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HomeMy WebLinkAboutUntitled (2) . / ;> _ 'rY ^ P.ermiNO SNew 18 1143, City of Arcadia, CA �••��,r s � • 1 Development Services Department ,, ,D j �'1( r')"ir"v' )i Permrt Type Single•Family New. 240 West Huntington Drive,Post Office Box 60021 '� 'f ,1 ; .I � �* Arcadia,CA 91066-6021 ?v � ))� �j i�-�„++ .` Work Clossrfication-SFR New Dwelling_ • i (626)574-5416 _- • - i '' -fermi Status Alssued ARCADIA ; Issue Date•07IO2ji0181 Expiration: 12/29/2018 Addr NO. Dir Prefix Street Name Street Suffix Unit City,State,Zip Parcel Number dr 610 Gloria RD Arcadia,CA 5769022011 Contacts GRANDWAY USDEV 1 A LLC LLC Owner ' GRANDWAY CONSTRUCTION LLC' General Contractor(B) 55 LAKE AVE,PASADENA,CA 91101 55 5 LAKE AVE 600,PASADENA,CA 91101 (626)357-1200 pppp Description:5 BED,5.5 BATH,FAMILY,KITCHEN,WOK RM, Valuation: $ 1.057,853.86 Tenant BOO-057-074 wM� DINING,LIVING,BASEMENT WITH THEATER,LAUNDRY, OFFICE,PARTY HALL.3 CAR ATTACHED GARAGE. Total Sq Feet: 7.448.00 Plan Check# Plan#32547 Fees Amount payments Amount Paid Building Issuing Fee $44.35 Total Fees $26,079.48 • Building Permit Fees $7,834.20 Cash/Receipt#REC-001610-2018 $26,079.48 Grading Issuance Fee $44.35 Grading Permit Fee(1-1000 Cy) $450.00 Amount Due: $0.00 Green Building Standard $43.00 Non SUSMP Fee $100.00 Off Site Plan Check(Per Site) $240.00 Parks&Recreation Fee(SFR) $14,526.45 Single Family/Condo/Townhome Impact $1,983.00 Fee Solid Waste Management Fee $6.25 CALLS FOR INSPECTIONS Strong Motion Inst.Program Res $137.53 Request for inspection by telephone at 626-574-5450. Leave a message SWMF FEE 2 $1.00 requesting the address,timeframe and what inspection item is needed. WELO Permit Fee $625.00 WELO Permit Issuance $44.35 Total: $26,079.48 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 �//1 COMPLETED 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 . . July 02,2018 Issued By: Date July 02,2018 Page 1 of 1 OF A• ,'''. vonyNi *1'+� PERMIT/PLAN REVIEW APPLICATION ' ' t 1�j 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. y Od ❑ I have and will maintain a certificate of consent to self-insure for workers' License Class � o..‘ Date �'I�2rC, compensation,mancas providedrforwby this permitr is ss the Labor Code, for the '7//�tom` performance of the work for which this is issued. Signature of Contractor CEL I have and will maintain workers'compensation insurance,as required by Section OWNER-BUILDER CLARATION 3700 of the Labor Code,for the performance of the work for which this permit 0 I hereby affirm under penalty of perjury that I am exempt from the Contractors is issued.My workers'compensation insurance carrierand policy numb rs are: License Law for the following reason(Section 7031.5,Business and Professions �7C'fN -� ` e( Code.Any city or county which requires a permit to construct,alter,improve, Carrier p , ic` demolish,or repair any structure,prior to its issuance,also required the applicant Policy Number `1 `•�t '� �� (�, �Z� 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 pemrit 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 P' I b sale(Section 7044,Business and Professions Code:The Contractors License Date 1 D Signa 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($100000),.in addition to the cost of compensation, did not build or improve for the purpose of sale). damages as provided for in Section 3706 of the Labot Code, interest, and attorney's fees. ❑I, as owner of the property, am exclusively contracting with licensed contractors to construct the project(Section 7044,Business and Professions Code:The Contractors License Law does not apply to an owner of property CONSTRUCTION LENDING AGENCY who builds or improves thereon,and who contracts for such projects with a I hereby affirm under penalty of perjury that there is a construction lending agency contractor(s)licensed pursuant to the Contractors License Law). for the performance of the work for which this permit is issued (Section 3097, Civil Code). 0 I am exempt under Section 7044,Business and Professions Code,for this reason: Lender's Name Date_ _ Signature Lender's Address IMPORTANT: APPLICATION IS HEREBY MADE TO THE BUILDING OFFICIAL FOR A PERMIT SUBJECT TO THE CONDITIONS AND RESTRICTIONS SET FORTH ON THIS APPLICATION AND THE FOLLOWING: 1. The City's approved plans and permit inspection card must remain on the job site for use by City inspection personnel. 2. Final inspection of the work authorized by this permit is required.A Certificate of Occupancy must be obtained prior to use and occupancy of new buildings and structures. 3. Per South Coast Air Quality Management District(AQMD)regulations,renovation and remodeling work that results in the removal,stripping,or altering of asbestos containing materials requires an asbestos survey and removal prior to disturbing the asbestos.Please contact AQMD at(909)396-2000 for further information._ l Name ` w'c VQv!'1 ymer j TitlecSV'P=—V$, Or PRINT 1a 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 tor T itl upop the a e-mentioned property for inspection purposes. \Signature Z'\% JDate 1 NOTE, 1 ' £1/AY Building Inspections Date Insp. Plumbing Inspections Date Insp. JD / �,J/ f . - 100. Setbacks 210. Under fir./bldg.drain /- /� / 101. Rough grade 211. Copper underslab Jq- 102. Figs.&forms rf 1j ,,%�212. Rough plumbing '/ (� (/j'/ -/8 ' 27S" �r. tc 103. Pre-slab J 213. Rough as r 104. Floor joists 214. Shower pan Jam/ / !n' - // - /.•Q ' • .i 105. Steel 215. Water heater // /fin l/does �1`- 106. Grout lift �,�I 216. Roof drains ✓ r r 107. Shear nailin. ,�, .�9L�i%T/1 217. Buildin.sewer 4/ rC9w��t • // • .'• d!!sed 108. Dia.h nailin. �I:, 218. Water servi :Agai/^l7�p//�� LII//�4!ti/1��7 '7,/' '//' 109. Roof nailing Sant 219. Final.as r Z `il 110. Framing 7- ^/ / 220. Fixtures 7 ) &''4 A 111. OcclArea Sept.Wall 221. Final .lumbin. dL%�taAM � I �Y.4(2� %�//r 112. Sound walls 222. SewercaJdemo. �- . p/oU LsLaf •/ ^ 113. T-bar.rid 114. Insulation-An Pool Inspections Date Insp. � P ra id115. Insulation-Wall J ' ra 240. Excavation/steel ' �� 4.1' 'g !�41,116. Insulation-Cell. gr241. Roush hornbills SAIWA. ^ 117. D .Inailin. �� LA_ 242. Li.ht shell/bondine 2 7 /9 i '4zz 118. Interior lath A�rn.s��i'����il 243. Undenround conduit r . / 1 119. Exterior lath y/ 244. P-tra. r �•' �� � LL�. �� 120. Finish grade 245. Gas line&test �- ��� " ,r. / trili t i 121. Final building 1:7-1-&-a,_ ,signs • // ./r 'Oar 122. Final demollot clear 247. Pool heater /a 7'7g�/ 14 248. Final electric rd'C%fp� ciii- S�y i of Electrical Inspections Date Insp. 249. Final.lumbin. �,,.�/� L� 150. Power pole 250. Pool cover ki�e'�� //�� /"'h 151. Sales lot lighting 251. Pool final 4Q 9 11 %<,5B/ ��`j j/kg 04 152. Unde.round conduit 153. Underslab conduit Reroof Inspections Date Insp. 11 4, /J�� /� 154. UFER ground 270. Pre-reroof insp. ///5/6 ,/ ` / it /j!r / 155. Water ground � 271. Roof framing 71;rf 156. Rough electrical j' 7 /9, ' 272. Sheathing nailing t'fh/ _7 /s27//( �G�Y Ce157. Factures 273. Final reroot / %7 Fyn �[/ 158. G.EC.l. L. ei/ ♦ r L"GI - 74 - / 159. Eqpt.bondin. Sign Inspections I Date I Insp. / 160. Service panel' it, iVIjr, 4 _ 280. SetbackWoverhang / "!/'4r4'/' /I / 161. Final el- ii 2 • en. 281. Footing /J� / ( / MA g Mf /" / ;�/air ' 4 ' 282. Conduit/wiring ' , Mechanical Inspections Date Insp. 283. Disconnect l 9Gr c ta/er /,- Mil ee/y ee 180. Venting/flue 284. Anal sign /-1 / , A44 `/�,(�j�,,/� Li,#7 �r/,�^ / 181. Fumace/A.C. 182. Routh HVAC ��y'/j- tree g/V / ` /_ . / / Mi I. Date Insp. /'/yf�J 1/l?.0 q / //�'C��--jy}} /'/,If4-1"z",�,"1 183. Fire rs arm 184. Furnace compartment 2910. Fire. Underlground supply 6"�- / 41/� '/rV�+(' rJS/�°l Y'` 185. Combustion air 292. Are sprinklers // -/.r/ u i (Pit/. eei✓r 186. Smoke detectors 293. Monitor system P-0 h/kti � '/ 187. Metal F.P.rough 294. Hood d chem. /✓ 188. Compressor setback _ 295. Anal • fir! C( /Y /S Ci. 189. Commercial hood 'L' 4e!i1/ - /1 ' Ce' ace., 190. Duct shaft da Sewers&Offsite Insp. Date I Insp. r' i '���/' (♦/ 191. Anal mechanical � 300. Lateral main to PSL -4'/ P-e� ,X41,/•�^�/�/ . X11` 301. SaddleN / %/,, 1n 7 /ig /rt/ it/r% ,. Block Wall Inspections . Date Insp. 302. Cess...l filled r I k 200. Footings 303. Sidewalk �/G %/�/?'/( d-f//G ISP 14j/Jf 201. SteeVrebar 304. Driveway / 202. Grout lift 305. Curb replacement 203. Final wall 306. Trash bin se l�1' i `az mfs F, arS� . " 41% :-7., W „'•{?- ....-1,------,...743r: s,:al\�,yl ''_Mots �x p'' `'+ Yu' , ,..,,9A( ,?. �, �x y fr / SAI w r' �s +R r s " xx x«\\,/rt Y r• r y 1 �T3�'y.„c ti xi, t v�r t�f! s (Q y:�, 1..� ro ��1 5 ie�� /,✓ ( �J.` .r �� Ytr I WpA av xTi` `tea� ��I + `� j' p'°" IIr n iz , C, Certificate of O "'ET ,, ..., 14711 ' _v.., .„..„. Aa . ' Development SeCityrvices Departmentofrcadiccupancy—Building Division ;& r. �. x ,.. 1Y,' pThis certificate issued pursuant to the requirements of rY California Building Code certifying that at the time of issuance this structure was in :Ns ., 1 compliance with the various ordinances of the City regulating building construction or use. - jif Permit No. SNEW 18-1143i' f x Building Address: 610 GLORIA RD ARCADIA, CA 91006 I 1 � I Permit Type: SF NEW Effective CBC: 2016 C.R.C. �� to AS 4 Occupancy Code: R-3/U Zone Code: . R-0 111014),' Final Date: 2-10-2020 :;4:6. ` C Type of Construction: TYPE VB SPRINKLERED Owner: GRANDWAY USDEV I A LLC tis ., j / • . • 4+9' , Kenneth Fiel uil. fficial i ste 1+ Post in Conspicuous Place Tom. tys�_ vm�smxxaur� v:wn,an,xens crew„ >_w e au� .w. .r ..ns. ' 5+ e°��. s '*' �%s'".a, v§ �. + ' c . ky �vNt `S \"��f� �u. aeear CUSTOM RESIDENCE 610 GLORIA.,ARCADI g V SYMBOLS ABBREVIATIONS SHEET IND VCINITY MAP PROJECT INFORMATION g --a _ fgi a mm ams..... w� LI ..m.. 14,J, ¢m: l`a-1 rn5.17: a °ar�, .¢pwcV.V maP•... mwm[m emu. C i 61j3, a 17. i m a ca ca L.. Paraa®44444 4 44 ® s e .om..mv ! .� 3 e.m._<..�.�~�• a.unsmmm.m��, C g3a 4 44 _ '. . m m R °°11 w.wa....w...P 1 11 'e mak'VI BM .�_ n mm u.�44144 l .m44 •.m, L /t_•_7 "411.17;.:11rf«".mm-u....w..n F ONE IHOUSE ®.fa MINGaamxc nmw lPro i 6-10. ® 15C-7 1 Jana I a 1 .mm vsnxofxcMrua rrxce u.. n .... '. r mut.. — _ m.. .«...mw..�m m. /I I c 4 DRIIIIRW mmm s ,..111,itanYARDro p m� �,, ®rI i E ma ,! m mr H $ , • I, I, * I accruement mill O I 144 r- 1 mom ___ ''''",0 w DATE Z. .m...®m.m • •I LILILI �Li''"r 13'-_ m_a4'..._. _p _ x,.m.. ; Q e iil I-- ■u■ iei6a.a.a:'f. /�1•rl ib T 1 FITICE MT I m. O TM 4U ■••■ 1 A 'I -I ifIL ' ..f =I aw' m '{_- - a.. xw L L. i 6 oPNNIN]TIIE many III la 0 ,m ; ','I o �l • o�aPA il ° @ di r r I ' ;i2 -::� '_ @I a .._. cx C. il'll1-3 o O 4m II Ruvu . GATE FCC(DMA E, ammo c g "` ..° i uum�..,o o.,om. T / EnsnMITR� I wEcrxn BY: mu a d,um. �.. a anon.' 1 sCALE ww�.0 wu. / m-S 1 YI-P 11.