HomeMy WebLinkAboutMEP-19-0151 t .
B"fl{d City of Arcadia, CA - Permit No MEP-19-0151 :
slit" Development Services Department (�� 'fff���''�(i v ff'�jL. Permit Type:MEP
%raj,. 240 West Huntington Drive,Post Office Box 60021 .j9g u p-
Arcadia,CA.91066-6021 work Classi 'cation:MEP-Residential .
`v'` (626)574-5416 > - Permit Status:Issued
ARCADIA . ' IssueOate:O1/24%2019' Expiration: 07/23/2019
Addr NO. Dir Prefix Street Name Street Suffix Unit City,State,Zip Parcel Number
1761 Alta Oaks DR Arcadia,CA 5771006008
Contacts
PIERESON,RAYMOND G AND SHARLEEN J Owner ARROWHEAD REMODELING&DESIGN General Contractor(B)
1761 ALTA OAKS DR INC'
(626)355-0421 18345 VENTURA BLVD 212,TARZANA,CA 91356
(818)915-9065 935108
r -
Description:REMODEL MASTER BATH (EXISTING LAYOUT TO Valuation: $0.00 Tenant
REMAIN)MISC DRYWALL REPAIR. Total Sq Feet: 0.00 Plan Check# Plan#
Fees Amount Payments Amount Paid
Electrical Permit Issuance Fee $47.01 Total Fees $205.14
Lavatories $13.21 Cash/Receipt#REC-00199-19 $205.14
Light Fixtures $6.52
Amount Due: $0.00
Mechanical Permit Issuance Fee $47.01
Outlets-Receptacles&Switches $6.52
Plumbing Permit Issuance Fee $47.01
Shower $12.46
Solid Waste Management Fee 2 $1.00 f4$ �
Solid Waste Management Fee 2 $1.00 - J4(�,'r�'t917 ` r' '
Solid Waste Management Fee 2 $1.00 (t(" '
Ventilation Fan(Single Duct) $9.94 CALLS FOR INSP OAS
-_ Water Closet $12.46 Request for inspection by telephone at 626-574-5450. Leave a message
requesting the address,timeframe and what inspection item is needed.
Total: $205.14
'Qouc,4F -Q(,w•.p a f‘¢c.ti 2. (1 •/9 --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
tJC,N &IEC, I.M
INS0to' (PR^'+Line 2.2 S•J1 .47—_______ from the date of issuance or if the permit is not obtained within 180 days
D2y,,,,nLl. N1kILtJ4 Z.21)•(9 — 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
eimll $.6./91-- consecutive days or if no progressive work has been verified by a City of
Arcadia building inspector for a period of 180 consecutive days.
. (?,12
January 24, 2019
Issued By: Date
January 24,2019 Page 1 of 1
4 ,o
cfr ,, ,
4 r ,•�+ h PERMIT/PLAN REVIEW APPLICATION
.Z � %l.
��41j, Development Services Department,240 West Huntington Drive,Post Office Box 60021
mem„erN 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 Coded my license is in pillforceand effect 0 I have and will maintain a certificate of consent to self-insure for workers'
ILicense Class an L. 3 1o*' Exp. Date�7-3/' � 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 b-Ihave 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,tn.,
compensa n insurance tamer and policy numbers are:
Code.Any city or county which requires a permit to construct,alter,improve, Carrier S ,T.R. ci,ly-
vbA
demolish,or repair any structure,prior to its issuance,also required the applicant
Policy Number ZZVa.� S
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
0 I certify that in the performance of the work for which this permit is issued,I shall
exempt there from and the basis for the alleged exemption. Any violation of
Section 7031.5 by any applicant for a permit subjects the applicant to a civil not employ any person in any manner so as to become subject to the workers'
penalty of not more than five hundred dollars($500)): compensation Laws of California,and agree that if I should become subject to the
workers'compensation provisions of Section 3700 of the Labor Code,I shall
❑I, as owner of theforthwith comply with those provisions.
property, 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 t'Z Signatrue��
Law does not apply to an owner of property who builds or improves thereon, .
or who does such work himself or herself or through his or her own
employees,provided that such improvements are not intended or offered for WARNING: Failure to secure Workers'Compensation coverage is unlawful,
sale.If,however,the building or improvement is sold within one(I)year of and shall subject an employer to criminal penalties and civil fines up to one
completion,the owner-builder will have the burden of proving that he or she hundred thousand dollars($100,000),in addition to the cost of compensation,
did not build or improve for the purpose of sale). damages as provided for in Section 3706 of the Labor Code, interest, and
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 CONSTRUCTION LENDING AGENCY
Code:The Contractors License Law does not apply to an owner of property
who builds or improves thereon,and who contracts for such projects with a I hereby affirm under penalty of perjury that them 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 CeOno,-lo� MR-1 i -•1 f Turtle //�q . el,'I
sJ Pun�rNAME I cJ
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.
