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HomeMy WebLinkAboutOld permits 1 Development Services Departme
ei1 :- 240 West Huntington Drive,Post u.iice Box 60021 PERMI O. B00_015-342 ,/
Arcadia,CA 91066-6021
Arcadia (626) 574-5416,Fax (626)447-9173 Permit Type: Plumbing
PROJECT TRACT NO. LOT NO. APPLICATION DATE ISSUED BY PRINT DATE PERMIT STATUS
4/17/2003 MB 15:04 4/17/2003 Issued
PROJECT ADDRESS ASSESSORS PARCEL NO. GEO CODE
1107 Englemann Ct T1107
OWNER MAILING ••.. li 111 1 'ARCADIA OAKS LLC l�1 - PHONE NO.
Inspector#: 206
EMAIL ADDRESS:
APPLICANT MAILING ADDRESS
PHONE NO.
EMAIL ADDRESS:
CONTRACTOR/PROFESSIONAL MAILING ADDRESS
CASA PLUMBING INC 856 ELM ST L PHONE NO. (714) 771-6073 FAX NO.
ORANGE,CA 92867 EMAIL ADDRESS:
License No. 809831 Type: C Expires: 6/30/2004 12:00:
TENANT MAILING ADDRESS
PHONE NO. FAX NO.
DESCRIPTION
FIXTURES FOR NEW HOUSE
Construction Type UOM #of Units Value Construction Type UOM #of Units Value
OCCUPANCY: Dwellings TOTAL VALUATION: $0.00
QTY UOM DESC AMT AMT PAID ACCT QTY UOM DESC AMT AMT PAID ACCT
Flat Plmbg Issue A $40.25 $40.25 01-3105 each SWMF 2 Auto $1.00 $1.00 88-3027
4 each Bathtub $45.20 $45.20 01-3105 Totals for: 88-3027 $1.00 $1.00
2 each Shower $22.60 $22.60 01-3105
6 each Water Closet $67.80 $67.80 01-3105
7 each Lavatories $79.10 $79.10 01-3105
1 each Bidet $11.30 $11.30 01-3105 I I
2 each Kitchen sinks $22.60 $22.60 01-3105
2 each Dishwashers $22.60 $22.60 01-3105
2 each Garbage Disp $22.60 $22.60 01-3105 FI ' l!^' I ��'‘
2 each Bar sink $22.60 $22.60 01-3105
1 each Lndry trays $11.30 $11.30 01-3105
1 each Clothes wsh $11.30 $11.30 01-3105
1 each Wtr htr/vent $14.10 $14.10 01-3105
8 outlets Gas piping $22.50 $22.50 01-3105
1 each unit Sewer connec $28.25 $28.25 01-3105
Totals for: 01-3105 $444.10 $444.10
Total Fees: $445.10 Total Amount Paid:
$445.10 Paid Today: $445.10
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.
CALLS FOR INSPECTION INSPECTORS'OFFICE HOURS
Requests for inspection should be made at least Monday-Thursday Friday
one(1)business day in advance of the inspection 7:30 a.m.to 9:00 a.m. 7:30 a.m.to 9:00 a.m.
by telephone at(626)574-5416 for onsite work. 4:00 p.m.to 5:30 p.m. 4:00 p.m.to 4:30 p.m.
(Closed on alternate Fridays)
•
A l�
t
•
�w PERIviIT/PLAN REVIEW APPLICATION
rroA
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 and
Professions Code,and my license is in full force and effect. �/ ❑ I have and will maintain a certificate of consent to self-insure for workers'
License Clas License No%il 41, Ex..Day F 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 If
❑ I have and will maintain workers' compensation insurance,as required by Section
OWNER-BUILDER DECLARATION 3700 of the Labor Code,for the performance of the work for which this permit is
❑ I hereby affirm under penalty of perjury that I am exempt from the Contractors issued. My workers' comlen ati• insurance carrier and policy number are:
License Law for the following reason(Section 7031.5, Business and Professions Carrier 7 "YAP/ A. , / 044-, ✓r - •- 1-°
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 /;`a�
Policy Number t/
for such permit to file a signed statement that he or she is licensed pursuant to the (This section need not be completed if the permit is for one hundred dollars or less.)
provisions of the Contractors License Law(Chapter 9(commencing with Section
7000)of Division 3 of the Business and Professions Code) or that he or she is ❑ I certify that in the performance of the work for which this permit is issued,I shall
exempt there from and the basis for the alleged exemption. Any violation of not employ any person in any manner so as to become subject to the workers'
Section 7031.5 by any applicant for a permit subjects the applicant to a civil compensation laws of California,and agree that if I should become subject to the
penalty of not more than five hundred dollars($500)): workers' compensation provisions of Section 3700 of the Labor Code, 1 shall
forthwith comp) with those provisions.
❑
I, as owner of the property, or my employees with wages as their sole
compensation,will do the work,and the structure is not intended or offered for Date Applicant
sale(Section 7044,Business and Professions Code:The Contractors License
Law does not apply to an owner of property who builds or improves thereon,
or who does such work himself or herself or through his or her own
employees,provided that such improvements are not intended or offered for WARNING: Failure to secure workers'compensation coverage is unlawful,
sale. If,however,the building or improvement is sold within one(I)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
/��err information.
Name 414,41) 01 e 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 City ordinances and State laws relating to building construction. I hereby authorize representatives of the City of
Arcadia to enter upon the abov -mentioned property for inspection purposes.• Date fhil°Signature
nt By: ; 9497259322; Sep-4-01 11 : i4AM; Page d/
05-14-0' 02:05pm From-CDD 6264479173 335 P.02/02 F-664
i4 .;y'
•
-al f� - " CITY OF ARCADIA
240.West Huntington Drive
Arcadia, CA 91007 .
ROUGH GRADING VERIFICATION
ATTENTION: Community Development Administrator.
. SUBJECT: Grading Verification for Project No f rac...-i- .. Rip S Z 7 cL\
Address: 70 _ - , • L;'�1 i&ii1 1i
Areccr(c .ce.. Q1000 ,
Gentlemen: //O 7 &N/k� rv,,,a,w Coo r-vt-..
Rough grading operations have been completed for Project No 2 for
Lo through (if applicable) and has been inspected
_...by the undersigned Registered Civil Engineer or Licensed Architect..
Based upon the observations, the rough grading of the lot(s) listed above have been
,completed in conformance with plans marked "APPROVED" by the City. The work
includes but is not limited to the following: grading to approximate final .elevations;
staking of.property lines; location and gradient of cut and fill slopes; .location, cross-
sectional configuration and flow-line.gradient of drainage swales and terraces; berms -
installed where indicated; and required drainage slopes provided on building.pads.
Enclosed herewith is a Soil and Compaction Report for the Building Division which is
required on all new construction sites prior to footing inspection:
QikOFESS H
/1 l` - .�4`- V MqN '4!�
'Engineer(Sign•tore) .`Z>oj. •' .ape 'yam rchitect (Signature)'. •.
R.C.E. No. f X703 II W No.13703 ` y.`P.A. No. -
Exp. 3/31/05
Date: C//(c/p'-5 *k *
Received and approved` ` ,A C i V 1 �►,;
OF CALF'
Date:
C.D.D./Plaru ing
cc: C.D.D./Maint. Ser.
C.D:D./Building
•
jok
March 24, 2005
Building Department
CITY OF ARCADIA
240 West Huntington Drive
Arcadia, CA 91007
RE: 1107 Englemann Court
Attention Building Department:
This letter serves as written authorization to remove the following company as the
currently listed contractor relating to my property:
TNT Plumbing & General Contracting
2601 North Del Rosa Avenue, Suite 220
San Bernardino, CA 92404
License# 399291
Kindly replace this information with my name as OWNER/BUILDER and provide Greg
Caraveo with a new job card.
Thank you for you immediate attention to this matter.
uiz Ignacio
240 WES']'HUNTINGTON D171vg j
1.`',RC:ADIA,(;A 91007
13UlI,DING BFRVl3!.ES
(626)574-`JIG
Application is hereby mode to the Building Ofrioinl for A permit subject to the enndltlohs I hereby affirm under penalty of p nju[yth am exempt from tlOaf OO,trnctor'a License Zacj fOr
Mid restrictions set torch ont ib application.—— Urc following rant= (saes 7031,5 Business and Professions Code: Any city or county wtielt
• --— ——. — -- requires n permit to construct, altar, improve, demolish. or repair any snucturo,
f orkers'COtnprnrarOpDecforatiDn issunnae,also requires the applicant for such permit to file n Signed PR or tc :i
I hereby affirm under penalty ofperjury one of the following; (check nppro rinte line Bred�'tpem9rit that en i w h
_rhave and will maintain a certificate of consent to self insure for workers'compensation, Section 7000)of Division n3 of the Bhn Connector's Licence Co or that h(o or sho is ex mpt
as provided for by geetlon 3700 of the Labor Code,for tho performance of the work for which therefrom and the basis for the alle rcexemption. Anny vi Code or Se he or shu 3 exempt
this ctm,t is issued. 6 Any violation of Section 7031,5 by ai?'
EIPPliant
I have and will maintain workcre compenaation insuranc0.tie required by section 3700 of 5300.00)for a penult subjects the applicant to civil penalty of not moro than five hundred delis;.
Mc Labor Code,for the performance of the work for which this permit is issued. ley werltnrs
oompensation manna=carrier and policy number;are_ 0 L as owner of the properr ,or nu'amployoos vzith wages y,their note aornpcnsat on,will do
a 11,005'40q, the work and flay structure re not intended oJ'offered for sale(Sc e.70d4 Business and Professions
Carrier polioyd 2 Codc:The Contractor's License Law don,rot apply to act owner of ptoperty who builds or
improves thereon,or who does such work himself or herself or through his or her own employees,
CLRTIFICATE OF EXEMPTION FROM WORCtiIERS' provided that such improvements are not intended or offered for sole, If,however.the building or
COMPENSATION INSURANCE improvement is sold within ono year of completion,the owner-builder will have the burden of
proving that he or she did not build or improve for the purpose of sole).
