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HomeMy WebLinkAboutUntitled City of Arcadia, CA Permit NO. RALT-19 0930
\fir/ Development Services Department rPe mn Type:Residential Addition/Alteration"
I / 240 West Huntington Drive,Post Office Box 60021 gtat )�
--�j&r� Arcadia,CA 91066-6021 °rk Idssiflcatl°n:Res-Addition/Alteration
V I (626)574-5416 - _ Permit Status:Issued
ARCADIA IssueDate:05/17/20191 Expiration:
Addr NO. Dir Prefix Street Name. Street Suffix Unit City,State,Zip Parcel Number
421 W Winnie WAY Arcadia,CA 5785003058
Contacts
RUI LIANG Owner
421 W WINNIE WAY
(626)236-6657
Description:REMODEL 2 BATHROOMS AND POWDER ROOM. Valuation: $4,279.20 Tenant
• CREATE NEW WALK IN CLOSET.
Total Sq Feet: 0.00 Plan Check N Plan fl
Fees Amount payments Amount Paid
Bathtubs/or Combo $26.42 Total Fees $642.26
Building Issuing Fee $47.01 Cash/Receipt ti REC-01250-19 $642.26
Building Permit Fees $153.75
Building Plan Review Fee $99.94 Amount Due: $0.00
Cal Green Plan Check $10.00
ElectricalPermitIuaFee $47.01
Energyy Plan ReviewwFee $30.75
Green Building Standard $1.00
Laundry Trays $13.21
Lavatories $52.84
Light Fixtures $27.71 CALLS FOR INSPECTIONS
Outlets-Receptacles&Switches $11.41 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.
Shower $12.46
Solid Waste Management Fee $6.25
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 $0.56 from the date of issuance or if the permit is not obtained within 180 days
Water Closet $37.38 from the date of plan submittal.This permit expires and becomes null and
Water Heater and/or Vent $15.55 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: $642.26 Arcadia building inspector for a period of 180 consecutive days.
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May 17,2019
Issued By: Date
May 17,2019 Page 1 of 1
of A•
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IU;.:w I_ PERMIT/PLAN REVIEW APPLICATION
1133' 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
is
License Law for the following reason(Section 7031.5,Business and Professions 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 70315 by any applicant for a permit subjects the applicant to a ci ' not employ any person in any manner so . . become subject to the workers'
penalty of not more than five hundred dollars($500)): compensation Laws of California,and ate that if I should become subject to the
workers'compensation provisions o ection :700 of the Labor Code,I shall
❑I, as owner of the property, forthwith com y wi those provisi' .
or my employees with wages as their sole
compensation,will do the work,and the structure is not intended or offered for
0 ‘j
sale(Section 7044,Business and Professions Code:The Contractors LicenseDate I/ Si_1.� illr
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
ontractors 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 .fessions Code,for this reason:
.
Lender's Name
Signature 411111 Lender's Address
lir
IMPORT. :AP'LICATION - .1" BY MADE TO THE BUILDING OFFICIAL FOR A PERMIT SUBJECT TO THE CONDITIONS AND
RESTRICTIONS SET FORTH C HIS 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 SQ9 n7 1411 Tide /L4—/
MIT NAME
certify that I h. I:d this application and state that the above information is correc and that I am the owner or duly authorized agent of the owner.
