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Home My WebLink AboutRALT-18-2360-18-0676 Mi. ,' y s s fi >c' p P,t a4 2 hW r 5 K � t ,-4,' City City of Arcadia,CA �' „t iTZW. ' , i�; Perm NO RALTr 18 0676` r Development Services Department (7,. ,, ', ,Permit�Typq,e ResldentlalAddlt�on/Alteration` M1 g• ` d s `3 td t t'"*, ''' _d` nti w. t n tt+X a io + 240 West Huntington Drive,Post Office Box 60021 1kn V7 , ; work C/assificatibn Res sAddltlon/AIteratlonA (626)574-5416 91066-6021Rtifitriox Arcadia,CA i`y� -4n'S " s" .. , ` � �F i l Permit Status „Issued t 1- 4 F b ry Y!A k eu w F3 L ARC iAt. "Pxssue Dte 0 /0 /2018 ) Expiration: 12/29/2018 y $ xt6 9 Addr NO. Dir Prefix Street Name Street Suffix Unit City,State,Zip Parcel Number 861 Balboa DR Arcadia,CA 57770200134. Contacts CHUONG,EDWIN T AND CHRISTINE T Owner CUSTOM-BUILT CONSTRUCTION* General Contractor(B) 861 BALBOA DR 15571 Marie,Westminster,CA 92683 (909)518-5107 CHRISTINE_CHUONG@YAHOO.COMi (657)247-2051 ,��,tL�a 626 242 Sb3 Description:ADD 2ND STORY-MASTER BED#3,BED#4,BATHS Valuation: $ 297,821.80 Tenant #2,3&4,NEW FAMILY RM,RELOCATE LAUNDRY RM . WITH EMP Total Sq Feet: 1.784.00 Plan Check#18-0676 Plan#32548 Fees Amount Payments Amount Paid Bathtubs/or Combo $12.46 Total Fees $11,056.24 Building Issuing Fee $44.35 Cash/Receipt#REC-001007-2018 $2,650.04 Building Permit Fees $2,590.20 Cash/Receipt#REC-001613-2018 $8,406.20 Building Plan Review Fee $1,683.63 Cal Green Plan Check $168.37 Amount Due: $0.00 Clothes Washer $12.46 Compressor 3-5 Ton(3 to 15 hp) $34.29 �Nth- l „"ti . C I.— Dishwasher $12.46 Electrical Permit Issuance Fee $44.35 Energy Plan Review Fee $518.04 Furnace or Burner<=100,000 BTU $18.74 CALLS FOR I} '® Jog,Garbage Disposal Fee $12.46 Request for inspection by telephone at 626-574-5450. Leavessa Gas System(Outlets) $46.65 requesting the address,timeframe and what inspection item is needed. Green Building Standard $12.00 Install,Relocate Appliance Vent/Hood $9.38 Kitchen Sink $12.46 This permit/plan review expires by time limitation and becomes null and Lavatories $49.84 void if the work authorized by the permit is not commenced within 180 days Mechanical Permit Issuance Fee $44.35 from the date of issuance or if the permit is not obtained within 180 days Motors,Generators<1 hp $7.62 from the date of plan submittal.This permit expires and becomes null and New Residential Elect.(sq ft area) $124.88 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 Parks&Recreation Fee(SFR) $5,081.55 Arcadia building inspector for a period of 180 consecutive days. Total: $11,056.24 • W ' July 02,2018 Issued By: Date July 02,2018 Page 1 of 1 -- ,ie , PERMIT/PLAN REVIEW APPLICATION° o� Development Services Department,240 West Huntington Drive,Post Office Box 60021 salty°is 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 L' nse No. Exp. Date compensation, as provided for by Section 3700 of the Labor Code, for the Signature of Contractor performance of the work for which this permit is