HomeMy WebLinkAboutUntitled 4 •
w City of Arcadia, CA �)
Permit Na ROOF-19 1215':
Development Services Department l(-Th y'�' '^°"�-T-J' kJ PermitType•Roof
240 West Huntington Drive,Post Office Box 60021 C. )9 a 6 s f
It ' Arcadia,CA 91066-6021 x:t ) i f i 3 i i`Work Classification:Reroof-Residential
I'—"y ,.
(626)574-5416 - • Permit Status:Issued
ARCADIA Issue`Uate:06/26/2019 1 `Expiration:
Addr NO. Dir Prefix Street Name Street Suffix Unit City,State,Zip Parcel Number
261 Hacienda DR Arcadia,CA 5770014006
Contacts
JAMES&MONICA SCARBOROUGH Owner 3RD GENERATION ROOFING' Contractor
261 HACIENDA DR 6371 WATERSTONE WAY,FONTANA,CA 92336
(626)233-2117 (951)206-2794 768618
Description:NEW SHEATHING,T.O REROOF HOUSE/ATTACHED Valuation: $ 30,000.00 Tenant
GARAGE WITH BORAL CEDARLITE 600 HEARTWOOD CLASS A
51 SQ. HOA APPROVAL Total Sq Feet: 0.00 Plan Check ff Plan fl
Fees Amount Payments Amount Paid
Building Issuing Fee $47.01 Total Fees $604.76
Building Permit Fees $551.50 Cash/Receipt N REC-01649-19 $604.76
Solid Waste Management Fee $6.25
Amount Due: $0.00
Total: $604.76
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CJn %e Aq2 r SeC �r� t ,- / " CALLS FOR INSPECTIONS
I , ,f „I �EBAYa.,.�quest for inspection by telephone at 626-574-5450. Leave a message
(�`_/.(rte/ ,�/,/Q (/ -, ,,,/// "'�����,r,�,equesting 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.
June 26, 2019
Issued By: Date
June 26,2019 Page 1 of 1
o AR
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inn -fre, PERMIT/PLAN REVIEW APPLICATION
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43* Development Services Department,240 West Huntington Drive,Post Office Box 60021
52.:119Arcadia, 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. ❑ I have and will maintain a certificate of consent to self-insure for workers'
License Class Cr 31
Signature of Contractor l License No.76S&1 Exp. Date 9/201 9 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 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 S Trim FUw 9
demolish,or repair any structure,prior to its issuance,also required the applicant / Q U.f'Y/ 9 /7
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 ill should become subject to the
workers'compensation provisions of Section 3700 of the Labor Code,I shall
❑I, 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
Date �j /�G// �7 Signature (sem
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
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 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 mason:
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
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. /)
V Name Fr r c vss eel NAME title o tevA gk
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 \ /Date ,GA'/'7
DATE FILED
APPLICATION FOR HOMEOWNER ASSOCIATION
ARCHITECTURAL DESIGN REVIEW
(SHORT REVIEW PROCEDURE)
PROJECT ADDRESS: 26/ ,1/42E,i,ZN04 !/A- ,4&i0 ,11-
PROPERTY OWNER'S NAME: A-A, 17 (VI DA/i e
ADDRESS(IF DIFFERENT):
TELEPHONE NO.: 626 753 - Z// 7 E-MAIL ADDRESS:
APPLICANT NAME(IF DIFFERENT): aro 6 ,F,z.-,-i:-,,., "024,44
ADDRESS: y92(, iOA4 n q try b y DA . i)ni7 o C (;7. 33 C /
TELEPHONE NO.:9S / 206-„279 L/ E-MAIL ADDRESS:712/1 ict loo(ee et, -/-7(/r4k- ,4-e-t-
DESCRIPTION OF PROJECT(Check applicable): l
O Single-story remodel(includes window replacement) and/or addition(s)
❑ Detached accessory structure(s)and/or Accessory Dwelling Units-new, additions to, and/or remodels
• D Fences and/or walls in and/or facing (i.e., visible from)front and street side yards
O Hardscape, landscaping and structural elements in front and street side yards, including without limitation,
swimming pools, spas, fountains and other water features
O Fences, lights, and other features related to tennis courts, sports courts or other significant paved features
❑ Mechanical equipment
]Roofing GOD
364,9t #2A e 7.-gef - 4gand o,pr-MSA1,D 0-378'3
GLI._
ACTION & FINDINGS:
XApproved-The project is consistent with all applicable guidelines
❑ Conditionally Approved-With the following conditions,the project will be consistent with all
applicable guidelines
❑ Denied-The project is notconsistentwith the following guideline(s)
By /A o�N ARB-Gheirpewon Date: 6/2--C/7/'
�vTir Niartif's '`I'eC-5/ " -e
4
10/18
J1 7
P.
