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FICHE - 1514 ELM AVE EAST
i L; N I L�U i NAT OF WORK —Check One APPLICATION FOR PERMIT TO REF,AHt n ALTER ❑ UEbIOLTSH ❑ -' - 9U:LDING DEPARTMENT -CITY OF Et SEGUNPO =209 W. FRANKLIN AVE. TEL. EL SEGUNDO 1202. EXT,9 Streat V Vamber Legal Description of Property P a I PLOTPLAN If:� j( cuts N Name Indlcnte Garngc Location 5 Address Gu ✓"___ z� � License Nos, state l° �L z I I I< e Address - ( �•3, Size of Lot Size of Bldg. Sq. it Area I No. o of Stmic rs x /d33h/ol /366 I _ ( Use of Building . ,✓) �`Tl r.:_�.�sV9S? yyti+Ct SPECIFICATIONS S STREET FOUNDATION __ ilinterlal � ExtCrlor P P,.- 1V1a h of _21. D Date Appbed Depth to Ground NOT WRlfE BELOIV TIUS LTNE . RylS, plate (SITU S Siz Spicing Span F F BUILDING DEPART'31ENT USE ONLY, Glydece x xL G Grip I Type FrpZ6nC Usey7Atul So!st -let Floor _ /d ' � — •+�--- - - -1.+ ._ _ 3 ___. ,r — ;. �_ — U -Gi_- -- _- re[tu[r ND. Inte^lor Studs a /6 �� _ _ �1 . Isle r ltnlla i r of�cG - - -.m-' ^' >ILG -. gLL_ ._ GARAGL APPLICATION FOR BUILDING PERMIT City .Of -El Segundo' E)EPT. OF BUILDING 8 SAFETY. Inundated yes ❑ Nr! _ Elnaflaa O.K. rr _ - PARKINO — Speces Req'd f EER= Provided —/7- -- Parking an premises �Dr INSPECTION RECORD CERTIFICATE OF OCCUPANCY NO. Date __ 9T1EE1 1514 B. ElPL St, ABDRE94 OF IDS FOR APPLICANT TO FILL. IN LEGAL. DESCRIPTION Lm 1 0 -- -- n— ��R�LOLR 114 TEADT DE$DRIPTIWN OF µeRH.aw�'•u�wl�'ng�"���� Lea DI BBILOINC WINES Sacx IS. pax'tlow WNNEA9 AWWREC9 1514 E . Elm PHONE y —_ _ ARCHIVECT STATE LICENSE NW. JpaaNE -- "'ENGINEER STATE LICENSE 140. IfHONE mPTRAoTH,Tropieal n Cost. Co, CDOTRACTORS APDRESP06 S.Robertson Blvd.'. L.A. 35 Pxo"E OL 2 -8585 CITY LICENSE He. _ _ f9TATE LICENSE II VALUATION OF 109 $ 2500. AREA of BIRD. 91ZE.OF BLOC, NS. STORIES _ SIZE OF Lm iRONi SEi BACK SmE SET BACKS WALLS FENCE ❑ RETAINING ❑ C01.1 t1011 MATERIAL PLAN aBOAtITTED Cltt SPECIFICNTI 9 SAW LOCATION, SIZE & HEIGHT ON BACK SURVEY TO OE POOVIOEO IF REONAEO _ CONNABOBS INSPECTION REOBNaED ON THE YES El 'ltd (3 /6- REN:ARKS Approx_2®;,000 gLtj .____`____._ OU BEAUTIFIED Attention 1, particularly called to III, culting Bp of slroots, makinlg main aro•Aror connacgora, drlyawoys And e.,he. PolmR for e h mmtruc0an to be obtainod from city angino.Ya office. T HEREBY ACKNOVILEOCE THAT I HAVE READ THIS APPpLICATION AND STATE THAT THE ADOVE 19 CORRECT AND poRER To COSIPLy 4YITN ALL CITY OPDINAlILE9 ACID STATE LA149 REOBIATINW RBI L➢IN p a THE CITY ER EL B- 110DAAND STATER OFE EALIF0OONNIAS to AS IBIAM THE IEML 01'lNER D- THE r A9� 0VE DESCRIBED PImPERtt. SIGNATURE z .y )OF PERMITTE_ ( A/ c- � DATE . . t:X / vG I& 9 'i 7 1 5 /, — 0 :^ 6,00 ENGINEERING —. Curti CTDSsID9 O.K, ❑ WALtS FENCE n.. RETAINING 13 COMBINATION 1� APPLICATION FOR BUILDING PERMIT STAEEi III % ADD0.FSS OF IOD City of El Sagurdo FOR APPLICANT TO FILL IN DEPT, OF BUILDING & SAFETY LEGAL DESCRIPTION LOT - nLADC�R TRACT DEPT. USE ONLY DESCRIPTION OF WORC� - /�I�% PLANS RECD BY 1 !_I DATE CHEPKED BY DATE It F LF IBaCN _ _ NO USE OF BUILmN,� APGCT1 Y APPROVED E Z n f f -- 'IDAT a_ ISSUED BY DATE WHERE VALUATION $ Fs0Yl� PNDNE�� Plan Check ke $. ._ i ARCHITECT C ��� r e.O Buildil a Permit Fee §e U-y- STATE LKENSE NO,. TOTAL," r' ENGINEER -- TYPE CONST_ Z77 GROUP :1 STATE. LICENSE N0. �" IPHOHE - FIRE ZONE IUSE. ZONE/ CURIRACTOR -- __,CUP, LOAD ^^ ND..IGOTS CONTM_GTORS ADDRESS FLOOR LUAG.A TST 2ND. OTHER Y— EPRINRLEREDYES ❑ ND CITY LICENSE C. STATE LICENSE NO. .DRAFT STOPS YES ❑ N O ❑ VALUATION OF 100.5. V0 STANDPIPES YES it 110 ❑ AREA OF SLOG. I S,.E OF OLDG. SEWER LOCATION .