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HomeMy WebLinkAboutOld permits Development Services Depart --'00ftit `-' �• 240 West Huntington Drive,Pr )ffice Box 60021 PERM_ NO. B00-012-239 • Arcadia,CA 91066-6021 City of (626) 574-5416,Fax (626)447-9173 Permit Type: SF Add/Alt Arcadia PROJECT TRACT NO. LOT NO. APPLICATION DATE ISSUED BY PRINT DATE PERMIT STATUS 3/28/2002 CS 11:30 6/18/2002 Issued PROJECT ADDRESS ASSESSORS PARCEL NO. GEO CODE 1129 Encino Ave 5780-014-001 OWNER MAILING ADDRESS DU,TRACY t � ° [P Inspector#: 207 L Plan#: 27801 APPLICANT MAILING ADDRESS SWS DESIGN 2121 W MISSION RD 303 PHONE NO. (626)284-4009 School Dist#: 023 ALHAMBRA,CA 91803 EMAIL ADDRESS: CONTRACTOR/PROFESSIONAL MAILING ADDRESS S W S Design Group,Inc 2121 Mission Road#303 PHONE NO. (818)284-4009 FAX NO. Alhambra,CA 91803 EMAIL ADDRESS: License No. 726785 Type: B Expires: 8/31/2002 12:00: TENANT MAILING ADDRESS PHONE NO. FAX NO. DESCRIPTION ADD LAUNDRY ROOM&DINING ROOM,REMODEL KITCHEN,CONVERT EXISTING LAUNDRY ROOM TO MAIDS BEDROOM&BATHROOM Construction Type UOM #of Units Value Construction Type UOM #of Units Value Air Conditioning Res sq ft 245.00 $833.00 Type V Wood Frame Good sq ft 245.00 $22,197.00 Remodel with Plum sq ft 360.00 $16,308.00 OCCUPANCY: Dwellings TOTAL VALUATION: $39,338.00 QTY UOM DESC AMT AMT PAID ACCT QTY UOM DESC AMT AMT PAID ACCT each Plan review $441.35 $441.35 01-3103 each Energy p/c fee $135.80 $135.80 01-3103 Totals for: 01-3103 $577.15 $577.15 Flat Bldg Issue Auto $40.25 $40.25 01-3104 each Bldg permit $679.00 $679.00 01-3104 Totals for: 01-3104 $719.25 $719.25 SMIP Res $3.93 $3.93 14-2207 Totals for: 14-2207 $3.93 $3.93 Flat SWMF Auto $6.25 $6.25 88-3027 Totals for: 88-3027 $6.25 $6.25 Total Fees: $1,306.58 Total Amount Paid: $1,306.58 Paid Today: $729.43 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. ' Y �'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) ti pallik 44 iofri L. PERMIT/PLAN REVIEW APPLICATION Development Services Department,240 West Huntington Drive, Post Office Box 60021 "4-....0- Arcadia, CA 91066-6021, (626) 574-5416, Fax (626) 447-9173 City of cadia 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 an' Professions Code,and my license is in full force and effect. a I have and will maintain a certificate of consent to self-insure for workers' License Class B H IC ' nse No. :...c" Exp.Date 064/ + • 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 _ ■ - -' dI have and will maintain workers' compensation insurance,as required by Section R—BUILDER DE ' ARATION 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 Contracto issued. My workers'compensation insurance carrier and policy number are: License Law for the following reason(Section 7031.5,Business and Profession Carrier STAre COM��f SA'T/o/ll Code: Any city or county which requires a permit to construct, alter, improve, l—` I�SU � �u AID . demolish,or repair any structure,prior to its issuance,also requires the applicant Policy Number /</-446=— 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 •i ify 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 n--I If—OZ. Applicant ("/' '• sale(Section 7044,Business and Professions Code:The Contractors License I 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 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 erformance of the work for which this p 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 H )R y WO/t/�� Title SiI�G-7rLi� 6�'1�r / 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. Signature -0'.. _ — .ice- - ,u - Date 4�'-/f- 0 2- iw•x,.,,, ,,.•„ ,...,1K.,_,�,• NOTES Building Inspections Date Insp. Pbr^+bing Inspections Date Insp_ 100. Setbacks -.1 MIIIIII - . hider fir/bldg.drain ‘-)5•_01 ,r✓444441 /,0 -p 1 )- - ) 3 9 ^ \ 101. Rough grade i ' y 211. Copper underslab VV 102. Figs.&forms i d 212. Rough plumbing 1-P02r 103. Pre-slab _213. Rough gas 4 Y • 104. Floor joists I 214. Shower pan 105. Steel 215. Water heater 106. Grout lift 216. Roof drains 107. Shear nailing 7-?0 2- - 217. Building sewer 108. Diaph nailing 218. Water service 109. Roof nailing 11 tr).- . 219. Final gas 110. Framing 130.0-- 220. Fixtures 111. OcciArea Sep.Wall 221. Final plumbing_ 61'03 GM 112. Sound walls 222. Sewer cap/demo. 113. T-bar grid 114. Insulation•flr. A j Pool In sections Date i Insp. 115. Insulation-Wall ?"3/4L 1 240. Excavationlsteel 116. Insulation-Ceil. 241. Rough plumbing 117. Drywall nailing I$ OY Jtr'r't 242. light shell/bonding 118. Interior lath 243. Underground conduit 119. Exterior lath 3) 244. P•trap 120. Finish grade 245. Gas line&test 121. Final building �-'1-03 246. Fence,gates&signs 122. Final demo/lot clear 247. Pool heater 248. Final electric Electrical Inspections. Date Ins•. 