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OP, FOR OFFICE USE CITY OF ARCADIA COMMUNITY DEVELOPMENT DEPARTMENT t�i ARCADIA ) BUILDING DIVISION 240 West Huntington Drive COMPLETED ' Arcadia, California 91007 0°RPORATE9-,00 (818)574-5416 Page 1 of 1 1123 S. ENCINO AV 04/12/94 08 :35 Permit no. : A9401016 Autoproj No : AU012386 Status : APPROVED Validated by : GERI Inspector area: 205 This type : Mechanical Project Applied : 04/12/94 Issued : 04/12/94 Parcel number : 5780-014-002 Finaled • Group-occup/use: To Expire • Owner : KLOOS, CARL Applicant : FRESH AIR HEATING & A/C Applicant Addr : 701 S FIRST AV, #390 ARCADIA, CA 91006 Job Address : 1123 S ENCINO AV Phone number : 818-303-4442 Class code Valuation • 0 Construction : ALT Permit to do : HVAC CHANGEOUT CONTRACTOR : FRESH AIR HEATING & A/C Lic. C 588909 818-303-4442 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 04/12/94 65. 60 Fees: 65. 60 Adjustments: . 00 Total Credits: . 00 Total Fees: 65. 60 Total Payments: 65. 60 Balance Due: . 00 I 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 rani iircmante i inrlar the I ne Annalae (`e- inty Cnrle Title 'J (`hunter 'D 9n Cer•ti,n 'D on 1 nn+h..,,,,.h n nn 4 An • NO.OPERATION NO. ••ERATION NOTES Building Inspections I Date I Insp. Plumbing Inspections Date Insp. 100. Setbacks 210. Under fir./bldg.drain 101. Rough grade 211. Copper underslab 102. Ftgs.&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. 0cc/Area Sep.Wall 221. Final plumbing 112. Sound walls 222. Sewer cap/demo. 113. T-bar grid 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 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 I 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 Sign Inspections Date I Insp. 160. Service panel 280. Setback/overhang 161. Final electric 281. Footing 282. Conduit/wiring Mechanical Inspections I Date I Insp. 283. Disconnect 180. Venting/flue 284. Final sign 181. Furnace/A.C. 182. Rough HVAC Miscellaneous Insp. I 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. I Date I Insp. 191. Final mechanical •(3` 300. Lateral(main to PAL) 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 208. Final wall 306. Trash bin m 1111 Ay E ai H d ci 10111 c v t l Oy 6°� O ?N rn x� t7, '._ s Wp _S O t Z ._ W_ N Og UCN L E,°i, N ° =0 NC O ° C lL¢W o o a .�N-�w o.. 3 w . v, LLi�-my �' '_ Quoy o .. -E -51 c s2E O�aWrr^^ E L t' m.w � -t!°a,Et co° gi �t y O� o t m it :>', m ° a° _ _ /lam %,' ,2`.E o.o 0 0 32 y U_ 41_ �iV E E oc> > m c °' °m V` �� �c.om°L m a� c_m-- F�1O C._ -ui Z-o v°i.,n m o .cd E-m O a sgea o �8g. yU ; r. yy °> =°'°,n a-°i c.E _ nlk To, a Ey,. ZYU)¢ 2 ;2. Nmm E._ ft 1'o°a.mp�.7, - nmoE ° `om c- 8U Od ,n a, Q¢a0 o °ma &I, = o .� `,b' �Q1 a`>aioo L°TNOO. �o t = m P- o -ti a� E:'E 30 o 28 -- mot p rna o~�'°U-mc -.H°nEmE �V£c -° �O$ ° It Zt E°' °$8i >o it!! ZZ�¢ . ?c, °2�N A ,�t TO yy ° Q5 n W 2:2 E Cl) 3 coL m tO 0a 2 to O H>N U,,,-"g o _a_ _t�UU ¢-o E ac Ho x.BoV $y-° WQ((p(O���d Zm .E.`ef� ; Acd : cti& m .