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RALT-19-1385
/ W , 1 City of Arcadia, CA Permit NO RALT-19-1385 L �? � Development Services Department •�f " Permit Type Residential Addlhon/Alteration �m .41:1y 240 West Huntington Drive,Post Office Box 60021 � j I I „) t Work Classification Res Addition/Alteration Arcadia,CA 91066-6021 � � �, ' (626)574-5416 ' Permit Status:Issued ARCADIA ` IssueDate 11/13/2019 j Expiration: Addr NO. Dir Prefix Street Name Street Suffix Unit City,State,Zip Parcel Number 481 Stanford DR Arcadia,CA 5775003018 'il � xasaR eu-a+mc:,.:..-,.,�x .ti. ...w ..,..,vw aa.,.va .4a..x.ay. ar+-..+a. d�a.A^:.nw..�;a-. .rot. we::.,r.a.:a; w:.. w .u^s::m....�:^.w�ay..., .,•.;v:�+d«.r: Contacts CORPORATION OF THE PRESIDENT OF Owner KENT CORNWALLApplicant r. THE CHURCH OF JESUS CHRIST OF LATTER-DAY SAINTS (626)793-5782 481 STANFORD DR (801)453-3860 Larry Johnson Construction Larry Contractor Johnson Construction isi 1275 Colony,Upland,CA 91884 (909)319-8874 458895 r V2..rt:'_.:.w`e..W m rAlw- »....--sAkc., sH x�.h...ue v1'..,.. a' :'S �::- .nm -,,, ..% b°n•. '.'M-:Vak. �W: ..;sa. ..ua.,.... e .M<".iWCAI Y'L�^-Le h'At aA..A4d l9...+t wa'..,as w.x a : Description:NEWSTAIR ADDITION (56SQ)&LAUNDRY Valuation: $ 65,923.07 Tenant ADDITION TO GARAGE (125 SQ)WITH PATIO (32SQ). '+ Total Sq Feet: 56.00 Plan Check#19-1385 Plan 4 171 '$ REMODEL KITCHEN/DINING ROOM/MASTER BED AND BATH (906SQ)PER HOA APPROVAL. RETRO FIT 19 WINDOWS PER s is siss 121E1181111128M, APPROVED HOA PLANS. L Fees Amount Payments Amount Paid Building Issuing Fee $47.01 Total Fees $2,304.73 Building Permit Fees $940.10 Cash/Receipt#REC-01861-19 - $1,140.20 Building Plan Review Fee $611.07 Cash/Receipt 4 REC-03065-19 $1,164.53 Cal Green Plan Check $61.11 Energy Plan Review Fee $188.02 Amount Due: $0.00 Green Building Standard $3.00 Parks&Recreation Fee(SFR) $159.60 Single Family Fire Plan Check $280.00 Solid Waste Management Fee $6.25 Strong Motion Inst.Program Res $8.57 CALLS FOR INSPECTIONS Total: $2,304.73 Request for inspection by telephone at 626-574-5450. Leave a message zmm& 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 4 from the date of plan submittal.This permit expires and becomes null and Cay, 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 ® consecutivedays. Arcadia buildinginspector for a period of 180 y D November 13, 2019 Issued By: Date April 30,2020 Page 1 of 1 of Alto ..,! F , PERMIT/PLAN REVIEW APPLICATION 0, inEav o,-.44,,,„ � 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 affinn 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 El 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 ❑ 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 sale(Section 7044,Business and Professions Code:The Contractors License Date Signature Law does not apply to an owner of property who builds or improves thereon, or who does such work himself or herself or through his or her own employees,provided that such improvements are not intended or offered for WARNING: Failure to secure Workers'Compensation coverage is unlawful, sale.If,however,the building or improvement is sold within one(1)year of and shall subject an employer tocriminal 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 Title 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. Signature Date ek xi ,----'1/4-4-",-4-,,..1-,,,,......