249. Final Plumbing 150. Power pole 250. Pool cover _ 151. Sales lot lighting 251. Pool final _ 152. Underground conduit I 153. Underslab conduit Retool Inspections Date l Insp. 154. UFER ground • 270. Pre-reroof insp. l 155. Water ground L 271. Roof framing 156. Rough electrical 7,1)07-- 272. Sheathing nailing 157. Fixtures 273. Final reroof 158. G.F.C.I. 159. E•pt.bondin. Sign Inspections. Date Insp. 160. Service panel 4 280. Setback/overhang 1 161. Final electric AR-'0' I 281. Footing 282. Conduit/wirin. Mechanical Inspections I Date Ins.. 283. Disconnect 180. Venting/flue 284. Final sign 181. Furnace/A.C. ^182. Rauch HVAC Miscellaneous Insp. Date I Insp. 183. Fire dampers I 290. Fire alarm 184. Furnace compartment 291. Underground supply 185. Combustion air 292. Fire sprinklers 186. Smoke detectors 293. Monitor system 187. Metal F.P.rough 294. Hood dry chem. 188. Compressor setback 295. Final 189. Commercial hood 190. Duct shaft Sewers&Offsite Insp. . Date Insp 191. Final mechanical 300. Lateral(main to P&) 301. Saddle/Y Black Walt Ins•ectians Date WIN. 302. Cesspool filled 200. Footings 303. Sidewalk 1 201. Steel/rebar 304. Driveway _ 202. Grout lift 305. Curb replacement 203. Final wall 306. Trash bin I_ AIN �,�' ■. C''''''NER'S CERTIFICAT JN For sites under I acre disturbed area Form To reduce storm water pollution from construction sites Project Name _ BUILDING/GRADING PERMIT NUMBER Project Location //2 c' 4 t)E. • Owner Name /-R/}C\-/ Contractor Name �.W,S- DES/E'/t/ lNC Address /12 f �Nc//V� Ave- Address 2/ 2 ( W, M/SS/o/v R D # 3o Phone Phone ‘"2- - 2 84 -44-00 FAX FAX 62.6 - 2 4/-'n / The National Pollutant Discharge Elimination System (NPDES) is the portion of the Clean Water Act that applies to the protection of receiving waters. Under permits from the Los Angeles Regional Water Quality Control Board (RWQCB), certain activities are subject to RWQCB enforcement. To meet the requirements of the Los Angeles County Municipal Storm Water Permit (CAS004001), minimum requirements for sediment control, erosion control and construction activities must be implemented on each project site. Minimum requirements include: SEDIMENT CONTROL: Eroded sediments from areas disturbed by construction and from stockpiles of soil shall be retained on site to minimize sediment transport from the site to streets, drainage facilities or adjacent properties via runoff, vehicle tracking or wind. CONSTRUCTION MATERIALS CONTROL: Construction related materials, wastes, spills or residues shall be retained on site to minimize transport from the site to streets, drainage facilities or adjoining wind or runoff. Runoff from equipment and vehicle washing shall be contained at construction sites properties treated to remove sediment and pollutants. NON STORMWATER RUNOFF: Non stormwater runoff from equipment and vehicle washing and any other activity shall be contained at the project site. EROSION: Erosion from slopes and channels shall be controlled by implementing an effective combination of BMPs (as approved in Regional Board Resolution No. 99-03), such as the limiting of grading scheduled during the wet season; inspecting graded areas during rain events; planting and maintenance of vegetation on slopes; and covering erosion susceptible slopes. Minimum BMPs include:(1)soil piles must be covered with tarps or plastic, (2) Leaking equipment must be repaired immediately, (3) Refueling must be conducted away from catch basins, (4)Catch basins must be protected when working nearby, (5)Vacuum all concrete saw cutting, (6)Never wash concrete wastes in to the street, (7) Keep the site clean, sweep the gutters at the end of each working day and keep a trash receptacle on site. Owner's Certification I hereby certify that I have read, understand and will comply with the requirements indicated above: � �� 1��l/2 V WO/U7 , S -gyp/n/7��1 75T Pro.erty Ow,,r"or Authorize, epresentative(signature) (N me printed) / Title ��-/� Ui Date Best Management Practices implemented shall include those recommended in the pamphlets describing Stormwater BMPs for construction sites, Blueprint for a Cleaner Ocean, and the California Storm Water Best Management Practice Handbook (Construction Activity). t".' (,...tificate No. 2002408 —0 23 ARCADIA UNIFIED SCHOOL DISTRICT 234 Campus Drive, Arcadia, CA 91007 •• (626) 821-8300 Ext. 6732 (Certificate of Compliance with Fee Provisions of Government Code Section 65995) This new Fee Schedule is effective April 8,2002. Any Developer Fee worksheet brought in on or after this date will be charged at the new rate. Address of Development: 1 1 2 9 E n c i n o Avenue , Arcadia , CA 9 1 0 0 6 Number of Buildings in Project: 0 n e Plan Check Number: 02- 1 1 5 101 Exempts 500 sq.ft. or less. Future [ ] Residential2 [ ] Commercial/Ind.2 [ ] Com/Ind Parking 2 additions chargeable at regular rate. $2.14/sq. ft. $0.34/sq. ft. $0.17/sq. ft. Area in Sq. Ft.: 2 3 0 A developer may request refund of fees to the District within twelve months of payment of fees, in the event the Building Permit expires or the Developer Fee: $ 0 project is canceled. The refund will be reduced by a $100 administrative fee. The refund check will Receipt No. [ ] ( ] N/A be issued in the name of the original payee and X mailed to the address of payee, as shown on the original Certificate of Compliance. Owner: Tracy Du Developer: SWS Des i en Group Address: 1 1 29 Encino Avenue Address: 21 21 W . Mission Rd . #303 Arcadia , CA 91006 Alhambra , CA (626) 284-4009 44N1"44/01/e7 626-281 - 1128 )Business Phone: Pager/Cell Phone: Pager/Cell Phone: 1This is to certify that the above-described development has been determined to be exempt from the developer fees of Government Code Section 65995 and a Building Permit may be issued therefor. 