HomeMy WebLinkAboutRALT-18-0320 City of Arcadia, CA w :,Permit RALT 1&0320
ti
1 Development Services Department D E� T om`"tPerm?Type Residential Addition/Alteration,
240 West Huntington Drive,Post Office Box 60021 {{ i `-
I Arcadia,CA 91066-6021 , Car j. i 3 LF ILO
( Work Classification:Remodel
.! (626)574-5416 - - - 'Permit Status Issued.
ARCADIA Issue Date 03/i2/2018,I Expiration: 09/26/2018
Addr NO. Dir Prefix Street Name Street Suffix Unit City,State,Zip Parcel Number
1401 S Santa Anita AVE Arcadia,CA 5782011001
Contacts
JOHN&GRACE LIM Owner JOSEPH HSU . Applicant
-
(626)991-9288 (626)716-8815
JUNGONG CONSTRUCTION INC General Contractor(B) s
925 S ATLANTIC BLVD 216,MONTEREY PARK,CA 91754 151 CO:i' METED
(626)888-0018 i
/1
Description:REMODEL POWDER RM TO CREATE FULL BATH, Valuation: S 25.470.00 Tenant 32K 71
REMODEL KITCHEN,REMOVE LOAD BEARING WALLS,ADD
WINDOW IN NEW BATH.WITH EMP Total Sq Feet: 0.00 Plan Check#18-320 Plan#
Fees Amount Payments Amount Paid
Building Issuing Fee $44.35 Total Fees $1,235.16
Building Permit Fees- $500.50 Cash/Receipt#REC-000559-2018 $457.97
Building Plan Review Fee ' $325.33 Cash/Receipt#REC-000663-2018 $777.19
Cal Green Plan Check $32.54
Electrical Permit Issuance Fee $44.35
Amount Due: $0.00
Energy Plan Review Fee $100.10
Green Building Standard $2.00
Lavatories $12.46
Light Fixtures $21.56
Mechanical Permit Issuance Fee $44.35
Outlets-Receptacles&Switches $15.40 CALLS FOR INSPECTIONS
Plumbing Permit Issuance Fee $44.35 Request for inspection by telephone at 626-574-5450. Leave a message
Shower $12.46 requesting the address,timeframe and what inspection item is needed.
Solid Waste Management Fee $6.25
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
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 $3.32 from the date of plan submittal.This permit expires and becomes null and
Ventilation Fan(Single Duct) $9.38 void if any work authorized by this permit is suspended or abandoned for 180
consecutive days or if no progressive work has been verified by a City of
Water closet $12.46 Arcadia building inspector for a period of 180 consecutive days.
Total: $1,235.16
9
March 12, 2018
Issued By: Date
March 26,2018 - Page 1 of 1
__r PERMIT/PLAN REVIEW APPLICATION
r ,�,
tor' Development Services Department,240 West Huntington Drive,Post Office Box 60021
"em<=„„end 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. 2' op,
❑ I have and will maintain a certificate of consent to self-insure for workers'
te
Class 5 License No. ' d 113L3Fxp. Date r+ compensation, as provided for by Section 3700 of the Labor Code, for the
ure of Contractor
r•iSrin/) .11),5
n performance of the work for which this permit is issued.
�4Qr ` `V'ti-D
ER-BUILDER DECLARATION J ❑ 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 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 co ply wi those provisions.
0 or my employees with wages as their sole
compensation,will do the work,and the structure is not intended or offered for / r�
sale(Section 7044,Business and Professions Code:The Contractors License Date ,/t t 5(.8ignature , . \ Jill
Law does not apply to an owner of property who builds or improves thereon, 1\ rl/(/ O 146
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.
tameMil -.i. % la i I 1 t. AME.N Title .. a O
riff Iii
I certify that I have read this application and state that the above information is co ect 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 theabove-mentioned property for inspection purposes.
\Date
2 1C8
NOTES
Building Inspections Date Insp. Plumbing Inspections Date Insp. 140 I (� Q6,l« .{�Ij
100. Setbacks 210. Under Or./bldg.drain
6�f'V V p✓rp-L� �n
101. Rough grade J, -1 211. Copper underslab 1 I�LT I 0-0;20
102. Figs.&forms slit V V" 212. Rough plumbing 42718
103. Pre-slab 213. Rough gas
104. Floor joists 214. Shower pan
105. Steel 215. Water heater •
106. Grout lift 216. Roof drains
107. Shear nailing 217. Building sewer
108. Diaph nailing 218. Water service
109. Roof nailing -
� \ 219. Final gas
110. Framing 6-15•(g- V� 220. Fixtures
111. Oco./Area Sept,Wall 221. Final plumbing 7z-gfas fir&r%'
112. Sound walls 222. Sewer cap/demo.
113. Thar.rid
114. Insulation-Fir. Pool Inspections Date Insp.
115. Insulation-Wall 240. Excavation/steel
116. Insulation-Cell. 241. Rough plumbing
117. Drywall nailing 714 242. Lightshell/bonding
118. Interior lath • 243. Underground conduit
119. Exterior lath 244. P-crap
120. Finish grade 245. Gas line&test
121. Final building g-6-18 � 246. Fence,gates&signs
122. Final demo/lot clear 247. Pool heater
248. Final electric
Electrical Inspections Date Insp. 249. Anal.lumbin.
