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Home My WebLink AboutUntitled JUTS UUtCC3.3 810 Coronado Dr. • NUMBER STREET APPLICATION FOR A BUILDING PERMIT BUILDING & SAFETY DIVISION CITY OF ARCADIA, CALIFORNIA OWNER G. Crossf1 .0635 MAILING ADDRES$ l0 Coronado Dr.Arcadia ARCH. TEL.NO. ENGR. S 7T7�F GL 7C F"- CONTRACTOR Cedar Roofs Co. l / Vll,(JO �j MAILING ADDRESS CITY MC.NO. 1/40 P.O. Box 87,Alhambra 17181 on CITY Alhambra Tn3T 7167 r_ DESCRIPTION OF WORK : f-_\ NEW ❑ ADD'N ❑ ALTER ❑ REPAIR IN DEMOLISH ❑ (,..' FLOOR AREA NO.OF NO.OF DWELLING (SQ.FT.) STORIES UNITS PRESENT BLDG.USE PROPOSED BLDG.USE residence residence DESCRIBE WORK TO BE DONE Re—roof over existing roofing usinc Red Cedar Medi m h.kes at 10" exposure, I : -- • - • Ga 1 tIOTE0401-54 QT PLAN ON BACK SIDE OF ORIGINAL COPY ONLY EXTERIOR WALL MATERIAL ROOF FRAMING MATERIAL PARTITIONING MATERIAL ROOF COVERING MATERIAL • E- LOT LOT NO.OF EXISTING WIDTH DEPTH_ BLDGS.ON LOT VALUATION NOTEng: Include Labor,Heat,Mat.Etc., $1700. 00 , Plumb., LOT BLOCK NO. NO. TRACT INFORMATION PROVIDED BY BLDG. SECTION an USE FIRE OCCU- SEC. ZONE ZONE PANCY SH. REQ'D FRONT RIGHT SIDE LEFT SIDE REAR SET BACKS vQ TYPE OF SPECIAL CONSTR. CASE NO. GRADE O Approval& Information by Others CITY ENGINEER EASEMENT DIST. FACE OF SEWER DRIVE CURB TO P. L. FT. AVAILABLE OVER PUBLIC SERVICE PLANNING PLAN CK. FEE WATER ELECTRIC PERMIT FEE PLAN NO. CHECKER'S APPROVAL �t' 1 7. 00 44 vP I have carefully read and examined the above application and find the FEE same to be true and correct. All provisions of the Laws and Ordinances TOTAL governing building construction will be complied with whether sped- 17• tied herein or not. No person shall be employed in violation of the Labor . Code of the State of California. I agree not to occupy or allow occupancy of any building authorized by this peerr�n it until final building inspection has been received SIGIJATURE OF"OWNER OR AUTHORIZED AGENT CONSTRUCTION PROHIBITED BETWEEN 7:00 P.M. AND 7:00 A.M. INSPECTION RECORD INSPECTIONS ---._—— C) , 1 1 — FRAM-NO AT 9/ 21, PARTIAL OR MISC. INS:4 iN; ' - I - -- -- - I , I --1 1 I I ---',7--- .7_,*- :---=-- ------t UNSUCCESSFUL IMPS ; ,.,,y IrMal DATE — ......, all SEI BcKs '1,:-/,I. R SO>: L. E I ..,,,,R I '47,,, I I !RD il-f.,:';', ---1 TO APPLICANT; PLEASL DO NO" WM" AITOVE --IIS ENE PLOT ar an om map 1 aNi r 4 1 —'''-—t-— -T-- ----1 i , 2 , 111 , _4....... ' _ --t i - ....._ I [ ' 1- , 1 ........ aw......q., I ff/0 r,6,_1, - ..JMBER STREET `J1 APPLICATION FOR A LO BUILDING PERMIT Ji BUILDING & SAFETY DIVISION CITY OF ARCADIA, CALIFORNIA 4` OWNER I TEL NO. —I (.,,_J/ L 1' G' 5 S L s • _- 3. MAILING ADDRESS4, K ARCH. TEL. NO. ENGR. ` CONTRACTOR S. 1: STATE LIC. NO. -..1 MAILING ADDRESS CITY LIC. NO. LT7 CITY TEL NO. "O CONSTRUCTION f TEL. NO. LENDER DESCRIPTION OF WORK 1--1 NEW ❑ ADD'N ALTER ❑ REPAIR ❑ DEMOLISH 0 IN.) FLOOR AREA GARAGES OR TOTAL • 77 MAIN BLDG CARPORTS AREA 1.),1 NO. OF / NO. OF DWELLING VI STORIES UNITS p. PRESENT BLDG USE PROPOSED BLDG. USE 1 _7 DESCRIBE WORK0 TO BE DONE CI C f,t 5 6-.4-c.c / pet ..../ 0 EXTERIOR WALL MATERIAL ROOFOF FRAMING MATERIAL 4-...... c' c PARTITIONING MATERIAL `ROO{F COVERING MATERIAL /l . mac.Lta /.=-t L.. 4-- VALUATION NOTE:Include Labor,Mat-, Wiring, Plumb-, Heat, Etc. �'- LOT BLOCK NO. NO. TRACT LOT - LOT DIST FACE OF WIDTH -) (- DEPTH s S J 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 FANCY '^ o: SETS D FRONT RIGHT SIDE LEFT SIDE REAR O BACKS v Q TYPE OF SPECIAL ce CONSTR. CASE NO. Z • J' O '/ V PLA1�'[.C;f' , CHECKER'S APPROVAL PLAN_CK.FFFE_ i� 1 hove carefully read and examined the •-r •n .nd CG�JC find the same to be true and correct. All pro . .;••o ,the lows PERMIT EE and Ordinances governing building construction will be complied //� with whether specified herein or not. No person shall be employed �(G lJ 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 �j permit until final bu' ing igs ction h een received. (�" TOTAL- — FEE . C / 3 J' SIGNAT E OF OWNER OR AU,1IORIZED AGENT COI ICTION PROHIBITED BETWEEN 7:00 P.M. AND 7:00 A.M. Ant,ON SUNDAYS AND HOLIDAYS AS PER ORD.T1321. ti_ 1143rt7,I IJN RtwKv BASIC INSPECTIONS ITEM I PECTOR DATE TRENCHES. WIDTH DEPTH lc, FLOOR JOIST FRAMING ( -9-79 LATH FINAL -7/� PARTIAL OR MISC. INSPECTIONS /f • 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 • • •1 JMBER STREET APPLICATION FOR A BUILDING PERMIT BUILDING & SAFETY DIVISION CITY OF ARCADIA, CALIFORNIA OW TEL NO. M��LLING ADDRESS t 00/L c1e et N61De I`- ENGR_ LEL. C C CONTRACTOR STATE LIC. O. ryid f'-- MAIL N Q ESS t 9 c5,Lic.4,0,.. Ithii ` CITY ti112. r T NO. CONSTRUCTION ,h/ / TEL. NO. LENDER /1[ ��L= DESCRIPTION OF WORK NEW ❑ ADD'N ❑ ALTER te REPAIR ❑ DEMOLISH 0 FLOOR AREA GARAGES OR TOTAL ' • MAIN BLDG CARPORTS AREA NO. OF1 NO. OF DWELLING/STORIES f UNITS PRESENT BLDG USE CC PyOPOSE LDDG. USE DESCRIBE E WORK /2 f � i. U. TODE BE DONE ` ( , 1 5 I- $e j '/c E a f C j,4 ``�' EXTERI RV A.L.L.