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HomeMy WebLinkAboutRALT-19-0187 ty44,0 City of Arcadia, CA a Perrnit'NO RALT 1'9=0187 Development Services Department D . ,fd PeermitType Residential Addition/Alteration., 240 West Huntington Drive,Post Office Box 60021 7 &" _ Jan ,3 L, '4/orkClossificabon ReFA odel ' Arcadia,CA 91066-6021 ""�-� .. r iI (626)574-5416 _ y , - �--° ARCADIA ssueDate: Expiration: -my--. I Addr NO. Dir Prefix Street Name Street Suffix Unit City,State,Zip Parcel Number 1209 E Camino Real Arcadia,CA 8510005013 Contacts TSUJI,SCOTT S AND JONIE T Owner FIDELITY GENERAL CONTRACTORS INC General Contractor(B) 1209 18034 VENTURA BLVD 109,ENCINO,91316 (855)855-8088 912433 Description:REMOVE LOAD BEARING WALL,INSTALL NEW Valuation: $ 6,418.80 Tenant BEAM AS PER APPROVED PLANS,RELOCATE WASHER DRYER, Total Sq Feet: 0.00 Plan Check# Plan it t Fees Amount Payments Amount Paid Building Issuing Fee $47.01 Total Fees $413.50 Building Permit Fees $187.15 Cash/Receipt U REC-00246-19 $413.50 Building Plan Review Fee $121.65 Cal Green Plan Check $12.17 Amount Due: $0.00 Energy Plan Review Fee $37.43 Green Building Standard $1.00 Solid Waste Management Fee $6.25 0 COMPLETED Strong Motion Inst.Program Res $0.84 Total: $413.50 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. 1 - z9- 19 Issued By: Date January 29,2019 Page 1 of 1 .FAR Y 4 : 1 PERMIT/PLAN REVIEW APPLICATION •' el} 413*' 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 _7(4 CONTRACTOR'S DECLARATION WORKERS'COMPENSATION DECLARATION hereby affirm under penalty of perjury that I am licensed under provisions of I hereby affirm under penalty of perjury one of the following: hapter 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 8 License No. Q'2 y3 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 Aast_3 OWNER-BUILDER DECLARA IO al 17 -ir. ave 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 n j� / _ demolish,or repair any structure,prior to its issuance,also required the applicant Policy Number 'EJ/`4 P/ L. for such permit to file a signed statement that he or she is licensed pursuant to the (This section need not be completed if the permit is for one hundred dollars or less) provisions of the Contractors License Law(Chapter 9(commencing with Section 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 as--tha ' I should• ome subject to the workers'compensation provisions of ection 3 00 of •. Labor Code,I shall ❑I, as owner of the property, forthwith 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 )f�!T/Et Signature •.d/ .X`. sale(Section 7044,Business and Professions Code:The Contractors License Date 1 l l + rr 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 thecost 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: 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 furtherur� information. e Jam,(L,A (�t7 -fZb Title _ f}� f _ P2nJT NAME 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. agree to coin'ly with all ity ordinances and State Laws relating to building construction. I hereby authorize representatives of the City of rcadia enter pon the g ove-mentioned property for inspection purposes. /q p �/ 'gna -\ _ tri/- Date / /vt /f I / !! NOTES Building Inspections Date Insp. Plumbing Inspections Date Insp. / 01j V WA • E- cAmth \ L 100. Setbacks 210. Under fir./btdg.drain oG 101. Rough grade 211. Copper understab R�l /t-7 1 -0 1 0 o l�OR7 7 102. Figs.