--,,; i .oku� -`t fit. = 7 }'",i�z�c a ''' z: k 4„ ; ,, : � " Pe mihNO R 1LT .9` 138$ City of Arcadia, CA , ,'le,', �Pigi� , ,,� Development Services Department :.� tf" �r3 "" Permit Type Residential Addttton/'Alteration_ ?.41,47 i 240 West Huntington Drive,Post Office Box 60021 ' , ,„ gftu � ) Work'Ciassificahon� 'Res rAddition/Alteration. .4 Arcadia,CA 91066-6021 1,1,':5::,',„:"''..1' i I: ' •x•,; (626)574-5416 s Ar r 4,k a a q , 'c Permit Status Issued ARCADIA � ! / I Expiration: Issue�l�ate 1S 13 2019 p' m Addr NO. Dir Prefix Street Name Street Suffix Unit City,State,Zip Parcel Number 481 Stanford DR Arcadia, CA 5775003018 Contacts CORPORATION OF THE PRESIDENT OF Owner KENT CORNWALL Applicant THE CHURCH OF JESUS CHRIST OF LATTER-DAY SAINTS (626)793-5782 481 STANFORD DR (801)453-3860 Larry Johnson Construction Larry Contractor Johnson Construction 1275 Colony,Upland,CA 91884 (909)319-8874 458895 Description:NEW STAIR ADDITION (56SQ)&LAUNDRY 4 Valuation: $ 65,923.07 Tenant ADDITION TO GARAGE (125 SQ)WITH PATIO (32SQ). REMODEL KITCHEN/DINING ROOM/MASTER BED AND BATH < Total Sq Feet: 56.00 a Plan Check#19-1385 Plan#171 906SQ PER HOA APPROVAL. t Fees Amount Payments Amount Paid Building Issuing Fee $47.01 Total Fees $2,304.73 Building Permit Fees $940.10 Cash/Receipt#REC-01861-19 • $1,140.20 Building Plan Review Fee $611.07 Cash/Receipt#REC-03065-19 $1,164.53 Cal Green Plan Check $61.11 Energy Plan Review Fee $188.02 Amount Due: $0.00 Green Building Standard $3.00 Parks&Recreation Fee(SFR) $159.60 Single Family Fire Plan Check $280.00 Solid Waste Management Fee $6.25 Strong Motion Inst.Program Res $8.57 CALLS FOR INSPECTIONS Total: $2,304.73 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 per;od of 180 consecutive days. 4 rikle —Wr$1, / i November 13, 2019 Issued By: Date November 13,2019 Page 1 of 1 O)ii ~,`'' X14 dr W , PERMIT/PLAN REVIEW APPLICATION r'''} .:,.,,r,,s - fin` •3, , ,,," Development Services Department,240 West Huntington Drive,Post Office Box 60021 um\Y.51" a Arcadia, CA 91066-6021, (626) 574-5416,Fax (626) 447-9173 City of Arcadia LICENSED CONTRACTOR'S DECLARATION WORKERS'COMPENSATION DECLARATION ❑ I hereby affirm under penalty of perjury that I am licensed under provisions of I hereby affirm under penalty of perjury one of the following: Chapter 9(commencing with Section 7000,of Division 3 of the Business and Professions Code,and my license is in full force and effect. I have and will maintain a certificate of consent to self insure for workers' License Class f3• 4iense No. 4 irExp. Date ,..4). compensation, as provided for by Section 3700 of the Labor Code, for the 1�� performance of the work for which this permit is issued. (Signature of Contractor , r OWNER-BUILDER D I'7Ii "1 r' 0 I have and will maintain workers'compensation insurance,as required by Section �.s 3700 of the Labor Code,for the performance of the work for which this permit I hereby affirm under penalty. .