HomeMy WebLinkAboutMEP-18-2164 R ,. __ 6 x .. s asp y t
City of Arcadia, CA f `,� _r G w Permit Ivo MEP 18 2164,
Development Services Department J ty '^. °s `' Permlt Type:MEP
240 West Huntington Drive,Post Office Box 60021 , l �� t t r)" ' 3 d c
r , zCali fti. workOgssrfrcatton ,MEP Residential_
6 Arcadia,CA 91066-fi021 .� 1,,.`.�� t :,.!-� ��fw
(626)574-5416 . . . .:, Permit Status"Issued
ARCADIA Issue Date 11/19/2018 Expiration: 05/18/2019
Addr NO. Dir Prefix Street Name Street Suffix Unit City,State,Zip Parcel Number
—..-- --._._....___--
631 Santa Maria RD Arcadia,CA 57750300151
Contacts
DAVID KILLIAN Owner ROMANO BUILDERS INC General Contractor(B) s
631 SANTA MARIA RD 6308 WOODMAN AVE,VALLEY GLEN,CA 91401
(888)898-6640 li
Description:REMODEL KITCHEN,ADD 13 RECESSED LIGHTS Valuation: S 0.00 Tenant
LED,RECESS GAS LINE,VENT LINE AND WATER WATER LINE
FOR LAUNDRY AND FRIDGE. Total Sq Feet: 0.00 Plan Check 0 Plan it ,
Fees Amount Payments Amount Paid
Clothes Washer $12.46 Total Fees $250.97
Dishwasher $12.46 Cash/Receipt14 REC-002938-2018 $250.97
Electrical Permit Issuance Fee $44.35
Amount Due: $0.00
Garbage Disposal Fee $12.46
Gas System(Outlets) $15.55
Hood Serviced by Mechanical Exhaust $14.11
Kitchen Sink $12.46
Light Fixtures $20.02
Mechanical Permit Issuance Fee $44.35
Outlets-Receptacles&Switches $15.40
Plumbing Permit Issuance Fee $44.35 CALLS FOR INSPECTIONS
Solid Waste Management Fee 2 $1.00 Request for inspection by telephone at 626-574-5450. Leave a message
Solid Waste Management Fee 2 $1.00 requesting the address,timeframe and what inspection item is needed.
Solid Waste Management Fee 2 $1.00
Total: $250.97
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.
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November 19, 2018
l By: Date
November 19,2018 Page 1 of 1
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PERMIT/PLAN REVIEW APPLICATION
Development Services Department, 240 West Huntington Drive, Post Office Box 60021
„l/ Arcadia, CA 91066-6021, (626) 574-5416, Fax (626) 447-9173
er
City of
Arcadia
1 �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:
ilPr
hapter 9(commencing with Section 7000,of Division 3 of the Business and
ofessions Code,and my license is in full force and effect. ❑ I have and will maintain a certificate of consent to self-insure for workers'
icense Classgaa�3 6 License No. Q Exp. Date o• a compensation, as provided for by Section 3700 of the Labor Code, for the
of the work for which this permit is issued.
ignature of Contractor
OWNER-BUILDE ARATION 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
?performance
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 Professionsis issued.My workers'compensaOinsurance carrier and policy numbers are:
Code.Any city or county which requires a permit to construct,alter,improve, Carrier W e5demolish,or repair any structure,prior to its issuance,also required the applicant � qfor such permit to file a signed statement that he or she is licensed pursuant to thePolicy Number (AJW �i y y 'provisions of the Contractors License Law(Chapter 9(commencing with Section (This section need not be completed if t e permit is for one h dred 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 •a❑ 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 roe forthwith comply III 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
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'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, ain 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 plring
of asbestos containing materials requires an asbestos survey and removal prior to disturbing the asbestos. Please contact AQMD at(909) 396-20s for
further information.
Shu
Name Title
..k PRINT NAME .,.i
Irtify that I have read 's 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-mentionedpro,• • . '
1 p petition purposes.
Ti
f II ��
Sig lure _ Date
OTE'. t
Building Inspections Date Insp. Plumbing Inspections Date Insp. / � /,////� ^/r
100- Setbacks 210- Under firhldg.drain ��r " " `��/ �1
101. Rough grade 211. Copper underslab
102. Figs.&forms 212. Rough plumbing V ' ff z_
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. Diaphnailing 218. Water service
109. Roof nailing 219. Final gas
110. Framing 1 �,�Z 220. Fixtures
111. 0cc/Area Sept.Wall 221. Final plumbing .7l ,,/
112. Sound walls 222. Sewer cap/demo-
113. T-bar.rid
114. Insulation-Ar- Pool Inspections Date Insp.
115. Insulation-Wall 4 a ) 240. Excavation/steel
116. Insulation-Cell. A g14 En 241. Rough plumbing
117. Drywall nailing '547/S0 42. Light shell/bonding
118. Interior lath 243. Underground conduit
119. Exterior lath 244. P-trap
120. Finish grade 245. Gas line&test
121. Anal building ZY7 246. Fence,gates&signs
122. Final demo/lot clear 247. Pool heater
• 248. Final electric
Electrical Inspections Date Insp. 249. Final .lumbin.
150. Power pole 250. Pool cover
151. Sales lot lighting 251. Pool final
152. Under.round conduit
153. Underslab conduit Reroof Inspections Date I Insp.
154. UFER ground 270. Pre-reroof insp.
155. Water ground 271. Roof framing
156. Rough electrical g/7free1'C 272. Sheathing nailing
157. Fixtures 273. Anal reroof
158. G.F.C.I.
159. E.it.bondin. Sign Inspections I Date Insp.
160. Service panel )�/ ^ 280. Setback/overhang
161. Anal electric r/_ 7���/ f 281. Foo ng
Mechanical Inspections Date ✓✓✓ Insp. 283. Disconnect
180. Venting/flue 284. Anal sign
181. Furnace/A.C.
182. Rauch HVAC Miscellaneous Insp. Date Insp.
183. Are dampers 290. Are alarm
184. Furnace compartment 291. Underground supply
185. Combustion air 292. Are sprinklers
186. Smoke detectors 293. Monitor system
187. Metal F.P.rough 294. Flood dry chem.
188. Compressor setback 295. Anal
189. Commercial hood
190. Duct shaft Sewers&Offsite Insp. Date Insp.
191. Anal mechanical 300. Lateral(main to PI)
301. SaddleN
Block Wall Inspections - Date Insp. 302. Gess..el filled
200. Footings 303. Sidewalk
201. Steel/rebar 304. Driveway
202. Grout lift 305. Curb replacement
203. Anal wall 306. Trash bin