- . �vJ�>.. Avc O° 8,g -1=mw = Oo z wJd Waci Lv O•'+¢ O m`o = E H - V g o� ¢ °¢ rn y 3a`"3oa 3 kg U.. T Vo . � o-' 00,- ,n U= M O N W UU N Q,O 8LL a. O, E fn W N cv j y` Q N N WIW W 0 !aS k 2EVA oh I_ 1 mRnmc°co to-'u�f, 5_,-):;.v. l 0o`n m �.y ; w A � Cl o, 5m mym, I - FOR OFFICE USE CITY OF ARCADIA COMMUNITY DEVELOPMENT DEPARTMENT �� 'ARCADIA 4) BUILDING DIVISION 240 West Huntington Drive '4,� Arcadia, California 91007 COMPLETED ORPORAT ED-` (818)574-5416 1123 S ENCINO AV Page 1 of 1 Permit NO. A9401017 04/12/94 08 : 36 Autoproj No : AU012386 Status : APPROVED Validated by : GERI Inspector area: 205 This type : Electrical Project Applied : 04/12/94 Issued : 04/12/94 Parcel number : 5780-014-002 Finaled Group-occup/use: To Expire .• Owner : KLOOS, CARL Applicant : FRESH AIR HEATING & A/C Applicant Addr : 701 S FIRST AV, #390 ARCADIA, CA 91006 Job Address : 1123 S ENCINO AV Phone number : 818-303-4442 Class code . Valuation 0 Construction : ALT Permit to do : WIRING FOR HVAC CHANGEOUT CONTRACTOR : FRESH AIR HEATING & A/C Lic. C 588909 818-303-4442 Fee description Units Fee/Unit Ext fee Data Original Permit Issue Fee (YES/NO) 35. 00 Y Outlets 3105> 2 2 . 40 over 1 to 10 HP,KW,KVA,KVAR > 1 12 . 25 12 . 25 Refuse Fee 3027> 1. 00 *** Fees Required *** *** Fees Collected & Credits *** Receipt No. Date Payment 04/12/94 50. 65 Fees: 50. 65 Adjustments: . 00 Total Credits: . 00 Total Fees: 50. 65 Total Payments: 50. 65 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 2-20_ Sentinn 2 2n inn thrri inh 9 9n 1 An ,,,,,,,,,,,,,;—. NO.OPERATION NO. ••ERATION NOTES Building Inspections Date Insp. Plumbing Inspections Date T Insp. 100. Setbacks 210. Under W./bldg.drain 101. Rough grade 211. Copper underslab 102. Ftgs.&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. 0cc/Area Sep.Wall 221. Final plumbing 112. Sound walls 222. Sewer cap/demo. 113. T-bar grid 114. Insulation-flr. -- Pool Inspections I 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 Inspections I Date I 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 Sign Inspections Date Insp. 160. Service panel 280. Setback/overhang 161. Final electric 281. Footin. 282. Conduit/wiring Mechanical Inspections Date I Insp. 283. Disconnect 180. Venting/flue 284. Final sign 181. Furnace/A.C. 182. Rough HVAC Miscellaneous Insp. I 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. I Date I Insp. 191. Final mechanical 300. Lateral(main to!D/L) 301. Saddle/Y Block Wall Inspections Date Insp. 302. Cesspool filled 200. Footin.s 303. Sidewalk 201. Steel/rebar 304. Driveway 202. Grout lift 305. Curb replacement 208. Final wall 306. Trash bin o-,y ac°c I" oc E u JIIII E o c caHEn' 4,°n' o LL x ° U t,n El U g 2w_£_°e. ID li!F LLOao o_o ° o E y 0='oa °ffo- d Om$ d 4 S °° -p ° w 3E¢ O t E S361E o Zn nUV >3 1 3E8 y cm'U dy o a e Bo°n n ma a ° w 2. wod Oo Uy £2F U.-' ¢ 4 n0£ m wm a Z N O�d W U d g, ° m wH y v H 3 t ..0 £ i ow IN J O aan:N°o o ,, ,,'am 2 o _ w-88Z0 my o \\ ..;S2 I aS rm. . iw• 6 fr 9 i:y 6 4 c a,a//,.4(t L BUILDING & SAFETY DIVISION.ili∎�� to ISION . 