I certify that in the performance of the work for which this permit is issued.I shall not employ 0 T.ss owner of the property,am en.Clusivcly.eouttneting with liaxtseci coos-notary to construct
any person in any mckrttor so as to become subject to workers compensation Laws of California. the project(Sec.7044 Business and Professions Code:The Contractors License Law does not
and agree that if I shculd become subject to the workers'compensation provision,of gcetiou apply to an owner of property who builds Or improves thereon and who contracts for:ach
3700 of the Labor Code,I t3hadt forthwith comply with those provisions. projects with a contract(s)licensed pursuant to the Contractor's License Law),
Applicant: .. 0 T tmr exempt under Section _ �,B.h E.C.for sirs
WARNING: Failure to scotue workers compensation insurance is unlawful and shall subject an r'18°L1:—_
employer to criminal penalties and civil lines of up to One hundred thousand dollars($1 00,000), "�—
in Addition to the cost of compensation,damages as provided for in tho Labor Code,interest and OwNLR: — DATE:
=windy fees.=windy
I.10ENSED CONTRACTOR'S'DECLARATION
f hereby attinu under penalty of pemuy that I stn licensed under provisions of Chapter 9 t certify that I have read this applic flan and mate that the nbo've information is confect and :
(commencing with Section 7000)of Dr vision 3 of the Business and Professions si Code,and Ins rem the owner or a duly authorized agent of the owner.I agree to comply with all city,rid r
license is in full force and ofl'eat, laws relating to building construction and hereby autheri- represcnlativcs of the City of Arco:,,_
T^r7 r] r to enter u on the cr e-atimbauCd prop qy for inspect purpose*.
License Number .41?!��/!�32;2-- License Glass ('J �_ �/, /�
Ezparuuon Date of Contractor's License I-" I ( 1 t• re o ow •, agent or contractor p;c
r_,u,( xk} LLC ELECTRICAL PERMIT
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., d.,,�,i.• ;}• , Inc. ' ',: 'l,.11.� ,." t•. ii 255 Citation ii>: ' : qrc ,:, '• :.11i;i i�
fy?d�lless tl.n Circle c ��} � Qy�17
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311:1 to 33f p•P) 880-2523 .il'll'I,,,.�.,i, I,....! '�h•.)„t,'a 31e 7��' ',1'11!.3,'' 'ql,: ll.l;3l~
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�'��• c' i ;)1 3 ,� �rte `/'y� ...4-49(.0-C7
,,c. J '1: ,3�°,iii:°''foe•1!�,t a.i.J..., r i 3 i33. u.g�. Description� `��-"�' ' �''1•T '�';�3• 1�• —yr'1,/
l,, ,is p)�:,;:4'111'r.''.t;:'"i':()li I:ill.'>':.3i3''>}; :i+Ipiltri,,,1 t'n 311),;':':J5-:i'�'i-'l y•�t I i.•,,,c; •t .t.,J� __
13 'i:.) F11-,,1314:7:,''Ili.:::l• tJ i,:JZ •13�3�i.1,.:. '137f'tni'ii' ,1,1'311 . ,1 -„t,, .•.,. .all
Ilir ).,,P,lt11L ,f,.1.,:3tl.. 1:I,,l S�l"%:,,•,•:I 1, )Isi10.".• .. J II){:1,3, ' rf:;'. ufaF{l Fee No.
�3)lI'.. li i 33. if.1,i1 . i°�Itpl .�:3 fly'' i'`..,!'1.1;Ali
Description Fee No. Amt. Power Schedule for Equipment Rated in
m,KV ,, KW or KVAR
1-20 receptacle,switch or lighting outlets 1.40 etas 11111111111.111 Over 0,not over 1.eacll t
Each additional switch,receptacle or outlet 0.90 6.)0
Over 1,not over 10,each 14,10
I-20 lighting fixtures or lamp devices 1,40 ca. Over 10,not over 50,each
Each additional lighting fixture or lamp 0.90 �J.5 M;
Uver 50,not over 100.each 70.55 5
N
MEM
ew residential constriction 0.05 ps MIMEO Over 100,each
New assessory structure w/new dwelling 0,04 pa! � 400 11 . 00
A 00 amp or less res.idenlial service '
Residential appliances not exceeding 1 HP 5.65 ea. 14.1) �►"
200 amp or lass eorxlmcrcial.service I9.10
220 or240 volt receptacles 5.65 ea_ iiiiing. 20lamp to 1000 amp commercial service 5
Swimming pool and/or spa 56.35
Over 100()amp commercial service 141.35
Branch circuit for one sign 56,35 NM Each additional motel'
For ecch additional sign branch circuit 5-65 14-10 ��
vliscel.laneous
Dishibulionpanai_each 14.10
6........ Temporary power pole w/service panel
:Tull Description of Work; Each additional power pole w/panel 14.10 MI
Solid Waste Management(SWA'1F)and 47.25
•
Processing fee
Total fee.including Processing and SWlv-IF „, `?
r Price per square foot
4
i i
OPIN 11 09:0Tam From-CDD 6264479173 %"�9. T-617 P.01/01 F-897.:: :240 west Huntington Drive ELECTRICAL:'- MECHANICAL -:PLUMBING �
j '•Arcadia,CA. 9t006-6021 PERMIT"WORKSHEET
(626)•5745416
BUILDING ADDRESS . rJ
DESCRIPTION OF WORK • ELECTRICAb • '`
SQU4RB'FEET ' ±5561.
F—� .TYPE OF CONSTRUCTIQN W ALUATION
• A.RCAD•IA OAKS,'' LLC
9
. . OWNER NAME•' ;.• .........
•• .:35'01 JAM,BO1 EE ROAD,' SUITE .2000 • Cry NEWPORT >•3ECAH STAYE:..0
- •zIP 12660 '-'.
ADDRESS
' . • BERNER ELECTRIC.,' INC.: '' '9b9-x73`4 -31.71:>°
PHONE .
APPLICANT.NAME: . • •• ••
• •,2:55 •.CITATION CIRCLE'.
IRCLE' ciTY CORONA STATE CA ,f• .p 9.2$81)
ADDRESS
949-Z? -.9�oa
O
• CONTRACTR;:.
'CAL METRO BUILDERS .' INC.• ••PHONE,.;.„-•
ADDRESS'".,
'3.501 . JAMBOREE `ROAD; SUITE. 2000 C1.i,NEWPOR'r.BEACH ,.STATE ' CA Zp . 6O
' , 4 8 5'32 2 2 Cl.n•. EXPIRATION DATE 10 31 f,o 'CITY.LICENSE_NO •�r� , .
STATE LiC*- ''N0. l ICENSE CLASS
,- 7..:.7 t. ,,.y,,,! ...... 1 PLll,tlyl8Il�l�c0..s STEM . ....,......4t.:).2.,.:.•,, J,• •#of Units I Description . ;:(Additions.Commercial Industriap #of.Units• .Description• !
•
' Temporary Power_Pole #of.Panels:__._n_... ._____. _ ;aam�ubs ..,.- ,, ,.
• 1. I Services'- ., •. , Size:_•4 00 AMP. .... . .. -. , Showers . ----
`.7'Outlets(Receptacles Switc tes) :. ..._ j Water Closets - —
�'FIxtures: ., ,, _-. _. . . ._...... Lauatatles ,
' •S�bpanel: 2o©. AMP
Size: . ..
__... •
. , ........ - .K1t�..e^Sink .
_ ,.;Sign BranchCirc. , „ _._ _ . . ._ . __. _�, ,
;Dishwashers :: ..: )•
I Miscellaneous. Garbage D sposi�is' u
3 Sq. Ft;Area New s, .:.....::..,.
q,'Ft ilras N9w Res:Bldg. / Floor Sink
Bldg., Accessory ,_.:
Floor.Drain '• -r*4-
#.of Units Reecription .._•.•..•:.____ . ., 'Laundry Trays
FAU'to and including 100,000 BTU
.«_n _ r ,,,-"...,•Y1
..L t "2;,1 m
- - Cibthe's,'Wash®r�
FAU
• , over.100,000 8'TU _ •• • ..-� -. Grease Trap '•
• : -• • �• Floor/Wall I SUS.P:/Heater. •---- • •
Gs's Systems-#,outlets
Pre-Fab Flreplacei
. .. __ ., .. ..... .SSh o er Pan Ra lacement •
;�•:•'
Kitchen Exhaust Hood .' w ^ ,;, .•
• • � � con Fan nduding duc t(COM•and IND only). - • wim'rbfria Pool•Piping "p"-gip , �• s ,'
'
Boller./Cornpressor'to and Includin9:3HP
Po'b1.Water Heater� ,�• �''
bolter/Compressor ressor over 3HP to 11H1' ,-_.
Boller./oompreisor over 1'6HP'to 3OHP
:Sewer-Connections• ....,:4,:s..;•
!, �-;;.•
• ..',Boiler.I Compressor Over 3OHP to 50HP
•'Boiler./Compressor over 50HP to 1,75HP”
4a'wn Sprinkler System ,
'Air-'Ffandler to end.inoludli 9 10,000'CFM . •Micellaneous.. ' -F.
andler over 10 000 CFM I:, F;•
to/Add Registers or Ducts • • 1';
' /3db -o /to - 3gy
•/4i-use%o ip//, 3
P/4)-) 2A
//0 7 1.-?:-A). 4 Cae,s,rt'
YE I - - - - - - -.- _ - . - ;- - -�� _
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ROUTING pate and i AC----
t ;; ç ,* Ser
Initial::. ! ' <��
�r
I Notes
sheett/.
PI inning 7iS CA/
A.R.A. ,
Enq. _ ,._
Bui1din
Fire «.. ' _
PWS Water 1.....H.,
P W S-NPQES= , _ _`i~ �_ _. ..
