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- . Elec=18-0905 1 City of Arcadia, CA Development Services Department c , . _ Permit Type:Electrical . 240 West Huntington Drive,Post Office Box 60021 _!� f i Ai f ; s r ! �' c ( .i Arcadia,cA91066-6021 tilt' t Work Classifcohon:ElectricabResidentiat (626)574-5416 ` "' • 'Permit-Status:Issued ARCADIA issue Date:05/31/2018 Expiration: 11/27/2018 - Addr NO. Dir Prefix Street Name Street Suffix Unit City,State,Zip Parcel Number 263 W Naomi AVE Arcadia,CA 5784018004 Contacts SHIAU,MARIA W TR MARIA W SHIAU Owner P&P Electric Co Inc Electrical Contractor TRUST (C-10) 713 5602 Burton AVE,San Gabriel,CA 91776 (626)309-0734 Description:SF NEW.400 AMP SERVICE,200 AMP SUBPANEL Valuation:_ S 0.00 Tenant Total Sq Feet: 0.00 Plan Check 0 Plan If Fees Amount Payments Amount Paid Distribution Panel $15.55 Total Fees $709.87 Electrical Permit Issuance Fee $44.35 Cash/Receipt ZS REC-001314-2018 $709.87 Motors,Generators<1 hp $30.48 New Residential Accessory Bldg (sq ft $42.24 Amount Due: $0.00 area) New Residential Elect.(sq ft area) $560.70 Residential Services up to 400 amps $15.55 Solid Waste Management Fee 2 $1.00 Total: $709.87y �} CALL e ?�rfr; Ifa 1 I/• •/ Request for inspection by telephon 4- 450. Leave a message/1!/.�� ! `� j 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. 4 May 31,2018 Issued By: Date May 31,2018 Page 1 of 1 ,F A• oN,voy^i,` Z' . :s PERMIT/PLAN REVIEW APPLICATION Olt*' Development Services Department,240 West Huntington Drive,Post Office Box 60021 \ /. mm.,,,oro Arcadia, CA 91066-6021, (626) 574-5416,Fax (626) 447-9173 City of Arcadia lICENSED CONTRACTOR'S DECLARATION WORKERS'COMPENSATION DECLARATION (moi 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. 6 p, ❑ I have and will maintain a certificate of consent to self-insure for workers' License Class C Dse No.SG 19 �LExp. Date ' / compensation, as provided for by Section 3700 of the Labor Code, for the Signature of Contractor �f / performance of the work for which this permit is issued. OWNER-BUILDER DECLARATION '_I 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 w rkers'cemper ation insu1�ince carrier and policy numbers are: Code.Any city or county which requires a permit to construct,alter,improve, Carier �r T or C demolish,or repair any structure,prior to its issuance,also required the applicant 7 6 W ¢ (s 3 6 9 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 th 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 II 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 provisions. compensation,will do the work,and the stricture is not intended or offered for sale(Section 7044,Business and Professions Code:The Contractors License Date 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(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 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). 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 prio to disturbing the asbestos.Please contact AQMD at(909)396-2000 for further information.lr1 1�,, 1` Name ' CLAS f` '1"` 'a"1?'CfTitle OIVO sm 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 • II City ordinances and State Laws relating to building construction. I hereby authorize representatives of the City of Arcadia toe u e above-mentioned property for inspection purposes. Signature' Date 6 3 /- ,y I .?I - _ S Mech 18 0901 City of Arcadia, CA }r Development Services Department 4 Permt['Type Mechanical' 240 West Huntington Drive,Post Office Box 60021 {j r? — ,..9i f�e. 77 °"'.Q.--,41,4_,:. k (o kClassrfi"cotton:HVAC`-New,Residential I , I Arcadia,CA 91066-6021 i,� "it; Work (626)574-5416 --, --re'= I, ,.- - Permit Status"Issued ', ARCADIA : Issue Date 05/31/2018 ) Expiration: 11/27/2018 Addr NO. Dir Prefix Street Name Street Suffix Unit City,State,Zip Parcel Number 263 W Naomi AVE Arcadia,CA 5784018004 Contacts MOHAMMAD LATEEF Owner SHIAU,MARIA W TR MARIA W SHIAU Owner 2645 Lee AVE#4,S El Monte,CA 917331499 TRUST (626)350-4129 713 Description:4 NEW HVAC SYSTEMS FOR SFR/NEW"HOODS Valuation: $0.00 Tenant AND FIREPLACES NOT INCLUDED" Total Sq Feet: 0.00 Plan Check# Plan# Fees Amount payments Amount Paid Compressor<3 Ton(up to 3 hp) $37.48 Total Fees $226.37 Compressor 3-5 Ton(3 to 15 hp) $68.58 Cash/Receipt it REC-001306-2018 $226.37 Furnace or Burner a 100,000 BTU $74.96 Amount Due: $0.00 Mechanical Permit Issuance Fee $44.35 Solid Waste Management Fee 2 $1.00 Total: $226.37 p CUITIETED ., 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. F,i 4e- Y--2.1/ l� 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. Cit. May 31, 2018 Issued By: Date May 31,2018 Page 1 of 1 • - A' raPERMIT/PLAN REVIEW APPLICATION o\d 0,, 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 alitWORKERS'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: 1Chapter 9(commencing with Section 7000,of Division 3 of the Business and I 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' .1-V:', License Class LicenseNo. 37k Y fy Exp. Date S1/41/1 compensation, as provided for by Section 3700 of the Labor Code, for the "1i 111 r L performance of the work for which this permit is issued. Signature of Contractor nir—� ill I OWNER-BUILDER DECLARATION ❑ I have and will maintain workers'compensation insurance,as required by Section t 3700 of the Labor Code,for the performance of the work for which this permit ❑ I hereby affirm under penalty of perjury that I am exempt from the Contractors , 1is issued.My workers'compensation insurance carrier and policy numbers,are: License Law for the following reason(Section 7031.5,Business and Professions h Code.Any city or county which requires a permit to construct,alter,improve, `.1;'t Carrier demolish,or repair any structure,prior to its issuance,also required the applicant ,t I ^ for such permit to file a signed statement that he or she is licensed pursuant to the 'I Policy Number p� e=.t r�provisions of the Contractors License Law(Chapter 9(commencing with Section i'}i (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 .