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HomeMy WebLinkAboutUntitled City of Arcadia, CA Permit NO. RALT-18-2309 •+•� Development Services Department Permit Type:Residential Addition/Alteration 240 West Huntington Drive,Post Office Box 60021 Arcadia,CA 91066-6021 Work Classification:Res-Addition/Alteration (626)574-5416 Permit Status:Issued ARCA I)LA. Issue Date:12/12/2018 Expiration: 06/10/2019 Addr NO. Dir Prefix Street Name Street Suffix Unit City,State,Zip Parcel Number L230 Sharon RD Arcadia,CA 5785006014 Contacts TACAWY,AMIR Y AND SOUZANE H Owner 230 SHARON RD (626)235-3574 Description:INSTALL NEW WINDOW ON FRONT ELEVATION OF Valuation: $ 15,550.00 Tenant HOME, REPLACE SIDING AND BRICK FACADE WITH STACKED STONE/STUCCO PER APPROVED PLAN. NEW FRONT DOOR, Total Sq Feet: 0.00 (Plan Check it Plan it IN FILE REPLACE ALL WINDOWS(RETRO-FIT) Fees Amount payments Amount Paid Building Issuing Fee $44.35 Total Fees $796.02 Building Permit Fees $337.45 Cash/Receipt#REC-003121-2018 $796.02 Double Fee(Building) $337.45 Amount Due: $0.00 Energy Plan Review Fee $67.49 Green Building Standard $1.00 Solid Waste Management Fee $6.25 Strong Motion Inst.Program Res $2.03 /0 Total: $796.02 ifP1171r CALLS R INSPECTIONS 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. December 12, 2018 Issued By: Date December 12,2018 Page 1 of 1 •F A• 10* ' PERMIT/PLAN REVIEW APPLICATION o t ' 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 ❑ 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 ❑ 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 w,rkers'compensation provisions of Section 3700 of the Labor Code,I shall 0 I, as owner of the property, or my employees with wages as their sole f'.rthwrth 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 gate 2 Signature C' 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). ❑ I am exempt under Section 7044,Business and Professions Code,for this reason: Lender's Name )2//2.121) Signature f _ Lender's Address ' `�► A TANT: 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. 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.'')(‘ � ' 1 ame So k2,} J -r;-i A U 4 Title (-+rim Q 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 Ar \ dia to enter upon the above-mentioned property for inspection purposes. / / / ignature Date / 2 (2( 2 0 • 1 0 • �.a..a �„�,o�.n e ..�®1 .,I e i r— 1— 11iIl IIfYSI zi u OE 1 i It_ 9 (� : ILII- g I — `18 - /� flC , lu'111 .x_... ... dais ... ��§ I F__i ' °e ; . 1 A =•+ , I in I :lfli 15 A ) ® 4 L Q © . . ` ' g4., a, a IMP Ory.... or la g��S Ni9 of E i -I !4 6 9 E �i4F a'n R 14333 4f 1 SS i12 1 " ii gg i1jj1 Pi ii2 Ag! Jit 'il I'! ', - �1 � 4 f d& iih p9 i9ii a ' '1. 8 iiia y w I g 1!, iiiiiiiii 5 II dee 9s9p3 3 1 e $ g IP d 3 g 1 ill 31. s 431 -r.. d a l a 43E Hiiaie a g :•l TSF ai 8 a 5$ dg $� 3 yr s hi I p•p 1 a a ha 9 6 P -' all iii 6 tl ° a _ g sg„ Rs 2 Rearas S/Lvrx STAR ®=== R b § a ^ . 223 E.MAGNA VISTA AVENUE reVivxr�Fx.�reros ARCADIA,CA.91006 "°'°"""'""w� ,„�°"E P'�"""" a. Wreeoonea AMMA5.2A4 m OAA.A®n onnmestatembusenn m »•.; . City of Arcadia, CA Permit NO. RALT-18-2308 Development Services Department Permit Type:Residential Addition/Alteration r 240 West Huntington Drive,Post Office Box 60021 Work Classification:Res-Addition/Alteration Arcadia,CA 91066-6021 (626)574-5416 Permit Status:Issued ARCA D I A Issue Date:01/10/20191 Expiration: 07/09/2019 1 Addr NO. Dir Prefix Street Name Street Suffix Unit City,State,Zip Parcel Number 223 E Magna Vista AVE Arcadia,CA 5781018025 Contacts HU,JUN AND GUO,JIALIN Owner COMPLETE JR CONSTRUCTION INC* General Contractor(B) 223 MAGNA VISTA