&forms 2-s/1 414G 212. Rough plumbing -- -&1 1 kvN 103. Pre-slab 213. Rough gas 104. Floor joists 214. Shower pan 105. Steel 215. Water heater 106. Grout lift 216. Root drains 107. Shear nailing 217. Building sewer 108. Diaph nailing 218. Water service 109. Roof nailing 219. Final gas 110. Framing 2-13-Il del 220. Fixtures e 111. OcciArea Sept.Wall 221. Final plumbing 112. Sound walls 222. Sewer cap/demo. 113. T-bar grid 114. Insulation-Flr. Pool Inspections Date . Insp. 115. Insulation-Wall 240. Excavation/steel 116. Insulation-Ceil. 241. Rough plumbing 117. Drywall nailing 2-4341 tk.1 242. Light shell/bonding 118. Interior lath 243. Underground conduit 119. Exterior lath 2-13-17 244. P-trap - - - 120. Finish grade 245. Gas line&test 121. Final building 304161 246. Fence,gates&signs 122. Final demo/lot clear 247. Pool heater 248. Anal electric Electrical Inspections Date Insp. 249. Anal•lumbin. 150. Power pole 250. Pool cover 151. Sales lot lighting 251. Pool final 152. Underground conduit 153. Underslab conduit Deroof Inspections Date Insp. 154. UFER ground 270. Pre-reroof insp. 155. Water ground 271. Roof framing 156. Rough electrical 2 8.11 1 272. Sheathing nailing 157. Fixtures 273. Final rerocf 158. G.F.C.I. 159. E..t.bondin! Sign Inspections I Date Insp. 160. Service panel 280. Setback/overhang 161. Final electric 3-2g-dt tiVO 281. Footing 282. Conduit/wirin, Mechanical Inspections Date Insp. " 283. Disconnect 180. Venting/Flue 284. Final sign 181. Furnace/A.C. 182. Rauch HVAC Mi •II.n• I, _ .Date Ipsp. 183. Fire dampers 290. Fire alarm 184. Furnace compartment 291. Underground supply 185. Combustion air 292. Fire sprinklers 186. Smoke detectors 293. Monitor system 187. Metal F.P.rough 294. Hood dry chem. 188. Compressor setback 295. Anal 189. Commercial hood 190. Duct shaft Sewers&Offsite Insp. I Date Insp. 191. Final mechanical 300. Lateral(main to P/L) 301. Saddle/Y Block Wall Inspections Date Insp. 302. Cess. el filled 200. Footings 303. Sidewalk • 201. SteeVrebar 304. Driveway 202. Grout lift 305. Curb replacement 203. Anal wall 306. Trash bin City of Arcadia,CA `Permit No MEP-18-24021 r !; if, 411‘ Development Services Department 4 * v n. r "PermltType}MEP.; • 240 West Huntington Drive,Post Office Box 60021 H �j' 'i " Arcadia,CA 91066-6021 s { Work c/assljicohon:MEP Residential • ( (626)574-5416 _ . Permit Stotts";Issued ARCADIA .j Issue Date:42/27/2018 Expiration: 06/25/2019 Addr NO. Dir Prefix Street Name Street Suffix Unit City,State,Zip Parcel Number 1209 E Camino Real AVE Arcadia,CA 8510005013 Contacts TSUJI,SCOTT S AND JONIE T Owner FIDELITY GENERAL CONTRACTORS INC General Contractor(B) P, 1209 18034 VENTURA BLVD 109,ENCINO,91316 i (855)855-8088 912433 9 Description;REMODEL KITCHEN AND LAUNDRY AREA(replace 1 Valuation: $ 0.00 Tenant • dryer vent) I Total Sq Feet: 0.00 Plan Check# Plan# t Fees Amount Payments Amount Paid Clothes Washer $12.46 Total Fees $226.07 Dishwasher $12.46 Cash/Receipt#REC-003252-2018 $226.07 Electrical Permit Issuance Fee $44.35 Amount Due: $0.00 Garbage Disposal Fee $12.46 Install,Relocate Appliance Vent/Hood $9.38 , Kitchen Sink $12.46al �'r- V;')�p`Erf D Light Fixtures $18.48 Mechanical Permit Issuance Fee $44.35 Outlets-Receptacles&Switches $12.32 Plumbing Permit Issuance Fee $44.35 Solid Waste Management Fee 2 $1.00 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. Total: $226.07 This permit/plan review expires by time limitation and becomes null and oZ'O -t q void if the work authorized by the permit is not commenced within 180 days �nJ,�, ,I'' 1 � from the date of issuance or if the permit is not obtained within 180 days /�UIt at, # i %f ok, a ll from the date of plan submittal.This permit expires and becomes null and 0g^t 3-I/ tl—V 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 D g(,.C-A-L� OK 44 Arcadia building inspector for a period of 180 consecutive days. 3-22-F�i fWAcL- ta- dw December 27, 2018 Issued By: Date December 27,2018 Page 1 of 1 r.;,....