HomeMy WebLinkAboutRALT-18-1455 '. '1' s #: a e
n Cityof Arcadia, CA ;` *-`t',= , `� l 'PermitNo_RACY 18 1455:
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Development Services Department x r �" �" h ° Permr[Type•Residential AddlttOn/Alta@tlOn"
• I 240 West Huntington Drive,Post Office Box 60021 d G--,' rx ! 4''3 e , ` 1, s ?).7,4,1:: ' ` l '
` Arcadia,CA 91066-6021 II "RI '" iV.I. 'yr` I .I Work IClasslflcaM Res Addition/Alteration,
{
(626)574-5416 ,p j3 4. r * :33:3)L3,..'eermltStatus;Issued-
r ',1t7...: '�r
ARCADIA :i117C Issue Date 12/11/2018' Expiration: 06/09/2019
Addr NO. Dir Prefix Street Name Street Suffix Unit City,State,Zip Parcel Number
619 W Woodruff AVE Arcadia,CA 5787012031
Contacts
LXSHENG AND WOLATSU Owner JASON SUN Applicant
9 WOODRUFF AVE 3018 E COLORADO BLVD 150,PASADENA,CA 91107
i (626)396-3063
JOHN G FAN General Contractor(B)
5740 OAK AVE,TEMPLE CITY,CA 91780
(626)825-8808 702434
Description:ADDITION OF MASTER SUITE,BREAKFAST, Valuation: $ 113,475.30 ( Tenant
DINING,FAMILY,POWDER RM,PANTRY,LAUNDRY .REMODEL
EXISTING 2 BATHROOMS AND 2 BEDROOMS.REPLACE ALL Total Sq Feet: 388.00 Plan Check#18-1455 Plan#32646
WINDOWS.WITH EMP 200 AMP SERVICE.
TOTAL 3 BED 3.5 BATH
Fees
Amount Payments Amount Paid
Bathtubs/or Combo $37.38 Total Fees $4,475.62
Building Issuing Fee $44.35 Cash/Receipt#REC-003112-2018 $2,987.27
Building Permit Fees $1,320.60 I Cash/Receipt#REC-002014-2018 $1,488.35
Building Plan Review Fee $858.39 Amount Due: $0.00
Cal Green Plan Check $85.84
Clothes Washer $12.46
Compressor 3-5 Ton(3 to 15 hp) $34.29
Dishwasher $12.46 t8If
Electrical Permit Issuance Fee $44.3535 � .
Energy Plan Review Fee $264.12 ie
Furnace or Burner c 100,000 BTU $18.74 LS FOR INSPECTIONS
Garbage Disposal Fee $12.46 Request for inspection by telephone at 626-574-5450. Leave a message
Green Building Standard $5.00 requesting the address,timeframe and what inspection item is needed.
Install,Relocate Appliance Vent/Hood $9.38
Kitchen Sink $12.46
Laundry Trays $12.46 This permit/plan review expires by time limitation and becomes null and
Lavatories $49.84 void if the work authorized by the permit is not commenced within 180 days
Mechanical Permit Issuance Fee $44.35 from the date of issuance or if the permit is not obtained within 180 days
New Residential Elect.(sq ft area) $27.16 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
Parks&Recreation Fee(SFR) $1,105.80
consecutive days or if no progressive work has been verified by a City of
Plumbing Permit Issuance Fee $44.35 Arcadia building inspector for a period of 180 consecutive days.
Total: $4,475.62
December 11,2018
Issued By: Date
•
December 11,2018 Page 1 of 1
oF 'R
•
c 1 PERMIT/PLAN REVIEW APPLICATION
Eos' Development Services Department,240 West Huntington Drive,Post Office Box 60021
"m• ,evo 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, nd my license is in full force and effect. ❑ I have and will maintain a certificate of consent to self-insure.for workers'
License Class Li .7O '” Exp. Date la&I(i compensation, as provided for by Section 3700 of the Labor Code, for the
Signature of Contractor ,.`
performance of the work for which this permit is issued.
OWNER-BUILDER DE ARATION ❑ 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 c—t-e,7--r -Cf In C)
demolish,or repair any structure,prior to its issuance,also required the applicantUZ& Z T
for such permit to file a signed statement that he or she is licensed pursuant to the Policy Number 4'
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 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
❑I, as owner of the property, or my employees with wages as their sole forthwith comply with those provision
compensation,will do the work,and the structure is not intended or offered for Da 2� (I '!" Signature
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 criminaLpenalties 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).
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. �7 /�� ,� ,,
4• ) 00_,, 'T„, ,itle ,,^i 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.