^9Gi ATERI AL ROOF FRAMING MATERIAL PARTITIONING MATERIAL ROOF COVERING MATERIAL VALUATION NOTE:Include Labor,Mat.,5 /SCC Wiring, Plumb., Heat, Etc. LOT BLOCK NO. NO. TRACT LOT LOT DIST. FACE OF WIDTH DEPTH CURB TO P . FT. NOTE: PROVIDE PLOT PLAN ON BACK SIDE OF ORIGINAL COPY ONLY INFORMATION BY BLDG. SECTION USE FIRE OCCU- ZONE ZONE PANCY cn REo: SETS D FRONT RIGHT SIDE LEFT SIDE REAR O BACKSu Q . TYPE OF SPECIALce CONSTR. '. CASE NO. �+ Z 0 v PLAN NO CHECKER'S I i d APPROVAL P CK..-ft" I have carefully.read and exomined the above ap ;cation and find the same to be true and correct. All provisi of the Laws �PERMIT F,F,Z and Ordinances governing building construction will be complied -7 y0 with whether specified herein or not. No person shall be employed _ �1 in violation of the Lobor Code of the State of California. I ogree S.M.I.P, r not to occupy or allow occupancy of any building authorized by this Jl 0 permit unfit incl bp' ing inspection o bee- received. t FE ° 'r r SIGNATURE OF OW ER OR AUTHORIZ,,f AGENT CO ICTION PROHIBITED BETWEEN 7:00 P.M. AND 7:00 A.M ON SUNDAYS AND HOLIDAYS AS PER ORD.»1321. rOt- 11,1.71 Lt.I IVIS fL\„V I\V BASIC INSPECTIONS ITEM INSPECTOR DATE TRENCHES: WIDTH DEPTH • 1st FLOOR JOIST FRAMING LATH FINAL PARTIAL OR MISC. INSPEC 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 I L SOA (z_N - NUMBER STREET APPLICATION FOR AN E. ELECTRIC PERMIT 1..._ BUILDING 8 SAFETY DIVISION CITY OF ARCADIA, CALIFORNIA F. OWN TEL. NO �.. t'• MAILING ADDRESS L CONTRACTOR STATE LIC. NO. 61-16--N7( y!�-- IC 3 FA MAILING ADDRESS CITY LIC. NO. til ,•I J{, Crfl:i J" f 74.,12-7 . CITY NO. r'' New Exist. No. Serv. Reconnect Bldg. Bldg. n Charge or Reseal s, OUTLETS, BASE PLUGS, SWITCHES. FIXTURES @ 30c EACH / MOTORS V 0 to 1 Hp @ 1.50 OVER 1 HP to 3 HP @ 2.50 U' - OVER 3 HP to 8 HP @ 3.00 - OVER 8 HP to 15 HP @ 3.50 OVER 15 HP to 50 HP @ 10.00 OVER 50 HP to 100 HP @ 25.00 OVER 100 HP to 500 HP @ 30.00 OVER 500 HP @ 3.50 HEATING CABLE UNIT DISPOSAL DISHWASHER 1.25 , RANGE OVEN j HEATERS @ 1.25 7. ,.2s KIT. FAN CLOTHES DRYER HAIR DRYER @ 1.50 FURNACE @ 1.50 ~ RESIDENTIAL ENTRANCE SERV. 100 A MIN. .. 3.00 COMMERCIAL ENTRANCE SERVICE @ 6.00 ADDITIONAL SERVICE METERS @ 2.00 TEMPORARY POWER POLE @ 3.00 TEMPORARY UNDERGROUND POWER POLE @ 5.00 TEMPORARY SALES LOT LIGHTING @ 10.00 220 V POWER OUTLET @ 1.25 MISCELLANEOUS I have carefully read and examined the PERMIT FEE Co). 3 00 above application and know the same to be true and correct. All provisions of the Laws and Ordi antes governing this SUPPLEMENTARY type of construction ill be complied with PERMIT FEE 1 75 whether mentione erein or not. No perso shall,,be em fi�rred in violation of INVESTIGATION t or C �s oft Sailaftf California. FEE rTOTAL FEE 0C SI ATURE OF CONTRACTOR OR AUTHORIZED AGENT ..INSTRUCTION PROHIBITED BETWEEN 7:00 P.M. AND 7:.,., .,.M. AND ON SUNDAYS AND HOLIDAYS AS PER ORD. N 1171 'INSPECTION RECORD BASIC INSPECTIONS ITEM INSPECTOR DATE GROUND WORK ROUGH FINISH FIXTURES FINAL RELEASE TO PUBLIC SERV /4- PARTIAL OR MISC. INSPECTIONS UNSUCCESSFUL TRIPS RECORD INFORMATION O.H. U.G. TEMP. OK. TEMP. CONSTR. NO.OF METERS LITE WIRE PWR PHASE HEAT KW RANGE OVEN TABLE TOP W. HTR. DRYER OTHER RES. APPLIANCES OVER 2 KW. TOTAL KW OR HP TOTAL HP. Scp 343 •310 Coronado ,DUMBER STREET APPLICATION FOR A L` PLUMBING PERMIT BUILDING & SAFETY DIVISION CITY OF ARCADIA,CALIFORNIA C- OWNER TEL. NO. MA ING ADDRESS 10 Coronado - Arcadia c_ CONTRACTOR STATE LIC.NO. Valley Plumbing Co. of Glendora 209431 MA L NGADDRESS C T IV 442 W. Fleetwood Place ,3c.2 z 0-b �, Ci Glendora, Calif. 917405.525293 FEE COMPUTATION BATHTUBS FLOOR DRAINS SHOWERS REPLACEMENT SHOWER PANS WATER CLOSETS 1 URINALS t— LAVATORIES 1 CLOTHES WASHER 1 SINKS DRINKING FOUNTAINS GARBAGE DISPOSALS DENTAL UNITS DISHWASHERS LAUNDRY TUBS 1 TOTAL NO. OF ABOVE FIXTURES 3 @ 1.75 5 ?5 WATER HEATERS AND/OR VENTS 1 @ 2.00 2 i 00 WATER SYSTEMS @ 2.00 GAS SYSTEMS 1 5 OUTLET ADD. OUTLET 1.75 @ .50 EACH 1 75 LAWN SPRINKLER SYSTEMS 0 2.00 SAND TRAPS @ 10.00 CLARIFIERS @ 10.00 GREASE TRAPS @ 10.00 WATER SOFTENERS @ 2.25 SWIMMING POOL "P" TRAP @ 2.00 SEWER CAP @ 3.00 CESSPOOL FILL @ 3.00 SEWER CONNECTION ON PROPERTY @ 10.00 I have carefully read and examined the above PERMIT FEE 2;00 application and know the same to be true and correct. All provisions of Laws and Ordinances covering this type of construction will be com- INVESTIGATION plied with whether specified