Press Alt + R to read the document text or Alt + P to download or print.
This document contains no pages.
HomeMy WebLinkAboutUntitled ry 7.4-4111-', r/ 2k St;R1*is ,,i a i 7=
pv City of Arcadia, CA 3{ ' ' Permlr rJo RALT-1.8E1050;:
1` k
l Development Services Department 1 11 :,,V111'11111111-1,1";t [ r P mit Type i ResldenttalAddition/Alteration •
240 West Huntington Drive,Post Office Box 60021 4 _,, I ,fi„, ( 3 t j.,-ii,,_ ]r?;I-;''4'
{ a ;d Arcadia,CA 91066-6021 �, " QA` s,s P'3 u 1 {Wot gsslficq(oq Res AdditionAlteration-�
�, (626)574-5416 f" 'yt •e Permit Status I';Reyew
ARCADIA .rl IssueDate ,I Expiration l
Addr NO. Dir Prefix Street Name Street Suffix Unit City,State,Zip Parcel Number
16 E Magna Vista AVE Arcadia,CA 5781004051 ''
Contacts ..
AMIT M PRABHUTENDOLKAR Owner
16
(626)456-2351
Description:ENCLOSE ENTRY WAY,CREATE NEW FULL BATH#4, Valuation: S 96137.43 A Tenant
REMODEL EXISTING BATH J
Total Sq Feet: 33.00 Plan Check# Plan#
Fees Amount Payments Amount Paid
Bathtubs/or Combo $12.46 Total Fees $752.11
Building Issuing Fee $44.35 Cash/Receipt#REC-001487-2018 $752.11
Building Permit Fees $237.25
Amount Due: $0.00
Building Plan Review Fee $154.22
Cal Green Plan Check $15.43
Electrical Permit Issuance Fee $44.35
Energy Plan Review Fee $47.45
Green Building Standard $1.00 �e� iy�
Lavatories $24.92 IQI■A■ P
Light Fixtures 59.24
Mechanical Permit Issuance Fee $44.35 CALLS FOR INS NS
Outlets-Receptacles&Switches $6.16 Request for inspection by telephone at 626-574-5450. Leave a message
Plumbing Permit Issuance Fee $44.35 requesting the address,timeframe and what inspection item is needed.
Shower $12.46
Solid Waste Management Fee $6.25
Solid Waste Management Fee 2 $1.00 This permit/plan review expires by time limitation and becomes null and
Solid Waste Management Fee 2 51.00 void if the work authorized by the permit is not commenced within 180 days
Solid Waste Management Fee 2 $1.00 from the date of issuance or if the permit is not obtained within 180 days
Strong Motion Inst.Program Res $1.19 from the date of plan submittal.This permit expires and becomes null and
Ventilation Fan(Single Duct) $18.76 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
Water Closet $24.92 Arcadia building inspector for a period of 180 consecutive days.
Total: $752.11
n
1 (a � lq — (g
Issued By: Date
June 19,2018 - Page 1 of 1
•
U,,aroagN .
Nam 1 PERMIT/PLAN VIEW.APPLICATION
IFEIN
Etta 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.
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 Contractors3700 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. My 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 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, forthwith comply with those provisions.
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 Date o Q 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.
0 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
n G 1 (e I t01
Signature yppyyy,�
Date IT� 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 /'vn ) t ' -'1- P '-uA*enQKAa I Ao✓ Title
1 PRINT NAME
I certify that I have read this application and state that the above information is correct and that I am the owner or duly authorized agent of the owner.
I agree to comply with all City ordinances and State Laws relating to building construction. I hereby authorize representatives of the City of
