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` � City of Arcadia, CA :• ,:, rM , „ i,4 gr,,,+t. ct„ r , , ;,,, s.:01.0, t ',
It ii t} Development Services Department 1 1) y'" {r "- ``� iirt �. ;err i, a PermitTypetRoof'
' y f4ri .240 West Huntington Drive,Post Office Box 60021 ..,{7 �° 4 :`j• (� F1' rri •t"`'^'+' ' "' ` '
r� .4,.«. I 1 tliV elailificahon Reroof Residential•
f� rill, Arcadia,CA 91066-6021 fl x,e--e y..sP�. .til 1.,7 ••1 ,,,,-;T::4-;-:;,":,‘:" :..!:, �. •.
iota , (626)574-5416 '� ,Orn iii. , .sx ) ...I..% , r ,ie 1 Permit Staturlssued
ARCADIA , IssueiDate"4 07/23/ 018, Expiration: 01/19/2019
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Addr NO. Dir Prefix Street Name Street Suffix Unit City,State,Zip Parcel Number
401 Harvard DR Arcadia,CA 5775004022
Contacts
JIN HONG Owner
401 HARVARD DR
(626)377-6298
Description:T.0 REROOF HOUSE/GARAGE WITH trent ' Valuation: S 35,000.00 Tenant
Sa"^14: IC €^^'"' ^E a CLASS A 60 SQ EG Mf7 D
HOA APPROVAL. Emist� /`d,r _ -•tV ' - yo. Total Sq Feet: 0.00 Plan Check# Plan#
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..a- r-��. -... ra�.w n.0 W mn. .ti mw r. • 4
Fees Amount Payments Amount Paid
Building Issuing Fee $44.35 Total Fees $665.85
Building Permit Fees $615.25 Cash/Receipt#REC-001780-2018 $665.85
Solid Waste Management Fee $6.25
Amount Due: $0.00
Total: $665.85 I
5'/7-// A.-47$107.-
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6 el e • 4 t Olt hSSI rt INSPECTIONS
Request •r inspection by telephone at 626-574-5450. Leave a message
/ / re uesting the address,timeframe and what inspection item is needed.
1//#01(444 *(c cc✓As' 477(
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.
al'
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July 23, 2018
Issued By: Date
July 23,2018 Page 1 of 1
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•
k Par PERMIT/PLAN REVIEW APPLICATION'IllilfrEM 39
Eli*' 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
Si of Contractorperformance of the work for which this permit is issued.
WNER-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 s n 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 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'
penal 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 DaleAr 0 _ ature
sale(Section 7044,Business and Professions Code:The Contractors License
Law does not apply to an owner of property who builds or improves thereon, 4
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 coverageis unlawful,
sale.If,however,the building or improvement is sold within one(1)year of and shall.subject an employer to criminal penaltiesand civil fines up to one
completi 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 n wild or improve for the purpose of sale). damages as provided for in Section 3706 of the Labor Code, interest, and
attorney's fees.
, as owner of the property, am exclusively contracting with licensed
contractors to construct the project(Section 7044,Business and Professions CONSTRUCTION LENDING AGENCY
Crvle:The Contractors License Law does not apply to an owner of property
who builds or improves thereon,and who contracts for such projects with a I hereby affirm under penalty of perjury that there is a construction lending agency
contractor(s)licensed pursuant to the Contractors License Law). for the performance of the work for which this permit is issued (Section 3097,
Civil Code).
❑ I am exempt under Section 7044,Business and Professions Code,for this reason:
/// Lender's Name
1/n/7x7(/1? f Signani7 Lender's Address •
IMPORTANT: PLICATION IS HEREBY •,%'/HE BUILDING OFFICIAL FOR A PERMIT SUBJECT TO THE CONDIT 3NS AND
RESTRICTIONS SET FORTH ON THIS Al" CATION 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 nem 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.S -- //
arse V i.r7 N/T/J '1, 1 Title
PRPrr AAAxMAgEm
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 abo • .I' •.-proper • for ins'ection .u �oses. />
Signature •
(Date o / /2 •
I � 1
DocuSign Envelope ID:F95A4CF7-9A1F-4BF1-93DE-6CFE667FC33C
FILE NO.
