HomeMy WebLinkAboutRALT-19-0921 c.43,d,; City of Arcadia, CA _ - Permit NO.RALT-19-0921
Pri
lit Development Services Department D� �>'ve°� QM if Type Residential Addition/Alteration
240 West Huntington Drive,Post Office Box 60021 .� r ) " i r
Arcadia,CA 91066-6021 Lrci .t i i etft Classification:Res-Addition/Alteration
(626)574-5416 - Permit Status:issued
ARCADIA . IsSue Date:05/1612019'1 Expiration:
Addr NO. Dir Prefix Street Name Street Suffix Unit City,State,Zip Parcel Number
471 W DUARTE RD 107 ARCADIA,CA 91006 5778009124
Contacts
MAHMOUD,AZHAR TR AZHAR Owner
MAHMOUD TRUST
471 DUARTE RD 107
(626)522-3792
Description:CREATE NEW BEDROOM WITH IN LIVING ROOM. Valuation: $ 2,500.00 Tenant
PER APPROVED PLANS.HOA APPROVAL.
TOTAL 2 BED Total Sq Feet: 0.00 Plan Check N Plan ff
Fees Amount Payments Amount Paid
Building Issuing Fee $47.01 Total Fees $343.03
Building Permit Fees $120.35 Cash/Receipt N REC-01228-19 $343.03
Building Plan Review Fee $78.23
Cal Green Plan Check $7.83 Amount Due: $0.00
Electrical Permit Issuance Fee $47.01
Energy Plan Review Fee $24.07
Green Building Standard $1.00 si C011PIETED
Light Fixtures $1.63
Outlets-Receptacles&Switches $8.15
Solid Waste Management Fee $6.25
Solid Waste Management Fee 2 $1.00 CALLS FOR INSPECTIONS
Strong Motion Inst.Program Res $0.50 Request for inspection by telephone at 626-574-5450. Leave a message
requesting the address,timeframe and what inspection item is needed.
Total: $343.03
3=/24✓r.t.i(a + j2. tt.e- I�PaewEb sq-e5-19 gL 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
(JQ..7wA1.t_ NA•I t.i,4l L.6.1 9 59-. 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
den-- ,.Z.•I/ 1,-- - 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.
O.
ci
May 16, 2019
Issued By: Date
May 16,2019 Page 1 of 1
�Jeoy,„ I
Al P I ' PERMIT/PLAN REVIEW APPLICATION
,y, 1.� es,
z33*' 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. 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 ❑ 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 ber
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 (Thi ection 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 subj e
workers'compensation provisions of Section 3700 of the Labor Co. l
❑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 for // J /
sale Section 7044,Business and Professions Code:The Contractors License Date I b� I Signature /I�L��ee�
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
compl tion,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 of build or improve for the purpose of sale). damages as provided for in Section 3706 of the tabor Code, interest, and
attomey'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).
0 I ant exempt under Section 7044,Business and Professions Code,for this reason:
5---f
f al Lender's Name
✓I Signanue al�� < / Lender's Address
(,,,Date
MPORAPPLICATION 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.A U
are All _ Ilii/i i i TI a Title �
P'I NAME
I certify that I have read this application and state that the above information is co ct and that I am the owner or duly authorized agent of the owner.
I agree to comply with all City ordinances and S to Laws relating to building construction. I hereby authorize representatives of the City of
Arcadia to enter upon t e above-men ' ed prop r inspection purposes. Ip/,
Signature - (\\Dale
1
0 BEVEN & BROCK
PROPERTY MANAGEMENT COMPANY s,,;,ti in
May 9, 2019
Azhar Mahmoud
471 W Duarte Road #107
Arcadia, CA 91007
•
Re: Lyn Oaks HOA, #107—architectural request
Dear Azhar Mahmoud,
4
The Board of Directors of Lyn Oaks HOA has received and considered your architectural
request.
You may complete the work for which you obtained permits from the City of Arcadia.
The work must be done by a licensed, insured contractor and any construction debris is to
be removed.