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JUN-26-2003 09:07 0,0iQST INC. 714 4468689 P.02/02
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.i.,4_4.41'•,4 ' : 1. ' ,i . ,
11.111316Z.H.L. 2...1-76-rthe.i.■ TUNE 26,2003
.. .
CITY OF ARCADIA,„,... .-
. .
240 W.HUNTIN9TON Dit 1 -
i . 1.•'-i„s : .
ARCADIA,CA?"91066
, 1 .
... . .
,
ATTENT ,
Bull DING 0EPARTMENli
. .
.,..
? . . .
1
\ . .
REFERENCE: ARCADIA OAKS PRO : —TRACT 52745
!,
LOT 9- 1107 ENGLE 1' ).''COURT
,
- . -
TEES LETTER SERVES AS MY VERIFICATION OF BUILDDIG FOR.M BOARD 1.: • . . '
SETBACK LOCATION&F.F.ELEVATIO$PER THE PRECISWGRADRIO ht.
BUILDING ENVELOPE PLAN PREPAREUY KEITH&ASSOCIATES.,TRE
FORM BOARDS ARE IN qUBSTANTIAL NFORNIANC,E WITH THE REVISED
FINISHED FLOOR.OF 660.58 AS SHOWN ON
ItEVISILINDATE,111:2-61737'THISVEItIFICATIONISEASEfre14,21/411E11,-elfMt
ON 6-26-03.
t
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SINCERELY,
4r-it".' 4.0lioe . 1 1
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...„..1.4.....:...
RON POST 11
PRESIDENT •
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24 EST HUNTINGTON DRIVE ( r F OF A R CA D IA-4'N BUILDING SERVICES
ARCADLA,CA 91007 (626)574-5416
* 4 '•OWNER-BUILDER DECLARATION""
Application is hereby made to the Building,Official for a permit subject to the conditions I hereby affirm under penalty of perjury that I am exempt from the Contractor's License Law for
and restrictions set forth on this application. the following reason(Sec.7031.5 Business and Professions Code: Any city or county which
_—__—______—_________—________-- — _-- -- requites a permit to construct, alter, improve, demolish, or repair any structure, prior to its
Workers'Compensation Declaration issuance,also requires the applicant for such permit to file a signed statement that he or she is
I hereby affirm under penalty of perjury one of the following: (check appropriate line) licensed pursuant to the provisions of the Contractor's License Law(Chapter 9(commencing with
I have and will maintain a certificate of consent to self insure for workers'compensation, Section 7000)OF Division 3 of the Business and Professions Code or that he or she is exempt
as pro tied for by Section 3700 of the Labor Code,for the performance of the work for which therefrom and the basis for the alleged exemption. Any violation of Section 7031.5 by any
this t is issued. applicant for a permit subjects the applicant to civil penalty of not more than five hundred dollars
I have and will maintain workers'compensation insurance,as required by Section 3700 of ($500.00):
the Labor Code,for the performance of the work for which this permit is issued. My workers' ❑ 1,as`owner of the property,
compen anion insuranc carrier and oli• numb are: p perty,or my employees with wages as their sole compensation,will do
it .' the work and the structure is not intended or offered for sale(Sec.7044 Business and Professions
�` � �) ! '� y, V\!L'9 iILiI 'l 1 ' -- Code:The Contractor's License Law does not apply to an owner of property who builds or
Cartier 1 111 I III I1e II VV `� �t improves thereon,or who does such work himself or herself or through his or her own employees,
CERT ATE OF EXEMPTION FROM WORKERS' Li( provided that such improvements are not intended or offered for sale. If,however,the building or
COMPENSATION INSURANCE improvement is sold within one year of completion,the owner-builder will have the burden of
proving that he or she did not build or improve for the purpose of sale).
I certify that in the performance of the work for which this permit is issued,I shall not employ ❑ I,as owner of the property,am exclusively contracting with licensed contractors to construct
any person in any manner so as to become subject to workers compensation Laws of Califomia, the project(Sec.7044 Business and Professions Code:The Contractor's License Law does not
and agree that if I should become subject to the workers' compensation provisions of Section apply to an owner of property who builds or improves thereon, and who contracts for such
3700 of the Labor Code,I shall forthwith comply with those provisions. projects with a contract(s)licensed pursuant to the Contractor's License Law).
❑ I am exempt under Section ,B.&P.C.for this
Applicant:
WARNING: Failure to secure workers compensation insurance is unlawful and shall subject an reason.
employer to criminal penalties and civil fines of up to one hundred thousand dollars($100,000), OWNER:
in addition to the cost of compensation,damages as provided for in the Labor Code,interest and DATE:
attorney fees.
LICENSED CONTRACTOR'S DECLARATION I certify that I have read this application and state that the above information is correct and that I
I hereby affirm under penalty of perjury that I am licensed under provisions of Chapter 9 am the owner or a duly authorized agent of the owner.I agree to comply with all city and state
(commencing with Section 7000)of Division 3 of the Business and Professions Code,and my laws relating to building construction and hereby authorize representatives of the City of Arcadia
license is in full force and effect.
License Number 52 to enter upon the above-mentioned property for inspection purposes.
Licens lass _
Expiration Data of Contractor's License .�.) 5/ c=: Signature of owner,owner's agent or contractor Date
MECHANICAL PERMIT
T3ulhkwg ez
(,7��,�st�p or:. i jjjj//qq
"rT?. i� ? :.1...;1; I. '* + f,i0:11!tfry) '3413
F UIItTfl,,,0,
fop nl1GtfIl 1} ?i,{ l, i i :t!i! 1? + � dre $ t i? It.
t ! .i i� i i {*. 31 t 3 t: F1 ,.g
i .? r ,,,,••,7,,, ;;;,,,.•;,„:,i s. 11 355'-. .i 1 ?i :1 i f 'autl� i- ,tom" ? tt
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3?i=ill t tll33Jli ii?� 1'..1 i1ii 314.i 1 i 1 3 i 1 !i i ,,,ggyay 3?3 } 1 i s is, t 11 y R'd •
i ,{: 5 ?{ � i? i t i 113351}� �'s li +i� Is� t1i1 fii tt �1i3 i 3 � 1 �'�-' �#!l:'3 t 5#{if.i ��• e f nbC'1
'.,,,t'nl i !{ - 5 a. °i li? ?t i 1+ i :5?:?;?:,,,i:t .W,,31111}1i ? ` !1 {- l; a 'i
d� l It F I i 1 n: Rte..: i -- :AN(t,. 1 } i . 11 ) 1 it j 1 1F/ '1,,,!,,K3 ....,. ...:
{ii i st 5 1 ?i 13 3sj1t
s i, i; ,, ,, :? ,,, .. fine L be Description Fee No. Amt.
...... :?i:�i!.?.i1 3i.;:: , 5. }m 5.�. •i'.y.is}.»: .,..-' ..
I Description Fee No. AmtInstallation or relocation of compressor or 17.00 Li, ie-
boiler to&including 3 HP or 100,000 BTU l
Installation or relocation of each forced air 17.00 / Installation or relocation of compressor or 31.10
or gravity furnace to 100,000 BTU, 3 I e boiler over 3 HP or 100,000 BTU to and
including ducts and vents attached thereto including 15 HP or 500,000 BTU
Installation or relocation of each forced air 21.30 Installation or relocation of compressor or 42.50
or gravity type furnace,incbttling ducts and boiler over 15 HP or 500,000 BTU to and
vents attached thereto,over 100,000 BTU including 30 HP or 1,000,000 BTU
Installation/relocation of each floor furnace 17.00 Each ventilation fan connected to a single 8.50
installation or relocation of each suspended, 17.00 duct and not located within a dwelling unit
wall,or floor mounted unit heater Each air handling unit to 10,000 CFM 12.80 1 ` M
Repair or alteration of an appliance vent 8.50ea. Each pre-fabricated fireplace 12.80
Repair,alteration,or addition to existing 17.00 Each evaporative cooler 12.80
heating,cooling,or absorption unit Each kitchen grease hood 12.80
Full Description of Work: Miscellaneous
Solid Waste Management(SWMF)and 41.25
Processing fee
Total fee,including Processing and SWMF 1j
/rim 1
C Aficate No. 2002408 — 24 9
ARCADIA UNIFIED SCHOOL DISTRICT
234 Campus Drive, Arcadia, CA 91007 •• (626) 821-8300 Ext. 6732
(Certificate of Compliance with Fee Provisions of Government Code Section 65995)
This new Fee Schedule is effective April 8,2002. Any Developer Fee worksheet brought in on or after this
date will be charged at the new rate.
Address of Development: 1107 Englemann Ct. , Arcadia, CA 91006
Number of Buildings in Project: One Plan Check Number: 03-84
[ ] Exempts 500 sq. ft. or less. Future k Residential2 [ I Commercial/Ind.2 [ ] Com/Ind Parking2
additions chargeable at regular rate. $2.14/sq. ft. $0.34/sq. ft. $0.17/sq. ft.
Area in Sq. Ft.: A developer may request refund of fees to the
5,591 District within twelve months of payment of fees,
in the event the Building Permit expires or the
Developer Fee: $ ..11 ,964.74 project is canceled. The refund will be reduced by
a $100 administrative fee. The refund check will
Receipt No. kX I I N/A be issued in the name of the original payee and
mailed to the address of payee, as shown on the
2 2 0 7 7 7 original Certificate of Compliance.
Part of Phase III , Anoakia Estates
Owner: Arcadia Oaks, LLC Developer:
Mark Smith, Hover Dev. Co.
Address: 3501 Jamboree Rd. #2000 Address:
Newport Beach, CA 92660
Home Phone: Business Phone: 949-725-9600
Pager/Cell Phone: ! Pager/Cell Phone:
1This is to certify that the above-described development has been determined to be exempt from the developer fees
of Government Code Section 65995 and a Building Permit may be issued therefor.