2This is to certify that all fees due to the Arcadia Unified School District, under provision of Government Code Section 65995, as a prerequisite to the issuance of a Building Permit by the Building and Safety Division of the Planning Department, have been received. Based on the information presented above, this Certificate of Compliance is hereby executed. ' The District charges a $100 fee to process reinstatement of the Certificate of Compliance resulting from an "insufficient funds" check in addition to a$20 fee for the bounced check. Only cash or a Cashiers' Check will be accepted as payment thereafter. The District charges a $100 fee for any amendments to or cancellation of a Developer Fee Certificate of Compliance issued on any type of development. Said request for refund of fees paid to the District must be made within twelve months of payment of fees. No refunds will be issued on fees paid prior to the twelve- month limit for any reason. Applicant confirms that he/she is authorized to sign on behalf of the owner/developer and that the information he/she provided��herein is true and accurate to the best of his/her knowledge. Signature of Applicant. (�{t - JCt,,, Approved: -4 C, � ,\ `` May 20 , 2002 sistant Superintendent—Business ice�1 Date WHITE—Applicant YELLOW—Accounting Dept. PINK—Business Office GOLDENROD—Chrono DevFeeForm:4-08-2002 IOW CITY OF ARCADIA BUILDING SERVICES PLAN CHECK CORRECTION SHEET RPORAT6� Plan Check Number 0.)- -I IS- Checked by: Gv erIc Project Address: I I rl El/1614o J Date of 1St PC LI — I I -01 Date of 2nd PC Date of 3`d PC Please indicate the disposition of each item in the left hand column. Return this sheet with a revised set of plans and the original set of plans. Additional corrections may be required once the items are resubmitted. CORRECTIONS: S19 S ±rVctVvAi ( 1 I GV(ufi/UNS. i) P_It GrJG yr( Vrd1 I/i 0 tec4 p /tins. %r I ss re fv✓Vl tre(J1 innot ✓' leaf p p lli►hs 12n c , fy r I, I 5 (AVe (ofrvcco 3) P✓ovi .+ vcv, fi I141- Ivim, fU k Fls ve? i.h."dl C.i G • / ii) P °V I V'c n r w I✓1 N e i r/1 I O( f W-G o N-1 C45 v'C ' Ivedl 4y (1 f0vw► QvtIctIv, (ode Se oh ll31ay ( c . +-+i&Le4 J �/✓UV de, Alt Uv I-- ✓15Te✓ .64e,-1-c411( p �Glv►S [Y1✓ if (z)v, k tIUYIS Page * Development Services Depar�nt '"\ -� 1: 240 West Huntington Drive, Office Box 60021 PEI,- AT NO. B0O-013-048 Arcadia,CA 91066-6021 City of (626) 574-5416,Fax (626)447-9173 Permit Type: Roofing ax Arcadia ( ) PROJECT TRACT NO. LOT NO. APPLICATION DATE ISSUED BY PRINT DATE PERMIT STATUS 7/9/2002 CS 9:32 7/9/2002 Issued PROJECT ADDRESS ASSESSORS PARCEL NO. GEO CODE 1129 Encino Ave 5780-014-001 OWNER MAILING ADDRESS DU,TRACY � ONE NO. C:'��D�cggt EMAIL ADDRESS: /l/•c)' APPLICANT MAILING ADDRESS PHONE NO. EMAIL ADDRESS: CONTRACTOR/PROFESSIONAL MAILING ADDRESS ROOFING USA CO 2691 W JAMES M.WOOD BLVD PHONE NO. (213)252-9992 FAX NO. LOS ANGELES,CA 90025 EMAIL ADDRESS: License No. 787667 Type: C Expires: 11/30/2002 12:01 TENANT MAILING ADDRESS PHONE NO. FAX NO. DESCRIPTION T/O&REROOF HOUSE&GARAGE (35SQS)30 YR SHINGLE Construction Type UOM #of Units Value Construction Type UOM #of Units Value Value Value 8,500.00 $8,500.00 OCCUPANCY: Reroof TOTAL VALUATION: $8,500.00 QTY UOM DESC AMT AMT PAID ACCT QTY UOM DESC AMT AMT PAID ACCT Flat Bldg Issue Auto $40.25 $40.25 01-3104 each Bldg permit $220.55 $220.55 01-3104 7./5 p v Totals for: 01-3104 $260.80 $260.80 Flat SWMF Auto $6.25 $6.25 88-3027 ooF Fi� 0- 4k Totals for: 88-3027 $6.25 $6.25 F'(�/r �/��(ll i� 717- Fiat /2, ?e NC Zit/k ' Total Fees: $267.05 Total Amount Paid: $267.05 Paid Today: $267.05 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. kJ CALLS FOR INSPECTION INSPECTORS'OFFICE HOURS 67 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) oosirc.. eh' A ! PERMIT/PLAN REVIEW APPLICATION . "I r* ..�4 j,. Development Services Department,240 West Huntington Drive, Post Office Box 60021 -00axe' Arcadia, CA 91066-6021, (626) 574-5416, Fax (626) 447-9173 Ci of r adia 7 C E NSED CONTRACTOR'S DECLARATION / WORKERS' COMPENSATION DECLARATION ►P I hereby affirm under penalty of perjury that I am licensed under provisions qt '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 37 License No. Exp.Date/' :0 compe sation, as provided for by Section 3700 of the Labor Code, for the / pe rmance of the work for which this permit is issued. ignature of Contractor _1_, 0 NER-BUILDER D "r1ARATION—T/ , '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.,.tr penalty of perjury that I am exempt from the Contracto issued. My workers'compensation insurance carrier and policy number are: License Law for the following reason(Section 7031.5, Business and Professions �- /� y�,'� ` , Code: Any city or county which requires a permit to construct, alter, improve, Carrier J///��� /�/`� � demolish,or repair any structure,prior to its issuance,also requires the applicant Policy Numbe/�Pc7� �% C--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 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(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 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. 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 / > 4 J l/ ' (T/'97/2/ A' Title AME J I ce ify 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 own . I agree to comply with all City ordinances and State laws relating to building construction. I hereby authorize representatives of the City of Arcadt .to enter upon th above-ment' ectio l'poses. Signature h ��/i i — i�� Date /17cYC.) 0V NER'S CERTIFICATI� .� Form m;s:". • For sites under 1 acre disturbed area ()CI To reduce storm water pollution from construction sites /-e6.