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City of Arcadia, CA • • • permitNerierool 18=0765.
[ '„3 Development Services Department ` , "`s L, Permit Type Po01/Spa
{ 1 240 West Huntington Drive,Post Office Box 60021 5 ` t * i t 1, °
k t t a , -` r' ( Work classification;Pool Residential
Arcadia,CA 91066-6021 i I r'- rn=s !. i 5 .
(626)574-5416i Permit Status::Issued"
ARCAD[A Issue Date 05/09/20181 Expiration: 11/05/2018
Addr NO. Dir Prefix Street Name Street Suffix Unit City,State,Zip Parcel Number
50 W Lemon AVE Arcadia,CA 5782022038
Contacts
YU LONG YU AND FENG FENG Owner RAINBOW POOL&SPA REPLASTER INC Pool Contractor(C-53)
50 W LEMON AVE THE
19275 SLATE CREEK DR,WALNUT,CA 91789
(626)608-8881
Description:124 PF INGROUND POOL AND SPA Valuation: $28.565.88 Tenant
Total Sq Feet: 0.00 Plan Check# Plan#
Fees Amount Payments Amount Paid
Building Issuing Fee $44.35 Total Fees $1,176.56 •
Building Permit Fees $538.75 Cash/Receipt#REC-001117-2018 $1,176.56
Building Plan Review Fee $350.19 Amount Due: $0.00
Electrical Fee(Motors,Fix,Wiring) $67.65
Electrical Permit Issuance Fee $44.35 t*.
Plumbing Permit Issuance Fee $44.35 C7 /0 /fr/f,''!r/i*
Pool Piping $27.07 -/���' —�—`�
Pool P-Trap $10.86
Solid Waste Management Fee $6.25
Solid Waste Management Fee 2 $1.00
Swimming Pool,Spa/HotTub Heater $40.74 CALLS FOR INSPECTIONS ;
SWMF FEE 2 $1.00 Request for inspection by telephone at 626-574-5450. Leave a message
— requesting the address,timeframe and what inspection item is needed.
Total: $1,176.56
�OMPLFt�D This void permit/planifthework review
authorizeexpiresdbythe by timepermit limitationisnot and becomes
within 1null and
- commenced80 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.
It
qMay 09, 2018
Issued By: Date
May 09,2018 Page 1 of 1
•
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PERMIT/PLANREVIEW APPLICATION
'I
Ali*' 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 0 l License No. 902/54:2 Exp. Date�7i0%a 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 DECLA N
0 I have and will maintain workers'compensation insurance,as required by Section
❑ I hereby affirm under penalty of perjury that I am exem a 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 -1y/�.l orke�rs'compensation insurance carrier and policy numbers are:
Code.Any city or county which requires a permit to construct,alter,improve, Carrier 51-01/4.1? ?RA...A ci
demolish,or repair any structure,prior to its issuance,also required the applicant /IC
for such permit to file a signed statement that he or she is licensed pursuant to the Policy Number 901 C34.3
provisions of the Contractors License Law(Chapter 9(commencing with Section (This section need hot 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 LiI 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 ,t._ (�
sale(Section 7044,Business and Professions Code:The Contractors License Date”1/4 Signatum _A
MOP'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 civilfines up to one
completion,the owner-builder will have the burden of proving that lie 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
attomey'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 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
kNamefurther information. /�plit ios '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-mentio 1 •d property or ins 1.>/ purposes. t— p,
Signature //_�/ 'A Date tJ / /� D
NOTES
Building Inspections Date Insp. Plumbing Inspections Date Insp. cO Ld• / iJ 1/y d it
100. Setbacks 210. Under fin/bldg.drain �(� LpG~�(s�/�
101. Rough grade 211. Copper underslab - / 0 -o76.S
102. Figs.&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. Occ/Area Sept.Wall 221. Anal plumbing
112. Sound walls 222. Sewer cap/demo.
113. T-bar,rid
114. Insulation-Flr. Pool Inspections Date Insp.
115. Insulation-Wall 240. Excavation/steel
116. Insulation-Cell. 241. Rough plumbing •
117. Drywall nailing 242. Light shell/bonding
118. Interior lath 243. Underground conduit (j -i
119. Exterior lath 244. P-trap (b-/-ii
il .
120. finish grade 245. Gas line&test
121. Anal building 246. Fence,gates&signs -Z']-48 g+-')/y
122. Anal demoAot clear 247. Pool heater '.
248. Final electric _ `Lii r
Electrical Inspections Date Insp. 249. Final,lumbin, i.
150. Power pole 250. Pool cover
151. Sales lot lighting 251. Pool final 54-/$
152. Underground conduit DECK 86/40 4-7-4
153. Underslab conduit Reroof Inspections Date Insp. • -
154. UFER ground 270. Pre-reroof insp.
155. Water ground 271. Roof framing
156. Rough electrical 272. Sheathing nailing
157. Fixtures 273. Anal retool -_
158. G.F.C.I.
159. E„t.bondin, Sign Inspections I Date I Insp.
160. Service panel 280. Setback/overhang
161. Final electric 281. Footing
282. ConduiMvirin,
Mechanical Inspections Date Insp. 283. Disconnect
180. Venting/flue 284. Anal sign
181. Furnace/A.C.
182. Rouch HVAC Miscellaneous lnsp. I 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. Anal
189. Commercial hood
190. Duct shaft Sewers&Offsite'Insp. Date I Insp.
191. Anal mechanical 300. Lateral(main to Ph)
301. Saddle/Y
Block Wall Inspections Date Insp. 302. Cess.00l filled
200. Footings 303. Sidewalk
201. Steelfrebar 304. Driveway
202. Grout lift 305. Curb replacement
203. Final wall 306. Trash bin
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