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HomeMy WebLinkAboutUntitled �p4py+, City of Arcadia, CA Permit NO.SNeW-18-2397 \1tiIr/1 Development services Department § Q '-.'�'v"v�-N rr Permit Type:Single Family New 240 West Huntington Drive,Post Office Box 60021 is 1 )I 1 { NT') Arcadia,CA 91066-6021 ,�r �-- .-; Or Class ftcdtion:s_F/New-Accessory.Dwelling ---17—I (626)574-5416 - - ' - Permit Status:issued ARCADIA -' issueoate:02/21/2019 v Expiration: 08/20/2019 Addr NO. Dir Prefix Street Name Street Suffix Unit City,State,Zip Parcel Number 518 Los Altos AVE Arcadia,CA 5787013045 Contacts ALBERT JONES Agent for owner LAURA BURNS Owner 514 Los Altos AVE,Arcadia,CA 91007 514 LOS ALTOS AVE,ARCADIA,CA 91007 (626)421-8360 ALBERTJONES1@YAHOO.COM Description:NEW 815 SQ FT ADU,TWO BED ROOMS,TWO Valuation: $p 107,408.85 Tenant BATHS Total Sq Feet: 815.00 Plan Check#18-2397 Plan#32688 Fees Amount Payments Amount Paid Building Issuing Fee $47.01 Total Fees $6,827.65 Building Permit Fees $1,279.20 Cash/Receipt#REC-00013-19 $1,170.47 Building Plan Review Fee 5831.48 Cash/Receipt#REC-00473-19 $5,657.18 Cal Green Plan Check $83.15 Energy Plan Review Fee $255.84 Amount Due: $0.00 Green Building Standard $5.00 Parks&Recreation Fee(SFR) 52,322.75 Single Family/Condo/Townhome Impact $1,983.00 FIXA e- 10-/447 As e.. ..0,- Solid Waste Management Fee $6.25 Strong Motion Inst.Program Res $13.97 CALLS FOR INSPECTIONS Total: $6,827.65 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. 0 COIWPff T February 21, 2019 Issued By: Date February 21,2019 Page 1 of 1 FAR 0,.VF04,44i I _ 4 ;• 1; PERMIT/PLAN REVIEW APPLICATION e@1*' 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 Signature of Contractor 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 ❑ 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 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 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 Section 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 sale(Section 7044,Business and Professions Code:The Contractors License Date �� Signature /�� 41 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. Name II' t„„ V _ J C' \ ue PRINT NAME (((///4F1 /N 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., : r dinances and State Laws relating to building construction. I hereby authorize representatives of the City of Arcadia to enter . r.,4r•0 entioned property for inspection purposes. ignature /P���� // Date 9-/C) /010 NOTES Building Inspections Date Insp. Plumbing Inspections Date Insp. SIB Z.05 /41-.11sS A 17 U 100. Setbacks _'j 210. Under fir/bldg.drain 101. Rough grade 1.4 ,�• 211. Copper underslab 102. Figs.&forms q 212. Rough plumbing /-20-t9 a-{9-f 9 ELEcT/LIC c,o aoc.,LT 103. Pre-slab ,/'����/-2�13. Rough gas y-22-19 104. Floor joists r{-22-0 M� 214. Shower pan &-9-[Q a ua F/ a/4r- 105. Steel 215. Water heater y'3-y % i.MOEIZaOUe4d / 5A: � 106. Grout lib 16. Roof drains F^y�J 107. Shear nailing 4-241-19, ; 7. Building sewer A-S'lctry / 108. Diaph nailing c{-�J-1 .� 8. Water service I-2247 109. Roof nailing �,(6-6y 9. Final gas 110. Framing '1-1-I9 ,. 