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Home My WebLink AboutUntitled ,sbt" ' City of Arcadia, CA Permit.NO RALT-19-020a' s� i Development Services Department D L ^s;P,eerrmlCr'Type Residential'Addl•tton/Alteration \� , 240 West Huntington Drive,Post Office Box 60021 0 i 11 t I Arcadia,CA 91066-6021 York Classification:Res-Addlttonfglteratton! 7-0-- (626)574-5416 , r. ,.,, ,h - - Permit st t2s:dSSUe_d' ARCADIA Issuetate 02/07/2019, Expiration: 08/07/2019 - . .F:1_. _ Addr NO. Dir Prefix Street Name Street Suffix Unit City,State,Zip Parcel Number 961 Valente DR Arcadia,CA 5776021009 Contacts DAVID LI Owner 961 VOLANTE DR (310)254-4893 Description: 19 RETRO FIT WINDOWS. NEW AC UNIT,HERS Valuation: $ 6,000.00 Tenant REQUIRED FOR FINAL. 200 AMP SERVICE. REMODEL KITCHEN AND BATHROOMS (EXISTING LAYOUT TO REMAIN)PER Total Sq Feet: 0.00 Plan Check ft Plank IN FILE APPROVEDHOA PLANS. '-n "a`waa''''''.s--,--- Fe es -,---Fees Amount payments Amount Paid Bathtubs/or Combo $13.21 Total Fees $1,096.89 Building Issuing Fee $47.01 Cash/Receipt#REC-00339-19 $1,096.89 Building Permit Fees $170.45 Amount Due: $0.00 Building Plan Review Fee $110.80 Cal Green Plan Check $11.08 • Clothes Washer $13.21 Compressor<3 Ton(up to 3 hp) $19.86 Dishwasher $13.21 CONIrLE 111{{�11��yyyyl in Electrical Permit Issuance Fee $47.01i iEEnergy Plan Review Fee $34.09 Furnace or Burner<=100,000 BTU $19.86 CALLS FOR INSPECTIONS Garbage Disposal Fee $13.21 Request for inspection by telephone at 626-574-5450. Leave a message Gas System(Outlets) $15.55 requesting the address,timeframe and what inspection item is needed. Green Building Standard $1.00 Install,Relocate Appliance Vent/Hood $9.94 Kitchen Sink $13.21 This permit/plan review expires by time limitation and becomes null and Lavatories $39.63 void if the work authorized by the permit is not commenced within 180 days Light Fixtures $16.30 from the date of issuance or if the permit is not obtained within 180 days Mechanical Permit Issuance Fee $47.01 from the date of plan submittal.This permit expires and becomes null and Motors,Generators<1 hp $8.07 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 Plumbing Permit Issuance Fee $47.01 Arcadia building inspector for a period of 180 consecutive days. Total: $1,096.89 February 07, 2019 Issued By: Date \ February 07,2019 Page 1 of 1 , AR oma. sat 6, PERMIT/PLAN REVIEW APPLICAtION ainm top, Development Services Department,240 West Huntington Drive,Post Office Box 60021 =mnor�°°�- 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 45WNER-BUILDER DECLARATION 0 I 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 / ereby affirm under penalty of perjury 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 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 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, all ❑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 wbate a--'7_( -Sig`n ute 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 thecost 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 ,r- attorney's fees. v 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 C13ate=2 7/y SltgpanaeLender's Address ____t_arry. ...a7a 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. �/ e Name �� l Title /WYI 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 Law relating to building construction. I hereby authorize representatives of the City of Arcadia to enter up above-mentioned perry for' ection purposes. Sig-nature Dafe 2/ 7 i 7 • NOTES Building Inspections Date Insp. Plumbing Inspections Date Insp. (.��/ I Vo / w f�IV Y/re TR,. 100. Setbacks 210. Under hr./bldg.drain V[� 101. Rough grade 211. Copper underslab g,64,-r- f R--02.03 102. Figs.