HomeMy WebLinkAboutRALT-19-0926 •b'S City of Arcadia, CA . Permit NO RALT=19-0926.
Development Services Department P-ermr[�ype Residential Addition/Alteration
240 West Huntington Drive,Post Office Box 60021 i , ( L 1 ii
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- d i i Work Classy cation:Res-Addition'Alteration
++ Arcadia,CA 910fi6-6021 fi / .
r—.IV---i (626)574-5416
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m = m PermitStatus:assued
ARCADIA issue:Date 05/17/2019, Expiration:
Addr NO. Dir Prefix Street Name Street Suffix Unit City,State,Zip Parcel Number
424 Sharon RD Arcadia,CA 5785012008
Contacts
PETER BROWNSTEIN Owner
424 SHARON RD
(626)241-7654
Description:DOR CREATIN BED BATHROOM 3NEXT O SLIDING
N2. OO SLIDING Valuation: $,'809.40 Tenant
PATIO DOOR IN BED#4.FRENCH DOORS AND SLIDING DOORS
LEADING TO PATIO AREA. WITH EMP Total Sq Feet: 0.00 Plan Check ft Plan N
Fees Amount Payments Amount Paid
Building Issuing Fee $47.01 Total Fees $771.82
Building Permit Fees $220.55 Cash/Receipt N REC-01241-19 $771.82
Building Plan Review Fee $143.36
Cal Green Plan Check $14.34 Amount Due: $0.00
Electrical Permit Issuance Fee $47.01
Energy Plan Review Fee $44.11
Green Building Standard $1.00
Lavatories $13.21
Light Fixtures $55.92
Mechanical Permit Issuance Fee $47.01
Outlets-Receptacles&Switches $21.19 CALLS FOR INSPECTIONS
Plumbing Permit Issuance Fee $47.01 Request for inspection by telephone at 626-574-5450. Leave a message
Shower $12.46 requesting the address,timeframe and what inspection item is needed.
Solid Waste Management Fee $6.25
Solid Waste Management Fee 2 $1.00
Solid Waste Management Fee 2 $1.00 This permit/plan review expires by time limitation and becomes null and
Solid Waste Management Fee 2 $1.00 void if the work authorized by the permit is not commenced within 180 days
Strong Motion Inst.Program Res $1.07 from the date of issuance or if the permit is not obtained within 180 days
Ventilation Fan(Single Duct) $9.94 from the date of plan submittal.This permit expires and becomes null and
Water Closet $37.38 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
Total: $771.82 Arcadia building inspector for a period of 180 consecutive days.
•
CUW&fyf
May 17, 2019
Issued By: Date
May 17,2019 Page 1 of 1
wan__ PERMIT/PLAN REVIEW APPLICATION
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zIt*ult 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
0 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 License No. 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
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 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
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
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 KI 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 mom 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
j, 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 Da( te51: 7/ I1
Signature� G�
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 CONSTRUCTION LENDING AGENCY
e: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 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:
1 I Lender's Name
1\\Date 51 i 11 I 1 Signaturer Lender's Address
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.
r(
ame 1Pl�'e-r I{�J r OW riefe.21.1 fine 0 Ct) tU C It
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 �.'n the above-mentioned property for inspection purposes.
Signature
400
�� Date 611,7 ` 19
NOTES
Building Inspections Date Insp. Plumbing Inspections Date Insp. 7< 7 d2e( Skie&� 4 -
100. Setbacks 210. Under fir./bldg.drain
101. Rough grade 211. Copper underslab
102. Figs.&forms 212. Rough plumbing
4-5-'1 l 2-01? 1:24"04G , ,it eraioit
103. Pre-slab 213. Rough gas G.
104. Floor joists 214. Shower pan 6'S i/as OOb/eS me 12F✓� G 5,t2, #V
105. Steel 215. Water heater
106. Grout lift 216. Roof drains
107. Shear nailing 217. Building sewer 8-141 Por-0 / <�
108. Diaph nailing 218. Water service L�$o�' ' .w `/ %
109. Roof nailing // /y_19. Anal gas
110. Framing 5-(°f * 220. Fixtures
111. OcciArea Sept.Wall // 221. Final plumbing - - 8-1s1 in1 $-8-/7 Vjywa/s ledzit.waity
112. Sound walls 222. Sewer cap/demo. ,
113. T-bar grid «+/✓
114. Insulation-Ar. Pool Inspections Date . Insp.
115. Insulation-Wall , /./R ,,,,,r7 240. Excavation/steel
116. Insulation-Cell. W-7 I . 241. Rough plumbing
117. Drywall nailing ;-l7-17 - 242. Light shell/bonding
118. Interior lath sr,.243. Underground conduit
119. Exterior lath 22-44 244. P-trap
120. Finish grade 245. Gas line&test
121. Final building -iI V � 246. Fence,gates&signs
122. Anal demo/lot clear 247. Pool heater
248. Anal electric
Electrical Inspections Date Insp. 249. Anal dumbiro
150. Power pole 250. Pool cover
151. Sales lot lighting 251. Pool final
152. Underground conduit
153. Underslab conduit Rereof Inspections Date Insp.
154. UFER ground 270. Pre-reroof Insp.
155. Water ground1. Roof framing
156. Rough electrical 4.:-5-47 6
� 2. Sheathing nailing
157. Fixtures 273. Final reroof
158. G.F.C.I.
159. E.4t.bondine Sign Inspections Date I Insp.
160. Service panel 280. SetbacWoverhang
161. Final electric g-ir41'j kw) 281. Footing
282. Conduithwirin!
Mechanical Inspections Date Insp. . 283. Disconnect
180. Venting/flue 284. Final sign
181. Furnace/A.C.
182. Rouch HVAC .y .1` A= 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. Anal
189. Commerdal hood
190. Duct shaft Sewers&Offsite Insp. gate Insp.
191. Final mechanical U 300. Lateral(main to PIL)
301. Saddle/Y
Block Wall Inspections Date Insp. 302. Cesspool filled
200. Footings 303. Sidewalk
201. Steeurebar 304. Driveway
202. Grout lift 305. Curb replacement
203. Final wall 306. Trash bin
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