2This is to certify that all fees due to the Arcadia Unified School District, under provision of Government Code
Section 65995, as a prerequisite to the issuance of a Building Permit by the Building and Safety Division of the
Planning Department, have been received. Based on the information presented above, this Certificate of
Compliance is hereby executed.
➢ The District charges a $100 fee to process reinstatement of the Certificate of Compliance resulting from an
"insufficient funds" check in addition to a$20 fee for the bounced check. Only cash or a Cashiers' Check will
be accepted as payment thereafter.
The District charges a $100 fee for any amendments to or cancellation of a Developer Fee Certificate of
Compliance issued on any type of development. Said request for refund of fees paid to the District must be
made within twelve months of payment of fees. No refunds will be issued on fees paid prior to the twelve-
month limit for any reason.
Applicant confirms that he/she is authorized to ig. on behalf of the owner/developer and that
the information he/she provid-- er-in is rue d ate to the best of his/her knowledge.
Signature of Applicant: k
Approved: . A ♦ 111 April 7, 2003
Assistant Superintendei Business Services Ate,6
CO OT7
G
WHITE—Applicant YELLOW—Accounting Dept. PINK—Business Office GOLDENROD—Chrono DevFeeForm:4-08-2002
Amok .04,
•
I!
itARCADIA
r,,,cQ\ii�a�
MEMORANDUM
Fire Department
DATE: December 31, 2003
TO: BUILDING DEPARTMENT
ATTN: INSPECTOR Zurick
FROM: FIRE DEPARTMENT
SUBJECT: FIELD INSPECTION
ADDRESS: 1107 Englemann Ct
THE FOLLOWING ITEMS WERE CHECKED FOR CONFORMANCE WITH APPLICABLE FIRE
DEPARTMENT REQUIREMENTS:
DATE /INITIAL
TYPE OF INSPECTION PERMIT NO. FINAL
INSPECTION
FIRE SPRINKLERS B00-015-698 10/24/03
M Krikorian
FIRE ALARMS
TANKS
HOOD & DUCT
KNOX BOX
OCCUPANCY
COMMENTS:
Emailed Bldg Dept 10/27/03 - E Massey
tk4�Cr;
CITY OF ARCADIA
-; � DEVELOPMENT SERVICES DEPARTMENT
., Inter-Departmental Inspection Request
Date: i I y -U
To: Public Works Inspector / From: Oitej
Address: I I U n L h9 k Imo i 61 Permit No.: 1300-014 - 66
Contractor: Cam, I e I vU Phone No.: / G,
Owner: 1-I Liver ) eve !o, v c hT Phone No.: ( °i jc )
Please inspect the following items to ensure that the contractor/developer is in compliance with
all conditions of approval established for the project, and that the work performed meets the
City's standards for Public Works construction:
Type of Inspection Date & Initial Date &Initial Final Approval
Drainage �
Grading
Erosion Control
Offsite Improvements
Construction Bin(s)
Street Improvement(s) _
(conduit, curb/curb & �
gutter, curb nos.,
driveway approach, I 1
parkway planting,
sidewalk, street light,
traffic flow, etc.)
Sewer(s) (lateral,
grease/sand interceptor,
saddle, wye, etc.)
Comments: -?(jikJ
cc: Public Works Services Department— Sewer Inspector
Rev. 1 1/9/99
'^' PLANNING SERVICES "•""'`
ATTENTION: (Ov /i%` ' DATE: , f 3 ` 03
FROM: BUILDING SERVICES INSPECTOR: 6VC
PROPERTY ADDRESS:' I ' U � l., �!� �� y�c h l C t PERMIT# J: 1 O d - 01 y-F6 6 PLAN#: ) TO 7 5
CONTRACTOR: CU 1 fr`-G r✓'U PHONE#:
OWNER: /1 etr_s_tfAioc, KS L L C. PHONE #:8 ) -2) 176
PLEASE INSPECT THE FOLLOWING ITEMS FOR CONFORMANCE WITH APPLICABLE PLANNING
REQUIREMENTS.
ITYPE OF INSPECTION DATE & INITIAL DATE & INITIAL FINAL APPROVAL '
LANDSCAPING/IRRIGATION m44,4 Cazsayt. , "°
TRASH ENCLOSURES ,,���
e.o r mea
PARKING/DRIVEWAYS
C drwrIcie -10 Am. toll]
STORAGE AREAS
..�. 4
MECHANICAL EQUIPMENT
WALL HEIGHT
LIGHT HEIGHTS
BACKFLOW SCREENING
GRADING
COMMENTS: I I f Jb3 O
3/5/97
1 I j ' I PAoSY
I ' \ ` /
ti
C� i'b�� tom' ■ $, n87 (� 6 �" .�a� _ yU(a
f � � t l''....
I ' > '1 t f$ . _ , ® b66 r ; /
�58/S^ .� j 4i #1 A o •
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_---666 -�_ sss. I F�5JS p'/
iii.."--. .
,. / Stiiiiira,MOINI111110111111111111 ," -wr -- --:,w-,rA _
--..\\* / i % :-.:43Z - .
1 ,,, ! =60— —0.
Hp\ t0 . • 66 as �s •
q
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�'. .x.67 I$ I� �g1
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I' •,-.; ..,. $ 656 1. _ :�5
--— 6 L. r._,• _ 1 I it I i�`!111:1314:' s >--wow:
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<653.3
�--w— ANOAKIA ESTATES
Arcadia, CA
'� -` TREE LEGEND
1
AIN
WATER
RECLAMATION COUNTY
SOLID WASTE MANAGEMENT SANITATION DISTRICTS
OF LOS ANGELES COUNTY
1955 Workman Mill Road, Whittier, CA 90601-1400
Mailing Address: P.O. Box 4998, Whittier, CA 90607-4998 JAMES F. STAHL
Telephone: (562) 699-741 1, FAX: (562) 699-5422 Chief Engineer and General Manager
Counf'ei ttiYrCil: 7:00 a.m. - 4:00 p.m. Mon. -Thurs.
7:00 a.m. - 3:00 p.m. Fri.
Account No.: ', 0406380
SEWERAGE SYSTEM CONNECTION FEE District No.: 15
Date: June 28, 2002
Property Owner: ARCADIA OAKS LLC
Address of Property: 701 W FOOTHILL BOULEVARD
ARCA DIA, CA 91006
Thomas Guide Page:
Contact: GARY PETERS, SUPERINTENDENT
Phone: 626-836-6589
Mailing Address: 3501 JAMBOREE RD., #2000
NEWPORT BEACH, CA 92660
County Assessor Map Book, Page, and Parcel Number: 5769-009-003
Structure is Proposed.
User Category and Units of Usage:
Category: O 1 A
Number of Units: 31
Square Footage:
CONNECTION FEE CALCULATION
31.00 X $1,250.00 = $38,750.00
Number of Units of Usage Connection Fee Per Unit of Usage Connection Fee
SPECIAL CREDITS: DEMOLITION CREDIT $38,750.000R
Demolition Credit
COMMENTS:
$0.00
Connection Fee Due
AiOr! DL`'TRiCT
Fee Payment Received From: Processed by: MLH LOS ANGELES COUNTY °
N/A Approv d,by: APPROVED
Amount: $0.00 Ck. No.: .
D.C.: Date: June 28,2002 JAMES F.STAHL
CHIEF ENGINEER&GEN.MGSb
BUILDING DEPT COPY VALID ONLY WHEN STAMPED
0 Recycled Paper
»r.
03AT 4* WATER DIVISION
ATTENTION: I 0 1^"1. H i 5 c..r►-, DATE: I I_ 3 `' U 3
FROM: BUILDING DIVISION INSPECTOR: Gvr&j
PROPERTY ADDRESS: 1 0
PERMIT NUMBER: J7g 0 O 0 I L F�6 6 PLAN NUMBER: ' F C 7 5_
CONTRACTOR: (761 M .61- v 0 PHONE #
OWNER: /1✓G h e4 t c2c4 Ks L LC PHONE# (Oj ki c) —7 ) Gj S 7 U
PLEASE INSPECT THE FOLLOWING ITEMS FOR CONFORMANCE WITH APPLICABLE
DEPARTMENT OF PUBLIC WORKS REQUIREMENTS.
TYPE OF T DATE & DATE & FINAL
INSPECTION INITIAL _ INITIAL APPROVAL
METER LOCATION
I t(3 l0 3 L/1 -.
BACKFLOW DEVICES
Lib/63 VI--
IRRIGATION SYSTEM
FIRE SP.SYSTEM
t(72 /0'i
METER CLEAR.A.P.P. //
GW(3/0j --.
SWIMMING POOL
COMMENTS:
C Worddata/Waterdivision9-28-01
yi 9/28/01
w
Ea
PATRELL
ENGINEERING
GROUP, INC.
