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HomeMy WebLinkAboutRALT-18-0363 210-3!.
i`".-,. 2 Ft'b '= ti > ,p �{ s- r?j pip �-
4 r , ,,, Perm►t No RALu. 18 0363
A\,tfie F Cityof Arcadia,CA t .
rp
l Development Services Department i a , x' Permit Type Residential Addition/Alteration,:
j240 West Huntington Drive,Post Office Box 60021 t . ,r{ k� "
1 .1 1 NorkGlassificahon Res:Addition/,Altration
Arcadia,CA 91066-6021 f,kms,„-.. 1:4,,..,.z. 'er j:$. � r , " ,,`�permitS#tus Issued
(626)574-5416 w
V"' r rN Y ani i vu,.�?; ,,;va^,�,
x r
AR A IA ap ,Issue Die 08/14/2018 Expiration: 02/10/2019
Addr NO. Dir Prefix Street Name Street Suffix Unit City,State,Zip Parcel Number
1741 Oakwood AVE Arcadia,CA 5765022019
o-
Contacts
s
CHENG,YING CHUNG TR OAK TREE Owner MARVIN FONG&ASSOCIATES ' Applicant
FAMILY TRUST
1741 OAKWOOD AVE (626)241-7321 '0
MFONG@MFAI.COM ,
WAI TAK CONSTRUCTION INC* General Contractor(B)
611 E MISSION RD,SAN GABRIEL,CA 91776
(626)731-0648 0
r
rz w� �.ero. �. p �w _. «••. �,� w �.:
Description:CONVERT GARAGE TO NEW FAMILY RM,BATH#3, Valuation: $ 143.551.14 Tenant
ADDITION TO CREATE BED#3,REMODEL HOME.WITH EMP,
200 SERVICE. a Total Sq Feet: 794.00 Plan Check#18-363 Plan#32575
Fees Amount Payments Amount Paid -
Bathtubs/or Combo $24.92 Total Fees $5,869.59
Building Issuing Fee $44.35 Cash/Receipt#REC-000616-2018 $1,397.76 1.0,:,
Building Permit Fees $1,527.60 Cash/Receipt#REC-002026-2018 $4,471.83
Building Plan Review Fee $992.94
Cal Green Plan Check $99.30 Amount Due: $0.00
Clothes Washer $12.46 '
Compressor 3-5 Ton(3 to 15 hp) $34.29 L� Cl-----
Dishwasher $12.46 f I 0,)° _ 11-Z
Electrical Permit Issuance Fee $44.35 Q COMPLETED
Energy Plan Review Fee $305.52
Furnace or Burner<=100,000 BTU $18.74 CALLS FOR INSPECTIONS
Garbage Disposal Fee $12.46 Request for inspection by telephone at 626-574-5450. Leave a message
Gas System(Outlets) $31.10 requesting the address,timeframe and what inspection item is needed.
Green Building Standard $6.00
Install,Relocate Appliance Vent/Hood $9.38
Kitchen Sink $12.46 This permit/plan review expires by time limitation and becomes null and
Laundry Trays $12.46 void if the work authorized by the permit is not commenced within 180 days
Lavatories $74.76 from the date of issuance or if the permit is not obtained within 180 days
Light Fixtures $30.80 from the date of plan submittal.This permit expires and becomes null and
Mechanical Permit Issuance Fee $44.35 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
Outlets-Receptacles&Switches $52.80 Arcadia building inspector for a period of 180 consecutive days.
Total: $5,869.59
•
#2'" August 14, 2018
Issued By: Date
August 14,2018 Page 1 of 1
Of AR
0,10.01406
•
sNOM "9 PERMIT/PLAN REVIEW APPLICATION
,topf, 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,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 is se No.s &Exp. Date 1'— 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 In s^
OWNER-BUILDER DI((ARATION ❑ 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 work ompensation insurance carrier and policy numbers are:
Code.Any city or county which requires a permit to construct,alter,improve, airier C�7 �`
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 (9
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 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
sale(Section 7044,Business and Professions Code:The Contractors License Date —«f — ! Signature hti
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 isa 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,Btsiness 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. t
tame 1/lI A •=r— Title
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.
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 pon the above-mentioned property for inspection purposes.
Signature Date ( '— / r-
. . � y Per* SIV ew 1810364
kklatitt 110 ,: City of Arcadia, CA
Development Services Department � �" Permit Type Single Family New
1 240 West Huntington Drive,Post Office Box 60021
I Arcadia,CA 91066-6021 , I
` �iNotk Ciassifrcation SF/New Detached(Garage
(626) y , *"'9y5.J`��i� � I a, -. .`Permit Status Issued,.
