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SNEW-18-0739
» 1i� Peiat-No SNew 18 07398 l City of Arcadia, CA ` 4 ,. , u sR b�� yea � y � xa �� � '„-.--.2,,e-',-4.,,L'- i Development Services rive,Postment P , PermitType SinglFamily Never} / S n 4 k C t -J Y M '� A. 240 West Huntington Drive, Office Box 60021 r f i w Work Classification SFR NewDwelling, Arcadia,CA 91066-6021 w t N k t ,, „ (626)574-5416 � o-� a l4 '`� �a '°'1 T Perr itStatus Issued v ARCADIA "/^ DI{A� a � Is�squte Date 09/17/2Qi8 Expiration: 03/16/2019 Addr NO. Dir Prefix Street Name Street Suffix Unit City,State,Zip Parcel Number 2728 Bradford AVE Arcadia,CA 8586003023 Contacts Andy Huynh Owner ERIC TSANG DESIGN STUDIO Applicant ra 2728 BRADFORD AVE 440 E HUNTINGTON DR,ARCADIA,CA 91006 (626)318-3269 (909)569-3737 ERICDSG@GMAIL.COM ANDY DUC HUYNH* General Contractor(B) • 3358 Angelus AVE,Rosemead,CA 91770 (626)318-3269 *�?'..:.Rar�.: .:...4 ^,^ `s va n,.g s't°v."mac X .� -W.: ,:w.°r'”. ^m`+ .w....rMs •x,.,,.^a:r,..., q....�Ap ee=* r s:ss-a.-or,.w>. t w u.a .. -a e"r.msta a...:' .. snae:cixum�aY',re. Yx ru' ,r+.m Description:4 bedrooms 4.5 bathroom,Family,Living, Valuation: $625.010.56 Tenant Dining,Laundry,Kitchen&Wok Kitchen,Breakfast,Home theatre,Library,Loft,Attached 2-car Garage,Attached 1-car Total Sq Feet: 4,398.00 Plan Check#18-739 Plan#32592 garage . WITH EMP 400 AMP SERVICE,SUB PANEL,HVAC,HOODS, FIREPLACE TPP. Ar Fees Amount Payments Y Amount Paid Bathtubs/or Combo $37.38 Total Fees /it 4 $25,089.00 $44.35 Cash Receipt#REC-002304-2018 $17,818.13 Building Issuing Fee / P 7 Building Permit Fees $4,853.40 Cash/Receipt#REC-001238-2018 $7,270.87 Building Plan Review Fee $3,154.71 Cal Green Plan Check $315.48 Amount Due: $0.00 Clothes Washer $12.46 Compressor 3-5 Ton(3 to 15 hp) $68.58 Dishwasher $12.46 L /�44 G—Z —2-6Distribution Panel $15.55 0 Electrical Permit Issuance Fee $44.35 Energy Plan Review Fee $970.68 CALLS FOR INSPECTIONS Fireplace Pre-Fab $14.11 Request for inspection by telephone at 626-574-5450. Leave a message Furnace or Burner<=100,000 BTU $37.48 requesting the address,timeframe and what inspection item is needed. Garbage Disposal Fee $24.92 Gas System(Outlets) $87.02 Grading Issuance Fee $44.35 This permit/plan review expires by time limitation and becomes null and Grading Permit Fee(1-1000 CY) $450.00 void if the work authorized by the permit is not commenced within 180 days Grading Plan Review Fee $850.00 from the date of issuance or if the permit is not obtained within 180 days Green Building Standard $26.00 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 Install,Relocate Appliance Vent/Hood $18.76 consecutive days or if no progressive work has been verified by a City of Kitchen Sink $24.92 Arcadia building inspector for a period of 180 consecutive days. Total: $25,089.00 4 . , September 17,2018 Issued By: Date September 17,2018 Page 1 of 1 t4°FF ,eA, ." ":4 ;-- PERMIT/PLAN REVIEW APPLICATION .t4.p�' 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: Chapter 9(commencing with Section 7000,of Division 3 of the Business and Professions Code,and my license is in full forc and efffct. ❑ I have and will maintain a certificate of consent to self-insure for workers' License Class License Noll1 Exp. Dat �� f 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-BUILD R DECLARATIO ❑ I have and will maintain workers'compensation insurance,as required by Section 3700 of the Labor Code,for the performance of the work for which this permit ❑ I hereby affirm under penalty of perjury that I am mpt from the Contractors License Law for the following reason(Section 7031. ,Business and Professions is issued.My rkers'compensation i urance carrier and policy numbers are: Code.Any city or county which requires a permit to construct,alter,improve, arrier 0<b. fes'- demolish,or repair any structure,prior to its issuance,also required the applicant olicy 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 Sect n 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 P ti p Date / /��� / 4 .._..--, sale(Section 7044,Business and Professions Code:The Contractors License 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 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. n J) Name / (1 Title .1.,__ \rM�CGlay—, PRI 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 u 8 on the above-mentioned property for inspection purposes. (signature i (3ate C�l ) )7 I )NS ` . NOTES Building Inspections Date Insp. - Plumbing Inspections Date Insp. 100. Setbacks • opor- 210. Under fin/bldg.drain i(2(-/8 ,,- � 101. Rough grade p �, 211. Copper underslab 102. Figs.&forms 1 -2.418 212. Rough plumbing .-rt 1(5_1c-ct A R.1R.111 �� ew5 (EPT 103. Pre-slab 12-3-ie a1'�►° 213. Rough gas f+ 104. Floor joists 214. Shower pan $-11-1, ""✓'eAr-X y/AD 105. Steel 215. Water heater 106. Grout lift 6. Roof drains c1-4-I q ' c� � 107. Shear nailing 15.--,/ ,-,_ - 217. Building sewer II-7448 I�-7-11 JI l/J�s / 108. Diaph nailing / YJ_ 218. Water service 109. Roof nailing j-ICS-t ,219. Final gas 110. Framing 4/-4"_(' / 220. Fixtures 111. 0cc./Area Sept.Wall 221. Final plumbing (4-29 ZD 112. Sound walls 222. Sewer cap/demo. 113. T-bar grid 114. Insulation-Flr. Pool Inspections Date Insp. 115. Insulation-Wall 1L,..,e6---"rt .Q 240. Excavation/steel 116. Insulation-Ceil. "1 fl r 1. Rough plumbing 117. Drywall nailing y�ej(? 42. Light shell/bonding 118. Interior lath 5--- -17 243. Underground conduit 119. Exterior lath 244. P-trap 120. Finish grade 245. Gas line&test 121. Final building -Z9-7.45`�� 246. Fence,gates&signs 122. Final demo/lot clear 247. Pool heater 248. Final electric _ Electrical Inspections Date Insp. 49. Final•lumbin. 150. Power pole %c -IS-16 250. Pool cover 151. Sales lot lighting 1 251. Pool final 152. Underiround conduit 153. Underslab conduit 2-31 Z'Reroof Inspections I Date I Insp. 154. UFER ground I lf-1: 4' 270. Pre-reroof insp.g9 . •. G 155. Water ground 271. Roof framing feu 3D saAre. G 2Z f 156. Rough electrical r-- 272. Sheathing nailing 6-9.0.-pe a ,-- 157. 157. Fixtures 273. Final reroof 7.3,Z5- 158. S158. G.F.C.I. 159. Eqpt.bonding Sign_Inspections I Date I Insp. 160. Service panel ks--7-i, - 80. Setback/overhang 161. Final electric 6-27-74..)Z) • '281. Footing . 