --- ----- - --- --. _�. .___. PLUMBING TOP MU HEALING VENT;__. FINAL GAS ._.------------------ -- -- -- II NAL PLUMBING -----_ --� PARTIAL OR MISC. INSPECTIONS ass.% UNSUCCESSFUL TRIPS Aims j /7 E/c/z/A/o NUMbER STREET APPLICATION FOR A HEATING, VENTILATING, AIR.. CONDITIONING OR REFRIGERATION PERMIT BUILDING L SAFETY DIVISION CITY OF ARCADI, CALIFORNIA • OWNE• / TEL.NO. ' t o/v 'I' • MAILIN ppgF /Ie/,ur? �- /7• •• & STATE LIC.NQ� . � LIC. .S' t �, diWu�°?�t/A4OlNB �l 0.4,f, f':- ' v4g42:42-x, ay. ,,,,,, ft;7-62iv , . DESCRIPTION OF WORK i ; x'.'FATING Sr AIR CONDITIONING L REFRIGERATION ❑ VENTILATION FEE COMPUTATION VALUATION --- $ 2 p'��� �O DESCRIBE WORK �+ N TO BE DONE U1 C. (VENTS/ HEATING APPLIANCES (VENTS/ (INSTALLED, ALTERED, REPLACED, REPAIRED OR RELOCATED) TYPE B.T.U. I FEE i i • i ' i 1, i CIRCULATING AIR OUTLETS OR INLETS REFRIGERANT COMPRESSORS (INSTALLED OR REPLACED) e. QUANTITY OVER INCL. ACTUAL H.P. RATE 1 FEE 0 20 1 20 50 ' SO UP i L I have carefully read and examined the above s application and know th•corn•to b.true and PERMIT FEE correct.All provisions of Lows and Ordinances INVESTIGATION covering this type of construction will be com- plied with whether specified herein or not.No FEE ' person shall be employed in violation of the /� Labor Code of the Slat.of California. TOTAL FEE 1/(/.50; V v' OR R AUTHORIZED AGENT STRUCTION PROHIBITED BETWEEN 7:00 P.M. AND 7:0 . AND ON SUNDAYS AND HOLIDAYS AS PER ORD. #132. "kJ r-F--?.5 73 -11X9- 7-Zs-73+ z41 9f I I I JOB ADDBESS 1117 Encino NUMBER STREET APPLICATION FOR AN ELECTRIC PERMIT BUILDING 3 SAFETY DIVISION CITY OF ARCADIA, CALIFORNIA OWNER T E,L (� Jack Carlton `4L -1861 AI LING ADDRESS 1117 Encino. , CONTRACTOR S 2028 C. W, SARTSInF. ELECT MAI INO ADDRESS CITY L1C.NO. 633 N. Angeleno Ave. 22660 CITAzusa, Calif. 91702 TEI�9-2225 New yl Exist. No. Serv. ❑ Reconnect Bldg. Bldg. Charge or Reseal OUTLETS,BASE PLUGS,SWITCHES,FIXTURES©20e EACH MOTORS 0 to 1 HP I @ 1.00 OVER 1 HP to 3 HP @ 1.50 OVER 3 HP to 8 HP @ 2.00 p's145C-`� OVER 8 HP to 15 HP @ 2.50 OVER 15 HP to 50 HP @ 3.00 OVER 50 HP to 100 HP � @ 5.00 f': OVER 100 HP to 500 HP @ 10.00 ar OVER 500 HP r. 15.00 HEATING CABLE UNIT @ 1.00 RANGE OVEN HEATERS @ 1.00 KIT. FAN DISPOSAL DISHWASHER @ 1.00 FURNACE CLOTHES DRYER HAIR DRYER @ 1.00 / RESIDENTIAL ENTRANCE SERV. 100 A MIN. @ 3.00 2 © 6.00 COMMERCIAL ENTRANCE SERVICE 3 ADDITIONAL SERVICE METERS @ 1.00 TEMPORARY