HomeMy WebLinkAboutRALT-18-0318 1•` d L/ u " -` Permitrfro RALT-18 0318:
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fit. City of Arcadia, CA
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Development Services Department { r '"*' "` �Fermrt Type Residential-Addition/Alteration-
240 West Huntington Drive,Post Office Box 60021 LL sJ ( Y ' d i ii it ork C•losshconon Addltton/Altefattom;
Arcadia,CA 91066-6021 € ,. .�
(626)574-5416 Permit Status.--"Issued',
ARCADIA M1• -lssueDate o6/os/zoi8j Expiration: 12/02/2018
Addr NO. Dir Prefix Street Name Street Suffix Unit City,State,Zip Parcel Number
240 E . Floral AVE Arcadia,CA 5772020003
Contacts
SIMPLICIATIONG Owner SOFIA KU0 TING Applicant
240 E FLORAL AVE
(626)203-2183
Description:CREATE NEW KITCHEN,DINING,LIVING, i Valuation: $ 56.933 28 - Tenant
BATHROOM AND BEDROOM. °
° Total Sq Feet: 432 00 Plan Check#18-318 Plan#32526
Fees Amount payments Amount Paid
Building Issuing Fee $44.35 Total Fees $2,948.60
Building Permit Fees $864.95 Cash/Receipt#REC-000555-2018 $791.44
Building Plan Review Fee $562.22 Cash/Receipt#REC-001353-2018 $2,157.16
Cal Green Plan Check - $56.23
Energy Plan Review Fee $172.99
Amount Due: $0.00
Green Building Standard $3.00
ParkslidWaste Management Fee $6.25
Strong Motion Inst.Program Res $7.41
Total: $2,948.60 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.
•
FtN,A-t_ .3•S-111 .T.-----
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.
lig .
June 05,2018
- , Issued By: Date
June 05,2018 Page 1 of 1
i
,c AR
0ye09ryt,<i
4 eft 1 PERMIT/PLAN REVIEW APPLICATION
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1 *' Development Services Department, 240 West Huntington Drive,Post Office Box 60021
'3/404=1.,e N°°. Arcadia, CA 91066-6021, (626) 574-5416,Fax (626)447-9173
City of
Arcadia
LICENSED CONTRACTOR'S DECLARATION WORKERS'COMPENSATION DECLARATION
❑ I hereby affirm under penalty of perjury that I am licensed under provisions of I hereby affirm under penalty of perjury one of the following:
Chapter 9(commencing with Section 7000,of Division 3 of the Business and
Professions Code,and my license is in full force and effect. ❑ I have and will maintain a certificate of consent to self-insure for workers'
License Class License No. Exp. Date compensation, as provided for by Section 3700 of the Labor Code, for the
Signature of Contractor performance of the work for which this permit is issued.
•WNER-BUILDER DECLARATION 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 this permit
License Law for the following reason(Section 7031.5,Business and Professions is issued.My workers'compensation insurance carrier and policy numbers are:
Code.Any city or county which requires a permit to construct,alter,improve, Carrier
demolish,or repair any structure,prior to its issuance,also required the applicant
for such permit to file a signed statement that he or she is licensed pursuant to the Policy Number
provisions of the Contractors License Law(Chapter 9(commencing with Section (This section need not be completed if the permit is for one hundred dollars or less)
7000)of Division 3 of the Business and Professions Code)or that he or she is
exempt there from and the basis for the alleged exemption. Any violation of ❑ I certify that in the performance of the work for which this permit is issued,I shall
Section 7031.5 by any applicant for a permit subjects the applicant to a civil not employ any person in any manner so as to become subject to the workers'
penalty of not more than five hundred dollars($500)): compensation Laws of California,and agree that if I should become subject to the
workers'compensation provisions of Section 3700 of the Labor Code,I shall
0 I, as owner of the property, forthwith comply wi those provisions.
or my employees with wages as their sole
compensation,will do the work,and the structure is not intended or offered for Date 1, \ )'A
sale(Section 7044,Business and Professions Code:The Contractors License Signature /67"157-
sale
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.
.4I, 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).
IP I am exempt under Section 7044,Business and Professions Code,for this reason: .