282. Conduit/wirin. Mechanical Inspections . Date Insp. 283. Disconnect 180. Venting/flue 284. Final sign • 181. Furnace/A.C. 182. Rouch HVAC gam' �oj Miscellaneous Insp. I Date I Insp. 183. Fire dampers 290. Fire alarm 184. Furnace compartment 291. Underground supply 185. Combustion air 292. Fire sprinklers 186. Smoke detectors 293. Monitor system 187. Metal F.P.rough ,T,47(/ /37"1,44.4/294. Hood dry chem. 188. Compressor setback 295. Final 189. Commercial hood 190. Duct shaft Sewers&Offsite Insp. I Date I Insp. 191. Final mechanical - Z9-20 ,( '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 • Certificate No.20121023 -898 ARCADIA UNIFIED SCHOOL DISTRICT 150 South Third Avenue,Arcadia, CA 91006 • (626) 821-8300 Ext. 6732 Certificate of Compliance for Payment of Developer Fees (Education Code §17620, et seq. &Government Code §65995, et seq.) Effective July 24,2017 Current rate in effect applies at the time of imposition of fees/payment. Project Address/APN: 2728 Bradford Ave . , Arcadia, CA 91007 Number of Units in Project: O n e Plan Check Number: 18-739 i* [X]** [ ]** Exempt: [ ]500 sq.ft.or less(residential addition/expansion/remodel) Residential Commercial/Industrial [ ]Other: $3.20/sq.ft. $0.51/sq.ft. Area in Sq.Ft.: 2 ,842 Receipt Number: 330419 Total Fee: Check Number: $9 ,094.40 0976709664 Owner's Name: Nicole Wang Owner's Address: 9117 Olive St . , Temple City, CA 91780 Phone Number: 626-318-3269 Email: Representative's Name& Contact Info (if appl.): Andy 1I u y n h 626-318-3269 *The above-described development has been determined to be exempt from the developer fees of Education Code§17620,et seq., and Government Code§65995,et seq.,and a Building Permit may be issued therefore. ** All fees due to the Arcadia Unified School District, under provision of Education Code §17620, et seq., and Government Code §65995, et seq., as a prerequisite to the issuance of a Building Permit by the Building Department of the City of Arcadia, City of Monrovia,City of Sierra Madre,City of Temple City,and County of Los Angeles,Department of Public Works have been received. • Based on the• ormation prese t-• above,this Certificate of Compliance is hereby executed. Connie Chu / Senior Administrative Asst . 9/4/18 Signature of District Representative Name/Title Date of Issuance D. The District charges a $100 fee to process reinstatement of the Developer Fee Certificate of Compliance resulting from an "insufficient funds"check in addition to a$35 fee for the returned check. Only cash or a Cashier's Check will be accepted as payment thereafter. D The District charges a$100 fee for any amendments to or cancellation of a Developer Fee Certificate of Compliance.formerly issued on any type of development. D If 500 sq.ft. or less is the reason for exemption,any future additions, expansions,or remodels to the property that result in the past aggregate square footage to exceed the allotted 500 sq. ft. will be subject to fees at the current rate for the entire square footage of the development. D Owner/developer may request a refund of fees paid to the District within 12 months of payment only in the event the Building Permit expires or the project is canceled without commencement of construction in accordance with Education Code section 17624(all other requests for refunds must be made in accordance with the fee protest procedures set forth in Government Code §66020). All refunds will be reduced by a $100 administrative fee. The refund check will be issued in the name of the owner/developer and mailed to the address of payee. PURSUANT TO GOVERNMENT CODE§66020(d), OWNER/DEVELOPER HAS A PERIOD OF 90 DAYS FROM THE DATE OF ISSUANCE OF THIS CERTIFICATE OF COMPLIANCE TO PROTEST THE IMPOSITION OF FEES Applicant confirms that he/she is authorized to sign on behalf of the owner/developer and that the information he/she provided to the District is true and accurate to the best of his/her know edge. Signature of Applicant: Name:�).V H IA r WHITE—City/County YELLOW—Fiscal Services PINK—Business Services GOLD—Applicant Certificate of Compliance(7-24-17) ' 0 o . "r �-.�"• rte'` • , "" � ..•r.. �i `.% ,'* .. `z+,044f.,,.- . ...:::.. 4 r� �;aay?U ,;, 0,} ��t3..�a r c, 4,, �ll r U. i ‘,1",,,5? I ` -�. w ;°r .'3 , -: r#. _.' �� .,�. ,:'..-1,-„,:,'‘..-- -� �„ ,-„,e-1,-'-,-..= "�z :'Y.`- �' tile^lP� t. ...•,--R' �. •t''"k *�"��.� ...e+, ..-...z ..:�,3.”"` c..w ...t '"°:.. vx.: �, 44re,. � ai .. +eSs� . - „:,,,,„-;,,:4,0;.,*,:,,, '7;�' a �J c it. . � ' • .e . 5.- 4It .hy '.7�” ��J. ... Y JrI.��RN S iF r,. k �a Certif cate of Occupancy �1•„,., t City of Arcadia F �, Development Services Department—Building Division g� ' :{ 4''''' � n This certificate issued pursuant to the requirements of the �s �`� t.3California Building Code certifying that at the time of issuance this structure was in i 3z � ,, compliance with the various ordinances of the City regulating building construction or use. . 0g. .` ,,,• Permit No. SNew-18-0739 �^ 'tit a`M” �', vi.. I Building Address: 2728 Bradford Ave,Arcadia, CA 91006 , ��' Permit Te: Single FamilyNew : t, i yp g Effective CBC: 2016 CRC ` i q 4 Occupancy Code: R-3/U Zone Code: R-1 � " k(C- Final Date: June 29, 2020 Type � yp TYPE VB, SPRINKLERED �, °th ,; Owner: Huynh, Andy : tom' : � ? � �:.' Y • ` k „\k, ./' x Kenneth Fields, : .ing i ' I °in' ' -, g� Post in Conspicuous Place ° 1, '(/'``' P k 'i� ;,_ �:t+z �z:za.,:w"'. hS.: uV"i ..w k «F ewist'r,:.:.:xi,' tir _ er:: .'v: .5sv,::ia,. e:. :sYti'... ,t,. ,�_,.. >.r x f \,>b<t'z 4 ws=:rA ,../`�..:r Y" .. .-- _,- v-- .... — --- ,. !i?4wkira�..,5s:VSs-alstaw` hY"s`'w�°i4*i is �?G '.�tr,.. . •` r 2agig,••, .fa^:?LV.L'4i ..,4 -5,-g: �c.. -'. '� / �. •'�; C,t n ,p. :?, _ },x V _ - ...y .•ems'',, ,i•.. ?' .Ypl•-'.. g.+. ;- ,� 4 ),\,..4 %"",.d,l A, �. �� ,,. ��. �a/ �'�.- i y�i'r>._ .t�•/�C�x��-` _ k� �. \� ,�5„.p A.12- .,1),--4h-,,--- d� A a� ��v 1 iN :.el i. x � �. tt t V _ I,.U�.. � If/�-\�t 5 ,t ���'TL�` �Y� gv/' �7 I�. .,�4 a�.. d�.\ ;':".-41.01 ,1• I '_. day �y :-,, .." r.-s-a fTcoy wi c ! . IiH. 4. 7 E ,, �� ( ,. .*,`,"4,4 RA'ES�,1�t�1,1�� .d .. �.,. .V'p�, ,...-:.- a; .1k �A -::.-. .. .Rt�.:.r�.t :a' �m .754" �T•1 Y d.S>�"�SG 4 `b" t'�2 1���° '�� a ,:. •'• ..n,w�i 3 �; ...,'.: � , �u � '. G, a ` '�r. '°1�M .:A�S§4,�����TF "r � .._4.,., ', - � ..�+: •. {n ... t9 ,n�,'• °`• ,, ''{ @ g - v r'y. ".e�40�4.14. `� ;ry,.... v.:.1„ YF;t4!` .".• +'., ,(�.$E ftr' � ws: I . 1.,...........,.......,„,,,,,,,,,/,,,,,,,,,,,,i �1 rh A i 1 1 a I I 11 I A.9 Hr wRUTORENAG N89°55'25"E 175.00' ORr IPENO£roSEREHI PCP Z 4 Cid _ � _ E. �, -_ I � T B I EN wPw — I - - -r-- r� I' F ''...1 ' 1 < yC r r �, LI re t i jL,D I - :':,. '•. /tl rir .I rk_ --- �!(i�- I'�% I .z I :; liJ nJ -. e r -,{L''..:_,'- 1PROPOSED 2-STORY Ir " } ❑ ?I - ©'�® � r SINGLE FAMILY HOME L___ �I /'i- ; N Baa®a4°��d %,= •�;Py,' '' • �' �►aaaa.'4,:///.a111,.....,:.,± 07..-.;,.•)•• f I • Li. z .aaa���� i I► • 0�� . . .e � . _ TTTT AEICANR REMAIN I I IL N89°55'HTBLOGIwAu701.14414 5 ' - rNY�rAmTwxPrNOC1yx AmPTa TO f II II +o I m aV ///////////////� I I i I I 4 OSITE,PLAN „ ,re•y W U �5 Z MI W MI ❑ `.1,',1,-,¢o r— Wto oW s ,., r. 0 .1.,„.„7 .•..