(1e� Q
g.nature �, `Date 1 el t - 1 1
. Cy of Arcadia, CA Permit NO PIum 19-0241
Development Services DepartmentD `"} t, �Permit Type Plumbing
, �( 240 West Huntington Drive,Post Office Box 60021
If! Arcadia,CA 91066-6021 1J (AOTiTJ1i Work Plumbing Residential'
..( (626)574-5416 ; ;_^^„ Permit Stdtu53 Issued.
ARCADIA - lssueOate`92/06/2019 Expiration: 08/05/2019
Addr NO. Dir Prefix Street Name Street Suffix Unit City,State,Zip Parcel Number
1761 Alta Oaks DR Arcadia,CA 5771006008
Contacts
PIERESON,RAYMOND G AND SHARLEEN J Owner ARROWHEAD REMODELING&DESIGN Contractor
1761 ALTA OAKS DR INC'
(626)355-0421 18345 VENTURA BLVD 212,TARZANA,CA 91356
(818)915-9065 935108
Description:REPIPE ENTIRE HOUSE Valuation: $ 4,000.00 . Tenant
Total Sq Feet: a a a 0.00 Plan Check# Plan#
Fees Amount payments Amount Paid
Complete Water Repipe $103.65 Total Fees $151.66
Plumbing Permit Issuance Fee $47.01 Cash/Receipt#REC-00323-19 $151.66
Solid Waste Management Fee 2 $1.00
Amount Due: $0.00
��77
Total: $151.66
Q004 tt- 3 •1619 O
CALLS FOR INSPECTIONS 6/
Request for inspection by telephone at 626-574-5450. Leave a message
requesting the address,timeframe and what inspection item is needed.
This permit/plan review expires by time limitation and becomes null and
void if the work authorized by the permit is not commenced within 180 days
from the date of issuance or if the permit is not obtained within 180 days
from the date of plan submittal.This permit expires and becomes null and
void if any work authorized by this permit is suspended or abandoned for 180
consecutive days or if no progressive work has been verified by a City of
Arcadia building inspector for a period of 180 consecutive days.
February 06, 2019 -
Issued By: Date
February 06,2019 Page 1 of 1
,FAR
s, 1' PERMIT/PLAN REVIEW APPLICATION
sz-b/, 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'll
License Class 3 License No. 135 I O ?Exp. Date'•3 1 •I ` compensation, as provided for by Section 3700 of the Labor Code, for the
Signature of Contractors performance of the work for which this permit is issued.
0 I have and will maintain workers'compensation insurance,as required by Section
OWNER-BUILDER DECLARATION
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'1compensation ins ce carrier and policy numbers are:
Code.Any city or county which requires a permit to construct,alter,improve, Carrier S 4 q 1-A— FJ t-
demolish,or repair any structure,prior to its issuance,also required the applicant q Z-Z i I Z s
for such permit to file a signed statement that he or she is licensed pursuant to the Policy Number
provisions of the Contractors License Law(Chapter 9(commencing with Section (This section need not be completed if the permit is for one hundred dollars or less)
7000)of Division 3 of the Business and Professions Code)or that he or she is
0 I certify that in the performance of the work for which this permit is issued,I shall
exempt there from and the basis for the alleged exemption. Any violation of
Section 7031.5 by any applicant for a permit subjects the applicant to a civil not employ any person in any manner so as to become subject to the workers'
penalty of not more than five hundred dollars($500)): compensation Laws of California,and agree that if I should become subject to the
workers'compensation provisions of Section 3700 of the labor Code,I shall
❑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
1- ' G - Signature - oiler
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
attomey's fees.
❑I, as owner of the property, ant exclusively contracting with licensed
contractors to construct the project(Section 7044,Business and Professions
Code:The Contractors License Law does not apply to an owner of property CONSTRUCTION LENDING AGENCY
who builds or improves thereon,and who contracts for such projects with a I hereby affirm under penalty of perjury that there is a construction lending agency
contractor(s)licensed pursuant to the Contractors License Law). for the performance of the work for which this permit is issued (Section 3097,
Civil Code).
❑ I am exempt under Section 7044,Business and Professions Code,for this reason:
Lender's Name
Date _ Signature • Lender's Address
IMPORTANT: APPLICATION IS HEREBY MADE TO THE BUILDING OFFICIAL FOR A PERMIT SUBJECT TO THE CONDITIONS AND
RESTRICTIONS SET FORTH ON THIS APPLICATION AND THE FOLLOWING:
I. The City's approved plans and permit inspection card must remain on the job site for use by City inspection personnel.
2. Final inspection of the work authorized by this permit is required.A Certificate of Occupancy must be obtained prior to use and occupancy of new buildings ,
and structures.
