HomeMy WebLinkAboutRALT-18-0636 ' ' to %' E1 ,.1§rr) .,, :fr-1 'e a 4spermlrNotRALT 18 063 ,
City of Arcadia, CA }..,a y�e),�ivlAcpa.,r1F,r f! w-c • ',x-, + 14,-
1 Development Services Department ca ;d v"` "4Perrni Type Res(derltlal Addltiofl Alteration
240 West Huntington Drive,Post Office Box 60021 �.ce A' til Kis "s3 cx f Com" fa' k jr:- -- . r
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Arcadia,CA t4„1•
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(626)574-5416 66-6021 gt e yam,c"AL,q { ' r..-#i ,. k`i+`0Y4` fpPimlT Sia,,-.-S5UEd3.:
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ARCADIA re g�lssdetDate o7/18/zo18,] Expiration: 01/12/2019
Addr NO. Dir Prefix Street Name Street Suffix Unit City,State,Zip Parcel Number
11 E Forest AVE Arcadia,CA 5772004004
Contacts
CHUONG DON THAI Owner francisco a.castaneda Applicant
11 E Forest AVE,Arcadia,CA i
(310)714-8311 (951)675-9896 i
Description:ADD TWO BEDROOMS,TWO BATHS,EXTEND Valuation: S 101.432.46 Tenant ,....�
DINING RM.WITH EMP. HVAC PER APPROVED PLANS.HERS •
REQUIRED FOR FINAL.(3 bed,3 bath total) iTotal Sq Feet: 770.00 Plan Check#18-636 Plan#32553
Fees Amount Payments . Amount Paid
Add/Alter Ducts $46.90 Total Fees $5,066.92
Bathtubs/or Combo $24.92 Cash/Receipt#REC-001711-2018 $3,934.33
Building Issuing Fee $44.35 Cash/Receipt#REC-000945-2018 $1,132.59
Building Permit Fees $1,237.80
Building Plan Review Fee $804.57 Amount Due: $0.00
Cal Green Plan Check $80.46
Compressor 3-5 Ton(3 to 15 hp) $34.29 COPLE1EOElectrical Permit Issuance Fee $44.35Energy Plan Review Fee $247.56 Furnace or Burner<=100,000 BTU $18.74
Garbage Disposal Fee $12.46 CALLS FOR INSPECTIONS
Green Building Standard $5.00 Request for inspection by telephone at 626-574-5450. Leave a message
Kitchen Sink $12.46 requesting the address,timeframe and what inspection item is needed.
Mechanical Permit Issuance Fee $44.35
New Residential Elect.(sq ft area) $53.90
Parks&Recreation Fee(SFR) $2,194.50 This permit/plan review expires by time limitation and becomes null and
Plumbing Permit Issuance Fee $4435 void if the work authorized by the permit is not commenced within 180 days
Shower $24.92 from the date of issuance or if the permit is not obtained within 180 days
Shower Pan $24.92 from the date of plan submittal.This permit expires and becomes null and
Solid Waste Management Fee $6.25 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
Solid Waste Management Fee 2 $1.00 Arcadia building inspector for a period of 180 consecutive days.
Totals $5,066.92
-1:14` /-3/./9 C--
July 16, 2018
Issued By: Date
July 16,2018 Page 1 of 1
1'4 44 X1 PERMIT/PLAN REVIEW APPLICATION"'-
4----",Hb r Development Services Department,240 West Huntington Drive,Post Office Box 60021
Arcadia, CA 91066-6021, (626) 574-5416,Fax (626)447-9173
City of
Arcadia
LICENSED CONTRACTOR'S DECLARATION WORKERS'COMPENSATION DECLARATION
0 I hereby affirm under penalty of perjury that I am licensed under provisions of I hereby affirm under penalty of perjury one of the following:
Chapter 9(commencing with Section 7000,of Division 3 of the Business and
Professions Code,and my license is in full force and effect. ❑ I have and will maintain a certificate of consent to self-insure for workers'
License Class License No. Exp. Date compensation, as provided for by Section 3700 of the Labor Code, for the
Signature of Contractor performance of the work for which this permit is issued.
OWNER-BUILDER DECLARATION CII 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
4 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 � as.(Section 7044,Business and Professions Code:The Contractors License Date Z /�
I lb i (CS �--u��-�
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
attomey's fees.
