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HomeMy WebLinkAboutOld permits 1 w•. Development Services Depart ^� :l 1: 240 West Huntington Drive,Office Box 60021 PER f NO. B0O-015-692 .� Arcadia,CA 91066-6021 City of (626) 574-5416,Fax (626)447-9173 Permit Type: Fire sprinkler/alarm Arcadia PROJECT TRACT NO. LOT NO. APPLICATION DATE ISSUED BY PRINT DATE PERMIT STATUS outir������ i 2 2003 MB 13:19 7/31/2003 Issued PROJECT ADDRESS ASSESSORS PARCEL NO. GEO CODE 1108 En lemann Ct T1108 gD OWNER MAILING ADDRESS HOVER DEVELOPMENT PHONE NO. Inspector#: AFD EMAIL ADDRESS: Plan#: W/ APPLICANT MAILING ADDRESS 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 5,630.00 $5,630.00 OCCUPANCY: Fire Sprink/alm TOTAL VALUATION: $5,630.00 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 60 heads NFPA13D $325.00 $325.00 01-3109 FIRE P/C REVIE $110.79 $110.79 01-3109 �.I �3 Totals for: 01-3109 $435.79 $435.79 �1 ( ( I' each SWMF 2 Auto $1.00 $1.00 88-3027 rl � N Totals for: 88-3027 $1.00 $1.00 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 c,1 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) ANN L. PERMiT/PLAN REVIEW AEPLICATION \�� y ' Development Services Department, 240 West Huntington Drive, Post Office Box 60021 MCO joy °s.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 Class'I ip License No.1.9P24 • Exp.Date? V± compensation, as provided for by Section 3700 of the Labor Code, for the V performance of the work for which this permit is issued. Signature of Contractor 1 Y (p V`TI I have and will maintain workers' compensation insurance,as required by Section OWNER-BUILDER DECLARATI► 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 w r ers' compensation insurance carrier and policy number are: License Law for the following reason(Section 7031.5, Business and Professions Carrier tn C, Y..1 Code: Any city or county which requires a permit to construct, alter, improve, .�x C�J�I demolish,or repair any structure,prior to its issuance,also requires the applicant Policy Number `51D5'CiO q 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 2 11 0.3 compensation,will do the work,and the structure is not intended or offered for Date 1)&1 1 Applicant PAS 0 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•informatiion. 1 / Name 1Y) sa V 11(y.\--,qQ ii Title 041 p 11 r 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 T\Oki)/VAA'1 Date 7/3I ,L) .1 . Development Services Depart 01.4,, 240 West Huntington Drive,l )ffice Box 60021 PER 'NO. B00-016-377 7 Arcadia,CA 91066-6021 City of (626) 574-5416,Fax (626)447-9173 Permit Type: Mechanical Arcadia PROJECT TRACT NO. LOT NO. APPLICATION DATE ISSUED BY PRINT DATE PERMIT STATUS 8/1/2003 SC 15:41 8/1/2003 Issued PROJECT ADDRESS ASSESSORS PARCEL NO GEO CODE 1108 Englemann Ct T1108 C,.6 ° ILC TIEB OWNER MAILIN PHONE NO. 020 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 Furn<100,00obtu $51.00 $51.00 01-3105 1 each Air unt10mcfm $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 each SWMF 2 Auto $1.00 $1.00 88-3027 Totals for: 88-3027 $1.00 $1.00 F; -,. '4, I c - i ,� ) II 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. �1 CALLS FOR INSPECTION INSPECTORS'OFFICE HOURS �? / Requests for inspection should be made at least Monday—Thursday Friday one(1)business day in advance of the inspection 7:30 a.m.to 9:00 a.m. 7:30 a.m.to 9:00 a.m. by telephone at(626)574-5416 for onsite work. 4:00 p.m.to 5:30 p.m. 4:00 p.m.to 4:30 p.m. (Closed on alternate Fridays) l PERNIYT/PLAN REVIEW AI-i LICATION irrAm fie Development Services Department, 240 West Huntington Drive, Post Office Box 60021 '°8'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 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. ❑ 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 t.. Development Services Depart / :� l;:: 240 West Huntington Drive,f. Jffice Box 60021 PER: 'NO. B00_0155_344 Arcadia,CA 91066-6021 City of (626) 574-5416,Fax (626)447-9173 Permit Type: Plumbing Arcadia PROJECT TRACT NO. LOT NO. APPLICATION DATE ISSUED BY PRINT DATE PERMIT STATUS 4/17/2003 MB 15:26 4/17/2003 Issued PROJECT ADDRESS �n /�� ���� ASSESSORS PARCEL NO. GEO CODE 1108 Englemann Ct ! JIL T1108 OWNER MAILING ADDR ARCADIA OAKS LLC PHONE NO. Inspector#: 206 EMAIL ADDRESS: e 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 5 each Bathtub $56.50 $56.50 01-3105 1 each Shower $11.30 $11.30 01-3105 6 each Water Closet $67.80 $67.80 01-3105 7 each Lavatories $79.10 $79.10 01-3105 1 each Kitchen sinks $11.30 $11.30 01-3105 1 each Dishwashers $11.30 $11.30 01-3105 1 each Garbage Disp $11.30 $11.30 01-3105 1 each Lndry trays $11.30 $11.30 01-3105 r-' 1 each Clothes wsh $11.30 $11.30 01-3105 I ►7. -. 