-rlury the am exempt from the Contractors is issued.My workers'compensation r urance carrier and policy numbers are: License Law for the following reason(Section 7031.5,Business and Professions Code.Any city or county which requires a permit to construct,alter,improve, Carrier 'r- 'til e demolish,or repair any structure,prior to its issuance,also required the applicant i- ? --. LI-7 1S- (F 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 ❑ 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($500)): compensation Laws of California,and agree that if I should become subject to the workers'compensation provisions of Section 3700 . e Labor Code,I shall ❑I, as owner of the roe forthwith comply with those provisions$ property,rty, or my employees with wages as their sole compensation,will do the work,and the structure is not intended or offered for 4. 4� sale(Section 7044,Business and Professions Code:The Contractors License Date l L 1 �� Signa -iif�� Law does not apply to an owner of property who builds or improves thereon, TM-- 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. IsTame _ _ _ CA.,. 2L-.-, itle y% , 4'e-----51F 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 rcadia to enter .,In the ab lye-mentioned property for inspection purposes. ignature ate el 3 rp . TES r7 Building Inspections Date Insp. Plumbing Inspections , Date Insp. .9/ "`iii /4- .ik. 100. Setbacks 210. Under fir./bldg.drain 101. Rough grade 211. Copper underslab 102. Figs.&forms ._3-// 2 212. Rough plumbing -4421°( - 103. Pre-slab 213. Rough gas /-V-Zj' C. I-2-20 WIPE AD 5a462-1 104. Floor joists 214. Shower pan �) _. ri t� . 105. Steel 215. Water heater /6 .j) Wk-Ite l„(1jr S ,N(Q 106. Grout lift 216. Roof drains 107. Shear nailing /-2-70 a1Lv V� 217. Building sewer CfS Lk e , cfro oic co/m.- 108.108. Diaph nailing 218. Water service TC /,-/ -ti) . _Fi>r'(AL SSftc5 TesT off_) 109. Roof nailing -1-) 219. Final gas 110. Framing 1' ZQ ....._ 220. Fixtures 111. Occ./Area Sept.Wall 221. Final plumbing 74' (f?_ Ageil4WPe14/4/4/1 C4/7y5 112. Sound walls 222. Sewer cap/demo. _ /7 113. T-bar grid G1/1j O ` 16)ej-, Z 114. Insulation-Flr. Pool Inspections Date 'Insp. 115. Insulation-Wall ,P61 C�� 240. Excavation/steel 116. Insulation Ceil. 241. Rough plumbing - 117. Drywall nailing " -�pj 242. Lightshell/bonding 118. Interior lath 243. Underground conduit 119. Exterior lath r 244. P-trap 120. Finish grade 245. Gas line&test 121. Final building , `T.T9Ze d1 246. Fence,gates&signs 122. Final demo/lot clear 247. Pool heater 248. Final electric- - _ Electrical Inspections Date Insp. 249. Final dumbing 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 /r/ j -t_ 272. Sheathing nailing 157. Fixtures 273. Final reroof 158. G.F.C.I. 159. Eqpt.bonding Sign Inspections Date Insp. 160. Service panel .20 17__, 280. Setback/overhang 161. F?alectric 281. Footing 282. Conduit/wirin' Mechanical Inspections Date Insp. 283. Disconnect 180. Venting/flue 284. Final sign 181. Furnace/A.C. 182. Rauch HVAC ATIffigAMEM 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 ! / J 300. Lateral(main to P/L) • ✓ 301. Saddle/Y Block Wall Inspections Date Insp. 302. Cess.00l filled 200. Footings 303. Sidewalk 201. Steel/rebar 304. Driveway 202. Grout lift 305. Curb replacement 203. Final wall 306. Trash bin ( City of Arcadia, CA f Permit NO NUM:. 