-CP 9-f al'-T'",-._ oar inPae .uo I I REAR 4 rno sI DRuvwa NO. W1 NOTE: U5WQ WV"'ESEWV"' SITE/1ST FLOOR PLAN /} w O / E➢Snxo ONE STOREY MOUSE 1 MO.o Certificate No. 20121023- 883 ARCADIA UNIFIED SCHOOL DISTRICT 150 South Third Avenue, Arcadia, CA 91006 • (626) 821-8300 Ext. 6732 Certificate of Compliance for Payment of Developer Fees (Education Code §17620, et seq. & Government Code §65995, et seq.) • Effective July 24,2017 Current rate in effect applies at the time of imposition of fees/payment. Project Address/APN: 610 Gloria Rd . , Arcadia , CA 91006 Number of Units in Project: One Plan Check Number: 17-221 [ ]* [X]** [ ]** Exempt: [ ]500 sq.ft.or less(residential addition/expansion/remodel) Residential Commercial/Industrial [ I Other: $3.20/sq.ft. $0.51/sq.ft. Area in Sq.Ft.: 5 ,097 Receipt Number: 330404 Total Fee: $16 , 310.40 Check Number: 1157746847 Owner's Name: Grandway USDEV I—E, LLC Owner's Address: 55 S . Lake Ave . #600, Pasadena , CA 91101 Phone Number: 626-357-1200 Email: construction@grandway .com Representative's Name & Contact Info(if appl.): Chris Langner 661-492-1047 *The above-described development has been determined to be exempt from the developer fees of Education Code §17620, et seq., and Government Code§65995,et seq.,and a Building Permit may be issued therefore. ** All fees due to the Arcadia Unified School District, under provision of Education Code §17620, et seq., and Government Code §65995, et seq., as a prerequisite to the issuance of a Building Permit by the Building Department of the City of Arcadia, City of Monrovia,City of Sierra Madre,City of Temple City,and County of Los Angeles,Department of Public Works have been received. Based on the information presented above,thisgist'Compliance is hereby executed. i- Karine Hovsepian-Ruby AccountinSnparvisor 7/2/18 I itM^' g Signature of District Rep tative Name/Title Date of Issuance > The District charges a $100 fee to process reinstatement of the Developer Fee Certificate of Compliance resulting from an "insufficient funds"check in addition to a$35 fee for the returned check. Only cash or a Cashier's Check will be accepted as payment thereafter. S. The District charges a$100 fee for any amendments to or cancellation of a Developer Fee Certificate of Compliance formerly issued on any type of development. > If 500 sq.ft. or less is the reason for exemption, any future additions,expansions, or remodels to the property that result in the past aggregate square footage to exceed the allotted 500 sq. ft. will be subject to fees at the current rate for the entire square footage of the development. > Owner/developer may request a refund of fees paid to the District within 12 months of payment only in the event the Building Permit expires or the project is canceled without commencement of construction in accordance with Education Code section 17624(all other requests for refunds must be made in accordance with the fee protest procedures set forth in Government Code §66020). All refunds will be reduced by a $100 administrative fee. The refund check will be issued in the name of the owner/developer and mailed to the address of payee. PURSUANT TO GOVERNMENT CODE§66020(d), OWNER/DEVELOPER HAS A PERIOD OF 90 DAYS FROM THE DATE OF ISSUANCE OF THIS CERTIFICATE OF COMPLIANCE TO PROTEST THE IMPOSITION OF FEES Applicant confirms that he/she is authorized to sign on behalf of the owner/developer and that the information he/she provided to the District is true and accurate to the best .f his knowledge. I If Jahr Signature of Applicant: _ AO i as/// Name: / ' , G . o ' WHITE—City/County YELLOW—Fiscal Services 1NK—Business Services GOLD—Applicant Certificate of ompliance(7-24-17) TCY OF Oh N�� Ll % dIP CITY OFARCADIA 240 West Huntington Drive Arcadia, CA 91007 • FINAL GRADING VERIFICATION Al 11,NTION: Community Development Administrator SUBJECT: Grading Verification for Project No. 15-223-001 Address: 610 Gloria Road Gentlemen: Finish grading operations have been completed for Project No. 15-223-001 for Lots through (if applicable) and has been inspected by the undersigned Registered Civil Engineer or Licensed Architect. Based upon the observations, the grading subsequent to the Rough Grading has been completed in accordance with the approved plans and specifications and is in substantial conformance with the final grading plan approved by the City and no unauthorized deviations were made. All required surface drainage devices have been installed. Provisions have been made for drainage of surface waters around proposed buildings and their appurtenances. Nurebs/C 46 7� kp CK C. t roq! Engineer (Signature) No. .Co4087o G21.1G21.1chitect(Signature) ExP mJ R.C.E.No. 40870 * .P.A. No. .?:7 CIVIL 0�3. Date: October 15, 2019 OF fAI:�F� Received and approved: dar,a-sappr Date: • C.1,4./Planni gl • cc: C.D.D./Maint.Ser. C.D.D./Building AS—BUILT GRADING PLAN a Q _ o- u! i ax[ av ! r' _' 1/1 IIY iIck,.ti 18cr,'__� raE — _ I li — c '� 'fi' I w Es= 74 I .h. P Tim.— swwe m �,,✓.spgi¢i vu f�y ` IiIrmyo _ _ © I earre42 wEi n rr, s�a / •I IIII .nrao i..<au n.e.o .ur.ma •a. .n.. k "iF.. 1 � ni \v n t .",.ate .ri ' ;�1.j ^ IIIId,.4:P.,fi r. b ,..�.. 7�y43'" ,w' g .....T '- I IVICINRY MAP ?�i�t1 4tr�d ,, �{. Y Iv^ /.�//. y,°�unnmcAl �.,,nj, - ��¢aa...n O ft i— %f *;y__ \* 1 v „1' t- / Nr5a� V ' A ! ! .,YI_ III • 6 —' I r r, e 5.� I rt I �f` i W 1 . ' FThr 1 r __ 'a"/` y film " .mak [3 -7111?Irs-aa 6p I 7.. //'i//a I it coNsmUCTION NOTES: ' OO.m Fenuenn •BSNEVI•RONS: LEG O®Om MAI—Saw away/ OO.e+ae evE o terra rurncwc +ar v.r4J-arae ev ®Greurc•..c ea—moom �n•rua.•nGOme.ururr =EO°°Xm —axema mann 0 pru mar � mw.ma .... _a _ � DSD/ENGINEERING ---Ai ,,� M,.e,me..Freeteatren APPROVED o g �. _°""".""" ®ea,m.,-r,..eoem NOV 132019 F S a —.mawomw•m.vmaDDIFUCEu�®CQ°-`rrN ,mm.• BY: 0 alt0 a-eneero Ram ®.`�r'�'iumr-`m wro eie a.rmaa,xwumerrm,m 2erfat V6 "T l - K.g ® ma, euw wm.rtew�ww LL 0 Q• I61.E o„,.,L , in.e EARTH WORK QRANIMES: OWNER: BENCHMARK: .LEGAL DESCRIPTION: ama Ana.a,ow..-.m OVER�.co 77 :, a,. . Lamas, LEG WINN,-..,aNmmE,- xwMara..�•<am,.ae C-1 wm»r•er eon.Naw r um LOTram art or=maw. w°.am,.sea Oe .0 :`. ma.a,o.aw.ae,.a�rra�....orMa.m,- �u.a aw.,.w,,.., „a ;�bm. mama es a,EMT . Carlisle Coatings & Waterproofing Crrcoiporated- 900 Hensley Lane • Wylie, TX 75098 • (972-442-6545) MIRACLAY 10 YEAR WATERMARK MATERIAL WARRANTY Job#: 109010 Warranty it: 110287 Owner Name: GRANDWAY USDEV 1-D LLC Address, City and State: 550 SOUTH LAKE AVENUE. PASADENA, CA Waterproofing Applicator. HYDRA INDUSTRIES INC Address, City&State: 5318 EAST SECOND STREET, LONG BEACH, CA Name of Project: RESIDENCE Address, City and State: 610 GLORIA ROAD,ARCADIA, CA Square Footage: 2.000 EFFECTIVE DATE: 11107/2018, THIS WARRANTY EXPIRES: 11/06/2028 Carlisle Coatings &Waterproofing Incorporated ("Cadisle', warrants the Carlisle membrane product installed at the above project in accordance with the following terms and conditions: Carlisle warrants to the Buyer of the membrane product that the membrane product will be free from manufacturing defects at the time of its delivery to the Job site. Any claim by Buyer of a manufacturing defect in the membrane product must be given to Carlisle, in writing, within thirty(30) days of delivery of the membrane product to the job site. If, upon inspection by Carlisle, the membrane evidences manufacturing defects, Carlisle's liability and Buyers exclusive remedy shall be limited to the replacement of the defective membrane product at the F.O.B. point in the original contract of sale. Carlisle further warrants that subject to the terms and conditions of this warranty,water will not leak directly through the membrane for a period of 10 years from the date of issuance of this warranty, if properly installed, maintained and used for the purpose intended by Carlisle. See above for the expiration date of this warranty. This warranty does not apply to any part of the membrane product unless installed by an authorized applicator by Carlisle. Further, this warranty does not cover any cost or expenses associated with the removal, excavation or replacement of concrete or other materials covering the membrane product incurred to test,repair,inspect,remove or replace the membrane product. If upon inspection by Carlisle, the membrane product shows water leaking directly through the membrane within the 10 year period stated herein, Carlisle's sole liability and the Buyers exclusive remedy are limited, at Carlisle's option, to the providing of repair material for the original membrane product or the granting of credit to be applied towards the purchase of a new membrane product, the value of these remedies being determined by Carlisle based upon the number of remaining months of the warranty period used to pro-rate the value allowed by Carlisle for the repairs or credit. In no event shall the cost of the repair material or the credit exceed the original purchase price for the membrane product. Any claim or leakage directly through the membrane must be made, in writing,to Carlisle within thirty(30)days of the date of discovery or by the expiration date of this warranty,whichever shall first occur. Carlisle shall not be liable for any consequential or incidental damages related, directly or Indirectly,to the presence of any irritants, contaminants, vapors, fumes, molds, fungi, bacteria, spores, mycotoxins or the like in the building or in the air, land or water serving or coming in contact with the building. Carlisle shall have no obligation under the Warranty while any bills for Installation, supplies, service, and warranty charges have not been paid in full to the authorized applicators, Carlisle or material suppliers. This warranty shall become null and void, except for the disclaimers and limitations of liability herein,if any of the following shall occur -repairs or alterations are made to the membrane product after Installation by anyone not expressly authorized by Carlisle; -the membrane is damaged by intentional or negligent acts,accidents,misuse,abuse,vandalism,civil disobedience or the like; -the membrane product is damaged by natural disasters including, but not limited to, fire, insect infestations, earthquake, tornado, flood, hail or hurricane. -deterioration or failure of building components damage the membrane product; -acids or harmful chemicals come in contact with the membrane product;or yaps or cracks exist in the structural base which exceed 1/16 inch in width. This warranty is not assignable by operation of law or otherwise. CARLISLE DOES NOT WARRANT PRODUCTS UT'ILITZED IN THIS INSTALLATION WHICH IT HAS NOT FURNISHED; AND SPECIFICALLY DISCLAIMS LIABILITY, UNDER ANY THEORY OF LAW, ARISING OUT OF THE INSTALLATION AND PERFORMANCES OF, OR DAMAGES SUSTAINED BY OR CAUSED BY PRODUCTS NOT FURNISHED BY CARLISLE. THE REMEDIES STATED HEREIN ARE THE SOLE AND EXCLUSIVE REMEDIES FOR FAILURE OF THE CARLISLE MEMBRANE PRODUCT. THERE ARE NO WARRANTEIS EITHER EXPRESSED OR IMPLIED,INCLUDING THE IMPLIED WARRANTIES OF FITNESS FOR A PARTICULAR PURPOSE OR MERCHANTABILITY WHICH EXTEND BEYOND THE FACE HEREOF. CARLISLE SHALL NOT BE LIABLE FOR ANY INCIDENTAL,CONSEQUENTIAL OR OTHER DAMAGES INCLUDING,BUT NOT LIMITED TO,LOSS OF PROFITS OR DAMAGE TO THE BUILDING OR ITS CONTENTS UNDER ANY THEORY OF LAW. Authorized Signature: � •� Date: December 17. 2018 Rev 06/18 CCW018 f r M & S STEEL FABRICATION INC. State Lic.C51#528871 • LA.Fab.Lie.# 1201 November 14,2018 Job Address: 610 Gloria Arcadia,CA 91006 To Whom It May Concern: M&S STEEL FABRIATION INC has shop fabricated and installed one steel beam and one steel pipe for the project listed above per provided plans/details. Sincerely, 514 M;s w>sdw,.t Serj Minassians President 2218 Lee Avenue • South El Monte, CA 91733-2500 • (626) 44-5454 4RC#P A ELA oo©` D BS REGISTERED DEPUTY INSPECTOR'S CERTIFICATE OF COMPLIANCE DEPARTMENT OF BUILDING AND SAFETY �/ ,/ Address 6/6 ‘/-�'Yv ' Date of Certificate /7�4 0/7 Fabricator Permit TO THE SUPERINTENDENT OF BUILDING: CITY INSPECTOR: I hereby certify that the following portion of the work at the above job address which required continuous and/or periodic inspection,and which I was employed to inspect,was inspected and approved by me and complies with provisions of the building Codes applicable thereto: Type of inspection: [ ] Steel Construction [ ] Sprayed Fire-Resistant Materials [ ] Prestressed Concrete [ ] Concrete Construction [ ] Smoke Control [ ] Drilled-in Anchor [ ] Masonry Construction [ ] Methane [ ] Gunite/Shotcrete [ ] Wood Construction [ ] Exterior Insulation&Finish System [ ] Seismic Resistance [ ] Soils [ ] Wind Resistance Other:R'OrOIl' Location and Description of work completed / /at 5 7 de; Lgi ,J / -aApa J Seo i - 1��5 / /z S/cr or - 8x/K ¼ 8" ?of,'7i vP ,Ar/Tepf- e a 6' o,c Size of Structure Time Arrived No.of Stories Time Left Job Conc.Mix Design No. P.S.I. Registration Number f - — Employed by: Lab: Independent [ ] \ Signature: cic �srt'�1�� • Registered Deputy Building Inspector: Print Full Name: . — - — Cell phone number: E-Mail Address: DO NOT AMEND,ALTER,CHANGE,DELETE OR APPEND ANY PRINTED PORTION OF THIS CERTIFICATE AS IT WILL RENDER IT NULL AND VOID. IN FORM 07(Rev. 01/04/12) www.ladbs.org � rRi. JCR INSPECTION SERVICES itto; OFFICE/CELL: 213-703-9649 fee \�� INSPEC;Ti ON 1100 SAN LUIS REYDR. • _I SERYICES.IRC PAGER: 213-360-1007 GLENDALE, CA 91208 FAX: 818-637-2232 REGISTERED SPECIAL/DEPUTY INSPECTOR—CERTIFICATE OF COMPLIANCE BUILDING DEPARTMENT : Arcadia Ca. j Proj.Date 11/26/18 j Project Name Custom Residence I Permit# 1 SNew-18-1143 1 Project Address 1610 Gloria Fid, Arcadia CA 91006 IL Owner Name IGrandway usdev 1 Phone# ; ' Address 55 Lake AveLPasadena Ca 91101 General Contractor;Grandway construction •1 Phone# 1 (6261357-1200 1 Address 155 S Lake Ave 600, Pasadena Ca 91101 Fax# , Site Contact Beeper# , L 1 1 Sub-Contractor 1 1 Phone# l a [Address 1 Fax # I 1 Engineering Firm 1 1 Phone# a 1 Address '1T# 1 1 1 1 TYPE OF INSPECTION ® Reinforced Concrete !