1 each Wtr htr/vent $14.10 $14.10 01-3105 7 outlets Gas piping $19.70 $19.70 01-3105 I ! - ti ° 7 1 each unit Sewer connec $28.25 $28.25 01-3105 Totals for: 01-3105 $373.50 $373.50 6 C each SWMF 2 Auto $1.00 $1.00 88-3027 . Totals for: 88-3027 $1.00 $1.00 Total Fees: $374.50 Total Amount Paid: $374.50 Paid Today: $374.50 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) , PERMIT/PLAN REVIEW AIPLICATION -� to-a=„ Development Services Department, 240 West Huntington Drive, Post Office Box 60021 fp°LTW 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 N �� / Ex. ate �j�e 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 weber r are: License Law for the following reason(Section 7031.5, Business and Professions Carrier rri 7 C[ Code: Any city t county which requires a permit to construct, alter, improve, /� � <<yzC 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, 1 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 `� sale(Section 7044,Business and Professions Code:The Contractors License Datey���o3 Applicatrt/ !1\\ 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- 20000 for further`information.. X Name L 'C'�.p4/iri D0 U v/i 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 pon the above-m: ton• property for• • urposes. Signature � � Date r/0 3 • Development Services Depart} t �'� / :• •- 240 West Huntington Drive,I( Jffice Box 60021 PEI I'NO. B00-016-489 Arcadia,CA 91066-6021 City of (626) 574-5416,Fax (626)447-9173 Permit Type: Mechanical Arcadi a PROJECT TRACT NO. LOT NO. APPLICATION DATE ISSUED BY PRINT DATE PERMIT STATUS 8/12/2003 MB 10:59 8/12/2003 Issued PROJECT ADDRESS ASSESSORS PARCEL NO. GEO CODE 1108 Englemann Ct r I� ����� D T1108 OWNER MAILING A •1_•,J [LD HOVER DEVELOPMENT LLL���JJJ PHONE NO. Inspector#: 206 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 2 PREFAB FIREPLACE 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 Mech Issue Auto $40.25 $40.25 01-3105 2 each Fireplpre-fab $25.60 $25.60 01-3105 Totals for: 01-3105 $65.85 $65.85 each SWMF 2 Auto $1.00 $1.00 88-3027 Totals for: 88-3027 $1.00 $1.00 66 1 il., -0 Total Fees: $66.85 Total Amount Paid: $66.85 Paid Today: $66.85 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. I 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) �� PERMI r/PLAN REVIEW AI-t'LICATION o� m3n Development Services Department, 240 West Huntington Drive, Post Office Box 60021 Arcadia, CA 91066-6021, (626) 574-5416, Fax (626) 447-9173 City of cdia 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(.2. -ID39License No. 6 Q1(oZC' 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. nature of Contractor XI 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 Contracts issued. My workers'compensation insurance carrier and policy number are: License Law for the following reason(Section 7031.5, Business and Professio Code: Any city or county which requires a permit to construct, alter, improve, Carrier �/i i`,n t o` c `ttir demolish,or repair any structure,prior to its issuance,also requires the applicant Policy Number C-w 500 3 600 for such permit to file a signed statement that he or she is licensed pursuant to the tion 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 compensation,will do the work,and the structure is not intended or offered for e Date. '-f Z.. �3 Applicant �--. sale(Section 7044,Business and Professions Code:The Contractors License Law does not apply to an owner of property who builds or improves thereon, or who does such work himself or herself or through his or her own employees,provided that such improvements are not intended or offered for WARNING: Failure to secure workers'compensation coverage is unlawful, sale. If,however,the building or improvement is sold within one(1)year of and shall subject an employer to criminal penalities and civil fines up to one completion,the owner-builder will have the burden of proving that he or she hundred thousand dollars($100,000),in addition to the cost of compensation, did not build or improve for the purpose of sale). damages as provided for in Section 3706 of the Labor Code, interest,and attorneys fees. ❑ I, as owner of the property, am exclusively contracting with licensed contractors to construct the project(Section 7044, Business and Professions Code:The Contractors License Law does not apply to an owner of property CONSTRUCTION LENDING AGENCY who builds or improves thereon,and who contracts for such projects with a I hereby affirm under penalty of perjury that there is a construction lending agency contractor(s)licensed pursuant to the Contractors License Law). for the performance of the work for which this p permit is issued(Section 3097,Civil Code). ❑ I am exempt under Section 7044,Business and Professions Code,for this reason: Lender's Name Date Owner Lender's Address IMPORTANT: APPLICATION IS HEREBY MADE TO THE BUILDING OFFICIAL FOR A PERMIT SUBJECT TO THE CONDITIONS AND RESTRICTIONS SET FORTH ON THIS APPLICATION AND THE FOLLOWING: 1. The City's approved plans and permit inspection card must remain on the job site for use by City inspection personnel. 