Itagree to comply with all City ordinances and State Laws relating to building construction. I hereby authorize representatives of the City of
rcadia to e I ter-upon the +bove-mentioned property for inspection purposes.
ignature - )Date I R / 1 f I
NOTES
Building Inspections Date Insp. Plumbing Inspections Date Insp. /! • ` V��N =1
•
a.
100. Setbacks 210. Under fir/bldg.drain PACT
8)-
,/ r
101. Rough grade 211. Copper underslab }.! CT-/ O-1y'SJ
102. Figs.&forms /%-20$' t'l\I 212. Rough plumbingPI 103. Pre-slab 213. Roush'as '• r
104. Floor joists 214. Shower pan ,t -( -to A 8-12.11e-i- AI. firth
105. Steel 215. Water heater
106. Grout lift 216. Roof drains
107. Shear nailing 217. Building sewer
108. Diaph nailing 218. Water service 27-61 *--)6(
109. Roof nailing (21-19 is 219. Anal gas
110. Framing 3-23-11 f 220. Fixtures 1
111. OcciArea Sept.Wall 221. Final plumbing 7411 c"VV
112. Sound walls 222. Sewer cap/demo.
113. T-bar trid
114. Insulation-Flr. Pool Inspections Date Insp.
115. Insulation-Wall1. (•���� 240. Excavation/steel
116. Insulation-Cell. 7_ - 241. Rough plumbing •
117. Drywall nailing nil 242. Light shell/bonding
118. Interior lath /' 243. Underground conduit
119. Exterior lath 44b�rl k 244. P-trap
120. Finish grade + 245. Gas line&test
121. Final building • 7.151G TAI1 246. Fence,gates&signs
122. Final demo/lot clear YYY��• ___ 247. Pool heater
248. Final electric
Electrical Inspections Date Insp. 249. Final.lumbin.
150. Power pole 250. Pool cover
151. Sales lot lighting 251. Pool final
152. Under.roundconduit
153. Underslab conduit Reroof Inspections Date Insp.
154. UFER ground 270. Pre-reroot insp.
155. Water ground 2741 271. Roof framing
156. Rough electrical ?/ 272. Sheathing nailing
157. Fixtures . 273. Final reroot
158. G.F.C.I.
159. E..1.bandit). Sign Inspections Date I Insp.
160. Serviceel panel 280.1Foverhang ■
161. Anal electric 7��� � 281. Footing .
282. Canduit/wirin.
u• . - •I In ,- h ' 283. Disconnect _ _ -
180. Venting/flue 284. Anal sign
181. Furnace/A.C.
182. Rouch HVAC 3-2(ail •!•, , . 1•
183. Fire dampers 290. Fire alarm
184. Furnace compartment 291. Underground supply
185. Combustion air 292. Are sprinklers
186. Smoke detectors 293. Monitor system
187. Metal F.P,rough 294. Hood dry chem.
188. Compressor setback 295. Final
189. Commercial hood
190. Duct shaft Sewers&Offsite Insp. Date I Insp.
191. Anal mechanical r 7 300. Lateral(main to P t)
301. Saddle/V
Block Wall Inspections Date Insp. 302. Cess.00l filled
200. Footings 303. Sidewalk
201. SteeVrebar 304. Driveway
202. Grout lift 305. Curb replacement
203. Final wall 306. Trash bin
�r, )t)t�• City of Arcadia, CA `- 2 Permit No ROOF-19-0284
'S� � i f Development Services Department _. Permit t e Roof
f + 240 West Huntington Drive,Post Office Box 60021 ;� 1 ( -
y�/, r ' e ' "` -s �" €,1 ` Work dlossificati •Reroof Residential
•P Arcadia,CA 91066-6021
"--' (626)574-5416 ; t': , _Permit Status:Issued '..
ARCADIA Issueoate o2/33/2019 Expiration: 08/10/2019
Addr N0. Dir Prefix Street Name Street Suffix Unit City,State,Zip Parcel Number
619 W Woodruff AVE Arcadia,CA 5787012031
Contacts
REX SHENG AND WOLATSU Owner JOHN G FAN Contractor
619 WOODRUFF AVE 5740 OAK AVE,TEMPLE CITY,CA 91780
(626)825-8808 702434
Description:T.0 REROOF HOUSEtTO MATCH ADDITION WITH Valuation: $ 8,000.00 Tenant
GF WEATHERED WOOD PER APPROVED PLANS. (LT)
Total Sq Feet: 0.00 Plan Check# Plan#
Fees Amount Payments Amount Paid
Building Issuing Fee $47.01 Total Fees $460.96
Building Permit Fees $203.85 Cash/Receipt#REC-00363-19 $460.96
Double Fee(Building) $203.85 Amount Due: $0.00
Solid Waste Management Fee $6.25
Total: $460.96
7-3-11 COMPUTED
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 11, 2019
Issued By: Date
February 11,2019 Page 1 of 1
%V AR
PERMIT/PLAN REVIEW APPLICATION
ed a, 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:
I
Chapter 9(commencing with Section 7000,of Division 3 of the Business and
Professions Code, nd 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�b3 Exp. Date� '�// compensation, as provided for by Section 3700 of the Labor Code, for the
Signature of Contrac
/ performance of the work for which this permit is issued.