�r Lender's Name
IDate i 1�j If Signature '0171 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. I
Name �/ 0 PL( C( /a- a l OA) Title ii.1J1"1"-'e-1/
PRINT NAME
I certify that I have read this application and state that the above information is correct and that I am the owner or duly authorized agent of the owner.
I agree to comply with all City ordinances and State Laws relating to building construction. I hereby authorize representatives of the City of
Arcadia to enter upon the above-mentioned property for inspection purposes.
`Signature ,247144.--c...— C 1 ,/11 (Date 0/vr
//g#
NOTES 47 • b ir
Building Inspections Date Insp. Plumbing Inspections Date Insp. AIL-
o7, A . C r``
100. Setbacks 210. Under ficNldg.drain '7 Z', )
101. Rough grade �i 211. Copper underslab
102. Figs.gs.B forms _ 212. Rough plumbing
1°41.16 9.V./8 ico r= 3!kW en4v3 4 E'%r Sr4iV2 g(1445
103. Pre-slab 7 ,- r�/ 213. Rough gas
104. Floor joists 77j/g`c214. Shower pan /0.3046 c jC .. 9./146 u/p I,tarn.mc. ffi.��•+dr�c
105. Steel 215. Water heater h-r rent-to 64 -4
106. Grout lift 216. Roof drains
107. Shear nailing 217. Building sewer 'c6 `lei Co bd`r T` Qom' "c^, c!
108. Diaph 218. Water service Io•r>/b tier t.-n# (E r.+r,r�o., pc-. i.�� S-z--
109. Roof nailing 219. Anal gas
110. Framing /o•3q.10 220. Fixtures �J 10.24'•/6 aP' y �7- /527 esais.c - t2tMrAfin4
111. Occ./Area Sept.Wall 221. Final plumbing ,y•}•/5 (oit k 410.6, Q, R rile Sac'
112. Sound walls 222. Sewer cap/demo.
113. T-bar mid /1.1048 Mfire+ mem ,f 7karo &I/An-ice-A-4
114. Insulation- �Z Pool Inspections Date Insp. LurST16.0%.E.
115. Insulation-Wall /a1q.•B fir 240. Excavation/steel
116. Insulation-Ceil. 241. Rough plumbing
117. Drywall nailing /o•3o•/93 moi` 242. Light shell/bonding
118. Interior lath.Slfmsa_. f( •1 •re 243. Underground conduit
119. Exterior lath 244. P-trap
120. Finish grade 245. Gas line&test
121. Final building 3-S•I ct 246. Fence,gates&signs
122. Final demo/lot dear 247. Pool heater
248. Final 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 Reroof Inspections Date Insp.
154. UFER ground 7 i nil - 270. Pre-reroof insp.
155. Water ground 271. Roof framing
156. Rough electrical 272. Sheathing nailing
157. Fixtures 273. Final reroof
158. G.F.C.I.
159. Ent bondin. Sign.Inspections I Date Insp.
160. Service panel g 280. Setback/overhang
161. Final electric 3•s•rS 281. Footing
282. Conduit/whin.
Mechanical Inspections Date Insp. 283. Disconnect
180. VentingMue 284. Final sign
181. Furnace/A.C.
182. Routh HVAC Miscellaneous Insp. 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. Flood dry them.
188. Compressor setback 295. Anal
189. Commerdal hood
190. Duct shaft Sewers&Offsite Insp. Date Insp.
191. Final mechanical 300. Lateral(main to P/L)
301. Saddle/(
Block Wall Inspections Date Insp. 302. Cess...l filled
200. Footings 303. Sidewalk
201. Steellrebar 304. Driveway
202. Grout lift 305. Curb replacement
203. Anal wall 306. Trash bin
,
,
City�ofArcadia, CA 4,,$ - PermlrNo 'MEP 18 0994.
r�, i.
{ Development Services Department —4---s,;---\-f +,t"` 'Permit Type.MEP.
f! 240 West Huntington Drive,Post Office Box 60021 ,rrl� �; '1 tdtl y s
'�,-7 - ) Work classification:MEP Residenttal,.