150. Power pole 250. Pool cover
151. Sales lot lighting 251. Pool final
152. Underground conduit
153. Underslab conduit Reroaf Inspections Date Insp.
154. UFER ground 270. Pre-reroof insp.
155. Water ground271. Roof framing
156. Rough electrical 6-z743 Y"11 272. Sheathing nailing
157. Fixtures 273. Final reroof
158. G.F.C.I.
159. E..t.bondin! Sign Inspections I Date Insp.
160. Service panel 280. Setback/overhang
161. Final electric 281. Footing
282. Conduit/wirin!
Mechanical Inspections Date Insp." 283. Disconnect
180. Venfing/fue -)/-it 284. Final sign
181. Furnace/A.C.
182. Rauch HVAC Miscellaneous Insp. Date Insp.
183. Fire dampers 290. Fire alarm
184. Furnace compartment 291. Underground supply
185. Combustion air 292. Fire sprinklers
186. Smoke detectors 293. Monitor system
187. Metal F.P.rough 294. Hood dry chem.
188. Compressor setback 295. Anal
189. Commercial hood
190. Duct shaft Sewers&Offsite Insp. I Date Insp.
191. Final mechanical 7 Zy 4S, new 300. Lateral(main to P/L)
301. Saddlef(
Block Wall Inspections Date Insp. 302. Cess.00l filled
200. Footings 303. Sidewalk
-
201. Steel/rebar 304. Driveway
202. Grout lift 305. Curb replacement
203. Final wall 306. Trash bin
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grTELES°oma LOS ANGELES COUNTY DEPARTMENT OF PJBLIC WORKS
a BUILDING AND SAFETY DIVISfON
PUBLIC WORKS
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sc
,tm
Pryicems` • SPECIAL INSPECTOR REPORT
Each inspector must complete this rep,`ortand mail it to_s
• the District Office where the permit,was issued.
gDAILY 0 WEEKLY 0 FINALf'1
TOTAL TIME ON JOB (IN DAYS) //BUILDING PERMIT NO. A` 1 I U _ �DISTROICT NO.
..100OB ADDRESS 14 O I S. S004IC. A1/4Ir}a.. Ave, Avtgci a.
GENERAL CONTRACTOR J CiLYS 3 c Y\J Co v s. i, Ivc
,.i SIZE OF BUILDING
� NO. OF STORIES TYPE-OF WALL rr�\r•�1/4
\If\L�
TYPE OF WORK: 0 REINFORCED CONCRETE 0 MASONRY 0 HI-TENSILE BOLTING
0 PRESTRESSED CONCRETE 0 WELDING 0 GYPSUM CONCRETE
Tri -+/
OTHER . I .. A , ,�,"" I
...
DESCRIPTION OF WORK INSPECTED Obs4e,rJe
• d dry t ( + ��
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leolQS in-k-o vc1S4 ,, .co CI o+\^.�,q , +k-Q_ o(.�
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LOCATION IN STRUCTURE € Y NI/3\k)- �S C-4:311-UM
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REMARKS . _ �l t,S. \ ` ,S - SR ! �1 tr. �..- __
E)c?
clot+2 — f - .ZoZo ,
All work on this job ro date has been satisfactorily completed ro rhe approved plans and requirements ofthe
Los Angeles County Building Code.
Special Inspector I. D.Number Date
laic, Ns\ k 6z6, - 21S- y42Z
Print Name - Daytime/Cell Phone Number
5e2Lescoa LOS ANGELES COUNTY DEPARTMENT OF PUBLIC WORKS
a9 • +t,-_ti. BUILDING AND SAFETY DIVISION
PUBLIC WORKS
6,c ''�:"`„/pit'
SpNice'thaSPECIAL INSPECTOR REPORT
Each inspector must complete this report and mail It to `:
the.District Office where the permit was issued.
MI
DAILY0 WEEKLY LI FINAL
R 1T II` � 00
TOTAL TIME ON JOB (IN DAYS, BUILDING PERMIT NO.1 `�l..///��tt - Y DISTRICT NO.
JOB ADDRESS l �(3I J & �� A n t-Ec /{ttel , Ar
nc _Il n
( 1 1 �( l V
GENERAL CONTRACTOR r��n 3Qhl Co\r") �`�'i .l-Vl C
SIZE OF BUILDING NO. OF STORIES PE OF WALL Erezvi (11
TYPE OF WORK: 0 REINFORCED CONCRETE 0 MASONRY C HI-TENSILE BOLTING
- �0 PRESTRESSED CONCRETE 0 WELDING' L 'i 0 GYPSUM CONCRETE
"' OTHER I ` A 1
DESCRIPTION OF WORK INSPECTED O t - '-t d ark t \ \ G add(L.tCv�cd
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LOCATION IN STRUCTURE �dy �k(j iI -e. 42-TQxv ��'�a,Q, �,� i(n�'y,.a 11�/
WA) o hSt�-C-+ ¢t v, w k k Ca`^` rec.Gtd t 1 ��01, lR.S
REMARKS Et ex y ( AS'e �]k. �\ CI 4\''1_ &CH \ ` �\ 1
11
-2r / L A k 1� -- --7 111- &xi, acct-e : f -Zo -' Z. Q
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All work on this job to date has been satisfactorily completed to the approved plans and requirements of the
dos Angeles County Building Code.
oi3 . A- - 1 — l t
Special Inspector . D.Number i Date
Tb ad 4 Ri-e,lik 6--6 zf S-1-4. Z
Pint Name I Daytime/Cell Phone Number
ELITE SPECIAL INSPECTIONS INC.
8616 Cleta St.Downey,CA, 90241
Bus.Cell/Message /Text (562)413-8159
EliteSll@mail.com
SPECIAL INSPECTORS TIME SHEET&REPORT
Date: 4/11/18 Job#: 041118
Building Pertpit# RALT]8-0320 Permit Date 3/1/19 Jurisdiction Arcadia B&S
Job Identification Lay/ Lim Residence Address 14.01 S Santa Anita Ave, Arcadia, CA 91006
Contractor:General Jungong Construction, Inc. Sub-
LDP:Architect Architect Suns Engineer Jason Chen
Reinforced Concrete 0 ACI Grade 1-Tech ❑ Prestressed Concrete 0 Masonry 0
Epoxyp Other0 Post Placement Inspection
NOTE: Contractor assumes responsibilty for any and all work that is performed outside of stamped/approved plans
bearing the seal of the applicable enforcing agency of record. Contractor is informed that any and all work performed
prior to Building Department approval is performed at contractors own risk pending proper approval by the Building
Official.
Provided Visual Inspection and Testing for. Plans Date: Field Set
Contractor requested verification for placements of chemical epoxy adhesive anchoring of:
#4 dowels to column pads to interior/ exterior locations. Dowels placed outside of Special Inspection.
Contractor describes dowels to have been installed into clean pre-drilled 5/8" diameter holes for an
embedment depth of 8"and describes all holes as being 'blown, brushed and blown' prior to installation.
Description provides competent knowledge for proper application procedures.
All anchorages set with 'Simpson SET' epoxy adhesive. (empty cartridges on site)
All placements and materials pending proper approval by the building official.