Arcadia to enter upon the above-mentioned property for inspection purposes. g,—/
/ _ o 0.6( 1�4_ ( I 0
Signature �' ' Date
NOTES
Building Inspections Date Insp. ,Plumbing.lnspections Date Insp. ib
E 1 //(e,t I A '1/2-TA
100.1Setbacksugh 210.1Under erlub ersiadrain EAI/T-///2-i OVAL V 6�d
101. Rough grade 1� � 211. Copper underslab + L
102. Figs.&forms 17.778 pyV 212. Rough plumbing 7(i-it cjyj
103. Pre-slab .L �y 213. Rough gas "`
104. Roor joists 214. Shower pan 7 i'Si `r
t a �
105. Steel 215. Water heater •
•
106. Grout lift 216. Roof drains
107. Shear nailing 701g- thg 217. Building sewer
108. Diaph nailing 218. Water service
109. Roof nailing 219. Final gas
110. Framing 717181 14 220. Fixtures
111. Occ./Area Sept.Wall 221. Anal plumbing 101 :1 (*4
112. Sound walls 222. Sewer cap/demo.
•
113. T-bar grid
114. Insulation-Ar. Date . Insp.
115. Insulation-Wall 7i(3r{ 240. Excavation/steel -
116. Insulation-Cell. .( lc" 241. Rough plumbing
117. Drywall nailing 4. 242. Light shell/bonding
118. Interior lath 7-1 4? IA 243. Underground conduit
119. Exterior lath 244. P-trap
120. Finish grade 245. Gas line&test
121. Anal building to4)- fl 246. Fence,gates&signs
122. Final demo/lot dear 247. Pool heater
248. Final electric
Electrical Inspections Date Insp. 249. Final plumbing
150. Power pole 250. Pool cover
151. Sales lot lighting 251. Pool final
152. Underground conduit
153. Underslab conduit Rercof Inspections Date Insp.
154. UFER ground 270. Pre-reroof insp.
155. Water ground271. Roof framing
156. Rough electrical 7-in g' l 272. Sheathing nailing
157. Fixtures _ 273. Final rerool
158. G.F.C.I.
159. Ent.bondin, Sign Inspections I Date I Insp.
160.1Serviceapanelmc281. Setback/overhang ■
161. Anal electric 1��'l$ (� 281. Footing
282. ConduitMirin.
.Mechanicalg/flue Inspections Date Insp.' 283. Disconnectln ■
180. Venting/flue 284. Final sign
181. Furnace/A.C.
182. Rouch HVAC Miscellarieouslnsp. Date Insp.
183. Fire dampers 290. Fire alarm
184. Furnace compartment 291. Underground supply
185. Combustion air 292. Fire sprinklers
186. Smoke detectors 293. Monitor system
187. Metal F.P.rough 294. Hood dry chem.
188. Compressor setback 295. Final
189. Commercial hood
190. Duct shaft Sewers&Offsite Insp, I. „Date I nsp. .
191. Final mechanical 300. Lateral(main to P/L)
301. Saddle/y
oc 'a nspections 3' "Date Insp:: 302. Cesspool filled
200. Footings 303. Sidewalk _
201. Steel/mbar 304., Driveway ,
202. Grout lift 305. Curb replacement
203. Final wall . 306. Trash bin
•
l69 . ek....... k • 1MS t ' et..
.41
•
•
t.
' (E)ONE-STORY HOUSE INTERIOR REMODEUNG OF - \
• SINGLE FAMILY DWELLING (E)BEDROM,CLOSET AND \
L.2,121 5.F. BATH(HATCHED)
..-----------
.=,94
=94 S.F.
\
/ / -- \i
eat
Gy
1_2
% SS
/ 4 / ' IP
ret
r
.. \ t\ ,_2_.
I \!
\e G` t- lel I /...,...
:� 1 - I fi '
1 o 3.1 g s
I
/
.
iQ .
____E-
a ^by •
Al Ct
I cam$ FF / 3 0
PROPOSED NEW ADDITION
(CROSS HATCHED) ASSESSOR'S ID No:5701-004-051
\\`\a =33 S.F.
/PLOT / ROOF PLAN
PROPERTY NE 40.00' NOT A RECORD SURVEY
/ LEGAL DESCRIPTION:
TRACT NO 20273 L0T CAM AT 5E CUR&LOT 41115
• E93745'W72.66 H111142=59'W TO NW LIAR Of
' • //:".•"/ C//:".•"/ C16EMAGNA ^.754 50 LOTTO NERO EOUDMNG=TUNE OF50 LOTTO
VISTA AVE BEG PART OF L0154 MO LOT
,•
(E)ONE-STORY HOUSE INTERIOR REMODELING OF \
. SINGLE FAMILY DWELLING (E)BEDROM, CLOSET AND --
=
= 2,121 5. F. BATH (HATCHED) — /\
=94 S.F. /�
•
�OOv \E�P
19 i
/ q
\),
-----
tit G
RDP
� •
9N �:
� //)9.-1:3a
GE
: 1L
G / • al
,t
ai
°1 iso ahs I j
0
y ••••4 /1: LT I
.. -o v?, I i,.r l— / V •
.
SGA _r— — 1 u4
. y1-1, % / / r .l
PROPOSED NEW ADDITION
(CROSS HATCHED) / ASSESSOR'S ID No:5781-004-051
=33 5.F.
//PLOT / ROOF PLAN
PROPERTY L NE 40.00'• NOT A RECORD SURVEY SCALE:I/8 r.0'
\ LEGAL DESCRIPTION:
�/ !iUP
0T COM AT SE COROFT TN N 20'03'59'WFOLLOWING WRY NNEMAGNA 4 AND LOT5
s VISTA AVE •s�
1
•
(E)ONE-STORY HOUSE INTERIOR REMODELING OF
. SINGLE FAMILY DWELLING (E)BEDROM,CLOSET AND ---
=
= 2, 21 5.F. BATH(HATCHED) / �\
=94 S.F.