AVE 9900 LAKEWOOD BLVD 214,DOWNEY,CA 90240 (562)665-2012 923610 - Description:CONVERT EXISTING PORTION OF GARAGE TO Valuation: $80,767.15 Tenant KITCHEN. REMODEL KITCHEN AND 2 BATHROOMS.ADDITION OF MASTER BED/BATH.RELOCATE A/C UNIT AS PER APPROVED Total Sq Feet: 339.00 Plan Check#18-2308 Plan#32 PLAN. TOTAL 4 BED&3 BATH. "I Fees Amount Payments Amount Paid Building Issuing Fee $47.01 Total Fees $3,578.05 Building Permit Fees $1,065.35 Cash/Receipt#REC-00082-19 $2,603.25 Building Plan Review Fee $692.48 Cash/Receipt#REC-003120-2018 $974.80 Cal Green Plan Check $69.25 Compressor 3-5 Ton(3 to 15 hp) $34.29 Amount Due: $0.00 Dishwasher $12.46 ' Electrical Permit Issuance Fee $47.01 Energy Plan Review Fee $213.07 Garbage Disposal Fee $12.46 Green Building Standard $4.00 Kitchen Sink $12.46 CALLS FOR INSPECTIONS Lavatories $24.92 Request for inspection by telephone at 626-574-5450. Leave a message Mechanical Permit Issuance Fee $47.01 requesting the address,timeframe and what inspection item is needed. New Residential Elect.(sq ft area) $28.28 Parks&Recreation Fee(SFR) $1,151.40 Plumbing Permit Issuance Fee $47.01 This permit/plan review expires by time limitation and becomes null and Shower $12.46 void if the work authorized by the permit is not commenced within 180 days Shower Pan $12.46 from the date of issuance or if the permit is not obtained within 180 days Solid Waste Management Fee 56.25 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 Solid Waste Management Fee 2 $1.00 consecutive days or if no progressive work has been verified by a City of Solid Waste Management Fee 2 $1.00 Arcadia building inspector for a period of 180 consecutive days. Total: $3,578.05 , 1Z- 0 Cifpirr (--\5_ January 10, 2019 Issued By: Date January 10,2019 Page 1 of 1 of AR w r c 001\0&.,,1.i ii 1 PERMIT/PLAN REVIEW APPLICATION Development Services Department, 240 Nest Huntington Drive,Post Office Box 60021 „uitY^_"° Arcadia, CA 91066-6021, (626) 574-5416,Fax(626)447-9173 City of Arcadia tICENSED CONTRACTOR'S DECLARATION WORKERS'COMPENSATION DECLARATION ereby affirm under penalty of perjury that I am licensed under provisions of I hereby affirm under penalty of perjury one of the following: apter 9(commencing with Section 7000,of Division 3 of the Business and ofessions Code,and my license is in full force and effect. 0 1 have and will maintain a certificate of consent to self-insure for workers' ense Class C o. Exp ate jO-3 —1�QI compensation, as provided for by Section 3700 of the Labor Code, for the performance of the work for which this permit is issued. nature of Contractor ��WNER-BUILDE' DECLARA I N n I have and will maintain workers'compensation insurance,as required by Section ❑ I hereby affirm under penalty of perjury 1 at I a 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 Q !/ rfor such permit to file a signed statement that he or she is licensed pursuant to the Policy Number �I l C12] J �� 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 Secti. r 1 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. f 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 6)—tO -Zap!! Signature /.//) mai. di ow 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. 0 1, 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). 13 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. Name 17:11°117e Title 1 e ' 1liMMIUME f NT NAME I certify hnd state that the above information is correct and that I am the owner or duly authorized agent of the owner. I agree tces and State Laws relating to building construction. I hereby authorize representatives of the City of Arcadia above-men i ons property for inspection purposes. Signature �/ Date Ce/ 0'ib 20/r NOTES Building Inspections Date Insp. Plumbing Inspections Bate Insp. 223 E Abre ►w t i r s 100. Setbacks 210. Under flr./bldg.drain z , �^-cr GN((�� v• l+'T 101. Rough grade 211. Copper underslab I�LT-/R--23o2 102. Figs.