„,., 7.,, „ PERMIT/PLAN REVIEW APPLICATION {1• 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 Q 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: t ''N Chapter 9(commencing with Section 7000,of Division 3 of the Business and 'Professions Code,and my license is in full force and effect. / LiI have and will maintain a certificate of consent to self-insure for workers' icense Class , License No. QJ'r3•y3 'xp. Date Cf3i (q compensation, as provided for by Section 3700 of the Labor Code, for the Signature of Contractor t performance of the work for which this permit is issued. OWNER-BUILDER DECLARATION I have and will maintain workers'compensation insurance,as required by Section 13 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 olicy Number y B i'( 9 4 for such perm[to file a signed statement that he or she is licensed pursuant to the (This section need not be completed if the permit is for one hundred dollars or less) provisions of the Contractors License Law(Chapter 9(commencing with Section 7000)of Division 3 of the Business and Professions Code)or that he or she is i certi that in the performance of the work for which this permit is issued,I shall exempt there from and the basis for the alleged exemption. Any violation of ❑ �' P Section 7031.5 by any applicant for a permit subjects the applicant to a civil of 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, 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 fora sale(Section 7044,Business and Professions Code:The Contractors License DI �'� �p Signature Law does not apply to an owner of property who builds or improves thereon, fl 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 °iWA[tNIDIG: 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 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. x ( // (�30 Name � tot. t •-1. Title ��Y P• NAM 7. I crtify 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 i rcadia to enter upon the above-mentioned property for inspection purposes. ^ /,/(,� /��// Signature - .-- _-- _ Date Ud-tl /l - 1 11 111 4,41 City of Arcadia, CA Pernik NO MEP-19 0113 �e.q Development Services Department " -}" - Permit.Type:MEP ,t�y%f 240 West Huntington Drive,Post Office Box 60021 - q J�� et " Arcadia,CA 91066-6021 e_ Work classification MEP Residential'; (626)574-5416 e. - PermitStatus;Issued . ARCADIA - Issue nate:01/16/2019 Expiration: 07/15/2019 Addr NO. Dir Prefix Street Name Street Suffix Unit City,State,Zip Parcel Number 1209 E Camino Real Arcadia, CA 8510005013 Contacts TSUJI,SCOTT 5 AND JONIE T Owner FIDELITY GENERAL CONTRACTORS INC Contractor(A) 1209 18034 VENTURA BLVD 109, ENCINO,91316 (855)855-8088 912433 l Description:REMODEL BATH RM,MISC DRYWALL REPAIR Valuation: $ 0.00 Tenant Total Sq Feet: 0.00 . Plan Check 8 Plan tl Fees Amount payments Amount Paid Bathtubs/or Combo $13.21 Total Fees $210.78 Electrical Permit Issuance Fee 547.01 Cash/Receipt 8 REC-00146-19 $210.78 Lavatories $13.21 Light Fixtures $8.15 Amount Due: $0.00 Mechanical Permit Issuance Fee $47.01 -- Outlets-Receptacles ante Fee $9.78 complETED Plumbing Permit Issuance Fee 547.01 - Solid Waste Management Fee 2 $1.00 v Solid Waste Management Fee 2 $1.00 Solid Waste Management Fee 2 $1.00 Ventilation Fan(Single Duct) $9.94 CALLS FOR INSPECTIONS Water Closet $12.46 Request for inspection by telephone at 626-574-5450. Leave a message requesting the address,timeframe and what inspection item is needed. Total: $210.78 2_C—it 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 17.t•� e' . 