� _ IID. STOmES SIZE OF LOT ENGINEERING —. Curti CTDSsID9 O.K, ❑ WALtS FENCE n.. RETAINING 13 COMBINATION 1� IGDUdaled Yes [3 No ❑ EleVallon O.K, ❑ regremaL GL�t��� ' PAANING.— Spaces RCR'd PLAN SUSIAIITED 6W SPECIFICATIONS SpoC0 PTOVtded SHOW LOCATION, SIZE & HEIGHT CH BACK Paling an premlas lot SURVEY TO BE PROVIDED IF CEO UTAEO INSPECTION RECORD CONTINUOUS INSPECTION gEOVIREO ON ME CERTIFICATE OF OCCUPANCY 1110, Oat° YF9 ❑ NO REMARKS AIIGNN °N ix paNkviarly c°II°d Lo fFe cul+inD op. of siraDls, f °rR ueh o1n slrugi°n o u ns driv°ways SO curbs,. P—It cons e6+°In °d Z. Cl °n01n°Dr'r office. STATEHTHATY THEN ASUVE IR CORRECT HAND AUG. TTo CDMPLYA.11H 10LL 0&1 ORDINANCES AND STATE LAWS REGULATING GLHGINO. I OFREGY CERTIFY THAI I ALL PROPEALY LICEIISEO A.^. REDUTAEO BY 'ENE a] TY OF EL SEGUNDO ND STATE Oi CALIiDAN1A O' TNRT 1 AM 7HE LEGAL OW IER DF THE ABOVE OESC 0 D9PHOPE0.tt may? SIGNATURE L Y yLw yiJ/'Ca.•',IL ±Gy "'..,,. OF FEAMITTE�__ ' DATE ._.G -• - 7L�� —.r.� ._.... )N 60 9 a 8 7 7 A -- o N 2100 HEREBY CERTIFY THAT I HAVE READ AND EXAMINED rHIS APPLICATION AND KNOW THESAMETD BE TRUE AND ;O RRECT. ALL PROVISIONS OF LAWS AND ORDINANCES SOVEFNINO THIS TYPE OFWORK WILL BE COMPLIED WITH NHETHPR SPECIFIED HEREIN OR NOT. I CERTIFI' THAT IN rHE PERFORMANCE OP THE WORK FOR WHICH THIS PER. OIT IS ISSUED I SHALL NOT EMPLOY ANY PERSON IN ANY MANNER SO AS TO BECOME SUBJECT TO THE WORKERS' WORKMEN'61 COMPENSATION LAWS OF CALIFORNIA. FURTHER STATE THAT I AM PROPERLY LICENSED AS iE0U1REO BY SECTION )03•.3 OF THE STATE EUCINESS >r D.- .PhbFF .; I ONS CODE 1 OR,CLAIM EXEMPTION UNDER IJ/ON )M1441. 10 URE �F. pNTRACTOR.OR AUTHORIZED AGENT IGNATURE OF OWNER —`F OWNER BUtLDE RI u )ATE i f enf Fnrm BID] /e)7 Vi nTMENTCCPY AUG—!'" � 9 2 z.: n G — b �: 60,51 1, APPLICATION•FOR'BUILDING PERMIT `srREET FOR APPLICANT TO FILL IN ' _AOOREES OF JOE V I� � . �L_NI City Of El Segundo, California LEGAL DESCRIPTION: LOT I .:% DEPARTMENT OF BUILDING SAFETY BLK 1'14 TRACT DESCRIPTION OF WORK, t -XTEhL 17 L�IV•�I�I - DEPT. USE ONLY -- I S FL- �JZ�T'S , A J-1 Z M�fh5.- . �,L..• APPL. RECD EV PC NO. I r--) I DATE 7 UEC usE 'I —L—O P ANS_s� EDITION -. O, WNILR ) O T- —S w t �']-L w PLOT PLIN ONLY D 116 VJ N .. VALUATION $ ISTY/1'11 S L ICP,Y.•K+ G ILa oWN Rs ADDRESS 1y 1 -a- � . ._,�.1•'i PLAN CHECK FEE S. �'„�r Jf JG�iJ.fS�I PHONE ARCHITECT OF OESIONER e�j_ '� •�U6t501J 9UILOING PERMIT FEE $1211 '�.. I ri r _PLAN RETENTION FEE S 1 ,i � 9J STATE LICENSE �¢, a� A OF REGISTRATIOI. N NS.� PHONE � a ENGINEER. TOTAL TYPE COI.ST. V'^u GflOUP.F�`�S FIREZONE ` A ELICENSE NO.. PHONE USE ZONE.: �7"-'I FRCNTSETB AC. CONTRACTOR A?'L. SIDE SET BACKS ? LOTSIZE � FROM MAP KI.ATMA�tt.0 g IGORS�SS �JCtI V /AC�G \A ZIP ajOZ J REO'D YARDS CITY IJ1%b oNE '722 ^G Sj_ SPRINKLERED YES NO 'ELSEOUNOD 4 cITV I IC 1y0 + I STATc LICENSE NO?'e""' " T� WET STANDPIPES'I NO CONSTRUCTION LENDER PARKING ; ACE5 REO'D 1 NAME SPACES PROVIDED '21 BRANCH CITY ENGINEERING INFORMATION ADDRESS �r.