DATE FILED
APPLICATION FOR HOMEOWNER ASSOCIATION
ARCHITECTURAL DESIGN REVIEW
(SHORT REVIEW PROCEDURE).
/� � /'
PROJECT ADDRESS: 7—Cl / / //L�/(X r ' 1 ��
PROPERTY-OWNER".SNAME: (12)-2 el)
ADDRESS(IF DIFFERENT): 62 E ' 776 P
TELEPHONE NO.: E-MAIL ADDRESS: /
O/ OI3 Ci( 7c,4cta//
rani
APPLICANT NAME(IF DIFFERENT): •
ADDRESS:
i
I TELEPHONE NO.: E-MAIL ADDRESS:
:
i .
DESCRIPTION OF PROJECT(Check applicable):
❑ Single-story remodel(includes window replacement)and/or addition(s)
❑ Detached accessory structure(s)and/or Accessory Dwelling Units—new, additions to, and/or remodels
O. Fences and/or wals_in and/or facing (i.e., visible from),front and street side yards .._ _
❑ Hardscape, landscaping and structural elements in front and street side yards, including without limitation,
swimming pools, spas, fountains and other water features
❑ Fences, lights, and other features related to tennis courts, sports courts or other significant paved features
❑ echanical equipment /� /� y���)
Roofing Cff /P/( 2 ,. 1� 2s *a/n 0 FG f"W O �W
# 7109
ACTION&FINDINGS:
50 Approved—The project is consistent with all applicable guidelines
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❑, G.ondidonaliy Approved-With the following.conditions,thp,projeet will be consistent with all
applicable guidelines
❑ Denied—The project is not consistent with the following guideline(s)
DA_EV-J y.
ISM:t �G I ._
� ,t,,U,.Y ,,,,,,,, ,ARB Chairperson Date: 9/21/2018
5CB7E47E704B438...
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DacuSigri Env41oN°E;ID,997853BE-84CF-44F8-B765-AFC129 ._ __ i !
F ILE NO .-..".,,,...,_._....._"._
DATE FILED APPLICATION FOR HOMEOWNER ASSOCIATION
ARCHITECTURAL DESIGN REVIEW
i (SHORT REVIEW PROCEDURE)
PROJECT ADDRESS ?L.67' < C 'y I& r_4
���aL Ca(T_. (�`�/✓e _ fret-D'`A
PROPERTY OWNER'S NAME. (`/n (77/ � 9
ADDRESS(IF DIFFERENT):/ —
TELEPHONE NO, (7Z(� -MAIL ADDRESS 8 ( r7 O/'2 a�/t6n
APPLICANT NAME(IF DIFFERENT); \L
ADDRESS. —__
TELEPHONE NO: E-MAIL ADD ' S5. ' .�...
DESCRIPTION OF PROJECT(Check applicable): (( " J�
O Single story,remode;(includes window replacem nt)and/r/r"`adJJddition(s)
❑ Detached accessory etructure(s)and/or Acc--sory Dwelling Units-new, additions to;and/or remodels
❑ Fences and/or walls in and/or facing(i e, isible from)Wont and street side yards
❑ Hardscape,landscaping and structu - elements in front and street side yards, including without limitation;
swimming pools,spas. fountains a 4 other water features
❑ Fences. lights, and other feature- related to tennis courts, sports courts or other significant paved features
O echanicai equipment
. :, .„..Roofing .
U S-6\\-- 6 7 6 7 CO 0 loth .
•
ACTION& FINDING . 1
Z1 Approved-T project is consistent with all applicable guidelines
i. ,tJ Condition. y Approved–With the following:conditions,the project will be consistent with all
applica•• e guidelines
0 'ienied–The project is not consistent with the following guldeline(s)
cua.mtgnm by.
B. Suit, &OLLtr 7/19/2018
,ARB Chairperson Date. _,
"-5C87E47E704B43B,..
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