220. Fixtures 111. Occ/Area Sept.Wall 221. Anal plumbing 1e-14-lq/ki� 112. Sound walls 222. Sewer cap/demo. 113. T-bar!rid 114. Insulation-Fir. a .smiA Pool Inspections I Date . Insp. 115. Insulation-Wall n f 2 i'% 240. Excavation/steel 116. Insulation-Ceil. ,241. Rough plumbing 117. Drywall nailing 1-25-1, 42. Light shell/bonding 118. Interior lath $-9-l'/ 43. Underground conduit 119. Exterior lath ?33649, "-/244. P-trap 120. Finish grade ,// 245. Gas line&test 121. Final building (O-grbrei 246. Fence,gates&signs 122. Final demo/lot clear 247. Pool heater 248. Final electric Electrical Inspections Date Insp. 249. Anal slumbins 150. Power pole 250. Pool cover 151. Sales lot lighting 251. Pool final 152. Unde 'round conduit 153. Underslab conduit Reroof Inspections I Date Insp. 154. UFER ground 1-I 4' a- t 70. Pre-reroof Insp. 155. Water ground 7-7G 7 ��, 271. Roof framing 156. Rough electrical 1-7-I? , " 272. Sheathing nailing 157. Fixtures • 3. Final reroof 158. G.F.C.I. 159. E.•t.bondin' • _44o4 Sign Inspections IDate I Insp. 160. Service panel ,,/ 1f-T 280. Setback/overhang 161. Final electric `p , 281. Footing 282. Conduit/wirin8 Mechanical Inspections Date Insp. . 283. Disconnect 180. Venting/flue 284. Final sign 181. Furnace/A.C. 182. Rouch HVAC - : Sp. I ' I. - In , I I. - Insp. 183. Fire dampers 290. Are alarm 184. Furnace compartment 291. Underground supply 185. Combustion air 292. Fire sprinklers 186. Smoke detectors 1 293. Monitor system 187. Metal F.P.rough �46" 294. Hood dry chem. 188. Compressor setback i 295. Final 189. Commercial hood 190. Dud shaft Sewers&Offsite Insp. Date I Insp. 191. Final mechanical 0-44'19 300. Lateral(main to P/L) 301. Saddle/y Block Wall Inspections Date Insp. 302. Cess'ool filled 200. Footings 303. Sidewalk 201. SteeVrebar 304. Driveway 202. Grout lift 305. Curb replacement 203. Final wall 306. Trash bin y Vin. . �� a X a � = � ck . t ni•a( e dwi��k . 4,,/ sn e' f e T 5. ,q,$ >.r:MO ��`,,, f9^. ...k ono.o 40:,2fz' 1: 3 • ,, Certificate of Occupancy City of Arcadia Al'; Development Services Department—Building Division " r J This certificate issued pursuant to the requirements of the � California Building Code certifying that at the time of issuance this structure was in a'£ compliance with the various ordinances of the City regulating building construction or use. t> A tea, � Permit No. SNEW 18-2397 ; R J Building Address: 518 LOS ALTOS AVE ARCADIA,CA 91007 Permit Type: SF NEW Effective CBC: 2016 C.R.C. r s}a Occupancy Code: R-31U Zone Code: R-1 S. t( c Final Date: 10-17-19 Type of Construction: TYPE VB SPRINKLERED ;:::4")::: Owner: LAURA BURNS m(c, t • jI.71' 44/ f: c Post in Conspicuous Place na..� ��''Mhm mr ) fy�' // 'R.. x.w n((� ,x(A) ff .. -rJ v"�Y f ,,, �Ci,,,cr ,i "M' J Innen /4"4--,A u.A`Af ` y. n1 � s9 h.. \ VT a 4, • ' .4'.. e'{u D' .t*� a z^ ��,, y :.4"^t-.e-r �^6p AY m .V f1 p 1 y “.,,,,7„5.4., 4,,,, '4tv :31' '.�% 5 :!�r , :_e �L' ,y-+ " a'_u-.�' �,�r• :a�i'V; J Certificate No.20121023-936 ARCADIA UNIFIED SCHOOL DISTRICT 150 South Third Avenue, Arcadia, CA 91006 • (626) 821-8300 Ext. 6732 Certificate of Compliance for Payment of Developer Fees (Education Code §17620, et seq. &Government Code §65995, et seq.) Effective July 24,2017 Current rate in effect applies at the time of imposition of fees/payment. ProjectAddress/APN: 518 Los Altos Ave. , Arcadia, CA 91 007 Number of Units in Project: One Plan Check Number: 1 8-2397 [ ]* [X j** [ j** Exempt: [ ]500 sq.ft.or less(residential addition/expansion/remodel) Residential Commercial/Industrial [ ] Other. $3.20/sq.ft. $0.51/sq.ft. Area in Sq.FL: 815 Receipt Number: 330457 Total Fee: $2, 608. 