�a•+at4ar,. sa, .fU _Fii?j fF a,afa,P,B a {mEl lie {IR V y$IiF CITY yALVATtON Or JOB SZY�iOO17 i 512E OF CONST�i �I X AREA OF CONST. NO, STORIES NOTICE: WALLS OR FENCES SOCK CANNOT ENCROACH ON PUBLIC PROPERTY. REMARKS yL / PERMIT ISSUE OA7E 2 EsU - APPROVALS DATE INSPECTOR "EXCAVATION FI- 3'Hh IAL lU1<L`� FLOOR.IOISTE I R A I&;.) I W—C - HEREBY CERTIFY THAT I HAVE READ AND EXAMINED rHIS APPLICATION AND KNOW THESAMETD BE TRUE AND ;O RRECT. ALL PROVISIONS OF LAWS AND ORDINANCES SOVEFNINO THIS TYPE OFWORK WILL BE COMPLIED WITH NHETHPR SPECIFIED HEREIN OR NOT. I CERTIFI' THAT IN rHE PERFORMANCE OP THE WORK FOR WHICH THIS PER. OIT IS ISSUED I SHALL NOT EMPLOY ANY PERSON IN ANY MANNER SO AS TO BECOME SUBJECT TO THE WORKERS' WORKMEN'61 COMPENSATION LAWS OF CALIFORNIA. FURTHER STATE THAT I AM PROPERLY LICENSED AS iE0U1REO BY SECTION )03•.3 OF THE STATE EUCINESS >r D.- .PhbFF .; I ONS CODE 1 OR,CLAIM EXEMPTION UNDER IJ/ON )M1441. 10 URE �F. pNTRACTOR.OR AUTHORIZED AGENT IGNATURE OF OWNER —`F OWNER BUtLDE RI u )ATE i f enf Fnrm BID] /e)7 Vi nTMENTCCPY AUG—!'" � 9 2 z.: n G — b �: 60,51 1, APPLICATION FOR ELECTRIC' PERMIT OF jo SS i oFrD 514 . E. Elm Ava „El Segundo riry of W Segundo, California DEPARTMENT OF BUILDING -& SAFETY owNu JX.Partlow FOR APPLICAMT `<O l6L,IN ADDRESS 1514 E. Elm PERMIT FEES INUh1BER EACH fE5• :LIGHT OUTLErs — DITV E1 Segundo TEL. NO. EA 2. 2766 TACLE OUTLETS rDRAiioR Owner H'DUTLETS, O�ETS.y E...10 uaxTRACroRANGES $ -,SO g— !7 ADORESs ELEC. DRYER. g,50 torvrRprroe'; ATrERacioR•s GARBAGEDISP.. 'g .50 PHONE 1I1ENSE N0. ELEC,(FAN $:';5➢ CONTRACTOR'S :. ELEC. OVER a mir ucsxsE xo. _ ELEC..IIEATERS xo. bF srCRlfs $ s➢ OF "etna 8esdenco K.W. EACN IN HElONT :L FIXTURES $ .10 or E NUMBER OF LIGHT _CIRCUITS_ r NUMBER OF RECEPTACLE CIRCUITS Na. OF MD. Of MOTORS _ METEA9 'FAMILIES 1 NUMBER HORSEPOWER 'FEE NEW M.VA: HP. OVEL „� INC. ,EACH :NEW o[oa. p , a SIOG, tX:yr_ V. & LESS $ ,5U pECEIVEp RY I bq� OF APPL 65.: 2 $I:00 .L1 -il, L'/ i, �;7�•r5� 2 5 g 2.00' _ _ —.rF N0, bATE ISSUED 5 IS S 3.06 � 15 50 S S.Do — IIIICCCC��7— er--L— /—C —fl 50 200 $10,00 INSPE61 N RECORD ORD. zo0`I $26➢D MA SET /FRED. CHANGER•HP .— CKSu'AC•BVA ..!.GENERATORS -KW ,TRANSFORMERS— RA ,7. TEMP, MOTORS (75% M Off _ .: MOVED MOTTORS. pS'K of ➢hyn • TEMPORARY POLE $ 2;00 �MAINTENANCEPERMIT $20.00 70 . SIGNS N0, TRANS. 1 N6. SIGNS :NO. LAMPS. MISC. FOR EACH PERMf . ) APPROVALS - IVIIt NO $ 2.00 DATE INSPECTOR'S WGNATURE I :MMES _$ .50 CONDUIT SOPPLEMENTAR'1:` $ 7,00 Cp WIRINO TOTAL FEES.. FIXTURES $A. cY.J POWER 1 NEREDY ACKNOWLEDGE THAT 1 1!Ay , F�EAD tHl9 AFPLICgTNor AND UTILITY CO. NOTIFIEO� STATE THAT THE ABOVE IS UfflpT AND 11aREE RS AFPLLY 1YITN AIL FINAL ') C11Y ORDINANCES AND STATE TANS REGUTATUIO EIEbiRICAL WARM . - - - 1 NEREOY CERTIEYTHAT I AM PROPERLY LICEISEOA9 REQUIRE! by tHE OITY Of FL SEWNDD AND STATE OF CAL FOR OA TIIAT I AIA ilif Plhxt end EpecllltOT!ONS &nd such OIhDE dRtR o4 wNi tlnOIIIO LEM OWNER OF THEJIYOV DESCRID�p.A R Tv. the dbpertment to DSLDEIRIN whether the proposed wprk I SI6NAYURF �-- will conform fa the requlromenls Of the late Lawe and OF PERAiITT r` =- �C!� �__yA LCIIV OrdlnanCDS mutt be Filed. V A? - T f - Y 9 7 4 1 4 4 c 3.00 APPLICATION FOR ELECTRIC City of EI Segundo, California OF BUILDING &.SAFETY PERMIT -.CS 0 LINO. All OY T L VALIDATION Ralf _ PDORE�1�' JODEPARTMENT !WNIi7 L.�+�✓ FOR APPLICANT TO FILL, IN _lA0RE55 % V GITY _D 1.1.11IITA& ` 9 L �.at.