HomeMy WebLinkAboutOld permits ,`' ►' Development Services Dep nt /'�
�11 240 West Huntington Driver t Office Box 60021 PER Y NO. B00-030-528
City of Arcadia,CA 91066-6021 Permit T
Arcadia( 626)574-5416,Fax(626) 447-9173 Type: EMP Combo
PROJECT TRACT NO. LOT NO. APPLICATION DATE ISSUED BY PRINT DATE PERMIT STATUS
1,428 8/4/2008 JB 9:32 8/4/2008 Issued
PROJECT ADDRESS ! I:',,/� ip ASSESSORS PARCEL NO. GEO CODE
1136 Encanto Dr a, r 5776-006-014
OWNER MAILING ADDRESS sI'
Sutherland, Kenneth C Jr And Carole`1136 ENCANTO Dr PHONE NO.
Inspector#: JOHN
Arcadia, CA 91007 EMAIL ADDRESS:
APPLICANT MAILING ADDRESS
THOMAS A. HENRY PHONE NO.
EMAIL ADDRESS:
CONTRACTOR/PROFESSIONAL MAILING ADDRESS
•'Henry Construction P.O. Box 92803 PHONE NO. (626)792-9440 FAX NO.
Pasadena,CA 91109 EMAIL ADDRESS:
License No. 724448 Type: B Expires: 6/30/2010 12:00:
TENANT MAILING ADDRESS
PHONE NO. FAX NO.
DESCRIPTION
MISC ELECTRICAL AND PLUMBING FIXTURES FOR BATHROOM FACELIFT
Construction Type UOM #of Units Value Construction Type UOM #of Units Value
OCCUPANCY: TOTAL VALUATION: $0.00
QTY UOM DESC AMT AMT PAID ACCT QTY UOM DESC AMT AMT PAID ACCT
1 flat Elec issue 40.25 40.25 01-3105
1 Flat Plmbg issuance 40.25 40.25 01-3105 l
I each Shower 11.30 11.30 01-3105 9-/.30 (0-•9.r�^,L�-C G�
I each Water Closet 11.30 11.30 01-3105 !/ V
3
1 each Lavatories
tgfixt re 11.30 11.30 01-3105 /J(/' / f 477 74:f 7/3 each Lt fixtures 4.20 4.20 01-3105 �/�/ ✓ll �/
I Flat SWMF 2 1.00 1.00 88-3027 J es----r-05'
1 Flat SWMF 2 1.00 1.00 88-3027 7)— 2.- /
/0-5 DJ' /,1*(,-
'
Total Fees: $120.60 Total Amount Paid: $120.60 Paid Today: $120.60
This permit/plan review expires by time limitation and becomes null and void if the work authorized by the 86229
permit is not commenced within 180 days from the date of issuance or if the permit is not obtained within 01-3105 118.60
180 days from the plan application date. This permit expires and becomes null and void if any work 88-3027 2.00
authorized by this permit is suspended or abandoned for 180 consecutive days or if no progressive work has been
verified by the City of Arcadia building inspector for a period of 180 consecutive days.
CALLS FOR INSPECTION INSPECTORS' OFFICE HOURS
Requests for inspection should be made at least Monday-Thursday Friday Q./Mr
one(1)business day in advance of the inspection 7:30 a.m. to 8:30 a.m. 7:30 a.m. to 8:30 a.m.
by telephone at(626)574-5416 for onsite work. 4:00 p.m.to 5:30 p.m. 4:00 p.m.to 4:30 p.m.
(Closed on alternate Fridays)
c,,yLPORp,„'
airy
4 I PERM f/PLAN REVIEW AI LICATION
t*, �� r,
, 14p, Development Services Department, 240 West Huntington Drive, Post Office Box 60021
"°'°P°I' Arcadia, CA 91066-6021, (626) 574-5416, Fax (626) 447-9173
City of
Arcadia
LICENSED CONTRACTOR'S DECLARATION WORKERS' COMPENSATION DECLARATION
?:(1 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 nd
Professions Code,and my license is in full force,,.... . . 9w 1:1 I have and will maintain a certificate of consent to self-insure for workers'
License Class Lice.:- N. * Exp.Date !1//0 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 have and will maintain workers' compensation insurance,as required by Section
OWNER-BUILDER I ECLARATION 3700 of the Labor Code,for the performance of the work for which this permit is
❑ I hereby affirm under pena y o perjury t • - - pt from the Contractors issued. My workers'compensation insurance carrier and policy number are:
License Law for the following reason(Section 7031.5, Business and Professions
Carrier
Code: Any city or county which requires a permit to construct, alter, improve,
demolish,or repair any structure,prior to its issuance,also requires the applicant
Policy Number
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 FI 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' corn.,nsati.n provisions of Section 3700 of he La Code, I shall
forthwith ..,ly w' rhos 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 • O 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. lf,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 TIIE CONDITIONS AND
RESTRICTIONS SET FORTH ON THIS APPLICATION AND THE FOLLOWING:
1. The City's approved plans and permit inspection card must remain on the job site for use by City inspection personnel.
