HomeMy WebLinkAboutUntitled City of Arcadia, CA _ Permit.No RALT-19 1969
Development Services Department ® )12-D1 4 �'1 t-; , Type.:Residential Addition/Alteration
r 240 West Huntington Drive,Post Office Box 60021 rl (( l i Work Cla:si canon:Res-Window Chatl a Out
Arcadia,CA 91066-6021 LIr -3 !...-=',-..1 .�,, h B
(626)574-5416 - Permit Status:Issued.
ARCADIA Issue Date:09/26/20191 Expiration:
Addr NO. Dir Prefix Street Name Street Suffix Unit City,State,Zip Parcel Number
[1n2 EIGHTH AVE Arcadia,CA 5791013001
x1.
Contacts
CARLOS KAISER Owner THE HOME DEPOT USA• Contractor
1722 EIGHTH AVE,ARCADIA, 105465 Po Box,Atlanta,GA 30348
(213)407-9810 (626)225-4591 602331
Description:RETRO FIT PATIO DOOR IN SAME LOCATION . Valuation: $ 2,671.00 Tenant
Total Sq Feet: 0.00 Plan Check N Plan N
^Fees Amount Payments Amount Paid
Building Issuing Fee $47.01 Total Fees $285.24
Building Permit Fees $120.35 Cash/Receipt N REC-02631-19 $285.24
Building Plan Review Fee $78.23
Cal Green Plan Check $7.83 Amount Due: $0.00
Energy Plan Review Fee $24.07
Green Building Standard $1.00
Solid Waste Management Fee $6.25
Strong Motion Inst.Program Res $03tOMPLETED
0$285.24
107.-1 O�of CALLS FOR INSPECTIONS
O Request for inspection by telephone at 626-574-5450. Leave a message
��� 1 YK`Vrequesting the address,timeframe and what inspection item is needed.
I 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.
September 26, 2019
Issued By: Date
September 26,2019 Page 1 of 1
Ys PERMIT/PLAN REVIEW APPLICATION
04' l �+
'ill*' Development Services Department,240 West Huntington Drive,Post Office Box 60021 '
earn„--
Arcadia, CA 91066-6021, (626) 574-5416,Fax (626) 447-9173
City of
Arcadia
LICENSED CONTRACTOR'S DECLARATION WORKERS'COMPENSATION DECLARATION
❑ I hereby affirm under penalty of perjury that I am licensed under provisions of I hereby affirm under penalty of perjury one of the following:
Chapter 9(commencing with Section 7000,of Division 3 of the Business and
Professions Code,and my license is in full force and effect 0 I have and will maintain a certificate of consent to self-insure for workers'
II License Class
Signature of Contractor License No. 60753/Exp. Date o3Qi2'. compensation, as provided for by Section 3700 of the Labor Code, for the
performance of the work for which this permit is issued.
OWNER-BUILDER DECL ON 0 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..A�I�y wrorkers,4-t�pe�nsatioi-insurance carrier and policy numbers are:
Code.Any city or county which requires a permit to construct,alter,improve, Carrier 5�1. V'' `7Q� i9"t IC eV?
demolish,or repair any structure,prior to its issuance,also required the applicant Well(4o 3-G'so5: 6
for such permit to file a signed statement that he or she is licensed pursuant to the Policy Number `I " v
provisions of the Contractors License Law(Chapter 9(commencing with Section ("This section need not be completed if the permit is for one hundred dollars or less)
7000)of Division 3 of the Business and Professions Code)or that he or she is
exempt there from and the basis for the alleged exemption. Any violation of 0 I certify that in the performance of the work for which this permit is issued,I shall
Section 7031.5 by any applicant for a permit subjects the applicant to a civil not employ any person in any manner so as to become subject to the workers'
penalty of not more than five hundred dollars($500)): compensation Laws of California,and agree that if I should become subject to the
workers'compensation provisions of Section 3700 of the Labor Code,I shall
❑I, as owner of the property, forthwith comply with those provisions.
or my employees with wages as their solep /
compensation,will do the work,and the structure is not intended or offered for of 26/2 Sigoatun:
sale(Section 7044,Business and Professions Code:The Contractors License are J
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).
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.
/
)Name Ito, ` u. -C , ,..A Title
dor k
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
Arcaa to enter upon the above-mentioned property for inspection purposes. n, /
Signa Date �% ✓ 2 �`
•
PD 71X80
wilmarimala---- maBedroom
Family Room
Kitchen
jBathroom
Bathroom
Bedroom
N
Bedroom Living Room
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ROUTI"'S-T— I AOTION _T- e
Date and Se
)•g :;:,„re—/ Notes
I Initi u&• 1 Ff /_:_ .on.—Sheet- #
_ Cherr=r _L_ c1'fl
Plannini _ 0. - _ &cot-_—
Eno. ___: __.