751 Sunny Grove Ln. • Glendora, CA 91741 • PH: (626) 335-4362 • FAX (626) 963-4812
ENGINEERING CALCULATIONS
AND DETAILS FOR SURCHARGE DUE TO
FREESTANDING BLOCK WALL ON SPA
BOND BEAM (BLOCK BY OTHERS)
RUIZ RESIDENCE
1107 ENGLEMAN COURT
ARCADIA, CA
( . 2994 r
* Exp. 6106
‘0CF 1 V IL * ryF Jo/S SF'
OF1,". SH CL BF A CALF Norte, s)gn
e
�1UtA T O FLO
DATE: JULY 26, 2004 °R.ST,4r �Apf
ENGINEER: DOUGLAS R. FERRELL
RCE # 32994, CALIFORNIA
651 E. NORTHRIDGE AVE.
GLENDORA, CA 91741
(626) 335-4362
0 Project: \7c 2- V.. -_-3eA.V2
PATRELL c)1 ' E t■AAN COOCz-t- AcC2L,FVi.A■
ENGINEERING Client: C "2COL 17
= GROUP, INC. Engineer: '= F +-V
651 E. Northridge Ave. PH: (626) 335-4362
Glendora, CA 91741 FAX: (626) 963-4812 Date: �`��-�-t 04 Sheet of L"\-
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PATRELL \ -1 E r1(A.K.t4\F N G7 rektzL44 (-A
ENGINEERING Client: c-- c
GROUP, INC. Engineer: -7 -t
651 E. Northridge Ave. PH: (626) 335-4362 Date: -1 -1-Le LO`4 Sheet 2' of
Glendora, CA 91741 FAX: (626) 963-4812
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•
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ENGINEERING Client: C- ,V, LL,
GROUP, INC. Engineer: ‘ 0,--"v ,.L,
651 E. Northridge Ave, PH: (818) 335-4362
Glendora. CA 91740 FAX: (818) 963-4812 Date: 117(..e(0 4 Sheet 27 of A'
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— — 1I � � � t.�1,orP4-.1 Cam 4/L t.A.-
PATRELL
ENGINEERING Client: - cs
GROUP, INC. Engineer: 1k7
651 E. Northridge Ave. PH: (818) 335-4362 /�,
Glendora, CA 91740 FAX: (818) 963-4812 Date: �(Z-u(W "1
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,el�oF CA``�pQ�
AiIt Development Services Depart
it 4 240 West Huntington Drive,1 )ffice Box 60021
PERK:'NO. BOO-015-698
o Arcadia, CA 91066-6021
City
Arcadia (626) 574-5416,Fax (626)447-9173 Permit Type: Fire sprinkler/alarm
PROJECT TRACT NO. LOT NO. APPLICATION DATE ISSUED BY PRINT DATE PERMIT STATUS
5/27/2003 MB 11:03 8/6/2003 Issued
PROJECT ADDRESS ASSESSORS PARCEL NO. GEO CODE
1107 Englemann Ct T1107
OWNER MAILING A
HOVER DEVELOPMENT ��p� PHONE NO.
Inspector#:���D
p : AFD
EMAIL ADDRESS:
Plan#: W/28075
APPLICANT MAILING ADDRESS
FIRE SPRINKLER SYSTEMS PHONE NO.
EMAIL ADDRESS:
CONTRACTOR/PROFESSIONAL MAILING ADDRESS
Fire Sprinkler Systems 705 HARRISON ST PHONE NO. (909)915-3473 FAX NO.
Corona, CA 92879 EMAIL ADDRESS:
License No. 684600 Type: C Expires: 2/29/2004 12:00:
TENANT MAILING ADDRESS
PHONE NO. FAX NO.
DESCRIPTION
SPRINKS
Construction Type UOM #of Units Value Construction Type UOM #of Units Value
Value Value 5,546.00 $5,546.00
OCCUPANCY: Fire Sprink/alm TOTAL VALUATION: $5,546.00
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 $170.45 $170.45 01-3104
Totals for: 01-3104 $210.70 $210.70
57 heads NFPA13D $325.00 $325.00 01-3109 .
FIRE P/C REVIE $110.79 $110.79 01-3109 F f N
Totals for: 01-3109 $435.79 $435.79 1
each SWMF 2 Auto $1.00 $1.00 88-3027 //,' /, E
Totals for: 88-3027 $1.00 $1.00 I I— U t_I —V 3 (J
Total Fees: $647.49 Total Amount Paid:
$647.49 Paid Today: $211.70
This permit/plan review expires by time limitation and becomes null and void if the work authorized by the
permit is not commenced within 180 days from the date of issuance or if the permit is not obtained within 180
days from the date of plan submittal. This permit expires and becomes null and void if any work authorized by
this permit is suspended or abandoned for 180 consecutive days or if no progressive work has been verified by (�
a City of Arcadia building inspector for a period of 180 consecutive days. , / �/
CALLS FOR INSPECTION INSPECTORS'OFFICE HOURS V
Requests for inspection should be made at least Monday—Thursday Friday
one(1)business day in advance of the inspection 7:30 a.m.to 9:00 a.m. 7:30 a.m.to 9:00 a.m.
by telephone at(626)574-5416 for onsite work. 4:00 p.m.to 5:30 p.m. 4:00 p.m.to 4:30 p.m.
(Closed on alternate Fridays)
g loom, 11; PERNIYT/PLAN REVIEW APPLICATION
it rrAiril rig
,..¢$j• Development Services Department, 240 West Huntington Drive, Post Office Box 60021
°L=• Arcadia, CA 91066-6021, (626) 574-5416, Fax (626) 447-9173
City of
Arcadia
CENSED CONTRACTOR'S DECLARATION WORKERS' COMPENSATION DECLARATION
I hereby affirm under penalty of perjury that I am licensed under provisio s of 1 hereby affirm under penalty of perjury one of the following:
hapter 9, commencing with Section 7000, of Division 3 of the Busine- and
Professions Code,and my license is in full force and effect. ❑ I have and will maintain a certificate of consent to self-insure for workers'
License Class ` License No. ��/� �� compensation, as provided for by Section 3700 of the Labor Code, for the
G t(� �l lJ Exp.Dat02 4 /
--ww performance of the work for which this permit is issued.
Signature of Contractor It Ai • Y/ di"
_ have and will maintain workers' compensation insurance,as required by Section
OWNER—BUILDER DECLARATION • 3700 of the Labor Code,for the performance of the work for which this permit is
❑ I hereby affirm under penalty of perjury that I am exemp Tom the Co tractors issued. My woylfgrs'Fompens on,insurance carrier and policy number are:
License Law for the following reason(Section 7031.5, Business and Pro -ssions Carrier 11g17,1•Yn/4( ci
Code: Any city or county which requires a permit to construct, alter, i .rove,
demolish,or repair any structure,prior to its issuance,also requires the app cant S1" 6/Od 0Ogg
Policy Number ✓
for such permit to file a signed statement that he or she is licensed pursuant to e (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 Sectio
7000) of Division 3 of the Business and Professions Code)or that he or she is • - 1 y 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 become subject to the workers'
Section 7031.5 by any applicant for a permit subjects the applicant to a civil compensation laws of California,and agree that if I should become subject to the
penalty of not more than five hundred dollars($500)): workers' compensation provisions of Section 3700 of the Labor Code, I shall
forthwith comply with those provisions.
❑ I, as owner of the property, or my employees with wages as their sole 4
compensation,will do the work,and the structure is not intended or offered for Date , Applicant fi (�
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. p L_
Name Mt r� Z
Title �"C✓.th te
PRINT NAME
I certify that I have read this application and state that the above information is correct and that I am the owner or the duly authorized agent of the
owner. I agree to comply with all City ordinances and State laws relating to building construction. I hereby authorize representatives of the City of
Arcadia to enter upon the above-mentioned property for inspection purposes.
Signature b 'Is:i 1 ` WY Date (6 I l.Q j ac
w•
a 1; Development Services Depart t
•. I-1 • 240 West Huntington Drive,Fr Vice Box 60021 PER NO. B0O-016-490
City of Arcadia,CA 91066-6021 y
Arcadia (626)574-5416,Fax (626)447-9173 Permit Type: Mechanical
PROJECT TRACT NO. LOT NO. APPLICATION DATE ISSUED BY PRINT DATE PERMIT STATUS
8/12/2003 MB 11:03 8/12/2003 Issued
PROJECT ADDRESS ASSESSORS PARCEL NO. GEO CODE
1107 Englemann Ct T1107
OWNER MAILING ADD T
HOVER DEVELOPMENT 1 �},r�{plait:EINE NO.
Inspector#: 206
u�� P
EMAIL ADDRESS:
APPLICANT MAILING ADDRESS
PHONE NO.
EMAIL ADDRESS:
CONTRACTOR/PROFESSIONAL MAILING ADDRESS
JOHN L GINGER MASONRY INC 8188 LINCOLN AVE 100 PHONE NO. (909)688-5050 FAX NO.
RIVERSIDE, CA 92504 EMAIL ADDRESS:
License No. 668620 Type: C Expires: 4/30/2005 12:00:
TENANT MAILING ADDRESS
PHONE NO. FAX NO.
DESCRIPTION
3 PREFAB FIREPLACES
Construction Type UOM 8 of Units Value Construction Type UOM #of Units Value
OCCUPANCY: Dwellings TOTAL VALUATION: $0.00
QTY UOM DESC AMT AMT PAID ACCT QTY UOM DESC AMT AMT PAID ACCT
Flat Mech Issue Auto $40.25 $40.25 01-3105
3 each Firepl pre-fab $38.40 $38.40 01-3105
Totals for: 01-3105 $78.65 $78.65
each SWMF2Auto $1.00 $1.00 88-3027
Totals for: 88-3027 $1.00 $1.00 /
i-- I , 6. G-
I
Total Fees: $79.65 Total Amount Paid:
$79.65 Paid Today: $79.65
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 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. A
CALLS FOR INSPECTION INSPECTORS'OFFICE HOURS \()(
Requests for inspection should be made at least Monday—Thursday Friday
one(1)business day in advance of the inspection 7:30 a.m.to 9:00 a.m. 7:30 a.m.to 9:00 a.m.
by telephone at(626)574-5416 for onsite work. 4:00 p.m.to 5:30 p.m. 4:00 p.m.to 4:30 p.m.
(Closed on alternate Fridays)
Ygt!1.