herein or not. No FEE person shall be employed in violation of the T TOAL FEE 11 !00 Labor Code .the State of California. TOTAL SIGNATUR NTRACTOR OR AUTHORIZED T eL. NSTRUC N PROHIBITED BETWEEN 7:00 P.M. AND 7: N. AND ON SUNDAYS AND HOLIDAYS AS PER ORD. # 1321. • INSPECTION RECORD BASIC INSPECTIONS ITEM INSPECTOR DATE GROUND WORK ROUGH GAS_ PLUMBING TOP OUT HEATING VENTS FINAL GAS FINAL PLUMBING /- PARTIAL OR MISC. INSP CTIONS UNSUCCESSFUL TRIPS IALSD PNLIL.T.GJJ JCf 4ivp°e° •4P740filiV8001 4"16e0 NUMBER STREET APPLICATION FOR AN ELECTRIC PERMIT BUILDING & SAFETY DIVISION CITY OF ARCADIA, CALIFORNIA OWN:E,,,, TEL.NO. 1.,.i`0 S-Si MAILtr,G WRE CONTRACTOR ,r STATE LIC. NO. eeo MATffLING D 2/ DRESS CITY LIC.NO. . . 3/. 7,4--5' G c'<t' /1 2.24'5 CITY R9,,S3(2e4,4.404-- if 1Ae-/o. TEL.NO. New No. Serv. Reconnect Lj Bldg. ��dg. ❑ �Yt Bldg, Charge or Reseal l I __ 7 OUTLETS,BASE PLUGS,SWITCHES,FIXTURES @ 200 EACH �1L/V MOTORS I I 0 to 1 HP @ 1.00 OVER 1 HP to 3 HP @ 1.50 I -" I LA OVER 3 HP to 8 HP 0 2.00 _ I r OVER 8 HP to 15 HP 0 2.50 OVER 15 HP to 50 HP T @ 3.00 I STOVER 50 HP to 100 HP @ 5.00 1 OVER 100 HP to 500 HP 0 10.00 1 OVER 500 HP @ 15.00 1 0 HEATING CABLE UNIT 0 1.00 I i iTt RANGE OVEN HEATERS 0 1.00 1I l C KIT. FAN DISPOSAL DISHWASHER 0 1.00 i 1 I - FURNACE CLOTHES DRYER HAIR DRYER 0 1.00 I / RESIDENTIAL ENTRANCE SERV. 100 A MIN. 0 3.00 BI04 COMMERCIAL ENTRANCE SERVICE 0 6.00 1 ADDITIONAL SERVICE METERS i @ 1.00 1 1 TEMPORARY POWER POLE @ 2.00 I I Ct TEMPORARY UNDERGROUND POWER POLE 0 5.00 I TEMPORARY SALES LOT LIGHTING c 10.00 I 220 V POWER OUTLET @ 1.00 1 1 MISCELLANEOUS 1 I l I I have carefully read and examined the above PERMIT FEE 2 00I application and knew the same to be true and correct. All provisions of the Laws and Ordi- nances Yevernini this type of construction will SUPPLEMENTARY be compiled with whether mentioned herein or PERMIT FEE not. Mo person shall be employed In violation of the Labor Cede of the Stab of California. INVESTIGATION FEE h TOTAL FEE J Co SIGNATURE OF CONTRACTOR OR AUTHORIZED AGENT CONSTRUCTION PROHIBITED BETWEEN 7:00 P.M. AND 7:00 A.M. INSPECTION RECORD BASIC INSPECTIONS 1 E M _..! INSPECTOR .A,E. CROVND WOPK POUCH FiNHSEt;YTUPES_..... ... RNA L ;'Ei.EASE TO PUcf. 0 SER 1 S-/- PARTIAL OR •MISC. INS tCTIONS VVV �G. --(c o 0-e,e- 3 . ,-2,-. 3 0 S~ UNSUCCESSFUL TRIPS ~� .� . RECORD INFORMATION ,._._._. 0.H. .H1 U.G. I TEMP.OK. TEm, CON`T .TT-O.OF METERS LITE_._.. ....... v:RE t PWR r RANGE OVEN TABLE TOP ( W.Hili, i DRVf-.E OTHER RES. APPLIANCES OVER 2 KW. TOTAL KW OR HP. TOTAL HP, ....__..___.._.__ —.—._....__..____.__..-........_..____CJ CIS JCR AUUKtn I 810 Coronado Drive _ NUMBER STREET - APPLICATION FOR A (y� PLUMBING PERMIT BUILDING & SAFETY DIVISION CITY OF ARCADIA, CALIFORNIA OWNER - TEL.NO. Mallonee MAILING ADDRESS same CONTRACTOR L N HAW INC jT,Oj,Ej, 8N ' MAILING ADDRE)4 5 iW7la Main S a CITY1�' LIC yy.jjN��C CITY Alhambra 9180110.15: FEE COMPUTATION BATHTUBS FLOOR DRAINS 1 SHOWERS L REPLACEMENT SHOWER PANS 1 WATER CLOSETS URINALS LAVATORIES CLOTHES WASHER SINKS DRINKING FOUNTAINS GARBAGE DISPOSALS DENTAL UNITS Jv r— DISHWASHERS LAUNDRY TUBS t TOTAL NO. OF ABOVE FIXTURES ], @ 1.50 119 >: WATER HEATERS AND/OR VENTS @ 2.00 t' 1 WATER SYSTEMS @ 1.50 GAS SYSTEMS 0.5 OUTLET ADD. OUTLET I @ 1.50 @ .50 EACH W LAWN SPRINKLER SYSTEMS @ 2.00 I I SAND TRAPS @ 10.00 � r°' CLARIFIERS @ 10.00 1 T 1 GREASE TRAPS @ 10.00 1 1 WATER SOFTENERS @ 2.00 I SWIMMING POOL "P" TRAP @ 2.00 — — 1 SEWER CAP @ 2.00 � CESSPOOL FILL @ 2.00 t SEWER CONNECTION ON PROPERTY @ 5.00 I have carefully read and examined the above PERMIT FEE 2 00 application and know the same to be true and , correct. All provisions of Laws and Ordinances covering this type of construction will be com- INVESTIGATION plied with whether specified herein or not. No FEE person shall be employed In violation of the i Labor Code a the State// 42L4& of California. TOTAL FEE 3; 5( - • IL t�51G ANTRACTOR OR AUTHORIZED AGE CONSTRUCTION PROHIBITED BETWEEN 7:00 P.M. AND 7:00 A.M. INSPECTION RECORD PAC1NSF ECT j J( CUL TRIPS ,-` '11 Development Services Depal t PER NO. +;+ 240 West Huntington Drive, , Office Box 60021 B00 028-627 City f Arcadia,CA 91066-6021 Permit Type: Electrical Arcadia (626)574-5416,Fax(626) 447-9173 PROJECT TRACT NO. LOT NO. APPLICATION DATE ISSUED BY PRINT DATE PERMIT STATUS 12104 0021 10/4/2007 JB 9:04 10/4/2007 Issued PROJECT ADDRESS J , ASSESSORS PARCEL NO. GEO CODE 810 Coronado Dr 0[1/ `�f7 �' C r 5777-029-016 MAIUNG A 'I OWNER ��! 