626 574-5416 t
�ti; .,s, � .„ewe „
ARCADIA Nk issue Date 08/14/2018 Expiration: 02/10/2019
Addr NO. Dir Prefix Street Name Street Suffix Unit City,State,Zip Parcel Number
1741 Oakwood AVE Arcadia,CA 5765022019
. .,?.�"&Y.s.ce :3 M'°x.'.�f'a®t➢Y :'._. ria:�.tan,—w^3..'s�..:tY3x.M. 'Ges. zy..,. ,.1k..w-,..wk4�o^x,.�.o-!' ,y2«...ih. v&ns ar_R .ri.e'A,°," ". 9=�_"..: .ev^�: dm43�...,,,'.w�e<:"iAW �rbx S.,.a^'.A^bm'c" "_kn'r;,a
Contacts
CHENG,YING CHUNG TR OAK TREE Owner WAI TAK CONSTRUCTION INC* General Contractor(B)
FAMILY TRUST 611 E MISSION RD,SAN GABRIEL,CA 91776
1741 OAKWOOD AVE (626)731-0648
Description:NEW DETACHED GARAGE,WITH ELECTRICAL Valuation: 5 15.944.18 Tenant
Total Sq Feet: 427.00 I Plan Check#18-363 Plan#
Fees Amount I Payments Amount Paid
Building Issuing Fee $44.35 Total Fees $658.04
Building Permit Fees $337.45 Cash/Receipt#REC-002027-2018 $416.75
Building Plan Review Fee $219.35 Cash/Receipt#REC-000617-2018 $241.29
Cal Green Plan Check $21.94
Green Building Standard $1.00 Amount Due: $0.00
New Residential Accessory Bldg (sq ft $25.62
area) 2
Solid Waste Management Fee $6.25 ' l N tF-L J• -X0
Strong Motion Inst.Program Res $2.08
Total: $658.04
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.
I 11
August 14, 2018
Issued By: Date
August 14,2018 Page 1 of 1
,r.
OF A.R
t
'4 . 11' PERMIT/PLAN REVIEW APPLICATION
'Eo'' • Development Services Department,240 West Huntington Drive,Post Office Box 60021
om.,,ity.,0 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 ice e No. S 1�U I Exp Date j_—_1_ compensation, as provided for by Section 3700 of the Labor Code, for the
Signature of Contractor
h performance of the work for which this permit is issued.
OWNER-BUILDER DE RATION ❑ 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 Sc-,*f v-v-a
demolish,or repair any structure,prior to its issuance,also required the applicant
21 for such permit to file a signed statement that he or she is licensed pursuant to the Policy Number /1 D 0
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 ��t (��� ✓
sale(Section 7044,Business and Professions Code:The Contractors License Date Signature • Y�h Pe )
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 isa 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.
/amePRINT NAME� jJ� Lim O (�I 0A,
I certify that I have read this application and state that the above information isLTitle
rect 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 ente u.the above-mentioned property for inspection purposes.
JsignaturA I P\ 4 ;Date q- ' ( (/ — / r
U
( f.r -i - 0363 10,NOTE
Building Inspections Date Insp. Plumbing Inspections Date Insp. ( �,1 wQob 1 ,�
100. Setbacks 210. Under fir/bldg.drain i I.3 (>3 1` +C�` rC�
101. Rough grade 211. Copper undersiab /o•/f•453
102. Figs.&forms /o•/fgt. 212. Rough plumbing ,/y ' lo-"S-te Gibeq•61k: Fir.?A-St441 <Z\
103. Pre-slab 213. Rough gas
104. Floor joists I1- r214. Shower pan © (v•(`( !`� "5--�-� fl•rS-r6 c .-0 -SI.1•c r-►-r.6, 72--.
105. Steel 215. Water heater
106. Grout lift 216. Roof drains �ll•/g hr / /Q/!v✓�7 P /N< .d errs
107. Shear nailing 217. Building sewer �� �- 0c LNi/42)oc. '(144-94d:
108. Diaph nailing 218. Water service 5•2/./g Egf t i e. e,Aflh E z--
G
109. Roof nailing 2.2(0•(j may`- 219. Final gas
110. Framing 14 q.22•/1 220. Fixtures
111. 0cc./Area Sept.Wall 221. Final plumbing 3••S•20 'i--
112. Sound walls 222. Sewer cap/demo.
113. T-bar'rid
114. Insulation-Flr. 11./1•16, SZ. Pool Inspections Date Insp.
115. Insulation-Wall S•,•f 5 240. Excavation/steel
116. Insulation-Ceil. .5.7•(9 241. Rough plumbing
117. Drywall nailing S 2/./? p--- 242. Light shell/bonding
118. Interior lath 3.7.2/.19 243. Underground conduit
119. Exterior lath 6,•/ 7 244. P-trap
120. Finish grade 245. Gas line&test
121. Final building 3•(I.20 246. 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 271. Roof framing
156. Rough electrical ({•)(o•i f 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 I(•(2..19 - 280. Setback/overhang •
161. Final electric .3•//•3.9 `�� 281. Footing
282. Conduit/wirin•
Mechanical Inspections Date Insp. 283. Disconnect
180. Venting/flue 284. Final sign
181. Furnace/A.C.
182. Rouch HVAC q./6.0 - Miscellaneous Insp. Date 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 3.5"-• 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
FILE NO. A-43-2019
DATE FILED Dec 5,2019
APPLICATION FOR HOMEOWNER ASSOCIATION
ARCHITECTURAL DESIGN REVIEW
(SHORT REVIEW PROCEDURE)
PROJECT ADDRESS: 1741 Oakwood Ave, Arcadia
PROPERTY OWNER'S NAME; Mark Cheng
ADDRESS(IF DIFFERENT):
TELEPHONE NO.: 626-203-1396 E-MAIL ADDRESS: mark@markcheng.net
markcheng.net
APPLICANT NAME(IF DIFFERENT):
ADDRESS:.
