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Home My WebLink AboutSNEW-19-0391 r is -1a ��i ref s °`''' 'k PeCmf4NO,SNQN/ 1� 0391 Cittft: y of Arcadia, CA m � , 'r,",54,4**,, -. ,; '� �e s ' \ti Development Services Department � t",>or - � `'' ` Perinft Type Single.Fa11uly News3 1 r'^g so ,•...,.,., yv<yt ,^ 3.? a*a ..,-r ,s 2 i 240 West Huntington Drive,Post Office Box 60021 i ) wK a , ; r Arcadia,CA 91066-6021 v I "•,Work Classification SFR New Dwelling , (626)574-5416 . a is--1,,,,t' 4R0,70116-- Permit Status Issued T. ARCA D l '''` ec2f IssDe,,O /26/2079 Expiration: 08/25/2019 Addr NO. Dir Prefix Street Name Street Suffix Unit City,State,Zip Parcel Number 942 Kingsley DR Arcadia,CA 5777017003 t; , - Contacts GUANG YANG Owner MILLION CONSTRUCTION* Contractor 9518 OLIVE ST,TEMPLE CITY,CA 91780 124 Las Tunas DR,Arcadia,CA 91007 626524279 SUNSHINE10061804@GMAIL.COM (626)822-8200 940755 . .dam. Description:4 BED,4 BATH, 1 POWDER RM,KITCHEN,LIVING, Tenant Valuation: $ 526,981.15 DINING,.2 CAR ATTACHED GARAGE. WITH EMP.200 AMP SERVICE,1 SUBPANEL.HVAC SYSTEM PER Total Sq Feet: 3,583.00 a Plan Check#19-391 Plan#32690 APPROVED PLANS.HERS REQUIRED FOR FINAL.AMENDED 3-4-19 TPP Fees Amount payments Amount Paid Bathtubs/or Combo $13.21 Total Fees $14,666.53 Building Issuing Fee $47.01 Cash/Receipt#REC-00509-19 $14,617.09 Building Permit Fees $4,170.30 Cash/Receipt#REC-00538-19 $49.44 Clothes Washer $13.21 Compressor 3-5 Ton(3 to 15 hp) $72.70 Amount Due: $0.00 Dishwasher • $13.21 Distribution Panel $16.48 !"Ai COMPLETED Electrical Permit Issuance Fee $47.01 Fireplace Pre-Fab $14.96 Furnace or Burner<=100,000 BTU $39.72 Garbage Disposal Fee $26.42 CALLS FOR INSPECTIONS Gas System(Outlets) $80.84 Request for inspection by telephone at 626-574-5450. Leave a message Grading Issuance Fee $47.01 requesting the address,timeframe and what inspection item is needed. Grading Permit Fee(1-1000 CY) $450.00 Green Building Standard $22.00 Hood Serviced by Mechanical Exhaust $29.92 This permit/plan review expires by time limitation and becomes null and Kitchen Sink $26.42 void if the work authorized by the permit is not commenced within 180 days Laundry Trays $13.21 from the date of issuance or if the permit is not obtained within 180 days Lavatories $66.05 from the date of plan submittal.This permit expires and becomes null and Lawn Sprinkler System on One Meter $19.86 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 LID Plan Check Fee $100.00 Arcadia building inspector for a period of 180 consecutive days. Total: $14,666.53 • {mark_-- •3o - a.c. -5_______ f February 26, 2019 Issued By: Date March 04,2019 Page 1 of 1 v�4oµF ,c•,. 49 PERMIT/PLAN REVIEW APPLICATION . Development Services Department,240 West Huntington Drive,Post Office Box 60021 o\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 gSignature of Contractor License No. • Exp. Date y/f�/)'i ' • compensation, as provided for by Section 3700 of the Labor Code, for the .„--- performance of the work for which this permit is issued. Arta, _ I_,rr ElI have and will maintain workers'compensation insurance,as required by Section OWNER-BUILDER P t TIO 3700 of the Labor Code,for the performance of the work for which this permit ❑ I hereby affirm under pen. t o I am exempt from the Contractors is issued.My worke s'corn ensatio insurance carrier and policy numbers are: License Law for the following yon(Section 7031.5,Business and Professions Srj �f Code.Any city or county which requires a permit to construct,alter,improve, Carrier ( r 4 T demolish,or repair any structure,prior to its issuance,also required the applicant l for such permit to file a signed statement that he or she is licensed pursuant to the Policy Number provisions of the Contractors License Law(Chapter 9(commencing with Section (This section need not be completed if the permit is for one hundred dollars or less) 7000)of Division 3 of the Business and Professions Code)or that he or she is I ce that in theperformance of the work for which this permit is issued,I shall exempt there from and the basis for the alleged exemption. Any violation of ❑ Section 7031.5 by any applicant for a permit subjects the applicant to a civil not employ any person in any manner so as to become subject to the workers' penalty of not more than five hundred dollars($500)): compensation Laws of California,and agree that if I should become subject to the workers'compensation provisions of Section 3700 of the Labor Code,I shall ❑I, as owner of the property, or my employees with wages as their sole forthwith coi.ply with those provisions. compensation,will do the work,and the structure is not intended or offered for Ilr''�-Ji 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 3/Vro 7Signature .:� Lender's Address IMPORTANT: APPLICATION : HEREB ►1�I�% TO THE BUILDING OFFICIAL FOR A PERMIT SUBJECT TO THE CONDITIONS AND RESTRICTIONS SET FORTH 0` :1 S • 'PLICATION 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. ` ' i� %ad ame .