HomeMy WebLinkAboutRALT-18-2074 S i ,4. V
City of Arcadia, CA ga
r ", Permit NO RAFT 1842074,
jDevelopment Services Department ,, 12, ) > >, ' PermitType Residentlal.Addition/Alteration.
240 West Huntington Drive,Post Office Box 60021 ',.-_ i'''''''3 0 1 i Y i. 4
I \\''
‘4°•-71, e h Work Classification:Res Remodel,~
Arcadia,CA 91066 6021 ,
( (626)574-5416 „ � , � Permit Status:Issued.
.
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ARCADiA - issue Date 1'1/06/2018: Expiration: 05/05/2019
Addr NO. Dir Prefix Street Name Street Suffix Unit City,State,Zip Parcel Number _____
a
461 Fairview AVE Arcadia,CA 5778011189
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Contacts
ADRIAN
ADRIAN&NICOLE BOSE Owner LYONS ROBERT D (LYONS DESIGN& General Contractor(B)
BUILD)
(626)487-2528 1028 NORTH AVENUE 63,LOS ANGELES,CA 90042
(626)676-8066
rm..+dw..-9,A:MI,,a AAAAIrc..na�NAwvAA.`AAAA+r a+e.,, A a_ .r+ nws'..wv-,vatt*'eml.,,,..Y+rt.-1 ,M�-ki..^i/r.i'ay.....O,,i1M.k.•,-Fba:saSffE'r,�..i TW,,t,C,Aoll,r,�.1..., .4.*',. ..+.+..,2,.Rmk,'`...'s....'Na
Description:REMODEL KITCHEN,LAUNDRY CLOSET, 3 BATH ' Valuation: S 15,000.00 3 Tenant
RMS(SUBS TO PULL PLUMBING AND ELECTRICAL) Total Sq Feet: 0.00 i Plan Check# Plan#
aYA2"9E.4a. uM: "....d�9•^:Y`-.4L '.' .."t' �. v:.'... w_.u..Jn..-. n..... .....w ....a._ m,
^M r,e-.. ..mMB<"9R".aRx...>•� ?f WdYWYNFF.W%&&-a -. ,..,, .a'_:.rt1RWf S.'."$i"-" .d.T.44Yr
Fees Amount Payments Amount Paid
Building Issuing Fee $44.35 Total Fees $667.79
Building Permit Fees $320.75 Cash/Receipt#REC-002820-2018 $667.79
Building Plan Review Fee $208.49
Amount Due: $0.00
Cal Green Plan Check $20.85
Energy Plan Review Fee $64.15 .
Green Building Standard $1.00
Solid Waste Management Fee $6.25 �/ complETED
Strong Motion Inst.ProgrammRes $1.95 `'�
Total: $667.79
CALLS FOR INSPECTIONS
5 -1 I Request for inspection by telephone at 626-574-5450. Leave a message
����
� -1 , __ Z 4- requesting the address,timeframe and what inspection item is needed.
a A
(5-�3H 9
�� h�J Gr L e 4 �Su��Ti`. ' This permit/plan review expires by time limitation and becomes null and
i 119 61` 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
G—((—(I ?4' E.(... 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
/- .--1q �ibui, F_ . I I consecutive days or if no progressive work has been verified by a City of
(rJi I Ps IV� V ," Arcadia building inspector for a period of 180 consecutive days.
Z—Zo /4-"--;/14.4-c__
`N
November 06, 2018
Issued By: Date
November 06,2018 Page 1 of 1
U�A oFF cilli
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
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 jand my license is in full force and effect. ❑ I have and will maintain a certificate of consent to self-insure for workers'
License Class 15 • •
icense No. • [ _ 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 ave 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 OP< F(L1
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
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 of the roe orthwith 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 fP
sale(Section 7044,Business and Professions Code:The Contractors License to l !� � 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 offeed 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.
ame���-� l�M A Title FS{6�'r/i
PRINT NAME
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.
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 .+on the above-m :i0:d
pro s er 1 ' s section purposes. I /� �J/�I C
S Qnature _ Date l 1/v/�^'��`L/
46 4 ,• `,' s Permit NO MEP 19-1990: At.-17'
City of Arcadia, CA .
Development Services Department ") ) w r
G' t 9 ( IL g ce . Permit Type MEP,
240 West Huntington Drive,Post Office Box 60021 '1 ' j .t 1 ; , 1 Work CIassif cation:MEP-'Resid@Otlai
' " Arcadia,CA 91066-6021 5 " 4 f: t .
