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City of Arcadia, CA RALT 18-0179
Development Services Department PermitType:Residential Addition/Alteration
240 West Huntington Drive,Post Office Box 60021
1, • ' , p ,, � i Work±ClassificationRemodel
R
Arcadia,CA 91066-6021 �_.'� �.
(626)574-5416 Permit Status:Issued
ARCADIA Issue Date:02/20/2018 Expiration: 08/19/2018
Addr NO. Dir Prefix Street Name Street Suffix City,State,Zip Parcel Number
2215 Canyon RD Arcadia,CA 5765033015
Contacts
PHILLIP CONSIGLIO Owner
2215 CANYON RD
(626)825-7957
'- ....m. -.�_.�. .. :;a - s w::.: ._>_..,_ „ s,. :�.. •,s�.: .,M�;,.az.^., .. .,- .,_., avc.. .�.. .._C.,::.-.t. _ ra+:. .. w:..,.ea....� _ _. x,a�..�.,.. e.a.w,w.«-ap. ,ti --
Description:RELOCATE ENTRY DOOR AND CLOSE 2 EXISTING Valuation: $ 1,000.00 Tenant
DOORS
Total Sq Feet: 0.00 Plan Check# Plan#
Fees Amount Payments Amount Paid
Building Issuing Fee $44.35 Total Fees $202.26
Building Permit Fees $61.65 Cash/Receipt# $202.26
Building Plan Review Fee $40.08
Amount Due: $0.00
Electrical Permit Issuance Fee $44.35
Green Building Standard $1.00
Light Fixtures $3.08 L
Solid Waste Management Fee $6.25 7
Solid Waste Management Fee 2 $1.00
Strong Motion Inst.Program Res $0.50
Total: $202.26 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 plan submittal.This permit expires and becomes null and
void if any work authorized by this permit is suspended or abandoned for 180
CorLETE consecutive days or if no progressive work has been verified by a City of
Arcadia building inspector for a period of 180 days.
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.
February 20, 2018
Issued By: Date
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February 20,2018 Page 1 of 2
4AFP kv,4,
.4 l . P' ' fr• PERMIT/PLAN REVIEW APPLICATION 4
es iffERBE X00,4441,1,„, 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.
DECLARATION ❑ I have and will maintain workers'compensation insurance,as required by Section
1—dWNER-BUILDER
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
cense Law for the following reason(Section 7031.5,Business and Professions is issued.My workers'compensation insurance carrier and policy numbers are:
ode.Any city or county which requires a permit to construct,alter,improve, Carrier
molish,or repair any structure,prior to its issuance,also required the applicant
r such permit to file a signed statement that he or she is licensed pursuant to the Policy Number
ovisions 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)
00) of Division 3 of the Business and Professions Code) or that he or she is
empt 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
ction 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'
nalty 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 soleforthwith comply with those provisions.
compensation,will do the work,and the structure is not intended or offered forpZ_x�,sale(Section 7044,Business and Professions Code:The Contractors LicenseDate / SignatureLaw 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 4 2"z 0-2 o/,9Signature ./[ 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 ri4 1 L S / Lw L r D (Title IN[
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 ordi .. - ••• . . State Laws relating to building construction. I hereby authorize representatives of the City of
Arcadia to enter upon the ove-m• tinned pro••rty for inspection purposes.
Signature / AAP
tate 0 2 — Z `9— z v / 8
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DATE FILED .�
APPUC,•:.TION FOR HOMEOWNER ASSOCI=•TION
ARCHITECTURAL DESIGN REVIEW .
(SHORT REVIEW PROCEDURE)
,n
PROJECT ADDRESS: 6/. A-1YD f..1. f C�
1 1 0 ' 1LL C.Cb %fitL- '7
PROPERTY OWNER'S NAME: �' A /� :P / , "S
:ADDRESS(IF DIFFERENT);
: TELEPHONE NO.: ((n 4 6) t 2 U' :I I E-MAIL ADDRESS: [73 oAi S' -'c x:1,4 C.c'-'
APPLICANT NAME(I ,DIFFER T):
ADDRESS:.
TELEPHONE NO.: :E-MAIL ADDRESS: :
DESCRIPTION OF PROJECT(Check applicable):
Single-storyremodel includes window replacement) and/or:addition s
❑ Detached accessory structures)and/or Accessory,Dwelling Units-new;additions to, and/or remodels
Fences and/or walls in and/or facing(i-e., visible from)front and street side yards
0 Hardscape, landscaping and structural elementsin front and street side yards; including Without limitation,
swimming pools, spas,.fountains and other water features
❑ Fences, lights, and other features:related to tennis courts; sports courts or other.significant paved features
❑ Mechanical equipment
❑ . Roofing:
ACTION&FINDINGS
El Approved-The project is consistent with all applicable guideliriee
..Conditionally Approved With the following conditions,the project will he consistent with,all
applicable guidelines:
0 Denied-The project:is hotconsistent.with the following guidelines)
ByChairperson
ARBDate:.
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APPLICATION FOR HOMEOWNERS' ASSOCIATION FILE NO.1r—05 LU'/
• - ARCHITECTURAL DESIGN REVIEW
SHORT REVIEW PROCESS DATE FILED /0 2-0 201
PROJECT ADDRESS Z 2 1 S CA ii Y'0 g o i4
APPLICANT/CONTACT PERSON'S NAME P W I L. L C 0 Al S r6.vl--' Q
MAILING ADDRESS 2 2. I G A Y o •tel ee ,� p
CITY A e C A 19/ A STATE CA ZIP 9* ! c c�
PHONE NO(S). Ca Z £) 0 5 6 2. c
E-MAIL ADDRESS PJ v ✓ J S i £ L i o YA y Co o _
PROPERTY OWNER'S NAME ell i '—( 1P 1114.10 "4002 4 'Co ,S/ L 'o
MAILING ADDRESS Z 2' ! .� c A ry 'y o"4 D
CITY A e cA 2,'4 STATE CA ZIP q ® C
PHONE NO(S). (� a t:v) 6 Co - o
E-MAIL ADDRESS PO C 0 i'-' S s� t. / COY 1 Hoc. _ C
DESCRIPTION OF PROJECT(Check applicable):
Single-story remodel and/or addition. Square feet
_ Detached accessory structure(s)—_,New/_Addition and/or remodel. Square feet
V Fences and/or walls in and/or facing (i.e.,visible from)front and street side yards. Linear feet 6O
_ Hardscape, landscaping and structural elements in front and street side yards, including without
limitation,swimming pools, spas, fountains, and other water features
_ Fences, lights, and other features related to tennis courts, sports courts or other significant paved
features
_ Mechanical equipment
_ Roofing—describe proposed material
ACTION &FINDINGS:
Approved—The project is consistent with all applicable guidelines
❑ Conditionally Approved —With the following conditions, the project will be consistent with
all applicable guidelines
❑ Denied—The project is not consistent with the following guideline(s)
(/)),, ,(7,,,,
By t i 1 ,ARB Chairperson Date:/04/.9.-0
cep
Short Form—Dec.2013