9-2 09 Development Services Department - ( v—✓ 1 Permit Type• Plumbing 240 West Huntington Drive,Post Office Box 60021 � � � 1IkClaificahbn PlumbrngtResidental Arcadia,CA 91066-6021 � } " . s �� � ess (626)574-5416 ` :Permit Status Issued,'., ARCADIA Issue,Date:12/02/2019_I Expiration: Addr NO. Dir Prefix Street Name Street Suffix Unit City,State,Zip Parcel Number 481 STANFORD DR Arcadia,CA 91007-2648 5775003018 Contacts CORPORATION OF THE PRESIDENT OF Owner ARCHIBALD PLUMBING* Contractor THE CHURCH OF JESUS CHRIST OF 9803 YALE DR,ALTA ALOMA,CA 91701 LATTER-DAY SAINTS (909)980-9050 725816 481 STANFORD DR (801)453-3860 �ww'"Xk aYS;$'.m.'."wYM'M .v@�e._cu' e..N' &.Z . w.".e. nq"eb. . ="e eA eo Y.A�'.K:. HA'6 ,: :o "_-:..�V' Y:3.:.;^"3 `den:"..R.: ♦.. '�. RSttR.e. "�a,...: .._"w.8.=...a�.. Description:PLUMBING FOR REMODEL Valuation: $ 0.00 Tenant Total Sq Feet: 0.00 Plan Check# Plan# oma Fees Amount Payments Amount Paid Clothes Washer $13.21 Total Fees $169.24 Dishwasher $13.21 Cash/Receipt#REC-03227-19 $169.24 Garbage Disposal Fee $13.21 Gas System(Outlets) $15.55 Amount Due: $0.00 Kitchen Sink $13.21 Lavatories $26.42 Plumbing Permit Issuance Fee $47.01 Shower $13.21 Solid Waste Management Fee 2 $1.00 Water Closet $13.21 CALLS FOR INSPECTIONS Total: $169.24 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. iteir ea, /tit December 02, 2019 Issued By: Date December 02,2019 Page 1 of 1 no v~�ON FF 4 7 PERMIT/PLAN REVIEW APPLICATION : :,,L.. �� imE . :aM E .,,.' Development Services Department,240 West Huntington Drive,Post Office Box 60021 C�0\Yo IV e Arcadia, CA 91066-6021, (626) 574-5416,Fax(626) 447-9173 City of Arcadia LICENSED CONTRACTOR'S DECLARATION WORKERS'COMPENSATION DECLARATION ❑ I hereby affirm under penalty of perjury that I am licensed under provisions of I hereby affirm under penalty of perjury one of the following: Chapter 9(commencing with Section 7000,of Division 3 of the Business and Professions Code,and my license is in full force and effect. ❑ I have and will maintain a certificate of consent to self-insure for workers' License Class— Licens o. . uo Exa DateB131(2' compensation, as provided for by Section 3700 of the Labor Code, for the Signature of Contractor . llf performance of the work for which this permit is issued. ' OWNER-BUILDER DECLARATION 0 I have and will maintain workers'compensation insurance,as required by Section El 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 • 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 roe forthwith comply with those provisions. property,rty, or my employees with wages as their sole compensation,will do the work,and the structure is not intended or offered for Date Id-12 (ICI Signature -1/10U1Le&Q...0 