HomeMy WebLinkAboutUntitled ?r
1641.404 City of Arcadia, CA
a Permit No Wall 19 1123
Development Services Department I r 21 �°"' �f 5 ;i " Permit Type:Wall.
!' u 240 WestHuntingtonDrive,Post Office Box 60021 " �y I NI ( ;U i t h s
Arcadia,CA 91066-6021 ,_. > 6 R tWork Classi 'cation Wall Garden-Wall
^sx ?7xY1-£
( (626)5745416 - = Permit Status"`Estimate
Al2CADIAIssueDate:;06/13/2019;1 Expiration:
Addr NO. Dir Prefix Street Name Street Suffix Unit City,State,Zip Parcel Number
1400 San Carlos RD Arcadia,CA 5770023001
Contacts
HUSSAIN TEJANI Contractor
1208 CALIFORNIA AVE UNIT#2,SANTA MONICA,CA 90403
(619)675-3050
Description:TWO 46"PILASTERS(27.5"X 27.51 WITH LIGHTS Valuation: $ 157.44 Tenant
ON TOP AS APPROVED BY HOA.
Total Sq Feet: 0.00 Plan Check p Plan a
Fees Amount payments Amount Paid
Building Issuing Fee $47.01 Total Fees $145.18
Building Permit Fees $40.65 Cash/Receipt U REC-01538-19 $145.18
Electrical Permit Issuance Fee $47.01
Amount Due: $0.00
Light Fixtures $3.26
Solid Waste Management Fee $6.25
Solid Waste Management Fee 2 $1.00 cOMPUTOTotal: $145.18
//�r ( 6— 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.
&We/5 'Vele z fCWq6 �Jtw4J �� M c'y5V
This permit/plan review expires by time limitation and becomes nil and
void if the work authorized by the permit is not commenced within 180 days
from the date of issuance or if the permit is not obtained within 180 days
from the date of plan submittal.This permit expires and becomes null and
void if any work authorized by this permit is suspended or abandoned for 180
consecutive days or if no progressive work has been verified by a City of
Arcadia building inspector for a period of 180 consecutive days.
•
June 13, 2019
Issued By: Date
June 13,2019 Page 1 of 1
•F Aft
extrogyG.,J
l PERMIT/PLAN REVIEW APPLICATION
o & atu _ et
,e\g7e 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
S34VNER-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
Policy Number
for such pennit to file a signed statement that he or she is licensed pursuant to the
provisions of the Contractors License Law(Chapter 9(commencing with Section (This section need not be completed if the permit is for one hundred dollars or less)
7000)of Division 3 of the Business and Professions Code)or that he or she is
exempt there from and the basis for the alleged exemption. Any violation of -Encertify 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 n 700 of the Labor Code,I shall
�as owner of the property, or my employees with wages as their sole orthwith co ply with those provisions.
compensation,will do the work,and the structure is not intended or offered for
R
sale(Section 7044,Business and Professions Code:The Contractors License Date 6 �J�� Signature
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 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:
y` / I Lender's Name
/ ate Cl SignatureLender's Address
IMPORTANT:' APPLICATION IS HERE MADE TO THE BUILDING OFFICIAL FOR A PERMIT SUBJECT TO THE CONDITIONS AND
RESTRICTIONS SET FORTH ON THIS A PLICATION 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.
arae 'tit Lc Ss n ve. \ ctn s ' Title
NT 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 co ply with all City ordinances and State Laws relating to building construction. I hereby authorize representatives of the City of
Arcadia to en r pon the above-mentioned property for inspection purposes. (/�
Signature ' - Date
( " 1 1 1
N...
./7
I
CO l
a i '°' ASSESS. I.D. NUMBER (PIN):'
TRACT: NO 14656 LOT # 3
I W PROJECT INFORMAT
A 73ADDI.8TION '.