I agree to coy. . 'th all City ordinances and State Laws relating to building construction. I hereby authorize representatives of the City of
Arcadia to e •• r n the above-mentioned property for inspection purposes. �// G/'/'
ignature ate l" /� /
C ,
T� Permit NO.RALT-19-0432
:1/4o t��*, City of Arcadia, CA
,t �1/ Development Services Depanment PeemltType:.Residential.Addition/Alteration
N+`' ` 240 West Huntington Drive,Post Office Box 60021
Arcadia,CA 91066-6021 ; `�
�,�J 'Work aassificotion:Res-Remodel
I—V-1 (626)574-5416 - _
Permit StatusIn Review
ARCAIDIA :r istue Date:'03/05/2019 I Expiration: 09/01/2019
Addr NO. Dir Prefix Street Name Street Suffix Unit City,State,Zip Parcel Number
421 W Winnie WAY Arcadia,CA 5785003058
Contacts
JOHNNY LAM Owner
421 W WINNIE WAY
Description:REMODEL KITCHEN,REMOVE LOAD BEARING Valuation: $ 500.00 Tenant
WALL,CALCS IN FILE
Total Sq Feet: 0.00 Plan Check# Plan#
Fees Amount Payments Amount Paid
Building Permit Fees $40.65 Total Fees $303.15
Building Plan Review Fee $26.43 Cash/Receipt#REC-00557-19 $303.15
Cal Green Plan Check $2.65
Dishwasher $13.21 Amount Due: $0.00
Electrical Permit Issuance Fee $47.01
Garbage Disposal Fee $13.21
Green Building Standard
Applian $1.00 I. .O COMPLETEiInstall,Relocate Appliance Vent/Hood $9.94 L�y�. j
Kitchen Sink $13.21
Light Fixtures $9.78
Mechanical Permit Issuance Fee $47.01 CALLS FOR INSPECTIONS
Outlets-Receptacles&Switches $13.04 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 2 $1.00
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
Strong Motion Inst.Program Res $0.50 void if the work authorized by the permit is not commenced within 180 days
Supplemental Building Issuance $15.50 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
Total: $303.15 void if any work authorized by this permit is suspended or abandoned for 180
consecutive days or if no progressive work has been verified by a City of
knArcadia building inspector for a period of 180 consecutive days.
En j'.' jC) r K-- c, R. 9L„i.a, I N.Suto,) S.Zc•!1 57,1--
.0.r l-kfl S-7$. I1 c;1/4--
-FI Amt— 12 4.19 _
March 05,2019
Issued By: Date
March 05,2019 Page 1 of 1
Gr.a,N
t8 ; 1 PERMIT/PLAN REVIEW APPLICATION
a '101
zi11' ' Development Services Department, 240 West Huntington Drive,Post Office Box 60021
NItlellY,n' 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.
WNER-BUILDER DECLARATION LI 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
icense 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 rode)or that he or she is 'd certify that in the performance of the work for which this permit is issued,I shall
exempt there from and the basis for the alleged exemption. Any violation of -
Section 7031.5 by any applicant for a permit subjects the applicant to a civil ar. 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 I should become subject to the
workers'compensation provisions of Sect': .700 of the Labor Code,I shall
❑I, as owner of the property, forthwith cowith 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 Cl Date _FY 9--.g--
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.
as owner of the property, am exclusively contracting with licensed
J
ontractors to construct the project(Section 7044,Business and Professions
rvlr:The Contractors License Law does not apply toan owner of property CONSTRUCTION LENDING AGENCY
who builds or improves thereon, and who contacts 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).
ci
am exempt under Section 7044,Business and Professions Code,for this reason: -
Lender's Name
Date > ,'--;� Signattee'�- Lender's Address
IMPORTANT: AP'LICATION 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
e Ie
anananlll
alfurther '.rmation.
• J't %I ^ Title !/Wj /
(/ /I
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.
}
f agree to comply with all City ordinances and State Laws relating to building construction. I hereby authorize representatives of the City of
rcadia to enter upon the above-mentioned property for inspection purposes.
cs
0/S7(91
Sgnamre Date
(cd°d-a City of Arcadia, CA
Permit NO RALT-19-0316
\\\J;Afi, Development Services Department D 7� P�emrtType:Residential Addition/Alteration
�y,If;�t(! 240 West Huntington Drive,Post Office Box 60021 ��.2
YY Arcadia,CA 91066-6021 �orvlasst 'cohon:'Res-Addition/Alteration
V "a (626)574-5416 _ Permit Status:Issued
ARCADIA Issue Date:02/13/2019 Expiration: 08/12/2019
Addr NO. Dir Prefix Street Name Street Suffix Unit City,State,Zip Parcel Number
421 W Winnie WAY Arcadia,CA 5785003058
I
Contacts
JOHNNY LAM Owner
421 W WINNIE WAY
Description:RAISE ROOF OVER TWO REAR BEDROOMS AS PER Valuation: $ 7,000.00 Tenant
APPROVED PLANS. ROOF MATERIAL TO r7TAlra0
Total Sq Feet: 0.00 Plan Check N Plan N
Fees Amount, Payments Amount Paid
Building Issuing Fee $47.01 Total Fees $413.57
Building Permit Fees $187.15 Cash/Receipt k REC-00405-19 $413.57
Building Plan Review Fee $121.65
Cal Green Plan Check $12.17 Amount Due: $0.00
Energy Plan Review Fee $37.43
Green Building Standard $1.00
Solid Waste Management Fee $6.25
Strong Motion Inst.Program Res $0.91$413.57 COMPLETED
wRi,� CALLS FOR INSPECTIONS
CL.FL , tN$tr�c11 o.d A-Qpi oUtt s-A-i 9 II-request for inspection by telephone at 626-574-5450. Leave a message
S•23.19esting the address,timeframe and what inspection item is needed.