When the work is completed the association is to receive a copy of the permits that are
signed off by the City of Arcadia.
Thank you in advance for your anticipated cooperation in following the governing
documents of the association.
If you have any questions, please feel free to contact me.
Sincerely,
Vianna M. Boettcher, CCAM
Association Consultant for
Lyn Oaks Homeowners Association
Direct line 626-549-2865
Direct fax 626-334-3325
vianna@bevenandbrock.com
cc: Board of Directors
Qt% P.O. Box 7029 Pasadena, CA 91109-7029—Mailing Address
99 S. Lake Ave Pasadena, CA 91101 —Office Address
.9*- qco• (626)795-3282 • FAX(626) 795-0623
\4adm� City of Arcadia, CA
Permit NO Misc-19-0335
.\4`,1,1,1/
r Development Services Department Q Permit Type•Misc
.Fi(y 240 West Huntington Drive,Post Office Box 60021 . - -'
Work Classifiedthin:Misc-Real Estate Inspection '
Arcadia,CA 91066-6021
(626)574-5416
• � .,, .� Permd Status?l;Sued
ARCADIA Issue Dalai 02/19%2o19Expiration:
Addr NO. Dir Prefix Street Name Street Suffix Unit City,State,Zip Parcel Number
471 W Duarte RD Arcadia,CA 5778009124
Contacts
MAHMOUD,AZHAR TR AZHAR Owner
MAHMOUD TRUST
471 DUARTE RD 107
(626)522-3792
Description:REAL ESTATE INSPECTION FOR CREATING Valuation: $ 0.00 Tenant
BEDROOM#2 OFF LIVING ROOM AREA.
Total Sq Feet: 0.00 Plan Check ft Plan p
Fees Amount Payments Amount Paid
Building Issuing Fee $47.01 Total Fees $114.21
Extra Inspection-Not ready/Hrs not $60.95 Cash/Receipt#REC-00434-19 $114.21
covered
Solid Waste Management Fee $6.25 Amount Due: $0.00
Total: $114.21
i.�At, 2. 0, 11 COIWPLE7gj
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.
February 19,2019
Issued By: Date
February 19,2019 Page 1 of 1
1.
-" U PERMIT/PLAN REVIEW APPLICATION .
r. 43Y Development Services Department,240 West Huntington Drive,Post Office Box 60021
`0%alit.r MOec' 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. ❑ 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 I certify 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
Section 70315 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 Lab i Code,I shall
z1/4❑I, as owner of the property, or my employees with wages as their sole forthwith comply with those provisions.
rillpcompensation,will do the work,and the structure is not intended or offered for \ Dare_ /' C� —� Signature ,ii ��
sale(Section 7044,Business and Professions Code:The Contractors License \\1 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 hundredthousand 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.
0 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 I am exempt under Section 7044,Business and Professions Code,for this reason:
Lender's Name
11,
/7�
Date2-- I I 11 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
1 further information.
[Name a drift r ��. V V Title M Z
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 ordinances and State Laws relating to building construction. I hereby authorize representatives of the City of
Arcadia to enter upon the above-mentioned proper r inspection purposes.
�ignature Date — ,__. I
�v`�"Zy e,•
it lib, I PROPERTY INSPECTION REPORT
Development Services Department, Building Services
240 West Huntington Drive, Post Office Box 60021,Arcadia, CA 91066-6021
City of (626) 574-5416, Fax (626) 447-9173
Arcadia
A . Ag AND' Mk-NMOW , owner of property located at
(please not name)
1 7( W T7(JA- -) # 617 Arcadia, California, do hereby
(p ease not ad
give my consent for a property inspection at the above address by the Development Services Department,
Building Services.
The purpose of the inspection is to investigate construction work which may have been done without the
benefit of City permits, approvals, or inspections. The undersigned agrees that all violations found by
the inspection will be corrected to comply with applicable City codes and ordinances within thirty (30)
days from the date of the inspection.
