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Home My WebLink AboutRALT-19-0299 *_ Permit No RAI-T- :7:1- boa( k`v qty of Arcadia, CA _ �,Vtt '` Development Services Department Peerrmmm�i Type, Residential Addition/Alteration +111 240 West Huntington Drive,Post Office Box 60021 I` -�1 r ``x Arcadia,CA 91066-6021 oorkk Classlflcatfon:Res-Addition/Alteration r 3--11 (626)574-5416 , Permit Stotts iri:Review ARCADIA i5 b i i I T Issue Date: Expiration: Addr NO. Dir Prefix Street Name Street Suffix Unit City,State,Zip Parcel Number 2700 Holly AVE Arcadia,CA 8586005001 Contacts CHI CHEN HORNG Owner 2700 HOLLY AVE (626)462-9862 LAUNDY Description:CREATE OFFICEE IN DINING ROOM AREA. CREATE Valuation: $ 12,516.66 Tenant ' LAUNDY ROOM AND BED#41N FAMILY ROOM.WITH EMP Total Sq Feet: 0.00 Plan Check# Plan# Fees Amount Payments Amount Paid Building Issuing Fee $47.01 Total Fees $829.11 Building Permit Fees $287.35 Cash/Receipt It REC-00383-19 $829.11 Building Plan Review Fee $186.78 Cal Green Plan Check $18.68 Amount Due: $0.00 Clothes Washer $13.21 ' Electrical Permit Issuance Fee $47.01 Energy Plan Review Fee $57.47 Floor Drain Fee $13.21Tif n LGreen aundry TraygS .21 tandard $13$1.0061 CO MP[ 0 L Light Fixtures $4.89 CALLS FOR INSPECTIONS Mechanical Permit Issuance Fee $47.01 Request for inspection by telephone at 626-574-5450. Leave a message Outlets-Receptacles&Switches $24.45 requesting the address,timeframe and what inspection item is needed. Plumbing Permit Issuance Fee $47.01 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 $1.00 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 $1.63 from the date of plan submittal.This permit expires and becomes null and ventilation Fan(Single Duct) $9,94 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 Total: $829.11 Arcadia building inspector for a period of 180 consecutive days. VI Issued By: Date February 12,2019 Page 1 of 1 if A• 41 PERMIT/PLAN REVIEW APPLICATION fitlik IS 443 ' 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. 0 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 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 iryry{{ I 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 1KY 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 ❑ as owner of the property, forthwith comply with those provisions. I, or my employees with wages as their sole �j 1 , , compensation,will do the work,and the structure is not intended or offered for rZ� /�� Signature ( c sale(Section 7044,Business and Professions Code:The Contractors License Date / `-C 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 coverag'Ip nlawful, sale.If,however,the building or improvement is sold within one(1)year of and shall subject an employer to criminal penalties and civil 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 CONSTRUCTION LENDING AGENCY Code:The Contractors License Law does not apply to an owner of property who builds or improves thereon,and who contracts for such projects with a I hereby affirm under penalty of perjury that them 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 mason: Lender's Name IDate _ 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. Tame AM' —. lel / / \Title PRINT AME 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. GGG�� Signature 46:11 e�c.. ` .7744�Da[e � / NOTES Building Inspections Date Insp. Plumbing Inspections Date Insp. 100. Setbacks 210. Under fir/bldg.drain 101.2Rough. fgordems 211.2Copper uuinlab 102. Figs.&forms 212. Rough plumbing :P{9-('r 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. Anal gas 110. Framing 220. Fixtures 111. OcciArea Sept.Wall 221. Anal plumbing (r}-(`j 112. Sound walls 222. Sewer cap/demo. 113. T-bar grid 114. Insulation-Rr. Pool Inspections Date . Insp. 115. Insulation-Wall 240. Excavation/steel 116. Insulation-Ceil. 241. Rough plumbing 117. Drywall nailing 242. Light shell/bonding 118. Interior lath 243. Underground conduit 119. Exterior lath 244. P-trap 120. Finish grade "�^I 245. Gas line&test 121. Anal building ?rD f / V ' I 246. Fence,gates&signs 122. Final demo/lot clear 247. Pool heater 248. Anal electric Electrical Inspections Date Insp- 249. Final •lumbin• 150. Power pole 250. Pool cover 151. Sales lot lighting 251. Pool final 152. Under•round conduit 153. Underslab conduit Hereof Inspections Date Insp. 154. UFER ground 270. Pre-reroof insp. 155. Water ground 271. Roof framing 156. Rough electrical 2-19-'? ��272. Sheathing nailing 157. Fixtures 273. Final reroof 158. G.F.C.I. 159. E••t.bondin• Sign Inspections Date Insp. 160. Service panel 80. Setback/overhang 161. Anal electric a.