� R � Title _ . P 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 lignaturercadia to enter upon tthee abovetinny for inspection purposes./ Date /4f'( ./O/ NOTES r Building Inspections Date Insp. Plumbing Inspections Date Insp. S))EW - 19 - o 3 1 100. Setbacks 210. Under flr./bldg.drain 3.12.17 • 101. Rough grade .1q,•11 211. Copper underslab 102. Figs.&forms 212. Rough plumbing (o•Ze•I/ 103. Pre-slab 3•($•(9 �' 213. Rough gas (040-(9 � Z• Z( s ( ( ,.f To Sr, 104. Floor joists 214. Shower pan OS 5.22.19 ' - LoCAn or► 'r itof "cfD• V1--- 105. Steel 215. Water heater 106. Grout lift 216. Roof drains 107. Shear nailing (0-Z°•(7 �� 217. Building sewer �- 108. Diaph nailing 218. Water service 2 ►8. 109. Roof nailing '/•)'7•/g Pt- 219. Final gas (o•3o,2,0 y� 110. Framing (0-Za( 220. Fixtures 111. Occ./Area Sept.Wall 221. Final plumbing Co- 30?c)�--- 112. Sound walls 222. Sewer cap/demo. 113. T-bar grid 114. Insulation-Flr. Pool Inspections Date I Insp. 115. Insulation-Wall '?•22.11 ��- 240. Excavation/steel 116. Insulation-Cell. ).Z 2.t 9 ti, 241. Rough plumbing 117. Drywall nailing 7-2i.rz +-114 242. Light shell/bonding 118. Interior lath %•21.1uj 243. Underground conduit 119. Exterior lath 17•ZZ (`j lj - 244. P-trap 120. Finish grade 245. Gas line&test 121. Final building Le3D. 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 3.12 •(9 Reroof Inspections I Date I Insp. 154. UFER ground 3•(Z•19 �- 270. Pre-reroof insp. 155. Water ground 271. Roof framing 156. Rough electrical (a•Zo•19 � 272. Sheathing nailing 157. Fixtures 273. Final reroof 158. G.F.C.I. 159. Es et.bondin, Sign Inspections Date I Insp. 160. Service panel 1/2-2,• 280. Setback/overhang 161. Final electric (..3fl•2o 281. Footing 282. Conduit/wiring Mechanical Inspections Date Insp. 283. Disconnect 180. Venting/flue 284. Final sign 181. Furnace/A.C. 182. Rouch HVAC (o•Ze• Miscellaneous Insp. Date I Insp. 183. Fire dampers 290. Fire alarm 184. Furnace compartment 291. Underground supply 185. Combustion air 292. Fire sprinklers 186. Smoke detectors 293. Monitor system 187. Metal F.P.rough 294. Hood dry chem. 188. Compressor setback 295. Final 189. Commercial hood 190. Duct shaft Sewers&Offsite Insp. I Date Insp. 191. Final mechanical (o Jo 20 j-� 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 II �Y^J".• ,I„al.� iG..,...-• }:,a.,yy7,n h ,j vL' T' ;, � . y; ”"'qd v... ' P. .<:,. ...., �7b,�'#t ;, .s „ . a V. h -. :u• 's:• ,,1.,,r •.:�� '�,/{} 1 r - p r ' r I+. .. / ?, n�'yb• }�,'` a`�'t.1 , i"`E..-7' w. _. ,.. S,y� .y� IJ, ..=7,i !, e. •' e4,t 'I a"-r•4 n \ ,� , r , �gyp' ...:�, 1�.,....,: � •a.% R;:��'- w.'t• ', �" 9H;as: w .�"„� �:'s '; � ,\ / \ .� �, yrm` .,'1 iIAI 7i�r ' �'AI ,6�' _ f 41..(* , "� • fib, /....�. , �l w�4�tY ... '•! �, ., ..w': ' , ,i::,. � �. F a... /nom W.�'\'/.�% �5�` r' ' ,A'.a' .'V za .tl y �i .� ,,,yra a _a�j ' g.� a�� ?? ,/9 ..i"' \ ��q '"'I`q '✓'° •� � r�. 7 ' '::,,. /- ^l � : .:s rF'R�,` . ,`a .: „ �:�' _` ' _ '.2L tta > n i •7 ,,,, ,,.-..?'''''-7.- �. ^- ' .. r � L A' '; _- .',^' i . i.. .s- ' `,.4.Sr. 4�a.� u�:.� sa- q .. ..:,�: ",...az'87 .' a.�.' ',a_°es1L': aSr7_%� s',':' 's' r.4,v: .fhb ,. l ,,,..;: \,+. m, ,,,., +Ct'RL'5�;+...' ` �`s'�.r.31.Tz"£'�`'ttr8»^� ,y. s*+'.,,?r4-'s'...,,4 ,,,y�rair rzr v .. A �".ft as :�� y !�� .3��v gyro 1 „. q ' ' - f 3' 1\3"11111 M r � . rr it . Certificate of occupancy . 1:d/.-.:gir , t City of Arcadia ' Development Services Department—BuildingDivision P P i .' ,t,::::,,, ,,,0:,,,' This certificate issued pursuant to the requirements of the , f California Building Code certifying that at the time of issuance this structure was in 30 "� € ii compliance with the various ordinances of the City regulating building construction or use. ' �� s�, 4" Permit No. SNew-19-0391 I b,; Building Address: 942 Kingsley Drive,Arcadia, CA 91007 ",re''t • ;'v -. Permit Type: Single Fafnily New Effective CBC: 2016 CRC . ? ''� • r-7- .•,:.,,, ti, r �� A•N' Occupancy Code: R-3/U - Zone Code: R-1 ,� ..! :\ck12 Final Date: July 1, 2020 Type of Construction: TYPE VB, SPRINKLERED ' `,*4- ."tti I/ s,,,, , owner: Yang, GuangZLZ CONSTRUCTION INCE r /'' , Ir.-..:,....