_ . ,
USE ZONE: R1-1 FI
• 1
1
FLOOD ZONE: NONE• 0
TYPE OF CONSTRUCTION: V
1 INTERIOR WALL FINISH : TY
• I SPRINKLER BUILDING: NO
- • 1 PROJECT ]
1
YEWAY J:.: ' .. .e. 1
_
I LOT SIZE: AS PER SITE PI
1
10' OCCUPANCY GROUP:
' NUMBER OF STORY(S) :
I HEIGHT MAX:
r 1 1
I NOTE
1
GRADING:
i ALL CONCENTRATED DRAINAGE INi
I CONDUL ItU TO THE STREET. 2% I
R 1 0 *FOR
'eF' '. '..': . 4 1 $
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FnD r • r - PILLAR DE1
p1.�Qitsnt y do
0NTOa 0 a;1114.�1 ® LIGHT DETAIL .,.^
a a .IH,Y a .� .
a as I �
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JEW CONCRETE DRIVEWAY NEW WOOD DOUBLE SWING GATE V .5�,,.a.•'Sy w +r ;bsyx 3,'
N7 PRE PAINT WHITE 6t�pU/�t� •„„ a..-- ,r intr a°'
JEW GRASSRE PAINT EXISTING WALL
VEW FLOOR TBE-ARGYLE PEARL
N8 (WRITE COLOR) SLATE DETAIL
iLIP,'RESISI•ANCE N9 WOOD COMPOSITE LANDSCAPE EDGING
UNC]iVttt
%4N. AFTER CONVERSION
ni 2,864.37 sq ft.
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+ +
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ACCEPTED m 1400 •` ' - _-C
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NEW PILLAR-46 8 HIGH WITH LIGHT POSTMOUNT li
N2 VENEER:SLATE TILE-CHARCOAL PENCIL LEDGE-X L
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AI2 NEW MAILBOX-4T25 1 GH- ' n
Development Services Department /
240 West Huntington Drive,Post Office Box 60021 PERMIT NO. BOO-058-582
��� -Arcadia,CA 91066-6021
City of (626)574-5416,Fax(626)447-9173
ArcadiaPermit Type: EMP Combo
PROJECT TRACT NO. LOT NO. APPLICATION DATE ISSUED BY PRINT DATE PERMIT STATUS
14656 12/14/2017 CM 11:20 12/14/2017 Issued
ADDRESS NO. Dir.Prefix Street Name Street Suffix UNIT BLG ASSESSORS PARCEL NO. GEO CODE
1400 San Carlos Rd 5770-023-001
OWNER MAILING ADDRESS
Kamerick,Laura P Tr Special Needs 110903 Gladhill Rd PHONE NO.
Whittier,CA 90604 EMAIL ADDRESS:
APPLICANT MAILING ADDRESS
Diseny Medina PHONE NO.
EMAIL ADDRESS:
'
CONTRACTOR/PROFESSIONAL MAILING ADDRESS
Diseny Medina 12909 S Butler Ave PHONE NO. (213)448-4289 FAX NO.
Compton,CA 90221 EMAIL ADDRESS: A
License No. 867820 Type: B Expires: 12/31/2017 12:01
TENANT MAILING ADDRESS
PHONE NO. FAX NO.
DESCRIPTION
REMODEL BATHROOMS AND KITCHEN. EXISTING LAYOUT TO REMAIN.200 AMP SERVICE'. '1ti:'AN1,16 0¢I ./WATER HEATER IN
SAME LOCATION.HERS REQUIRED AT FINAL. . (�
Construction Type TONI aof Units Value Construction Type UOM No Value
/ffe5r/9 <-41(� v� fi' �< e��e!/k / ^� Cr--
OCCUPANCY: TOTAL VALUATION: $0.00 •
QTY UOM DESC AMT ANIT PAID ACCT QTY UOM DESC AMT AMT PAID ACCT
1.00 flat Elec issue . 44.35 44.35 01-3105 2.00 outlets Gas piping 15.55 15.55 01-3105
1.00 Flat Mech issue 44.35 44.35 01-3105 40.00 each Outlets 50.80 50.80 01-3105
1.00 Flat Plmbg issuance 44.35 44.35 01-3105 16.00 each Lig fixtures 24.64 24.64 01-3105
1.00 each Fum<100,000btu 18.74 18.74 01-3105 1.00 each Wlr lttr/vent 15.55 15.55 01-3105
2.00 each Bathtub 24.92 24.92 01-3105 2.00 each Lawn spmkler 37.48 37.48 01-3105
2.00 each Water Closet 24.92 24.9201-3105 1.00 Flat SWMF 2 1.00 1.0088-3027
1.00 each 0-400 Res Ser 15.55 15.5501-3105 1.00 Flat SWMF 2 1.00 1.0088-3027
2.00 each Lavatories 24.92 24.92 01-3105 1.00 Flat SWMF 2 1.00 1.00 88-3027
1.00 each Addtl meter 15.55 15.5501-3105
2.00 each Hood 28.22 28.22 01-3105
2.00 each Kitchen sinks 24.92 24.92 01-3105
2.00 each Fan-vent single 18,76 18.76 01-3105
1.00 each Dishwashers 12.46 12.46 01-3105
2.00 each Garbage Disp 24.92 24.92 01-3105
1.00 each Comp 3-15hp 34.29 34.2901-3105
1.00 each Lndry trays 12.46 12.46 01-3105
1.00 each Clothes wsh 12.46 12.46 01-3105
Total Fees: $573.16 Balance Due: $0.00 Paid Today: $573.16
This permit/plan review expires by time limitation and becomes null and void if the work authorized by the Receipt a: 118831
permit is not commenced within 180 days from the date of issuance or if the permit is not obtained within 180 days from 01-3105 570.16
the date of plan submittal.This permit expires and becomes null and void if any work authorized by this permit 88-3027 3.00
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.