❑ Shotcrete L❑ Gunite [❑ Rebar insp ID Welding ❑ Masonry ;0 Pretress I❑ Anchor bolts I❑ Dowels l 0 Fireproofing O Post-tension H Q Fraiming 11,0 Nail Inspect 1❑ Grading 1❑ Other r r ® Quality Control I iI Cylinders Samples 3 ▪ Core Panels i 1 Mortar 1 Grout � Masonry prism J I L L To the Building Official Building Inspector I hereby certify that the following portions of the work at the above address which required Special/Deputy Inspection and for which I was employed to inspect, were inspected by me and comply with the applicable provisions of the Building Codes and approved drawings. on site to observe placement and perform field testing of concrete at footings and slab on grade located at the following locations: from N/E corner to S/E corner from east end to approximate 35' West of project. Reviewed the concrete batch ticket for Las Dunas concrete mix design #155401. Sampled concrete and performed field testing for temperature and slump. Cast 1 set of strength test cylinders for strength verification testing. Approximately 110 cu. yds. of concrete was placed today. All inspections are based on a minimum of 4 hours,any inspection over 4 hours will be charged as 8 hours.Any inspection extending past noon will be charged as 8 hours.Saturday are billed as time and a half.Sunday are billed as double time. Reinforced Inspector (Print): Jim + Monterroso License #: 8714539 Type: concrete Inspection Sign: — Date: 11/26/18 HOURS: Mo 8 u= Wed Thur Fri Sat Sun Verified By: (Print & Sign Voirr/` /,�pvin-h e 06. T wcp 1 , JCR INSPECTION SERVICES ,� OFFICE/CELL: 213-703-9649 1100 SAN LUIS REY DR. 4w r� INSPECTION PAGER: 213-360-1007 GLENDALE, CA 91208 �r SERVICES,IMC FAX: 818-637-2232 REGISTERED SPECIAL/DEPUTY INSPECTOR DAILY REPORT :BUILDING DEPARTMENT ; Ladbs j Proj.Date j 11/19/18 Project Name i I Permit# ; Snew18-1143 Project Address ;610 Gloria Rd Arcadia Owner Name 1 Phone# 1 , L I. 1 1 l Address ; I General Contractor jGrandway Construction LLC, j Phone# j 16261 790-0012 I Address ; Fax# ; J Site Contact T Beeper# ' L 1 1 1 Sub-Contractor ; ; Phone# ; l [Address j j Fax# j ; Engineering Firm ;David Li &Associates ; Phone# ; (626) 288-1216 [Address 11305 San Gabriel BIvd,Ca 091770 j Fax# j TYPE OF INSPECTION ❑ Reinforced Concrete !❑ Shotcrete F❑ Gunite F❑ Rebar insp j❑ Welding I ❑ Masonry ;❑ Pretress :❑ Anchor bolts ;❑ Dowels :❑ Fireproofing ❑ Post-tension l❑ Fraiming 1❑ Nail Inspect l❑ Grading l❑ Other ElQuality Control I I I .J 4 L 1 Cylinders Samples ; Core Panels ; Mortar Grout I Masonry prism i J L L i To the Building Official Building Inspector I hereby certify that the following portions of the work at the above address which required Special/Deputy Inspection and for which I was employed to inspect, were inspected by me and comply with the applicable provisions of the Building Codes and approved drawings. • 'Provided continuous inspection for for the placement of 42 approximately# 4 dowels W/ 6 " mini embed using Simpson Set Xp icc esr#2508 , for connection of basement wall to 1st floor FTG .there is no detail,work performed per engineer Direction. Per conversation with contractor, placed @ separate locations were . Inspected embedment,cleanliness,rebar sized ,epoxy used . Observed no deficiencies. All inspections are based on a minimum of 4 hours,any inspection over 4 hours will be charged as 8 hours.My inspection extending past noon will be charged as 8 hours.Saturday are billed as time and a half.Sunday are billed as double time. Inspector (Print): Jose E Ramire License#: P035178 Type: Dia Inspection Sign: Date: 11/19/18 HOURS: Mon 4 Tues Wed Thur Fri Sat Sun Verified By: (Print & Sign) / A JCR INSPECTION SERVICES /rt. P� `` ie INSPECTION OFFICE/CELL: 213-703-9649 1100 SAN LUIS REY DR. {le SERYICES.INC PAGER: 213 360-1007 GLENDALE, CA 91208 FAX: 818-637-2232 REGISTERED SPECIALIDEPUTY INSPECTOR DAILY REPORT BUILDING DEPARTMENT ; Arcadia ; Proj.Date ; 11/05/18 L Project Name T.Custom Residence : Permit# : SNew-18-1143 Project Address X610 Gloria Rd Owner Name ;On File ; Phone # Address General Contractor;Grandway Construction LLC ; Phone # Address : Fax# Site Contact ;Jose Mendoza ; Beeper# ; (323) 947-7597 Sub-Contractor ; : Phone# [Address ; Fax # Engineering Firm ;David Li &Associates ; Phone# Address ; Fax# TYPE OF INSPECTION r i , ❑ Reinforced Concrete ❑ Shotcrete [❑ Gunite r❑ Rebar insp ;© Welding ❑ Masonry 0 Pretress ;0 Anchor bolts ;0 Dowels ; 0 Fireproofing o Post-tension 0 Fraiming LEI Nail Inspect ri❑ Grading : ❑ Other ❑ Quality Control Cylinders Samples Core Panels Mortar � Grout 1 1 Masonry prism u L To the Building Official Building Inspector I hereby certify that the following portions of the work at the above address which required Special/Deputy Inspection and for which I was employed to inspect, were inspected by me and comply with the applicable provisions of the Building Codes and approved drawings. r Provided continuous inspection of welding of W12x50 beam to 1/2" plate at CMU wall per 3/S-4. Welding performed by certified welder Meyer Zarokian cert#P037260 by FCAW w/ NR-232 All inspections are based on a minimum of 4 hours,any inspection over 4 hours will be charged as 8 hours.Any inspection extending past noon will be charged as 8 hours.Saturday are billed as time and a half.Sunday are billed as double time. Inspector (Print): Antonio Castillo License #: 5292645 Type: SSW Inspection Sign: , Date: 11/05/18 HOURS: Mon 4 Tues a /n^ 1 Thur Fri Sat Sun Verified By: (Print& Sign) �� J� JCR INSPECTION SERVICES yC�� / 1 x S P E C i 10 x OFFICE/CELL: 213-703-9649 1100 SAN LUIS REY DR. SExvtCEs.ixc PAGER: 213-360-1007 GLENDALE, CA 91208 FAX: 818-637-2232 REGISTERED SPECIAUDEPUTY INSPECTOR DAILY REPORT BUILDING DEPARTMENT : City Of Arcadia 1 Proj.Date 1 10/19/18 I L Project NameCustom Residence Permit# SNew-18-1143 1 Project Address :610 Gloria dr. , Arcadia Owner Name 'Chris j Phone # L 1 1 Address General Contractor;Grandway Construction 1 Phone # � (6261357-1200 1 Address X55 S. Lake Ave. suit 600, Pasadena : Fax # : (626) 357-1111 Site Contact IJose Mendoza 1 Beeper# 1 (323) 947-7597 Sub-Contractor ' Phone # ; 1 Address j Fax # L 1 1 1 11 Engineering Firm :David LI &Associates 1 Phone# T (626) 288-1216 i LAddress 11305 San Gabriel Blvd., Rosemead ; Fax# TYPE OF INSPECTION ❑ Reinforced Concrete J 0 Shotcrete :0 Gunite I❑ Rebar insp ;❑ Welding Masonry ; 9 Pretress 9 Anchor bolts ; 0 Dowels I❑ Fireproofing : ElPost-tension : 0 Fraiming 0 Nail Inspect 0 Grading 1❑ Other 1 ❑ Quality Control L T 1 1 Cylinders Samples 1 Core Panels Mortar 1 Grout 3 Masonry prism I -I I- L 1 To the Building Official Building Inspector I hereby certify that the following portions of the work at the above address which required Special/Deputy Inspection and for which I was employed to inspect,were inspected by me and comply with the applicable provisions of the Building Codes and approved drawings. Performed visual inspection of placement +/-20 yards grout for 12" CMU wall, lifted 5'3" over 12" concrete wall 3000 psi were placed at 7" slump with mix design #0301 F Observed proper consistency of mix and water requirements and were in compliance Grout vibrated on each cell for better consolidation took 1 set of samples for testing Ok to pour per engineer's structural observation Report and City inspector's sign off on 10-18-18 Grout provided by Capital Ready Mix Location : Building perimeter CMU wall (sheet S-4 plan) t All inspections are based on a minimu • 4 Eurs -ny in.pectis over 4 hours will be charged as 8 hours.Any inspection extending past noon will be charged as 8 hours.Saturday are bille• :. —• hal, Sund- are billed s double time. Inspector (Print): M- -oud b :_I h. • 'ri License#: 8804858 Type: MC Inspection Sign: // 11 • Date: 10/19/18 40 HOURS: Mon Tues A U Fri 8 Sat Sun Verified By: (Print & Sign) Chris CAI4714 \ A. JCR INSPECTION SERVICES r �� / I N S P E C T I O N OFFICE/CELL: 213-703-9649 1100 SAN LUIS REY DR. ' - SENYICES,INC PAGER: 213-360-1007 GLENDALE, CA 91208 FAX: 818-637-2232 REGISTERED SPECIAUDEPUTY INSPECTOR DAILY REPORT BUILDING DEPARTMENT I City of Arcadia 1 Proj.Date 1 10/04/18 L Project NameI Permit# 1 SNew-18-1143 1 1 Project Address 1610 Gloria Rd.Arcadia CA 91006 J L Owner Name Phone# L 1 1 1 1 Address ' J General ContractorlGrandway Construction,LLC ; Phone# 1 ' Address ' ' Fax# 1 Site Contact T 7 Beeper# I Sub-Contractor I I Phone# 1 1 77 J [Address , ' Fax# ' Engineering Firm ;David LI &Associates ' Phone# 1 (626) 288-1216 Address 11305 San Gabriel Blvd. #101 Rosemead CA 91770; Fax# ' TYPE OF INSPECTION N Reinforced Concrete j Q Shotcrete Irt Gunite it Rebar insp ;D Welding Q Masonry la Pretress 10 Anchor bolts LQ Dowels ID Fire_proofing 0 Post-tension ;ja Fraiming 0 Nail Inspect ____g Grading 1.0 Other D Quality Control I L 1 a L a Cylinders Samples 1 Core Panels Mortar I Grout 1 Masonry prism J L L I. To the Building Official Building Inspector I hereby certify that the following portions of the work at the above address which required Special/Deputy Inspection and for which I was employed to inspect, were inspected by me and comply with the applicable provisions of the Building Codes and approved drawings. 1- Provided Provided continuous visual inspection. for placement of 50 yds of concrete 0/4" pump mix 3000 psi from Favelas Ready Mix For concrete placement of stem walls Slump, temperature and water levels were within tolerance. Mechanical vibrator used for proper consolidation Constructed 3 (6"x12") sample cylinders L All inspections are based on a minimum of 4 • •- any ins.=ction over • rs w I be charged as 8 hours.Any inspection extending past noon will be charged as 8 hours.Saturday are billed as ' a an• = half." nday arc • as • ,uble time. Inspector (Print): •%u 1 ' A ' _ - e#: P028571 Type: R/C • Inspection Sign: li' t� Date: 10/04/18 HOURS: Mon Tues ehur Fri Sat_ Sun Verified By: (Print & Sign) i%�0 :It Y} P ji s O _ v c - ‘...1. • r L" - L b C� C- c. <iS C , F L'... w Y 'j •• cP.C. J ft J1 S,s:, :;4. •1' r 'M f�ff. i. 7) 3 C:' '-. l r^l` i ii 'Y. , 6 1 _'.a 1 �? - Ci. i'' e,Fr .7y,..iy f ! 1 IT Cti ti .. /r ..t ' Y t• T tor ori - - - t 1 _ y '.., p ) s L. .e e.- ., ' __J `t ! L y .� f' ice.--.y •4 411 7 K. .2.,'.t� w. �' ! Z.T. i C• ti - y J . gc?le -_ •'.tom 'ti �• j_ _ _ f'.: - '_! _W i' {moi r� r - _ <+ e• j 1 re ✓.f • .) i IBJ '' r it 4 :3• �f 1' ..i tr. X _ r_ r, C l ,1 fr tz a, 1._ C. ) L j I. . 3-3 ,. _ r ., ' r 4_ _ < r ,i Y,' f q 'a s '•0 r -. _ '.'.f '' - -) .'fid 1 /?` vi.^ `_ ,-'h tis •`I } , C - 1 .. ..� � r‘:: -( • ``r. 3 11 , -� ° 1, C...." ' t i . r ._ — 4 't 1 c_) I 1 _ _ I C cv ! 1 1 f nus fi I `'f i A � fav ,. JCR INSPECTION SERVICES ��� / INSPECTION OFFICE/CELL: 213-703-9649 1100 SAN LUIS REY DR. SENYICES•INC PAGER: 213-360-1007 a— GLENDALE, CA 91208 FAX: 818-637-2232 REGISTERED SPECIALIDEPUTY INSPECTOR DAILY REPORT r BUILDING DEPARTMENT : City Of Arcadia j Proj.Date 1 09/ 26/18 j I Project Name a : Permit# I SNew-18-1143 : Project Address :610 Gloria Rd.Arcadia CA 91006 r Owner Name , Phone# L 1 1 1 , I Address J [General Contractor:Grandway Construction LLC j Phone # Address Fax# Site Contact I I Beeper# i J Sub-Contractor ' Phone# : a rrAddress T Fax# L 1 1 1 Engineering Firm :David LI &Associates : Phone# : (626) 288-1216 A [Address ;1305 San Gabriel Blvd.