&forms 212. Rough plumbing ��;a jb% 103. Pre-slab 213. Rough gas 104. Floor joists 214. Shower pan ,S-(5'{ 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 11 111. Occ/Area Sept.Wall 221. Final plumbing I D431 i'yJ 112. Sound walls 222. Sewer cap/demo. , 113. T-bar end 114. Insulation-Flr. Pool Inspections Date I. Insp. 115. Insulation-Wall 240. Excavation/steel 116. Insulation-Cell. 241. Rough plumbing 117. Drywall nailing 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 tO.-341 �'y, 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 Date I Insp. 154. UFER ground 270. Pre-reroof insp. 155. Water ground 271. Roof framing 156. Rough electrical �3-1' 4'v 1 272. Sheathing nailing 157. Fixtures 273. Final reroof 158. G.FC.I. 159. E..t.bondin! Sign Inspections Date I Insp. 160. Service panel 280. Setback/overhang 161. Final electric tO i3-(q 281. Footing 282. ConduiMvirin. Mechanical Inspections Date Insp. 283. Disconnect ) _180. Venting/flue 284. Final sign 181. Furnace/A.C. 182. Rauch HVAC Miscellaneous Insp. 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. Flood dry chem. 188. Compressor setback 295. Final 189. Commerdal hood 190. Duct shaft Sewers&Offsite Insp. Date I Insp. 191. Anal mechanical• 10-23-I [' 300. Lateral(main to P/L) - - 301. Saddle/y Block Wall Inspections Date Insp. 302. Cess.00l filled 200. Footings 303. Sidewalk 201. Steevrebar 304. Driveway 202. Grout lit 305. Curb replacement 203. Final wall 306. Trash bin 434.41447' City of Arcadia, CA "Permit NO.Del710 19 0205 i 4rt Development Services Department '} Permit Type Demolition tt 240 West Huntington Drive,Post Office Box 60021 t� Arcadia,CA 91066-6021 r5t j _ ,, Work Classrflcot. ., Demo/P, _ 7-0---": (626)574-5416 .z --.Permtt StfSttis;'Issued ARCADIA - Issuepate 02/0 /2019I Expiration: 08/06/2019 Addr NO. Dir Prefix Street Name Street Suffix Unit City,State,Zip Parcel Number 961 Volante DR Arcadia,CA 5776021009 Contacts DAVID LI Owner 961 VOLANTE DR (310)254-4893 999 Description:DEMO INGROUND POOL q Valuation: $ 0.00 Tenant Total Sq Feet: 0.00 Plan Check# Plan# Fees Amount payments Amount Paid Demolition Permit(Pool/Spa Backfill) $53.00 Total Fees $106.26 Demolition Permit Issuance Fee $47.01 Cash/Receipt#REC-00340-19 $106.26 Solid Waste Management Fee $6.25 Amount Due: $0.00 Total: $106.26 ei piETED 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. February 07, 2019 Issued By: Date February 07,2019 Page 1 of 1 ,PAR A ;. ! 1 PERMIT/PLAN REVIEW APPLICATION 0,0 _,Jrr" t-T °tai*' Development Services Department, 240 West Huntington Drive,Post Office Box 60021 • °%..u, t°e 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. 0 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. � fOWNER-BUILDER DECLARATION ❑ I have and will maintain workers' insurance,compensation as required by Section 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 F' G. (7 License Law for the following reason(Section 7031.5,Business and Professions is issued.My workers'compensation insurance carrier and policy numbers are: 5e 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„. workers'compensation provisions of Section 3700 of the Lab. ode, Irl L as owner of theproperty, 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 QI3ale--2,11:177. ::: 1 Signature ill 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 costof compensation, d not build or improve for the purpose of sale). damages as provided"for in Section 3706 of the Labor Code, interest, and foi attorney's fees. a' 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). /am exempt under Section 7044,Business and Professions Code,for this reason: Lender's Name _ rc,” are,—.2-77.1r7147- Signature aLender'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. l• d Name (� j ( Title !IJ PR NT NAME 'I certify that I have read this application and state that the above inf ation is correct and that I am the owner or duly authorized agent of the owner. :;I agree to comply with all City ordina ., and State Laws g to building construction. I hereby authorize representatives of the City of ;tArcadia to enter u.' . the above-men' d roperty for ins n purposes. 