{..r^ exempt there from and the basis for the alleged exemption. Any violation of iU 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 5 t not employ any person in any manner so as to become subject to the workers' penalty of not more than five hundred dollars($500)): ! t compensation Laws of California,and agree that if I should become subject to the {IL`" workers'compensation provisions of Section 3700 of the Labor Code,I shall 1:1 L as owner of the property, or my employees with wages as their sole 1 forthwith comply w h those provisions. compensation,will do the work,and the structure is not intended or offered for sale(Section 7044,Business and Professions Code:The Contractors License .Date 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($100,000),in addition to the cost of compensation, did not build or improve for the purpose of sale). damages as provided for in Section 3706 of the Labor Code, interest, and attorney's fees. ❑I, as owner of the property, am exclusively contracting with licensed contractors to construct the project(Section 7044, Business and Professions Code:The Contractors License Law does not apply to an owner of property CONSTRUCTION LENDING AGENCY who builds or improves thereon,and who contracts for such projects with a I hereby affirm under penalty of perjury that there is a construction lending agency contractor(s)licensed pursuant to the Contractors License Law). for the performance of the work for which this permit is issued (Section 3097, Civil Code). ❑ I am exempt under Section 7044,Business and Professions Code,for this reason: Lender's Name Date Signature Lender's Address IMPORTANT: APPLICATION IS HEREBY MADE TO THE BUILDING OFFICIAL FOR A PERMIT SUBJECT TO THE CONDITIONS AND RESTRICTIONS SET FORTH ON THIS APPLICATION AND THE FOLLOWING: 1. The City's approved plans and permit inspection card must remain on the job site for use by City inspection personnel. 2. Final inspection of the work authorized by this permit is required.A Certificate of Occupancy must be obtained prior to use and occupancy of new buildings and structures. . 3. Per South Coast Air Quality Management District(AQMD)regulations,renovation and remodeling work that results in the removal,stripping,or altering of asbestos containing materials requires an asbestos survey and removal prior to disturbing the asbestos.Please contact AQMD at(909) 396-2000 for further information. lie.,n lt$ ,�� " . dame Mtn, ECPL� Title VLw✓i ✓' ` l PRINT NAME Irrt`cettify 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. ', `Iiagree 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. Signature Date5'/01 /Z6/t City of Arcadia, CA r�1 ins Meeh 18;0934 ' Development Services Department { ! r- (- h -Ir�� Permit Type Mechanical' 240 West Huntington Drive,Post Office Box 60021 e .f ' { Y t ii L_`` z � -4 Workpassiffeabon:Medhamcal„Residentlal;, Arcadia,CA 91066-6021 1 ;a• .. .f �_ _ - (626)574-5416 - Permit Status:':Issued ARCADIA ': (ssueDate 06/05/20181 Expiration: 12/02/2018 Addr NO. Dir Prefix Street Name Street Suffix Unit City,State,Zip Parcel Number 263 W Naomi AVE Arcadia,CA 5784018004 Contacts Rykadan 002 LIc Owner Bowden Development,Inc General Contractor(B) 349 E Main ST 104105,Alhambra,CA 91801- 212 W Foothill,Monrovia,CA 91016 (626)374-8881 - (626)303-7917 Description:WINE CHILLER,HOODS AND PREFAB FIREPLACE Valuation: S 0.00 q Tenant Total Sq Feet: 0.00 Plan Check# Plan# Fees Amount Payments Amount Paid • Evaporative Cooler(Not portable) $18.74 Total Fees $96.96 Fireplace Pre-Fab $14.11 Cash/Receipt#REC-001348-2018 $96.96 Install,Relocate Appliance Vent/Hood $18.76 Amount Due: $0.00 Mechanical Permit Issuance Fee $44.35 Solid Waste Management Fee 2 $1.00 ' Total: $96.96 CO1P1TE 1 / CALLS FOR INSPECTIONS 1 t4'}C- (Fagg �T 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 05,2018 Issued By: Date June 05,2018 Page 1 of 1 t➢jJO89y , I �_, 1 Z `3 PERMIT/PLAN REVIEW APPLICATION IF Ser mr- r . \�;� 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 /8// License No. 5 u67.1) Exp. Date 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 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 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 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 for -- sale(Section 7044,Business and Professions Code:The Contractors License Date 15-74 Signature '�kvCJJ,-, 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 r 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. /' Name 7(g _("I V L iV Title * 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 ab e-mentioned property for inspection purposes. Signature /M. Date 12/5—//b S4 City of Arcadia, CA : SWaiI 19-0095 \ Alt f Development Services Department , NJ ` ,;; - Per mltType:Wall 240 West Huntington Drive,Post Office Box 600217c rt _ a. �� �.--� Arcadia.CA 91066-6021 - ''l,* 1.dr �Work C/os �cotlo n Wall Garden Wall 1, (626)5745416 „° _ '{ Permitstowsi-Issued- ARCADIA IssueiDate 01/15/2019 Expiration. 