(g'-'C? to 281. Footing 282. Conduit/wirin• Mechanical Inspections Date Insp. " 283. Disconnect 180. Ventingltiue 284. Anal sign 181. Furnace/A.C. 182. Roach HVAC Miscellaneous Insp. Date Insp. 183. Fire dampers 290. Fre alarm 184. Furnace compartment 291. Underground supply 185. Combustion air 292. Fre 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. Date Insp. 191. Anal mechanical 300. Lateral(main to PIL) 301. SaddleN Block Wall Inspections Date Insp. 302. Cess•ool filled 200. Footings 303. Sidewalk 201. Steel/rebar 304. Driveway 202. Grout lift 305. Curb replacement 203. Final wall 306. Trash bin v • ---4 er : • (N.oteitk---5:- eel vtacceffan”,szr Or x bel 1•4-fi - Ce ,K9 in- 4._____ ' . I :,... t,-/ ' . f ': • (11/ ',.:g • f: ft CITY OP ARCADIA -1 - --• L-g odnY7 _ ..s. :.: Development Services Department ;-, i : De APPROVED IL it h _ti.: ! •, 64:111- j2- ' ) Thisset of plans and specifications must be kept ..: I Anq'r (- „', ‘ vzo olit 1 i Iti fliftPit •• on• the job at all times and no changes or alterations • ' ". ' ik . . : shall he made c‘cept by the Building Division. ti IC i 1 --- ill i• • ;,.__-: . .. he Stamping of this plan and specification shall not i I 40. - — 4 be held to permit or to be an approval of the violation. of aus provisions any city ordinance or state law • i 2. . .) f,•,. • " I( Ktlink -W.: t. • - , .; ____ , . —7 • ' 2 cv-..... qt—It . I ..___ . .,, .‹, - I r. ts,i Pa2t(-9 . g_ W' • r i ili fp 3 tie 0 1 .......„ _ . ____. • _4> i . - 6t 9 0 0 /74:) //),a . - • • —_ . _ _..... . f• . %he N. ''')., grit-,.. LN1 .T.. ..--b-...- cr•----r-.,-. . ; - 04 t. ! - I -.."-. . ;Cs tr./ .C.C3c.,, • ".. s \c , Oi„.„. . . ve-ij ) ;0) -ii0P ill k7Cir--e -.zt): : 0. s', 5 i -÷ 1 -# • i cirra : i • ° ?Jr.:, .: -,. ...: . . jet): • % :. A9 Wine-it obyn. . . ....- 1,. 1 I cto.ca r__Thfil__—,_ . • . , TN____ . • ) ., c.,..{.,--•• p c7K-C 1 F, 'tC Li .. . •$, • i • .. ..„ : 3N.; kont :t \, • \--' St - --- ' • - ' , .. ..... .t,...‘ , . ,r4e41` City of Arcadia, CA j4 k r 4Permit'NO Mi$ 19 0257 Development Services Department z° +i Permit Type"Misc ,, ' . 240 West Huntington Drive,Post Office Box 60021 f Er-radia,CA 91066- 6021 Work CM s(frcotron Misc-Real Estate Inspection. j (626)574-5416 t„, G Permit StatusiIssued ARCADIA IssueiDate 02/07/2019 Expiration: Addr NO. Dir Prefix Street Name Street Suffix Unit' City,State,Zip Parcel Number 2700 Holly AVE Arcadia,CA 8586005001 Contacts CHI CHEN HORNG Owner •2700 HOLLY AVE (626)462-9862 Description:REAL ESTATE INSPECTION FOR OFFICE AREA IN Valuation: $0.00 • Tenant DINING ROOM,LAUNDY AREA/BED#4 IN FAMILY ROOM. Total Sq Feet: 0.00 . Plan Check# Plan# Fees Amount payments Amount Paid Building Issuing Fee $47.01 Total Fees $114.21 Extra Inspection-Not ready/His not $60.95 Cash/Receipt#REC-00341-19 $114.21 covered Solid Waste Management Fee $6.25 Amount Due: $0.00 Total: $114.21 COMPLETED 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. F` February 07, 2019 Issued By: Date February 07,2019 Page 1 of 1 OF Aft d'uon,yy.• • 1 PERMIT/PLAN REVIEW APPLICATION t a' 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 El 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 0 I have and will maintain workers'compensation insurance,as required by Section O 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 mason(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 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 sole forthwith comply with those provisions. 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 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 costof 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 CONSTRUCTION LENDING AGENCY Code:The Contractors License Law does not apply to an owner of property 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). O 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: 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 alteSng of asbestos containing materials requires an asbestos survey and removal prior to disturbing the asbestos. Please contact AQMD at(909)396-200rfor further information. Name „al _ JT li I 0 A Title MA 9I ed,, 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-mention•d property for inspection purposes. �` / sate / /7 \Signature(f/�" al? 7 ABIto 6 PROPERTY INSPECTION REPORT ) ' 4\i�ia ,a,Oe to- Development Services Department, Building Services 240 West Huntington Drive,Post Office Box 60021,Arcadia, CA 91066-6021 City of (626) 574-5416, Fax (626) 447-9173 Arcadia I, c',(#i O dCN /o,€4/6 , owner of property located at (please pnnt name) 2700 Natty 4VC Arcadia, California, do hereby (please pnnt atl ress) give my consent for a property inspection at the above address by the Development Services Department, Building Services. The purpose of the inspection is to investigate construction work which may have been done without the benefit of City permits, approvals, or inspections. The undersigned agrees that all violations found by the inspection will be corrected to comply with applicable City codes and ordinances within thirty (30) days from the date of the inspection. NOTE: This is not a permit and