•
�JJ
5 i lE)e00 V o
05 \/
PCO
e'4 l
/� \ F - - \
ap \ _ ir — \1 — \ _ I \
E .„
\ toGN / a
1 / ^c',o
/ vl I i. /
I 11
a..C...1StA
.._ •
.. -o >'MI io-r e T
13
F nk / /
Gy� / AS\
PROPOSED NEW ADDITION
(CROSS HATCHED) J ASSESSOR'S ID No:5781-004051
=33 S.F. /
• //PLOT / ROOF PLAN
PROPERTY LNE 40.00'• NOT ARECORD SURVEY SCALE:ids" 0
LEGAL DESCRIPTION:
�/ WRnCTN020273L0TCOMAT SE COROP LDT47115
89°3T45'W72.66 FT THN 2170359'WTO NW NNE OP
pd �a SD IOTiN NE AND FONfANNG GORY M'E OF SD LOf i0
0
168 MAGNA '( BEG PAU OF L0T54 AND LOT5
\ VISTA AVE S�
.
City of Arcadia,CA Permit NoRALT 18-0371.
1 . `
Development Services Department 3 � `' Pe m Type:Residential Addition/Alteration
240 West Huntington Drive,Post Office Box 60021 1 r
r , Arcadia,CA 91066-6021 �r'y`�( I , uI u b Work Classification:Addition/Alteration
(626)574-5416 - ,r.., Permit Status::Issued,
ARCADIA Issue,bate:03/20/20181 Expiration: 09/16/2018
,
Addr NO. Dir Prefix Street Name Street Suffix City,State,Zip Parcel Number
16 E Magna Vista AVE Arcadia,CA 5781004051
Contacts
I
AMIT M PRABHUTENDOLKAR Owner
16
(626)456-2351
Description:NEW ADDITION TO EXTEND FAMILY Valuation: S 25.582.39 I
Tenant 32�7�
ROOM/BEDROOM AND REMOVE BEARING WALL BETWEEN
KITCHEN. Total Sq Feet: 0.00 Plan Check q Plan if
Fees Amount Payments Amount Paid
Building Issuing Fee $44.35 Total Fees
Building Permit Fees $500.50
Building Plan Review Fee $325.33
Cal Green Plan Check $32.54 Amount Due:
Electrical Permit Issuance Fee $44.35 I
Energy Plan Review Fee $100.10
Green Building Standard $2.00
Light Fixtures $6.16
A
Outlets-Receptacles&Switches $7.70 V
Solid Waste Management Fee $6.25 ;IISolid waste Management Fee 2 $1.00 CALLS FOR INSPELqu e"�I[[ p e % lephone at 626-574-5450.
Strong Motion Inst.Program Res $3.33 Leave a message requesting the address,time frame and what inspection
item is needed.
Total: (� $1,073.61
6--2-? $ This permit/plan review expires by time limitation and becomes null and
Fight.(/ �,C(Jl'(,,r-, W 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.
March 20,2018
Issued By: Date
March 20,2018 Page 1 of 2
If AI
1110101 1; PERMIT/PLAN REVIEW APPLICATION
.. 1-
R I •'T
rmt3a 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
performance of the work for which this permit is issued.
Signature of Contractor
OWNER-BUILDER DECLARATION ❑ I have and will maintain workers'compensation insurance,as required by Section
❑ I hereby affirm under penalty of perjury that I am exempt from the Contractors 3700 of the Labor Code,for the performance of the work for which this permit
License Law for the following reason(Section 7031.5,Business and Professions is issued.My workers'compensation insurance carrier and policy numbers are:
Code.Any city or county which requires a permit to construct,alter,improve, Carrier
demolish,or repair any structure,prior to its issuance,also required the applicant ''a11ir
for such permit to file a signed statement that he or she is licensed pursuant to the olis s 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 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 9r.1
Section 7031.5 by any applicant for a permit subjects the applicant to a civil• not employ any person in any manner so as to become subject to the workers'
penalty of not more than five hundred dollars($500)): compensation Laws of California,and agree that if I should become subject to the
workers'compensation provisions of Section 700 of the Labor Code,I shall
4I, as owner of the property, or my employees with wages as their sole forthwith comply with those provisions.
p 1�
compensation,will do the work,and the structure is not intended or offered for
Date td-I2
sale(Section 7044,Business and Professions Code:The Contractors License3 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
K3/4...._ 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 contacts 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).
0 I am exempt under Section 7044,Business and Professions Code,for this reason:
Lender's Name
Date Signature Lender's Address
IMPORTANT: APPLICATION IS HEREBY MADE TO THE BUILDING OFFICIAL FOR A PERMIT SUBJECT TO THE CONDITIONS AND
RESTRICTIONS SET FORTH ON THIS APPLICATION AND THE FOLLOWING:
1. The City's approved plans and permit inspection card must remain on the job site for use by City inspection personnel.