240 West Huntington Drive is . , Arcadia, California 91006-3104 \ c'%3ORATF+�''00 ( 8 1 8 ) 5 7 4 - 5 4 1 8 I 1123 S ENCINO AV Page 1 of 1 Permit No A8902025 05/01/89 10: 39 Autoproj No : AU002793 Status : APPROVED Validated by : CYN Inspector area: 205 This type : Garden/Retaining Wall Project Applied : 05/01/89 Issued : 05/01/89 Parcel number : 5780-014-002 Finaled • Group-occup/use: To Expire . Owner : CLOSE Applicant : LAING BROS. MASONRY Applicant Addi- : 401 WILLOW GROVE GLENDORA, CA -9-172-3- Job Address : 1123 S ENCINO AV Phone number : 818-963-4901 Class code . Valuation 1, 800 Construction : OTH Permit to do : 100 L. F. OF BLOCK WALL CONTRACTOR : LAING BROS. MASONRY Lic. C 431963 818-963-4901 Height > 6'MAX FRM LWST ADJ GRADE Fee description Units Fee/Unit Ext fee Data Enter Valuation > 1800. 00 . 00 . 00 Total Wall Fees 3107> *** Fees Required *** *** 64 . 35 Fees Collected & Credits *** Receipt No. Date Payment 05/01/89 64 .35 Fees: 64 . 35 Adjustments: . 00 Total Credits: . 00 Total Fees: 64 . 35 Total Payments: 64 . 35 Balance Due: . 00 CALL FOR INSPECTION DECLARATIONS Requests for inspections should be made at least In accordance with Health & Safety Code, Section twenty-four hours in advance by telephone at 19825,all required declarations on the reverse side of 574-5416, 8:00 A.M. -5:00 P.M. this form have been properly signed and dated by the permittee. w Inspectors office hours are: Verified by: it% 8:00- 9:00 A.M.; 1:00- 1:30&4:30-5:00 P.M. s.nature •WIII r r p u z fl11 ! 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G @ E a m F o n c j w 3• 4 IA m -.4.-i i i CO 'Oo'V'O CT'A W N -• C W N N N N N NN N- N ; (O CO V 01 CT A W N 0 O•V ; A W W (A j O (0 p 0 (0 V Of CA A W N � O m o XI 7 T o co T x p O X N 0 x n T T n Z m <CK ) n C c _C) O (n n ° Q m 3 3 0 m c d d y ^, c co •0m ' m v � v Z 0 M o . a c - n i 0 Rca pm Z y 3 �. Z.3 a < t O a m m co O 7 -° m o ^ a D < o— Z O 0 Q Po x c Z I.c o O v m T v m O 3 w c m 0 0 - p m , 0 . 0 T n 11 6 m m 3 x > c m O c o -I. 1,1 m m CO T '..7.: 0 (n C 0. 13 < > r a o w y w w N w 5 3 T -I a � °- O p o w m Z m y m ? `� m 0 O m D 0 - < w 0 n CO r o Z 3 m Z m D o 3 o ° - CO m D- m m c-a 0 00 m m 3 a n y m Z w_ m �p m -� Z °> °> 0> D U z m m m m Z Z Z , • + (7 U (fl cn cf n A .. A A A A A y A j A W W W W C..3 f* m Z N 0 (0 ao J p� (n r& OJ Op m O) OW N O) O (D n (O V O n O A W N 0 CO CO V O (n A W r O C m O T T zi U C x O r O x X m r T T x * cn * co (n T x 33 W x m C Cn T x C co o n a r m m O > > ' a m et (O O Z O 7 O w 7 o w C D X O O C el 5 T (D R. c O w % O 32 o v °? CO w CO m w o m m a w c (o o a Z w m c (o a m m x—ii < °m m - O 0 m a v (o 5 m c 1 tO m m 0 m CO C O w N m " o Z >c c 4 3 m N c 3 3 °' a om o N v 3 0 po c n cc ( r m m -I -n -6 a m p1 c _i co 3 n - a w 5 m f 3 a. v c n y a a (o 0 5 m n Z m m a m g v O a to 0 O Z m ° 3 o 5 m 0 o -� PI 5 n 0 n up m N O 0 ( O m a a O c CO C0 m z Oa N 0 0 0 > > X. -4 -I m m m m 0 z = 0 to m p p - - ., - .. , . . i , , , Z 0 -4 RI Cl) Ph,BUILDING AND SAFETY DIVISION BUILDING BU I LDI NG City of Arcadia 240 W HUNTINGTON DR., ARCADIA, CA 91006 • TEL. (213) 446-4471 PERMIT r 1 Building r U.B.C. Type 1 Address I YP Occ. / 3 /_•7.3 Edition Const. Group Lot Block Tract Occ. F. D.Appr. Date H. D.Appr. Date No. Load Required Required Owner .J/ Use Zone Special Case No. Mailing '/� Homeowners Association Approval Date Address ._4 m ri City Zip