'Signature d4 1Date 7— 17 , 18.5' -I d tt *: r•- livc) 101 N.t 9-, ---0 P.m. %IA ri 27' Family -k% in Bedroom --.;.- e-i -'•1,-leJ Covered Patio .-1 1 to I— [324 Sq ft] V7- be) 1 5 'En Bath U2 ----: .--------- - ---"-Tilk ,z,,.;;:i ------ ---- - ; --;_315-ianil I Kitchen E,,,,,2 • N-1 , .... •„ NT.--i .-, nict I X- : 7cr li-2i-.C° dill it itsola nt _ :n1-17_L''' '' 'L-1 , ,I,, 4; _ _ 0- vor , tryI. Living . Z. - _i I _ t4ilei T„ o-Be 1-6-6Th 1 . -•-•4 11 nel r-I i I — , 1 Ce' 4 E .5 Bath g fl :tp oo • --t. -- - - - ; INcea_Hig 1 I N. 8, in -X 71 ic3/4„ e. i iD el i _ ._ _ _ % X% --- .....,,,,...- ---.,..., cci r) 2:en , N Bath it :7:- jog I :NI Subject 17.5' ,.., .;--,4 [2708.67 Sq ft] N 0`. N Ci3 — Bedroom 'in 2 Car Garage 6.„ " ,„, 7:C 1141 6v [460 Sq ft] --cl \_--- A..\,.... .1 4.i . W k.z 20' y a lamed%rm. Area Calculations Summar( ' ''' d_...'.......1:...). .—AL,Caleulatlefilt*11577—-77,77:7" 270E147 Sq ft 10=3.5 = • • • • ROUTING : Tie i.Date and * s See Initials ii a s ofke PQ��G� 'r r Q0G{\o� Notes CRennin' on Sheet# MMENMa= pYcNUP BuildimFire PWS Water • laMI A J WEIR ■-:�:r i ' i/ 0 / ' \/ -....-- 1 . / PO 011 3 y �f ./ 10.4 1. 30' y . I/iJ ♦ 2T -,a. Family ecdmom C-.2 % N r "overetl Patio ll 1 [324 Sq R] / W 27' Bath 2' Dining Kitchen 1lWng ! ♦ Bedroom ' Entry .5 Bath / 1"= B. 1 L ' 22' in Ua 20Subject174[2708.67 Sq R] h 2 Car Garage ([460 Sq R] I 20' fl r i' • • DATE FILED /_/6 /9 APPLICATION FOR HOMEOWNER ASSOCIATION ARCHITECTURAL DESIGN REVIEW C� (SHORT REVIEW PROCEDURE) PROJECT ADDRESS: ' d I V0ICa1fe Or. / AI'cUluit ik R(Q al PROPERTY OWNER'S NAME: Sat V(CA (. ( ADDRESS (IF DIFFERENT): / I TELEPHONE NO.: 31O 25 '1 4&I3 E-MAIL ADDRESS: OIOl�ea- X..� C) y 1/4.4 Go cowl APPLICANT NAME(IF DIFFERENT): ADDRESS: • TELEPHONE NO.: E-MAIL ADDRESS: DESCRIPTION OF PROJECT(Check applicable): [h] Single-story remodel (includes window replacement)and/or addition(s) ❑ Detached accessory structure(s)and/or Accessory Dwelling Units-new, additions to, and/or remodels ❑ Fences and/or walls in and/or facing (i.e., visible from)front and street side yards ❑ Hardscape, landscaping and structural elements in front and street side yards, including without limitation, swimming pools, spas, fountains and other water features ❑ Fences, lights, and other features related to tennis courts, sports courts or other significant paved features ❑ Mechanical equipment ❑ Roofing • ACT 8 FINDINGS: Approved-The project is consistent with all applicable guidelines I HESE PLANS HAVE BEEN REVIEWED AND APPROVED BY THE 4riatin givAlAtAp f mcbt ilb thenswkwitti?3,2Ahcfrei3will be consistent with all tapplkatsiwokiAtbsoasTioN HOMPOWNPR IUNflt=RATAND; APir) AGREE'S THAT ANY DEVIATION FROM THESE APPROVED PLAOS,Ai,P.SENT - • PRIOR WRITTEN AUTHORIZATION FROM THE AAR,CONST':'rE FIEtAt INArat 1 1`(UUi%Uo 1-01-1 1 tic. :itMUV NL l fi- I`l.ii+:LUNtidLirtid I ❑ Denied- guideline(s) DATE — RV • e� �� iTVj't� � N OS-'- r+i:Y¢ Rd,. a�! 