HomeMy WebLinkAboutUntitled - f.- • 2 1 ='1
t ' ." r 'Permit No M8%1871363 7
a =- ,4 City of Arcadia, CA • s 4
�' 1 Development Services Department 1'', 1, • t{-t 4 I 1`�r} r rt G�Et. ' Penmtt Type:MEP:
240 West Huntington Drive,Post Office Box 60021 e3 E., }• 4 " i � r � } Work CI'dssihcation MEP Residential
Arcadia,CA 91066-6021 , r `eF-. �`-ti-E - ss �t ""-� - m ` >
(626)574-5416 - t '� r di Permit Status:Issued,
ARCADIA r lssueDate 08/01/2018.1 Expiration: 01/28/2019
Addr NO. Dir Prefix Street Name Street Suffix Unit City,State,Zip Parcel Number 1�
927 Balboa DR Arcadia,CA 5777019023
Contacts
WEI LIN MA Owner
(626)399-4948
Description:NEW KOl POND IN REAR YARD Valuation: $0.00 Tenant
Total Sq Feet: 0.00 - Plan Check ft Plan U
Fees Amount Payments Amount Paid
Electrical Permit Issuance Fee $44.35 Total Fees $46.89
Outlets-Receptacles&Switches $1.54 Cash/Receipt k REC-001895-2018 $46.89
Solid Waste Management Fee 2 $1.00
Amount Due: $0.00
Total: $46.89
8-z3-i8mi COMPLETED
Race ,
ac 441
1,11-12'VitCALLS 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.
August 01,2018
Issue Date
August 01,2018 Page 1 of 1
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d'aro14'4 a e , t a
k1 PERMIT/PLAN REVIEW APPLICATION
f1 j Development Services Department,240 West Huntington Drive,Post Office Box 60021
Arcadia, CA 91066-6021, (626)574-5416,Fax(626) 447-9173
City of
Arcadia
LICENSED CONTRACTOR'S DECLARATION WORKERS'COMPENSATION DECLARATION
0 I hereby affirm under penalty of perjury that I am licensed under provisions of I hereby affirm under penalty of perjury one of the following:
Chapter 9(commencing with Section 7000,of Division 3 of the Business and
Professions Code,and my license is in full force and effect. ❑ I have and will maintain a certificate of consent to self-insure for workers'
License Class License No. Exp. Date compensation, as provided for by Section 3700 of the Labor Code, for the
Signature of Contractor performance of the work for which this permit is issued.
OWNER-BUILDER DECLARATION ❑ I have and will maintain workers'compensation insurance,as required by Section
hereby affirm under penalty of perjury that I am exempt from the Contractors 3700 of the Labor Code,for the performance of the work for which this permit
License Law for the following reason(Section 7031.5,Business and Professions is issued.My workers'compensation insurance carrier and policy numbers are:
Code.Any city or county which requires a permit to construct,alter,improve, Carrier
demolish,or repair any structure,prior to its issuance,also required the applicant
for such permit to file a signed statement that he or she is licensed pursuant to the Policy Number
provisions of the Contractors License Law(Chapter 9(commencing with Section (This section need not be completed if the permit is for one hundred dollars or less)
7000)of Division 3 of the Business and Professions Code)or that he or she is
exempt there from and the basis for the alleged exemption.Any violation of I certify that in the performance of the work for which this permit is issued,I shall
Section 7031.5 by any applicant for a permit subjects the applicant to a civil not employ any person in any manner so as to become subject to the workers'
penalty of not more than five hundred dollars($500)): compensation Laws of California,and al - that if I should become subject to the
workers'compensation provisions of Se.'.n 3700 of the Labor Code,I shall
I, as owner , the forthwith co those provisi•11..
❑ property, or my employees with wages as their sole p. �r
compensation,will do the work,and the structure is not intended or offered for Date 0 O Signature
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 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.
WI, 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).
\iI am exempt unde,I S do 7 ,Business. d Professions Code,for this reason:
/CC1J1tptU`l Lender's Name
Date /i/t U Signature ( a Lender's Address
RTANT: APPLICATION IS HEREBY MADE TO THE BUILDING OFFICIAL FOR A PERMIT SUBJECT TO THE CONDITIONS AND
TRICTIONS SET FORTH ON THIS APPLICATION AND THE FOLLOWING:
I. 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.
N e Title
1 NAME
\'ilrtify I .t1 , .v• read this applicationPRINT and state that the above information is correct and that I am the owner or duly authorized agent of the owner.
I ti corn• ,with all City ordinances and State Laws relating to building construction. I hereby authorize representatives of the City of
A dia t, :i to . $ 1 n the � A �
above-mentioned property for inspection purposes. /
Si a 1 V
Date /�/I r
-1-
. _ n
fff FILE N0. / '-
DATE FILED �/
APPLICATION FOR HOMEOWNER ASSOCIATION 71- 3/ — /o
ARCHITECTURAL DESIGN REVIEW
(SHORT REVIEW PROCEDURE)
PROJECT ADDRESS: I? ���ct.1410*1 Pr. ArictI� a_ 2)/07-
UI
PROPERTY OWNER'S NAME: .C4 U\ 11 v `G.
