HomeMy WebLinkAboutRALT-19-2009 •
4441City of Arcadia, CAPermit No:RALT 19 2009
Development Services Department r ,---- ,-'1` ; Perm t Type ion
Residential Additlon�Alterat
. \\%\kji .
240 West Huntington Drive,Post Office Box 60021r. g
��.VVork Class cation Res Remodel `
t- ' Arcadia,CA 91066-6021 `' a ` a.--, ^a
(626)574-5416aFi. ' �-Permit tatus:Issued
ARCADIA Issue,Date:10/03/20i91 Expiration:
Addr NO. Dir Prefix Street Name Street Suffix Unit City,State,Zip Parcel Number
1225 Holly AVE Arcadia,CA 5784008023
Contacts
CHI P BENNY CHAN Owner 1
1225 HOLLY AVE
Description:REMODEL ALL FOUR BATH RMS,RELOCATE Valuation: $ 1,000.00 1 Tenant
LAUNDRY TO GARAGE,ADD NEW WET BAR, INSTALL ONE NEW
WINDOW IN BATHROOM,CHANGE OUT WINDOWS IN FAMILY Total Sq Feet: 0.00 Plan Check# Plan#
SRM,ADD RECESSED LIGHTING THROUGHOUT HOUSE
Fees Amount Payments Amount Paid
Bar Sink $13.21 Total Fees $874.25
Bathtubs/or Combo $13.21 Cash/Receipt#REC-02688-19 $874.25
Building Issuing Fee $47.01
Building Permit Fees $61.65 Amount Due: $0.00
Building Plan Review Fee $40.08
Cal Green Plan Check $4.01
Clothes Washer $13.21 _.�
COJri
Double Fee(Building) $362.55 47.01 -•
Electrical Permit Issuance Fee
Energy Plan Review Fee $12.33
Gas System(Outlets) $15.55 CALLS FOR INSPECTIONS
Green Building Standard $1.00 Request for inspection by telephone at 626-574-5450. Leave a message
Lavatories $79.26 requesting the address,timeframe and what inspection item is needed.
Light Fixtures $21.19
Plumbing Permit Issuance Fee $47.01
Shower Pan $37.38 This permit/plan review expires by time limitation and becomes null and
Solid Waste Management Fee $6.25 void if the work authorized by the permit is not commenced within 180 days
Solid Waste Management Fee 2 $1.00 from the date of issuance or if the permit is not obtained within 180 days
Solid Waste Management Fee 2 $1.00 from the date of plan submittal.This permit expires and becomes null and
Strong Motion Inst.Program Res $0.50 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
Water Closet $49.84 Arcadia building inspector for a period of 180 consecutive days.
Total: $874.25
October 03, 2019
Issued By: Date
October 03,2019 Page 1 of 1
OC ARC
`t_.01,044,41,6 '
°� 1 I PERMIT/PLAN REVIEW APPLICATION a
Ilk yl a.,:,71;7/1\\`...,..:fo\'e,
IIK
obi je Development Services Department,240 West Huntington Drive,Post Office Box 60021
4,•41tY cas" Arcadia, CA 91066-6021, (626) 574-5416,Fax(626) 447-9173 4
City of
Arcadia
LICENSED CONTRACTOR'S DECLARATION WORKERS'COMPENSATION DECLARATION
❑ I hereby affirm under penalty of perjury that I am licensed under provisions of I hereby affirm under penalty of perjury one of the following:
Chapter 9(commencing with Section 7000,of Division 3 of the Business and
Professions Code,and my license is in full force and effect. ❑ I have and will maintain a certificate of consent to self-insure for workers'
License Class License No. Exp. Date compensation, as provided for by Section 3700 of the Labor Code, for the
Signature of Contractor performance of the work for which this permit is issued.
OWNER-BUILDER DECLARATION ❑ I have and will maintain workers'compensation insurance,as required by Section
1:1I 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
for such permit to file a signed statement that he or she is licensed pursuant to the Policy Number
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 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 forate /D/7?/17 Signature
de..,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
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
a 10/3h Y . .../6--_.
Lender's Address
1ZRTANT: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. e
N e (4 I / SJ t" ' I at Title kfit.
