HomeMy WebLinkAboutRALT-18-1192 rii
E '-- ..4. 1" - Permit NO R 18 1=192''
City of Arcadia, CA �`� _ -.��� i,
.k Development Services Department a' l� �" 4'" Peimrt Type Residential Addition/Alteration ,
r ' I 240 Wes[Huntington Drive,Post Office Box 60021 6 -61 ,d1 r of i r. t:3 F '"
r-' Work Classification Res Window Change-Out,
- Arcadia,CA 91066-6021 .t '�
o; ,r (626)574-5416 '=a '* ,x ;413. . ,PermtStotus:[Issued
ARCA D1fl , Issue Date'o7/iD/2018 )) Expiration: 01/06/2019
Addr NO. Dir Prefix Street Name Street Suffix Unit City,State,Zip Parcel Number
336 Cabrillo RD Arcadia,CA 5777015010
Contacts
•
SHERRY SOBBOTA Owner RENEWAL BY ANDERSEN* General Contractor(B)
336 CABRILLO RD 1740 CRENSHAW BLVD,TORRANCE,CA 90501
(626)462-1453 (424)237-5234 akocsy@rbalosangeles.com
Description:REPLACING REAR BEDROOM WINDOW BY Valuation: $ 500.00 4 Tenant
LOWERING SILL TO MEET EGRESS.NEW CONSTRUCTION .
WINDOW. HOA APPfoVAL. Total Sq Feet: 0.00 • Plan Check k Plan#
Fees Amount Payments Amount Paid
Building Issuing Fee $44.35 Total Fees $129.96
Building Permit Fees $40.65 Cash/Receipt U REC-001658-2018 $129.96
Building Plan Review Fee $26.43
Amount Due: $0.00
Cal Green Plan Check $2.65
Energy Plan Review Fee $8.13 '
Green Building Standard $1.00
Solid Waste Management Fee . $6.25 t_s Ifs�F f p _
Strong Motion P�-b 51V-til7on Inst.Program Res $0.
Total: $129.96
CALLS FOR INSPECTIONS
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.
Z:2ii;'.;P(7
July 10, 2018
Issued By: Date
July 10,2018 Page 1 of 1
FAR
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4 1 PERMIT/PLAN REVIEW APPLICATION
°E431'' Development Services Department,240 West Huntington Drive,Post Office Box 60021
Nth,"otsv" 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. I have and will maintain a certificate of consent to self-insure for workers'
License Class "b Lice e N..°1q 2`3;; p. Date 430'20 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 - _. •-a .. k.
OWNER-BUILDER I ECLA' TION ❑ I have and will maintain workers'compensation insurance,as required by Section
I hereby affirm under pen. of perju 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 -. on t ection 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 lilt_ YC-1n We-OroV nC*
demolish,or repair any structure,prior to its issuance,also required the applicant
Policy Number 2 Itj W Cl2S4 2 VOe
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 I ce that in the performance of the work for which this mut is issued,I shall
exempt there from and the basis for the alleged exemption. Any violation of
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 r alifomia,and agree that if I should become subject to the
workers'compensation provisions of Section 3700 of the Labor r,- I shall
❑ as owner of the property, forthwith comply with those provisions.
c, t work,and employees withwages as their sole
f _eP
compensation,will do the the structure is not intended or offered for —( I 10�18 Signature �l,Y'`�-+✓1`,'�-'„� S' I
sale(Section 7044,Business and Professions Code:The Contractors License Date
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'Com ati n 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-he 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
contractors)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 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.��
Name ' \\"1 kIO�r
T Title CA?\i-
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 ordin es and State Laws relating to building construction. I hereby authorize representatives of the City of
Arcadia to enter''upon1fr'� the above-men ' property for inspection purposes.
ggignatureiJ"lA Date 1 110 (Qi
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Scope of Work:
Job: Sherry Sobbota
Replacing 1 window lowering sill to meet egress.All
Address: 336 Cabrillo Rd,Arcadia,CA 91007 windows and doors shall have a Maximum U-Factor of
Phone: (626)462-1453 0.32&Shgc of 0.25.Replacement doors and windows will
Contractor. Renewal by Andersen of Los Angeles have Low-E glass.
CA Lic.#992285 I Permit: By cavo.
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Job Notes:
All Windows and Doors Shall have a Maximum U-Factor of 0.32&Shgc of 0.25(Manufacturers label Should stay on for
inspector to verify)
This Project Shall Comply With:
Title 24&2016 California Building code(CBC)
2016 California Green Building Standards(CGBS)
California Energy Code(CEC)
2016 California Energy Efficiency Standards(CEES)
Arcadia Municipal Codes
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