•' 4. Kenneth Fields, illi fficial r a sem t r� ' h Post in Conspicuous Place . 4' `gy}'i,:r � 1 3. •3 ./ } Y. i. ,-/.., ,,.43,%\., . " , Y j/ two Coke" 7. `\� .. ,( .t, e Y� t.- /s.�. *.. - �tCX/• YJr.r rr!`.4%3,.7 '' L r j' '€ iia}" n;. '''''/Y '� V.'' �'I �Y4'"1 b t a+ ,4' nv.. ,aL..; :'r. '41. 0., .e. k`~1 ' -'C` Yxk / '" `— yi':.. 1.,. Wit.` ,i .,. - :t _'1, E.,, Y 11 Il4. I� i-,. .4tib aC' 0,-. . r4 i 4y$"at !�1- e ( 'li,,k`w -. Iia} btu y 4,. .T,7'-.-., z, . ,, 1r-.. 3 ;- k,,,., Cs i �».. :`*!`�7.•�,},,-,. i. -� .r�{Ri'. s �,. - :x4' j 'Wir 4w, xL 1 PROJECT INFORMATION ALLOWABLE FLOOR AREA:(PER SANTA ANITA VILLAGE HOA) PROPOSED HOUSE TOTAL IRRIGATED LANDSCAPING AREA:4,150 SF BASIC FLOOR AREA FOR LOTS 10,001-15,000 SF: 3,500.00 LIVING AREA: 3,583 SF . TITLE:NEW 1 STORY SINGLE FAMILY DWELLING 25%OF LOT AREA OVER 10,000 SF: 155.25 2 CAR GARAGE: 422 SF AREA OF BUILDING TO BE DEMOLISHED:1,596 SF JOB ADDRESS:942 KINGSLEY DR., 3%OF LOT AREA(1-STORY INCENTIVE) 318.63 COVERED PORCH: 94 SF TYPE OF CONSTRUCTION:VB ARCADIA,CA 91007 TOTAL FLOOR AREA ALLOWABLE: 3,973.88 SF TYPE OF OCCUPANCY:R31U FLOOR AREA RATIO:3,583<3,973.88 SF ALLOWABLE BUILDING CODE:2016 CBC,CRC,CEC,CPC,CMC, APN:5777-017-003 ALLOWABLE LOT COVERAGE: LOT COVERAGE:(3,5834422494)= • 2016 CALIFORNIA GREEN BUILDING OWNER:GUANG YANG(626)524-0279 10,621 X 45%(1-STORY)=4,779.45 SF 4,099110,621=38.59%<45%(4,779.45 SF)ALLOWABLE STANDARD CODE,T24-6 ZONING:R-1 . &LOCAL AMENDMENTS LOT SIZE:10,621 SF REQUIRED FRONT YARD AREA: FIRE SPRINKLERS: REQUIRED FRONTAGE AREA:2,830 SF (FIRE SPRINKLER SYSTEM SHALL BE INSTALLED IN 40%OF FRONTAGE AREA IS:1,132 SF ACCORDANCEWITHNFPA 13D AS AMENDED IN AMC 8950.5) PAVEMENT ON FRONTAGE:967 SF(34.17%) PAVEMENT IS LESS THAN 40%OF FRONTAGE I % % II / (E)NEIGHBOR 1-STORY SI .F.D. 44 .4 948 KINGSLEY DR. fi REMDVEPORTION OF (2)CONDENSING UNITS ON /%/ /////W. (E)P HIGH RET.WALL I I „W 6HIGH CSN! W6HIGH CSW..(E)7'HIGH RET.WALL .(N)BLOCKS AND E)6 HIGH C.LF. O ��SETBACK (N)BLOCKS AND"TO REMAIN cAPTOMNTCH(E) BUILDING'S N 10°49'3 .-E" 131.69' CAP TOMATCH(E) .f EO SHALL BEYOND BN SRE UI _( j PNg .W-I�tr� Yj e 1, s.,21%.-103',.,I1 }1 ' • j----F-1-;P,IL-j f 0 . -� C�7i4� ��x)'( -jx�l(� 1• �''/ir-;-.1' �� .. , til ...re. .. r •tom',, A -x , ® /-.4,..,* � ------• J'Z-I, 1,.- )l`2.„, a m ,I. !E)'0 4 (N}OOnC. aY [� a° ' `,,;'; I'' '�,!i'`-7. `T'') :-.•,.� 0: `4'97'. (E) i9 i ■intim!■ 1'LQ1. - ....�11 d >.„-. '"' 30'ID TREE g°� ••R€AR YARQ I, Ifir r ! \L i..1 / I\\( (T) TO REMAIN 1.:: ,1,,,,,,.....,:,, .,. .., ..,,,,,-,.<,:,_, _.., 1 ;(11054/0:I it--..r..! 111 ,/:,-.4 .21;2:',-"A,1".4'...,„Ty' . ,:A tt•),..„,,• -I--- /�`�ij ,,,,,5)11:1•• 1// v; � )'�L - `.I�IIf �� —jII"' IF {� ,, \a ..V ill W I0.4 . . , -"' :,./ � 114ayiSFa;O BEDEW /�/ :�' / /1.`• • • [� '"-I."="' .arTM. % / ^ ONASEPARATE P.•J /. / ��_<; �,i. • • • "' .' 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As/A. iia*��1 .....4.'` --• • WI Agtor CITY OF ARCADIA 240 West Huniiiigton.privg Arcadia, CA 9100. FINAL GRADING. VERIFICATION ATIENTION: Community Development Administrator SUBJECT: Grading Verification for Project No, 15-086-005. Address: 942 Kingsley Drive • Gentlemen: Finish grading operatiPm5,have been cbinpleted fOr PrjNo.. 15-086-005 fot Lots through . (if applicable), and has been inspected by The undersigned Registered CiVil'Engineer or Licensed Architect: Based upon 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 deviations wersinade. All required surface drainage-deViees have been installed Provisions•have been Made for draMage of'Surface waters around proposed buildings; hi•applittnances, _ okofEss,0414 c. s 1,clk • - _ Engineer(Signature) c° 40870 A Architect( ignattire) Bcp.3-31-21 * , Ttc.E.Nb.. 40870 * R.P.A.No. IVIL noit. Date: May 19,2020 OF Received and and approved: Date: • .10.D. Plantlin cc: C.D.D./Maint.Ser. • C.D.D./Building Cal Land Engineering, Inc. dba Quartech Consultants Geotechnical, Environmental, and Civil Engineering January 16, 2019 Mr. Guang Yang 9518 Olive Street Temple City, California 91780 Subject: Soil Compaction Report, Proposed Residential Development, 942 Kingsley Drive, APN: 5777-017-003, Arcadia, California QCI Project No.: 15-086-005C Reference: Report of Geotechnical Engineering Investigation, Proposed Residential Development, 942 Kingsley Drive, APN: 5777-017-003, Arcadia, California QCI Project No.: 15-086-005GE • Dear Mr. Yang: This report presents results of our field density tests performed on the proposed building pad and abandoned pool backfill 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 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 and import ' 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: 576 East Lambert Road, Brea, California 92821; Tel: 714-671-1050, Fax: 714-671-10904�ua-� z Mr. Guang Yang Page 2 QCI Project Number: 15-086-005CJanuary 16, 2019_ TABLE II LABORATORY TEST RESULTS Soil Type Maximum Dry Density Optimum MoistureoContent (pcf) (/o), A- Dark brown silty sand 130.0 8.0 B-Brown gravelly silty sand 127.8 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) 4ao¢ESSI04,4 ' O ! �/��.. . {�o.2153 ExPiatlip Jack C. Lee, GE 2153 * O � Jerry Lin Principal Engineer d>,Fop di* . 