does not constitute acceptance of the work by the City. All identified corrections must be completed prior to final approval of the work by the City. INSPECTION REQUESTED FOR: OFFICE /legit $40 , MONDAY ,ON /// er57-7/Ulj M/1-V P-0044 Date 2 7-(q Signed � /4 , Planning Services approval obtained: LIYes U Not Required Fire Department approval obtained: ® Yes U Not Required Public Works Services, Water Section, approval obtained: ❑ Yes U Not Required BUILDING CORRECTIONS REQUIRED: • • • PERMITS REQUIRED: ❑ Building U Demolition U Electrical U Mechanical ❑ Plumbing INSPECTOR INSPECTION DATE FEE APPROVAL DATE WHITE—File Copy YELLOW--Applicant Copy -...c. - , ____ _ ___ - ------- . . `,... ..0 - I - \II'S 5 --- / ,..../ . iI,1 - — 4-c".,,,, ;.• I ----, ft ....4 ). — . :-. )",. tca C; --k_... mi. • s fr ,-,- 1 1 °a GI , (..) i i , - ---, i , :- , - •- ' ---c • J --r. i. I• • fi. , ....2 1 4 .2-- n--- ,......._ •• ‘..0 ,,,,, f , ._ C'. t.' ri • - s•---c".. deS, •-, .NIL ? r ' 1 _ 4- -i _ .__A 4V-I 1. - - - fl '2 I 54-6( 1 .-- 1 z,. tI I' Vig ' ..., _, . - :, z.- 'i. . • IA e ••N - 1 I ic , \,. I .., .. _ ___L •?... 0-`, Ii #LL r.--"....-7— __ i -a b /I i it. 4.....`;) i I - • 1-1%:9 I , I t ,. , • ' ; -z 1 i • -' \-\,— ' 1 • I --,ILN --- -,,-- LI, c-f,m_ i 1 ........, 4,4 ..2. 1 _.1 .....i- _ ..". ! 1.: . 11, , ' I k -s , C , - 1 ;\:- - -: rent' , p I at 1 _____] ' 4 _, i••.tr1 ' ‘,I Ric?Li/ • ;- 1 __ i__- i --- To 1 61. r...,j :'r ,, . _..., \ . CI, %INN) --Z_ i i •1 •1( i/7 I' 1 --fr u ! ‘...),1 ...," • i , t.....1 . t 0 C.-- j O . • 1.- 1 1 I .1 i i. ,,-,^ "•,-- C .,,. I 0 I 1 ..it• ..I ---:2. lt q.1„C1.0 A '.41;14 1 .1-1,7 1 \ . , ..... / fel... • > : 1..... . A 1 N., •1 _ _, I; .--1;:t: Ir\ )Ivid n,c7‘ '-.. ,I _ ,t_._ - e. i , I i ! .., I __.._______, -1 r 1 cal.C.47 1 1 IL'1--.1 ----'-at' \-...,,...1- i ) 1 . q I cifl ',sr': 1 • , , 1 _ I - __ _ -a -,,.t .4, 1 ,t r -:-.. ......0 -1------ NT - ., ,,_ .--k-,„-" - ..(5 _.3.. , ' - et• .. ....., 4 Dii.,p Ail qi lii-ti I, , T (I' w • • +t .' t s , .4,5it • itit ' q. .� 7 \ r li 1 - 1 a• 5 ':4- . I�,T t1 4f..- .0 } 1 r tlIti . ;ill } 'r -� . TV ia` ► 11' 1 . ;1: w i Irk , i t -1 'I Iti r! I I , I 1 fl Q I 'r ., '1 r,i • E ..L _ ��}j p tagi+ I 46 r, ,I I 1 Le ..-, v j. i 't ,' ,ri �11 t _ • 5, p.1 : 1 3. a. 1 t7.-7„\_:_,4. 1r1 I. ,i . p , .Y; i3t c y"t.\."--. - ' 9 ` Vit' " I -r" l'r Is. 1 r �` � r o „moi r, •ks'e p.wi i . t _ I r• , , r : `Ll _ L _—r--.--r_—.__.--r—_.—_r__.—. _....._L A S r T yrtsISS , A V E N Il E— .--._—r— 1 FRONT SET BACK 1 1 PROPOSED FOOL BATH 9 IN FAMILY ROOM SONCR CURB i SIDEWALK fr r �% PROPERTY LINE 11781' _ - / ,d 1 / �_r-_.__.—_.__.__._ .--.__.--r—_._ter 5 .' DRIVEWAY = I .�(E)47°'HIGH (E)42' HIGH Z I r CHAIN-LINK , /CHAIN-LINK s FENCE < FENCE WI 43 im• _ I — ///1 — — — _— — --- — % I 2-CAR" I PROPOSED DPW /1" DORMER TO MACH r l 1 I I t (EJ ROOF 6L0 ' I )- I O ml _— _ - - ( I OJ j d 41 i L� -STORY AMILTI I _ Ji I 0 z I I � o I II" J acet � E w j I� rer°::: C:;r�r W j E»d:::::Z0i)A%z..' EXISTING pq ) .::: C: 4.I. I I\ �O +: •R:',� • 1 POOL U' Ili i it m PROPERTY LME ISleO'• —•— . I I PROPOSED BEDROOML BRICK GARDEN FENCE I I CONVERSION TO MASTER ADDPOSED VARAI-5TO A II BATH/WALK-IN CLOS. pm Cr J' :v.:• :If.J:IE Al Rl:.tall.:A4.rJCI I (EARONT SET BACK +u al..A.E EwD'r av TIE VIA e4 fn50 fFWlrvc cf1rvi9 PLAN 2-ADJACENT PROPERTIES .0rfI t1.12 PE?Hpvr°1i IC rill SIA;E Mad' OF A•C. 11' PERMIT/PLAN REVIEW APPLICATION Development Services Department,240 West Huntington Drive, Post Office Box 60021 s^' 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 o 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 his 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 ❑ 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, 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 sale(Section 7044,Business and Professions Code:The Contractors License Date 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(I)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 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. Name •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-mentioned property for inspection purposes. Signature Date • • • remi BUILDING & SAFETY DIVISION d� 240 West Huntington Drive �, Arcadia,California 91006-3104 • n..