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i 1 Development Services Department rt 1:' 7;" ' ' ' i" r } ' w Permit Type ch
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I 1 S 240 West Huntington Drive,Post Office Box 60021 ') d , Work Clos3ificonon HVAC New System,Resjdenttal
1' , -y'1„ Arcadia,CA 91066-6021 S �,�-5 t�4.r .-...44--14--�{. _e k.„. .,. .
. (626)574-5416 _ 't - ` >- '"' permitStatusr!Issued;
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ARCADIAG . Issue Dake 07/18/2018. Expiration: 01/14/2019
Addr NO. Dir Prefix Street Name Street Suffix Unit City,State,Zip Parcel Number
931 Palo Alto DR Arcadia,CA 5777018006 .
Contacts
PETERSON CLARKE,CAROLYN L CO TR C Owner LINDSEYS HEATING&AIR HVAC Contractor(C-20)
PETERSON CLARKE TRUST CONDITIONING*
0 PO BOX 428,Abingdon,VA 24210 333 N SANTA ANITA AVE AVE 16,ARCADIA,CA 91006
(626)794-1191 ,
Description:NEW HVAC SYSTEM PER HOA APPROVED PLANS. Valuation: $0.00 Tenant 5
HERS REQUIRED FOR FINAL.
Total Sq Feet: 0.00 I, Plan Check k Plan k `
Fees Amount Payments Amount Paid
Compressor 3-5 Ton(3 to 15 hp) $34.29 Total Fees $212.25
Electrical Permit Issuance Fee $44.35 Cash/Receipt N REC-001759-2018 $212.25
Furnace or Burner<=100,000 BTU $18.74
Gas System(Outlets) $15.55 Amount Due: $0.00
Mechanical Permit Issuance Fee $44.35
Motors,Generators<1 hp $7.62 ,,,///111
Plumbing Permit Issuance Fee $44.35 n /U/M `f/
Solid Waste Management Fee 2 $1.00 rx_y (0--a `( 7
Solid Waste Management Fee 2 $1.00 1
Solid Waste Management Fee 2 $1.00
CALLS FOR INSPECTIONS
Total: $212.25 Request for inspection by telephone at 626-574-5450. Leave a message
requesting 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.
July 18, 2018
Issued By: Date
July 18,2018 Page 1 of 1
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4.
1'' PERMIT/PLAN REVIEW APPLICATION
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X13 j 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
❑ 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 / 0a . I have and will maintain a certificate of consent to self-insure for workers'
License Class G'dd nse No.G ,�Sl� Exp. Date�'��J�r( compensation, as provided for by Section 3700 of the Labor Code, for the
,,,A
r 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
0 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, /:9r��-y
demolish,or repair any structure,prior to its issuance,also required the applicant Policy Number f✓n"I so-000)--OC/
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
❑L 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 / ,4 �=
sale(Section 7044,Business and Professions Code:The Contractors License Date / ` G Signal
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(I)year of and shall subject an employer to criminal penalties and civil fines upto 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).
0 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.