07/14/2019 Addr NO. Dir Prefix Street Name Street Suffix Unit City,State,Zip Parcel Number 263 W Naomi AVE Arcadia,CA 5784018004 Contacts RYKADAN 002,LLC Owner BOWDEN DEVELOPMENT ING' Contractor 713 212 W Foothill,Monrovia,CA 91016 (626)303-7917 322620 Description:240 LF OF 6'WALL SHARED WITH 265 W NAOMI Valuation: $ 16,531.20 Tenant AVE,20 LF OF POOL EQUIPMENT ENCLOSURE,4 PILASTERS(36" HIGH,24"X 24"), 1 GATE MOTOR, 4 LIGHTS Total Sq Feet: 0.00 Plan Check tt Plan U Fees Amount Payments Amount Paid Building Issuing Fee $47.01 Total Fees $422.00 Building Permit Fees $354.15 Cash/Receipt It REC-00120-19 $422.00 Light Fixtures $6.52 Motors,Generators<1 hp $8.07 Amount Due: $0.00 Solid Waste Management Fee $6.25 Total: $422.00 ttl VCII D • 2-12-It 7/Alt '1 gi 4'4 rii 2-ya 19 The-GyeOvs. 22-1-1q ADD'Tt PAL_ al-011 / '' CALLS FOR INSPECTIONS ask* Request for inspection by telephone at 626-574-5450. Leave a message pig. a.Ripj vg 4'`V requesting the address,timeframe and what inspection item is needed. 5a?-'9 torAi4c- 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. January 15, 2019 Issued By: Date January 15,2019 Page 1 of 1 Art , 6t�t kF • PERMIT/PLAN REVIEW APPLICATION E4 le' Development Services Department,240 West Huntington Drive,Post Office Box 60021 'em°°„° 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 al•( License No. 3 2-42S Exp. Date JON) 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 Va'S�A.�+(j/i'7 OWNER-BUILDER DEC ,• ION ❑ I have and will maintain workers'compensation insurance,as required by Section ❑ I hereby affirm under penalty of at 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 real:• -�fion 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 Cid %V.0 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 (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 agree that if I should become subject to the workers'compensation provisions of Section 3700 of the Labor Code,I shall 0 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 sale(Section 7044,Business and Professions Code:The Contractors License Date 0✓fir,,//F Signature ff a , 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 Wor s'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. 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). 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)396-200.0 for further information. Name - r. A 40 Title gel ' PRINT AME 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 abo e-mentioned property for inspection purposes. SignatureDm: 141-4Date 41�, _ ` ) PIum18 0040 ' City of Arcadia, CA ,r .4 -_ is t a _ -t-n_ Permit Type Pllimbing. Report Text Library:Municipality_Address >: r = h 1 ( ii 1- r! Y= ' r; €iL tea ) I Work Clossriication:Plumbing Residential I r re_ Permit Status:issued ARCADIA _ Issue Date 02/o5/zols I Expiration: 08/04/2018 Location Address Parcel Number 263 W Naomi AVE,Arcadia,CA 5784018004 Contacts SHIAU,MARIA W TR MARIA W SHIAU Owner DNC PLUMBING Plumbing Contractor TRUST (C-36) 713 2627 LOMA AVE,SOUTH EL MONTE,CA 91733 (626)443-6366 Description:FOR SFNEW Valuation: $ 0.00 Inspection Requests: 5 (626)674-9416 - Total Sq Feet: 0.00 's Fees Amount Payments Amt Paid Available Inspections: Bathtubs/or Combo $24.92 Total Fees $602.72 Inspection Type IVR Clothes Washer $12.46 Cash $602.72 Dishwasher $12.46 Garbage Disposal Fee $24.92 Amount Due: $0.00 Gas System(Outlets) $90.11 Kitchen Sink $24.92 � if /G /� / Laundry Trays $12.46 r`it�,Q�- G —��' / ,fr/l`!""/"y Lavatories $112.14 • Lawn Sprinkler System on One Meter $18.74 Plumbing Permit Issuance Fee $44.35 Sewer Connection on Property $31.16 tfogRii,..Shower $$1.00 � Solid Waste Management Fee 2 $1.00 Water Closet $87.22 Water Heater and/or Vent $31.10 Total: $602.72 i LI" February 05,2018 Issued By: Date Monday,February 5,2018 Page 1 of 1 • 'Ai issonN 14 .s ,' €t7$ es , PERMIT/PLAN REVIEW APPLICATION irei 4i j Development Services Department,240 West Huntington Drive,Post Office Box 60021 %PUY e<N° 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 forcece/and effect. ❑ I have and will maintain a certificate of consent to self-insure for workers' License Class License No. QJ IrS7‘ Exp. Date D1). 7 compensation, as provided for by Section 3700 of the Labor Code, for the / 1 performance of the work for which this permit is issued. Signature of Contractor / Q'./A OWNER-BUILDER DECLARAT ON ❑ I have and will maintain workers'compensation insurance,as required by Section U 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 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 (Tats 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 U I certify that in the performance of the work for which this Penni[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, 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 Date 4-11 & Signature I 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). damagesas 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 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 ANI) 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. Name r3A-341 Lt 7: Title (00....V0 rrt,'ZnR2 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. Signature Date / c/lc a-41 City of Arcadia, CA --. —MINEIeC 18=0105 Development Services Department ! r^ .�'mrt.r - Permit T e Electrical itl240 West Huntington Drive,Post Office Box 60021 / ` _.. YP Wor Cfosslfico6on•Temporary Power.Pole •i Arcadia,CA 91066-6021 , ,; ' - I (626)574-5416 .4,--vv...