't/ Project Engineer r e��FOe' End.: Figure I—Site Plan Dist: (4)Addressee _ 576 East Lambert Road, Brea, California 92821; Tel: 714-671-1050, Fax: 714-671-1090 � �� Mr. Guang Yang Page 3 QCI Project Number: 15-086-005C January 16, 201.9 TABLE I FIELD DENSITY TEST SUMMARY Test Test Test Depth Moisture Dry Relative Soil NO. Date Location Below Content Density Compaction Type Test FS(ft) (%) (pcf) (%) Method X-1 01-04-19 Building Pad 2 7.3 117.8 90.6 A N X-2 01-04-19 Building Pad 2 8.8 118.3 91.0 A N X-3 01-04-19 Building Pad 2 8.0 118.7 91.3 A N X-4 01-04-19 Building Pad 2 8.4 118.4 91.1 A S X-5 01-07-19 Building Pad 2 8.0 118.8 91.4 A N X-6 01-07-19 Building Pad 2 8.3 117.9 90.7 A N X-7 01-07-19 Building Pad 2 8.1 119.5 91.9 A N X-8 01-09-19 Building Pad FS 7.9 115.4 90.3 B S X-9 01-09-19 Building Pad FS 8.9 116.3 91.0 B N X-10 01-09-19 Building Pad FS 8.1 117.2 91.7 B N ' X-11 01-09-19 Building Pad FS 7.6 115.3 90.2 B N X-12 01-09-19 Building Pad FS 7.0 115.0 90.0 B S Note: FS = Finish Surface N=Nuclear Gauge Method S=Sand Cone Method 576 East LambertRoad,~Brea, California 92821;.Tel: 714-671-1050, Fax: 714-671-1090 a -~ 4I N. EX GARAGE N 10'49'38" E 131.69' -� r 1 . 1 I -,80 � I X-6 X-2 X- 1 CO X- 12, X-9 X- 10 PROPOSED BUILDING X-7 ' 3 I M N I 1 Z � X- 11 '' Z ` .46 PROPOSED GARAGE rg X-5 X-3 X-4 i X-8 � I ) N 10'50'04"'E 133.83' f _Jr CalLand Engineering, Inc. Project Address: dba Quartech Consultants LEGEND APN: 5777-017-003 Geotechnical, Enviromental & Civil 942 Kingsley Drive Engineering Services Arcadia, California X-1 Approxmiate Field Density Test Location . 4.4../ — — — — Approximate Limit of Compacted Fill Placed Under Purview of This Report SCALE AS SHOWN S ITE P LAN 01/19 FIGURE 1 CITY OF ARCADIA rOk+oenTs°'0 240 West Huntington Drive Arcadia, CA 91007 ROUGH GRADING VERIFICATION ATTENTION: Community Development Administrator. SUBJECT: Grading Verification for Project No. 15-086-005 Address: 942 Kingsley Drive • Gentlemen: Rough grading operations have been completed for Project No. 15-086-005 for 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 constructionssiI icor to footing inspection. 4�0�PGK C• C$•4% 4 "' No.C040870 Engineer (Signatureram m Exp3 rchitect(Signature) * R.C.E. No. 40870 *�q CIO' R.P.A.R.P.A. No. ��'1r :•r.FG Date: Received and approved: Date: C.D.D./Planning cc: C.D.D./Maint. Ser. C.D.D./Building CONSTRUCTION STAKING PLAN — GRADING LOCATION: 942 KINGSLEY DR ARCADIA CA 91007 z APN: 5777-017-003 DATE: 01-22-2019 N 10'49'38" E 131 .69' N. T. S. 5. 0' 8. 0' 1,- - 3 • ji - L,-� -- - -- • 2 z 25.0' �; ' n igo LAND -P ^ A , —ui: ' p.rl.ili II JG�L p f • /-�u., N J . LEE F 35. 5' cc - - — 0 II 1 g �q c a. �, ^GAG I 1�u 71. 5' ‘.. 111 ,Q-, N0. 8407 Q 0'5. II` LC! � i8 Ai 11` f �� j •1� ATF OF CAS\I 30' —F. �i 539.164. 0' �'`«Fo... ��• ICONPAIS539. - _ �± k i '� I Co O ,; , . D 0: Ido I I "I 011 "=1] zr.c.,LQ CO 4 ;4'143 III H o 0 az co •— _-- -- ImAl = =� - -J-• 1 • I Y . 8.0 U l —),— tel—.. — —— — z F N 10'50'04" E 133.83' ~ W co LEGEND W 0 0 IC FID CSZ x a o 2 SET L&T ON TC LS 8407 W F i I # FF ELEV "ETP HUB CUT/FILL DRSCRIPTION Z 1 539.73 538.69 F 1.04 5' 0/S BE ® SET 2"X2" HUB&T LS 8407 Z . l .111 .7414 2 539.73 529.13 F 0.60 5' 0/5 BE 1 fci w 3 539.73 539.09 F 0.64 5' 0/S BC • SET 1"X2" HUB to H 4 539.73 539.09 F 0.64 5' 0/S BE j U uo DEPARTMENT OF BUILDING AND SAFETY STRUCTURAL OBSERVATION REPORT FORM Report No. 4-4 This report includes all construction work.through 1 2 day of `. ( � , 20 (7 No. of Project Addre s: Structural Obs rver of Record(SOR): Phone No.of SOR: q4"2. td 5 fr D-. ^k ,�, r,Lee 6z-6:- q 0od Building Permit No.: Structural Observation performed by: Professional Lic./Reg.No.of Observer: Phone No.of Observer: OBSERVED STRUCTURAL ELEMENTS AND THEIR CONNECTIONS FOUNDATION WALL FRAME FLOOR PORTION OBSERVED,IF NOT WHOLE Footing,Stem Walls ❑Concrete ❑Steel Moment Frame ❑Concrete 50/-1-1 i! 1 A gQ ,�qr ❑ Mat Foundation. ❑Masonry ❑Steel Braced Frame U Steel AGO,, , 4)440,1 ❑ Caisson, Piles,Grade Beams ❑Wood ❑ Concrete Moment Frame ❑Wood Parg-t wat-P U Retaining Foundation ❑Others: ❑ Masonry Wall Frame ❑Others: d fyi c1 (sn ❑ Others: ❑ Others: 19p 3-4'✓`1c.