NOTE: This is not a permit and does not constitute acceptance of the work by the City. All identified
corrections must be completed prior to final approval of the work by the City.
INSPECTION REQUESTED FOR: erecr%e haireatn t c2 Off rlVly_ room
Date 49/!? Signed
Planning Services approval obtained: LI Yes LI Not Required
Fire Department approval obtained: LI Yes ❑ Not Required
Public Works Services, Water Section, approval obtained: LI Yes LI Not Required
BUILDING CORRECTIONS REQUIRED: k posC 4444-'13
` c1 �—U12tf��
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FLoo2 PCNs -Fna-- CXrS.f7Nf� ) PRoeos t vkyo.rrs .
PERMITS REQUIRED:
Building U Demolition� %Electrical Mechanical U Plumbing
//–
INSPECTOR 5-mew egE(Lr� INSPECTION DATE Z •J• I
FEE APPROVAL DATE
WHITE—File Copy YELLOW--Applicant Copy
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City of vadia INSPECTION RECORD
,:: l•��,g Community Development Department
tt r :: ty Building Division
.' ' r ' Cy 240 W.Huntington Drive - P.O.Box 60021
". 11*- Arcadia,CA 91066-6021 Permit No. BOO-030-677
(626)574-5416 Permit Type: SF Add/Alt
POOLS!SPAS I Date . I ' Insp.
Building 471 W Duarte Rd #107
Address Alarms I
Mahmoud,Azhar Phone: Excavation/Steel
Fax:Owner Name F
I
Iand Address W Rough
I
ILights 01 Chris Ingram
Contractor Home Owner Phone: Underg '<r Senior Building Inspector
Name and SE Fax: P-Trap f®j�,i Development Services Department
Address •
State Lie. City Lie.# Gas Lin Q9\ e: 240 West Huntington Drive
I &Classlt Fence,c "",,,,,,,._He`°" Post Office Box 60021
Proposed Construction Pool He Arcadia,CA 91066-6021
ADDITION OF INTERIOR WALL TO CREATE STORAGE SPACE Final El City of (626) 574-5419 1.
Final Ph Arcadia (626)447-9173 Fax
i cingram@ci.arcatlia.ca.us
Pool Co Inspection Request(626) 574-5416
Final P1 ____—,-----r-- -_— - -
- -- — • .. SIGNS I _ Date. I Insp.
Sq,FL Lw. Gar. Rmdl. Porch Patio Setback/Overhang
Size • Footing __
Sq.Ft. Conduit/Wiring
Size j Disconnect
❑ New ❑ Add ❑ Alteration ❑ Repair 0 Demolition Final Sign I
BUILDING Date Insp. , 'ELECTRICAL Date . ' Insp. MECHANICAL � Date Insp.
Setbacks Power Pole Venting /Flue
Rough Grade Underground Conduit Furnace/A.C. _____ __
Ftgs&Forms I Underslab Conduit Rough HVAC
Pre-Slab _ I UFER Ground Fire Dampers
Floor JoistsWater Ground Furnace Compartments
Grout Lift I Rough Electrical Wan • Combustion Air
Shear Nailing Fixtures/T-Bar Metal F.P.Rough —
Diaph Nailing Servce Panel Release Compressor Setback _ —
Roof Nailing Smoke Detector Commercial Hood __
Framing i Utility Clearance Duct Shaft __
Oce./Area Sep.Wall Final Electrical �1 s4 ' Final Mechancial
T-Bar Grid SEWERS&OFFSITE , Date I' p. PLUMBING Date I Insp.
Insulation-fir. Lateral(main to P/L) Under FIr.Bldg.Drain
Insulation-wall Saddle/Y Conn. Copper Underslab
Insulation-ceiling Cesspool Filled Rough Plumbing I _
Drywall Nailing Sidewalk Rough Gas __
Interior_Lath Driveway _ Shower Pan -
Exterior Lath Curb Replacement Water Heater ____
Final Demo/lot clear Trash Bin Removal Roof Drains
Final Building ^506 k Final Sewers/Ottsite Building Sewer
REROOF Date I Insp. _ ` BLOCK.WALL Date lisp. ' Water Service
Pre-reroof Inspection I Footings I Sewer Cap/Demo.