Workmanship appears competent both visually and as described.
Hours Billed it 4 Certificate of Compliance
Paid Check# 97 I hereby certify that I have observed to the best of my knowledge all of the above reported work
INVOICE# 041118 unless otherwise noted. I have found this work to be in compliance with the Approved Plans,
BALANCE: PAID Specifications,and applicable sections of the Governing Building Codes.
All inspection is based on a 4 hour minimum,over 4 hours is an 8 hours minimum.After 8 is time and a halt respectively.hiaddition,any inspection
extending past noon hour will be an 8 hour minimum.All lab work necessary to complete inspections will be paid by owner,engineer or contractor.
Certified Special Inspector(Please Print): Rand• •A. Marti(12Z ICC#: 8064363
Certified Special Inspector(Please Sign): City#
Owners Representative: a it \3 0 ' Company:
ARCA Da
D Ds REGISTERED DEPUTY INSPECTOR'S
‘PI CERTIFICATE OF COMPLIANCE
DEPARTMENT OF BUILDING AND SAFETY �
Address / IL2/`�" 5•44-1711/91-447,41144-Date of Certificate 7,45,// n40{3
Fabricator
Permit / ifi,/ -49-O c yd
TO THE SUPERINTENDENT OF BUILDING: CITY INSPECTOR:
I hereby certify that the following portion of the work at the above job address which required continuous
and/or periodic inspection,and which I was employed to inspect,was inspected and approved by me and complies
with provisions of the building Codes applicable thereto:
Type of inspection:
[X] Steel Construction [ ] Sprayed Fire-Resistant Materials [ ] Prestressed Concrete
[ ] Concrete Construction [ ] Smoke Control [ ] Drilled-in Anchor
[ ] Masonry Construction [ ] Methane [ ] Gunite/Shotcrete
[ ] Wood Construction [ ] Exterior Insulation&Finish System [ ] Seismic Resistance
[ ] Soils [ ] Wind Resistance [ ] Other:
Location and Description of work completed ACT-21P ✓icCD. /4597 7S fx yAte ro 2 ,�/9c yes
0 . . u - x x Fss
?/A7 7aJVIK fBA'41gCoNovsYprs#/f• c ,rs Z- 9xfK CoL. roVice/
,,/Da/-4v,., z#07fr f CaN/✓CCpo vc Av.s7pezf o.c s'TaoJes
o ar'42'y/o,7ly u/Le. Ce vr/j orvs,.
fr6 o 44nU/9/N/z-w14' 'c!y�I e./F,E7io S6 SIVol ceroeV pecony#D
A r,,emr/A-p //E'oaf ,9/_/_ x040/_yAar4'490fovcp/o .,v .
-r i - . 0 - - ,' - . ..'o s.4 s J " Gfr 17,9j
phfcn s,v,r
Size of Structure Time Arrived JO' o„
No.of Stories Time Left Job 6' at?
Conc.Mix Design No. .S
/f� P .I.
Registration Number G' Coc.wt y x4(70p
Employed by:
Lab:
Independent [ ]
Signature: 1:77:4-1147-417,.//27:.a._
Registered Deputy Building Inspector:
Print Full Name: - ; � - - • -
Cell phone number: 3/D 7#'`'_ I5-
E-Mail Address:
DO NOT AMEND,ALTER,CHANGE,DELETE OR APPEND ANY PRINTED PORTION OF THIS CERTIFICATE AS IT WILL
RENDER IT NULL AND VOID.
•
IN FORM 07(Rev. 01/04/12) www.ladbs.org
-
v
KTP' WELDING
1345 N.Dyn • s-Street Sutte- • Anaheim, CA 92806
Ph: 714-577-9353 Fax: 714-577-9333
WELDER QUALIFICATION TEST RECORD
WQTR No.: Welder Name: Chao Yu Welder ID:Y3937368
WPS Na AWS B2.1-1-018-94 Revision: 0 DATE: 12/7/17
Variables RecordActual Values in Qualifications Qualification Range lfff
Process(fable 4.10,Item(1) GMAW GMAW-GAS.SHIELDED
Transfer Mode(GMAW): Short-Cir. 0 Globular 0 Spray 0 Short-Circuiting❑ Globular 0 Spray 0
Type: Manual 0 Machine 0 - Semi-Auto N Auto 0 Manual 0 Machine 0 Semi-Auto N Auto 0 11]
Number of Electrodes Single Multiple 0 - Single 0 Multiple 0 t'
Current/Polarity AC❑ DCEPN DCEN 0 Pulsed 0 AC 0 DECP N DCEN 0 Pulsed 0
Position(Table 4.10,Item(4) 3G.4G F,H,V,OH
Weld Progression:(Table 4.10,Item(6) Up 121 Down 0 Up N Down❑
Backing[Table 4:10,Item(7)] Use Backing N With Backing N Without Backing 0
Consumable Insert(GTAW) Use Insert 0 With Insert 0 Without Insert 0
Material/Spec. A36 STEEL to A36 STEEL CARBON STEEL.Ml,P1,GROUP 1 OR 2
Thickness(Plate): Grove(in) 1/2" 1/8 - - 1 in
.Fillett( ) N/A 1/8 - 1 in
. Thickness.(Pipe/Tube):Groove( ) N/A _N/A_ - _ in
Diameter(Pipe):Groove ( ) N/A _WA_ - _in
Fillet ( ) N/A 24 - Unlimited in
Notes Any - Unlimited in
Filler Metal(Table 10,Item(2) PIPE TO PLATE FILLETS ONLY
Spec. AWS AM 8
Class ER70S-6 AWS A5.18
F-No. 6 ER70S-X- GAS SHIELDED ONLY
Gas/Flux Type[Table 4.10,Item(3)] 75%- Argon,25%-Co2 F6
Other N/A
VISUAL INSPECTION(4.8.1)Acceptable YES
GUIDED BEND TEST RESULTS(4.9.3.3)
Type Result Type Result
Side Bend-3G Pass Side Bend -3G Pass
Side Bend-4G Pass Side Bend—4G Pass
•
(Fillet Test Results(4.9.1.2)
Appearance: N/A. . Fillet Size: N/A Macroetch: NI A
Fracture Test Root Penetration: NIA . Description: NIA
Inspected By: a/? YY
Test No: Date:12/7/17
��J (((i�lll__" / RADIOGRAPHIC TEST RESULTS(4.30.3.1)
Film Identification No. Result Remark
Interpreted by: N/A.