I, as owner of the property, am exclusively contracting with licensed - -
contractors to construct the project(Section 7044,Business and Professions
Code:The Contractors License Law does not apply to an owner of property CONSTRUCTION LENDING AGENCY
who builds or improves thereon,and who contracts for such projects with a I hereby affirm under penalty of perjury that there is a construction lending agency
contractor(s)licensed pursuant to the Contractors License Law). for the performance of the work for which this permit is issued (Section 3097,
Civil Code).
❑ I am exempt under Section 7044,Business and Professions Code,for this reason:
09--'00—"S
11��
�� �� Lender's Name
IDate' i/t&[ I o y Signature 09--' )� Lender's Address
IMPORTANT: APPLICATION IS HEREBY MADE TO TILE 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 C"40 N CZ 1 A i ( Title ['I W N az
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 02.7--P ) k Date 1 I 16 1 Ltl
it 6 - c0ac-si- t
0 NOTES
Building Inspections Date Insp. Plumbing Inspections Date Insp. t- 15 -
100. Setbacks 210. Under fiubldg.drain 10-2.15
101. Rough grade 211. Copper underslab u/E /,
fuppt7 ,.,e Go-q'./6
8'-
102. Figs.&forms q•21'18 '-212. Rough plumbing 10'21180- u1c teat5yo• '{•/$ rS�
103. Pre-slab 213. Rough gas
104. Floor joists It)•fie et, 214. Shower pan /2.1f-1 S-
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 h-fl. 219. Final gas
110. Framing 220. Fixtures
111. Occ./Area Sept.Wall 221. Anal plumbing 1.31.17
112. Sound walls 222. Sewer cap/demo.
113. T-bar.rid
114. Insulation-Flr. h c:•(._ - Pool Inspections Date Insp.
115. Insulation-Wall 11 . " 240. Excavation/steel
116. Insulation-Cell. 241. Rough plumbing -
117. Drywall nailing Z,L•( �i�242. Light shell/bonding
118. Interior lath 1 243. Underground conduit
119. Exterior lath (1-26,.16 cz&----244. P-trap
120. Finish grade 245. Gas line&test
121. Final building )•3144 246. Fence,gates&signs
122. Final demo/lot clear 247. Pool heater
248. Final electric
Electrical Inspections Date Insp. 249. Anal.tumbin.
150. Power pole 250. Pool cover
151. Sales lot lighting 251. Pool final
152. Underground conduit
153. Underslab conduit Herod Inspections Date I Insp.
-
154. UFER ground 270. Pre-reroof insp.
155. Water ground 271. Roof framing
156. Rough electrical 11.7.4-16 272. Sheathing nailing
157. Fixtures 273. Anal reroof
158. G.F.C.I.
159. Es.t.bondin. Sign Inspections Date I Insp.
160. Service panel 280. SelbacWoverhang
161. Final electric ('3/-/9 . 281. Footing
282. Conduit/wirin.
Mechanical Inspections Date Insp. 283. Disconnect
180. Venting/Flue 284. Final sign
181. Fumace/A.C.
182. Rouch HVAC 1a-2946 c- Miscellaneous Insp. Date Insp. _
183. Fire dampers 290. Fire alarm
184. Furnace compartment 291. Underground supply
185. Combustion air 292. Fire sprinklers
186. Smoke detectors 293. Monitor system
187. Metal F.P.rough 294. Hood dry chem.
188. Compressor setback 295. Anal
189. Commercial hood
190. Duct shaft Sewers&Offsite Insp. Date Insp.
191. Final mechanical 1 •30' (9 300. Lateral(main to P/L)
301. Saddle/y
Block Wall Inspections • Date Insp. 302. Cess.00l filled
200. Footings 303. Sidewalk -
201. SteeVrebar 304. Driveway
202. Grout lift 305. Curb replacement
203. Final wall 306. Trash bin
Certificate No.20121023-889
ARCADIA UNIFIED SCHOOL DISTRICT
150 South Third Avenue, Arcadia, CA 91006 • (626) 821-8300 Ext. 6732
Certificate of Compliance for Payment of Developer Fees
(Education Code§17620, et seq. &Government Code §65995, et seq.)
Effective July 24,2017
Current rate in effect applies at the time of imposition of fees/payment. •
Project Address/APN: 11 E. Forest Ave . , Arcadia , CA 91006
Number of Units in Project: One Plan Check Number: 18-6 3 6
[ ]* [Xi** [ j**
Exempt: [ ]500 sq.ft.or less(residential addition/expansion/remodel) Residential Commercial/Industrial
[ ]Other: $3.20/sq.ft. $0.51/sq. ft.