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 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. /1 came I ' {''1 1� W 1 to Title D LOlu e PRINT NAME I c rtify 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 a ree to comply with all City ordinances and State Laws relating to building construction. I hereby authorize representatives of the City of Ar dia to enter upon the above-mentioned property for inspection purposes. Signature al 1 Le 12-(2- i t l ifafoN City of Arcadia, CA f � 4 Pe/m t'nro*-MEP 19 2539 t i, Development Services Department PermrtType MEP 240 West Huntington Drive,Post Office Box 60021 f Arcadia,CA 91066-6021 � Work Classrficadon MEP Residential (626)574-5416 Est x Issued A CAD IA E 7 F .Issue Date 12Y 19 2019jI / / � Expiration: Addr NO. Dir Prefix Street Name Street Suffix Unit City,State,Zip Parcel Number 481 STANFORD DR Arcadia, CA 91007-2648 5775003018 Contacts CORPORATION OF THE PRESIDENT OF Owner Larry Johnson Construction Larry Contractor THE CHURCH OF JESUS CHRIST OF Johnson Construction LATTER-DAY SAINTS 1275 Colony,Upland,CA 91884 481 STANFORD DR (909)319-8874 458895 (801)453-3860 Description:ELECTRICAL AND MECHANICAL FOR REMODEL. Valuation: $ 0.00 t Tenant Total Sq Feet: 0.00 t Plan Check# Plan# Fees Amount payments Amount Paid Compressor 3-5 Ton(3 to 15 hp) $36.35 Total Fees $255.39 Distribution Panel $32.96 Cash/Receipt#REC-03403-19 $225.39 Furnace or Burner<=100,000 BTU $19.86 Install,Relocate Appliance Vent/Hood $9.94 Amount Due: $30.00 Light Fixtures $64.40 Outlets-Receptacles&Switches $65.46 Residential Services up to 400 amps $16.48 Ventilation Fan(Single Duct) $9.94 Total: $255.39 CALLS FOR INSPECTIONS Request for inspection by telephone at 626-574-5450. Leave a message � , C' � 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. • December 19, 2019 Issued By: Date December 19,2019 Page 1 of 1 Re v~4 of �9 1! a* PERMIT/PLAN REVIEW APPLICATION - *4 inmai5___ . 00 "feDevelopment Services Department,240 West Huntington Drive,Post Office Box 60021 \Y% Arcadia, CA 91066-6021, (626) 574-5416,Fax(626) 447-9173 City of Arcadia ICENSED CONTRACTOR'S DECLARATION WORKERS'COMPENSATION DECLARATION 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 �-t 1 se No. �:,_ xp. Date) •t -� 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 — `e OWNER-BUILDER j40116)foopo ❑ I have and will maintain workers'compensation insurance,as required by Section I hereby affirm under penalty of p .t . am . from the Contractors 3700 of the Labor Code,for the performance of the work for which this permit icense Law for the following reason(Section 7031.5,Business and Professions is issued.My workers'compensation insurance carrier and policy numbers are: Code.Any city or county which requires a permit to construct,alter,improve, Carrier `�� demolish,or repair any structure,prior to its issuance,also required the applicantr I L_ F*:" 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 n e 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 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. ❑I, as owner of the property, or my employees with wages as their sole f•.. with comply with those provisions. 