HomeMy WebLinkAboutB00-049-488 Development Services Department
240 West Huntington Drive,Post Office Box 60021
" Arcadia,CA 91066-6021 PERMIT NO. B00-049-488
City of (626)574-5416,Fax(626)447-9173
Arcadia c Permit Type: Patio
l
PROJECT TRACT NO. LOT NO. APPLICATION DATE ISSUED BY PRINT DATE PERMIT STATUS
27377 3/5/2015 CM 12:22 3/5/2015 Issued
ADDRESS NO. Dlr.Prefix Street Name Street Suffix UNIT BLG ASSESSORS PARCEL NO. GEO CODE
2111 Bela Vista Ave 5787-002-051
OWNER MAILING ADDRESS
Wong, Max K And Heidi W Trs Max 2111 Bella Vista Ave PHONE NO. Inspector#: CRIS
Arcadia, CA 91007 EMAIL ADDRESS:
Plan#: IN FILE
APPLICANT MAILING ADDRESS
Golden Patio Restoration PHONE NO.
EMAIL ADDRESS:
CONTRACTOR/PROFESSIONAL MAILING ADDRESS
Golden Patio Restoration 23520 Burbank Blvd PHONE NO. (818)612-9542 FAX NO.
Woodland Hills, CA 91367 EMAIL ADDRESS:
License No. 971127 Type: B Expires: 1/31/2016 12:00:
TENANT MAILING ADDRESS
PHONE NO. FAX NO.
DESCRIPTION
252 SQ FT ENCLOSED PATIO
Construction Type UOM #of Units Value Construction Type UOM #of Units Value
Patio enclosed sq ft 252.00 $8,168.20
i COMPLETED
OCCUPANCY: Dwellings TOTAL VALUATION: $8,169.00
QTY UOM DESC AMT AMT PAID ACCT QTY UOM DESC AMT AMT PAID ACCT
each Plan review 143.36 143.36 01-3103
I 00 Flat Bldg Issue Auto 44.35 44.35 01-3104
each Bldg permit 220.55 220.55 01-3104
1.00 flat Elec issue 44.35 44.35 01-3105
4.00 each Outlets 6.16 6.16 01-3105
3.00 each Ltg fixtures 4.62 4.62 01-3105
SMIP Res 1.06 1.06 14-2207
grn bldg std 1.00 1.00 714-2203
1.00 Flat SWMF Auto 6.25 6.25 88-3027
1.00 Flat SWMF 2 1.00 1.00 88-3027
Total Fees: $472.70 Balance Due: $0.00 Paid Today: $472.70
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 Receipt#: 108101
the date of plan submittal.This permit expires and becomes null and void if any work authorized by this permit 01-3103 164.90
is suspended or abandoned for 180 consecutive days or if no progressive work has been verified by a City of Ar- 01-3105 264.90
cadia building inspector for a period of 180 consecutive days. y y 01-2207 55.16
14-2207 1.06
CALLS FOR INSPECTION INSPECTORS'OFFICE HOURS 8 .25
88 8--0273 7-3027 7.25
Requests for inspection should be made at least Monday-Thursday Friday
one(1)business day in advance of the inspection 7:30 a.m.to 8:30 a.m. 7:30 a.m.to 8:30 a.m.
by telephone at(626)574-5416 for onsite work. 4:00 p.m.to 5:30 p.m. 4:00 p.m.to 4:30 p.m.
(Closed on alternate Fridays)
,
•f A.;
1163111111 PERMITIPLAN REVIEW APPLICATION
i r„M
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 j License No. /V/ Exp. Date`/i/�6. 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 ��'a/
OWNER-BUILDER DECLARATION ❑ I have and will maintain workers'compensation insurance,as required by Section
3700 of the Labor Code,for the performance of the work for which this permit
❑ I hereby affirm under penalty of perjury that I am exempt from the Contractors is issued.My workers'compensation insurance carrier and policy numbers 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,de- Carrier
molish,or repair any structure,prior to its issuance,also required the applicant for
such permit to file a signed statement that he or she is licensed pursuant to the pro- Policy Number
visions of the Contractors License Law(Chapter 9(commencing with Section 7000)
(T • section need not be completed if the permit is for one hundred dollars or less) Pi
of Division 3 of the Business and Professions Code)or that he or she is exempt
there from and the basis for the alleged exemption.Any violation of Section 7031.5 I certify that in the performance of the work for which this permit is issued,I shall
by any applicant for a permit subjects the applicant to a civil not employ any person in any manner so as to become subject to the workers'
penalty of not more than five hundred dollars($500)): compensation Laws of California,and agree that if I should become subject to the
workers'compensation provisions of Section 3700 of the Labor Code,I shall
❑I, as owner of the property, or my employees with wages as their sole forthwith comply with those provisions.