issued. OWNER-BUILDER DECLARATION 0 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 37 0 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 7—Z-- x Signature Law does not apply to an owner of property who builds or improves thereon, or who does such work himself or herself or through his or her own employees,provided that such improvements are not intended or offered for WARNING: Failure to secure Workers'Compensation coverage is unlawful, sale.If,however,the building or improvement is sold within one(1)year of and shall subject an employer to criminal penalties and civil fines up to one completion,the owner-builder will have the burden of proving that he or she hundred thousand dollars($100,000),in addition to the cost of compensation, did not build or improve for the purpose of sale). damages as provided for in Section 3706 of the Labor Code, interest, and attorney's fees. ❑I, as owner of the property, am exclusively contracting with licensed - contractors to construct the project(Section 7044,Business and Professions Code:The Contractors License Law does not apply to an owner of property CONSTRUCTION LENDING AGENCY who builds or improves thereon,and who contracts for such projects with a I hereby affirm under penalty of perjury that there is a construction lending agency contractor(s)licensed pursuant to the Contractors License Law). for the performance of the work for which this permit is issued (Section 3097, Civil Code). 0 I am exempt under Section 7044,Business and Professions Code,for this reason: Lender's Name Date Signature Lender's Address IMPORTANT:APPLICATION IS HEREBY MADE TO THE BUILDING OFFICIAL FOR A PERMIT SUBJECT TO THE CONDITIONS AND RESTRICTIONS SET FORTH ON THIS APPLICATION AND THE FOLLOWING: 1. The City's approved plans and permit inspection card must remain on the job site for use by City inspection personnel. 2. Final inspection of the work authorized by this permit is required.A Certificate of Occupancy must be obtained prior to use and occupancy of new buildings and structures. 3. Per South Coast Air Quality Management District(AQMD)regulations,renovation and remodeling work that results in the removal,stripping,or altering of asbestos containing materials requires an asbestos survey and removal prior to disturbing the asbestos.Please contact AQMD at(909)396-2000 for further,infoormation. Name C ��Mt L- C) \J / fTidei•P 7 n P' 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 upoi he abov•-menti i ned property for inspection purposes. /.. / 6f) — 1Signature / hate 7i 2 r -a=i NOTES ' Building Inspections Date Insp. Plumbing Inspections Date Insp. ab I / "ati" 100. Setbacks - 210. Under fir/bids.drain ®� �iU(,Jf'� 101. Rough grade 211. Cop.er underslab L.1 -/4'L7676 102. Figs.&forms ! a,ir ( . 212. Rough plumbing 1.2(•/1 - 104. Pre-slab 213. Rough howe -7. , . •/B5---- gas 9 '-4 & 1 104. Floor joists q.12 �• 214. Shower.an �• 105. Steel 215. Water heater �r 106. Grout lift 216. Roof drains !/fL 107. Shear nailing j.24.