ADDRESS(IF DIFFERENT):
TELEPHONE NO.: (66) 3 1/ \f/'YSE-MAIL ADDRESS: wJIIMI— n4 4 be8h[4
wJ
APPLICANT NAME(IF DIFFERENT):
ADDRESS:
TELEPHONE NO.: E-MAIL ADDRESS:
DESCRIPTION OF PROJECT(Check applicable): .
❑ Single-story remodel(includes window replacement)and/or addition(s)
❑ Detached accessory structure(s)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
6 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 SANTA ANSI T A V
❑ Roofing CO MUrsi e FiOr?EOwNER
rs:ROVED BY(QJp/ Go71
DATE (g FILE:: la'2�3
ACTION&FINDINGS:
❑ Approved—The project is consistent with all applicable guidelines
XConditionally Approved—With the following co ditions,the project will be consistent with all
applicable guidelines The CI{-y needs +o c-heck -For cods
rega d i n5 r*fh of p't4 q eler-in alp
❑ Denied.....DDDD —The project is not consistent with the following guideline(s) �y O
By7Ql.LA QJ M.11 o,�l51'/ ,ARB Chairperson Date: ' t — 31- 1 p
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(• -ir� APPROVED BYrit. !�L! P� ` 11-e - - /'
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fridt\ Lisa, ?27 Rix& Vr
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I ,a, � City of Arcadia, CA - Permit NO Patio-1?-1625,_
n
/ Development Services Department #' '�' I�'' l:' L` _Permit Type ,,Patio'
f! 240 West Huntington Drive,Post Office Box 60021 � _fit a. }i i q f )1A' �`
Y l "--ti c',1 (L ,- WorkClassifica 'tion. Patto i
Arcadia,CA 91066-6021
1 i (626)574-5416 u R -Permit Status;Issued'?
ARCAI)IAIssue Date o9/06/20i8 Expiration: 03/05/2019
Addr NO. Dir Prefix Street Name Street Suffix Unit City,State,Zip Parcel Number
927 Balboa DR Arcadia,CA 5777019023
Contacts
WILLIAM MA Owner
927 BALBOA DR,ARCADIA CA,91007
(626)399-4948
Description:OPEN DETACHED PATIO OVER KOI POND PER Valuation: S 6,390.72 Tenant
APPROVED PLANS. HOA APPROVAL
Total Sq Feet: 288.00 Plan Check ft Plan if
Fees Amount payments Amount Paid
Building Issuing Fee $44.35 Total Fees $361.24
Building Permit Fees $187.15 Cash/Receipt If REC-002234-2018 $361.24
Building Plan Review Fee $121.65
Amount Due: $0.00
Green Building Standard $1.00
Solid Waste Management Fee $6.25
Strong Motion Inst.Program Res $0.84
Total: $361.24
9y �' CALLS FOR INSPECTIONS
tRequest for inspection by telephone at 626-574-5450. Leave a message
requesting the address,timeframe and what inspection item is needed.
FWAL d-.
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.
4:21
September 06, 2018
Issued By: Date
September 06,2018 Page 1 of 1
A.
,4;1'7°44' .I t J
-fi PERMIT/PLAN REVIEW APPLICATION
ia
iDevelopment Services Department,240 West Huntington Drive, Post Office Box 60021
Arcadia, CA 91066-6021, (626) 574-5416,Fax (626) 447-9173
City of
Arcadia
LICENSED CONTRACTOR'S DECLARATION WORKERS'COMPENSATION DECLARATION
❑ I hereby affirm under penalty of perjury that I am licensed under provisions of I hereby affirm under penalty of perjury one of the following:
Chapter 9(commencing with Section 7000,of Division 3 of the Business and
Professions Code,and my license is in full force and effect. ❑ I have and will maintain a certificate of consent to self-insure for workers'
License Class License No. Exp. Date compensation, as provided for by Section 3700 of the Labor Code, for the
Signature of Contractor performance of the work for which this permit is issued.
OWNER-BUILDER DECLARATION ❑ I have and will maintain workers'compensation insurance,as required by Section
II I hereby affirmunder penalty of perjury that I am exempt from the Contractors 3700 of he 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
(This section need not be completed if the permit is for one hundred dollars or less)
provisions of the Contractors License Law(Chapter 9(commencing with Section
7000)of Division 3 of the Business and Professions Code)or that he or she is
exempt there from and the basis for the alleged exemption. Any violation of I certify that in the performance of the work for which this permit is issued,I shall
Section 7031.5 by any applicant for a permit subjects the applicant to a civil not employ any person in any manner so as to become subject to the workers'
penalty of not more than five hundred dollars($500)): compensation Laws of California,and agree t at if I should become subject to the
workers'compensation provisions of'-c['ii 3700 oft r Code,I shall
EI/I, as owner of the property, or my employees with wages as their sole /forthwith comply with those provisions.
Date (
compensation,will do the work,and the structure is not intended or offered for lit/7/�e
Signature
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 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).
IE I am exempt und-- ection 7044,Business and Professions Code,for this reason:
` Lender's Name
i
p Signature
Date 17/77(8 IL Lender's Address
I 'S 'TANT: 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 WI 1/I,l ayyl 1 ''a itle dW ntt
PRINT NAME
I certify that I h e 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 t cora with all City ordinances and State Laws relating to building construction. I hereby authorize representatives of the City of
Arcadia t enter on the above-mentioned property for inspection purposes. / /
Signature cate
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SANTA ANITA VILLAGE I. '
/J/ COMMUNITY HOMEOWNERS'ASS 1
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