POWER POLE @ 2.00 TEMPORARY UNDERGROUND POWER POLE © 5.00 TEMPORARY SALES LOT LIGHTING © 10.00 220 V POWER OUTLET @ 1.00 MISCELLANEOUS - t I I have carefully read and examined Um above application and know the same to be true and PERMIT FEE @ 2 OO correct. All provisions of the Laws and Ordi- nances governing this type of sonotruetien VIII SUPPLEMENTARY he complied with whether mentioned herein or PERMIT FEE net. N. Reran shall be employed is violation of the Labor Cede of the State of California. INVESTIGATION ( L/( TOTAL FEE 7 SIGNATURE OF CONTRACT r/u, AUTHORIZED AGENT root, CONSTRUCTION PROHIBITED BETWEEN 7:00 P.M. AND 7:00 A.M. AND ON SUNDAYS AND HOLIDAYS AS PER ORD. #1321. #04NSPECTI*ON TtECORD Amik BASIC INSPECTIONS r : F - - GR<, r) w()Fii ; i 1 i :\:A i 4,...,„,...,*----.0. ".^7"- - . ■ X 6:?"73 0..----- ,4 f:/..) ...„2,3 PARTIAL OR MISC. INSPECTIONS i I -t.-- L _ i UNSUCCESSFUL TRIPS ....., ,.. RECORD INFORMATION G . TEN i' ..")K---.--Ly CONSTR. I P,.> (..,',,,,; FF.,S. I ! , 1 i i' *ANCd 1 GVEN T TAB1E TOP r W HTR FiRYER 1 i 1 i ■ ,...... i 1 L OTHER RES. APPLIANCES OVER 2 KW. I :4 TOTAL KW OR HP TOTAL HP. PrN. "Atis . .,-- LOCATION 1111 Eric trt o A V G VALUE S I(12 1$Sty DLL,eIliII% k C,ara.4c LOT I Gp BLOCK TRACT ' 824 OWNER �C] I,t-n S O n fi? 'O S . ` BUILDING w1ie, _!J Q ice 21 I I J PLUMBING r`1 (Y, k L. G-e 4c 3-(c-S"r. Boial Z. HEATING- f+Q r r.m y['rl� �Ar p . -t4-�_l a toe./ SEWER rr(�p•�VIM 41IFC V'�9 -Jf /7y��Qrlll WIRING F. D . \`1C.. Ielin 5t r it 1 1/9.3/1 .• .. .1 FIXTURES ��yy / II ELECTRIC (5z � 1^III b*VV® GAS i4/ Z i-i6-..t-c, PLAN NO.10E111 I ■ 4 1 I. . . • 4 ADDRESS 11117 Enc.(bl O 90e•OWNER.(�1 seem Z• e)V• STRUCTURE III A a . / •- TRACTOR �`xrvi.€_ DATE V.-Nine-N. -ERMIT INSPE- ED -EMARKS PLAN NO. (oe(1 POWER POLE_ �/ FORMS let In•�/IIJ��i Aire ��� RO. PLUMB. ,3 O 1 . CON . /i:?•;HA IL GAS 3042 1 Z IN BLDG. Jr Z. TO STREET g r� SEWER �, % i' •, `/ r. _ W.C. FURNACE O Ammli ROUGH VENT 4 /fr J,‘ RO. WIRE --- CURB FRAME ffAr LATH jinni `P ELEC. FIX. wit a 1 `.. - /' PLUMB FIX. 36g1/...1 7 - Z. ,z,„.:. .? ry ELECTRIC .45-3..5.2r /`�'�,/ GAS gg�)/ / �.'.-j SUB-CONTRACTORS�.+a e•J u F Location /1/7 EiVC i N a A V E . AN 3—9"57, Sewer Permit No. g 9 If q Co. No. Lot /,6, Bik. Tract/$2 6( / 1 Legend I L% e. Owner f o L I,l-t s O N Arcs 1 Length Date Insp. Contractor /rf Kord/c% . I 7 . 15-12--bl F,iF orC 's 1 • ation f�� �21 W( Street Loc D .9n'SL z!3' �, _