Roof Framing Steel/Rebar I Miscellaenous
Sheathing Nailing Grout Lift I Final Gas
Final Reroof f Final Wall Final Plumbing
COMMENTS:
NO INSPECTIONS ON ALTERNATE FR/®AY&
��L1S��'� Arcadia,CA 91066-6021 rwe inn rte... uw- •..,.
`�.3 , (626)574-5416 Permit Type: MF Add/Alt
I
Building 471 W Duarte Rd 107 Alamt;
o�orted Chris Ingram
Address phone:(626)421-1574 Excav �'�'`r'a Rr" ''.y, Senior Building Inspector
Owner Name Mahmoud,Azhaz Andy �r�.
'and Address 3026 N Bullet#7 Fax: Rough ��,!�'„�y Development ervices Department
Rosemead,CA 91770 Light E - E
,m,No 240 West Hu •ngton Drive
�Contractar Owner Phone: Under] "'mc,,;,,.gr^` Post Office B x 60021
]Name and Fax: P-Tral Arcadia, CA 91066-6021
;Address C1 of
City Lic.# Gas Li
'State Lie. (626) 574-5419
'&Classic. Fence, Arcadia (626)447-9173 Fax
Proposed Construction
Pool Ii cingram@ci.arcadia.ca.us
Inspection Request(626) 574-5416
CONVERT EXISTING BATHROOM INTO TWO BATHROOMS,ADD EXHAUST FAN Final( -
Final Plumbing
Pool Cover
Final Pool
SIGNS I Date Insp.
Liv. Gar. Rmdl. Porch Patio Setback/Overhang
Sq.Ft. Footing
Size
Sq.Ft. Conduit/Wiring
Size i Disconnect _
❑ New ❑ Add ❑ Alteration ❑ Repair ❑ Demolition Final Sign
I BUILDING Date Insp. ELECTRICAL 1 Date Insp. ' MECHANICAL Date IInsp. I
Setbacks
Power Pole I Venting /Flue
Rough Grade Underground Conduit Furnace/A.C.
ftgs&Forms Underslab Conduit Rough HVAC
Pre-Slab UFER Ground Fire Dampers _
,Floor Joists Water Ground / Furnace Compartments
Grout Lift Rough Electrical a411 u` dd Combustion Air
Shear Nailing Fixtures/T-Bar Metal F.P.Rough _
Service Panel Release Compressor Setback
Diaph Nailing —
Roof Nailing Smoke Detector Commercial Hood
Framing I .-.14I 412 UtiliTy Clearance n Duct Shaft
Occ./Area Sep.Wall Final Electrical r2-I I. / t l/ Final Mechancial
T-Bar Grid Fire Date i L Insp. PLUMBING I Date Insp.
/, Insp.
Insulation-fir. Fire Sprinkler Rough
Under Fin/Bldg.Drain 102,--#16 G�
Insulation-wall Fire Sprinkler Final Copper Underslab
Insulation-ceiling Fire Alarm Final Rough Plumbing /2-41I6 jJ
Drywall Nailing )72-4/C j / Fire Sprinkler UG Hydro Rough Gas
Interior Lath AJ
Fire—� Sprinkler UG Flush Shower Pan .);r)710��/��
Exterior Lath Kitchen Ext Water Heater ��/
Final Demo/lot clear Occupancy Final Roof Drains
Final Building ?)--1I / Building Sewer
REROOF I Date nsp. BLOCK WALL Date I Insp. Water Service
Pre-reroof Inspection Footings Sewer Cap/Demo.
Roof Framing Steel/Rebar Miscellaenous
Sheathing Nailing Grout Lift Final Gas 11 /�A/
Final Reroof Final Wall I Final Plumbing I I l?',t�I[ d i
COMMENTS:
NO INSPECTIONS ON ALTERNATE FR/DAYS.