2. Final inspection of the work authorized by this permit is required.A Certificate of Occupancy must be obtained prior to use and occupancy of new buildings
and structures.
3. Per South Coast Air Quality Management District(AQMD)regulations,renovation and remodeling work that results in the removal,stripping,or altering
of asbestos containing materials requires an asbestos survey and removal prior to disturbing the asbestos. Please contact AQMD at(909)396-2000 for
further``information. t
ane /4ivi (Title (if neerPRINT NAME
•
certify that I have read this application and state that the above information is correct and that I am the owner or duly authorized agent of the owner.
I agree to comply with all City ordinances and State Laws relating to building construction. I hereby authorize representatives of the City of
Arcadia to enter upo the above-mentioned property for inspection purposes.
LSignature T Date 3 1 2° I (
a• I City of Arcadia,CA Permit NO.MEP-18-0146
Development Services Department © Permit Type:MEP,
240 West Huntington Drive,Post Office Box 60021
i Arcadia,CA 91066-6021 IyL1,.Work.Classi cation:MEP=Residential
(626)574-5416
Permit Status:Issued
ARCADIA Issue Date:02/15/20181 Expiration: 08/14/2018
Addr NO. Dir Prefix Street Name Street Suffix City,State,Zip Parcel Number
16 E Magna Vista AVE Arcadia,CA 5781004051 ■
Contacts 1
AMIT M.PRABHUTENDOLKAR Owner
16 E MAGNA VISTA AVE
(626)456-2351 AMITMP@GMAIL.COM '
Description:REMODEL KITCHEN,UPGRADE ELECTRICAL Valuation: S 0.00 Tenant
SERVICE,200 AMP
Total Sq Feet: 0.00 Plan Check# Plan#
Fees Amount payments Amount Paid
Dishwasher $12.46 Total Fees $220.03
Electrical Permit Issuance Fee $44.35 Cash/Receipt# $220.03
Garbage Disposal Fee $12.46
Hood Serviced byMechanical Exhaust Amount Due:
$14.11 .+ $0.00
Kitchen Sink $12.46Li
Mechanical
Fixtures $9.24 /`/a,`/`yll•//
Mece s-Rec ptacle Issuance Fee $44.35
� �
Outlets-Receptacles&Switches $7.70 •
Plumbing Permit Issuance Fee $44.35
Residential Services up to 400 amps $15.55
Solid Waste Management Fee 2 $1.00 I eft a p-r- it noti - pre ' the -•: • text bank,e - :
Solid Waste Management Fee 2 $1.00 P:rmit oti•-_P 'x
Solid Waste Management Fee 2 $1.00
Total: $220.03
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.
DAY\ February 15,2018
Issued By: Date
February 15,2018 Insert a permit page footer in the report text bank,entry:Permit_Page_Footer Page 1 of 2
tl
410), 1 PERMIT/PLAN REVIEW APPLICATION
ori 1) -9
443*' Development Services Department,240 West Huntington Drive,Post Office Box 60021
m,a_
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 off 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.
/6
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
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 that in the performance of the work for which this permit is issued,I shall
Section 7031.5 by any applicant for a permit subjects the applicant to a civil not employ any person in any manner so as to become subject to the workers'
penalty of not more than five hundred dollars($500)): compensation Laws of California,and agree that if I should become subject to the
workers'compensation provisions of Section 3700 of the Labor Code,I shall
❑I, as owner of the property, forthwith comply with those provisions.
or my employees with wages as their sole
compensation,will do the work,and the structure is not intended or offered for
)(ate 5 6
•
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,
l
l not build or improve for the purpose of sale). damages as provided for in Section 3706 of the Labor Code, interest, and
attomey's fees.
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 VI am exempt undy�Section 7 ^Business Professions Code,for this reason:
777 fC^/1 p, yaature
r \ Lender's Name
Date 2-(I S fI v Lender's Address
IMPORTANT:APPLICATON 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.
ame AtrinillANIN e 40 4,Y Title
PRINT NAME
I certify that I have read this application and state that the above information is correct and that I am the owner or duly authorized agent of the owner.
I agree to comply with all City ordinances and State Laws relating to building construction. I hereby authorize representatives of the City of
Arcadia to enter upon the above-mentioned1property for inspection purposes.
nature ,`v Date ' 11.cri
��NOTESI
Building Inspections Date Insp. Plumbing Inspections Date Insp. 'r A'_. WGA . n VISTA
100. Setbacks 210. Under fin/bldg.drain .[l G p p Wen�I,}, V
101. Rough grade p 211. Copper underslab 2.1ALT-I D -01` 4)
102. Figs.&forms . )�17� -(Q I 212. Rough plumbing
103. Pre-slab ie 4 213. Rough gas
104. Floor joists 214. Shower pan 3'aq_' a fear' . ® K"I`^""'
105. Steel 215. Water heater ARRE. t,ic 4-�1 ,
106. Groh lift 216. Roof drains ,y -Z_�t AREA�IATIDM n,t,KXT
107. Shear nailing 217. Building sewer L�• u �Y�. [-�
108. Diaph nailing 218. Water service Pv 4- OK-
109. Roof nailing I 219. Final gas
110. Framing 4S-18- Q�..,,',U 220. Fixtures 'n tp
111. OcciArea Sept.Wall 221. Final plumbing 6 pa-r 6
112. Sound walls 222. Sewer cap/demo.
113. T-bar.rid
114. Insulation-Flr. Pool Inspections Date . Insp.
115. Insulation-Wall 4 3'le IN 240. Excavation/steel
116. Insulation-Cell. 241. Rough plumbing
117. Drywall nailing 4'.]i-,a" 242. Light shell/bonding
118. Interior lath 243. Underground conduit .
119. Exterior lath 4-12 it *S 244. P-trap
-
120. Finish grade 245. Gas line&test
121. Final building Skoi ' Cj'y\) 246. Fence,gates&signs
122. Final demo/lot clear 247. Pool heater
248. Final electric
IrTniningli 249. Final plumbing
150. Power pole 250. Pool cover
151. Sales lot lighting 251. Pool final
152. Under/round conduit
153. Underslab conduit Reroof Inspections Date I Insp.
154. UFER ground 270. Pre-reroof insp.
155. Water ground 271. Roof framing
156. Rough electrical +-4'+$ 272. Sheathing nailing .
157. Fixtures 273. Final reroof
158. G.F.C.I.
159. E..t.bondin. Sign Inspections I Date Insp.
160. Service panel(2.0Dit 3);-rg 11 280. Setback/overhang
161. Final electric 6/0 r - 281. Footing
282. Conduillwirin.
Mechanical Inspections Date Insp. ' 283. Disconnect
180. Venting/flue 284. Final sign
181. Furnace/A.C.
182. Rauch HVAC Miscellaneous Insp. Date Insp.
183. Fire dampers 290. Fire alarm
184. Furnace compartment 291. Underground supply
185. Combustion air 292. Fire sprinklers
186. Smoke detectors 293. Monitor system
187. Metal F.P.rough 294. Hood dry chem.
188. Compressor setback 295. Final
189. Commerdal hood
190. Duct shaft Sewers&Offsite Insp. I Date Insp.
191. Final mechanical 300. Lateral(main to PI)
301. Saddle/Y
Block Wall Inspections Date Insp. 302. Gess..el filled
200. Footings 303. Sidewalk
201. Steegrebar 304. Driveway
202. Grout lift 305. Curb replacement
203. Anal wall 306. Trash bin
/ / \
/ \/ / / •EXTERIOI
/ --
--.---
\ CP
TI' (M 4'THICK CONC.SLAB ON GRADE(ttPJ 12"
/ / / \ \� 1L0' W/#4 BARS@16°O.C.E.W.- W/2-#4
..---- / OVER 10 MIL MOISTURE BARRIER IN Pc—250C
...-1---.
-----
/ DIRECT CONTACT WI SLAB 4• - \
/ // / \\\\
AY�ROFj�i OR LARGER CLEAN
/ / \ \ Pc=2500 PSI
c / \
\ \ \ �-
\ \ � - =
41
\ / \ \ 1111
i I
\\\ L(E)SLAB.FOUNDATION 7 \ \ I I �? 1111
- I ( GIRDER r-1
\ L_J
L=6-0- I
\ \ ' � Q — I
I
=gin_
\ \ / / �-
_ / / v a 7-1 IE)DIRI
L_J
\ \ ---- —11H_HEGL
\ \ / a
/ ----- / / g
\ \ g K�
\ / / / /
/ r-1 I r—
V
I' 7' "
L-JI I
II
Artk
W r--1
\ Z_
•
`2XBUCG UNDER
THE WALL
?"---
r-1 (E)GIRL
L_J
II
/7
— — — — IL -
- - - J
-
,Q.iyo ESS/p Y3121/IS
ti��1H (pG F`,y9
0.
S . o. o r -:361 A
I I
`��},.)i 1 ). .
I r -lam
NG P. ,ltiOr I I I
4 BTM.
11116 I I il
—
An o i .© a II `1I I
v..- '''''3'....77•77`7:::-
v - _ v C.
L_J IRDS _
o
QO' r B(E)G R\ r '1 II
��1� #4@16'0.0.<� .- I :a I ,�
...."' FTG.
