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City of Arcadia, CA �a � `PermrtNo RALT'180089°
: Development Services Department `s "
aE „���� PermitT,ype Residential AtlditionJAlteratlonza
240 West Huntington Drive,Post Office Box 60021 •I L ) ` - . f t l f"- ,t ,� „4.,...,,,,
i Arcadia,CA 91066-6021 ,, r &,- ki f a WOrk CIasSIf cation"Addition/Aiteratlon
(626)574-5416 .- t�
y ,ii, ,` )tic. s' Tana^H Per, , ,,tUS'1$su,
'Iu�".E h i� -
issueMate 02/08/2018'I Expiiration• 08/07/2018
Addr NO. Dir Prefix Street Name Street Suffix City,State,Zip Parcel Number
2120 S EIGHTH AVE Arcadia,CA 5791007042
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Contacts
LIU POCHEN AND ISBELLE PI ERH Owner
2120 S EIGHTH AVE
(626)757-0331 GGGALFRED@GMAIL.COM 1
1
Description:CONVERT EXISTING FAMILY RM INTO BED#4, 1, Valuation: $ 21,089.16 Tenant I'
BATH#4
, Total Sq Feet: 0.00 Plan Check# Plan#
Fees Amount payments Amount Paid
Building Issuing Fee $44.35 Total Fees $1,029.78
Building Permit Fees $437.65 Cash/Receipt# $1,029.78
Building Plan Review Fee $284.48
Cal Green Plan Check Amount Due:
$28.45 $0.00
Electrical Permit Issuance Fee $44.35
Energy Plan Review Fee $87.53
Green Building Standard $1.00
Lavatories $12.46
Light Fixtures $3.08
Outlets-Receptacles&Switches $6.16
Plumbing Permit Issuance Fee $44,35 Insert a permit notice prefix in the report text bank,entry:
Shower $12.46 Permit_Notice_Prefix
Solid Waste Management Fee $6.25
Solid Waste Management Fee 2 $1.00
Solid Waste Management Fee 2 $1.00
Strong Motion Inst.Program Res $2.75 This permit/plan review expires by time limitation and becomes null and
Water Closet $12.46 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
Total: $1,029.78 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.
February 08,2018
ssued By:i"\--°°/.......---- Date
•
ti COMPLETED
February 14,2018 Insert a permit page footer in the report text bank,entry:Permit_Page_Footer Page 1 of 2
of ARC
ir
A o4r. 4, .6 R t
7 PERMIT/PLAN REVIEW APPLICATION
s,ice, .L-.
4OW Development Services Department,240 West Huntington Drive,Post Office Box 60021
e0\Y/� Arcadia, CA 91066-6021, (626) 574-5416,Fax (626) 447-9173
City of
Arcadia
_ ,LICENSED CONTRACTOR'S DECLARATION, WORKERS'COMPENSATION DECLARATION
:---
'--.:011 hereby affirm under penaltyof perjuryha•I'anilic ed under provisions of I hereby affirm under penaltyof perjuryone of the following:
--
I Chapter 9"(com_mencing-with Section-7000,of Division 3 of the Business and
Professions Code,and my license=is-in.full foorrce 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
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
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
exempt there from and the basis for the alleged exemption. Any violation of IDI 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
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 '�l- --- -
9
- 2 -1-�-1— Signature"
sale(Section 7044,Business and Professions Code:The Contractors License ----________Date
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
Is
�� Date�21/ / U—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-`- 1"r (t`__`t6 Cv P bl`--7-1--Z-7(:(- . 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-mentioned property for inspection purposes.
•
1.1---17§1----'-- _- /1 �/CP
nature ---gnature----,—,---- .e _ at'e.� 6
NOTES
Building Inspections Date Insp. Plumbing Inspections Date Insp. 2120 .S u0��6HTH
100. Setbacks 210. Under flr./bldg.drain 3-1 I� 1."1
RA�� �-
101. Rough grade 211. Copper underslab d
102. Figs.&forms 212. Rough plumbing 3404
103. Pre-slab 213. Rough gas
104. Floor joists 214. Shower pan
105. Steel 215. Water heater
106. Grout lift 216. Roof drains
107. Shear nailing 217. Building sewer
108. Diaph nailing 218. Water service
109. Roof nailing 219. Final gas
110. Framing 3. .).jg' (114 220. Fixtures L
111. 0cc./Area Sept.Wall 221. Final plumbing .�.-7.(r th•
112. Sound walls 222. Sewer cap/demo.
113. T-bar grid
114. Insulation-Flr. Pool Inspections Date . Insp.
115. Insulation-Wall 240. Excavation/steel
116. Insulation-Ceil. 241. Rough plumbing
117. Drywall nailing 34)6-+8 �� 242. Light shell/bonding
118. Interior lath • .4 243. Underground conduit
. 119. Exterior lath 244. P-trap
120. Finish grade 245. Gas line&test
121. Final building 4--q-re 1' j 246. Fence,gates&signs
122. Final demo/lot clear _ 247. Pool heater
248. Final electric
Electrical Inspections Date _ Insp. 249. Final.lumbin.
150. Power pole 250. Pool cover
151. Sales lot lighting 251. Pool final
152. Underground conduit
153. Underslab conduit Reroof Inspections Date Insp.
154. UFER ground 270. Ple-reroof insp.
155. Water ground 271. Roof framing
156. Rough electrical v 4-j$ if-hi 272. Sheathing nailing
157. Fixtures 273. Final reroof
158. G.F.C.I.
159. E..t.bondin. Sign Inspections Date Insp. -
160. Service panel 280. Setback/overhang
161. Anal electric 4 -(P 281. Footing •
282. Conduit/wirin.
Mechanical Inspections Date Insp. ' 283. Disconnect
180. Venting/flue 3 WI g- , 284. Final sign
181. Furnace/A.C.
182. Rouch HVAC Miscellaneous Insp. Date 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. I Date Insp.
191. Final mechanical .4.1-(g 300. Lateral(main to P/L)
301. Saddle/Y
Block Wall Inspections Date Insp. 302. Cess.00l 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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