• i�rZ:. I >- m a •II n NA 1i i r II Fr ij ,II I ` L • I -NO EXISTING SYCAMORE OR OAK TREE ON SITS - I I I GENERAL PROT TREE ECT ON NS:OTE ..O,„ NO DAMAGE ALLOWED TO CANOPY OR ROOT SYSTEM.PROTECTIVE FENCING Rory° TO BE INSTALLED AS NECESSARY,NO PRUNING OF CANOPY ALLOWED.ANY •I�,.S A TRENCHING IN ROOT ZONE MUST BE DUG BY HAND TO MINIMIZE CUTTING OF OR DAMAGE TO ROOTS.TREES MUST BE WATERED ONCE PER WEEK OR AS NECESSARY TO KEEP THEM IN A HEALTHY CONDITION. - PLOT DATE O 1 6/SGISIESR:ASAR EXITING ROPOSDMw10RrvTEll�YGAENEELEVNWEN a DCOSEOANNARPA SITE PLAN PROPOSED EDSA o aEumsuPINOIEELAxauSPEPNI a.PRoxwn..rm111.00mawHTww wrt ES (7)KEY FROM G�HDRE,EP NOIEIE ATNTH�P.ARI�EORPD+111,C10 WASHED OER MONET REYRDGE '44"` 1...30'.0. TAMPEom DDDDC&GO(WAll,YMCA BIRD STUCCO COLOR(ONOER SEPARATE PERIM) 11 PROOPOSSED90SlCIM WALL.WTCH WWI.STUCCO COLOR A-1.0 12.POOL VIPUENT LOCATION ti" FORM PLANNINGPROGRAM• /iRC,tl;lfi LID PLAN CHECKLIST ProJett Name - F rmef Pame YNH ANDY HUDeveloper Name �2'72$ BRFiDPORD'"AV 2�Tc• � D , `ProJ«taaarers 2728 BRADFORD AVENUE DrnerMdres9 2728 BRADFORD'AVENUE Developer Address ARCADIA,. CA- 910'07 • ARCADIA; CA,'911,007 -t , ,bnpuck* 18-739 I owner; *if RpoRAT_Cr) CITY OF ARCADIA 240 West Huntington Drive Arcadia, CA 0997 FINAL GRADING VERIFICATION AfTENTION:, Community Development Administrator SUBJECT: Grading Verification for Project No, 17-023-150 Address: 2728 Bradford Avenue Gentlemen: • Finish grading operations have been completed fOr PrO.jeCt No. for 17-023-150 Lots through (if applicable) and has been inspected by:the.undersigned Registered.CiVil'Engineer or Licensed Architect, Basedupon the observations, the grading subsequent to the Rough:Grading has been completed in accordance with the approved plans and specifications and is, In substantial conformance with the final grading plan approved by the City and no. unauthorized deviatiCinSwere made: All required surface drainage devices have been mstalled. Provisions haVe.been Made for drainage'Of surface waters.arounapropOsed bau:lingsland:.their apptittenances, e<9 t),01(C• 4:7? Cee <% Engineer (Signature) No 5,1979( rchitect.(Signatare) - , • 1. Exp. 12- m RCE , 40870 No. Civil. its,/ rIA10•-•- Date: March 4,2020 Received nd approved: frigIWAllb",eims (2.00 . ils'Nfriissurfe. Date': CC C.D.D./Maint,Ser. • • C.D.D./Building .er f DEPARTMENT OF BUILDING AND SAFETY . STRUCTURAL OBSERVATION REPORT FORM , ) Report No. This report includes a_:11 constructien'work through . -''`t day of )°"'"A b—",11 20 /I 4 F No. of Project Address: _, g ;;,:,..; ,_ _ Structural;Observer of Record(SOR): Phone No.of SOR: 1,-1 z-"v' \3iYiSS - "F " ; fc 1a Uo. = ••• ' „ ' .. ', t, p (5-4...z.8 ,00...,, Building Permit No.: Structural Observation performed by: Professional Lic./Reg.No.of_Observer: Phone No.hof Observer: �, tet Lee 467 Tr 4f _;J 1. g-2 J', . OBSERVED.STRUCTURAL ELEMENTS AND THEIR CONNECTIONS , FOUNDATION WALL ,c'I, FRAME FLOOR PORTION OBSERVED,IF'NOT WHOLE ❑ Footing,Stem Walls ❑Concrete ❑Steel Moment Frame ❑Concrete ppf r 14k/,w€l /r niq1j ❑ Mat Foundation. ❑ Masonry ❑Steel Braced Frame ❑Steel.` „. � .4i,4e +6 / 0'07.7/ , ❑ Caisson,Piles, Grade Beams Li Wood ❑ Concrete Moment Frame t=rWood;. 21`'pf'4"oft 5-#6,--1,1,/,_,,k041,4„ ❑ Retaining Foundation ❑Others: ❑ Masonry Wall Frame ,. ❑Others: ( S1. rI it, cst ry1,l 4,i.'}�ti- 1, LIOthers: - U Others: a, 61 J 1;' ,' APP./10 irr:;-., Cr P u e.r!>t`/r'/5 L. f ft . OBSERVED DEFICIENCIES: - - k 2.` 1 . ,. ._ate a . 1 b 9t1.: �'.r C( &T'.).t fr l r 1 ',,, ‘.V.:, ` PROFESS/pN , ''''' ' 76..-cG PE14•"•(<`si, ill. // - 'L.:). S .,948 m m ' `\ EXP.03/314) * • SIGNATURE DATE. STAMP OF ENGINEER TRUE QUALITY INSPECTION 12929 Telegraph Road Unit I - • Santa Fe Springs,CA 90670 T.0.1. : PHONE:(562)640-4324 REGISTERED INSPECTOR'S DAILY REPORT DATE:2114/19 Reinforced concrete Structural Steel Assembly Gunite TYPE OF INSPECTION _PostTensioned Concrete _Welding Epoxy REQUIRED Reinforced Masonry _Spray-Applied Rreproofing - _Other Job Address City 2728 Bradford Ave Arcadia, CA Job Name Permit No Issued By • Nicole Wang Snew-18-0739 City of Arcadia Type of Structure Architect Single family residence Eric Tsang Material Description:(Type,Grade,Source) Engineer Simpson Set-XP Epoxy Peter Lee Contractor Andy Huynh Inspector(s)Name Subcontractor Mauro De La Cruz TEST PERFORMED Type of Sample: Slump: Quantity in Set: Additional Remarks on Samples: INSPECTION SUMMARY Provided visual field inspection of chemical epoxy adhesive anchoring placement of 66 5/8"`anchor rods into clean 3/4"diameter holes for an embedment depth of 7"and 8 5/8"anchor rods into clean • 3/4"diameter holes for HDU5 for an embedment depth of 12". All holes blown,brushed and re-blown per code, plans and manufacturer's approved printed installation instructions(ICC ESR 2508)and set with"Simpson Set-XP"epoxy adhesive, Exp. 10/20. All material cartidges verified to be free of damage and defects. • All mixing heads in good working condition provinding uniform mixing/color. All material embedments maintained during placement. Workmanship good to excellent. No discrepancies to note. Certification of Compliance Page 1 of HEREBY CENnFYmeTI HAVHNSPECTEDTOME BESrOF MY TIME IN TIME OUT REG HOURS O.T.HOURS KNOWLEDGE ALLOFTHE ABOVE REPORTED WORK UNLESS OTHERWISE NOTED.I HAW FOUND THIS WORK TO COMPLY VALH THE APPROVED PLANS,SPEOFICATIONS,AND 7:00 am 11:00 pm 4 N/A APPUCABLE SECTIONS OF THE NG BUILDING LAWS. -- SIGNATURE OF REGISTERED INSPECTOR All inspections based on a minimum of 4 ours and over 4 hours-8 hour minimum. 8821400 ICC Approved SPECIALTY NUMBER AGENCY Project Supervisor DEPARTMENT OF BUILDING AND SAFETY STRUCTURAL OBSERVATION REPORT FORM Report No. This report includes all construction work through -24 day of /"d "' , 20 No. of Project Address: Structural bserver of Record(SOR): Phone No.of SOR: •f2i1 lrg '6)(Cat-ke( kve AitadAct Building Permit No.: Structural Observation performed by: Professional Lic./Reg. No.of Observer: Phone No.of Observer: Lt?2 S3`Lq � OBSERVED STRUCTURAL ELEMENTS AND THEIR CONNECTIONS FOUNDATION WALL FRAME FLOOR PORTION OBSERVED,IF NOT WHOLE dFooting,Stem Walls ❑Concrete ❑Steel Moment Frame ❑Concrete f re,►-c/L. 6,ow ❑ Mat Foundation ❑Masonry ❑Steel Braced Frame ❑Steel - {�yQ�mwk ❑ Caisson, Piles, Grade Beams ❑Wood ❑ Concrete Moment Frame ❑Wood 371-,01 lAI c,I/1 ❑ Retaining Foundation ❑Others: ❑ Masonry Wall Frame ❑Others: ❑ Others: ❑ Others: Igen u-Qc4 S<4-K,cwJa OBSERVED DEFICIENCIES: (V" -N A t;/"c'( • Q�GFESS!p si2 30,12 U�O (IZ .G1 LJ �; . n Ill S4 TU�� e, OF CFlL1Fv . .. � ‘1!v1 moi$ SIGNATURE DATE STAMP OF ENGINEER nvrio „, CITY OF ARCADIA • e°10. 