1" PHONE NO. Campanella, Barbara 810 CORONADO) Inspectorl#: JEFF Arcadia,CA 91007 EMAIL ADDRESS: APPLICANT MAILING ADDRESS LIGHTSCAPER PHONE NO. EMAIL ADDRESS: CONTRACTOR/PROFESSIONAL MAILING ADDRESS Lightscaper 4756 Ivar BI PHONE No. (626)614-9466 FAX NO. Rosemead,CA 91770 EMAIL ADDRESS: License No. 789435 Type: C10 Expires: 1/31/2009 12:00: TENANT MAIUNG ADDRESS PHONE NO. FAX NO. DEACPoP'nON ADD 100 AMP SUB PANEL Construction Type UOM N of Units Value Construction Type UOM N of Units Value OCCUPANCY: TOTAL VALUATION: $0.00 QTY UOM DESC AMT AMT PAID ACCT QTY 11OM DESC AMT AMT PAID ACCT flat Elec Issue Auto 40.25 40.25 01-3105 /� f 1 each Distrib panel 14.10 14.10 01-3105 p/�A,� V, ( 1�6 "67 V (� • each SWMF 2 Auto 1.00 1.00 88-3027 / Total Fees: $55.35 Total Amount Paid: $55.35 Paid Today: $55.35 This permit/plan review expires by time limitation and becomes null and void if the work authorized by the tceceipt#: 83995 permit is not commenced within 180 days from the date of issuance or if the permit is not obtained within 01-3105 54.35 180 days from the plan application date. This permit expires and becomes null and void if any work 88-3027 1.00 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 c.c..... 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) �yiPOgp�i, it ! PERI T/PLAN REVIEW A. _'LICATION row_, 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 Cod 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 —16 License No.7 v 9 /i' Exp.Dat/31/0 9 compensation, as provided for by Section 3700 of the Labor Code, for the performance of the work for which this permit is issued. U I have and will maintain workers'compensation insurance,as required by Section OWNER—BUILDER DELLA TION 3700 of the Labor Code,for the performance of the work for which this permit is U 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 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 �JQ6ertify 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. oiuioommatkt„r_ U 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 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. 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. 101111k0C `G{,fi a . - 401-(z_ Title u h 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. S � Date 16/ ° -`x''11 Development Services Depa - 'itANIQ PER NO. r. -. 240 West Huntington Drive, Office Box 60021 BOO-028-652 Cityof Arcadia,CA 91066-6021 Permit Type: EMP Combo Arcdia (626) 574-5416.Fax(626)447-9173 PROJECT 0 rI TRACT NO. LOT NO. APPLICATION DATE ISSUED BY PRINT DATE PERMIT STATUS /> 1�10021 10/8/2007 JB 10:11 10/8/2007 Issued PROJECT ADDRESS -4 `..? // r') ASSESSORS PARCEL NO. GEO CODE 810 Coronado Dr i,/ 5777-029-016 OWNER MAILING ADDRESS Campanella, Barbara 810 CORONADO Dr PHONE NO. Inspector#: JEFF Arcadia, CA 91007 EMAIL ADDRESS: APPLICANT MAILING ADDRESS GRANGERS A/C PHONE NO. EMAIL ADDRESS: CONTRACTOR/PROFESSIONAL MAILING ADDRESS A A A Grangers Heat&A/C 16336 Arrow Hwy PHONE NO. (626)579-3680 FAX NO. Irwindale, CA 91706 EMAIL ADDRESS: License No. 273569 Type: C20 Expires: 5/31/2009 12:00: TENANT MAILING ADDRESS PHONE NO. FAX NO. DESCRIPTION REPLACE HVAC UNITS-SAME SIZE SAME LOCATION Construction Type UOM if of Units Value Construction Type UOM //of Units Value OCCUPANCY: TOTAL VALUATION: $0.00 QTY UOM DESC AMT AMT PAID ACCT QTY UOM DESC AAIT AMT PAID ACCT 1 flat Elec issue 40.25 40.25 01-3105 1 Flat Mech issue 40.25 40.25 01-3105 0'/AC- rtAIA / a {� ( 1-07-q iiid, 1 each Furn<10Q000btu 17.00 17.00 01-3105 1/H l ` ( , l� !L 1 each Comp 3 hp 17.00 17.00 01-3105 I each Power 1 hp 6.90 6.90 01-3105 3 each Power 1-10 hp 42.30 42.30 01-3105 1 Flat SWIM 2 1.00 1.00 88-3027 I Flat SWMF 2 1.00 1.00 88-3027 Total Fees: $165.70 Total Amount Paid: $165.70 Paid Today: $165.70 This permit/plan review expires by time limitation and becomes null and void if the work authorized by the Receipt#: 84030 permit is not commenced within 180 days from the date of issuance or if the permit is not obtained within 01-3105 163.70 180 days from the plan application date. This permit expires and becomes null and void if any work 88-3027 2.00 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) ��LFOAN � if PERMS f/PLAN REVIEW Al LICATION Joy 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,andmylicense is in full force and effect. 5 ❑ I have and will maintain a certificate of consent to self-insure for workers' License Class C -20 Lice, - • .' 13 56 Ex, • -)1161 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 Contrite ❑ I have and will maintain workers' compensation insurance,as required by Section OWNER—BUILDER DE /RATION 3700 of the Labor Code,for the performance of the work for which this permit is ❑ I hereby affirm under penalty o perjury that I am exempt from the Contractors issued. My workers' rnpe sation insurance carrier and policy number are: License Law for the following reason(Section 7031.5, Business and Professions \„a 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 t/ aQ /�, 5� S O /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, 1 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, all 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 DateA`� Appli--- sale --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. 