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HomeMy WebLinkAboutB00-050-016 • ' Development Services Department tirlr? . y 240 West Huntington Drive,Post Office Box 60021 X21 Arcadia, CA 91066-6021 PERMIT NO. BOO-050-016 City of (626)574-5416,Fax(626)447-9173 Arcadia Permit Type: SF Add/Alt ' PROJECT TRACT NO. LOT NO. APPLICATION DATE ISSUED BY PRINT DATE PERMIT STATUS 14036 4/272015 CM 7:57 9/22015 Issued ADDRESS NO. Dir.Profit Street Name Street Suffix UNIT BLG ASSESSORS PARCEL NO. GEO CODE 36 E Las Flores Ave 5789-015-005 OWNER MAILING ADDRESS Steve Chou&Lingshien Chou P 0 Box 2298 PHONE NO. (626)675-2849 Plan Chk#: 15-270 Arcadia,CA 91077 EMAIL ADDRESS: Plan#: 31712 APPLICANT MAILING ADDRESS Steve Chou PHONE NO. EMAIL ADDRESS: ' CONTRACTOR/PROFESSIONAL MAILING ADDRESS Steve Chon 2298 Po Box PHONE NO. (626)675-1695 FAX NO. Arcadia,CA 91077 EMAIL ADDRESS: License No. 703622 Type: B Expires: 4/20/2016 12:00: TENANT MAILING ADDRESS PHONE NO. FAX NO. DESCRIPTION ADDITION TO CREATE 2ND STORY CONSISTING OF MASTER SUITE. FIRST FLOOR, ADD BED 62, FULL BATH AND LAUNDRY ROOM. CONSTRUCT NEW 3-CAR ATTACHED GARAGE Construction Type UOM N of Units Value Construction Type UOM N of Units Value Type V Wood Frame Good sq ft 1,428.00 $181,841.52 Air Conditioning Res sq fl 1,428.00 $6,354.60 Sprinkler System sq ft 1,428.00 $4,726.68 Wood frame garage sq ft 725.00 8 ,671.75 CO PLET Sprinkler System sq fl $2 725.00 $2,399.75 ,eit OCCUPANCY: Dwellings TOTAL VALUATION: $219,995.00 QTY UOM DESC AMT AMT PAID ACCT QTY UOM DESC AMT AMT PAID ACCT each Plan review 1,333.80 1,333.80 01-3103 each Energy p/c fee 451.44 451.44 01-3103 PC Cal Green 133.38 133.38 01-3103 1.00 Flat Bldg Issue Auto 44.35 44.35 01-3104 each Bldg permit 2,052.00 2,052.00 01-3104 1.00 each SF/MF Fire Pkc 245.00 245.00 01-3109 SMTP Res 28.60 28.60 14-2207 gni bldg std 9.00 9.00 714-2203 1.00 Flat SWMF Auto 6.25 6.25 88-3027 N. Total Fees: $4,303.82 Balance Due: $0.00 Paid Today: $2,140.20 This permit/plan review expires by time limitation and becomes null and void if the work authorized by the Rt t.dpt N. 1102 r2 permit is not commenced within 180 days from the date of issuance or if the permit is not obtained within 180 days from 01-3104 2,096.35 the date of plan submittal.This permit expires and becomes null and void if any work authorized by this permit 14-2207 28.60 is suspended or abandoned for 180 consecutive days or if no progressive work has been verified by a City of 8873 6.25 Arcadia building inspector for a period of 180 consecutive days. 88-302702 6.25 CALLS FOR INSPECTION INSPECTORS'OFFICE HOURS Requests for inspection should be made at least Monday-Thursday Friday one(1)business day in advance of the inspection 7:30 a.m. to 8:30 a.m. 7:30 a.m.to 8:30 a.m. by telephone at(626)574-5416 for onsite work. 4:00 p.m.to 5:30 p.m. 4:00 p.m.to 4:30 p.m. (Closed on alternate Fridays) 4 � 1. PERMIT/PLAN REVIEW APPLICATION to z e4 4ileDevelopment Services Department,240 West Huntington Drive,Post Office Box 60021 Arcadia, CA 91066-6021, (626) 574-5416,Fax (626) 447-9173 City of Arcadia CENSED CONTRACTOR'S DECLARATION WORKERS'COMPENSATION DECLARATION Iembyaffirm under penaltyof perjury that I am licensed under provisions of I hereby affirm under penaltyof perjuryone of the following: apter 9(commencing with Section 7000,of Division 3 of the Business and ofessions Codde,amend my�nse is in full force and effect. ❑ I have and will maintain a certificate of consent to self-insure