2. Final inspection of the work authorized by this permit is required. A Certificate of Occupancy must be obtained prior to use and occupancy of new buildings and structures. 3. Per South Coast Air Quality Management District (AQMD) regulations, renovation and remodeling work that results in the removal, stripping, or altering of asbestos containing materials requires an asbestos survey and removal prior to disturbing the asbestos. Please contact AQMD at(909)396- 2000 for further information. n ame L r Wl �� Title Kt-4V\II.e...Nr- 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. S nature ��'-- Date l Z- 0 Development Services De +nent ' /r � "1 e• 240 West Huntington Driv. ost Office Box 60021 Pl.. lIT NO. B00_020-317 Arca�ra,CA 91066-6021 City ot�, (626) 574-5416,Fax (626)447-9173 Permit Type: Patio Arcadia ( ) YP PROJECT TRACT NO. LOT NO. APPLI : •• •• ED BY PRINT DATE PERMIT STATUS -. EMI&1.s.,V 9/ ` KW 11:09 9/29/2004 Issued PROJECT ADDRESS PO Al � ' , J J . ^ ` 1JC/.- ASSESSORS PARCEL NO. GEO CODE 1108 Englemann Ct T1108 OWNER MAILING ADDRESS Stewart,John 1108 Englemann Ct "°NE NO. (626)202-7045 Inspector#: JOHN Arcadia,CA 91006 EMAIL ADDRESS: 111 Plan#: IN FILE APPLICANT MAILING ADDRESS STEWART, JOHN PHONE NO. EMAIL ADDRESS: CONTRACTOR/PROFESSIONAL MAILING ADDRESS Owner/builder PHONE NO. FAX NO. EMAIL ADDRESS: License No. Type: Expires: TENANT MAILING ADDRESS 2 PHONE NO. FAX NO. DESCRIPTION �MO pil... , 2300 SQ FT OPEN TRELLIS PATIO. Construction Type UOM #of Units Value Construction Type UOM #of Units Value Patio sq ft 2,300.00 $38,180.00 OCCUPANCY: Dwellings TOTAL VALUATION: $38,180.00 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 $666.25 $666.25 01-3104 Totals for: 01-3104 $706.50 $706.50 /2 8 I ,44i--- SMIP Res $3.82 $3.82 14-2207 090 Totals for: 14-2207 $3.82 $3.82 �9 0• t 11- Flat SWMF Auto $6.25 $6.25 88-3027 Totals for: 88-3027 $6.25 $6.25 //-, v c., //ek e C# ' 5014#, 4"e.5/- feCA6V7 1: Q)CI 7 -2 ft. , Total Fees: $716.57 Total Amount Paid: $716.57 Paid Today: $716.57 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 8:30 a.m. 7:30 a.m. to 8:30 a.m. by telephone at(626)574-5416 for onsite work. 4:00 p.m. to 5:30 p.m. 4:00 p.m. to 4:30 p.m. (Closed on alternate Fridays) ( ( o4 IC( is PERMI I/PLAN REVIEW APPLICATION y .1 „NQ IL. •N\41j� 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 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 yl, 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 V ertify 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 Dat1(Zelf eP q 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). ./1` I am exempt under Section 7044, :usiness an. Professions Code,for this reason: t .lL'. /J i - /. ! a I .tat l/�� i1I Lender's Name Date G Owner Sr/ � Lender's Address IMPORTANT: APP ICATION ^ EREBY 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. n^ Name CO( l)" S�^N��''�_ Title Ow �-P -- 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. � l Signature 1 1 /// Date '/ZS -- •.....- ; .. Development Services Depart t O: >, •-, -n • .L40 West Huntington Drive,F )ffice Box 60021 PEAR NO. BOO-016-409 Arcadia,CA 91066-6021 City of 626 574-5416,Fax (626)447-9173 Permit T Arcadia ( ) ( ) Type: Electrical PROJECT TRACT NO. LOT NO. APPLICATION DATE ISSUED BY PRINT DATE PERMIT STATUS 8/5/2003 SC 11:01 8/5/2003 Issued PROJECT ADDRESS ASSESSORS PARCEL NO. GEO CODE 1108 Englemann Ct O ��E T1108 OWNER MAILING ADDRESS PHONE NO. G210 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 5,247 sq ft New res elec $262.35 $262.35 01-3105 789 sq ft New res access $31.56 $31.56 01-3105 I each Adtl dist panel $14.10 $14.10 01-3105 Totals for: 01-3105 $362.36 $362.36 each SWMF 2 Auto $1.00 $1.00 88-3027 yam. fi► Totals for: 88-3027 $1.00 $1.00 II I / 6 1 , 9 u7 (� 1 Total Fees: $363.36 Total Amount Paid: $363.36 Paid Today: $363.36 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 Cr 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) atil Nom g. PERMIT/PLAN REVIEW Al PLICATION • kAorl j 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 