- UILDING/GRADING PERMIT UMBER Project Name / • / Project Location //-/ Owner Name 7-./U Z/ i7 y Contractor Name /-Z ,4 Address CL &%2z /fl� Address ..2,40..9/. mil/ :7/q� J Phone CL 2 ) 6' Phone /"3J FAX FAX 2/ e, ,LS fhe National Pollutant Discharge Elimination System (NPDES) is the portion of the Clean Water Act that applies :o the protection of receiving waters. Under permits from the Los Angeles Regional Water Quality Control Board 'RWQCB), certain activities are subject to RWQCB enforcement. To meet the requirements of the Los Angeles :ounty Municipal Storm Water Permit (CAS004001), minimum requirements for sediment control, erosion control and construction activities must be implemented on each project site. Minimum requirements include: SEDIMENT CONTROL: Eroded sediments from areas disturbed by construction and from stockpiles of soil shall be retained on site to minimize sediment transport from the site to streets, drainage facilities or adjacent properties via runoff, vehicle tracking or wind. CONSTRUCTION MATERIALS CONTROL: Construction related materials, wastes, spills or residues shall be retained on site to minimize transport from the site to streets, drainage facilities or adjoining properties by wind 3r runoff. Runoff from equipment and vehicle washing shall be contained at construction sites unless treated to remove sediment and pollutants. ,NON STORMWATER RUNOFF: Non stormwater runoff from equipment and vehicle washing and any other activity shall be contained at the project site. EROSION: Erosion from slopes and channels shall be controlled by implementing an effective combination of BMPs (as approved in Regional Board Resolution No. 99-03), such as the limiting of grading scheduled during the wet season; inspecting graded areas during rain events; planting and maintenance of vegetation on slopes; and covering erosion susceptible slopes. Minimum BMPs include: (1) soil piles must be covered with tarps or plastic, (2) Leaking equipment must be repaired immediately, (3) Refueling must be conducted away from catch basins, (4) Catch basins must be protected when working nearby, (5)Vacuum all concrete saw cutting, (6) Never wash concrete wastes in to the street, (7) Keep the site clean, sweep the gutters at the end of each working day and keep a trash receptacle on site. Owner's Certification I hereby certify that I have read, understand and will comply with the requirements indicated above: 43r• • • :°i i•a 'eeppr esentativsignature) (Name printed) Title Date Best Management Practices implemented shall include those recommended in the pamphlets describing Stormwater BMPs for construction sites, Blueprint for a Cleaner Ocean, and the California Storm Water Best Management Practice Handbook (Construction Activity). rr �t 6 ..--- e ,w� vc>, L.„ . �,, r;ik �� ,. , ''.se.r ,,L - °f' ,�tsz. UMBER �1er‘TREET • r llr't f<.' 4}+, i 4 gS4^r„ t rr�.. �' Y r'4"t'; APPLICATIC.. JR A �c�{ �Yy„f ' BUILDING PERMIT ''/ IV �. g (J" • 0 32 0,•..-..:,..,.tl .�y +:'..-,9,1.'9..,9,rr, �'� �i W EUILDING f SAFETY DIVISION �//(�J,.' l''4f,.. f. ;° a ' ' s I a1'p y + CITY OF ARCADIA,CALIFORNIA V- ry•rNf I OWNER 1 TEL.NO. w ��LL �/JL 1c rJG1S m MAILING ADDRESS C /f 7� ,r 1—' / ;C) I. nc )Vi�'1 /�7.//� TEL.NO. y, 11'.. 4I x LV i ARCH. ENGR. ,/� �� a7 CONTRACTOR STATE LIC.NO. c N o ` m1- L-: ,h jN�C.� J� 'f t>^ j 4`3/ . -. A , —t ) j ' / r CITY LIC.NO. H ." r "•, I-1 MAILING ADDRESS->' 'Lt/ /Y�1 1l.lri,7� c' 0-ta 3- 1— N --1 ? T IV -I 6'y#��C,�w r /C TEL.NO. Z rn 4 v. co Z L;'gy' Ii ~ CITY OC.�f>a..L L'Cl.... c tL /('/(/ �1 Sf/C� O �'� `` L.NO. � C < ° 4 fr 1. CONSTRUCTION LENDER "' 2 �l -.1 o �' DESCRIPTION OF WORK —4‘0 GI 0"r ' f . NEW❑ ADD'N❑ ALTER❑ REPAIRS DEMOLISH❑ A 'TI f"' # GARAGES OR TOTAL Q MAIN BLDG CARPORTS AREA 'D ~ o `Q "" �} MAIN BLDG Gl . NO s Z NO.OF NO.OF DWELLING I, on.1 � ;; '"I STORIES t (UNITS n '" ,7 t . PRESENT BLDG.USE PROPOSED BLDG.USE I 0 ‘ I C) "I Ul I "I D Is- DESCRIBE WORK n O 1 --, t ' T TO BE DONE Z re,Q-c•• r C7 C) ; -i..!. , o t`'. p' lN. 0 M — p(TIT,', �'' EXTERIOR WALL MATERIAL ROOF FRAMING MATERIAL 35 —I Z PARTITIONING MATERIAL 3,F/GRV RI G MATERIAL �! ajsi �yj• .p m r � i' p 1 t M+ . •co <Ct C.T ,, t NOTE:Include lobar,Mat., 7.r-+ '� 5 Q 0 9 — E °) ' VALUATION Wiring,Plumb.,Here,Etc. z m r, ':u C] C� 70 ,,g,.T s, LOT BLOCK TRACT i as > r NO. NO. a` 47. et. -� LOT LOT DIST.FACE OF l7 cE f rrl m y� WIDTH DEPTH CURB TO P.1.-----FT. so �K w t, NOTE:PROVIDE PLOT PLAN ON BACK SIDE OF ORIGINAL COPY ONLY _--■ Q x INFORMATION BY BLDG.SECTION t- J ` b °.'4 USE FIRE OCCU- "' ZONE ZONE PANCY cv d az 1 ', SET O I D (FRONT (RIGHT SIDE LEFT SIDE (REAR Li Cc ziS r BACKS g 'V 4.4," TYPE OF SPECIAL Z m CONSTR. (CASE NO. O v m V^A PLAN NO. CHECKER'S Z APPROVAL PLAN CK.FEE ,gwr I" 44," "V‘,/),,,, I have carefully read and examined the above application and find the some to be true and correct. All provisions of the Lows PERMILFFE and Ordinances governing building construction will be complied ., 1. 