4 � from the date of issuance or if the permit is not obtained within 180 days /"�t�' from the date of plan submittal.This permit expires and becomes null and ,4,3 'q void if any work authorized by this permit is suspended or abandoned for 180 � 4.). t consecutive days or if no progressive work has been verified by a City of -DRya A �- O� WV Arcadia building inspector for a period of 180 consecutive days. • January 16, 2019 Issued By: Date January 16,2019 Page 1 of 1 4�,yr arN•• Y Illailll 1: PERMIT/PLAN REVIEW APPLICATION „r.Q " •vikt*itilrra T 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 -,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 ri.Professions C de,and my license is in full force and effect. 0 I have and will maintain a certificate of consent to self-insure for workers' icense Class_License No. Exp. Date G 4 nl f o' compensation, as provided for by Secfion 3700 of the Labor Code, for the `a;,, of the work for which this permit is issued. kl Signature of Contractor PPP"' OWNER-BUILDER DECLARATION 1performance I have and will maintain workers'compensation insurance,as required by Section ❑ I hereby affian under penalty of perjury that I am exempt from the Contractors3.700 of the Labor Code,for the performance of thework for which this permit License Law for the following reason(Section 7031.5,Business and Professionsrs issued.My workers'compensation insurance carrier and policy numbers are: Code.Any city or county which requires a permit to construct,alter,improve, Carverdemolish,or repair any structure,prior to its issuance,also required the applicant nfor such pemtit to fie a signed statement that he or she is licensed pursuant to thePoficy Number �n(� t `Ll/ _provisions of the Contractors License Law(Chapter 9(commencing with Section (This section need not be complete if 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 0 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 1:1I, as owner of the property, or my employees with wages as their sole y forthwith comply with those provisions. compensation,will do the work,and the structure is not intended or offered for Date Signature �I / /' 9 sale(Section 7044,Business and Professions Code:The Contractors License 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 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 I 0 1 / (/Q 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. risme t H a iL y t 'I-q A Tide J`-3p- Pat[. NAME 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.agree to comply with all City ordinances and State Laws relating to building construction. I hereby authorize representatives of the City of rcadia to enter upon the above-mentioned property for inspection purposes. ( /Sr f4`II1 ) elgnature �- Date /40y0i4 City of Arcadia, CA _ Permit No RALT-19-0288, lt1 r Development Services Department D t +r'tpermi�Type;ResidentiafAddition(Alteration . ^z 240 West Huntington Drive,Post Office Box 60021 [ L $ r waik�l`assi'iat on Res-`Addlt,on Alteration Arcadia,CA 91066-6021 W 5.,.3 '�_ / l (626)574-5416 - `fit * Permit Status'Issued ARCADIA issued to o2/ /2019 Expiration: 08/10/2019 Addr NO. Dir Prefix Street Name Street Suffix Unit City,State,Zip Parcel Number 1209 E Camino Real Arcadia,CA 8510005013 Contacts TSUJI,SCOTT S AND JONIE T Owner R M#1 CONSTRUCTION INC` Contractor 1209 10289 W PICO BLVD,LOS ANGELES,CA 90064 (818)262-9986 1025026 Description:VOLUNTARY FOUNDATION RETRO FIT UPGRADE Valuation: $ 2,500.00 Tenant Total Sq Feet: 0.00 Plan