P 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 ove-mentioned property for inspection purposes. Q
\inature Date ,0���,'. /
NOTES
Building Inspections Date Insp. Plumbing Inspections Date Insp. 22.5 //s
100. Setbacks 210. Under fin/bldg.drain �f
101. Rough grade 211. Copper underslab /fERr� FACT-f�ACT--(9-2-�9
102. Figs.&forms 212. Rough plumbing f O-,!5`t'? o•�+j/
103. Pre-slab 213. Rough gas
104. Floor joists 214. Shower pan
105. Steel 215. Water heater
106. Grout lift 216. Roof drains
107. Shear nailing 217. Building sewer
108. Diaph nailing 218. Water service
109. Roof nailing 219. Final gas
110. Framing 220. Fixtures
111. Occ./Area Sept.Wall 221. Final plumbing (/G !�
112. Sound walls 222. Sewer cap/demo.
113. T-bar grid
114. Insulation-Flr. Pool Inspections Date . Insp.
115. Insulation-Wall 240. Excavation/steel
116. Insulation-Ceil. 241. Rough plumbing
117. Drywall nailing 242. Light shell/bonding
118. Interior lath 243. Underground conduit
119. Exterior lath 244. P-trap
120. Finish grade 245. Gas line&test
121. Final building 246. Fence,gates&signs
122. Final demo/lot clear 247. Pool heater
248. Final electric
Electrical Inspections Date Insp. 249. Final.lumbing
150. Power pole 250. Pool cover
-
151. Sales lot lighting 251. Pool final
152. Underground conduit
153. Underslab conduit Reroof Inspections Date I Insp.
-
154. UFER ground 270. Pre-reroof insp.
155. Water ground 271. Roof framing
156. Rough electrical 10-15--17 272. Sheathing nailing
157. Fixtures 273. Final reroof
158. G.F.C.I.
159. E.it.bondin. Sign Inspections I Date I Insp.
160. Service panel 280. Setback/overhang
161. Final electric (-/{?x281. Footing
282. Conduit/wiring
Mechanical Inspections Date Insp. 283. Disconnect
180. Venting/Flue 284. Final sign
181. Furnace/A.C.
182. Rouch HVAC /04040 Miscellaneous Insp. Date I Insp.
183. Fire dampers 290. Fire alarm
184. Furnace compartment 291. Underground supply
185. Combustion air 292. Fire sprinklers
186. Smoke detectors 293. Monitor system
187. Metal F.P.rough 294. Hood dry chem.
188. Compressor setback 295. Final
189. Commercial hood
190. Duct shaft Sewers&Offsite Insp. Date I Insp.
191. Final mechanical 1/6-7.4) '" 300. Lateral(main to P/L)
301. Saddle/Y
Block Wall Inspections Date Insp. 302. Cess•ool filled
200. Footings 303. Sidewalk
201. Steel/rebar 304. Driveway
202. Grout lift 305. Curb replacement
203. Final wall 306. Trash bin
i
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City of Arcadia, CA Permit No "MEP 19-1970
<3,[ l Development Services Department 0s r Permit Type:MEP
, 240 West Huntington Drive,Post Office Box 60021 tt ✓4 -'9 ':� ` E d (1 I
. tJLL i J Work.Clossification MEP Commercialt
t 8 (626)574-5416 s- A u
Per'mft5tatus Issued
ARCADIA Issue Date:09/26/20191 Expiration:
Addr NO. Dir Prefix Street Name Street Suffix Unit City,State,Zip Parcel Number
1225 Holly AVE Arcadia, CA 5784008023
....1
Contacts
CHI P BENNY CHAN Owner
1225 HOLLY AVE
Description:REMODEL KITCHEN (EXISTING LAYOUT TO Valuation: $ 0.00 1 Tenant
REMAIN)AND ADD RECESS LIGHTING
Total Sq Feet: 0.00 Plan Check# Plan#
Fees Amount Payments Amount Paid
Dishwasher $13.21 Total Fees $158.47
Electrical Permit Issuance Fee $47.01 Cash/Receipt14 REC-02633-19 $158.47
Garbage Disposal Fee $13.21
Kitchen Sink $13.21 Amount Due: $0.00
Light Fixtures $14.67
Outlets-Receptacles&Switches $8.15
Plumbing Permit Issuance Fee $47.01 C r,r
Solid Waste Management Fee 2 $1.00 1;71r ""+ a '
J J
Solid Waste Management Fee 2 $1.00
Total: $158.47 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.