1'ao.CharpersnR. Date: 4 10/18 r .3 The following is the mandatory procedure for submitting proposals to your Architectural Review Board (ARB)for a Short Review: • First: Architectural Design Review — Contact the Architectural Review Board Chairman to arrange a preliminary discussion of your design ideas for the site before any plans are drawn. Please contact your ARB Chairperson Monday through Friday between 10:00 a.m. and 5:00 p.m. A determination should have been made whether the proposed project is subject to a Short Review process for minor alterations to an existing property,or Regular Review process for a new house or major alteration. Second:Zoning and Building Code Compliance—After a preliminary set of plans have been developed, please present your plans to Planning Services in City Hall prior to submitting any proposal to your Architectural Review Board (ARB). The purpose of this review is to ascertain whether, or not the proposal complies with the applicable zoning and protect tree regulations.This review will usually be done over-the- counter. Third: Submit a complete application package to the ARB - Incomplete applications will not be accepted.The following items are required: 1. Application form (attached) 2. Three sets of complete architectural plans that are drawn to scale and clearly dimensioned, which include to the following information: a. Scale and north arrow b. Street address c. Accurate lot dimensions d. Accurate depiction of the adjacent City parkway(s) e. Location and size of all existing and proposed structures . f. Location of all landscaped areas g. Location of all mechanical and plumbing equipment (i.e. air conditioning units, pool equipment, water heaters etc.) h. All building and setback areas shall be clearly dimensioned i. Property owner's and Architect or Designer's names and contact information j. Elevations and photos of all existing buildings on the site k. Floor plans, elevations, sections, and details of the proposed project I. A description of the exterior materials, colors, treatments, etc. (samples should be provided). m. Photos of the neighboring properties together with a depiction of the completed project to show the , scale of the proposed project in relationship to the adjacent structures n. The ARB may request additional materials during the design review process 3. Letter size envelopes with proper postage,addressed to the owner and applicant(if different)and to all owners within the required area of notification. Fourth: Protected Tree Permit - If the proposed project is subject to a Protected Tree permit, please contact Planning Services at (626) 574-5423. The protected tree applications (e.g. diseased/hazardous, encroachment, and removal) must`be reviewed by the City prior to submitting plans to Building Services. You may obtain application at Planning Services and at the City's website at www.ArcadiaCA.gov. City Council Resolution No. 6770 sets forth the design review regulations, procedures and criteria for all five Homeowners'Associations(available in Planning Services and on the City's website). Please note that the ARB's Short Review and Regular Review processes, as set forth by Resolution No. 6770, have time limits. The ARB must act on a Short Review application within 10 working days from the date a complete application is filed with the ARB and within 30 working days from the date a complete Regular Review application is filed with the ARB. During the design review process, the ARB may request for additional materials. Failure to take action in said times shall be deemed an approval of the application. The ARB's decision may be appealed to the Planning Commission.An appeal must be made in writing and delivered.to Planning Services within 7 calendar days of the ARB's decision and shall be accompanied by 12 copies of the plans and the appeal fee in accordance with the applicable fee schedule. FILE NO. 3 City of Arcadia, CA `y' .Permit No RALT 19-0203. Development Services Department L a Perm9t ype Residential Addition/Alteration 240 West Huntington Drive,Post Office Box 60021 Arcadia,CA 91066-6021 - ci E_" Work Cfassifi'caaon:Res-Addition/Alteration (626)574-5416 ' . - - ' " Permit Status•Issued ARCADIA Issue Date•02/07/2019 I Expiration: 08/07/2019 Addr NO. Dir Prefix Street Name Street Suffix Unit City,State,Zip Parcel Number 961 Volante DR Arcadia,CA 5776021009 Contacts DAVID LI Owner 961 VOLANTE DR (310)254-4893 Description:19 RETRO FIT WINDOWS. NEW AC UNIT,HERS Valuation: $ 6,000.00 Tenant REQUIRED FOR FINAL. 