FRA^w4 , 5$,:14.2. taQi u'A AQQR°�6'D
r✓z-r- Ldcrul s• Ze•t9 C"---
DThis permit/plan review expires by time limitation and becomes null and
2 i vat.t_ Wk Li NG C-'/o'(9 e� 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
FNor t..- t2-•4.1 `tf - 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 e3,2019
Issued By: Date
February 13,2019 Page 1 of 1
PERMIT/PLAN REVIEW APPLICATION
it.. mm„. t
e0�®a,? Development Services Department,240 West Huntington Drive,Post Office Box 60021
*Nally ait° 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.
WNER-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 ,.s 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 them from and the basis for the alleged exemption. Any violation of `
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'
malty of not more than five hundred dollars($500)): compensation Laws of California,and agr at if I should become subject to the
workers'compensation provisions of S r n 3700 of the Labor Code,I shall
as owner of the property, or my employees with wages as theta sole forthwith co ply/}}}`vvl,,'���'th those provisio
compensation,will do the work,and the structure is not intended or offered for I/ 1 3/ CI Signature /
sale(Section 7044,Business and Professions Code:The Contractors License Date -
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.
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).
am exempt under Section 7044,Business and Professions Code,for this reason:
Lender's Name
II ate ®C Signature /_ Lender's Address
IMPORTANT: APPLICATION r REBY 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.
IQame7 P
—0ldE Title o�N� f
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 City ordinances and State Laws relating to building construction. I hereby authorize representatives of the City of
Arcadia to enter upon above-mentioned property for inspection purposes. /
Signature Date ` ��7.
�"4- ' -- Permit NO..Elec-19-0894
-� 0� City of Arcadia, CA _:. ,
' Development Services Department J r era z rl'— `-i Permit Type:Electrical
1
7 240 West Huntington Drive,Post Office Box 60021 �.,r t; t'.°<" �; ++n i { ! la `
7 Arcadia,CA 91066-6021 �� .�, �.�: {_ 1 y E{ I Work Clossifi2otion:Electrical Residential
I (626)574-5416 -_ - ' - - Permit Stotts Issued
ARCADIA Issue Date:05/14/2019 I Expiration:
Addr NO. Dir Prefix Street Name Street Suffix Unit City,State,Zip Parcel Number
421 W Winnie WAY Arcadia,CA 5785003058
Contacts
JOHNNY LIN Owner RUI LIANG Contractor
421 W WINNIE WAY
(626)236-6657 925139
Description:ELECTRICAL FOR SF/ADD ALT.,UPRGRADE SERVICE Valuation: $ 0.00 Tenant
200 AMP.
Total Sq Feet: 0.00 Plan Check U Plan q
i.Fees Amount Payments Amount Paid
Electrical Permit Issuance Fee $47.01 Total Fees $114.45
light Fixtures $33.66 Cash/Receipt k REC-01191-19 $114.45
Outlets-Receptacles&Switches $16.30
Amount Due: $0.00
Residential Services up to 400 amps $16.48
i
Solid Waste Management Fee 2 $1.00
Total: $114.45
12 COX
/ i,ti . . •
evoGH c. 5.20.14 S� ii i
f tr00.L 12-4(41/ ca------- 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.
May 14, 2019
Issued By: Date
May 14,2019 Page 1 of 1
•FA•
uuvo¢,N+,
wan__ i PERMIT/PLAN REVIEW APPLICATION
%y� ..,,,aac �T
4 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 ereby 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. ii I have and will maintain a certificate of consent to self-insure for workers'
License Class 412Q341 License No. 0 ' Exp. Datet compensation, as provided for by Section 3700 of the Labor Code, for the
r /illIMMEamir 'erformance of the work for which this permit is issued.