compensation,will do the work,and the structure is not intended or offered for _J
sale(Section 7044,Business and Professions Code:The Contractors License Date y � Signature 1/N3
Law does not apply to an owner of property who builds or improves thereon,or l /
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,and
sale.If,however,the building or improvement is sold within one(1)year of shall subject an employer to criminal penalties and civil fines up to one
completion,the owner-builder will have the burden of proving that he or she did hundred thousand dollars($100,000),in addition to the cost of compensation,
not build or improve for the purpose of sale). damages as provided for in Section 3706 of the Labor Code, interest, and
attorney's 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 CONSTRUCTION LENDING AGENCY
builds or improves thereon,and who contracts for such projects with a contrac- I hereby affirm under penalty of perjury that there is a construction lending agency
tor(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 Signature Lender's Address
IMPORTANT:APPLICATION IS HEREBY MADE TO THE BUILDING OFFICIAL FOR A PERMIT SUBJECT TO THE CONDITIONS AND RE-
STRICTIONS 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 fur-
ther information.
Name T 74491{x' Title 400/7Zeoll f
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 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 3/5/X
&o -c=5c - 18-.Es
NOTES
Building Inspections Date Insp. Plumbing Inspections Date Insp. 3_26,-' cs 77 O a G/c
100. Setbacks 210. Under flr./bldg.drain
101. Rough grade 211. Copper underslab TCS 5 G 4. 1 LCrc V.C,- 'iZ TX.66-c/<
102. Figs.&forms 212. Rough plumbing 4 E,aQ �� 1,14(--` Te.A.G/<S
103. Pre-slab 213. Rough gas
104. Floor joists 214. Shower pan A-T7 4 G(4./'t cJ f 7t_ 6$i G4/("
105. Steel 215. Water heater S v c, v-4 e-, /
106. Grout lift 216. Roof drains
107. Shear nailing 217. Building sewer
108. Diaph nailing _ _218. Water service 4/_2c)_/C /3 to� g -Cis t-J-ES,
109. Roof nailing 219. Final gas '770-=1- V �\
110. Framing 220. Fixtures 7-7(- 7 5 A �� ,FA.-C A-t-,c P
111. 0cc./Area Sept.Wall 221. Final plumbing 1</4 is v//sL4 i7145- / -12.6"
112. Sound walls 222. Sewer cap/demo.
113. T-bar.rid 5 T"-C.._ t3 7Z6 Ic?4 12(.3-6F" T'E'S,
114. Insulation-Fir. Pool Inspections Date Insp. Sfi_r- _S-7 7.744� Tf
115. Insulation-Wall _240. Excavation/steel
116. Insulation-Ceil. 241. Rough plumbing C/ � b �C�/ T
117. Drywall nailing 242. Light shell/bonding / ,Qf7 ,T f 057.4 vg-i 7e
118. Interior lath 243. Underground conduit
119. Exterior lath 244. P-traps C���= 7%�- /w�
120. Finish grade - -1 45. Gas line&test _ CO(Az-72. 72 fad 7�
121. Final building ?.2C3-ds 246. Fence,sates&suns
p�p _ ` �l v �`��
122. Final demo/lot clear 247. Pool heater f`�/ F` T`1- T/L�S �%�f�"��?
248. Final electric rd of / C j
/
Electrical Inspections Date Insp. 249. Final I lumbin.
150. Power pole 250. Pool cover arAlla■
151. Sales lot lighting 251. Pool final
152. Underground conduit
153. Underslab conduit Reroof Inspections Date Insp. -
154. UFER ground 270. Pre-reroof insp.
155. Water ground 271. Roof framing
156. Rough electrical 272. Sheathing nailing
-
157. Fixtures 273. Final reroof
158. G.F.C.I.
159. E.et.bondin. Sign Inspections I Date I Insp.
160. Service panel /? 0. Setback/overhang
161. Final electric y-/3-/c A"-- 2881. Footing
282. Conduit/wiring
Mechanical Inspections Date Insp. 283. Disconnect _
180. Venting/flue 284. Final sign
181. Furnace/A.C.
182. Rouch HVAC Miscellaneous Insp. Date I Insp.
183. Fire dampers 290. Fire alarm
184. Furnace compartment 291. Underground supply
185. Combustion air 292. Fire sprinklers
186. Smoke detectors 293. Monitor system
187. Metal F.P.rough 294. Hood dry chem.
188. Compressor setback 295. Final
189. Commercial hood
190. Duct shaft Sewers&Offsite Insp. Date I Insp.
191. Final mechanical 300. Lateral(main to P/L)
301. Saddle/Y
Block Wall Inspections Date Insp. 302. Cesspool filled
200. Footings 303. Sidewalk
201. Steel/rebar 304. Driveway
202. Grout lift 305. Curb replacement
203. Final wall 306. Trash bin
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