HomeMy WebLinkAboutPool Remodel Permit NO.MEP-18-1767
permit Type:MEP
Work Classifican°"'MEP-Residential
Circa of Arcadia, 21 Department Issued
Development Services Dep Post Office Box 60021
Permit Status:
240 West Huntington Drive, 03/25/2019
S25/201g
Arcadia,CA 91066 6021 26 2018 Expiration
(626)574-5416 Issue Date:09�
Parcel Number
City,State,Zip
� R A Unit 5785012002
Street Suffix
Dir Prefix Street Name
— Arcadia,CA
P 'NO• RD
Sharon � __ -- -- Pool Contractor(C'53)
458 --' CA 92708
Owner TITAN POOLS INC* ANAHEIM, 784874
(p4tacts 5765 SANTA ANA CANYON RD,
JANET
BROWN (714)458-7177
45g SHARON RD Tenant
(626)446-4234 0.00 Plan#—
Valuation: Plan Check#i
NEW ELECTRICAL AND __JAI...,POOL,P TRAP, Total 5q Feet:
Description:REPLASTER ERELECTRICAL Amount Paid
PLUMBING ADDITIONAL GAS AND ELECT $294•26
AMENDED 12 18 18 $275.63
Amount Payments $18,63
$44.35 Total Fees t#REC.002407 2018
Fees Cash I Receipt $0,00
$15.55 Receipt#REC 003187 2018
Electrical Permit Issuance Fee $1.54 Cash I
Gas system(Outlets)
$24.92 Amount Due:
Light Fixtures $7.62
Misc.plumbing Fixtures
<lhp $3..3 comp,,,,,,
Motors,Generators Switches $44.35Outlets Receptacles&
$1.00
Plumbing permit Issuance Fee jNSP
Management Fee 2 $1.00 CALLS FOR message
Solid Waste Manag telephone at 626-574-5450. Leave
Management Fee 2 $1555is needed.
Solid Waste Manag Fee(MEP) $67.65 ection by inspection item
Supplemental Issuing Request for insp timeframe and what insp
Swimming Pool/Spa EAlitirt
a Rewiring $67.65 requesting the address,
Swimming Pool/Spa Rewiring $294.26 becomes null and
limitation and
expires by time commenced within 180 days
Total: This permit/Plan review pthe permit is not com within 180 days
permit is not obtained becomes null and
ZL-I`� �� void if the work authorized by permit expires and
S from the date of issuance or hTis ended or abandoned for 180
ev--
��,��5 IC� � �c from the date of plan submittal.this permit is suspended a City of
void a work authorized by
r �' c any days or if no progressive d of 180 onsecutiveed by daY
tl �Ll,( � consecutive in inspector for p
f Arcadia building
September 26, 2018
Date —--
Page 1of]
Issued BY:
December 18,2018
a os- rtifii, 1
4,51
PERMIT/PLAN REVIEW APPLICATION
04 ::. r.
Development Services Department,240 West Huntington Drive,Post Office Box 60021
0m4n1„eS~e Arcadia, CA 91066-6021, (626) 574-5416,Fax(626)447-9173
City of
Arcadia
4WORKLICENSED CONTRACTOR'S DECLARATION
ERS'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:
TT Chapter 9(commencing with Section 7000.of Division 3 of the Business and
P ofessions Code an, ,4ice• e is in full fo e, ec. I have and will maintain a certificate of consent to self-insure for workers'
cense Class 6 II b �e 4 No.7 : I/ p. ate /� I compensation, as provided for by Section 3700 of the Labor Code, I'm the
gnature of Contractor I I performance of the work for which this permit is issued.
WNER-BUILDER DECLARATI 1 vI 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 work for which this permit
License Law for the following reason(Section 7031.5,Business and Professions is issued.Myler) ntion t,a, c nd policy numbers are:
Code.Any city or county which requires a permit to construct,alter,improve, Carrier v
demolish,or repair any structure,prior to its issuance,also required the applicant
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
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 ag :: l's if I should bee.-• subject to the
workers'compe satio provisions of Se,do 700 of the abor , ode, .hall
❑I, as owner of the property, or my employees with wages as their sole forthwith comp wi ose 'rovisions. i
compensation,will do the work,and the structure is not intended or offered for . /J� Al r
sale(Section 7044,Business and Professions Code:The Contractors License ate 0 I Signature>� 4
Law does not apply to an owner of property who builds or improves thereon. \ toy
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.