&forms 2-7t/1 r4y3 212. Rough plumbing • -2-41 pi . 103. Pre-slabioo ` 213. Roughgas , ..nral v"V 4-1-tet �,rJ,�ki ^ tirrrrtl 104. Floor joists L�?l>�q ,)•NI 214. Shower pan 3 lZ�_ �(-r' 1�)U l'S /rVs�ft,F-- 105. Steel 't't--tl _ 215. Water heater F i that a A -* 106. Grout lift 216. Roof drains f�s661K-k �F-- 107. Shear nailing 3#5lid 4.14) 217. Building sewer - 108. Diaph nailing 218. Water service , 109. Roof nailing46p. 219. Final gas 110. Framing 4.14 220. Fixtures - 111. Occ./Area Sept.Wall 221. Final plumbing )S'.ZY11 d•YJI 112. Sound walls 222. Sewer cap/demo. 113. 1"-bar grid i 114. Insulation-Flr. .2.2trlq 1 Date , Insp. 115. Insulation-Wall 240. Excavation/steel 116. Insulation-Cell. e-2-ll 241. Rough plumbing 117. Drywall nailing all 242. Light rgroundshell/bonding 118. Interior lath 243. Underground conduit 119. Exterior lath 244. P-trap 120. Finish grade 245. Gas line&test 121. Final building 246. Fence,gates&signs 122. Final demo/lot clear 247. Pool heater 248. Final electric Electrical Inspections Date Insp: 249. Final dumbin! 150. Power pole 250. Pool cover 151. Sales lot lighting 251. Pool final 152. Under round conduit 153. Underslab conduit Reroof Inspections Date I Insp. 154. UFER ground 270. Pre-reroof insp. 155. Water ground 271. Roof framing 156. Rough electrical 4.2-�j V 272. Sheathing nailing 4�q `m 157. Fixtures 273. Final reroof ypa--7-I a v. 158. G-F.C-I. 159. 6d.bondin. Sign Inspections I Date I Insp. 160.1Servicepanel280. Footing overhang ■ 161. Final electric • 8�� � 281. Footing 282. Conduithvirin. Mechanical Inspections Elate Insp.` 283. Disconnect _ 180. Venting/flue 284. Final sign 181. Furnace/A.C. 182. Rauch HVAC P1145 •Iniria Miscellaneous Insp. Date I Insp. 183. Fire dampers r 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 ft-Tx- r me 300. Lateral(main to P/L) ■ 301. SaddleN Block Wall Inspections Bate Insp. 302. Cess.00l filled 200. Footings 303. Sidewalk - 201. SteeVrebar 304. Driveway 202. Grout lift 305. Curb replacement 203. Final wall 306. Trash bin A . A-Line 1105 Belmont Ave. INSPECTION SERVICES Tel#562-449-7491 Long Beach, CA. 90804 Fax#562-438-5136 REGISTERED INSPECTOR'S DAILY REPORT Permit# t-t_tg-230.1\ Job# TYPE OF ❑Welding 0 Reinforced Concrete ■Quality Co rol INSPECTION 0 High Strength Bolts 0 Post Tensioned Concrete i .xy ^� REQUIREDF41 ' , r (\` ❑ it PprogTi � 0Reinforced Masonry Of 01' Building Department �21--/9 / H 1� Job Address 0......22 Z Mil � t r - V, q 4--- k Ur-- Job � Job Name ""���fff ttt 1 Architect lF I Iv Type of Structure Engineerl �� r t.. —C. o IUl PN C <)fl 3 fl---- Material Description(type,grade,source) Contractor jZC (f,- TF�� . Jvc ,jtJc-. 7 k-A/ Sub-Contractor Fabricator Inspector(s)Name l� ���//JJJ���o C ilk...A �i / ) Owners Name,Address,Tel# 'V INSPECTION SUMMARY-LOCATIONS OF WORK INSPECTED,TEST SAMPLES TAKEN,WORK REJECTED,JOB PROBLEMS,PROGRESS REMARKS ETC. INCLUDES INFORMATION ABOUT-AMOUNTS OF MATERIAL PLACED OR WORK PERFORMED,NUMBER,TYPE&IDENT.in OF TEST SAMPLES TAKEN:STRUCT;CONNECTIONS(WELD H.T.BOLTS TORQUED)CHECKED;ETC. i ti Cl c 4 t t-0 es- S ¢l F d°(r5 \c t 6 0 11 -- )L) ) 4 SCP-( 'C- PF) ,erc 1 c:f .7( -1 5db(v P ( s u 1 r/ k --/./ /1/4„( (i\i C)-14 c.-2.6 4-.