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HomeMy WebLinkAboutOld permits . -..,. Development Services Depart 11 PERA'"�NO. BOO-031-483 :• • 240 West Huntington Drive,r 3ffice Box 60021 City-r.„. ..... Arcadia,CA 91066-6021 Permit Type: Roofing Arcadia (62 ) 574-5416,Fax (626)447-9173 PROJECT TRACT NO. LOT NO. APPLICATION DATE ISSUED BY PRINT DATE PERMIT STATUS 18241 1/14/2009 JB 14:10 1/14/2009 Issued PROJECT ADDRESS ASSESSORS PARCEL NO. GEO CODE 5780-016-013 1130 Encino Ave OWNER MAILING ADDRESS Kao, David And 1130 ENCINO Ave PHONE NO. r��fv• •ctor#: JEFF EMAIL ADDRESS: ' Arcadia,CA 91006 i /, APPLICANT MAILING ADDRESS Nevada Golden Key, Inc. PHONE NO. Pee EMAIL ADDRESS: CONTRACTOR/PROFESSIONAL MAILING ADDRESS Nevada Golden Key, Inc. 4533 Shirley Ave PHONE NO. (626)285-9016 FAX NO. El Monte,CA 91731 EMAIL ADDRESS: License No. 775115 Type: C39 C33 B Expires: 11/30/2009 12:01 TENANT MAILING ADDRESS PHONE NO. FAX NO. DESCRIPTION "170 AND REROOF HOUSE AND GARAGE WITH 30 YR COMP OVER NEW SHEATHING Construction Type UOM #of Units Value Construction Type UOM #of Units Value Lamin/fibr shing 25-30 yr square 30.00 $4,500.00 Plywood installation square 30.00 $1,500.00 OCCUPANCY: Reroof TOTAL VALUATION: $6,000.00 QTY UOM DESC AMT AMT PAID ACCT QTY IIOM DESC AMT AMT PAID ACCT 1 Flat Bldg Issue Auto 40.25 40.25 01-3104 (� each Bldg permit 170.45 170.45 01-3104 —I I J A �� /� ` ' I Flat SWMF Auto 6.25 6.25 88-3027 gaff 5 �/W -c- AI 1- 1-727 Ft'1 L 1‘,: - N1 , Total Fees: $216.95 Total Amount Paid: $216.95 Paid Today: $216.95 This permit/plan review expires by time limitation and becomes null and void if the work authorized by the Receipt#: 87345 permit is not commenced within 180 days from the date of issuance or if the permit is not obtained within 01-3104 210.70 180 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 4 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) :,0,,,,!..",v.4„, il "6:10K-,:k 1► PERT( T/PLAN REVIEW Al 2I4ICATION a 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 P'I hereby affirm under penalty of perjury that I am licensed under provisions of 9, I hereby affirm under penalty of perjury one of the following: Chapter 9 commencing with Section 7000, of Division 3 of the Business rid Professions Codeccl 37ense is in full f t // ❑ I have and will maintain a certificate of consent to self-insure for workers' License Class License No. J Exp.Date `` D? 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 DECL IjIATION 3700 of the Labor Code,for the performance of the ork for which this permit is ❑ I hereby affirm under penalty of perjury that I am exempt from the Contractors issued. My tigers'con.ensatio insurance carri nd 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 30/ — Z0®E--- 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 wit those provisions. ❑ I, as owner of the property, or my employees with wages as their sole t (__________ compensation,will do the work,and the structure is not intended or offered for Date O7 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 who builds or improves thereon,and who contracts for such projects with a CONSTRUCTION LENDING AGENCY contractor(s)licensed pursuant to the Contractors License Law). I hereby affirm under penalty of perjury that there is a construction lending agency 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. 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 /1 rift i l . - ;i k'-4-v - `l� Title �'; �. PRINT NAME I certify that I hav 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 upqin the above-mentioned property for inspection purposes. I ..,.