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,�a'6 � City of Arcadia, CA Permit No RALT=T9 2238
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4 fA Development Services Department permit Type:Residential Addition/Alteration
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7 "y 240 West Huntington Drive,Post Office Box 60021 i _ /r Wo k C ossijfcotlon-Res-Window Change-Out.
Arcadia,CA 91066-6021 "��`"•',� -. . .
(626)574-5416 - Permit StatusiIn Review
ARCADIA • - IstueDate: 1 Expiration:
Addr NO. Dir Prefix Street Name Street Suffix Unit City,State,Zip Parcel Number
421 ELDORADO ST A Arcadia,CA 91006-3914 5779006075
Contacts
STEPHAINE CHEN Owner THE HOME DEPOT USA* Contractor
421 EL DORADO ST A 105465 Po Box,Atlanta,GA 30348
(801)652-2155 (626)225-4591 602331
l
Description:RETROFIT 2 WINDOWS AND 1 PATIO DOOR PER Valuation: $ 6,485.00 Tenant
APPROVED PLANS
Total Sq Feet: 0.00 Plan Check# Plan#
Fees Amount I Payments Amount Paid
Building Issuing Fee $47.01 Total Fees $413.51
Building Permit Fees $187.15 Cash/Receipt#REC-02995-19 $413.51
Building Plan Review Fee $121.65 -- -
Cal Green Plan Check $12.17 Amount Due: $0.00
Energy Plan Review Fee $37.43
Green Building Standard $1.00
Solid Waste ManagementFee $6.25
Strong Motion Inst.ProgramRes $0.85 ' CO ?LE1F
Total: $413.51
CALLS FOR INSPECTIONS
/2'30-19 Request for inspection by telephone at 626-574-5450. Leave a message
requesting the address,timeframe and what inspection item is needed.
iL 6g QW,
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.
J Issued By: Date
November 05,2019 Page 1 of 1
.,1Fotv,„.I
._ PERMIT/PLAN REVIEW APPLICATION r
`ilii' Development Services Department,240 West Huntington Drive,Post Office Box 60021
000,,„,”ante. 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,�77and my license is in full force and effect. ❑ I have and will maintain a certificate of consent to self-insure for workers'
License ClassD C7 �6� License No.60Z 337 Exp. Date,9/�/Z0 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 ,�J7e
OWNER-BUILDER DECORATION pit 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,(w'orke��rs�'�c�ompensation insurance carrier and policy numbers are:
Code.Any city or county which requires a permit to construct,alter,improve, Carrier ; L4Me /6a2L //fi1
demolish,or repair any structure,prior to its issuance,also required the applicant
Policy Number 65:990S0 6
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 them from and the basis for the alleged exemption. Any violation of
Section 7031.5 by any applicant for a permit subjects the applicant to a civil not employ any person in any manner so as to become subject to the workers'
penalty of not more than five hundred dollars($500)): compensation Laws of California,and agree that if I should become subject to the
workers'compensation provisions of Section 3700 of the Labor Code,I shall
❑I, as owner of the property, or my employees with wages as their sole forthwith comply with those provisions. p
compensation,will do the work,and the structure is not intended or offered for Date»/OS/9,9 Signature 0,4-----
sale(Section 7044,Business and Professions Code:The Contractors License
Law does not apply to an owner of property who builds or improves thereon,
or who does such work himself or herself or through his or her own
employees,provided that such improvements are not intended or offered for WARNING: Failure to secure Workers'Compensation coverage is unlawful,
sale.If,however,the building or improvement is sold within one(1)year of and shall subject an employer to criminal penalties and civil fines up to one
completion,the owner-builder will have the burden of proving that he or she hundred thousand dollars($100,000),in addition to the cost of compensation,
did not build or improve for the purpose of sale). damages as provided for in Section 3706 of the Labor Code, interest, and
attomey's'fees.