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. N. e- _ G/ - •r��/ Title d i PRINT NAME / "KA-p� 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 _— _ �� ,�`ii. _ Date / " / 00 'VI • ,... „.... J ., . -,4 ,. ..... .....„ ____. I .,.; ,. .....„ ,i,„ _... ... .. . 1._ ,,, ,, . .1 ..t. ..,..., __ 1 _ .. ' •.—__. ________ ____ --- ..4---. • NI . 1 \ / ' ( ,e) —I -Loorf; yid 77-77-0 7)0 ()0 V i 401(1'9 OI . •. , l' -.-- [1 --"..'7.' 69- i'.'1/4',./ . t i / h 1 1 'l 6:Y ij• 7r1 711\eki OAT V.M/9-A.1 S . , , ---.. -4. .../ •-di> e.27,7# ./ ...s. . \., / I . . \ . , — • , , il , , , , r z-...---. ,..--/ I . 1 -/Vi /v0•414/st,i , - ' -(117, / ,,,./ (-------: ....""--7t.2 i 1 i3O / . . ' , ./:,,2).3Vv—''''"' i,') ( ----' . Lildi : . . .r . , , •,, . . ![,,./.2./ _ • 7•S,N.‘ .',•-•.-- i \ ,c• •• ' rk . --.LN "i r;'i'••,, i... / --7.0 .\(U\ 4oiri' • -— /./..-A,i': f iC // • • `,... •'•,:_` Ell • I .i., -•--,--.. .)t•;6,/•?:/ PIL,L A _. , a ., , , • • •6/ \I: 7, __ i ..... 1 i i -----7' . I- ' ! 11 (I v— ,,, .,_:=_ ii 4 • 1 . _ dlip,19)/ #66 ../ 0 't A. 1, ii:,\ --1-:. N I 111. 4...._\0 ' (31 \l A i Li \ \ 1; 1 • I ----- 0 , • \•.1, \liv\‘: 0 L 1 If; i , , • , ., ; , .\/.L'•••.'.g, . 0=1) 7 , T___ __ ._/ . .m. , ,, „ „_ ( \ _i . [ /2., _ „.,.. c:)..) : . , ...i..„, . • 2,2 \ • • V . --•- 1.o / ,\ni .t3:5 '1 - • : I a> / / ,I i , )) / / i ' \\..0.01 / 1, (117q/ \ \ I ., ., ,. Ôd CERTIFICATE OF FIELD VERIFICATION & DIAGNOSTIC TESTING (Page 1 of 8) CF-4R Project Address Builder or Installer Name 8'!D Garorrado L7,-,_ rca 'a�a� 'Woo _ & a,vt ei �3 WAIder or Installer Contact Telephone Plan/Permit(Additionr Alterations)Number et..tP--- Cbz4) %z-6 S-5-6- aterMen�s p,� .,Wu r99 Telephone Sample Group Number Q - Compliance(Method((Pre riptiv ;vie._ Climate Zone 9 Certifying Signature D to Sample House Number /r-6—O) Firm HERS Provider G ❑ ■ ■ ■ ■ CHEERS CERT. Street Address: H Air Balancing Services (TitState:Zip: #CCNCG514816 207 S.Alta Vista#C Copies to: BUILDER,H Monrovia,CA 91016 HENT HERS RATER CO1VAHANCE STATEMENT The house was: ✓ (Nested ✓ 0 Approved as part of sample testing. but was not tested As the HERS rater providing diagnostic testing and field verification, I certify that the house identified on this form complies with the diagnostic tested compliance requirements as checked I on this form. The HERS rater must check and N.erif) that the new distribution system is fully ducted and correct tape is used before a CF-4R may be released on every tested building. The HERS rater must not release the CF-4R until a properly completed and signed(:'F-6R has been received for the sample and tested buildi installer has provided a copy of CF-6R(Installation Certificate). d Vilbducts with cloth backed,rubber adhesive duct tape is installed,mastic and draw bands are used in combination with cI hacked. rubber adhesive duct tape to seal leaks at duct connections.). viMINIMUM REQUIREMENTS FOR DUCT LEAKAGE REDUCTION COMPLIANCE CREDIT Procedures for field verification and diagnostic testing of air distribution systems are available in RACM. Appendix RC4.3. Duct Diagnostic Leakage Testing Results NEW CONSTRUCTION: N leasured Duct Pressurization Test Results(CFM It 25 Pa) Values I Enter Tested Leakage Flow in CFM: ------ --- —------�-------- --- Fan Flow:Calculated(Nominal: I _Doling ✓ Heating)or 1 0 Measured O�5- X S1Dt+> c- i7?= /g00 ✓ ✓ Enter Total Fan Flow in CFM: 3 Pass if Leakage Percentage' 6% [ 100 x[ (Line# I)/ (Line " '_1)I 0 Pass 0 Fail ALTERATIONS: Duct System and/or HVAC Equipment Change-Out _ Enter Tested Leakage Flow in CFM from CF-6R: Pre-Test of Existing Duct System Prior to 4 Duct System Alteration and/or Equipment Change-Out. Enter Tested Leakage Flow in CFM: Final Test of New Duct System or Altered Duct System � 5 for Duct System Alteration and% CERTIFICATE OF FIELD VERIFICATION & DIAGNOSTIC TESTING (Page 3 of 8) CF-4R Project Address Builder Name 8'/D Co r"r i.a-c, Dr,� Arca€hct cW oe) c2 a�qe r IS ilde Contact C24)1.67---6855-- � Telephone Plan Ian Number - C- r)q' 2— 8�� _ HERS R r Telephone Sample Group Number IZL— 6/IS 1 1Z aize)6",— 9v9 q Compliance Method(Prescri tive 77 `e- 2-L/ Climate Zone 7 Certifying Signature C Date Sample House Number Firm - HERS Provider GasperAir _ CHEERS CERT. MO Street address: HERS& ' alantin Services ® � City State•�i g P' #CCNCG5i4816~ 207 S.Alta Vista#C Copies to: BUILDER, H Monrovia,CA 91016 di NT HERS RATER COLIANCE STATEMENT The house was: ✓Nested ✓ 0 Approved as part of sample testing. but ss as not tested As the HERS rater providing diagnostic testing and field verification, I certify that the house identified on this form complies with the diagn 'c tested compliance requirements as checked on this form. ✓ The installer has provided a copy of CF-6R(Installation Certificate). ✓ THERMOSTATIC EXPANSION VALVE(TXV) Procedures for.field verification of thermostatic expansion valves are available in R-1('tI, .I ppendix RI. ✓ ✓ .Access is provided for inspection. The procedure shall consist of / ✓ Yes 0 No visual verification that the.l..X\' is installed on the system and ( K ❑ installation of the specific equipment shall be verified. _ Yes is a pass Pass Fail ✓ 0 REFRIGERANT CHARGE NIEASURE,MENT Verification for Required Refrieerant Charge for Split System Space Cooling Systems svithout Thermostatic Expansion Valves Outdoor Unit Serial r, Location Outdoor Unit Make Outdoor Unit Model Cooling Capacity _ ---- I Btu hr Date of Verification Date of Refrigerant Gauge Calibration (must be checked monthly) Date of Thermocouple Calibration (must he checked monthly) Standard Chame Measurement(outdoor air dry-bulh 55°F and above): Note:The system should be installed and charged in accordance ss ith the manufacturer's specifications and installer verification shall he documented on CF-(R before stating this procedure. I foutdoor air dry-hull, is below 55 "F rater shall use the klternative Charge Measure Procedure Procedures for Determining Refrigerant Charge using the Standard Method are available in RACM,Appendix RD2. ✓ 0 Yes 0 No A copy of CF-6R(installation Certificate)has been provided with refrigerant charge measurement documented. Residential Compliance Forms April 2005 Development Services De lent Ir''... ►r, Ph IT NO. B00-025-584 • 240 West Huntington Drii 1st Office Box 60021 City of Arcadia,CA 91066-6021 Permit Type: Mechanical Arcadia (626)574-5416.Fax(626)447-9173 PROJECT TRACT NO. LOT NO. APPLICATION DATE ISSUED BY PRINT DATE PERMIT STATUS 12104 0021 8/8/2006 GRG 10:20 8/8/2006 Issucd PROJECT ADDRESS ASSESSORS PARCEL NO. GEO CODE 810 Coronado Dr 5777-029-016 OWNER MAILING ADDRESS _ Campanella, Barbara 810 Coronada Drive PHONE NO. Inspector#: JOHN Arcadia,CA 91007 EMAIL ADDRESS: APPLICANT MAILING ADDRESS Econo Air 3101 Enterprise Street PHONE NO. (800)503-2666 Brea,CA 92821 EMAIL ADDRESS: CONTRACTOR/PROFESSIONAL MAILING ADDRESS Econo Air 3101 Enterprise Street PHONE NO. (800)503-2666 FAX NO. Brea,CA 92821 EMAIL ADDRESS: ( License No. 445220 .Type: CIO C20 Expires: 2/28/2008 12:00: TENANT MAILING ADDRESS PHONE NO. FAX NO. DESCRIPTION HVAC REPLACEMENT(SAME SIZE,SAME LOCATION) Construction Type UOM M of Units Value Construction Type UOM M of Units Value irze-friii- 19_ , ,,,,,-, 1.1 &ooo) 5e alt OCCUPANCY: TOTAL VALUATION: $0.00 Ql'Y UOM DESC AMT AMT PAID ACCT QTY UOM DESC AMT AMT PAID ACCT 1 Flat Mech Issue Auto 40.25 40.25 01-3105 I each Mech suppliss 14.10 14.10 01-3105 1 each Fum<100,000btu 17.00 17.00 01-3105 I each Comp 3-l5hp 31.10 31.10 01-3105 each SWMF 2 Auto 1.00 1.00 88-3027 • Total Fees: $103.45 Total Amount Paid: $103.45 Paid Today: $103.45 ▪ This permit/plan review expires by time limitation and becomes null and void if the work authorized by the Receipts: 511/Z14 permit is not commenced within 180 days from the date of issuance or if the permit is not obtained within 01-3105 102.45 ' 180 days from the plan application date. This permit expires and becomes null and void if any work 88-3027 1.00 ' 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 Wr. 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) A _1 l rLlFORA,• •, i! 11 h• . PERMIT/PLAN REVIEW AP1 .,ICATION pj� 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 Busin s and Professions n 'cense is in full f4eppd f�O�y ❑ I have and will maintain a certificate of consent to self-insure for workers' License Cla�Lic nse No. 1!!�J Exp.Date a compensation, as provided for by Section 3700 of the Labor Code, for the fj 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'el .. satio ins c c ier id 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, `,,^ I , �^ demolish,or repair any structure,prior to its issuance,also requires the applicant Policy Number V'►11/l!� tl..} 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 U 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�gcly with those provisions. ❑ I, as owner of the property, or my employees with wages as their sole 88 �QUQQQ['�/p i compensation,will do the work,and the structure is not intended or offered for Date Ap 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). U 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. _.