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City of Arcadia, CA _ Permit NO MEP 19-0811
lit Development Services Department Permit Type:MEP,
240 West Huntington Drive,Post Office Box 60021
Arcadia,CA 910fi6-6021 '
(1). _ WorkC/asslhgoton MEP;Residential '
�
(626)574-5416 - _ _ Permit Status Issued
ARCADIA Issue;Date:04/30/2019 j Expiration:
Addr NO. Dir Prefix Street Name Street Suffix Unit City,State,Zip Parcel Number
459 Rosemarie DR Arcadia,CA 5787009007
Contacts
GENE LEE Owner SUPREME REMODELING INC" Contractor
459 Rosemarie DR,Arcadia,CA 91007 14545 VICTORY BLVD 401,VAN NUYS,CA 91411
(626)390-1615 gene.lee@echostreams.com (877)572-6579 939981
arm
Description:PLUMBING FOR OUTDOOR BBQ AND ELECTRICAL Valuation: $ 0.00 Tenant
Total Sq Feet: 0.00 Plan Check rl Plan U
r - II
Fees Amount payments Amount Paid
Electrical Permit Issuance Fee $47.01 Total Fees $113.20
Gas System(Outlets) $15.55 Cash/Receipt k REC-01090-19 $113.20
Outlets-Receptacles&Switches $1.63
Amount Due: $0.00
Plumbing Permit Issuance Fee $47.01
Solid Waste Management Fee 2 $1.00
Solid Waste Management Fee 2 $1.00 COMPLETEDTotal: $113.20 S
NAS 12• IS • I1 gam- y
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.
April 30,2019
Issued By: Date
April 30,2019 Page 1 of 1
,FAR
• 1 PERMIT/PLAN REVIEW APPLICATION
E43*' 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:
b� Chapter 9(commencing with Section 7000,of Division 3 of the Business and
fessions Code,yld my license is in full force and a ect. y ❑ I have and will maintain a certificate of consent to self-insure for workers'
i` icense Class License No. Exp. Date 11-3 u'? i compensation, as provided for by Section 3700 of the Labor Code, for the
pe rmance of the work for which this permit is issued.
Signature of Contractor
OWNER-BUILDER DECLARATION Ll
have and will maintain workers'compensation insurance,as required by Section
.3700 of the Labor Code,for the performance of the work for which this permit
❑ I hereby affirm under penalty of perjury that I am exempt from the Contractors fy ,is issued.My workers'compensation insurance carrier and policy numbers are:
License Law for the following reason(Section 7031.5,Business and Professions 1.I r C}c 4'
Code.Any city or county which requires a permit to construct,alter,improve, Carrier tS 2 _
demolish,or repair any structure,prior to its issuance,also required the applicant ,. -1 2 JZ I CO)
for such permit to file a signed statement that he or she is licensed pursuant to thePolip cy Number
provisions of the Contractors License Law(Chapter 9(commencing with Section
N' (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 ratifomia,and agree that if I should become subject to the
'r+ workers'compensation provisions of Section 3700 of the Labor Code,I shall
❑ as owner of the property, forthwith comply with those provisions.
I, or my employees with wages as their sole IYy
compensation,will do the work,and the structure is not intended or offered for _ u _\—VI ..
sale(Section 7044,Business and Professions Code:The Contractors License 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 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 tothe 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:
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
n further information.
,.. � `1 ,,
/Name i"`'E I1-cu U 1/el(olx Title a���'�--
4141 r.IPRINT NAME
I'tertify 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
Aicadia to enter upon the above- entioned property for inspection purposes.
Signature _ Date
City of Arcadia, CA -: Permit Na Mech-19-1621
fa
Development Services Department r— -"_^�-�- Permit Type Mechanical
if a.vpi 240 West Huntington Drive,Post Office Box 60021 ( I t`; P {} � f
Arcadia,CA 91066-6021 1; Jr-)I Ar a 1 t i._;l I Work Closslicanon:.HVAC Repair/Replace
(626)574-5416 't" '" .Permit Status:Issued
ARCADIA issue Date:.08/19/2019 1 Expiration:
Addr NO. Dir Prefix Street Name Street Suffix Unit City,State,Zip Parcel Number
459 Rosemarie DR Arcadia, CA 5787009007
Contacts
GENE LEE Owner Service Champions Heating And Air Contractor
459 Rosemarie DR,Arcadia,CA 91007 Conditioning*
(626)390-1615 gene.lee@echostreams.com 3150 E Birch, Brea,CA 92821
(714)777-7777 799170
Description:REPLACE HVAC SYSTEM IN SAME LOCATION ON / Valuation: $ 0.00 Tenant
ROOF.INSULATION IN ATTIC. HERS REQUIRED FOR FINAL(JC) -
e Total Sq Feet: 0.00 Plan Check N Plan fJ
Fees Amount Payments Amount Paid
Compressor 3-5 Ton(3 to 15 hp) $36.35 Total Fees $104.22
Furnace or Burner Cr 100,000 BTU $19.86 Cash/Receipt#REC-02164-19 $104.22
Mechanical Permit Issuance Fee $47.01
Amount Due: $0.00
Solid Waste Management Fee 2 $1.00
Total: $104.22
......— „c cohlipiETED
--t.,a, lo.2z'l9 �--
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.