�� _ —� - -�- p�DEF1R's PERMIT FEES LIGHT OUT. " I: NUMBER EACH I FEE RECEPTACLE +'UnI.EFS SWITCH OUTLETS TOTAL OURETS . $ ,10 [L00: PES. ELEO. DRYER $ .50 $ ,50 $ CONTRACTOR'S SD ERACTOR's .PHONE Licxn�E NO. GARBAGE DISK '$ .50 ,.&I.,. FIN 0NRACiOR1, v=` f OV LICENSE NO. $ .LSD. ELEC. HEATERS $ .50 PURPOSE OF BLDG. NO. DF STORIES N HEIGHT RWi EACH FIXTURES E :10 SILE _ S.D. pl'CNIA NUMBER OF LIGHT CIRCUITS NUMBER OF RECEPTACLE CIRCUITS NO. OF NO. OF METERS - FAMILIES. MOTORS NUM3FR�_ NE7G M,Vd;'1. H.P. ,HORSEPOWER ..FEE:: EACH _ NEW BUG. ❑ OU Blna p .50 RE D DY Oq -- L I.00 00VERIN0. 2.0D N0. 3.00 5.00 10,00 T,¢SPEC710N RECORD 20.00 M.G. SET /FRED. CHANGER-HP. ' 'WELDERS, AGRYA. GENERATORS —NW TRANSFORMERS -INA TEMP.. MOTORS 175% of 0r10 MCVEO MOTORS 175 %:0 MS.) TEMPORARY. POLE MAINTENANCE PERMIT E 2.00" 320.00 — NO. SIGNS N0. TARN$. NO. 51GFI5 NQ, LAMPS MIS,.: ,.. APPROVALS FOR EACH PERMITI WIRING DATE INSPECTOR'S SIGNATURE 00NOUli FIXTURES SUPPLEMENTARY $ 100 WIRING «FIXTURES TOTAL FEES _._. POWER I NEREOY ACRNOWLEaOE THAT 1 HAVE PEAO TIII9 APPLICATION STATrE THAT THE ASOYE O CORREFT ANO AGREE YO COMFIT OITY 'MORAINES AND O1A E tAW9.REGVLAIINC ELEOTRIOAL I ,IV, DERTIAY THAI 1 AM TE01RLY LICENSED AS THE Cltt OF EI SEGUNOO AND STATE OF CAC FORMA LEOAI DI'MER OF TI OESCflYGEII PRIPER SIGNATURE`.. E.�.} -Wyk„ L ,t,L,t� OF PERtdIII `—�i+� { WIT WIR N0, EOUTAEO I AIA INILITY CO:i 00-1 TIEDD FINAL *C ` Plana and spaelficatlons and such ethaF data Dx wG1 Dnab1D thO dOpaNm t to Oxmrtaln whethhf IIID p.pased work will SanfO rrl t tha- rugWrDmDM1 Of Ihb SI110 La W, Dnd City Ordlnanms muat 6D filed. 9 6p 1 o o' 9 1 2.80 ol. PLANHETENTIONFEE Tt E _� �PERMITFEE 4.00 + Il tLC.JQ.•.�! /`� / : TOTA-'``'� SlN flE0 ONTR CTOR OR AUTHORIZE❑ EN VALIDATION 111i! ©•. F7UflE (' OWNER' IPOWNERS ILDERI„ ] it j ✓I CJ NCI Cart. DEPARTMENT COPY DATE APPLICATION FOR ELECTRIC PERMIT o ° ° ry "RESS . ADDeess �� City of EI Segundo mry /- ��-' No DEPT. OF BUILDING &.SAFETY - ELECTRICAL . DEPT. USE ON LY �aNTRACroa�L /G!/JY°d�j3G TC2l GROUP TYPECONST : USE ZONE FIRE ZONE CONTRACTOR'S 121P A_ DOfl ESS f ��J P.C. Na, may-- No. of --�-� CITY y] STATE Issuotl ey f J• C �'1 Date _I(J(1,' LICENSE NO: /I� LICENSE N t c A Ileent mplere all lnfprmatlanwlthin HEAVY LINES NO,OF NO. OF FLOOR 5ER CE No'. ' METERS. - STORIES AREA; NO'OVER 200 AMP :260 .PURPOSE '•\ 2b1 T0400'AMP 6.00 OF BLDG. NEW 401 01200 AMP 1000 COMM.❑ INDUS..❑ .RESIDENTIAL OV E 200 P 5 0 PANEL BOARD ".'2.00 REMARKS. .. ADDITION L METERS 1.00 OUTLETS "QNTY LIGHT •OUTLET r D "- T ' SWITCH • " FIRST20 @ 4Oi EA, t O RE CEPTACLE• OVER 20@ 20e EA, FIXTURES APPLIANCES bomaltie, Installation Onl INSPECTION RECORD: : RANGE DRYER' OVER WASHER. .2.00 .NOTES(. FAN bISPOSAL EACH HEATER WTR.HTP, MISCELLANEOUS. DATE hts eatot'!SI ,stare DEEPPREEZESOX MEATCASE' 4.00 _APPROVALS TEMP, POWER POLE BEVERAGE OR ICE CREAM. CABINET EACH UNDERGROUND _ ROUGH. SIGNS W LLS SIGN'S TRANSFORMER OR BALLAST 6.00 CE (LING ADD'L BALLAST OR TRANSFORMED, 2.00. SERV ` _ LAMP-HOLDING DEVICE•FIRST20 SOCKETS .06 EA, UTILITY NOTIFIED. POWER EDUIPMENTHP OR KVA FINAL ! UP to t HP 1 ',2,111 121,11,11 5.00 1,1 tob HP 0,00 6b.] to 100 13;00 Pleas end speoiflcedons and Such other data tic. Wlllonsblo thedeportmont 5,1 to ZO HP 4.00 Over 100 HP 20.00 f e G taln who her the proposed work w1II conform to the requirements y F theSlate Low d CBy Ordla a must be)0ed. 1 HEREBY CERTIFY THAT I HAVE READ AND EXAMINED THIS APPLICATION AND KNOW THESAME To BE TRUE AND ol. PLANHETENTIONFEE Tt E _� �PERMITFEE 4.00 + Il tLC.JQ.