❑I, as owner of the property, am exclusively contracting with licensed -
contractors to construct the project(Section 7044,Business and Professions
Code:The Contractors License Law does not apply to an owner of property CONSTRUCTION LENDING AGENCY
who builds or improves thereon,and who contracts for such projects with a I hereby affirm under penalty of perjury that there is a construction lending agency
contractor(s)licensed pursuant to the Contractors License Law). for the performance of the work for which this permit is issued (Section 3097,
Civil Code).
❑ I am exempt under Section 7044,Business and Professions Code,for this reason:
Lender's Name
Date Signature Lender's Address
IMPORTANT:APPLICATION IS HEREBY MADE TO THE BUILDING OFFICIAL FOR A PERMIT SUBJECT TO THE CONDITIONS AND
RESTRICTIONS SET FORTH ON THIS APPLICATION AND THE FOLLOWING:
1. The City's approved plans and permit inspection card must remain on the job site for use by City inspection personnel.
2. Final inspection of the work authorized by this permit is required.A Certificate of Occupancy must be obtained prior to use and occupancy of new buildings
and structures.
3. Per South Coast Air Quality Management District(AQMD)regulations,renovation and remodeling work that results in the removal,stripping,or altering
of asbestos containing materials requires an asbestos survey and removal prior to disturbing the asbestos.Please contact AQMD at(909) 396-2000 for
further
information.� _- ,,/
Name r+iett Y dXIM \flue /.Pl ft M j
PRINT NAME
ige-
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.
Si;nature jaivtair 1 Date 71/93719
fog.;
: ;�'�"°°"�"•• DEVELOPMENT SERVICES '-- -
M4 'M^ I DEPARTMENT t .` t !°� ^'
�I PLAN ilE3WI
rt+ ' BUILDING AND SAFETY �, Wig' "- _ } '
��°i`' E IL�DiN, G' P'E 'M l�' •
240 West Huntington Drive .t ."....„.,.-2,,„
Ci of P.O.Box 60021 'APPLICATION
1 �o s ��p,+ �
Arcadia,CA 91066-6021 P'P L;I C, 1 A)
Arcadia (626)574-5416 �
9 N u I
if-vorium,
, _ . ... ..... _ .” ....._... __________i
BUILDING 421 El Dorado S reet Apt A Arcadia, CA 91006
ADDRESS
QN,rEF1 STEPHANIE CHEN
MAILING 421 EI Dorado Street Apt A
ADDRESS
Arcadia CA 91006 (801)652-2155
CITY STATE ZIP TELEPHONE
CONTRACTORHome Depot U S A Inc.
ADDRESS 345 Cloverleaf Drive, Suite B
CRYBaldwin Park - STATE CA ZIP 91706 TELEPHONE (626) 225-4591 •
STATE F B 602331 CITY O. 060754
APPLICANT CA Permits/
ADDRESS 111 E CEDAR AVENUE #202
GTI, Burbank STATE CA ZIP 91502 TELEPHONE (818) 459-3839
PROPOSED Retrofit 2 Window and 1 patio door. Same size and location.
CONSTRUCTION
REMODELED NEW SQUARE Ft OF
SQUARE FT. MAIN STRUCTURE
NEW SQUARE Ft OF ACCESSORY NEW SQUARE Ft OF
STRUCTURE(SPECIFY] PATIO(SY PORCH IES]
NEW SQUARE FT.OF MISCELLANEOUS
STRUCTUREIS)(SPECIFY)
OCCUPANCY
CLASSIFICATIONI5)
TYPE OF
CONSTRUCTION VALUATION $ 6,485.00
Iti a" C<'EU. 03,7x"+
I� 10/09/08
�:�� HOME
,~`� SERVICES
415-421 El Dorado Villa Stephanie Chen
(HOA/Associate Name) (Homeowner Name)