CALLS FOR INSPECTION INSPECTORS'OFFICE HOURS
Requests for inspection should be made at least Monday-Thursday Friday
one(1)business day in advance of the inspection 7:30 a.m.to 8:30 a.m. 7:30 a.m.to 8:30 a.m.
by telephone at(626)574-5416 for onsite work. 4:00 p.m.to 5:30 p.m. 4:00 p.m.to 4:30 p.m.
\ (Closed on alternate Fridays)
, A.
PERMIT/PLAN REVIEW APPLICATION
�4
go, Development Services Department,240 West Huntington Drive,Post Office Box 60021
c:';‘,...,_.
,/ 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 (?j License No.9 ix) 0 Exp. Date compensation, as provided for by Section 3700 of the Labor Code, for the
Signature of Contractor License
of the work for which this permit is issued.
Q,
OWNER-BUII.DER DELARATION I'have and will maintain workers'compensation insurance,as required by Section
CII 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 .0 t A Id Fu-'(J)
demolish,or repair any structure,prior to its issuance,also required the applicant /�2I D O i T•_
for such permit to file a signed statement that he or she is licensed pursuant to the Policy Number 7 (—
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 them from and the basis for the alleged exemption. Any violation of ❑ I certify that in the performance of the work for which this permit is issued,I shall
Section 7031.5 by any applicant for a permit subjects the applicant to a civil not employ any person in any manner so as to become subject to the workers'
penalty of not more than five hundred dollars($500)): compensation Laws of California,and agree that ill should become subject to the
workers'compensation provisions of Sectio s 3700 of the Labor Code,I shall
❑I, as owner of the property, forthwith comply with those provisions.
or my employees with wages as their sole
compensation,will do the work,and the structure is not intended or offered for I Date 14/I 1i/,�" Signature
sale(Section 7044,Business and Professions Code:The Contractors License I 1 WI—
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(I)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
Date Signature Lender's Address
IMPORTANT: APPLICATION IS HEREBY MADE TO THE BUILDING OFFICIAL FOR A PERMIT SUBJECT TO THE CONDITIONS AND
RESTRICTIONS SET FORTH ON THIS APPLICATION AND THE FOLLOWING:
I. 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
furtherinformation.
Name I ( ,5'.,U1fS� �1i1 v�d�/ o
NAME Title tiazN ti
A-- -
/ PRINT
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 ' : I City ordinances and State Laws relating to building construction. I hereby authorize representatives of the City of
LArcadia to en • upo t e above-mentioned property for inspection purposes. U// 7
Signature Date i�/�%
110 .1
•� ° WATER DIVISION
ATTENTION: ! DATE: 7-7-/9
FROM: BUILDING DIVISION INSPECTOR: )642
(/G
ADDRESS: 2' i�l// C/Li 5 i ✓(J`�
PERMIT NO.: PLAN NO.:
CONTRACTOR: [� PHONE NO.: /
OWNER: - II4'5iirry
4 -/e r ' PHONE NO.: (i/7 6:175:34.<0
PLEASE INSPECT THE FOLLOWING ITEMS FOR CONFORMANCE WITH APPLICABLE DEPARTMENT
OF PUBLIC WORKS REQUIREMENTS.
