HomeMy WebLinkAboutROOF-19-1877 •
• .N1/411/41, City of Arcadia, CA _
Permit NO. ROOF-19-1877 Development Services Department v-+-v�> 1 '-;
f) i;CS i , '} - _ Permit Type:.Roof
br-240 West Huntington Drive,Post Office Box 60021 i " )
Arcadia,CA 91066-6021 I iWork Classi cation:Reroof-Residential
(626)574-5416 Permit Status:Issued
ARCADIA - Issuetate:.09/16/20191 Expiration:
Addr NO. Dir Prefix Street Name Street Suffix Unit City,State,Zip Parcel Number
2501 Albert WAY Arcadia,CA 5787017027
Contacts
YANG,STEVETAND CHERIE H Owner EDUARDO PERALTA' Contractor
2501 Albert Way,Arcadia,CA 91007-8440 9622 LORICA ST,ROSEMEAD,CA 91770
(626)862-2049 1038978
Description:T.O,NEW SHEATHING. REROOF HOUSE ONLY Valuation: $ 10,000.00 Tenant
WITH COMP GAF SANDALWOOD CLASS A 23 SQ(1C)
Total Sq Feet: 0.00 '. Plan Check 0 Plan ll
Fees Amount Payments Amount Paid
Building Issuing Fee $47.01 Total Fees $290.51
Building Permit Fees $237.25 Cash/Receipt if REC-02502-19 $290.51
Solid Waste Management Fee $6.25
Amount Due: $0.00
Total: $290.51
:Bit
....._
!G-i-f 9 road.. EtE/vco Si46Kir par��T:rit
CALLS FOR INSPECTIONS
AF/=10,4/14; "7"...
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.
September 16, 2019
Issued By: Date
September 16,2019 Page 1 of 1
t.3 A.
d FOks3/4"1
1; PERMIT/PLAN REVIEW APPLICATION `- ' • •
F {-
r :::tY/1t--
1\'c "
Itt-tit4a 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 effectErlhave and will maintain a certificate of consent to self-insure for workers'
License Class C 3 Cr License No. 0 Exp. Date s — — ..
Signature of Contractor 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 PSI have and will maintain workers'compensation insurance,as required by Section
o 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'co anon Code.
carrier and policy numbers are:
Code.Any city or county which requires a permit to construct,alter,improve, 1 Carrier �4-CL�Q- LeVl.r'-1
demolish,or repair any structure,prior to its issuance,also required the applicant
Policy Number 9i2o21:1 I//2,Z
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 ;
..CFVFOR. - �\
8.,-7 ,•.
�00oylts:00""
AFFIDAVIT SELF-CERTIFICATION
FOR COMPLIANCE OF SMOKE ALARMS
ANDI 1CARBON MONOXIDE ALARMS
Property Address: aSO ( A 16Ci4 .Uq y
Permit Number: Roo' - l e/ -( 51-7 1
Brief Job Description: RwI" nrA(e Apt" th v�( lite-5 iA jAOQL -
Number of smoke alarms installed: 4Y S jure. ala✓»i
Number of carbon monoxide alarms installed: I Co latwn.
When alterations, repairs or.additions requiring a permit occur, or sleeping rooms are created,
Spoke 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
area in the immediate vicinity of the bedrooms, and on each additional story of the
dwelling, 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. httpa/osfm.fire.ca.eov/licensinglistings/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 the foregoing is true and correct, and that this
declaration was executed on (Date) 4/27/IT at Arcadia, California.
Owner's Name (printed/typed): 'SC, Va
Signature of Owner: A.� Val
This affidavit must be returned to the City of Arcadia inspector prior to final inspection
ISL . )Z lick 1 J�'_ �] -�i VIir ,F
Guest Room �'Bailn oon
[{' Storage
11
Family Room w
Garage
t2s FIRST FLOOR PLAN .
• On SMOKE ALARM a = CARBON MONOXIDE ALARM
fi !trot
- — Batit
AMaster Bedroom
Dining Room Kitchen
-Bath
0
Hall 0
Closet
Closet
Closet
Family Room
Bedroom . Bedroom
SECOND FLOOR PLAN
0 a SMOKE ALARM L' o CARBON MONOXIDE ALARM