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a.' S PerniitNo RALT-19-1869 '
•Vse City of Arcadia, CA
FM
CJ n
�t Development Services Department -
'. t-' t r+ y r Pe'mrt Type:Residential AddlttOn/Alteration
240 West Huntington Drive,Post Office Box 60021 - i(, � -
\3 ' �1 g y �- �t Lit
Arcadia,CA 91066-6021 , ,M1I, t , 1,-t I Wolk.Llas$ifiCOhon Res-Remodel
if "� (626)574-5416 - - - Permit Status:Issued
ARCADIA Issue'Date:09/12/20191 Expiration:
Addr NO. Dir Prefix Street Name Street Suffix Unit City,State,Zip Parcel Number ``
1526 Hyland AVE Arcadia,CA 5766024014
Contacts t
JUNG SHENG INVESTMENT LLC Owner ANOKIA INC* Contractor
1217 Buena Vista ST#102B,Duarte,CA 91010
(626)222-0621 983891
Description:EXPAND BATHROOM IN BEDROOM#3 WITH MEP Valuation: $ 3,316.38 Tenant
Total Sq Feet: 0.00 Plan Check# Plan#
Fees Amount Payments Amount Paid
Bathtubs/or Combo $13.21 Total Fees $516.59
Building Issuing Fee $47.01 Cash/Receipt if REC-02489-19 $516.59
Building Permit Fees $137.05
Amount Due: $0.00
Building Plan Review Fee $89.09
Cal Green Plan Check $8.91
Electrical Permit Issuance Fee $47.01
Energy Plan Review Fee $$1.41 COI1IPLETED
Green Building Standard - $1.00
Lavatories $13.21
Mechanical Permit Issuance Fee $47.01
Outlets-Receptacles&Switches $6.52 CALLS FOR INSPECTIONS
Plumbing Permit Issuance Fee $47.01 Request for inspection by telephone at 626-574-5450. Leave a message
Solid Waste Management Fee $6.25 requesting the address,timeframe and what inspection item is needed.
Solid Waste Management Fee 2 $1.00
Solid Waste Management Fee 2 $1.00
Solid Waste Management Fee 2 $1.00 This permit/plan review expires by time limitation and becomes null and
Strong Motion Inst.Program Res $0.50 void if the work authorized by the permit is not commenced within 180 days
Ventilation Fan(Single Duct) $9.94 from the date of issuance or if the permit is not obtained within 180 days
Water Closet R $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: $516.59 consecutive days or if no progressive work has been verified by a City of
Arcadia building inspector for a period of 180 consecutive days.
#7
September 12, 2019
Issued By: Date
September 12,2019 Page 1 of 1
PERMIT/PLAN REVIEW APPLICATION
�3j 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, d my license is in ful].forpe 9gc6f �r / 0 I have and will maintain a certificate of consent to self-insure for workers'
License Class License No.��JJ�;`'(('' G. (( Exp. Date Iib ' compensation, as provided for by Section 3700 of the Labor Code, for the
performance of the work for which this permit is issued.
Signanue 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, 4 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 cemfy 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 no mploy 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 nsa owner , thellproperty, forthwith co those provisions.
❑ or my employees with wages as their soley —'
compensation,will do the work,and the structure is not intended or offered for ( Signature
sale(Section 7044,Business and Professions Code:The Contractors License Date _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(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:
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. rr
\Nameah�� 11�rF,J1/4,- Title eS..-D"--. ( ci'Cfact..+..-- .
PRINT NAIr1E
certify that I have read this application and state that the above information is co rect 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. Q ISignature _ _�� Date '4(7('(�/
/ N9/TES PrigrE-
Building Inspections Date Insp. Plumbing Inspections Date Insp. /�J( /11//.4 V �„p
