HomeMy WebLinkAboutralt-18-0591 (ski - I City of Arcadia, CA h , Permit NO RALT 18 0591
Develo ment Services De artment n it
240 West Huntington Drive,Post Office Box 60021 1[ s k t$e3mr Type Residential AddltionJAlteratitin
I I ` `t r",...)1 t s Fl Work Classification Remodel-,;
Arcadia,CA 91066-6021 a O_,,,.Ir..r '� �i.r1 {
-0 I (626)574-5416 - :Permit Statusissued:
ARCADIA Issue Date 04/19/2018` Expiration: 10/16/2018
Addr NO. Dir Prefix Street Name Street Suffix Unit City,State,Zip Parcel Number
292 Oakhurst LN A Arcadia,CA 5775012028 j
Contacts
MUFADDA HASAN Owner 1 STOP HOME REMODELING INC* General Contractor(B)
292 OAKHURST LN A 450 E COLORADO BLVD,PASADENA,CA 91101
(626)269-2666
.,------ ,,,,in....— >,--,-...,......o.---a-.—.. ..--—...n,- - --.......,.......r.n m---- ..,...
Description:ADD FLOOR ABOVE DINING ROOM AND NEW ial Valuation: $3,438.00 Tenant
WALL TO CREATE NEW UPSTAIRS OFFICE, 90 SQ FT
Total Sq Feet: 90.00 Plan Check N Plan#32495
Fees Amount Payments Amount Paid
Add/Alter Ducts $9.38 Total Fees
Building Issuing Fee $44.35
Building Permit Fees $137.05
Amount Due:
Building Plan Review Fee $89.09
Cal Green Plan Check $8.91
Electrical Permit Issuance Fee $44.35 /0 coni 4 7[ 17—
Energy Plan Review Fee $$1.41 oCOMPLETED
Green Building Standard $1.00 /D/Q�O i 07----v C���� 07----Light Fixtures $1.54
Mechanical Permit Issuance Fee $44.35
Outlets-Receptacles&Switches $6.16 CALLS FOR INSPECTIONS
Parks&Recreation Fee(SFR) $256.50 Request for inspection by telephone at 626-574-5450. Leave a message
Single Family Fire Plan Check $280.00 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
Strong Motion Inst.Program Res $0.50 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
Total: $958.84 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.
/ April 19,2018
VVV I Issued By: Date
April 19,2018 Page 1 of 1
gal • PERMIT/PLAN REVIEW APPLICATION
o 4l j, Development Services Department,240 West Huntington Drive,Post Office Box-60021
t°4-i.-ay 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,CIAO
myO license 's in full force and effect. I I ❑ I have and will maintain a certificate of consent to self-insure for workers'
License Class15 CIA - • it 4029 Exp. Date3. iicompensation, as provided for by Section 3700 of the Labor Code, for the
I��)
fmance
of the work for which this permit is issued.Signature of Contractor OWNER uncle Een DEt and will maintain workers'compensationinsurance,sued.as required by Section
Ihereby affirm under penalty of perjury that I am exempt from the Contractors 3700 of the Labor Code,for the perfo ance of the work for which this permit
License Law for the following reason(Section 7031.5,Business and Professions
s issued.Mygyrk�epcompe tion i rance carrier and policy numbers are:
Code.Any city or county which requires a permit to construct,alter,improve, Carrier �(KTL�
demolish,or repair any structure,prior to its issuance,also required the applicant (12°2CJT9 5—19--1
for such permit to file a signed statement that he or she is licensed pursuant to the ohcy Number
provisions of the Contractors License Law(Chapter 9(commencing with Section 's 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' ion 3 t i • the Labor Code,I shall
❑I, as owner of the roe forthwith comply with those provision. i
property,rty, or my employees with wages as their sole //+'� ;x-t
compensation,will do the work,and the structure is not intended or offered for .'t,l ` I V � '
sale(Section 7044,Business and Professions Code:The Contractors License 1 Date Signature 1 p
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 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).
❑ 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
forth ' formation.
Name 11i.� 4f1 .(I,l.-II J . Title I►' A
P• NAME
I certify that I ha.• ',!t�' ,Bcation and.state that the above information is correct and that I am the owner or duly authorized agent of the owner.
I agree to comp, '�1It., 1, o dinances and State Laws relating to building construction. I hereby authorize representatives of the City of
Arcadia to enter pi - y= iiioil �_,>ntioned property for inspection purposes.
Signature i I�/�/, Date 411 - 12
City of Arcadia, CA PermttNO, ROOF 18=0191
i` Development Services Department n - a
ct a PermtiType Roof
240 West Huntington Drive,Post Office Box 60021 s 1. c�,
Arcadia,CA 91066-6021 i (>x 1A`_ workClasslf own:Residential Reroof
(626)5745416 _ - ' Permit statuslssued
ARCADIA Issue Date 02/21/2018 I Expiration: 08/20/2018 1
Addr NO. Dir Prefix Street Name Street Suffix City,State,Zip Parcel Number
292 Oakhurst LN Arcadia,CA 5775012029
Contacts
MUELLER,STEPHEN E TR MUELLER TRUST Owner 1&J Roofing Roofing Contractor(C-39)
292 OAKHURST LN B,ARCADIA,91007 2929 Knox,Los Angeles,CA 90039
(323)913-4190
Description:T.O.NEW SHEATHING REROOF CONDO UNIT#8 Valuation: S 12,000.00 Tenant
WITH BLACK HOT MOP CLASS A 17 SQ (VQ)
Total Sq Feet: 0.00 Plan Check It Plan#
Fees Amount Payments Amount Paid
Building Issuing Fee $44.35 Total Fees
$321.25
Building Permit Fees $270.65 Cash/Receipt# $321.25
Solid Waste Management Fee $6.25
Amount Due: $0.00
Total: / $321.25 -, g414-1(c1
3M
.3--(O-4 (/l/d $5 ( 7e
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
C[-- 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 days.
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.
/
/ February 21,2018
Issued By: Date
•i
February 21,2018 Page 1 of 2
A >; 1 PERMIT/PLAN REVIEW APPLICATION
NI-
0.>;...4a' . Development Services Department,240 West Huntington Drive,Post Office Box 60021
/m•=,� x°•� 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 C3121' License No. Iy(O2_ Exp. Date
Signature of Contractor7. C) 4 compensation, as provided for by Section 3700 of the Labor Code, for the
performance of the work for which this permit is issued.
-
OWNER-BUILDER DELLA TION 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 he Labor Code,for he performance of the work for which this permit
License Law for the following reason(Section 7031.5,Business and Professions is issued.Mylvor ers'cogppensa ion insurance carrier and policy numbers are:
Code.Any city or county which requires a permit to construct,alter,improve, Carrier _�11 r', r.
demolish,or repair any structure,prior to its issuance,also required the applicant Policy Number 1 4G6 4 cite— g
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, F
with 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 I Signature% Al
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 isunlawful,
sale.If,however,the building or improvement is sold within one(1)year of andshall 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),inaddition 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).
❑ 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.
I
arae C yNAMI ,,'I - i-v' Title
PRINT NAME
certify that I have read this application and state that the above information is cokect and that I am the owner or duly authorized agent of the owner.
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 . .on 'e above-ment':'r, p •perty for inspection purposes. }_�/
çSinature _re
ir
Date 4212-I/I U
1