Area in Sq.Ft.: 770 Receipt Number: 330410
Total Fee: $2 ,464.00 Check Number:
1956
Owner's Name:
Chuong D. Thai
Owner's Address: 11 E. Forest Ave . , Arcadia, CA 91006
Phone Number: Email:
310-714-8311 luke . thai@gmail .con
Representative's Name & Contact Info (if appl.): Khai (Kyle) Thai 626-551-8898
*The above-described development has been determined to be exempt from the developer fees of Education Code §17620, et seq.,
and Government Code§65995,et seq.,and a Building Permit may be issued therefore.
** All fees due to the Arcadia Unified School District, under provision of Education Code §17620, et seq., and Government Code
§65995, et seq., as a prerequisite to the issuance of a Building Permit by the Building Department of the City of Arcadia, City of
Monrovia,City of Sierra Madre,City of Temple City,and County of Los Angeles,Department of Public Works have been received.
Based on the information present bove,this Certificate of Compliance is hereby executed.
Connie Chu 7/12/18
Senior Administrative Acct
Signature of District Representative Name/Title Date of Issuance
➢ The District charges a $100 fee to process reinstatement of the Developer Fee Certificate of Compliance resulting from an
"insufficient funds"check in addition to a$35 fee for the returned check. Only cash or a Cashier's Check will be accepted as
payment thereafter.
➢ The District charges a$100 fee for any amendments to or cancellation of a Developer Fee Certificate of Compliance formerly
issued on any type of development.
➢ If 500 sq. ft. or less is the reason for exemption,any future additions,expansions,or remodels to the property that result in the
past aggregate square footage to exceed the allotted 500 sq. ft. will be subject to fees at the current rate for the entire square
footage of the development.
> Owner/developer may request a refund of fees paid to the District within 12 months of payment only in the event the Building
Permit expires or the project is canceled without commencement of construction in accordance with Education Code section
17624(all other requests for refunds must be made in accordance with the fee protest procedures set forth in Government Code
§66020). All refunds will be reduced by a $100 administrative fee. The refund check will be issued in the name of the
owner/developer and mailed to theaddress of payee.
PURSUANT TO GOVERNMENT CODE§66020(d), OWNER/DEVELOPER HAS A PERIOD OF 90 DAYS FROM THE
DATE OF ISSUANCE OF THIS CERTIFICATE OF COMPLIANCE TO PROTEST THE IMPOSITION OF FEES
Applicant confirms that he/she is authorized to sign on behalf of the owner/developer and that the information he/she provided to the
District is true and accurate to the best of is/her k•.wlet•-e.
Signature of Applicant: „AKA _ _ Name: t- 7-2717*-7
WHITE—City/County YELLOW—AnalServices PINK—Business Services GOLD—Applicant Certificate of Compliance(7-24-17)
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e't4,1 FISHER INSPECTION SERVICES tt
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CONSTRUCTION INSPECTION AND TESTING
19360 Rinaldi Street, #350 Northridge CA 91326
Office: 818-349-1806 Fax: 818-349-2340 •
Cell: 818-618-1052
Dept.of Bid.&Sale
REGISTERED INSP TOR'S DAILY REPORT Clty of AQ, 0, Job No. Dale f•5•
TYPE OF Reinforced Concrete ❑Structural`Steel Assembly O Quality Control.
INSPECTION ❑ Post Tensioned Concrete 0 Fire Proofing 0 Other
REQUIRED ❑ Reinforced Masonry
Job Address ai E. 6 57 City /(ca.— .nt.
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Job Name Permit-No.��t i T'' 3 g_egg Issued By
Type of Structure&Size Architect
Material Description(type, grade,source) Engineer
I
I +-�S o v- Set- K?. Contractor
Inspector(s) Name eami (eS 06 teer>OI/1 • Subcontractor
WELDER - IVY LICENSE if WELDER LICENSE#
INSPECTION SUMMARY— LOCATIONS OF WORK INSPECTED, TEST SAMPLES TAKEN, WORK REJECTED, JOB PROBLEMS,
PROGRESS, REMARKS, ETC. INCLUDES INFORMATION ABOUT:AMOUNTS OF MATERIAL PLACED OR
WORK PERFORMED,NUMBER,TYPE&IDENT.NO'S OF TEST SAMPLES TAKEN,STRUCT.CONNECTIONS
(WELD.MADE.H.T.BOLTS TORQUED)CHECKED,ETC.
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CERTIFICATION OF COMPL ANCE CONTINUED ON NEXT PAGE❑ PAGE I OF I
I HEREBY CERTIFY THAT I ALL OF THE ABOVE REPORT E� ' UNLESS OTHERWISE 1.14Syd r161-1HE BEST OF N TED. I HAVE �}KNOWLEDGE T�IMEE�IN��''TIME OUT REG.HOURS 0.1.HOURS TEST S.