#101 Rosemead CA 91770; Fax# ; TYPE OF INSPECTION Reinforced Concrete L] Shotcrete [Q Gunite It Rebar insp :❑ Welding 0 Masonry :_❑ Pretress :❑Anchor bolts :❑ Dowels 10 Fireproofing 0 Post-tension :j0 Fraiming _❑ Nail Inspect 1,0 Grading :❑ Other r LI Quality Control1 , E a 4 a Cylinders Samples : Core Panels : Mortar : Grout : Masonry prism J L L 1 To the Building Official Building Inspector I hereby certify that the following portions of the work at the above address which required Special/Deputy Inspection and for which I was employed to inspect, were inspected by me and comply with the applicable provisions of the Building Codes and approved drawings. r Provided continuous visual inspection for placement of 90 yds of concrete Mix#3C30L600, 3000 psi from Holliday Rock For concrete placement of footing at basement level Slump, temperature and water levels were within tolerance. Mechanical vibrator used for proper consolidation Constructed 3 (6"x12") sample cylinders L All inspections are based on a minimum of 4 • .- any ins don over• • rs w I be charged as 8 hours.Any Inspection extending past noon will be charged as 8 hours.Saturday are billed as e an• . half. •• nday a - as . •uble time. Inspector (Print): % • •4- • • • • ;LC 2-' 3;1"-.7.tr. I 11.1 ' • e,4ktt"..t . ; -2;::::•-;• - 11.7 •• • t 4 iklm`‘ ;c,t ') 4..;7:74.(; ; ) 7-,: ; • : .-;;;;;; 1- ..,r 3,33-33433.) ..•th :.;•1:"" .2•!. 71 \'2, • tic.r11,1 • . _ 1 . _ `X • - - • - - • .• • c L•VIC13-1;Iik" - - 3-3F33 4 3-33 ,,•33 . -c,35.333:.33 ;0 • ; •Fs v - :1r ; t. ,.••„?-...-4,4“.": ,..1. _ '1'1] • 0- 1LE: • - not- -; •fl' „.: '1'`c t•c, thr i -•:-; • t:„ ; ' ••1/4,;;;.1 r: • s 2. • I . . . ‘:; It -"LC) irk? )u !Jr., n. • ; I r .;'t r.`, • , • • ;1,1,E.IC)1 ,chi ,, .-$",!—..1 I . I r.,• •i„; • 'IC)1 : .4".--“:1.:V ".91. _ • ;;:i ,.• , . . , it 11 ;,-.2? 1 )!H •_ ;• ; 4•2.„„•,;• , :• ) * ;-* 1; (4; s- N _ • 2 . . -•:•1. ,1.-q• • - ,I „ _ elrett City of Arcadia BUILDING DIVISION (LAR LPCc 240 West Huntinton Drive, Arcadia, California, 91007 • `\*% Telephone Number: (626)574-5416 Fax. Number: (626)447-9173 STRUCTURAL OBSERVATION REPORT FORM STRUCTURAL OBSERVATION means the visual observation of the structural system, for general conformance to the approved plans and specifications, at significant construction stages and at completion of the structural system. Structural observation does not include or waive the responsibility for the inspections required by Section 108, 1701 or other sections of the Code. L Report No. 4aThis report includes all construction work through day of 66436 W ,20 6e Page No._of Project Address: 610 -iona-- Structural Observer of Record(SOR): SOR Phone No.: Building Permit No.: - Structu servation performed by: Obse a Pr fessional Lic.IReg.No.: Observer Phone No.: SPEW' IS-W-13 `� 3n/A c� i �Ic5 6�bz®3'012.5 OBSERVED STRUCTURAL ELEMENTS AND THEIR CONNECTIONS FOUNDATION WALL FRAMES FLOOR PORTION OBSERVED,IF NOT WHOLE Footing,Stem Walls, )(Concrete 0 Steel Moment Frame ❑ Concrete ❑ Mat Foundation - ❑ Masonry 17 Steel Braced Frame U Steel Deck ❑ Caisson,Piles,Grade Beams ❑ Wood ❑ Concrete Moment Frame 0 Wood ❑ Retaining Foundation 0 Other: ❑ Masonry Wall Frame ❑ Others: Hillside Special Anchors ❑ Others: ❑ Others: OBSERVED DEFICIENCIES:_ -- — I DECLARE THAT THE FOLLOWING STATEMENTS ARE TRUE TO THE BEST OF MY KNOWLEDGE: 1. I AM THE ENGINEER OR ARCHITECT RETAINED BY THE OWNER TO BE IN RESPONSIBLEtkrch�f CHARGE FOR THE STRUCTURAL OBSERVATION IN ACCORDANCE WITH THE REQUIREMENTS G OF THE CITY OF ARCADIA. 10411 • 2. I,OR ANOTHER ENGINEER OR ARCHITECT WHO I HAVE DESIGNATED ABOVE AND IS UNDER ton MY RESPONSIBLE CHARGE, HAS PERFORMED THE REQUIRED SITE VISITS AT EACH 3, q�a1n 9 SIGNIFICANT CONSTRUCTION STAGE TO VERIFY IF THE STRUCTURE IS IN GENERAL UY,A`I 111(2.AY C` CONFORMANCE WITH APPROVED PLANS AND SPECIFICATIONS; elf". 3. ALL DEFICIENCIES WHICH REMAIN TO BE CORRECTED HAVE BEEN INDICATED ABOVE; 4S`iate ®¢ cstte 4. I RECOMMEND THAT ACCEPTANCE OF THE STRUCTURAL SYSTEMS BY THE CITY OF ARCADIA BE WITHHELD UNTIL ALL OBSERVED DEFICIENCIES ARE CORRECTED. STAMP OF STRUCTURAL SIGNATURE DATE OBSERVER OF RECORD CAR `NIAFOq,Viq pnattEs Rec,4044 "rik! » LAR U r, CITY OF ARCADIA CP s =' DEPARTMENT OF BUILDING AND SAFETY ^°r c c rRos � 00.-t,144‘...: \yOf STRUCTURAL OBSERVATION REPORT FORM REPORT NO. 4 THIS REPORT INCLUDES ALL CONSTRUCTION WORK THROUTH3DAY OF 14 ,2019 PROJECT ADDRESS: STRUCTRUAL OBSERVER STRUC.OBS.PHONE NO. 610 Gloria DAVID LI (626)-288-1216 OWNER LIC.OR REGISTRATION NO. BUILDING PERMIT NO. C58075 LOCATION AND DATE OBSERVED STRUCTRUAL ELEMENTS AND THEIR CONNECTIONS p PORTIONS �r'OF BLDG. fl-Fn1 lNlnnTInN1 1-11A/A1 I fl-PRAMPC I-I-PI CV-1P ROO6 Pr \ I`k+N"IINC, I-I-rnnTIMnC CI CR A CTF1,A 1MAI I C 1-1-rnwrprTF r1-CTPFI MnMFMT CPFrICI 11-rnMrRFTF 4(-177-A12 1)brit( S PRESTRESSED CONCRETE SLABS 11-MA cnMRv oSTEEL MOMENT-ORDINARY fl-cTFP1 ncn P ` f C(475A7HI_.J6 11-r5ICCn1JC PII FC fOAni RP MAC fl-1Mnnn fl-CTPFI RR Arrn fl-1Mnnn fl-NII I ging RI nnc CPPniAI ❑ -fl-rnMrRPTF ni Inil F ❑ ❑ ❑ fl-rnNIrpPTP WWI ni IT`TII P ❑ ❑- _ ❑- OBSERVED DEFICIENCIES: Lc Inv I DECLARE THAT THE FOLLOWING STATEMENTS ARE TRUE TO THE BEST OF MY KNOWLEDGE AND BELIEF: 1.1 AM THE REGISTERED ENGINEER OR LICENSED ARCHITECT WHO HAS RESPONSIBLE CHARGE FOR THE STRUCTURAL OBSERVATION 2.I,OR ANOTHER REGISTERED ENGINEER OR LICENSED ARCHITECT WHO HAVE DESIGNATED AND IS UNDER MY RESPONSIBLE CHARGE,HAS PERFORMED THE REQUIRED SITE VISITS AT EACH SIGNIFICANT CONSTRUCTION STAGE TO VERIFY IF THE STRUCTURE IS IN GENERAL CONFORMANCE WITH THE APPROVED PLANS AND SPECIFICATIONS; ❑DEFICIENCIES CONTINUED 3.ALL DEFICIENCIES WHICH I DOCUMENTED HAVE BEEN CORRECTED UNLESS OTHERWISE INDICATED ABOVE, ON ATTACHED FORM(BES 261 A) 4.I UNDERSTAND THAT FINAL ACCEPTANCE OF THE STRUCTURAL SYSTEMS BY THE DEPARTMENT OF BULIDING AND SATETY CANNOT OCCUR WITHOUT THE CORRECTION OF ALL OBSERVED DEFICIENCIES; 5.I AM RESPONSIBLE FOR THE SUBMISSION OF THE ORIGINAL OF THIS REPORT TO THE DEPARTMENT OF BUILDING AND SAFETY, \RR' SSIO,V4 CITY OF LOS ANGELES. f/g v G DA 1,20 eI/� 6 .I HAVE PROVIDED STRUCTURAL OBSERVATION ACCORDANCE WITH THE REQUIREMENTS OF THE CITY OF LOS ANGELES. • ,a ' `' 3. No. 4r ii + .;J .P J I,R I y, • . I. A� SIGNED f Cf- OF 14,62 2045 ,AT Arcadia I I'-0 CA • \� �OF CP `I DAY ,;• sa'.. MONTH', YEAR .1 Vii ,'CITY �) EXPIRE DATE:06/30/2020 WET SIGNATURE!OR REGISTERED'CIVIL OR'STRUCTURALI ENGINEER OR LICENSED ARCHITECT STAMP OF ENGINEER OR ARCHITECT STRUCTURAL OBSERVATION DOES NOT WAIVE ANY OF THE REQUIREMENTS FOR BUILDING INSPECTION BY AUTHORIZED • EMPLOYEES OF THIS DEPARTMENT DISTRIBUTION:STRUCTURAL OBSERVER TO SEND ORIGINAL TO THE BUILDING INSPECTOR'S OFFICE,ATTACH THE FIRST COPY TO THE APPROVED PLANS,AND KEEP SECOND COPY FOR STRUCTURAL OBSERVER'S RECORD AND DISTRIBUTIONS.(BSS 261 R.12/95) LAIIF^.yrI'^ C 9V9 peRSG¢cLes rpr• y�.:. Y$,, LARUCP r 1� CITY OF ARCADIA 4H DEPARTMENT OF BUILDING AND SAFETY ` rt.,coot P.9"' STRUCTURAL OBSERVATION REPORT FORM REPORT NO. 3 THIS REPORT INCLUDES ALL CONSTRUCTION WORK THROUTH_3_DAY OF 4 ,2018 PROJECT ADDRESS: STRUCTRUAL OBSERVER STRUC.OBS.PHONE NO. 610 Gloria DAVID LI (626)-288-1216 OWNER LIC.OR REGISTRATION NO. BUILDING PERMIT NO. C58075 LOCATION AND DATE OBSERVED STRUCTRUAL ELEMENTS AND THEIR CONNECTIONS �/PORTIONS� OF &} BLD./ ^f� --rn,IKIFIAT!I1Nl fl_InfAII n-FRA�AFC I,-FI nnR I,Sto't" C4a . OW( nil( fl-FMTIMGC CI AR R RI-PRAIA/AI I C fl-rnwrRPTF n-CTFFI AAnMFMT CRFrIGI f1, rnMrpFTF PRESTRESSED CONCRETE SLABS 11-MA cnMRv °STEEL MOMENT-ORDINARY fl-gTFFI nrr fl-rAICQnMC RHI FC (CRAMP RP MC fl-tmmnn fl-CTFFI RRArrn fl-IAInnn • fl-NII I CInr RI nl:C CRFrIAI ❑ fl-rnMrPFTF nl If TII P ❑ ❑— ❑ fl-rnhIrRFTF_Mnh_nI V`TII F ❑ 0- 0— OBSERVED DEFICIENCIES: j'ox. r I DECLARE THAT THE FOLLOWING STATEMENTS ARE TRUE TO THE BEST OF MY KNOWLEDGE AND BELIEF: 1.I AM THE REGISTERED ENGINEER OR LICENSED ARCHITECT WHO HAS RESPONSIBLE CHARGE FOR THE STRUCTURAL OBSERVATION 2.I,OR ANOTHER REGISTERED ENGINEER OR LICENSED ARCHITECT WHO HAVE DESIGNATED AND IS UNDER MY RESPONSIBLE CHARGE.HAS PERFORMED THE REQUIRED SITE VISITS AT EACH SIGNIFICANT CONSTRUCTION STAGE TO VERIFY IF THE STRUCTURE IS IN GENERAL CONFORMANCE WITH THE APPROVED PLANS AND SPECIFICATIONS; ❑DEFICIENCIES CONTINUED 3.ALL DEFICIENCIES WHICH I DOCUMENTED HAVE BEEN CORRECTED UNLESS OTHERWISE INDICATED ABOVE, ON ATTACHED FORM(B&S 261 A) 4.I UNDERSTAND THAT FINAL ACCEPTANCE OF THE STRUCTURAL SYSTEMS BY THE DEPARTMENT OF BULIDING AND SATETY CANNOT OCCUR WITHOUT THE CORRECTION OF ALL OBSERVED DEFICIENCIES; � 30 2j ,' \. 5.I AM RESPONSIBLE FOR THE SUBMISSION OF THE ORIGINAL OF THIS REPORT TO THE DEPARTMENT OF BUILDING AND SAFETY, ":1N0 ' rAW. CITY OF LOS ANGELES. �� ( � 6.1 HAVE PROVIDED STRUCTURAL OBSERVATION ACCORDANCE WITH THE REQUIREMENTS OF THE CITY OF LOS ANGELES. ij �1 204, Li /AV,a/ �,�, 7 / SIGNED. . OF' dia , �yN 2018 ,AT Arcatlia.1' ,CA ,,.. F t DAY �i I tY �'�MONTH ,YEAR C X �' • ' - EXPIRE DATE:06/30/2020 WET SIGNATURE.OR REGISTERED CIVIL OR,STRUCTURAL E GI' R OR LICENSED ARCHITECT STAMP OF ENGINEER OR ARCHITECT STRUCTURAL OBSERVATION DOES NOT WAIVE ANY OF THE REQUIREMENTS FOR BUILDING INSPECTION BY AUTHORIZED EMPLOYEES OF THIS DEPARTMENT DISTRIBUTION:STRUCTURAL OBSERVER TO SENO ORIGINAL TO THE BUILDING INSPECTOR'S OFFICE.ATTACH THE FIRST COPY TO THE APPROVED PLANS.AND KEEP SECOND COPY FOR STRUCTURAL OBSERVER'S RECORD AND DISTRIBUTIONS(B&S 261 R.12195) ,I'� 4,,, � ,; ' City of Arcadia i"1' � f� BUILDING DIVISION (LARUcF V'', 240 West Huntinton Drive,Arcadia, California, 91007 o\ ..,_ "'°u*•° Telephone Number: (626)574-5416 Fax. Number: (626)447-9173 STRUCTURAL OBSERVATION REPORT FORM STRUCTURAL OBSERVATION means the visual observation of the structural system, for general conformance to the approved plans and specifications, at significant construction stages and at completion of the structural system. Structural observation does not include or waive the responsibility for the inspections required by Section 108, 1701 or other sections of the Code. _'I Report No. This report includes all construction work through day of SO(/ , > , 20 I0 Page No. of Project Address: [ Co ��I;- �� I4 V - I __, Structural Observer of Record(SOR): SOR Phone No.: (J b W " �ii(L• Building Permit No.: • Struclur I Observation dorm d by. Observer Professional LicJReg.No.: .Observer Phone No.: , ) 5"03—%—It :17 clmACA-YA1 clbl0( 5 b 2-03V2,5 OBSERVED STRUCTURAL ELEMENTS AND THEIR CONNECTIONS FOUNDATION WALL FRAMES FLOOR PORTION OBSERVED,IF NOT WHOLE O Footing,Stem Walls, 0 Concrete 0 Steel Moment Frame p Concrete Q tct_., j i cad".". t 5th/ O Mat Foundation 0 Masonry 0 Steel Braced Frame /❑`Steel Deck W r'�CM' t/"'�'F� //�� O Caisson,Piles,Grade Beams 0 Wood 0 Concrete Moment Frame 0 Wood O Retaining Foundation 0 Other: 0 Masonry Wall Frame 0 Others: Hillside Special Anchors O Others: - 0 Others: OBSERVED DEFICIENCIES: • I DECLARE THAT THE FOLLOWING STATEMENTS ARE TRUE TO THE BEST OF MY KNOWLEDGE: 1. I AM THE ENGINEER OR ARCHITECT RETAINED BY THE OWNER TO BE IN RESPONSIBLE _q0d Ar© CHARGE FOR THE STRUCTURAL OBSERVATION IN ACCORDANCE WITH THE REQUIREMENTS `r (f OF THE CITY OF ARCADIA. i '(wen Ma t 2. I,OR ANOTHER ENGINEER OR ARCHITECT WHO I HAVE DESIGNATED ABOVE AND IS UNDER 0.16816 MY RESPONSIBLE CHARGE, HAS PERFORMED THE REQUIRED SITE VISITS AT EACH SIGNIFICANT CONSTRUCTION STAGE TO VERIFY IF THE STRUCTURE IS IN GENERAL 3I �5 CONFORMANCE WITH APPROVED PLANS AND SPECIFICATIONS; �f 'Q• `C� 3. ALL DEFICIENCIES WHICH REMAIN TO BE CORRECTED HAVE BEEN INDICATED ABOVE; �VA�e of CPfrp 4. I REC• M •r •CCEPTANCE OF THESTRUCTURAL SYSTEMS BY THE CITY OF Ann,�• UNTIL ALL OBSERVED DEFICIENCIES ARE CORRECTED. If l L 0 //'- 9 c 2--ry a STAMP OF STRUCTURAL SIGNATURE 7/ tN yrA A DATE OBSERVER OF RECORD OFA$ ^t LP ,-D '-', • � • -_ y y paCCLEs R6'sfO, �„ LARUICPr ' im "rive, Ilk CITY OF ARCADIA LN, "r DEPARTMENT OF BUILDING AND SAFETY SRM Cooc P'RoG ca c`Y% STRUCTURAL OBSERVATION REPORT FORM REPORT NO. 2 THIS REPORT INCLUDES ALL CONSTRUCTION WORK THROUTH_19_DAY OF 10 ,2018 PROJECT ADDRESS: STRUCTRUAL OBSERVER STRUC.OBS.PHONE NO. 610 Gloria DAVID LI (626)-288-1216 OWNER LIC.OR REGISTRATION NO. BUILDING PERMIT NO. C58075 LOCATION AND DATE OBSERVED STRUCTRUAL ELEMENTS AND THEIR CONNECTIONS PORTIONS OF BLDG. ht //(( �7q/, 11-FnI INnf'InM n-1AIAl l fl-FRAnnFc fl-FI MR Ig5(1' /"f!%^•7 RL` (,1 M( R?