421 El Dorado St.
(Address) (Address)
A
(Address) (Unit#) •
Arcadia,CA,91006
(City,State,Zip Code) (City,State,Zip Code)
10/20/2019
(Date)
To whom it may concern:
This letter serves as an approval notice for Home Depot to install any and or all of the
products checked below at above mentioned property and corresponding unit#(s)
%Vinyl Windows
o Wood Windows
o Fiberglass Entry.Doors
o Vinyl Siding
o Fiber Cement Siding
o Seamless Aluminum Gutters
o Roofing
By signing this letter, I authorize that I am a member of the HOA or Association with
authority to approve the above Home Improvement Project(s)
(Name"
(Title, if any)
10/20/2019
(Date)
FIRST FLOOR SECOND FLOOR
• 1 PD 1X80
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Bathroom Bedroom Bedroom
Kitchen
Living Room .
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Trees __L_._—_..._..-__ --
LEGEND
421 El Dorado Street Apt-A,Arcadia,CA 91006
• REPLACING 2 WINDOWS AND 1 PATIO DOOR •
VINYL DUAL GLAZED tU_`-FA�C�-ITOR 32JSI1G{ O 15 _ -
ALL WINDOWS WILL STAY IN THE SAME SIZE&LOCATION Caiifom[d Permits.Pii.
CONTRACTOR- HOME DEPOT USA INC. LIC. 602331 111 ECEDARAVENUE I STE'202
ALL JOB AND MATERIALS WILL COMPLY aNIIi' ?016 BURBANKII .cU'91502 _
RESIDENTIAL BUILDING CODE 818'. 59.383?�1f'IWF6@CAPERMIT5:COM
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AFFIDAVIT SELF-CERTIFICATION
FOR COMPLIANCE OF SMOKE ALARMS
AND CARBON MONOXIDE /ALARMS
Property Address: 411 .i Voacto * A" Avcaaotfe, 1 cA 5100‘
Permit Number: RkL T-- i -4-23 8.
Brief Job Description: (as_ 2"w4c -cunt / fcdh% Y - ----- — -- ---
Number of smoke alarms installed: 6
Number of carbon monoxide alarms installed:
When alterations, repairs or additions requiring a permit occur, or sleeping rooms are created,
Smoke alarms shall be installed in each sleeping room, and outside each separate
sleeping area in the immediate vicinity of the bedrooms, and on each additional story of the
dwelling, including basements and habitable attics as required by Section R314 of the 2016
California Residential Code (CRC) and California Health and Safety Code Section 13113.7.
For dwellings or sleeping units containing fuel burning appliances or having attached
garages, carbon monoxide alarms shall be installed outside each separate sleeping
area in the immediate vicinity of the bedrooms, and on each additional story of the
dwelling, including basements as required by Section R315 of the of the 2016 California
Residential Code (CRC).
Multi-purpose alarms (combination carbon monoxide and smoke alarms) may be used.
All alarms shall comply with requirements for listing and approval by the Office of the State Fire
Marshal. http:l/osfm.fire.ca.qov/licensinolistings/licenselisting bml searchcotest.php
As owner of the above referenced_property, I hereby certify that the smoke alarms and-carbon
monoxide alarms have been installed in accordance with the manufacturer's instructions and in
compliance with the code sections referenced above.
I declare under penalty of perjury that the foregoing is true and correct, and that this
declaration was executed on (Date) at Arcadia, California.
Owner's Name (printed/typed): STKI-41-7.0e- 0.--F,")
Signature of Owner: " im,/ `f`- Th_
This affidavit must be returned to the City of Arcadia inspector prior to final inspection
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El FIRST FLOOR PLAN
lb= SMOKE ALARM it = CARBON MONOXIDE ALARM
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L Bath
PI Master Bedroom
Dining Room Kitchen I 'w
Bath
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Closet
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Closet
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Bedroom Bedroom
SECOND FLOOR PLAN
V=SMOKE ALARM I m CARBON MONOXIDE ALARM ' : '