TELEPHONE NO.: E-MAIL ADDRESS:
DESCRIPTION OF PROJECT(Check applicable):
❑ Single-story remodel(includes window replacement)and/or addition(s)
O Detachedaccessory structure(s)and/or Accessory Dwelling Units—new, additions to, and/or remodels
O Fences and/or walls in and/or facing (i.e., visible from)front and street side yards
O Hardscape,landscaping and structural elements in front and street side yards, including without limitation,
swimming pools,spas,fountains and other water features
(l Fences, lights,and other features related to tennis courts,sports courts or other significant paved features
❑ Mechanical equipment The HOA previously approved fencing along our south wall(Certainteed Bufftech
Chesterfield Certagrain at 42"tall and 36' long (front yard)and a white painted
❑ Roofing wood fence at 72"tall and 96'(rear yard). Instead of 96'wood portion, we would
like to use the same Chesterfield Certagrain as the front with a height of 72".
ACTION &FINDINGS:
Approved—The project is consistent with all applicable guidelines
❑ Conditionally Approved—With the following conditions,the project will be consistent with all
applicable guidelines
❑ t 4,: - ? z-Atbwyclittrmis ent with the following guideline(s)
•E5 2019
- ? ate } . ,ARB Chairperson Date:
4
6/17
I I
S4'_q•
New 6'Pedestrian •
Ugustram JapoNamr 7e:anwn'-Waxiest Privet 0 A Wrought Iron Gam in Whire' ED PLANS
142.41 a end Hardie Trim
�� ' --` Filar Gement lined r ..., ....
1 T -T T -iv- - EXIST SIDE YARD GCMG IAL ' Y AND LANDSCAPE TO REMAIN -WNsP°� , PaintexistMObrickplantertomatchlightpi z ,1 - �p
fl l ✓ a ° CO 1 • la ON x 2019
•u1Id36%36'D �gq�,
onto plantar i f /- I
' Existing
Boxwood Border Planted with iceberg `i
, - P 011voTreo 7 �/ ELECTRICAL
To eE REmoYEo J SERVICE
t l 45-4•' /�1 SV 1. (FJ LAWN AND LANDSCAPE TO REMAIN I
• i l Planter
r I
, �-CemisaCheml / / //l r / , 47-7 3/4' I A
{ }� UeM Pgastot30•Haa'SQ
y Rebuild 3014,361D 1 I i4 'S'-p' la
�&kkPaurled with D,um Edwards Whisper
S.UTILITY
concmte planta / C A'walkway �,,�.with in-mound Dower bed
EASEMENT 1{ � • 1 NmvDukGr.,'�
1 Now DorkGrey Pown un•.vered Perch 6-s9•yp W
NEW LAPIN AND LANDSCAPING I 6'ip'and6'x6• EXIST LIVABLE SF M dStepa � t°nk°d,"d ground • O
1,705 SF •13'Mere• E� ^
T
TOTAL LIVABLE SF gill; I, ,,,..0.1 ze'o 2,499 SF I /"� t r
I 11.111.1111 REMOVE 'Q'
45'-
�
h- ! g6R I , AND MATCH
FOISTING LANDSCAPE'
Planter / yL1 0
� py, �
/ (E)Jacaranda re:+/1 SF .4,/ 3 I I ser' ti(E)
R 72'4 n
"/".%/1/.1%// 7,04,00
//,-///:',. IXI57 GARAGE AREA..i t .+ii..
//j / %rj%//j 107 SF CONVERT TO LIVABLE':•• , 3'�ew Dark GreyPavera 'j
re
le
r/r r/ %/:r//. .. �.I ::.296SF.::•::.:i`: I I 6k• and6'xb' O
jNEW 24275FARAGEr/j:'. 4 (F� AND LANDSG TO REMAIN
,,,/,./..;,' %/ / % /%j.x„, - NEW GONG DRIVE a ' 4TH . Mailboxes
3/..////://7/ N/ // HEkeDa n
r Gia
/
j /
,q -
/////////f*
`�
r,
/
/ / '/ Ql Expand Existing Piontor
T
© /. / NEATER TER HE E
/ / anted with Iceberg Rosea
pir / / PI or9
//////////////j://�j//.`�' �t i with Boxwood aorder
C_/ / %rte/,-/� _____--- _,_\ AG PAD tt1
_Newaeeamp tT � .t—Srt,ae plantar -m �)� �P�---^-� EXIST GONG DRIVEWAY
EdI onang Pnne1 pedcatriah QateP mulching r •
m�
NEW GONG Ergson Merer Spo4 m Saullt Fencer Nai ht NEW GONG Rf VE
•
' '�CartninToad Ci.0 tartteld
Cortngteln Police in Nadia
-— T 135.93' -ht Z 1 v
• -g• Iron end Hardie
caught ?r „
96'lon X 6' ,on and Hadlehim �� 36'long k 42 high
gg high CartainTeed Chesterfield Fiber Cement Q' CertainTe
ed Chesterfield SITE PLAN
Ceriagrain Fence in White j Certarain Fence in White'
D_, (Previously Approved) I 1
1741 Oakwood Ave, Arcadia, CA 91006 Q! I ° 4 8 16
1 I
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- y b 4 7A°r
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1.