1 compensation,will do the work,and the structure is not intended or offered for r sale(Section 7044,Business and Professions Code:The Contractors License �'' t [ 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' ompensation c.'erage'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 additionto 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 TIES APPLICATION AND IRE 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 lhr er information. Name '—+G-V Y -�cti hi,. Title 470e.c,:p�q-.PRINT NAME I c rtify 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 a ree to comply with all City ordinances and State Laws relating to building construction. I hereby authorize representatives of the City of Ar adia to ent•` pon the a.t,ve-mentioned property for inspection purposes. �� �' 1 Si afore '' �! _......... Date 1 `i 7-'t • 70.00' . r EXISTING LANDSCAPING • I 1 11 �, l 1 o ` I . ! 0 I EXISTING POOL o I I 1r W Ii 2 1 . 1 (E)'W.'.FENCE x • 1 = 7 . EXISTING GARAGE 480 S.F. 1 [ EXISTING DRIVE WAY I!1 j 11111 11 • ' fl rt PROPOSED } - ',I I I� 111 : 175 S.F.ADDITION _ Ill i;, A iT! — _�— 'A 6 S.F.ADDITION ____ PROPOSED 2 1 • .—__—_ .:_.! EXISTING-- -- 1 5 s ,,,.., aim I COVERED PATIO— / Ii £�- 6'7, 1.5'-8" Ell .--- I i I • FJ I: —( ��1 • 1 1 I Cn 1 • I lI I , • CO 205111 I - ' T 1 I .I k—— �_ .: ,III I ____ EXISTING 7 STORY a I II DWELLING . I . 4 7,964 S.F.----_—' w \ g . z 11 I 1 1 -yr ---—--\ • R ( !l — .==--- ---- --0---LL _ _ w I j . EXISTING DRIVEWAY `......,,,, I 1 . I . EXISTING YARD 1 • )- . 85.50' STANFORD DR. ---------- SITE R. ---------- SITE I ROOF ELAN SCALE: 3/37° = I'-9' . . • e , 13.-11' • Tx/ 7-v-s• I 1 / 3'0' 4 : e 0 0 1 g ., i •T m • —___-- _ , 0 . r-, P 4 . e-i.. 3 / 2.91T M ' I I -, •_._ D. , , , 0 raxififf.,/./.."/ if•',, Ar..", ,. . pa,_ 23 . o',11(//,&2e2 ;,, -, • 0 _ . MBICaL371"-A MASTER BED ROOM / 204 17031 i % ..,----'0 / r / 0 E • 13•-le / gra , 4 •••, 50-7--w,..-' , . • X ° P „, I-1 / C) J g% , 53 .1..it %EV , • ' jekMASTER 1 VI 4tEllk — .• ,,,2I 2*.3 Tf:10 • , • g,V MI 0 _,,J. --gz-- — ! A., . ..,,,,„ • : L., ,., ,.,. ..1,11in, . .• _,.„-?,) • ' 2Nr., FLOOR PROPOSED PLAN • PIMECT(I) . NO41,1 . SCALE 1/4-.1.-60 : giliF '0 . v -,..—.. 3 _ I • 42.11 3-0 UP' Y • I 013 1 IL:' 0 g 0 I' I r• II II 11--11 11 .II ___P. _ _ _ _ _ _ 41.7.4. .N.4 ... -- 11 I Tn. \ 7 r I- CO* , los j: i 4 0 i ten Ell BAT I-102 IA T 0 12 \4‘. 4_,.,_ ....r_”. _0 _EIEVTE 11IICSZ3 0 i / 9 \ 6 1‘ )A, .?. V% . 0 114;1 " I oZ.Ti %sr P 113 • - lel, C2 rI® I TTP. 0 -® BED -.0M 3 1 FAMliaiROOM J 1 Ii cy.r‘1E)KITnalEN IN 1 IX BEINV°M 2 121 in :i , 1 ' 0 1-10 1 fb .11 I® MEE! ------— 1 . I 1 04 1 1°' - 1114 1 '-r r-:•• ex 0 thiliti 2 Ho 1 I " ucjii). L '1 c-ED 1 >,<-- i. I IS•1 1 -r..-,7; /./' , i ,,..,,...p igmlig • SI N. ,'v.,A.,...I N . _104 _EffigiffEE - -. \ "03 NM _.. • (1)I <0° ••::9 '`'-( _' ' 011 115 AI 6 cu--).- Itfko Vill7mni Ittl'ir I ,,•• up 1 1 W 13_,. e I - LI 0, imm @1 ' Mil '261I • -...,0 , ' I I am 1 DIN._RM ,0-\.. I_ — , inar MEI , I 1 f ENT- HALL1 I 1 N II \ / „8 LJVIN,WROOM SOFFIT Ea III;zi.gt ,20 ..'. II5 %t - ute Illy _/-0 02E1 1 1 0—Tx, - I _A :•N,'I 024 11C' i_ _it il wift - f® BED ROOM I I_ _I II—II 0 IA • @ PLANTER 1 II 1,1, U 0 A2.I • 0 0 151 FLOOR PROPOSED PLAN iCALE:1/4W-0. ED, ❑ DOOR SCHEDULE _ 0 PLAN NOTES _ =F.F 1 r GENE-RAL-it MSU THREAGHC:T: D 9 P T 4 I• orcu 210. 1 G REMOVE RIM MATERIALSNEW.Mar/NG TILE,CARPET,AND WNDOW 8 ROOM Y I I Y>Fel R Pm•.K ° I, Hind COVERINGS AND PREP FOR NEW. P Z N P N D O © Q I $ _ REMOVE WOOD BASE,AND DOOR CASINGS AND PREP FOR NEW. E E I E I W ` ...co w• ICCC:IM..+.. •".xt I—I I— i—Ij 9PECINV R , "7:=.....,...,...,....,....... • E . ....—..•,............. ® N®3 i '< EXISTING WALL A9 NECESSARY i0 dUGN WTH EM9IING i.ENTRy ' > .en Jw --�--� 1 FUFtR SDEWALL GP HLTCW ALCOVE pp 3 CLIPPED CEILING FOR S7,2 ON EAST SIDE AND TO MATCH ON c } w Ik> a�"Ij WEST SDE. •••••�•••• uP .F x s F •• . ro u xrc"1° a' MB LL05Ei-A nASTER.EED ROOM �® 4 3 li-SOFRT BETWEEN PILASTERS.(sRl TO ENTRY) r saltily u rO,..r...u...u.. 1,, I ,I I 5 FRAMEAN(E)WIDOW OPENING .,.L, r ltil r I 6 INSTALL GYP.BD.ON UNDERSIDE OF 1E)2"FLOOR FLOOR JOIST. Ve REAR ENTRY 'EFT 3-0 a 6-5 R] xnRwuewEru i AND LEVEL JOIST AS NEC TOS GLASS UALL 04 11-0 X 6-• G1 euu r Rn•r.P e•rn I„l E WIDEN<E)9.A.R LPERNG AS NECESSARY FOR NEW HVAC WCnNG AND REGISTERS. e ]wR u.n XI n•rewla ' ._, S PATCH OPDING OP 0:)RAR AND PROVIDE NEW PER NEW "9 III DAN 01e v -”11.1.41.4,.wrC.ne 5_DNNO 0 ' NVAO SYSTEM '`r / '(' I I nO P0050 NEW TOILET•1-6•TO TUE NORTH OF TLE exsTING TOILET. 0//DATA a . FR"F. I I 0 )! - I TLE INTENT IS TO PROVIDE•F le TO THE CENTERLINE OP TLE {v1 L P\ L T.T W.C.9301 5 WON WALL ri ® —_ 'Lc,: O LOU WALL RLED ON BOTH SIDES AND TOP IA,GLASS SLOWER e was e.rnxc.eL u0s lS]MABTERm F F ENCLOSURE ON TOP. ® CEO 11 ALL CLOSET ORGANIZER SYSTEM WTH SHELVES AND ROD: O ® I] SOFFITTOBORDER KITCHEN CEILING Ar•/-2• •CD CLOSET w.> an e•v..n N H•,r m •.0...W..•eev DeeR rFure I `©_ iLy7il� SOFFIT FRAMING COMPATIBLE WTN DETAIL b143.2 1'v g > A A €: ® !tiles m 14 P4'CN.WD REPAIR WALL AND FLOOR AT REMOVED RREPLACE LTJ 4 ARKS _ 4eHeNt narks MANTLE.is HEARTH AND MASONRY PACE SO TWAT WALL SURFACE 2 201 ea - • cuu•u e.cw•r.n.ertw w.wF T O 0 ❑❑ 0 >n• '! PLACE MA9050,TOD TO HADJACENT WALL SEAL FL.OPENING. N- p 15 202 OM. J 20, "Cee . . ..........'.."1 2ND FLOOR PROPOSED PLAN 7112'A) 20 NEW WINDOW IN MOWING WALL P4TCO EXTERIOR AND INTERIOR m 1�f F 20e PIASTER 20.1 WA e<,1 w ems x w e eu .,.u. mn.,•+.0 _ • x.IP IR P o a'" SURFACES [i I FRAME EMSTING STAIR OPENNG URN]X J019T R 16.O E i c e JOIST HANGER AT EACH END.INSTALL I EUI PLYWOOD FLOOR N d ( Y 301 LcuuOR so :-5.w e u no cr.e. �i —� 2 SNEATNNG TO MATCH FLOOR ELEv.O DOSING.licr N N ' w 2 PROVIDE DUCT CLASS FOR Y^FLOOR S.A.DUCT N O R 9 I ® "O. I . 23 R Q R EM9TING WALL TO INSTALL NEW POCKET DOOR • .� E O N ROOM FINISH ACCESSORIES 5GHEDULE .7 V,__ u I , .. , ® . S `c ti Paan iri ADEE..aRL] D..DRIPT00 ISM RS o o .,^e ENTRY 1 R 0 W, 0 - --- ®I `1 ° ' ° RT i !