�fl� rPa, • OBSERVED DEFICIENCIES: . o PEI- c C--r • • .R ESS10Nq tee&c, PE 7-6,4) <<; n 53948 Cr1t EXP.031 4 S j STRUC-1-\. ' �P gl6'OF CA\-\F0 r1/41 SIGNATURE DATE STAMP OF ENGINEER DEPARTMENT OF BUILDING AND SAFETY STRUCTURAL OBSERVATION REPORT FORM Report No. �a� l4 o This report includes all construction work through 1I day of vv1 , 20 No. of Project Address: Structural server of Record(SOR): Phone No.of SOR: Building Permit No.: Structura Observation pperfrmed by: Professiona Lic./Reg.No.of Observer: Phone No.of Obse er: 1 Lei 5 3 Gi. cam(- -7 . OBSERVED STRUCTURAL ELEMENTS AND THEIR CONNECTIONS FOUNDATION WALL FRAME FLOOR PORTION OBSERVED,IF NOT WHOLE ❑ Footing,Stem Walls ❑Concrete ❑Steel Moment Frame U Concrete F f16 /P tfd i -i ❑ Mat Foundation. ❑Masonry U Steel Braced Frame ❑Steel 114C-Mt-N44,4— (,4— ❑ Caisson, Piles,Grade Beams 'Wood ❑Concrete Moment Frame WfWood �� O� ❑ Retaining Foundation ❑Others: ❑ Masonry Wall Frame /Others: pl,A `Z0 ❑ Others: [I Others: c►��rtANJ. / OBSERVED DEFICIENCIES: No D ert cc -N O. . • • F . !.11P S 394 E;;P.031311 b 9 * O<& ° ATF OF• ()\111t. SIGNATURE DATE STAMP OF ENGINEER , I' { '` Permit NO De1110, 18 1909. City of Arcadia, CA „i0":-.4:',,,,,-,:;.! ' m Development Services Department ' ` ` ~ l 1�� Permit Type(Demolition; 1240 West Huntington Drive,Post Office Box 60021 ' s a r i 4 Work Classification Demo Residential Arcadia,CA 91066-6021 ,_,,,.7 .4,1,'',,,,,,:`,4--,,r,- t o , (626)574-5416 ' t i ' PermltStatUs Issued','. ARCADIA ,, issue Date 12/18/2018' Expiration: 06/16/2019 • Addr NO. Dir Prefix Street Name Street Suffix Unit City,State,Zip Parcel Number 942 Kingsley DR Arcadia,CA 5777017003 4 m. n �w3`:'*9Mr,."S:a.-_*b._ +.".'n. i,X°T..,..,�. �".R9m'.r%;fi' ".M`,a "X.^A."w.,.... eY..an .,:::.k'i �`a.; �,: .. a .. n..,dss.eP3�."w..a4 4 .._ •-#eSEb`,:�Pffi n,f ',..: '",'ts4*4%.4 fl at-ze++Y Contacts Million Construction* Owner ORTIZ DEMOLITION INCORPORATED* Contractor 124 Las Tunas DR,Arcadia,CA 91007 3045 S ARCHIBALD AVE H310,ONTARIO,CA 91761 (626)822-8200 (213)216-4405 902123 Description:DEMO HOUSE/GARAGE FOR SF NEW. REFUND Valuation: $0.00 t Tenant DEMO BOND NESON TSE 124 LAS TUNAS DR ARCADIA CA 3 91007 Total Sq Feet: 1.996.00 Plan Check# Plan It I �.. �.ax mom, ... A, .,�•� - -.;_, 1 Fees Amount Payments Amount Paid Bond for Demolition $1,996.00 Total Fees $2,185.28 Demo-Sewer Cap and/or Cesspool Fill $15.55 Cash/Receipt if REC-003184-2018 $2,185.28 Demolition Permit $77.78 Amount Due: $0.00 Demolition Permit Issuance Fee $44.35 Plumbing Permit Issuance Fee $44.35 Solid Waste Management Fee $6.25 Solid Waste Management Fee 2 $1.00 Total: $2,185.28 F NA _ ` 't , lc.- 2-0 - ---- CALLS FOR INSPECTIONS f Request for inspection by telephone at 626-574-5450. Leave a message requesting the address,timeframe and what inspection item is needed. COMPLETEDThis permit/plan review expires by time limitation and becomes null and void if the work authorized by the permit is not commenced within 180 days from the date of issuance or if the permit is not obtained within 180 days from the date of plan submittal.This permit expires and becomes null and void if any work authorized by this permit is suspended or abandoned for 180 consecutive days or if no progressive work has been verified by a City of Arcadia building inspector for a period of 180 consecutive days. • . ( December 18, 2018 Issued By: Date \ December 18,2018 Page 1 of 1 4 OF ,i v� , PERMIT/PLAN REVIEW APPLICATION o f 3M• Development Services Department,240 West Huntington Drive,Post Office Box 60021 Arcadia, CA 91066-6021, (626) 574-5416, Fax (626) 447-9173 City of Arcadia LICENSED CONTRACTOR'S DECLARATION WORKERS'COMPENSATION DECLARATION 0 I hereby affirm under penalty of perjury that I am licensed under provisions of I hereby affirm under penalty of perjury one of the following: Chapter 9(commencing with Section 7000,of Division 3 of the Business and , Professions Code,and license is in full force and effect. ❑ I have and will maintain a certificate of consent to self-insure for workers' License Class �r License No. 7'f2/L 17 Exp. Date -.3-)''(� compensation, as provided for by Section 3700 of the Labor Code, for the / i 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 StA- T t)A6 demolish,or repair any structure,prior to its issuance,also required the applicant Policy Number i-7(]tf TS 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 ❑II certify that in