August 19,2019
Issued By: Date
August 19,2019 Page 1 of 1
,FAR
lalI' PERMIT/PLAN REVIEW APPLICATION
e @t j. Development Services Department,240 West Huntington Drive,Post Office Box 60021
' ,-IK° 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 pd
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 t/eV License No. 7Exp. Date IIBJ17 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 ION 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.My workers'co enation insurance carrier and policy numbers are:
License Law for the following reason(Section 70313,Business and Professions /y IC_
Code.Any city or county which requires a permit to construct,alter,improve, Carrier f/ /�,
demolish,or repair any structure,prior to its issuance,also required the applicant Policy Number V1---2 '1 0 e av D
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 D, 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 becomesubject to the
workers'compensation provisions of Section 3700 of the Labor Code,I shall
❑I, as owner of the roe forthwith co ply wit] those provisions.
property,rty, or my employees with wages as their sole r/
compensation,will do the work,and the structure is not intended or offered for /
Date Signature C/
sale(Section 7044,Business and Professions Code:The Contractors License
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 .. - I
employees,provided that such improvements are not intended or offered for WARNING:.Failure to secure Workers'Compensation Overage 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).
❑ 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 Title
� . /
PRINT NAME
I certify that I have read this application and state that the above information is co ect and that I am the owner or duly authorized agent of the owner.
I agree to comply with all City ordinances and to Laws relating to building construction. I hereby authorize representatives of the City of
Ar adia to enter upon the above-mentioned pr erty for inspection purposes. /J//Si nature1 Date C�I (9 l97
'
tine; City of Arcadia, CA Permit Na RALT-18-2345
\11' 1 Development Services Department D PeerrmrtType:Residential Addition/Alteration
`r f1 240 West Huntington Drive,Post Office Box 60021 ® j r °"
hl Work Classljicotiorr Res-Addition/Alteration
Arcadia,CA 91066-6021 - v 'v.r ,w, • _
(626)574-5416 Permit Status."Issued
ARCADIA • - • Issue Date:01/24/2019 Expiration: 07/23/2019
Addr NO. Dir Prefix Street Name Street Suffix Unit City,State,Zip Parcel Number
459 Rosemarie DR Arcadia,CA 5787009007
Contacts
GENE LEE Owner ALEX CAMPOS Applicant
459 Rosemarie DR,Arcadia,CA 91007 18570 SHERMAN WAY R,RESEDA,CA 91335
(626)390-1615 gene.lee@echostreams.com (818)630-9930 enrdesign01@gmail.com
SUPREME REMODELING INC" General Contractor(B)
14545 VICTORY BLVD 401,VAN NUYS,CA 91411
(877)572-6579 939981
Description:REAR ADDITION OF 141 SO FOR NEW DINING Valuation: $ 27,024.59 Tenant
ROOM.REMODEL EXISTING LIVING RM. DEMO EXISTING
REAR COVERED PATIO.WITH ELECTRICAL. Total Sq Feet: 141.00 Plan Check#18-2345 Plan#32668
Fees Amount Payments Amount Paid
Building Issuing Fee $47.01 Total Fees $1,549.81
Building Permit Fees 5526.00 Cash/Receipt#REC-003182-2018 $481.29
Building Plan Review Fee 5341.90 Cash/Receipt#REC-00209-19 $1,068.52
Cal Green Plan Check $34.19
Electrical Permit Issuance Fee $47.01 Amount Due: $0.00
Energy Plan Review Fee $105.20
Green Building Standard $2.00
Light Fixtures $10.78 ($1
7y�555��� ,,d((•yy,ParkOutlsts-Recrpaton Fe (SFR) 401.85 � �L p p pParks&Recreation Fee(SFR) $401.85 tL',rQ�� II�iVjaSolid Waste Management Fee $6.25 SPECTIONS
Solid Waste Management Fee 2 $1.00 Request for inspection by telephone at 626-574-5450. Leave a message
Strong Motion Inst.Program Res $3.52 requesting the address,timeframe and what inspection item is needed.