FOUNT ISWORKTOC• .. WITH THE APPROVED PLANS SPECIFICATIONS ■l'1:7.L1l2in�AN• .�LICABLE ? •NS OF THE GOVERNING BUILDING LqAWS.` All Inspections based on a Int• m of 4.houm and over 4 hours—8 hour
�� I - J ��' minimum. In addition,any sp ction extending p. t noon hour will be an B
SIGNATURE OF REG
ISTERED INSPECTOR hour minimum.
€114 - e ✓`Y• 23,5-mi Fxs - Approved By �i%'- /..: --r/. _ i
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SPECIALTY NO. AGENCY 4,« at Pro e •erintenden
Fisher Form VI/II/2014
OWNER'S CERTIFICATION FORM
[ MINIMUM BMPS FOR OC I.
ALL CONSTRUCTION SITES •
ARCADIA
Project Name AbbinOM BUILDING/GRADING.PERMIT NUMBER
Project Location II C- • fO12CSr P`t!E •
Owner Name CHU0NG DON THAI Contractor Name
Address !I c. Yp&CSt- AUZS Address
Phone (310) 7)9- 83 I! Phone
FAX/Email FAX/Email
The National Pollutant Discharge Elimination System (NPDES) is the portion of the Clean Water Act that applies to the
protection of receiving waters. Under permits from the Los Angeles Regional Water Quality Control Board (RWQCB),
certain activities are subject to RWQCB enforcement. To meet the requirements of the Los Angeles County Municipal
Separate Storm Sewer System (MS4) Permit (R4-2012-0175), minimum requirements for sediment control, erosion
control and construction activities must be implemented on each project site. Minimum requirements include:
• EROSION: Erosion from slopes and channels shall be controlled by implementing an effective combination of BMPs,
such as the limiting of grading activities during the wet season; inspecting graded areas during rain events; planting
and maintenance of vegetation on slopes; and covering erosion susceptible slopes.
• SEDIMENT CONTROL: Eroded sediments from areas disturbed by construction and from stockpiles of soil shall be
retained on site to minimize sediment transport from the site to streets, drainage facilities and/or adjacent properties
via runoff,vehicle tracking or wind. -
• CONSTRUCTION MATERIALS CONTROL: Construction related materials, wastes, spills or residues shall be
retained on site to minimize transport from the site to streets, drainage fadlities or adjoining properties by wind or
runoff. Runoff from equipment and vehicle washing shall be contained at construction sites unless treated to remove
sediment and pollutants.
• NON-STORMWATER RUNOFF: Non-stormwater runoff from equipment arid vehicle washing and any other activity
shall be contained at the project site.
• EROSION AND SEDIMENT CONTROL PLAN (ESCP): Required for projects one acre or more. The ESCP must be
developed and certified by a Qualified SWPPP Developer(QSD).
• HILLSIDE: Construction upon slopes 25% or more requires the implementation of,additional BMPs to protect slopes
and prevent erosion and sediment runoff.
Minimum BMPs include:(1)Soil piles must be covered with tarps or plastic,(2)leaking equipment must be repaired immediately,(3)refueling must be
conducted away from catch basins, (4) catch basins must be protected when working nearby, (5) vacuum all concrete saw cutting, (6) never wash
concrete waste into the street,(7)keep the site dean,sweep the gutters at the end of each working day and keep a trash receptacle on site.
As the engineer of record,'I have selected appropriate BMPs to effectively minimize the negative impacts-of this project's construction activities on
stormwater quality. The project owner and contractor are aware that the selected BMPs shall be installed, monitored,and maintained to ensure their
effectiveness. The BMPs not selected for Implementation are redundant or deemed not applicable to the proposed construction activity.
Engineer of Record Name Engineer of Record Signature
Title Date
I certify that this document and all attachments were prepared under my direction or supervision in accordance with-a system designed to assure that
qualified personnel properly gathered and evaluated the information submitted. Based on my inquiry of the person(s)who manage the system or those
person(s)directly responsible for gathering the information, to the best of my knowledge and belief, the information submitted is true, accurate, and
complete. I am aware that submitting false and/or inaccurate information,failing to update the BMPs or ESOP to reflect conditions,or failing to properly
and/or adequately implement the BMPs may result in revocation of grading and/or other permits or other sanctions provided by law.
Landowner or Agent Name Landowner or Agent Signature
Title Date