• Permit Status lisued ARCADIA - Issue Date:02/12/2018 Expiration: 08/11/2018 Addr NO. Dir Prefix Street Name Street Suffix City,State,Zip Parcel Number 263 W Naomi AVE Arcadia,CA 5784018004 Contacts SHIAU,MARIA W TR MARIA W SHIAU . Owner A Co Temp Power Electrical Contractor TRUST (C-10) 713 P 0 BOX 16843,NORTH HOLLYWOOD,CA 91615 (818)255-3560 • Description:FOR SF NEW Valuation:_ $0.00 Tenant Total Sq Feet: 0.00 Plan Check It Plan# Fees Amount Payments Amount Paid Electrical Permit Issuance Fee $44.35 Total Fees $76.40 Solid Waste Management Fee 2 $1.00 Cash/Receipt# $76.40 Temporary Power Pole $31.05 Amount Due: $0.00 Total: $76.40 , Is tolliREIB) Insert a permit notice prefix in the report text bank,entry: Permit Notice Prefix • 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 y Arcadia building inspector for a period of 180 consecutive days. February 12,2018 ssued By: Date iwitc- 2.—I3-654 February 12,2018 Insert a permit page footer in the report text bank,entry:Permit_Page_Footer Page 1 of 2 a F A• Q - PERMIT/PLAN REVIEW APPLICATION *, Ila-Jr 0. E41*' Development Services Department,240 West Huntington Drive,Post Office Box 60021 mm° °nN°° 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 Busine s an' Professions Co/d�e,an/d‘my licensegeeliis in fu-, gee and effect./� /•' Li have and will maintain a certificate of consent to self-insure for workers' License Class ��f 1 //License No.n#111w Q . Date `L compensation, as provided for by Section 3700 of the Labor Code, for the Signature of Contracto .....0,1_,4 J`_ I C 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 Li 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 Profession s issued.iyly,workers'cora ensafion insurance carrier and policy numbers are: Code.Any city or county which requires a permit to construct,alter,improve, arrier demolish,or repair any structure,prior to its issuance,also required the applicant 'n IA 1 G 6 f(�'J/ ��'l for such permit to file a signed statement that he or she is licensed pursuant to the olicy Number V1 Y� �+-�t a O� This section nee 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 agree that if I should become subject to the workers'compensation provisions of S ction 3700 of the Labor Code,I shall LII, as owner of the property, or my employees with wages as their sole forthwith c mply 'th those provisions. compensation,will do the work,and the structure is not intended or offered for sale(Section 7044,Business and Professions Code:The Contractors License Date Z 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 andshall 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 tothe 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: 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 m disturbing the asbestos.Please contact AQMD at(909)396-2000 for further information. 1 I �� )ame � sfi5 U/Ll P Title _fejferialErr J1Jt 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 e I • upon the above-mentioned property for inspection purposes. �j Afr Signatu . _ tf V IA • Date t lit/)J` / >' -.;, - -i �' ' I " " - �f'f - City of Arcadia, CA 'Pool-18-0723 . I Development Services Department i r' Permit Type:Pool/Spa 240 West Huntington Drive,Post Office Box 60021 I ) ' 1 ` I.• -Work':CI0551 Classification: RBSICI211t181,' Arcadia,CA 91066-6021 . (626)574-5416 ;.;.. • - • %_ Permit Status:Issued ARCADIA issue'Date OS/o3/2o1$:I Expiration: 10/30/2018 Addr NO. Dir Prefix Street Name Street Suffix Unit City,State,Zip Parcel Number ` 263 W Naomi AVE Arcadia,CA 5784018004 m Contacts v SHIAU,MARIA W TR MARIA W SHIAU Owner California Pools Pool Contractor(C-53) TRUST W 713 (626)285-2261 Description:132 PF INGROUND POOL/SPA Valuation: S 30.408.84 Tenant Total Sq Feet: 0.00 Plan Check# Plan# Fees Amount Payments Amount Paid Building Issuing Fee $44.35 Total Fees $1,218.64 Building Permit Fees $564.25 Cash/Receipt#REC-001069-2018 $1,218.64 Building Plan Review Fee $366.77 Amount Due: $0.00 Electrical Fee(Motors,Fix,Wiring) $67.65 Electrical Permit Issuance Fee $44.35 PlumbingiPermit Issuance Fee $44.35 & COMPLETED Pool Piping $27.07 Pool P-Trap $10.86 Solid Waste Management Fee $6.25 Solid Waste Management Fee 2 $1.00 Swimming Pool,Spa/HotTub Heater $40.74 CALLS FOR INSPECTIONS SWMF FEE 2 $1.00 Request for inspection by telephone at 626-574-5450. Leave a message requesting the address,timeframe and what inspection item is needed. Total: $1,218.64 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. Of May 03, 2018 Issued By: Date May 03,2018 Page 1 of 1 .FAR i !tor,. h : PERMIT/PLAN REVIEW APPLICATION go Big' Development Services Department,240 West Huntington Drive,Post Office Box 60021 ,\ /. -.wan,co 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 f rce and effect. e O I have and will maintain a certificate of consent to self-insure for workers' License Class '- -f3 J litre No./ (3-1.— Exp. Date l/( 1 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 License D ARATI�N 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 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 SCI Qf ( /' demolish,or repair any structure,prior to its issuance,also required the applicant policy Number 113.`12%) 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 0 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 Date �'�f (16 Signature 4_(r------- 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). J 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. (Name ii 7T Cie-t,kLt (Title Per!✓•'�cl 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 he above-mentioned property for inspection purposes. �! / 'Signature Signature r I Date �/y f rg. ZG 3 A/A-CY t,t w- •aac, NOTES Building Inspections Date Insp. Plumbing Inspections Date Insp. 100. Setbacks 210. Under fir/bldg.drain 101. Rough grade 211. Copper underslab f(C./9 remacria6-5 Fcrg 64,012. 102. Figs.