2_5— ? tr-',IC with whether specified herein or not.No person shall be employed fA A e''-6. in violation of the Labor Code of the Store of California. I agree S.M.I.P. -p 4 `"2 gg'9 nor to occupy or allow,gcupancy of any building authorized by this 1 s.n br, permit until final b�ldf g inspaUion has been re 5y.rged. TOTAL FEE f r, Y/' «{ 33 ,7%, am M, ,, Z IGNATIJRE OF OWNER OF AUTHORIZED AGENT t+ : + '4'4,4,:'N''"' CONSTRUCTION PROHIBIT TWEEN 1:00 P.I ID 7:00 A.M. O t s o & r' 4 �, , ,c AND ON SUNDAYS At. .OLIDAY^:AS PER ,.N1321. APPLICATION FOR BUILDING PERMIT Application is hereby made for the approval of the specifications and plans herewith submitted for the erection of the building herein described. All provisions of the Building Ordinances and Zoning Ordi- nances shall be complied with in the erection of said building , whether specified or not. State License No I l y ist (Sign here).--..r.v�----- City License No 1. 19 4 Lot , H Block Tract 18 2 11 / Zone Fire District Street Address 1 I z EN C I No v E, (ie�< 1. Purpose of the Building S I>\I G.L.M F A M) .' p w e G A rz A G F Number of Rooms Kind of Construction F 2 A t■A E # ST v(--C. 2. Roof S+1 GLES 3. Owner's name M2 . LA R 1Z Y N I c N C L `a Telephone No 4. Owner's address 1.12.2, O.i Q h Y M Pt) L A PLt -NT'g 5. Architect's name 3v IL i> 6. Builder's name p M ' 0 o H A L Telephone No 14 1 • (0 4cl 2-(-) 7. Builder's address 4 c A► t -r A M 4L tZ t A .1� ) Art G A 01 A 8. Estimated value of proposed improvements $ 3 , 0 CO O 9. Will the building be erected on the front or rear of lot? 12 N r 10. Size of lot S x I a c-' Size of building x. Iq � Qpr 11. Number of stories in height Floor Area � ��; 12. Will there be a cellar or basement- N `� Size ►' ' Dated Arcadia, California, '— I, , 19 4 C- B-49 Ft' 1 CT' k)k Z Development Services Depart `1 �'• 240 West Huntington Drive,F )ffice Box 60021 PERK f NO. B00-012-904 Arcadia,CA 91066-6021 City of (626)574-5416,Fax (626)447-9173 Permit Type: EMP Combo Arcadia PROJECT TRACT NO. LOT NO. APPLICATION DATE - ISSUED BY PRINT DATE PERMIT STATUS 6/20/2002 Issued PROJECT ADDRESS GEO CODE 1129 Encino Ave 5780-014-001 OWNER MAILING ADDRESS DU,TRACY PHONE NO. Inspector#: 205 EMAIL ADDRESS: , APPLICANT MAILING ADDRESS PHONE NO. EMAIL ADDRESS: CONTRACTOR/PROFESSIONAL MAILING ADDRESS S W S Design Group,Inc 2121 Mission Road#303 PHONE NO. (818)284-4009 FAX NO. Alhambra,CA 91803 EMAIL ADDRESS: License No. 726785 Type: B Expires: 8/31/2002 12:00: TENANT MAILING ADDRESS PHONE NO. FAX NO. DESCRIPTION FIXTURES FOR ADDITION&REMODEL Construction Type UOM #of Units Value Construction Type UOM #of Units Value OCCUPANCY: Dwellings 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 SWMF 2 $1.00 $1.00 88-3027 I Flat Mech issue $40.25 $40.25 01-3105 1 Flat SWMF 2 $1.00 $1.00 88-3027 I Flat Plmbg issuance $40.25 $40.25 01-3105 1 Flat SWMF 2 $1.00 $1.00 88-3027 1 each Shower $11.30 $11.30 01-3105 Totals for: 88-3027 $3.00 $3.00 1 each Dishwashers $11.30 $11.30 01-3105 14 each Ltg fixtures $19.60 $19.60 01-3105 g-6143 1 each Floor drain $11.30 $11.30 01-3105 y .� j� �f� 1 each Barsink $11.30 $11.30 01-3105 @A/L /,4j ,pt) - 0. /;l4/ 1 each Clothes wsh $11.30 $11.30 01-3105 �� �f r I each Hood $12.80 $12.80 01-3105 1 each Wtr htr/vent $14.10 $14.10 01-3105 3 outlets Gas piping $14.10 $14.10 01-3105 37 each Receptacles $43.30 $43.30 01-3105 1 each unit Sewer connec $28.25 $28.25 01-3105 2 Flat Add/Alter Ducts $17.00 $17.00 01-3105 Totals for: 01-3105 $326.40 $326.40 Total Fees: $329.40 Total Amount Paid: $329.40 Paid Today: $329.40 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. „ _ ^ C f3 ALLS FOR INSPECTION INSPECTORS'OFFICE HOURS ✓V1/ t 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) 0 x91-11 PERMIT/PLAN REVIEW At i'LICATION mr.�sn r- .,�,#j,. Development Services Department, 240 West Huntington Drive, Post Office Box 60021 �`'°"T` Arcadia, CA 91066-6021, (626) 574-5416, Fax (626) 447-9173 City of cadia LICENSED CONTRACTOR'S DECLARATION WORKERS' COMPENSATION DECLARATION aI hereby affirm under penalty of perjury that I am licensed under provisions ,f I hereby affirm under penalty of perjury one of the following: Chapter 9, commencing with Section 7000, of Division 3 of the Business . d 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 g L. nse No.726 78� Exp.Date D —! —r 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 _��� _ / / I I have and will maintain workers'compensation insurance,as required by Section R-BUILDER DELL RATION 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 Contrac ors issued. My workers'compensation insurance carrier and policy number are: License Law for the following reason(Section 7031.5,Business and ProfessiI s Carrier STf4T6 aMPe/ss7/D Al /AJS?Ii MIC&fu N. Code: Any city or county which requires a permit to construct, alter, improv. demolish,or repair any structure,prior to its issuance,also requires the applicant Policy Number 1 41L .Tt - for such permit to file a signed statement that he or she is licensed pursuant to the This section need not be completed if the permit is for one hundred dollars or less.) provisions of the Contractors License Law(Chapter 9(commencing with Section 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 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(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 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 p 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 h 6,oz y l wonJC-� Title CUpG�2 !