Signature of Contractor \ �
OWNER-BUILDER DEC ARATION R I have and will maintain workers'compensation insurance,as required by Section
U 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 ins ranOce carrier policy numbers are:
Code.Any city or county which requires a permit to construct,alter,improve, Carrier' creel '&t1(tC 4 l CISuct CO
demolish,or repair any structure,prior to its issuance,also required the applicant
Policy Number MICA r� n��j
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 0 I certify that in the performance of the work for which this permit is issued,I shall
exempt there from and the basis for the alleged exemption. Any violation of
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(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.
0 I, as owner of the property, am exclusively contracting with licensed
contractors to construct the project(Section 7044,Business and Professions
Cie: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 ljkl &LL.t
PRINT NAME Title ?VS Afait
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.
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 the above-mentioned property for inspection purposes.
/Signature a / Date 5 14-1 tot
al
b3a+,� City of Arcadia, CA = Permit NO. Mech-19 0947
q Development Services Department rtirv-t� Permit Type Mechanidl
240 West Huntington Drive,Post Office Box 60021 if +ra�2((L.6`t`^' 1 '
Arcadia,CA 91066-6021 t `�'� ork CIo35nc�Ohon:'HVAC NeW System,Residential
u Uu .,,l ,
(626)574-6416 - ` Permit Status:issued
ARCADIA 1, . Issue.
Date:•05/20/2019',.I Expiration:
Addr NO. Dir Prefix Street Name Street Suffix Unit City,State,Zip Parcel Number
421 W Winnie WAY Arcadia,CA 5785003058
Contacts
RUI LIANG Owner HY BUILDER INC' Contractor
421 W WINNIE WAY 88 LIVE OAK AVE B,ARCADIA,CA 91007
(626)236-6657 (626)384-8336 1033836
Description:REPLACE EXISTING HVAC SYSTEM,RUN NEW GAS Valuation: $ 0.00 Tenant
LINE TO ATTIC
Total Sq Feet: 0.00 Plan Check U Plan U
Fees Amount payments Amount Paid
Compressor 3-5 Ton(3 to 15 hp) $36.35 Total Fees $167.78
Furnace or Burner<=100,000 BTU $19.86 Cash/Receipt N REC-01269-19 $167.78
Gas System(Outlets) $15.55
Amount Due: $0.00
Mechanical Permit Issuance Fee $47.01
Plumbing Permit Issuance Fee $47.01
Solid Waste Management Fee 2 $1.00
Solid Waste Management Fee 2 $1.00 ppp
Total: $167.78 COI141Er„
ir
CALLS FOR INSPECTIONS
E-1,./Ac t_ 12 •14•19 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.
May 20, 2019
Issued By: Date
May 20,2019 Page 1 of 1
AFAR
.,yro°'.'4`
,:nom ' PERMIT/PLAN REVIEW APPLICATION
i4 %:,,nabs -
Pk
e ~ 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, my license is in full force and e'ect. LiI have and will maintain a certificate of consent to self-insure for workers'
License Class License No. J. IF r �Date��g/��D/ 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 -
i
,./ I i I have and will maintain workers'compensation insurance,as required by Section
OWNER-BUILDER DELL..`I•TION 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 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 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 I
sale(Section 7044,Business and Professions Code:The Contractors License ate f'1'1 Z� IOC- Signature r _
Law does not apply to an owner of property who builds or improves thereon, ll
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
aaomey'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.
t
Name Pj)/1� :ow 7 Title
J PRINT NAME
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.