the performance of the work for which this permit is issued,I shall Section 7031.5 by any applicant for a permit subjects the applicant to a civil not employ any person in any manner so as to become subject to the workers' penalty of not more than five hundred dollars($500)): compensation Laws of California,and agree that if I should become subject to the workers'compensation provisions of Section 3700 of the Labor Code,I shall ❑I, as owner of the property, or my employees with wages as their sole forthwith comply with those provisions. compensation,will do the work,and the structure is not intended or offered for �p sale(Section 7044,Business and Professions Code:The Contractors License Date I/' 3 ' 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 penaltiesand civil fines up to one completion,the owner-builder will have the burden of proving that he or she hundred thousand dollars($100,000),in addition to_the cost of compensation, did not build or improve for the purpose of sale). damages as provided for.in Section 3706 of the Labor Code, interest,~and attorney's fees..0 I,I, as owner of the property, ani 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 -5 71 --- 0)L'tfr2 ��'�// �/rlr-h PRINT NAME Title 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 /Z�L'vLeop-- City of Arcadia, 4:1%-� Permit No Wall 20 0185 CA �, Development Services Department " ;Permit Type Wall 240 West Huntington Drive,Post Office Box 60021 1 Work Classification.Wall Retaining Wall - ��+ Arcadia,CA 91066-6021 ' 1 J = (626)574-5416 k Permit Status Issued;. ARCADIA. Issue Date 02/03/2020;,1 Expiration: Addr NO. Dir Prefix Street Name Street Suffix Unit City,State,Zip Parcel Number 942 .-- KINGSLEY DR Arcadia,CA 91007-6218 5777017003 Contacts Bei Wang Owner MILLION CONSTRUCTION* Contractor 942 Kingsley 124 Las Tunas DR,Arcadia,CA 91007 (626)822-8200 940755 Description:100 LF 6'RETAINING/CMU BLOCK WALL, 2'FT Valuation: $ 8,566.00 t Tenant HIGH RETAINING WALL WITH 4'HIGH BLOCK WALL ON TOP Total Sq Feet: 0.00 3.1 Plan Check# Plan# Fees Amount payments Amount Paid Building Issuing Fee $47.01 Total Fees $273.81 Building Permit Fees $220.55 Cash/Receipt#REC-03741-20 $273.81 Solid Waste Management Fee $6.25 Amount Due: $0.00 Total: $273.81 - Piz-Ca,r (sr - 2-'•Zo G�JT 2r6 L FT 2 /8-Zc ' - COMPLETED ED o- CALLS FOR INSPECTIONS N 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 03, 2020 Issued By: Date February 03,2020 Page 1 of 1 v-4 'monk l•., N' PERMIT/PLAN REVIEW APPLICATION df.1Y/Ill\\tom p„. 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,an my license is in full force and effect. 0 I have and will maintain a certificate of consent to self-insure for workers' • compensation, asprovided for bySection 3700 of the Labor Code, for the License Class Lice •- o. �O . Exp.Exp. Date P Signature of Contractor -- performance of the work for which this permit is issued. OWNER-BUILDER 1' TI .' ❑ I have and will maintain workers'compensation insurance,as required by Section 0 I hereby affirm under pen. • 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 ")-7...32-1) 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 11 Date O";—).-l7il)Signature 4 Lender's Address IMPORTANT:APPLICATI 1V IS HE' MADE TO THE BUILDING OFFICIAL FOR A PERMIT SUBJECT TO THE CONDITIONS AND RESTRICTIONS SET FORTH 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 Pil/�.c1,1 �� Title 14A-4X PRINT 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 v Date OF AR4 CITY OF ARCADIA DEVELOPMENT SERVICES DEPARTMENT �� •Npn f.1M1 . cow %• FENCE, GARDEN WALL AND/OR RETAINING WALL ON Unity cif PROPERTY LINE RELEASE AND DECLARATION ADJACENT PROPERTY OWNER'S DECLARATION 1j..a„ as owner of the property located at ._q474.2 CP _ 7. , PPlsc hereby grant permillion.to the adjacent property owner located at , , k.. . 044 to construct r7 ' lineal feet of up t 6 high fence, garden walk arldbr 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, and/or retaining wall and the removal of landscaping). Name: iCe 1./4444.- _ 'Telephone Number:_ Address: - Date: /r-//--2-o 2--o Signature: I S41. ... ...... ............... ... ... ... ... ... ... ... ... ... ............ ... ...... ... ... ...... ... ... ... ...... ... ............ ... 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 `'� 12_ a ike_s , V to construct and locate part of a fence, garden wall, and/or retaining II o their property. Name: T2010111„9C Telephone Number• °_81? _� Address: q L , 01,-,vk. Date: /.- 2d ;;its Signature: c: Applicant's file Neighbor's file Job site 1-15 2. City of Arcadia, CA , PermltNO FIRE-19-0958 NAlf Development Services Department 1,------,, 0 ,---,..