N&A= Organization: N/A
Test No. N/A
Date:
0 Welded,Inspected and Tested in accordance with LA-City Document No.P/BC 2001-45
N Welded,inspected and Tested in accordance with AWS B2.1-1-018-94
Testing Agency: CTM WELDING Lab No.TA24848 Authorized BY: JOhn M d418f@Z Date:12/7/17
CWI 02071821
QC1 EXP.7/1/2020 AWS D1.1 (GMAW))
CER IIFIED MA ILRIAL IEMI REPORI Page I/1
GRADE SHAPE/SIZE wanton ID
GO C ER DAU A9971A572-50 Wale Prange Beam 18 X 4811/2000 0000000000
x71
LENC1II PCS W[IG131 BEAT/BA7�H,
US-ML-MIDLOTHIAN 55100• 2 5.280 LB 69079581107 '
HI
300 WARD ROAD
MIDLOTHIAN,TX 76065 SALES ORDER CUS IOME.R MATERIAL N' SPECIFICAI ION/DA IC or R[VISION
USA 6213533/000150 ASTM A6-17
ASTM A709 17
CUSTOMER PURCHASE ORDER NUMBER RILL OF LADING DATE ASTM Awl-11130151 MTh's
34530 1327-000027709 04/30/2018 CSA C.0 21-13 30917.1
CTIEMIICALCOMPOSRON
(fn A q?, Sit N: cr 4u%
.e ; qi Oil
009 095 0021 0028 024 039 015 022 0038 0010 0002 0020 0004
CHEMICAL COMPOSITION
CERA()
0 33
MICIIANICAI PROPERTII S
Yi05rh YR 4P,O Leg Y mil
Inch
562334 73914 3118 510 0760 8000
54488 73577 376 507 0 740 8 000
MECHANICAL(5/I. RIB
n F3y�ig. J
2000 2380
2000 2420
COMMENTS/NtTTLS r
•
•
1 he above figures am sari lied chemical and physical tett records at contained in the permanent records ofanitpany We certify that these data arc correct and in compliant with
specified
requirements 1 his motaml.minding the billets•was melted and minim-hued in the USA CM1 R waddles with EN 10204f3 1 �$
Ili
/L//_ a, SMASLARI MEL TOR
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r »7 4.2.4 WAIA LIIMPLINS
9VA1JT7 OIRELTOR OUALI/l ASNRANLEMOR
Pune Nr917MN-1014 Lmad 1lhalmr Ytl.nuachilKueyenlmi cam Phone 972-779-1118 Email Wade Lumploncglenlan ami
MILL TEST CERTIFICATE ® HISTEEL CO. , LTD.
CERTIFICATE NO : HIE2317-276 PAGE: 3
435 • 3I3
DATE OF ISSUE 1 Nov.08.2017 ICOON RANT : 139. RA000IN-DASRO. NIJDOIW-GU,
11100, KOREA
TEL - (0321815-6306-8
L/.^,NO (P/O NO) : HJP1717 FAX 10321815-0339 1 0 0 0 1 3
COMMODITY ETA/STEP Riullrn rcnL- ,� YI:A 111-4 ICE BEN , NKORBRW&790. TOwYc 9327 GIL,JVNG G,',
SEOUI, KOREA
CUSTOMER : TEI : (32127732141-3
FAX : (02)7273.2157
SPECIrI ATION . ASTM A500 GR.5-10
TENSILE TEST CHEMICAL COMPOSIT,ON IMPACT TEST
TYPE ( 0 T.)
I
CF I DIMENSION REi6HT I I REMARK
'IPE OJAN-.
I ENA (WTDI A.x THICK.%LENGTH) TITY FEAT-N0. 5I STFET C SI Mn P S Cu Ni Cr Mol N, V Ti Ai B CE N CEO •BERET (WAR-
: 1 (K3) ITE' GTH (El)
B e6 I X-nv.I X1 I X2 I X3
PCS) MTH
••e1 "62 x3 s4 PSI % ,N8 x100 x1000 x1C00 x1000 X1000 JCUE -
RN NB' 4"X4'X 0.253'X 20' 325 35,860 J66909 67,561 65,536 27 H 6 2_ 56 12 3 _ _ _0 _
BPE NB 4"X4'X 0.250'X 40' 180 39,722 J66903 57.561 65.536 27 H 5 2 55 12 3 0
I BPE NB 4"X4'X 0.375'X 20' 80 12,533 P46130 52,922 69,740 28 H 18 1 45 14 4 _ _ 0
I BPE NB 4'X4'X 0.375'X 40' 1C8 33,840 6+zni-57.922 69.740 26 H 19 1 45 14 4 _ 0 _
I
BPE NB 5'X5'X 0.250'X 20' 32 4,526 P45447 48,572 64,231 26 FI 15 2 45 14 3 0 1 I _
-
13PE NB •5'X5'X 0.250'X 4D' 36 10,183 P45447 48,572 64,231 26 H_ 15 2 45 14 3 0 _ _
•.BPE NB .5'X5"X 0 375'X 40' 6 2,436 P45447 49,007 65,971 25 H 15 2 45 14 3 0 _ —
I BPE NB 6'X4'X 0.250'X 20' 43 6.739. P45447 46,572 64,231 26 H 15 2 45 14 3 0
I BPE NB 6'X4' X 0.250'$40' 36 10,193 P45447 46.572 64,231_26 H 15 2 45 14 3_ 0 -
. BPE NB 6'X4'X 0.375'X 40' 5 2,436 P45447 49,007 65,971 25 H 15 2 45 14 3 _ 0 -
I.BPE NB 6'X6'X 0.188'X 40' 48 12,641 P46264 46,252 63,796 38 H 16 1 44 IS 7 _ 0 ICY
Ix9 P S. A x VISUAL BDINEAS.ON xFLATTENI NG (fl) TEST xY1iEL0 DJCTI:ITY TEST x6'O40F.STRJCT `JE TEST Tr 14
DRIFT TEST y15 FLARING TEST x16 CRUSH TEST *17
REVERSE FLATTENING TEST
TEST
GOOD
NOTE I .1 Type of One End
SPE:Black Plain End Square-cut GPE:Galvanized Plain End Square cut x 2 N9Nort:6lul Bee. ODAutside()Omelet <3 Unit(Mum.LIncN
EWEB:Black Plain End Beveled GPEB:GaNanlzed Plain End Beveled Id 41A1t1(A6M¢4v.F:Feel,CInc11) w 5 GGopd <6 Base Metal
BTC:Black Threaded A C a 7W:Weld Pan, x 8 H:Heat(ladle)Anaysis.P.Product Mayas
apled ere:Galvanized Threaded B Coupled .9 POST SEAM ANNEALING x 10 Visual 9,Dimension Test x 11 Battening orBeding Test
BVJ:Black Vielaulle Jolnt GVJ:Galvanized Violate.Joint •12 Weld DucteftyTest •13 NmdeatrucUveTest • x 14 Drift Test'.