_--CAh fl-mmRI AR R RTFM WA!I c n-rnNf RFTF n-cTFFI MnMFNT-SPFrIAI n-rnNrRFTF Ir/NCEI`/Z f>3L f c 4. sikip PRESTRESSED CONCRETE SLABS n-MAcnNRv oSTEEL MOMENT-ORDINARY n-cTFFI nFrt D• kc t D (h� 111 n-rAlccnwc PN Fc P.RARF RFAMR n-wnnn I-I-cTFFI RRAf Fn fl-wnnn fl-HII I RIr)F RI nr:c-RPFrIAI ❑ fl-rnNr RFTF-nl!rill F ❑ ❑ ❑ fl-rnNrRFTF-NnN-nl IrTII F ❑ ❑- ❑- ❑- OBSERVED DEFICIENCIES: min/p- i DECLARE THAT THE FOLLOWING STATEMENTS ARE TRUE TO THE BEST OF MY KNOWLEDGE AND BELIEF: 1.I AM THE REGISTERED ENGINEER OR LICENSED ARCHITECT WHO HAS RESPONSIBLE CHARGE FOR THE STRUCTURAL OBSERVATION 2.1,OR ANOTHER REGISTERED ENGINEER OR LICENSED ARCHITECT WHO HAVE DESIGNATED AND IS UNDER MY RESPONSIBLE CHARGE,HAS PERFORMED THE REQUIRED SITE VISITS AT EACH SIGNIFICANT CONSTRUCTION STAGE TO VERIFY IF THE STRUCTURE IS IN GENERAL CONFORMANCE WITH THE APPROVED PLANS AND SPECIFICATIONS; ❑DEFICIENCIES CONTINUED 3.ALL DEFICIENCIES WHICH I DOCUMENTED HAVE BEEN CORRECTED UNLESS OTHERWISE INDICATED ABOVE, ON ATTACHED FORM(B&S 261 A) 4.I UNDERSTAND THAT FINAL ACCEPTANCE OF THE STRUCTURAL SYSTEMS BY THE DEPARTMENT OF BULIDING AND SATETY CANNOT OCCUR WITHOUT THE CORRECTION OF ALL OBSERVED DEFICIENCIES; 5.I AM RESPONSIBLE FOR THE SUBMISSION OF THE ORIGINAL OF THIS REPORT TO THE DEPARTMENT OF BUILDING AND SAFETY, QI OFESS/ON CITY OF LOS ANGELES. Q ENJ 'GG 0s 6.I HAVE PROVIDED STRUCTURAL OBSERVATION ACCORDANCE WITH THE REQUIREMENTS OF THE CITY OF LOS ANGELES. ES QCD Q �i No. C:5;705 .� �'� * * ,, , " , , d �q CI �P SIGNED 1 OF? OCT ;2018" ,AT_Arcadia ; CA TFOF � \- -- DA MONTH YEAR, * CITY I,I ,, , '1!:., s I !. X. _ _ Ihp -%� 3'.-=-� EXPIRE DATE: 06/30/2020 WET SIGNATURE ORREGISTERED CIVIL OR1STRUCTURAL ENGINEER OR LICENSED ARCHITECT STAMP OF ENGINEER OR ARCHITECT STRUCTURAL OBSERVATION DOES NOT WAIVE ANY OF THE REQUIREMENTS FOR BUILDING INSPECTION BY AUTHORIZED EMPLOYEES OF THIS DEPARTMENT DISTRIBUTION:STRUCTURAL OBSERVER TO SEND ORIGINAL TO THE BUILDING INSPECTOR'S OFFICE,ATTACH THE FIRST COPY TO THE APPROVED PLANS,AND KEEP SECOND COPY FOR STRUCTURAL OBSERVER'S RECORD AND DISTRIBUTIONS,(B&S 261 R.12195) I • ' . ' City of Arcadia ton, .. ._- Q,.1n BUILDING DIVISION fLAF2LI�P , , 240 West Huntinton Drive, Arcadia, California, 91007 Telephone Number: (626)574-5416 Fax. Number: (626)447-9173 • STRUCTURAL OBSERVATION REPORT FORM STRUCTURAL OBSERVATION means the visual observation of the structural system, for general conformance to the approved plans and specifications, at significant construction stages and at completion of the structural system. Structural observation does not include or waive the responsibility for the inspections required by Section 108, 1701 or other sections of the Code. p Report No. This report includes all construction work through 217111 day of "L__ _ , 20 [ Page No. of Project Address: 640 ^ 6t, b 1 , ft � Structural Observer of Record(SOR): SOR Phone No.: Building Permit No.: Str tru`rralrObbsservatiioon'performed by. Observer Professional Lic.IReg.No.: Observer Phone No.: ALA Wkiiceir CI,h Or 67-07493 OBSERVED STRUCTURAL ELEMENTS AND THEIR CONNECTIONS FOUNDATION WALL FRAMES FLOOR PORTION OBSERVED,IF NOT WHOLE Footing,Stem Walls, 0 Concrete 0 Steel Moment Frame 0 Concrete O Mat Foundation 0 Masonry 0 Steel Braced Frame 0 Steel Deck ❑ Caisson,Piles,Grade Beams 0 Wood 0 Concrete Moment Frame 0 Wood 1ST'Retaining Foundation 0 Other: 0 Masonry Wall Frame 0 Others: ♦ Hillside Special Anchors • ❑ Others: 0 Others: OBSERVED DEFICIENCIES: I DECLARE THAT THE FOLLOWING STATEMENTS ARE TRUE TO THE BEST OF MY KNOWLEDGE: 1. I AM THE ENGINEER OR ARCHITECT RETAINED BY THE OWNER TO BE IN RESPONSIBLE CHARGE FOR THE STRUCTURAL OBSERVATION IN ACCORDANCE WITH THE REQUIREMENTS 8 p Shite OF THE CITY OF ARCADIA. f a 2. I,OR ANOTHER ENGINEER OR ARCHITECT WHO I HAVE DESIGNATED ABOVE AND IS UNDER MY RESPONSIBLE CHARGE, HAS PERFORMED THE REQUIRED SITE VISITS AT EACH ..1 G .52SIGNIFICANT CONSTRUCTION STAGE TO VERIFY IF THE STRUCTURE IS IN GENERAL CONFORMANCE WITH APPROVED PLANS AND SPECIFICATIONS; Li 3. ALL DEFICIENCIES WHICH REMAIN TO BE CORRECTED HAVE BEEN INDICATED ABOVE; Ine 4. I RECOMMEND THAT ACCEPTANCE OF THE STRUCTURAL SYSTEMS BY THE CITY OF state 03 ARCADI g r .- D UNTIL ALL OBSERVED DEFICIENCIES ARE CORRECTED. • Vix / �� STAMP OF STRUCTURAL SIi. : . DATE OBSERVER OF RECORD • CONSTRUCTION STAKING PLAN — GRADING. / LOCATION: 610 GLORIA RD ARCADIA CA 91006 4,. a I APN: 5769-022-011 & 5769-022-012 >( r*,-r DATE: 06-22-2018 1- N. T. S. 5' 5 N 55'16'56" E 197.30' 4 EgI Fa--- -- 8' 10.0' 8' • 6 i I u • 10' l II�i10 ^) Q 55.24' N w : 91.0 Icc .p I _. . O I N '�I`I N.. I I *I k-5' I 77.95' i I I _ BUILDING I 0.61' F.F.683.40 5.1T PAD=682.73 I II N I V r--�40.6' 24.10' - - I :I O � IW ' _ — .11 I I 12' I O 4 7 IN — __ 2 I - 8' 10.0' g' r� y ---_1(,7*--- IAND 8 N 5533'21" E 187.34' 1 `'p s�PL ' JACK C. LEE o C A LEGEND �p e- co 4 • # FF ELEV TOP HUB CUT/FILL DRSCRIPTION ® SET L&T ON TC LS 8407 No. 8401 1 683.40 680.50 F 2.90 8' 0/S BE J?q(F OF CAO�Q�\p 2 683.40 680.61 F 2.79 12' 0/5 BE ❑� PD L&T ON TC RP TAG LS 8407 3 683.40 682.91 F 0.49 10' 0/9 BE • 4 683.40 .682.74 F 0.66 8' 0/S BE SET f'X2' HUB CALLAND ENGINEERING, INC. 5 683.40 683.96 C 0:56 8' 0/S BE 0 SET 2'X2' NUB&TAC LS 8407 dba QUARTECH CONSULTANTS 6 683.40 682.98 F 0.42 10' 0/S BE 576 E. LAMBERT ROAD, BREA, CA 92821 7 683.40 680.31 F 3.09 4' 0/9 BE TEL (714)671-1050 8 683.40 680.48 F 2.92 8' 0/S BE FAX: (714)871-1090 ,4z. //:1 as re? 4/5 S70 A? .2b•zp/.j AOl /Id — .2 — — �j�06��1"aps— 1 ' s — 57,0,17 i c/o,2' I I i I i. I 1 g ai. I ' CCL99-Wd I I0.ONKTIMEI!! . I . . ,67$,.0 //.y gb:289 I /hZ89 ams #i '. 5/0 ;al I I 5/o of '• - i i.J Esc 7g9 5.7.1 ) �/ �6-P9'9 6 /P I. INSPECTOR S,DAILY REPORT OF COMPACTED FILL Job NaameJ/ob Location nn Job No , Page of ( .bM(l inn i ( sL; rlA XIU AIior: , R 1IrccA;i, . I — 1 General Contractor U Grading Contractor Date , Day of Week V L.,1 r, ,. , - 1/311 i ,tf��, Grading Shift Mrs Contractors Supt of Foreman 8 Signa ure Field Tech Hr on Site PA From Z. % To 3. 30 Source rk!Despiptions of Fill Materials � Approximate Fill Yardage A .. .R ii k n Citi )772.0 P r-i Total Req'd Placed this shift Total to date ae 9Of/ - - Weather Report Sequence No. Test Test Elevation Soil Fill Test Dry %of Max Remark No. Location or Type Moisture Density Dry Depth % Ibs/cu.lt. Density )t— k C-10‘-‘4_44- - -2 A 13.3 t27. a q7. -7 K_ Z ' 1. _ 123 .E 15 .1- DA <;4c pv: r 1; in l',.... (60,..)00 1 , IDCC ,r,r.-, Cc,'1A( l'-; �l 1 v +4 '11 lli I1 f 6/b r la, ;a RdA , ` rte) it .. Teo- cecJ4C �; ncki rF A. e'(.I -bin .,t )1^-k to ,-i r--Cct q07 KeLt. 7"I riP <ovr "9,;f/ --i 1 [ 1 t in 0-4, I it, 1,71'2(/7rer,p // /` L `fs / -I Gy /1, o,.. 4rill In. 'r / 0' coo.1 c, L, lrf�i )O ,, , t :L.,_ L Li -f>✓ "ti..i,. /n-�ir ir'+.—.r,' ' r U U \` I "—et L c �.-f1 �� o C r'\��kt> i , , 7 • l Remarks (Describe equipment used hauling, spreadin ,watering,condition and compacting; also report thickness H Iifs,removal of poor soil insufficiently compacted, and comment in unusual events.) • It ..- / / / .."--r / /./..‹..71 I o n,qtr Co nth . • Ia Sketch i 1' . / t i.. / / i /it // 4:1 I ) 4 Copy to Client( ) Copy to QCI( ) CAL LAND ENGINEERING, INC. y Company Policy Four(4)hours minimum Charge(including travel time) //� Quartech Consultants, Inc. by: !!! U t't7 yY INSPECTOR'S DAILY REPORT OF COMPACTED ILL Job Name ' tWl/l �/� I \ I Job Location,Lowu n( ,y/,�; ^•Job No Pageaof acit Genet Contractor Grading Contra)for ( Date Day of Week 4€4 _ ���•oz tis ,_ Grading Shift rs. "Co'ntractor's IS}ipt of Foreman&Signature Field Tech n Site / II `:€-torr'itirlsi, To _ Sou and Desptions of Fill Matenals�"til Approximate Fill Yardage C \/Aw - ticuAn, v, St Total Read Placed this shift Total to date r 1 0 , , Weather Report Sequence No, • Test Test Elevation Soil Fill Test Dry %of Max Remark No. Location or Type Moisture Density Dry Depth % Ibs/cu.ft. Density 'all!NV 1410 i• G- -- 0 g-Ca laic-`fi -6 _ $ - Owns-G I 4( ii.--- l2fcm_ 92 Gyne Ss -64 r,�. " tn. b -4� EZ[- $ _ct2-3 — I ,rho c -s4(c Thi C-(16.445- hest- tsnf . if I t -ti A=, era-a,Eti . c i0 Mn (zeicricsr 2 O I , ' r . CKc�xl l..0 LtE E, -(C5 CatikL 0� f( 11 i �y-. thiLiKelAtICIM1 Q \ -7,/ V( -'ll �f3it LY t4 ` - ' Int r , iikann�A :— nun itrL l �) - . ('ni icco IAicivh4 - M Remarks (Describe equipment used hauling, spreading,watering, condition and compacting; also report t thickness If lifts, removal of poor soil insufficiently compacted,and comment in unusual events.) eart ; I I -qr q 161 `q I - \I 11 , ,p / .1. .ii. h i • I e' t i.. 4 'U I - 1 It o-- ii ' c t I , Sketch r` _ r ra .^ / ry A I 1 py s - I Copy to Client( ) Copy to QC! ( ) CAL LAND ENGINEERING, INC. Company PolicyFour(4)hours minimum Charge(including travel time) ,1 Quartech Consultants, Inc. by: 7 . \ .... t. , INSPECTOR'S DAILY REPORT OF COMPACTED FILL Job Name r -- Job location, J p� Job No Page of u�T wi 6alcsi re,/l - ao e/ �6 (cam(. General Contractor Grading Contractor Date Day of Week 6 ,cf{-18 Tc5 , Grading Shift Hrs. Contracto 's Supt'of - reman&Signature Field Tech -jI-Irs on Site di -C � From 'S/o''u�rce and esaiptions of Fill Matenals , CV/ Approximate Fill Yardage CI- (444 Rio t/ I if I ., d i Total Reg'd _Placed this shift Total to date ^r) 132irreriai- Weather Report Sequence No... Test Test Elevation Soil, - Fill Test Dry %of Max Remark No. Location or Type Moisture Density Dry Depth . lbs/cu ft. Density I I k1 . n - 'AO - (-)i - 12ae� `�(- z it tt ,t . 8<G . 121 .0 9t-7 X:3 it bk- 1 R 0 120. ) cit -c. nA G ,-'c(/ a v itUs- t -+a �— --� 69-n4: 1-, {- `� —((. r(1-C- c cd cf- f(_ / -to dna(-ut cmc &awl i drns ' --is `StA (Aivl Inr c ` 0n. -- , x. n-sme Qau RFS- ( -h -: ( ckktstri - / -.s (cfaiLc. -]-z , fri-C_ . ; Rtin6-4 ( - sa fisSf . s--etc,‘J, `-(tom l✓ ccl clot_ ✓a-A % (1)ht -(a' �! Ms) 02 ,(1.5 ,6 i t 11\ F7ePmarks t la cs`rlbe equipment used hauling, spreading,watering,condition and compacting; also report thickness if lifts, removal of poor soil insufficiently compacted,and comment in unusual events.) ' ` 19, i I m N b S7h ,. -",- z....-...r....„--,-. - r-- r a- `�' - CO /J 1 r b CD .....4 .,... Copy to Client() Copy to QC' ( ) 'n" ' . CAL'LAND ENGINEERING, INC. n `7` Company Policy'Four la)hours minimum Charge(including Iravel time) Quartech Consultants, Inc.by: tC `l • . \ )1 INSPECTOR'S DAILY REPOT OF COMPACTED FILL JnrtlNapte � r Job Location ,��°r _,,(� �JOD No Page of _If�I(�'\rM,1,4iJlru-x` Yt�-ir7�-�+{y/— c n € Nkt tAECVkb 1�l • General Co,tractor Grading Contractor DateDay of Week ea-SO.-18 Tt 1 Grading Shift Hrs Contractor's-Supt of Foreman-8 Signature Field T Hrs on Site. f vi �� �7� � f��v From�xOlY�ry�TO Source and Dmotions of Fill Materials /J '` Approximate Fill Yardage ri• hen\IV t 5I Ii titi, Total Read Placed this shift Total to date l Weather Report Sequence No. Test Test Elevation Soil Fill Test Dry %of Max Remark No. Location or f Type Moisture Density Dry Dept % !Os/buil Density cl )6 ( ex\iInt . :FAO —.2 ci 1I .3 12-o .s 91- 3 (d-(A )(2 ; ai R (( 10 •c _ 120 . ( 91-CS i-t to x3 tt a t( Il - b I\9 (-16 , d Cuero li It ' u It 1 l-7- 12c' . I • 1 tt -l' 2 ...----- rd‘ s(4s ncS Cllr h \r . kik 4 4€S-- _� -t sA— tf sit(t unkOcncfn-( _ {AG 1 Vocikit✓F;--( vim- 2 - ,—.7.-L-----. - 6 Remarks (Describe equipment used hauling, spreading,watering, condition and compacting; also report I ,i thickness if lifts, removal of poor soil insufficiently compacted,and comment in unusual events.) /a IL 13'$vi 1 N1 :f-- ir - k {I `" Sketch1 `{ I . U 1 t �•,�; x L 0 r . Copy to Client( ) Copy to QCI ( ) CAL,LAND ENGINEERING, INC. Company Policy Four(4)hours minimum Charge(including Irani lime Quattech Consultants, Inc. by: v INSPECTOR'S DAILY REPORT OF COMPACTED. FILL Job Name Job Location , Job,No Page of '46 enc �f� . 4 SIG �Iclyice. General Contractor Grading Contractor Dale .Day of Week )6 -3k- )B (Arno Grading Shift Mrs. Contractors Supt of Foreman 8 Signat fe Field Tech . Hrs on Site Cke /r „r- �i om1t_7o Source and Descriptions of Fill Materials,�riir^ � '�^ , S Approximate Fill Yardage �- ?LUPI S 1 c�1-H= Oic:VS‹ Gra Total Req'd 'Placed this shift Total to date - Weather _,e C% Report Sequence No. Test Test 1 f Elevation Soil Fill Test Dry %of Max Remark r No. Location or Type Moisture Density Dry fDepth % lbs/cu ff Density �1 14.lj/ qq —8 a •3 ltE,S aZS-6 , ) 2- 1 I ,f/1 11 H - Q - 8 1l9' :G `C8•S a 1b.1' 12.4.-LR[ 29t' t n ' if I o.2- 11x9 9,3 .Z. w h - it' to .0 r2.