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City of Arcadia, CA r, Permit NO RALT-19-1773
Development Services Department 1 - 1 +
p p �; 4 -tr * PermrtType:Residential'Addition/Alteration
240 West Huntington Drive,Post Office Box 60021 i °s N `-tj i w rkiC/osstahon•Re -Addition/Alteration
Arcadia,CA 91066-6021 LI ',,� i,_=q ,,s:._-Li W , -
1 , (626)574-5416 - _ - ',".1.1::'' - . Permit Issued
ARCADIA Issue,Date:09/05/2019 1 Expiration:
Addr NO. Dir Prefix Street Name Street Suffix Unit City,State,Zip Parcel Number
8 W Pamela RD Arcadia, CA 5782015002
_
Contacts
DIVA MIAO Owner
8 PAMELA RD,910074035
(626)782-8268
Description:REMODEL 2ND FLOOR BATHROOM TO CREATE 2 Valuation: $ 8,558.40 _ Tenant
BATHROOMS. CREATE NEW BATHROOM FOR BEDROOM ON
2ND FLOOR ON NORTH SIDE.WITH EMP Total Sq Feet: 0.00 Plan Check N Plan#120
TOTAL 5 BED 5 BATH
Fees Amount Payments Amount Paid
Bathtubs/or Combo $39.63 Total Fees $794.31
Building Issuing Fee $47.01 Cash/Receipt N REC-02368-19 $794.31
Building Permit Fees $220.55
Amount Due: $0.00
Building Plan Review Fee $143.36
Cal Green Plan Check $14.34
Electrical Permit Issuance Fee $47.01
Energy Plan Review Fee $44.11
Green Building Standard $1.00
Lavatories $39.63
Light Fixtures $6.52
Mechanical Permit Issuance Fee $47.01 CALLS FOR INSPECTIONS
Outlets-Receptacles&Switches $19.56 Request for inspection by telephone at 626-574-5450. Leave a message
Plumbing Permit Issuance Fee $47.01 requesting the address,timeframe and what inspection item is needed.
Solid Waste Management Fee $6.25
Solid Waste Management Fee 2 $1.00
Solid Waste Management Fee 2 $1.00 This permit/plan review expires by time limitation and becomes null and
Solid Waste Management Fee 2 $1.00 void if the work authorized by the permit is not commenced within 180 days
Strong Motion Inst.Program Res $1.12 from the date of issuance or if the permit is not obtained within 180 days
Ventilation Fan(Single Duct) $29.82 from the date of plan submittal.This permit expires and becomes null and
Water Closet $37.38 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
Total: $794.31 Arcadia building inspector for a period of 180 consecutive days.
4ir
earphrit.
September 05, 2019
Issued By: Date
September 05,2019 Page 1 of 1
• A.
ells. , li PERMIT/PLAN REVIEW APPLICATION
"iipa. Development Services Department,240 West Huntington Drive,Post Office Box 60021
d° 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 Contractorperformance of the work for which this permit is issued.
OWNER-BUILDER DECLARATION ❑ I have and will maintain workers'compensation insurance,as required by Section
0 I hereby affirm under penalty of perjury that I am exempt from the Contractors 3700 of the Labor Code,for the performance of the work for which 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
Date l 71
q 1St(� Signature _��j �
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 -
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 finesup 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
i1 attomey'sfees.
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 q(r I 1 et Signature J) —^ 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.
\ ame 9't' M 14.12 Title V Wn"er
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 and State Laws relating to building construction. I hereby authorize representatives of the City of
Arcadia to enter upon
nn_tthe above-mentioned��- property for inspection purposes. /
Signature -��Jl�'"'� Date c/s—/p 9'
NOTES
Building Inspections Date Insp. Plumbing Inspections Date Insp. a 4l• }%AMC44-
100. Setbacks 210. Under fr/bldg.drain 11-1-1? Fries
101. Rough grade 211. Copper underslab
102. Figs.&forms 212. Rough plumbing i Io_z9-y9 gw-s- 4( 11,4 57r $ V&xr
103. Pre-slab
104. Floorjoists
214. Shower pan a) sr7/ ! gethe • ll/
105. Steel 215. Water heater t
106. Grout lift 216. Roof drains
107. Shear nailing 217. Building sewer
108. Diaph nailing 218. Water service
109. Root nailing 219. Final gas //- /
110. Framing 61-'i-I 220. Fixtures (2.-M-0, �"I
111. 0cc/Area Sept.Wall 221. Final plumbing (2.-M-0,
112. Sound walls 222. Sewer cap/demo.
113. T-bar.rid
114. Insulation-Ar. Pool Inspections Date , Insp.
115. Insulation-Wall 240. Excavation/steel
116. Insulation-Cell. 241. Rough plumbing
117. Drywall nailing #7/270...7_ 242. Light shell/bonding118. Interior lath //id /qif? 243. Underground conduit
119. Exterior lath 244. P-trap
120. Finish grade245. Gas line&test
121. Anal building I l-18-17 246. Fence,gates&signs
122. Final demo/lot clear 247. Pool heater
248. Anal electric
Electrical Inspections Date Insp. 249. Anal.lumbin.
150. Power pole 250. Pool cover
151. Sales lot lighting 251. Pool final
152. Under.round conduit
153. Underslab conduit Reroof Inspections Date Insp.
154. UFER ground 270. Pre-reroof insp.
155. Water ground '/' 271. Roof framing
156. Rough electrical (o-Z9-( lict'272. Sheathing nailing
157. Factures ��- ,,, !!! 273. Final reroof _
158. G.F.C.I.
159. B.f.bondin. Sign Inspections Date I Insp.
160. Service panel80. SetbacWoverhang
161. Final electric (Z-1$'t? 281. Footing
282. Conduit/whit
Mechanical Inspections Date Insp. 283. Disconnect
180. Venting/flue 284. Anal sign
181. Fumace/A.C. ��►
182. Rauch HVAC (c.1-i°1 "ti Miscellaneous Insp. Date I Insp.
183. Fire dampers 290. Are 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 diem.
188. Compressor setback 295. Anal
189. Commerdal hood
190. Duct shaft Sewers&Offsite Insp. Date I Insp.
191. Final mechanical 12.-43-P Pr 300. Lateral(main to P4.)
301. Saddle,?
Block Wall Inspections Date Insp. 302. Cesspool filled
200. Footings 303. Sidewalk
201. Steel/mbar 304. Driveway
202. Grout lift 305: Curb replacement
203. Anal wall 306. Trash bin