-.'\{{ '� Permit e.Fire 240 West Huntington Drive,Post Office Box 60021 _ 11 :�'r t� ( l ' ...4,..., Arcadia,CA 91066-6021 \� ; r Work Classi kation Fire prinkler'; (626)574-5416 r,�h �g` .;; - „; Permit 5tatus'Issued ARCADIA issue Date:06%12/2019 1 Expiration: 11/18/2019 Addr NO. Dir Prefix Street Name Street Suffix Unit City,State,Zip Parcel Number [942 Kingsley DR Arcadia,CA 5777017003 Contacts GUANG YANG Owner SPECIALIZED FIRE PROTECTION,INC.* Contractor 9518 OLIVE ST,TEMPLE CITY,CA 91780 18305 E Valley#H,La Puente,CA 91746 626524279 SUNSHINE10061804@GMAIL.COM (626)416-9276 1005885 Description:FIRE SPRINKS FOR SF NEW 39 HEADS Valuation: $ 6,000.00 Tenant Total Sq Feet: 0.00 Plan Check#19-958 Plan# i- Fees Amount Payments Amount Paid Fire Issuance $47.01 Total Fees $918.46 Fire Permit Fees $170.45 Cash/Receipt#REC-01513-19 $218.46 Solid Waste Management Fee 2 $1.00 Cash/Receipt#REC-01289-19 $700.00 Sprinkler Heads $700.00 Amount Due: $0.00 Total: $918.46 - CALLS FOR INSPECTIONS Request for inspection by telephone at 626-574-5450. Leave a message requesting the address,till eframe and what inspection item is needed. ; r � This permit/plan review expires bi;'i r/r/`',y . ;L' .:1,.t,Becomes null and void if the work authorized by the per ` ,it •i;• c' a��%� ced within 180 days from the date of issuance or if the permit is no .z4.174•d 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 12, 2019 Issued By: Date June 12,2019 Page 1 of 1 OF AR A4cPtiiFony4,9,I pow ' PERMIT/PLAN REVIEW APPLICATION IFEEEN tap,, 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,an my license is in full force and effect. ❑ I have and will maintain a certificate of consent to self-insure for workers' License Class ��6 License No./v° S Exp. Date/3�� 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 y]II 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 vvuo ?r3 J/q provisions of the Contractors License Law(Chapter 9(commencing with Section (This section need not be completed if the permit i§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-1I 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 C/(y�g 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. �) L/// Name fK�( ekvi/ 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 ordVances and State Laws relating to building construction. I hereby authorize representatives of the City of Arcadia to enter upon the above-me honed property for inspection purposes. Signature Date / I ti A OARC �F Oitip046 7 AaN .i9os CNAluaity oi'0° MEMORANDUM Fire Department DATE: May 4, 2020 TO: BUILDING DEPARTMENT INSPECTOR Steven Roberts FROM: FIRE DEPARTMENT SUBJECT: FIELD INSPECTION ADDRESS: 942 S. Kingsley Drive THE FOLLOWING ITEMS WERE CHECKED FOR CONFORMANCE WITH APPLICABLE FIRE DEPARTMENT REQUIREMENTS: TYPE OF INSPECTION DATE / INITIAL FINAL INSPECTION FIRE SPRINKLERS (PC# 19-958) 5-4-2020 Jill Perumean FIRE ALARMS HOOD & DUCT KNOX BOX OCCUPANCY 5-4-2020 Jill Perumean COMMENTS: Emailed Bldg. Dept. 5-4-2020 Rita • , , ,. *. .+. ,...,,-,,... .y.,, WATER DIVISION ATTENTION: E—(2--\C S - DATE: S •I S`• 70 . FROM: BUILDING DIVISION _ INSPECTOR: % 170./E- R • ADDRESS: Wi /4as LE-17 PERMIT NO.: I °i —.0 3 J PLAN NO.: 3 2-(c.,13 CONTRACTOR: I LL t o<-• E rJST-— QE.n.rS,�,J PHONE NO.: 624 • ?.ZZ • d Zoo OWNER: C u4Ny L/4�C,, PHONE NO.: C 2L- S24. tZ t>, PLEASE INSPECT THE FOLLOWING ITEMS FOR CONFORMANCE WITH APPLICABLE DEPARTMENT OF PUBLIC WORKS REQUIREMENTS. Type of Inspection Date& Initial Date& Initial Final Approval Meter Location -g 5/Roiao Blackflow Devices Irrigation System — 5/ -7/RO -- Fire Sprinkler System 5/2ola0 Meter Clear A.P.P. 5AD/a0 Swii% ing Pool - VA COMMENTS: 1\1'2', V;,1 KInS j `1 DC �J6U (AV P:61-f 9 (--i.) X41,- Thrt•-/ !'r‘)n-\-+e,n . l 1gv cry I , 5i I, 1 ' r.. r I 4 Q2 _ ta5 Vacc,,, r<rn‘cRrS a,n 1,05e: . 7 .• I .! A ,' .rt CITY OF ARCADIA , i •• e= WATER EFFICIENT LANDSCAPING DOCUMENTATION PACKAGE • CERTIFICATE OF COMPLETION This certificate is to be filled out by the project applicant and the property owner upon completion of the landscaping project. • Project Information I I Date of Project Completion Permit Type and No. • -�r>07- O • Project Address - 9Lj kt ii Jc'_ /� IIP reA c-�c 't , r' } 9 f Oti 7 Name of Project Applicant and Title/� _ Name of P petty O er Com• a n wane&Mailing Ad&esss �� .Male iling` ' dress ,i e y la 8 ` ct Goal tri. A ' �, 9Ct?.c o��1i R, 1. b 9(007 . Telephone sod Fax No(s). Tel-•hone and Fax No(s). Email Address Email Address br345Tn�sgC_V 4.hAri) ,Go4,, a��ce b coav cmay/: co 41 1 Project Applicant—The signer of the;;landscape design plan, signer the irrigation plan, the licensed landscape contractor that. installed the landscaping -and :irrigation, or a licensed t i professional that'performed'periodic site:observations to verify that the project is consistent with the 'Water Efficient=Landscaping Documentation Package,,for the project and that the project complies;with Ordinance No.2267. „,' ,,: i "I/we certify' tit°a ` based upon periodic site observations, ;the ,work 'lies been substantially completed i'in accordance% .,.:, ',!: ' " ' s• • 'Li!IT ' • , : 1 "t; :: i I.