•.�! /`� / : TOTA-'``'� SlN flE0 ONTR CTOR OR AUTHORIZE❑ EN VALIDATION 111i! ©•. F7UflE (' OWNER' IPOWNERS ILDERI„ ] it j ✓I CJ NCI Cart. DEPARTMENT COPY DATE 11 514 B o ELPA k I— I am $10NAUIRE OF OWNER (,F CWNER Won) VAiMIAtlilR '4APPLICATIVN FOR APPLICANT 70 FILL IN FOR IORSiREEi AOOAE09 ��.� �.iK HEATING, VENTILATION Y MAER � ..- .. = -C'R1 `u II &-T, } AIR CONDITIONING OR REFRIGERATION ADDRESS DIV PERMIT coAmAcme n City of El Sogo.do atloaess I I L DEPARTMENT OF BUILDING SAFETY uv I.' S Pxoxe A STATE LIG. MD. ��L CIOY LIC. y�F' FOR APPLICANT TO FILL IN PERMIT FEES NO. eam F¢d DESCRIPTION OF WORK n iyp oo e°T.v U 00 HEATING plfl CONDITIONING ❑ ll A- Too. _ RGRIGERATION ❑. VENTILATION ❑ nnu cent¢, TohOO° am.0 S.GO Floor F...' .1.00 USE OF BUILDINGS 'fie eA�s A 11.0 — NUapended typ¢ 1.0D Ft al¢r— r¢C¢ee¢d type 4.60 Hceter —floor meuntad I .1.00 "O,DO VISION ENDIIIEER _ ADDRESS ppllnnco-.v¢nt —only Cltt PHONE D Iler :. l p to 3H P Up. 100,000 HT.V. NFYI SL00. ❑ OLD BL00. C mDrebar 1fiHP. GDR 000 7.fi0 Aueurp(ioN tlOH.P. GYp.0111 ro 1,000000 B.T.U. O OS __ NIS VAIVATION RUTARRS _ NYRtem 60 }t:P. 175D:OOR ➢T:t'. ISOD SO It P: T.YEDOOiIOH.T.r. SS.00 DEPARTMENT USE ONLY Ao-xnndxns Unit und¢ MOOS C,FAI. 1.00 Inci, dOCle. 10.tl00 C.P.dI. 6.Sn PUNS REOUIREO, YES No t, p tivc cooler 1 parinble). 5.00 OCCUPANCY GROUP - USE ZONE DATE ISSUED / h chnNlcN exh, hn¢d. 300 ! comm./tnJnnUe. TNCIn¢mlpr 20600 INSPECTION RECORD bbllnR llnl4 oYd y %m lnel. control¢. COS MEATIRE DATE INSP[CiOR'S S GNAIUAE' am $10NAUIRE OF OWNER (,F CWNER Won) VAiMIAtlilR Appl,cend a �. MEGNARIVAL R'CK AGo City of El SaNRdo Mo 6ILI_'�G .tee, DEPARTMENT OF BUILDING f+SAFETV- tlUIL•0tNG qD6 S.FjE Sr -7-�.� I ' TRACT , .�OLOCKIPAGE 7 LOT PARCEL - p. I. taTE( %IVY 2 e'er// tdd..E1n 2 NAM M NG ADME �p �` ! ZIP L• T L ' G RFL "YS2G �r �diVL••_._..__. iELE iy �GOr -.•�S CITY P emu- ST rr:"�NO' LT LIC. DATE nj- um LDITIO`I L S . N APPL.'pEC'D DY �YW ' l — sTn"-F*. -iF�•" PC NO, —u Cq@ptOf 6 PLANS. - PLOT PLAN ONLY '. here Y e Ihal mTlrvn derplpvl ,ant PI I g with C e 7000 I 1 n 0. of n Ouunen and Pia• VALUATION OF JDO $ '. I Cnd d vl it he fit" Y1, L L 01 5 C L( St AIR CONDITIONING ❑ - - D c 1 nr N HEATING pEFflIGEflATION. ❑ VENTILATION ❑ pl en lel e019C f tlP I, IEe n C FEE . wM e, p v! l IV' • Y P I� F I I N W , d n 1191E F PERMIT FEES - NOS EACH 4 O. AI VPE 1 �B T.U. $ 4•OD I' LI. C L IE 1 3K: 700di died 1 0 P b I h 1 0 NACEDV, b AND VFNT$ 106,800 t%T.U. SDG w p. y 1 01 70719. ✓ I bl M1 I p A I,. M tl M 1500 1 LJ I t I Wp,k d M1 C a u rtl l IM1 4 1 lee. ee UCt^ FLOOS FURNACE 4•010, 4•� HEATEF•SUSPEN DID TYPE IS 109. h C ion 1 Y p IY 'd In wn xh "EATER -n ECEOSEU TYPE m vain' I Vr�ir� ane2 n• edw 1 1 fi m p e tl Ihl 1 M i� Ibd �B 4� o 1 4 tl {{ d a.4 le d 1 p01LER, p7 1 qGr 9 6.e.L. T.EO ❑ v <'1 h I AIS Ii9��P h L Lti C0MPR65SOp ja q:B:.. 