&forms 212. Rough plumbing EXCLOSC.42.4F 103. Pre-slab 213. Rough gas - 104. Floor joists 214. Shower pan 105. Steel 215. Water heater _ 74Z-11 D �rpgalir5 I S it (aL 106. Grout lift 216. Roof drFAe WALL 0g107. Shear nailing 217. Building sewer 108. Diaph nailing 218. Water service 109. Roof nailing 219. Final gas 110. Framing 220. Fixtures 111. Occ/Area Sept.Wall 221. Final plumbing 112. Sound walls 222. Sewer cap/demo. 113. T-bar!rid 114. Insulation-Fir. Pool Inspections Date . Insp. 115. Insulation-Wall 240. Excavation/steel 116. Insulation-Ceil. 241. Rough plumbing L-1 •,!!r 117. Drywall nailing 242. Light shell/bonding //�A 118. Interior lath 243. Underground conduit l47 119. Exterior lath 244. P-trap if-17-11 Ar 120. Finish grade 245. Gas line&test /,-l'B ,� ' - 121. Final building 246. Fence,gates&signs 51B 122. Final demo/lot clear 247. Pool heater 248. Final electric Electrical Inspections Date Insp. 249. Final.lumbin. )9.111 150. Power pole 250. Pool cover 151. Sales lot lighting 251. Pool final 152. Undereround conduit DEQ gespiog,A4f-frq nary 153. Underslab conduit Reroof Inspections Date 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. Eqpt.bondin. Sign Inspections Date I Insp. 160. Service panel 280. Setback/overhang 161. Final electric 281. Footing 282. Conduitkdrin. Mechanical Inspections Date Insp. " 283. Disconnect 180. Venting/flue 284. Final sign 181. Furnace/A.C. 182. Rouch HVAC Miscellaneous Insp. Date Insp. 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. Commerdal 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...I filled 200. Footings 303. Sidewalk 201. Steevrebar 304. Driveway 202. Grout lift 305. Curb replacement 203. Final wall 306. Trash bin existing wall and fence to remain 285.00' / 5'0"high self-closing gate (IS: i iJ s U RESIDENCE • 1/8"=1'0"scale o [ pool decks by other pool I POOL NOTES: egad pool decks by other +18" 38'x90' ee•x - Tri All doors having direct / access to pool shall be \ '‘..-+ equipped with alarms per 7 code. 2.P-Trap shall be Installed per tl code. // \1 3.All bonding grid requirements shall be completed per code. • ^I // N \ C 5'0"high self-closing gate existing wall and fence to remain 285.00' Scale: 1/16" = 1 ft. AcifaaglgUA ARCHULETA INSPECTIONS INSPECTIONS OFFICE/FAX:(626)-309-0055 '99 CELL:(626)-235-8947(24 HOURS) WEBSITE:ARCHULETAINSPECTIONS.COM REGISTERED INSPECTOR'S DAILY REPORT Project Address Permit ft 263 W Naomi Ave Pool-18-0723 City Project# Arcadia Ca Engineer Weather Patrell Engineering Group _ _ Sunny Contractor Temperature California Pool - San Dimas Wyatt Stewart 75 Type Of Reinforced Concrete Structural Steel Fire Proofing Inspection — Pre-Stressed Concrete Drilled In Anchors Epoxy Required — Reinforced Masonry X Shotcrete/Gunite _ Other INSPECTION SUMMARY DATE: 6-19-18 Observed final placement of 3500 shotcrete at pool and spa. All reinforcements and clearances as per approved plans. Detail: Standard Structural Pool Plan National Ready Mix. # S72062 50yards +/- placed Ticket # 252840 Slump : 2.00 Conc Temp: 82 CE • TIF .0 s OF ► O 'LI •4 C / TIME IN TIME OUT REG.HOURS at HOURS SAMPLES ." Vl!F ALL +IRK LI`j"t ABO ' W H ' I S / I RD BY THE �•• • �•a PLAN,/ECII7 •�.Ns, •� : ••. CODE 7:30 am 12:30 pm - 5 1 set of 3 /LW AlL4Additi / All inspections based on a minimum of 4 hours and over 4 hours—8 hours minimum. If the inspector is called to a project and no work is performed a two hour minimum SIGNATURE OF REG -RED INSPECTOR charge will be applied. Approved by 8408162 ICC / #01961 LACO / #2294 OC Project Superintendent IDENTIFACTION NUMBER CC:ARCHITECT,ENGINEER,BUILDING OFFICIAL WHITE-OFFICE COPY.CANARY-INSPECTOR'S COPY.PINK-JOB COPY FORM a Ar-690 i - 1 City of Arcadia,CA - FIRE-18-0517 it Development Services Department .. Permit Type ,Fire y l ) 240 West Huntington Drive,Post Office Box 60021 i �_; :1::_:)•I 1 � i Work Elassification•Fire8prinkler Arcadia,CA 91066-6021 .S ! c - ti l f,;,, e_, .--; _ (626)574-5416 "' _ _ ' Permit Status:,Issued ARCADIA Issue Date OS/22/2018'i Expiration: 11/18/2018 Addr NO. Dir Prefix Street Name Street Suffix Unit City,State,Zip Parcel Number 263 W Naomi AVE Arcadia,CA 5784018004 Contacts SHIAU,MARIA W TR MARIA W SHIAU Owner CRAIG FIRE PREVENTION" Fire Contractor(C-16) TRUST 123 E CENTRAL AVENUE AVE,MONROVIA,CA 91016 713 (626)357-4045 CRAIG@CRAIGFIREPREVENTION.COM Description:FIRE SPRINKS FOR SF NEW.80 HEADS Valuation: S 8.000.00 . Tenant Total Sq Feet: 0.00 ' Plan Check#18-517 Plan# Fees Amount Payments Amount Paid Fire Issuance $44.35 Total Fees $949.20 Fire Permit Fees $203.85 Cash/Receipt#REC-001210-2018 $249.20 Solid Waste Management Fee 2 $1.00 Cash/Receipt#REC-000786-2018 $700.00 Sprinkler Heads $700.00 Amount Due: $0.00 Total: $949.20 ' J ij COIJP&ETED 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. 4:::) . May 22,2018 Issued By: Date May 22,2018 Page 1 of 1 cl''"Oq�4'� Iri .slow, wo PERMIT/PLAN REVIEW APPLICATION E Development Services Department,240 West Huntington Drive,Post Office Box 60021 `.,„„,ti, 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.\. License Class C-1 6 License No. C'9Z8ZgExp. Date Signature of Contractor 0 I have and will maintain a certificate of consent to self-insure for workers' 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 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 C) A) F= l LC:- demolish, Cdemolish,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($500)): compensation Laws of California,and agree that if I should become subject to the workers'compensation provisions of Section 3700 of the Labor Code,I shall ❑ as owner of the property, forthwith comply with those provisions. I, or my employees with wages as their sole compensation,will do the work,and the structure is not intended or offered for '''///���///,L��\ sale(Section 7044,Business and Professions Code:The Contractors License Date O 5/"y/l$ Signature �7 '�'^ % o \ 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. 