® s " DNNG RM G FI BI WI DIG a "'�]r .m e;, ;� m pm' ® ' - tt/.oI)� NOT WED _ 0 ® BE S On 3 FA®-OOM �•+ZK1TCNEN �• �V KITCGEN 104 P1 DI WI Cl 112 PANTRY Ice FI B, WI C1 n,,,,,,•NP•,•,••.e- CARPET I O. I`. Lu'"','T I -*•., 0 •- _ e�r+w / -E.OM 2 ` l� STORA 06 PI DI 01 CI 140.0 TLE REMOVE Sieg GE IIOT r] BI WI el ,•m.COLOR: .®eRe a'�✓ef. O I'JlC.� B J ❑ C ° �vg e I©N C O O LIVm'�Rn. ;o� ;i e w r].„-,op,,,,,,,,,,,-- I LL o ® l o CI " P _ e.ew.ae �I I I61 Bea a MI wFDB.. , a..,NM GP, r- o CLOSET DA ., B, WI �I Pe•rw ®1 @ �L —;�° `0�J CLOSET IDB P] B, W C <.D. N ..s23�P A ea � o I m�I �` —.. —{x' i �F 1 clrx anP.,R,a OR anan"�: *aft x AAAA. SLICWER WALL 113 PI DI WI 0 01 mss - r O I I SED RM.] II. m OI WI CI w. v'rny.e.A''.ecr NI PEW �° ® Iur1I T ‘Ur .w ' ,A ELj i D " I'�II l' a o CLOSET II.I m B, GER A S0NWf;a�,oa>werl�Tra l� ® �il — w ..'': r 2 0 ® 0—O=1R, I 5 DINT. -M I- o Z ems CLOSET II5A FI'122 WI CI ZEI SUOWER F4 - _ C, E B,C,D, Pm rO ee cwoRFti6e8 OUB® tot,_. U OOM Som NT$Y HA QPa UREF mRlaa-u•FIE.wEaJ LiJ1e ® I LJ P I1O° O Q O u4u ,oI F, 61 WI CI PICTURE K a>`:I Ae V CALe ° a -, ,,ya' !I tN a Z < L]1 OFFICE a .] BI w6 DI €9r IY,G.FRAFTOw/.P. ° ► _'tv i € SIO a o a u MASTER BED ]m F] BI WI ct —I� U O . c W w,CLOSET 203A r] D] w1 DI e N' -I _ J 4 LL p tp 21 vat R.0'Irnw BE.-..n1 0=.-- - Q Q 3 Z SERVICE TH 20o P] D, WI DI o I ® .� R e ® I o s 6NawER r. _ - CID E, ; o o F =a_ GARAGE ,DI Fe D, 10I DI „O""e� I 0 o mg LAUNDRY ]O] ce O, WI cI u te,OCOw Iaau0)01nc„,,,, 0 0 I" Q 5 !gm' n O III 0 I PL.aGE.Dm , sheet number ISZSSM or Al e2 15T FLOOR PROPOSED PLAN �r•,e 3ALLS 11/01/209 DATE FILED APPLICATION FOR HOMEOWNER ASSOCIATION ARCHITECTURAL DESIGN REVIEW (SHORT REVIEW PROCEDURE) • PROJECT ADDRESS: *$1 `STAN F ( O D R PROPERTY OWNER'S NAME: LOS c&- UK.0 H ADDRESS (IF DIFFERENT): SO a. NORTH TSL 1rL.E sr/ 1.,A E CI If UTAH 846,b 1 l OCAS p, M. TELEPHONE NO.: 80 N 4941"92-9 E-MAIL ADDRESS: CBt3nZarO13r e G r chocJesu APPLICANT NAME (IF DIFFERENT): 14E 14T COIZ-NWAL-L. A••I•a• ADDRESS: Z 4 1•1 • FL 1ttOL.J(4 AYP• SrF 2O( � PArSAOEMA� CA 9 HO I TELEPHONE NO.: (o - 1 ?3"5 782- E-MAIL ADDRESS: Karn wa/t& Sbc (o11•hf DESCRIPTION OF PROJECT(Check applicable): XSingle-story remodel (includes window replacement)and/or addition(s) Detached accessory structure(s)and/or Accessory Dwelling Units-new, additions to, and/or remodels ❑ Fences and/or walls in and/or facing (i.e., visible from)front and street side yards ❑ Hardscape, landscaping and structural elements in front and street side yards,'including without limitation, swimming pools, spas,fountains and other water-features ❑ Fences, lights, and other features related to tennis courts, sports courts or other significant paved features • ❑ Mechanical equipment ❑ Roofing AC N &FINDINGS: • Approved-,The project is consistent with,all applicable guidelines.:, ❑ cA iimi�ti SlliirMr i R ri IliC o1iiiA Pdd ifitiblivhirpiAO cwill be consistent with all iECT AN REVIEW BOARD-(ARB)OF TI-11.1 R"ANC HO SANTA ANITI apAPP51i#N.M i_ c.C.:wt."i. :1:. i int . f vE:.. ._i`:i.?FRSTANl•)S AND AGREES THAT ANY.D,:.,VIAT:CN FRS10 '1 Tf_:.:Jr. :i -r„' :..) > �:•.�! t! :�Et� PRIOR pit i-{ e'".:,sAUTHORIZATION :F= _°•.q'i'' �,j!:,�., ,S:�� . 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