)'•'
ETC:Enameled Threatled 8 Coupled •15 Fianna TeriCr
•i6 um Tlesta IT Reverse Flattening Test.
'
I _ 4-C -•al3YW�
' MF. HEREBY CERTIFY THAT TK MATERIAL DESCRIBED zEREIV HAS BEER '' r
SUPERVISOR ACCEFEO.11 ACCORDANCE S IN THE PRESCRIBED SPECIFICATION AND OMER INSPECTION MANAGER
-IISE-103-06(0) IIIS17E1.CO.,LTD A4(210X2971
_ QUALITY CERTIFICATE Page I/1
GO GERDAU CORSA CUSTOMER SHIP TO CUSTOMER MIL TO GRADE SHAPE/SIZE CERTIFICATE ID"
ASTM A 36 Solara /"5"'X 1/2"'"
TLALNEPANTLA DE BAZ PATTON SALES CORPORATION PATTON SALES CORPORATION
0000005568
AVENIDA DE L A PRESA 2 1095 Ti.CALIFORNIA ST. 1095 E.CALIFORNIA ST.
FRACCION.INDUST.LA PRESA,DF 54180 ONTARIO.CA 91762 ONTARIO.CA 91762 LENGTH WEIGHT HEAT/BATCH
EE.UU. EE.UU. 20' 10.040 KG 11006984/02
Mexico
SALES ORDER CUSTOMER MATERIAL M' SPECIFICATION/DATE or REVISION
5093488/000060 ASTM A6/ASTM A36
CUSTOMER PURCHASE ORDER NUMBER BILL OF LADING DATE
133056 08/22/2017
CHEMICAL COMPOSITION�
co ? g
Y % a cx re Npi v. o C.E.
)01
0.2160 0.2160 0.84 0,034 0.011 0.11 0.24 0.016 0.000 0.09 0.18 0.003 0.430 0.018
MECHANICAL PROPERTIES
a FI Oct.
52.1 77.9 24.10
50.8 77.8 25.60
COMMENTS/NOTES
LUIS EDUARDO SANCHEZCOELLO
:. 11...�'/f
.,� ASEGURAMIENTO DE IA CAUDAL)
5/9/2018 American Wide Flange Beams-W Beam
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American Wide Flange Beams -W Beam
Dimensions of American Wide Flange Beams ASTM A6-Imperial units......
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Properties in Imperial units of American Wide Flange Beams according ASTM A6 are indicated below.
• American Wide Flange Beams according ASTM A6-Metric units
Designation Dimensions Static Parameters
Moment of Inertia Elastic Section Modulus
Depth Width Web Thickness Flange Thickness I W W
Imperial h w to tt Sectional Are Weight y x y
(In xrb/ft) (In) (in) (In) (in) 02) S (ib/k) '. (Ins) (1n3) (n3)
W27 x 178 27.8 14.09 0.725 1.190 52.3 178 6990 555 502
W 27 x 161 27.6 14.02 0.660 1.080 47.4 161 6280 497 r
W 27 x 146 27.4 140.605 •nn 5630 443 63.5 -
W 27 x 114 27.3 10..07 0.570 r r 4090 159 299 31.5
W27 x 102 27.1 10.02 0.515 0.830r r 102 3620 139 27.8
0 0.490 0.745
24.8
W27 x84 26.7 9.96 0 .4 0 0.640 2� 84 2850 94 3270 213
21.2
https:/Avww.engineeringtoolbox.comlamerican-wide-flange-steel-beams-d_1319.htmi 1/11
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5/9/2018 American Wide Flange Beams-W Beam
Designation Dimensions Static Parameters
Moment of Inertia Elastic Section Modulus
Depth Width Web Thickness Flange Thickness
Imperial Sectional Area Weight lx y Wx Wy
(In x rbBt) an) M) (n) (In) (In2) (Ib/ft) (Ins) (Ino) (In3) (In3)
W 16 x 31 15.88 5.525 0.275 0.440 9.12 31 375 12.4 47.2 4.5
W 16 x 26 15.69 5.5 0.250 0.345 7.68 26 301 9.6 38.4 3.5
W 14 x 132 14.66 14.725 0.645 1.030 38.8 _ 132 1530 548 209 _ 74.5
W 14 x 120 14.48 14.670 0.590 0.940 35,3 120 _ 1380 495 190 67.5
W 14 x 109 14.32 14.605 0.525 0.860 32 109 1240 447 173 61.2
W 14 x 99 14.16 14.585 0.485 0.780 29.1 _ 99 _ 1110 402 157 55.2
W 14 x 90 14.02 14.520 0.440 0.710 26.5 90 999 362 143 49.9 _
W 14 x 82 14.31 10.130 0.510 0.855 24.1 82 882 148 123 29.3
W 14 x 74 14.17 10.070 0.450 0.785 21.8 74 _ 796 134 112 26.6
W 14 x68 14.04 10.035 0.415 0720 20.0 68 723 121 103 24.2
W 14 x 61 13.89 9.995 0.375 0.645 17.9 61 _ 640 107 92.2 21.5
W 14 x 53 13.92 8.060 0.370 0.660 15.6 53 541 57.7 77.8 14.3
W 14 x 48 13.79 8.030 0.340 0.595 14.1 48 485 51.4 _ 70.3 _ 12.8
W 14 x 43 13.66 7.995 0.305 0.530 12.6 _ 43 428 45.2 62.7 _ 11.3 _
W 14x38 14.10 6.770 0.310 0.515 11.2 38 385 26.7 54.6 _ 7.9 _
W14 x34 13.98 6.745 0.285 0.455 10.0 34 340 23.3 48.6 6.9
W 14 x 30 13.84 6.730 0.270 0.385 8.85 _ 30 291 19.6 42.0 5.8