1 a�gb�u��.0 10.00 YAYP^"Jk,Di L+Aae¢i +oo p ' ii p„ +4i a 1t Ire INa AtlObRPTION 39 �:�: }�o . tE GG oYl L I I em ¢.emVeuMer$at .9 APi:Ie eeYOn ,�_ Sy STEM - �IB.S, 1.19a00oBIli.TU. - 25.00 3.DD om UNIT ANOLING WORKERS CO PEN9ATION O[C}ARATIDN I h rtby N h I I h3 tlll Ie al beat 1 EII1 , a m INCL.DUCTS lb gQliFC `Ni ?m tert1800, al Wtl Nere OwnpeNtl 1w+pnee,dfatefuhedebpyuterepl ISa. JOOO!,yLe�h✓y,�C�1. p - EAT.. /'t EVAPORATIVECOOLER 2nnhNlanabl@I. G•OO VENT PANISINGLE DUCT 200 o Pm evNe.M4IIACD&ap y M C Y'fit enpYl bYi Ie., y 11 yV Mr;CHANICAL E %II.p000 ,3.W UT C t htJ. cauY filed J 111 the IY 6 Id1 nW tb d f 1 aunty 1 Ot Appll p@PAlII.ALTFR,l9b01TTfONTOeACH RATING NO UNIT. SYSTEM IN�L. CONTflOLS HEATING APPL.RE1$RIG.UNITCO' NT 400 CERTIFICATE OF EXEMP ION FROMW KENS' COMPENEATIO INEURANC Q���PAC�j(j�JLATfo.uui w ._000 TNO mu ndn Ib SamPlmt 111h p It. tl Nldbllen pChIARXS SUB TOTAL $ , Y HO001.1led, I eply lh 21n I perl4lm ith E1 It lluatl, PLAN CHEOK f '3'� 5C''C, ��1j -�� (�{Il ¢ Y Ifh If t pltyq yp reo In 46 e9Igh am WNleet{p the W k 'COmpOntelIOM1 LOWIa R7y PERMIT FEE $ 3.OD Y A� eE�, 1.b0 eb pplkpnl - I NOTICE TO PANT fl Ile mhk O IhI1 De+ 11 1 I E 'orlon, yy hanl emp el I" {h W N@It' CpmpeA tl prav I bntdl iha h. Yet. mutt h"" plYwilheeehplM lQ lbY lhd pepnll -- DYW+ ,d Ike - I cooked CONSTRUCTION LENDIN6 AGENCY PERMIT ISSUE DATE — READ CONDITIONS BELOW wI h .bV el M the Ihere II b lend n0 pgelle Pp 2 w I With Ih n. •. Cw. C 1 WN b�Ihe J1�c111a del', The ✓te Y n 9h0 e I IIy 1 a 1 thk D ie II It 110 t la bll the Mile e d UMUI I d l loll, 1 1 rdl—e, he d nd a IF UI the CI(y 1. n tl e L U@ �1 \\ EI Su2a la ed the WI al Ih Sid I C'elll I 9 9 •L I eaft :Valk, nd 1. a d 4pl I I V TLlt Ill dL I p I 1 I d 1l Walk lS Inl b d t d v4lhlh abf e, title l tl1 q y2 n10 d II A I pd 1( J eb m a OIY W I If Y hd IY tl e tl le I ✓d I1 I I h I'd S I belt eed ha tI e Kb 1 p I u fief tl O IIY 41001 d V7 Id d h, 01 lut @ 01 II W Iknk a Nlpntled if u 117„1 Ip 11 Y 1 Ptlh he eatl tr IIPn¢d II[W1 IV ¢ �'yy h Y 11p5n 211 I YOn l pbM1 IU IN cents 11 11 d Ol llm at ll eeY YAIII k Itll l NI g�jylj� he In It, " We tphpI the CAV4 dl 10ate Slple laws 00y n19em ... VALIDATION dl FgmM 100 Rn. 7780 ant1 /,1 O•- 5 App I e Y.cA . k'4- k- n,R1,. ek e•... 1 DhlWU,19e OU}OENROD IOepL1 YIL}DWIAPplleend i��l x IT r=ya °i tau! 1 0 ALL APPLICATIONS MUST BE FILLED OUT BY APPLIt.ANT APPLICATION FORP�UMBING PERMIT GAS PIPING City of El Segundo, California BUILDING DEPARTMENT TO THE PLUMBING INSPECTOR OF FHE CITY OF EL SEGUNDO: Application 1 I Y do Yo . p t to e - t t d sit l. d 6k he n ft r set. forth. TI pp! tiara it ticemed ubl damns tentersnl t R d t s 1 h e 1 tehy nyteen to by the undersigned applicant and which shall he <n g rnto the oxomisn of tha pa.mrt.. PIIISTt hat t p i t do es of grant v ngh p f lag t t uct r install the wort, herein de died ar any portion thereat upon eny street idler or other pat i, Plate or Dorton thereof. SECOND. That the pennit d t rg. t Y g! t privilege t xr any of the rk the dnseribed or ony - P,atian th eof for any purnosm that s ty be hereafter prohibit,, hy. Ordinance of the City of El Segundo, or by Solo Ln1vs. (USE INK OR INDELIBLE PENCIL' - .Job Street ,_..__ ,.. ... __. __...._.._. .. _.._..._ _. ...._.. .. Avenue Pitmth N re,. ,Remy 0._ 4q'5oe Plaudor's Adasees..10014.._A.nal ......:. ..., utane OR 2 9 51eta Lierine Na...192646 ....._. ...... ........ ........ ........ City Lce -No..__ 8sR6_ .._....._ 0"ta,"s N tnc....._Jaolc 1d._1Qar -gan O�inor .Address..._1324 YT._1Q1st St., Los An elest.Cg if. (FIXTURES (Total. _. 