200 AMP SERVICE. REMODEL KITCHEN AND BATHROOMS (EXISTING LAYOUT TO REMAIN)PER Total Sq Feet: 0.00 Plan Check# Plan#IN FILE APPROVED HOA PLANS. Fees Amount 1 payments Amount Paid Bathtubs/or Combo $13.21 Total Fees $1,299.87 Building Issuing Fee $47.01 Cash/Receipt#REC-00813-19 .01143,15 Building Permit Fees 5170.45 Cash/Receipt#REC-00339-19 $1,096.89 Building Plan Review Fee $110.80 Cash/Receipt#REC-00742-19 ....$ c83ss' Cal Green Plan Check $11.08 Clothes Washer $13.21 Amount Due: $0.00 Compressor<3 Ton(up to 3 hp) $19.86 Dishwasher $13.21 Electrical Permit Issuance Fee $47.01 Energy Plan Review Fee $34.09 Furnace or Burner<=100,000 BTU $19.86 CALLS FOR INSPECTIONS Garbage Disposal Fee $13.21 Request for inspection by telephone at 626-574-5450. Leave a message Gas System(Outlets) $15.55 requesting the address,timeframe and what inspection item is needed. Green Building Standard $1.00 Install,Relocate Appliance Vent/Hood $9.94 Kitchen Sink $13.21 This permit/plan review expires by time limitation and becomes null and Lavatories $39.63 void if the work authorized by the permit is not commenced within 180 days Light Fixtures $16.30 from the date of issuance or if the permit is not obtained within 180 days Mechanical Permit Issuance Fee $47.01 from the date of plan submittal.This permit expires and becomes null and Motors,Generators<1 hp $8.07 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 New Residential Elect.(sq ft area) $143.15 Arca.ia building inspector for a period of 180 consecutive days. Total: $1,299.87 4 OgPTED qiii February 07, 2019 Issued By: Date March 28,2019 Page 1 of 1 .- AR ;,arta. PERMIT/PLAN REVIEW APPLICATION E4: 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 0 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 1:1I 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 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 civilfines 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 ofcompensation, did not build or improve for the purpose of sale). damages as provided for in Section 3706 of the Labor Code, interest, and auomey'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 contractors)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 )Name �/further information. 1 V t I v ( \Tifle PRINT NAME I certify that I have read this application and state that the above information is correct and that I am the owner or duly authorized agent of the owner. I agree to comply with all City ordinances a 1 ' . tate La' lating to building construction. I hereby authorize representatives of the City of Arcadia to enter upon th. . , ,• mention I i ro, rty for ection purposes. )Signature 11101F late San � r Technologies Laboratory The Identification Specialists Analysis Report prepared for Rapid Response Mold Testing Report Date:4/22/2019 Project Name:David Li Project#:961 Valente Dr SanAir ID#: 19018092 TESTING , NVW LAB cow2ana?g 1551 Oakbridge Dr.Suite B I Powhatan,Virginia 23139-8061 j95j7jj8jj77IjjjOO7OlIAQjjjjjjjjnAirjjAir com Page 1 of 5 <Saphr,ID Number PP. ,..�SanAI r �� 19018092�'�� ;1 n 1p 'i r(NAL REPORT��.EH ; Technologies Laboratory dt2272049 3:30:02 PM.P.', Name: Rapid Response Mold Testing Project Number:961 Volante Dr Address:255 W.5th St. P.O. Number: Apt. 219 Project Name:David Li San Pedro, CA 90731 Collected Date:4/16/2019 Phone: 310-774-7584 Received Date:4/17/2019 9:40:00 AM Dear Sean Dare, We at SanAir would like to thank you for the work you recently submitted. The 1 sample(s)were received on Wednesday,April 17,2019 via FedEx. The final report(s) is enclosed for the following sample(s): CQ213618. These results only pertain to this job and should not be used in the interpretation of any other job.This report is only complete in its entirety. Refer to the listing below of the pages included in a complete final report. Sincerely, A Sandra Sobrino Asbestos&Materials Laboratory Manager SanAir Technologies Laboratory Final Report Includes: -Cover Letter -Analysis Pages -Disclaimers and Additional Information Sample conditions: -1 samples in Good condition. 1551 Oakbridge Dr.Suite B, Powhatan,VA 231391804.897.11771 Fax:804.897.00701 www.SanAir.com 1 IAQ@SanAir.com Page 2 of 5 • y `IL�aSanAir..1D Number ai SanA:II X190180921,, l r ?04VFINAL REPORTT Technologies LaboratoryL422/2019'3:30 02•PR.,k1 Name: Rapid Response Mold Testing Project Number:961 Volante Dr Address:255 W.5th St. P.O. Number: Apt. 219 Project Name:David Li San Pedro, CA 90731 Collected Date:4/16/2019 Phone: 310-774-7584 Received Date:4/17/2019 9:40:00 AM Analyst:Tallert,Jonathan Asbestos Air TEM NIOSH 7402 Volume Non PCM TEM Asbestos %of TEM Analytical Sample (Liters) Asb f/cc Asbestos Type Fibers Asbestos f/cc Sensitivity r°213618 . •:.ic�0 x. ti w, �12 0¶1 ,4, None beiected +" �t �, 096 <OA22,� 0.0023 f/tc 19018092O0V Basement'• • • 6„ '' aft Analyst: Approved Signatory: Analysis Date: 4/22/2019 Date: 4/22/2019 Page 3 of 5 Disclaimer The final report cannot be reproduced, except in full, without written authorization from SanAir. The accuracy of the results is dependent upon the client's sampling procedure and information provided to the laboratory by the client. SanAir assumes no responsibility for the sampling procedure and will provide evaluation reports based solely on the sample and information provided by the client.This report may not be used by the client to claim product endorsement by NVLAP,AIHA or any other agency of the U.S.government; and may not be certified by every local,state and federal regulatory agency. PCM limit of detection is 7 fibers/mm2.The TEM limit of Detection depends on sample volume and quantity of interfering dust, and is <0.01 fiber/cc for atmospheres free of interferences.This method is used to determine asbestos fibers in the optically visible range and complements the results obtained by phase contrast microscopy limit of detection. Revision Date 3/9/2012 Page 4 of 5 1551 Oakbridge Dr.ST,E B Semlir ID Number Powhatan,VA 23139 4,hcw4t>ti San A r 804 897 1477/888.895.1477h nno1 t u6fOtlti` Fax 8041897 0070 Form 140 Rev 2 5/I Me )/ /y/ Technologies Laboratory 4,1a:11t till» I "'cam/ ;:_„, RAPID RESPONSE MOLD TESTING c Ja i, t CIIA'Q Ceuipan5 Pitied 0: it:I 4“ — oliect hy: _ , (31 Q)775758,4 Address._... ___. ... -L.,.,- Protect Name_. $3 S,Gi .. ,.,1,,,,,b , __ Phone 8'`•,.R _-,,., r Los Angeles CA Ltty 54,Zip Date Collected ”` t C--- Fara - State ofColleeaoin. __Accountll. ,_~ .. .PO.Number_ _ Email:fa(31dfeSpODSeR101C1t9Stlf1 ,i Bulk ..: ... , Mr -, _. Soil ABB PLM EPA 440,!R 93/116 ABA! PCM NIOSH 7400 ABSE PLMkEPA-600/R-93/t I6(Quai.) L . ABA-2 OSHA w/TWA_n ABEPA PLM EPA 400 Point CountVM CARPI 4 5,(LO . .- .._ Positive Stop ABTEM TEM AHERA .ABSP-� ;PLM CARR 435,tLOD I%) ABBIK PLM EPA 1000 Point Count " ABATN TEM NIOSH 7402 ';ABSPr PLM CARS 435(LOD 0.25%) `: ABBEN, PLM EPA NOB•! - ABT2 TEM-Levet II 'ABSP2" PLM CARQ"435(I.OD 0.1%) ABBCH ;TEM Chatfield** Other. ".'. ......... .: ..:. -.� _. .. ..... . I �> Dust ABBTM, TkM,EPA NOB^ ;+' l - ABWA TEM Wipe�ASTMD-6480 I - _ New YorkELAP ABQ '!,PLMQualitative -- - ABEPA2 NY ELAPi198.1 ABDMV TEM Microvac ASTM D-5755 .. adabtepn 24-hr.to 5-day TAT ABENY NYELAP 198.6 PLM NOB - t__Ai� Water ABBNY NYELAP 498.4 TEM NOB Matrix _ _ Other ABBE EPA 100.2 ii c —r I I _' �i I IMO Around 3 HRee(4 HR TEM)I I,„ 6Ei (8HR TEM)1 1?EB1 J 24 - ✓ • Times Days 3 Days 4 Days 5 Days I Special lustrdctlons....rr ._ ---..A. _ __ .�.._. _ .. . .- , Volume" i Sample ... ' Start Stop or Arca Date Rate mcE' c. ' .:y"3'C l :' tis s z m i it Pi, !o 4.1. E o , Relin uishedbv Date Time Reeelted -Date Time SeD gate :c - t°t 1 i+ 1 / lit _i19 It no technician is provided,then the prinvery contact for your account will selected.Unless scheduled,the tuineround time for as samples received oiler 3 pm EST will he logged iq}he omit businesiday.Weekend or holiday work must be scheduled ahead of lime and is charged tit 150%at the 3lq,TAT;pr a minimum charged' $150. A courier charge will be applied for same day and one-day turnaroimdlimes for offsite work.SanAit covers Standard Overnight FedEx shipping.Shipments billed to SanAir With a faster shipping rate will result to additional charges. 1 1 Page of - - Page 5 of 5 1 RAPID RESPONSE MOLD TESTING www.rapidresponsemoldtesting.com 1(888)387-4855\ May 24th,2019 David Li 961 Volante Drive Arcadia, California 91007 RE: Final Asbestos Air Clearance Testing—PCM Residential Property Basement Area 961 Volante Drive Arcadia, California 91007 Job Name: 19-017-002 Dear: David Li; On May 21st, 2019, Rapid Response Mold Testing conducted Final Asbestos Air Clearance Testing of the Containment Area within the Residential Property, located at 961 Volante Drive in Arcadia,California 91007. RRMT Representative Mr.Alan J. Alonso,a State of California Certified Site Surveillance Technician No.: 17-6004 and a State of California Certified Lead Sampling Technician No.:I—30140 collected the clearance samples. RRMT collected one(1)Phase Contrast Microscopy(PCM)air samples and two(2)samples to be used as laboratory blanks. All PCM air samples were collected and submitted to SanAir Technologies Laboratory(SATL) in Powhatan, Virginia 23139 for analyses via NIOSH 7400 Method,utilizing PCM. 4". '1 :^ e sw$ "P'ix . a3,IK '0 41;;; f r ' `mom .YT e [}• ' CtTyr""4:1, # °a '# lean' '�'•t':aE MPo�°$V.tara6�,J } 4 OI May 21",2019 Basement Area 75 1,200 7/100 0.003 02 May 21",2019 Blank Sample n/a n/a 0/100 n/a 03 May 21",2019 Blank Sample n/a n/a 0/100 n/a All samples analyzed were below the United States Environmental Protection Agency (USEPA) PCM asbestos air clearance level of 0.01 fibers per cubic centimeter(0.01 f/cc).The PCM analytical results. At this time, occupants and work activities in these areas may continue. On behalf of RRMT, I wish to thank you for the opportunity to be of service. If you have any questions concerning the report, please contact our office. Produced By, Reviewed By, i 421 5 f Melanie Rodriguez Jon G. Dickason Environmental Coordinator California Certified Asbestos Consultant No.:11-4807 Asbestos/PCM Air Clearance .opp;'iai "aaarestl 2 RAPID RESPONSE MOLD TESTING www.rapidresponsemoldtestinq.com 1(888)387-0855\ Field Documentation And Analytical Results 4 ItrtaThe SanATr Technologies Laboratory The Identification Specialists Analysis Report prepared for Rapid Response Mold Testing Report Date:5/24/2019 Project Name:961 Volante Project Project#: 19-017-002 SanAir ID#: 19024672 / art • u TESTING . 'a �o tr,opr NVUW LAB CODS;Me aoi- lab ID♦162 1551 Oakbridge Dr. Suite B I Powhatan,Virginia 23139-8061 j95jjjjjj8j11njx:8jja97.0070lIAQjjnAjjmISanAjjir.com Page 1 of 5 *Air ID-Number‘. 