W 14 x 26 13.91 5.025 0.255 0.420 7.69 26 245 8.9 35.3 3.5
W 14x22 13.74 5 0.230 0.335 6.49 22 199 7 29.0 2.8
W 12 x 136 13.41 12.4 0.79 1.250 39.9 136 1240 398 186 64.2
W 12 x 120 13.12 12.32 0.71 _ 1.105 35.3 120 1070 345 163 56.0
W12 x 106 12.89 12.22 0.61 0.990 31.2 106 933 301 145 _ 49.3
W12 x96 12.71 12.16 0.55 0.900 28.2 96 833 270 131 44.4
W12 x87 12.53 12.125 0.515 0.810 25.6 87 740 241 118 39.7
W 12 x 79 12.38 12.08 0.47 0.735 _ 23.2 79 662 216 107 35.8
W12 x 72 12.25 12.04 0.43 0.670 21.1 72 597 195 97.4 32.4
W 12 x 65 12.12 12 0.39 0.605 19.1 65 533 174 87.9_ 29.1
W 12 x 58 12.19 10.01 0.36 0.640 17.0 58 475 107 78 214
W 12 x 53 12.06 9.995 0.345 0.575 15.6 53 425 95.8 70.6 19.2
W 12 x50 12.19 8.08 0.37 0.640 14.7 50 394 56.3 64.7 13.9 _
W 12 x 45 12.08 8.045 0.335 0.575 13.2 45 350 50.0 58.1 12.4
W 12 x40 11.94 8.005 0.295 0.515 11.8 40 310 44.1 51.9 11.0
W 12 x 35 12.50 6.56 0.3 0.520 10.3 35 285 24.5 45.6 7.5
W 12 x 30 12.34 6.52 0.26 0.440 8.8 30 238 _ 20.3 38.6 6.2 _
W 12 x 26 12.22 6.490 0.23 0.380 7.7 26 204 17.3 33.4 5.3
W 12 x 22 12.31 4.03 0.26 0.425 6.5 22 156 4.7 25.4 2.3
W 12 x 19 12.16 4.005 0.235 0.350 5.6 19 130 3.8 21.3 1.9 _
W 12 x 16 11.99 3.990 0.22 0.265 4.7 16 103 2.8 17.1 1.4
W 12 x 14 11.91 3.970 0,2 0.225 4.2 14 88.6 2.4 14.9 1.2
W 10 x 112 11.36 10.415 _ 0.755 1.250 32.9 112 716 236 126 45.3
W 10 x 100 11.1 10.340 0.680 1.1120 29.4 100 623 207 112 40.0
W 10 x 88 10.84 10.265 0.605 0.990 25.9 88 534 179 98.5 34.8
W 10 x 77 10.60 10.190 0.530 0.870 22.6 77 455 154 85.9 30.1
W 10 x88 10.40 10.130 0.470 0.770 20.0 68 394 134 75.7 26.4
W 10 x 60 10.22 10.080 0.420 0.680 17.6 60 341 116 66.7 23.0
W 10x54 10.09 10.030 0.370 0.615 15.8 54 303 103 60.0 20.6
W 10 x 49 9.98 10 0.340 0.560 14.4 49 272 93.4 54.6 18.7
https://www.engineeringtoolbox.com/american-wide-flange-steel-beams-d_1319.html 3/11
5/9/2018 American Wide Flange Beams-W Beam
Designation Dimensions Static Parameters ^
Moment of inertia Elastic Section Modulus
Depth Width Web Thickness Flange Thickness
Imperial h w tw 4 Sectional Area Weight Iz ly Wx Wy
(In x"M (In) pN (In) (In) fin? , (Ib/ft) (irr! (In4) (Ind) (Ins)
W 10 x 45 10.10 8.020 0.350 0.620 13.3 ' 45 248 53.4 49.1 13.3
W 10 x 39 9.92 7.985 0.315 0.530 11.5 39 209 45.0 42.1 11.3
W 10 x 33 9.73 7.960 0.290 0.435 9.71 33 _170 36.6 35.0 9.2
W 10 x 30 10.47 5.81 0.3 0.510 18L841 30 170a 16.7 32.4 5.8
W 10 x 26 10.33 5.770 0.26 0.440 7.6 26 144 14.1 27.9 _ 4.9 _
W 10 x 22 _ 10.17 _ 5.750 0.240 0.360 6.5 22 T 118 11.4 23.2 4
W 10 x 19 10.24 4.020 0.250 0.395 5.6 19 98.3 4.3 18.8 2.1
W 10 x 17 10.11 4.010 0.240 0.330 5 17 81.9 3.6 16.2 1.8
W 10 x 15 _ 9.99 4 0.230 0.270 4.4 15 68.9 2.9 13.8 1.5
W 10 x 12 9.87 3.960 0.190 0.210 3.5 12 53.8 2.2 10.9 1.1
W 8 x 67 9.00 8.280 0.570 0.935 19.7 67 272 88.6 60.4 21.4
W 8 x 58 8.75 8.220 0.510 0.810 17.1 _ 58 2�2Y8r--, 75.1 52.0 18.3
W 8 x 48 8.5 8.110 0.400 0.685 14:1 48 2IE 60.9 43.3 15.0
W 8 x 40 8.25 8.070 r 0.360 0.560 11.7 _ 40 146 49.1 35.5 12.2
W 8 x 35 8.12 8.020 0.310 0.495 10.3 35 127 42.6 31.2 10.6
W 8 x 31 8.00 7.995 0.285 0.435 9.1 31 110 37.1 27.6 9.3
W 8 x 28 8.06 6.535 _ 0.285 0.465 8.3 28 98.0 21.7 24.3 6.6 _
W 8 x 24 7.93 6.495 0.245 0.400 7.1 24 _ 82.8 18.3 20.9 5.6
W 8 x 21 8.28 5.270 0.250 0.400 6.2 21 75.3 9.8 18.2 3.7
W 8 x 18 8.14 5.250 0.230 0.330 5.3 18 61.9 8 15.2 3
W8x 15 8.11 4.015 0.245 0.315 4.4 _ 15 48.0 3.4 _ 11.8 1.7
W 8 x 13 7.99 4 0.230 0.255 3.8 13 39.6 2.7 9.9 1.4
W 8 x 10 7.89 3.940 0.170 0.205 2.9 10 30.3 2.1 7.8 1.1
W 6 x 25 6.38 6.080 0.320 0.455 7.3 25 53.4 17.1 16.7 5.6
W 6 x 20 6.20 6.020 0.260 0.365 5.9 20 41.4 13.3 13.4 4.4