€ d
;, STRUCTURAL OBSERVATION REPORT FORM
STRUCTURAL OBSERVATION means the visual observation of the structural system, for general conformance to the approved
plans and specifications, at significant construction stages and at completion of the structural system. Structural observation does
not include or waive the responsibility for the inspections required by Section 108, 1701 or other sections of the code.
Report No. 02
This report includes all construction work through 17th day of April , 20 19 Page No. 1 of 1
Project Address: Structural Observer of Record(SOR): Phone No.of SOR:
1741 Oakwood Avenue,Arcadia, CA 91007 Thang Le, SE (626) 731-1539
Building Permit No.: Structural Observation performed tiy: Professional Lic./Reg.No.of Observer: Phone No.of Observer:
Thang Le, SE S 4978 (626) 731-1539
OBSERVED STRUCTURAL ELEMENTS AND THEIR CONNECTIONS
FOUNDATION WALL FRAMES ROOF FLOOR ELEMENTS/CONNECTION
OBSERVATION LOCATION
❑ Footing, Stem Walls, ❑Concrete ❑Steel Moment Frame ❑Concrete
❑ Mat Foundation ❑Masonry ❑Steel Braced Frame ❑Steel Deck
❑Caisson, Piles, Grade V Wood ❑Concrete Moment V Wood Wall and roof framing;
Beams Frame sheathing nailing and
• hardware.
❑ Retaining Foundation ❑Others: , ❑Masonry Wall Frame ❑Others:
Hillside Special Anchors
•
❑ Others: ❑Others:
NOTED DEFICIENCIES with the proposed corresponding corrective actions with respect to general conformance
with the approved plans or in the load path: (A final report by the structural observer which states that all observed
deficiencies have been resolved is required before acceptance of the work by the building officials.)
None. Okay to cover.
I DECLARE THAT THE FOLLOWING STATEMENTS ARE TRUE TO THE BEST OF MY KNOWLEDGE:
1. I AM THE ENGINEER OR ARCHITECT RETAINED BY THE OWNER TO BE IN RESPONSIBLE -OFEU/D
CHARGE FOR THE STRUCTURAL OBSERVATION IN ACCORDANCE WITH THE REQUIREMENTS .,. /,
OF THE CITY OF ARCADIA. PSG y
eco
2. I,OR ANOTHER ENGINEER OR ARCHITECT WHO I HAVE DESIGNATED ABOVE AND IS UNDER C7
MY RESPONSIBLE CHARGE, HAS PERFORMED THE REQUIRED SITE VISITS AT EACH,/ (7 S 4 978
SIGNIFICANT CONSTRUCTION STAGE TO VERIFY IF THE STRUCTURE IS IN GENER :E)(p 06/30/20
CONFORMANCE WITH APPROVED PLANS AND SPECIFICATIONS; *
3. ALL NOTED DEFICIENCIES WHICH REMAIN TO BE CORRECTED HAVE BEEN INDICATED S
ABOVE; �9TFOF CA F40C1%
4. I RECOMMEND THAT ACCEPT THE STRUCTURAL SYSTEMS BY THE CITY OF
ARCADIA BE WITHHELD U IL ALL SERVED DEFICIENCIES ARE CORRECTED.
4. /1 7) 1
SIGNATURE OF STRUCTU BSERVEf3 . DA i
/ STAMP OF STRUCTURAL OBSERVER)
IN/Form.08(Part 1)(Rev.1/1/2007) www.ladbs.org
'1 414
r
AR .' STRUCTURAL OBSERVATION REPORT FORM
STRUCTURAL OBSERVATION means the visual observation of the structural system, for general conformance to the approved
plans and specifications, at significant construction stages and at completion of the structural system. Structural observation does
not include or waive the responsibility for the inspections required by Section 108, 1701 or other sections of the code.