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 am exempt under Section 7044,Business and Professions Code,for this reason: Lender's Name Date Signature I 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 [Name information. [Name 3''c A IL r�✓C� (Tide / �,' 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. [Signature 947 Yr /Date C3 5 ( .Z//8 • of Ake c�\ j MEMORANDUM Fire Department DATE: April 17, 2019 TO: BUILDING DEPARTMENT INSPECTOR Henry Kemich FROM: FIRE DEPARTMENT SUBJECT: FIELD INSPECTION ADDRESS: 263 W. Naomi Avenue THE FOLLOWING ITEMS WERE CHECKED FOR CONFORMANCE WITH APPLICABLE FIRE DEPARTMENT REQUIREMENTS: TYPE OF INSPECTION DATE / INITIAL FINAL INSPECTION FIRE SPRINKLERS' 4-15-2019 Jill Perumean FIRE ALARMS HOOD & DUCT KNOX BOX OCCUPANCY 4-15-2019 Jill Perumean COMMENTS: Emailed Bldg. Dept. 4-15-2019 Rita 6 lot ist F hFf,'9 of PLANNING SERVICES ATTENTION: DATE: Y-Zr'/4/ FROM: BUILDING SERVICES INSPECTOR: PROPERTY ADDRESS: Z L 3 /v Atrf 1 PERMIT#: 500 ac) G?y PLAN#: 3 ZYS`O CONTRACTOR: 'a o w DEN bis/ PHONE#: C ZC /36%-7117 `' ---x.vt*,ey fvZfv -i`« - OWNER: YA-N 07- CCC PHONE#: PLEASE INSPECT THE FOLLOWING ITEMS FOR COMFORMANCE WITH APPLICABLE PLANNING REQUIREMENTS. TYPE OF INSPECTION DATE& INITIAL DATE&INITIAL FINAL APPROVAL LANSCAPING/MRIGATION fb I AL 5115f rq� TRASH ENCLOSURES I I PARKING/DRIVEWAYS STORAGE AREAS MECHANICAL EQUIPMENT WALL HEIGHT BACKFLOW SCREENING COMMENTS: NIA4 / Mete- ilk `4e- o A0T`^ CAA l os :` �ytf oyik \1 R r City of Arcadia DEVELOPMENT SERVICES DEPARTMENT Inter-Departmental Inspection Request Date: Public Works Inspector '/ To: From: FfFA(lair Address: 2 63 Id ,V,Q.or-t,I Permit No.: cj acs-057 -Clef Contractor: 130W Sa-i,.e Phone No.: G2G 73o 3-1 9,/7 Owner: R VICAPAr ( cc c Phone No.: Please inspect the following items to ensure that the Contractor/Developer is in compliance with all conditions of approval established for the project, and that the work performed meets the City's standard for Public Works construction: •Type of Inspection Date& Initial Date&Initial Final Approval Drainage 1-4v" 4 J lg` l4 Grading Erosion Control • Offsite Improvements Street Improvement(s) k(5.9. ^ g� • (conduit, curb/curb & 1"lw q I aj.19 gutter, curb numbers, driveway approach, parkway planting, sidewalk, street light, traffic flow, etc.) Sewer(s) (lateral, grease/san h1 A-- interceptor, interceptor, saddle, wye, etc.) COMMENTS: Re.NMI ycofaV• J WATER DIVISION ATTENTION: Agg DATE: c/-16—/9 FROM: ulc 0(Af(y,/ l>EPT INSPECTOR: Henry Kemick ADDRESS: 263 Li //4-ti'u PERMIT NO.: goo-057 - 6"]y 32y�'b PLAN NO.: CONTRACTOR: 10Pa`< PHONE NO.: 6 363 -19 t-? OWNER: RIKA-1)4,4 LCC PHONE NO.: PLEASE INSPECT THE FOLLOWING ITEMS FOR CONFORMANCE WITH APPLICABLE DEPARTMENT OF PUBLIC WORKS REQUIREMENTS. Type of inspection Date& Initial Date& InitiaP Final Approval IViefer Location &w� 4%1°1(9 g 1 r 6lackiiow Devices ` rrigation SystemS • ?Ire sprinkler System � Q 9 Icier Clear A.P.P. 1` g'�� wimuiing pool t60 ` JMMENTS: ! w •: .f` 11, = � �_PC - 'rid w gSt) ti 1 1.D214) Z C(N655(1"-'644-1 _ go1 i ' JUL) - C1114R�� 6 - 0z5`i- -g° 19,11 (mil"W6,u • t1 ........ L. 1 i Ur i'.LA.C,MUit. s' WATER EFFICIENT LANDSCAPING - ORDINANCE NO. 2330 • CERTIFICATE OF COMPLETION ". This certificate is to be filled out by the project applicant and acknowledged by the property owner(s) upon completion of the landscaping project. ;a 7. Project Information • Date of Project Completion Permit Type and No. Pame and/or Address ��� ✓�7"' ? - r ' cl - -j - Project `plica t and Title Property Owner Jtt� Om . cls sur f- Ri/KA©/341 ca Ur_ C an a Riling Address M li Address ciar sr 5.7.26 reiv � VI i.,, :, I • e9 ,n: 4/801 P ing 165- ele hone and Fax lo(s�). Telephone and Fax No(s . ;+ c • 363,79.!2' 4Z4 • 3?S/• X W '+ Email Address. Email Address `y wr�n� t iiurdplJ t0evebpemuc , at/ 2. Answer the questions below: iri a. Date the Landscape Documentation Package was submitted to the City of Arcadia 'i 97/ b. Date the Landscape Documentation Package was approved by the City of Arcadia 5' c. Date that a copy of the Water Efficient Landscape Worksheet or Prescriptive Measures Compliance Option was submitted to the project water supplier 3. Project Applicant — Certification —The signer of the landscape design plan, signer of the irrigation plan, or the licensed landscape contractor(s) that installed the landscaping and/or irrigation is to certify that the landscape project has been • •'I! constructed/installed in accordance with the approved Landscape Documentation Package and in compliance with Ordinance No. 2330 and State law. Where there have been significant changes made in the field during construction/installation, "as-built° or record drawings shall be included with this certification. "I/we certify that based upon periodic site observations, the work has been completed in accordance with .- 1 Ordinance No.2330 and State law, and that the landscape planting and irrigation installation conform with the criteria and specifications of the approved Landscape and Irrigation Plans and Landscape Documentation L;• Package and acknowledge that the project may be subject to inspection and a Landscape Irrigation Audit to verify that the project is maintained id compliance with Ordinance No.2330 and State law." Signature Date 61Name(print 2 S a� cites L �. , . ,, . `L yr7 Pei"- Tele phone9 c tr -v r Title U' <.