• : • i il : •, • ,__ _. Robert C. Ferrante •i:•ItiO#NITATION-DISTRICTS OF LOS ANGELES COUNTY Chief Engineer and General Manager 1411111V -,1•:.:: , 1955 Workman Mill Road,Whittier,CA 90601-1400 ' f•!j; . . . Mailing Address: P.O. Box 4998,Whittier,CA 90607-4998 ".:I.,'•!: • . Converting Waste Into Resources (562)699-7411 •www.lacsd.o5 ° i;i;Hill11: , i i;,,;1,,, • •, : br.,•,•11.,: , . • •,.0;,.,• , , 1 I t :'1 ;1; t 1 • • ''; '2'!iC ounter Hours: 7:00 a.m.-4:00 p.m.Mon.-Thurs. ii:i.' Application No.: 5777017003-002 , • ' 7:00 a.m.-3:00 p.m.Fri. 2020 iSEWERAGE SYSTEM CONNECTION FEE RECEIPT Date: May 29, , ,-,,.1:,illttittainiCIOMFAIMION- c!f '..4 'IPP.--.:;:::',.,•! ,-',.,17•4:: :,-.11111M1.111 APN:5777 017003 District No.: 15 a, . ; o • Owner/Situs Address Applicant Information - . °) , v ,``‘ ; 1" BEI A TR WANG Alice Wang .tr• ;,,,s;,.i • •.f. 1 , ':942 KINGSLEY DR Benson Tse CA 91007 124 Las Tunas Drive Arcadia,CA 91007 , Phone:(626)822-8200 • 0 itgOMMINOMM.0.4.0*.titibN: • tC1: Ok.,.:_:!'ktitiN'Sme..111MAIIMEIMIIIM 4. „ - .• " , .1,- ....—. Facility :rypL Measure of Use Unit Rate Amount ,• , :,: , • , 1- .. Single Family Home D 1.00 DU . Single Family Hoine N _ 1.00 DU $4,210.00/DU $4,210.00 :„•!.,, !,I 1942 Kingsley Drive,Arcadia ; • ! , •1Base 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 ' o : • II! " . . 4,, 8 c'. -: :I IlaiNgiE411111=1'.' ' :-..''''f.,, ....':*'ckiq'fil. rt,.. '.4C:f0;71.;.1t'...,:4 '11ESIIIISMIIIIMil ., . . Includes demolition of 1:.00 DU of existing Single Family Home •, • :''i!;11' 41 4' • . ! i ..• . ' • .I. :•oi I i. . i.r-.q111 ' • s. o . A ,71. l•f• • ,!: ; . • • ..• e • b j.,.>!ti . . ..e, yl,.! 1 i 1•i . `.r ; ,;il , • 1 " •ii''', ' '' • ,i],11:1!i';• • • : It ., Ii Processor Cynthia Villa Approver Elizabeth Padilla . : SANITATION DATRICTO , . OF LOS ANGELES COUWV".. ,dot •;;I ;; ; ; Pfl -?5/ P4-4::e4-c--- . fi.,,. APPROVED 5 . ' -- Payment Received : Check No . ... ,- Amount1 , •:!:ii -,-- , ROBERT C.FERF1ANTE • BenSOn Tse CHIEF ENGINEER&GEN.MGR. • ,, H ; .. .- - - - --- - .1 ;t 1 $0.00 i . : Valid Only When Starnied THIS IS NOTA CONNECTION PERMIT. . A CONNECTION PERMIT IS REQUIRED BEFORE CONNECTING TO ANY SEWER. DOC#5738382 .i.!!HI! • '' : : : : : il -1 - ;;; A :. : : : . . : . : : : 11%.5.; : 1 City of Arcadia E DVELOPMENT.SERVICES DEPARTMENT Inter-Departmental.Inspection Request Date. Is-.• 74. : . Public Works Inspector. n :. To: From: . S - . 2 • . Address: - elqi. IlI�C,SLe-1-1 Contractor. 'MILL to.J e.dn1 t— '..I JS0 "? Phone No.'. 6 Z(o. $2 2: • .a20b. Owner: G ui4r-C) - C,,' . PhoneNo:: Yo26• .521•. 1.1.:2' `j' .: Please inspect the following items to ensure that the Contractor/Developer is in compliance with:all conditions of. approval establishedfor the project,and that the work performed meets the City's standard for Public Works Construction: : . Type:off Inspection :. : :Date.&Initial: . Date&Initial ' "Final Drainage Approval - Grading - l. Erosion Control . .f ' >i :Of'site Improvements- Street-Impr oveinent(s) (conduit,curb/:curb& : , . ki(g):P gutter, numbers; hh driveway appy 7 ' J . ti parkway planting, sidewalk,street light, . • traffic flow, etc.). _ . Sewer(s) :(lateral,grease/san innter ,cepta ,saddle,i, ' 1 ("i' etc.). .. - COIvI1V1EN - �'tJ vJ Wt,. • r R .1/17111 • - •_ A• \ PLANNING�� qq�Q G �p y �aalty o[8°� SER V ICE S ATTENTION: V SSA- DATE: 6,•(1'1. 1<) FROM: BUILDING SERVICES INSPECTOR: Sii PROPERTY ADDRESS: 9 72_ VI NJGS t-c-‘7 PERMIT#: ( - D 39 I PLAN#: 32 ,C) CONTRACTOR: Y"1(LA-1 o.v 00 NSr• — .JSE�SoN PHONE#: 69 2(o• SZZ • 8 Zvo OWNER: C, u A-NG V C-, PHONE#: (0.26—s2q- 1-(21) PLEASE INSPECT THE FOLLOWING ITEMS FOR CONFORMANCE WITH APPLICABLE PLANNING REQUIREMENTS. • TYPE OF INSPECTION DATE & INITIAL DATE & INITIAL FINAL APPROVAL LANSCAPING/IRRIGATION 12_U 1RASH ENCLOSURES PARKING/DRWEWAYS LO t2 O 'r,,I STORAGE AREAS MECHANICAL EQUIPMENT r L� � Q 124 /n WALL HEIGHT �J ((2x) \-� l G� BACKFLOW SCREENING COMMENTS: