HomeMy WebLinkAboutUntitled City of Arcadia, CA ��� i �z PermtNo EIeC 181227
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Development Services Department ", Perm�tType ElectricalN, 240 West Huntington Drive,Post Office Box 60021 € i �*
k T �_ N , 'Work Clossificabon Electrical Residential
p �, Arcadia,CA 91066-6021 �,m m ,,i {
(626)574-5416 V�., ,1� � 7-1,y,,,-,,-,,---,.,,,,,91,k
� �" " `-',. .?3,:-"'..%'' .'. ,-Permit.Status Issued
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ARCA!)[A
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,,,Issue Date o7/i2/2o18;;� Expiration: 01/08/2019
Addr NO. Dir Prefix Street Name Street Suffix Unit City,State,Zip Parcel Number
1825 Watson DR Arcadia,CA 5789009005 ''
Contacts
LAM,FRANCIS Y CO TR LAM AND WONG Owner
FAMILY TRUST
1825 WATSON DR
(626)698-8765
Description:ELECTRICAL FOR BATH REMODEL t Valuation: S 0.00 Tenant t
Total Sq Feet: 0.00 Plan Check# Plan#
FeesAmount Payments Amount Paid
Electrical Permit Issuance Fee $44.35 Total Fees $49.97
Light Fixtures $4.62 Cash/Receipt#REC-001702-2018 $49.97
Solid Waste Management Fee 2 $1.00
Amount Due: $0.00
Total: $49.97 -,
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OCL (1111\i
CALLS FOR INSPECTIONS
Request for inspection by telephone at 626-574-5450. Leave a message
requesting the address,timeframe 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.
44( co,,,,pLETED
July 12,2018
Issued By: Date
July 12,2018 Page 1 of 1
‘:%4`�Fr RN,4,
. , „117
PERMIT/PLAN REVIEW APPLICATION
�
o 1.I j Development Services Department,240 West Huntington Drive,Post Office Box 60021
mm°a1,y of 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'
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.
WNER-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 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 Secti n 3700 of the Labor Code,I shall
ElI, 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
sale(Section 7044,Business and Professions Code:The Contractors License
,; 2 t 8 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
4
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
1
Date -V( L J 3-01 g Signature m 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
o,asbestos containing materials requires an asbestos survey and removal prior to disturbing the asbestos.Please contact AQMD at(909)396-2000 for
er information.P /
Nam c 1 S Title
PRINT NAME
I c ' 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 to comply with all City ordinances and State Laws relating to building construction. I hereby authorize representatives of the City of
Ar adia to enter upo the above-mentioned property for inspection purposes. / �7
Signature Date / L
PermitN,o Plum 18 1011
City of Arcadia, CAS
, Development Services Department r `r Permit-Type:,Plumbing;�
41
240 West Huntington Drive,Post Office Box 60021 :° ' oa
Arcadia,CA 91066-6021 t ,Work Classi• fication•Plumbing Residential-
i (626)574-5416 x ' Permlt'Sta s •
I Stied
ARCADIA issue Date os/14/2D18 � Expiration: 12/11/2018
Addr NO. Dir Prefix Street Name Street Suffix Unit City,State,Zip Parcel Number
1825 Watson DR Arcadia,CA 5789009005
ICIMMENEEZEiMir
._. ...e .. •�:, .. .
Contacts
LAM,FRANCIS Y CO TR LAM AND WONG Owner
FAMILY TRUST
1825 WATSON DR
(626)698-8765
» -��•.-,, ,:. ,. •,a ., ..:
Description:REMODEL BATH Valuation: S 0.00 Tenant
I a.
Total Sq Feet: 0.00 1, Plan Check# Plan#
Fees Amount payments Amount Paid
Lavatories $24.92 Total Fees $95.19
Plumbing Permit Issuance Fee $44.35 Cash/Receipt#REC-001442-2018 $95.19
Shower $12.46
Solid Waste Management Fee 2 $1.00 Amount Due: $0.00
Water Closet $12.46 -
Total: $95.19 S- r l )0,trittivi,
7-12-rg
F-9giL CALLS FOR INSPECTIONS
Request for inspection by telephone at 626-574-5450. Leave a message
requesting the address,timeframe 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.
coMpiSIED
n
June 14, 2018
Issued By: Date
June 14,2018 Page 1 of 1
of AR°
v~4.p0° 14,,o
11' PERMIT/PLAN REVIEW APPLICATION
00, ilEIEB, M
g j0- Development Services Department,240 West Huntington Drive,Post Office Box 60021
4,-0,.,,,,o, Arcadia, CA 91066-6021, (626) 574-5416,Fax (626) 447-9173
City of
Arcadia
LICENSED CONTRACTORS-B' • '+• ' I N WORKERS'COMPENSATION DECLARATION
IC I hereby affirm under penaltyiif perjury that I am license. under provisions of I hereby affirm under penalty of perjury one of the following:
• . - •• -r 9(commencing with Section 7000,of Division . of the Business and
Professions .., , •• • • •, i. _orce and e ect. CII have and will maintain a certificate of consent to self-insure for workers'
License
Si tore of Contractor 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.
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 if0 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 1 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 roe forthwith comply with those provisions.
property,rty, or my employees with wages as their sole
compensation,will do the work,and the structure is not intended or offered for t7 f '
sale(Section 7044,Business and Professions Code:The Contractors License Date /Iy--().- O 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:
C! Lender's Name
)0ate 6// r��o 18 Signature Lender's Address
IMPORTANT: APPLICATION IS HE BY 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.io
N e t'RA11/Gig t ihtA 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 1 City ordinances and State Laws relating to building construction. I hereby authorize representatives of the City of
Arcadia to enter upon th above-mentioned property for inspection purposes.
ature Date ‘/( (-1-D t 8 .
i S
CARBON MONOXIDE
AND SMOKE DETECTORS •
SHALL,BE REQUIRED
PURSUANT TO
CRC AND CBC
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FORM:
COMPLIANCE OF SM I KE ALAR
MONOXIDE
Wk-rook
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PropertyAddress:. -
Permit Number: ,Pf pit:$f-t0 E. I
Brief Job Description OD ..6
Number of smoke alarms installed 4
, : : :
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 unitscontainingfuel burning appliances or having attached
garages, carbon monoxide alarms shall be installed outside each separate sleeping
area in the.immediate ,vicinity of the bedrooms, and: on each additional story of the
dwelling; including basements as required by Section R315 of the of the. 2016 California
Residential Code (CRC): :.
Multi-purpose alarms (combination carbon monoxide and smoke alarms) may be used:
All alarms shall comply with requirements for listing and approvalby the Office of the:State Fire
Marshal:.http://osfm.fire..ca:9ov/licensinglistinos/licenselistina brnl :.searchcotest.php
As ownerof 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 sectionsreferenced above.:
i declare under penalty e f:perjury that the f egoin ; is true and eery.et, anc•; that this
decl ration Was -xecutedon Dat- (-?_/.?„-p( at ,x\rc:,dia, Calif.,rniee .
Owns r9s:Narne (printed/typed):. ;{' Cf.0 L,jo't .. . .
•
Sig°iature.of.Owner: . :
Thisaffidavit must be returned to the.City of Arcadia inspector prior tofinal inspection
SUOKE_ \L ,,,,,;-,M_ 43 CAn' QN�iI MONOXIDE -.e,!. '',R LICAT ONS
Guest Room y 0py
I
Storage
i Faeality Room .
Gaai•age
F "'ST FLO '_ PLAN'..
® SMOKE AL ,-M I = CARBON MONOXI:P E ALARM
0
11 ► -R 1'�lstr— °
—L--t
Bath
Master Bedroom
Dining ROOM Kitchell
Bad
Hall 0 U.12
Ck set
Closet
Closet. -----------
_Fnmily Room
6 a Be€1roonl
SECON it FLOOR.PLAN
fik.-S' i0KE AL \ 1 III ®.CARBON N1 ON tXI®E AL#a'' 1