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HomeMy WebLinkAboutUntitled ` r City of Arcadia,CA Permit NO. RALT 18-0316 l Development Services Department 3r, -"`� --,x x° ',Permit Type:Residential Addition/Alteration j 240 West Huntington Drive,Post Office Box 60021 • 1 Arcadia,CA 91066-6021 ._, i , , Work Classification:Addition/Alteration (626)574-5416 w " , Permit StatsIssued / o, •, ;RXA�ItIssue Date.03/12/2018 Expiration: 09/08/2018 Addr NO. Dir Prefix Street Name Street Suffix City,State,Zip Parcel Number 360 W Camino Real Arcadia,CA 5785004008 Contacts ROBERT MILLER Owner ALPHA STRUCTURAL INC General Contractor(B) 360 W CAMINO REAL AVE 1638 COLORADO BLVD,LOS ANGELES,CA 90041 (818)970-7787 (323)258-5482 Description:VOLUNTARY SEISMIC RETROFIT FOR HOUSE AND Valuation: 5 3,200.00 Tenant GUEST HOUSE PER LADBS Total Sq Feet: 0.00 Plan Check#18-316 01 Plan# Fees Amount Payments Amount Paid Building Issuing Fee $44.35 Total Fees $314.56 Building Permit Fees $137.05 Cash/Receipt# $314.56 Building Plan Review Fee $89.09 Cal Green Plan Check Amount Due: $0.00 $8.91 Energy Plan Review Fee $27.41 Green Building Standard $1.00 Solid Waste ManagementFee $6.25 _s"', compaTED Strong Motion Inst.ProgrammRes $0.50 Total: $314.56 CALLS FOR INSPECTION Request for inspection by telephone at 626-574-5450. Leave a message requesting the address,time frame and what inspection item is needed. 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. March 12,2018 Issued By: Date chit- 3l � �� f March 13,2018 Page 1 of 2 vA oFF kvc9w9 }, PERMIT/PLAN REVIEW APPLICATION 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 Signature of Contractor performance of the work for which this permit is issued. OWNER-BUILDER DECLARATION ❑ I have and will maintain workers'compensation insurance,as required by Section ❑ I hereby affirm under penalty of perjury that I am exempt from the Contractors 3700 of the Labor Code,for the performance of the work for which this permit License Law for the following reason(Section 7031.5,Business and Professions is issued.My workers'compensation insurance carrier and policy numbers are: Code.Any city or county which requires a permit to construct,alter,improve, Carrier demolish,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 Policy Number 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 exempt there from and the basis for the alleged exemption. Any violation of ❑ I certify that in the performance of the work for which this permit is issued,I shall Section 7031.5 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 sale(Section 7044,Business and Professions Code:The Contractors License Date Signature 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 penalties 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 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 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 Signature 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 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-mentione roperty for inspection purposes. !� Ij ID Signatu �/ Wit Date v //I tl City of Arcadia,CA ' Permit No: RALT-18-0316 7Development Services Department t 0, p� permit Type:Residential Addition/Alteration 240 West Huntington Drive,Post Office Box 60021 ,„,,,--,Th-,,, ; i ( s , i c, 1 o Arcadia,CA 91066-6021 `'. i ' : i ', " Work Classification Addition/Alteration`: (626)574-5416 Permit Status:Issued ARC DIA Issue'Date:03/12/2018' ,.. , Expiration: 09/08/2018 Addr NO. Dir Prefix Street Name Street Suffix City,State,Zip Parcel Number 360 W Camino Real Arcadia,CA 5785004008 9.:.^:;.Tfd, ....^},....ems ..::a v_ k91W'R ...K;^"n.'": ... ® '7 rt�2-'x"4v:,,n ar-_A9E'°,+ea#^nd.:^a'.'B' ffi?.,'.:�A.. i.,_-.i" 4, "9'„w a,,'Nd;J.:7".:n'R'L.k"W4!$*9" ',._..m'•..A. m'.;,1d."° e Contacts ROBERT MILLER Owner ALPHA STRUCTURAL INC General Contractor(B) 360 W CAMINO REAL AVE 1638 COLORADO BLVD,LOS ANGELES,CA 90041 (818)970-7787 (323)258-5482 Ia,n... Si."�'�n. ..�,.:.A.s.-s.:..[4k;b",bWB, ..a.-n ra..,.n'Ce-•PR:.. -- 9-"....aa m..::aX,I a. A,M >A;.:.a.:..9'© ._A,,m9 ".,' .°.rzk F: ', vh k'. —U'AF M1W3e.6 "A&.. ..�..",.="`$15A*l.9W RMfl. 9..C:!•, Description:VOLUNTARY SEISMIC RETROFIT PER LADBS Valuation: S 3,200.00 Tenant Total Sq Feet: 0.00 4 Plan Check#18-316 01 Plan# s Fees Amount Payments Amount Paid Building Issuing Fee $44.35 Total Fees $314.56 Building Permit Fees $137.05 Cash/Receipt# $314.56 Building Plan Review Fee $89.09 Amount Due: Cal Green Plan Check $8.91 $0.00 Energy Plan Review Fee $27.41 Green Building Standard $1.00 Solid Waste Management Fee $6.25a P� Strong Motion Inst.Program Res $0.50 111. COF , :-'-' 14 r .g , Total: $314.56 CALLS FOR INSPECTION Request for inspection by telephone at 626-574-5450. Leave a message requesting the address,time frame and what inspection item is needed. 