HomeMy WebLinkAboutROOF-19-1039 ti.
)`,city of Arcadia, CA = Permit NO ROOF19 1039'
tt �
Development Services Department a�t"J^)-'v-�r-;"^r" "t 'Permit Type:Roof
240.West Huntington Drive,Post Office Box 60021 Q � F , fj
1 Arcadia, -591066-6021 s J is 111 1 f work Classification.•Reroof Residential.
(626)574-5416 - 1., _ E .. Permit Status Issued
ARCADIA Issue•Date 06/03/2019 I Expiration:
Addr NO. Dir Prefix Street Name Street Suffix Unit City,State,Zip Parcel Number
'410 S Golden West AVE Arcadia,CA 5777023023
Contacts
MAHMOUD&TERESA OMIDSALAR Owner N E Construction N E Construction Contractor
410 S GOLDEN WEST AVE 16200 Ventura 318,Encino,CA 91436
(626)203-7520 (818)728-4825 696948
Description:T.0 REROOF HOUSE/GARAGE WITH BORAL Valuation: $ 18,000.00 Tenant
CEDARLITE 600 IRONWOOD CLASS A 35 SQ PER HOA APPROVAL
(1238) Total Sq Feet: 0.00 Plan Check# Plan#
ussuatiissami
Fees Amount Payments Amount Paid
Building Issuing Fee $47.01 Total Fees $424.11
Building Permit Fees $370.85 Cash/Receipt#REC-01398-19 $424.11
Solid Waste Management Fee $6.25
Amount Due: $0.00
Total: $424.11
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R- L t?- I• (7 `5 —
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.
•
June 03, 2019
Issued By: Date
June 03,2019 Page 1 of 1
•fA•
Novo¢,..„
Wog 1 PERMIT/PLAN REVIEW APPLICATION
E::' 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
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.
License Class ..7,8Signature of Contracto ❑ I have and will maintain a certificate of consent to self-insure for workers'
License No.69/9' I Exp. Date//)-4)-7•' compensation, as provided for by Section 3700 of the Labor Code, for the
performance of the work for which this permit is issued.
OWNER-BUDDER 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 r ante carrier and policy numbers are:
Code.Any city or county which requires a permit to construct,alter,improve, Carrier 77(P-07
demolish,or repair any structure,prior to its issuance,also required the applicant tar T '�� 7473 �
for such permit to file a signed statement that he or she is licensed pursuant to the Policy Number _ ,�
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
0 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 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
as owner of the property,
forthwith comply with those provisions.
❑I, or my employees with wages as their sole
compensation,will do the work,and the structure is not intended or offered for /Q
sale(Section 7044,Business and Professions Code:The Contractors License Date �.i y/ 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 am 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),inaddition to the cost ofcompensation,
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. /
\Name r / L
/ li>71-4 Title 6 /20t---
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 u t. r r • „entioned property for inspection purposes. y
ignamre r i Date G _ �J - 207i
e it City of Arcadia, CA 'Permit NO. MEP-19-1040' lir
Development Services Department I �,a ',./..14,.....,.� iTh Permit Type:MEP
a 240 West Huntington Drive,Post Office Box 60021 1 { '` j 2 (1 '. ii ;1 'Y '
Arcadia,CA 91066-6021 i is ' �' s)„)`I s . ' L i�f'{ ' Work Classification:MEP Residential.
I t (626)574-5416 - , , j ; - M” . Permit Status:Issued
ARCADiA c - .Issue Date.06/03/2019"I Expiration:
Addr NO. Dir Prefix Street Name Street Suffix Unit City,State,Zip Parcel Number
410 S Golden West AVE Arcadia,CA 5777023023
Contacts
MAHMOUD&TERESA OMIDSALAR Owner N E Construction N E Construction Contractor
410 5 GOLDEN WEST AVE 16200 Ventura 318,Encino,CA 91436
(626)203-7520 (818)728-4825 696948
Description:INSTALL NEW SMOKE/CARBON DETECTORS AND egValuation: $ 0.00 Tenant
INSTALL NEW BATH LAVATORY . g Total Sq Feet: 0.00 Plan Check# Plan#
Fees Amount Payments Amount Paid
Electrical Permit Issuance Fee $47.01 Total Fees $142.19
Lavatories $13.21 Cash/Receipt#REC-01399-19 $142.19
Misc Elec.Conduit,Conductors or Repair $32.96
Amount Due: $0.00
Plumbing Permit Issuance Fee $47.01
Solid Waste Management Fee 2 $1.00
Solid Waste Management Fee 2 $1.00
Total: $142.19
71,1
CALLS FOR I I NS> ,
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.