-...e A. S License No.or Certification No. - Company 9dr ssz-o Lacey r_aJ4t In. Email Address Mailing Address p / IrJ lR4r9 L LCL✓%K . G'O,� 44, .; 4. Property Owner-Acknowledgment "I/we certify that I/we have received copies of all the documents within the Landscape Documentation '� ',,i Package and the Certificate of Completion for our project and that it is our responsibility to see that the 4 u . project is maintained in accordance with the Landscape and Irrigation Maintenance Schedule for our project, S ii including a diagram of the irrigation plan that shows the hydrozones posted with the irrigation controller, in •-3 compliance with Ordinance No. 2330 and State law, and I/we acknowledge that the project may be subject to - inspection and a Landscape Irrigation Audit at any time to verify that the project is being maintained in ` compliance wit Ordinance No.2330 and State law." Property Owner(s)Sign. :s) /Date 5. Include the foil Date documents with this Certificate: . a. Irrigation Sche.- - —The parameters for setting the irrigation schedule on the controller(s)per Ordinance Section 7554.5.C. b. Schedule of landscape and irrigation maintenance per Ordinance Section 7554.5. c. Soil Analysis and Management Report(s),if not previously submitted with the Landscape Documentation Package per Ordinance Section 7554.4. d. Verification of implementation of recommendations from soil analysis report per Ordinance Sections 7554.4 and 7554.6. • 1 -6 November 3,2016 'r j CITY OF ARCADIA • WATER EFFICIENT LANDSCAPING - ORDINANCE NO. 2330 LANDSCAPE DOCUMENTATION PACKAGE - SECTION A , Ie. IF t PROJECT INFORMATION 1 Date: �_f r , € Project Name: �� 1�, I1C�Jl..� I r V"' `L'� '�� j i Project Applicant: Project Address and Location: '`' ' Street Address . -s. Assessor Parcel Number . Tract/Parcel Map No.and Lot Number(s) Arcadia I(( California 19100_6 Nearest Cross Street Project Type (Please check all that apply): ❑ New ❑ Rehabilitation Single-Family Residential O Private 0 Public 0 Multiple-Family Residential 1; 0 Commercial/Industrial 0 Mixed-Use 0 Institutional (i.e.,hospital, school, etc.) 0 Other I I Please fill in the information below to describe the landscape project: Total landscaped area II, 4 15' (sq.feet) ; Total turf area 11 0e)t. (sq.feet) Total non-turf areLW/ '2 !o '1 An W) 44S(06, • (,)i5tf1 (sq.feet) Total active recreational areas SAS (sq.feet) Total area of Special Landscaped Areas — (sq.feet) . Total irrigated landscape area -,f'8' (sq.feet) Total non-irrigated landscape area 2 ,q4S (sq. feet) lc 1 Please check the Water Supplier for this project: i City of Arcadia Water Services – 11800 Goldring Road,Arcadia, CA 91006 – (626)256-6650 0 East Pasadena Water Company – 3725 Mountain View Ave., Pasadena, CA 91107 – (626)793-6189 ❑ Sunny Slope Water Company – 1040 El Campo Dr., Pasadena,CA 91107 – (626)568-4266 0 California American Water – 2020 Huntington Drive, San Marino, CA 91108 – (831)646-3252 : 0 Golden State Water Company – 110 E. Live Oak Avenue,Arcadia,CA 91006 – (626)446-1372 • ❑ Other —Address —Phone Ft • Acknowledgment: I agree to comply with the requirements of the City of Arcadia Water Efficient Landscaping • Ordinance and submit a complete Land cape Documentation Package. Applicant's Signature Date _ •' a • , ; i. CITY OF ARCADIA WATER EFFICIENT LANDSCAPING -ORDINANCE NO. 2330 : LANDSCAPE DOCUMENTATION PACKAGE -SECTION B 1 PROJECT CONTACTS — The project applicant and other individuals may receive inquiries or �' • notifications of all proceedings regarding the Water Efficient Landscaping Documentation Package. ' Please provide the name, mailing address, email address, and telephone no(s), etc. of each person to receive such inquiries and notifications. r.••i 1. Project Applicant I: Name Telephone and Fax Number(s) Title Email Address 1, Company Mailing Address r• •. f, City State Zip Code " E H 2. Property Owner 3 Name(s) Telephone and Fax Number(s) Mailing Address Email Address i; E City State Zip Code h c (i 3. Licensed Landscape Architect Name Title MaQ. i Company(J Pe jtc, License No..ries S till/Tat,. illTaCA41 s y a/la�g" `� • City i^r.+acci en t i (A . m i ddregsl ` rVMI l/./LNO/ �/yN- I • Stateedel C Website • . l� 1l,4yW.Lisix'cavii felt'.cowl s 4. Certified Irrigation Designer i j Name Title r i Company License No. K Mailing Address Telephone and Fax Number(s) City Email Address ) • State Zip Code Website l -Continued on next page- s. . 4- December 1,2015 4 1 CITY OF ARCADIA WATER EFFICIENT LANDSCAPING -ORDINANCE NO.2330 LANDSCAPE DOCUMENTATION PACKAGE -SECTION B (continued) .; 5. Landscape Installation Contractor '' Name Title Company License No. Mailing Address Telephone and Fax Number(s) .i City Email Address • State Zip Code Website •Fi II 6. Irrigation Installation Contractor • Name Title • Company License No. t Mailing Address Telephone and Fax Number(s) City Email Address i State Zip Code Website 7. Landscape &Irrigation Maintenance Contractor Name Title Company License No. �E t Mailing Address Telephone and Fax Number(s) t, ! City Email Address � E State Zip Code Website • 8. Certified Irrigation Auditor Name Title r f Company License No. Mailing Address Telephone and Fax Number(s) h P City Email Address State Zip Code Website 4 s 5- December 1,2015 • CITY OF ARCADIA 1' WATER EFFICIENT LANDSCAPING - ORDINANCE NO. 2330 • WORKSHEET - SECTION C 1 THIS WORKSHEET IS REQUIRED TO BE FILUED OUT BY THE PROJECT APPLICANT 4 Reference Evapotranspiration (ETo) Rate=50.2 inches per year ' The ETo for the Arcadia area is based on the State Department of Water Resource, Reference Evapotranspiration rate(ETo) for the City of Monrovia—Appendix'A'of the State MWELO. ' Hydrozone# Plant Irrigation Irrigation ETAF Hydrozone ETAF Estimated Total I &Planting Factor Method Efficiency (PF+IE) Area x Area Water Use Descri'tion PF IE in s'.ft. ETWU 1 Regular Landscape Areas &o ff oils ,61, 0 1, 066 110,4 0-) Dq bv , 2) ,Lo l� p. t� DEW 0101 0.18 2,0971IME II 1711 ,31 3) 'r^W v.5o 13?