1/419024672 SanAir ;° FINAL REPORT Technologies Laboratory '5/24/2019'`10•14•30 AM: Name: Rapid Response Mold Testing -Project Number:19-017-002 Address: P.O. Number: Los Angeles, CA Project Name:961 Volante Project Phone: 310-774-7584 Collected Date:5/21/2019 Received Date:5/23/2019 9:45:00 AM Dear Sean Dare, We at SanAir would like to thank you for the work you recently submitted.The 3 sample(s)were received on Thursday, May 23, 2019 via FedEx.The final report(s) is enclosed for the following sample(s): 01, 02, 03. These results only pertain to this job and should not be used in the interpretation of any otherjob.This report is only complete in its entirety. Refer to the listing below of the pages included in a complete final report. Sincerely, Sandra Sobrino Asbestos&Materials Laboratory Manager SanAir Technologies Laboratory Final Report Includes: -Cover Letter -Analysis Pages -Disclaimers and Additional Information Sample conditions: -3 samples in Good condition. 1551 Oakbridge Dr.Suite B, Powhatan,VA 231391804.897.11771 Fax:804.897.00701 www.SanAir.com I IAQ@SanAir.com Page 2 of 5 sanAirlDjklunlir A.* #01190246723lt 5;1 SanAir vo:vrrif :-kEoo:tsi Technologies Laboratory 5/214710.1910:14:30:Mir, Name: Rapid Response Mold Testing Project Number:19-017-002 Address: P.O. Number: Los Angeles, CA Project Name:961 Volante Project Phone: 310-774-7584 Collected Date:5/21/2019 Received Date:5/23/2019 9:45:00 AM Analyst:VVitt, Christopher Asbestos Air PCM NIOSH 7400 Method Volume Fibers/ Fibers/ Sample Location (liters) Fibers Fields LOD sq mm cc RSD 'r01.., Basement12001200K7 S.-ral/e 0. n A. 1M •.*003!--;- 0.23 •=7,L,4 19124072-00a * '555.5,,,'2:2 54C 2 .54,4547 5 ',I.27"55: 52,227j 02 Blank 0 <5.5 100 <7.0 023 19024672-002 03 ctip PH%4,:nt %.17 fotol."-efi LI9021672.-041,416sa 403.014.•-a -, :A- . • Analyst:-; 1..arat. . Tc."),-/“4' Approved Signatory: - _ — AnalySis Date: 5/24/2619 Date: 5/24/2019 Page 3 of 5 Disclaimer Final reports cannot be reproduced, except in full,without written authorization from SanAir. Results in the report are confidential information intended only for the use by the customer listed on the chain of custody.The accuracy of the results of the analysis is dependent upon the method of sample procurement and information provided by the client. SanAir assumes no responsibility or liability for the manner in which the results are used or interpreted. Samples were received in good condition unless otherwise noted on the report. Limit of Detection is 7 fibers/mm2.This report does not constitute endorsement by AIHA/NVLAP and/or any other U.S. governmental agencies; and may not be certified by every local,state and federal regulatory agencies. NY ELAP lab ID 11983 Revision date 8/31/2013 Page 4 of 5 155) Oakbridge,Dr.STE,B SanAir ID Number —7---1 :;(.• Powhatan,;VA23139 Asbestos' ,r, • 804;897 1177/888,895.1177 him (artist fids �Z be 'L_' Sa r t�1 r Fax-804 897.0070 Form i 10,Rev 2.5118/18 Technologies Laboratory San0.ir.Cbn1 t;„span,.:Rapid'Response 4Mold Testing project it,19-017-002 cats,by;A.J: , . . .• - -,, . ‘;-; ' : . . •:-- ''-' • --- . ' --__:,....„---2-."-77,----71 IL 1472"-.74;444-f ' ' 'Ll"'4... '•:.- ''' i!k- -:.--' '-4±r--1-7't"; -i*4''' i • 7:::142;4:4-4-'''''''51:::. il - :4 :-. : '1747.4-47171777--it 'k..-- 7-.. ' . • . 1'1. --174'. .''.1..,.:'. :!-- „....,,,:4,-,T",i7 * '' `, -A,,J,4,`d,,,',4';,''''.,' H'?"`"''," 7 7,7' n S'I -• .'" i 4.244'atn"`11, 'T-f-- /-.. '; at,...-i..;.:,-.,' . -- "-- s---;?-117---3,- - ::.77 is--;',1 - :: ' • -:2 :- : i -. •:-2---+-k.kii-T-- t-,?,....:: 1 1 /4. ',"141,,....1? I - *.. 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