agree to comply with all City ordin. I ces and State aws relating to building construction. I hereby authorize representatives of the City of
rcadia to enter upon the above-I, • kilted props . or inspection purposes. / CQ,/�
%namre _ '__� Date 2-�3 / 72-0 / //Q/I
-
?3d City of Arcadia, CA • i Permit NO.Plum-19-0487
Development Services Department r^v^ tt7. -, Permit Type:Plumbing
11/7/f 240 West Huntington Drive,Post Office Box 60021 ( iJ
Work Classification:Plumbing
Arcadia,CA 91066-6021 l
(626)574-5416 - - Permit Mattis:Issued
ARCADIA - Issue Date:o3/12/2019 Expiration: 09/08/2019
Addr NO. Dir Prefix Street Name Street Suffix Unit City,State,Zip Parcel Number
421 W Winnie WAY Arcadia,CA 5785003058 r
Contacts
JOHNNY LAM Owner
421 W WINNIE WAY
r
Description:REPIPE ENTIRE HOUSE Valuation: $4,000.00 Tenant
Total Sq Feet: 0.00 Plan Check N Plan it
,
Fees Amount payments Amount Paid
Complete Water Repipe $103.65 Total Fees $151.66
Plumbing Permit Issuance Fee $47.01 Cash/Receipt it REC-00648-19 $151.66
Solid Waste Management Fee 2 $1.00
Amount Due: $0.00
Total: $151.66
UA 5cywICC A.PrVa. '1`2 LA.(ILP+t_t_ c-2o41
f—It.JkL Iz � N.r 4 S� rz:---,,,_C � N �,itr.
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.
9/1:2
March 12, 2019
Issued By: Date
March 12,2019 Page 1 of 1
rF AR
rfruostv,44 di
4s PERMIT/PLAN REVIEW APPLICATION
iii, .....,`
t1;se 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 penally 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
performance of the work for which this permit is issued.
Signature of Contractor
OWNER-BUILDER DECLARATION 0 I have and will maintain workers'compensation insurance,as required by Section
III 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 Gigs 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 I.-./_certify that in the performance of the work for which this permit is issued,I shall
exempt there from and the basis for the alleged exemption. Any violation of of employ any person in any manner so as to become subject to the workers'
Section 7031.5 by any applicant for a permit subjects the applicant to a civil,
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 3701 of the Labor Code,I shall
❑ as owner of the property, forthwith co ply th those provisions.
I, or my employees with wages as their sole r
compensation,will do the work,and the structure is not intended or offered for I " r?//' Signature
sale(Section 7044,Business and Professions Code:The Contractors License Date
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
cs attomey's fees.
lel, as owner of the property, am exclusively contracting with licensed
cc tractors 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
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:
I. 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 6)--rP h e/J itle D(''r't'l�--
:iT.T AM'
I certify that I have read this application and state that the above information is co 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 port the above-mentioned property for inspection purposes.
Signature ate ���0 9'
4c6urN
• �y1FOI���v
,IRI
AFFIDAVIT SELF-CERTIFICATION
FOR COMPLIANCE OF SMOKE ALARMS
// AND CARBON MONOXIDE ALARMS
Property Address: 4z" ( (N I (A);n nIi 4 1•/9 10tffi �� �`�^ fA . CA •
Permit Number: /0\evin - 0-091-11 •
Brief Job Description: t- 1`t9L4 �jt - 674-Sa� e Pah�� •
Number of smoke alarms installed: 3 J
Number of carbon monoxide alarms installed:
When alterations, repairs or additions requiring a permit occur, or sleeping rooms are created,
Smoke alarms shall be installed in each sleeping room, and outside each separate
sleeping area in the immediate vicinity of the bedrooms, and on each additional story of the
dwelling, including basements and habitable attics as required by Section R314 of the 2016
California Residential Code (CRC) and California Health and Safety Code Section 13113.7.
For dwellings or sleeping units containing fuel burning appliances or having attached
garages, carbon monoxide alarms shall be installed outside each separate sleeping
area in the immediate vicinity of the bedrooms, and on each additional story of the
dwelling, including basements as required by Section R315 of the of the 2016 California
Residential Code (CRC).
Multi-purpose alarms (combination carbon monoxide and smoke alarms) may be used.
All alarms shall comply with requirements for listing and approval by the Office of the State Fire
Marshal. http://osfm.fire.ca.qov/licensinelistings/licenselistinq bml searchcotest.php
As owner of the above referenced property, I hereby certify that the smoke alarms and carbon
monoxide alarms have been installed in•accordance with the manufacturer's instructions and in
compliance with the code sections referenced above.
I declare under penalty of perjury that the foregoing i and correct, and that this
declaration was executed on (Date) 99 C-1)12 (. o at Arcadia, California. •
Owner's Name (printed/typed): 10 h two.