for workers' ense Class 90' 3 License No. �7621' Exp. Date D f/ 70 + 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 rte — 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 _ 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). aI am exempt under Section 7044,Business and Professions Code,for this reason: Lender's Name _ Date 0//v /)Q/ ignature Lender's Address IMPORTANT: APPLICATION IS HEREBY MADE TO THE BUILDING OFFICIAL FOR A PERMIT SUBJECT TO THE CONDITIONS AM) 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 fir further information.V-6- J `' V I�t Name C W°L Title bt�-�)�I /` 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 itgree to comply with all City ordinances and State Laws relating to building construction. I hereby authorize representatives of the City of Acadia to enter upon the above-mentioned property for inspection purposes. � � � 0)75).--/D-0 �� Signature Date NOTES Building Inspections Date Insp. Plumbing Inspections Date Insp. 2/ E / A S e -S 100. Setbacks 210. Under flr.ibldg.drain JCJ L7-Sn /l',.V.� 101. Rough grade q Ir 211. Copper underslab �j(�}ri .-dim v� of& 102. Figs.&forms �11't-� �(1� 212. Rough plumbing 2 2, 103. Pre-slab 3,2.1-I4, .V7.','.� 213. Rough gas '(6-4 104. Floor joists 214. Shower pan 105. Steel 215. Water heater 106. Grout lift 216. Roof drains 107. Shear nailing 2•6� 217. Building sewer 108. Diaph nailing 2-l' 17 218. Water service 109. Roof nailing S-23-1 219. Final gas 110. Framing S-�B-i 220. Fixtures ` 111. OcclArea Sept.Wall 221. Final plumbing g s-f q d'YV 112. Sound walls 222. Sewer cap/demo. 113. T-bar.rid 114. Insulation-Hr. Pool Inspections Date Insp. 115. Insulation-Wall 4^ 240. Excavation/steel 116. Insulation-Ceil. 241. Rough plumbing 117. Drywall nailing J,�'� 242. Light shell/bonding118. Interior lath -j 243. Underground conduit 119. Exterior lath 7-4 1 244. P-trap 120. Finish grade II 245. Gas line&test 121. Final building �'r�•l� ihAl 246. Fence,gates&signs 122. Final demo/lot clear 247. Pool heater 248. Final electric Electrical Inspections Date Insp. 249. Final.lumbin. 150. Power pole 250. Pool cover 151. Sales lot lighting 251. Pool final 152. Undereround conduit 153. Underslab conduit Reroof Inspections Date Insp. 154. UFER ground 270. Pre-reroof insp. 155. Water ground 271. Roof framing 156. Rough electrical ¶444 7 272. Sheathing nailing 157. Fixtures 273. Final reroof 158. G.F.C.I. ri 159. Eqpt bonding l Sign Inspections Date Insp. 160. Service panel Q'(41 280. Setback/overhang 161. Final electric 3 I.$-(( VA) 281. Footing 282. ConduiNvirin. Mechanical Inspections Date Insp. 283. Disconnect 180. Ventinghlue 284. Final sign 181. Furnace/A.C. 182. Rouch HVAC 1/2: _a' Miscellaneous Insp. I 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. Commercial hood 190. Duct shaft Sewers&Offsite Insp. I Date I Insp. • 191. Final mechanical tel, ' r 300. Lateral(main to P/L) 301. Saddle/Y Block Wall Inspections Date Insp. 302. Cess...I filled 200. Footings 303. Sidewalk 201. Steel/mbar304. Driveway 202. Grout lift 305. Curb replacement 203. Final wall 306. Trash bin Certificate No. 20121023 - 476 ARCADIA UNIFIED SCHOOL DISTRICT 150 South Third Avenue,Arcadia, CA 91006 • (626) 821-8300 Ext. 6732 • (Certificate of Compliance with Fee Provisions of Government Code Section 65995) This new Fee Schedule is effective December 26,2012. Any Developer Fee Worksheet brought in on or after this date will be charged at the new rate. Address of Development: 