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HomeMy WebLinkAboutSNEW-19-0014 City of Arcadia, CA ,," Permit NO SNew 19 0014 : V/. Development Services Department "1 j f �^� a Permit Type:Single Family New 240 West Huntington Drive,Post Office Box 60021 '` � = _ .. � Arcadia,CA 91066-6021 i , ""'�°�t 111,1S Work'Classification•SFR-New Dwelling ` (626)5(626)574-5416 , =`� Permrt`Stptus:Issued ARCADIA "" � IssueDate 04/15/2019 1 Expiration: Addr NO. Dir Prefix Street Name Street Suffix Unit City,State,Zip Parcel Number 959 Hugo Reid DR Arcadia,CA 5777001005 Contacts LILLARD INVESTMENT LLC Owner SANYAO INTERNATIONAL INC. Applicant 959 HUGO REID DR 255 E SANTA CLARA 200,ARCADIA,CA 91006 (626)353-7881 (626)446-8048 a Sunshine Construction Contractor 5325 Temple City BLVD,Temple City,CA 91780 (626)286-3310 434319 Description:4 BED,4 BATH, 1 POWDER RM,LIBRARY,LIVING, Valuation: $ 596,689.10 Tenant DINING,FAMILY,NOOK,KITCHEN,WOK RM.2 CAR ATTACHED GARAGE. Total Sq Feet: 4.058.00 Plan Check#19-14 Plan#19 WITH EMP.400 AMP SERVICE,2 SUBPANELS,TPP,HOODS,FIRE PLACE.HVAC SYSTEM PER APPROVED PLANS.HERS REQUIRED FOR FINAL. Fees Amount Payments Amount Paid Bar Sink $12.46 Total Fees $22,906.38 Bathtubs/or Combo $24.92 Cash/Receipt#REC 00963 19 / $15,818.60 Building Issuing Fee $47.01 Cash/Receipt#REC-00083-19 19/iii)�/® $7,087.78 Building Permit Fees $4,653.30 Building Plan Review Fee $3,024.65 Amount Due: $0.00 Cal Green Plan Check $302.47 Clothes Washer $12.46 ,__ ( Compressor 3-5 Ton(3 to 15 hp) $68.34 1^t^)''' --- 1?'16-• Zo Dishwasher $12.46 Distribution Panel $15.55 Electrical Permit Issuance Fee $47.01 CALLS FOR INSPECTIONS Energy Plan Review Fee $930.66 Request for inspection by telephone at 626-574-5450. Leave a message Fireplace Pre-Fab $14.11 requesting the address,timeframe and what inspection item is needed. Furnace or Burner<=100,000 BTU $37.48 Garbage Disposal Fee $24.92 Gas System(Outlets) $87.02 This permit/plan review expires by time limitation and becomes null and - Grading Issuance Fee $47.01 void if the work authorized by the permit is not commenced within 180 days Grading Permit Fee(1-1000 CY) $450.00 from the date of issuance or if the permit is not obtained within 180 days Grading Plan Review Fee $850.00 from the date of plan submittal.This permit expires and becomes null and Green Building Standard $24.00 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 Hood Serviced by Mechanical Exhaust $28.22 Arcadia building inspector for a period of 180 consecutive days. Total: $22,906.38 4 . April 15, 2019 Issued By: Date • April 15,2019 Page 1 of 1 U�4�FF Iu,,, - ,,,-J �' PERMIT/PLAN REVIEW APPLICATION oEEEmi hof "ti ' • 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 - CENSED 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 Pj 1 C–Y3 License No.4_ 31' Exp. Date /2--31- ,6 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 DECLA "' ❑ 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 Policy Number for such permit to file a signed statement that he or she is licensed pursuant to the provisions of the Contractors License Law(Chapter 9(commencing with Section (This section need not be completed if the permit is for one hundred dollars or less) 7000)of Division 3 of the Business and Professions Code)or that he or she is exempt there from and the basis for the alleged exemption. Any violation of I certify that in the performance of the work for which this permit is issued,I shall Section 7031.5 by any applicant for a permit subjects the applicant to a civil not employ any person in any manner so as to become subject to the workers' penalty of not more than five hundred dollars($500)): compensation Laws of California,and agree that if I should become subject to the workers'compensation provisions of Section 3700 of the 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 ate S Signature 401111111"P sale(Section 7044,Business and Professions Code:The Contractors License Law does not apply to an owner of property who'builds or improves thereon, or who does such work himself or herself or.through his or her own 4 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). damage's 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 6P ut.A442.4 `- f( r'" 1l [ Title P C S ( ))C�,t1� PRINT NAME 1 certify that I have read this application and state that the above information is rrect and that I am the owner or duly authorized agent of the owner. agree to comply with all City ordinances and State Laws relating to build' g construction. I hereby authorize representatives of the City of Arcadia to enter upon the abov entio,•s s , :• for inspection purposes. ignature O Date / f ,-1 , 5 5 X01 NOTES Building Inspections Date Insp. Plumbing Inspections DateInsp. 