September 26, 2019
Issued By: Date
September 26,2019 Page 1 of 1
of ARQ.A
.4 .IF0%4 V
CA r II' PERMIT/PLAN REVIEW APPLICATION
*A FEsme ,f4
003 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
0 I hereby affirm under penalty of perjury that I am licensed under provisions of I hereby affirm under penalty of perjury one of the following:
Chapter 9(commencing with Section 7000,of Division 3 of the Business and
Professions Code,and my license is in full force and effect. ❑ I have and will maintain a certificate of consent to self-insure for workers'
License Class License No. Exp. Date compensation, as provided for by Section 3700 of the Labor Code, for the
Signature of Contractor performance of the work for which this permit is issued.
NER-BUILDER DECLARATION ❑ I have and will maintain workers'compensation insurance,as required by Section
I hereby affirm under penalty of perjury that I am exempt from the Contractors 3700 of the Labor Code,for the performance of the work for which this permit
License Law for the following reason(Section 7031.5,Business and Professions is issued.My workers'compensation insurance carrier and policy numbers are:
Code.Any city or county which requires a permit to construct,alter,improve, Carrier
demolish,or repair any structure,prior to its issuance,also required the applicant
for such permit to file a signed statement that he or she is licensed pursuant to the Policy Number
provisions of the Contractors License Law(Chapter 9(commencing with Section + s 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 g 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
EllI, 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 q
t4-.7/6
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 r
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:
``ll 4 Lender's Name
e,,
Date �0 1 �/ Signature Lender's Address
IlVIPORTANT: 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 a"' P & (J Y afreiJ itle A
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 ab ve-mentioned property for inspection purposes.
•
Signature ate
e
OTES
Building Inspections Date Insp. Plumbing Inspections Date Insp.
100. Setbacks 210. Under ft./bldg.drain 2 6LL�
101. Rough grade 211. Copper underslab
102. Figs.&forms 212. Rough plumbing AR
103. Pre-slab 213. Rough gas
104. Floor joists 214. Shower pan
105. Steel 215. Water heater
106. Grout lift 216. Roof drains
107. Shear nailing 217. Building sewer
108. Diaph nailing 218. Water service
109. Roof nailing 219. Final gas
110. Framing 220. Fixtures
111. 0cc./Area Sept.Wall 221. Final plumbing (-IC-Z6
112. Sound walls 222. Sewer cap/demo.
113. T-bar'rid
114. Insulation-Flr. Pool Inspections Date . Insp.
115. Insulation-Wall 240. Excavation/steel
116. Insulation-Ceil. 241. Rough plumbing
117. Drywall nailing 242. Light shell/bonding
118. Interior lath 243. Underground conduit
119. Exterior lath 244. P-trap
120. Finish grade 245. Gas line&test
121. Final building (-16-Zo Cmc / 246. Fence,gates&signs
122. Final demo/lot clear 247. Pool heater
248. Final electric
Electrical Inspections Date Insp. 249. Final•lumbin•
150. Power pole 250. Pool cover
151. Sales lot lighting 251. Pool final
152. Underground conduit
153. Underslab conduit Reroof Inspections I Date Insp.
154. UFER ground 270. Pre-reroof insp.
155. Water ground 71. Roof framing
156. Rough electrical 4t5-x$-17 6' 272. Sheathing nailing
157. Fixtures 273. Final reroof
158. G.F.C.I.
159. Eqpt.bonding Sign Inspections Date I Insp.
160. Service panel80. Setback/overhang
161. Final electric !VG-20 _ 281. Footing
282. Conduit/wiring
Mechanical Inspections Date Insp. 283. Disconnect
180. Venting/flue 284. Final sign
181. Furnace/A.C.
182. Rouch HVAC Miscellaneous Insp. I Date I Insp.
183. Fire dampers 290. Fire alarm
184. Furnace compartment 291. Underground supply
185. Combustion air 292. Fire sprinklers
186. Smoke detectors 293. Monitor system
187. Metal F.P.rough 294. Hood dry chem.
188. Compressor setback 295. Final
189. Commercial hood
190. Duct shaft Sewers&Offsite Insp. I Date I Insp.
191. Final mechanical 300. Lateral(main to P/L)
301. Saddle/Y
Block Wall Inspections Date Insp. 302. Cess•ool filled
200. Footings 303. Sidewalk
201. Steel/rebar 304. Driveway
202. Grout lift 305. Curb replacement
203. Final wall 306. Trash bin