_ _ f� L - - - - - - - J
A L r 1
'! It l
l r—'1 (E)GIRDER r- I r71 (E)GIRI, R '1 r— r--1 (E)GIRDER 1 -
RDER r—1
J L_J L-J ' L-J ' J L J L_J JS
t LL
L(E)RAISED FLOOR 7 /\
I
r--I (E)GIRDER I-1 \ r--1 (E)GR. •r—l r--1 (E)�I30ERr-I I-1 _.,
(E)GIRDER r
._J L \ L-J L_J L_J 1'
11.1111101111111111
W I —9
I
r I r -I r—, (E)GIRDER r—1 r-7 (E)GIRDER r--1 \ r—, (E)GIRDER r-1
\ _
\ L_J L-J 3' L-JJ L_J L_J I
1+
Ld
(E)RAISED FLOOR O L(EI RAISED FLOOR
J L_J
' J
.. I I
LJ
6it7
ILL— =rtIP -•a• •. . REGISTERED DEPUTY INSPECTOR'S
_. CERTIFICATE OF COMPLIANCE
DEPARTMENT OF BUILDING AND SAFETY / ,T-
Address /O t N'z 1 S L /4''"---Date of Certificate S c27-- /I
Fabricator �'''�A
1.w
3`1*-)-
Permit PAC- &.-toso_
et 64 SeRA%A-
TO THE SUPERINTENDENT OF BUILDING: CITY INSPECTOR:
I hereby certify that the following portion of the work at the above job address which required continuous
and/or periodic inspection,and which I was employed to inspect,was inspected and approved by me and complies
with provisions of the building Codes applicable thereto:
Type of inspection:
[ ] Steel Construction [ ] Sprayed Fire-Resistant Materials [ ] Prestressed Concrete
[ ] Concrete Construction [ ] Smoke Control [ ] Drilled-in Anchor
[ ] Masonry Construction [ ] Methane [ ] Gunite/Shotcrete
[ ] Wood Construction [ ] Exterior Insulation&Finish System [ ] Seismic Resistance
[ ] Soils [ ] Wind Resistance [ ] Other: 4F,997
A04,2411
tion and Des1cription of work completed
A!' Orut4 6 .)O tlroa-r) /r 7' eetALP
rx.(n ,,�, tr'y i!.�f" j4 j�v� Eid� ��8 ,4,
alt 74/,,% J.{, / 4.1--z2-., J ,
tz2 - a*
SI _o%h teat c Voce/Li eDbC i' aft
Leff _Sta) Sr i-,"M
Size of Structure Time Arrived �a
No.of Stories Time Left Job jam'
Conc.Mix Design No. (� P.S.I.
v "
Registration Number m�st/
Employed by:
Lab:
Independent [ ]
Signature:
Registered Deputy Buj g Inspector:
Print Full Name: Bag
6p t'tz.zgsfko
Cell phone number: pial 9/?-
E-Mail Address:
DO NOT AMEND,ALTER,CHANGE,DELETE OR APPEND ANY PRINTED PORTION OF THIS CERTIFICATE AS IT WILL
RENDER IT NULL AND VOID.
IN FORM 07(Rev. 01/04/12) www.ladbs.org
HELOU STRUCTURAL DESIGN
STRUCTURAL ENGINEERING SERVICES
••••••••
JOB ADDRESS: 16 E MAGNA VISTA AVE.
ARCADIA, CA 91006
•
(E)2X STUDS
E. , (N)
MOIST. BARRIER (N)
4°THK CONC.SLAB W/
(E) FLR.SHTG #4 BARS @16°O.C.E.W.
-III-1 1I-
• °• III-II
I
11-
(E)F .JOIST II-I
AS PER PLAN '
(E) P.T.SILL PLATE - (IT
- (N)
o -
-
ia�!�- -I1 #4DOWELS AS SHOWN' 16°
I_ _I 1- SPACED AT 32°O.C.
USE SIMP.SET EPDXY XP
1=1
RR#25744
_ EXISTING (HOLE DIAMETER SHOULD BE 1/2°)
CONT.FTG. l -
QROFESSi
���0:`NN HFl0 �Z
�11
�\\i • , 0..361 9-,
EXISITNG AND NEW FOOTING CONNECTION (NTS) 4• ,�a�
741.
.�N�.. , (8
3 12� 1
5585 RESEDA BLVD. SUITE#105, TARZANA, CA. 91356. TEL.(818)345.7646 FAX.345-1747
E-MAIL ADDRESS: HELOUDESIGN@SOCAL.RR.COM
lj Gabriel Castellanos Incorporated
1 r ! 4982 La Calandria Drive, Los Angeles, CA 90032
Tel: (323) 227-5238 • Fax: (323) 227-6773 • Cell: (213) 819-5344
SPECIAL DEPUTY INSPECTORS TIME SHEET & REPORT
Department of Building&Safety
�11 City of: t '7a 1
Building Permit No. n�i "b31 1 Job No.No. Date: 3 ( I
Job identification �S' 'l 4 //�_ �1 Jl �,f 'on Address (r „ .� rovivipL. v6-fr .