-c & R(•S— • C S(-St ts c c i sem€- \ +dam--`c i' Iric* (Tv \ owitcpacaCiar - cs-----4s - [ &1h +1 - -64-- ,tc c 41 it l- ,' t€D vtr ifcc ( c �lrxc iJJG 1 v pD(�141 "_ 5 inceda7671 - Remarks ',�pescribe equipment used hauling, spreading,watering, condition and compacting; also report / \ thickness if lifts, removal of poor soil insufficiently compacted,and comment in unusual events.)nt gj sf- -iirl . • ..„.. . -, / I3I� Sketch k"-lc'. �0 - 4 J • ' Copy to Client( ) . Copy to pct( ) ,CAL LAND ENGINEERING, INC. Company Policy'Four(4)hours minimum Charge(including travel time) Quartech Consultants, Inc. by: . INSPE'C��TOR'S DAILY REPORTFOF COMPACTED ILL J Ib Name. -- / Job Location 't ] 'Job No Page of , hi(17)-041A L — Eld CkJo `/ ,L Ciclort. • tom(' General Contractor Grading Contractor Date -Daayy of Week k /inn)/ 'c1y .dl7o\ c 4c''c It a - lA4, Grading Shift Firs. Contractor's Supt of Fo man`&Signature Field Tech airs an Site 9/ l . _ -=Fvom�aCClr�" To nd Descriptipr�'ts of Fill Matenal a l Approximate Fill Yardage 'Y lr/IINI ,�^ �r'1 Total Req'tl -Placed this shah Total to date rgarkg I \J I Weather Report Sequence No.. Test ' Test .•Eleva on Sal Fill Test Dry %of Max Remark No, Location , orf „ Type Moisture Density Dry Depth • % ibs/cii.h Density rte- I C . R f rk Vir.18,-121 /1 ` Cl 10 -� .Jia -2- °C6.3 } 542 tl . tI. I( )0. C izr . 8 912 -3 MP ,x``.*. LA II n Q.'S (2.--b 92 -9• Cf 544 vk it 0 9 i 6 IIs-sr' 26-6 u! -X� w N II 16'z3 hL.-7 o54 u • k 4 10 ! lzo s ctt -3 (r -/' r --- --: . :' -)c." 1 (k. vC, r6-3- ick _ / / n Id CAi{V) ' ----7 �4� �c�`�/�t'4.� -(ki+, r.,r1, tC ' - J<<cf ids c191),(>1.0N41/1 _.---------C.-2 10 r.6<-'- ko :dc r _,l , / I Remarks ,� (Detcrlbe.equ pmef nt used hauling,spreading,vratering,condition and compacting; also report IN, h eknoss if efts,removal of poor soil insufficiently compacted; and comment in unusual events.) ; -�; — , -KA • T) I • No - 4 . a to Sketch _ CV: / ` ifriki a/ ' at/ ...- r ? Li' v) , . Copy to Client( Copy to SCI( ) ` CAL LAND;ENGINEERING, INC. Company Policy Four(4)hours minimuni Charge(incl ding travel time) - QuartechConsultants, Inc. by: - S -\, 'I t: i -- - - - i' r __ _ - INSPECTOR'S DAILY REPORT OF COMPACTED FILL Job/lame. / Job Location 128 , r r Job No Page of -1-13 fr kciA �-mi ac, alio Imo' Cl(Y.c tce ( . General Contractor Grading Contractor / Date Day of Week )(•CO— ' Qa _6044 Grading Shift Hrs. Contractor';Supt of Foreman Field eeh 1 Hrs on Site ) ,07...cFro72-Ce...i,, To ((//So''uIVrrr�ce and IIDes)�capttions of Fill Mat pals – • Approximate Fill Yardage ( . I`�i s L- ( ` iU kEIM SC Total Req'd Placed this shift + Total to date (ii%JJc_ rtzA /12, • _ . ` Weather Report Sequence No. Test TestI Elevation Soil Fill Test Dry %of Max Remark \ No. Location /It ` Location ,.J. or I Type Moisture Density Dry •V` 1 P-/ fi�l C . t / t 1 l P C r, Depth e3 It lr c7 Density 88 4 N ( fl I( (� Ia . o 1)R.3 8T-6 ty) �`� (f( f. h 1lP •ci fin , ( ar I� 7 11 k b 9 ..O \-2A- 6 91 -7It-VA 11 . ( ( R. ( \ior•t Qn,' ' r (9r ("r , ,t R-3 Ikc3-�7 X0.-1 � � -7 r _ r� t i/ r / Ckl�T Gine Imo`' ll -n-- ( it(k.,c l . 1 4 .4-- `I `i lk-»;E 11,-)6// �a1 • --f-R.74-- n (- •rJ I- c/6amu Y1� ( 1'A C—`cd TY 16 c cl(A 1 11.��/ - (/Sk�lt,N fS Remarks (Dssc�ibe equipment used hauli• ng, spread}n(��w�atering,conditioc nit cm�c mpacting also report thickness if lifts, removal of poor soil'insuf?iccker%compacted,areSkrinent in unusual events.) I _ i a, !I 1 Uf I / \ 1 II 4 Sketch _ c,....„.. ,C\( \✓ 1.42 .1 ti. --• --Q , X la La Copy to Client( ) Copy to OCI( ) CAL LAND ENGINEERING, INC...c ) company Policy Four(4)hours minimum Charge(including travel timet Quartech Consultants, Inc. by: t l� INSPECTOR'S DAILY REPORT OF COMPACTED FILL Job Name Job Location VC Job No Page of Ou r>GoM -LSr Eta 6t iM 2 Aca 4`?d- , 1 rP't. General Cdntractor Grading Contractor Date D y of Week • 1(- 0G-1� ' Iia Grading Shift Mrs. - - Contractor; Supt of Foreman 8 Signature Field Te irson•Slte J -r-- rom,1: y) To f ce and Des�1/rIpbons of Fill Materials U Approximate Fill Yardage - c• C't�4n IhA,t,try1 Total Placed this shift Total to date — . Weather Report Sequence No. Test Test Elevation Soil Fill Test Dry %of Max Remark No. Locationor Type Moisture Density Dry I t pth % lbs/cuft: Density .) - tel trial � —t (e- ( I at. 1 121 .o 9t- 7 62 u u .0 "7•G 122.0 q2-`f 3 il a .t, 71 121. 3 9[r9 g--ser N IA U 8 'Cm 1?7_ - 92-7 4s 0 l IP N �. 3 ti� Ru6 - —) c-rn S-L A ri .Cc t6s vat Js- 4 , t1/1lkiC Oa/15614 / 1AVyA �,� 'Ur fa-daJsc-i ` J9 //- r-----7 , _ , a Remarks (Describe equipmentused hauling, spreading,watering,condition and compacting; also report i A......, thicknoss If lifts, removal of poor soil insufficiently compacted,and comment in unusual events.) i big • -1 \ c‘,_ _ (---.. _ Sketch I� G; 1, \ ,.. / -4 z N __ ,__ 7, \NJ/ Copy to Client( ) Copy to QCl( ) `i CAL LAND ENGINEERING, INC. .—y Company Policy'Four(4)hours minimum Charge(Including]lr)vel time) ., f` Quartech Consultants, Inc. by: � erw5 � �)/ INISRECTOR'S DAILY REPORT OF COMPACTED FILL Job Name Job Location 'Job No Page of General Contractor Grading Contractor Date Day of W k r 16 SO 18 7. , Grading ShiftHrs. Contractors Supt of Foreman&,,Signature Field - ononSite -/ rs / . —,t, From3-frce, To Source and Descriptions of Fill Materials ///rr �. Approximate Fill Yardage Total Rea Placed this shift _ Total to date 77- '.7' \ _ Weather Report Sequence No. '/ Test " Te33y" Elevation Soil Fill Test Dry %of Max Remark N l,oGlion or Type Moisture _ Density Dry Depth % Ibs/cu.h. Density Z: /X / --r k sem., 1 ; a4 ( -\ . 6E - Crns steady £-m - 31-evt,i ClicWO-- g,,iCl_ a ullt t aiiii CANRA. .5o�Ilm� __ a Reif 410fid.. r" lnAl/r((C-i1 (wrap 14V6 C b(0,... ktuv '76 A (S. (aitctineA SI;it1/2 6 J Remarks (Describe used'hauliny, spreading,watering, condition and compacting;also report thickness if lifts,removal of poor soil insufficiently compacted,and comment in unusual events.) II - " _ -- �� • - • to 4__4. i 1L. Sketch �� ems. ( L / >. I _______, 1 1 �. 11 �1 v ,_1 ry 4____z _______-7. 7.1\ < . , , Copy to Client( ) Copy to QC! ( ) CAL LAND-ENGINEERING, INC. C.\ Company Policy Four(4)hours minimum Charge(including'ravel lime) - Quartech Consultants, Inc. by:____." r • Igo IP, os `-- CITY OF ARCADIA , 0,0,„aL Eo.' 240 West Hlnitingion Drive Arcadia, CA 97007 ROUGH GRADING VERIFICATION ATTENTION: Community Development AdministAdministrator SUBJECT: Grading Verification for Project No. 15-223-001 Address: 610 Gloria Road Gen tlemen: Rough grading operations have been completed for Project No. 15-223-001 for Lots through (if applicable) and has been inspected by the undersigned Registered Civil Engineer or Licensed Architect. Based upon the observations, the rough grading of the lot(s) listed above have been completed in conformance with plans marked "APPROVED" by the City. The work includes but is not limited to the following: grading to approximate final elevations; staking of property lines; location and gradient of cut and fill slopes; location, cross- sectional configuration and flow-line gradient ofdrainage swales and terraces; berms installed where indicated; and required drainage slopes provided on building pads. Enclosed herewith is a Soil and Compaction Report for the Building Division which is required on all new construction sites prior to footing inspection. trQPcoo,u GCctktS @�� P�K C. tes. s Engineer (Signature) �` Architect(Signature) No. � 0870 R.C.E. No. 40870 «.o ExP• a * R.P.A.No. Date: September 26;2018 61T+� CIVIL Received and approved: Date: C.D.D./Planning cc: C.D.D./Main t. Ser. C.D.D./Building Cal Land Engineering, Inc. dba Quartech Consultants Geotechnical, Environmental, and Civil Engineering, September 26, 2018 Grandway USDEVI-A, LLC 55 S. Lake Avenue, Suite 600 Pasadena, California 91101 Subject: Soil Compaction Report, Proposed Residential Development, 610 Gloria Road, APN: 5769-022-011 & 012, Arcadia, California OCI Project No.: 15-223-001C Gentlemen: This report presents results of our field density tests performed on the basement wall backfill, and proposed building pads at the subject site. The site conditions, field and laboratory test results, and post-grading recommendations are presented as follows. Our field inspection and testing services were provided on the on-call basis. SITE CONDITION This report presents results of our field density tests performed on the proposed building pads, and basement wall backfill at the subject site. The building pads as depicted on the attached Site Plan (Figure 1) were excavated to a minimum depth of four feet below the final pad grade, and four feet horizontally beyond the building footprint. The basement was at the depth of 10 feet below the final pad grade. Natural soils were exposed on the bottom of the basement excavation and were considered suitable for its intended use. The loose and/or disturbed soils were removed and exposed competent natural soils within the building pad area. FIELD DENSITY TEST 1. Field density test was performed using the Nuclear Gauge Method (ASTM D-6938-10) and/or Sand Cone Method (ASTM D-1556-07). The field density test results are presented in Table I. Approximate locations of the test are shown on the enclosed Site Plan (Figure 1). 2. Field density tests were performed at random locations to check compaction effort provided by the contractor. The test results exceeded minimum required relative compaction of 90 percent. The test results herein are considered representative of the compacted area. LABORATORY TESTING The laboratory maximum dry density and optimum moisture content for the onsite soils were determined according to laboratory standard ASTM D-1557-12. The following table presents the test result of representative soil samples collected from the subject site: 576 East Lambert Road, Brea, California 92821; Tel: 714-671-1050, Fax: 714-671-1090 Grandway USDEVI-A, LLC Page 2 QCI Project Number: 15-223-001C September 26, 2018 TABLE II LABORATORY TEST RESULTS Soil Type ' Maximum Dry Density Optimum Moisture Content (Pcf) (%) A- Reddish brown silty sand 132.0 8.0 POST-GRADING RECOMMENDATIONS 1. All utility backfill should be brought to near optimum moisture content and then compacted to obtain a minimum relative compaction of 90 percent of the laboratory standard. 2. Soils generated from footing excavations to be used on onsite should be compacted to 90 percent minimum relative compaction, whether it is to be placed in landscape areas or within areas to be improved. This material must not alter positive drainage patterns away from the structural areas. 3. All trench excavations should conform to CAL-OSHA and local safety codes. REGULATORY COMPLIANCE The field compaction tests were performed in accordance to the American Society for Testing and Materials (ASTM) standard procedures. The test results would not indicate the conditions of the subsurface materials underlying the fills. The engineering performance of the underlying materials and other materials are therefore not included in this report. Our field observation and soil tests were conducted in conformance with generally accepted professional engineering practices, and no further warranty is implied nor made. This report is subjected to review by the controlling authorities of this project. This opportunity to be of service is appreciated. If you should have any questions, please call the undersigned. Respectfully submitted, CalLand Engineering, Inc. (CLE) dba Quartech Consultants(QCI) 5sruti, QPCFE 4G)pGKC'4Fs t • - Z rN 11 No.'2,1,5/3// m1 w F�P p CI Jack C. Lee, GE 2153 * �,UP-Oaf *I Matthew Au Principal Engineer 65, °I.ECHN& ` Project Engineer End.: . Figure I—Site Plan Dist: (4)Addressee 576 East Lambert Road, Brea, California 92821; Tel: 714-671-1050, Fax: 714-671-1090 Grandway USDEVI-A, LLC Page 3 QCI Project Number: 15-223-001C September 26, 2018 TABLE I FIELD DENSITY TEST SUMMARY Depth Moisture Dry , Relative Test Test Test Below Soil Content Density Compaction NO. Date Location FS (%) � ) (%) Type(1361) (ft) X-1 8-30-18 Building Pad 2 11.3 120.5 91.3 A X-2 8-30-18 Building Pad 2 10.9 120.1 91.0 A X-3 8-30-18 Building Pad 2 11.0 119.9 90.8 A X-4 8-30-18 Building Pad 2 11.5 120.3 91.1 A X-5 9-4-18 Building Pad 0.5 7.9 120.4 91.2 A X-6 9-4-18 Building Pad • 0.5 8.6 121.0 91.7 A X-7 9-4-18 Building Pad 0.5 9.0 120.1 91.0 A X-8 9-7-18 Building Pad FS 8.6 124.9 94.6 A X-9 9-7-18 Building Pad FS 8.8 : 121.6 92.1 A X-10 9-7-18 Building Pad . FS 8.0 121.8 92.3 A X-11 9-17-18 Garage . 