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 TIIE 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 • . a ,1. Development Services Depar t A j •` 240 West Huntington Drive, Office Box 60021 PEP '1'NO. $QQ-Q14-$57 Arcadia,CA 91066-6021 City of (626) 574-5416,Fax (626)447-9173 Permit Type: SFNew Arcadia PROJECT TRACT NO. LOT NO. APPLICATION DATE ISSUED BY PRINT DATE PERMIT STATUS 2/ [ED MB 13:59 4/11/2003 Issued PROJECT ADDRESS ASSESSORS PARCEL NO. GEO CODE 1108 Englemann Ct cogni27/2003 D T1108 OWNER MAILING ADDRESS ARCADIA OAKS LLC PHONE NO. Inspector#: 206 EMAIL ADDRESS: ' Plan#: 28075 APPLICANT MAILING ADDRESS HOVER DEVELOPMENT 3501 JAMBOREE BLVD 2000 PHONE NO. (949)725-9570 School Dist#: 250 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 8,5 BEDRMS,5 1/2 BATHRMS,LIVING RM,DINING RM,KITCHEN W/MORNING RM,BUTLERS PANTRY, CRAFT RM,LIBRARY,FAMILY RM, LAUNDRY RM,ENTRY PRCH,LOGGIA,REAR PRCH,BALCONY Construction Type UOM #of Units Value Construction Type UOM #of Units Value Air Conditioning Res sq ft 5,247.00 $17,839.80 Sprinkler System sq ft 5,247.00 $13,642.20 Type V Wood Frame Good sq ft 5,247.00 $475,378.20 Patio sq ft 273.00 $4,449.90 OCCUPANCY: Dwellings TOTAL VALUATION: $511,311.00 QTY UOM DESC AMT AMT PAID ACCT QTY UOM DESC AMT AMT PAID ACCT 469 dollars Pln ck add $469.35 $469.35 01-3103 Totals for: 01-3103 $469.35 $469.35 Flat Bldg Issue Auto $40.25 $40.25 01-3104 each Bldg permit $4,066.80 $4,066.80 01-3104 Totals for: 01-3104 $4,107.05 $4,107.05 1 housing u Park Rec Fee $185.00 $185.00 07-3509 Totals for: 07-3509 $185.00 $185.00 Ir-( .„1 SMIP Res $51.13 $51.13 14-2207 Totals for: 14-2207 $51.13 $51.13 _U J Flat SWMF Auto $6.25 $6.25 88-3027 I I _ J Totals for: 88-3027 $6.25 $6.25 V .. Total Fees: $4,818.78 Total Amount Paid: $4,818.78 Paid Today: .4 81:. 8 This permit/plan review expires by time limitation and becomes null and void if the work authorized by the r 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) PERM. [/PLAN REVIEW A[,'LICATION ImFAm Development Services Department, 240 West Huntington Drive, Post Office Box 60021 °00.03- Arcadia, CA 91066-6021, (626) 574-5416, Fax (626) 447-9173 City of Arcadia LICENSED CONTRACTOR'S DECLARATION WORKERS' COMPENSATION DECLARATION .l 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 Cod and my license is in full force and effect. f�(_�/^r❑ I have and will maintain a certificate of consent to self-insure for workers' License Class icense No. /Exp.Dateg? / 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 Al 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 L bor Code, I shall forthwith comply with those provision ❑ 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 L.!'"11-0.7�J Applica 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. /fl17Z1(Name 5 tf" Title � S. 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 ente on the above-me t ne o rty for inspection purposes. Signature Date 111/ �3 A=1&"+',. Developmr'ervices Department It PERMIT NO. BOO-032-086 - 240 West hwitington Drive,Post Office Box 60021 City of Arcadia,CA 91066-6021 Permit Type: Miscellaneous Arcadia (626)574-5416,Fax(626)447-9173 PROJECT TRACT NO. LOT NO. APPLICATION DATE ISSUED BY PRINT DATE PERMIT STATUS 4/13/2009 CM 16:49 4/13/2009 Issued PROJECT ADDRESS ASSESSORS PARCEL NO. GEO CQDE 1108 Englemann Ct EL T1108 OWNER MAILIN EITEL)Stewart, John PHONE NO. Inspector#: JOHN EMAIL ADDRESS: APPLICANT MAILING ADDRESS Stewart, John PHONE NO. EMAIL ADDRESS: CONTRACTOR/PROFESSIONAL MAILING ADDRESS Homeowner PHONE NO. FAX NO. EMAIL ADDRESS: license No. Type: Expires: TENANT MAILING ADDRESS PHONE NO. FAX NO. DESCRIPTION RF.NIiWAI.OF PERMITS 4 B00-021-340 AND 4 B00-020-317 @ 20%FOR 175 FT DETACHED ARBOR,AND 2300 SQ FT PATIO construction Type UOM 0 of Units Value Construction Type UOM S of Units Value OCCUPANCY: TOTAL VALUATION: $0.00 QTY EOM DESC AMT AMT PAID ACCT QTY EOM DESC AMT AMT PAID ACCT 2 Flat Other Issuance 80.50 80.50 01-3105 161 Other Renewal 160.66 160.66 01-3105 7- 27-1) 7 , / ( '7� Total Fees: $241.16 Total Amount Paid: $241.16 Paid Today: $241.16 This permit/plan review expires by time limitation and becomes null and void if the work authorized by the Receipt 7: ISif I.% permit is not commenced within 180 days from the date of issuance or if the permit is not obtained within 01-3105 241.16 180 days from the plan application date. 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 the City of Arcadia building inspector for a period of 180 consecutive days.CALLS FOR INSPECTION INSPECTORS' OFFICE HOURS 0\k, Requests for inspection should be made at least Monday-Thursday Friday one(1)business day in advance of the inspection 7:30 a.m.to 8:30 a.m. 7:30 a.m. to 8:30 a.m. by telephone at(626)574-5416 for onsite work. 4:00 p.m.to 5:30 p.m. 4:00 p.m.to 4:30 p.m. (Closed on alternate Fridays) 11.11 1 PERMIT/PLAN REVIEW APPLICAri ION , t4p, Development Services Department, 240 West Huntington Drive, Post Office Box 60021 °„.,t .0" 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 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 ri 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' comp: sati• provisions of Sectio 3700 of the Labor Code, I shall forthwith • ' y wit those provisions. /, ❑ I, as owner of the property, or my employees with wages as their sole 2 compensation,will do the work,and the structure is not intended or offered for Date /v 8 Applicant � , .........1-•- sale(Section 7044,Business and Professions Code:The Contractors License 410±0.- Law does not apply to an owner of property who builds or improves thereon, dir 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 yd. Code). I am exempt und�Secti n 7�usiness and Professions Code,for this reason: f1 Lender's Name Date I Owner 1G/ Lr� Lender's Address IMPORT NT: A PLICATION I'�'EREBY MADE TO THE BUILDING OFFICIAL FOR A PERMIT SUBJECT TO THE CONDITIONS AND RESTRICTION SET FORTH ON THIS APPLICATION AND THE FOLLOWING: 1. The City's approved plans and permit inspection card must remain on the job site for use by City inspection personnel. 2. Final inspection of the work authorized by this permit is required. The permittee may be entitled to reimbursement of the permit fees if the City fails to conduct an inspection of the permitted work within 60 days of the request for final inspection. 3. Per South Coast Air Quality Management District(AQMD)regulations,renovation and remodeling work that results in the removal, stripping, or altering of asbestos containing materials requires an asbestos survey and removal prior to disturbing the asbestos. Please contact AQMD at (909)396-2000 for further information. Name JO t /0 S 7-es,0 f/t t` 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 y/l3/a / 4, • 131� Development Seri s Department i --II 240 West Huntington Drive,Post Office Box 60021 PERMIT NO. B00-032-108 i City of Arcadia,CA 91066-6021 Permit Type: Roofing Arcadia (626)574-5416,Fax (626)447-9173 , PROJECT CUM APPLICATION DATE ISSUED BY PRINT DATE PERMIT STATUS l 4/15/2009 JB 13:40 4/15/2009 Issued PROJECT ADDRESS ASSESSORS PARCEL NO. GEO CODE 1108 Englemann Ct T1108 OWNER MAILING ADDRESS John Stewart 1 108 Englemann Court PHONE NO. (626)355-4291 Inspector#: JOHN Arcadia, CA 91006 EMAIL ADDRESS: Plan#: IN FILE APPLICANT MAILING ADDRESS John Stewart 1 108 Englemann Court PHONE NO. (626)355-4291 Arcadia, CA 91006 EMAIL ADDRESS: CONTRACTOR/PROFESSIONAL MAILING ADDRESS Owner PHONE NO. FAX NO. EMAIL ADDRESS: License No. Type: Expires: TENANT MAILING ADDRESS PHONE NO. FAX NO. DESCRIPTION REMOVE METAL ROOF,APPLY PLYWOOD AND NEW DECKING MATERIAL TO EXISTING PATIO COVER Construction Type UOM #of Units Value Construction Type UOM #of Units Value Value Value 14,000.00 $14,000.00 OCCUPANCY: Reroof TOTAL VALUATION: $14,000.00 QTY I1OM DESC AMT AMT PAID ACCT QTY IIOM DESC AMT AMT PAID ACCT I Flat Bldg Issue Auto 40.25 40.25 01-3104 each Bldg permit 304.05 304.05 01-3104 I Flat SWMF Auto 6.25 6.25 88-3027 7'??0 i #(.it-- 'total Fees: $350.55 Total Amount Paid: $350.55 Paid Today: $350.55 This permit/plan review expires by time limitation and becomes null and void if the work authorized by the Receipt#: 88166 permit is not commenced within 180 days from the date of issuance or if the permit is not obtained within 01-3104 344.30 180 days from the plan application date. This permit expires and becomes null and void if any work 88-3027 6.25 authorized by this permit is suspended or abandoned for 180 consecutive days or if no progressive work has been verified by the City of Arcadia building inspector for a period of 180 consecutive days. CALLS FOR INSPECTION INSPECTORS' OFFICE HOURS Requests for inspection should be made at least Monday-Thursday Friday one(1)business day in advance of the inspection 7:30 a.m. to 8:30 a.m. 7:30 a.m. to 8:30 a.m. by telephone at(626)574-5416 for onsite work. 4:00 p.m.to 5:30 p.m. 4:00 p.m.to 4:30 p.m. (Closed on alternate Fridays) c, ,v,,,, '�4 !! ..1 11. i PERMIT/PLAN REVIEW APPLICATION ,�® Development Services Department, 240 West Huntington Drive, Post Office Box 60021 "°"Y°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 forthwit compl with those provisions. / ❑ I, as owner of the property, or my employees with wages as their sole r , compensation,will do the work,and the structure is not intended or offered for Date4 Applicant ,i 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 e pt u er S tion 7044,Business and Professions Code,for this reason: Hr.? Lender's Name Date ��O Owner Lender's Address IMPORTANT: APPLICATION IS BY MADE TO THE BUILDING OFFICIAL FOR A PERMIT SUBJECT TO THE CONDITIONS AND RESTRICTIONS SET FORTH O HIS APPLICATION AND THE FOLLOWING: 1. The City's approved plans and permit inspection card must remain on the job site for use by City inspection personnel. 