t (626)574-5416 " '" ,' :"Y. Permit.tutus Issued
ARCADLA Issuepate 09/30/2019 IExpiration:
Addr NO. Dir Prefix Street Name Street Suffix Unit City,State,Zip Parcel Number
461 Fairview AVE E Arcadia,CA 5778011189 .'
v ..fl.. � �._�._e,�� ,... -�__ � .�.•_u �a . _:,.S,_3 � .. .,� _�.... ..: .��,.��. . � tee'. ; �-
Contacts
Mark Hart Contractor ADRIAN&NICOLE BOSE Contractor
177 Eastern AVE,Pasadena,CA 91107
(626)440-1740 798223 (626)487-2528
Description:PLUMBING AND MECHANICAL FOR REMODEL. Valuation: $ 0.00 Tenant
REPLACE HVAC SYSTEM IN SAME LOCATION HERS REQUIRED
FOR FINAL Total Sq Feet: 0.00 Plan Check# Plan#
Fees Amount Payments Amount Paid
Add/Alter Ducts $9.94 Total Fees $403.50
Bathtubs/or Combo $26.42 Cash/Receipt#REC-02656-19 $403.50
Clothes Washer $13.21
Amount Due: 0.00
Compressor<3 Ton(up to 3 hp) $19.86 $
Dishwasher $13.21
Furnace or Burner<=100,000 BTU $19.86
Garbage Disposal Fee $13.21 ,
Gas System(Outlets) $31.10 `�y—��'�� Zv
�2 ‘—'"
Hood Serviced by Mechanical Exhaust $14.96
Kitchen Sink $13.21
Lavatories $52.84 CALLS FOR INSPECTIONS
Mechanical Permit Issuance Fee $47.01 Request for inspection by telephone at 626-574-5450. Leave a message
Plumbing Permit Issuance Fee $47.01 requesting the address,timeframe and what inspection item is needed.
Shower $12.46
Solid Waste Management Fee 2 $1.00
Solid Waste Management Fee 2 $1.00 This permit/plan review expires by time limitation and becomes null and
Ventilation Fan(Single Duct) $29.82 void if the work authorized by the permit is not commenced within 180 days
Water Closet $37.38 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
Total: $403.50 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
Arcadia building inspector for a period of 180 consecutive days.
v COMPLETED
f .
September 30, 2019
Issued By: Date
September 30,2019 Page 1 of 1
OF Atte
G4�uF R6
v� ,
F i_ PERMIT/PLAN REVIEW APPLICATION
.Ew •
Development Services Department,240 West Huntington Drive,Post Office Box 60021
c'mmio,ty°CI" 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 ClassC2°r C 3( License No.-3-6X7 2 3 Exp. Date 9 l'3 I/Z compensation, as provided for by Section 3700 of the Labor Code, for the
A performance of the work for which this permit is issued.
Signature of Contractor /
iiir
OWNER-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'co p nation insurance carrier and policy numbers are:
Code.Any city or county which requires a permit to construct,alter,improve, Carrier el 4194 1 ci N (OA/ -F-i 10
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 ❑ 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 bor 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
Date F q `3 p I 'q 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 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.
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).
❑ 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 THLS 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. II A,
Name Rc l IM Oln d\ CI at ran!? r Title 0r49 c I ai PI
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 on the above-mentioned property for inspection purposes.
Signature /i Date 1 / 30 /1 1
City of Arcadia, CA r�+
'Permit NO.FIRE-49-0937
Development Services Department
Permit Type Fire'
ry 240 West Huntington Drive,Post Office Box 60021 c r
1 _l11
WorkyClass�fieathon Fire Alarm
Arcadia,CA 91066-6021
(626)574-5416 i+ °'ce
Permit Status Issued
ARCADIA Issue Date.05/30/2019 Expiration: 11/16/2019
Addr NO. Dir Prefix Street Name Street Suffix Unit City,State,Zip Parcel Number 1�
461 Fairview AVE E Arcadia, CA 5778011189
Contacts
ADRIAN&NICOLE BOSE Owner LYONS ROBERT D (LYONS DESIGN& General Contractor(B)
BUILD)
(626)487-2528 1028 NORTH AVENUE 63,LOS ANGELES,CA 90042
(626)676-8066' 996971
CRAIG FIRE PREVENTION* Fire Contractor(C-16)
123 E CENTRAL AVENUE AVE,MONROVIA,CA 91016
(626)357-4045 1037827
Description:FIRE SPRINKS FOR REMODEL UNITE Valuation: $ 1,400.00 Tenant
Total Sq Feet: 0.00 Plan Check#19-937 Plan#
mmmummmmar
Fees Amount Payments Amount Paid
Fire Issuance $47.01 Total Fees $406.46
Fire Permit Fees $78.45 Cash/Receipt#REC-01364-19 $126.46
Solid Waste Management Fee 2 $1.00 Cash/Receipt#REC-01257-19 $280.00
Sprinkler Heads $280.00
_ Amount Due: $0.00
Total: $406.46 -
o 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.
//'
May 30, 2019
Issued By: Date
May 30,2019 Page 1 of 1
Of ARO
U� oN°F01"•Ig4,6 ,�
PERMIT/PLAN REVIEW APPLICATION
-"E Development 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
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:
I
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 Lel C
j/.4,License No. 163 ..i Exp. Dateq/3d/2C 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 '�
❑ I have and will maintain workers'compensation insurance,as required by Section
OWNER-BUILDER DECLARATION
0I 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 (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
exempt there from and the basis for the alleged exemption. Any violation ofY 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
0 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 5)5 Q 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 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 &`'Cil V i,,rli...4."2---- Title Ole 44m.e•-1'2-4-1 l cq-,r/`'
PRINT NAME U
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 buildi g construction. I hereby authorize representatives of the City of
rcadia to enter upon the above-mentioned property for inspection purposes.
ignature 2-re.../ Date 5(30/l f