HomeMy WebLinkAboutDEMO-19-1482 op �d�' City of Arcadia, CA , Permit NO.Demo-19-1482
1
Development Services Department i Permit Type:Demolition
240 West Huntington Drive,Post Office Box 60021 I _� J i* --I t } I `'
r g1 f I t I � 1' f ( �— Work classification:Demo/Pool
Arcadia,CA 91066-6021 J� �. ':,ter .J �- :-�
�`` """� (526)574-5416 `, ' - ,Tr -"' Permit Status:Issued
ARCADIA ._Issue Date:o5/3i/2o19 Expiration: 01/27/2020
Addr NO. Dir Prefix Street Name ./ Street Suffix Unit City,State,Zip Parcel Number
1900 --it4t—' {t rmr-L,r Arcadia,CA 5791016023
Contacts
YANG,HUAI PING AND PEI LIN AND Owner Dig It Excavation Contractor
YANG,JIM Q 7670 Concord AVE,Fontana,CA 92336
407 Ilene DR,Arcadia,CA (951)453-3951 961439
Description:DEMO INGROUND POOL/SPA Valuation: $ 0.00 Tenant
Total Sq Feet: 0.00 Plan Check fJ Plan B
Fees Amount Payments Amount Paid
Demolition Permit(Pool/Spa Backfill) $53.00 Total Fees $106.26
Demolition Permit Issuance Fee $47.01 Cash/Receipt M REC-01990-19 $106.26
Solid Waste Management Fee $6.25
Amount Due: $0.00
TotS3-15:-.1 1al: q $106.26
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t3—t1 CALLS FOR INSPECTIONS
�.E (a/� {t✓cµr'C✓$ C12'0 pk Request for inspection by telephone at 626-574-5450. Leave a message
requesting the address,timeframe and what inspection item is needed.
'flMir L DiC V ' V 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.
July 31, 2019
Issued By: Date
July 31,2019 Page 1 of 1
0,,orug,^
if .�; PERMIT/PLAN REVIEW APPLICATION
%11:4 Development Services Department,240 West Huntington Drive, Post Office Box 60021
Arcadia, CA 91066-6021, (626) 574-5416,Fax (626) 447-9173
I
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:
-Palmer 9(commencing with Section 7000,of Division 3 of the Business and
Professions Code,and my license is in full force and effect. �`h q ❑ I have and will maintain a certificate of consent to self-insure for workers'
License Class i. eN _L... 3 '
Exp. Datevf Il LI compensation, as provided for by Section 3700 of the Labor Code, for the
�, t _ performance of the work for which this permit is issued.
Signature of Contractor %s' �/
OWNER-BUILDER DECLAR,�TION 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 is 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 shouldI�beco a subject to the
workers'compensation provisions of Section 3700 of I>r" ..or Code,I shall
❑I, as owner of the property, forthwith comply with those provisions ��
or my employees with wages as their sole ��I /�li
compensation,will do the work,and the structure is not intended or offered for 3{/ C �� � '
sale(Section 7044,Business and Professions Code:The Contractors License Date?JI 1 Signature r�////-/��t��
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 coverageis 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).
0 I am exempt under Section 7044,Business and Professions Code,for this reason:
Lender's Name
Date Signature Lender's Address
IMPORTANT: APPLICATION IS HEREBY MADE TO THE BUILDING OFFICIAL FOR A PERMIT SUBJECT TO THE CONDITIONS AND
RESTRICTIONS SET FORTH ON THIS APPLICATION AND THE FOLLOWING:
1. The City's approved plans and permit inspection card must remain on the job site for use by City inspection personnel.
2. Final inspection of the work authorized by this permit is required.A Certificate of Occupancy must be obtained prior to use and occupancy of new buildings
and structures.
3. Per South Coast Air Quality Management District(AQMD)regulations,renovation and remodeling work that results in the removal,stripping,or altering
of asbestos containing materials requires an asbestos survey and removal prior to disturbing the asbestos. Please contact AQMD at(909)396-2000 for
furtherr(information.in� 01`)
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Na e�/(�i S\ slay Title ( lw•-' V
PRINT NAME
I c rtify 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 a ree to comply with all City ordinanc' and State Laws relating to building construction. I hereby authorize representatives of the City of
Arc dia to . • pon the above-.• roperty for inspection purposes.
1111
Sig rare ///i I,Si� Date 7^ 31-19
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v SOIL
_ EXPLORATION
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COMPANY, INC.
Soil Engineering, Environmental Engineering, Materials Testing, Geology
August 13, 2019
Project No. Digitexc-23
TO: Dig It Exc.
7670 Concord Ave.
Fontana, CA 92336
SUBJECT: Report of Laboratory and Field Density Test Results, Swimming Pool Backfill, 1900
7th Place, Arcadia, California 91006
Introduction
We have prepared this report containing results of field density and laboratory testing and limitation of our
work performed during backfill of the swimming pool at the subject site.
Summary of Work Performed
Swimming pool area backfill was performed by Dig It Exc.of Fontana, California. Backfill was performed on.