2. Final inspection of the work authorized by this permit is required. The permittee may be entitled to reimbursement of the permit fees if the City fails to
conduct an inspection of the permitted work within 60 days of the request for final inspection.
3. Per South Coast Air Quality Management District(AQMD)regulations,renovation and remodeling work that results in the removal, stripping,
or altering of asbestos containing materials requires an asbestos survey and removal prior to disturbing the asbestos. Please contact AQMD at
(909)396-2000 for further information.
1
Name �01�� Title
PRINT NAME
I certify that I have read this application and state that the above information is correct and that I am the owner or the duly authorized agent of the
owner. I agree to comply with all • ordi . es a • State laws relating to building construction. I hereby aut orize r presentatives of the City of
Arcadia to enter upon the e-m.. •• propert for inspection purposes.
Signature Date V D�
Development Services Depar4t
:�ty. 240 West Huntington Drive,1 _ .Office Box 60021 PERM NO. B00-030-264
Arcadia,CA 91066-6021
City of (626) 574 5416,Fax (626)447-9173
Permit Type: Roofing
Arcadia ( )
PROJECT TRACT NO. LOT NO. APPLICATION DATE ISSUED BY PRINT DATE PERMIT STATUS
14428,/ 6/18/2008 CM 15:01 6/18/2008 Issued
PROJECT ADDRESS t i./7 i% /.yti ASSESSORS PARCEL NO. GEO CODE
1136 Encanto Dr 5776-006-014
OWNER MAILING ADDRESS '•''' �iti ,,
Sutherland, Kenneth C Jr And Carole)1136 ENCANTO Dr
'''� G� PHONE NO. Inspector#: JOHN
Arcadia, CA 91007 Eb EMAIL ADDRESS:
APPLICANT MAILING ADDRESS
LANSFORD ROOFING PHONE NO.
EMAIL ADDRESS:
CONTRACTOR/PROFESSIONAL MAILING ADDRESS
Lansford Roofing 3535 Landfair Road PHONE NO. (626)390-3480 FAX NO.
Pasadena,CA 91107 EMAIL ADDRESS:
License No. 775436 Type: C39 Expires: 5/31/2008 12:00:
TENANT MAILING ADDRESS
PHONE NO. FAX NO.
DESCRIPTION
T/O AND REROOF HOUSE AND GARAGE WITH HEAVY B SELECT PRESSURE TREATED WOOD SHAKES OVER EXISTING SHEATHING
Construction Type UOM #of Units Value Construction Type UOM #of Units Value
Pressure tr shakes square 27.00 $8,775.00
OCCUPANCY: Reroof TOTAL VALUATION: $8,775.00
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 / /�DD />I/i� /
Flat SWMF Auto 6.25 6.25 88-3027 (� G�( // I�( /('/,
0 F g-z6-__00 /4 (,,,--)
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 tcecelpf rr: 8S9U I
permit is not commenced within 180 days from the date of issuance or if the permit is not obtained within 180 01-3104 260.80
days from the date of plan submittal. This permit expires and becomes null and void if any work authorized by 88-3027 6.25
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.
CALLS FOR INSPECTION INSPECTORS'OFFICE HOURS
Requests for inspection should be made at least Monday-Thursday Friday r
one(1)business day in advance of the inspection 7:30 a.m.to 8:30 a.m. 7:30 a.m. to 8:30 a.m.
by telephone at(626)574-5416 for onsite work. 4:00 p.m.to 5:30 p.m. 4:00 p.m.to 4:30 p.m.
(Closed on alternate Fridays)
, 1' PERMIT/PLAN REVIEW APPLICATION
Jolt 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
Arcadia
/LICENSED CONTRACTOR'S DECLARATION WORKERS' COMPENSATION DECLARATION
I hereby affirm under penalty of perjury that I am licensed under provisions of I hereby affirm under penalty of perjury one of the following:
Chapter 9, commencing with Section 7000, of Division 3 of the Business d
Professions Code, my license is in full force and a ct. ❑ I have and will maintain a certificate of consent to self-insure for workers'
License Class "' > -nse it 3 Exp.Date 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 have and will maintain workers' compensation insurance,as required by Section
OWNER—BUILD' ' e LARATION 3700 of the Labor Code,for the performance of the work for which this permit is
❑ I hereby affirm under penalty of perjury that 1 am exempt from the Contractors issued. My worker ' oompennssaa ion insurance carrier d policy number are:
License Law for the following reason(Section 7031.5, Business and Professions Carrier �^
Code: Any city or county which requires a permit to construct, alter, improve, / b�U ji
demolish,or repair any structure,prior to its issuance,also requires the applicant Policy Number !
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,1 shall
exempt there from and the basis for the alleged exemption. Any violation of not employ any person in any manner so as to i-come 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 at if should become subject to the
penalty of not more than five hundred dollars($500)): workers' compensat. n provisions of Sec on 3711 of the Labor Code, I shall
forthwith com y w' 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 `-e / IV 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 G`A4 't Title
PRINT NAME
I certify that I have r•. a this app• ation 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 ci ply with all ordinances and State laws relating to building construction. I hereby a horize representatives of the City of
Arcadia to enter u i I n the above-men.'oned pro!• • -.ection purposes.
Signature Date r� ��
BUILDING AND SAFETY DIVISION '� .'r' BUILDING
City of Arcadia
240 W. HUNTINGTON DR., ARCADIA, CA 91006 • TEL. (213) 446-4471 PERMIT
Building U.B.C. Type Occ.
Address 1136 ENCINO AVENUE Edition Const. Group
Lot I Block 'Tract Occ. F. D.Appr. Date H. D.Appr. Date
No. Load Required Required
Owner GEORGE MARTIN Use Zone Special Case No.
Mailing Homeowners Association Approval Date
Address SAME
City ARCADIA Zit 1006 lT11%6-18117 sae
ontr Special
rt—rt ROOF CO.,INC• Conditions
t\ Addr 1 NOTE: Include:
�� ELLEN WAY VALUATION Labor,Material, Plumbing Etc. $ 7,550.00
Li
City ARCADIA Tel.. 5389 ' Misc. FEE tWtA
State Lic. C' _ „ —Private
s Classic. 372186 C»39 u +f�fd21�12-L "� ' Swimming Pool/Spa s Public
Arch., Engr„ '
Designer 14 sign-Pole Wall
Xi Address Tel # te'; Temporary❑ Projecting❑
b
City Zip State Fee Based on Total Sq.Ft.
Lic. No 1
I,` PLAN CHECKING FEE
Proposed truction REMOVE EXISTING ROOF AND 3�, �'
! S.M.I.P,
C; APPLY "CAL SHAKE” CEMENT SHAKES 53
Permit Fee 101 90
11%' Floor Main Accessory Total Processed by
Area TOTAL 102 43
11,, New❑ Add.❑ •'ter.❑ RepaigC Demolition❑ Permit No. Plan No. Date
1 LICEN' D CON Oc' DECLARATION WORKERS'COMPENSATION DECLARATION %1
i7 I hereby affirm that I•• icensed v' ns of Chapter 9(commencing with Section ® I hereby affirm that I have a certificate of consent to self-insure,or a certificate of
i t i)of Division 3 o iness a'',0��1. Code,and my license is in full force and Worker's Cjj{i�nttyg1��� 'a�"//(tt[(gqpp)�{,nsurance,or a certified co y_therreeof.(Sec.'3800,Labor Code.)
effect. �,,- 4 Policy No.-.IC' CompAT.COMP.INS,FUlYD
11 OWNE' • a ! CLARATION • Copy is filed Certified copy is Ex..Date
® with the City. ❑hereby furnished. _la�
El hereby affirm that I a amp rom the Contractor's License Law for the following CERTIFICATE OF EXEMPTION FROM � L
reason:"Sec.7031.5.Bu ' ess an, 'rofessions Codes.Any city or county which requires a WORKERS'COMPENSATION INSURANCE
permit to construct,alt ,improv ,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 ap•icons for uch permit to file a signed statement that he is licensed
pursuant to the pro isions o he Contractor's License Law,Chapter 9(commencing with El I certify that in the performance of the work for which this permit is issued,I shall not
Section 7000)of a'vision 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•as' or 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
comply with each provisions or this permit shall be deemed revoked.
I,as owner of the property,or my employees with wages as their sole compensation,will
o the work,and the structure is not intended or offered for sale."Sec.7044,Business and CONSTRUCTION LENDING AGENCY
Professions Code:The Contractor's License Law does nol 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."
Lender's Address
❑ I, as owner of the property, am exclusively contracting with licensed contractor to
construct the project."Sec.7044,Business and Professions Code:The Contractor's License I certify that I have read thi'••placation 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 d county o nces state laws relating to building
tracts for such projects with a contractors)licensed pursuant to the Contractor's License Law." construction,and hereby au r",a represe,•: • is city tinter the above-mentioned
property for inspection p �/s�+ �
❑ I am excempt under Sec._ ,B.&P.C.for the reason 0�4 i --_712_e e 7
Signature of Applic: /,!�'/ D. t.Ij �L,J
Mailing Address 21 '�t='Bt'Y
Date__ ________Owner City,State,Zip A- ! 0 T t CA 91006
This is a building per ' • en properly filled out,signed and validated,
INSPECTOR COPY and is subject to expiration if work thereunder is suspended for 120 days.
INSPECTION RECORD
FOUNDATION: (Gr. Certif. Comp. Tests, Set- INSPECTION NOTES
backs,Forms,Reinf.Steel,Excavation.
FLOOR SLAB/JSTS., GIRDERS: Mesh, Vap.
Barrier,Blkg.,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,Joirit Reinf.
•
EXTERIOR LATH/SIDING: Mesh, Fasteners, •
Laps, Paper,Thickness,Backing.
FINAL INSPECTION: Finish Grading Certif.,
Slope Plant., Energy Compl. 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: / f/P1.1 RE-ROOF: %
INSPECTION DATE INSP.SIGN.
JVO nl/VRCJ3
ibk
I I a 6 67-14€_. L 1i-
NUMBER STREET
APPLICATION FOR AN c.
'Vc/J/ ELECTRIC PERMITd
v ;(' ( R, BUILDING & SAFETY DIVISION
v /tf CITY OF ARCADIA, CALIFORNIA
0 OWNER TEL NO
F" ' kV t Ki 1 C/ i 5 15
MAILING ADDRESS � V j T l i a"L . -E , ni-ei
cr, Co,O RACTOR
STATE LIC. NO.
-•'6 e9reeS Z-- Eb b 2 C1 L c W
MAILING ADDRESS
p„ CITY LIC. NO.
CITY TEL. Ns�
.4 1gb.'y)ii- °41-1.11--- "7.t Y)90
ENew Exist. O No. Serv.
Bldg. Bldg. Reconnect
'L' 9 Charge � or Reseal
CO _
2:3 OUTLETS, BASE PLUGS, SWITCHES, FIXTURES B 30a EACH / "70
MOTORS �. Ci (/ �r
F._S I 0 to 1 Hp @ 1.50 IP% I�.CS 'v / L (2
fr'-5 OVER 1 HP to 3 HP @ 2.50
y«. OVER 3 HP to B HP @ 3.00
0 OVER 8 HP to 15 HP @ 3.50
F"" OVER 15 HP to 50 HP @ 10.00
1
OVER 50 HP to 100 HP @ 25.00
OVER 100 HP to 500 HP @ 30.00
OVER 500 HP @ 3.50
HEATING CABLE UNIT DISPOSAL DISHWASHER 1.25
RANGE OVEN HEATERS @ 125
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 hove carefully read and examined the PERMIT FEE @
above application and know the same to 300
be true and correct. All provisions of
the Laws and Ordinances governing this SUPPLEMENTARY
type of construction will be complied with PERMIT FEE 175
whether mentioned herein or not. No
person shall be employed in violation of INVESTIGATION
the bor Code o the tote of California. FEE
•
,---teQ1A TOTAL FEE b
SIGNAT E F CONTRACTOR OR
^
I ` UTH IZED AGENT Ink
•_ONSTRUCTION PROHIBITED BETWEEN 7:00 P.M. AND 7:L •.M.
AND ON SUNDAYS AND HOLIDAYS AS PER ORD. # 1321.
•
a
"INSPECTION RECORD __
BASIC INSPECTIONS
ITEM INSPECTOR DATE
GROUND WORK
ROUGH )13-72
FINISH
FIXTURES
FINAL 7/ 7),RP)
PARTIAL OR MISC. INSPECTIONS
UNSUCCESSFUL TRIPS
RECORD INFORMATION
0 H U 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
SCID 3CP
egiN "1
JOB ADDRESS
.r. 1136 Encino Ave. ,lirl�
NUMBER STREET
APPLICATION FOR A
j+� r LUMBING PERMIT
I BUILDING & SAFETY DIVISION
CITY OF ARCADIA, CALIFORNIA
OWNER ITEL. NO
C Robert Masten
MAILING ADDRESS
,1631 N. Allen, Pas. 91107
I—i CONTRACTOR -
1 ,, Barrington Plumbing Co, 24o768
MAILING ADDRESS CITY LIC. NO
4 3 E. Walnut, Pasadena On3 29L
c
X0291
} i FEE COMPUTATION
BATHTUBS FLOOR DRAINS
"O SHOWERS REPLACEMENT SHOWER PANS
CO
WATER CLOSETS URINALS
LAVATORIES CLOTHES WASHER
SINKS DRINKING FOUNTAINS
GARBAGE DISPOSALS DENTAL UNITS
DISHWASHERS LAUNDRY TUBS
TOTAL NO. OF ABOVE FIXTURES @ 1.75
U
WATER HEATERS AND/OR VENTS @ 2.00
WATER SYSTEMS d 2.00
GAS SYSTEMS 5 OUTLET ADD. OUTLET
na 1.75 @ .50 EACH 1 75
LAWN SPRINKLER SYSTEMS @ 2.00 / J
SAND TRAPS 10.00
CLARIFIERS @ 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 same to be true and PERMIT FEE 2;00
correct. AI •rovisions of Laws and Ordinances
<overin. vs INVESTIGATION
type of construction will ba <om- F
plied•whether specified herein or o
P
eK• •II be employed in violati• he•
La Code of the State of Califon TO'Al. FEE 3 175
/ �� / -.sue
SIGNATURE OF CO 'ACT• OR AUTHORIZED AGENT OO L•
AMR Ilk
_ONSTRUCTION PROHIBITED BETWEEN 7:00 P.M. AND 7. ..M.
AND ON SUNDAYS AND HOLIDAYS AS PER ORD. # 1321.
^INSPECTION-RECORD
Arith
BASIC INSPECTIONS:
ITEM INSPECTOR DATE
`GROUND WORK
/
ROUGH GAS
PLUMBING TOP OUT
HEATING VENTS "_
FINAL GAS � X1777.
FINAL PLUMBING
PARTIAL OR MISC. INSPECTIONS
UNSUCCESSFUL TRIPS
vv r,VVRCJJ
ow 1/34k-I/4 , ? v& J..%
NUMBER STREET
CSI APPLICATION FOR A
k.0 BUILDING PERMIT
CO BUILDING S SAFETY DIVISION
CITY OF ARCAD IA, CALIFORNIA
OpE
/C.Eal C 4/i fi7 7/V Moo /a pe,J
17 at:lye ,mo 4 11.5
a' ARCH. TEL. NO
ENGR.
W CONTR Tc lV'li, • '/•�//L r STATE LIC. NO.
MAIL( ADDRESS A- ‘'- CITY LIC. NO
-y CITY ! f
TEL. NO
CONSTRUCTION TEL. NO
LENDER
0)
DESCRIPTION OF WORK
1,\ NEW ❑ ADD'N ALTER ❑ REPAIR ❑ DEMOLISHH0'-7I
o FLOOR AREA GARAGES OR (AREAL 9•,o l�
k L MAIN BLDG l CARPORTS
�l NO. OF ) I NO. OF DWELLING
0 STORIES UNITS /
► PRESENT BLDG USE I PROPOSED BLDG. USE
i' ''..5740 .---ivcz-:
CRIBE WORK
TO BE DONE
Tzab K/TGYEA>ei Dziv, L—,vc4 car
x LMATERI RO XFA/INGMATERIAL VCC V
PARTITIONING MATERIAL RO FVE RING
MATERIAL
dr
VALUATION NOTE:Include Labor,Mot., `j
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
co
USE FIRE OCCU- N
ZONE ZONE PANCY .n
REQ'D
SET (FRONT (RIGHT SIDE(LEFT SIDE (REAR p
EA u
TYPE OF SPECIAL oc
CONSTR. CASE NO. Z
0
PLAN .O. CHECKER'S ,� LI
APPROVA �� PLAN
• -5Z . FEE �,�
I avh c• -fully read nd and come /_.�l� application and
find the some to be true and come A p
.visions of the Lows PERMIT FEE
and Ordinances governing building construction will be complied
with whether specified herein or not. No person shall be employed � '� S�
in violation of the Labor Code of the State of California. I agree S.M.I.P.