--le 01s1 0,601 + SCA- 2.-M Co 5/0, LS9,4- 4)r o kr9pe j, 9 N*_, 1 v,1/4&5 845 71f',2, ' '22,854,91 5) NO W B, co NA- itJ/A t'/A- 2,c47 er r -'T-,yz ,yyr „.4 Totals '7B rig41 kyr'{:ter' r Special Landscape Areas(SLAB)-Includes areas irrigated with recycled water ” ' I1 ' lair .7s ;I a ;..t4-4641 Totals (C) (D) 4.: � '..a'c .$f1...x � E.T'..5ww: ^rpt . I 4. 5 41 rt a kFa�t i ETWUTota l act 7w _i rf" ^ ` TI 1A ,E1 i is ;‘,.1:1-ft;-_,11r)::::"24_ .: = 4 Hydrozone # & Planting Description — e.g., 1) Lawn/Turf, 2) Low Water Use Plantings, 3) Medium Water Use Plantings, etc. ..-TW0 t _ Plant Factor(PF)— m#{WA (37.9,-).) X6,6 — )C3'� 'y LI i`} iC "z' jib) 9-s) ' Irrigation Method—Overhead Spray or Drip Irrigation Efficiency(IE)-0.75 for Overhead Spray,0.81 for drip ETWU(Annual Gallons Required)=ETo(50.2)x 0.62 x ETAF x Area 4c08411R0 t4DSCApe MAWA(Annual Gallons Allowed)=ETo(50.2)x 0.62 x[(ETAF x Area)+((1-ETAF)x SLA)] _'S, 0.62 is a conversion factor to convert acre-inches per acre,to gallons per square foot per year 1� y Area is the total Regular Landscape Areas &*Era / 4 � +' SLA is the total Special Landscape Areas ETAF is 0.55 for residential areas,and 0.45 for non-residential areas *ETAF Calculations dT `�a.L 9 P Regular Landscape Areas: Average ETAF for Regular Landscape Areas must be 0.55 -i 4,.. OF CAL1F0 Total ETAF x Area (B) 51) j X 6, 62- x D,?O )k I, D d l — Gam' (7l Total Area (A) K I S X 2' 0 rG V Average ETAF B+A 6' f = J ( 5' J All Landscape Areas '') t5,2" Total ETAF x Area 1 (B+D) X b b I of d- 56,0o)5 _--.7 ) _ Total Area (A+C) 2� Sltewide ETAF (B+D)+(A+C) X D 'v J x �i -- 1 G� -6- , �De ember 1,2015 lite - • I CITY OF ARCADIA WATER EFFICIENT LANDSCAPING -ORDINANCE NO. 2330 PRESCRIPTIVE MEASURES COMPLIANCE OPTION -SECTION D As an option to completing the Worksheet(Section C)and prior to the approval of any Design Review and/or Plan Check for a project that meets the thresholds for this Option, compliance with all of the following items is mandatory and must be documented on a landscape plan. 1) ❑ Submit Sections A&B of the Landscape Documentation Package which includes the following elements: A) 0 Date B) 0 Project Applicant C) 0 Project Address D) 0 Total Landscape Area in Square Feet, including a breakdown of turf and plant material E) 0 Project Type F) ❑ Water Supply Type(e.g., potable,recycled)and Water Supplier G) ❑ Contact Information • H) 0 Applicant Signature and Date with Statement "I agree to comply with the requirements of the City of Arcadia Water Efficient Landscaping Ordinance and submit a complete Landscape Documentation Package." 2) 0 Incorporate compost at a rate of at least four cubic yards per 1,000 square feet to a depth of six inches into $ landscape areas, unless contra-indicated by a soils test 3) ❑ Plant Material shall comply with the following: A) 0 Install climate adapted plants that require occasional, lithe, or no summer water (average WUCOLS • plant factor of 0.3) excluding edibles and areas using recycled water, for 75% of the residential planting areas,and 100% of the non-residential planting areas B) ❑ A minimum three-inch layer of mulch shall be applied on all exposed soil surfaces of planting areas, • except in turf areas, creeping or rooting groundcover areas, or direct seeding application areas where mulch is contra-indicated 4) 0 Turf shall comply with all of the following: A) 0 Turf shall not exceed 25% of the landscape area in residential areas,and there shall be no turf in non- residential areas B) 0 Turf shall not be planted on sloped areas that exceed a slope of one-foot vertical elevation change for every four feet of horizontal length C) 0 Turf is prohibited in pathways less than 10 feet wide, unless the parkway is adjacent to a parking strip and used to enter and exit vehicles.My turf in parkways must be irrigated by sub-surface irrigation or by other technology that creates no overspray or runoff 5) 0 Irrigation systems shall comply with the following: A) ❑ Automatic irrigation controllers are required and must use evapotranspiration or soil moisture sensor data B) 0 Irrigation controllers shall be of a type that does not lose programming data in the event the primary • power source is interrupted C) ❑ Pressure regulators shall be installed on the irrigation system to ensure the dynamic pressure of the system is within the manufacturer's recommended pressure range D) 0 Manual shut-off valves (e.g., a gate valve, ball valve, or butterfly valve) shall be installed as close as possible to the point of connection to the water supply E) ❑ All irrigation emission devices must meet the requirements set in the ANSI standard, ASABE/ICC 802- 2014, "Landscape Irrigation Sprinkler and Emitter Standard." All sprinkler heads installed in the landscape must document a distribution uniformity low quarter of 0.65 or higher using the protocol defined in ASABE/ICC 802-2014. 6) ❑ At the time of final inspection, the applicant must provide the owner of the property with a Certificate of Completion (see page 8), including the Irrigation Schedule, and Schedule of Landscape and Irrigation , Maintenance. -7- December 1,2015