00 Check Number: 111 7 5 Owner's Name: Laura Burns Owner's Address: 514 Los Altos Ave. , Arcadia, CA 91 007 Phone Number: 626-446-2035 Email: llbrns@juno.com Representative's Name& Contact Info(if appl.): Albert Johes 626-421 -8360 *The above-described development has been determined to be exempt from the developer fees of Education Code §17620,et seq., and Government Code§65995,et seq.,and a Building Permit may be issued therefore. ** All fees due to the Arcadia Unified School District, under provision of Education Code §17620, et seq., and Government Code §65995, et seq., as a prerequisite to the issuance of a Building Permit by the Building Department of the City of Arcadia, City of Monrovia, City of Sierra Madre,City of Temple City,and County of Los Angeles,Department of Public Works have been received. Based on information p ented above,this Certificate of Compliance is hereby executed. Connie Chu Senior Administrative Asst. 2/21 /19 Signature of District Representative Name/Title Date of Issuance D The District charges a $100 fee to process reinstatement of the Developer Fee Certificate of Compliance resulting from an "insufficient funds"check in addition to a$35 fee for the returned check. Only cash or a Cashier's Check will be accepted as payment thereafter. D The District charges a$100 fee for any amendments to or cancellation of a Developer Fee Certificate of Compliance formerly issued on any type of development. D If 500 sq. ft. or less is the reason for exemption, any future additions,expansions,or remodels to the property that result in the past aggregate square footage to exceed the allotted 500 sq. ft. will be subject to fees at the current rate for the entire square footage of the development. - Owner/developer may request a refund of fees paid to the District within 12 months of payment only in the event the Building Permit expires or the project is canceled without commencement of construction in accordance with Education Code section 17624(all other requests for refunds must be made in accordance with the fee protest procedures set forth in Government Code §66020). All refunds will be reduced by a $100 administrative fee. The refund check will be issued in the name of the owner/developer and mailed to the address of payee. PURSUANT TO GOVERNMENT CODE§66020(d), OWNER/DEVELOPER HAS A PERIOD OF 90 DAYS FROM THE DATE OF ISSUANCE OF THIS CERTIFICATE OF COMPLIANCE TO PROTEST THE IMPOSITION OF FEES Applicant confirms that he/she is authorized to sign on behalf of the owner/developer and that the information he/she provided to the District is true and accurate to the best of hi her knowledge. Signature of Applicant: % /�/ Name: 7 1 betEL 1-17014C5 WHITE—City/County YELLOW—Fiscal Services PINK—Business Services GOLD—Applicant Certificate of Compliance(7-24-17) ;LA bI r• DBS Los Angeles Regional Uniform 9 9 DEPARTMENT OF BUILDING AND SAFETY 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 code. xf� ?� Report No. I This report includes all construction work through { day of 11 L ' _ , 20 � 1 Page No. ` of I Project Address: Structural Observer of Record(SOR): Phone No.of SOR: k t dos At;rT! S AVE • JACK YEH, S.E. 909-305-3050 •r Building Permit No.: Structural Observation performed by: Professional Lic./Reg.No.of Observer: Phone No.of Observer: 5 N {,..) -(V - 2-3q 1 JACK YEH, S.E. S-3992 909-305-3050 OBSERVED STRUCTURAL ELEMENTS AND THEIR CONNECTIONS FOUNDATION WALL FRAME FLOOR ELEMENT/CONNECTION I OBSERVATION LOCATION ,� 11�1Footing,Stem Walls, Piers ❑Concrete ❑Steel Moment Frame ❑Concrete 7❑Mat Foundation ❑Modulus of Elasticity* ❑Steel Braced Frame ❑Steel Deck Concrete Shear Walls ❑Caisson,Piles, Grade Beams ❑1Masonry ❑Concrete Moment Frame ood ❑Retaining Foundation Food ❑Modulus of Elasticity* thers: Hillside Special Anchors 7' ' Seismic Moment Frames ❑Others: Cthers: 10444 ❑Others: * For concrete buildings more than 160 feet in Structural Height: Concrete mix meets the modulus of elasticity requirements in design for seismic force resisting systems. 