2. Final inspection of the work authorized by this permit is required. The permittee may be entitled to reimbursement of the permit fees if the City fails to conduct an inspection of the permitted work within 60 days of the request for final inspection. 3. Per South Coast Air Quality Management District(AQMD)regulations,renovation and remodeling work that results in the removal,stripping, or altering of asbestos containing materials requires an asbestos survey and removal prior to disturbing the asbestos. Please contact AQMD at (909)396-2000 for further information. Name _ el I Jr la M. P. Title OWITI 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 u•.n t • •.o ve-mentioned property for inspection purposes. � � (./ 41 1 5)09 Signature , _ Date w• Development Services Departs :1 1: 240 West Huntington Drive,Pu. Jffice Box 60021 PER A.IN NO. B0O-017-710 City o Arcadia,CA 91066-6021 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 12/17/2003 MB 9:18 12/17/2003 Issued PROJECT ADDRESS ASSESSORS PARCEL NO. GEO CODE 1108 Englemann Ct comma T1108 OWNER MAILING ADDRESS Stewart, John 1108 Englemann Ct PHONE NO. Inspector#: 206 Arcadia, CA 91006 EMAIL ADDRESS: Plan#: IN FILE APPLICANT MAILING ADDRESS D&S CONTRACTORS PHONE NO. EMAIL ADDRESS: CONTRACTOR/PROFESSIONAL MAILING ADDRESS D&S Contractors,Inc 236 N Riverside Avenue PHONE NO. (909) 874-5525 FAX NO. Rialto, CA 92376 EMAIL ADDRESS: License No. 803402 Type: B Expires: 1/31/2004 12:00: TENANT MAILING ADDRESS PHONE NO. FAX NO. DESCRIPTION DECORATIVE WALLS AND A BENCH Construction Type UOM #of Units Value Construction Type UOM #of Units Value Value Value 10,000.00 $10,000.00 OCCUPANCY: Dwellings TOTAL VALUATION: $10,000.00 QTY UOM DESC AMT AMT PAID ACCT QTY UOM DESC AMT AMT PAID ACCT Flat Bldg Issue Auto $40.25 $40.25 01-3104 each Bldg permit $237.25 $237.25 01-3104 Totals for: 01-3104 $277.50 $277.50 each SWMF 2 Auto $1.00 $1.00 88-3027 Totals for: 88-3027 $1.00 $1.00 Total Fees: $278.50 Total Amount Paid: $278.50 Paid Today: 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 6, , 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) t, L PERN1 AT/PLAN REVIEW APPLICATION 04 irs4A s ,, j, Development Services Department, 240 West Huntington Drive, Post Office Box 60021 '`r°ut•°- 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 Code,and my license is in full fo ce and effect. ❑ I have and will maintain a certificate of consent to self-insure for workers' License Class License 4. I21 I Date .y-y��� j compensation, as provided for by Section 3700 of the Labor Code, for the xp. �`'9t performance of the work for which this permit is issued. \ Signature of Contractor ®: =111 01 I have and will maintain workers' compensation insurance,as required by Section 1 OWNER-BUILDER C A'"Z ON 3700 of the Labor Code,for the performance of the work for which this permit is ❑ I hereby affirm under penalty of p-rjury that I am exempt from the Contractors issued. My wor rs'comp ion ins ance 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 X G llG�..0 demolish,or repair any structure,prior to its issuance,also requires the applicant Policy Number \ 6G" I ✓ �V,�7 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 . the Labor Code, I shall forthwith comply with thos- . ovisto ❑ I, as owner of the property, or my employees with wages as their sole -7_ • compensation,will do the work,and the structure is not intended or offered for Date 1 f1 Q '7 Applicant AO _ sale(Section 7044,Business and Professions Code:The Contractors License - %mI Law does not apply to an owner of property who builds or improves thereon, ab e 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 1aDy PUJ (�C7 Title A T T ll 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 • all City ordinances and State laws relating to building construction. I hereby authorize representatives of the City of Arcadia 1 •• er upon the ab.ve-mentioned property for inspection purposes. Signature 1)1.1 Date I 1 7 i O r ff/t f1 aa (A/v1 I ' S / I ' Ov 1s / lam-, 4 L.,..3 i