— ____Ecthad eal*rti 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 sig . rltj• Development Services Depart*.^t .* f. 240 West Huntington Drive,1 )ffice Box 60021 PER NO. B0O-021-227 City o Arcadia,CA 91066-6021 Arcadia (626)574-5416,Fax(626)447-9173 Permit Type: Plumbing PROJECT TRACT NO. LOT NO. APPLICATION DATE ISSUED BY PRINT DATE PERMIT STATUS 2/10/2005 JB 8:57 2/10/2005 Issued PROJECT ADDRESS ASSESSORS PARCEL NO. GEO CODE 810 Coronado Dr COMPETED 5777-029-016 OWNER MAILING ADDRESS Perez,Alfonso T And Rose M And 810 Coronado Dr PHONE NO. Inspector#: DON Arcadia,CA 91007 a EMAIL ADDRESS: APPLICANT MAILING ADDRESS Campanella,Barbara 810 Coronado Drive PHONE NO. Arcadia,CA 91007 EMAIL ADDRESS: CONTRACTORIPROFESSIONAL MAILING ADDRESS Owner Builder PHONE NO. FAX NO. EMAIL ADDRESS: License No. Type: Expires: TENANT MAILING ADDRESS PHONE NO. FAX NO. DESCRIPTION BATHROOM FIXTURES CHANGE-OUT(SAME LOCATION) Construction Type UOM M of Units Value Construction Type UOM #of Units Valve iNrnL. ii `Val OCCUPANCY: TOTAL VALUATION: $0.00 QTY UOM DESC AMT AMT PAID ACCT QTY UODI DESC AMT AMT PAID ACCT 1 Flat Plmbg Issue A $40.25 $40.25 01-3105 1 each Bathtub $11.30 $11.30 01-3105 P07.�. I each Shower $11.30 $11.30 01-3105 0 .7.�NSPeGT1 or).5 fart 1nA10rL I each Water Closet $11.30 $11.30 01-3105 I each Lavatories $11.30 $11.30 01-3105 foit. S/-lowa2 140 M +a.ow "A Totals for: 01-3105 $85.45 $85.45 I each SWMF 2 Auto $1.00 $1.00 88-3027 71,4,„*. 6 40 u ret.. Oi 14 w 145 eletrisleao Totals for: 88-3027 $1.00 $1.00 /A1 Total Fees: $86.45 Total Amount Paid: $86.45 Paid Today: $86.45 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) 1 1 PERIN_s T/PLAN REVIEW A. . 'LICATION 4° MAT rill r- Development Services Department,240 West Huntington Drive, Post Office Box 60021 ‘.,....,.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' compensation, as provided for by Section 3700 of the Labor Code, for the License Class License No. Exp.Date performance of the work for which this permit is issued. Signature of Contractor OWNER—BUILDER DECLARATION U 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 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: n 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 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 Labo Code, I shall forthwith comply with those provisions. U 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 2- ' ll) 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($100,000),in addition to the cost of compensation, did not build or improve for the purpose of sale). damages as provided for in Section 3706 of the Labor Code, interest,and attorneys fees. ❑ I, as owner of the property, am exclusively contracting with licensed contractors to construct the project(Section 7044, Business and Professions Code:The Contractors License Law does not apply to an owner of property CONSTRUCTION LENDING AGENCY who builds or improves thereon,and who contracts for such projects with a I hereby affirm under penalty of perjury that there is a construction lending agency contractor(s)licensed pursuant to the Contractors License Law). for the performance of the work for which this permit is issued(Section 3097,Civil Code). I am exempt under ection 7044,Business and fessions Code,for this reason: I will pe brm my ($) w(�r Lender's Name Date 2-10�5 , . /0 // Lender's Address IMPORTANT: APPLICATION IS HERE.'' 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 a 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 ente i on the above-1'entioned property for inspection purposes. I40 :�� l 2-10-05Signat -- ��_ � Date 1TY QF FOR OFFICE USE CITY OF ARCADIA ..4 COMMUNITY DEVELOPMENT DEPARTMENT f. BUILDING DIVISION COMPLETED t*kelo). 240 West Huntington Drive �� o' Arcadia, California 91007 °APorteTe° (818)574-5416 Page 1 of 1 810 W CORONADO DR 09/09/94 13 : 24 Permit No. : A9402735 Autoproj No : AU013071 Status : APPROVED Validated by : GERI Inspector area: 206 This type : Roofing Project Applied : 09/09/94 Issued : 09/09/94 Parcel number : 5777-029-015 Finaled • Group-occup/use: To Expire • Owner : O'CONNOR Applicant : SUNSET ROOFING Applicant Addr : 434 PARK ROSE AV MONROVIA, CA 91016 Job Address : 810 W CORONADO DR Phone number : 818-357-3996 Class code Valuation • 9 , 000 Construction : ALT Permit to do : T/O & REROOF HOUSE & GARAGE (23 SQ) CONTRACTOR : SUNSET ROOFING Lic. C 603218 818-357-3996 Roofing Material > CAL SHAKE Fee description Units Fee/Unit Ext fee Data Original Permit Issue Fee (YES/NO) > 35 . 