Type of Inspection Date& Initial Date& Initial Final Approval
Meter Locationeyfis
Blackflow Devices
r-+/YL
Irrigation Systemeryl
Fire Sprinkler System
Meter Clear A.P.P.
Swimming Pool
COMMENTS: '5frc61 t -tiM-I
9 . f , \ \ &&9 •
F1
City of Arcadia, CA Permit No RALT 18 0163x`
Development Services Department t + Permit Type Residential Addition/Alteration.
' . 240 West Huntington Drive,Post Office Box 60021 ; 4i I i ' t _
l t , f, , tU j WorkCiassfication.Addition/Alteration+'.
I Arcadia,CA 91066-6021 _ F .� - ' _ - '
(626)574-5416 r .3 t .=r,
-r '' ,- ' `PermrtStatus'[ssued',l
ARCADIA lesueDate ?5/17/2-018;1 Expiration: 11/13/2018
Addr NO. Dir Prefix Street Name Street Suffix Unit City,State,Zip Parcel Number
1400 San Carlos RD Arcadia,CA 5770023001
Contacts _
HUSSAINTEJANI Owner ICONS STUDIO DESIGN INC. Applicant
1208 CALIFORNIA AVE UNIT#2,SANTA MONICA,CA 90403 13013 MC CLURE AVE UNIT#2,PARAMOUNT,CA 90723
(619)675-3050 (323)636-1053 ARELIR@MSN.COM
DISNEY MEDINA* - General Contractor(B)
12909 5 Butler AVE,Compton,CA 90221
(213)448-4289
Description:CONVERT EXISTING GARAGE TO MASTER BED. Valuation: $99.965.36 Tenant
CONVERT EXISTING BED TO GARAGE.ADD 73 5Q. REMODEL
EXISTING BATHROOM AND KITCHEN.REMOVE BATHROOM IN Total Sq Feet: 93.00 Plan Check#18-0163 Plan ft 32514
GARAGE AREA.WITH PLUMBING AND ELECTRICAL
Fees Amount ' payments Amount Paid
Bathtubs/or Combo $12:46 Total Fees $3,114.65
Building Issuing Fee 544.35 Cash/Receipt#REC-000378-2018 $1,399.96
Building Permit Fees $1,224.00 Cash/Receipt#REC-001180-2018 $1,714.69
Building Plan Review Fee $795.60
Cal Green Plan Check $79.56 Amount Due: $0.00
Electrical Permit Issuance Fee $44.35 •
Energy Plan Review Fee $244.80 S
Green Building Standard $4.00 CO:
' t E®s
Lavatories $24.92
New Residential Elect.(sq ft area) $5.04
Parks&Recreation Fee(SFR) $265.05 CALLS FOR INSPECTIONS
Plumbing Permit Issuance Fee $44.35 Request for inspection by telephone at 626-574-5450. Leave a message
Shower $12.46 requesting the address,timeframe and what inspection item is needed.
Single Family Fire Plan Check $280.00
Solid Waste Management Fee $6.25
Solid Waste Management Fee 2 $1.00 This permit/plan review expires by time limitation and becomes null and
Solid Waste-Management Fee 2 $1.00 void if the work authorized by the permit is not commenced within 180 days
Strong Motion Inst.Program Res $13.00 from the date of issuance or if the permit is not obtained within 180 days
Water Closet • $12.46 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
Total: $3,114.65 consecutive days or if no progressive work has been verified by a City of
Arcadia building inspector for a period of 180 consecutive days.
May 17,2018 .
Issued By: Date
May 17,2018 Page 1 of 1
+" h. • PERMIT/PLAN REVIEW APPLICATION'. '
it °� *
@l*' 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 D .,Liicense No./flat Exp. Datef, 7' compensation, as provided for by Section 3700 of the Labor Code, for the
performance of the work for which this permit is issued.
