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`°"T Development Services Depart. -e: t r i PERM O B00=028=358 p • 240 West Huntington Drive,P )ffice Box 60021 Cityof Arcadia,CA 91066-6021 Permit Type: EMP Combo Arcdia (626)574-5416,Fax (626)447-9173 PROJECT TRACT NO. LOT NO. APPLICATION DATE ISSUED BY PRINT DATE PERMIT STATUS 00866 8/28/2007 JB 12:00 8/28/2007 Issued PROJECTADDRESSASSESSORS PARCEL NO. GEO CODE 624 S Santa Anita Ave#AD5779-012-001 OWNER • - MAILING ADDRESS �y � � • - ! Tim Cragoe Inc 317 WOODA•1-:' � O. Inspector#. JEFF Monrovia,CA 91016 EMAIL ADDRESS: Plan#: IN FILE APPLICANT MAILING ADDRESS -- J.P. Construction 2714 Stingle Avenue PHONE NO. (626)572-9181 Rosemead, CA 91770 EMAIL ADDRESS: CONTRACTOR/PROFESSIONAL - MAILING ADDRESS , 6267 NO. J P Construction 2714 Stingle Ave. - PHONE (626)572-9181 FAX NO. Rosemead,CA 91770 EMAIL ADDRESS: License No. 642751 Type: B,Cl 0,C36 '.Expires: 4/30/2008 12:00: TENANT MAILING ADDRESS MIRACOOK, INC. PHONE NO. FAX NO. DESCRIPTION ELECTRICAL AND PLUMBING FOR DELI ` Construction Type UOM II of Units Value Construction Type UOM S of Units Value OCCUPANCY: TOTAL VALUATION: $0.00 QTY UOM DESC AMT AMT PAID ACCT QTY UOM DESC AMT AMT PAID ACCT I flat Elec issue 40.25 40.25 01-3105 1 Flat Plmbg issuance 40.25 40.25 01-3105 Ei CTR 1�.L 4 Ku�-413/ ill 1 each Outlets 1.40 1.40 01-3105 / 1 each Wtr htr/vent 14.10 14.10 01-3105 pm/AL I ✓ 1 Fixtures Plmbg fixture 11.30 11.30 01-3105 T f 4 '3 A. Y-6-67 1 Flat SWMF 2 1.00 1.00 88-3027 1 Flat SWMF 2 1.00 1.00 88-3027 Total Fees: $109.30 Total Amount Paid: $109.30 Paid Today: $109.30 This permit/plan review expires by time limitation and becomes null and void if the work authorized by the Keceipt if: 83656 permit is not commenced within 180 days from the date of issuance or if the permit is not obtained within 01-3105 107.30 180 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 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) . Development Services Depart --`; .Ifll o„,-,7„,-. 240 West Huntington Drive,]t:__ )ffice Box 60021 PER NO. BOO-021-007 City o Arcadia,CA 91066-6021 Arcadia (626) 574-5416,Fax(626)447-9173 Permit Type: Roofing PROJECT TRACT NO. LOT NO. APPLICATION DATE ISSUED BY PRINT DATE PERMIT STATUS 1/4/2005 JB 10:09 1/4/2005 Issued PROJECT ADDRESS __ - -,__ _- - _-. LIETEDASSESSORS PARCEL NO. _GEO CODE 624 S Santa Anita AveC 5779-012-001 Hip OWNER __- MAIUNG.ADDRES&---- _ ____ _ _ _: Gabelman,William And Karen Trs Ga1921 Alta Oaks Dr PHONE NO. Inspector#: DON Arcadia,CA 91006 EMAIL ADDRESS: APPLICANT . ,-. . _ ._. MAILING ADDRESS MARQUEZ CONSTRUCTION PHONE NO. EMAIL ADDRESS: f _ CONTRACTORIPROFESSIONAL _. _ _ _ _ MAILING ADDRESS _ _. ._ .- _-_.._ - -.__ .. < D Marquez Construction&Developn 13845 Peach Grove Lane PHONE NO. (951) 817-0342 FAX NO. Corona,CA 92880 EMAIL ADDRESS: License No. 612277 Type: B Expires: 2/28/2005 12:00: TENANT _. _ MAILING ADDRESS _ _ _ ._ - __ -_ _ -.____ ___ t PHONE NO. FAX NO. DESCRIPTION-_ _ _ REMOVE EXISTING FLAT ROOF AND REPLACE WITH 28 SQS OF 2-PLY TORCH DOWN OVER NEW SHEATHING. Construction Type UOM #of Units Value Construction Type UOM 8 of Units Value Value Value 8,000.00 $8,000.00 OCCUPANCY: Reroof TOTAL VALUATION: $8,000.00 QTY UOM DESC AMT AMT PAID ACCT QTY UOM DESC AMT AMT PAID ACCT Flat Bldg Issue Auto $40.25 $40.25 01-3104 r each Bldg permit $203.85 $203.85 01-3104 /t M5 Totals for: 01-3104 $244.10 $244.10 ` ( —//� / Flat SWMF Auto $6.25 $6.25 88-3027 r�7_a,� 50/00'ji"W' �V vi Totals for: 88-3027 .$6.25 $6.25 ,,���f//�� b..foc 511174- /4/7/4Vgal- dic '9' Total Fees: $250.35 Total Amount Paid: $250.35 Paid Today: $250.35 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 4 days from the date of plan submittal. This permit expires and becomes null and void if any work authorized by •)60 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 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) w Development Services Depar ' Film "� PER NO. • i -5 • 240 West Huntington Drive, ,_,office Box 60021 80�-X21-�06 - Arcadia,CA 91066-6021 'City of (626) 574 54.16,Fax 447-9173 Permit Type: EMP Combo ax Arcadia (626) PROJECT TRACT NO. LOT NO. APPLICATION DATE ISSUED BY PRINT DATE PERMIT STATUS 1/4/2005 JB 9:45 1/4/2005 Issued PROJECT ADDRESS_ _ C I �� _ •ASSESSORS,PARCEL NO. GEO CODE _ _ 624 S San_to A_ nita Ave • , U III lb II O 5779-012-001 OWNER .. _ _ .. .MAILING ADDRESS • _ - �- Gabelman,William And Karen Trs 1921 Alta Oaks Dr PHONE NO. Inspector#: DON Arcadia, CA 91006 EMAIL ADDRESS: Plan#: IN FILE APPLICANT_ _ _ .-..._- . _ ,MAILING ADDRESS Marquez Construction 13845 Peach Grove Lane • _PHONE NO. (951).817-6342 Corona,CA 92880 EMAIL ADDRESS: CONTRACTOR/PROFESSIONAL.._ __._ - ._ _____MAILINGADDRESS _ .. _. _ _ _ _ D Marquez Construction&Developn 13845 Peach Grove Lane • PHONE NO. (951)817-0342 FAX NO. ' _ Corona,CA 92880 EMAIL ADDRESS: License No. 612277 Type:,B . . ., Expires: 2/28/2005 12:00: TENANT _ .. ,._ .i;,. MAILING ADDRESS . _ ._ _ ___ _ PHONE NO. FAX NO. DESCRIPTION _ _ _ - - - -- - REMOVE AND REPLACE OLD PLUMBING,ELECTRICAL AND HEATING 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 Mech issue $40.25 $40.25 01-3105 /1 1 Flat Plmbg issuance $40.25 $40.25 01-3105 / 6 each Bathtub $67.80 $67.80 01-3105 Ya /al v' 6 each Heater $102.00 $102.00 01-3105 6 each Water Closet $67.80 $67.80 01-3105 G/� -27-4 5.- 6 each Lavatories $67.80 $67.80 01-3105 �� /��j7� >1 6 each Kitchen sinks $67.80 $67.80 01-3105 � ��/CJll7, '"- �lt - i 1 89 each Outlets $90.10 $90.10 01-3105 P�/Dr 26 each Ltg fixtures $33.40 $33.40 01-3105 (� 2 each Wtr htr/vent $28.20 $28.20 01-3105 A.47/1L j fic ri�, /- 67G Totals for: 01-3105 $645.65 $645.65 �l ! J�/(t 6�� 1 Flat SWMF2 $1.00 $1.00 88-3027 1 Flat SWMF2 $1.00 $1.00 88-3027 1 Flat SWMF 2 $1.00 $1.00 88-3027 Totals for: 88-3027 $3.00 $3.00 Total Fees: $648.65 Total Amount Paid: $648.65 Paid Today: $648.65 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.su`bmittal. 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. CALLS FOR INSPECTION INSPECTORS'OFFICE HOURS Requests for inspection should be made at least Monday-Thursday Friday one(1)business day in advance of the inspection 7:30 a.m.to 8:30 a.m. 7:30 a.m. to 8:30 a.m. by telephone at(626)574-5416 for onsite work. 4:00 p.m.to 5:30 p.m. 4:00 p.m. to 4:30 p.m. (Closed on alternate Fridays) • . • 1 . 1 . KladN-SAld 1 1 r . • , . .c) I IL II • 1°IBM-SMd I 4c.. 1 3 1 -- u!p.iiiitis i i , .1,-11.)3t D `aup.iueid - . C3 i soloN - !0°S* ..,\.34(•›,o••) .6..-N.,..-.0 \.'• v>. r,'z ,;) NR .;•.'-' ,.-.,,3 (3\s,..- .0- oN.N. • ,;.„••••- .1s) i . i SiPpp.11 CA . \ puB Diuu ‹.) — NO110V earn oH 1---'''') ?..,ij,) . . V CrikkaA, .... .?.. , 5 1 1 1 • 1 . i \ - - 1 ) _ _ . • 1-- I Z . . 1 •---:.A PI • . J -7i• . • . I ri_ 7,3 I Far iF.7!: t , Jo . i 1 ... . . . • . . ' Development Services Departs,' - %i r� 240 West Huntington Drive,1 office Box 60021 PER NO. BOO-020.525 �� Arcadia,CA 91066-6021 City of (626)574-5416,Fax (626)447-9173 , Permit Type: Tenant Improve Arcadia p PROJECT TRACT NO. LOT NO. APPLICATION DATE ISSUED BY PRINT DATE PERMIT STATUS 10/27/2004 KW 15:02 10/27/2004 Plan check - PARCEL "-- PROJECT ADDRESS - - -..ASSESSORS .NO. GEOCODE __ , _ _ 624 S Santa Anita Ave 5779-012-001 OWNER __MAILING ADDRESS Gabelman,William And Karen Trs Ga1921 Alta Oaks Dr PHONE NO. Inspector#: DON Arcadia,CA 91006 EMAIL ADDRESS: Plan Chk#: 04-653 APPLICANT:. _._ MAILING ADDRESS. . _ PHONE NO. Plan#: VCA MARQUEZ CONSTRUCTION 13845 PEACHGOVE LN (626)221-6634 CORONA,CA 92880 EMAIL ADDRESS: CONTRACTOR/PROFESSIONAL __MAILING ADDRESS PHONE NO. FAX NO. EMAIL ADDRESS: License No. Type: Expires: TENANT .. .. _ .. ..._....__ -...MAILING ADDRESS PHONE NO. FAX NO. DESCRIPTION - _ - - - - ._ CONVERT EXISTING SECOND STORY FROM RESIDENTIAL TO OFFICE. Construction Type UOM #of Units Value Construction Type UOM N of Units Value Value Value 45,000.00 $45,000.00 OCCUPANCY: Tenant Improve TOTAL VALUATION: $45,000.00 QTY UOM DESC AMT AMT PAID ACCT QTY UOM DESC AMT AMT PAID ACCT each Plan review $482.79 $482.79 01-3103 Totals for: 01-3103 $482.79 $482.79 Flat Bldg Issue Auto $40.25 $0.00 01-3104 each Bldg permit $742.75 $0.00 01-3104 Totals for: 01-3104 $783.00 $0.00 SMIP Com $9.45 $0.00 14-2207 Totals for: 14-2207 $9.45 $0.00 Flat SWMF Auto $6.25 $0.00 88-3027 Totals for: 88-3027 $6.25 $0.00 EXPIRED Total Fees: $1,281.49 Total Amount Paid: $482.79 Paid Today: $482.79 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. LCU3 CALLS FOR INSPECTION INSPECTORS'OFFICE HOURS Requests for inspection should be made at least Monday-Thursday Friday one(1)business day in advance of the inspection 7:30 a.m. to 8:30 a.m. 7:30 a.m.to 8:30 a.m. by telephone at(626)574-5416 for onsite work. 4:00 p.m.to 5:30 p.m. 4:00 p.m.to 4:30 p.m. (Closed on alternate Fridays) • F� a FOR OFFICE USE fr .Apea,;d:ct Fop. BUILDING & SAFETY DIVISION ARFAIDIA 240 West Huntington Drive COMPLETED eA Arcadia, California 91006-3104 h'oAATE9' ( 818) 574 -5416 Page 1 of 1 1 624 S SANTA ANITA AV 09/23/93 09:54 Permit No. : A9303160 Autoproj No : AU011572 Status : APPROVED Validated by : GERI Inspector area: 207 This type : Roofing Project Applied : 09/23/93 Issued : 09/23/93 Parcel number : 5779-012-001 Finaled . Group-occup/use: To. Expire • Owner : RANCHO MEAT MKT Applicant : REXWAY ROOFING Applicant Addr : 507 N AZUSA AVE LA PUENTE, CA 91744 Job Address 624 S SANTA ANITA AV Phone number : 818-333-5615 Class code .• Valuation • 5, 000 Construction : ALT Permit to do : ROOF REPAIR (10 SQ) - RANCHO MEAT MKT CONTRACTOR : REXWAY ROOFING Lic. C 436533 818-333-5615 Roofing Material > TORCHED ON FLAT Fee description Units Fee/Unit Ext fee, Data Original Permit Issue Fee (YES/NO) > 35. 00 Y Enter Valuation 5000 Roof Fee 3104> 133 .60 Refuse Fee 3027> 6.25 *** Fees Required *** *** Fees Collected & Credits - ***. Receipt No. Date Payment 09/23/93 174.85 Fees: 174. 85 Adjustments: . 00 Total Credits: . 00 Total Fees: 174.85 Total Payments: 174.85 Balance Due: .00 J 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 mod- ification from the South Coast Air Quality Management District (SCAQMD)? SEE PERMITTING CHECKLIST FOR GUIDELINES. D YES ❑ NO • Or 6#07:y-64cacd,;(t 0 0,1, 111 BUILDING & SAFETY DIVISION �- ARCADI� � 240 West Huntington Drive COMP�� � 'goy Arcadia, California 91006-3104 °Rl'ORATE9' ( 818) 574 -5416 1age o 624 S SANTA ANITA AV 08/01/90 14 : 03 Permit No : A9003384 Autoproj No : AU005193 Status : APPROVED Validated by : LB Inspector area: 207 This type : Mechanical Project Applied : 08/01/90 Issued : 08/01/90 Parcel number : 5779-012-001 Finaled • Group-occup/use: To Expire • Owner : GABELMAN Applicant : TYLER REFRIGERATION Applicant Addr : 13910 CERRITOS CORP DR CERRITOS, CA 91701 Job Address : 624 S SANTA ANITA AV Phone number : 213-921-8863 Class code • Valuation • 0 Construction : ALT Permit to do : EXHAUST HD, 4 COND. UNITS CONTRACTOR : TYLER REFRIGERATION Lic. C 327865 213-921-8863 Fee description Units Fee/Unit Ext fee Data Original Permit Issue Fee (YES/NO) 28 . 95 Y over 3 to 15 HP 3105> 4 . 00 22 . 40 89 . 60 Ea Install Hood with Mech Exhaust > 1. 00 9 . 15 9 . 15 *** Fees Required *** *** Fees Collected & Credits *** Receipt No. Date Payment 08/01/90 127. 70 Fees: 127 . 70 Adjustments: . 00 Total Credits: . 00 Total Fees: • 127 . 70 Total Payments: 127 . 70 Balance Due: . 00 Will the applicant or future building occupant handle a hazardous material or a mixture containing a hazardous material 1 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 mod- ification from the South Coast Air Quality Management District (SCAQMD)? SEE PERMITTING CHECKLIST FOR GUIDELINES. a YES NO ITY Op 6trifr— °1 1041111 ,�«� BUILDING & SAFETY DIVISION �''niv�pL.E EU 1111* AE ADI 240 West Huntington Drive • Arcadia, California 91006-3104 °RpoRATE9' ( 818) 574 -5416 • 624 S SANTA ANITA AV 11/05/90 12 : 04 Permit No. : A9004680 Autoproj No : AU005193 Status : APPROVED Validated by : CYN Inspector area: 207 This type : Electrical Project Applied : 11/05/90 Issued : 11/05/90 Parcel number : 5779-012-001 Finaled Group-occup/use: To Expire • Owner : GABELMAN Applicant : CRESCENTA-CANADA ELECTRIC Applicant Addr : 3057 GERTRUDE LA CRESCENTA, CA 91214 Job Address : 624 S SANTA ANITA AV Phone number : 818-248-0300 Class code .• Valuation • 0 Construction : ALT Permit to do : SUPPL. TO A9002928 (MOTORS & SUBPANELS) CONTRACTOR : CRESCENTA-CANADA ELECTRIC Lic. C 370301 818-248-0300 Fee description Units Fee/Unit Ext fee Data Each Supplemental Permit 3105> 1. 00 10.75 10.75 Additl Meters/Distribution Panels> 4. 00 10.75 43 . 00 Each Motr to 1 HP,KW,KVA,KVAR 3105> 1. 00 5.40 5.40 over 1 to 10 HP,KW,KVA,KVAR > 4. 00 10.75 43 . 00 *** Fees Required *** *** Fees Collected & Credits *** Receipt No. Date Payment 11/05/90 102 .15 Fees: 102 . 15 Adjustments: . . 00 Total Credits: .00 Total Fees: 102.15 Total Payments: 102 .15 Balance Due: . 00 / — 1 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 mod- ification from the South Coast Air Quality Management District (SCAQMD)? SEE PERMITTING CHECKLIST FOR GUIDELINES. ❑ YES ❑ NO a 4SZD • ,_ • 6-#' �{ qq pp • "16M 7 11 COMPLETE ,,,� oe �u BUILDING & SAFETY DIVISION �� `�E 240 West Huntington Drive r oA Arcadia, California 91006-3104 �CORPORATE9_,9 ION 0 5 7 4 -5 4 1 6 sage o 624 S SANTA ANITA AV 07/03/90 15: 34 Permit No : A9002928 Autoproj No : AU005193 Status : APPROVED Validated by : CYN Inspector area: 207 This type : Electrical Project Applied : 07/03/90 Issued : 07/03/90 Parcel number : 5779-012-001 Finaled . Group-occup/use: To Expire .• Owner : GABELMAN Applicant : CRESCENTA-CANADA ELECTRIC Applicant Addr : 3057 GERTRUDE LA CRESCENTA, CA 91214 Job Address : 624 S SANTA ANITA AV Phone number : 818-248-0300 Class code . Valuation 0 Construction : ALT Permit to do : 600 AMP SERVICE (3 PHASE) CONTRACTOR : CRESCENTA-CANADA ELECTRIC Lic. C 370301 818-248-0300 Fee description Units Fee/Unit Ext fee Data Original Permit Issue Fee (YES/NO) 28 . 95 Y 200 - 1000 Amps 3105> 1. 00 40. 60 40 . 60 *** Fees Required *** *** Fees Collected & Credits *** Receipt No. Date Payment -- 07/03/90 69 . 55 Fees: 69 . 55 Adjustments: . 00 Total Credits: . 00 Total Fees: 69 . 55 Total Payments: 69 . 55 Balance Due: . 00 • c — 1 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 0 N 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 mod- ification from the South Coast Air Quality Management District (SCAQMD)? SEE PERMITTING CHECKLIST FOR GUIDELINES. D YES 0 NO . -,. Ee Rage4 - HOSPITALS- 4) - PRIVATE CLUBS- ` U.S.C.A. CHOICE MEATS Meta eked PeOtieadie late, - RESTAURANTS-HOTEL- -CATERING CO. — 624-B SOUTH SANTA ANITA AVENUE • ARCADIA, CALIFORNIA 91006 • (818) 445-1911 MAILING ADDRESS: POST OFFICE BOX 8405 • LA CRESCENTA, CALIFORNIA 91214 • L.A. 684-3130 July 17 , 1990 Dept. of Building and Safety ATTN: Roy Streeter 240 West Huntington Dr . Arcadia, Ca. 91006 We wish to inform you that we are in the process of installing new refrigeration equipment and a six- hundred AMP board . The existing area where service is now located will be brought up to code . ita ' I/ ,/i7) -- William E. Gabelman Pres . 7. gat , ,otap // r c i0 607/S _ 97,6-0 1/1/1 SiG GGrI (/- �� Zrl-g c BUILDING AND SAFETY DIVISION BUILDING City of Arcadia PERMIT 240 W. HUNTINGTON DR.,ARCADIA, CA 91006 • TEL(818)574-5416 Building c, U.B.C. (Type Ooc. Address . tg ' i e Edition Const. Group Lot Block - Tract .Occ. F. D.Appr. Date H. D.Appr. Date No. ,Load Required Required Owner - ck..r 5--(Q, _ :Use Zone Special Case No. • Mailing • , -Homeowners Association Approval Date Address r_ PON.' City Zip Tel. Lot Size Contractor wotJ .'• Special •Conditions Address j�;t.- NOTE: Include: e I. VALUATION Labor, Material, Plumbin., Etc. $ ligter_ • Zip Tel . I Misc. FEE g'C�G'1� 5� State Lic. City ■Private &Classif. ,.St i S Lic, No f �x Swimmin• Pool/S•a • •Public . Arch., Engr., • Sign-Pole El Wall❑ Desi•net Address Tel. ,F;` Temporary❑ Projecting❑ City Zip State 'Fee Based on Total Sq.Ft. Lic. No. ;E Proposed - - , PLAN CHECKING FEE - Construction 1l . ' �—�• S.M.IP. - . Permit Fee -5- Floor Maims Accessory Total Processed by ' Area TOTAL. MIORAIM New❑ Add.❑ Alter.El Repair❑ Demolition❑ . Permit No. Plan No. Date LICENSED CONTRACTOR'S DECLARATION - �r• WORKERS'COMPENSATION DECLARATION ■ I hereby affirm that I am licensed under provisions of Chapter 9(commencing with Section �p I hereby affirm that I have a certificate of consent to self-insure,or a certificate of • effect. Policy No. Of t)of Division 3 of the Business and Professions Code,and my license is in full force and `Worker's Co esaygn�Gsy�r�nn or a certified copy that f.(Sec.' Labor Code.) 1-Gr°- -_4✓—__—Company� •�� 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 ❑ 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 Section 70001.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.Arty 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:!j 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 com2pensation,will o the work,and the structure is not intended or offered for sale."Sec.7044,Business and CONSTRUCTION LENDING AGENCY (n Professions Code:The Contractor's License Law does noj apply roan owner of property ivha I hereby affirm that there is a construction lending agency for the performance of the work la ' 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 O ' ❑I, as owner of the property,am exclusively contracting with licensed contractor to ' xi construct the project:"Sec.7044,Business and Professions Code:The Contractor's License I certify that I have read this application 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 and county 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 authorize repr sentative f this city to enter the ab ve-mentioned o property for inspection urposes. � ❑ I am excempt under Sec._ _,B.&P.C.for the reason ��.�i 1/J J i L Signature of Applict L% "Date_ 14"--'_1e_ Mailing Address ev --- ge,Le __Owner City,State,Zip �L'.--4... �-L2�- -.,..,,e (fj This is a building permit when properly filled out; Signed and validated, and is subject to expiration if work thereunder is suspended for 180 days. - CITY COUNCIL DONMW. HRAGE C of C. ROBERT ARTH MAYOR PRO TEMPORE 240 WEST HUNTINGTON DRIVE EDWARD L. BUTTERWORTH ARCADIA, CALIFORNIA JAMES R. HELMS. JR.. • DR. ALTON E. SCOTT LYMAN H. COZAD CHRISTINE VAN MAANEN CITY MANAGER CITY CLERK • December 29, 1972 • Mr. Ralph Karcher 624 South Santa Anita Avenue Arcadia, California Dear Mr. Karcher: The following is a copy of sewer connection records in the Arcadia Building Dept. files and indicate this property to be connected to the sewer as of August 30, 1949. See sewer diagrams below: .__._ N o 00' • • • II Tj r %9 4 70iJ_ J • - , Inspected and signed 8-30-1949 - Inspected and signed 1-19-1971 • July 15, 1976 Our records show no change as of today's date. Very truly yours, Edward G. Chastain - Superintendent Edward G. Cha Building & Safety Supt. of Building a d Safety • • • MAILING ADDRESSES TELEPHONES CITY HALL P.O. BOX 80 91006 446.4471 • 681.0276 LIBRARY 20 W. DUARTE ROAD 91006 446.7111 POLICE DEPARTMENT P.O. BOX 60 91006 447.2121 FIRE DEPARTMENT 710 S. SANTA ANITA AVE. 91006 446.2128 lir August 14, 1970 TO WHOM IT MAY CONCERN: Plumbing and drains in new addition located at 624 South Santa Anita Avenue were installed, inspected and appraved by the Building [Ili Department according to present code. Very truly yours, ...,\ C7--k —___If...-. <"C'% . 1 c • �"\l is J C Edward G. Chastain. I Supt-. of Bu%�lding&~ -.Safety EGC:cm \ CITY OF ARCADIA BUILDING DEPARTMENT NO. i-.71.-20 REPORT OF MODIFICATION COMMITTEE ACTION ADDRESS OF PROPERTY 624 Scuthata Anita Avenue APPLICANT Ralph 1;_ache MODIFICATION REQUESTED A reduction of 3 in length of required parking lot uall becauoe of constant damage by truck traffic in and out of lot. __— INVESTIGATION - DATE sust 9, 1971 BY 13,±v3I.?,i C. Ck. ..tan MEETING - DATE :ulgust LO, 1971 MEMBERS PRESENT -,Cozad,V;roolard, Reiter DECISION OF COMMITTEE APPROVED DENIED ZS COMMENTS AND CONDITIONS OF APPROVAL PERMIT MAY NOT BE ISSUED-Wait RECEIVED _._ CITY OF ARCADIA SEP 1 6 1965 CITY OF ARCADIA . PLANNING DEPARTMENTBUIL°'N°'1 b M-65-7d REPORT OF MODIFICATION COMMITTEE ACTION ADDRESS OF PROPERTY 624 SQ SANTA ANITA AVENUE APPLICANT MICHAEL H KARCHER MODIFICATION REQUESTED To allow installation of signs on non-conforming building INVESTIGATION - DATE 9-14-65 BY E. Morris MEETING - DATE 9-14-65 MEMBERS PRESENT Ferguson, McDaniels & Aynes DECISION OF COMMITTEE APPROVED, ; ' DENIED 111 COMMENTS AND 1. All existing signs (including painted signs) to be CONDITIONS OF removed. Painted signs to be painted over to APPROVAL match building color. 2. Signs as proposed will be the only suns allowed on the including painted signs. PERMIT MAY NOT BE ISSUED BEFORE SE TEMEER 27, '65 _ l-/ 11 iii,i,', 1 4/e/1 : (I -'- il . d ;.; 11 -, Iv' IP, II il :11 ;1 I.. 1, c ip I ; Ili iii' ri li il r , e!TY OF:A RIDIA , ;I ...,;-7,,,,-11,--fInt ' il It it ri II' 1 ii 11, ,.., . ... , Ci- LHASTAIN ; I I ,, 71 ii Hi , CITY OF ARCADIA BUILDING DEPARTMENT NO. M-69-26 REPORT OF MODIFICATION COMMITTEE ACTION 1 ADDRESS OF PROPERTY 624 South Santa Anita Avenue APPLICANT R ph f axcher • MODIFICATION REQUESTED Add 25' x 22',6" Addition INVESTIGATION - DATE 6-10-69 Jock Jath T !tyros MEETING - DATE 6.10-69 MEMBERS PRESENT Livingston, Cozad, Pollard DECISION OF COMMITTEE APPROVED ® DENIED El COMMENTS AND • CONDITIONS OF Approved subject to landscaping and installing 6 foot APPROVAL block wall between adji►cent reRidence property. 6-9-70 Four ft, block wall approved in lieu of 6' prey. approved._ (4' wall request by neighbor to east of 624 S. Santa Ani . PERMIT MAY NOT BE ISSUED BEFORE ar24, 1569 • The owner. Tim Cragoe, Inc.,624 S. Santa Anita Ave, Arcadia, CA 91006 approved the following works to be completed by the tenant. Samuel Lam, Miracook I c. and the contractor. J. P Construction Co. ( Lie It 64:2.751 ),2714 Stingte Ave, Rosemead, CA 91770. • . Job Address: 624 S. Santa Amita Ave, Unit A, Arcadia, CA 91006 Works: . • Install mop sink with fixture • Install 10 gallons electrical water heater with stand Sincerely. / . .... • c, /47 / te--'./17 ....-------...---- // . i Tim Crag oe, Owner Tim Cragoc, Inc. July 27`j'. 2007 . 626.229-22l0 026-533-1881 • . Z0 39t'd '30EMND l^!I! • Z s�ZE7Z9Z9 3,7.: II LOt�Z//80 _;( J0R„-ADTRES ; cam; NUMBER STREET -N. APPLICATION FOR A BUILDING PERMIT BUILDING & SAFETY DIVISION CITY``OF ARCADIA, CALIFORNIA OWNERf L17a i'406, TEL.NO. MAI L}NG�DrS• • SA`-lr. 4k1lTA /41.2ZARCH.----..`I T'EI, NQ ENGR. I HC'S, (..L'' , l.l-`CL0l4-1)41 ._ - 'v7p: u' CONTRACTOR ef7 i STATE LIC.NO. V• MAILING ADDRESS CITY LIC.NO. 1C CITY TEL.NO. L' I- IN_ DESC PTION F WORK L- NEW ❑ ADD'N ALTER Ailr REPAIR 0 DEMOLISH 0 FLOOR AREA /�_C� NO.STORIES I NO. SF DWELLING w (SQ.FT.) �,�I' PRESENT BLDG.USE PROPOSED BLDG.USE ititt A-i (..Cc s>ijLC1 5A t tc 7kr®OS BE DO EO RK f 0 E6•e�COgL 1?L , NOTE:PROVIDE PLOT PLAN ON BACK SIDE OF ORIGINAL COPY ONLY 0) EXTERIOR WALL MATERIAL ROOF FRAMING MATERIAL • U1 PARTITIONING MATERIAL ROOF COVERING MATERIAL o 'Lx S7zw. eb►,elrcSfTictyi LOT /X''," JZ�Ly I LOT I tom" 1 NO.OF EXISTING O WIDTH L DEPTH_ BLDGS.ON LOT D NOTE: include Labor, Mat., VALUATION Wiring, Plumb-, Haat, Etc. $ ) e'`P'O 1 7 6 // NOT f LOB O. t`2 TRACT 8(/�'4/ 185 o N INFORMATION PROVIDED BY BLDG. SECTION '' 75 USE FIRE OCCU- SEC. ... i' ° � 1.. ZONE ZONE FANCY SH. , REQ'D FRONT RIGHT SIDE LEFT SIDE REAR SET BACKS v TYPE OF SPECIAL dt cc CONSTR. - CASE NOM-fAl' GRADE Z O Approval&Information by Others U CITY ENGINEER EASEMENT DIST.FACE OF SEWER DRIVE CURB TO P. L. FT. AVAILABLE OVER PUBLIC SERVICE PLANNING PLAN CK.FEE WATER ELECTRIC PERMIT FEE PLAN NOA(/ CHECKE ' APP�VAL I /7 ° ° 4. 0ti..._ I have carefully read and examined above applica on and find the TOTAL FEE a same to be true and correct. All prov ions of the Laws and Ordinances governing building construction will he complied with whether speci- 3 et fled herein or not. No person shall be employed in violation of the Labor Code of the Stat of CSlifornia.I agree not tooccupy or allow occupancy of//any�iidi ..authorized by ttcyermit untiol'final buu'idinp inspection has been received SIGNATURE OF OWNER OR AUTHORIZED AGENT CONSTRUCTION PROHIBITED BETWEEN 7:00 P.M. AND 7:00 A.M. JIJD P�U'LI L.) !; <.:\ \ . 5 ii �'c .� ?ir 7 ll ti‘-1 Y1 1 NUMBER STR ET APPLICATION FOR AN ELECTRIC PERMIT BUILDING & SAFETY DIVISION CITY OF.ARCADIA, CALIFORNIA OWNER TEL.NO. MAILING ADDRESS �^ t�\� S 6 tl-Its: CONTRACTORc STATE LIC.NO. T M% `'-1.-VC , C a.,04-G*-4- �St14:S U1 MAILING AD RESS CITY LIC.NO. C\ SS EN, 1•Av\c0 A-V►5 - 1‘5916 CITY TEL.NO. ki.1 Il\ C At, , C 1-- „of, 111 Bldg. Exist. ❑ Na.rSgeerv. ❑ Roer Reconnect I F''''1 I OUTLETS,BASE PLUGS,SWITCHES,FIXTURES @ 200 EACH I I MOTORS -� � I i+ 0 to 1 HP @ 1.00 jf;'- '4:' 1101 r+ ri f� IL OVER 1 HP to 3 HP @ 1.50 `z. • - 1 I SI OVER 3 HP to 8 HP © 2.00 ( I OVER 8 HP to 15 HP @ 2.50 . 1 • OVER 15 HP to 50 HP © 3.00 , OVER 50 HP to 100 HP @ 5.00 � • L OVER 100 HP to 500 HP © 10.00 V' OVER 500 HP @ 15.00 0 HEATING CABLE UNIT © 1.00 l RANGE OVEN HEATERS © 1.00 '1 KIT. FAN DISPOSAL DISHWASHER © 1.00 FURNACE CLOTHES DRYER HAIR DRYER @ 1.00 RESIDENTIAL ENTRANCE SERV. 100 A MIN. @ 3.00 COMMERCIAL ENTRANCE SERVICE @ 6.00 ADDITIONAL SERVICE METERS - © 1.00 I TEMPORARY POWER POLE @ 2.00 I TEMPORARY UNDERGROUND POWER POLE @ 5.00 • TEMPORARY SALES LOT LIGHTINGr @ 10.00 220 V POWER OUTLET © 1.00 MISCELLANEOUS - I I have carefully read and examined the above PERMIT FEE @ 200 application and know the same to be true and correct. All provisions of the Laws and Ordi- nances morning this type of construction will SUPPLEMENTARY be compiled with whether mentioned herein or PERMIT FEE not. No person shall be employed in vlolatlen of the Labor Cede of the State et California. INVESTIGATION FEE ----Cc....---‘,.., ,,c.:_' C(TOTAL FEE 1.1...5 R1' e51 SIGNATURE OF CONTRACTOR OR 2 AUTHORIZED AGENT CONSTRUCTION PROHIBITED BETWEEN 7:00 P.M. AND 7:00 A.M. JUD /1UrJ r'GJJ ON C>`} NUMBER STREET • APPLICATION FOR AN ?...-) ELECTRIC& AFETE DIMVtIS T BUILDING j,) CITY OF. ARCADIA, CALIFORNIA OWNER ����e9 TEL.NO. MAILING ADDRESS 6 il.14- s,hA;'t A ki reek- CONTRACTOR tt� ^ yy(� STATE LIC.NO. 0,) MAILING ADDRESS , t(� CITY LIC.FNO. CI,cV t\,.) CITY TEL.NO. (.T New Exist. No. Serv. Reconnect ❑ Bldg. ❑ Bldg, ❑ Charge [2/Reconnect or Reseal CI) I I P. OUTLETS,BASE PLUGS,SWITCHES,FIXTURES©20¢EACH � MOTORS I I '. Oto1 HP @ 1.00 I r OVER 1 HP to 3 HP @ 1.50 I L OVER 3 HP to 8 HP @ 2.00 I OVER 8 HP to 15 HP @ 2.50 OVER 15 HP to 50 HP @ 3.00 OVER 50 HP to 100 HP @ 5.00 I ' OVER 100 HP to 500 HP @ 10.00 I 0 OVER 500 HP @ 15.00 I Q HEATING CABLE UNIT 1 @ 1.00 1 RANGE OVEN HEATERS @ 1.00 I 9 KIT. FAN DISPOSAL DISHWASHER @ 1.00 I I FURNACE CLOTHES DRYER HAIR DRYER @ 1.00 I I RESIDENTIAL ENTRANCE SERV. 100 A MIN. @ 3.00 I COMMERCIAL ENTRANCE SERVICE @ 6.00 C16 ADDITIONAL SERVICE METERS @ 1.00 1 I TEMPORARY POWER POLE @ 2.00 I 1 TEMPORARY UNDERGROUND POWER POLE @ 5.00 I I TEMPORARY SALES LOT LIGHTING @ 10.00 1 220 V POWER OUTLET @ 1.00 I I MISCELLANEOUS - I fit 1 I have carefully road and examined the above application and know the same to be true and 'PE Et—@—" 2 00 correct. All provisions of the Laws and Ordi- nances governing this type of construction will SUPPLEMENTARY bo complied with whether mentioned herein or PERMIT FEE P� not. No person shall bo employed in violation 111��f 91— of the Labor Code of the State of California. INVESTIGATION FEE _ ,a j TOTAL FEE 7 SIGNATURE OF CONTRACTOR OR AUTHORIZED AGENT • CONSTRUCTION PROHIBITED BETWEEN 7:00 P.M. AND 7:00 A.M. JVD lwVr‘c.I..i NUMBER STREET APPLICATION FOR AN ELECTRIC PERMIT BUILDING & SAFETY DIVISION CITY OF.ARCADIA, CALIFORNIA OWNER ri � k�Q(.1 TEL.NO. MAILING.ADDRESS W CONTRACTOR g� STATE LIC.NO. O Al:N2t 1:1;W't vevc.CO , ,A 04. � OD NAILING ADDRESS s6, CITY LICC.�NO. .5N- W c h 1*®�i A u if'\�AO., \74 r .i, 'W-,(Tr W CITYTEL.NO. 4 + o New r Exist. No. Serv. f Reconnect ❑ Bldg. ® gldg, ❑ Charge ❑ or Reseal W= 1 Ic61 OUTLETS,BASE PLUGS,SWITCHES,FIXTURES @ 20$EACH ,if, I,In o MOTORS I G m ` 0 to 1 HP @ 1.00 Z I 0 r L y OVER 1 HP to 3 HP © 1.50 I. IS-I OVER 3 HP to 8 HP @ 2.00 I OVER 8 HP to 15 HP @ 2.50 1I" OVER 15 HP to 50 HP @ 3.00 ' i •••Q OVER 50 HP to 100 HP @ 5.00 I i OVER 100 HP to 500 HP @ 10.00 I • OVER 500 HP @ 15.00 I O HEATING CABLE UNIT 1 @ 1.00 1 Pa. 1 RANGE OVEN HEATERS @ 1.00 1 KIT. FAN DISPOSAL DISHWASHER @ 1.00 r 1 FURNACE CLOTHES DRYER HAIR DRYER @ 1.00 I RESIDENTIAL ENTRANCE SERV. 100 A MIN. @ 3.00 1 COMMERCIAL ENTRANCE SERVICE @ 6.00 I ADDITIONAL SERVICE METERS @ 1.00 1 I TEMPORARY POWER POLE @ 2.00 1 TEMPORARY UNDERGROUND POWER POLE @ 5.00 1 1 TEMPORARY SALES LOT LIGHTING @ 10.00 1 220 V POWER OUTLET @ 1.00 I I MISCELLANEOUS 1 1 ,1 1 1 I haw carefully read and examine' the above PERMIT FEE @ 200 application and know the same to M true and comet. All previsions of the Laws and OMI- n ines nveroinR this type of construction will SUPPLEMENTARY h o complied with whether mentioned herein or PERMIT FEE not. No person shall be employed In violation o f the Labor Cede of the State of California. INVESTIGATION FEE " ' 6 S � TOTAL FEE .'j J$ SIGNATURE OF CONTRACTOR OR AUTHORIZED AGENT CONSTRUCTION PROHIBITED BETWEEN 7:00 P.M. AND 7:00 A.M. JUtS AUIJKCJJ I NUMBER STREET APPLICATION FOR AN ELECTRIC PERMIT BUILDING & SAFETY DIVISION CITY OF.ARCADIA, CALIFORNIA ( OWNER 12 ILP Il�`VT�(1A-L` TEL.NO. 4,` MAILING ADDRESS CO CONTRACTOR r SATE LIC.NO. MAI LI G ADDRESS % CITY LIC.NO c L ^ \11\cj Oh Vl S itiC // 6 4") iYTEL.NO. No. Serv. Reconnect -..7 Bldg. Exist. El Charge 0 or Reseal CD rti I l"° I OUTLETS,BASE PLUGS,SWITCHES,FIXTURES @ 20;EACH I I MOTORS /�II • o to 1 HP @ 1.00 .4- OVER 1 HP to 3 HP a t 1 @ 1.50 I V tOVER 3 HP to 8 HP @ 2.00 I Q OVER 8 HP to 15 HP @ 2.50 Q OVER 15 HP to 50 HP @ 3.00 II R"' OVER 50 HP to 100 HP @ 5.00 I I 'I OVER 100 HP to 500 HP @ 10.00 - OVER 500 HP @ 15.00 I 1 HEATING CABLE UNIT @ 1.00 I RANGE OVEN HEATERS @ 1.00 I KIT. FAN DISPOSAL DISHWASHER @ 1.00 I FURNACE CLOTHES DRYER HAIR DRYER @ 1.00 I RESIDENTIAL ENTRANCE SERV. 100 A MIN. @ 3.00 1 1 COMMERCIAL ENTRANCE SERVICE @ 6.00 I ADDITIONAL SERVICE METERS @ 1.00 i I TEMPORARY POWER POLE @ 2.00 I TEMPORARY UNDERGROUND POWER POLE @ 5.00 TEMPORARY SALES LOT LIGHTING @ 10.00 1 220 V POWER OUTLET @ 1.00 I MISCELLANEOUS I 1 1 I have carefully read and examined TM above PERMIT FEE @ ,--21"00' application and know the same to be true and correct. All previsions of the Lan and Drdl- n anees governing this type of eonstruetion will SUPPLEMENTARY be complied with whether mentioned herein or PERMIT FEE J n ot. Ne poison shall be employed In violation of the Labor Cede of the State of Catifornla. INVESTIGATION ( FEE s , C , I-TOTAL FEE ,j SIGNATURE OF CONTRACTOR OR AUTHORIZED AGENT CONSTRUCTION PROHIBITED BETWEEN 7:00 P.M. AND 7:00 A.M. NUMB R ST EET APPLICATION FOR A W HEATING, VENTILATING, AIR- Ui CONDITIONING OR REFRIGERATION PERMIT Ul BUILDING&SAFETY DIVISION -� CITY OF ARCADIA, CALIFORNIA • -J O at 2. / NO. M IL D ESS ¢�`-�' ��O�r 11 1_ (,[. t VO CONT jf TOR J S ,,r, 130. o t / f l- v�t�(11� MAIyIN �r,�E55 �� !/ ' ILIC. � S CITY `AtG� 7k ,///f I T6.16; ro w I , ..e/ h� i DESCRIPTION OF WORK ❑ HEATING ❑ AIR CONDITIONING f REFRIGERATION 0 VENTILATION FEE COMPUTATION - G VALUATION --- $ Q DESCRIBE wOf�C l A TO BE DONE / yAgr �(.� �ri/�/I`y�(1 .e �sv HEATING APPLIANCES INCL. VENTS (INSTALLED,ALTERED,REPLACED,REPAIRED OR RELOCATED) TYPE B.T.U. FEE 1 CIRCULATING AIR OUTLETS OR INLETS REFRIGERANT COMPRESSORS (INSTALLED OR REPLACED) QUANTITY OVER INCL. . ACTURATE 1 FEE 0 :: a4 -f 50 UP /I���] ' I have and read and some examinedthe and 6/(,rr"J/I�Cu application and know the some to be true and PERMIT FEE -7 correct.All provisions of Lows and Ordinances covering this type of construction will be com- INVESTIGATION plied with whether specified herein or not.No FEE i person shall be employed in violation of the P. Labor .de of the State of California. TOTAL FEE ��- 51IIIP RE OF CONTR OR AUTHORIZED AGENT FORM B-55(REV. 11-6 M 0 f ` I J _ NUMBER STREET APPLICATION FOR A SEWER-STREET CUT OR CURB AND SIDEWALK BUILDING & SAFETY DIVISION CITY OF ARCADIA, CALIFORNIA OWNER RA L ^/� -� ,nc TEL.NO. yi W MAILING ADDRESS�✓ f ( 4- .SG_.-S-.44-1771 J7A A/I CONTRACTOR - STATE LIC.NO. (NJ OCUYI-eit .•11. MAILING ADDRESS _ CITY LIC.NO. oli CITY TEL.NO. PERMISSION IS HEREBY GRANTED TO MAKE SEWER CONNECTION (A AT '•7 LOT BLOCK TRACT C7 { V) LOCATION LATERAL SADDLE SEWER PLAN NO. CESSPOOL FILL $2.00 $ INSPECTED 196 TOTAL BY BY S ALL CONNECTIONS MUST BE INSPECTED BEFORE BEING BACKFILLED. 24 HOURS NOTICE REQUIRED. o CURB AND SIDEWALK CURB BREAK FEE DRIVEWAY APPROACH s '/ CURB BREAK & DRIVEWAY APPROACH SIDEWALK FEET REPLACE CURB CURB & GUTTER FEET CURB, GUTTE I WALK FEET ALL WORK DONE UNDER THIS PERMIT MUST HAVE INSPECTION BY THE STREET SUPERINTENDENT AMOUNT OF DEPOSIT @ 1.50 PER SQ. FT. ESTIMATED SIZE OF PATCH AMOUNT CHARGED ACTUAL SIZE OF PATCH © 1.50 PER SQ. FT. AMOUNT REFUNDED RECEIVED FROM STREET DEPT. INSPECTION FEE 19 BY 10.00 PERMIT FEE 5.00 TOTAL FEE ScTURE-OF CONTRACTOR OR AUTHORIZED AGENT CONSTRUCTION PROHIBITED BETWEEN 7:00 P.M. AND 7:00 A.M. ° JOB;AD " — r 4,��ESk^ , 624 S.Santa ,Aen to NUMBER STREET APPLICATION FOR A PLUMBING PERMIT BUILDING & SAFETY DIVISION CITY OF ARCADIA, CALIFORNIA OWND-.!A.Rock - _- - 449-47`8' ' MAI}II�GIA4DR5. fl 1 l en Pasadena CONNI SSo`TellRph Cadi l l i P1 b-g. 134935C51A tIC.NC MAIL!=Est. Garvey CITY 21C,11 280-42T�JL1NG. 0" 1 11 LA CITY Roosemead - . _ � 00 FEE COMPUTATION NBATHTUBS FLOOR DRAINS 8' q) SHOWERS REPLACEMENT SHOWER PANS -.1 WATER CLOSETS 2 URINALS - LAVATORIES 4-„ CLOTHES WASHER SINKS la DRINKING FOUNTAINS GARBAGE DISPOSALS- " DENTAL UNITS DISHWASHERS II LAUNDRY TUBS '(Ai TOTAL NO. OF ABOVE FIXTURES • /15 ©1.50 22,151 WATER HEATERS AND/OR VENTS 0-100 WATER SYSTEMS 1' @ 1.50 Mo. 11S( GAS SYSTEMS 0.5 OUTLET ADD. OUTLET I 1 @ 1.50 @ .50 EACH I I LAWN SPRINKLER SYSTEMS @ 2.00 I SAND TRAPS I @ 10.00 1 CLARIFIERS @ 10.00 I I GREASE TRAPS @ 10.00 - I' . - - - _ WATER SOFTENERS ---- - -- - - @ 2:00- '` I- SWIMMING POOL "P" TRAP @ 2.00 I l SEWER CAP' @ 2.00 I I CESSPOOL FILL - © 2.00 SEWER CONNECTION ON PROPERTY @ 5.00 IO( I havelcarefully read and examined the above PERMIT FEE 2100 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 sheikbe employed In violation of the .meq-•.y�� Labor+(Co e/of the State of California. TOTAL FEEf `;/i y �Fy(' ' /6r''",_F�,. 1� ( ✓__%-`�? - 3 IV'"O_(( ✓f t\ rl "� / IGNATURE OF CONTRACTOR OR AUTHORIZED AGENT '....>" C 9 "fl h .,;Y.': l.t�i� 7.r I '',,1 ' n !;;_r!!. �% .,Ttt xr„�T ntl ,191 F„,. _ETI, d NUMBER STREET APPLICATION FOR A U BUILDING PERMIT BUILDING & SAFETY DIVISION CITY OF ARCADIA,CALIFORNIA H OWNER 4 ,6 TEL. NO. CO Cr MAILING AD R SS f c," ARCH. TEL. NO. 111 ENGR. `t1 EG CCNiTR%ACTOI ✓ c"< STA O ` y -7, 01 MAILI G ADDRESS - CI UC. N ..I c/6 a */ LJ' CITY '--4., '.--"'"iitit y ;4 p CONSTRUCTION TEL. NO. LENDER DESCRIPTION OF WORK F-1 NEW 0 ADD'N 0 ALTER 0 REPAIR 0 DEMOLISH 0 FLOOR AREA GARAGES OR TOTAL l MAIN BLDG CARPORTS AREA NO. OF NO. OF DWELLING C_1 STORIES UNITS 0 PRESENT BLDG. USE PROPOSED BLDG. USE 1 DESCRIBE WORK �f TO BE DONE �1 +.Pi (73 J 76) (-(2...a7 EXTERIOR MATERIAL RO F FRAMINGI IAL 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 U, USE FIRE OCCU- ' ZONE ZONE PANCY '<' ic REQ'D FRONT RIGHT SIDE LEFT SIDE REAR 0 SET .— BACKS u Q TYPE OF SPECIAL . cc CONSTR. _ CASE NO. -or. ZO PLAN NO. CHECKER'S 01,, U APPROVAL/:,0 PLAN CK. FEE I hove carefully read and examined •I' •ion and Find the same to be true and correc I �~-n of the Laws PERMIT FEE and Ordinonces governing building 111 onstruc ion will be complied ® with whether specified herein or not.No person shall be employed L v ,0 in violation of the Labor Code of the State of California. I agree S.M.I.P. > not to cupy or allow occ an Qf any building authorized by this par 1 ntil final buildi g inspec ion has been received. / TOTAL FEE // IGNATUOF OWNER OR AUTHORIZED AGENT bbNSTRUCTION PROHIBITED BETWEEN 7:00 P.M.AND 7:00 A.M. • AND ON SUNDAYS AND HOLIDAYS AS PER ORD:#1321. . OL • NUMBER STREET 9APPLICATION FOR A " SIGN PERMIT �, BUILDING&SAFETY DIVISION CITY OF ARCADIA, CALIFORNIA • OW ERRTEL.NO. r//�-�CI%.—//L/ /V.7,--, 7 .Sr MAILING ADDRESS 6,.�c 3'c'. t5>iv7,� ��. ;7`/9 CONTRACTOR �rSTATE LIC.NC Fl. , ./77 0417 . L576-2=-4.., �(', fres cr, MAILING ADDRESS . CITY LIC. r i eD .g- / i.19-64')Z-0/1—,,q /--.5-4K0 U-''. cli 4 m-6Ai f'r= 5ffc3NO. s. • DESCRIPTION OF WORK TYPE OF SIGN 0-1 GROUND SIGN❑ TEMPORARY SIGN ❑ WALL SIGN X �0 ROOF SIGN 1=1PRQ..1ECTIMG SIGN- COMB.SIGN❑ U.. SINGLE FACER -�- ,.lODOUBLE FACE ❑ it E O xSIIGN _!'X2OX �� = ,22 S7 Sq. Ft. COMBINE MEASUREMENTS OF ALL ADVERTISING 6f" G AREA TO OBTAIN TOTAL SIZE AND TOTAL SQUARE FOOTAGE VALUATION $ / 4o d NOTE! PROVIDE PLOT PLAN ON BACK OF ORIGINAL COPY ONLY SIGN / J . TOTAL! L/ j MANUFACTURER 14., — `J/ n VA f_ NOTE:THE U.L.APPROVAL D CAL SHALL BE E •OSED FOR ELECTRICAL INSPECTOR AT TIME OF INSPECTION. • ELECTRICAL FEES OUTLETS @ .10 EA. I TO 4 TRANSFORMERS 1.00 /r.0 — ,n I OR MORE TRANSFORMER hGJ.25 EA. ELECTRICAL PERMIT FEE is 00 TOTAL ELECTRICAL FEE '7.- INFORMATION PROVIDED BY BLDG. SECTION LOT BLOCK NO. NO. TRACT USE FIRE SECTIONAL ZONE ZONE SHEET X17'—(_7r ' CHECKER' ._ P.C.FEE APPROVAL PERMIT FEE t Z g TOTAL ,2.i' l I have carefully read and examined the above application and know the same to be true and correct. All provisions of Lows and Ordinances covering this type of construction will be complied with whether specified herein,or not. No person shall be employed in violation of the Labor Code if the Stale of alifornia. 0 1 j., c SIGNATURE OF COt C R OR AUTHORIZED AGENT INSPECTION IS REQUIRED CALL 446-4471 Building Dept. LOCATION 6".2 /47d, LOT BLOCK Oi TRACTCA/Tn4- ,�A/, Tr OWNER Q ®,/4.r9 Nt. PERMIT NO. INSPECTED BY CONTRACTOR /t/pTT/NG/-/gm Com. / 2./9 1--Zy 47 4 e CONTRACTOR Rig 0/c A/ GO. /4 f 3 f 3c- -7 ,Ec, LENGTH 4527 FT. In 1 o— i7 INSPECTION RECORD BASIC INSPECTIONS ITEM INSPECTOR DATE • HOLE:DIA. DEPTH - ROOF FOOTING - FRAMING - ROUGH WIRING• FINISH WIRING 1�'1-2.--6-4 FINAL v= ( `-7�G PARTIAL OR rMISC. INSPECTIONS ' . . • G'1,CL.. ,OJ -le..-, ' f 4 . UNSUCCESSFUL TRIPS - • • TO APPLICANT:DO NOT WRITE ABOVE THIS LINE \, 1 1-,,- -A . s-t1 ,,,N.,.P1 PLAN NOTE: LOCATE ALL STRUCTURES ON LOT.MAKE BOTTOM OF I PAGE THE STREET FRONTAGE. I111 : • mi ;ER ::),1 IIIII I' i ■■ isoo, _ I 7 i Ell NE ■ IiiIidII INJrtL 1lvry IKt( UKU BASIC-INSPECTIONS ITEM INSPECTOR DATE TRENCHES: WIDTH DEPTH 1st FLOOR JOIST FRAMING LATH i- - • PARTIAL OR MISC. INSPECTIONS 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 . _ ... _ t, --7----, -14 -------6702-4`1 • t ZV.931 ..-717111 , . i L....._ _,..J. , .,...... _ Sdili lrussa,...)DnsNn 1 -----, , ,„. I . 1----- .. I ; i ; r ...1.. . ; : 1 - . t , I I -_ i 1 ; 1 I SNO41D3S111 %)SIVY '80 'Iv 11,1Wd 1 J I ".:)N F . f , . I . • • c:i.,c.„., . . Z- 9 O70/ -1 ! i ' , • (‹Pi?. Ntl.'' ' 1,V,.:!A f.:,'• ."1.' !! f . ISNOri:.7'10q3r4i DISVg! 0)41 0:',0 IiicA'213:,q,04 13 14'S 1N'4 INSPECTION 'RECORD - P 'IAL OR MISC. INSPE TIONS (147,0a UNSUCCESSFUL TRIPS INSPECTION RECORD • ITErs :NSPEC'OR OATF • ROUGH HEATING- ROUGH REFRIG.OR AIR COND. DUCTS-- FIN:;L HEATING-- •- •----��. _ _ ' FINAL REF-RIG. OR AIR COND I -. PARTIAL OR MISC INSPECTIONS • . • . I I I i UNSUCCESSFUL TRIPS "ISPEC1 ON RECORD BASIC INSPECTIONS ........_..�..--_`.. _ T _ .-- _.., INSPECTOR 1 ;:,A`:£ 2 ?i4- wOYM • __,__P TIAL OR .ISC. INSPECTIONS UNSUCCESSFUL TRIPS RECORD INFORMATION —€S.t". ..,. ---T.MP.OK. I TEMP.CONSTR. NO.OF UTE WiRE PWR PHASE I HEAT.. . _....__KW gANGE OVEN �..�_ TABLE TOP I W.tap. i DRYEG OTHER RES, APPLIANCES OVER 2 KW. TOTAL RW OR HP, TOTAL HP. Sc(.r 'Y __._...._..............__._ 3(I) " .TiON VECORD BASIC INSPECTIONS { x t, Pi.I A ., OR MISC, INSPECTIONS 1 3 U NSU�C °.SSF L TRIPS i RECORD FO .MATI I ii ..FT' APs: i PW R_..... PHAS €E -_ _..,Aw ,,-,.;;;L CPLEN T TALKIE TJ' ( V /;i R, 1 DRYER t OT!IBP PES„kPEUANC,BE OVER 2 Pv.`. TCTA. L=.t OR £+P, TOTAL FHP. 'NSPECT'!ON FZECORD BASIC INSPECTIONS ITEM 1 ;NSPECTCR GROUND WORK POUCH I I FINISH FIXTURES... ...',.. '... f4 F NAL RELEASE TO PUBLIC SERV._ ? ;004-- 0442. 1 • PARTIAL OR.MISC. INSPECTIONS UNSUCCESSFUL TRIPS RECORDINFORMATION U.G. f TEMP,OK, I TEMP.CONSTR. i NO.CF METERS t LITc._._..._....._................___..._.WIRE PWR..__._....— • PHAST. RANGE OVEN I TABLE TOP W.HTR. DRYER OTHER RES. APPLIANCES OVER 2 KW. TOTAL KW OR HP. TOTAL HiP, S Ch _..__._ __._._ _3 d> "1SPECTlON' RECORD BASIC INSPECTIONS TEM INSRECICR DAIE GROUND WOF4 ROUGH EIYTEPES.._.... ,.....__ .. .. ...,...._....._ 1'INA 1- - �r! -PARTIAL ORMISC. INSPECTIONS UNSUCCESSFUL TRIPS RECORD INFORMATION - O H U.G. TEMP.OK. T_.P.CONSTR. l NO.OF METERS ._...._.__ ! - I LITE __ .__... WIRE E !Pw ....._ -_,PHASE�HEAT, KW 'QANISE OVEN TABLE TOP I W.HTR. -_--EiR'rER i 0;HER FES, APPLIANCES OVER : KW. TOTAL !(W OR HP. TOTAL HP. _.._.__..... _S(I) _.._----..___-..._. 3(I) _Lc11111,orl 612-C2—62- 6, ,..574.41-2110.6 2 to j` J'0 cr/fy 4.41-20 VALUE s Er00,. • LOT BLOCK CJ TRACT OWNER G3_Ack.a.":„17 // BUILDING �� /fia y PLUMBING / HCATIN G SEPTIC CESSPOOL WIRING FIXTURES ELECTRIC GAS PLAN No. LULA I IUN y DATE /I Z-67- OWNER A 7041 07IY e S 6 s S� ocki.;,s BUILDER / CO 0144 }. PERMIT INSPECTED REMARKS POWER POLE FORMS li RO. PLUMB. GAS SEWER FURNACE VENT RO. WIRE as 96 CURB FRAME LATH ELEC. FIX. PLUMB FIX. ELECTRIC GAS SUB-CONTRACTORS OCATION a/ D 'TE �' OWNER �• /K • p GLczL( c! C/BUILDER , • PERMIT INSPECTED REMARKS POWER POLE FORMS c /�/J�//J/ (y/ d/ //, m� RO. PLUMB. V'?'��k I /�✓(L(/�'/ ,�L72/.. (�Ll��� y/?/S/ fX� GAS SEWER FURNACE _ VENT RO. WIRE I A /7.-41 �j�/fi,�.l�/.�/ CURB • tLeed.-1 .�i�! �'" �" FRAME .-(iGGG t��(D �i/T�j.�' `/t_cLw;ll LATH ELEC. FIX. PLUMB FIX. ELECTRIC GAB 5„.:// LOTION - ••-• • ' • VALUES $ 1,2 , , • t „•-; : ' ' • LOT BLOCK TRACT _ . •/ / 4/6/Ts 7 BUILDING PLUMBING HEATING CESSPOOL WIRING FIXTURES LOCATION g.0"'AL 2• 4C Cµ-ice VALUE$ LO 1 BLOCK ( /2/ TRACT F-6 6 • OWNER V% ..n. • r BUILDING PLUMBING \"\s • • HEATING • • SEPTIC CESSPOOL WIRING • FIXTURES 2_36 9 ELECTRIC • GAS PLAN NO. LOCATION G 2,4/ /� �//�VALU ES $ LOT BLOCK TRACT • OWNER • BUILDING PLUMBING HEATING rr// CESSPOOL 491C41,04.,0,,_ 7/2 4,/' o /3 gL�L WIRING FIXTURES L 4,.. ION 62„..o-.2-2--241- 3 fo.,...A- C.,..,....71;-.... VALUE fej.g.a. • -Pi , ' / 7 • ' e../ ' 63- (A1,.A-e g--(a.te ,• e ..--A.6—..... LOT ' / - BLOCK 60104 -A, TRACT 0(f-- \ OWNER BUILDING CP... PLUMBING 1(21..?-i/a. :1.-7 A i.^...' <57-1'41A',1•, -11,-- ' • -l•-,- ''';'r.;--• /17 CHSEEEPATSTIPICN G . c-- !..._.,i-.;.,;,, ;/‘:e5 CESSPOOL 4" / 2I0 Q V --/ .,,q: , , ,..—. WIRING ,Di)111,-1..-,•vt. 4 't.!-:,;.,e.:.,--). /fr.? 1: 5 9 93 2- FIXTURES . VI (.1 I 2 1 ) tErga,„, -,-.47 vi 0 '/ • GAS ' PLAN NO. 'Local-Km 41/47-6'6 • �- .w tLtL. PERMIT / /6r OWNER [/ (-7 ,7! L•�_L�IL.-v� nJ ADDRESS/C0 t 2%/iy l Ajaci2!'li�i�i''.- BUILDING PLUMBING - GAS FURNACE - CESSPOOL WIRING • - FIXTURES - • LiII'ION‘Z ! .5; A15 & 4 & UE$ • / '2'z r/ ,✓ ��`/ LOT / BLOCK O /Zs TRACT S ' ' i OWNER: /fle : . (0,..x_� d,z? /� �y' i/ f BUILDING/ C, / t'17lI[11.G�f't•"!.� �, Q{ /9 ,OR! ',J f /t f ""'`r � � //�fJf� y% _. PLUMBING � l7%%%j,!,_ .7 3J � �` eAv.....�� HEATING Ifo !! SEPTIC ,��'y/- �� . CESSPOOL `W 6i( �g �t�/` 7 , WIRING ift1 git-;/ x i7 4 FIXTURES��pp r.,� �' �[ 1ff-S,-S o� (127-,(i-P� 3 Y/F4hc -6 - Pq ) ELECTRIC ,-,1/.<-L.7 GAS Pr AN Mr, (16 N. • W • • • • 7/v?/33 . yin cV1 a! 3ro 17„/3,t W u• C l?-5.73— '11711i4 y7Q'11711i4 ( ((4.119 3S-89 9/0/ n (64,-:-) 3711 ( 3S 3I5}.7 /3f , eYso( ),)- 477 1/6i31 'Q ( G.01) vSI i/ 131;y c� ,�, (r•:cIA ) G►s7 y/ o 3/jc 0 7.7(2.. / 99?: r-20-y2 C ess�6.el. 1-.71.)3�/4 v. ---.,\ -' •r'-.)) 7/ . • . • ..--/ / - sn..v.,/-,.., ',/-1,'I-', • ,••••-( 7 ',,-,! !_,(/ /- i , _, -,,, --• „ /- C;:, •;.•:-. .›,", -, ),. ...k - \ •, _ ,J _ • , 1 , ,,, 1\1 en . ::--4,,• ,__:, •s-Lr. •:,.. r . - N ' ',..:,- .N.- .-.,-..„ - - --...,_ .. -.,. . (--:...-- .- . ..--•-_::: . 7 .--_,..„ .,,A...., c---, --- . •.' L"4'..'‘ 4,., --,-_,_ ''':'• --* ,._\•5. • ,,:_, - '--:-.--,---„._ --..... ...-. , •••;,....._ . . c ,..., ss,„:4,3 ,, 1‘;',,c.;•,.,_, ,--<-_, .-;.:-'- ,'-'•'''' -"'- -!-- ,-...".. , . c,„"):Ss::,‘.Z.., , --.• ', • ,,_:,' 1..' ,_ •Z-,' ,. ::. 'N-- '--•' - --- ; ...,, ) --.. -,•.7.--2, ... •., -1,-, •"- , ,....„-, r..\--..i-> .l''\.... , • �1 S0 _9'�- _ J 5t.0?/s."il— , 3/V 4r/-oil; (frci I 6404.1m Vac/s (7/7- )4 5:Ao ,e 15.2( btr, f(o(46 &Ask (� e �.« o.��ec�33a Vit 7/457 Tc qib �o wg.v Se rvrce. 319; /27/ 6 Add t 2'tore%Raom $e(t 886e [314 Le, . // s /4/16 Sic riff c e.. I l (o ,pv,Ca 64.CI 37 F 3.i1 , Y3i ; ciic- i- y pF LOS d. VYC�IN COUNTY OF LOS ANGELES ® hi�_ s Public Health , ; , , k ( ,* JONATHAN E.FIELDING,M.D.,M.P.H. BOARD OF SUPERVISORS Director and Health Officer Gloria Molina First District JOHN F.SCHUNHOFF,Ph.D. S4ill Yvonne B.Burke Second District Chief Deputy Zev Yaroslaysky L Environmental Health Third District TERRANCE POWELL,R.E.H.S., 7 Don Knabe Fourth District ACTING Director of Environmental Health Michael D.Antonovich JOE NASH,R.E.H.S. Fifth District Director of Food Inspection Bureau PLAN CHECK PROGRAM 5050 Commerce Drive Baldwin Park,California 91706 TEL(626)430-5560 • FAX(626)813-14440 www.iapubiicheaith.orq PLAN APPROVAL SHEET , DBA: MiraCook Inc DATE: 8-7-07 JOB ADDRESS: 624 S. Santa Anita Ave,#A,Arcadia,CA PLAN CHECK#: 407-305 PERSON SUBMITTING: Jose Estrada PHONE: 818-765-4332 BUILDING USE: Food Market Retail-Prepackaged Foods Only E-MAIL: Revised plans are approved as corrected by Jose Estrada. This facility is approved to sell prepackaged food items. There shall be no open foods of any kind. Approval is contingent upon the following: 1) Obtain local Building and Safety permits and approval. 2) Conduits of all types shall be installed within walls as practicable. When otherwise installed, they shall be mounted or enclosed so as to facilitate cleaning. 3) All equipments and finishes are subject to on site inspection and approval. All equipments/utensils are to be certified to applicable sanitation standard by ANSI accredited agencies. 4) All floor sinks are to be flush with the floor, drain lines are to be rigid and slope a minimum of %"per foot and terminate at least 1"above the rim of the floor sink. 5) Ensure cold and hot(120°F)water is provided under pressure to all sink fixtures. 6) If abrasive/anti-slippery flooring is used, it is to be limited to traffic areas only; flooring under equipments is to be smooth. 7) Read the following attachments regarding: a) Final Inspection Notice - b) Plan Approval Check List c) Prepackaged Foods Only Plans checked by Gary To CONTACT Caryn Brown Franklin @ 626-430-5546 Mon-Fri between 9:00a.m: 11:00a.m. FOR A FINAL INSPECTION. ALLOW AT LEAST 3 WORKING DAYS WITH PRIOR NOTICE TO SCHED .. A ' INSPECTION. SIGNATURE: DATE: 7,A7 7 cc: Chief EHS • File , District Office y COUNTY OF LOS ANGELES ♦ DEPARTMENT OF HEALTH SERVICES 61,(110#0. At, ,� PUBLIC HEALTH PROGRAMS AND SERVICES _ >4 ENVIRONMENTAL HEALTHif F— PLAN CHECK PROGRAM ` • DATE: di/0 7 PLAN CHECK#: 444 J 1-.3 AS- . /14✓%_ a4 ..-4-4__C ADDRESS: /0 4 S. —C.l G`- 4_ A iit// dry/X 4 THE PLANS ARE NOW APPROVED SUBJECT TO THE CORRECTIONS LISTED ON THE PLAN CORRECTION SHEET. A STAMPED APPROVED HEALTH DEPARTMENT SET OF PLANS SHALL BE ON THE JOB SITE AT ALL TIMES DURING CONSTRUCTION. , 5'.‘1? . All equipment shall meet National Sanitation Foundation design and installation requirements or it's equivalent. (INCLUDING ALL SHELVING AND COUNTERTOP EQUIPMENT SUCH AS SUSHI CASES, ESPRESSO MACHINES, MICRO-WAVE OVENS, COFFEE MAKERS, ETC.) Light fixtures in food preparation, open food storage and utensil washing areas are to be protected against breakage through the use of plastic sleeves, shatter proof bulbs and/or other approved devices. , Exterior doors shall be self-closing and fit to a maximum 1/4" at the base and sides. &I/ Provide permanently mounted single service soap and towel dispensers at all handwash basins. Toilet rooms and dressing room doors shall be self-closing. , ,.4 Seal all cracks and crevices in counters, cabinets, around metal flashing, sink �' backsplashes and around pipes and conduits with a non-hardening silicone sealant. t . .., Provide an area or cabinet for storage of cleaning equipment and supplies away from ., food preparation, utensil washing and food storage areas. . Ci< A room, enclosure, or designated area, shall be provided where employees change and store clothes. may 9 Prior to starting construction, submit three (3) sets of plans to your local Building and Safety Department for review, approval and necessary permits. 654 A HEALTH PERMIT MUST BE OBTAINED PRIOR TO OPERATION. FAILURE TO OBTAIN A HEALTH PERMIT IS A MISDEMEANOR VIOLATION. PLEASE CONTACT YOUR PLAN CHECKER TO ARRANGE AN APPOINTMENT FOR SITE EVALUATION AND APPROVAL PRIOR TO STOCKING FOOD ON THE PREMISES. COMMENTS: - For further information, please call: C4PAL- bea-1 14 4 ) -41 ._.�;f•(l,{ . �G;Plan Checker Phone ( //`"`'' Between 8-9:30 a.m. /e77.� COUNTY OF LOS ANGELES + DEPARTMENT OF PUBLIC HEALTH f ' PUBLIC HEALTH PROGRAMS AND SERVICES It '� •*� ENVIRONMENTAL HEALTH r >; •• �� r% 5050 Commerce Drive.Baldwin Park• CA •91706• (626)430-5560 FINAL INSPECTION NOTICE if • PRIOR TO CALLING FOR A FINAL INSPECTION, THE FOLLOWING MUST BE COMPLIED WITH: 0 A maximum of two FIELD INSPECTIONS will be covered under the Plan Check fee. A charge of $61.00 per hour will be assessed for all subsequent FIELD INSPECTIONS. ® Your APPROVED set oflans mu p st be on the jobsite. ® All Building and Safetyfinals must t be signed off (Mechanical, Plumbing, and Electrical) All utilities must be ON and operational. (r'.e., hot water to all sinks) All equipment installed shall be N.S.F. approved or equivalent, clean and operable. 43 Allow AT LEAST THREE (3) WORKING DAYS prior notice • to arrange for your final inspection. Establishments not in compliance may require an additional three working days for re-scheduling. REMINDER: No vinyl floor tile or fissured ceiling panels are permittee in restrooms, food preparation, food storage, utensil washing areas or janitorial rooms. Y' y COUNTY OF LOS ANGELES 4 DEPARTMENT OF HEA,THLSERVICES • ENVIRONMENTAL HEALTH/HEALTH FACILITIES ZWAS 19� '+;• PLAN CHECK PROGRAM VOODS • YOUR FOOD.FACILI'T'Y IS RESTRICTED TO PRE-PACKAGED FOODS. ONLY; no unwrapped food (except whole produce) and no repackaging of foods. This prohibits sale of bulk beverages (i.e., coffee, juice, sodas) & slicing or portioning of foods (i.e., cheese, meat, ice cream, spices). If in the future a decision is made to prepare and dispense open foods, additional plans are required. to be submitted and approved by both the Health Department and Building & Safety Department.