June 03, 2019
Issued By: Date
June 03,2019 Page 1 of 1
Nan PERMIT/PLAN REVIEW APPLICATION
E41:1 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,andQmy license is in full force/annd effect o I have and will maintain a certificate of consent to self-insure for workers'
ii\,
License Class U Lice o. C91/ //Exp. Date in,'
2 J 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 .,,,,Q a��
El I have and will maintain workers'compensation insurance,as required by Section
OWNER-BUILDER DECLARATION
❑ I hereby affirm under penalty of perjury that I am exempt from the Contractors 3700 of the Labor Code,for the performance of carrier work for which this permit
License Law for the following reason(Section 7031.5,Business and Professions is issued.My workers'compensation insurance and policy numbers are:
Code.Any city or county which requires a permit to construct,alter,improve, Carrier J'7`G°0,a
demolish,or repair any structure,prior to its issuance,also required the applicant policy Number C s/ .....5-0/<"37
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
0 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 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 property, forthwith comply with those provisions.
work,and employees withtwages as theirs foe
compensation,will do the the structure is not intended or offered for L 0'.
sale(Section 7044,Business and Professions Code:The Contractors License Date `J /�/ Signature C
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 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
attomey'sfees.
❑I, as owner of the property, am exclusively contracting with licensed - 1
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.ti /-',/^y / 9/ /re
Name V64-i E r-E L�A/v 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 property for inspection purposes. ,('
ignature �\ -,41k. ‘11111 /Date 03 - /9
f a
DATE FILED c-�-Zq I i 1
APPLICATION FOR HOMEOWNER ASSOCIATION
ARCHITECTURAL DESIGN REVIEW f42 i S,
(SHORT REVIEW PROCEDURE)
PROJECT ADDRESS: /D 5: 40 /den Wail At /
PROPERTY OWNER'S NAME: /ball m Mad V- TG✓Ga an 1 .1 S4 ie
-
ADDRESS (IF DIFFERENT):
TELEPHONE NO.: 624 0W1 75.E E-MAIL ADDRESS: /44.A/410-Uct O/YIaSst/ar-p
APPLICANT NAME (IF DIFFERENT): ?mGc!/y am
ADDRESS:
TELEPHONE NO.: E-MAIL ADDRESS:
DESCRIPTION OF PROJECT(Check applicable):
❑ Single-story remodel (includes window replacement)and/or addition(s)
O Detached accessory structure(s)and/or Accessory Dwelling Units-new, additions to, and/or remodels
0 Fences and/or walls in and/or facing(i.e., visible from)front and street side yards
O 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 significgrit paved features
❑ Mechanical equipment / //
•
/Mechanical
'� 0�'Gt I e2 I -/t ie (p (re) von levo ci
ACTION&FINDINGS:
X Approved-The project is consistent with all applicable g4delines
i
❑ Conditionally Approved-With the following conditions,the project will be consistent with all
applicable guidelines
SANTA ANI I A VILLAGE
rnMppMUnjs9 NNITYHOMEOWNERS'A55 III TION
❑ Denied-The project is not consistent with the followinAg Pjaci' BY .,al-Oa&U 1
DATE 5-3_1 w FILE taa:
By (a y-tiern/ ,ARB Chairperson Date: .-aI-it
4
10/18
r S ae
The following is the mandatory procedure for submitting proposals to your Architectural ReViaw
Board (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 following 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 postage, addressed to the owner and applicant(if different)and to all
owners within the required area of notification.
•
Fourth: Protected Tree Permit - If the proposed project is subject to a Protected Tree permit, please
contact Planning Services at (626) 574-5423. The protected tree applications (e.g. diseased/hazardous,
encroachment, and removal) must be reviewed 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 Homeowners'Associations(available 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,rThejARBfrtiuitIac?on'a SSbftReview application within 10 working days from the date a complete
ippplioation.is fhjth
led wite.QRB"�andawithin 30 working days from the date a complete Regular Review
application is filed with the ARB.j(During;Rie 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.
ij- _1 ir.l.!
The ARB's decision may be appealed to the Planning Commission.An appeal must be made 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.
FILE NO.
3