Check# Plan# Fees Amount payments Amount Paid Building Issuing Fee $47.01 Total Fees $285.24 Building Permit Fees $120.35 Cash/Receipt#REC-00369-19 $285.24 Building Plan Review Fee $78.23 Cal Green Plan Check $7.83 Amount Due: $0.00 Energy Plan Review Fee $24.07 Green Building Standard $1.00 Solid Waste ManagementFee $6.25 -� COMPLETED Strong Motion Ins[.Program Res $0.50 Total: $285.24 CALLS FOR INSPECTIONS 2-14 -11� Request for inspection by telephone at 626-574-5450. Leave a message requesting the address,timeframe and what inspection item is needed. rtL 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 11, 2019 Issued By: Date February 11,2019 Page 1 of 1 •FAR ° , _ hi PERMIT/PLAN REVIEW APPLICATION EDD Development Services Department,240 West Huntington Drive, Post Office Box 60021 ° >°r" 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. cc77 0 I have and will maintain a certificate of consent to self-insure for workers' License Class 1:/ 'cense No. Exp. Dateo("i ki al Signature of Contractor 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 DECLARATION '1 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 mason(Section 7031.5,Business and Professions is issued.Mworkers'compensation insurance carrier and policy numbers are: Code.Any city or county which requires a permit to construct,alter,improve, Carrier l7T(.i.ice— r WV demolish,or repair any structure,prior to its issuance,also required the applicant Policy Number ��,�t a.} 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 them 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 Sectio 700 of the Labor Code,I shall ❑I, as owner of the property, or my employees with wages as their sole forthwith comply with those provisions. t �pq,,/ compensation,will do the work,and the structure is not intended or offered for O�-1 c` Si nature / sale(Section 7044,Business and Professions Code:The Contractors License Date ` g v Law does not apply to an owner of property who buildkor improves thereon, or who does such work himself or herself or'tlirough.his or;her'own employees,provided that such improvements are not intended Sr 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 costof 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: 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: I. 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. ,p,, � „Name I�FA.UMN\ l/k1C— • ,Title ! 1'a(/lark - 1 PRINT NAME (J 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 18 on the above-mentioned property for inspection purposes. \ignature 1111 , `Date 2 H 14 CA SLA alliii©; D BS REGISTEREI)DEPUTY INSPECTOR'S CERTIFICATE OF COMPLIANCE DEPARTMENT OF BUILDING AND SAFETY • Address 1209 e Camino real Date of Certificate 2/9/19 Fabricator • Permit Ralt19-0187 TO THE SUPERINTENDENT OF BUILDING: CITY INSPECTOR: City of. Arcadia I hereby certify that the following portion of the work at the above job address which required continuous and/or periodic inspection,and which I was employed to inspect,was inspected and approved by me and complies with provisions of the building Codes applicable thereto: Type of inspection: [ ] Steel Construction [ ] Sprayed Fire-Resistant Materials [ ] Prestressed Concrete [ ] Concrete Construction [ ] Smoke Control [ ] Filled-in Anchor [ ] Masonry Construction [ ] Methane [ ] Gunite/Shotcrete [ ] Wood Construction [ ] Exterior Insulation&Finish System [ j Seismic Resistance [ ] Soils [ ] Wind Resistance [ ] Other: Location and Description rfwork completed Placement of 5/8 all thread rod for hdu2 In to existing footing Placement conformed to specifications with