We understand that punching of holes at the bottom of the pool prior to start of backfill was observed and
approved by the City inspector.
Imported soils classified as light brown silty sand (USCS "SM") were utilized for the backfill. Backfill was
performed and compacted by a bobcat.Water was applied by water hose.
Compacted Fills
Fills were placed in 6-to-8-inch loose lifts, moisture conditioned, mixed and compacted. Tests results
indicate a minimum 90 percent compaction relative to the maximum dry density. Maximum dry density was
determined in accordance with ASTM D1557-09 Test Method (5 layers).
Field Density Tests
Field density testing for the pool backfill was provided on an on-call basis on August 13 and 14, 2019. Field
density tests were performed by the Nuclear Gage(ASTM 2922) Method. Laboratory tests and summary of
field density test results are presented in Appendix A.
Closure
If you should hav`
garding this report, please do not hesitate to contact our office. We
appreciate this o.. , -1)0.;:"-z.q•8 2c ce.
Very truly your c� l_ 'C. y
Soil Exploratio •.• �nc. 5347 c m
-` EXP. - rt
s � /' CIVIL \P
Gene K. Luu, PE •49FCAUFoe
Project Engineer
7535 Jurupa Ave., Unit C • Riverside, CA 92504 • Tel: (951) 688-7200 • Fax: (951) 688-7100
soilexploration@yahoo.com • www.soilexp.com
1900 7th PI. Project No. Digitexc-23
Arcadia, California August 13, 2019
Swimming Pool Backfill
1900 7th Place
Arcadia, California
FIELD DENSITY TEST RESULTS
Test Date Location Soil ElevJ Dry Density (pct) Moisture Relative Test
No. Type Depth (%) Compaction Remarks Method
Field Maximum Field OpL
1 8/13/19 See Plan Attached 1 -0.0' 116.5 124.0 12.9 11.0 94 N
2 8/14/19 1 -2.0' nte0 " 12../ " 611 N
3 I ' 8/14/19 1 0 l i " 93
RT-Denotes Retest N-Denotes Nuclear Gauge FG—Finish Grade S-Denotes Sand Cone
LABORATORY TEST RESULTS
SAMPLE DESCRIPTION MAXIMUM OPTIMUM
DENSITY MOISTURE
(Pct
r 1 {Silty Sand: Light brown, fine to medium grained 124.0 11.0
MAXIMUM DRY DENSITY TESTS
Soil Exploration Co., Inc. Appendix A
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AFFIDAVIT SELF-CERTIFICATION
FOR COMPLIANCE OF SMOKE ALARMS
ANDBCARBON MONOXIDE ALARMS / �' �}
Property Address: 000 / 1.�.�'f�-QL . ��e`^-C�./ C/T; , 1 1 01914
Permit Number: , — 1 9 - 144-z,
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Brief Job Description: ?v v 13C-Le-DC, ii
Number of smoke alarms installed:
Number of carbon monoxide alarms installed: l _
When alterations, repairs or additions requiring a permit occur, or sleeping rooms are created,
Smoke alarms shall be installed in each sleeping room, and outside each separate
sleeping area in the immediate vicinity of the bedrooms, and on each additional story of the
dwelling, including basements and habitable attics as required by Section R314 of the 2016
California Residential Code (CRC) and California Health and Safety Code Section 13113.7.
For dwellings or sleeping units containing fuel burning appliances or having attached
garages, carbon monoxide alarms shall be installed outside each separate sleeping
aren- the immediate vicinity of the bedrooms, and on each additional story of the
V` eidwelling, including basements as required by Section R315 of the of the 2016 California
. Residential Code (CRC).
-.Multi-purpose alarms (combination carbon monoxide and smoke alarms) may be used.
All alarms shall comply with requirements for listing and approval by the Office of the State Fire
Marshal. http://osfm.fire.ca.qov/licensinolistings/licenselistinq bml searchcotest.php
As owner of the above referenced property, I hereby certify that the smoke alarms and carbon
monoxide alarms have been installed in accordance with the manufacturer's instructions and in
compliance with the code sections referenced above.
I declare under penalty of perjury that th for going i true and correct, and that this
declaration was executed on (Date) / y0 at Arcadia, California.
•
Owner's Name (printed/typed): (-I (AA I I t Nc4
Signature of Owner: A j_- çtit-a„y(J_
This affidavit must be returned to the ' y of Arcadia inspector prior to final inspection
SMOKE ALARM AND CARBON MONOXIDE ALARM LOCATIONS
Guest Room _ Bathroo
I Storage
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I 1 Family Roamt�
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� Garogc
L------- Pill
FIRST FLOOR PLAN
®= SMOKE ALARM ® = CARBON MONOXIDE ALARM ,
I. 171 Mslr • a.4
Bath
. P Master Bedroom -
Dining Room Kitchen
Bath
clarcr. Cii
____ :L=1
HallCloset
Closet Closet
Family Room -- a 4 0
a
Bedroom I3cdraom
SECOND FLOOR PLAN
0=SMOKE ALARM 111 = CARBON MONOXIDE ALARM