1,” thi6T, 100. Setbacks 210. Under fin/bldg.drain (e•Z¢.( r (cx r 101. Rough grade 211. Copper underslab 102. Figs.&forms (, '2I11 212. Rough plumbing q•(Z•15 103. Pre-slab - )7.z. ('3 213. Rough gas R•(1.• 104. Floor joists 214. Shower pan • (o•r)•/9 '55-- g Z•(9 I SS T GvetL 105. Steel 215. Water heater ;goof6E� vim• 1319 I,vSUL4?to�' 106. Grout lift 216. Roof drains 107. Shear nailing EX•` ?•12-( 217. Building sewer ( -L$1•// 3-73-20 S 1t ,s - SuJE fi A"4 rezr 108. Diaph nailing ?,.il.,t1 .22.19 `57‘.. - 218. Water service l/,•Zc, 109. Roof nailing $•12•I 219. Final gas 110. Framing of.U.•11 li 220. Fixtures 111. Occ./Area Sept.Wall 221. Final plumbing �.((o•' �'- 112. Sound walls 222. Sewer cap/demo. 113. T-bar'rid 5 fr'r •ZG•Z, 4-N-- 114. Insulation-Flr. Pool Inspections Date I Insp. 115. Insulation-Wall /0"3"(4/ '41240. Excavation/steel 116. Insulation-Ceil. /0. (1 241. Rough plumbing 117. Drywall nailing to ('f.(if eC3" 242. Light shell/bonding 118. Interior lath //•/./f �=-- 243. Underground conduit 119. Exterior lath 10.(4.19 244. P-trap 120. Finish grade 245. Gas line&test 121. Final building ‘).((o•Zo L-- 246. Fence,gates&signs 122. Final demoAot clear 247. Pool heater 248. Final electric Electrical Inspections Date Insp. 249. Final dumbing 150. Power pole (o•IQ,17 250. Pool cover - 151. Sales lot lighting 251. Pool final 152. Underground conduit 153. Underslab conduit Reroof Inspections Date Insp. 154. UFER ground Co'Lc(•(9 270. Pre-reroof insp. 155. Water ground 271. Roof framing 156. Rough electrical 9.2 3•(' � 272. Sheathing nailing 157. Fixtures 273. Final reroof 158. G.F.C.I. 159. Es et.bonding Sign Inspections I Date I Insp. 160. Service panel g".13,Za 280. Setback/overhang - 161. Final electric ). 281. Footing 282. Conduit/wirin. Mechanical Inspections Date Insp. 283. Disconnect 180. Venting/flue 284. Final sign 181. Furnace/A.C. 182. Rouch HVAC '. ,. Miscellaneous Insp. Date I Insp. 183. Fire dampers 290. Fire alarm 184. Furnace compartment 291. Underground supply 185. Combustion air 292. Fire sprinklers 186. Smoke detectors 293. Monitor system 187. Metal F.P.rough 294. Hood dry chem. 188. Compressor setback 295. Final 189. Commercial hood • 190. Duct shaft Sewers&Offsite Insp. Date I Insp. 191. Final mechanical '7-(G• 300. Lateral(main to P/L) • 301. Saddle/V Block Wall Inspections ' Date Insp. 302. Cess.00l filled 200. Footings O(•Co•jq 303. Sidewalk 201. Steel/rebar 304. Driveway 202. Grout lift 305. Curb replacement 203. Final wall '14,142 306. Trash bin � ^la�L _`.., r `` ._,. .. _t: •- sat A r A '^t• — - - a P >2,;. : rod? t2,,-;,,.,,,,7 .-,..-,--,.. .�•, ,yam.. 9`,�i _ �h air i�'d+�+x$ _a -Wts'4'141* 'l!- ..,n w., �1 _� _ .. n 2,,^; ',,7 .- + .. +e'-�. '.. "a; l .n U. .u :.rY +1. „ y w+. R,iv 'rh •,Y 1 Sj' 'a �".{f ,- �1 �.` 'N i qq N w.'�.'.. .14-4--.. ..,...,, ,-,,,, . y �,55 .,. .., Mt 1 1 .11. , , e ,,at ',,Ag.:„(' \mq \-.:;.:. J a ���' <'�� �w� ..?t��./ .� ;�^'---""-4,, 1..7.0�Aw�� 'r i` •��v 14;;I ` k..':, ' e¢[ NnFkL�L^'e 1pd ',Sn{I^ " %i.� . ;A".447 '. 9 r ,�19 y° ?yr r ',D ::r,"--z ,� n ,.fir ., , P o�#fib� J E (: '...s.,„7.01, � �``, O''dnirr of'''' 1:m°11 we �.. • ^ ,i1 CV rti/r/f'/�6�Vfi't of I'}•:N.i V 1V�V di .. a+i..r ry t F City of Arcadia Fti ;1i 1.' + 5., Development Services Department—Building Division °'{ ie This certificate issued pursuant to the requirements of the Vic ' ° r c Califomia Building Code certifying that at the time of issuance this structure was in d'N, compliance with the various ordinances of the City regulating building construction or use. '0' 0 . Permit No. SNew 19-0014 i. ; F - , .. 1 Building Address: 959 HUGO REID DR ARCADIA, CA 91007 ( yyr } ',d, 1; is Y� rt Permit Type: SF NEW ;. t Effective CBC: 2016 C.R.C. m R' p\ . Occupancy Code: R-3/1.J Zone Code^ R-Q ' .. ..,,,� Final Date: 7-16-2020 . ,., Type of Construction: TYPE VB SPRINKLERED V' NA \ Owner: LILLARD INVESTMENT LLC tr �ti. if /f Kenneth Field../, uildin ficial h r x } ° Post in Conspicuous Place ' ,: �r'.sa•L°}ad-'''., n;'amp o 2° `F;:ik',� , ^, K�. ._ r -�.... ems. .8.xrii pian �� r Ks: s+ ;.':� tt >,r, iia _ ._� ms,, i; _ .� � - d;'trP,SY'Y.Yn` .•:4' `Sa�7 P .. �. . r ..., .. '1 1 , 1 �"�",‘,„,„%,,. 't \ , t :4,v,fir,ix ft .�y A. 'f. .l .fl.. ;p.. " 4''r. : LtSkY+#-1• .Vr, �.;`r* t "",. ,i- -°s'ra�:'4 w,n.' stl4sF`'.' 