(g g�- 217. Building sewer 108. Diaph nailing 218. Water service 109. Roof nailing It•Zo.(t3 ��yti-- 219. Final gas rj.23-1`% Fj, 2 SIk� Me••+y ►o•Z5•Ib 110. Framing 1•7,Cf•6 1,.... _ 220. Fixtures Ear•Sly 11/4141L fNt. 12 •AO.f�i 111. 0cc./Area Sept.Wall 221. Final plumbing 7.25'19 5'- Five +E-74T SinketeCAA.44c f./o./1 112. Sound walls 222. Sewer ca./demo. 113. T-bar grid AS vitt S•74•11 - 114. Insulation-Flr. 7..� r f . ' Pool Inspections Date Insp. 115. Insulation-Wall . Excavation/steel g..2&.11 IUB � k ��N�r 116. Insulation-Ceil. 1`21•l�� 241. Rough plumbing I � wl� ?'- 117. Drywall nailing 2•(1.f 7 ----- 242. Light shell/bonding _ 118. Interior lath 214.(4 ' 243. Underground conduit • 119. Exterior lath Papery .13.17 )...---- 244. P-trap 120. Finish grade 245. Gas line&test 121. Final building I'7. 2, ..- "'i 246. Fence,gates&signs 122. Final demo/lot clear 247. Pool heater 248. Final electric Electrical.lnspections Date Insp:. 249. Final plumbing 150. Power pole WV? l 250. Pool cover 151. Sales lot lighting 251. Pool final 152. Underground conduit 153. Underslab conduit Reroof Inspections. Date Insp. 154. UFER ground 270. Pre-reroof insp. ( zce-CS I('(" 155. Water ground 271. Roof framing Com' -FT 81-5" 156. Rough electrical I.21'.15 ' :1"---- 272. Sheathing nailing F3 i f 1'- f" 157. Fixtures 273. Final reroof _ 158. G.F.C.I. 159. Eqpt.bonding Sign Inspections Date I Insp. 160. Service panel 1,•(Z.19 5.%-..___ 280. Setback/overhang 161. Final electric )23.1 9 281. Footing 282. Conduit/wiring MechanicalThsp,ections Date r Insp. ` 283. Disconnect 180. Venting/flue 284. Final sign 181. Furnace/A.C. 182. Rouch HVAC I-14,/g ' 2------iii • .i el sp. Date Insp. - 183. Fire dampers 290. Fire alarm 184. Furnace compartment 291. Underground supply 185. Combustion.air 292. Fire sprinklers 186. Smoke detectors 293. Monitor system 187. Metal F.P.rough ' 294. Hood dry chem. 188. Compressor setback 295. Final 189. Commercial hood 190. Duct shaft _ Sewers&Offsite..lnsp:: -.• I Date 'I lap. • 191. Final mechanical - I s- • i 300.- Lateral(main to P/L) 301. Saddle/Y `BlockWall Inspections' , Date ..• !.Inspr 302. Cess.00l filled ' 200. Footings - - - - ; - - 303.- Sidewalk 201. Steel/rebar 304. Driveway 202. Grout lift 305. Curb replacement . • 203. Final wall - - -- - -- -- -- 306. -Trash bin " . L.�., -� - ---- amu i 1 - JurisdictionCity/�' i y of_.�4� r 1 I-090 ' BUILDING DIVISION • �CA9_ • I:''.;• T 123/456.7891,F 234/567-8912.E-mail: '�: a a STRUCTURAL OBSERVATION REPORT trORM! STRUCTURAL OBSERVATION means the visual observation of the structural system, approved plans end catioons,at signfcant oonstnuctIon stages and at nf for general system.St to the observaflon does not include or waive the lesponsibAity for the Don of the 08,1701 system, f the Code. required by Section 108,1701 or other seers of This report Includes all construction work Report No. Ihrotlgh °I day of .2011 Page No; of 1 Project Address: $(o I a[ o cc d7 n ire I ,c1/4 Structural