--_,A/To 6---)(( S7' 4161 ro ol\ (J.ti 4c.,p6---1-, ( D ,s/ , p KIR_ )r 6- r•-1 ri (2 L u 4A f ,.0 •N1 dc C c t -ib c)(ki c). T-- ,, _ - I, \-2_ \-22 3 vi c 4/ so A\xo u ‘.,i() YtTA. P-(1,:- ,,„/ 7(( ( Lk) o ,-\ t6 ( , TERMS 30 DAYS.SERVICES BILLED AT 4 AND B HOUR MINIMUMS,WITH A 2 HOUR CHARGE FOR CANCELLATIONS.SHOULD A-LINE BE REQUIRED TO INSTITUTE LEGAL ACTON FOR THE COLLECTION OF A DEBT INCURRED AS THE RESULT OF THE ACCEPTANCE OF THIS SERVICE TICKET,AMIE WILL BE ENTITLED TO ATTORNEYS FEES AND COSTS INCURRED N4 SAID SUIT.THIS FIELD REPORT PRESENTS A SUMMARY OF OBSERVATIONS AND TESTING BY A-LIE INSPECTION PERSONNEL.OUR WORK DOES NOT INCLUDE SUPERVISION OR DIRECTION OF THE ACTUAL WORK OF THE CONTRACTOR,HIS EMPLOYEES OR AGENTS.THE CONTRACTOR SHOULD BE INFORMED THAT NEITHER THE PRESENCE OF OUR FIELD REPRESENTATIVE NOR THE OBSERVATION AND TESTING BY OUR FIRM SHALL EXCUSE HIM IN ANY WAY DEFECTS DISCOVERED IN HIS WORK IT IS UNDERSTOOD THAT OUR FIRM WILL NOT BE RESPONSIBLE FOR JOB OR SITE SAFETY ON THIS CT. •'T� • CATEOFCUARI ANCE CONTINUES NEXT PAGED PAGE OF I HE'::Y CERTI• •T I •VE INSPECTED TO THE BEST OF MY KNOWLEDGE ALL 0' HEW We• LES,•THERWISE NOTED.I HAVE FOUND THIS WORK TO COMPLY' TH A' 'a 0 • •NS,SPECIFICATIONS AND APPLICABLE SECTIONS OF TH OVERNI .BUI MNG LAW. TIME IN TIME OUT REG HOURS O.T.HOURS SAMPLES 1 SIGNATURE OF REGISTERED DE _IN EC All inspections based on a minimum of 4 hours and over 4 hours-8 hours minimum 6c S 54)- "'W ._ . Approvedbyc---- L.- --'----:::''' �_ cJThkT0d f a (ILA County of Los Angeles DEPARTMENT OF PUBLIC WORKS BUILDING & SAFETY DIVISION PUBLIC WORKS. Los Angeles Regional Uniform Code Program STRUCTURAL OBSERVATION REPORT FORM STRUCTURAL OBSERVATION means the visual observation of the structural system, for general conformance to the approved plans and specifications, at significant construction stages and at completion of the structural system. Structural observation does not include or waive the responsibility for the inspections required by Section 108, 1704 or other sections of the Los Angeles County Building Code. (Sections 106.4.5, 1709) Report No. This report includes all construction work through day of FE!'-rwrt(/ ,20 j9 Page No. 1 of Project Address: Structural Observer of Record (SOR): SOR Phone No.: 22-5 _ tv1 tt6r4A V'ISji\ ff t L,,vii, r icio 2.D (S1,2) - 127$ Building Permit No.: Structural Observation Observr Professional Lic./Reg. No.: Observer Phone No.: performed by: F. i t i C- 31(0' (S-42) 871_ (278 OBSERVED STRUCTURAL ELEMENTS AND THEIR CONNECTIONS ELEMENTS/CONNECTION FOUNDATION WALL FRAMES FLOOR OBSERVATION LOCATION pi.Footing, Stem Walls ❑ Concrete ❑ Steel Moment Frame ❑ Concrete tiotrni4G ❑ Mat Foundation ❑ Masonry ❑ Steel Braced Frame ❑ Steel Deck ❑ Caisson, Piles, ❑ Wood ❑ Concrete Moment ❑ Wood MI/ — Grade Beams _ Frame f'trC.ITo tL C ci ❑Retaining Foundation ❑ Others: ❑ Masonry Wall ❑ Others: Hillside Special Anchors Frame (4 � ❑Others: ❑ Others: NOTED DEFICIENCIES with the proposed corresponding corrective actions with respect to general conformance with the approved plans or in the load path: (A final report by the structural observer which states that all observed deficiencies have been resolved is required before acceptance of the work by the building officials.) I DECLARE THAT THE FOLLOWING STATEMENTS ARE TRUE TO THE BEST OF MY KNOWLEDGE: 1. I AM THE ENGINEER OR ARCHITECT RETAINED BY THE OWNER TO BE IN RESPONSIBLE CHARGE FOR THE STRUCTURAL OBSERVATION IN ACCORDANCE WITH THE REQUIREMENTS OF THE COUNTY OF LOS ANGELES. SSI 2. I, OR ANOTHER ENGINEER OR ARCHITECT WHO I HAVE DESIGNATED ABOVE AND IS �Q 0 P UNDER MY RESPONSIBLE CHARGE, HAS PERFORMED THE REQUIRED SITE VISITS AT �� 0 EACH SIGNIFICANT CONSTRUCTION STAGE TO VERITY IF THE STRUCTURE IS IN f- v9 GENERAL CONFORMANCE WITH APPROVED PLANS AND SPECIFICATIONS; irT„ • u Nb.C X16. t w Exp . 