HomeMy WebLinkAboutUntitled (2) '� _ Mr
-boy,; City o� Arcadia, CA - * Permit Na Pool-19-06j4
r t ttl7// Development Services Department ��-�^` r r q, Permit Type Pool/Spa
.,u// 240 West CA 9106 -6 Drive,Post Office Box 60021 ^f- r i i
y 2 i . ± 13 I _WorkClassnccaton:Pool-Residential
- V Arcadia, 91066-6021 �,,,,� J r _I LI -_
(626)574-5416 _ - Permit Stabs Issued
ARCADIA Issue Date:04/01/2019 I Expiration:
Addr NO. Dir Prefix Street Name Street Suffix Unit City,State,Zip Parcel Number
1420 Oak Meadow RD Arcadia,CA 5770016013
Contacts
STEVEN BROCKMEYER Owner Frank Hernandez Contractor
1420 OAK MEADOW RD 351 N Banna AVE,Covina,CA 91724
(626)255-4822 350672C53'
Description:DEMO EXISTING SPA,CREATE NEW SPA (32 PF)IN Valuation: $ 7,740.48 Tenant
EXISTING POOL AND NEW BAJA SHELF
Total Sq Feet: 0.00 Plan Check it Plan#
Fees Amount Payments Amount Paid
Building Issuing Fee $47.01 Total Fees $597.55
Building Permit Fees $203.85 Cash/Receipt#REC-00830-19 $597.55
Building Plan Review Fee $132.51
Amount Due: $0.00
Electrical Fee(Motors,Fix,Wiring) $71.71
Electrical Permit Issuance Fee $47.01
Plumbing Permit Issuance Fee $47.01 lit v
rA iA C
Pool Piping $28.69 VVII III���YLt
Pool P-Trap $11.51
Solid Waste Management Fee $6.25
Solid Waste Management Fee 2 $1.00
SWMF FEE 2 51.00 CALLS FOR INSPECTIONS
Request for inspection by telephone at 626-574-5450. Leave a message
Total: $597.55 requesting the address,timeframe and what inspection item is needed.
�iNo,L 11-(2.(5 c:: Z—
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.
/
/ April 01,2019
Issued By: Date
April 01,2019 Page 1 of 1
.FAR
:. KI PERMIT/PLAN REVIEW APPLICATION
E�i*' 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
Csfessions 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 L S 5 Li f N xp. Date
compensation, as provided for by Section 3700 of the Labor Code, for the
rgnature of Contractor /L/ / '' performance of the work for which this permit is issued.
OWNER-BUILDER DECLARATION ❑ !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 -A G Q/C tb
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 LII 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 e or e,I shall
❑I, as owner of the property, forthwith compl 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 LicenseSignature !>
Law does not apply to an owner of property who builds or improves thereon,
çDate
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.—
are /—jt()a /42.J/ant,fe Tide Pt)QL enJn/TYL/IC?0t2
PRINT NAME
I certify that I have read this application and state that the above information is cor ct 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 th• .bo e-mention pro..i for inspection purposes.
ignature i / Date y/ /17
/clot - / r_0ce3C1
NOTES
Building Inspections Date Insp. Plumbing Inspections Date Insp. /T2,0 04.g-
e4 vt '(d
100. Setbacks 210. Under flit/bldg.drain /`-
101. Rough grade 211. Copper underslab
102. Figs.&forms 212. Rough plumbing
103. Pre-slab 213. Rough gas
104. Floor joists 214. Shower pan
105. Steel 215. Water heater
106. Grout lift 216. Roof drains
107. Shear nailing 217. Building sewer
108. Diaph nailing 218. Water service
109. Roof nailing 219. Final gas
110. Framing 220. Fixtures
111. Occikea Sept.Wall 221. Final plumbing
112. Sound walls 222. Sewer cap/demo.
113. T-bar.rid
114. Insulation-Fir. Pool Inspections Date Insp.
115. Insulation-Wall 240. Excavation/steel �^--
116. Insulation-Cell. 241. Rough plumbing S•/9
117. Drywall nailing 242. Light shell/bonding LV
118. Interior lath 243. Underground conduit (f•r-/S
119. Exterior lath 244. P-trap /�
120. Finish grade 245. Gas line&test Bi-- r y/GJ ,�I_. J
121. Final building 246. Fence,gates&signs n�g (' ` e /' /- Ly�
122. Final demo4ot dear 247. Pool heater �� //�y'n /�/�
248. Anal electric DOCK �'/
Electrical Inspections Date Insp. 249. Final.lumbin. Ux
150. Power pole 250. Pool cover /'
151. Sales lot lighting 251. Pool final //-/2•l9 ; //�Ud'L4,01/f �(ee
152. Under.round conduit
153. Underslab conduit Bernet Inspections I Date I Insp.
154. UFER ground 270. Pre-reroof insp.
155. Water ground 271. Roof framing
156. Rough electrical 272. Sheathing nailing
157. Fixtures 273. Final reroof
158. G.F.C.I.
159. Es it.bondin. Sign Inspections I Date Insp.
160.1Service
oal electric
280.1Footing verhang ■
161. Final electric 281. Footing
282. ConduiWririn.
Mechanical Inspections Date Insp. 283. Disconnect
180. Venting/flue 284. Final sign
181. Furnace/A.C.
182. Rouch HVAC Miscellaneous Insp. I Date I Insp.
183. Fre dampers 290. Fre 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. SaddlelY
Block Wall Inspections ' Date Insp. 302. Cess...I filled
200. Footings 303. Sidewalk
201. Steel/rebar 304. Driveway
202. Grout lift 305. Curb replacement
203. Final wall 306. Trash bin
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