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Home My WebLink AboutRALT-19-1350 • ¢ , City of Arcadia, CA _. PermitNO. RALT 9-1350 _ , , : Development Services Department y, C9 17'S r�r Recoil—Type.: Resldentlal Addition/Alteration: 240 West Huntington Drive,Post Office Box 60021 i F _ 1, g Wgrk Classification fl Reis Addition/Ajteration . Arcadia,CA 91066-6021 z 4 , (626)574-5416 ' ; e Permit Status Issued' ARCADIA IssueDate 10/23/2019: Expiration: 01/11/2020 . Addr NO. Dir Prefix Street Name Street Suffix Unit City,State,Zip Parcel Number 216 W Longden AVE Arcadia,CA 5787004020 Contacts CHEN,GORDON AND YANRU Owner T Y CONSTRUCTION INC Contractor 216 W LONGDEN AVE P 0 BOX 1931 P 0 BOX 1931,ROSEMEAD,CA 91770 (626)315-4338 716679 Description:ENLARGE AND CHANGE SHAPE OF FRONT Valuation: $ 8,224.90 1 Tenant BALCONY.WITH ELECTRICAL Total Sq Feet: 0.00 Plan Check#19-1350 Plan#158 cak. Fees Amount Payments Amount Paid Building Issuing Fee $47.01 Total Fees $488.11 Building Permit Fees $220.55 Cash/Receipt#REC-02877-19 $488.11 Building Plan Review Fee $143.36 — Cal Green Plan Check $14.34 Amount Due: $0.00 Electrical Permit Issuance Fee $47.01 Green Building Standard $1.00 Light Fixtures $3.26 . Outlets-Receptacles&Switches $3.26 Solid Waste Management Fee $6.25 Solid Waste Management Fee 2 $1.00 Strong Motion Inst.Program Res $1.07 CALLS FOR INSPECTIONS . Request for inspection by telephone at 626-574-5450. Leave a message Total: $488.11 requesting the address,timeframe and what inspection item is needed. p077//6:i Vr 7ersiftlerr Y'N 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 /Z —3-4/ c -f,.i64 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 !? '1`JAMlrilsiitvoid if any work authorized by this permit is suspended or abandoned for 180 —Et-1j h e t.gG e consecutive days or if no progressive work has been verified by a City of Arcadia building inspector for a period of 180 consecutive days. (—/cs—Za EXT shits r. • "'../ °(-ZZ-2v ��/,(a4. *------ COMPD October 23, 2019 Issued By: Date October 23,2019 Page 1 of 1 Q ,4 ,.419th �_ PERMIT/PLAN REVIEW APPLICATION "E w, 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 CONTRACT I R'S DECLARATION WORKERS'COMPENSATION DECLARATION ❑ I hereby affirm under penalty • perjury that I am licensed under provisions of I hereby affirm under penalty of perjury one of the following: Chapter 9(commencing with .ection 7000,of Division 3 of the Business d Professions Code, my lic. is in full force,nd¶ect. I have and will maintain a certificate of consent to self-insure for workers' License Class I i nse No. 2'( Exp. Late �� compensation, as provided for by Section 3700 of the Labor Code, for the performance of the work for which this permit is issued. t‘l Signature of Contractor i/ .r OWNER-BUILDER DE ARAT ��N ❑ I have and will maintain workers'compensation insurance,as required by Section I hereby affirm under penalty o •erjury th 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 per it to construct,alter,improve, Carrier ' P demolish,or repair any structure,prior to its issuance,also required the applicant Policy Number � for such permit to file a signed statement that he or she is licensed pursuant to the (This section need not be completed i the permit is for one hundred dollars or less) provisions of the Contractors License Law(Chapter 9(commencing with Section J 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 1:1I certify that in the performance of the work •r 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 t become subject to the workers' penalty of not more than five hundred dollars($500)): compensation Laws of California,and agree .a if I should become subject to the workers'comp sation provisions of Sec'• 700 of the Labor Code,I shall ❑I, as owner of the property, or my employees with wages as their sole forthwith compl with those provisions. compensation,will do the work,and the structure is not intended or offered for Aiiiit sale(Section 7044,Business and Professions Code:The Contractors License Date (.,b + C� Signature I 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 DHL CONDITIONS AND RESTRICTIONS SET FORTH ON THIS APPLICATION AND I'HP,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,renova'on 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. are �J CCi_Wi Title �� P NAME certify that I have ead this application and state that the above information is correct and that I am the owner or duly authorized agent of the owner. jIT . I agree to comply ih all City ordinances and State Laws relating to building construction. I hereby authorize representatives of the City of Arcadia to enter up r u ,he above-mentioned property for inspection purposes. /inature Date vg �� 1 Ci DEPARTMENT OF BUILDING AND SAFETY STRUCTURAL OBSERVATION REPORT FORM Report No. This report includes all construction work.through Cq day of (alit-1/-en , 20 9 No. of • Project Address: Structuralbserver of Record(SOR): phone No.of SOR: r246. W . Aka t Vc �9 Lee 6tiC-741)- D Building Permit No.: Structural Observation performed by: Professional Lic./Reg.No.of Observer: hone N of Observer: rke 5�°�g� — - (civ OBSERVED STRUCTURAL ELEMENTS AND THEIR CONNECTIONS FOUNDATION WALL FRAME FLOOR PORTION OBSERVED,IF NOT WHOLE VI Footing,Stem Walls ❑Concrete ❑Steel Moment Frame ❑Concrete p@(641(, r,;,&j e Ye ❑ Mat Foundation. U Masonry ❑Steel Braced Frame ❑Steel �� ra„ ❑ Caisson, Piles, Grade Beams ❑Wood ❑Concrete Moment Frame ❑Wood140 r ROt p catR ❑ Retaining Foundation ❑Others: ❑ Masonry Wall Frame ❑Others: y L,x 1"1 14 Others: ❑Others: �� 6/41 004611^. r04 BYN-Ue kitaj IORf144ina` •e4 ; V¢ r6 . s a fi `'�frttof4 vs. OBSERVED DEFICIENCIES: • oFOFESS/pN o0 P• ETF��F� u U S 3948 EXP.03/3170/ k • `rRUCTOC - 0CUO • • SIGNATURE DATE STAMP OF ENGINEER