General Contractor Itto1/Vl / lII611�((kiiiCCCJJJ��� 1 I Address/))2 !� il / 6, 14
Sub Contractor 1 / �J Address 1l �7)/ {� _ j I f�
Engineer .I (2. owl 9 1 V e-f uf-- I 1> 5r ik Address GS Ol R.,,,,(C_ lokk� - -Fa it4c
Type of Work Reinforced Concrete❑ J Masonry 0 HI-Tensile Bolting 0
Ultrasonic Testing❑ Fireproofing IDWelding ❑ Other E 2X
. i_.`g a4Are tidff ,�y'" Certificafloii tlgeldefASP :I' I4rtificat( No r,`t,,`-S
n � Visual Inspection Report
PrvviC UkS„ , 1 i ✓ s (---;01 -)v- 3C.) v- r (LeS
1 /\ ounc .koro „Co n h e ( 1 n f tt _ k -e ?<-1S±?(
11
v\iik 0d-co*
L� ,(A0u_P_ fs ,Avl�� 57? 'r i � V\o(ec
1_"..., i�,� L( ” inn I to 1 Opp WI P e() lam-
Ivy c-I Ail i ovi (ti, 4 aAd z ve apo 1:lam.-f,�c_VA
( rA/r-iV VA- r-ki) VlAanvr (—Ore Seth c` >+ (cc--Aym.
•
DAILY HOURS WORKED
1Moodayir : i `Sub day:irff<;Wednesdays, Thursdayi if . r:.::Fridays ic; Saturday:.-...;:Sunday;'-.'
'Stralght.TimetH
`,Tline'ti`Half';`.:
L boirble Tithe_' .
All Inspection is based on 4 hour minimum, over 4 hours Is an 8 hour minimum. All lab work necessary to complete Inspections
will be paid by owner,engineer or contractor.
VERIFY TI i' * LY V
Registered Deputy Bull• 7 g I p:ctor's Certificate Signed b fes/ a I.D. No. H I ( OO
Approved by: Company:
HELOU STRUCTURAL DESIGN
STRUCTURAL ENGINEERING SERVICES
e
JOB ADDRESS: 16 E MAGNA VISTA AVE
ARCADIA, CA 91006
•
2 X 4 STUDS @ 16"O.C. • (N)
# —SHEAR PANEL
(N) AS PER PLAN
3 X 4 P.T.SILL PLATE
' (N)SSTB
(N) ANCHOR BOLTS AS PER
4°THK CONC.SLAB W/ SHEAR WALL SCHDL.
#4 BARS @16°O.C.E.W.0/
MOIST.BARRIER O/4°THICK N)
ENDNAILS
1/2"OR LARGER CLEAN
AGGREGATE -4
a
—17
1.
„:„.•:,,,,,,,a,-„,.r. F.ai.
n u •• ' (IA �jy yLLi mL1Tigrii ilili,1
'Tf iii I I i fU—�I � a.. ... . �. , I-1 -'1-'1-1'1-1`lil' ,`'
10 MIL VISOUEEN . =11E11 (M
36°MIN
_. Z a.. r —I —_T DOWELS.. - '- _. �- 12°MIN
_-. . .. _.
1/2"OR LARGER CLEANdl F ,a . IIIJI
AGGREGATE II— SII_
a (IV)CONT.FTG.
a II'' � '•. �` " IIla PER PLAN
_ 'a -III.
J11I :. •. . ,•e , .41 ,��
gr I-1• •tel .•. •1I� - '��? _2-#4@TOP& ryRO
0�. BTMIf-
• C1 N
%
PER PLAN 1Q. il 0
CP
rm
el )
SHEAR WALL CONNECTION (NTS) ECI
IF
312, 11$
_•••••••
5585 RESEDA BLVD. SUITE#105, TARZANA, CA. 91356. TEL.(818)345-7646 FAX.345-1747
E-MAIL ADDRESS: HELOUDESIGN@SOCALRR.COM
HELOU STRUCTURAL - DESIGN
STRUCTURAL ENGINEERING SERVICES
a 1114.411••
JOB ADDRESS: 16 E MAGNA VISTA AVE
ARCADIA, CA 91006
/DRILL 5/8°0 HOLE
PLACING 2-#4 BARS X 18°LONG
DWL @ TOP&BTM.AS SHOWN...
SIMP SET EPDXY XP(RR#25744)
DEPUTY INSPECTION
IS REQUIRED FOR
`ALL EPDXY WORK ,— (E)A.BOLT (E)A.BOLT
(N)P.T.SILL PLATE (N)A.BOLT--........a .'SS!/
di
v. 4
• ��' 8" a
c9.: '/ 1a a
' a NEW FOOTING a'• S
AS PER PLAN •' dJ. EXISTG FTG.