• . / ---7‘..77,_ 07, Signature ,lit-t./ Date i BUILDING AND SAFETY DIVISION City of Arcadia MISCELLAI° OUS AND OFF-SITE 240 W. HUNTINGTON DR., ARCADIA, CA 91006 • TE . (213) 446-4471 PERMIT elLtd'ng n MISCELLANEOUS FEE RECEIPT Address // gv' 4./ryl41C t1 / re - Owner // 0 91 f- PLAN CHECK FEE FOR VAL. Moiling 0 CASH BOND FOR Address City 2i Tel. 0 GRADING PLAN CHECK 0' ln4-444‘, yfe�i6 _ 7--3e*/ v Coo roctor 1 GRADING PERMIT n arcCSe7,' *V APcl-OG. 0 HOUSE MOVING L, Address ' -_---- /�/7 ye f a e ,~ PARKS AND RECREATION FEE Coy / ( Zip�j� Tel. _--- t.. • �_"j n0,`/k I ! 1oy1 .i'_3d / ROUTE INSPECTION FEE Stole Lie. !Qe • City L B olossif. �/ �, Lic, No./ 3 40r/- t 12 LICENSED CONTRACTOR•S DECLARATION puI hereby affirm that I am licensed under provisions of Chapter 9(commencing with Section 0 of Division 3 of the Business and Professions Code,and my license is in full force and effect. O _- _- OWNER-BUILDER DECLARATION $ 0 I hereby affirm that I am exempt from the Contractor's License Law for the following TOTAL FEE reason:"Sec.7031.5.Business and Professions Codes.Any city or county which requires a ilE WARNINGS PLAN CHECK FEES. WHERE NO ACTION IS TAKEN BY THE perm::to construe:,alter,improve,demolish.or repair any structure,prior to its issuance APPLICANT IN 180 DAYS AND NO BUILDING PERMIT IS ISSUED5LFEES ARE also requires the applicant for such permit to file a signed statement that he is licensed FORFEITED TO THE CITY. pursuant to the provisions of the Contractor's License Law, Chapter 9(commencing with 14 Section 7000)of Division 3 of the Business and Professions Code, or that he is exempt therefrom.and the basis for the alleged exemption.Any violation of Section 7031.5 by any SEWER PERMIT 0 applicant for u permit,subjects the applicant too civil penalty of not more than five hundred PERMISSION IS HEREBY GRANTED TO MAKE SEWER CONNECTIONS AT a dollars($.500).'' C) ^J I.as owner of the property,or my employees with wages as their sole compensation,will ^ do iht work,and the structure is not intended or offered for sale."Sec.7044,Business and l.J Professions Code:The Contractor's License Law does not apply to an owner of properly who LOT BLOCK TRACT 11.• builds or tmpreu es thereon and who does such work himself or through his own employees, provided that such improvements are not intended or offered for sale. If, however, the LOCATION LATERAL 1 building or improvement is sold within one year ojr'onipletion,the owner-builder will have SADDLE _ the burden of proving that he did not build or improve for the purpose of sale." SEWER PLAN NO. CESSPOOL FILL LJ I. as owner of the property, am exclusively contracting with licensed contractor to $ 3.00 construct the project.-'Sec.7044,Business arid Professions Code:The Contractor's License Law does not apply to an owner of property who builds or improves thereon,and who con- tracts for such projects with a contrarurrts/licensed pursuant to the Contractor's License Law." INSPECTED )98 ElI am excempt under Sec.___ ,B.& P.C.for the reason TOTAL BY BY CURB AND SIDEWALK Owner _ WORKERS'COMPENSATION DECLARATION CURB BREAK REPLACE CURB FT. ❑ I hereby affirm that I have a cereiticate of current to self-insure,or a certificate of Worker's Co p ire I s r . • -r Ye o. i• Se . -d-yr!'otter No. __ ! t t .....