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 deficierLpiie ve been resolved is required before acceptance of the work by the building officials.) Mt. STr a o-Art too GoH pc,&E . 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 9%OFESSIQ OF THE CITY 019 SELle.. (/�� . c�Q CSICq/Vc c� 2. I,OR ANOTHER ENGINEER OR AR HITEC NAVE'bESIGNATED ABOVE AND IS UNDER ti� Cr )- 2 1. MY RESPONSIBLE CHARGE, HAS PERFORMED THE REQUIRED SITE VISITS AT EACH CO 4- w W SIGNIFICANT CONSTRUCTION STAGE TO VERIFY IF THE STRUCTURE IS IN GENERAL w0 No.S-3992 m CONFORMANCE WITH APPROVED PLANS AND SPECIFICATIONS; ,' t>; Exp.3/30. iI, 3. ALL NOTED DEFICIENCIES WHICH REMAIN TO BE CORRECTED HAVE BEEN INDICATED "Or * ABOVE; V s.. ST' TURP ` 4. I RECOMMEND THAT ACCEPTANCE OF E STRUCTURAL SYSTEMS BY THE CITY OF LOS 1 2, ANGELES BE WITHHELD UNTIL ALL •=SERVED DEFICI NCIES . -E CORRECTED. ,N',, U� • �� %.....,......e. ,, • �� / r SIGNATU-• •F-T'f:CTUR' OBSERVER DA E STAMP• •TRUCTURALoBSERVER IN/Fonn.08(Part 1)(Rev.06/14•) • APPROVED • DEC 2 0'2018 PlanningServices City of Arcadia 304' ]9•a•• - aa40,0" 2Pd^ 18•-r r3 • 2W-2W-0"' s� 2r- �TONO COMP) 1837 P/L °' i 1 --CONC DRIVEWAY— Ina/ , 4 I m Ielr rn1\ 5 \/� •megm _. , lm tills. q "a . II 1 r) Vn m• \ e m I 32 I I o sli I a . yNW, Baa .s•s +19.-r, s1 r.c 3 qzs.' 1 1 ;m \01—a. Y _ I .10\� m II 23 1 ? 9 PIP 103.02' P/1-003'4 _ n•q• t o-e 11 -- I City of Arcadia, CA ,Permit NO.Misc-19-0009 Development Services Department - Permit Type:Mc 240 West Huntington Drive,Post Office Box 60021 r _ Arcadia,CA 9 106 6-6021 Work Classification:Misc-Address Change 6: (626)574-5416 Permit Status:Issued t ` ARCADIA IsiueDate•01/03/20191 Expiration: Addr NO. Dir Prefix Street Name Street Suffix Unit City,State,Zip Parcel Number 518 Los Altos AVE Arcadia,CA 5787013045 Contacts LAURA BURNS Owner • - 514 LOS ALTOS AVE,ARCADIA,CA 91007 • Description:ASSIGN NEW ADDRESS FOR ADU(518 LOS ALTOS) Valuation: $0.00 Tenant g LOCATED AT 514 LOS ALTOS AVE Total Sq Feet: 0.00 Plan Check# Plan# .... ,., .. -..., .�.....• cv — . ,t Fees Amount Payments Amount Paid ) Address Change $500.00 Total Fees $550.60 Building Issuing Fee $44.35 Cash/Receipt#REC-00014-19 $550.60 Solid Waste Management Fee $6.25 Amount Due: $0.00 Total: $550.60 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. ©O January 03,2019 Issued By: Date January 03,2019 Page 1 of 1 ;FAA 0 slim ..,n ., -'Ear PERMIT/PLAN REVIEW APPLICATION Q. zin 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 0 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 Policy Number 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 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 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 am 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 attdmey'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 fun er information. 