/ '9•/T G 1 v Q/ '
Signature of Contractor t
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
is issued.Myrkers'compensation
License Law for the following reason(Section 7031.5,Business and Professions instl}ance carrier and policy numbers are:
Code.Any city or county which requires a permit to construct,alter,improve, Carrier a 4'tc r✓
demolish,or repair any structure,prior to its issuance,also required the applicant
Policy Number 0.4.... Frit C -
for such permit to file a signed statement that he or she is licensed pursuant to the (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
7000)of Division 3 of the Business and Professions Code)or that he or she is rte'
exempt there from and the basis for the alleged exemption. Any violation of �y 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 Sec' 00 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 Bi, //s
sale(Section 7044,Business and Professions Code:The Contractors License Date U Signa
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 isunlawful,
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
Date Q5/►i /fa Signature / Lender's Address '
IMPORTANT: APPLICATION IS HEREB 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.
N. - _ - A I k, s . Title OW fiv /L -
"17 NAME
1
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 ent p e above-mentioned property for inspection purposes. //,
Signature (Date
Q0 j 9j �
NOTES (WVS, S
Building Inspections Date Insp. Plumbing Inspections Date Insp. 7'��//MO 54n Cir f s Li
100. Setbacks 210. Under flr./bldg.drain r r p 4
101. Rough grade �/ 211. Copper underslab 7 �j //
102. Figs.&forms �7///ff CC_ 212. Rough plumbing '74(Nft_ 5.-:WY J-a is a/1( i/d_-e
103. Pre-slab 213. Rough gas / .IFy O1
104. Floor joists ‘,-",--761,"jL. 214. Shower pan 5l.l.t, eY 0,11/0n
105. Steel 215. Water heater
106. Grout lift 216. Roof drains tit/2/
��107. Shear nailing 7-fg=
SITE PLAN ro a
SCALE 3/32=11-0" 4:4
r 99.80'
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1400 SAN CARLOS RD.
P.O.Box 63304
Los Angeles,CA 90063,
Tel:(800)791-2136
Fax(888)808-1317
NATIONAL INSPECTION&TESTING - 24 Hrs.:(310)930-5515
ofrice@nationallab.us
SPECIAL/DEPUTY INSPECTION REPORT 'Job No. (Date 5-302018 I Time
TYPE OF tEl Reinforced concrete 0 Structural Steel Assembly 0 Quality Control
INSPECTION 0 Post Tensioned Concrete 0 High Strength Bolts 0 Epoxy
REQUIRED , 0 Reinforced Masonry 0 Are Proofing 0 Other
Building Department City of Arcadia Job Address 1400 San Carlos Rd
Job Name Addition/Remodel 'Permit No 18-0163
•
Owner Address
Contractor Address
Sub-Contractor Engineer Wole Dayo Adefeso
Inspector(s)Name Mario COrderO Architect
TESTS PERFORMED '
TYPE OrSAMPLE SLUMP QUANTITY IN SET ADDITIONAL REMARKS ON SAMPLES
•
I SUMMARY-LOCATIONS OF WORK INSPECTED,TEST SAMPLES TAKEN,WORK REJECTED,JOB PROBLEMS,PROGRESS,REMARKS,ETC. I.
•
Verified installation of#4 epoxy dowels into existing concrete using Simpson Set XP'epoxy
(ICC ESR 2508) at footing for column footing at grid lines A/2 & G/8 per detail 1/S-5.
•
TERMS:BIWNG AT4 AND 8 HOURS MINIMUMS.WITH 2 HOUR CHARGE FOR CANCELLATIONS,SHOULD NIT BE REQUIRED TO INSTITUTE LEGAL ACTION FORME COLLECTION OF
A DEBT INCURRED AS A RESULT OF ACCEPTANCE OF THIS SERVICE TICKET NIT WILL BE ENTITLED TO ATFORNEYS FEES AND COST INCURRED IN SAID SUITE
THIS FIELD REPORT PRESENTS A SUMMARY OF OBSERVATIONS AND TESTING BY NATIONAL INSPECTION&TESTING PERSONNEL OR SUBCONTRACTORS.OUR WORK DOES NOT '
INCLUDE SUPERVISION OR DIRECTION OF THE ACTUAL WORK OF THE CONTRACTOR.HIS EMPLOYEES OR AGENTS.THE CONTRACTOR IS INFORMED THAT NEITHER THE
PRESENCE OF OUR FIELD REPRESENTATIVE NOR THE OBSERVATION AND TESTING BY OUR FIRM SHALL EXCUSE TRE CONTRACTOR IN ANY WAY OF DEFECTS DISCOVERED IN THE
CONTRACTORS WORK.RIS UNDERSTOOD THAT OUR FIRM WILL NOT BE RESPONSIBLE FOR JOB OR SITE SAFETY ON THIS PROJECT.
