HomeMy WebLinkAboutRALT-19-0004 ` s - Perm/rno RALT 19 0004„
City of AYtadia,'CA 'Cary ; e s ,
I Development Services Department D , , ` Permit Type Residential Addition/Alteration;
240 West Huntington Drive,Post Office Box 60021 -•e E f i VI (i R x 'J7 "4
I f ; Arcadia,CA 91066-6021 t, ' g 4 1( ,� Work Cfassiffrcan_or Res Addition/Alteration'
I ' (626)574-5416 ;17^°F-v',' t� , 1 rv7'0 --i'+ PermrtStotus'Issued-'
ARCADIA tssueDae 01/03/2019-. Expiration: 07/02/2019
Addr NO. Dir Prefix Street Name Street Suffix Unit City,State,Zip Parcel Number
1260 Oakhaven LN Arcadia,CA
5771025005 t
Contacts -----.- -- _ .- -. g
WEI QIAN Owner !t
1260 OAKHAVEN LN
(626)375-6812 11
Description:CREATE BATH IN BEDROOM Jt 3.REPLACE p Valuation: $ 2,525,64 Tenant
DRYWALL IN LAUNDRY AREA. l --«-«a---
Total #Sq Feet: 0.00 Plan Check ft Plan OTC kb1
Fees Amount Payments Amount Paid
Building Issuing Fee $44.35 Total Fees $471.55
Building Permit Fees $120.35 Cash/Receipt ti REC-00006-19 $471.55
Building Plan Review Fee $78.23
Amount Due: $0.00
Cal Green Plan Check $7.83
Electrical Permit Issuance Fee $44.35
EnGreen Plan Review Fee $24.07 i t so An._ ?.20 f 4 �— compiETED
Green Building Standard $1.00 i I /I
Lavatories $12.46 y
Light Fixtures $1.54
Mechanical Permit Issuance Fee $44.35
Outlets-Receptacles&Switches $4.62 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 51.00 void if the work authorized by thepermit is not commenced within 180 days
Strong Motion Inst.Program Res . $0.50 from the date of issuance or if the permit is not obtained within 180 days
Ventilation Fan(Single Duct) $9.38 from the date of plan submittal.This permit expires and becomes null and
Water Closet $12.46 void if any work authorized by this permit is suspended or abandoned for 180
consecutive days or if no progressive work has been verified by a City of
Total: $471.55 Arcadia building inspector for a period of 180 consecutive days.
4
January 03, 2019
Issued By: Date
—
January 03,2019 ---_- — ---- - -_-- - Page 1 of 1
of R
oNtooRY,,,•a I
° 1 PERMIT/PLAN REVIEW APPLICATION
E$3*' Development Services Department,240 West Huntington Drive, Post Office Box 60021
%. co 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. 0 I have and will maintain a certificate of consent to self-insure for workers'
License Class License No. Exp. Date compensation, as provided for by Section 3700 of the Labor Code, for the
performance of the work for which this permit is issued.
Signature of Contractor
OWNER-BUILDER DECLARATION 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
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 P 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
II, as owner of the roe forthwith comply with those provisions.
p p rty, or my employees with wages as their sole
compensation,will do the work,and the structure is not intended or offered for C Q
sale(Section 7044,Business and Professions Code:The Contractors License Date �3/ (j Signature V�"�1 1
Law does riot apply,to an,owner of property who builds or improves thereon,
or who/cities -such'wont.himself or herself or through his or her own
employees'grovidea thatisuch- improvements are not intended or offered for WARNING: Failure to secure Workers'Compensation coverage'is unlawful,
sale.If,howelet;die building of 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),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.
❑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:
J
Lender's Name
Date VO) /`9'9' 1Q Signature CA"1-9-S mss— 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.
Mame U1/4)E-t 64i1/4-0\/ itle
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.
ignature W —� ^ -...._-----r trate 1/�/ �I 7
J,:_t. I 11 -- f
_t
5 --,
n \
'ROOM #3 I
I
(E) SLIDING
• CABINET DOORZo 1
TO BE REMOVED 14
BEDROOM #3
•
4'-24"/
/ b'-5"
d- 1
a
/ *a®al num.p
c 0
4 \7e \
---1 rII
R.1W1
in
I —� \^�I
Li ry N `''7 1 . I
IN +l®star®r®rare®r o �*
(E) PARTITION TO BE (E) (E) B 12 1 r
REMOVED I / b'
OM #2 1 i I I BEDROOM #2 I T
ITION PLAN B NEW RESTROOM PLAN A
1/4" = 1 '-0" 111,scale: 1 /4" = 1 '—O"
NORTH NORTI
/24- - /9 - 000`/
NOTES
Building Inspections Date Insp. Plumbing Inspections Date Insp. /24 0 0 ,`iC 1/2,E�
100. Setbacks 210. Under flrintdg.drain /•/6../• :
I
I
1260 OAKHAVEN LN.
\
1
I _
ZI
JI
1
j
1 \
I
Ztll
1 ='.4
'ti POOL HOODUSE
- OI
1
1 SCOPE
iOF WORK
I 1
SITE PLAN (REFERENCE ONLY) / A \
ornIr 1 " = 7fY-fly
'r�,n City of Arcadia, CA "ffrIts : PermnNo RALT 19-0181
��M Development Services Department t D • v' ,PQ lt13'pa Residential'Addition/Alteration
240 West Huntington Drive,Post Office Box 60021 'IIIv (
i` Arcadia,CA 91066-6021 ' - -' WorkttassJleahon Res-AddltionJAlteration.,
(626)574-5416 :,.) gt-n
s , Permit-- 2,1- '••4— Issued
•
ARCADIA Issue=Date 01/29/2019' Expiration: 07/28/2019
Addr NO. Dir Prefix Street Name Street Suffix Unit City,State,Zip Parcel Number
1260 Oakhaven LN Arcadia,CA 5771025005
Contacts
WEI QIAN Owner
1260 OAKHAVEN LN
(626)375-6812
Description:SWITCH LOCATIONS OF LAUNDRY AND Valuation: $ 6,525.78 Tenant
BATHROOM PER APPROVED PLANS.
Total Sq Feet: 0.00 - Plan Check# Plan#
Fees Amount Payments Amount Paid
Building Issuing Fee $47.01 Total Fees $649.21
Building Permit Fees $187.15 Cash/Receipt#REC-00238-19 $649.21
Building Plan Review Fee $121.65
Cal Green Plan Check $12 .17 Amount Due: $0.00
Clothes Washer $13.21
Electrical Permit Issuance Fee $47.01 �>
Energy Plan Review Fee $37.43 Rr•act_ 2 -247• r9 -t-
Gas System(Outlets) $15.55
Green Building Standard $1.00
Laundry Trays $13.21
Lavatories $13.21 CALLS FOR INSPECTIONS
Light Fixtures $1.63 Request for inspection by telephone at 626-574-5450. Leave a message
Mechanical Permit Issuance Fee $47.01 requesting the address,timeframe and what inspection item is needed.
Plumbing Permit Issuance Fee $47.01
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
Strong Motion Inst.Program Res $0.85 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
Ventilation Fan(Single Duct) $9.94 Arcadia building inspector for a period of 180 consecutive days.
Total: $649.21
January 29, 2019
Issued By: Date
January 29,2019 Page 1 of 1
,FAR
0,-- RH4
1' PERMIT/PLAN REVIEW APPLICATION
iiiiLt 130
4 *' Development Services Department,240 West Huntington Drive,Post Office Box 60021
rasp,orN
/' Arcadia, CA 91066-6021, (626) 574-5416,Fax (626) 447-9173
City of
Arcadia
LICENSED CONTRACTOR'S DECLARATION WORKERS'COMPENSATION DECLARATION
o I hereby affirm under penalty of perjury that I am licensed under provisions of I hereby affirm under penalty of perjury one of the following:
Chapter 9(commencing with Section 7000,of Division 3 of the Business and
Professions Code,and my license is in full force and effect. 0 I have and will maintain a certificate of consent to self-insure for workers'
License Class License No. Exp. Date compensation, as provided for by Section 3700 of the Labor Code, for the
Signature of Contractor performance of the work for which this permit is issued.
9 WNER-BUILDER DECLARATION ❑ I have and will maintain workers'compensation insurance,as required by Section
V 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
dr, as owner of the property, or my employees with wages as their sole forthwith comply with those prov cions.
compensation,will do the work,and the structure is not intended or offered for / /J
sale(Section 7044,Business and Professions Code:The Contractors License Date Signature
Law does not apply to an owner of property who builds or improves thereon,
or who does such work himself or herself or through his or her own -.
employees,provided that such improvements are not intended or offered for WARNING: Failure to secure Workers'Compensationcoverage 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.
, 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:
���...,,,QQQ ///''' QQ fin/ n Lender's Name
Date �/U//2.91 Signature X SSR—, Lender's Address
IM ORTANT: APPLICATION IS HEREBY MADE TO THE BUILDING OFFICIAL FOR A PERMIT SUBJECT TO THE CONDITIONS AND
RES RICTIONS SET FORTH ON THIS APPLICATION AND THE FOLLOWING:
1. The City's approved plans and permit inspection card must remain on the job site for use by City inspection personnel.
2. Final inspection of the work authorized by this permit is required.A Certificate of Occupancy must be obtained prior to use and occupancy of new buildings
and structures.
3. Per South Coast Air Quality Management District(AQMD)regulations,renovation and remodeling work that results in the removal,stripping,or altering
of asbestos containing materials requires an asbestos survey and removal prior to disturbing the asbestos. Please contact AQMD at(909)396-2000 for
further information.
Name - iSitAfv (Tide (F) •3Ar%
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. /.........,,,LLL]]] /�,Q QQQ
6ignatme \Date / �/ / 7- - / ,