OHsamrof Record(30R): &OR PhoneNo.: F Building Permit No.: •' PE C 26 6}y-9CZ/ Structural Observation performed by: Observer Professional UoJRap.No. Observer Phone No.: I?A/Nao f3 Pc AT! p c C4 }Lor y/ 4162 6'}y-lot/ OBSERVED STRUCTURAL ELEMENTS AND THEIR CONNECTIONS . FOUNDATION ryAU, FRAMES . FLOOR PORTION OBSERVED,IF NOT WHOLE • U Feeling,Stem Wailsi U Concrete 4 Steel Moment frame O Concrete . U Mat Foundation O Masonry CI Stat Braced Farre a Lisdc _ a Caisson,Files,Grads Beams O Wood is+:oluxetr t>kxnsr�t Foam D Wood I U Reboil:Mg Foundation O Ottwc: . Q Masonry Wall Frame U Others: + HCfsida Special Anchors D Others: "" C!Others: --•—.— _ - iI I OBSERVED DEFICIENgES: A �f YleJ C.1�a tZ.A Cr Q,�,Stv1}t1 rl� (../6-4 ��E � nlIc- P�di` 1 T'Lautt Tar'rmtNCm N 1&L- -t-ns; PC S r IJ �")LdA to k _x .1 kJh i)&i'r(1 r1nrcJ& r4&1...C— 4ISSrtrnn/4-"Oe • • I DECLARETNATTHE FOLLOWING STATEMENTS ARE TRUE TOTHE BEST OF MY KNOWLEDGE: 0 I AM THE ENGINEER OR MCHi1'ECT RETAINED BY THE OWNER TO BE IN RESPONSIBLE CHARGE FOR THE STRUCTURAL OBSERV/�TI,WN IN ACCORDANCE WHINE REVS OF THE CtT1'!O®!1{I4Yt OF A–r'c CA.Ar o� Li, y. ,::'ft, '. • 2. 1,ORANOTIMFNOVORItORAtRCIR1>OTO1O..HAYSP.OPPIA1TEXIMOVEASOIS!>< R��yj �C� •p E3A MY RESPONSIBLE CHARGE, HAS PERFORMED THE REQUIRED SITE,VISITS AT FACHN2SIGNIFICANT CONSTRUCTION STAGE To VERWY W THE STRUCTURE ISN GENERALST3CONFORMANCE WITH APPROVED PLANS AND SPECIFICATIONS: ,c;f ion 93. ALL DEFICIENCIES WHICH REMAIN TO BE CORRECTED HAVE BEEN INDICATE ABOVE; . -: ,CIVI ��/4. I RECOMMEND THAT ACCEPTANCE OF THE STRUCTURAL.SYSTEMS BY THE CiiYrCOUff TY """ � ; /rjOF / BE WITHHE D UNTIL AU.OBSERVED DEFICIE CIES �:.�'r:''.-:''' ARE CORRECTED. .n VI c1 SIGNATURE STAMP OF STRUCTURAL DATE OBSERVER OF RECORD I • 1 �kl, ,+;�'� COUNTY OF LOS ANGELES iti 11 DEPARTMENT OF PUBLIC WORKS BUILDING AND SAFETY DIVISION SPECIAL INSPECTOR REPORT Each inspector must complete this report and mail it to the District Office where the permit was issued. ❑ DAILY 0 WEEKLY tif FINAL Report Date $/Z/2'%15 Building Permit# District Office# Job Address $6 l" 64.1 OOl 9r. ptYc ;o. General Contractor Engineer of Record Inspection Frequency: 0 Continuous 14 Periodic Type of Inspection: ❑ Reinforced Concrete 0 Gunite/Shotcrete ❑ Prestressed Concrete ❑ Masonry For any of above types of inspections provide Design Mix PSI ❑ Welding 0 High-Strength Bolts X Epoxy 0 Other Location on Site 0 OW N 2 h/ Too-tI vi colAKtc-f t o h Ca)-to f o. Description of Work 2v ,rec-e*.ok iCAVVA\\a-E1ov% err JOwel5 i tn-fo e c5t.wg cor.cYe-te bt.t-ti. e )0Y-1 t'5 vl So r 5 e-e ii-r 2 dt.A-' k c1.owe\5 eLm.\940w ev ,$t' -Fro r hez W -Foo-c iukq Cokrke (...--tions 1-lo le 51-Lit , ko1e AerAL , ay.o� c�,ear \‘�tSS i5 a► cctle-f-ake Discrepancies All work on this job to d HAS AS NOT been satisfactorily completed in conformance with the approved plans and requirements of the Los Angeles County But ding Code. /2--h.co Signature LA Co ID# 0 I‘6441( Date SS r Z(Z l c6 Print Full Name C\eoy.C� � it i Daytime Phone7- b 2/Z-Lo L SI-REPORT Revised 04-29-14 U • ) ' '' . . .i.. • .:, .,L City/ . i.t,.v.rfr-.. of /cccacki2.,___•_„____ Jurisdiction — Logo BUILDING DIVISION • •• --;;1*... i . Here • At;11 z.,.. 