Signature of Owner:
This affidavit must be returned to the City of Arcadia inspector prior to final inspection
SMOKE ALARM AND CARBON MONOXIDE ALARM LOCATIONS -
Guest Room c �Bat6roo
U Storage
0
Q
Family Room •
1 Garage
cs I
FIRST FLOOR PLAN
®= SMOKE ALARM I = CARBON MONOXIDE ALARM
` --i Mstr
1 Bath
D, Master Bedroom
Dining Room Kitchen )10
— Bath
1 hall () LI Closet
�- -® I Closct I Closes
Family Room
Bedroom I3cdroom
SECOND FLOOR PLAN
!=SMOKE ALARM ® = CARBON MONOXIDE ALARM
-.A%" "a, City of Arcadia
^',K. Development Services Department
"`} 240 West Huntington Drive
Arcadia, CA 91066-6021 -
•% SPECIAL INSPECTION REPORT
• 0 DISCREPANCY ( CONFORMANCE
All disaepandes shall be brought to the immediate attention of the If work conforms to approved design and code requirements,submit this
Contractor for correction. If corrections are not made in a timely report to Building Department and copies to Contractor,Englneerlkchitect
.manner,this report shall be used as a discrepancy notice. Submit the of record and Owner no later than the business day following the
original to Building Department and copies to Contractor, conclusion of the special Inspection.For inspections greater than 5 days
EngineerlArchitect of record and Owner. duration,submit a conformance report al least once every week.
This is a: VProgress Report 0 Final Report Report No.:ti1/4 OS I 311 Page No. I• of 1
Proied Address: . Description of Project I.
421 W. WIt4NO ?. WAI " AnuSE ADD Mort / ALT.
�wleWEnglne$tofRecord: Contractors • artPp,A T- I 9- D 32 SNt�
ar1�( LAM '(ci,a6) 1 ifixB 51,26)533- 5;55
Fua Name of Spatial Inspector. . City Registration Number.O Company. Phone Number.
4t .Kt�EC%
Jut4E ix4 um,, Gc rtY B°off R P
' . P ?l.1TT 2/•199. (-X14))- S 4° I
Type of Inspection: •
❑ Reinforced Concrete 0 Relnfd Gypsum Concrete 0 Structural Welding .0 Excavation and Fills
❑Special RC Moment Frame 0 Insulating Concrete Fill 0 High Strength Bolting 0 Piling, Piers and Caissons
0 Prestress/Post-tension RC yBolts in Concrete/Masonry 0 Spray-Applied Fire Proofing 0 Smoke Control
❑ Shotcrete/Gunite 0 Structural Masonry 0 Other
Time Time S oRTi
Date Arrived Departed Description and Location of Work Inspected (E) 1— o( \2Y S. .D. 6
5-13- tq lz:31-2:30c I / C ti f f 1 &s.
� 1 IS
, id ii tvrarjainMainiNIS2— ne
OtA14 Gin ( 1 0 ob — c M -
€3) 10 a 1 •-w ,r. 114 s' .. ..�___ —
Ay 1, ,. ' ditiC� '`a�'�' aw 6110
r
2) SlNPS-. 3 ft in D. /.d���,� l 0
Remarks: iiiitemin
0 d .. t. ^dl ' 0 ,W. Call]5! %�.a
n
IMES
• .��>>-.� � --rte
'//Ails _ _:;C
At - . to r
1
I HEREBY DECLARE THAT THE FOLLOWING IS TRUE TO THE BEST OF MY KNOWLEDGE: '
1. I AM, OR MY COMPANY IS, RETAINED BY THE OWNER OR BY THE ARCHITECT/ENGINEER OF RECORD TO PROVIDE SPECIAL
INSPECTION FOR THE WORK COVERED IN THIS REPORT.
2. I HAVE PERFORMED THE REQUIRED INSPECTION DURING THE TIME PERIOD AS STATED ABOVE.
3. THE WORK COVERED IN THIS REPORT IS IN CONFORMANCE TO THE APPROVED PLANS, SPECIFICATIONS AND APPLICABLE
WORKMANSHIP PROVISIONS OF THE CODE,EXCEPT AS INDICATED OTHERWISE.
r/P •
Signature
Dale 1 3 —ZO1 1Q1II