jl w•. Development Services Departtl/1k :11 � 240 West Huntington Drive,Pc. Jffice Box 60021 PERP~NO. BOO-017-827 - Arcadia,CA 91066-6021 City of (626)574-5416,Fax (626)447-9173 Permit Type: Retaining wall Arcadia PROJECT TRACT NO. LOT NO. APPLICATION DATE ISSUED BY PRINT DATE PERMIT STATUS 1/7/2004 MB 10:56 1/7/2004 Issued PROJECT ADDRESS ASSESSORS PARCEL NO. GEO CODE 1108 Englemann Ct (}(���J/� T1108 OWNER MAILING q�iLcp$1 , Stewart,Jon ��i/�1O111'/11 PHONE NO. Inspector#: 206 �+� vvYYP Era) p L� EMAIL ADDRESS: Plan#: IN FILE APPLICANT MAILING ADDRESS PHONE NO. EMAIL ADDRESS: CONTRACTOR/PROFESSIONAL MAILING ADDRESS D&S Contractors,Inc 236 N Riverside Avenue PHONE NO. (909) 874-5525 FAX NO. Rialto, CA 92376 EMAIL ADDRESS: License No. 803402 Type: B Expires: 1/31/2004 12:00: TENANT MAILING ADDRESS PHONE NO. FAX NO. DESCRIPTION 90 LF OF 4'(MAX)RETAINING WALL Construction Type UOM #of Units Value Construction Type UOM #of Units Value Retaining wall sq ft 360.00 $5,400.00 OCCUPANCY: Wall Masonry TOTAL VALUATION: $5,400.00 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 $2121 0.70 �rg5 0.,j -. � � .'2 ,.O(,/ d"--- each SWMF 2 Auto $1.00 $1.00 88-3027 7� 1 Totals for: 88-3027 $1.00 $1.00 /. ,soy a7L$ /—/6a K Pk 74 AeCk(1)1( 9—/3-1)K fri4 C 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. ,try. 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) K» PERN T/PLAN REVIEW APPLICATION 4c. ,j. Development Services Department,240 West Huntington Drive, Post Office Box 60021 (7'°i,.',0- Arcadia, CA 91066-6021, (626) 574-5416, Fax (626) 447-9173 City of Arc dia ICENSED CONTRACTOR'S DECLARATION WORKERS' COMPENSATION DECLARATION 1 hereby affirm under penalty of perjury that I am licensed under provisions of I hereby affirm under penalty of perjury one of the following: Chapter 9, commencing with Section 7000, of Division 3 of the Business and/ Professions Co.- .,c�my license is in full force . . -, -ct. ❑ I have and will maintain a certificate of consent to self-insure for workers' License Class 1 .cens o. / ` Exp.Date compensation, as provided for by Section 3700 of the Labor Code, for the 1 w performance of the work for which this permit is issued. Signature of Contractor l ._ ��dL!,� I have and will maintain workers' compensation insurance,as required by Section WNER—BUILDER DECLARATION 3700 of the Labor Code,for the performance of the work for which this permit is ❑ I he m under penalty of perjury that I am exempt from the Contra,tors issued. My workers' on'ranc artier and policy number are: License Law for the following reason(Section 7031.5, Business and Profess ons Code: Any city or county which requires a permit to construct, alter, impr. e, Carrier demolish,or repair any structure,prior to its issuance,also requires the applica Policy Number ‘6 .--' I 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 om w�h those provisions. ❑ I, as owner of the property, or my employees with wages as their sole e� , l�r��� compensation,will do the work,and the structure is not intended or offered for f Date ' ` p 01 Applicant `Will 4/� ����"�(Y �' 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. ame 1J/1651-)1 ///'�® frU j Title 14' ,9 r' /'P3 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 tate laws relating to building construction. I hereby authorize representatives of the City of Arcadia to enter n the ab v mentioned p rty r inspection purposes. V 7 Signature - Date /0 • Development Services Depart ' / `. L. 240 West Huntington Drive,Pt,_ Jffice Box 60021 PER''" NO. B0O-017-972 t' City o Arcadia,CA 91066-6021 Arcadia (626)574-5416,Fax(626)447-9173 Permit Type: Pool/spa PROJECT TRACT NO. LOT NO. APPLICATION DATE ISSUED BY PRINT DATE PERMIT STATUS 1/ /2 U 12:10 1/22/2004 Issued PROJECT ADDRESS ' ASSESSORS PARCEL NO. GEO CODE g C0 1108 Englemann Ct LETED T1108 OWNER MAILING ADDRESS Stewart,Jon 1108 Englemann Court PHONE NO. Inspector#: 206 Arcadia,CA 91006 EMAIL ADDRESS: Plan#: IN FILE APPLICANT MAILING ADDRESS BRETT MARTIN,AGENT 17234 ARAGON DRIVE PHONE NO. PERRIS, CA 92570 EMAIL ADDRESS: CONTRACTOR/PROFESSIONAL MAILING ADDRESS Owner/builder PHONE NO. FAX NO. EMAIL ADDRESS: License No. Type: Expires: TENANT MAILING ADDRESS PHONE NO. FAX NO. DESCRIPTION INGROUND SWIMMING POOL AND SPA WITH AN ABOVE GROUND GROTTO Construction Type UOM #of Units Value Construction Type UOM #of Units Value Value Value 35,000.00 $35,000.00 OCCUPANCY: Pool TOTAL VALUATION: $35,000.00 QTY UOM DESC AMT AMT PAID ACCT QTY UOM DESC AMT AMT PAID ACCT each Plan review $399.91 $399.91 01-3103 Totals for: 01-3103 $399.91 $399.91 each Bldg permit $615.25 $615.25 01-3104 