+ 4%bliNso (818) 574-5418 .0(PfgeQ Page 1 orr.,. " 2700 S HOLLY AV 08/30/89 16:33 Permit No : A8904119 Autoproj No : AU003532 Status : APPROVED Validated by : LB • Inspector area: 208 This type : Single Family Project Applied : 08/30/89 Issued : 08/30/89 Parcel number : 8586-005-001 Finaled • Group—occup/use: To Expire • Owner HIMELHOCK, A.L. Applicant : HIMELHOCK, A.L. Applicant Addr : 2700 HOLLY AVE ARCADIA, CA 91007 Job Address : 2700 S HOLLY AV Phone number : 818-446-2313 Class code Valuation • 0 Construction : ADD Permit to do : RENEW EXPRD PRMT #1CL3602 (HBBY SHP/GAR) Fee description Units Fee/Unit Ext fee Data Investigation Fee 3104> 27.55 27.55 ISS FEE Miscellaneous Fee 3104> 259.13 259.13 RNWL FE , *** Fees Required *** *** Fees Collected & Credits *** Receipt No. Date Payment 08/30/89 286.68 Fees: 286.68 Adjustments: .00 Total Credits: .00 • Total Fees: 286.68 Total Payments: 286.68 Balance Due: .00 • • Will the applicant or future building occupant handle a hazardous material or a mixture containing a hazardous material equal to or greater than the amounts specified on the Hazardous Materials Information Guide? ❑ YES ❑ NO Will the proposed building or modified facility be within 1000 feet of the outer boundary of a school? ❑ YES ❑ NO Will the Intended use of the building by the applicant or future building occupant require a permit for construction or mod- ification from the South Coast Air Quality Management District (SCAQMD)7 SEE PERMITTING CHECKLIST FOR • GUIDELINES. ❑ YES ❑ NO • I have read the Hazardous Material Information Guide and the SCAQMD Permitting Checklist. I understand my re- quirements under the Los Angeles County Code,Title 2,Chapter 2.20,Section 2.20.100 through 2.20.140 concerning hazardous materials reporting. Owner or Authorized Agent X CALL FOR INSPECTION DECLARATIONS Requests for inspections should be made at least In accordance with Health 8 Safety Code, Section twenty-four hours In advance by telephone at 19825,at required declarations on the reverse side of 574-5416,8:00 A.M.-5:00 P.M. this form have been properly signed and dated by the permittee. Inspectors office hours are: Verified by: 8:00-9:00 A.M.;1:00-1:30 8 4:30-5:00 P.M. SigneWre ,: .: PERMIT/PLAN REVIEW APPLICATION 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 0 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 (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 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 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 am 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 tocriminal 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 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: 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. Name 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-mentioned property for inspection purposes. Signature Date i BUILDING AND SAFETY DIVISION BUILDING City HUNTINGTON PERMIT 240 W. DR.,ARCADIA, CA 91006 • TEL.(818)574-5416 1 18uIIdi ' / ,,,,,,„,,e, U.B.C. T Occ. AIS :Address .2 700 NO////A YG� /"G; 61 Edition JConnst. Group Lot Block • Tra6t Occ. F. D.Appr. Data H. D.Appr. Date No. _, Load Required Required Owner ` Use Zone Special Case No. Mailing , Sim C Homeowners Association Approval Date Address City Zip Tel. Lot • Size • Contractoral ,Cain er Conditions Address t NOTE: Include: ce%y7 e . - — VALUATION Labor,Material,Plumbing, Etc. S City Zip Tel. I Misc. FEE • State Lic. City ❑Private &Class'.!, tic.No. Swimming Pool I Spa L7 Public Arch., Eng., Sign-Pole 0 Wall 0 Designer e--�GU/9e -/' _ Address.. . Tel. ? F Temporary❑ Protecting 0 • •City Zip State E Fee Based on Total Sq.FL Lic. No. E • Proposed / S PLAN CHECKING FEE PP Construction A21n AL/ 5.4,9 n . i:::,co, /}� �ryryy�� an Car.9 'e f�7`\`✓ C/1/0 Permit Fe 5`a 02%5— .AFkwr Main Accessory Total ' Processed by• rea TOTAL r�f 0^ New 0 Add.0 Aker.0 Repair❑ Demolition❑ Permit No. Plan No.ii _In Date /OGS �v LICENSED CONTRACTOR'S DECLARATION WORKERS'COMPENSATION_TIDECLARATION gel herebydfirmthat Lmhem sodunderpro.iriovarCn.pien9(commencing with Section hereby affirm the,Ihive a«rtifium of consent to self-insure.or a certificate of of Division 3 of the&miners and Professions Code.end my license is in fall force end Worker's Compensation Insurance.or a certified copy thereof.(ree.1500.Labor Code.) effect. Policy No._ Company ❑ Copy is filed Celli(ied copy n Exp.Date OWNER BUILDER DECLARATION wish the City. ❑hereby furnished. I I 0 I hereby affirm that I em exempt loom the Contractor's License Law foe the following ' CERTIFICATE OF EXEMPTION FROM rumn:"Ser.70314.Business and Professions Code.Any city or covnry which requires a WORKERS'COMPENSATION INSURANCE permit to construct.alter.improve.demolish.or repair anystructe.prior w ill issuance (This union need not be completed if she permit s ure for one hundred dollars(5100)ar less.) also requires the applicant fr such permit to file a signed rgetement that he iy licensed pursuant to the prorlstons of the Contractor's License Law,Chapter 9(commencing with 1 certify that in she prtfonoance of the work for which this permit is issued.I atoll not Section 1000).0 Di •. Jaf rhe Buri ,W Professions Code. or that he Is exempt c oyany person in any manner o as to become subject o the W 'Compensation Ls theref bads om,and the bafor the alleged exemption.Any violation of Section 7031.3 by any of 'Uremia. applicant for a permit.subjects the applicant to a chef penally Ono:more than five hundred NOTICETO APPLICANT:/f.after making Mix Certificate of Exemption you should become dollar,(//S00)." subject re the Workers' Compensation provisions of the Labor Code.you muss forthwith - comply with each provisions or this permit shall be deemed stroked. ❑ I.a owner of she property,or my employees with wages s their sole compemstion.will CONSTRUCTION LENDING AGENCY Z o the work.Ind the structure In not intended or offered for tele."See.70e4,Business and I hereby affirm that there in construction lending*racy for the performance of the work (J) Professions Codc TheContractoi,License Law does norapply to an owner of property who for which this n permit mimed.