K' PERMIT/PLAN REVIEW Al-PLICATION
14p, . Development Services Department, 240 West Huntington Drive, Post Office Box 60021
°''°••*' 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 and
Professions Code,and my license is in full force and effect. ❑ I have and will maintain a certificate of consent to self-insure for workers'
License Class(.Zq —(.�3VLicense No. 64`a 6w. Exp.Date 4:1-30 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 DECLARATION 3700 of the Labor Code,for the performance of the work for which this permit is
❑ I hereby affirm under penalty of perjury that I am exempt from the Contractors issued. My workers'compensation insurance+carrier and policy number are:
License Law for the following reason(Section 7031.5,Business and Professions Carrier Ui✓ i v�i a� NY �7-y
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 / e--"/5450 6 3600
for such permit to file a signed statement that he or she is licensed pursuant to the (This section need not be completed if the permit is for one hundred dollars or less.)
provisions of the Contractors License Law(Chapter 9(commencing with Section
7000)of Division 3 of the Business and Professions Code)or that he or she is ❑ I certify that in the performance of the work for which this permit is issued,I shall
exempt there from and the basis for the alleged exemption. Any violation of not employ any person in any manner so as to become subject to the workers'
Section 7031.5 by any applicant for a permit subjects the applicant to a civil compensation laws of California,and agree that if I should become subject to the
penalty of not more than five hundred dollars($500)): workers' compensation provisions of Section 3700 of the Labor Code, I shall
forthwith comply with those provisions.
❑ 1, as owner of the property, or my employees with wages as their sole Q -----
compensation,will do the work,and the structure is not intended or offered for Date[)—«-03 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. p
Name —.17:1/4 - l fG`yp en Title ^kA-Y".ti^e r
PRINT NAME
I certify that I have read this application and state that the above information is correct and that I am the owner or the duly authorized agent of the
owner. I agree to comply with all City ordinances and State laws relating to building construction. I hereby authorize representatives of the City of
Arcadia to enter upon the above-mentioned property for inspection purposes.
Signature Date l Z^03
`ice• Development Services Depart
• 240 West Huntington Drive,Pl lffice Box 60021 PER. NO. B0O-016-384
City of Arcadia,CA 91066-6021 /
Arcadia (626)574-5416,Fax (626)447-9173 Permit Type: Mechanical
PROJECT TRACT NO. LOT NO. APPLICATION DATE ISSUED BY PRINT DATE PERMIT STATUS
8/1/2003 SC 15:58 8/1/2003 Issued
PROJECT ADDRESS ASSESSORS PARCEL NO. GEO CODE
1107 Englemann Ct u
T1107
OWNER MAILING v i E ITEEJ
PHONE NO.
Inspector#: 206
EMAIL ADDRESS:
APPLICANT MAILING ADDRESS
PHONE NO.
EMAIL ADDRESS:
CONTRACTOR/PROFESSIONAL MAILING ADDRESS
ALISO AIR 29736 AVE DE LAS BANDERAS PHONE NO. (949)589-2021 FAX NO.
RANCHO SANTA MARGARITA, ,EMAIL ADDRESS:
License No. 526420 Type: C Expires: 3/31/2004 12:00:
TENANT MAILING ADDRESS
PHONE NO. FAX NO.
DESCRIPTION
HVAC FOR NEW RESIDENCE
Construction Type UOM #of Units Value Construction Type UOM #of Units Value
OCCUPANCY: Dwellings TOTAL VALUATION: $0.00
QTY UOM DESC AMT AMT PAID ACCT QTY UOM DESC AMT AMT PAID ACCT
I Flat Mech Issue Auto $40.25 $40.25 01-3105
3 each Fum<100,000btu $51.00 $51.00 01-3105
1 each Air unt 10m cfm $12.80 $12.80 01-3105
4 each Comp 3 hp $68.00 $68.00 01-3105
Totals for: 01-3105 $172.05 $172.05 I
each SWMF 2 Auto $1.00 $1.00 88-3027 F i y H
Totals for: 88-3027 $1.00 $1.00 6
I I - 9
Total Fees: $173.05 Total Amount Paid:
$173.05 Paid Today: $173.05
This permit/plan review expires by time limitation and becomes null and void if the work authorized by the
permit is not commenced within 180 days from the date of issuance or if the permit is not obtained within 180
days from the date of plan submittal. This permit expires and becomes null and void if any work authorized by
this permit is suspended or abandoned for 180 consecutive days or if no progressive work has been verified by
a City of Arcadia building inspector for a period of 180 consecutive days.
CALLS FOR INSPECTION INSPECTORS'OFFICE HOURS
Requests for inspection should be made at least Monday—Thursday Friday
one(1)business day in advance of the inspection 7:30 a.m.to 9:00 a.m. 7:30 a.m. to 9:00 a.m.
by telephone at(626)574-5416 for onsite work. 4:00 p.m.to 5:30 p.m. 4:00 p.m.to 4:30 p.m.
(Closed on alternate Fridays)
�". PER1\1�T/PLAN REVIEW Ai-PLICATION
1K+' „4 r-,a
Development Services Department, 240 West Huntington Drive, Post Office Box 60021
4.0�"r��*� 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 and
Professions Code,and my license is in full force and effect. ❑ I have and will maintain a certificate of consent to self-insure for workers'
License Class License No. 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—BUILDER DECLARATION 3700 of the Labor Code,for the performance of the work for which this permit is
❑ I hereby affirm under penalty of perjury that I am exempt from the Contractors issued. My workers' compensation insurance carrier and policy number are:
License Law for the following reason(Section 7031.5, Business and Professions
Code: Any city or county which requires a permit to construct, alter, improve, Carrier
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
provisions of the Contractors License Law(Chapter 9(commencing with Section (This section need not be completed if the permit is for one hundred dollars or less.)
7000)of Division 3 of the Business and Professions Code)or that he or she is ❑ I certify that in the performance of the work for which this permit is issued,I shall
exempt there from and the basis for the alleged exemption. Any violation of not employ any person in any manner so as to become subject to the workers'
Section 7031.5 by any applicant for a permit subjects the applicant to a civil compensation laws of California,and agree that if I should become subject to the
penalty of not more than five hundred dollars($500)): workers' compensation provisions of Section 3700 of the Labor Code, I shall
forthwith comply with those provisions.
❑ 1, as owner of the property, or my employees with wages as their sole
compensation,will do the work,and the structure is not intended or offered for Date Applicant
sale(Section 7044,Business and Professions Code:The Contractors License
Law does not apply to an owner of property who builds or improves thereon,
or who does such work himself or herself or through his or her own
employees,provided that such improvements are not intended or offered for WARNING: Failure to secure workers'compensation coverage is unlawful,
sale. If,however,the building or improvement is sold within one(1)year of and shall subject an employer to criminal penalities and civil fines up to one
completion,the owner—builder will have the burden of proving that he or she hundred thousand dollars($100,000),in addition to the cost of compensation,
did not build or improve for the purpose of sale). damages as provided for in Section 3706 of the Labor Code, interest,and
attorneys fees.
❑ I, as owner of the property, am exclusively contracting with licensed
contractors to construct the project(Section 7044, Business and Professions
Code:The Contractors License Law does not apply to an owner of property CONSTRUCTION LENDING AGENCY
who builds or improves thereon,and who contracts for such projects with a I hereby affirm under penalty of perjury that there is a construction lending agency
contractor(s)licensed pursuant to the Contractors License Law). for the performance of the work for which this permit is issued(Section 3097,Civil
Code).
❑ I am exempt under Section 7044,Business and Professions Code,for this reason:
Lender's Name
Date Owner Lender's Address
IMPORTANT: APPLICATION IS HEREBY MADE TO THE BUILDING OFFICIAL FOR A PERMIT SUBJECT TO THE CONDITIONS AND
RESTRICTIONS SET FORTH ON THIS APPLICATION AND THE FOLLOWING:
1. The City's approved plans and permit inspection card must remain on the job site for use by City inspection personnel.
2. Final inspection of the work authorized by this permit is required. A Certificate of Occupancy must be obtained prior to use and occupancy of new
buildings and structures.
3. Per South Coast Air Quality Management District (AQMD) regulations, renovation and remodeling work that results in the removal, stripping, or
altering of asbestos containing materials requires an asbestos survey and removal prior to disturbing the asbestos. Please contact AQMD at(909)396-
2000 for further information.
Name 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 City ordinances and State laws relating to building construction. I hereby authorize representatives of the City of
Arcadia to enter upon the above-mentioned property for inspection purposes.
Signature Date
w•. Development Services Departrtlrl, ''�
4l�hl 1� 240 West Huntington Drive,Pdl�r ffice Box 60021
PERT NO. BOO-016-415 /
City of Arcadia,CA 91066-6021
Arcadia (626) 574-5416,Fax (626)447-9173 Permit Type: Electrical
PROJECT TRACT NO. LOT NO. APPLICATION DATE ISSUED BY PRINT DATE PERMIT STATUS
8/5/2003 SC 11:15 8/5/2003 Issued
PROJECT ADDRESS ASSESSORS PARCEL NO. GEO CODE
1107 Englemann Ct T1107
OWNER MAILING ADDRESS
O CMPIETED PHONE NO. Inspector#: 206
EMAIL ADDRESS:
APPLICANT MAILING ADDRESS
PHONE NO.
EMAIL ADDRESS:
CONTRACTOR/PROFESSIONAL MAILING ADDRESS
Berner Electric,Inc. 255 CITATION CIRCLE PHONE NO. (909)734-3171 FAX NO.
Corona,CA 92880 EMAIL ADDRESS:
License No. 485322 Type: C Expires: 1/31/2004 12:00:
TENANT MAILING ADDRESS
PHONE NO. FAX NO.
DESCRIPTION
ELECTRICAL FOR NEW RESIDENCE
Construction Type UOM #of Units Value Construction Type UOM #of Units Value
OCCUPANCY: Dwellings TOTAL VALUATION: $0.00
QTY UOM DESC AMT AMT PAID ACCT QTY UOM DESC AMT AMT PAID ACCT
1 flat Elec Issue Auto $40.25 $40.25 01-3105
1 each Res service $14.10 $14.10 01-3105
5,591 sq ft New res elec $279.55 $279.55 01-3105
940 sq ft New res access $37.60 $37.60 01-3105 .