69Name / r , v U L, Title PRINT E 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 ity ordinances and State Laws relating to building construction. I hereby authorize representatives of the City of Arcadia to en44 ' " ,.e a to- -mentioned property for inspection purposes. Signature I Ar , Date l / /V- /? f GGG {{` ARc v�4 �FFoRN 9A January 8, 2019 °'mty o% Subject: Create new address at: 514 Los Altos Ave City of Please be advised that the City of Arcadia has approved to create a second ✓ address for a newly created Accessory Dwelling Unit for the subject property. Arcadia Parcel Number: 5787-013-045. Please update your records as follows: MAIN DWELLING ADDRESS ASSIGNMENT: Development Services 514 Los Altos Ave Department Arcadia CA, 91007 Jason Kruckeberg Assistant City Manager/ NEW ACCESSORY DWELLING UNIT ASSIGNMENT: Development Services Director 518 Los Altos Ave Arcadia CA, 91007 The City of Arcadia would like to bring to your attention that we are requesting to create a new address for the Accessory Dwelling Unit and would request you to modify the address in your records. The main dwelling unit address is 514 Los Altos Ave and the Accessory Dwelling Unit address is going to be 518 Los Altos Ave. Should you have any question, please contact the City's Development Services Department/Building and Safety office at(626) 574-5416. Sincerely, li,....1‘71_./ Kenneth Fi ,BuiOfficial 240 West Huntington Drive Post Office Box 60021 Arcadia,CA 91066-6021 (626) 574-5415 (626)447-3309 Fax www.ci.arcadia.ca.us CITY OF ARCADIA • DEVELOPEMNT SERVICES DEPARTMENT 240 WEST HUNTINGTON DR, ARCADIA, CA 91007 (626)574-5416 GLp_C,(7 APPLICATION FOR AN ADDRESS CHANGE ( - a7' 9. ($550.60 FEE REQUIRED AT TIME OF APPLICATION) 41 be4 Q i c Lau vtc- l?19 n19 Applicant Property Owner ,Mew S'l'l Log 4140S t 571/ (os Atir)5 Ohre- � Address Property Address ArCol Ra, CA 9100-7- /c�-�. ik , £11— 7(037- Mailing Address Mailing Address (6a€ ctal— 8360 ceitp ��6 t 35— Phone umber Phumber ^ ��� REQUESTED PROPERTY ADDRESS: A-00 1Choice X76 2° Choice Owner's Signature Date FOR OFFICE USE ONLY DOCUMENTATION: Current Pyoperty Tax Bill: Recorded Grant Deed: FEE: $550.60 PAID: ✓ / RECEIPT NO: APPROVED (Notification attached) Yes: ✓/ No: DENIED (Reason): ASSIGNED PROPERTY ADDRESS: 96 L-D5 ft/fes By: Building Official *Note: Send notifications to all listed agencies upon approval of Building Official. Chr l ',! City of Arcadia, CA Permit.NO:MEP-19-0656' le Development Services Department [I if^ rte-' *_v \ - Permit Type:w 240 West Huntington Drive,Post Office Box 60021 r . , tl I l i y L"Work Classl 'cation:MEP;Residential ^�xt� Arcadia,CA 91066-6021 €;.1J 15 V (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 518 Los Altos AVE Arcadia,CA 5787013045 Contacts ALBERTJONES Agent for owner LAURA BURNS Owner 514 Los Altos AVE,Arcadia,CA 91007 514 LOS ALTOS AVE,ARCADIA,CA 91007 (626)421-8360 ALBERTJONES1@YAHOO.COM Description:FOR ADU 200 AMP SERVICE.HOOD, HVAC SYSTEM Valuation: $ 0.00 Tenant PER APPROVED PLANS.HERS REQUIRED FOR FINAL. Total Sq Feet: 0.00 Plan Check ft Plan#;2G&$_ Fees Amount Payments Amount Paid x Bathtubs/or Combo $13.21 Total Fees $527.63 Compressor<3 Ton(up to 3 hp) $19.86 Cash/Receipt ft REC-00862-19 $527.63 Dishwasher $13.21 Amount Due: $0.00 Electrical Permit Issuance Fee $47.01 Furnace or Burner<=100,000 BTU $19.86 Garbage Disposal Fee $13.21 Gas System(Outlets) $46.65 / e Install,Relocate Appliance Vent/Hood $9.94 / "�QG i���� Kitchen Sink $13.21 Lavatories $26.42 Mechanical Permit Issuance Fee $47.01 CALLS FOR INSPECTIONS Motors,Generators<1 hp $8.07 Request for inspection by telephone at 626-574-5450. Leave a message New Residential Elect.