„9, DRIVEWAY APPROACH fG' SIDEWALK FT. (—j Copy is ilcd crti(led c•.V is t ,� U with City. MN hereby furnished i INSPECTED �(/��� �-� TOTAL FEE '',��10� CERTIFICATE OF EXEMPTION FROM �����La `r WORKERS'COMPENSATION INSURANCE STREET CUT !?his section need not be completed if the permit is for one hundred dollars(5100/or less.) E I certify that in the performance of the work for which this permit is issued,I shall not ESTIMATED SIZE OF PATCH AMOUNT OF DEPOSIT employ any person in any manner so as to become subject to the W arkers•Compensation Law /SQ.FT. nl California. ACTUAL SIZE-OF PATCH AMOUNT CHARGED NOTICE TO APPLICANT:If,after making this Certificate of Exemption you should become sublet,to the Workers' Compensation provisions of the Labor Code,you must forthwith ® /SQ.FT. comply with each provisions or this permit shall be deemed revoked. AMOUNT REFUNDED I certify that I have read this application and state that the above information is correct.I RECEIVED FROM STREET DEPT. after to comply with all city and county ordinances and state laws relating to building INSPECTION FEE construction,and hereby authorize representative f this city to enter the above•mentioned property for inspection purposes. ,/2 t � INSPECTED 198 BY � a y L, - Date /-�" PERMIT FEE Signature of Applicant i f Mailing Address r-S '/ °4-�-eme a /'`P .4�,4!`,t ev, �tf�/� -- TOTAL FEES •City.State.Zip e P !� INSPECTOR COPY TMs is a miscellaneous and off-site permit when properly filled out,signed and validated,and is subject to expiration if wort( Thereunder is suspended far IQO days. i JOB ADDRESS osi //3 6 f4.= ' NUMBER STREET APPLICATION FOR A BUILDING PERMIT BUILDING & SAFETY DIVISION CITY OF ARCADIA, CALIFORNIA OWNER.. ;2„ 7:41.A TEL. NO .41. MAILING-) f�tES 9 .....4,41Z AI ARCH. -7 TEL. NO. ENGR. !I x�J ��" �+ CONT�2ACTO .f^'f 14ti ��+ � Z.S / yN [-/s 7„Arl'1�f Iv `,,.,1. MAI ADDRE CITY LIC NO .:tZ U. CITY .//p��_ 411. 4 TEL. NO. ,62,L. 1,6. TEL. NO. CONSTRUCTION rki LENDER DESCRIPTION OF WORK NEW ❑ ADD'N ❑ ALTER ❑ REPAIR ❑ DEMOLISH❑ FLOOR AREA 1 GARAGES OR ITOTAL MAIN BLDG I CARPORTS AREA t NO. OF NO. OF DWELLING • STORIES UNITS PRESENI�DG US PROPOSED BLDG. USE DESCRIBE WO , ^ (` TO BE DONE` { // 'L ) , / 1 EXTERIOR WALL MATERIAL ROOF FRAMING MATERIAL PARTITIONING MATERIAL ROOF COVERING MATERIAL NOTE:Include Labor,Mat., 1,„ro0 'l VALUATION Wiring, Plumb., Heat, Etc.$ LOT BLOCK NO NO. TRACT LOT LOT DIST. FACE OF WIDTH DEPTH CURB TO P. L. FT. NOTE: PROVIDE PLOT PLAN ON BACK SIDE OF ORIGINAL COPY ONLY INFORMATION BY BLDG.SECTION N USE FIRE OCCU- ZONE ZONE PANCY 5"ul REQ'D FRONT RIGHT SIDE LEFT SIDE REAR O SET `v BACKS _ Q TYPE OF SPECIAL z ce CONSTR. CASE NO 0 v PLAN NO. CHECKER'S APPROVAL PLAN CK. FEE I have carefully read and examined the above op lication and find the same to be true and correct. All provisions of the Laws PERM F;E and Ordinances governing building construction will be complied 'lied �J with whether specified herein or not.No person shall be employed in violation of the Labor Code of the State of California. I agree S.M.I.P. �� not to occupy or allow occupancy of any building authorized by this permit until Finol building inspe ion been r e TOTAL FEE SIGNATURE OF OWNER OR AUTHORIZED AGENT CO .UCTION PROHIBITED BETWEEN 7:00 P.M. AND 7:00 A.M. AND ON SUNDAYS AND HOLIDAYS AS PER ORD.I31321. OL. l INSPECTION RECORD BASIC INSPECTIONS AWN ITEM INSPECTOR DATE TRENCHES: WIDTH DEPTH 1st FLOOR JOIST FRAMING LATH FINAL / IIIII�I' PARTIAL OR MISC. IN ' CTI•NS • UNSUCCESSFUL TRIPS ITEM INSP DATE ITEM INSP. DATE SET BACKS FRONT. R. SIDE L. SIDE REAR INSP DATE FIELD CHECKS TO APPLICANT: PLEASE DO NOT WRITE ABOVE THIS LINE PLOT AMOS 2� JOB ADDRESS //i' �+ I NUMBER STREET APPLICATION FOR A BUILDING PERMIT CO PLE1�ED BUILDING & SAFETY DIVISION N CITY OF ARCADIA, CALIFORNIA 9�7 !