3 - . -a, '_.�a. , ., - .,.. % ;isu::`a 4., a ''' jy + .z i Up er. ro ,{ V , a M LI a,0,DOD..m '0.R alss.nrn can an M REVISIONS '.1.""-To .1a w-Heir' ••9....... DATE NO IN. .:::::..":;:.::: nO.CC, .O 9.11 On MUS A Ids an n .% AN rt. 11% ..,.M�` azv..L uar. CAN i •�; mE,a caanemroa +n WS... ISM NLAIIIILSOMM Ta.Mat 1 :.PROD:::'::'::': rnlDm�o soot so.n. ��-.SITE':' a9 - SO.Hr. *,T.... TOM A.S0.n. 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J nn- ^ v .,Au Al.C.C.num.on•RAMC SWIM mom.cox lDa4�• Q .u,o r¢TITLE 2,1 AI.CY�0.61ID.CDQ(COD. is :===: : : a .r..-030. 0OUTOOPROC.WOG a.0 NM LOCK aL.006 0,00a R..oa ,a. wEFvwcEn '+• 3rro n=n ,- 7.::: .... .,!C v1 �' - 1�L,.:...�= ��, SHEET INDEX 4 PROJECT SUMMARY L1 IWIa'a.q•H a n. aDaO r mon.o hAll 44 Q .H.. :u_• • ---I• EX.LOWEST E C, /100.0vu.11 .utGM.."m.o I ► .-. • mm�m-la�.naq�ar.a.r TO.JC POW MI � PAD:01(512.93) Elf.LOWEST GRADE Sda/3 /". �I .�un�nnonnun.••._._1•",�L L1 E..AVERACEGRADE:ad.1d0 :,:♦�=4 -.-: _ nua9nn,,,..� _ _____...=,,.11 PAD:00(5039af z He rlac vma.m.wu aC�dura- 1� . .�-�_... _ . eon es[ `I z µ•n•.(I .•... G 141 1'14 1 = ♦,i�f 3 ....................11.1.5 v.,.r.'rur.wru 9 r �� On 6011111.1.In.ito. / , .4# A r, ,. .0,,,,,_„, , na• l., H. ...a p,/ V'( .411 / 140 E as.6 a Mama Om RC'- �TO MIK .. i n9R0.As S'd L TO co.•009 094 4.4.aott WC ` .O.IONG CM., C wa WO[.S.'A.AI[ DDI,ALL N GO. ..Ya. 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MOT..0 SOAK i �� R1.MO.NO...11aa00a ACR AHL.0%a[D Z �,. ...._.., m.e„" gin:,: c r.a...�RDrt.< .D F.l.MC.a=O. u,_, •` RC 00PD.FOR•MOS ROM.06001 114 M.TN 0.Lac(WO 4.0-KW SOLO aa....ran.m�a..4aa.n oaa5.300 (' rn Q 3aoaa.-C.w55 sues.a u.w KC.a 9.D® HAG I.tOolp[..lA a..t R 9-alOaO.al. 141 11511.11 ..-` 3 CONSULTING ENGINEERING 30333:Mm v..n MO n"' Dt-Da-zD1s 1.310 -� ® Ev.3m R.nr.II ` a9Hnu an,..aaa MCC L ,..a.nroua o.r....sr aKlf o,..R MOO. a" SEE PIAN o I PLANT LEGEND .r.a. - _ - To ..gym To Ao.AcS.M 9..[sm...no.w n nal or., 0.0.0. Ill a CORM arrta 3me awLi start=To now. / .5- >• o..oat•1n+a w Kra AM Hues y•; of TREES f0 BE.EUO,ED On ' TO I S "b Tow DR Tocumols an- W f"�HnO.161011 R w EpYAR-fq'a1P!M M 201.19 6 © .1511. (SEC 3A0CawC w..I rte,.,,,,....+.,.,.. 1. DC CCM=wt.N n..P. 3R a aD r C POO.Mad a 110.1133.RIC .AHI ▪OCI 4H wtMr'.i n 0 Fa IDI.!G.L R WP MOM M 00.4 MTP afRa n.t SD I (ST1*Im TO O. a ` 1.1000.la- 'CTOOCT .'.fes..A[W.."n.W COM...s•n.. re .133 �..+�..•...-r con.9HGa TA .e.9a..5 w AN mac.m CaME 0E0 WC.a=D�.COMM Nilan, T-1 i 2016 CALGREEN MANDATORY MEASURES 18 DEFERRED SUBMITTAL 17 FIRE DEPARTMENT REQUIREMENT 12 . • OF-T aaria -. 3 ►! 0 ARCAD . " ,� 4 '.t off .. . tRAORATED'� CITY OF ARCADIA 240 West Huntington Drive Arcadia, CA '9I007 FINAL . GRADING VERIFICATION ATTENTION Community Development Administrator, SUBJECT:- " Grading Verification for Project No. 18-180-011 Address 9 Hugo Reid Drive:. Gentlemen: Finish grading operations have been completed for Project No. 18 - Lots: . ...•- - .� through -. � for .' 1 � . . . (if applicable) pp able 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 were made. All required surface drainage devices have been"installed. Provisions have been made for drainageof surface waters around proposed buildings and their appurtenances. FESS/p Engineer(Signature) 40870 m Architect(Signature) *;. op.3-31-21 40870 R.P.A.. '.. R.C.E.No. �".. . _ t CIVIL No. Date: June 26,2020 OF cp,1.1F0 {. t. Received and approved:. silierr, i /' Date: 7Ld7� .D:/Pha ;�-' cc: C.D.D:/Maine.Ser, C.D.D./Building �� ' I Irfiz,7,, / CA, ,r;'v^/Lj I �a d / ;�� --� D1 G I SD1 I m o � �U G a � ,� z 3 15�� y , ao / SD1 FTG 'I ^ fa -'6`14"./a Z s�'' , Cr1g" q. r 12 15" 5 S�o {8�G �&..d. I I I SD1 FTG I N�U� SD1 FtEGISTFR t. �r�; sr-r, 5ti' �i I I r y �� ti�� f (tt'L P--66 S� XII h -off SD1 /7) ��/ 2.-Tor ,• :;t u% co cn� of SnatA ID 1 F7G — — -4 --]— I— .\ —i I--- A\ \--' ri r--- "c,, CD — L _\ 4'-0" SD1 • �� � )� �� 72//61-711 __: . CITY OF ARCADIA Development Services Department Se-,4-1e-' /.0 '—( '. . APPROVED This set of plans and specifications must be kept ' on the job at all times and no changes in-alterations shall be made except by the Building Division. The stamping of this plan and specification shall not be held to permit or to be an approval of the violation o of anyprovisions of an city ic final cc or state!anti '\\ 6/26//1 fo TCA . ENGINEERING INC. 4=" .r 1455 SAN MARINO AVE.,#C • ��°eve/�'' SAN MARINO, CA 91108 Project Name: ri Phone:(626) 571-4000 SINGLE FAMILY , o.C68205 �� tcaengineering@gmail.com 959 HUGO RIED •• Exp.913o1/,7 �'r,' ARCADIA, CPA! A s� CJ'J .