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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
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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