�' OWNER. ri, ��pp��,.w�(�.f1' /; Tj Nlo / _L— , M A I L I N 11 'SO /'tri.1e _ �('ly�I,F,�� CA-A4. �/►'�'�- TEL.NO. �.r ARCH. ENGR. STATE LIC.NO. CONTRACTOR 0 Ytr' om 4,' MAILING ADDRESS CITY LIC.NO. C- TEL.NO -ri CITY m DESCRIPTION OF WORK 'Y` NEW ❑ ADD'N ❑ ALTER 0 REPAIR ❑ DEMOLISH ❑ o. FLOOR AREA STORES IUNITS NO.OF DWELLING V (SO.FT.) PROPO Q BLDG.USE PRESENT BLDG.USE �`// ' DESCRIBE WO (, -, TO BE DONE 1. 7.v l� y �//, e /• (JI NOT PROVIDE PLOT PLAN ON BACK SIDE OF ORIGINAL COPY ONLY i,...., ROOFAMING MATERIAL �. E�XyjT�/'ERIO WAIL MAT RIAL CCQ.J S ROOF�.OVERINS'a MATERIAL PARTITIONING MATERIAL �l get. S 1 LOT > LOT �J NO.OF EXISTING / WIDTH � DEPTH /o` C BLDGS.ON LOT NOTE: Include labor, Mat., ¢ �%/w� �-- VALUATION Wiring, Plumb., Heat, Etc. N�j_2—'/=-- BLOCK TRACT /O A LOT f > NO. NO._.!___ '_.:1___ PROVIDED BY BLDG. SECTION N FIRE ? OCCU- SEC. USE 1 ZONE ,L-PANCY SH. vl ZONE REAR a< REO'D FRONT RIGHT'SIDE LEFT SIDE ^ , O SET '..?.� ,� _ BACK Q TYPE OF SPECIAL GRADE_ Z CONSTR. CASE NO. O 0 Approval&Information by Others EASEMENT CITY ENGINEER E DIST.FACE OF SEWER DRIVE CURB TO P. L. FT. AVAILABLE l PLAN CK.FEE PUBLIC SERVICE PLANNING WATER ELECTRIC PERMIT FEE PLAN NO. CHECKE'''APPROVAL -- 3 c alit I have carefully read and examined he above application and find the TOTAL FEE same to be true and correct. All provisions of the Laws and Ordinances TO TO at)governing building construction will be complied with whether speci- fied herein or not. No person shall be employed in violation of the Labor Code of the State of California.I agree not until iicfup I build p inspection has been received. of any building authorized b�this � SIGNATURE OF OWNER OR A ORIZED AGENT FLR■ B-51 (REV.5-64) 2M ©e INSPECTION RECORD, BASIC INSPECTIONS I T E M INSPECTOR DATE TRENCHES: WIDTH DEPTH 1st. FLOOR JOIST FRAMING • AL.=/7 41111,4 f LATH ANAL 4� , � PARTIAL OR MISC. INSPECTIONS IIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIMII UNSUCCESSFUL TRIPS _ITEM INSP, DATE - - - ITEM£M INSP. DATE - ■ SET BACKS FRONT R. SIDE L. SIDE i REAR —T—INSP. DATE FIELD CHECK I 77 7,777,--,T: PLEASE DO NOT W°iTE A86YE i ;,5 L��;p , i■ PLOT , ,, ,■ j --. , I 1 . _�_ _ _+ _ ■ ! ■® ® i H ■® ■■ ■ - 1 , I X1111 i I L u zl r\t%• n Cat?e.OWN°R son 1^'.�CeA- ADDRESS + Q _�� � �we11 �l�A�j ONTRACTOR &) 87RUC7ru�RE REMARKS PLAN NO. 10011 DATE �, �•yM�ERMIT INSP CTED I � POWER POLE FORMS 2-It (3 d, hys t11//. / Cf -�V RO. PLUMB. //'77S G'pt'�6L�G 3p�� TO STREET SE //{� /SEWER r/ 1 ' "'� �JJ f`r /���� � W.C. FURNACE s - y �'A � / � /36 t%v"�„'4 VENT 4/9/-.6 •RO. WIRE gc 1� w�• CURB �/ T ��jf FRAME 7 . & `r Jam— LATH S e 8 S I t� ELEC. FIX. I irr "C -( / "/"� PLUMB FIX. i C /..7" ELECTRIC �..Vi / ) GAS - '77- 7._ -. SUB-CONTRACTOR ..."7— . .-,J r LOCATION %13ff) En, e.%h o A ue . VALUE S 16�$�b D toe tl 1-v1% fri acxre..%e LOT 1 Z^y BLOCK TRACT l gzq.1 OWNER \r)btnson rar0%- BUILDING Me. //��_ ' .bps 1-{p al l 13 PLUMBING Met'1ih L. �Te�es Z-to-sr. log I1' HEATING 1-1arY`ts , `�. Frc.�t°Qrp. �--s� 3�I 19 4. i SEWER (/m6. .P"'?"' S� 8757 WIRING F. D ._ ill C k<`'A St.V'� 5_7I- "1 g.11 FIXTURES „ `. I-� •I ,� ELECTRIC 1S L 3" . 1 • "2.D-S6GAS 2.`77 1-2.0,.cz.PLAN No.1O r leilihn Location //3D ENC/NO AVE. ' ,3-9-J 4, Sewer Permit No.e95/ Co. No. Lot /� Blk. Tract 1S 3_ 4, / I Legend ,/ Owner N� b��7 c �r Oro s I N r O Lengt Date Insp. Contractor /4,Ko rot/.�/' I I - I 1 Pipe & Joint.: rt r- a'" Street Location_/DO �/✓�-6'3�O s %, —I -