Report No. 02
This report includes all construction work through 17th day of April , 20 19 Page No. 1 of 1
Project Address: Structural Observer of Record(SOR): Phone No.of SOR:
1741 Oakwood Avenue,Arcadia, CA 91007 Thang Le, SE (626) 731-1539
•
Building Permit No.: Structural Observation performed by: Professional Lic./Reg.No.of Observer: Phone No.of Observer:
Thang Le, SE S 4978 (626) 731-1539
OBSERVED STRUCTURAL ELEMENTS AND THEIR CONNECTIONS
FOUNDATION WALL FRAMES ROOF/FLOOR ELEMENTS/CONNECTION
OBSERVATION LOCATION
I=1 Footing, Stem Walls, ❑Concrete ❑Steel Moment Frame ❑Concrete
❑ Mat Foundation ❑Masonry ❑Steel Braced Frame ❑Steel Deck
0 Caisson, Piles,Grade VI Wood ❑Concrete Moment 10 Wood Wall and roof framing;
Beams Frame sheathing nailing and
hardware.
❑ Retaining Foundation ❑Others: ❑Masonry Wall Frame ❑Others:
• Hillside Special Anchors
0 Others: ❑Others:
I
r I
NOTED DEFICIENCIES with the proposed corresponding corrective actions with respect to general conformance
with the approved plans or in the load path: (A final report by the structural observer which states that all observed
deficiencies have been resolved is required before acceptance of the work by the building officials.)
None. Okay to cover.
•
I DECLARE THAT THE FOLLOWING STATEMENTS ARE TRUE TO THE BEST OF MY KNOWLEDGE:
1. I AM THE ENGINEER OR ARCHITECT RETAINED BY THE OWNER TO BE IN RESPONSIBLE �ESSIO'�'/'�Y�
CHARGE FOR THE STRUCTURAL OBSERVATION IN ACCORDANCE WITH THE REQUIREMENTS •� H. Fye,
OF THE CITY OF ARCADIA.
2. I,OR ANOTHER ENGINEER OR ARCHITECT WHO I HAVE DESIGNATED ABOVE AND IS UNDER '
MY RESPONSIBLE CHARGE, HAS PERFORMED THE REQUIRED SITE VISITS AT EACH S 409;3
0120° 91_
SIGNIFICANT CONSTRUCTION STAGE TO VERIFY IF THE STRUCTURE IS IN GENERA •. .� • p,
CONFORMANCE WITH APPROVED PLANS AND SPECIFICATIONS; ,. Qv
3. ALL NOTED DEFICIENCIES WHICH REMAIN TO BE CORRECTED HAVE BEEN INDICATED • �[s mu `��o�
ABOVE; TgTE•
OF CPQ
4. I RECOMMEND THAT ACCEPTANCE OF STRUCTURAL SYSTEMS BY THE CITY OF
ARCADIA BE WITHHELD UNTIL AL SE ED DEFICIENCIES ARE CO&vRRECTED.
SIGNATURE OF STRUCTURAL OBSE R O DATE y� STAMP OF STRUCTURAL OBSERVER)
IN/Form.08(Part 1)(Rev.1/1/2007) www.ladbs.org
STRUCTURAL OBSERVATION REPORT FORM
STRUCTURAL OBSERVATION means the visual observation of the structural system, for general conformance to the approved
plans and specifications, at significant construction stages and at completion of the structural system. Structural observation does
not include or waive the responsibility for the inspections required by Section 108, 1701 or other sections of the code.
Report No. 01
This report includes all construction work through 11th day of October , 20 17 Page No. 1 of 1
Project Address: Structural Observer of Record(SOR): Phone No.of SOR:
1741 Oakwood Avenue,Arcadia, CA 91007 Thang Le, SE (626) 731-1539
Building Permit No.: Structural Observation performed by: Professional Lic./Reg.No.of Observer: Phone No.of Observer:
Thang Le, SE S 4978 (626) 731-1539
OBSERVED STRUCTURAL ELEMENTS AND THEIR CONNECTIONS
FOUNDATION WALL FRAMES ROOF/FLOOR ELEMENTS/CONNECTION
OBSERVATION LOCATION
c6 Footing,Stem Walls, ❑Concrete ❑Steel Moment Frame ❑Concrete Footing reinforcement
and hardware
❑ Mat Foundation El Masonry El Steel Braced Frame El Steel Deck
❑Caisson, Piles, Grade ❑Wood ❑Concrete Moment El Wood
Beams Frame
❑ Retaining Foundation , ❑Others: ❑Masonry Wall Frame ❑Others:
Hillside Special Anchors
❑ Others: ❑Others:
NOTED DEFICIENCIES with the proposed corresponding corrective actions with respect to general conformance
with the approved plans or in the load path: (A final report by the structural observer which states that all observed
deficiencies have been resolved is required before acceptance of the work by the building officials.)
None. Okay to pour.