240 West Huntington Drive onATe Arcadia, CA 91007 ROUGH GRADING VERIFICATION . • ATTENTION: Community Development Administrator SUBJECT: Grading Verification for Project No. 17-023-150 Address: 2728 Bradford Avenue Gentlemen: Rough grading operations have been completed for Project No. for 17-023-150 Lots through (if applicable) and has been inspected by the undersigned Registered Civil Engineer or Licensed Architect Based*upon the observations; the rough,grading of the ,lot(s) listed 'above have been completed in conformance with plans marked APPROVED" by the City. The work includes but is not limited to the following: grading to approximate final elevations, Staking of property lines; location and ,gradient of cut and fill slopes;-location, cross- sectional -configuration and flow-line gradient of drainage swales,and terraces; berms - installed where indicated; and required drainage slopes provided on building pads. ' Enclosed herewith is a Soil and Compaction Report for the Building Division which is required•on all new construction sites prior to footing inspection. ,jrcS6, 411k C. 4 \ F 0 Engineer(Signature) /44; AN Architect(Signature) rg . No.C 4 70 ri R.C.E. No. 40870 ; ig Exp. R.P.A. No. 5, Date: _October 23,2018 ( d f‘deN Received,and approved: Date: C.D.D./Planning cc: C-.D.D./Maint. Ser. C.D.D./Building CONSTRUCTION STAKING PLAN - GRADING I LOCATION: 2728 BRADFORD AVE ARCADIA CA 91007 N APN: 8586-003-023 DATE: 10-04-2018 11.75' N. T. S. N 89'54'22" E 175.00' 51, 0' In _ � - co In V CT; > to Ia (It I NY3 /-5.0'-Z I N d- � I c O N L I ( O Q O rE Z0Z m 1. w .. .. .. .. .. .. .. .. .. .. 5 0' .. .. .. .. I i N 89'54'30" E 175.00' 11.85' LAND CO- LEGEND o JACK C. LEE o X SET L&T ON TC cc po I l CSG CALLAND ENGINEERING, INC. ® SET 2"X2" HUB J NO. 8407 eQ dba QUARTECH CONSULTANTS plc 4F CO- 576 E. LAMBERT ROAD, BREA, CA 92821 TEL: (714)671-1050 FAX: (714)671-1090 Cal Land Engineering, Inc. dba Quartech Consultants Geotechnical, Environmental, and Civil Engineering October 23, 2018 Mr.Andy Huynh 9177 Olive Street Temple City, California 91780 Subject: Soil Compaction Report, Proposed Residential Development, 2728 Bradford Avenue, APN: 8586-003-023, Arcadia, California QCI Project No.: 17-023-150C Dear Mr. Huynh: This report presents results of our field density tests performed on the proposed building pad at the subject site. The site conditions, field and laboratory test results, and post-grading recommendations are presented as follows: SITE CONDITION This report present result of our field density tests performed on the proposed single-family residence. The building pad as depicted on the attached Site Plan (Figure 1) was excavated to a minimum depth of four feet below the final pad grade, and four feet horizontally beyond the building footprint. The loose and/or disturbed soils were removed and exposed competent natural soils within the building pad area. FIELD DENSITY TEST 1. Field density test was performed using the Nuclear Gauge Method (ASTM D-6938-10) and/or Sand Cone Method (ASTM D-1556-07). The field density test results are presented in Table I. Approximate locations of the test are shown on the enclosed Site Plan (Figure 1). 2. Field density tests were performed at random locations to check compaction effort provided by the contractor. The test results exceeded minimum required relative compaction of 90 percent. The test results herein are considered representative of the compacted area. LABORATORY TESTING The laboratory maximum dry density and optimum moisture content.for the onsite soils were determined according to laboratory standard ASTM D-1557-12. The following table presents the test result of representative soil samples collected from the subject site: 0 576 East Lambert Road, Brea, California 92821; Tel: 714-671-1050, Fax: 714-671-1090 Mr. Andy Huynh Page 2 QCI Project Number: 17-023-150C October 23, 2018 TABLE II LABORATORY TEST RESULTS Soil Type Maximum Dry Density Optimum Moisture Content (pcf) (/o) A- Brown silty sand 128.0 9.0 B- Brown silty sand w/some gravel 126.5 10.0 POST-GRADING RECOMMENDATIONS 1. All utility backfill should be brought to near optimum moisture content and then compacted to obtain a minimum relative compaction of 90 percent of the laboratory standard. 2. Soils generated from footing excavations to be used on onsite should be compacted to 90 percent minimum relative compaction, whether it is to be placed in landscape areas or within areas to be improved. This material must not alter positive drainage patterns away from the structural areas. 3. All trench excavations should conform to CAL-OSHA and local safety codes. REGULATORY COMPLIANCE The field compaction tests were performed in accordance to the American Society for Testing and Materials (ASTM) standard procedures. The test results would not indicate the conditions of the subsurface materials underlying the fills. The engineering performance of the underlying materials and other materials are therefore not included in this report. Our field observation and soil tests were conducted in conformance with generally accepted professional engineering practices, and no further warranty is implied nor made. This report is subjected to review by the controlling authorities of this project. This opportunity to be of service is appreciated. If you should have any questions, please call the undersigned. Respectfully submitted, CalLand Engineering, Inc. (CLE) dba Quartech Consultants (QCI) QpFES31pNr. l� Aller 401./y, ti Jack C. Lee, GE 2153 ' No.253 Matthew Au Principal Engineer .Qy ,� Project Engineer Encl.: Figure I—Site Plan °*, 0 Dist: (4)Addressee 576 East Lambert Road, Brea, California 92821; Tel: 714-671-1050, Fax: 714-671-1090 4 Mr. Andy Huynh Page 3 QCI Project Number: 17-023-150C October 23, 2018 TABLE I FIELD DENSITY TEST SUMMARY Depth Moisture Dry Relative Test Test Test Soil Below Content Density Compaction NO. Date Location FS (ft) (%) (pcf) (%) Type X-1 10-11-18 Building Pad 2 9.0 116.5 91.0 A X-2 10-11-18 Building Pad 2 9.5 117.1 91.5 A X-3 10-11-18 Building Pad 2 10.0 116.1 90.7 A X-4 10-11-18 Building Pad 2 9.3 117.4 91.7 A X-5 10-15-18 Building Pad 2 9.3 116.5 91.0 A X-6 10-15-18 Building Pad 2 10.0 115.6 90.3 A X-7 10-15-18 Building Pad 2 9.1 117.6 91.9 A X-8 10-15-18 Building Pad 2 8.7 117.1 91.5 A X-9 10-18-18 Building Pad FS 10.3 115.1 91.0 B X-10 10-18-18 Building Pad FS 9.0 116.3 91.9 B X-11 10-18-18 Building Pad FS 9.47 115.4 91.2 B X-12 10-18-18 Building Pad FS 10.1 113.9 90.0 B X-13 10-18-18 Building Pad FS 10.8 114.5 90.5 B X-14 10-18-18 Building Pad FS 9.3 115.1 91.0 B Note: FS = Finish Surface 576 East Lambert Road, Brea, California 92821; Tel: 714-671-1050, Fax: 714=671-1090 • � -- N 89'55'25' E 175.00' -� ( 7 ) FJ r X-7 I o I X-4 X-3 X-5 X-11 0 X-9 X-10 1 I I X-13 3 I o A a o a0 0 -' X-12 Z 0 A Z I X-14 X-8 a X-1 X-2 X-6 I P4 K''-. I___ r - I ) N 89'55'25' E 175.00' CalLand Engineering, Inc. Project Address: Adba Quartech Consultants LEGEND APN: 8586-003-023 N Geotechnical, Enviromental & Civil 2728 Bradford Avenue W Engineering Services Arcadia, California X-1 Approxmiate Field Density Test Location Approximate Limit of Compacted Fill Placed Under Purview of This Report SCALE 1" = 20' S ITE PLAN 10/18 FIGURE 1 • ' ? i City of Arcadia, CA Permft>No.Wall-18-1802 p Department -- tr 'f24,-"1-1): , Permit Type Wall i P a Development Services 240 West Huntington Drive,Post Office Box 60021 : `21 > 7 i ' { q Arcadia,CA 91066-60211 s �`" k # Won<Classi cotton:Wall Garflen:Wall � t ) (626)574-5416 . ', ,,, - ' ' —, ' . ' -' ‘'''' ' Permit Stati s•.Issued ARCADIAIssue Date'10/02/2018/ /2018 pI Ex iration: 03 31 2019 ' Addr NO. Dir Prefix Street Name Street Suffix Unit City,State,Zip Parcel Number 2728 Bradford AVE Arcadia,CA 8586003023 Contacts Andy Huynh Owner ANDY DUC HUYNH* Contractor 2728 BRADFORD AVE 3358 Angelus AVE,Rosemead,CA 91770 (626)318-3269 (626)318-3269 838986 Description:BLOCK WALL ON SOUTH SIDE OF PROPERTY PER Valuation: $ 12,761.94 Tenant APPROVED PLANS. 6' H X 145'LF.3'H X 30'LF. BLOCK WALL ON NORTH SIDE 3'H X 30'LF 6'H 52'LF. ADD TWO COURSE TO Total Sq Feet: 0.00 Plan Check# Plan# EXISTING WALL ON NORTH SIDE.WITH SHARED WALL AGREEMENT AMENDED 9-20-19 6 PILASTERS 20"X20"X3'H 2 PILASTERS 20"X20"X4'H Fees Amount payments Amount Paid Building Issuing Fee $44.35 Total Fees $337.95 Building Permit Fees $287.35 Cash/Receipt#REC-002459-2018 $337.95 Solid Waste Management Fee $6.25 Amount Due: $0.00 Total: $337.95 — � CUtV1PLETED ---- 6-Zi-to ii--!Ai4-6 /i717CALLS 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. October 02, 2018 Issued By: Date September 20,2019 Page 1 of 1 .. PERMIT/PLAN REVIEW APPLICATION OF A.Re :61 _41 Development Services Department,240 West Huntington Drive,Post Office Box 60021 0°airy of N° Arcadia, CA 91066-6021, (626) 574-5416,Fax(626) 447-9173 City of Arcadia LICENSED CONTRACTOR'S DECLARATION WORKERS'COMPENSATION DECLARATION ❑ I hereby affirm under penalty of perjury that I am licensed under provisions of I hereby affirm under penalty of perjury one of the following: Chapter 9(commencing with Section 7000,of Division 3 of the Business and Professions Code,and my license is in full force and effect. 0 I have and will maintain a certificate of consent to self-insure for workers' 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 ❑ I hereby affirm under penalty of perjury that I am exempt from the Contractors 3700 of the Labor Code,for the performance of the work for which this permit License Law for the following reason(Section 7031.5,Business and Professions is issued.My workers'compensation insurance carrier and policy numbers are: Code.Any city or county which requires a permit to construct,alter,improve, Carrier demolish,or repair any structure,prior to its issuance,also required the applicant for such permit to file a signed statement that he or she is licensed pursuant to the Policy Number provisions of the Contractors License Law(Chapter 9(commencing with Section (This section need not be completed if the permit is for one hundred dollars or less) 7000)of Division 3 of the Business and Professions Code)or that he or she is exempt there from and the basis for the alleged exemption. Any violation of 0 I certify that in the performance of the work for which this permit is issued,I shall Section 7031.5 by any applicant for a permit subjects the applicant to a civil not employ any person in any manner so as to become subject to the workers' penalty of not more than five hundred dollars($500)): compensation Laws of California,and agree that if I should become subject to the workers'compensation provisions of Section 3700 of the Labor Code,I shall ❑I, as owner of the property, 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 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 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 - - ` " W II 18 1802 Permit ni 8. ,x44 ii;o1 City of Arcadia, CA `, t, //I Development Services Department 3 * #`Y .f \— Permit Type Wall 240 West Huntington Drive,Post Office Box 60021 fr' H c7:4-46';'oassi cation WP,,,'11GardeIV. :. Iv Arcadia,CA 91066-6021 �Pt'��, ��' � ..�h-.� �'�` � � �� � ' (626)574-5416t'.',:.:V �.,-, - ''-'''"'":.':- ,. .,-,',4APermit:Status...:Issued ARCADIA < b> Issue Date 10/02/2018 I Expiration: 03/31/2019 Addr NO. Dir Prefix Street Name Street Suffix Unit City,State,Zip Parcel Number 2728 Bradford AVE Arcadia,CA 8586003023 Contacts Andy Huynh Owner ANDY DUC HUYNH* General Contractor(B) 2728 BRADFORD AVE 3358 Angelus AVE,Rosemead,CA 91770 (626)318-3269 (626)318-3269 Description:BLOCK WALL ON SOUTH SIDE OF PROPERTY PER Valuation: 5 12.761.94 Tenant APPROVED PLANS. 6'H X 145'LF.3'H X 30'LF. BLOCK WALL ON NORTH SIDE 3'H X 30'LF 6'H 52'LF. ADD TWO COURSE TO Total Sq Feet: 0.00 Plan Check# Plan# f EXISTING WALL ON NORTH SIDE.WITH SHARED WALL AGREEMENT Fees Amount Payments Amount Paid Building Issuing Fee $44.35 Total Fees $337.95 Building Permit Fees $287.35 Cash/Receipt#REC-002459-2018 $337.95 Solid Waste Management Fee $6.25 Amount Due: $0.00 Total: $337.95 ♦=5 4142> 66 COflipLfD r 12 is-2c-t10 %Re^6 i2ouT 5T 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. October 02, 2018 Issued By: Date October 02,2018 Page 1 of 1 OF AR •.l`proiov,41, �. ; PERMIT/PLAN REVIEW APPLICATION J ' Development Services Department,240 West Huntington Drive,Post Office Box 60021 0m.a„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 tinder penalty of perjury one of the following: Chapter 9(commencing with Section 7000,of Division 3 of the Business and :Professions Coded my license is in full for alkyl-feu. ❑ I have and will maintain a certificate of consent to self-insure for workers' %License Class icense No � ebb Exp. Date 131)2 OZ it 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 DECLARATI ❑ 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 's issued.My If orke s'corn ensatio insurance carrier and policy numbers are: Code.Any city or county which requires a permit to construct,alter,improve, (Policy arrier S RNtL,71d demolish,or repair any structure,prior to its issuance,also required the applicant 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 nor 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 Q sale(Section 7044,Business and Professions Code:The Contractors License Date l G J U 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 verage 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 PVM $ A Title COY\ "` a"- PRINT NAME certify that I have read this application and state that the above information is orrect 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 build ng construction. I hereby authorize representatives of the City of Arcadia to enter upon the above-mentioned property for inspection purposes. ignature 1i---4I tate d /61, J 1v Y of AR', b ��r CITY OF ARCADIA D EVE LOPMENT SES"VICES DEPARTMENT • % PENCE, GARDEN WALL AND/OR RETAINING WALL ON PROPERTY LINE RELEASE AND DECLARATION ADJACENT PROPERTY OWNER'S DECLARATION I, Ave,Q17V I Y as owner of the property located at �7i ii itto_.�hereb py grant ermission.t the adjacent property owner located at f . /�/� - to construct 11,5 lineal feet of - I high fence, ga den wail, and/n r retaining wall, some of which will be located on my property. I acknowledge, understand and accept the scope and nature of the proposed work (i.e., color, size, height, type and location of the fence, garden wall, retainin wall and the r moval of landscaping). SW-ea. 1.0,-/24! u.. ,(4,1.-.� lod' n ',,.-t�i1� L> d Gam+"'I IRoC�L 1,111 I Dame: ✓11 Telephone Number: . � - ' --11:0/ I l 7 a i117 ' Address: '7 7 ti..91. I 9 ASV Date: I I Signatur �i 51 .eA, W 1 �t.CIV Pt ?owe__ PERMIT APPLICANT'S DECLARATION I declare under the penalty of perjury that I have obtained the approval and release from the owner of the property located at to construct and locate part of a fence, garden wall, and/or retaining wall on their property. Name: /41\i DSI 1-1 tAIT, - Telephone Number: ( Z LJ 3 3 2, Address:3 n re-GI.i 0'01 /v Date: /6 0 Signature: c: Applicant's file Neighbor's file Job site . 1-15 \ • or .:i-easEcneryzt 4 CITY OF ARCADIA k, DEVELOPMENT SERVICES DEPARTMENT • 0!,11 * FENCE, GARDEN WALL AND/OR RETAINING WALL ON 42,42„,opt PROPERTY LINE RELEASE AND DECLARATION ADJACENT PROPERTY OWNER'S DECLARATION I, en ni's !Act at owner of the property located at a? 2.2_ 15r-ad f'ard Ave- hereby grant permission to the adjacent property owner located at Q- r- el-F41-•al' . to construct EaLCL lineal feet of 47 5 high fence, garden wall, and/or retaining wall, some of which will be located on my property I acknowledge, understand and accept the scope and nature of the proposed work (i.e., color, size, height, type and location of the fence, garden walk-and/or-retaining.wairaffethereinmial Of landscaping). Name: 3)Wig ic Te4ephone Number; (024, 7 Gnt.6 . , Address: ?1-7/7' Xvt4f Date: • signature: ..... ----- PERMIT APPLICANTS DECLARATION I declare under the penalty of perjury that I have obtained the approval and release from the owner of the property located at a-7 2 grad tard Ave_ to construct and Iodate part of a fence, garden wall, and/or retaining wall on their prOperty. Name: 78itiv tki 4-1 vylvl-i Telephone Number: C6.1--0 —2)2- -Address 1+1 C.J,1 _ -/-TV e, SiTai;-0-12.:C;-trn Date' 9' „ Signature: fik - c: Applicant's file- Neighbor's file Job site • 1-15 Cit4 OAy of Arcadia CA Permit NO FIRE-19-0093 p / Development Services Department t �k ° Permit;Type Fire 240 West Huntington Drive,Post Office Box 60021 _ t Work Classification Fire'Sprinkler Arcadia,CA 91066-6021 (626)574-5416 F ��� Pemtt�tatus Issued A.RCADIA issue bate:02/06/2019,1 Expiration: 08/05/2019 Addr NO. Dir Prefix Street Name Street Suffix Unit City,State,Zip Parcel Number 2728 Bradford AVE Arcadia,CA 8586003023 M Contacts Andy Huynh Owner UNITED FIRE&SAFETY CO.* Fire Contractor(C-16) 2728 BRADFORD AVE 2318 CHICO AVE,SOUTH EL MONTE,CA (626)318-3269 (951)279-8208 621096 Description:FIRE SPRINKS FOR SF NEW 47 HEADS Valuation: _ $ 7,200.00 Tenant Total Sq Feet: 0.00 Plan Check#19-93 Plan# • Fees Amount Payments Amount Paid Fire Issuance $47.01 Total Fees $951.86 Fire Permit Fees $203.85 Cash/Receipt#REC-00316-19 $251.86 Solid Waste Management Fee 2 $1.00 Cash/Receipt#REC-00107-19 $700.00 Sprinkler Heads $700.00 Amount Due: $0.00 Total: $951.86 AJCOMPLETED 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. • February 06, 2019 Issued By: Date February 06,2019 Page 1 of 1 OF ARe !• '+�!� PERMIT/PLAN REVIEW APPLICATION TA 1` . :*. e j� Development Services Department,240 West Huntington Drive,Post Office Box 60021 0.4.4.,.... , 4"oily 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 an effect. ❑ I have and will maintain a certificate of consent to self insure for workers' License Class C-1 b License No. b� Exp. Date��V-47 compensation, as provided for by Section 3700 of the Labor Code, for the \ �l J� 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 ❑ 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 olicy Number for such permit to file a signed statement that he or she is licensed pursuant to the s 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 of ❑ I certify that in the performance of the work for which this pennit 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 370 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 —00 — 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 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 �/ / / tle /D 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 buildin' construction. I hereby authorize representatives of the City of Arcadia to enter upon the above-mentioned property for inspection purposes. Signature ate 0.2=0 6— /7 PLANNING SERVICES ATTENTION: DATE: 3-V-2-6 FROM: BUILDING SERVICES INSPECTOR: .Ft PROPERTY ADDRESS: 2 7 2 a 13RAD P—� PERMIT#: 5 F ptgiAi 'I S-& 3 PLAN#: • CONTRACTOR: .,iia/' Lyjg0 PHONE#: 67/731s -3 LC/ OWNER: A14.101/ / PHONE#: PLEASE INSPECT THE FOLLOWING ITEMS FOR COMFORMANCE WITH APPLICABLE PLANNING REQUIREMENTS. TYPE OF INSPECTION DATE&INITIAL DATE&INITIAL FINAL APPROVAL LANSCAPING/IRRIGATION 3d L TRASH ENCLOSURES PARKING/DRIVEWAYS STORAGE AREAS MECHANICAL EQUIPMENT WALL HEIGHT - BACKFLOW SCREENING COMMENTS: p K Ta -F t_iAL Q f'6414.31.3 • • ‘Nftle• Robert C. Ferrante SANITATION DISTRICTS OF LOS ANGELES COUNTY Chief Engineer and General Manager 1955 Workman Mill Road,Whittier, CA 90601-1400 Mailing Address: P.O. Box 4998,Whittier,CA 90607-4998 Converting Waste Into Resources (562) 699-7411 •www.lacsd.org Counter Hours: 7:00 a.m.-4:00 p.m.Mon.-Thurs. 7:00 a.m.-3.00 p.m.Fri. Application No.: 8586003023-002 SEWERAGE SYSTEM CONNECTION FEE RECEIPT Date: January 23,2020 APN: 8586 003 023 District No.: 15 Owner/Situs Address Applicant Information ANDY D CO TR HUYNH Nicole Wang(current owner) 2728 BRADFORD AVE Andy Huynh ARCADIA,CA 91007 9117 Olive ST Temple City,CA 91780 Phone: (626)318-3269 Facility Type Measure of Use Unit Rate Amount Single Family Home - D 1.00 DU Single Family Home N 1.00 DU $4,210.00/DU $4,210.00 2728 BRADFORD AVE,ARCADIA Base Line Credit 1.00 CUs $4,210.00/CUs ($4,210.00) Connection Fee Due $0.00 Type Abbreviations N-New or Additional;C-Change of Existing;E-Existing to Remain;D-Demolition of Existing;T-Tenant Improvement of Existing;S-Septic to Sewer (E)SFR demolished:(N)SFR proposed NO FEE REQ'D Includes demolition of 1.00 DU of existing Single Family Home • Processor:Erika Ballesteros Approver:B- e F I hs SANITATION DISTRICTS D.C.: OF LOS ANGELES COUNTY Payment Received:. t O. Amount] Andy Huynh $0.00 I4; APPROVED ROBERT C.FERRANTE CHIV RP46.18Ehr6lii •:. THIS IS NOTA CONNECTION PERMIT. A CONNECTION PERMIT IS REQUIRED BEFORE CONNECTING TO ANY SEWER. DOC#5548785 ., y ask sa`M t..=•= a•. IY. � ._,. a ... _.. _ � ._......_ '"I CITY OF ARCADIA`' l ,, WATER EFFICIENT LANDSCAPING - ORDINANCE NO. 2330 I `� % CERTIFICATE OF COMPLETION ::, r# This certificate is to be filled out by the project applicant and acknowledged by the property owner(s) upon completion of the landscaping project. 1. Project Information 1 r I Date of Project Completion n I Permit Type and No. Y t' Project Name and/or Address ! "-- \�yu�(�WY� ! ) 1 t o 1 01£ t O O . ctt l frV z; Project Ap lican and Title Property Owner x cc 'itkC Teri / P✓vmcipAt -- N ' C. o " ) := Company Name&Mailin Address -(Wo--Ty,�s 0.6,7,,, Mailing Address .'H ($3z Sot.... D; �.