(Sec.3097. ivii Co*.) r builds or improves thereon and who does such work himself or through its own employees. m provided that Such improvements are nor intended or offered for sale.If. however,the Lender's Name et Building or improvement is told within one year of completion,the owner-builder will have . 1,1 the harden of proving that he did not build or improve for the purpose of sole." Lender's Address Q ❑I. se owner of the'psopeny.am exclusively contracting with licensed'mntrato,to — m construct the project.''Sec.7044.Business and Professions Code The Contractor'a License I certify tin.,I hart read thineppllntion and state has the above information is correct I Law does not apply to an owner ofproperty�who builds ar improves thereon.and who can- egret to comply with ell city sold county ordinances and late I gelating so buildiv n tracts far tech projects with a awmctogO tfeensrdpursuant to the Contractor's License Last' coamueuon.and hereby euthmtge remit relives of this- y toe the ebove.memionea property for ill. c io par..sea. s 0 0 1 am eaempe under Sec. ,B.&P.C.for she recon Signature of •. ed d ,✓te2—a.—/e. e pjjl_—O✓ { Mailing Address ` to 0 -Ffestil/Y Q,,11 v e %Date--- --owne, Cly.Slate.Zip 4 tea C'/if/ �ry loos This is a building permit when properly filled out; Signed End validated, 08 16-85 1GL3602 TOTAL 522.38 and is subject to expiration if work thereunder is suspended for 180 days. .F AR 00.1FnRi4e PERMIT/PLAN REVIEW APPLICATION t` zits'/ 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 Policy Number for such permit to file a signed statement that he or she is licensed pursuant to the (This section need not he 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 ❑II 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, 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 sale(Section 7044,Business and Professions Code:The Contractors License Date 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 contractors)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. Name - 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-mentioned property for inspection purposes. Signature Date shit- Development Services DepartmentPOOP •,1111111 1. 240 West Huntington Drive, Pos _e Box 60021 PERM/ ). $00-02410 Cityo Arcadia,CA 91066-6021 Arcadia (626) 574-5416,Fax (626)447-9173 Permit Type: SF AddfAlt . PROJECT TRACT NO. LOT NO. APPLICATION DATE ISSUED BY PRINT DATE PERMIT STATUS 13010 0001 2/14/2006 GRG 10:26 2/14/2006 Issued PROJECT ADDRESS - - - ... - . -- - - -- - ASSESSORS PARCEL NO. GEDCODe. - . --_ _.__- 2700 Holly Ave _ 8586-005-001 OWNER _ .MAIUNO ADDRESS. ._ - .- -__.__. Cardenas, Jesus - 2700 Holly Ave PHONE NO. (626)442-5162 Inspector#: CRIS Arcadia,CA 91007-8459 EMAIL ADDRESS: P1anN: 29073 ' APPUCANT - __--._. I.WONCADOREso_ ... — .._. . .- . . . . . School Uisl#: 437 Cardenas,Jesus PHONE NO, EMAIL ADDRESS: ' CONTPACTORIPROFESSIONAL MAILING ADDRESS . . . .. . ...... Owner/Builder PHONE NO. FAX NO, EMAIL ADDRESS: • License No. Type: Expires: - — - . . . - . .. . _ _ . .- .. _ EN -.. -._ TANT - .. -. - .. _MAIDNC ADDRESS.. ._. _ - - - - -. __ -. . -- -_ .- .. . PHONE NO. FAX NO. - . __ -._ - . ._ — - _ . _ . ADD MASTER BEDROOM AND REAR PATIO, REMODEL EXISTING MASTER BEDROOM TO MASTER BATHROOM AND DRESSING ROOM, REMODEL PART OF FAMILY ROOM TO FULL BATHROOM,INSTALL DORMER ROOF ON EXISTING G E ROOF. ComlruetioaType UOM Mor Dnlu Value Construction Type 424,/r Delis Value Type V Wood Frame Good sq a 264.00 526,400,00 Patio sq ft 194.00 S3,542.44 ,®4 ••//1� Remodel with Plum sq a 289.00 511,560.00 O-/ 11-6 -ort OCCUPANCY: Dwellings TOTAL VALUATION: $41,503.00 QTY UOM DESC AMT MIT PAID ACCT QTY UOM DESC AMT AMT PAID ACCT each Plan review 457.93 457,93 01-3103 each Energy p/c ree 140.90 140.90 01-3103 , Flal Bldg Issue Auto 40.25 40.25 01-3104 each Bldg permit 704.50 704.50 01-3104 SMTP Res 4.15 4.15 14-2207 Flat SWMF Auto 6,25 6,25 88-3027 • • • • Total Fees: $1,353.98 Total Amount Paid: $1,353.98 Paid Today: $1,353.98 ' 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 Receipt#: 78555 days from the date of plan submittal. This permit expires and becomes null and void if any work authorized by 01-3103 598.83 this