)NA //;,t/4 'rt9 Title 71iLj
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-': ,1 Boned property for inspection purposes.�Sinatu " G Date ØF//e
r {,,
FILE NO. 1M
DATE FILED 7-/F157
APPLICATION FOR HOMEOWNER ASSOCIATION
ARCHITECTURAL DESIGN REVIEW
(SHORT REVIEW PROCEDURE)
PROJECT ADDRESS: q 3 e ?,q /o /9/7-(3-Cl
PROPERTY OWNER'S NAME: (gni t-A�4roAJ
ADDRESS(IF DIFFERENT):
TELEPHONE NO.: SEE-MAIL ADDRESS: / /�
APPLICANT NAME(IF DIFFERENT):/ /7/4"4j /1/./ /✓� .re y bl els- WO, v-ig4G
- ADDRESS: 333f NL g4,044 4w ,91/e, /cY 4,zo4�r/,
TELEPHONE NO.4O72 -7t"/- /lc( E-MAIL ADDRESS:
DESCRIPTION OF PROJECT(Check applicable):
❑ Single-story remodel (includes window replacement)and/or addition(s)
❑ Detached accessory structure(s)and/or Accessory Dwelling Units-new, additions to, and/or remodels
❑ Fences and/or walls in and/or facing (i.e., visible from)front and street side yards
❑ Hardscape, landscaping and structural elements in front and street side yards, including without limitation,
swimming pools, spas, fountains and other water features
❑ Fences, lights, and other features related to tennis courts, sports courts or other significant paved features
ag Mechanical equipment
❑ Roofing
�
ACTIONr &FINDINGS:
yq Approved-The project is consistent with all applicable gCuidelismiTA ANI j A VILLAGE
❑ Conditionally Approved-With the following conditions,the project willbe consist nt wit TION
applicable guidelines APPROVED BY c .t-Ota) w'
DATE 7-/8- iLrILE:.' 1 2 --
❑ Denied-The project is not consistent with the following guidelines)
' I
By oCR'A.frau-nrei- / ,ARB Chairperson Date: q l `I D - i S
4
6/17 ,
•
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The following is the mandatory procedure for submitting proposals to your Architectural Review
Boa,rd-(ARB)for a Short Review:
•
First: Architectural Design Review — Contact the Architectural Review Board Chairman to arrange a
preliminary discussion of your design ideas for the site before any plans are drawn. Please contact your
ARB Chairperson Monday through Friday between 10:00 a.m. and 5:00 p.m. _
A determination should have been made whether the proposed project is subject to. a Short Review
process for minor alterations to an existing property, or Regular Review process for a new house or major
alteration. •
Second: Zoning and Building Code Compliance — After a preliminary set of plans have been
developed, please present your plans to Planning Services in City Hall prior,to submitting any proposal to
your Architectural Review Board (ARB). The purpose of this review is to ascertain whether, or not the
proposal complies with the applicable zoning and protect tree regulations. This review will usually be
done over-the-counter.
Third: Submit a complete application package to the ARB - Incomplete applications will not be
accepted. The followirig:items are required: . .
1. Application form (attached)
2. Three sets of complete architectural plans that are drawn to scale and clearly dimensioned, which
include to the following information:
a. Scale and north arrow
b. Street address
c. Accurate lot dimensions
d. Accurate depiction of the adjacent City parkway(s)
e. Location and size of all existing and proposed structures
f. Location of all landscaped areas
g. Location of all mechanical and plumbing equipment (i.e. air conditioning units, pool equipment,
water heaters etc.)
h. All building and setback areas shall be clearly dimensioned
i. Property owner's and Architect or Designer's names and contact information
j. Elevations and photos of all existing buildings on the site
k. Floor plans, elevations, sections, and details of the proposed project
I. A description of the exterior materials, colors, treatments, etc. (samples should be provided).
m. Photos of the neighboring properties together with a depiction of the completed project to show
the scale of the proposed project in relationship to the adjacent structures
• n. The ARB may request additional materials during the design review process
3. Letter size envelopes with proper potage, addressed to the owner and applicant(if different) and to
all owners within the required area of notification.
Fourth: Protected.Tree Permit,-Jr the proposed project is subject to a Protected Tree permit, please •
,contacfPlantiirig'Services'at,(626)'574-5423. The protected tree applications (e.g. diseased/hazardous, •
'"encroachment;and rehovat) musib'eseviewed by the City prior to submitting plans to Building Services.
_You may_obtain_application at Planning Services and at the City's website at www.ArcadiaCA.gov.
City Council Resolution.No. 6770 sets forth the design review regulations, procedures and criteria for all
five•Nomeowners' Associations (eatable in Planning Services and on the City's website). Please note
that the ARB's Short Review and Regular Review processes, as set forth by Resolution No. 6770, have
time limits. The ARB must act on a Short Review application within 10 working days from the date a
complete application is filed with the ARB and within 30 working days from the date a complete Regular
Review application is filed with the ARB. During the design review process, the ARB may. request for
additional materials. Failure to take action in said times shall be deemed an approval of the application.
•
The ARB's decision may be appealed to the Planning Commission:-An appeal must be thade -in writing
and delivered to Planning Services within 7 calendar days of the ARB's decision and shall be
accompanied by 12 copies of the plans and the appeal fee in accordance with the applicable fee
schedule.
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