Totals for: 01-3104 $615.25 $615.25 1 flat Pool issue $40.25 $40.25 01-3105 1 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 1 flat Pool piping $24.55 $24.55 01-3105 I flat Pool p-trap $9.85 $9.85 01-3105 1 each Pool heater $36.95 $36.95 01-3105 Totals for: 01-3105 $253.45 $253.45 each SWMF 2 Auto $1.00 $1.00 88-3027 Totals for: 88-3027 $1.00 $1.00 Total Fees: $1,269.61 Total Amount Paid: $1,269.61 Paid Today: $1,269.61 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) 1 PERrC TIPLAN REVIEW APPLICATION at in-AM .,� 4p, 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 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 NOWNER-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 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 Secti i 3700 of the Labor Co.e, 1 shall forthwith comply with those provisions. ❑ I, as owner of the property, or my employees with wages as their sole c 1/.1 ompensation,will do the work,and the structure is not intended or offered for Date Applican 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. E1/1, 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 ection 7044, :usiness and Prof-ssions Code,for this re. on: L. .' .__ _ - ' _ Lender's Name Date 4-'/412"."--°51 Owner 'id. .�.�/ 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 j ' F9td ti Title /19e"-,72-�" 74J/ i Gv v P!L_-_- 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 u',n the a i ove-mentio.ed p party for inspection purposes. • AL.Signature Date ice•. D piatik evelopment Serviell4lepartment 240 West Huntingtot..Jive,Post Office Box 60021 ERMIT NO. B00-021_340 Arcadia,CA 91066-6021 City of (626) 574-5416,Fax (626)447-9173 Permit Type: Patio ( ax ( Arcadia ) PROJECT TRACT NO. LOT NO. APPLICATION DATE ISSUED BY PRINT DATE PERMIT STATUS .,, / ::' B 15:55 3/1/2005 Issued —i�lIlljI11,J"1■ MI PROJECT ADDRESS ASSESSORS PARCEL NO. GEO CODE 1108 Englemann Ct T1108 OWNER MAILING ADDRESS Stewart,John 1108 Englemann Court V. PHONE NO. (626)202-7045 Inspector#: JOHN Arcadia,CA 91006 II EMAIL ADDRESS: ® Plan#: IN FILE APPLICANT MAILING ADDRESS Stewart,John 1108 Englemann Court VII � PHONE NO. (626)202-7045 Arcadia, CA 91006 EMAIL ADDRESS: CONTRACTOR/PROFESSIONAL MAILING ADDRESS Owner Builder PHONE NO. FAX NO. EMAIL ADDRESS: License No. Type: Expires: TENANT MAILING ADDRESS �\\ DESCRIPTION PHONE NO. FAX NO. � t-•�'175 SF OF DETACHED ARBOR ISIS g � Construction Type UOM #of Units Value Construction Type UOM N of Units Value Patio sq ft 175.00 $3,195.50 OCCUPANCY: Dwellings TOTAL VALUATION: $3,196.00 QTY UOM DESC AMT AMT PAID ACCT QTY UOM .ESC AMT AMT PAID ACCT Flat Bldg Issue Auto $40.25 $40.25 01-3104 each Bldg permit $137.05 $137.05 01-3104 Totals for: 01-3104 $177.30 $177.30 v 9 n SMIP Res $0.50 $0.50 14-2207 ���/x/1„{'l'J Totals for: 14-2207 $0.50 $0.50 q-.1 Flat SWMF Auto $6.25 $6.25 88-3027 --(t) .2� Totals for: 88-3027 $6.25 $6.25 7Th ;,,h Total Fees: $184.05 Total Amount Paid: $184.05 Paid Today: $184.05 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 (t, Requests for inspection should be made at least Monday-Thursday Friday one(1)business day in advance of the inspection 7:30 a.m.to 8:30 a.m. 7:30 a.m. to 8:30 a.m. by telephone at(626)574-5416 for onsite work. 4:00 p.m.to 5:30 p.m. 4:00 p.m.to 4:30 p.m. (Closed on alternate Fridays) Of* ANN PERMIT/PLAN REVIEW APPLICATION Development Services Department, 240 West Huntington Drive, Post Office Box 60021 `+i esg" 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 )k 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 Sectio 700 of t - Labor Code, I shall forthwith comply with those provisions. / ❑ I, as owner of the property, or my employees with wages as their sole ^� ^ X. compensation,will do the work,and the structure is not intended or offered for Date Jh Applicant AK' , 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 secur 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 1 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 exeme nder S••ion 7044,Business and Professes Code,for this reason: Ntil ■ I" Olt U ii , ■ 1} 1 K• Lender's Name Date 3-1-05- Owner lie_ Lender's Address IMPORTANT: APPLICATIO EREBY MADE TO THE BUILDING OFFICIAL FOR A PERMIT SUBJECT TO THE CONDITIONS AND RESTRICTIONS SET FORT I N 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 ilemoval prior to disturbing the asbestos. Please contact AQMD at(909)396- 2000 for further information. gyp+ Name 1• WVI 1 I1�1 3P 1 Title 1JWr) ( 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 upo•�.,�,: ab�,. ,ned property for inspection purposes. ,- Signature X41 .41 at `t Date 3^1_05--