Arcadia,CA 93068-6021 + L„ , -- �, -
f (626)574-5416 .--'- r3. „yt X "4., ' . ' PermitStatas:'ISSUed:
ARCADIA Issue Date 06/13/201851 Expiration: 12/10/2018
Addr NO. Dir Prefix Street Name Street Suffix Unit City,State,Zip Parcel Number
1 240 E Floral AVE Arcadia,CA 5772020003
Contacts
SIMPLICIATIONG Owner R S CONSTRUCTION General Contractor(B) '
240 E FLORAL AVE 6052 BUELL ST,BELL GARDENS,CA 90201
• - _ (562)746-8372 yyy'
Description:MEP FOR ROOM ADDITION Valuation: S 0.00 Tenant r -
Total Sq Feet: 0.00 Plan Check 8 Plan N
Fees Amount I Payments Amount Paid
Add/Alter Ducts $28.14 Total Fees $325.61
Bathtubs/or Combo $12.46 Cash/Receipt B REC-001421-2018 $325.61
Clothes Washer $12.46
Amount Due: $0.00
Dishwasher $12.46
Electrical Permit Issuance Fee $44.35
Garbage Disposal Fee $12.46
Install,Relocate Appliance Vent/Hood $9.38 -RMA _
"` 2✓- c ,I ,,„ COMPLETED
Kitchen Sink $12.46
Lavatories $12.46
Light Fixtures $27.72
Mechanical Permit Issuance Fee $44.35 CALLS FOR INSPECTIONS
Outlets-Receptacles&Switches $27.72 Request for inspection by telephone at 626-574-5450. Leave a message
Plumbing Permit Issuance Fee 544.35 requesting the address,timeframe and what inspection item is needed.
Solid Waste Management Fee 2 $1.00
Solid Waste Management Fee 2 $1.00
Solid Waste Management Fee 2 $1.00 This permit/plan review expires by time limitation and becomes null and
Ventilation Fan(Single Duct) $9.38 void if the work authorized by the permit is not commenced within 180 days
Water Closet $12.46 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
Total: $325.61 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.
•92
June 13, 2018
Issued By: Date
June 13,2018 Page 1 of 1
.f AR .
1111 ..K 1: PERMIT/PLAN REVIEW APPLICATION
art ,
,�a ..b Development Services Departnient,240 West Huntington Drive,Post Office Box 60021
°•
am°. °rx° 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
iiProfessions 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 l6. License No.Wiggle Exp. Date compensation, as provided for by Section 3700 of the Labor Code, for the
n/ performance of the work for which this permit is issued.
Signature of Contractor ____.4"-- ✓� ~�
OWNER-BUILDER DECLARATION 0 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 t A T L P U A)
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 0 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
0 I, as owner of the roe forthwith comply with those provisions.
property,rty, or my employees with wages as their sole / /p J��
compensation,will do the work,and the structure is not intended or offered for / [ i p� gn Ale,'"
sale(Section 7044,Business and Professions Code:The Contractors License Date tYJ/ L� C! Signature c......01//6"
Law doesnot apply to an owner of property who builds or improves thereon,
or who does'shcli work himself or herself or through his or her own -
empl`oyees,.provided tliatsuch improvements are not intended or offered for WARNING: Failure to secure Workers'Compensation coverage is unlawful,
sale.If,hbwever,'the building or improvement is sold within one(1)year of and shall subject an employer to criminal penalties and civil fines up to one
completion,the owner-builder will have the burden of proving that he or she hundred thousand dollars($100,000),in addition to the cost of compensation,
did not build or improve for the purpose of sale). damages as provided for in Section 3706 of the Labor Code,interest, and
attorney's fees.
0 I, as owner of the property, am exclusively contracting with licensed
contractors to construct the project(Section 7044,Business and Professions
Code:The Contractors License Law does not apply to an owner of property CONSTRUCTION LENDING AGENCY
who builds or improves thereon, and who contracts for such projects with a I hereby affirm under penalty of perjury that there is a construction lending agency
contractor(s)licensed pursuant to the Contractors License Law). for the performance of the work for which this permit is issued (Section 3097,
Civil Code).
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:
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 o disturbing the asbestos.Please contact AQMD at(909) 396-2000 for
further information. fJ
IName `j &^ /U r§JOY LJM t Title (/fig
„ 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 nd State Laws relating to building construction. I hereby authorize representatives of the City of
Arcadia to enter upon�% /
thehean
jSiSnaturec.v
bove-mentiooperty for inspection purposes.
CJ�(/- / Date ¢ter/3///,/
9