/U 7rilJD�itIT • 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. Signature' - _ _ _ _a_.... -■fi.r/ Date 06-2-0- U 2- BUILDING AND SAFETY DIVISION BUILDING City of Arcadia PERMIT 240 W. HUNTINGTON DR., ARCADIA, CA 91006 • TEL. (213) 446-4471 4 4\ Building / Occ. Address / ! Edition Const. Group Lot Block Tract Occ. F. D.Appr. Date H. D. Appr. Date No. Load Required Required Owner Use Zone Special Case No. Mailing Homeowners Association Approval Date Address City Zip Tel. Lot Size Contractor - Special , Conditions Address _ NOTE: Include: / •L. i VALUATION Labor,Material, Plumbing, Etc. $ /t ,' �' City Zip Tel Misc. FEE State Lic. /, Private &Classif. Lic. No. // Swimming Pool I Spa E Public Arch., Engr., Sign-Pole❑ Wall ❑ Designer Address Tel. F Temporary❑ Projecting❑ City Zip State E Fee Based on Total Sq.Ft. Lic. No. E Proposed S PLAN CHECKING FEE Construction S.M.I.P. .b Permit Fee Floor Main Accessory Total Processed by TOTAL ji �f Area - New 0 Add.❑ Alter.❑ Repair❑ Demolition❑ Permit No. Plan No. Date LICENSED CONTRACTOR'S DECLARATION WORKERS'COMPENSATION DECLARATION n I hereby affirm that I have a certificate of consent to self-insure,or a certificate of Q1 hereby affirm that 1 am licensed under provisions of Chapter 9(commencing with Section Worker's Compensation Insurance,or a certified copy •therepf.(Sgc."38Q�Labor Code.) ' a, )of Division 3 of the Business and Professions Code,and my license is in full force and effect. Policy No. _ __ Copy is filed Certified copy is Exp.Date OWNER-BUILDER DECLARATION with the City. hereby furnished. I ..�, ,f 1 El 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 ❑ I certify that in the performance of the work for which this permit is issued,I shall not pursuant to the provisions of the Contractor's License Law,Chapter 9(commencing with employ any person in any manner so as to become subject to the Workers'Compensation Law Section 7000)of Division 3 of the Business and Professions Code, or that he is exempt of California. 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 NOTICE TO APPLICANT:If,after making this Certificate of Exemption you should become dollars(3500)." subject to the Workers' Compensation provisions of the Labor Code,you must forthwith comply with each provisions or this permit shall be deemed revoked. .P I,as f the property,or my employees with wages as their sole compensation,will CONSTRUCTION LENDING AGENCY the workrk,,and and the structure is not intended or offered for sale."Sec.7044,Business and I hereby affirm that there is a construction lending agency for the performance of the work Professions Code:The Contractor's License Law does not apply to an owner of property who for which this permit is issued.(Sec.3097,Civil Code.) builds or improves thereon and who does such work himself or through his own employees, provided that such improvements are not intended or offered for sale.If, however, the Lender's Name 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." Lender's Address ElI,as owner of the property, am exclusively contracting with licensed contractor to I certify that I have read this application and state that the ainformation is correct.I construct the project.'"Sec.7044,Business and Professions Code:The Contractor's License agree certify comply with all city hi and county andinane that and state above i information relating to building Law does not apply to an owner of property who builds or improves thereon,and who con- construction,and hereby authorize representatives of this city to enter the above-mentioned tracts for such projects with a contractor(s)licensed pursuant to the Contractor's License Law." property for inspection purposes. ❑ I am excempt under Sec. ___,B.&P.C.for the reason Signature of Applicant - . - Date• Address Date_ _ Owner City,State,Zip ' This is a building permit when properly filled out, signed and validated, FILE COPY and is subject to expiration if work thereunder is suspended for 180 days. JOB ADDRESS 111. 11Aq i1/vc.oio Ave, NUMBER STREET APPLICATION FOR A SWIMMING POOL PERM Z CITY OF ARCADIA, � PLE7 CALIFORNIA �4 F" 0 OWNER N / . HO L.S TELeO/ 05 j `i MAILING ADDRESS /I A q g N-/A/C Ale 'u I UENGINEER STATE LIC.NO. u Wi+t. FE.RRELL 4?.231!� . MAILING ADDRESS TEL. NO. as CONTRACTOR STATE 4- eettiL I PGot..S f85sio V, MAILING ADDRESS CITY BUS. LIC O. N egos ,c. 1-45 -TreAbti 3 C F (N /1/1/ ' 4-6 k/ TEL. NO. St`s, O t l NOTE! PROVIDE PLOT PLAN ON BACK OF ORIGINAL COPY ONLY '0 F V.J POOL SIZE 15 x 3 5SQ,.,` u' \ /� IyrRIVATE 1 u C) EST.CAPACITY �.':' g "' VT GALS. ❑ SEMI-PUBLIC © TYPE FILTER i JI'R /,/' 525BACKWASH? .4 NOTE: Include Labor,Material,\ VALUATION( Electrical,Heating,Plumbing 1 • © PLUMBING FEES V/POOL HEATER - GAS SYSTEM @ $1.00 F , M POOL PIPING DRYWELLS @ $2.00 wO PLUMBING PERMIT FEE 1.00 TOTAL PLUMBING FEE _ S-"C a tn INFORMATION PROVIDED BY BUILDING SECTION LEGAL DESCRIPTION / LOT NO../ BLOCK NO. TRACT/4/.4—'7 _. SECTIONAL SHEET a 0 REQUIRED T FRONT RIGHT SIDE LEFT SIDE REAR a W SETBACKS! > _ 1.- p APPROVAL BY OTHERS __ re m r.NGINEERING PUBLIC I PLANNING SPECIAL O re SECTION SERVICE DIVISION CASE NO. K ,r, Cl. w p Z w Y S e[ CHECKERS_ ,�A 3 0 P.C. FEE £ &O 0 .