embedment as per plan Simpson xp used for adhesive • Size of Structure: Time Arrived: 9 08am No.of Stories: Time Left Job: Conc.Mix Design No.: P.S.I.: Registration Number: 01563 lacounty Employed by: • Lab: } Independent: [ ] W./ Signature:: Registered Deputy Building Inspector: Print Full Name: FREDDIE GODWIN Cell Phone Number: 323 397 0405 E-Mail Address: Freddieode@yahoo.com DO NOT AMEND,ALTER,CHANGE,DELETE OR APPEND ANY PRINTED PORTION OF THIS CERTIFICATE AS IT WILL RENDER IT NULL AND VOID. Aa As a covered entity under Title II of the Americans with Disabilities Act,the City of Los Angeles does not discriminate on the basis of disability,and upon request,will provide reasonable accommodation to ensure equal access to its programs,services and activities. IN.Form 07(Rev.03-18-2016) vnwnv.Iadbs.org SLA D BS REGISTERED DEPUTY INSPECTOR'S CERTIFICATE OF COMPLIANCE DEPARTMENT OF BUILDING AND SAFETY Address 1209 e Camino real Date of Certificate 2/9/19 Fabricator • Permit Ralt19-0187 TO THE SUPERINTENDENT OF BUILDING: CITY INSPECTOR: City of. Arcadia I hereby certify that the following portion of the work at the above job address which required continuous and/or periodic inspection,and which I was employed to inspect,was inspected and approved by me and complies with provisions of the building Codes applicable thereto: Type-of inspection: [ ] Steel Construction [ ] Sprayed Fire-Resistant Materials [ ] Prestressed Concrete [ ] Concrete Construction [ ] Smoke Control [ ] filled-in Anchor [ ] Masonry Construction [ ] Methane [ ] Gunite/Shotcrete [ ] Wood Construction [ ] Exterior Insulation&Finish System [ ] Seismic Resistance [ ] Soils [ ] Wind Resistance [ ] Other: J Location and Description of work completed Placement of 5/8 all thread rod for hdu2 In to existing footing Placement conformed to specifications with embedment as per plan Simpson xp used for adhesive Size of Structure: Time Arrived: 9 08am No.of Stories: Time Left Job: Conc.Mix Design No.: P.S.I.: Registration Number: 01563 l a cou my Employed by: Lab: Independent: [ ] 2At Signature: Registered Deputy Building Inspector: Print Full Name: FREDDIE GODWIN Cell Phone Number: 323 397 0405 E-Mail Address: Freddieode@yahoo.com DO NOT AMEND,ALTER,CHANGE,DELETE OR APPEND ANY PRINTED PORTION OF THIS CERTIFICATE AS IT WILL RENDER IT NULL AND VOID. Aa As a covered entity under Title II of the Americans with Disabilities Act,the City of Los Angeles does not discriminate on the basis of disability,and upon request,will provide reasonable accommodation to ensure equal access to its programs,services and activities. IN.Foon 07(Rev.03-18-2016) w,wv.ladbs.org 'm2 L ML' 'x71 c uy 1:1A.1 120 . d -r - — — — Ma —• — - OEM - -- JalaM-SMd wlj t, a4,y/ -ay-h .� ___aha 1�J_1L-'G euip�ne — - — — 6u3 ��Q(�� 91aa4S uo77/:77, /xJ6$�13;��- tt pa 5�° 61,6 puer JO laje0 NOIlOV L i @Nana' Ii' - ld lici Limi, o s(g) /I II I la 1ir —1��c_ .„- a / .✓ „---._.a.9T (64 - f . 'Id )2 01tAN 1 0-?-0 ou,l u uJ iD bat 1 .,,ri •e STRUCTURAL CALCULATIONS FOR A SINGLE FAMILY RESIDENCE ��• PINq.E.A. 0 �ytC C 4,, . ,,,,,,,,,.„ W Oty s 0 - n,�a: .. .fit..,`',t. 9- ..;p m l to • lk 03 . . ,P,,...,.... Loc: �•E�F �erajt sly i;.` ); :E. C ,l► i t 1 •'..;t�AlUE�e�cQt s t),\ ARC ; '�►AA{{""�1' t on Ver i0\ ad �d'\1ec\C 4\laWe,- t�CAn ,,- .\,4on• 1,\o<.n \' �h\ ct kA\ ,\ •\itne`. pt nt\`\e"\`t cC\nI's t\\�5h\J\n�"n t\plhe\1t\e\t\'a:\c�1"t\\\Q51C�1�,"`t.4%0 t,`t\teVO `heStO\tt„_t\`A of\0,\��t�ih`°v-\- nee \whr ARE D BY O”ani KONSTRO DESIGN &ENGINEERING INC. 1608 Centinela Avenue Suite 13 Inglewood,California 90302 Phone: 310-216-6944 Fax: 310-216-0091 Email: Konstro2@att.net al ESIn NTS 33 "a'LV(1�74,' 'r PH: m0)216-6944 - - _ - FAX: (310)216-0091 JOB# DATE: - JOE ADDRESS: 12-el -c. G Priv. , a c .11.