$$-/ 4" CONC. SLAB ( NP' ) 5/8" 0 W "o HOLE. • FILL W/EPDXY A.B. /3/4SIM SIMP. SET–XP, ESRP.-2508 FOOTING 2" SAND PER FOUNDATION 3" AT EXTERIOR N & SLAB SCHEDULE AND GEOTECHNICAL • • • z RECOMMENDATIONS 7 Ia \ - — • D• VAPOR RETARDER PER FOUNDATION AND 4 SLAB SCHEDULE AND GEOTECFINICAL '—' RECOMMENDATIONS. (MIN. OF 10–MIL. a z POLYETHYLENE MEMBRANE) a 5/8"0 A.B. X24"O.C. • N 2–#4 TOP & Bou.4 • ` 12" OF MrzC,\lDI N CVO' i)e��aitellrtlt `iervices ° SCALE: N.T.S. Development 6j��J�� 'c ., o ItIo s and.;pecilic:all1n=�1,1'(!i alterations 1.:1,,o lt1S15 A FIELD FIX DETAI�I,l.,set , ,t„ �:;,nttn(,Ch�.11� pt 11 the„ialttiit):;iiia i�i011. Qll the lt)h ilt i9�. .,,., shall he mac4ti`e�iei)l 1�, 11,t1.;pcei{ir.ad()ll shalt not The St�ltlll)In4s of thr 1 j10vat of the ioltltion be held to permit or tos)i�on�tt)1'� ur slate law an.+1)1.ONtc 011,:Ol;d1\City 01-din n ce DEPARTMENT OF BUILDING AND SAFETY STRUCTURAL OBSERVATION REPORT FORM THIS REPORT INCLUDES ALL CONSTRUCTION WORK THROUGH DAY OF � ORT NO. PAGE NO. OF ( PROJECT ADDRESS 99 %u.60 ietr p,e STRUCTU AL OBSERV R STRUC.OBS.PHONE NO. 6-A/ z ) c7/- V OWNER .LIC.OR.REGISTRATION NO. BUILDING PERMIT NO. C g ?-o OBSERVED STRUCTURAL ELEMENTS AND THEIR CONNECTIONS LOCATION AND PORTION OF BLDG. DATE 0- FOUNDATION 0-WALL ❑- FRAMES ❑- FLOOR 0-FOOTINGS,SLAB&STEM WALLS ❑-CONCRETE ❑- STEEL MOMENT-SPECIAL ❑- CONCRE I E 0-PRESTRESSED CONCRETE SLABS 0-MASONRY ❑- STEEL MOMENT-ORDINARY ❑- STEEL DECK 0-CPJSSONS,PILES,GRADE BEAMS 0-WOOD 0- S'EEL BRACED ❑- WOOD 0- HILLSIDE BLDGS-SPECIAL • ❑- ❑- CONCRETE-DUCTILE 0- FOUNDATION ANCHORS 0- 0- ❑- CONCRETE-NON-DUCTILE ❑- (te-ive-7 r ❑- ❑- OBSERVED DEFICIENCIES: JTt 0- DEFICIENCIES CONTINUED ON ATTACHED FORM(B&S 261 A) o�FtOFES EN uw'- o.C68205 m SIGNED ' OF ,26 e/ AT 7he- SCA t Exp.9/30/Zrx'1 DAY MO TH �Y� CITY \di` CIVIL R...// i - - X • WET SIGNATURE OF' GISTERED CML OR STRUCTURAL ENGINEER OR UCENSED ARCHITECT STAMP OF ENGINEER OR ARCHITECT STRUCTURAL OBSERVATION DOES NOT WAIVE ANY OF THE REQUIREMENTS FOR BUILDING INSPECTION BY AUTHORIZED EMPLOYEES OF THIS DEPARTMENT DISTRIBUTION:STRUCTURAL OBSERVER TO SEND ORIGINAL TO THE BUILDING INSPECTOR'S OFFICE,ATTACH THE FIRST COPY TO THE APPROVED PLANS,AND KEEP SECOND COPY FOR STRUCTURAL OBSERVER'S RECORD AND DISTRIBUTIONS. • DEPARTMENT OF BUILDING AND SAFETY STRUCTURAL OBSERVATION REPORT FORM REPORT NO. THIS•REPORT INCLUDES ALL CONSTRUCTION WORK THROUGH 0 7 DAY OF 414 70/7 PAGE NO. I OF PROJECT ADDRESS q�Cf 144-0 4 /1> STRKTURAL OBSE VER STRUC.O S.PHONE NO. ,4/Z Com' K& gm-xi & 7/"y e-e-o OWNER LIC.OR REGISTRATION NO.. BUILDING ERMIT NO. OBSERVED STRUCTURAL ELEMENTS AND THEIR CONNECTIONS LOCATION AND PORTION OF BLDG. DATE ❑- FOUNDATION 0-WALL 0- FRAMES ❑- FLOOR 0-FOOTINGS,SLAB&STEM WALLS ❑-CONCRETE ❑-STEEL MOMENT-SPECIAL ❑- CONCRETE O-PRESTRESSED CONCRETE SLABS 0-MASONRY 0-STEEL MOMENT-ORDINARY ❑- STEEL DECK O-CAISSONS,FILES,GRADE BEAMS 0-WOOD 0- STEEL BRACED ❑- WOOD 0- HILLSIDE BLDGS-SPECIAL 0- 0- CONCRETE-DUCT1LE 0- FOUNDATION ANCHORS -0- 0- 0-CONCRETE-NON-DUCTILE ❑- ❑- "W; e ❑- . OBSERVED DEFICIENCIES: Am jj' , g *pi 74- if)A-4 • • 0- DEFICIENCIES CONTINUED ON ATTACHED FORM(B&S 261 A) QROFESS!,,yam. SIGNED OF / AT ?t "' ••C68205 1 CA xp.9/30/ti D Y MONTH YEA CITY ` tP). CNA. P. WET SIGNATUR F REGISTERED CML OR STRUCTURAL ENGINEER OR LICENSED ARCHITECT STAMP OF ENGINEER OR ARCHITECT STRUCTURAL OBSERVATION DOES NOT WAIVE ANY OF THE REQUIREMENTS FOR BUILDING INSPECTION BY AUTHORIZED EMPLOYEES OF THIS DEPARTMENT DISTRIBUTION:STRUCTURAL OBSERVER TO SEND ORIGINAL TO THE BUILDING INSPECTOR'S OFFICE,ATTACH THE FIRST COPY TO THE APPROVED PLANS,AND KEEP SECOND COPY FOR STRUCTURAL OBSERVER'S RECORD AND DISTRIBUTIONS. DEPARTMENT OF BUILDING AND SAFETY STRUCTURAL OBSERVATION REPORT FORM • PORT NO. THIS REPORT INCLUDES ALL CONSTRUCTION WORK THROUGH 2.2- DAY OF ,)4r 7.411 PAGE NO. ( OF f PROJECT ADDRESS R S� Hk6ry STRUCTURAL OBSERVER STRUC.O S.PHONE NO. 1 /Mt/109V)- C,. /Zerlid / (é S7/- r 0 e-3 OWNER LIC.OR REGISTRATION NO. BUILDIN PERMIT NO. OBSERVED STRUCTURAL ELEMENTS AND THEIR CONNECTIONS LOCATION AND PORTION OF BLDG. DATE 0- FOUNDATION 0-WALL 0- FRAMES 0- FLOOR 0-FOOTINGS,SLAB&STEM WALLS 0- CONCRETE 0-STEEL MOMENT-SPECIAL 0- CONCRETE 0-PRESTRESSED CONCRETE SLABS ❑-MASONRY ❑- STEEL MOMENT-ORDINARY 0- STEEL DECK 0-CNSSONS,PILES,GRADE BEAMS 0-WOOD ❑- STEEL BRACED ❑-. WOOD 0- HILLSIDE BLDGS-SPECIAL 0- 0- CONCRETE-DUCI1LE ['- FOUNDATION ANCHORS ❑- /�❑- 0- CONCRETE-NON-DUCTILE ❑- PCI-®t $// 111:14-- )4-v/ - OBSERVED DEFICIENCIES: S,/fr 1f/z# /ul A W- ,• 4-ia- • ❑- DEFICIENCIES CONTINUED ON ATTACHED FORM(B&S 261 A) QvpFESS/. 