1 each Addtl meter $14.10 $14.10 01-3105 /
Totals for: 01-3105 $385.60 $385.60 I— t
n '.'
each SWMF2Auto $1.00 $1.00 88-3027 — L' — V 3
I
Totals for: 88-3027 $1.00 $1.00 1
6 . G
Total Fees: $386.60 Total Amount Paid:
$386.60 Paid Today: $386.60
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.
CALLS FOR INSPECTION INSPECTORS'OFFICE HOURS
Requests for inspection should be made at least Monday–Thursday Friday `Y/
one(1)business day in advance of the inspection 7:30 a.m.to 9:00 a.m. 7:30 a.m.to 9:00 a.m.
by telephone at(626)574-5416 for onsite work. 4:00 p.m.to 5:30 p.m. 4:00 p.m.to 4:30 p.m.
(Closed on alternate Fridays)
� PERNIIT/PLAN REVIEW ArPLICATION
101 urrAby
4p,, Development Services Department, 240 West Huntington Drive, Post Office Box 60021
° °s•=• 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 and
Professions Code,and my license is in full force and effect. ❑ I have and will maintain a certificate of consent to self-insure for workers'
License Class License No 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-BUILDER DECLARATION 3700 of the Labor Code,for the performance of the work for which this permit is
❑ I hereby affirm under penalty of perjury that I am exempt from the 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 ❑ I certify that in the performance of the work for which this permit is issued,I shall
exempt there from and the basis for the alleged exemption. Any violation of not employ any person in any manner so as to become subject to the workers'
Section 7031.5 by any applicant for a permit subjects the applicant to a civil compensation laws of California,and agree that if I should become subject to the
penalty of not more than five hundred dollars($500)): workers' compensation provisions of Section 3700 of the Labor Code, I shall
forthwith comply with those provisions.
❑ I, as owner of the property, or my employees with wages as their sole
compensation,will do the work,and the structure is not intended or offered for Date Applicant
sale(Section 7044,Business and Professions Code:The Contractors License
Law does not apply to an owner of property who builds or improves thereon,
or who does such work himself or herself or through his or her own
employees,provided that such improvements are not intended or offered for WARNING: Failure to secure workers' compensation coverage is unlawful,
sale. If,however,the building or improvement is sold within one(1)year of and shall subject an employer to criminal penalities and civil fines up to one
completion,the owner—builder will have the burden of proving that he or she hundred thousand dollars($100,000),in addition to the cost of compensation,
did not build or improve for the purpose of sale). damages as provided for in Section 3706 of the Labor Code, interest,and
attorneys fees.
❑ I, as owner of the property, am exclusively contracting with licensed
contractors to construct the project(Section 7044, Business and Professions
Code: The Contractors License Law does not apply to an owner of property CONSTRUCTION LENDING AGENCY
who builds or improves thereon,and who contracts for such projects with a I hereby affirm under penalty of perjury that there is a construction lending agency
contractor(s)licensed pursuant to the Contractors License Law). for the performance of the work for which this permit is issued(Section 3097,Civil
Code).
❑ I am exempt under Section 7044,Business and Professions Code,for this reason:
Lender's Name
Date Owner Lender's Address
IMPORTANT: APPLICATION IS HEREBY MADE TO THE BUILDING OFFICIAL FOR A PERMIT SUBJECT TO THE CONDITIONS AND
RESTRICTIONS SET FORTH ON THIS APPLICATION AND THE FOLLOWING:
1. The City's approved plans and permit inspection card must remain on the job site for use by City inspection personnel.
2. Final inspection of the work authorized by this permit is required. A Certificate of Occupancy must be obtained prior to use and occupancy of new
buildings and structures.
3. Per South Coast Air Quality Management District (AQMD) regulations, renovation and remodeling work that results in the removal, stripping, or
altering of asbestos containing materials requires an asbestos survey and removal prior to disturbing the asbestos. Please contact AQMD at(909)396-
2000 for further information.
Name 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 City ordinances and State laws relating to building construction. I hereby authorize representatives of the City of
Arcadia to enter upon the above-mentioned property for inspection purposes.
Signature Date
Development Services Departmti' /
-•, 240 West Huntington Drive,Post.. dice Box 60021 PER
`� M'+ 0. B0O-014-866
ryof Arcadia,CA 91066-6021
Arcadia (626) 574-5416,Fax (626)447-9173 Permit Type: SFNew
PROJECT TRACT NO. LOT NO. APPLICATION DATE ISSUED BY PRINT DATE PERMIT STATUS
2/27/2003 MB 14:18 4/11/2003 Issued
PROJECT ADDRESS ASSESSORS PARCEL NO. GEO CODE
1107 Englemann Ct T1107
OWNER MAILING ADDR.` , Ili IV
IARCADIA OAKS LLC "E NO. Inspector#: 206
EMAIL ADDRESS:
, Plan#: 28075
APPLICANT MAILING ADDRESS
HOVER DEVELOPMENT 3501 JAMBOREE BLVD 2000 PHONE NO. (949)725-9570 School Dist#: 249
NEWPORT BEACH,CA 92660 EMAIL ADDRESS:
CONTRACTOR/PROFESSIONAL MAILING ADDRESS
CAL METRO BUILDERS INC 3501 JAMBOREE ROAD 2000 PHONE NO. FAX NO.
NEWPORT BEACH,CA 92660 EMAIL ADDRESS:
License No. 783497 Type: B Expires: 8/31/2004 12:00:
TENANT MAILING ADDRESS
PHONE NO. FAX NO.
DESCRIPTION
LOT 9, 4 BEDROOMS,4 1/2 BATHROOMS, KITCHEN W/MORNING RM, DINING RM, LIVING RM, LIBRARY,LIBRARY LOFT, FAMILY RM,CRAFT
RM,LAUNDRY RM,BONUS RM,ENTRY PRCH,PORTE COCHERE,CARRIAGE ENTRY,BALCONIES,3+1 ATTACHED GARAGE
Construction Type UOM #of Units Value Construction Type UOM #of Units Value
Air Conditioning Res sq ft 5,591.00 $19,009.40 Patio/Porch sq ft 343.00 $5,680.08
Sprinkler System sq ft 5,591.00 $14,536.60
Type V Wood Frame Good sq ft 5,591.00 $506,544.60
Sprinkler System sq ft 940.00 $2,444.00
Wood frame garage sq ft 940.00 $22,372.00
OCCUPANCY: Dwellings TOTAL VALUATION: $570,587.00
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 $4,473.90 $4,473.90 01-3104
Totals for: 01-3104 $4,514.15 $4,514.15
1 housing u Park Rec Fee $185.00 $185.00 07-3509
Totals for: 07-3509 $185.00 $185.00 1-/ U 7
SMIP Res $57.06 $57.06 14-2207 _� I /— l J
Totals for: 14-2207 $57.06 $57.06 ' t '
Flat SWMF Auto $6.25 $6.25 88-3027
.2 6.25 G
Totals for: 88-3027 $6.25 $6.25
-
Total Fees: $4,762.46 Total Amount Paid: $4,762.46 Paid Today: $4,762.46
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.
CALLS FOR INSPECTION INSPECTORS'OFFICE HOURS
Requests for inspection should be made at least Monday—Thursday Friday
one(1)business day in advance of the inspection 7:30 a.m.to 9:00 a.m. 7:30 a.m.to 9:00 a.m.
by telephone at(626)574-5416 for onsite work. 4:00 p.m.to 5:30 p.m. 4:00 p.m.to 4:30 p.m.
(Closed on alternate Fridays)
•
4 soul 1 i PERi iIT /PLAN REVIEW APPLICATION .
r—*
,N /,. 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
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 and
Professions Co d my license is in full force and effect. ❑ I have and will maintain a certificate of consent to self-insure for workers'
icense Class nse N
li'l 9.31.0 compensation, as provided for by Section 3700 of the Labor Code, for the
xp.Date performance of the work for which this permit is issued.
Si lure of Contractor
❑ I have and will maintain workers' compensation insurance,as required by Section
OWNER-BUILDER DECLARATION 3700 of the Labor Code,for the performance of the work for which this permit is
❑ I hereby affirm under penalty of perjury that I am exempt from the Contractors issued. My workers'compensation insurance carrier and policy number are:
License Law for the following reason(Section 7031.5, Business and Professions
Code: Any city or county which requires a permit to construct, alter, improve, arrier
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
provisions of the Contractors License Law(Chapter 9(commencing with Section (This section need not be completed if the permit is for one hundred dollars or less.)
7000) of Division 3 of the Business and Professions Code) or that he or she jal 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 violatio • 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 compensation laws of California,and agree that if I should becom- bject to the
penalty of not more than five hundred dollars($500)): workers' compensation provisions of Section 3700 of th- abSide, I shall
forthwith comply with those provision
❑ I, as owner of the property, or n1y employees with wages as their sole I _ /�O 1.
compensation,will do the work,and the structure is not intended or offered for ,• Gf Applican I .■1 / / -.fin
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 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 i� io
information. ,�.�w
Name ilia 14K- J !I h/ Title iltr •
PRINT NAME
I c tify that I have read this applicatio• an e that the above information is correct and that I am the owner or the duly authorized agent of the
o ner. I agree to comp with all C' o es and State laws relating to building construction. I hereby authorize representatives of the City of
T".cadia to a po above- •nti i y,. property for inspection purposes.
S ature //, Date (�..„e3
l•�
wI Development Services De •knent
.' ,I: BOO-019-623
, 24�West Huntington Driv, ost Office Box 60021 PEI NO.