3. ALL NOTED DEFICIENCIES WHICH REMAIN TO BE CORRECTED HAVE BEEN INDICATED � ,l\d ABOVE; i1� CIVIL �C� 4. I RECOMMEND THAT ACCEPTANCE OF THE STRUCTURAL SYSTEMS BY THE COUNTY ��OF�A` OF LOS ANGEL'S BE WITHHE UNTIL ALL OBSERVED DEFICIENCIES ARE CORRECTED. / q CA r r 2-i2-CJf f (STAMP OF STRUCTURAL OBSERVER) SIGNATURE OF STRUCTURAL OBSERVER DATE Version 1.0(2008 LACBC) Jan.10 2008 .r••.: City of Arcadia, CA Permit NO. ROOF-19-0658 Development Services Department Permit Type:Roof 240 West Huntington Drive,Post Office Box 60021 Work Classification:Reroof-Residential Arcadia,CA 91066-6021 (626)574-5416 Permit Status:Issued • ARCADIA Issue Date:04/03/2019 Expiration: Addr NO. Dir Prefix Street Name Street Suffix Unit City,State,Zip Parcel Number 223 E Magna Vista AVE Arcadia,CA 5781018025 Contacts HU,JUN AND GUO,JIALIN Owner COMPLETE JR CONSTRUCTION INC* Contractor 223 MAGNA VISTA AVE 9900 LAKEWOOD BLVD 214, DOWNEY,CA 90240 (562)665-2012 923610 Description:T/0 AND REROOF REMAINING PORTION OF Valuation: $ 5,000.00 Tenant HOUSE AND ATTACHED GARAGE TO MATCH ADDITION WITH DURALITE,SAXONY SLATE,COLOR:STONE MOUNTAIN BLEND Total Sq Feet: 0.00 Plan Check# Plan q OVER NEW SHEATHING Fees Amount Payments Amount Paid Building Issuing Fee $47.01 Total Fees $207.01 Building Permit Fees 5153.75 Cash/Receipt tt REC-00864-19 $207.01 Solid Waste Management Fee 56.25 Amount Due: $0.00 Total: $207.01 .. lI�C� Aft- CALLS FOR INSPECTIONS Request for inspection by telephone at 626-574-5450. Leave a message requesting the address,timeframe and what inspection item is needed. fikL l 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. • Ti April 03, 2019 Issued By: Date April 03,2019 Page 1 of 1 A, c.p,a0Rki.1., IP 4 ! 1i PERMIT/PLAN REVIEW APPLICATION tom*', Development Services Department,240 West Huntington Drive,Post Office Box 60021 ° Arcadia, CA 91066-6021, (626) 574-5416,Fax (626) 447-9173 0.0, 0.• at"0. City of Arcadia ICENSED CONTRACTOR'S DECLARATION WORKERS'COMPENSATION DECLARATION -- 3.' 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. 1:1 I have and will maintain a certificate of consent to self insure for workers' License Class5 License No :::t D ExplDate3j^mrlcompensation, as provided for by Section 3700 of the Labor Code, for the Signature of Contractorperformance of the work for which this permit is issued. OWNER-BUILDER DECLARATI 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 ri License Law for the following reason(Section 7031.5,Business and Professions is issued.My worker'consanisu'rancarrier and policy numbers are: Code.Any city or county which requires a permit to construct,alter,improve, Carrier (, k f L 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 S-, '. - 00 of the Labor Code,I shall ith ❑I, as owner of the property, or my employees with wages as their sole comply with those provisions compensation,will do the work,and the structure is not intended or offered for1/--- 1-'CO' l Si lure /� �� sale(Section 7044,Business and Professions Code:The Contractors License Date 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). 