00 Y Enter Valuation 9000 Roof Fee 3104> 191. 60 Refuse Fee 3027> 6. 25 *** Fees Required *** *** Fees Collected & Credits *** Receipt No. Date Payment 09/09/94 232 . 85 Fees: 232 . 85 Adjustments: . 00 Total Credits: . 00 Total Fees: 232 . 85 Total Payments: 232 . 85 Balance Due: . 00 Will the applicant or future building occupant handle a hazardous material or a mixture containing a hazardous material equal to or greater than the amounts specified on the Hazardous Materials Information Guide? ❑ YES ❑ NO Will the proposed building or modified facility be within 1000 feet of the outer boundary of a school? ❑ YES ❑ NO Will the intended use of the building by the applicant or future building occupant require a permit for construction or modification from the South Coast Air Quality Management District (SCAQMD)? SEE PERMITTING CHECKLIST FOR GUIDELINES. ❑ YES ❑ NO I haves rears the Ha7arriniic Matarial Infnrmatinn nuirin anri the srAmmn Permittinn Cherklict I iinrierctanri my NO.OPERATION Nt. ERATION • NOTES Building Inspections pat: nsi Plumbing Inspections Bat: ns: 100. Setbacks 210. Under fir./bldg.drain 101. Rough grade 211. Copper underslab 102. Ftgs.&forms 212. Rough plumbing 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 220. Fixtures 111. 0cc/Area Sep.Wall 221. Final plumbing 112. Sound walls 222. Sewer cap/demo. 113. T-bar grid 114. Insulation-flr. Pool Inspections Date I Insp. 115. Insulation-Wall 240. Excavation/steel 116. Insulation-Ceil. 241. Rough plumbing 117. Drywall nailing 242. Light shell/bonding 118. Interior lath 243. Underground conduit 119. Exterior lath 244. P-trap 120. Finish grade 245. Gas line&test 121. Final building 246. Fence,gates&signs 122. Final demo/lot clear 247. Pool heater 248. Final electric Electrical Inspections Date I Insp. 249. Final plumbing 150. Power pole 250. Pool cover 151. Sales lot lighting 251. Pool final 152. Underground conduit 153. Underslab conduit Reroof Inspections Date I Insp. 154. UFER ground 270. Pre-reroof insp. 155. Water ground 271. Roof framing r(3--5v 3%156. Rough electrical 272. Sheathing nailing f4/ ' T 157. Fixtures 273. Final reroof /I- '/- 9'z' B7' 158. G.F.C.I. 159. Eqpt.bonding Si.n Inspections I Date I Insp. 160. Service panel 280. Setback/overhang 161. Final electric 281. Footing 282. Conduit/wiring Mechanical Inspections I Date Insp. 283. Disconnect 180. Venting/flue 284. Final sign 181. Furnace/A.C. 182. Rough 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. I Date I Insp. 191. Final mechanical 300. Lateral(main to P L) 301. Saddle/Y Block Wall Inspections Date NE.302. Cesspool filled 200. Footings 303. Sidewalk 201. Steel/rebar 304. Driveway 202. Grout lift 305. Curb replacement 208. Final wall 306. Trash bin = oEd oc`°'i cmc61im=�aT y 'c °' i�3� " S oc ait m a tno H_O .� ; a � B uo - F,, �n �c8.0 -2--,`_ . W- c5 o3 £ mo� SNtw coi c ; o 2cm �= oa`a 23"2Z'' cgo"o cmc% o Ug_ my U= `0 0 = wa d�.a 3'2 LUN d�,od moa £ ucu� vi H� vy "oE o N> E�� aN �. omEtoo o�y _ _ ,� 0 e o c�ti 072 m No - u�cE cN o �t E_�E oho E-'3ae m_ 1 tp- mU tE E >.n o o c- ., . Z`ON VL NO NUD£d� Na.E N N • Z9 -� NO •J EN� aYfnQ A >.A A m $ cam E v %S a:a 5 f 26'324'8 oo m H d 7E 2 O N Y i.'" a o d y ¢¢>O 0 oq C ,� mE = U2 $?m •oo LoT 11$ oc o _ v t . -o ti m £ 300 3iux g �'od O '- E.E1 1.8 ynE o.E 38$� o o`�° o rn� Ed S$U L i�c O>�� .o >•c£ Fao • °'Z.2'mtU'mc m n-m� c c F f 2 �t E s 2. zz N 2 C L N O Q m • = H H L N N~O Q d C W m a ¢^ n mm m tO Ya ¢ = O Ucoi� roc a _gt mUU mN w ac mo x�i 2v `0 w� 2000 " a m- _ `?om `°v A a 5mr'm.yT mdyio�' e £ � wl .2 O Y wJ if, t..c R.5'1.41 iG ARCHI ECTURAL REVIE % BOARD SANTA ANITA VI LLAGE COMMUNITY ASSOCIATION FILE # , - 17 PROPERTY ADDRESS 9 I C Cc c2r H A.D C.` PROPERTY OWNER GM-7C SUBMISSION DATE GM 7` The Architectural Review Board of the Santa Anita Village Community Association, acting in accord- ance with City of Arcadia Ordinance No. 1388, have met at (-KC' (1'l2t>NA0C` (address of meeting) on CI ('b�7 and do hereby approve conditionally approve) disapprove the working drawings and specifications identified by the above file number and dated 05')7 c . This Board bases its decisions on the material submitted by the applicant whose responsibility it is to provide accurate material in all respects. Any material changes made subsequent to this Board' s approval must be resubmitted for approval. In the case of disapproval, detailed findings of the reasons for the Board' s action are attached. Conditions for approval, if any: Eska. ►2_C.,cq LNC_ 13 . PA. n, p tA.' rT�1 t-\C i 1ZE5�S i AAll r 1C- ML rc W&VS< . ezBoard members present: /��// // ��,. •/sJ Board e er (L CA2_-I _ThD21� \ =c .. Board Membev-74. �C; MVr+roc' NC)f C �, j A