100. Setbacks 210. Under firJbldg.drain
/ C ( 77//// ���Nii d�iri� t
101. Rough grade 211. Copper underslab
102. Figs.&forms 212. Rough plumbing 0"/'/t /
103. Pre-slab 213. Rough gas
104. Floor joists 214. Shower pan
105. Steel 215. Water heater
106. Grout lilt 216. Roof drains
107. Shear nailing 217. Building sewer
108. Diaph nailing 218. Water service
109. Roof nailing / 219. Final gas
110. Framing FG/r/1 471 220. Fixtures
111. Occ./Area Sept.Wall 221. Final plumbing ///1
112. Sound walls 222. Sewer cap/demo.
113. T-bar grid
114. Insulation-Flt Pool Inspections Date I °Insp.
115. Insulation-Wall 240. Excavation/steel
116. Insulation-Cell. 241. Rough plumbing
117. Drywall nailing /o- /' (7 242. Light shelTonding
118. Interior lath 243. Underground conduit
119. Exterior lath 244. P-trap
120. Finish grade / 245. Gas line&test
121. Final building /AM eV? 246. Fence,gates&signs
122. Final demo/lot clear 247. Pool heater
248. Final electric
Electrical Inspections Date Insp. 249. Final.lumbin.
150. Power pole 250. Pool cover
151. Sales lot lighting 251. Pool final
152. Under.round conduit
153. Underslab conduit Hereof Inspections I Date Insp.
154. UFER ground 270. Pre-reroof insp.
155. Water ground 271. Roof framing
156. Rough electrical /P7/? 272. Sheathing nailing
157. Fixtures 273. Anal reroof
158. G.F.C.I.
159. E..Lbondin. Sign Inspections I Date I Insp.
160. Service panel ' 280. Setback/overhang ■
161. Final electric /MIT 281. Footing
282. Canduitkvirin.
Mechanical Inspections Date Insp. 283. Disconnect
180. Venting/flue 284. Final sign
181. Furnace/A.C.
182. Rauch HVAC Miscellaneous Insp. I Date I Insp.
183. Fire dampers 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. Commerdal hood
190. Duct shaft Sewers&Offsite Insp. I Date I Insp.
191. Final mechanical 300. Lateral(main to P/L) ■
301. Saddle/1'
Block Wall Inspections Date Insp. 302. Cess.•'I filled
200. Footings 303. Sidewalk -201. SteeVrebar 304. Driveway
202. Grout lift 305. Curb replacement
203. Final wall 306. Trash bin
/
a*..7.34.11-4 _' Pe-rmitNO. Mech-19-2239
y City of Arcadia, CA \\\ ,
:Atli/f Development Services Department /'\ 'Permit Type:Mechanical
f, / 240 Wes[Huntington Drive,Post Office Box 60021 1 `�`-`�1}rrlil. -
ie i . d( ork G/asslf�cabonrHVAC Repaip/Replace
Arcadia,CA 91066-6021 ) -
(626)574-5416 Permit Status:Issued
ARCADIA Issue'Date.11/OS%2019'I . Expiration:
Addr NO. Dir Prefix Street Name Street Suffix Unit City,State,Zip Parcel Number `
1526 HYLAND AVE Arcadia,CA 91006-1808 5766024014
Contacts
JUNG SHENG INVESTMENTS LLC Owner IWAI COOLING AND HEATING` Contractor
1526 HYLAND AVE,ARCADIA,CA 826 BONITA ST,MONROVIA,CA 91016
(626)353-9328 (626)255-2816 778839
Description:REPLACE FURNANCE IN SAME LOCATION AND 10 Valuation: $ 0.00 Tenant
DUCTS
Total Sq Feet: 0.00 Plan Check it` :lb Plan
Fees Amount Payments Amount Paid
Add/Alter Ducts $99.40 Total Fees - -. _ $167.27
Furnace or Burner<=100,000 BTU $19.86 Cash/Receipt if REC-02997-19 $167.27
Mechanical Permit Issuance Fee $47.01
Amount Due: $0.00
Solid Waste Management Fee 2 $1.00
Total: $167.27
iMvtih (161___ al CUA4PLUEEJ
CALLS FOR INSPECTIONS
Request for inspection by telephone at 626-574-5450. Leave a message
questing the address,timeframe and what inspection item is needed.
Wfl4r4 .Ths 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 bays
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.