W 6 x 16 6.28 4.030 _ 0.260 0.405 _ 4.7 18 32.1 4.4 10.2 2.2
W 6 x 15 5.99 5.990 0.230 0.260 4.4 15 _ 29.1 9.3 9.7 3.1
W 6 x 12 6.03 4 0.230 0.280 3.6 12 22.1 3 7.3 1.5
W6 x9 5.90 3.940 0.170 0.215 2.7 9 16.4 2.2 5.6 1.1
W 5 x 19 5.15 _ 5.030 _ 0.270 0.430 5.5 _ 19 26.2 9.1 10.2 3.6
W 5 x 16 5.01 5 0.240 0.360 4.7 16 21.3 7.5 8.5 3
W 4 x 13 4.16 4.060 0.280 0.345 3.8 13 11.3 3.9 5.5 1.9
• lcm4=104m=/04Mtn
• 1 in4=4.16x105 mm4=41.6 cm4
• 1cm3=10'6m=103 mm
Calculate Loads
• Beams-Supported at Both Ends-Continuous and Point Loads
• Beams-Fixed at One End and Supported at the Other-Continuous and Point Loads
• Beams-Fixed at Both Ends-Continuous and Point Loads
r
The standard method for specifying the dimensions of a American Wide Flange Beam is for example W 6 x 25,which is 6 Inches deep with a weight of 25/b/ft.
https://www.engineeringtoolbox.com/amedcan-wide-flange-steel-beams-d1319.html 4/11
I permit No:`RACY 18-0320
" City of Arcadia, CA \\\
Development Services Department 5 )�ti'r�;Ww .�permrt Type Residential Addition/Alteration.,
240 West Huntington Drive,Post Office Box 60021 `�` , 1 ! ,
r ,e Arcadia,CA 91066-6021 L- 4r s Work llassr canonRemodeL,
rjL.I . h
(626)574-5416 -c "` ..^ t , Permit Status-Issued,'
ARCADIA Issue'oete o3%12/zD1s Expiration: 09/26/2018
Addr NO. Dir Prefix Street Name Street Suffix Unit City,State,Zip Parcel Number
1401 S Santa Anita AVE Arcadia,CA 5782011001
Contacts
JOHN&GRACE LIM Owner JOSEPH HSU Applicant
(626)991-9288 (626)716-8815
JUNGONG CONSTRUCTION INC General Contractor(B)
925 5 ATLANTIC BLVD 216,MONTEREY PARK,CA 91754
(626)888-0018
Description:REMODEL POWDER RM TO CREATE FULL BATH, Valuation: S 25,470.00 Tenant
REMODEL KITCHEN,REMOVE LOAD BEARING WALLS,ADD
WINDOW IN NEW BATH.WITH EMP Total Sq Feet: 0.00 Plan Check#18-320 Plan#32479
**AMENDED 4-9-18 REPLACE BOTH HVAC SYSTEMS. ONE m'^ "'
SYSTEM IN NEW LOCATION.APPROVED BY PLANNING.**
Fees Amount payments Amount Paid
Building Issuing Fee $44.35 Total Fees $1,356.72
Building Permit Fees $500.50 Cash/Receipt N REC-000559-2018 $457.97
Building Plan Review Fee $325.33 Cash/Receipt U REC-000815-2018 $121.56
Cal Green Plan Check $32.54 Cash/Receipt U REC-000663-2018 $777.19
Compressor 3-5 Ton(3 to 15 hp) $68.58
Electrical Permit Issuance Fee $44.35 Amount Due: piIETED $0.00
Energy Plan Review Fee $100.10
Furnace or Burner<=100,000 BTU $37.48
Green Building Standard $2.00
Lavatories $12.46
Light Fixtures $21.56 CALLS FOR INSPECTIONS
Mechanical Permit Issuance Fee $44.35 Request for inspection by telephone at 626-574-5450. Leave a message
Outlets-Receptacles&Switches $15.40 requesting the address,timeframe and what inspection item is needed.
Plumbing Permit Issuance Fee $44.35
Shower $12.46
Solid Waste Management Fee $6.25 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
Solid Waste Management Fee 2 $1.00 from the date of plan submittal.This permit expires and becomes null and
Solid Waste Management Fee 2 $1.00 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
Strong Motion Inst.Program Res $3.32 Arcadia building inspector for a period of 180 consecutive days.
Total: $1,356.72
N
March 12,2018
Issued By: Date
April 09,2018 Page 1 of 1
FAR
cf"FO$gt,"
4 ;;.�'+! I' PERMIT/PLAN REVIEW APPLICATION- '
33b• Development Services Department,240 West Huntington Drive,Post Office Box 60021
G 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. LI I have and will maintain a certificate of consent to self-insure for workers'
License Class License No. Exp. Date compensation, as provided for by Section 3700 of the Labor Code, for the
Signature of Contractor performance of the work for which this permit is issued.