City of Arcadia,CA 91066-6021
Arcadia (626,474-5416,Fax (626)447-9173 Permit Type: Pool/spa
•
PROJECT TRACT NO. LOT NO. APPLICATION DATE ISSUED BY PRINT DATE PERMIT STATUS
7/29/2004 JB 11:27 7/29/2004 Issued
PROJECT ADDRESS ASSESSORS PARCEL NO. GEO CODE
1107 Engleman Ct
OWNER MAILING ADDRESS ExpIR
Ruiz,Ignacio PH 1 Inspector#: JOHN
•DRESS:
Plan#: IN FILE
APPLICANT MAILING ADDRESS
California Pool&Spa 3104 E Garvey Avenue B , • PHONE NO. (626)2$ 12261
West Covina,CA 91791 EMAIL ADDRESS:
CONTRACTOR/PROFESSIONAL MAILING ADDRESS
California Pool&Spas 3104 E Garvey Avenue B PHONE NO. (626)285-2261 FAX NO.
West Covina,CA 91791 EMAIL ADDRESS:
License No. 185102 Type: C , ' ' a ' t Expires: 2/28/2005 12:00:
TENANT MAILING ADDRESS
' PHONE NO. FAX NO.
DESCRIPTION
152 PF OF IN GROUND POOL AND SPA
Construction Type UOM #of Units Value Construction Type UOM #of Units Value
Pool perim ft 152.00 $31,760.40
OCCUPANCY: Pool TOTAL VALUATION: $31,761.00
QTY UOM DESC AMT AMT PAID ACCT QTY UOM DESC AMT AMT PAID ACCT
each Plan review $375.05 $375.05 01-3103
Totals for: 01-3103 $375.05 $375.05
each Bldg penult $577.00 $577.00 01-3104
Totals for: 01-3104 $577.00 $577.00 ,
1 flat Pool issue $40.25 $40.25 01-3105
I flat Pool elec issue $40.25 $40.25 01-3105
1 each Pool plm iss $40.25 $40.25 01-3105
1 each Pools elec $61.35 $61.35 01-3105
I flat Pool piping $24.55 $24.55 01-3105
I flat Pool p-trap $9.85 $9.85 01-3105
I each Pool heater $36.95 $36.95 01-3105
Totals for: 01-3105 $253.45 $253.45
I each SWMF 2 Auto $1.00 $1.00 88-3027
Totals for: 88-3027 $1.00 $1.00
Total Fees: $1,206.50 Total Amount Paid: $1,206.50 Paid Today: $1,206.50
This permit/plan review expires by time limitation and becomes null and void if the work authorized by the
permit is not commenced vyithin 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
kp,.... .
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 9:00 a.m. 7:30 a.m.to 9:00 a.m.
by telephone at(626)574-5416 for ons'Ite work. 4:00 p.m.to 5:30 p.m. 4:00 p.m.to 4:30 p.m.
(Closed on alternate Fridays)
ek
Few.,
1 PERMIT/PLAN REVIEW APPLICATION
,, 4 j,. Development Services Department, 240 West Huntington Drive, Post Office Box 60021 .
°"'°mot' 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:
'7�• Chapter 9, commencing with Section 7000, of Division 3 of the Business and
Professions Cod- a 6 y license is in full filly and gf ct. ❑ I have and will maintain a certificate of consent to self-insure for workers'
License Class , License N V K 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 I have and will maintain workers' compensation insurance,as required by Section
OWNER—BUIL I R DECLARATION 3700 of the Labor Code,for the performance of the work for which this permit is
❑ I hereby affirm under penalty of perjury that I am exempt from the Contractors issued. My workers'cskripensation- uran carrier and policy number are:
License Law for the following reason(Section 7031.5, Business and Professions Carrier GGVV- 11•UU�alljj((e��j ``LL LI
Code: Any city or county which requires a permit to construct, alter, improve, I�V'��
demolish,or repair any structure,prior to its issuance,also requires the applicant Policy Number 1
for such permit to file a signed statement that he or she is licensed pursuant to the (This section need not be completed if the permit is for one hundred dollars or less.)
provisions of the Contractors License Law(Chapter 9(commencing with Section
7000)of Division 3 of the Business and Professions Code)or that he or she is ❑ I certify that in the performance of the work for which this permit is issued,I shall
exempt there from and the basis for the alleged exemption. Any violation of not employ any person in any manner so as to become subject to the workers'
Section 7031.5 by any applicant for a permit subjects the applicant to a civil compensation laws of California,and agree that if 1 should become subject to the
penalty of not more than five hundred dollars($500)): workers' compensation provisions of Section 3700 of the Labor Code, I shall
forthwith comply with those provisions.
❑ 1, 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
p Date 29'
com Applicant l
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 I • iS I i (III .t4 Title __Citiflada/
PRINT -ME
I certify that I have read this application and state that the above information is correct and that I am the owner or the duly authorized agent of the
owner. I agree to comply with all City ordinances and State laws relating to building construction. I hereby authorize representatives of the City of
Arcadia to enter upon the above-mentioned property for inspection purposes. 9
Signature Date 72
• Development Services Depart nt —�"� '
:11 1:` 240 West Huntington Drive,]office Box 60021 PER i NO. B0O-019-265
Arcadia,CA 91066-6021
City of `
Arcadia (626) 574-5416,Fax (626)447-9173 Permit Type: Garden wall
PROJECT TRACT NO. LOT NO. APPLICATION DATE ISSUED BY PRINT DATE PERMIT STATUS
W 14:35 6/23/2004 • Issued
PROJECT ADDRESS SESSORS PARCEL NO. GEO CODE
1107 Englemann Ct 1107
OWNER MAILING ADDRESS
Ruiz, Ignacio 1107 Englemann Ct PHONE NO. (626)222-0737 Inspector#: JOHN
Arcadia,CA 91006 EMAIL ADDRESS:
Plan#: IN FILE
APPLICANT MAILING ADDRESS
T N T PLUMBING&GENERAL PHONE NO.
EMAIL ADDRESS:
CONTRACTOR/PROFESSIONAL MAILING ADDRESS
T N T Plumbing&General Contract 2601 N Del Rosa Ave Suite 220 PHONE NO. (909)306-9124 FAX NO.
San Bernardino,CA 92404 EMAIL ADDRESS:
License No. 399291 Type: B Expires: 2/28/2005 12:00:
TENANT MAILING ADDRESS
PHONE NO. 7 FAX NO.
DESCRIPTION
261 LF OF GARDEN AND/OR RETAINING WALL AT HEIGHTS VARYING FROM 18 INCHES TO 7 FT 9 IN HIGH. AND 13 PILASTERS VARYING 2 FT
TO 7 FT 9 IN HIGH AND 12 TO 16 INCHES AROUND.
Construction Type UOM #of Units Value Construction Type UOM #of Units -Value
Wall Masonry sq ft 1,029.00 $5,145.00
Wall Masonry sq ft 76.00 $380.00
OCCUPANCY: Wall Masonry TOTAL VALUATION: $5,525.00
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 $170.45 $170.45 01-3104
Totals for: 01-3104 $210.70 $210.70
each SWMF 2 Auto $1.00 $1.00 88-3027
Totals for: 88-3027 $1.00 $1.00
ti
Total Fees: $211.70 Total Amount Paid: $211.70 Paid Today: $211.70
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.
CALLS FOR INSPECTION INSPECTORS'OFFICE HOURS
YilliF4.
Requests for inspection should be made at least Monday–Thursday Friday
one(1)business day in advance of the inspection 7:30 a.m.to 9:00 a.m. 7:30 a.m.to 9:00 a.m.
by telephone at(626)574-5416 for onsite work. 4:00 p.m.to 5:30 p.m. 4:00 p.m.to 4:30 p.m.
(Closed on alternate Fridays)
Z
t5 II PERMiT/PLAN REVIEW Al JI LICATION
Development Services Department, 240 West Huntington Drive, Post Office Box 60021
'34,....T.9- Arcadia, CA 91066-6021, (626) 574-5416, Fax (626) 447-9173
City of
Arcadia
LICENSED CONTRACTOR'S DECLARATION WORKERS' COMPENSATION DECLARATION
AI 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 and
Professions Code,and my license is in full force and d effect. 2/21/CS ❑ I have and will maintain a certificate of consent to self-insure for workers'
License Class ense Nom I L.7� Exp.Dat 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 � -
■r have and will maintain workers' compensation insurance,as required by Section
OWNER-BUILDER ECLARATION 3700 of the Labor Code,for the performance of the work for which this permit is
❑ I hereby affirm under penalty of perjury that I am exempt from the Contractors issued. My v,, s'compensation insura a carrier and policy number are:
License Law for the following reason(Section 7031.5, Business and Professions
Code: Any city or county which requires a permit to construct, alter, improve, Carrier
demolish,or repair any structure,prior to its issuance,also requires the applicant
Policy Number ! 7 /q
3!3 eV
for such permit to file a signed statement that he or she is licensed pursuant to the
provisions of the Contractors License Law(Chapter 9(commencing with Section (This section need not be completed if the permit is for one hundred dollars or less.)
7000)of Division 3 of the Business and Professions Code) or that he or she is ❑ I certify that in the performance of the work for which this permit is issued,I shall
exempt there from and the basis for the alleged exemption. Any violation of not employ any person in any manner so as to become subject to the workers'
Section 7031.5 by any applicant for a permit subjects the applicant to a civil compensation laws of California,and agree that if I should become subject to the
penalty of not more than five hundred dollars($500)): workers' compensation provisions of Section 3700 of the Labor Code, I shall
forthwith comply with those provisions.
❑ I, as owner of the property, or my employees with wages as their sole
compensation,will do the work,and the structure is not intended or offered for Date t 3 f 4/ Applicant `r--
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:
4.
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 oc:upancy of new
buildings and structures.
ti
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-
20a'cr 00 for further information.
Name c /inl ff j c) S2 Title 5`)r'rr;..t 4 en e/-/#1"
PRINT NAME
I certify that I have read this application and state that the above information is correct and that I am the owner or the duly authorized agent of the
owner. I agree to comply with all City ordinances and State laws relating to building construction. I hereby authorize representatives of the City of
Arcadia to enter upon the above-mentioned property for inspection purposes.
Signature —7. ----- Date yg O
•