8 ......._) troth "dat J ........... ........ Tea.. eat..._1,_.... .__._ Eontnr . _ Flour drain Sla.... .............. \rater tlo =e� 2. _..._....... Dinh W I .. L'rintlls - lavata v ..:r. ............ ...... Waa,r haters 1 - hetriger t I. t 1 r ....1 t „n1- 3 _. ... Mier n .. .. ... n ntdl La SINKS hl ... S c I u-111 I * * - ... I", fo t t Slop _ t .. :pan1 .... . .. llissellaneas.... Septic t k Mlditianol rrtfarrnation _..._. _..... _.......... . _ ., .._......_. _......__ _, ........ _._ _.. _. ._ ._ _.. ...__....... ....._.. .... .... .... ........... ............. _..._. _,..... Estisnete of Cost of Proposed Work I Imp rmnl the b ppl- t k d tF t. tl fi the —a s t 1 q f I ftlher stnto that 5 gntt'I., ad rStatesaf C ffan�i -, en 1 Clio labour work will ,t pt Haranr�d ri6iconfonu tq dtefitth' , tl the city of GI SIGNED ?KFJ4 + C, / z!....... . Henry C tuft Plumbiftidiont. FOR DEPARTMENT USE ONLY , I'LUAIBING I 1 111117 NO . Al t LICAT109 Date._ r S Chacked by ALL APPLICATIONS MUST BE FILLED OUT BY APPLICANT SLIVER P E R M I T APPLICATION FOR PLUMBING GAS PIPING City of El Segundo, California BUILDING DEPARTAENT TO THE PLUMBING INSPECTOR OF THF:CITY OF EL SEGUNDO: Application is l b d to permit toconstruct c d install 6. work hereinafter set forth, TI'S. apps lion is made subject to the f II g conditions, which hereby agreed to by tho: undersigned applicant and whsch .ball be deemed conditions entering into the exercise of the permit. PIRSTt That rim permit dues net met any right ar privilege to construct or fnstoll the work herein described or Qtly portion thereof upon any stmot, alley or other public place or potion tho'c'lo SECOND. Th [ th permit d t qr et any. right or privilege to use any f the work therein described or any 8ts:o Low. roof for any purposes that is or may be hereaiter prohibited by Ordinance of the City of El Segundo, or by USE IN OR INDELIBLE PENCIL) Job AdJ . Stc eat AVcnua Plumb re Name.....,.rJ.-/� -- » »....,. Plumbed. Addr . , .._:...:_ __:._.... ...... _ .......... . ........... ....... Phone Stoto Li cerise Owner Addr FIXTURES (Total ...::.... ...._.....) B.th tub ...,... Wash t yt....::.... ..,_. __ Mea d rim._......_ Shory ....,... Water dotets:......._ _. .... Dish Wa her_..:...._ Urn Is Laval ry ...... „. ........... Water heater:.. Refrigerator . _ ....... . Drink tountarm.t. IErtch Goa nud u water soft nor Dental La SINKS (VI se ar s ..„ Sand trap ...... Sod t unt. .... _._ .......... In ................... . Cesspool .., .......... Miscellaneous ....._ .................. Septic rank ....... ... Addl[Ia h�(pof�,, �tp� Esiitnafo of Cost Of Propasod Work $,_ ................... I d the qbo ppifrnh n rid kmav t contents tlserc f 1 e 'me s trun and m f further state that I am [ an 1 With the laws, onil d me the eto level,, pl bin n d Sc,,n,a_,, and Stogie of Gnhfornin.and Iho nbove work will bn pert t I n as tystl om th, Within tha City of El SIGNED itii%/ / . ....� ..• App Ice nt. !,, 7FOR DEPARTMENT S • ONLY PLUMBING PERMIT NO! / 17 h IGATIO 1 Da! a.�.i� 'i?'�%_..:.:. . »ice S..,r.•.'`�.. � Clm k d ly..._...