3. Per South Coast Air Quality Management District(AQMD)regulations,renovation and remodeling work that results in the removal,stripping,or altering
of asbestos containing materials requires an asbestos survey and removal prior to disturbing the asbestos.Please contact AQMD at(909)396-2000 for
further information.
-
Name con co a� ✓v'e�jig. Title . �-2 r'+ 1
(
P NAME J
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
rcadia to enter upon the above-mentioned property for inspection purposes. q
Signature oille / fate 2 - `/' 1/ 1
•
44
'4 IO3�t' • • City of Arcadia, CA • - - Permit N0MEP-19-0628
' f/
Development Services DepartmentL'H -vr'r`ti Permit Type:MEP
k 240 West Huntington Drive,Post Office Box 60021 j ry ( I �r} h 3 _
V A' Arcadia,CA 91066-6021 1 -) _, i d i 'Li work classi 'cation. MEP-Residential
(626)574-5416 . Permit Status:lssued
ARCADIA Issue-Date:03/28/2019I Expiration:
Addr NO. Dir Prefix Street Name Street Suffix Unit City,State,Zip Parcel Number
1761 Alta Oaks DR Arcadia,CA 5771006008
Contacts
PIERESON,RAYMOND G AND SHARLEEN 1 Owner ARROWHEAD REMODELING&DESIGN Contractor
1761 ALTA OAKS DR INC'
(626)355-0421 18345 VENTURA BLVD 212,TARZANA,CA 91356
(818)915-9065 935108
Description:GUEST BATHROOM REMODEL (EXISTING LAYOUT Valuation: $ 0.00 Tenant
TO REMAIN)MISC DRYWALL
Total Sq Feet: 0.00 Plan Check# Plan#
Fees Amount Payments Amount Paid
Bathtubs/or Combo $13.21 Total Fees $216.72
Electrical Permit Issuance Fee $47.01 Cash/Receipt#REC-00821-19 $216.72
Lavatories $13.21
Light Fixtures $4.89 Amount Due: $0.00
Mechanical Permit Issuance Fee $47.01
Outlets-Receptacles&Switches $6.52
Plumbing Permit Issuance Fee $47.01
Shower $12.46
Solid Waste Management Fee 2 $1.00
Solid Waste Management Fee 2 $1.00
Solid Waste Management Fee 2 $1.00 CALLS FOR INSPECTIONS
Ventilation Fan(Single Duct) $9.94 Request for inspection by telephone at 626-574-5450. Leave a message
Water Closet $12.46 requesting the address,timeframe and what inspection item is needed.
Total: $216.72
r "t �,� `j, p as /044flh/vSr `//9/9 —This permit/plan review expires by time limitation and becomes null and
eAfira. r / /• void if the work authorized by the permit is not commenced within 180 days
Mg !�1?Tf /�Sur.M�4+� r/•13•i9 " 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
�(nu� � p� void if any work authorized by this permit is suspended or abandoned for 180
7 25/i y'YfP goAr!T or, /h/lt[CS consecutive days or if no progressive work has been verified by a City of
Arcadia building inspector for a period of 180 consecutive days.
,J/2 '%4PtL NA'r L.r9M4 `f-- 21•/4 SL—
rNA-t_ 516. 9 '')----- �� �.
Qii.)
March 28, 2019
•
Issued By: Date
March 28,2019 Page 1 of 1
• R
ossuorts
111.x, 1 PERMIT/PLAN REVIEW APPLICATION
el `,@3Y' Development Services Department,240 West Huntington Drive, Post Office Box 60021
•
.4%,„0,0, 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. IDI have and will maintain a certificate of consent to self-insure for workers'
License Class ✓
k. License Nr (UQ Exp. Date compensation, as provided for by Section 3700 of the Labor Code, for the
- performance of the work for which this permit is issued.
Signature of Contractor O.OWNER-BUILDER DECLARATION a I have and will maintain workers'compensation insurance,as required by Section
CII hereby affirm under penalty of perjury that I am exempt from the Contractors 3700 of the Labor Code,for the performance of the work for which this permit
License Law for the following mason(Section 7031.5,Business and Professions is issued.Myyvorkers'co enlnQ cation insurance carrier and policy numbers are:
Code.Any city or county which requires a permit to construct,alter,improve, Carrier
L�1`i�
demolish,or repair any structure,prior to its issuance,also required the applicant Policy Number f/
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 D, 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 L 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 r\_
sale(Section 7044,Business and Professions Code:The Contractors License Wate 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
contractors)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.
ame �Y" �W`(` Gy-, ` II'itle G9c fn.PRINT NAME /I certify that I have read this application and state that the above information is coct and that I am the owner or duly authorized agent of the owner.
I agree to comply with all City ordinances and State Laws relating to building construction. I hereby authorize representatives of the City of
Arcadia to enter u on the above-mentioned property for inspection purposes. /
ignature tate 31 ZUr / Cr