permit is suspended or abandoned for 180 consecutive days or if no progressive work has been verified by 01-3104 1‘3/4 744.75 a City of Arcadia building inspector for a period of 180 consecutive days. 14-2207 / 4.15 88.3027 `� 6.25 CALLS FOR INSPECTION INSPECTORS'OFFICE HOURS Requests for inspection should be made at least Monday-Thursday Friday one(1)business day in advance of the inspection 7:30 a.m.to 8:30 a.m. 7:30 a.m. to 8:30 a.m. by telephone at(626)574-5416 for onsite work. 4:00 p.m.to 5;30 p.m. 4:00 p.m.to 4:30 p.m. (Closed on alternate Fridays) of AR • Fay 'a °A .;masa PERMIT/PLAN REVIEW APPLICATION 4. eit3j, 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 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 D, 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, or my enlployees with wages as their sole forthwith comply with those provisions. 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 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 tocriminal 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 Signature Lender's Address IMPORTANT: APPLICATION IS HEREBY MADE TO THE BUILDING OFFICIAL FOR A PERMIT SUBJECT TO TILE 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 • 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-mentioned property for inspection purposes. Signature Date h�. Development Services Departmer' h - • 240 West Huntington Drive, Pos :e Box 60021 PERMI ). B00-6421-281 'ry CiE Arcadia,CA 91066- 02 1 Arcadia (626)574-5416, Fax (626)447-9173 Permit Type: SF Add/Alt PROJECT TRACT NO. LOT NO. APPLICATION DATE ISSUED BY PRINT DATE PERMIT STATUS 1I 11/1/2005 1B 16:31 11/1/2005 issued PROJECT ADDRESS . , .. ASSESSORS PARCEL NO. 2700 Holly Ave - 8586-005-001 OWNER MAILING ADDRESS Cardenas,Jesus 2700 Holly Avenue PHONE NO. (626)442-5162 Inspector#: CRIS Arcadia,CA 91007 EMAIL ADDRESS: Plan#: 29001 APPLICANT . . -. . MAJLWO ADDRESS . . . Cardenas,Jesus PHONE NO. (626) 592-1467 School Distil: 370 EMAIL ADDRESS: ' CONTRACTOIPROFESSIONAL . . . MAILING ADDRESS . Owner/Builder PHONE NO. FAX NO. EMAIL ADDRESS: License No. Type: Expires: TENANT MAILING ADDRESS . - . - PHONE NO. FAX NO. DESCRIPTION - - -- - SF/ADD ALT:CONVERT EXISTING GARAGE TO FAMILY ROOM,ADD PATIO&ENTRY PORCH,TEAR OFF&REROOF HOUSE AND GARAGE WITH EAGLEITE MALIBU,REPLACE PART OF ROOF STRUCTURE&CHANGE OUT WINDOWS. CenstrurNnn Type tIOM N of Units Value ConslruAon Type UOM P of Unto Value Value Value 25,000.00 525,000.00 COMPLETED Patio Sq ft 425.00 57,760.50 COMPLETED Conversion w/o Plumbing sq fl 843.00 540,691.61 Firms 1I-6-d) r • OCCUPANCY: Dwellings TOTAL VALUATION: $73,453.00 QTY UOM DESC AMT AMT PAID ACCT QTY UOM DESC AMT AMT PAID ACCT each Plan review 654.49 654.49 01-3103 Flat Bldg Issue Auto 40.25 40.25 01-3104 each Bldg permit 1,006.90 1,006.90 01-3104 • 981 Double fee 981.00 981.00 01-3104 SMIP Res 7.35 7.35 14-2207 Flat SWMF Auto 6.25 6.25 88-3027 Total Fees: $2,696.24 Total Amount Paid: $2,696.24 Paid Today: $2,188.59 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 Receipt a: 77577 4- days from the date of plan submittal. This permit expires and becomes null and void if any work authorized by 01-2103 146.84 this permit is suspended or abandoned for 180 consecutive days or if no progressive work has been verified by 1207 2,027,35 14-2207 7.35 . a City of Arcadia building inspector for a period of 180 consecutive days. 88-3027 1 6.25 CALLS FOR INSPECTION INSPECTORS'OFFICE HOURS Requests for inspection should be made at least Monday-Thursday Friday one(I)business day in advance of the Inspection 7:30 a.m. to 8:30 a.m. 7:30 a.m.to 8:30 a.m. by telephone at(626)574-5416 for onsite work. 4:00 p.m.to 5:30 p.m. 4:00 p.m.to 4:30 p.m. (Closed on alternate Fridays) pF AR L,S,fOry�^ I wan 1. PERMIT/PLAN REVIEW APPLICATION @3*' Development Services Department, 240 West Huntington Drive,Post Office Box 60021 y/ 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. 0 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 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 ❑ 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, 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 sale(Section 7044,Business and Professions Code:The Contractors License Date 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 coverageis unlawful, sale.If,however,the building or improvement is sold within one(1)year of and shall subject an employer tocriminal penalfies 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 Sectioh,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 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. Name 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-mentioned property for inspection purposes. Signature Date at Development Services Departmer• :!rr.E PERM' ). B00-021-281 ;�-y.. 240 West Huntington Drive, Po: :e Box 60021 City o Arcadia, CA 91066-6021 Permit Type: SF Add/Alt Arcadia (626) 574-5416,Fax (626)447-9173 . PROJECT TRACT NO. LOT NO. APPLICATION DATE ISSUED BY PRINT DATE PERMIT STATUS 2/22/2005 JB 10:22 2/22/2005 Plan check PROJECT ADDRESS .. ASSESSORS PARCEL NO. GEO CODE . . 