36 E. Las Flores Ave, Arcadia, CA 91006 Number of Buildings in Project: one Plan Check Number: L5-270 [ 1 1 )1 [ 1 11 Exempt' (500 sq. ft. or less. Residential2 Commercial/Industrial Commercial/Industrial Future additions chargeable $3.20/sq. ft. $0.51/sq.ft. Parking Structure at regular rate) $0.26/sq.ft. Area in Sq. Ft.: A developer may request refund of fees to the 1428 District within twelve months of payment of fees, ' in the event the Building Permit expires or the Developer Fee: $ project is canceled. The refund will be reduced by 4 , 569.60 a $100 administrative fee. The refund check will Receipt No. [ ] N/A be issued in the name of the original payee and P I XI 318025 mailed to the address of payee. Owner: Steve Chou Developer: Address: Address: 36 E. Las Flores Ave Arcadia, CA 91006 Home Phone: 626-675-1695 Business Phone: Pager/Cell Phone: 626-675-2949 Pager/Cell Phone: 'This is to certify that the above-described development has been determined to be exempt from the developer fees of Government Code Section 65995 and a Building Permit may be issued therefore. 2This is to certify that all fees due to the Arcadia Unified School District, under provision of Government Code Section 65995, as a prerequisite to the issuance of a Building Permit by the Building Department of the Development Services Department,have been received. Based on the information presented above,this Certificate of Compliance is hereby executed. ➢ The District charges a $100 fee to process reinstatement of the Developer Fee Certificate of Compliance resulting from an "insufficient funds" check in addition to a $35 fee for the bounced check. Only cash or a Cashier's Check will be accepted as payment thereafter. ➢ The District charges a $100 fee for any amendments to or cancellation of a Developer Fee Certificate of Compliance issued on any type of development. Said request for refund of fees paid to the District must be made within twelve months of payment of fees. Applicant confirms that he/she is authorized to sign on behalf of the owner/developer and that the information he/she provided herein is true and accurate to the best of his/her knowledge. —� „ow. Signature of Applicant: • District Approval: / Date: /31/15 WHITE—Applicant YELLOW—Accounting Dept. PINK—Business Services Certificate of Compliance(10-23-12) /'svrccnc)\ c\ LA� , 3*11 � DBS REGISTERED DEPUTY INSPECTOR'S �, CERTIFICATE OF COMPLIANCE DEPARTMENT OF BUILDING AND SAFETY Address 1-0k5 F\o Yes Av e Date of Certificate t4/16 /l 5 Fabricator Permit TO THE SUPERINTENDENT OF BUILDING: CITY INSPECTOR: I hereby certify that the following portion of the work at the above job address which required continuous and/or periodic inspection,and which I was employed to inspect,was inspected and approved by me and complies with provisions of the building Codes applicable thereto: Type of inspection: [ ] Steel Construction [ I Sprayed Fire-Resistant Materials [ ] Prestressed Concrete [ ] Concrete Construction [ ] Smoke Control [y(] Drilled-in Anchor [ ] Masonry Construction [ ] Methane [ ] Gunite/Shotcrete [ I Wood Construction [ I Exterior Insulation&Finish System [ ] Seismic Resistance [ ] Soils [ ] Wind Resistance [ ] Other: Location and Description of work completed SY iOQCtec\ 41v�, i . 5�a\\ 0.-k or o-4 ckwe\s W..-Ft, C'k:Yk'v cotncvzfe vii �r.11 p�o�l ,vn QSbv 5c,-1/4XQ,I �5� 2— 1#4 7oG co � �ottD W1Fm7C�Kne h ` u G h2W .fort‘‘.) COKV\2 C.