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 further information. c _ALe Z Title NAME I edify 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. Ito comply ,i th all City ordinances and State Laws relating to building construction. I hereby authorize representatives of the City of A dia to elite 1 po, the above- entioned p perry for inspection purposes. Si ature if/ Date y-- Z---ze/ Permit NO. Demo-18-2049 City of Arcadia, CA Development Services Department Permit Type:Demolition 240 West Huntington Drive,Post Office Box 60021 Work Classification:Demo/Pool Arcadia,CA 91066-6021 (626)574-5416 Permit Status:Issued A RCA D i A. Issue Date:11/01/2018 Expiration: 04/30/2019 Addr NO. Dir Prefix Street Name Street Suffix Unit City,State,Zip Parcel Number 223 E Magna Vista AVE Arcadia,CA 5781018025 Contacts HU,JUN AND GUO,JIALIN Owner COMPLETE JR CONSTRUCTION INC* General Contractor(B) 223 MAGNA VISTA AVE 9900 LAKEWOOD BLVD 214, DOWNEY, CA 90240 (562)665-2012 Description:DEMO INGROUND POOL Valuation: S 0.00 Tenant Total Sq Feet: 0.00 Plan Check# Plan# Fees Amount Payments Amount Paid Demolition Permit(Pool/Spa Backfill) $50.00 Total Fees $100.60 Demolition Permit Issuance Fee $44.35 Cash/Receipt#REC-002777-2018 $100.60 Solid Waste Management Fee $6.25 Amount Due: $0.00 Total: $100.60 , 12'31rtOc &oTTON i-k Le pce pcL Det4D UK " CALLS FOR INSPECTIONS Qr Z�� Request for inspection by telephone at 626-574-5450. Leave a message vv 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. • ;,4 4'`; November 01, 2018 Issued By: Date November 01,2018 Page 1 of 1 of AR 4106:001. h` PERMIT/PLAN REVIEW APPLICATIOr* �.it, Development Services Department,240 West Huntington Drive, Post Office Box 60021 mUulty,c" Arcadia, CA 91066-6021, (626) 574-5416,Fax (626) 447-9173 City of Arcadia LICENSED CONTRACTOR'S DECLARATION WORKERS'COMPENSATION DECLARATION 0 1 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. �o-lJ ❑ I have and will maintain a certificate of consent to self-insure for workers' License Class o. Signature of Contractor Exp. to 1 ���� compensation, as provided for by Section 3700 of the Labor Code, for the performance of the work for which this permit is issued. OWNER-BUILDE' 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 reason(Section 7031.5,Business and Professions s issued.My wrkers'comtrtion insurance carrier and policy numbers are: Code.Any city or county which requires a permit to construct,alter,improve, artier fl `� 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 olicy Number This section need not be completed if the permit is for one hundred dollars or less) provisions of the Contractors License Law(Chapter 9(commencing with Section 1 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 .0 I certify that in the performance of the work for which this permit 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" hould become subject to the workers'compensation provisions of Sec 1 t of th. 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 i AP Ples Date 1 d �k sale(Section 7044,Business and Professions Code:The Contractors License t — Signator _ 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). 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 asbesto o taining materials requires an asbestos survey and removal prior to disturbing the asbestos. Please contact AQMD at(909)396-2000 for further' to •.;;tion. lameIt/��, �gb _� Title ps,!% OF 'RINT NA E ,( certify that I have read this application and state that the above information is cot ct and that I am the owner or duly authorized agent of the owner. agree to compl • ' all City ordinances and State Laws relating to building construction. I hereby authorize representatives of the City of Arcadia to ent• upo a above-men 'oned property for inspection purposes. Signature J ° I Date ( / 2O' p )71010-JA-0 a 5 PA�W .3 ccf -„ j NA- iC ,`/ City of Arcadia, CA Permit NO. ROOF-19-1606 Development Services Department Permit Type:Roof 240 West Huntington Drive,Post Office Box 60021 Arcadia,CA 91066-6021 