I DECLARE THAT THE FOLLOWING STATEMENTS ARE TRUE TO THE BEST OF MY KNOWLEDGE:
1. I AM THE ENGINEER OR ARCHITECT RETAINED BY THE OWNER TO BE IN RESPONSIBLE ,ofESS/Q,
CHARGE FOR THE STRUCTURAL OBSERVATION IN ACCORDANCE WITH THE REQUIREMENTS
OF THE CITY OF ARCADIA. �p ' H. tF 4,
2. I,OR ANOTHER ENGINEER OR ARCHITECT WHO I HAVE DESIGNATED ABOVE AND IS UNDER
MY RESPONSIBLE CHARGE, HAS PERFORMED THE REQUIRED SITE VISITS AT EAC ; 4978 n
SIGNIFICANT CONSTRUCTION STAGE TO VERIFY IF THE STRUCTURE IS IN GENE- L WP 013130120
CONFORMANCE WITH APPROVED PLANS AND SPECIFICATIONS;
3. ALL NOTED DEFICIENCIES WHICH REMAIN TO BE CORRECTED HAVE BEEN INDICATED * QV �Q'
ABOVE; d> `sTRUCTV* 9
4. I RECOMMEND THAT ACCEPTANCE OF THE TURAL SYSTEMS BY THE CITY OF qTF 4F CO
ARCADIA BE WITHHELD UNTIL ALL OBS ED D ICIENCIES ARE CORRECTED.`` -
SIGNATURE OF STRUCTURAL OBSERVER DATE STAMP OF STRUCTURAL OBSERVER)
IN/Form.08(Part 1)(Rev.1/1/2007) www.ladbs.org
City of
Los Angeles Uniform Code Program
Uniform Procedure I-7: Special Inspections
Special Inspection Report
. DISCREPANCY `-CONFORMANCE _
I Alt discrepancies shall be brought to the immediate attention of If work conforms to approved design and code requirements,submit
the Contractor for correction. if corrections are not made in a this report to Building Department and copies to Contractor, Engineer!
timely manner,this report shall be used as a discrepancy notice. Architect of record and Owner no later than the business day following
Submit the original to Building Department and copies to the conclusion of the special inspection, For inspections greater than 5
Contractor,Engineer/Architect of record and Owner. days duration,submit a conformance report at least once every week.
This Is a: Progress Report • Final Report Report No. _1 Page No. _1_of_1_
Project Address: Description of Project:
I7 �/ a ��,eAVsrtz . 1i�1/-c: 577 •
Permit Number: Owner: Architect/Engineer of Record: Co tractor:
, vr•
Full Name of Special Inspection: City Registration Number: Company: Phone Number:
Huan Van Bui P013049 -C4- VanBui Inspection 714-345-8266
Type of Inspection; '
a Reinforced Concrete a Structural Masonry a Piling,Piers&Caissons a Smoke Control
o Prestressed/Post:tensloned o Bolts in Concrete/Masonry o Excavation and Fills o Energy Compliance
Shotcrete/Gunite ❑Structural Welding a Spray-Ap lled Fire Proofing a Testing Reports
o Insulating Concrete/Gyperete ❑ High Strength Bolting a OtherG/
Time Time s wl
Date Arrived Departed Description and Location of Work Inspected
g7` �/g /•' % ,P p (94(y--- OtrvC-4i � W,4i. / 1,S17";;12./ 99°'
si i
T/4- 3 2
pixy/5' a ',ADp6r/- 3 /5 ,74
'/'.Z�--•
y-� /6-1/09/c
01,/„.
,,z,
Remarks. / (//) tS W.S
• 611 /i --e-- /rte (/ t )A-00•
Def 7/S z/S,3 f r o/c-g
z , ge•L'7:. -rc , /ec— ""e"Z-
I HEREBY DECLAETHAT ME FOLLOWING IS TRUE TO ME BEST OF lMY KNOWLEDGE:
`•. :AM,OR MY COMPANY IS,RETAINED BY THE OWNER OR ME ARCHITECT/ENGINEER OF RECORD TO PROVIDE SPECIAL
INSPECTION FOR THE WORK COVERED IN THIS REPORT.
2. I HAVE PERFORMED THE REQUIRED INSPECTION DURING THE TIME PERIOD AS STATED ABOVE.
3. THE WORK COVERED IN THIS REPORT IS IN CONFORMANCE TO THE APPROVED PLANS,SPECIFICATIONS AND APPLICATION
WORKMANSHIP PROVISIONS OF ME CODE,EXCEPT AS INDICATED OTHERWISE.
Signature: Date 4/2/le
Huan Van Bui, Deputy Inspector
•
I i
I
94'.q• I
142.41' t
�.—•—•—•—• —•rte•--}---------,-----------�
r• �'• J�I � �I ilk � EXIST SIDE YARD � WALIGWAY AND LAP�75GAPE TO REMAIN j
1 . � Vilp_ I
TO BE REMOVED
I 44'-4' I • f I
_. I i (E)LAWN AND LANDSCAPE TO REMAIN
I I i /
I I
Lith I 47'"7 9/4• I
I
i
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�'b
5'UTILITY �f NEW
EASEMEN - _
•
I I
NEW LAVW AND LANDSCAPING EXIST LIVABLE SF I
I 1,705 SF •j
ill* 25•-O' y TOTAL LIVABLE
SFLE SF I Lsi
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elf /2. Q. 1Y
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427 SF NEW GONG DRIVE
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111111I
© • OO (N)WA R HEATER Of 0
I S -
I S p• -'---------....... }+.—'---'--'------------------'—' i AC P� YEXIST GONG DRIVEWAYI Ii4NEW GONG VE "ITINEWGONG f I NEW 6'HIGH GATE
L.-. ._.-.-.-._.-..L.._._._._._._.-.-. -.-.-. -.-.-.-.-.-.-.- I
.25'•9' 135.93' '2i
J' I
SITE PLAN E,,
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/ EXIST 51DE YARD GpN
j
�'• �I I I L WALKWAY AND LAP�SGAPE TO REMAIN ji _
N
I I 11
i •� (E)Oliva Tree
TO BE REMOVED
444 I I I
_•� I (E7 LAWN AND LANDSCAPE TO REMAIN
� I 1 I
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I
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I`UTILITY (N)F1cus Trees typ.