�p�St, 1).es-F- 1 11_ o , To"C/�YV 0 V 4 "N I '�1 gin `' Telephone and Fax No(s). t9)1 -17$2 q e 6 Telephone and Fax No(s). i, Email Address Email Address 1 2. Answer the questions below: _+ a. Date the LandscapeDocumentation Package was submitted to the City of Arcadia 14! i b. Date the Landscape Documentation Package was approved by the City of Arcadia > 'i'; c. Date that a copy of the Water Efficient Landscape Worksheet or Prescriptive Measures Compliance Option was I A I submitted to the project water supplier _—_ `a 1 t l I 3. Project Applicant - Certification - The signer of the landscape design plan, signer of the irrigation plan, or the licensed I i landscape contractor(s) that installed the landscaping and/or irrigation is to certify that the landscape project has been i constructed/installed in accordance with the approved Landscape Documentation Package and in compliance with Ordinance No. I ,j I 2330 and State law. Where there have been significant changes made in the field during construction/installation, "as-built or ¢j I record drawings shall be included with this certification. i a "I/we certify that based upon periodic site observations, the work has been completed in accordance with Ordinance No. 2330 and State law, and that the landscape planting and irrigation installation conform with the t - 0 -eiriieria and specifications of the approved Landscape and Irrigation Plans arid Landscape Docunientaiian '• I Package and acknowledge that the project may be subject to inspection and a Landscape Irrigation Audit to , verify that the projec is maintained in compliance with Ordinance No. 2330 and State law." . Signature C Date s 'i Name(print) Telephone and Fax No(s). CIN't0tcAte kJ Title O r`0,c,� Et� P-ervx�J License No.or Certification No. C-1 a D Company Email Address , , `7w� �r es✓s �es„��, qtr+ c , p roLvIto 95144,z;/, co ,. Mailing Address N ; / $;z Soth h St GU.RS-� CD v'v r , CA-q 117// a 4. Property Owner-Acknowledgment A. "I/we certify that I/we have received copies of all the documents within the Landscape Documentation . t Package and the Certificate of Completion for our project and that it is our responsibility to see that the ': project is maintained in accordance with the Landscape and Irrigation Maintenance Schedule for our project, i including a diagram of the irrigation plan that shows the hydrozones posted with the irrigation controller, in ,`i ;t compliance with Ordinance No. 2330 and State law, and I/we acknowledge that the project may be subject to inspection and a Landscape Irrigation Audit to verify that the project is being maintained in compliance with ,,. � Ordinance No.2330 and State law." // ...,r1/2,------. i [2- -212 c-e- CD . Property OWner(s)Si tature(s) Date 5. Include the following documents with this Certificate: a. Irrigation Schedule-The parameters for setting the irrigation schedule on the controller(s)per Ordinance Section 7554.5.C. b. Schedule of landscape and irrigation maintenance per Ordinance Section 7554.5. • I c. Landscape Irrigation Audit Report per Ordinance Section 7554.3.E. d. Soil Analysis and Management Report(s), if not previously submitted with the Landscape Documentation Package per 4 Ordinance Section 7554.4. `' e. Verification of implementation of recommendations from soil analysis report per Ordinance Sections 7554.4 and 7554.6. .. .4 -8- December 1,2015 71 CITY OF ARCADIA WATER EFFICIENT LANDSCAPING - ORDINANCE NO. 2330 Y PRESCRIPTIVE MEASURES COMPLIANCE OPTION - SECTION D As an option to completing the Worksheet (Section C) and prior to the approval of any Design Review and/or Plan , Check for a project that meets the thresholds for this Option, compliance with all of the following items is mandatory and must be documented on a landscape plan. 1) ❑ Submit Sections A& B of the Landscape Documentation Package which includes the following elements: A) ❑ Date , B) ❑ Project Applicant C) El Project Address D) ❑ Total Landscape Area in Square Feet, including a breakdown of turf and plant material E) ❑ Project Type 4,• F) El Water Supply Type (e.g., potable, recycled) and Water Supplier G) ❑ Contact Information H) ❑ Applicant Signature and Date with Statement: "I agree to comply with the requirements of the City of Arcadia Water Efficient•.Landscaping Ordinance and submit a complete Landscape Documentation ' Package. 2) ❑ Incorporate compost at a rate of at least four cubic,•yards„per 1,000.square feet_to a depth of six inches:: 4 landscape areas, unless contra-indicated by a soils test . 3) El Plant Material shall comply with the following: A) El Install climate adapted plants that require occasional, little, or no summer water (average WUC Yk plant factor of 0.3) excluding edibles and areas using recycled water, for 75% of the reside LI planting areas, and 100% of the non-residential planting areas B) ❑ A minimum three-inch layer of mulch shall be applied on all exposed soil surfaces of planting a except in turf areas, creeping or rooting groundcover areas, or direct seeding application areas w >a mulch is contra-indicated 4) El Turf shall comply with all of the following: - A) El Turf shall not exceed 25% of the landscape area in residential areas, and there shall be no turf in non- Y residential areas . B) El Turf shall not be planted on sloped areas that exceed a slope of one-foot vertical elevation change for 7` every four feet of horizontal length : C) El Turf is prohibited in parkways less than 10 feet wide, unless the parkway is adjacent to a parking strip r3 and used to enter and exit vehicles. Any turf in parkways must be irrigated by sub-surface irrigation or by other technology that creates no overspray or runoff 5) ❑ Irrigation systems shall comply with the following: . , , $, A) ❑ Automatic irrigation controllers are required and must use evapotranspiration or soil moisture sensor data B) ❑ Irrigation controllers shall be of a type that does not lose programming data in the event the primary power source is interrupted C) El Pressure'regulators shall be installed on the irrigation system to ensure the dynamic pressure of the . system is within the manufacturer's recommended pressure range D) El Manual shut-off valves (e.g., a gate valve, ball valve, or butterfly valve) shall be installed as close as I possible to the point of connection to the water supply E) ❑ All irrigation emission devices must meet the requirements set in the ANSI standard, ASABE/ICC 802- s• 2014, "Landscape Irrigation Sprinkler and Emitter Standard.” All sprinkler heads installed in the landscape must document a distribution uniformity low quarter of 0.65 or higher using the protocol defined in ASABE/ICC 802-2014. •k 6) ❑ At the time of final inspection, the applicant must provide the owner of the property with a Certificate of Completion (see page 8), including the Irrigation Schedule, and Schedule of Landscape and Irrigation i Maintenance. 