Work Classification:Reroof-Residential (626)574-5416 Permit Status:Issued ARCADIA Issue Date:08/15/2019 r Expiration: Addr NO. Dir Prefix Street Name Street Suffix Unit City,State,Zip Parcel Number 230 Sharon RD Arcadia,CA 57850060141 Contacts TACAWY,AMIR Y AND SOUZANE H Owner P H ROOFING* Contractor 230 SHARON RD 741 BELLEVIEW AVE,SAN DIMAS,CA 9177 (626)235-3574 (626)253-1942 Description:T.0 REROOF HOUSE/ATTACHED GARAGE WITH Valuation: $ 23,000.00 Tenant CERTAIN TEED PRESIDENTIAL SHINGLE AUTUMN BLEND CLASS A 47 SQ(JC) Total Sq Feet: 0.00 Plan Check# Plan# Fees Amount Payments Amount Paid Building Issuing Fee $47.01 Total Fees $507.61 Building Permit Fees $454.35 Cash/Receipt#REC-02141-19 $507.61 Solid Waste Management Fee $6.25 Amount Due: $0.00 Total: $507.61 rt-L-Nk-,-t focc, i9•/ rot.. rishi9 3J2 V C r2 CALLS FOR INSPECTIONS Request for inspection by telephone at 626-574-5450. Leave a message requestig the addr ss,timeframe an ha In ection item is needed. ezie4 e(f 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. August 15, 2019 Issued By: Date August 15,2019 Page 1 of 1 •FA• 00,000.3/44.• kiill"IV I PERMIT/PLAN REVIEW APPLICATION o��, tab" ~ Development Services Department,240 West Huntington Drive,Post Office Box 60021 4,•.1.,aft4* Arcadia, 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 aiAd effect. ❑ I have and will maintain a certificate of consent to self-insure for workers' License Clash ` 3 Li No.G 1 c 1 Exp. Date')-3l compensation, as provided for by Section 3700 of the Labor Code, for the Signature of Contractor i...1 &A performance of the work for which this permit is issued. OWNER-BUILDER DECLARATION ❑ I have and will maintain workers'compensation insurance,as required by Section 0 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 w9rker corn cation insurance carrier and policy numbers are: Code.Any city or county which requires a permit to construct,alter,improve, Carrier +1}t to✓►1 demolish,or repair any structure,prior to its issuance,also required the applicant 41")(06(2C- for () C'86C- 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 wI 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 Q (5 Det sale(Section 7044,Business and Professions Code:The Contractors License Date V 1 Signature [4 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). 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 further information. ff�� 1 ame Ott.%i C�t kArrq 7 Title 0 bil.31/ 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. �Signatur - of _ _ ate € -I 'rc/ • SFA . 4.P F(tV.,4 d\ ;-.' 11 I+t+t/tt+.tA Ari+t.f,IN! AFFIDAVIT SELF-CERTIFICATION FOR COMPLIANCE OF SMOKE ALARMS AND CARBON11MONOXIDE ALARMS Property AddressalC) S harm Wt- CArC,A is Permit Number: 19 - f fob Brief Job Description: (Jew 604- Number of smoke alarms installed: Li Number of carbon monoxide alarms installed: 2_ 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.gov/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 tile foregoing isue and correct, and that this declaration was executed on (Date) � , 2 l 26 011 at Arcadia, California. Owner's Name (printed/typed): moots zAAJE- `T Signature of Owner: This affidavit must be returned to the City of Arcadia inspector prior to final inspection SMOKE ALARM AND CARBON MONOXIDE ALARM LOCATIONS rSt001tthh10flr V Storage (-- 1 Family Room —1 Garage FIRST FLOOR PLAN 41= SMOKE ALARM 1 = CARBON MONOXIDE ALARM I I L Liiiiii Mstr ____.J Bath ID, Master Bedroom Dining Room Kitchen 1) -- Bath _c;152 . ._ _z_ HonCloset `' _1 Closet Closet Family Room Bedroom Bedroom SECOND FLOOR PLAN 0= SMOKE ALARM II o CARBON MONOXIDE ALARM