�`QZ o APPROVAL PERMIT FEE I.Tyr0 C' ` Q O I �r have read and examined the above application and know the same to be true i- and correct. All provisions of the Laws and Ordinances covering building con- } s struction will be complied with whether specified herein or not. No person shall be employed in violation of the Labor Code of the State of California. G I i rt +t La 1 Ga W d ,IGNATURE OF OWNER OR gORIZED AGENT If► Z FORM B-56 PERMANENT 1 gm F INSPECTION RECORD BASIC INSPECTIONS ITEM INSPECTOR __ DATE GROUND WORK MI Earn,2 lir VA ROUGH ti FINISH R FIXTURES � /` FINAL RELEASE TO PUBLIC SERV. ,/ a' PARTIAL OR MISC. INSPECTIONS I ii RECORD INFORMATION O.H. U.G. TEMP.OK. TEMP.CONSTR. NO.OF METERS LITE WIRE INIMIIIIMil RANGE OVEN TABLE TOP W.HiR. DRYER OTHER RES. APPLIANCES OVER 2 KW. TOTAL KW OR HP. TOTAL HP. S(I) 3(1) 7 SOB ADDRESS Ofilik' 112• • '• STREET NUMBER . APPLICATION FOR A AIR- CONDITIONING VENTILATING, CONDITIONING OR REFRIGERATION R PERMIT �/ V BUILDING 8 SAFETY DIVISION CITY OF ARCADIA, CALIFORNIA TEL NO. OWNER Mr Larr Nich•ls • 'i MAILING ADDRESS = .d•a • • • •• : - STATE LIC NO.• N CONTRA OR 1228 " ► _ 111• � ► CITY LIC, NO. MAILING ADDRESS - • .• W 1 - . , TEL.NO. L'31 CITY •-• • Arcadia CA • rn c7 DESCRIPTION OF WORK ?w Q HEATING ❑ AIR CONDITIONING ❑ REFRIGERATION ❑ VENTILATION ..3 FEE COMPUTATION it VALUATION -- $ 1052.00 DESCRIBE WORK TO BE DONE lnsta 1 l •- • •- - V q7 INCL HEATING APPLIANCES VENTS 0 (INSTALLED, ALTERED, REPLACED, REPAIRED OR RELOCATED) FEE 1• 1 1 R 1 1 CIRCULATING AIR OUTLETS OR INLETS REFRIGERANT COMPRES®INSTALL®PLACE® FEE QUANTITY OVER 0 20 IIIIIIIIN ‘11111111 all 20 50 Ell INIIIIIIII 50 IIIZMIIIIIIIIIII 0 5 OUTLET GAS SYSTEMS @ 175 I have carefully read and examined the PERMIT FEE 1 above application and know the some to be true and correct. All provisions of INVESTIGATION Laws and Ordinances covering this type of construction will be complied with FEE whether specified herein or not. No TOTAL FEE 1 • person shall be employed in violation of the Labor Code of the State of California. ■Ill! IP t✓ I L SI SAT RE OF CO,. RACTOR OR AUTHORIZED AGENT N CON SUNDAYS AND HOLIDAYS ' HOLIDAYS AS PER ORD. AND :: .. r, INSPECTION RECORD I T E M INSPECTOR DATE ROUGH HEATING ROUGH REFRIG. OR AIR COND. DUCTS FINAL HEATING FINAL REFRIG OR AIR COND. 11.11111111.1111aln PARTIAL OR ISC. INSPECTIONS UNSUCCESSFUL TRIPS "1 JOB ADDRESS ii 11.2.q E.-tie-40o c,o STREET NUMBER APPLICATION FOR AN ELECTRIC PERMIT i ILDING 6 SAFETY DIVISION ` ��to CITY OF ARCADIA, CALIFORNIA /,e6.I T�LA/NO� ° L , /jhc//oz c' 37j...... MAILING ADDRESS//24 E:tic/ /o 4-VE. STATE LIC. NO CONTRACTOR MAILING ADDRESS CITY LIC. NO TEL NO CITY �/� New ,��y,�'Exist. ❑ No. Serv. Reconnect Bldg. IG]I Bldg Charge or Reseol OUTLETS, BASE PLUGS, SWITCHES, FIXTURES e 305 EACH { CC. MOTORS 0 to 1 Hp @ 1.50 r OVER 1 HP to 3 HP @ 2.50 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 t. 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 RESIDENTIAL ENTRANCE SERV. 100 A MIN. @ 3.00 COMMERCIAL ENTRANCE SERVICE @ 6.00 ADDITIONAL SERVICE METERS @ 2.00 TEMPORARY POWER POLE @ 3.00 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 (iil 3 00 above application and know the some to be true and correct. All provisions of SUPPLEMENTARY the Laws and Ordinances governing this SSU type of construction will be complied with PERMIT FEE 1 75 whether mentioned herein or not. No person shall be employed in violation of the Labor C de of the State • Cal ifo i INVESTIGATION a. FEE ' TOTAL FEE / _...--"i SIG ATURE OF CONTRACTOR OR Ilia* AUTHORIZED AGENT c.ONSTRUCTION PROHIBITED BETWEEN 7:00 P.M. AND 7:0, .M. AND ON SUNDAYS AND HOLIDAYS AS PER ORD. S 1321. ... INSPECTION RECORD BASIC INSPECTIONS ITEM INSPECTOR DATE GROUND WORK -__ ROUGH FINISH FIXTURES .1111 FINAL RELEASE TO PUBLIC SERV PARTIAL OR MISC. INSPECTIONS • UNSUCCESSFUL TRIPS RECORD INFORMATION 0 H U G TEMP OK TEMP CONSTR NO.OF METERS ITEWIRE PWR RANGE PHASE OVEN TABLE TOP W HTR DRYER OTHER RES. APPLIANCES OVER 2 KW TOTAL KW OR HP TOTAL HP SCP AdOIN JOB ADDRESS ....1%.� ....1%.NU t3ER , STREET APPLICATION FOR A BUILDING PERMIT /fit BUILDING&SAFETY DIVISION CITY OF ARCADIA,CALIFORNIA ER Z , ti,),/,/ .S TE Q. 2-,3 7- �y MAILING 07)2$9 E/i/, /V O / 4E• �¢b • ARCH. / jV /� TEL. NO. ENGR. CONTRACTOR STATE LIC. NO. :(, A/ 5.Z440'ZI 43 MAILING ADDRESS CITY LIC. NO. CITY TEL. NO. CONSTRUCTION TEL. NO. LENDER • DESCRIPTION OF WORK ..• NEW❑ ADD'N$ ALTER❑ REPAIR❑ DEMOLISH❑ FLOOR AREA GARAGES OR TOTAL MAIN BLDG CARPORTS AREA NO. OF / NO.OF DWELLING / STORIES UNITS PRE NT BLD USE PROPOSED BLDG. USE C. ' DESCRIBE WORK TO BE DONE • EXTERIOR WALL MATERIAL ROOF FRAMING MATERIAL PARTITIONING MATERIAL ROOF COVERING MATERIAL 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 Le UFE FIRE OCCU- ZONE ZONE PANCY '^ —RQ'D FRONT RIGHT SIDE LEFT SIDE REAR O S'T U BACKS < TYPE OF SPECIAL Z ce CONSTR. CASE NO. 0 U PLAN NO. CHECKER'S APPROVAL PLAY 9K.7E3 I have carefully read and examined the above application and //6 i�, find the same to be true and correct. All provisions of the Laws PERMIT FEE and Ordinances governing building construction will be complied 335 . with whether specified herein or not.No person shall be employed in violation of the Labor Code of the State of California. I agree S,M.I.P. not to occupy or ow occupancy of• build4 g authorized by this permit until fi b ilding ins•ection ibeen /eived. /f� +'yam�]�• ) � ,/� T3 .I ogik ATURE OF OWNER OF AUTHORIZED AGENT CONSTKUCTION PROHIBITED BETWEEN 7:00 P.M.AND 7:00 A.M. O► I AND ON SUNDAYS AND HOLIDAYS AS PER ORD.#1321. i INSPECTION RECORD /011► ANN BASIC INSPECTIONS ITEM INSPECTOR DATE TRENCHES: WIDTH DEPTH 1st FLOOR JOIST FRAMING p LATH Ie%.7t= . Nf�� FINAL PARTIAL OR MISC.INSPECTIONS UNSUCCESSFUL TRIPS ITEM INSP. DATE ITEM INSP. DATE SET BACKS I FRONT I R.SIDE -L.SIDE I REAR I INSP. DATE FIELD CHECKS TO APPLICANT:PLEASE DO NOT WRITE ABOVE THIS LINE PLOT JOB ADDRESS S 4" UMBER STREET APPLICATION FOR A �I 0,1 BUILDING PERMIT -- /,r 1� BUILDING IL SAFETY DIVISION CITY OF ARCADIA,CALIFORNIA OWNER 24, TEL. NO. LLB �1?