❑1, 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. �j f '
me I 00 I► title E�'n4/�
PRINT 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 "th all City ordina es and State Laws relating to buildi g construction. I h eby a orize representatives of the City of
rcadia to enter u 8 o 1 the 8 8 e- en 'r ned 8 rop• t r inspection purposes.
'gnature fri
Date
1:
e
}
•City of Arcadia, CA Permit NO. MEP-18-1767
Development Services Department Permit Type:MEP
240 West Huntington Drive,Post Office Box 60021
Arcadia,CA 91066-6021 Work Classification:MEP-Residential
(626)574-5416 Permit Status:Issued
A RCA I)I A Issue Date:09/26/2018 1 Expiration: 03/25/2019
Addr NO. Dir Prefix Street Name Street Suffix Unit City,State,Zip Parcel Number
458 Sharon RD Arcadia, CA 5785012002 j
Contacts ---_-_---.__
JANET BROWN Owner TITAN POOLS INC* Pool Contractor(C-53)
458 SHARON RD 5765 SANTA ANA CANYON RD,ANAHEIM,CA 92708
(626)446-4234 (714)458-7177
Description:REPLASTER POOL,P TRAP,NEW ELECTRICAL AND Valuation: S 0.00 Tenant
PLUMBING Total Sq Feet: 0.00 Plan Check# Plan#
Fees Amount Payments
Amount Paid
Electrical Permit Issuance Fee
$44.35 Total Fees $275.63
Gas System(Outlets) $15.55 Cash/Receipt#REC-002407-2018 $275.63
Light Fixtures $1.54 Amount Due: $0.00
Misc.Plumbing Fixtures $24.92
Motors,Generators<1 hp $7.62
Plumbing Permit Issuance Fee $44.35
Solid Waste Management Fee 2 $1.00
Solid Waste Management Fee 2 $1.00 ,7V1/4/..'.:; :, -
Swimming Pool/Spa Rewiring $67.65
Swimming Pool/Spa Rewiring $67.65
CALLS FOR INSPECTIONS
Total: $275.63 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 /
September 26, 2018
Issued By: Date
September 26,2018 Page 1 0
4-
•
0A.IF014,4•, fa 1
•
APERMIT/PLAN REVIEW APPLICATION
,
is
„.....47117:0„,,..-
Development Services Department,240 West Huntington Drive, Post Office Box 60021
°•.II,.t H• Arcadia, CA 91066-6021,(626)574-5416,Fax(626)447-9173
City of
Arcadia
ICENSED CONTRACTOR'S DECLARATION WORKERS'COMPENSATION DECLARATION
hereby affirm under penalty of perjury that 1 am licensed under provisions of 1 hereby affirm under penalty of perjury one of the following:
Chapter 9(commencing with Section 7000,of Division 3 If the Busines and
Professions Code,and myP e :- is•• full fo e ••%-i e• . ❑ I have and will maintain a certificate of consent to self-insure for workers'
License Classc. ►��., 1 Date �� compensation, as provided for by Section 3700 of the Labor Code, for theV I •.
Signature of Contractor ��/ � � � performance of the work for which this permit is issued.
OWNER-BUILDER DECLARATI 17 I I have and will maintain workers'compensation insurance,as required by Section
0 I hereby affirm under penalty of perjury that 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'compensatio ns a el-and policy numbers are:
Code.Any city or county which requires a permit to construct,alter,improve, Carrier ty Y 4 ✓ g.