99•-p• I
5•SEMEN • � 1 NEW
EASEMENT
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NEW LAWN AND LANDSCAPING EXIST LIVABLE SF i O
I 1,705 SF •
,1 I�19-0y TOTA2,4 4ASBFLE SF _ LAI
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igi
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[I W
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I 5'.0' ( ..25-0. I (E)Jacaranda r=�• � .
NEW 2 CAR GARAGE 1 f1 coNc. I Q
427 SF 1 er NEW LONG DRIVE (E)L' AND LANDSG - TO REMAIN
I I 47.2 .
I �_
O ❑b j 55'-2 1/2• n IC
© • IAC PPAD R HEATER I O
15•-0• Rl
7 _.—.—.—.--__... .—_—_—.—_—.—_—.—._
I•— ---------- - ---'--- Y{ EXIST GONG DRIVEWAY I �y�..
I 1 m V
= o NEW GONG VE 'Q c
it I j1
NEW GONG I NEW 6'HIGH GATE I
L.-. .-.-.-_-.-.-•_L.__-•-•-•---•-•- .._____.-.FL-.---..—•—•— —•-----•—•—• 1 --•—•—•—•—•—•—•—•— %—•—•—
�5'•g' 135.93' Pi
�I I
SITE PLAN
I W .
AMOVED RAW
• - rxJ'itf ME MASSFILE NO.
A-23- ZO1?
11-14,A-T-101-
_ _
} DATE FILED S-j5-2018
. i . of FS
Bv. , 2T^ 2 al �� ! ICATION FOR HOMEOWNER ASSOCIATION
' ARCHITECTURAL DESIGN REVIEW
(SHORT REVIEW PROCEDURE)
PROJECT ADDRESS: 1 -2 I 01\- - C -9 V i
PROPERTY OWNER'S NAME: i\-40P--K- G k/ e
ADDRESS(IF DIFFERENT): '� n
TELEPHONE NO.: (92(0 _ I3 'k2/ E-MAIL ADDRESS: �'`A-4��L w,.6u-k_rv'e
APPLICANT NAME(IF DIFFERENT): V��412--V i /l EOM:, -I- k) SOL l g`-/
ADDRESS: l I, l l h- O/5 17
TELEPHONE NO.: (O Z6 — 73-LC E-MAIL ADDRESS: I W j C-vin-4) a I • C�"�
DESCRIPTION OF PROJECT(Check applicable):
El Single-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
2 Roofing re-v rs f 5 4-0 p re v c ouS ekiv rb u a.( PIM 17--/
4:‘,4cx.-• ov N r S elekca-lio, osc- 5ar&se z) j ) 54(t5e d.cybc �� re,-c4e.- i 5ruwc di dr-040
ACTION&FINDINGS:
jle Approved-The project is consistent with all applicable guidelines
❑ Conditionally Approved-With the following conditions,the project will be consistent with all
applicable guidelines
❑ Denied-The project is not consistent with the following guideline(s)
By ,ARB Chairperson Date:
4
6/17
•
City of Arcadia, CA 04x u c 'W Peer»t n►o M'eCk1 19 1070:
Development Services Department
r r
p p � �� �� �� PermrtType Mechanical`
240 West Huntington Drive,Post Office Box 600211,1
Arcadia,
('�i
Arcadia,CA 91066-6021 4 i;4::::41/4. ) Work Classif catron_HVAC New System,Residential
(626)574-5416 + da e; rc
�" �.�� PermrtStatus ,Issued '�
ARCADIA
w Issue Date 06/06%2019 a Expiration:
Addr NO. Dir Prefix Street Name Street Suffix Unit City,State,Zip Parcel Number
1741 Oakwood AVE Arcadia,CA 5765022019
Contacts
CHENG,YING CHUNG TR OAK TREE Owner MARVIN FONG&ASSOCIATES* Applicant
FAMILY TRUST
1741 OAKWOOD AVE (626)241-7321 MFONG@MF-AI.COM
(626)203-1396
WAI TAK CONSTRUCTION INC* General Contractor(B)
611 E MISSION RD,SAN GABRIEL,CA 91776
(626)731-0648 586138
Description:ADD ONE HVAC SYSTEM PER HOA APPROVED Valuation: $ 143,551.14 Tenant
PLANS.HERS REQUIRED FOR FINAL.