Tel. Lot Size Contra r /� Special ¢ Conditions Addr s, NOTE: Include: 6 5 d s464,..0 VALUATION Labor, Material, Plumbing,Etc. $ �?4:1!71 Cl �&_eos. ..0 Zip 1�' Te G(,�; Misc. FEE �_ State Lic. City Private -,- &Classif. I-PO( '� Lic. No Swimming Pool/Spa El Public Arch., Engr., Sign-Pole❑ Wall El Designer 0 Address Tel. F Temporary❑ Projecting❑ City Zip State E Fee Based on Total Sq.Ft. Lic. No. E Proposed S PLAN CHECKING FEE l! �W C Construction j e : . _ _ _. / ytL, . l _ S.M.I.P, J / � � 9 4 Permit Fee l/ /o/ w .h Floor Main Accessory Total Processed by / �/ Area TOTAL ( (T / New❑ Add.El Alter.El Repair❑ Demolition❑ Permit No. Plan No. Date LICENSED CONTRACTOR'S DECLARATION W S'COMPENSATION DECLARATION " I hereby affirm that I am licensed under provisions of Chapter 9(commencing with Section hereby affirrnaat siocattlEpilfriti of consent to self-insure,or a certificate of 11 t)of Division 3 of the Business and Professions Code,and my license is in full force and Worker's Co a n A11 4;0011 cpf tified copy 0 . (Sec"380Qoarei Code.) effect. Policy N Company Vir - D OWNER-BUILDER DECLARATION Copy is filed ❑Certified copy is Ex .Date with the City, hereby furnished. ❑ 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(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:If,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 not 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.) provided 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 sale." ❑ I, as owner of the property, am exclusively contracting with licensed contractor to Lender's Address construct the project."Sec.7044,Business and Professions Code:The Contractor's License I certify that I have read this up.lication and state that the above information is correct.I Law does not apply to an owner of property who builds or improves thereon,and who con- agree to comply with all city a-. my ordinances and state laws relating to building tracts for such projects with a contractor(s)licensed pursuant to the Contractor's License Law." construction,and hereby hor'ze rep esentatives ois city to enter the above-mentioned property for inspection ose O I am excempt under Sec.____ ,B.&P.C.for the reason Off Signature of Applicant • �' Date __ Mailing Address r *Date____ Owner City,State,Zip . # INSPECTOR COPY This is a building permit when properly filled out,signed and validated, and is subject to expiration if work thereunder is suspended for 120 days. NW INSPECTION RECORD FOUNDATION: (Gr. Certif. Comp. Tests, Set- INSPECTION NOTES backs,Forms,Reinf.Steel,Excavation. FLOOR SLAB/JSTS., GIRDERS: Mesh, Vap. Barrier,Bikg.,Spans,Access,Vents,Tr.Lmbr. MASONRY: Reinf., Mortar Jts., Grout Lifts, Clean-Outs,Bolts. ROOF SHTG.:Nailing,Diaph.Blocking,Material Grade and Thickness,Roof Drains. FRAMING:Walls,Raft.,Jsts.,Blocking,Bracing, Nailing,Backing,Diaphr.Draft Stops. INSULATION: Thickness, R-Values, Piping, — — Sound Caulking. FIREWALLS: Material, Thickness, Dampers, • Doors,Closers,Fusible Links. INTERIOR:LATH/DRY WALL:Nailing,Supports, Laps,Joint Reinf. EXTERIOR LATH/SIDING: Mesh, Fasteners, Laps,Paper,Thickness,Backing. FINAL INSPECTION: Finish Grading Certif., Slope Plant., Energy Comp!. 