/4,(ert%t�3 - MAILING ADDRESS• ., � / `6 _"',�L.4v0 ARCH. TEL.NO. ENGR. • CONTRACTOR STATE LIC.NO. MAILING ADDRESS? f ? �d153_ L. • CITY TEL NO. CONSTRUCTION TEL. NO. LENDER DESCRIPTION OF WORK NEW❑ ADD'N❑ ALTER❑ REPAIR. DEMOLISH❑ FLOOR AREA GARAGES OR TOTAL [ MAIN BLDG CARPORTS _AREA NO. OF NO.OF DWELLING STORIES \ UNITS -.�; PRESENT BLDG. USE PROPOSED BLDG. USE U t. DESCRIBE WORK TO BE DONE (V * f3 (. ` EXTERIOR WALL MATERIAL ROOF FRAMING MATERIAL PARTITIONING MATERIAL aQ(aOF�Q ERIIyG A�ATERIAL •VALUATION NOTE:Include Labor,Mat., �P g. ./O T��9) 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— N USE FIRE OCCU- ZONE ZONE PANCY te) Ce REQ'D FRONT RIGHT SIDE LEFT SIDE REAR O SET v BACKS_ Q TYPE OF SPECIAL Z CONSTR. CASE NO. O U PLAN NO. CHECKER'S APPROVAL PLAN CK. FEE I have carefully read and examined the above application and find the same to be true and correct. All provisions of the Lows PERMIT FEE and Ordinances governing building construction will be complied 3 'L'1 with whether specified herein or not.No person shall be employed / J in violation of the Lobor Code of the State of California. I agree S,M.I.P. V not to occupy or allow cuponcy of any building authorized by this permit until final buiJdf -inspection has been re d. / 7 TOTAL FEE IGNATURE OF OWNER OF AUTHORIZED AGENT "Pk �111k CONS...JCTION PROHIBITED BETWEEN 7:00 P.M.AND 7:00 A.M. OO t AND ON SUNDAYS AND HOLIDAYS AS PER ORD. #1321. INSPECTION RECORD • BASIC INSPECTIONS I T EM INSPECTOR DATE TRENCHES:WIDTH DEPTH 1st FLOOR JOIST FRAMING LATH FINAL , / J PARTIAL OR MISC.INSPECTIONS L�- 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 • r � 1 JOB ADDRESS LIN u q ElAciptt A ✓ . NUMBER STREET APPLICATION FOR AN ELECTRIC PERMIT J,O,nn` ETrn r BUILDING & SAFETY DIVISION RI T"L C.V CITY OF ARCADIA, CALIFORNIA (,;r OWNER TEL.NO. MAI LI G ADORES Ll a c1rte^ / V 4i-C.. O CO RACT STATE LIC.NO. re-Lt Co tot r'- le i o o 4 MAILING ADDRESS CITY LIC NO 1�-� a � C-fit!e -fl q a c ") CITY TEL.NO. CO A 3 -Z_ ti--; fe d f °` DESCRIPTION OF WORK Pl ❑ New Exist. No Serv. Reconnect USE Bldg. ❑ Bldg• Charge ❑or Reseal ZONE FEE COMPUTATION FEES NOTE: TOTALS SHOWN BELOW MUST BE SUBMITTED IN DIAGRAM ON SEPARATE WORK SHEET PROVIDED FOR THIS PURPOSE. �]./� 4 OUTLETS,BASE PLUGS,SWITCHES,FIXTURES @ 10¢EACH J `) LESS THAN 18 APART @ 5¢EACH • FIXTURE PERMIT FEE @ $1.00 MOTORS 111. OUAN. RATE Oto1/2 HP @ .25 EA. 1 OVER 1,4 to 2 HP @ .50 " I y 11 OVER 2 HP to 5 HP @ $1.00 " OVER 5 HP to 15 HP @ $1.50 ' OVER 15 HP to 50 HP @ $2.50 " OVER 50 HP to 200 HP @ $5.00 " EACH MOTOR MORE THAN 200 HP $10.00 TOTAL AIR COND.H.P. RANGE,OVEN,CLOTHES DRYER @ 50¢ EACH RESIDENTIAL ENTRANCE SERV-100A MIN. HEATING ELEMENTS @ 50¢ EACH HEATER AIR CONDITIONER WELDERS (TRANSFORMER TYPE) KVA®50c PER KVA ((FEE•GREATER THAN\1 _WELDERS (MOTOR GENERATOR) HP(75%MTR. ALONE / CONSTRUCTION OR TEMPORARY LIGHTING @ $2.00 MISCELLANEOUS POWER POLE $1.00 I have carefully read and examined the above application and know the same to be true and PERMIT FEE @ 1 00 correct. All provisions of the Laws and Ordi- nances governing this type of construction will SUPPLEMENTARY be complied with whether mentioned herein or PERMIT FEE @ .50 not. No person shall be employed in violation of the Labor Code of the State lifornia. INVESTIGATION FEE avva.,4 J , TOTAL FEE SIGNATURE OF CONTRACTO OR AUTHORIZED AGENT Oak FORM B-53 (REV.7-61) 21/2M O e INSPECTION RECORD BASIC INSPECTIONS SIN I T E M INSPECTOR DATE GROUND WORK ROUGH ` 6` FINISH FIXTURES i `�./ FINAL RELEASE TO PUBLIC SERV. PARTIAL OR MISC. INSPECTIONS UNSUCCESSFUL TRIPS RECORD INFORMATION O.H. U.G. TEMP.OK. TEMP.CONSTR. NO.OF METERS • LITE WIRE PWR PHASE HEAT KW RANGE OVEN TABLE TOP W.HTR. DRYER OTHER RES. APPLIANCES OVER 2 KW. TOTAL KW OR HP. TOTAL HP. S(1F (I) 1. 11 ADDRESS // L�./e/�C) OWNER /,! o' STRUCTURE PS//E/2E L9 -"#r CONTRALTO- / Xj'/ v ,/ _,_ DA,_ -/f-zg PERMIT INSPECTED REMARKS p PLAN NOt/,/j?.J POWER POLE JY1IS'T 4" 3 6 /mot ,-j O '� +3 —6c, �$ /cc, (' _� FOg 2-6-/‘, '/ !� gi/ ,L GR. WK. C) � ' SRO. PLUMB. _ �D!�� �' 3 -/� GAS .�41 7(,S c/ [/(:'( ((_; BLDG. TO STREET SEWER 1 0 (n`'-1X 4-' 60g--ics W.C. . FURNACE 3 r1 i t. `",' '76r(> (_e.r4t000Hi VENT 71, /6 c, RO. WIRE 031117.-.JS 7/ A,. L.f,�. J CURB a'10_`. 5.6S"3 7 'e.,- 6a3 - FRAME 7 /�/dam' G. & J. LATH (, /g k C a •-- LECT FIX. ( /���C) (G i1 _ PLUMB FIX. ,y� L P ;/ ',/ 0 F r, e', . /�?f 9 , 9976-9—?-c:,_—_- 9 6_9—�0— —. ELECTRIC ��T/ 6`� I t�r ���5 / � ' B50 SUB-CONTRACTORS vs77-- G LOCATION /72/ 1/Je„//2 2 VALUE S '3,OOP LOT /44 BLOCK / TRACT /()�L 1/ OWNER �„„//`/J'7"1.. / O4- a / L�J BUILDING L-/// 4 �130/X % 0-- ' 5�7 CDG 216/g9 PLUMBING V3' �,Ul° C�Q∎f't° T 1 \O & 5-Z6,- oO lDgdi HEATING J 4-- J N e.Q-t i v`gel-oi-&I•,d, eo- zo�-(00 '3 1 b R SEWER A m 1 °t 0�f0'' V1,L 'r.. On, (a -g Con 1 d G4-? WIRING CO co Q l.. F Ie c1Y iC. cd , 1 - 12- 10 13'7 1, „ /l 11 ,, FIXTURES / ELECTRIC 1 '34r�9 C-ZD-(fin GAS 91440 CI-Z0^6 a PLAN ENO. g_50 /3S /"i As 6,_y-Cc) op. Location 1/ 2 el EA/e/ b/ n Sewer Permit No. /6 (p ¢ Co. o, / Lot /4- Blk. /// Tract .( 2i -) I Legend J!'/L Owner ti/1-R e(/ /V/('IQ 1-,S I Length Date Inap. Contractor 1 ;`/p _ j A I -i it 1 I rp-a /VFW Wi 9r- 1 Dc` " J 32, ,, t� Pipe & Joints V c P C '.i Stree�L ocItign 7 /�L S / _,.'E' a