4 ..C68205 �� ! SIGNED !i� OF 1 1 AT /�n-�'b CA DAY MONTH Y R CRY d xp.9/301(f� *1 45 CIV11. (I��7,i r� OF CAI.ICC'-7 X . . WET.SIGNATURE OF REGISTERED L OR STRUCTURAL ENGINEER OR UCENSED ARCHITECT STAMP OF ENGINEER OR ARCHITECT STRUCTURAL OBSERVATION DOES NOT WAIVE ANY OF THE REQUIREMENTS FOR BUILDING INSPECTION BY AUTHORIZED EMPLOYEES OF THIS DEPARTMENT DISTRIBUTION:STRUCTURAL OBSERVER TO SEND ORIGINAL TO THE BUILDING INSPECTOR'S OFFICE,ATTACH THE FIRST COPY TO THE APPROVED PLANS,AND KEEP SECOND COPY FOR STRUCTURAL OBSERVER'S RECORD AND DISTRIBUTIONS. DEPARTMENT OF BUILDING AND SAFETY STRUCTURAL OBSERVATION REPORT FORM jerPj EPORT NO. THIS REPORT INCLUDES ALL CONSTRUCTION WORK THROUGH ,Z- DAY OF <rizAl1 ZO PAGE NO. l OF I PROJECT ADDRESS TS? kt.¢-aSTRUCTUR OBSERVER STRUC.OBS.PHONE NO. "CH? �u 6qs -7Yea/ OWNER LIC.OR REGISTRATIO'N NO. BUIL DIN PERMIT NO. OBSERVED STRUCTURAL ELEMENTS AND THEIR CONNECTIONS LOCATION AND PORTION OF BLDG. DATE • DATION 0-WALL 0- FRAMES 0- FLOOR Vii- Si , LAB&STEM WALLS 0- CONCRETE. ❑- STEEL MOMENT-SPECIAL 0- CONCRETE 0-FRESTRESSED CONCRETE SLABS 0-MASONRY ❑- STEEL MOMENT-ORDINARY 0- SI EEL DECK 0-CAISSONS,PILES,GRADE BEAMS 0-WOOD ❑- STEEL BRACED ❑- WOOD 0- HILLSIDE BLDGS-SPECIAL 0- ❑- CONCRETE-DUCTILE ['- FOUNDATION ANCHORS - ❑- 0- ❑- CONCRETE-NON-DUCTILE ❑- ❑" 0- 0- OBSERVED DEFICIENCIES: N 0-0.)144 '64 - 6- Xg-$ Recc.)>o u; e/ee-< P'z A-114-- / �r�/ E-s � —r; ❑- DEFICIENCIES CONTINUED ON ATTACHED FORM(B&S 261 A) • QkOFE . co/ _11 SIGNED `! OF A , V0/1' AT /ltA/1" bpi CA l C68205 DAY ? # XEAR YWET SIGNATURE OF REGI � CML OR STRUCTURAL ENGINEER OR LICENSED ARCHITECT STAMP OF ENGINEER OR ARCHITECT STRUCTURAL OBSERVATION DOES NOT WAIVE ANY OF THE REQUIREMENTS FOR BUILDING INSPECTION BY AUTHORIZED EMPLOYEES OF THIS DEPARTMENT DISTRIBUTION:STRUCTURAL OBSERVER TO SEND ORIGINAL TO THE BUILDING INSPECTOR'S OFFICE,ATTACH THE FIRST COPY TO THE APPROVED PLANS,AND KEEP SECOND COPY FOR STRUCTURAL OBSERVER'S RECORD AND DISTRIBUTIONS. . CONSTRUCTION STAKING::PLAN: =: GRADING , . . • ,. : :. . . . . : -. .LOCATION.c .959: ;HUGO, REID. :DR. ARCADIA. CA 9.1007. : .. • :.. • • • •• - --• _ •. • - .. . . APN: .5777-001=00.5 . • '. . . :. ;11'40"• E. 84, . . N. 03 153.. • . 77.71 . . 8.. 5:0' D-- ---- ' . " . ..F.F.: 544:69: :1: :• . 5'5.0 . . . PAD=543.93' LAND l: • • . :36.A': - - " 78:83, •FAD.a 0 J' ' • • . • • I• . `I• ' o ••.JACK C..LEE• • o BUILDING • . ' I.a..Owte . �. . .. ��: ,• .;: . •._ '. � . -. . • -.F.F.=543:"60 ' � '. ' • . PAD=542:93 ... . - : - - 1 ' .. .. :� NO •8407 "" 4 If7 .: ••7•-.7- : ''. • 65:`•' ", LEGEND• .'• �. ;W'_ . T.OP. HUB . • . C7.tia : #. FF'-ELEV' . CUT%FILL DRSCRIRTION : Z" as ELEV, ' ". •--- ® ' • • • - FD L&T.NO� TAG. RP•TAG •LS •8407 • � 'a "z 1 593:82 542.38. F 1:22 5, 0�S .BE: 2 • .593:82. : 542.03 - F: 1:5.7., :5' :OIS-.-13E- • . . . • - Z• M14o o `0 -. SET L&T: :ON TC LS. 8407 •• ' '5. ca e: I. .�, - 3 593.82• : ': • 4 . 593:82 1.:542.89;- • • .F.:0.71% •-•. _4. . 0/S i BE . . . w' 1 : .. • • SET.2"X2" HUB LS 8407- a 'd':d' . 5 593.82.. .'.545.85 . C'. 2.25 5 ".0/5.BE.. . A �' i . . .6. , 593:82 •'. . . '546.09 •. -.- 0%-2-.41-9-•• . .5' 0./S .-BE • - • • • • a.rw .... ... • 7 • :"593:82' .544.19 --,C: 0.59 _4! :0/S : BE.,• . : : • SET 1"X2":.HUB 7 .1:;!.. 2 ' . - , • 0,0„, axcn"nut 'M CITY OF ARCADIA • r,. cokpou,ro-- 240 West Huntington Drive Arcadia, CA 91007 ROUGH GRADING VERIFICATION ATTENTION: Community Development Administrator SUBJECT: Grading Verification for Project No. 18-180-011 Address: 959 Hugo Reid Drive Gentlemen: Rough grading operations have been completed for Project No. 18-180-011 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-linuted tothe 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. Enclosedherewith is a Soil and Compaction Report for the Building Division which is required.on all new construction sites pz br to footing inspection. OZP,i, Cat 449 P.G‘ 44% Engineer (Signature) I No.Co40870 Architect(Signature) Exp..11k R.C.E. No. 40870 • * R.P_A. No. t,>, rils+ Date: May 30,2019 9r�or_ rs,A *— Received and approved: Date: C.D.D./Planning cc: C.D.D:/Maint. Ser. C.D.D:/Building .7► Cal Land Engineering, Inc. dba Quartech Consultants Geotechnical, Environmental, and Civil Engineering • May 30, 2019 Lillard Investment LLC 715 S. Old Ranch Road Arcadia, California 91007 Subject: Soil Compaction Report, Proposed Residential Development, 959 Hugo Reid Drive, APN: 5777-001-005, Arcadia, California