#4 AT TOP&BTM. � '. (.....-'a..16" - " ./ 4" ''
__\_-
4. e • e •� —IIIA
_ . a a1 I I= �`ROFESg/C
`., . I II y��0• N tt
0 FC. 2
53
:1117 .1 I i 11 1, .111=1 I ( 111;11 \ 0 No. 05
Fil
12'MIN
A* l li :
0 it'it
EXISITNG AND NEW FOOTING CONNECTION (NTS` ;
3`2/08
eseilms.
5585 RESEDA BLVD. SUITE#105, TARZANA, CA. 91356. TEL.(818)345-7646 FAX.345-1747
E-MAIL ADDRESS: HELOUDESIGN@SOCALRR.COM
HELOU STRUCTURAL DESIGN
STRUCTURAL ENGINEERING SERVICES
anal 0410
JOB ADDRESS: 16 E MAGNA VISTA AVE
ARCADIA, CA 91006
. (N)4 X POST
PER PLAN
(N) (N)SIMP.HDU PER PLAN
SHEAR PANEL Or AS PER PLAN / -(N)4°THICK CONC.SLAB ON GRADE
1°C=2500PSI(TTP.)W/#4 @ 16°O.C.E.W.
OVER 10 MIL VISQUEEN VAPOR BARRIER
IN DIRECT CONTACT WITH CONCRETE,OVER 4°
THICK BASE OFY"OR LARGER OF CLEAN _
AGGREGATE.
3X P.T. -• 24°MIN
I #3 @ 24"O.C. e
SILL PLATE DOWELS
..
E.N.—_ .iii
z` \ / z
` a
• v
141 1— .1 .7-1. 1
I c n nI \V . O O r• t� a
. . e _ II—' I I_ I
• III 10 MIL VISOUEEN
a la •d' e. . _ MOISTURE BARRIER.
4°THICK BASE OFT"
IIII - (N) CLAN AEG E - - - -.
a ,a CONC.FTG. CLEAN AGGREGATE
dig
4" . ""' ' '
PER PLAN 1Y244—PERPLAN
HOLDOWN HOLDOWN FOOTING ANCHOR MIN.EDGE MIN.EMBD. HOLE DIAM. BEARING PLATE
MODEL A.BOLTS WIDTH DIAM. DIST. DEPTH °Le° RR#25293
SIMP.HDU2SSTB 16 12°MIN. 5/8° 1 7/8° 12 5/8° 5/8°+ 1/16" 3°X 3°X 0.229°
RR#25720 THREADED ROD
s.;t�
3/2l Ils �P20ZOF
•
O
t.c.,
SHEAR WALL CONNECTION (NTS) �' o
a� No c-2.)
c zgg
�\ n m% 1
ka
-. 9/ t;,' N,-888 RESEDA BLVD. SUITE 0108, TARZANA, CA. 01388. TEL. (818)348.7848 FAX. F y
lIh;°1
�
E-MAIL ADDRESS: HELOUDESIGN@SOCAL.RR.COM
•
STRUCTURAL OBSERVATION PROGRAM
AND DESIGNATION OF THE
STRUCTURAL OBSERVER
•
PROJECT ADDRESS 16 E MAGNA VISTA AVE PERMIT APPL NO.: MFP-1R-0146
ARCADIA, CA 91006
Description of Work: ADDITION AND REMODELING TO AN EASING S.F.D. - - -- -
Owner Architect: Engineer HELOU STRUCT.DESIGN
STRUCTURAL OBSERVATION
(only checked items are required) )
Firm or Individual to be responsible for the Structural Observation:
Name: HELOU STRUCTURAL DESIGN Phone: (818)345-7646. Calif.Registration: C052361
FOUNDATION WALL `^,, `` E DIAPHRAGM
❑ Footing,Stem Walls,Piers ❑ Concrete�G QStveel t frame 0 Concrete
❑ Mat Foundation ❑C5Cry �/ to cod frame ❑ Steel Deck
❑ Caisson,Piles,Grade Beams Wood A`*jCon to moment frame ❑ Wood
❑ Stepp'g/Retain'gFoundation, •'A(5:' `V` ' _
L�Mnr wall frame 0 Others:
Hillside Special Anchors `tJ VVV
❑ Others: ❑ Others:
DECLARATION BY OWNER
I,the Owner of the project,declare that the above listed firm or individual is hired by me to be the structu-: obse.e
J `
3 21 het3bQ(tNoFESbis S T.,
1 " �
r
i'� m
Signature Date a Nr •0-•3:
N:t C. 1 01
DECLARATION BY ARCHITECT OR ENGINEER OF RECORD (Required if the Structural Observer I- .•� 0b�Q'�
from the Architect or Engineer of Record) `at,/
I,the Architect or Engineer of record for the project,declare that the above listed firm or individual is desig by met• •e
responsible for the Structural Observation.
C052361
Signature • License No. Date