7 December 1,2015 ___ __ . .S,'i? ,✓'`M� 1,09-r ifith „tt4 WATER DIVISION ATTENTION: 6"/2./c DATE: FROM: BUILDING DIVISION INSPECTOR: ADDRESS: 272.2s aikt.f)Fo 12. 5 PERMIT NO.: 5A(4-6.) ( --ecs7 3 9 PLAN NO.: 3 2,51 2- . CONTRACTOR: 49.11%'y ou-e 1-(q:ytiti PHONE NO.: 6;ze/5 S-3 274 9 OWNER: AltiPy 6/4,y/4d PHONE NO.: •PLEASE INSPECT THE FOLLOWING ITEMS FOR CONFORMANCE WITH APPLICABLE DEPARTMENT OF PUBLIC WORKS REQUIREMENTS. Type of InsriOetian I)ife 4 Initial Date&IivaaI Final Approval • Meter : 'Kt 1/21/20 'Biacktioiv Pevie4 . , -V?) kiaoklao . . Irrigatio.$ystpni -'% \laivaz) ai6 Fhe Stiri!ilOr Sy§tOnil - taq/A4 Meter ,tS ki .s /3 Swimming Pool tV/A C OMME'NTS: f;re. Spi-t-Slp /3:* \A/9-4/ L-C-**oo-ImaGtT c. (160a9 ! Cs) . . • . . z • Avws sitc CD4 neczct -6 be' VI'131%.6c_z: • ..;.- 744-67 % �...„, °i City of Arcadia DEVELOPMENT SERVICES DEPARTMENT Inter-Departmental Inspection Request Date: 9-23-x. Public Works Inspector To: . From: %4fi. -f . I�rGAire.K Address: 2.72 S (3R s) 2 D Permit No.: 5/V 1'. :. . 7c:,9•31 Contractor: 4 Al.D/: P Y•.t H Phone No.: G 2 G/31 g> --324 7 Owner: /i nr �tf yWWI .- Phone No.; Please inspect the following items to ensure that the Contractor/Developer is in compliance with all conditions of approval established for the project, and that the work performed Meets the City's standard for Public Works. construction: ' ' e of Inspection ' Date.:&Initial 000:4;Thhtttal' .1win41 4:pproval 0,4047 t l ► _ Widdcii Control t /; _• _ . Off'sitelt provements Street provciment(s) 3, AiLD conduit,curb/curb& k-'(-0 .. g;ittei,curb nilnibers, driveway approach, 1 y .2.,. .' partkway piang, sidewalk,street light, traffic flow,etc;). Seover(s) • (iateral,grease/San N i 1. —• interceptor,saddle wye, Etc.) . .C-Pc-'""2.:- . COMMENTS: A 4171711.. . . .,„s • �av� i . pp Ua . ‘,......._____„) 0 :(69(AQ p\tot @ esN,Te,o_ .6isski,4 —4,4 I --0 ;..„._____ Rev.1/17/11 - City of Arcadia, CA PermrtNo. MEP 20-0788 ., Development Services Department ,� ) r I �, �" < Permit Type:MEP • 240 West Huntington Drive,Post Office Box 60021 a I,. : .j- -Arcadia,CA 91066-6021 , Work Classification:MEP Residential (626).574-5416 : .:< Permit Status;Issued ARCADIA IssueDate:06/03/2020 I Expiration: 06/03/2021 Addr NO. Dir Prefix Street Name Street Suffix Unit City,State,Zip Parcel Number 2005 LEAFWOOD LN Arcadia,CA 91007-8124 5785018013 +>b Y9 aWXSttA�'1n^...5" 3vk^;-dQ..A 3 4i.'.�.`PYYSL `9a*A .t•dt.E•4ir u`. s.a..�. e ^y..^#+� %S..A.fl..,k.-aa�.G :.�ABRbat..?.�.a'Y a•'`�" .M2A B:3'•5�<Y„.-c,.-....�3._ `R '.'. av` @._ mC�3dN.c Contacts marion varner Owner I TOTALLY GREEN BUILDERS Contractor t 2005 Leafwood AVE . (855)774 3466 1056343 k6 `.. iNiT.iVkkb `Fta*.9•.%A,4” .Yx v^.a,M ce?'&F..`NM:..`•T,aRA.c"F add'.vt:+e'. wG"q^•ffii."�' 3..5^,Y"',— NA.3%**.M�WiL•Al[e+...`SC'„t?bA.- ..e.,.:� ftu .a.R..�."RSPY �+..M:�*AA :.....•.aO�. C�Y%"ai¢.s.•..E;sa s I Description:REMODEL BATH ROOM Valuation: $ 0.00 Tenant Total Sq Feet: 0.00 Plan Check# Plan# Fees Amount Payments Amount Paid Electrical Permit Issuance Fee $47.01 Total Fees $201.75 Lavatories $13.21 Cash/Receipt#REC-04611-20 $201.75 Light Fixtures $4.89 Mechanical Permit Issuance Fee $47.01 Amount Due: $0.00 Outlets-Receptacles&Switches $3.26 Plumbing Permit Issuance Fee $47.01 complETEDShower $13.21 Solid Waste Management Fee 2 $1.00 Solid Waste Management Fee 2 $1.00 Solid Waste Management Fee 2 $1.00 Ventilation Fan(Single Duct) $9.94 CALLS FOR INSPECTIONS water Closet $13.21 Request for inspection by telephone at 626-574-5450. Leave a message requesting the address,timeframe and what inspection item is needed. Total: $201.75 �r✓`�� This permit/plan review expires by time limitation and becomes nulEand 'OlF .4 ‘CAZ-7•«/ void if the work authorized by the permit is not commenced within 180 days p/ {LgC,5-1icsw Z PA-Al 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. 41-2,9-2-0 �.✓4 • June 03, 2020 Issued By: Date June 03,2020 Page 1 of 1 ARe f, F 1�9 PERMIT/PLAN REVIEW APPLICATION •• M 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: 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 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 ❑ I hereby affirm under penalty of perjury that I am exempt from the Contractors 3700 of the Labor Code,for the performance of the work for which this permit License Law for the following reason(Section 7031.5,Business and Professions is issued.My workers'compensation insurance carrier and policy numbers are: Code.Any city or county which requires a permit to construct,alter,improve, Carrier demolish,or repair any structure,prior to its issuance,also required the applicant for such permit to file a signed statement that he or she is licensed pursuant to the Policy Number provisions of the Contractors License Law(Chapter 9(commencing with Section (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 1:3I, 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 to criminal penalties and civil fines up to one completion,the owner-builder will have the burden of proving that he or she hundred thousand dollars($100,000),in addition to the cost of compensation, did not build or improve for the purpose of sale). damages as provided for in Section 3706 of the Labor Code, interest, and attorney's fees. ❑I, as owner of the property, am exclusively contracting with licensed - contractors to construct the project(Section 7044,Business and Professions Code:The Contractors License Law does not apply to an owner of property CONSTRUCTION LENDING AGENCY who builds or improves thereon, and who contracts for such projects with a I hereby affirm under penalty of perjury that there is a construction lending agency contractor(s)licensed pursuant to the Contractors License Law). for the performance of the work for which this permit is issued (Section 3097, Civil Code). 0 I am exempt under Section 7044,Business and Professions Code,for this reason: Lender's Name Date Signature Lender's Address IMPORTANT: APPLICATION IS HEREBY MADE TO THE BUILDING OFFICIAL FOR A PERMIT SUBJECT TO THE CONDITIONS AND RESTRICTIONS SET FORTH ON THIS APPLICATION AND THE FOLLOWING: 1. The City's approved plans and permit inspection card must remain on the job site for use by City inspection personnel. 2. Final inspection of the work authorized by this permit is required.A Certificate of Occupancy must be obtained prior to use and occupancy of new buildings and structures. 3. Per South Coast Air Quality Management District(AQMD)regulations,renovation and remodeling work that results in the removal;stripping,or altering of asbestos containing materials requires an asbestos survey and removal prior to disturbing the asbestos.Please contact AQMD at(909)396-2000 for further information. Name 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