OWNER-BUILD R 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 mason(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 rc—tc % -Pa&e
demolish,or repair any structure,prior to its issuance,also required the applicant (Policy Number MA ZEi/
for such permit to file a signed statement that he or she is licensed pursuant to the b's� 4
provisions of the Contractors License Law(Chapter 9(commencing with Section (This section need not comp) ted i t rmit 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 ❑II 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
0 I, as owner of the property, or my employees with wages as their sole
tate
thwi h comply with hose provisions.
compensation,will do the work,and the st ucture is not intended or offered forsale(Section 7044,Business and Professions Code:The Contractors License 2 4// g 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 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 Codes 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
(lame
further information.
J6 i-l->f/ VI • \itle _ 4.11/ \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 en . pon t • above-mentioned property for inspection purposes.
/� +Signature
\Dat /if/ 7
bbd City of Arcadia, CA Permit Na FIRE-19,0071
\\\'Ci !, Development Services Department .•°�� 1`1 � Permit Typed Fire
t 240 West Huntington Drive,Post Office Box 60021 { - 11-�
e F 'j `Work Classification:,Fire Sprinkler
Arcadia,CA 91066-6021 �, Fy i x r � p
(626)574-5416 - .-x = . Permit Stdti/st Issued'
y
ARCAD1(Alssu pate 02/06/2019 Expiration: 08/05/2019
Addr NO. Dir Prefix Street Name Street Suffix Unit City,State,Zip Parcel Number
619 W Woodruff AVE Arcadia,CA 5787012031
Contacts
REX SHENG AND WOLATSU Owner F&H Fire Protection* Fire Contractor(C-16)
619 WOODRUFF AVE 1119 Westminster AVE,Alhambra,CA 91803
(626)262-3876 584319
Description:FIRE SPRINKS FOR SFR/ADD Valuation: $ 3,200.00 Tenant
Total Sq Feet: 0.00 Plan Check#19-71 Plan#
Fees Amount I Payments Amount Paid
Fire Issuance $47.01 Total Fees $885.06
Fire Permit Fees $137.05 Cash/Receipt#REC-00081-19 $700.00
Solid Waste Management Fee 2 $1.00 Cash/Receipt#REC-00320-19 $185.06
Sprinkler Heads $700.00
Amount Due: $0.00
Total: $885.06 .,
ofe
S1
CALLS FOR INS
Request for inspection by telephone at 626-574-5450. ve 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.
cof
February 06,2019
Issued By: Date
February 06,2019 Page 1 of 1
I AR
C4''"oay4
• r PERMIT/PLAN REVIEW APPLICATION
..ill .. _-.
E13a' 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,anl 7iy license is in fu foorrce and1�ffect. //7 ❑ I have and will maintain a certificate of consent to self-insure for workers'
License Class C ( KJ License No, 1C`/(r��l Exp. Da c;u 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 /e1---e
co,
WNER-BUILDER DECLARATION ef 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. workers' pensatr it insurance carrier and poli�i numbers/ar/e•
Code.Any city or county which requires a permit to construct,alter,improve, Camey cat-a_ J-`ls?rti v Cl H Cc (�h�j e4, x
demolish,or repair any structure,prior to its issuance,also required the applicant
Policy Number -E Fr1 7t W c q Z r 7 43(
O
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
❑I, as owner of the property, or my employees with wages as their sole forthwith comfy wt those provisions.
compensation,will do the work,and the structure is not intended or offered for 2 /
sale(Section 7044,Business and Professions Code:The Contractors License Date .Fi Signature I
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($100,000),in addition to the cost,of compensation,
did not build or improve for the purpose of sale). damages as provided for in Section 3706 of the Labor Code, interest, and
atmmey's fees.
❑I, as owner of the property, am exclusively contracting with licensed - -
contractors to construct the project(Section 7044,Business and Professions
Code:The Contractors License Law does not apply to an owner of property CONSTRUCTION LENDING AGENCY
who builds or improves thereon,and who contracts for such projects with a I hereby affirm under penalty of perjury that there is a construction lending agency
contractor(s)licensed pursuant to the Contractors License Law). for the performance of the work for which this permit is issued (Section 3097,
Civil Code).