CERTIFICATION OF COMPLIANCE CONTINUED ON NEXT PAGE ID PAGE 1 TTNN11OO���F-�'' 1
LLER®YCER REPORTED
WORINSPECTEDUNLESS
TORES OF MY TED.IHKNOWLEDGEFOUHIS TIME IN TIME OUT REG.HOURS D.T.HOURS VEL TIME
WORK 0ABOC'CERTIFY
THAT
I HAVE E OTHEOTHERWISE NOTED. ,HAVEFOUND
WORK OG 7j Y' THE APPR TANS SPECIFICATIONS,AND APPLICABLE
SEC I•,:. •11 rvERRINGB , i WS. 7:00 am 4
At inspections based an a nA V Nnn of Thaws and over 4 hours-8 Mors
minimum in addition any mon extending passed Troon w4 be an B hour minimum
Overtime bang after 8-Betas and Saturday's al Time and a Half,Sunday's Double Toe.
�'= •--:5i INSPECTOR
Concrete 8012943 ICC
SPECIALTY NO AGENCY
, - 1
r
irLOS ANGEL-ES COUNTY DEPARTMENT OF PUBLIC WORKS
�� �� BUILDING &SAFETY/LAND DEVELOPMENT DIVISION
'ivy; Special Inspector Report
at:Ada aamoccdCW mote- ccEt pkee'this report"zatid.Esari9 it;CO Q1ht i
19d€r tt s'Office e.ca&a ,Ow permilt was i Lard.
0 DAILY ❑ WEEKLY EfFINAL
TOTAL.TIME ON JOB (IN DAYS)
BUILDING PERMIT No. DISTRICT No.
JOB ADDRESS/9OO SAW C,A2Los ,ed .4,ecAdia., 0...
•
GENERAL CONTRACTOR
,4" 1 °'NSr----
SIZE OF flUILDINCi
No.OF STORIES TYPE OF WALL —
TYPE OF WORK: ❑ REINFORCED CONCRETE ❑ MASONRY ❑ HI•TENSILE BOLTING
❑ PRESTRESSED CONCRETE ® WELDING ❑ GYPSUM CONCRETE
❑ OTHER ,i
/_iJi_ ,. i8 'Y/e3aC 3/y'',(j4Se /MES
DESCRIPTION OF WORK INSPECTED W�din� et ' S.S. siglig !�y a13/v'i'AK. 6 ' /artsw6'ded o uao //
Co/cntNS . SCA el A7 1etds a' A-C. 9. -SBIa A// 4pgwdNAi/mss
A/,50gilded 7o ,SAME - s. Oda M.//0 X ,o BMJ S JoltedA7;1P SA"?
Co/s- W/3/42 A 190 .44T. (/,f'�ricATEc'sAdd/E Add 84C-4.-FL.is
'velded 7o same Sm. ivc%dime, 'le 'ir%c. sift f/A7Es
LOCATION IN STRUCTURE ,€E1 PIAN an/ s-/ e s-2' See d am• /94-45
e/s-'11 a/s-5 /a.a/s-y.
REMARKS WE/dt2: .galE Mo rxo>7e Poo t'1/42/, Ex,Wees: io-z3-/,
,411 work on this Job to dale has been sats/aclorily.completed.ta the approved plans and requirements of
1f Angela nom Building Coda ,S Z 6 —ZCAS
a c, Lo. o/393 aATG
SPECIAL INSPECTOR I. 0.No.
November 20,2019
To: John Zurick
Senior Building Inspector
City of Arcadia
Planning Services
From: Vince Vargas
ARB Chairman Designee
Santa Anita Oaks Homeowners Association
This memo will cover two outstanding items to be approved by the ARB for
1400 San Carlos.
1) Photos showing differences between plan elevations and actual house
elevations.
2) Original plan calls for low Japanese hedge between front light columns.
This has been changed to no hedges, only grass sod.
Please accept this memo as the ARB approval for both items mentioned above.
If you have any question please let me know.
Thank You
Vince azg