2700 Holly Ave 8586-005-001 OWNER MAJLNG ADDRESS Cardenas,Jesus 2700 Holly Avenue PHONE NO. (626)442-5162 Inspector#: CRIS Arcadia,CA 91007 EMAIL ADDRESS: Plan Chk#: 05-69 APPDCANT . MAILING ADDRESS . Cardenas, Jesus PHONE NO. EMAIL ADDRESS: , CONTRACTOR/PROFESSIONAL . MAILING ADDRESS .. . . . . _.. PHONE NO. FAX NO. EMAIL ADDRESS: License No, Type: Expires: TENANT . . aWUNG ADDRESS - PHONE NO. FAX NO. DESCRIPDON SF/ADD ALT: CONVERT EXISTING HOBBY SHOP TO FAMILY ROOM, ADD PATIO, TEAR OFF AND REROOF HOUSE AND GARAGE WITH EAGLEITE,REPLACE ROOF STRUCTURE ON FRONT PORCH PART OF HOUSE AND CHANGE OUT WINDOWS. Construction Type EOM liof Units Value Caastruetian Type UOM a of Units Value Value Value 2,500.00 52,500.00 COMPLETED Patio/Porch sq A 234.00 53,875.04 Conversion w/o Plumbing sq A 858.00 541,415.66 t I —as— to ly OCCUPANCY: Dwellings TOTAL VALUATION: $47,791.00 QTY UOM DESC AMT AMT PAID ACCT QTY UO61 DESC AMT AMT PAID ACCT each Plan review 5507.65 5507.65 01.3103 Totals for: 01-3103 $507.65 $507.65 Flat Bldg Issue Aulo $40.25 50.00 01-3104 each Bldg permit $781.00 50.00 01-3104 Totals for: 014104 5821.25 50.00 • SMTP Res 54.78 S0.00 14-2207 Totals for: 14-2207 S4.78 SO.00 Hat SWMF Auto 56.23 50.00 88-3027 f Totals for: 88-3027 $6.25 50.00 • Total Fees: $1,339.93 Total Amount Paid: S507.65 Paid Today: $507.65 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. CALLS FOR INSPECTION INSPECTORS'OFFICE HOURS l • Requests for Inspection should be made at least Monday-Thursday Friday • one(I)business day In advance of the Inspection 7:30 a.m. to 8:30 a.m. 7:30 a.m. to 8:30 a.m. by telephone at(626)574-5416 for onsite work. 4:00 p.m. to 5:30 p.m. 4:00 p.m.to 4:30 p.m. (Closed on alternate Fridays) r , 1 PERMIT/PLAN REVIEW APPLICATION eN._ Development Services Department,240 West Huntington Drive, Post Office Box 60021 474ofty ors" 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 13I 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 (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 I 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 CI 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, 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 sale(Section 7044,Business and Professions Code:The Contractors License Date 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: 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. Name 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-mentioned property for inspection purposes. Signature Date elE - &Zp- log' SIA ; P, pada I l r 1 I �I • — i I. •11' I LL. I • SdUdN-SMd— JawA1-SM<I , • J2!.I . 02_ I Lt—q4l/ null)lln9 ,j �.� wv G�^o�=G' 731.111.111111(1 1 soloN C•\p.`C ..` ,`C ),� i.. =l I - ` I C11ab' N01 '0!�I 9N11110'd v - � ,+ 9R 1� :).5 5 :L.;l/ t.. • I Sl L • �� / T % Es • }l G r 'i „ FII, ; i Qiir�mi"swwr:�umssm�._:rrrni • :� ,, ' , £ — 5 �< 4wIIMIL ►ISSAVIll �rris • rte. V cl ' poi l 1'i.,)acic v N c .:a • 3nV All� °01.-ZS 40,914 -1i • v:71."AY M -amu �, .a. , , ' -y of AR I pan PERMIT/PLAN REVIEW APPLICATION z�3*' Development Services Department,240 West Huntington Drive,Post Office Box 60021 \,, r 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 Et 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 mason(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 ❑ 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, 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 sale(Section 7044,Business and Professions Code:The Contractors License Date 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. Et 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). 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. Name 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-mentioned property for inspection purposes. Signature Date • JOB ADDR SS Z7e5r) 5 OLL V At NUMBER STREET ^ APPLICATION FOR A le BUILDING PERMIT Sett' & SAFETY DIVISION • CITY OF ARCADIA, CALIFORNIA r^- W tv OWNER P ' -• p j p>;tuo OR Y TEL. NO. ti Ma 70LING AODDRESS J.J. ✓ - , 7 AL, Y i4 OD ARCH. TEL. N0. ENGR. CO CONTRACTOR STATE LK. NO. 7/PJ=iSVI?E /j10rJl� lob'/o e--, Li/PE- 'LING NG ADDRESS r -}� CITY L11 .0 J La / °s W r FO.0 ! &.0 L .Q.c_V in Z.gr 7� CITY TEL. NO. O 47— ✓-rA , CaL ! p• Ai 96,7176. .DESCRIPTION OF WORK • m NEW ❑ ADD'N ALTER 0 REPAIR 0 DEMOLISH 0 `O FLOOR AREA SNO.TORIES O1 NO. OITOF DWELLING / 150. FT.) 449 PRESENT BLDG. USE PROPOSED BLDG. USE RES/13Z NCE /PESir>EYCL- DESCRIBE WORK r IN.) TO BE DONE A Q p Y• M i` / no O M O /1 / O NOTE: PROVIDE PLOT PLAN ON BACK SIDE OF ORIGINAL COPY ONLY Di" EXTERIO�A WALL MATERIAL ROOF FRAMING MATERIAL • J CRIG,.'tO o t 6 QP: PARTITIONING MATERIAL ROOF COVERING MA RIAL (AJ Opp Jp 7 / CoMP". Al / Y CeLLQ LOT DLOT WIDTH om / DEPTH / v BLDGS. ONI LONG / VALUOATION LOT NOTE: Include Ldier, Mot., $ •Yo — Wiring, Plumb., Hent, Et<. qJ NO. BNO.K TRACT /30/4 INFORMATION PROVIDED BY BLDG. SECTION USE L / FIRE _s�q� OCCU- f SEC. ZONE T� ZONE FANCY SH. N REQ'D FRONT RIGHT SIDE LEFT SIDE REAR or SET O BACKS U TYPE OFSPECIAL or CONSTR. - CASE NO./t(-(OI--/O GRADE Z 0 Approval & Information by Others V CITY ENGINEER EASEMENT DIST. FACE OF SEWER DRIVE CURB TO P. L. FT. AVAILABLE OVER PUBLIC SERVICE PLANNING PLAN Of. FEE WATER - ELECTRIC PERMIT FFfiy PLAN 7 307 CHECKE /Z4r,"'"?.: I have carefully read and examined the above application and find the TOTAL FEE same to be true and correct. All provlrlanv of the Laws and Ordinances governing building construction will be compiled with whether sped. /ZP� tied herein or not. No person shall be employed In violation of the Labor Code of the State of California. I agree not to °team or allow occupancy Y building authoriced.py'his Permit arse I building unction has been received. S ATURE OF OWNER OR AUTHORIZED AGENT FORM 8.51 (REV. 5.64) 2M e �tO,.,rami.,i ,.;. • ' I' PERMIT/PLAN REVIEW APPLICATION � 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 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 ❑ 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, 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 sale(Section 7044,Business and Professions Code:The Contractors License Date 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),intaddition 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 them 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 further information. Name • 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-mentioned property for inspection purposes. Signature Date REPLACE ExIBTING ROOF ---- ' rg! _— I NOTES REPLACE GUTTERS AND }p�a— / /v//�j 1 LOCAV WT9 AT 9ATIrE I ` -// q, I L• ("CATION I W tE j/ / _— I ATTIC VENT AREA.ya@ _ I.199 l6 PF(NEO I i'�a7 ' / / I I,199.u:MrJ • I L"�d�LGW 1 / /' •,9 i PROVIDE SOK OR 6 I I. �I 'i� s� •.. ;��/��/ ; i %p Br I F- —a _. Qh / // // I VENTILATORS LOLATF:p PI THE UPPER PORTION AT BEAST 3 FT IA I VENTS WITH BALANCE OP BOVE EAVE CRLO(@IIOE -"] Pik i EXTEND Ex169IG OH T CRUCES. �}� 16$F.AT EAVES AND )'-0"ABOVE(RIDGE I aLA EXPOSE]'-O°pE I J - 4 I VERTICAL REVAR THAI EXTEND i HHIMJET WITH YERTICAREBAR HORIZONTAL VIES,GER RE REMENTB lk y '- -_9 ®I WITH CITY INSPECTOR IFRIOR TOTO INSTALLATION I j SITE PLAN( SNOWING NEW ROOF DESIGN) R<:MEF .I a0'-e• O'-T FRONT SET BACK E U C-HONOR CURB �. _ L `' • ,•� BIOEWALK. .. ._¶NMF vrrn \e E A - ..� J - -. .I.msemuor..r. —seLxe I¢ rlL_ —_ _ U / PER PLAN SHOW ABOvv T ROOF SYR„ J G TO REMAIN r / iv . .__.__._PROPERTY LEE IEAI' - l- DRVEWdT L / (E)Y]•NIGH (E)42.HIGI v 1 / LISK FSE --- q F CEE-LIN II ////// I _ I n W \ T-!.711://:"77:2 j'�/ nI HDeer Room +� �j Z�CAR PER RECORDED 1 G64TCE s3 COVENANT AI i I-OTORTFAMLL�, G'// �% jI l �I DWELL HG pp / /P' !,'r `' U /L�� G EXI9TRG CONCRETE r \ P .--Lt--/.1\ l WE L2 'I'�' Willi IJdTWI s -I� PO/CH SI TU ERE 3. HOED xlanla (f/ IL I<- a a 4,5""t"- ti k� DEMO METAL Rre)CTURE HOBBY SHOP To FAMILY Id- d ,1' 'N .2 ✓YI�.ao Gl ^J w J . LL'I m)PORGI w)ROLF Lr \\NFU ROOFED S'll•�f E GS y,1� �` 0.Y UI�"�- AND Ewe PER ELEV. CRETE PATIO Ex19TING \\\) It I^"-IV• J, 1 OVER(E1 LI+ITC SLAB CON M POOL d I t hPM� On. 1 HEIGHT OCREASE, !E)CONCRETE PATIO (eJ.n-i) "rl�� 1 BUILDING FOOTPRINT / tl n'dp- Lent SG 4u lK \ NM HIGH FROM FIN.G- / - bI I REMAW THE GAME TO REMAIN f' 0. � I �'_^ il TI � ar MVO A/L LNIT SJ• ill• `* riT, EV I�'c ,VL. 6 r,y•v .. --REPLACED EXISTWG POC/L EOJIP. ,I S. ft'PROPERTY LINE IOTGO' AT SWINE LOCATION : Km: FN'S Miro LOCO OK-4W I pRIGG GARDEN FENCE F"a lnE lxmltrro; LEGEND - e, FI"i' x'R- qpq- �� f4y) wrc Pl.en-Ic� RDICATES EXISTING BUILDING FOOTPRINT HOBBY I) f0'-0' L}�^ INDICATES NEW ADDITION ppgyly ryy IX �?.._ IELR?R SET BACK /�\ 6a.W(rracE : SIo Z-ADJACENT PROPERTIES SNIaTE PLAN JdTI. ANGLIN-or CIE- NOTE.ALL CONDITIONS ARE ExI&TING UNLESS NOTED FE uirSaD Ob.) PROPOSEDCF) 111,111 ; 700 /-lbLy •F AI cnbsoRy4. PERMIT/PLAN REVIEW APPLICATION Eg *' 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 0 I have and will maintain workers'compensation insurance,as required by Section 0 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 his 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 (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 ❑II 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 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 sale(Section 7044,Business and Professions Code:The Contractors License Date 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. ❑T, 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 further information. Name 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-mentioned property for inspection purposes. Signature Date