-tiuV1 S . RoV s;ze , L.c\e ale c--64 o44 ckeAln\t—ess %5 C.cce -cable Size of Structure Time Arrived No.of Stories - Time Left Job Conc.Mix Design No. P.S.I. Registration Number LA Coktitr otC LLQ /i cccl2l5 b$�1 Employed by: Lab: Independent [ ] Signature: Registered Deputy uilding Inspector: Print Full Name: CICOJ e �� N9 Cell phone number: Z4;" f<2 Z _2-0 E-Mail Address: DO NOT AMEND,ALTER,CHANGE,DELETE OR APPEND ANY PRINTED PORTION OF THIS CERTIFICATE AS IT WILL RENDER IT NULL AND VOID. IN FORM 07(Rev. 01/04/12) www.ladbs.org - INSPECTOR'S DAILY REPORT OF COMPACTED FILL Job Name Job Location Job No. - Page of corrlie) . i n3De[4i 36 L•Lq) Wore S avc. , >` -c�'S 15-•,-t 1 _. oo I 1 /� General Contractor i - Grading Contractor _ - Date f Day'of Week 11—)4- 1 ,rt0Q , Grading Shift Hrs.. . . Contractor's Supt of Fore a &Signature Field Tech. 'Hrs..on Site .40 V - J t...,..----.----.., EA_ From$-.o& To Source and Description of Fill Materials / - Approximate Fill Yardage Total Req'd Placed this shift Total to Date Weather Report Sequence No. Test Test Elevation Soil Fill Test.Dry %of Max Remark No. Location or Type Moisture Density Dry Depth, % lbs/cu.ft. .Density nh r, of c Ii vri7 rc.r7} to clad- (tot -is: 4 At svSrct`( Sir , -tok 1 cle.,i' of- (54c A 9A 1ciJf I.,,L4 c vjp ii- f.o''\ !'4 541,,1 y,cft r rin lit 414- %M I) ta? - a po s a d Md . i> const clt't A Sul--)a.k Car _1"h (.4 J&t.. Vu lo0ms}( Wt qr.-)vii Remarks (Describe equipment used hauling, spreading, watering, condition and compacting; also report thickness if lifts, removal of poor soil insufficiently compacted,and comment in unusual events.) Ni" l Act }- Qf„ vest i -,.....g., -tt 56" 1 t ' i .I .a,.- Pte'° --11, ,i1' ' �; 1 ) _ Sketch ar 11V `AV' \ dckt,\Iy-- . 1 I c7 ---------------- Copy to Client[ 1' - --77—Cop---E�GL[] Environmental Geotechnology Laboratory Inc. by:-_ 11819'Goldring Road,Suite A I Arcadia,CA 91006 Tel:(626)263-3588•Fax:(626)'.263-3599 INSPECTOR'S DAILY REPORT OF COMPACTED FILL - JobJoName JobLocation L ion 1 g f 4 Job No., Page.of ` R e,ii [C”...... - ttnsr1eC tt_sO'1. 3‘ L-. ;s oYeS ave I5- 23 ' - Col /( General Contractor \ - .Grading.Contractor.. t - Arcad l,u Date • Day ofWeek ce*:"Le(�a( lqlrAW ?es-I x _ _ t1-0S- IS r tkursdc„ -Grading Shift.Hrs. .. - Contractor's'Supt.of Forem nn,&Signature -- . (Field Tech. Hrs.omSite 2_: icy 11v From To Source and Desoription of Fill Materials '- .Approximate Fill Yardage O ]a% / 9.6 •/. Total.Req'd Placed this shift Total to Date Weather Report Sequence No. Test Test Elevation Soil Fill Test Dry %of Max Remark No. Location or Type Moisture Density Dry Depth L % lbs/cult. Density x i I - 1.5 I\ _ 6.R qa. a K2 S-. - t.S _A a; 1 90.1 Cay. cake rqk fi (Ake"), Yes noes4 kc (Lett: bo\Ao—. ox-t it-Le sot-0e4 St4e A 4-c.-4c0 •to\ kms ni 3' u..ts cuk ; Lev, pe, stev.-V SC k1/4 t?1nS `lice ,n euIpt•A`el o,,.A lS v, ....1 v er..t.( A be,.C1�F.\\. .. IV\SO et kaAcck Gi ,) ke5ki \or2.er t)a r c-ns wp cA c \ A'ta �p5k \C( JC - - v.�e- k -k v.,k -.Aw.,-) Y'egLnnvew.Cln'\ O! 1(J j, ( oi-•keco( lion_ • Remarks (Describe equipment used hauling, spreading, watering, condition and compacting;also report thickness if lifts, removal of poor soil insufficiently compacted, and comment in unusual events.) 'Si j 1 f-„,, "YYcvec - L______,c2 laO, _ Sketch I i r S6 L-us CkoYes . _ Copy to Client[ ] . -- Copy.to.EGL[ ] - . Environmental Geotechnology Laboratory-Inc, by: 11819 Goldring Road,.Suite A - . - - Arcadia,CA 91006 - Tel:.