2 10.3 122.4 92.7 A X-12 9-17-18 Garage 2 9.7 123.7 93.7 A X-13 9-19-18 Garage . FS 8.3 122.1 92.5 A X-14 9-19-18 Garage ' FS 10.0 121.3 91.9 A Note: FS =Finish Surface 576 East Lambert Road, Brea, California 92821;Tel: 714-671-1050, Fax: 714-671-1090 I • 1 EL OE BrowNIFF I / I I I r N 55113'S8'E 197.30' I I GARAGE I OWCE) I VnP'�>.0 I I_12%11�- ' II I X-10 FF.arGE I I x-13 X-14 I I 7I -4 X-7 x— II CII II c�a II o If I. 9s, N0 E .N X-2 X-9 PA O8-7 II PADBB2T5 X-4 2 X-6 I II of 9u.69.4BASENFJIT I S I �,I FF.OT3A0 X-1 PRObT.TJ II I X-8 I g II x—s I II I 1---- _ I III I N 555321 E 181.341 *1/2////////.".74; CalLand Engineering, Inc. Project Address: dba Quartech Consultants LEGEND APN: 5769-022-011 & 12 Geotechnical, Enviromental & Civil 610 Gloria Road Engineering Services Arcadia, California X-1 Approxmiate Field Density Test Location Approximate Limit of Compacted Fill Placed Under Purview of This Report SCALE 1" = 25' SITE PLAN 9/18 FIGURE 1 City of Arcadia,CA • 1 Permit No.WaIl 19-0026 Development Services DepartmentD a .�l Permit Typ:Cr Wall 240 West Huntington Drive,Post Office Box 60021 d h„. i + ? t T�' e tl Wor/sI:'10ss ca0on:, ' Garden Wal{' Arcadia,CA 91066-6021 , r-+ , ,i .. (626)574-5416 • a r''. - j:,Permit Statusr'Issued' ARCADIA Issue Date 01/08/2019 Expiration: 07/06/2019 Addr NO. Dir Prefix Street Name Street Suffix Unit City,State,Zip Parcel Number 610 Gloria RD Arcadia,CA 5769022011 Contacts GRANDWAY USDEV 1 A LLC LLC Owner GRANDWAY CONSTRUCTION LLC" General Contractor(B) 55 LAKE AVE,PASADENA,CA 91101 55 S LAKE AVE 600,PASADENA,CA 91101 (626)357-1200 1038256 Description:BLOCK WALL AT REAR OF PROPERTY PER Valuation: $5,726.88 Tenant APPROVED PLANS. 6'H X 97'LF Total sq Feet: 0.00 Plan Check# Plan# Fees Amount payments Amount Paid Building Issuing Fee $44.35 Total Fees $221.05 Building Permit Fees $170.45 Cash/Receipt#REC-00043-19 $221.05 Solid Waste Management Fee $6.25 Amount Due: $0.00 Total: $221.05 /� ce„A e, ms �iit o#Se744fs r 7r/ '7). 01 CALLS FOR INSPECTIONS Request for inspection by telephone at 626-574-5450. Leave a message requesting the address,timeframe and what inspection Item is needed. COMPIITED This permit/plan review expires by time limitation and becomes null and void if the work authorized by the permit is not commenced within 180 days from the date of issuance or if the permit is not obtained within 180 days from the date of plan submittal.This permit expires and becomes null and void if any work authorized by this permit is suspended or abandoned for 180 consecutive days or if no progressive work has been verified by a City of Arcadia building inspector for a period of 180 consecutive days. 4I/ January 08,2019 Issued By: Date January 08,2019 Page 1 of 1 • •R d "kk,e, . i , , PERMIT/PLAN REVIEW APPLICATION ' • \�j/ Development Services Department, 240 West Huntington Drive,Post Office Box 60021 Arcadia, CA 91066-6021, (626) 574-5416,Fax (626) 447-9173 City of Arcadia LICENSED CONTRACTOR'S DECLARATION WORKERS'COMPENSATION DECLARATION la I hereby affirm under penalty of perjury that I am licensed under provisions of I hereby affirm under penalty of perjury one of the following: Chapter 9(commencing with Section 7000,of Division 3 of the Business and Professions Code,and my license is in full force and effect. ._ / ❑ I have and will maintain a certificate of consent to self-insure for workers' License Class iRATL ( e No. f73$a5t xp. Date_g/4_ 7 compensation, as provided for by Section 3700 of the Labor Code, for the Signature of Contractor ��'77 performance of the work for which this permit is issued. OWNER-BUILDER ~ 0 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 AC/C --- demolish,or repair any structure,prior to its issuance,also required the applicant Policy Number ©."-- /G..� 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 ofIn 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 c� sale(Section 7044,Business and Professions Code:The Contractors License Date 8-/ / Signature1. /4- Law does not apply to an owner of property who builds or improves thereon, or who does such work himself or herself or through his or her own employees,provided that such improvements are not intended or offered for WARNING: Failure to secure Workers'Compensation coverage is unlawful, sale.If,however,the building or improvement is sold within one(1)year of and shall subject an employer to criminal penalties and civil fines up to one completion,the owner-builder will have the burden of proving that he or she hundred thousand dollars($100,000),in addition to the cost of compensation, did not build or improve for the purpose of sale). damages as provided for in Section 3706 of the Labor Code, interest, and attorney's fees. ❑I, as owner of the property, am exclusively contracting with licensed contractors to construct the project(Section 7044,Business and Professions Code:The Contractors License Law does not apply to an owner of property CONSTRUCTION LENDING AGENCY, who builds or improves thereon,and who contracts for such projects with a I hereby affirm under penalty of perjury'that there is a construction lending agency contractor(s)licensed pursuant to the Contractors License Law). for the performance of the work for which this permit is issued (Section 3097, Civil Code). ❑ I am exempt under Section 7044,Business and Professions Code,for this reason: Lender's Name Date Signature Lender's Address IMPORTANT: APPLICATION IS HEREBY MADE TO THE BUILDING OFFICIAL FOR A PERMIT SUBJECT TO THE CONDITIONS AND RESTRICTIONS SET FORTH ON THIS APPLICATION AND THE FOLLOWING: 1. The City's approved plans and permit inspection card must remain on the job site for use by City inspection personnel. 2. Final inspection of the work authorized by this permit is required.A Certificate of Occupancy must be obtained prior to use and occupancy of new buildings and structures. 3. Per South Coast Air Quality Management District(AQMD)regulations,renovation and remodeling work that results in the removal,stripping,or altering of asbestos containing materials requires an asbestos survey and removal prior to disturbing the asbestos. Please contact AQMD at(909) 396-2000 for further information. Name . 005 a-- ,frreititn27.61itle S'r it_Cetlfeil t /vim 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 the above-mentioned property for inspection purposes. 1 h3 -/7 Signature " v' 1 Date li City of Arcadia, CA { Permkt NO. MEP-18-1160 ,, f Development Services Department [Ik.! &flJ"UTiJi,b Permk[Type_ MEP, 240 West Huntington Drive,Post Office Box 60021 Work Classkiications MEP Rsidential = (626)574-5416 - ,, - . - Permit Status:Is ued , ARCADIA Issue Dae.'07/ 24/2018 Expiration: 01/20/2019 Addr NO. Dir Prefix Street Name Street Suffix Unit City,State,Zip Parcel Number 610 Gloria RD Arcadia,CA 5769022011 Contacts GRANDWAY USDEV 1 A LLC LLC Owner GRANDWAY CONSTRUCTION LLC' General Contractor(B) 55 LAKE AVE,PASADENA,CA 91101 55 5 LAKE AVE 600,PASADENA,CA 91101 (626)357-1200 Description:MEP FOR SF NEW.400 AMP SERVICE,1 SUBPANEL. Valuation: $ 0.00 Tenant HVAC SYSTEM PER APPROVED PLANS.HERS REQUIRED FOR FINAL.HOODS AND FIRE PLACE INCLUDED. Total Sq Feet: _ 0.00 _ Plan Check it Plan It Fees Amount Payments Amount Paid Bathtubs/or Combo $37.38 Total Fees $1,553.32 Clothes Washer $12.46 Cash/Receipt tt REC-001802-2018 $1,553.32 Compressor 3-5 Ton(3 to 15 hp) $102.87 Amount Due: $0.00 Dishwasher $12.46 Distribution Panel $15.55 (� /' Electrical Permit Issuance Fee $44.35 Z—/n_ 20 y%44/ r? Fireplace Pre-Fab $28.22 ti �J ��'///l (FL__ Fireplace I/f Floor Drain Fee $24.92 0 e✓' CieY C/�-gf j 5 c/P, /�(I�J'0 s Furnace or Burner<=100,000 BTU $56.22 '/ J Garbage Disposal Fee $24.92 Gas System(Outlets) $93.20 CALLS FOR INSPECTIONS Install,Relocate Appliance Vent/Hood $18.76 Request for inspection by telephone at 626-574-5450. Leave a message Kitchen Sink $24.92 requesting the address,timeframe and what inspection item is needed. Lavatories $87.22 Lawn Sprinkler System on One Meter $18.74 Mechanical Permit Issuance Fee $44.35 This permit/plan review expires by time limitation and becomes null and Motors,Generators<1 hp $30.48 void if the work authorized by the permit is not commenced within 180 days New Residential Accessory Bldg (sq ft $42.60 from the date of issuance or if the permit is not obtained within 180 days area) from the date of plan submittal.This permit expires and becomes null and New Residential Elect.(sq ft area) $521.36 void if any work authorized by this permit is suspended or abandoned for 180 Plumbing Permit Issuance Fee $44.35 consecutive days or if no progressive work has been verified by a City of Residential Services up to 400 amps $15.55 Arcadia building inspector for a period of 180 consecutive days. Total: $1,553.32 o COMPLETED (-11July 24, 2018 Issued By: Date July 24,2018 Page 1 of 1 ,Ti AR I s.•ap PERMIT/PLAN REVIEW APPLICATION is -, r13T 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 affum 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, d my license is in full force and effect /�,,7� ❑ I have and will maintain a certificate of consent to self-insure for workers' r Class 24 ' nNo 2i�� •Exp Date%JV d compensation, as provided for by Section 3700 of the Labor Code, for the performance of the work for which this permit is issued. re of Contractor / . ,ER-BUILDER D CLA TIM,/ ❑ 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 or rs'co�aJLpensation ms ce catsier and polic numbers . Code.Any city or county which requires a permit to construct,alter,improve, Carrier .57.4 G W�.�.r�rj+�y��+,•r /h lots J demolish,or repair any structure,prior to its issuance,also required the applicant policy Number 7 p`K t'/n--Ver 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 far 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 e 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 •)( llr /, sale(Section 7044,Business and Professions Code:The Contractors License Dated 7 /� Signature _ • - ld_�/ Law does not apply-to an owner of property who builds or improves thereon, or who does such work himself or herself or through his or her own - employees,provided that such improvements are not intended or offered for WARNING: Failure to secure Workers'Compensation coverage is unlawful, sale.If,however,the building or improvement is sold within one(1)year of and shall subject an employer to criminal penalties and civil fines up to one completion,the owner-builder will have the burden of proving that he or she hundred thousand dollars($100,000),in addition to the cost of compensation, did not build or improve for the purpose of sale). damages as provided for in Section 3706 of the Labor Code, interest, and attorney's fees. ❑I, as owner of the property, am exclusively contracting with licensed _ _ _ --- contractors to construct the project(Section 7044,Business and Professions Code:The Contractors license Law does not apply to an owner of property CONSTRUCTION LENDING AGENCY who builds or improves thereon,and who contracts for such projects with a I hereby affirm under penalty of perjury that there is a construction lending agency contractor(s)licensed pursuant to the Contractors License Law). for the performance of the work for which this permit is issued (Section 3097, Civil Code). ❑ I am exempt under Section 7044,Business and Professions Code,for this reason: Lender's Name Date • Signature _ Lender's Address IMPORTANT: APPLICATION IS HEREBY MADE TO THE BUILDING OFFICIAL FOR A PERMIT SUBJECT TO THE CONDITIONS AND RESTRICTIONS SET FORTH ON THIS APPLICATION AND THE FOLLOWING: 1. The City's approved'plans and permit inspection card must remain on the job site for use by City inspection personnel. 2. Final inspection of the work authorized by this permit is required.A Certificate of Occupancy must be obtained prior to use and occupancy of new buildings and structures. 