November 05,2019
ssued By: Date
November 05,2019 Page 1 of 1
,-``F11 AR
Il 1' PERMIT/PLAN REVIEW APPLICATION
�, . WI kits
4 111M Fllt
'r@3* Development Services Department,240 West Huntington Drive,Post Office Box 60021
%.,,,,,on 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. 0 I have and will maintain a certificate of consent to self-insure for workers'
License Class C'ZGl License No. �&3 p. Dat 2 o 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 DE TION
0 I have and will maintain workers'compensation insurance,as required by Section
❑ I hereby affirm under penalty o erjury 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 5779-2S. 7.x17
demolish,or repair any structure,prior to its issuance,also required the applicant
Policy Number VSs
for such permit to file a signed statement that he or she is licensed pursuant to the (Phis 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
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 is issued,I chall
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
sale(Section 7044,Business and Professions Code:The Contractors License Date 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:
❑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:
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. 0�
(Name a12.9s� r‘Jv / Title a..iiL/rr--.
PRINT 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 enter upon the above-mentioned property for inspection purposes.
ignature _____------r [Date /6 c-----/r
{b� City of Arcadia, CA , •r , ' Permit No.RALT-19-2042
1 Development Services Department i D 'rI( -- pemitType:'ResidentialAddition/Alteration
�4j j[yY 240 West Huntington Drive,Post Office Box 60021 ' ' t 1 r" 1 1 'r f
Yt r ) -'i 1. I I . 1 Work'Classl 'cation.Res=Addition/Alteration
Arcadia,CA 91066-6021 ;�- �� i h
(626)574-5416 - Permit Status:Issued
ARCADIA Issue Dae:io/09/2019 l Expiration:
Addr NO. Dir Prefix Street Name Street Suffix Unit City,State,Zip Parcel Number `
1526 HYLAND AVE Arcadia,CA 91006-1808 5766024014
Contacts
ETTER,lACKSON 0 TR ETTER FAMILY Owner ANOXIA INC' Contractor
TRUST 1217 Buena Vista ST e10213,Duarte,CA 91010
1526 HYLAND AVE,ARCADIA,CA (626)222-0621 983891
Description:CREATE NEW MAN DOOR AT SOUTH SIDE OF Valuation: $ 1,000.00 Tenant
GARAGE
Total Sq Feet: 0.00 Plan Check fl Plan if
6.
Fees Amount Payments Amount Paid
Building Issuing Fee $47.01 Total Fees $172.83
Building Permit Fees $61.65 Cash/Receipt if REC-02730-19 $172.83
Building Plan Review Fee $40.08
Cal Green Plan Check $4.01 Amount Due: $0.00
Energy Plan Review Fee $12.33
Green Building Standard $1.00
Solid Waste Management Fee $6.25
Strong Motion Inst.Program Res $0.50
Total: $172.83 tl la j�l
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.
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--5"/, gee o-
/4%'t ice,(O
October 09, 2019
Issued By: Date
October 09,2019 Page 1 of 1
• A.
‘,Jroyy4.
41061 I PERMIT/PLAN REVIEW APPLICATION
T
� 4 it, Development Services Department,240 West Huntington Drive,Post Office Box 60021
-rte° Arcadia, CA 91066-6021, (626) 574-5416,Fax (626)447-9173
City of
Arcadia
LICENSED CONTRACTOR'S DECLARATION WORKERS'COMPENSATION DECLARATION
li
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, my license is in ful anAsfiect. //�� ❑ I have and will maintain a certificate of consent to self-insure for workers'
License Class License No. Ilii. 3 Date `-C�?'1 `• 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 \,, .N-
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 his 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 permit 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 I certify that in the performance of the work for which this permit is issued,I shall
exempt there from and the basis for the alleged exemption. Any violation of of employ any person in any manner so as to become subject to the workers'
Section 7031.5 by any applicant for a permit subjects the applicant to a civil
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, forthwith comply wit those provisions.
or my employees with wages as their sole
compensation,will do the work,and the structure is not intended or offered for 6
sale(Section 7044,Business and Professions Code:The Contractors License Date 1 Signatures r�
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
attomey'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. •-�
Mame c>cFrF Q� Title Cc,tA.''kraz C���
J PRINT NAME O
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. Q /!, p
Sig�ature V\` 11I Date t o '` 1 I _'
1 1 1