(sq ft area) $65.20 requesting the address,timeframe and what inspection item is needed. Plumbing Permit Issuance Fee $47.01 Residential Services up to 400 amps $16.48 Sewer Connection on Property $33.01 This permit/plan review expires by time limitation and becomes null and Shower $24.92 void if the work authorized by the permit is not commenced within 180 days Solid Waste Management Fee 2 $1.00 from the date of issuance or if the permit is not obtained within 180 days Solid Waste Management Fee 2 $1.00 from the date of plan submittal.This permit expires and becomes null and Solid Waste Management Fee 2 $1.00 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 Ventilation Fan(Single Duct) $19.88 Arcadia building inspector for a period of 180 consecutive days. Total: $527.63 O:Ike. eApril 03, 2019 Issued By: Date April 03,2019 Page 1 of 1 m : PERMIT/PLAN REVIEW APPLICATION p. ill- ra ,111 11 j 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 Signature of Contractor 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 ❑ 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 workers'compensation provisions of Section,700 ,f the Labor Code,I shall I, as owner of the property, or my employees with wages as their sole forthwith c mply with those provisions. /', compensation,will do the work,and the structure is not intended or offered forsale(Section 7044,Business and Professions Code:The Contractors License �ate— 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: . ppp Lender's Name , Date q// 7/7 Signature////e / I , 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. / • n are lL �Y\ Titre )°1 PRINT NAME CCCIII 1 I 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 Ci• ordinances and State Laws relating to buildin construction. I hereby authorize representatives of the City of Arcadia to enter . ,, Jr e abomentioned pro•erty for inspection purposes. 1170 /9-0 ignature i Date ` `�b�d !j City of Arcadia, CA . LL ;, a Permit No ROOF 190967 � / Development Services Department D —+� iType.:-Roof ,r YU 240 West Huntington Drive,Post Office Box 60021 Permit T e-Roof Arcadia,CA 91066-6021 � WdrkClossihcation.Reroof-•ItesldenHal (626)574-5416 - Permit Status:Issued ARCADIA Issue Date:.05/22/2019a Expiration: Addr NO. Dir Prefix Street Name Street Suffix Unit City,State,Zip Parcel Number 514 Los Altos AVE Arcadia,CA 5787013045 Contacts ALBERTJONES Agent for owner LAURA BURNS Owner 514 Los Altos AVE,Arcadia,CA 91007 514 LOS ALTOS AVE,ARCADIA,CA 91007 (626)421-8360 ALBERT.JONES1@YAHOO.COM Description:T.0 REROOF 3 CAR DETACHED GARAGE WITH Valuation: $ 5,000.00 Tenant LANDMARK PRO SOLARIS MAX DEF HEATHER BLEND.7 SQ (LT) (TO MATCH ADU) Total Sq Feet: 0.00 Plan Check# Plan# Fees Amount Payments Amount Paid Building Issuing Fee $47.01 Total Fees $207.01 Building Permit Fees $153.75 Cash/Receipt#REC-01293-19 $207.01 Solid Waste Management Fee $6.25 Amount Due: $0.00 Total: $207.01 44°4i CCC11:2 5---NorAiNv4. 