QCI Project No.: 18-180-011C Reference: "Report of Geotechnical Engineering Investigation, Proposed Residential Development, 959 Hugo Reid Drive,APN: 5777-001-005, Arcadia, California" by Cal Land Engineering, Inc., Project No.: 18-180-011, dated December 28, 2018 Ladies and Gentleman: This report presents results of our field density tests performed on the 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 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: 714-671-1090 Lillard Investment LLC Page 2 QCI Project Number: 18-180-011C May 30, 2019 TABLE II LABORATORY TEST RESULTS De n ty Optimum :• . - MaXimum Dry ,e si �� .Mo�sfure Content Soil Type A- Brown silt sand 130.0 8.5 B-Brown gravelly silty sand 132.0 8.0 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) :0:ESS1pN�`�OG C.4 /.7's bio.2163 m (Cer IL Exp.:WI-04 Jack C. Lee, GE 2153 �'�4. .n�'41@ °1-ECH -" Jerry Lin Principal Engineer � Project Engineer End.: Figure I—Site Plan Dist: (4)Addressee 576 East Lambert Road, Brea, California 92821; Tel: 714-671-1050, Fax: 714-671-1090 '.Y Lillard Investment LLC Page 3 QCI Project Number: 18-180-011C May 30, 2019 TABLE I FIELD DENSITY TEST SUMMARY ,. Depth Moisture Dry I Relative ' ' '- Test Test • ,Test Soil Test Below Content Density % Compaction "NO. Date - Location- - , • - Type Method FS(ft) . (%) (pcf) (%) X-1 05-17-19 Building Pad 2 7.0 119.3 91.8 A N X-2 05-17-19 Building Pad 2 7.6 118.4 91.1 A N X-3 05-17-19 Building Pad 2 7.1 117.9 90.7 A N X-4 05-17-19 Building Pad 2 8.0 120.0 92.3 A S X-5 05-17-19 Building Pad 2 7.5 121.0 91.7 A N X-6 05-20-19 Building Pad FS 9.7 118.8 90.0 B N X-7 05-20-19 Building Pad FS 10.3 119.7 90.7 B N X-8 05-20-19 Building Pad FS 9.1 120.1 91.0 B S X-9 05-20-19 Building Pad FS 8.8 121.4 92.0 B N X-10 05-20-19 Building Pad FS 8.5 121.8 92.3 B N Note: FS = Finish Surface, N=Nuclear Gauge Method, S=Sand Cone Method 576 East Lambert Road, Brea, California 92821; Tel: 714-671-1050, Fax: 714-671-1090 F 1 w.i r Nf\T11'46'F .... 1 N 1 p — X-5 X-4 X-3 : I r---I X-6 X-9 X-10 �j BUILDING ——I I a q I f I BUILDING WI X-7 I X-8 _ vl I• X-2 X-1 N QTIVIO.E 145.66' CalLand Engineering, Inc. Project Address: dba Quartech Consultants LEGEND Geotechnical, Enviromental & Civil APN: 5777-001-005 959 Hugo Reid Drive Engineering Services Arcadia, California X-1 Approxmiate Field Density Test Location — — Approximate Limit of Compacted Fill Placed Under Purview of This Report SCALE AS SHOWN S ITE PLAN 5/19 FIGURE 1 Cit of Arcadia, CAtt It,• PermitNO WaII 19 1786 ».,N,',,;.ttir Development Services Department ` � � p s � Permit e Wall'. c___, li=•a 240 West Huntington Drive,Post Office Box 60021 a o� ,` i r �� % „.-,2-.” i (' 1 5 WorkCIassificat on Wall Retaining Wall_ Arcadia,CA 91066-6021 ss r -t-Y�t a ' (626)574-5416 s a � i' ,Ni aa � •„ a. , ''" Permit$ta US Issued ARCADIA / / I Expiration: ��� Issue Date 09 05'`2019. Addr NO. Dir Prefix Street Name Street Suffix Unit City,State,Zip Parcel Number -959 Hugo Reid DR Arcadia, CA 5777001005 Contacts LILLARD INVESTMENT LLC Owner Sunshine Construction Contractor 959 HUGO REID DR 5325 Temple City BLVD,Temple City,CA 91780 (626)353-7881 (626)286-3310 434319 . , . Description:RETAINING WALL AT REAR OF PROPERTY PER CITY Valuation: $ 8,102.50 4 Tenant DETAIL. 2'H-4'H X 160'LF Total Sq Feet: 0.00 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-02389-19 $273.81 Solid Waste Management Fee $6.25 Amount Due: $0.00 Total: $273.81 - -corl r)(4.5 l• • 19 Oel)*417 t n� -C(o�r Z5--- 24) CALLS Fe °^'Wi SPECTIONS NA-l-- \' (6 • .-- �Y` 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. lir September 05, 2019 Issued By: Date September 05,2019 Page 1 of 1 of ��A w aRc9d! 7 PERMIT/PLAN REVIEW APPLICATION ,lli o , Development Services Department,240 West Huntington Drive,Post Office Box 60021 m,...,a' Arcadia, CA 91066-6021, (626) 574-5416,Fax (626) 447-9173 City of Arcadia CENSED CONTRACTOR'S DECLARATION WORKERS'COMPENSATION DECLARATION I hereby affirm under penalty of perjury that I am licensed under provisions of I hereby affirm under penalty of perjury one of the following: Chapter 9(commencing with Section 7000,of Division 3 of the Business and Professions Code,and my license is in full force and effect. ❑ I have and will maintain a certificate of consent to self-insure for workers' License Class License No. 41.....i; ( _ .. a ate ( a compensation, as provided for by Section 3700 of the Labor Code, for the 11J111". ------a- �� performance of the work for which this permit is issued. Signature of Contractor �J V OWNER-BUILDER DECLA' •TIONIllr ❑ 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 certify that in the performance of the work for which this permit is issued,I shall Section 7031.5 by any applicant for a permit subjects the applicant to a civil not employ any person in any manner so as to become subject to the workers' penalty of not more than five hundred dollars($500)): compensation Laws of California,and agree that if I should become subject to the workers'compensation provisions of Section 3700 of the Labor Code,I shall ❑I, as owner of the roe forthwith comply with those provisions. T property,rty, or my employees with wages as their sole compensation,will do the work,and the structure is not intended or offered for Date q-S ` j ' S sale(Section 7044,Business and Professions Code:The Contractors License / Signature .elle------ 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. �,j 1 Name fi(/?G�/ �,s0' i N itle f'12- _(/ f'�-�7 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-mentio.•s propert�for inspection purposes. Signature / /� / ate • k' �4Permit No FIRE 1:9 0993 City of Arcadia, CA �� 4 �y " �x �� jai �3 Development Services DepartmentIt i�: � v' 41 _Permit'Type Fire` 3 240 West Huntington Drive,Post Office Box 60021 3 @ 1 , ,,' 4 N w , �d Work Classification FireiSprinkler Arcadia,CA 91066-6021 (626)574-5416 d ::''''9,-Ni.:: Perm it Status Issued` x ,, ire t baa n ARCADIA � issue ate 08/22/2019 1 Expiration: 11/24/2019 Addr NO. ' Dir Prefix Street Name Street Suffix Unit City,State,Zip Parcel Number 959 . Hugo Reid DR Arcadia,CA 5777001005 mearammer Contacts LILLARD INVESTMENT LLC Owner SPECIALIZED FIRE PROTECTION,INC.* Contractor1. 959 HUGO REID DR 18305 E Valley#H,La Puente,CA 91746 (626)353-7881 (626)416-92761005885 Description:FIRE SPRINKS FOR SFR/NEW Valuation: $ 7,000.00 Tenant Total Sq Feet: 0.00 Plan Check#19-993 Plan# Fees Amount Payments Amount Paid Fire Issuance $47.01 Total Fees $935.16 Fire Permit Fees $187.15 Cash/Receipt#REC-02230-19 $235.16 Solid Waste Management Fee 2 $1.00 Cash/Receipt#REC-01330-19 $700.00 Sprinkler Heads $700.00 Amount Due: $0.00 Total: $935.16 l . .4 I � C7 `/wP 3 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. August 22, 2019 Issued By: Date August 22,2019 Page 1 of 1 of ARC • 40.j.ir.o044•fir * VPERMIT/PLAN REVIEW APPLICATION 4 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. License Class ( 1/431 �f ❑ I have and will maintain a certificate of consent to self insure for workers' I6 Signature of Contractor License No. J� Exp. Date I compensation, as provided for by Section 3700 of the Labor Code, for the performance of the work for which this permit is issued. OWNER-BUILDER DECLARATION ElI have and will maintain workers'compensation insurance,as required by Section El hereby affirm under penalty of perjury that I am exempt from the Contractors 3700 of the Labor Code,for the performance of the work for which this permit License Law for the following reason(Section 7031.5,Business and Professions is issued.My workers'compensation insurance carrier and policy numbers are: Code.Any city or county which requires a permit to construct,alter,improve, Carrier E.P�tCa-ire. 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 9000�� 3/1I 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 ElI 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 e Labor Code,I shall ElI, 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//�q/ Signature sale(Section 7044,Business and Professions Code:The Contractors License Date 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. ff// • Name ( Title PRINT NAME I certify that I have read this application and state that the above information is c rest and that I am the owner or duly authorized agent of the owner. I agree to comply with all City ordinan es and State Laws relating to building construction. I hereby authorize representatives of the City of Arcadia to enter upon the above-mentio d property for inspection purposes. Signature Date 77 Z/)1'//9 a� u . r_. . [ . .. . . t. , �'., CITY OF ARCADIA �F x l& WATER EFFICtET t.AtN�SGARiN -ORDINANCE'NO,2330 CERTIFICATE:OF COMPLETION, j. This certificate::<is to be filled out by the project applicant and;acknowledged:by the:r:property'owner(s) upon completion of the + . landscaping project. +" I i>i ;'i Project Information`, 1 ,Dote°of-ProjectCornpietion; . - -. PennitType•and'No.. • •Project N,ame,and/or.Address 'ProjectApplicantandTitle ` Property Owner - ; '4 jb iu0 Cif orf-S� pnC—.S( 7 �2%1 .