Total Sq Feet: 794.00 Plan Check#18-363 Plan#32575
M7 �.w. • tea
Fees Amount Payments Amount Paid
Compressor<3 Ton(up to 3 hp) $19.86 Total Fees $209.00
Electrical Permit Issuance Fee $47.01 Cash/Receipt#REC-01438-19 $209.00
Furnace or Burner<=100,000 BTU $19.86
Gas System(Outlets) $15.55 Amount Due: $0.00
Mechanical Permit Issuance Fee $47.01
Motors,Generators<1 hp $8.07
Outlets-Plumbing clss ante Fee
$1.63
complETED
Plumbing Permit Issuance Fee $47.01
Solid Waste Management Fee 2 $1.00
• Solid Waste Management Fee 2 $1.00
Solid Waste Management Fee 2 $1.00 CALLS FOR INSPECTIONS
Request for inspection by telephone at 626-5`74-5450. Leave a message
Total: $209.00 requesting the address,timeframe and what inspection item is needed.
NPr 3S• 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.
June 06, 2019
Issued By: Date
June 06,2019 Page 1 of 1
OF ARC
Q,,,,ieoR,y 'l,
1 _ ' PERMIT/PLAN REVIEW APPLICATION
Development Services Department,240 West Huntington Drive,Post Office Box 60021
um\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:
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
performance of the work for which this permit is issued.
Signature of Contractor
OWNER-BUILDER DECLARATION ❑ I have and will maintain workers'compensation insurance,as required by Section
IDII 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 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 f r� Signa -.1."Law does not apply to an owner of property who builds or improves thereon, l ,
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,
Ad 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 9f 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:
I� Lender's Name
Date �C`e (NYI Signature Lender's Address
IMPORTANT: APPLICATION IS HEREB MAiBUDING 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
\T
further information.
ame Nom'1L - Title Q
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.
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 upo the above-mentioned property for inspection purposes. 0J
S ature Date �(ta (VII ` •
i : � � �� � x Pe mr` No Elec 18 1492
City of Arcadia,CA i : i,�a s T -gkiperrrirtType5 'Elect ica,,5
Development Services Department l t k.F ' y R
240 West Huntington Drive,Post Office Box 60021 a ` i i, c
° -; Work ClasF;cf ron 'Flet'-emp9PrY:?:1444,,i-t.......:!.-1,..f;
rtPole
Arcadia, -5 91066-6021 r f r ig ..,,,,,,,,„,.„,;:,,,..,.6„,„,,,,,.,,,,,
(626)574-5416 i ''''''''T4 ' �,, '° " ,"', " '• Permit Status (issued
ARCA D IA - issueeDate 08/20/2018; Expiration: 02/16/2019
Addr NO. Dir Prefix Street Name Street Suffix Unit City,State,Zip Parcel Number
1741 Oakwood AVE Arcadia,CA 5765022019
,41
Contacts
CHENG,YING CHUNG TR OAK TREE Owner
FAMILY TRUST
1741 OAKWOOD AVE
(626)203-1396 i
Description:TPP FOR ADDITION FValuation: S 0.00 *i Tenant
Total Sq Feet: 0.00 Plan Check# Plan# 1
A _ . .r... ,, �
Fees Amount Payments Amount Paid
Electrical Permit Issuance Fee $44.35 Total Fees $76.85
Solid Waste Management Fee 2 $1.00 Cash/Receipt#REC-002065-2018 $76.85
Temp Power Pole(auto) $31.50
Amount Due: $0.00
Total: $76.85 -
4�, � 10. i c-i e 6�-
ri COMPLETED
6r.mrL, 3'I I- Zo 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.
(iiiAugust 20, 2018
Issued By: Date
August 20,2018 Page 1 of 1
��40,lF J ,,�1,f
mom 7;. PERMIT/PLAN REVIEW APPLICATION
. ij; 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,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
performance of the work for which this permit is issued.
Signature of Contractor
OWNER-BUILDER DECLARATION CII 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
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
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 Sec'on 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 ,p ' ?e--11).
sale(Section 7044,Business and Professions Code:The Contractors License Date ��"��1[1 _ Signar*P
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:
. i
/ Lender's Name
Date01(� Signa Lender's Address
I1‘(1)
ORTANT: APPLICATION IS HEREB MADE TO THE B i i I ING OFFICIAL FOR A PERMIT SUBJECT TO THE CONDITIONS AND
RESTRICTIONS SET FORTH ON THIS AP r LICATION AND T.I 6, LOWING:
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.
\çame am`!- CUA Title OwAglr
P.,,,,,,NAME
I certify that I have read this application and state that the above information is co ect and that I am the owner or duly authorized agent of the owner.
I agree to comply wi all City ordinances and State Laws relating to building construction. I hereby authorize representatives of the City of
Arcadia to enter upon 3 e Ali mentioned property for inspection purposes.
41111110 v -,
Signature IIIL Date t POI 1 .