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- ing,Exp.Soil, Ramp Loc.,Surcharge. FENCE/GATES: Height, Closers, Accessibility, Latches,Stability. FINAL INSPECTION: MISC. SIGNS: RE-ROOF: 'PI 3/#0,0 INSPECTION DATE INSP. SIGN. JOB ADDRESS jell //a 3 ippult=c7'.&-v-2-- ''''N MBER STREET APPLICATION FOR A PLUMBING PERMIT BUILDING i SAFETY DIVISION CITY Of ARCAD�I/A, CALIFOCRNIA O NER /T E. ,, /?GZII I ��Gt Z�5- MAILING ADDRESS• Z n•k CONTRACTOR STATE LIC.NO. C`r --- 1GI*4'/� L i /e:< '7 7 �' MAILIJ ADDDIESS L CITY LIC.N9.,:.. €l '.d -19 9 e'a1` ' 60 id CITY /'`% /T s TEL NO. L t a =�' .16'vs�s" --; 1 EE COMPUT iION I-1 BATHTUBS FLOOR DRAINS SHOWERS REPLACEMENT SHOWER PANS WATER CLOSETS URINALS pj LAVATORIES CLOTHES WASHER SINKS DRINKING FOUNTAINS GARBAGE DISPOSALS DENTAL UNITS DISHWASHERS LAUNDRY TUBS - ,. TOTAL NO. OF ABOVE FIXTURES @ 1.50 I I J WATER HEATERS AND/OR VENTS @ 2.00 00 OWATER SYSTEMS © 1.50 I — — — I 1 GAS SYSTEMS 0.5 OUTLET ADD. OUTLET 1 @ 1.50 @ .50 EACH I '— I LAWN SPRINKLER SYSTEMS @ 2.00 I I SAND TRAPS I @ 10.00 I I CLARIFIERS @ 10.00 I I GREASE TRAPS @ 10.00 I WATER SOFTENERS @ 2.00 1 SWIMMING POOL "P" TRAP @ 2.00 I SEWER CAP @ 2.00 1 1 1 CESSPOOL FILL @ 2.00 SEWER CONNECTION ON PROPERTY @ 5.00 I have carefully read and examined the above PERMIT FEE 2 00 application and know the same to be true and correct. All provisions of Laws and Ordinances 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 1 Labor Code of the State of California. TOTAL FEE 44 CO 111 _ C4 ii. /e a2�4"� SIGNATURE OF CONTRACTOR OR AUTHORIZED AGENYMIIN CONSTRUCTION PROHIBITED BETWEEN 7:00 P.M. AND 7:00 A.M. AND ON SUNDAYS AND HOLIDAYS AS PER ORD. #1321. INSPECTION RECORD BASIC INSPECTIONS kg7 / I PAR"nAL OR mi5C 1: PTIONS • UNSUCCESSFUL TRIPS • OPIN #1141 • %7� EIn�Ihl7 �/ �. O'.WNER*11,1ftlxv() �+\ OS ADDRESS µw.` Q raft STRU ETU RIS�+ CQNTRACTOR U!O_YY DATE I 9,6, eERMI�T REMARKS PLAN NO.t(!e,I�• POWER POLE I ;/G /mss/.L� / L/�i` �' _ - FORMS Z.11 11 a 6. L'�ej--� RO. PLUMB. 3e$13 2 £Z81- ♦h.. "y1`,II GAS Q:�' c ^ j_ IN BLDG.' rA6d.CaTO'rSTREET __ SEWER i I1a//�(�" 5-7 '.� k. W.C. FURNACE 3 10(0 f/ 6. UGH Si VENT /f/J"� RO. WIRE 1$3L gfri t //� CURB ` p ) ll./��J FRAME t 04 &AVLATH e /5Z ELEC. FIX. ? g 3 O _ /c I /�jf.�.--'-/- PLUMB FIX. 3�0.�1 1�3/ ��7j�^�_/ ,��i L%�t4/ �y c ELECTRIC lin /'T O`r2 GAS Q7)7— r A-7 it y SUB.CONTRACTORS •••-.4') `T `- / eilh' Location 1123 FNCiN O Ave,- S-Q-)6 Sewer Permit No. 8 q5'Q Co. No. Lot/5- Blk. Tract/ 2. tiC Legend v; Owner R012,r-s O vi C3 to 3 . I Length Date Insp. Contractor 1,1, Ko r d,'e.k. I 3,J 15:1) ,',:.1 % \ 1--- r t 3b Pipe & Jointe 1C 11' (`'66'11 Street Local.' n NCaH�4` » LOCATION IR 3 er1cw,G 4 ue . VALUE S 15 300 lb we►Ithc4 Go�ro.-ge LOT '5 BLOCK �l TRACT % 914. 1 OWNER 1r )tinsori lotus• BUILDING 40..wt` �• _I-:5O- 11_1 I ¶ PLUMBING (1)er"I t rr L , a e cie.S ° `, -.V.y ZOO ( 3 HEATING 1-{a -r ,s F-r,teor . - '1- atr)(8 SEWER (4.. CeA °, C J-7-St '76 V WIRING f• XII . JC k1 V 1 w(\ 4 _7-3-r0 12 38 FIXTURES ELECTRIC tS VV- $'2-7's t GAS 461 Z1 $'2.1-gPLAN No.(0017 I iv N 0 • n P 3 g