$l� a mpanyNa N ai ing Addre , ' G7 f 0 . Mailing Address q r 7i. cow m p 0 a_ ; ev i 53 replecz c Ty 6(, T_�t i.. ct7y, ;412-.Prof• a• GYRI- ....q f DO 7 . 4. Telephone an"`Fax o(s).• r � Telephone and;.FaxNo .),: f, .&z&-&65 -,Zs9/ D /0'-a -.. S-3.-- .� / 1. Email Ad cess`. C -' .. _ Email"Add"ressk 4�c �t I l el'.D(A--L AChc0 1` 2'e y �DO / . ' j'e -,s^V i 5 h er0 Ca.mo vas r ' 2w\ Aga 2 Answer<the questions below : C.P ,/... , f a Date the-Landscape Documentation.Package was submitted to the Ciy of Arcadia I,t1 b m Date the Landscape Docuentation•Package�was approved by the City of•Arcadia• c Date that a copyof"the Water Efficient.Landscape-Worksheet or Prescriptive Measures Compliance Option•was & •' submitted to the project water'supplier ` Project Applicant Certification :The signer of the`landscape design plan,signer of"the imgation plan,or the.licensed ;landscape eontractor(s) that, installed.the landscaping and/or rmgation is to ,certify, that'the landscape project has been In -..constructed/instelled accordance with`the approved Landscepepocumentation Package.and in compliance with Ordinance No fi 2330 and State law Wherethere have been;;significant changes made in the field during:constructionfinstallation, `.as-built or record;drawings'shall be mciudec with this certitication:. "liwe certify that,based upon periodic site observations, the work has been 'completed in accordance with I: -.Ordinance;-No.2330 and State law and that the landsca ,e= lantin .and irri ation installation conform with the p_ P. g , g �a. `, .criteria and: specifications: of the<approved. Landscape and: Irrigation Plans and Landscape Documentation r Package•and acknowledge that the•project may be.subjectin inspection-and a,Landscape Irrigation Audit to verify that the projec i...I g . d in compliance with Ordinance No.2330 and State law." . Signature D"ate / • h - 22-Zo . . 1 Name(print)" Telephone snd.Fax No s); ` ft. i. �Wfc'k b Gfe'' : (02 .—�65-2 i.(7 Title License No.or'Cedifipatlon'Ne.." ► � _. .._,f 4331 /� • Company . Erail Ad rest Nsl / � � ��,D ' e4� i �� U _ . . -t7- C yeaLoo . Mailing Addre' tea'^ if 1 5332 aro, p t i-Y 1(t r'� IPc Cil y i eAta q )e 6 . i i 4 Property Owner--Acknowledgment t : "Itwe certify_ that,Ifwe have received copies of all the documents within the Landscape .Documentation ' "Package and;the Certificate of completion for our`protect;and that it is our responsibility to:see that ;the i i project is maintained in,accordance with the.Landscape and Irrigation iViaiiiteThari0e Schedule`.for,our project, i 'including a'd agram'of the;irrigation plan that`shows the hydrozoti es posted With'the irrigation:controller,in 4 compliance with Ordina,;=a No 2330 and State law,and•Ilwe acknowledge that<the projectmay'be subject to inspection and a Lan s- ,pe Irrigation Audit to verify`.that the project is being Maintained in Co pliance with ',I O,rdinance,`No.23" 0:- • Siate.law." „, 6 ,)_,0 5 ,- . .:„. .„ _' • Property'Owner(s)Signal -(s). "Date s 5. Include the following documents with this Certificate: a. Irrigation Schedule ==31:1-a parameters for:setting the irrigation schedule;on;the controllers)perOrdinarice Section_7554.5 C. b. Schedule of landscape and irrigation maintenance per Ordinance Section:..i..645-.. A; C. Landscape Irrigation Audit Report per Ordinance:Section;7554 3:E. d. Soil Analysis Management.Report(s) if-not previously submitted"with the Landscape Documentation Package perli Ordinance Section 7554.:4.• ra e. Verification of implementation of recommendations from soil analysis report per Ordinance•Sections,7554.4 and 7554.6. iv 11 g ecem D r 1, 15 .... � � . Qa 20 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.: 5777001005-002 SEWERAGE SYSTEM CONNECTION FEE RECEIPT Date: September 30,2019 APN:5777 001 005 District No.: 15 Owner/Situs Address Applicant Information LILLARD INVESTMENT LLC Lillard Investment LLC 959 HUGO REID DR Edward Chang ARCADIA,CA 91007 946 Coronado Dr Arcadia,CA 91007 Phone:(626)665-2810 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 $4,210.00 959 HUGO REID DR,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 Includes demolition of 1.00 DU of existing Single Family Home Processor:Elizabeth Padilla Approver:Er' allestero- SANITATION DISTRICTS Tom' D.C.: OF LOS ANGELES COUNTY Payment Receivedd Chec`i � ount i ®V Edward Chang $0.00 GRACE ROBINSON HYDE CHIEF ENGINEER&GEN.MGR. --Valid Only Whe Stamped-"" THIS IS NOTA CONNECTION PERMIT. A CONNECTION PERMIT IS REQUIRED BEFORE CONNECTING TO ANY SEWER. DOC#5320591