Total: $1,549.81
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
, .0` X1.1 s•—• (1 ? 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.
January 24,2019
Issued By: Date
January 24,2019 Page 1 of 1
,FAR
>:.- 1 PERMIT/PLAN REVIEW APPLICATION
it:%ita 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,a my license is in full force and effect. ❑ 1 have and will maintain a certificate of consent to self-insure for workers'
License Class License No. 2�f7 f/ Exp. Date It(?l.'I/ 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 DE({.-
TION 0 I have and will maintain workers'compensation insurance,as required by Section
❑ I herebyaffirm under penaltyo 3700 of the Labor Code,for the performance of the work for which this permit
rjury that I am exempt from the Contractors is issued.My workers'compensation insurance carrier and policy numbers are:
License Law for the following reason(Section 7031.5,Business and Professions ,J/11
Code.Any city or county which requires a permit to construct,alter,improve, 1 Carrier (A/05-7 Cv c VPCS - rofro,a2.V1,
•
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 0 q LpU e) c O --1, -zi s /
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
sae(Section
wll o n wan and the structure is not intended offered for
sale(Section 7044,Business and Professions Code:The Contractors License Date (91-7—ti '1 t 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.
• N
Name _ • d ,..•meq/• Title ' _. - -
.._4. • a olt
PRINT NA E -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 builds g construction. I hereby authorize representatives of the City of
Arcadia to enter upon the above-mentioned property for inspection purposes.
ignature /r / sate p( -Z`4' 1 g
NOTES
Building Inspections Date Insp. Plumbing Inspections I Date I Insp.
100. Setbacks 210. Under flribidg.drain
101. Rough grade 211. Copper underslab
102. Figs.&forms 3÷17 g0.-7/212. Rough plumbing
103. Pre-slab 213. Rough gas
104. Floor joists 214. Shower pan
105. Steel 215. Water heater
106. Grout lift �¢fr216. Root drains
107. Shear nailing SSP"/+f '217. Building sewer
108. Diaph nailing ct �/j,�.r,/�,18. Water service
109. Roof nailing 7j 2-134/d�'" / 219. Final gas
110. Framing 5-11e•/9�'� 220. Fixtures
111. Occ./Area Sept.Wall 221. Final plumbing
112. Sound walls 222. Sewer cap/demo.
113. T-bar.rid
114. Insulation-Flr. Pool Inspections Date . Insp.
115. Insulation-Wall S419 if 240. Excavation/steel
116. Insulation-Ceil. 5./6•(9 �- 241. Rough plumbing
117. Drywall nailing 5-21'11 C-_ 242. Light shell/bonding
118. Interior lath 243. Underground conduit
119. Exterior lath 244. P-trap
120. Finish grade 245. Gas line&test
121. Final building h•/S•/7 246. Fence,gates&signs
122. Final demo/lot dear 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. Undereround conduit
153. Underslab conduit Bernd Inspections Date Insp.
154. UFER ground 270. Pre-reroof insp.
155. Water ground 271. Roof framing
156. Rough elecbical Is 5-f ..19 272. Sheathing nailing
157. Fixtures 273. Final reroof
158. G.F.C.I.
159. E.it.hondint Sign Inspections Date Insp.
160. Service panel 280. Setback/overhang
161. Final electric '7'A-C4 281. Footing
282. Conduittwirin.
Mechanical Inspections Date Insp ' 283. Disconnect
180. Venting/flue 284. Final sign
181. Furnace/A.C.
182. Rauch HVAC Miscellaneous Insp. Date Insp.
183. Rre dampers • 290. Fire alarm
184. Fumace compartment 291. Underground supply
185. Combustion air 292. Are sprinklers
186. Smoke detectors 293. Monitor system
187. Metal F.P.rough 294. Hood dry chem.
188. Compressor setback 295. Final
189. Commercial hood
190. Duct shaft Sewers&Offsite Insp. Date Insp.
191. Anal mechanical 300. Lateral(main to Pt)
301. SaddleN
Block Wall Inspections Date Insp. 302. Cess...l filled
200. Footings 303. Sidewalk
201. Steel/rebar 304. Driveway
202. Grout lift 305. Curb replacement
203. Final wall 306. Trash bin