3. Per South Coast Air Quality Management District(AQMD)regulations,renovation and remodeling work that results in the removal,stripping,or altering of asbestos containing materials requires an asbestos survey and removal prior to disturbing the asbestos.Please contact AQMD at(909)396-2000 for further information. (Name (]JuIJc / / ig �nOJPl 'rife /l .I '/4 Gill I PRINT 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 •rdinances and State Laws relating to building construction. I hereby authorize representatives of the City of Arcadia to ente upon th aboa ,r entioned property for inspection purposes. ignature/ ,'/•de _ di ) Date 7-25/ f$ a'b,$dy City of Arcadia, CA -- _, --n Permit NO.Mecfi-19-0197 `\; fr% Development Services Department 1JJJ�-� (' S`'-t- Permit Type•Mechanical 1. flf 240 West Huntington Drive,Post Office Box 60021 i,-/ 11� .. 'V- Arcadia,CA 91066-6021 I I. C t` Work Iuo;siJcapon:HVAC New System,-Residential 1---i."" (626)574-5416 ` • Permit status:Issued ARCADIA Issuebate:o1/3o/zo19)I Expiration: 07/29/2019 Addr NO. Dir Prefix Street Name Street Suffix Unit City,State,Zip Parcel Number {, 610 Gloria RD Arcadia,CA 5769022011 I Contacts GRANDWAY USDEV 1 A LLC LLC Owner J B P Mechanical* HVAC Contractor(C-20) 55 LAKE AVE,PASADENA,CA 91101 1539 Rimhurst,Glendora,CA 91740 (714)319-6654 828709 Description:HVAC FOR SF NEW PER APPROVED PLANS.HERS Valuation: $ 0.00 Tenant REQUIRED FOR FINAL Total Sq Feet: 0.00 plan Check# Plan It • Fees Amount ' payments Amount Paid Compressor<3 Ton(up to 3 hp) $59.58 I Total Fees $167.17 Furnace or Burner Cr 100,000 BTU $59.58 Cash/Receipt#REC-00263-19 $167.17 Mechanical Permit Issuance Fee $47.01 Amount Due: $0.00 Solid Waste Management Fee 2 $1.00 Total: $167.17 2-/o-ze J ( 3Z- vebi$e&C/%f/e$ a//nfCr#y CALLS FOR INSPECTIONS Request for inspection by telephone at 626-574-5450. Leave a message � requesting the address,timeframe and what inspection item is needed. Fir- COl\I1PE1'ED 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. 4,7 -...2 January 30, 2019 Issued By: Date January 30,2019 Page 1 of 1 •F A• .ayrortvw 4 :rte ' PERMIT/PLAN REVIEW APPLICATION oo . vler ..M c\'W /.• m„,,ow Arcadia, CA 91066-6021, (626) 574-5416,Fax(626) 447-9173 City of Arcadia LICENSED CONTRACTOR'S DECLARATION WORKERS'COMPENSATION DECLARATION ereby 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 e--2-a L No. 709 Exp. D3[e 12 perfo m nce provided forwby Sectioniisss the Labor Code, for the 1 Signature of Contractor fir performance of the work for which this ion 3700 is issued. OWNER-BUILDER DECLARATION have and will maintain workers'compensation insurance,as required by Section ❑ I hereby affirm under penalty of perjury that I am exempt from the Contractors 37 0 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 ce carrier and policy numbers are: Code.Any city or county which requires a permit to construct,alter,improve, Carrier -.54v-1-6, �-'c^ demolish,or repair any structure,prior to its issuance,also required the applicant PolicyAO Number W 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 ❑ 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 , the property, employees withwages as sole for forthwith mply� with those provisions. compensation,will do the work,and the structure is not intended or offered for 30 Dare Signature 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 tmlawful, sale.If,however,the building or improvement is sold within one(1)year of and shall subject an employer to criminal penalties and civil fines up to one completion,the owner-builder will have the burden of proving that he or she hundred thousand dollars($100,000),in addition to the cost of compensation, did not build or improve for the purpose of sale). damages as provided for in Section 3706 of the Labor Code, interest, and attomey's fees. ❑I, as owner of the property, am exclusively contracting with licensed contractors to construct the project(Section 7044, Business and Professions Code:The Contractors License Law does not apply to an owner of property CONSTRUCTION LENDING AGENCY who builds or improves thereon,and who contracts for such projects with a I hereby affirm under penalty of perjury,that there is a construction lending agency contractor(s)licensed pursuant to the Contractors License Law). for the performance of the'work:for which this permit is issued (Section 3097, Civil Code). ❑ I am exempt under Section 7044,Business and Professions Code,for this reason: Lender's Name Date Signature Lender's Address IMPORTANT: APPLICATION IS HEREBY MADE TO THE BUILDING OFFICIAL FOR A PERMIT SUBJECT TO THE CONDITIONS AM) 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. Lame 1)OLLA --� J Title etZO PRPTT NA/Me 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 _pT',.�.Adia to enter upon the above-mentioned property for inspection purposes. //' S�gnature )Date /j 3d/ q 1 std' City of Arcadia, CA _ Permit NO FIRE 18 2349 t{Ilt,r`. Development Services Departmentfi=t Permit Type FVe, 240 West Huntington Drive,Post Office Box 60021 , Arcadia,CA 91066-6021 iNork Clnss_rJcanon Flre Sprinkler (626)574-5416 PermitStOtus Issued ARCADIA issueDate:02/08/2019 Expiration: 08/07/2019 Addr NO. Dir Prefix Street Name Street Suffix Unit City,State,Zip Parcel Number 610 Gloria RD Arcadia,CA 5769022011 Contacts GRANDWAY USDEV 1 A LLC LLC Owner SPECIALIZED FIRE PROTECTION,INC.` Fire Contractor(C-16) 55 LAKE AVE,PASADENA,CA 91101 18305 E Valley 4tH,La Puente,CA 91746 (626)416-9276 1005885 Description:FOR SF NEW. 73 HEADS Valuation: $ 10,000.00 Tenant Total Sq Feet: 0.00 Plan Check#18-2349 Plan N Fees Amount payments Amount Paid Fire Issuance $47.01 Total Fees $985.26 Fire Permit Fees $237.25 Cash/Receipt N REC-00347-19 $285.26 Solid Waste Management Fee 2 $1.00 Cash/Receipt N REC-003188-2018 $700.00 Sprinkler Heads $700.00 Amount Due: $0.00 Total: $985.26 fes! COMPLETED 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 08, 2019 Issued By: Date February 08,2019 Page 1 of 1 of AR ,,l}FORkfy. I PERMIT/PLAN REVIEW APPLICATION _ Development Services Department, 240 West Huntington Drive,Post Office Box 60021 °mmo.R,eon 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,an y license is in full force and effect. ��'qqq 9 I have and will maintain a certificate of consent to self-insure for workers' License Class License No. oorif _Exp. Date 77S79c 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 9 I have and will maintain workers'compensation insurance,as required by Section 9 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 ❑II 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 soas to become subject to the workers' penalty of not more than five hundred dollars($500)): compensation Laws of California,and agree that should become subject to the workers'compensation provisions of Section 3 0 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 am 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'hbusand dollars($100,000) inadditionto 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). 9 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. ��//j Name E2271/ Title INT 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 ordinan and State Laws relating to building construction. I hereby authorize representatives of the City of Arcadia to enter upon the above-mentir'ty for inspection purposes. p/// Signature Date d/( 7 OF ARC (4! '4 121. ise C�0: MEMORANDUM Fire Department DATE: July 24, 2019 TO: BUILDING DEPARTMENT INSPECTOR John Zurick FROM: FIRE DEPARTMENT SUBJECT: FIELD INSPECTION ADDRESS: 610 Gloria Road THE FOLLOWING ITEMS WERE CHECKED FOR CONFORMANCE WITH APPLICABLE FIRE DEPARTMENT REQUIREMENTS: TYPE OF INSPECTION DATE / INITIAL FINAL INSPECTION FIRE SPRINKLERS 7-24-2019 Jill Perumean FIRE ALARMS TANKS HOOD & DUCT KNOX BOX OCCUPANCY 7-24-2019 Jill Perumean COMMENTS: 7-24-2019 Jill Perumean OF AR 1R r MEMORANDUM Fire Department DATE: September 25, 2019 TO: BUILDING DEPARTMENT INSPECTOR John Zurick FROM: FIRE DEPARTMENT SUBJECT: FIELD INSPECTION ADDRESS: 610 Gloria Road THE FOLLOWING ITEMS WERE CHECKED FOR CONFORMANCE WITH APPLICABLE FIRE DEPARTMENT REQUIREMENTS: TYPE OF INSPECTION DATE / INITIAL FINAL INSPECTION FIRE SPRINKLERS 7-24-2019 Jill Perumean FIRE ALARMS TANKS HOOD & DUCT KNOX BOX OCCUPANCY 7-24-2019 Jill Perumean COMMENTS: 7-24-2019 Jill Perumean SIM r�3e" PLANNING SERVICES ATTENTION: (�1%s DATE: /O/ %. FROM: BUILDING SERVICES INSPECTOR: AI PROPERTY ADDRESS: 6/l/ 416/4/ii I�v PERMIT#: PLAN#: O, CONTRACTOR: ?X PHONE#: 3 2 S /W ?c?7 OWNER: PHONE#: PLEASE INSPECT THE FOLLOWING ITEMS FOR COMFORMANCE WITH APPLICABLE PLANNING REQUIREMENTS. TYPE OF INSPECTION DATE & INITIAL DATE&INITIAL FINAL APPROVAL LANSCAPING/IRRIGATION TRASH ENCLOSURES /0/ y 1)-)/I n ,I/L PARKING/DRIVEWAYS �y2 f i q — /O/9-3/11 f'J/#_f1 STORAGE AREAS !/p/z-��/Q (/ {� MECHANICAL EQUIPMENT V/ WALL HEIGHT BACKFLOW SCREENING • COMMENTS: / 9— kw -- ,e,4– y oil . fa ter . WATER DIVISION ATTENTION: DATE: /L/S FROM: BUILDING DIVISION INSPECTOR: ADDRESS: OG Z/"/4. r( � PERMIT NO.: PLAN NO.: CONTRACTOR: JGSc%. PHONE NO.: 3Z> 5J / - ? 7 OWNER: • PHONE NO.: PLEASE INSPECT THE FOLLOWING ITEMS FOR CONFORMANCE WITH APPLICABLE DEPARTMENT OF PUBLIC WORKS REQUIREMENTS. Type of Inspection Date& Initial Date&Initial Final Approval Meter Location 1\4\60 I 0 - I `g Blackflow Devices U ✓�r"l \ o , [e t\C1 110--) [0, 30 • 1, Irrigation System ` l V ' l 1 � 9 10, (e t`., Fire Sprinkler System VV \ 0 • l 2 , 19 • Lq,& I 53 ` Meter Clear A.P.P. 1`gt6 , g l � • I�' l9 Swimming Pool COMMENTS: Fl luf -j A ,drs = \,/2 " I70 - 1*4 --Loco Leo 1'J r tcnc ick3 I � Okc,+Mt = r- R - RS6-o - S2-G1# S 14-4-s e 2 10-10.1y Irl o•1 uo 6 IS C1& 3 \u "ClYb4 5bita a.) L 11) Wil,t�z pP1‘ctG6 t1/4t r—t 25i lira? City of Arcadia DEVELOPMENT SERVICES DEPARTMENT Inter-Departmental Inspection Request Date: /0/5:-/ Public Works Inspector / To: From: T L_GJ/'I Address: / // J Com" �i/fit �� 1� �z/J Permit No.: Contractor: Phone No:: L 3 9�7 77�7 Owner: Phone No.: Please inspect the following items to ensure that the Contractor/Developer is in compliance with all conditions of approval established for the project, and that the work performed meets the City's standard for Public Works construction: Type of Inspection Date& Initial Date& Initial Final Approval Drainage RCS 1I O ` 1 g`I i • Grading Erosion Control Offsite Improvements Street Improvement(s) ,�, (conduit,curb/curb & (�) gutter, curb numbers, driveway approach, 0 . �g • l9 parkway planting, sidewalk, street light, traffic flow, etc.) Sewer(s) (lateral,grease/san /1"I py interceptor, saddle,wye, etc.) COMMENTS: Red. ,t2)1I SANITATION DISTRICTS OF LOS ANGELES COUNTY RobertlManager Ferrante General ChiefEngineerand Genee ral Manager MIPV1955 Workman Mill Road,Whittier,CA 90601-1400 Mailing Address:P.O.Box 4998,Whittler,CA 90607-4998 Convening Waste Into Resources (562)699-7411•www.lacsd.org Counter Hours: 7:00 a.m.-4:00 p.m.Mon.-Thurs. 7:00 a.m.-3:00 p.m.Fri. Application No.: 5769022011-002 SEWERAGE SYSTEM CONNECTION FEE RECEIPT Date: August 22,2019 4 APN:5769 022 011 District No.: 15 – — Owner/Situs Address Applicant Information p GRANDWAY USDEV I E LLC Grandway USDEV 1-E,LLC(Owner) 610 GLORIA RD Eric Buhrer ARCADIA,CA 91006 55 S LAKE AVE STE 600 I PASADENA,CA 91101 y [Phone.(626)315-7_0-";1":20 626)357 1200 _ F'n:v �[ i7Q, .7.1..: 'y aC 1-: ,_ __:yd„;,,,r,c;r.1;1_ ''ct r'. Zi Jw:th- 1. Facility Type Measure of Use Unit Rate Amount Single Family Home D 1.00 DU Single Family Home N 1.00 DU 54,210.00/DU $4,210.00 610 GLORIA RD,ARCADIA Base Line Credit1.00 CUs $4,210.00/CUs ($4,210.00) Connection Fee Due So.00 Type Abbreviations N-New or Additional;C-Change of Existing;5-Existing to Remain;D-Demolition of Existing;T•Tenant Improvement of Existing;Septic to Sewer Demolition and rebuild of SFR Includes demolition of 1.00 DU of existing Single Family Home Processor.Erika Ballesteros Approver.E'zabefh Pa I q SANITATION DISTRICTSI OF IAS ANGELES COUNTY D.C.: / 'Ramon Receiyed _ ______ _ _Check No_ nmo�n_i 1%APPROVED Eric Buhrcr $0.00 1. GRACE ROBINSON HYDE CHIEF ENGINEER&GEN.MGR. Valid Only When Stamped DOC#5282884 ITHIS is NOTA CONNECTION PERMIT. A CONNECTION PERMIT IS REaI,JREn REFORE CONNECTEN tTO ANY SEWER