'OWNER-BUILDER DECLARATION ❑ I have and will maintain workers'compensation insurance,as required by Section
❑ I hereby affirm under penalty of perjury that I am exempt from the 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 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 3710 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 Date y�l Signature
sale(Section 7044,Business and Professions Code:The Contractors License
Law does not apply to an owner of property who builds or improves thereon,
or who does such work himself or herself or through his or her own
employees,provided that such improvements are not intended or offered for WARNING: Failure to secure Workers'Compensation coverage is unlawful,
sale.If,however,the building or improvement is sold within one(1)year of and shall subject an employer to criminal penalties and civil fines up to one
completion,the owner-builder will have the burden of proving that he or she hundred thousand dollars($100,000),in addition to the cost of compensation,
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:
q Q� Lender's Name
\Date + ( 1 (t 1.1 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
f\Tame
further information. ,Ohh LAATitle O wfttY-101 NT NAME I`
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 C ty ordinances and State Laws relating to building construction. I hereby authorize representatives of the City of
(Arcadia to enter upon the abo•e-mentioned property for inspection purposes. ( q I Q
\Signature Date
` X
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�": n .FiPermiCNO FIRE 18 1072'
City of Arcadia,CA ?"---,..,..•...n.L-,-012:-„-P...'...'-',;c- G.7 t -
�' PermitT a Fire'.
j Development Services Department I i � , � � ! _f rS � � YP.
1 x 240 West Huntington Drive,Post Office Box 60021 3 s-- , t i' +tti it i• Work Clossrficahon Fire Sprinkler
f w Arcadia,CA 91066-6021 1—r , ,,,J }_i 1 F L./L-_ - m =
(626)574-5416 _ r, Permit•Status, issued •
ARCA,DIA `Issue Date D6/z1/2Q18 Expiration: 12/18/2018
Addr NO. Dir Prefix Street Name Street Suffix Unit City,State,Zip Parcel Number
1401 S Santa Anita AVE Arcadia,CA 5782011001
Contacts
TRAN,THANH V AND TRAN,YEN P Owner Xue Pei Hu Fire Contractor(C-16)
1401 S SANTA ANITA AVE 13553 Corak ST,Baldwin Park,CA 91706
(626)379-9771 `
Description:SINGLE FAMILY,RELOCATE 2 HEADS AND ADD1 Valuation: S 1,200.00 Tenant
NEW HEAD
Total Sq Feet: 0.00 Plan Check#OTC Plan#
Fees Amount Payments Amount Paid
Fire Issuance $44.35 Total Fees $395.40
Fire Permit Fees $70.05 Cash/Receipt#REC-001518-2018 $395.40
Solid Waste Management Fee 2 $1.00
Sprinkler Heads $280.00 Amount Due: $0.00
Total: $395.40
CONKEIECALLS FOR INSPECTIONS
Si quest for inspection bytelephone at 626-574-5450. Leave a message
uesting 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.
June 21,2018
Issued By: Date
June 21,2018 Page 1 of 1
•F AA
•
PERMIT/PLAN REVIEW APPLICATION
Elis' Development Services Department,240 West Huntington Drive,Post Office Box 60021
,,,o Arcadia, CA 91066-6021, (626) 574-5416,Fax (626) 447-9173
City of
Arcadia
J.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. 1:1 I have and will maintain a certificate of consent to self-insure for workers'
License Class C l6 License o. /02$9,0Exp. Date 9/31/,q compensation, as provided for by Section 3700 of the Labor Code, for the
performance of the work for which this permit is issued.
r"
Signature of Contractor �,��
OWNER-BUILDER DECLARATION ve and will maintain workers'compensation insurance,as required by Section
❑ I hereby affirm under penalty of perjury that I am exempt from the Contractors 00 of he 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 worcckers'compens�}on insy�ante carrier and policy numbers are:
Code.Any city or county which requires a permit to construct,alter,improve, Carrier 57j?L "fi'4t
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 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. u.
or my employees with wages as their sole
compensation,will do the work,and the structure is not intended or offered for Dale O 0/- 2 ( 'I Q Signature -/n-Z, -
sale(Section 7044,Business and Professions Code:The Contractors License
Law does not apply to an owner of property who builds or improves thereon,
or who does such work himself or herself or through his or her own
employees,provided that such improvements are not intended or offered for WARNING: Failure to secure Workers'Compensation coverage is unlawful,
sale.If,however,the building or improvement is sold within one(1)year of and shall subject an employer to criminal penalties and civil fines up to one
completion,the owner-builder will have the burden of proving that he or she hundredthousand 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 mason:
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.sire
Name "O i/Vr-0 n � / [,c.�
Gran 9 9-ems'
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
rcadia to enter upon the above- 1 'ntioned property for inspection purposes.
9I Jpr
ignature �/- // Date D 2. /_it
OFFo R\
01;1 1111\tr-
1.>#60
MEMORANDUM
Fire Department
DATE: July 18, 2018
TO: BUILDING DEPARTMENT
INSPECTOR
FROM: FIRE DEPARTMENT
SUBJECT: FIELD INSPECTION
ADDRESS: 1401 S. Santa Anita Avenue
THE FOLLOWING ITEMS WERE CHECKED FOR CONFORMANCE WITH APPLICABLE FIRE
DEPARTMENT REQUIREMENTS:
TYPE OF INSPECTION DATE / INITIAL
FINAL INSPECTION
FIRE SPRINKLERS 7-18-2018 Lili Huang
FIRE ALARMS
TANKS
HOOD & DUCT
KNOX BOX
OCCUPANCY 7-18-2018 Lili Huang
COMMENTS:
Emailed Bldg. Dept. 7-18-2018 Rita
<1 gla
Irl
�tD*
�� �•8 WATER DIVISION
ATTENTION: ,141 DATE: -i g
FROM: BUILDING DIVISION INSPECTOR: V
grar
ADDRESS: 140 I 5 . %IV% Askisecfrs48/9-4)
PERMIT NO.: I }LT- I p -D 1 LD PLAN NO.: "32471
CONTRACTOR: 4 Matill6r C AS Mein l PHONE NO.: 62-g- D U C1 -ooI g.
OWNER: cI(.7'f1v LU-t PHONE NO.:
PLEASE INSPECT THE FOLLOWING ITEMS FOR CONFORMANCE WITH APPLICABLE DEPARTMENT
OF PUBLIC WORKS REQUIREMENTS.
Type of Inspection Date&Initial Date&Initial Final Approval
Meter Location //'/J
Blackflow Devices
Irrigation System
Fire Sprinkler System
1/6
Meter Clear A.P.P.
. SAC -✓�
Swimming Pool //
C
is
COMMENTS: 2"fr'S' � -/ S (U cTSOS L i;/ ��