(626)263-3588•Fax:(626)263-3599 INSPECTOR'S DAILY REPORT OF COMPACTED FILL -- -Job Name Job Location Job No. Page of _ h6j v"- I^1Det.�-j.Y/� S6 E- L51 f?anySue t. 4n'& JS—z3ti — 0,0I 1 J t General Contractor Grading Contractor Date : .Da/of,Week _ Ii-1-'r we - Grading Shift Hrs. -1. Contractor's Supt;of Foremaan&Signature Field Tech: . Hrs..on.Site r/i From?;00 To Source and.Description of Fill Materials - -� . Approximate.Fill Yardage Total Req'd Placed thisshift Total to Date Weather Report Sequence No. Test Test Elevation Soil Fill Test Dry %of Max Remark No. Location or 'Type Moisture Density Dry Depth % lbs/cu.ft. Density on stk< a} c�i*n� w -. 4 i mak. z f`.�sF 1 ., 11„ 94- k 3vL, t-1- 3;;t 4 i ( t^ 7° t G) wc�1o5112c) `*s a R;1 •�1^} y� at+ tar - So, 1?, P—xJ tin� iS howl r c -b k)11, tr0-1'TI.1I.,. Remarks (Describe equipment used hauling, spreading,watering, condition and compacting; also report - thickness if lifts, removal of poor soil insufficiently compacted, and comment in unusual events.) ,-} !,/' I v. ( 9b f no: Sketch it—Z, —i *11 L4) .1jo t.) m.,z. Copy to Client,[:] .- Copy to EGL[ ] , - - Environmental Geotechnology Laboratory Inc. by: . 11819 Goldring Road,Suite A Arcadia,CA.91006 Tel:(626)263-3588•Fax:(626)263-3599. - - - INSPECTOR'S DAILY REPORT OF COMPACTED FILL Job Name Job Location Job No. Page Of Compo/-.Lr 7 Yt? 3b E. LaS �(a^es ave, 11 -27' —Doi !7 ' General-Contractor Grading Contractor -d-.-5 - - - Date D y of Week t l-6-1r fri - Grading Shift Hrs. Contractorr'sSSSuuptyf Foreman&Signature . Field Tech.• - Hrs.on Site / coo Source and Description of Fill Materials 'C.. Approximate Fill Yardage 6) ��5; , Total,Req'd Placed this shift Total to Date Weather Report Sequence No, Test Test Elevation Soil Fill Test Dry %of Max Remark - No. Location' Or Type Moisture Density Dry Depth lbs/cu.ft. Density (1.' "C 1 ;he 11611 — /. s 4 lo -3 ! IG. O 90.7 I I -1:/ f &-s h T- qv .) x 7 " r/% n 5•y / ?i - 3 90- / _ . - i •,.• A iNt7it 1 t.i S 4e ,.0,.v y ,.- .d, i ( 4 Lr -1-€_)-4-> d r c4 + La- P.+r..;ww 42e("Imi -;) ul 9'0/ / - PAr- pc i-4:x. Remarks (Describe equipment used hauling,spreading, watering, condition and compacting; also report thickness if-lifts, removal of poor soil insufficiently compacted,and comment in unusual events.) riX3 , ,., , ..._, _. , L 1 11 Sketch °� ' • �,,nt v i, Lcs g arts out Copy to Client[ ] .Copy to EGL[ ]- . Environmental Geotechnology Laboratory Inc. by: rI 11819 Goldring Road,Suite A , C Arcadia,CA91006. Tel:(626)263-3588•Fax::(626)263-3599 e, Development Services Department 240 West Huntington Drive,Post Office Box 60021 PERMIT NO. ' \.,--es Arcadia, CA 91066-6021 BOO-057-805 City of (626) 574-5416,Fax(626)447-9173 Permit Type: Fire Arcadia PROJECT TRACT NO. LOT NO. APPLICATION DATE ISSUED BY PRINT DATE PERMIT STATUS 14036 9/11/2017 CM 14:51 9/21/2017 Final ADDRESS NO. Dlr.Prefix Street Name Street Suffix UNIT BLG ASSESSORS PARCEL NO. GEO CODE 36 E Las Flores Ave 5789-015-005 OWNER MAILING ADDRESS Chou,Chenju L P O Box 2298 PHONE NO. Plan Chk#: 17-309 Arcadia, CA 91077 EMAIL ADDRESS: APPLICANT MAILING ADDRESS PHONE NO. EMAIL ADDRESS: CONTRACTORIPROFESSIONAL MAILING ADDRESS 626 NO. 255-2312 FAX NO. F&H Fire Protection 1119 Westminster Ave PHONE ( Alhambra,CA 91803 EMAIL ADDRESS: License No. 584319 Type: C16 A B Expires: 4/30/2019 12:00: TENANT MAILING ADDRESS PHONE NO. FAX NO. DESCRIPTION FIRE SPRINKS FOR SFR Construction Type UOM H of Units Value Construction Type UOM H of Units Value Value Value 2,500.00 $2,500.00 