The following is the mandatory procedure for submitting proposals to your Architectural Review
Board (ARB)for a Short Review:
First: Architectural Design Review — Contact the Architectural Review Board Chairman to arrange a
preliminary discussion of your design ideas for the site before any plans are drawn. Please contact your
ARB Chairperson Monday through Friday between 10:00 a.m. and 5:00 p.m. 7
A determination should have been made whether the proposed project is subject to a Short Review process
for minor alterations to an existing property, or Regular Review process fora new house or major alteration.
Second:Zoning and Building Code Compliance—After a preliminary set of plans have been developed,
please present your plans to Planning Services in City Hall prior to submitting any proposal to your
Architectural Review Board (ARB). The purpose of this review is to ascertain whether, or not the proposal
complies with the applicable zoning and protect tree regulations. This review will usually be done over-the-
counter.
Third: Submit a complete application package to the ARB - Incomplete applications will not be
accepted.The following items are required:
1. Application form (attached)
2. Three sets of complete architectural plans that are drawn to scale and clearly dimensioned, which
include to the following information:
a. Scale and north arrow
b. Street address
c. Accurate lot dimensions
d. Accurate depiction of the adjacent City parkway(s)
e. Location and size of all existing and proposed structures
f. Location of all landscaped areas
g. Location of all mechanical and plumbing equipment (i.e. air conditioning units, pool equipment,
water heaters etc.)
h. All building and setback areas shall be clearly dimensioned •
i. Property owner's and Architect or Designer's names and contact information
j. Elevations and photos of all existing buildings on the site
k. Floor plans, elevations, sections, and details of the proposed project
I. A description of the exterior materials, colors, treatments, etc. (samples should be provided).
m. Photos of the neighboring properties together with a depiction of the completed project to show the
scale of the proposed project in relationship to the adjacent structures
n. The ARB may request additional materials during the design review process
3. Letter size envelopes with proper postage, addressed to the owner and applicant(if different)and to all
owners within the required area of notification. -
Fourth: Protected Tree Permit - If the proposed project is subject to a Protected Tree permit, please
contact Planning Services at (626) 574-5423. The protected tree applications (e.g. diseased/hazardous,
encroachment, and removal) must be reviewed by the City prior to submitting plans to Building Services. .
You may obtain application at Planning Services and at the City's website at www.ArcadiaCA.gov.
City Council Resolution No. 6770 sets forth the design review regulations, procedures'and criteria for all
five Homeowners'Associations(available in Planning Services and on the City's website). Please,note that
the ARB's Short Review and Regular Review processes, as set forth by Resolution No. 6770, have time
limits. The ARB must act on a Short Review application within 10 working days from the date a complete
application is filed with the ARB and within 30 working days from the date a complete Regular Review
application is filed with the ARB. During the design review process, the ARB may request for additional
materials. Failure to take action in said times shall be deemed an approval of the application.
The ARB's decision may be appealed to the Planning Commission.An appeal must be made in writing and
delivered to Planning Services within 7 calendar days of the ARB's decision and shall be accompanied by
12 copies of the plans and the appeal fee in accordance with the applicable fee schedule.
FILE NO.
3
I
UFOR1i
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4,0011,,of.
AFFIDAVIT SELF-CERTIFICATION
FOR COMPLIANCE OF SMOKE ALARMS
AND CARBON MONOXIDE ALARMS
Property Address: 2-6 / 44 , gtz`'eO.,0 449 91 4,4�
Permit Number: goof= .— /7 —
Brief Job Description: ���4*C lCco )'
Number of smoke alarms installed: to
Number of carbon monoxide alarms installed: /
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 -
-
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. http://osfm.fire.ca.qov/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 manufacturers 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) #44 acf/z, -Q,9 at Arcadia, California.
Owner's Name (printed/typed):ed): ��.�� Ga2 ✓� adyA
//,
Signature of Owner: ,,_ •���r �����,
This affidavit mu)!' returned to the City of Arcadia inspector prior to final inspection
\F
SMOKE ALARM AND CARBON MONOXIDE ALARM LOCATIONS - .y
Guest Room a Bathroo
Storage
•
Family Room ism
a
S
a
mos Garage
•
• FIRST FLOOR PLAN
•= SMOKE ALARM I = CARBON MONOXIDE ALARM
L I al
Mstr
Baps
,i Master Bedroom
Dining Room Kitchen
— Bath
Hao Closet
C
tCloset '
�- -® y Closet
Family Room -
0 0
Bedroom Bedroom
SECOND FLOOR PLAN
0=SMOKE ALARM I = CARBON MONOXIDE ALARM