- -- ,. bmi£ -: iatt fro .P9- , -GP--cIO06- OWNER: Jo ntt& e, 5coiT - DRAFTSMAN/ARCHITECT: -.- ROOF LOADING CRaqG :.IPDDNG FLOOR LOADING L.I: = 20 Litt D.T.. Q. w 'ry 16.01/;L L.L = 4W sH•xam. = 2.5#i1 �' q< - O •- ,AD SBS FLOOR = 2.5#i ROOF = 2•S i;/12 �k FoF R2 = .� �� u+ c tZ' AORts'YC-. = Z_Oar`( JOIST = 21.0j@/t- w ,. ,4x3361 m - JOIST = 5_0#/ , aysu2 ,1 K j� np L - ma-me = d_©#/ TOTAL U =fl.S (12 `�5� CML a�* TOTAL lw c 141 SPECYfCA MOATS: -��OF CAVfit - - Conrete * Std. Grade fe' = 2500 psi Concrete block * ASJTh C-90--Grade N, non-continuous inspection mart= * T ''pe -S with 1 part Portland cement, 1 part Lime & 4 parts sand Grout * 1 part Portland cement, 3 parts sand -- • 2 parts pea gravel minims _c' = 2000 psi Reinforcing * ASUCA-615 Grade 40 (#6 and amyl z er) - - Grade 60 (#7 avid larger) Structural steel-* Shapes ASTM A-36 - Columns ASTM A-53 Grade h Bolts *_.ASM A-307 Welding - * All welding shall'be done by certified welders using ..112-60 Electrodes Lumber . - * Douglas fir per trading rule *16 WCLIB sizes per PS20.-70 - - Light framing, joists, planks, beams - 4FP:miaz. -wide Grade #2 Posts and beams over- 4"' wide Grade #1 Unless noted otherwise on the plans Plywood * Douglas fir per PSL-74 with exterior glue - - Subject * Roof sheathing * i/7." QL`I"soN9 P c b i- H* t L i r'ci p„a ( 6: i r2-Xtt7o) Floor sheathing * Soils • - - * k-t,L'd vs A--ae t- I zoo 0 1'S F. 1608 CSfltt9ELAI-AVENUE,SUITE-13,INGLEWOOD, CA 90302 - - 46 BeamChek v2016 licensed to:KONSTRO DESIGNS Reg#7992-66673 1209 E CAMINO REAL AVE.ACADIA ROOF BEAM RB-1 Date:1/28/19 Selection taR.Fl%r 3f&. .. Lu=0.0 Ft Conditions NDS 2015 Min Bearing Area R1=1.0 in2 R2= 1.0 in' (1.5) DL Defl= 0.10 in Data _i8eamISpa¢shc 113 75=iPkReaction 1 LL 430# Reaction 2 LL 430# Beam Wt per ft 6.17# Reaction 1 TL 655# Reaction 2 TL 655 It Bm Wt Included 66# Maximum V 655# Max Moment 1761 `# Max V(Reduced) 582# TL Max Defl L/180 TL Actual Defl L/543 LL Max Defl L/240 LL Actual Defl L/966 Attributes Section(in3) Shear(inl TL Defl(in) LL Defl Actual 30.66 25.38 0.24 0.13 Critical 16.26 4.85 0.72 0.54 Status OK OK OK OK Ratio 53% 19% 33% 25% Fb(psi) Fv(psi) E(psi x mil) FPI(psi) Values Reference Values 1000 180 1.7 625 Adjusted Values 1300 180 1.7 625 Adjustments CF Size Factor 1.300 Cd Duration 1.00 1.00 Cr Repetitive 1.00 Ch Shear Stress N/A Cm Wet Use 1.00 1.00 1.00 1.00 CI Stability 1.0000 Rb=0.00 Le=0.00 Ft Loads Uniform LL 10 Uniform TL 16 =A Par Unif LL Par Unif TL Start End 70 H=100 0 10.75 H Uniform Load A 14 R1 =655 R2=655 SPAN= 10.75 FT Uniform and partial uniform loads are lbs per lineal ft. BeamChek v2016 licensed to:KONSTRO DESIGNS Reg#7992-66673 1209 E CAMINO REAL AVE,ACADIA Prepared by: Date: 1/28/19 Selection ireilDRl+' Solid Wood Column Conditions t NDS 2015,Using values for 2x and 4x solid sawn, Dimension Lumber. Data I Load 655# Column Area 12.25 int Kf 1.00 Il Actual Height 9.0 ft le d1 Effective Ht 108 in c 0.80 1 Unbraced L1 9.0 ft le d2 Effective Ht 108 in KcE 0.30 Unbraced L2 9.0 ft Ke Buckling Mode 1.0 FcE 536 Attributes and Values Controlling d is 3.5 inches Fc II (psi)E(psi x mil) Reference Values 1500 1.7 le/d psi Area(in') Adjusted Values 496 1.7 Actual 31 53 12.25 CF Size Factor 1.15 Critical 50 496 1.32 Cd Duration 1.00 Status OK OK OK Cm Wet Use 1.00 1.00 ! Ratio 62% 11% 11% Cp Stability 0.29 Note:A wood plate under this column must have an Fc value, perpendicular to the grain,greater than 53 psi.