OCCUPANCY: Fire Sprink/Alm TOTAL VALUATION: $2,500.00 QTY UOM DESC AMT AMT PAID ACCT QTY NOM DESC AMT AMT PAID ACCT 25.00 each sprinkler pek 700.00 700.00 01-3109 1.00 Flat Fire Issue Auto 44.35 44.35 01-3112la each Fire Permit 121.00 120.35 01-3112 �� 1.00 each SWMF 2 Auto 1.00 1.00 88-3027 ��� Total Fees: $865.70 Balance Due: $0.00 Paid Today: $165.70 This permit/plan review expires by time limitation and becomes null and void if the work authorized by the Receipt if: 117976 permit is not commenced within 180 days from the date of issuance or if the permit is not obtained within 180 days from 01-3112 164.70 the date of plan submittal.This permit expires and becomes null and void if any work authorized by this permit 88-3027 1.00 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. CALLS FOR INSPECTION INSPECTORS'OFFICE HOURS Requests for inspection should be made at least Monday-Thursday Friday one(1)business day in advance of the inspection 7:30 a.m.to 8:30 a.m. 7:30 a.m.to 8:30 a.m. by telephone at(626)574-5416 for onsite work. 4:00 p.m.to 5:30 p.m. 4:00 p.m.to 4:30 p.m. 9) (Closed on alternate Fridays) w,'°°ava k .; PERMIT/PLAN REVIEW APPLICATION 1-, i • Development Services Department,240 West Huntington Drive,Post Office Box 60021 %%h,at'''. Arcadia, CA 91066-6021, (626) 574-5416, Fax(626) 447-9173 City of Arcadia i3 ICENSED 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 fullforceand effect. 13 I have and will maintain a certificate of consent to self-insure for workers' License Class C- 1'6 License No. C0'f5l 9 Exp. Date 09/3o//Q 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 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.My workers'compensation insurance carrier and policy numbers are: Code.Any city or county which requires a permit to construct,alter,improve, Carrier WO R4uA-R p 1445. co- demolish,or repair any structure,prior to its issuance,also required the applicant Policy Number r, W L 8 7 87 87 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 them 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 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 finesup 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.l Name (641 ili ru V4 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 above-mentioned property for inspection purposes. Signature 7i�l2nr./"' Date 0 4/Z t% 7 f ARc ORN % OAF " �. i eo0fik j `'. MEMORANDUM_ Fire Department DATE: September 25, 2019 TO: BUILDING DEPARTMENT INSPECTOR Jeff Wang FROM: FIRE DEPARTMENT SUBJECT: FIELD INSPECTION ADDRESS: 36 E. LAS FLORES THE FOLLOWING ITEMS WERE CHECKED FOR CONFORMANCE WITH APPLICABLE FIRE DEPARTMENT REQUIREMENTS: TYPE OF INSPECTION DATE / INITIAL FINAL INSPECTION FIRE SPRINKLERS 8-9-2019 Jill Perumean FIRE ALARMS TANKS HOOD B. DUCT KNOX BOX OCCUPANCY 8-9-2019 Jill Perumean COMMENTS: Emailed Bldg. Dept. 9-25-2019 Jill , WATER DIVISION ATTENTION: mARK DATE: CS � FROM: BUILDING DIVISION INSPECTOR: -Jeff- ADDRESS: 36 'Er Lkf ttR S ( 7/vCPERMIT NO.: FJOC - asD—0 d2 PLAN NO.: 3 ( 7/2-- CONTRACTOR: ONTRACTOR: OMI b 00 I t PHONE NO.: 6 Z 6-6-71---16"717 OWNER: STEUe 0146“ PHONE NO.: PLEASE INSPECT THE FOLLOWING ITEMS FOR CONFORMANCE WITH APPLICABLE DEPARTMENT OF PUBLIC WORKS REQUIREMENTS. Type of Inspection Date& Initial Date& Initial Final Approval Meter Location C��S1NeC� Blackflow Devices Irrigation System CkiC 14M-4 Fire Sprinkler System Ofk411 65) Meter Clear A.P.P. Swimming Pool COMMENTS: 566- I-4° \ "--1 \7/LID NU/ t9 . V k9 MOS