0 I am exempt under Section 7044,Business and Professions Code,for this mason:
Lender's Name
Date Signature Lender's Address
IMPORTANT: APPLICATION IS HEREBY MADE TO THE BUILDING OFFICIAL FOR A PERMIT SUBJECT TO THE CONDITIONS AND
RESTRICTIONS SET FORTH ON THIS APPLICATION AND THE FOLLOWING:
1. The City's approved plans and permit inspection card must remain on the job site for use by City inspection personnel.
2. Final inspection of the work authorized by this permit is required.A Certificate of Occupancy must be obtained prior to use and occupancy of new buildings
and structures.
3. Per South Coast Air Quality Management District(AQMD)regulations,renovation and remodeling work that results in the removal,stripping,or altering
of asbestos containing materials requires an asbestos survey and removal prior to disturbing the asbestos.Please contact AQMD at(909) 396-2000 for
further information.
arae , i�tn. A i� Title _ �<
PRINT NAME '
R . A.y
certify that I have read this application and state that the above i i ormation is coct and that I am the owner or dWyauthorized agent of the owner.
I agree to comply with all City ordinances and State Laws relating to building construction. I hereby authori$e representatives of the City of
Arcadia to enter upon the above-mentioned property for inspection purposes.
4/ 7
Of ARe
v4 nvLs r
i11111411.116 I-0•
7i it,
otr MEMORANDUM
Fire Department
DATE: July 12, 2019
TO: BUILDING DEPARTMENT
INSPECTOR Henry Kemick
FROM: FIRE DEPARTMENT
SUBJECT: FIELD INSPECTION
ADDRESS: 619 W. Woodruff Avenue
THE FOLLOWING ITEMS WERE CHECKED FOR CONFORMANCE WITH APPLICABLE FIRE
DEPARTMENT REQUIREMENTS:
TYPE OF INSPECTION DATE / INITIAL
FINAL INSPECTION
FIRE SPRINKLERS 6-27-2019 Jill Perumean
FIRE ALARMS
TANKS
HOOD & DUCT
KNOX BOX
OCCUPANCY 6-27-2019 Jill Perumean
COMMENTS:
Emailed Bldg. Dept. 6-27-2019 Jill
City of Arcadia
SPECIAL INSPECTORS REPORT
ADDRESS: 619 W. Woodruff Ave.
PROJECT NAME: Sheng/ ISu
BUILDING PERMIT NO: 1 8'1455
This certifies that I performed special inspection on the following portion of the work at
the above address:
Located at rear addition Proper installation was completed of 2-#4 T&B footing epoxy dowels per detail 5/S-3.0
Simpson Set Epoxy was used.All locations as per plan. Inspection Passed.
tllrigeirakesplarektebsldniloSi iiactaixed
the agate:Ipis,speaitz%andfie pica swibre gRaiatnsdto
Goventig, ,;
tm .
12/19/2018
'ecial Inspector's Sgnature Date
Ismael Cordero 310-930-5515 ICC/LA City 1010614/P014491
Please Print Name Deputy Inspector Number
cc: Client/Owner
Architect/Engineer an= INTERNATIONAL
lial CODE COUNCIL
P..1.IW W..�.WY.Wei Wale
a*>,
Att id
CniR
oil" L-.1
<ejw,
WATER DIVISION
ATTENTION: DATE: 7-- / - ( 61
FROM: BUILDING DIVISION INSPECTOR: /11ERr
ADDRESS: 60$ &J pkiontirf- Mut,
PERMIT NO.: CALT-/ a—rictrs- PLAN NO.: 3264.6
CONTRACTOR: -4-4C5a1,Arsli PHONE NO.: 26" 81-2C-E)8Z)
OWNER: re% Stieiva PHONE NO.:
PLEASE INSPECT THE FOLLOWING ITEMS FOR CONFORMANCE APPLICABLE DEPARTMENT
OF PUBLIC WORKS REQUIREMENTS. r1-517---4:--Wre.2815•141i
Type of Inspection Date& Initial Date &Initial Final Approval
. MeterLocation Vit5D
Blackflow Devices
0-6 0-31-)1 VikW /, 15, k •
Irrigation System
/
Fire Sprinlder System
Meter Clear A.P.P. •
1(('C) 1• 15 • k 9
Swimming Pool
COMMENTS: It Foot 0--\\-1 '=\<
fla6wv41,00 \\A' -Ae 02,107 @0--rip 3
rS.71-Z-5:7-S