Building _ t `iq T nq_- 14 .1 �►1
Fire ��J
PWS•Water !i H___ ._ -. .__ '��G _
WELD _-r- ____
— _____•,___,----------
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Trees _- — ------------ Ern
.__�'-'- ___-._. _ __
LEGEND
1722 South 8th Avenue,Arcadia,CA 91006
REPLACING 1 PATIO DOOR
\1NYL:d7,U LGLAZED U-FACTOR=0&rSfGC 0.25 California i
ALL WINDOWS WILL STAY IN THE SAME SIZE&LOCATION ,¢q/p Color,l Eifornia:Permits I 202
CONTRACTOR-HOME DEPOT USA INC. LIC. 602331 il Nn S
ALL JOB AND MATERIALS WILL COMPLY WITH 2016 me BI4RIBANK. II CA.1 91502
818:459.3839.1 INFORCAPERMITS.COM
RESIDENTIAL BUILDING CODE
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STATE OF CALIFORNIA
RESIDENTIAL ALTERATIONS
CEC-CF1R-ALT-01-E(Revised 06/16) CALIFORNIA ENERGY COMMISSION
CERTIFICATE OF COMPLIANCE CF1R-ALT-01-E
Prescriptive Residential Alterations (Page 6 of 6)
Project Name: Date Prepared:
1722 South 8th Avenue Arcadia, CA 91006
DOCUMENTATION AUTHOR'S DECLARATION STATEMENT
1. I certify that this Certificate of Compliance documentation is accurate and complete.
Documentation Author Name: Documentation Author signature:
enmpanr.CA PERMITS Signature Date:
Addf90:111 E CEDAR AVE #202 CEA/HERS Certification Identification(if eppllablel:
DIY/State/Zip:BURBANK, CA 91502 Phone:
818-459-3839
RESPONSIBLE PERSON'S DECLARATION STATEMENT
I certify the following under penalty of perjury,under the laws of the State of California:
1. The information provided on this Certificate of Compliance is true and correct.
2. I am eligible under Division 3 of the Business and Professions Code to accept responsibility for the building design or system design identified on this Certificate of Compliance(responsible designer).
3. That the energy features and performance specifications,materials,components,and manufactured devices for the building design or system design identified on this Certificate of Compliance conform to the
requirements of Title 24,Part 1 and Part 6 of the California Code of Regulations.
4. The building design features or system design features identified on this Certificate of Compliance are consistent with the information provided on other applicable compliance documents,worksheets,calculations,plans
and specifications submitted to the enforcement agency for approval with this building permit application.
5. I will ensure that a registered copy of this Certificate of Compliance shall be made available with the building permit(s)issued for the building,and made available to the enforcement agency for all applicable inspections.
I understand that a registered copy of this Certificate of Compliance Is required to be included with the documentation the builder provides to the building owner at occupancy.
Responsible Designer Name: Responsible Designer Signature:
Company: Date Signed:
HOME DEPOT USA INC.
Address:
NpaSe
345 CLOVERLEAF DRIVE #B B 602331
Dmneate)p: Phone:
BALDWIN PARK CA 91706 626-225-4590
For assistance or questions regarding the Energy Standards,contact the Energy Hotline at:1-800-772-3300
Registration Number: Registration Date/Time: HERS Provider: •
CA Building Energy Efficiency Standards-2013 Residential Compliance June 2016
STATE OF CALIFORNIA
RESIDENTIAL ALTERATIONS jf
CEC-CF1R-ALT-01-E(Revised 06/16) CALIFORNIA ENERGY COMMISSION
CERTIFICATE OF COMPLIANCE - CF1R-ALT-01-E
Prescriptive Residential Alterations (Page 4 of 6)
Project Name: Date Prepared:
1722 South 8th Avenue Arcadia, CA 91006
F.Fenestration/Glazing Proposed Areas and Efficiencies—Replace(Section 150.2(b)1B)
01 02 03 04 05 06 07 08 9 10 11 12 13 14
Fenestration Dynamic Orientation N,S, Area Area Net Added Proposed U- Proposed Exterior Shading Combined SHGC from
Tag/IDType Frame Type Glazing
W,E Removed(ft') Added Utz) Area(ftz) factor Source SHGC Source Device CFIR-ENV-03
1 PATIO DOOR XO W 39.5 39.5 0 0.32 MANUF 0.25 MANUF
O 0.32 MANUF 0.25 MANUF
0 0.32 MANUF 0.25 MANUF
O 0.32 MANUF 0.25 MANUF
0 0.32 MANUF 0.25 MANUF
0 0.32 MANUF 0.25 MANUF
0 0.32 MANUF 025 MANUF
O 0.32 MANUF 0.25 MANUF
•
•
•
Registration Number: Registration Date/Time: HERS Provider:
CA Building Energy Efficiency Standards-2013 Residential Compliance June 2016
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AFFIDAVIT SELF-CERTIFICATION
FOR COMPLIANCE OF SMOKE ALARMS
AND CARBON MONOXIDE ALARMS
Property Address: 1122 . S 8114- FIVE CfcDI4- , Cft G1 1 Dao
Permit Number: gAtr-f Q-1968
Brief Job Description: Pew-& t pal((1 0 0 Ot2--
Number of smoke alarms installed: Or 'i
Number of carbon monoxide alarms installed: `t-
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 approvalby the Office of the State Fire
Marshal. http://osfm.fire.ca.qov/licensinelistings/licenselistinq bml searchcotest.php
As owner of the above referenced property, I hereby certify that the smoke alarms and carbon
monoxide alarms have been installed in accordance with the manufacturer's instructions and in
compliance with the code sections referenced above.
I declare under penalty of perjury that the foregoing is true and correct, and that this
declaration was executed on (Date) 1Z�1 g I, ( °1 _ at Arcadia, California.
Owner's Name (printed/t 11,( 1 LE
Signature of Owner: •-
This affidavit must be returned to the City of Arcadia inspector prior to final inspection
GuestRoom 1410
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Fatuity Room Illt.-- '.
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FIRST FLOOR PLAN
O SMOKE ALARM ! 5 = CARBON MONOXIDE ALARM
Dati,
pi Master Bedroom
Dining Room Kitchen
Bath
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Hall 0 u
�� Claset -Closet
Family Room _ C Er
_— - _ — Bedroom Bedroom
SECOND FLOOR PLAN
C =SMOKE ALARM L:+ = CARBON MONOXIDE ALARM