not to occupy or allow occupancy of any building authorized by this
permit until final building inspection hos been rec ed' C
L
TF OWNER OR AUTEN7
COI 1CTION PROHIBITED BETWEEN 7:00 P.M. AND 7:00 A.M.
..1 ON SUNDAYS AND HOLIDAYS AS PER ORD.#1321.
OOH
INSPECTION RECORD
BASIC INSPECTIONS
/l►
ITEM ■ '�
DATE
TRENCHES. WIDTH—DEPTH__—__
1st FLOOR JOIST
FRAMING •�
LATH r
�� •
FINAL �—' (���II�iI
PARTIAL OR MISC. INSPECTION
UNSUCCESSFUL TRIPS
ITEM INSP. DATE I T E M INSP. DATE
SET BACKS' FRONT R. SIDE L. SIDE REAR INSP. DATE
FIELD CHECKS
TO APPLICANT: PLEASE DO NOT WRITE ABOVE THIS LINE
PLOT
riN
` Location // ,3 6 f rG/ND /VI,. AN
(--6 ) . Sewer Permit No. 7�..5-6 Co. No.
Lot /3 B1k. Tract /:14/ / 1 Legend '
T7
Owner d(n`i ./_1 D bl P S / � Length Date Insp.I Contractor A !IT✓'A ` e c S rext9 L
i______ alt" 6woK-,/r s)Sy
3 toK.k-y----1""
Ip S°
(eat" .
32
Pipe & Joints . -"V'VI
Street Location 3 11/Y 1, •� L SCxYP( /9-iD J� ier
ADDRESS U �,V\@ l.V10 i)UL° . OWNER ..(L]O n p.s
STR UCTIJRE D 1.13 Cp NT ACTOR 'aQ Me �-_
DA I t i I.2'1■ E IT INSP T REMARKS /PLAN" NO.IO'74(o
POWER POLE �- /3 -t tea?"./$7/O /7-- v J6 1
FORMS �-ZZ H / /. 6 ��L G" ��` lQ�,j�/j�7 !�
RO. PLUMB. 3'1.I GAS 2..1 > IN BLDG. TO S' REET
SEWER °7.L # - // '-J '( � W.C.
FURNACE _ 3Z3O(o ROUGH VENT 2/7/3-1 n
RO. WIRE 1 .2. yr, e �tA� G 7/
CURB
FRAME
LATH i � ..
ELEC. FIX. '2 3 w`� - �i7,c"'��„��
ELECTRIC /$f 31 /j.,—j'—j GS -
SUB-CONTRACTORS / CCCJJJ 7`
h
v.
l p n p c
0 tA1
k
Ica c. �, '�\,
4... .„.._ F ,,.,
n
LOCATION 1 t 3L Enc.. ►n l7 1.)e , VALUE S 151 100
tweell ►nct k Cla.raLcr
LOT S'-3-�J BLOCK J TRACT 1 g2.4i-'
OWNER t�Q 1 �h C C) nl.OS
BUILDING ` Same 11-21- a).
11—Z7- V . Z,'Z.Z 1Q
PLUMBING'O 13 KiE rst e.ns 1Z-Q ' t c"
HEATINGT r LQ In t v4€.0.7121 btQ O • 1-S 1, -.S1 230C
z
SEWER fi ¢
Q.es5t)00l It- Cc to 9ZSR
WIRING G. a, coy.- 6,.lV, 1 -�1 ` '1 q•q$3
FIXTURES " `' `I `I If
ELECTRIC 4S.-GJ�4.S7��/2..:may GAS cf f6� /1- `J7 PLAN NO.1O146
a /
N
0
EF
r1
I
0
lb