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. March 12,2018 Issued By: Date lite. ,/ Gtl4-C_ ( çfp 3—1 9—6 s March 12,2018 Page 1 of 2 C. 4 oFp ky,.-4, 4' PERMIT/PLAN REVIEW APPLICATION o 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' Class License No.10 .39-0g Exp. Date01 I I 1 compensation, as provided for by Section 3700 of the Labor Code, for the � t j performance of the work for which this permit is issued. Signature of Contractor 6701.,,,_,,-� ILicense WNER-BUDECLARATION/ [] I have and will maintain workers'compensation insurance,as required by Section I hereby affirm under penalty of perjury that I am exempt from the Contractors 3700 of the Labor Code,for the performance of the work for which this permit License Law for the following reason(Section 7031.5,Business and Professions is issued.My workers'compensation insurance carrier and policy numbers are: Code.Any city or county which requires a permit to construct,alter,improve, Carrier kg (L(in demolish,or repair any structure,prior to its issuance,also required the applicant Policy Number C ��lA A b`f 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 exempt there from and the basis for the alleged exemption. Any violation of ❑ I certify that in the performance of the work for which this permit is issued,I shall Section 7031.5 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 Date I 7--031 / Si sale(Section 7044,Business and Professions Code:The Contractors License afar J 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 penalties 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 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 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 Signature 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. y. j��.�,��,�.,�y Name Mik i oh ion'e t NAME Title G1 u{f�` �J�fl l l r timet ur I certify that I have read this application and state that the above information is corr ct 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 pro.erty for inspection purposes. z Signa a �/.ni...i A — c Date obi')2 1 'V 1 far ;7-- t Tr) 4 �� Au¢ S ISO] ','4nde`mitt. . . AFFI,' ,VIT SELF-CERTIFICATION • FOR C.,:PLIANCE OF SM.KE ALARMS AND C .,,-;BON MONOXIDE ALARMS Property-Address: Permit Number: p4-LT /g `:3/ 0' Brief Job Description: .Sgc c, � -d 1C� Number of smoke alarms installed: Number of carbon monoxide alarms installed: . When alterations, repairs or additions requiring a permit occur,or sleeping rooms are created, Smoke alarms shall be installed in each sleeping room, and outside each separate :: sleeping area in the immediate vicinity of the bedrooms, and on. each -additional story of the dwelling, including basements and habitable attics as required by Section R314 of the 2016 California Residential Code (CRC) and California Health and Safety Code Section 13113.7. For dwellings or sleeping units containing fuel burning appliances or having attached garages, carbon monoxide alarms shall be installed outside each separatesleeping area in the immediate vicinity of the bedrooms, and on each additional story of the dwelling, includingbasements as required by Section R315 of the of the 2016..California Residential Code.(CRC): Multi-purpose alarms (combination carbon monoxideand:smoke alarms) may be used. All alarms shall comply with requirerrients:for listing andapproval by the Office of the State Fire Marshal. http://osfm.fire.ca:qov/'licensinglistings/licenselisting bail searchcotest.php As owner of the above referenced property, I hereby certify that the smoke alarms and carbon monoxide alarms have been installed in accordance with the manufacturer's instructions and in compliance with the code sections referenced above: I declare under penalty of perjury that the fore oil g'is true and correct, and that this . decl ,ran',ri was executed on (Date) p 3 (if�.{, _. ._ at Arcadia, California: own-r's Name (printed/type ° C-. Signature of.Owner: This,affidavit must be returned to the_City of Arcadia inspector prior tofinal inspection SMCKEE ALS'\RG ND C\R OIMONOX DE _ki1._-AR'.;1 L*CATieNS . . . . Guest RooM • y nator�oo • Storage •Fatuity Room •� - B ' • • Garage _ --- -- _ - FOIST FLOOR PLAN , • o= SMOKE ALARM I CARBON M NOXtIE ALARM • 10 S 1vttr i ,......,-,,±1. a Bath . Master Bedroom • . • Dining Room Kitchen • I i - Butt • ,..., . iip i...„.,- - , ... • -', • _ . ., .. . 9®sct . c set Family Room •- _ _- _ 0 Bedroom cdroonl — — — SEPONb FLOC': PLAN • ...SMOKE AL `‘,. 11fi I e c .,, <<;ON ,-ONOXEDE AL:\M