V���
demolish,or repair any structure,prior to its issuance,also required the applicant
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
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 ag :/ •t if I should become subject to the
workers'compensati.n provisions of S: .n 331 I . - abor C.,j.I shall
❑I, as owner of the property, or my employees with wages as their sole forthwith co ply wi those provision l�
compensation,will do the work,and the structure is not intended or offered for C / // / r ��
sale(Section 7044,Business and Professions Code:The Contractors License Date % / Signa '
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
0 I, as owner of the property, am exclusively contracting with licensed attorney's fees.
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.
ame i/ llf�� i
PRINT NAME
.Afffk, Title ad L ,
ertify that I have •• this application and state that the above information is correct and that 1 am the owner or duly authorized agent oft the owner.
gree
to to enteru! hell Ity ordinances and
State iLaws nspection ainto
building construction. I hereby authorize representatives of the City of
r P Ppurposes.
nature ie ate 9/ Ø7' '
NOTES
Building Inspections Date Insp. Plumbing Inspections Date Insp.
100. Setbacks 210. Under ftrJbldg.drain
101. Rough grade 211. Copper underslab
102. Figs.&forms 212. Rough plumbing _ , /2-1 L�-i g pa&/ p t. (}��w tz
103. Pre-slab 213. Rough gas / (�� jj vr�c.. ��(J�, i
104. Floor joists 214. Shower pan G►r/ndR or-
105. Steel 215. Water heater
106. Clout lift 216. Roof drains
107. Shear nailing 217. Building sewer
108. Diaph nailing 218. Water service
109. Root Haiti . 219. Final gas
110. Frani 220. Fixtures
111. OccJArea Sept.Wal 221. Final plumbing
112. Sound walls 222. Sewer cap/demo.
113. T-bar
114. Insulation-Fir. Pool Inspections ' Date Insp.
115. Insulation-Wall 240. Excavation/steel
116. Insulation-Ceil. 241. Rough plumbing �.
117. Drywall nailing 242. Light shell/bonding
118. Interior lath 243. Under round conduit ,A r Ira
119. Exterior lath 244. P-trap / _
120. Finish grade 245. Gas line&test
121. Final building 246. Fence,gates&signs
122. Final demo/lot clear 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:round conduit
153. Underslab conduit Reroof Inspections Date I Insp.
154. UFER ground 270. Pre-reroof insp. -
155. Water ground 271. Roof framing
156. Rough electrical 272. Sheathing nailing
157. Fixtures 273. Final reroof
158. G.F.C.I.
159. E.it.bondin. Sign Inspections Date I Insp.
160. Service panel 280. Setback/overhang
161. Final electric 281. Footing
282. Conduit/wirin.
Mechanical Inspections Date Insp. 283. Disconnect
180. Venting/flue 284. Final sign
181. Furnace/A.C.
182. Rouch HVAC "• II. •' I.
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. Final
189. Commercial hood
190. Duct shaft Sewers&Offsite Insp. Date Insp.
191. Final mechanical 300. Lateral(main to P/L)
301. Saddle/Y
Block Wall Inspections Date Insp. 302. Cess.••1 filled
200. Footings 303. Sidewalk
201. Steel/rebar 304. Driveway
202. Grout lift 305. Curb replacement
203. Final wall 306. Trash bin
it f lir.
4.. . "g'-al,at i•-.".'0(*
Alii; ';
s7n O N W4197-6 V 6
D O ,T, i4< ----1D
1 rn ;;�; n -rCO
Z 55
rn
.
/or
_0
r,, z
n
T0 =
T rn D
n
-n
Z co
/�/ moi► rn \ Z C�
7
x
T
J
70 IC
rn 70
i } 2j
m
T
} r K
d r
1 �
iI I _
II
Hold Harmless and indemnification Clause
i Contractor agrees that he/she shall assume sole responsibility for job site conditions during the course of construction of
I this project,including safety of all persons and property,that this requirement shall apply ;ontinuousiy anti not be limited
to normal working hours and that the contractor shall defend,indemnify, and hold the tient,the City/Countytof local
jurisdiction, and the Landscape Design firm harmless from any and all liability real or at eged, in connection with the
I performance of work on this project,excepting for liability arising from the sole ncgligenci 4 the Owner,the City/County
of local jurisdiction,or the Landscape Design firm.
{ I
.a o,�s ProieLIVING LANDSCAPES CL#932132
i bzc BROWN RESIDENCE 9d9-234-5872 l•
I
, a 458 SHARON RD ARCADIA CA. 91007 P.O. BOX 3261 ,
NEWPORT BEACH, CA 92659