��, NX�� APPLICATION HO. - - _ attiXiOn°�drRP for PLUMBiNfi City of El Segundo, California DEPARTMENT OF BUILDING 8 PERMIT SAFETY FEE STRELT G oFio /551¢ OWNER cXFe"e - FOR APPLICANT TO FILL IN AE--Ea- r $�/¢ f - E-/- PEAMIi. TEES .1Enc%I! D O TEL NO, CAS .SYSTEM P 41.00 ......OUTLETS FOR 5 $ _CITYG —` CONTRACTOR CONTRACTOR'S 9 AROAESS �O(„ sa• `'�;n,�.TS•d.t/.gG.C, PIPNC PLUMEINC F WITHOUT FIXTURES SEWED {S) @ $1.00 C.Cfi $ - �� - _ -- �. _ YSTEM IST� i� $ CGNTRACTpfl'S : COhTRACTTR3 b STATE ,+ PHONE [ /L z�Lg�JVJ LICFNSE N0. �i 2Z JJ MATER HEATERS $ CCNTRACTOp'9 l Y LICENSE N0. PURPOSE � GF pLpa. r r iri'xGei Blt�i$ WATER TREATING EpUIPMEtR BAR SINK $ BATHTUB $ of E9'><Z ppEq DENTAL UNITS BLO METERS NEW etpo, ❑ CID swo. d hEC B Y ap;E oF� wp��W I � ^'G2� DISHWASHER ' $ DRINK: FOUNTAINS F FLOOR BRAINS $ FLOOR SINKS n GARBAGE DISP. " '- $ PERMIT 1C. ISSUED I I1•SUE6 LAUND. TRAYS " " " $ INOUSTRIAC' WASTE APPROVAL LAVATORIES u n a $ SIIOWER PANS " -' $ INSPECTION RECORD SLOP SINKS $ IRINALS $ _ WASH. MAC ". STANDPIPE F WATER CLOSETS " " $ PRIVATE SWIMMING lf1pranddo omta.oD PPIy.1 ta'ad ;�O - -- VAO. ORRRO. on BACHELCW PREY. $ F A 5 .CESSPOOL @ $2.00 F SIG OF NPERMTTI.:LLrf„`._eyC•�^... l/.�1✓._ VAJ APPLICATION for PLUMBING PERMIT City of El Segundo, Celifomie DEPARTMENT OF BUILDING SAFETY I HEREBY CERTIFY THAT I HAVE READ AND EXAMINED THIS APPLICATION AND KNOW mE SAME TO DE TRUE AMO CORRECT ALL PPOY191tlNR OF IAW9 AMO THFR SPECIFIED HEREIIN ORIHOT,MO PERSON SNRLL pE PtMED TOIPERFORM WORK JNDFR TN19 PERMIT IN r'I'— N OF ME LAOUR CODE OF THE STATE OF CALIFORNIA. I FURTHER 91111E THAT I AIA PROPERLY LICENSED AS E. CUIRED OT SECTION 7031.S 0i INt STATE O'A INF94 S PROFFIDION9 C00F (OR CLAIM EXEMPTION UNDER SECTION 701.) If'�",�yy 4 slcRAiu�oFC AOfun fi1Wdon1EfF 1— —°'-' SIGNO�1i RE3FbWNTp f1T dWNER GUILDER) io�e'1 3!E 1514 E. Elm , CITRUS HZ7A{.Y1E .Dick Rau ADDRESS Same CITY TEL: N0. PLUMBIND CONTRACTOR nano -al Tnatal ltio _ sTnEE�i iooyES9- 6558 Weet Blvd. city 'L.A, I PROM FACTORS 753 -2541 CONTMCTOA'S CITY UCME N STATE 410938 I ucEn9E xD. 151839 o °vReL09DaF. Dwelling NO. n'xE`ISHi0R1� SITE NLDO. N0. OP - MD. '0F &OFFERED FAMILITS NEW BLDG. O .A RLDD: p RECEIVED BY MTE.OF M1L PERMIT M. I. DATE ISSUED' I 1�10 SSUEO INOUSTAIAL WASTE APPROVAL SEM LOCATION DIST. FROM M.N. OTI INSPECTION REMARKS CAS, PIDD. KEr: "S •l Af PLILATION for PLUMBING PERMIT STAGE= a ADDRESS V Ity of El Segundo, California .-1.1o. DEPARTMENT OF BUILDING SAFETY nwNPR FOR APPLICANT TO FILL IN �^ AUUgESS S NO PERMIT FEES AMOUNT CITY TEL. NO. flASSYSTEM (ova's WS'Do DUTLCTS AD EAI FORS 5 PLUMBINB CON . TRACTO2 � CONTRACTOR'S STN EETAOtl RE65_ CITY E— IACTOR PHONE'y ^f 3 2 2 s CtlNTRACTOP'S CONTgACTOR'S ) (� CCTV LICENSE NO;` g'�'I LIOENSE N0. t C76 PUgPOSE f� NO. Of STOi.IES OF.CLOO AA I.f-O� HEIGHT SIZE .F Lee. METERS ----II FAMILIES t NEW 01.00 IJ OLD SLO RECEIVED BJYY] /5A I DATE OF /A/PPL,, P.C. NO I4il 7;Ueo BYUEO• .ir.�..+'."!'Y• . INDUSTRIAL " WASTE APFRDV,'1L INSPECTION REMARKS - APPROVALS DATE n9.PtttF9:t AxeCUne VALIDATION NOV, —,I n I `t' . C 2 1514 E® ELM AVE FILED 01107 D BUILDING PERMIT PERMf�NUMBER: �Q(?•p2 wiq �eti.�ciamamre� wwmrmzee�p. anm� aarmmmgy.msxr [J tu�MV �aat?�aY�m.m �IU�tt }F mia"Mr>s°wMar saveo- �bw�ffx lwe�raaeXacrT -T�'a cwni wAlnlY�rmt o-�sp �p�MmGC � ��stowea ���atn aer�mens`e Q twEE iecmG_6�,°bP ° .cream C7 71a Sa�IZ�63o -03 f r'l erL1:�f°yw c�rouw' mu,m mRCw�wrrma xflEM q,re[ � � p swaOmo�.weaww p. msce.0 O nnc L-46 ZW 1d2/Ci a