17"--- (e-!e!y ;Ii4c #""/ CALLS FOR INSPECTIONS / Request for inspection by telephone at 626-574-5450. Leave a message �(�--�0--� requesting the address,timeframe and what inspection item is needed. f 91 GORUPLETEP 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. ./ May 22, 2019 Issued By: Date May 22,2019 Page 1 of 1 ,FAR 4U-wo¢vy Ilan PERMIT/PLAN REVIEW APPLICATION Ei * 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 0 I have and will maintain workers'compensation insurance,as required by Section OWNER-BUILDER DECLARATION ❑ 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 mason(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 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 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 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(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 CONSTRUCTION LENDING AGENCY Code: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 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 II �i C— � / /Title ! PRINT NAME 11 I certify that I have read this application and state that the above information is corect and that I am the owner or duly authorized agent of the owner. I agree to comply with all lily ordinances and State Laws relating to building'construction. I hereby authorize representatives of the City of rcadia to enter on the ab e-mentioned p r perry for inspection purposes. Signature i Al Date — ( 444. City of Arcadia, CA - t'I - Permit WO EIeC-19-1762 } ( Development Services Department J n--('+-' �--*�-^,� j-l�rtt" Permit Type:Electrical • 240 west Huntington Drive,Post Office Box 60021 ,. " ( 1f f� I 1 I Work Classification:Elec-Service Change t Arcadia,CA 91066-6021 LJ t1/47--:----)Li Li a--1�Li �� (626)574-5416 y _ _ , - Permit Status;Issued ARCADIA IssueDate:09/03/20191 Expiration: Addr NO. Dir Prefix Street Name Street Suffix Unit City,State,Zip Parcel Number i 514 Los Altos AVE Arcadia, CA 5787013045 I Contacts ALBERTJONES Agent for owner LAURA BURNS Owner 514 Los Altos AVE,Arcadia,CA 91007 514 LOS ALTOS AVE,ARCADIA,CA 91007 (626)421-8360 ALBERT.JONES1@YAHOO.COM Description:200 AMP SERVICE PANEL UPGRADE Valuation: $ 0.00 Tenant Total Sq Feet: 0.00 Plan Check II Plan U Fees Amount Payments Amount Paid Electrical Permit Issuance Fee $47.01 Total Fees $64.49 Residential Services up to 400 amps $16.48 Cash/Receipt It REC-02349-19 $64.49 Solid Waste Management Fee 2 $1.00 Amount Due: $0.00 Total: $64.49 la—it—I? 'ca EC.ELT,tt. A/cii-rcsseleittso' 'c f 6-23-4 c7APfiG' 3" ��1 / 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* 491404CA,., )0111 / September 03, 2019 Issued By: Date September 03,2019 Page 1 of 1 gf AR ,..n- PERMIT/PLAN REVIEW APPLICATION R 'j 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 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 exempt there from and the basis for the alleged exemption. Any violation of II 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 Califomia,and agree that if I should become subject to the workers'compensation provisions of Section 3700 .f the Labor Code,I shall ❑I, as owner of the property, forthwith .rap , with those provisions. r ' work,and employees with wages as theire sole jai/ compensation,will do the the structure is not intended or offered for sale(Section 7044,Business and Professions Code:The Contractors License Date Signs �-.i/ 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. 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 1 Date?fhb9 Signature ��/�/�/ili Lender's Address IMPORTANT:APPLICATION IS HEREBY • I E 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. Name4 E€% Ti - Q2 \Crile -- PRINT NAME I .erhfy 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 ' .onn. a) 've-mentioned property for inspection purposes. Or I % I Fih? Signature /;, 1 Date G