9 - " T 123/456-7891,F 234/567-8912 E-rnall: . 1 A I.- f .. . . r - ... ..."-. — . . : — : .A. i • STRUCTURAL OBSERVATION REPORT FORM I . STRUCTURAL OBSERVATION means the visual observation of the structural system, for general conformance to the • approved plans and spealficatbris,at signirpcant construction stages and et completion of the structural system. Structural . . observation does not Include or waive the responsibility for the Inspections required by Seclba 108,1701 or other sections of , , . the Code. . : . . VIONSWeereiCalinlioamo11161010.1111 , Report No. • t . This report Includes all construction IAA(through 15 ,day of S .20.a Page No. I of I • . : . • . . . . Project Address: 01p 0= (nre Structural Observer of Record(SOR): SOR PhOne No.: firl csa.,./A.A'c.,,, CA Building Penn*No.: Strucbral Observation performed by: Observer Professional LicJReg.No.: Observer Phone No.: -,tarrwammi ..r&ogroairumwsarroamemiormi.......7 'it • OBSERVED STRUCTURAL ELEMENTS AND THEIR CONNECTIONS , FOUNDATION WALL. FRAMES FLOOR PORTION OBSSIVED,W NOT WHOLE • • 4 Footlng.Stem Walisi 0 Concrete CI Steel Moment Frame 0 Concrete • ' • ! . , O Mat Foundstion 0 Masonry El Steel Brscod Frame El$essi Molt . . • • - . . O Caisson,Nes,Grade Beams 0 Wood U Cononde Momant Rune CI Wood CI Retaining Foundation 0 Otbact . 0 Mssoury WM*Frame Cl Othena Iiiilside Epoch!Anchors _ CI Others: CI othere: • OBSERVED DEFICIENCIES: Pc 541-1414-TtAAL n&s6--tufisal61.1 JA--c.. ocvN.16-,.. -n4-6 "To u i1/411)Arni c,i...\ D&-o-n+ 1. (.4 i ci-n4 I (6_r_c_. -1 (Leiq.c 64IA ekaT •• • • •• •• I 1 , A-0 C-4A,)R Pa a I..Tr• 4 14-Ni.,noi.N.Los , - -- -.. ,.. . . . . ......_. . . . I DECLARE THAT THE FOLLOWING STATEMENTS ME TRUE TO THE BEST Of MY KNOWLEDGE: .. , . . 0 I AM THE ENGINEER OR ARCHITECT RETAINED BY ITIE OWNER TO BE IN RESPONSIBLE xy'"',..,r?VkC3F•L(3,3//73 ., . . - . CHARGE FOR THE STRUCTURAL OBS ERyAlION*I ACCORDANCE WITH THE REQUIJIEMENTS ,/,. .C)) r)BA—'11(%•y..'... .. , OF THE CTIVISSIMIRIF Of Arc Catt.rk c 6.—. ,/ `l . , Z • i I.PR.ANOINAN.ENG4NPER 9.13 ARPingq.T.Y049 I.litSYg Of41.0NATEP.ADOVE AND IN UNDCR , MY RESPONSIBLE CHARGE, HAS PERFORMED THE REQUIRED SITE VISITS AT EACH ,'gcfl SIGNIFICANT CONSTRUCBON STAGE TO VERIFY IF THE STRUCTURE IS IN GENERAL No.c EXp.667449 , rr CONFORMANCE Yin APPROVED PLANS AND SPECIFICATIONS; • , 3. ALL DEFICIENCIES WHICH REMAIN TO BE CORRECTED HAVE BEEN INDICATED ABOVE: .\-17 c/VI 4;:-.. 4. I RECOMMEND MAT CE OF THE STRUCTURAL.SYSTEMS BY 114E CITY/COUNTY2.C.::°‘2,., • . . OF BE WITHHELD UNTIL AU.OBSERVED DEFKNENCIES ME CORRECTED. • , STAMP OF STRUCTURAL OKNATURE • 005 RVEROf MCORD , • . , .• • • . i . . . . . , . . . , • . . . • . . . i . . DATE FILED APPLICATION FOR HOMEOWNER ASSOCIATION ARCHITECTURAL DESIGN REVIEW (SHORT REVIEW PROCEDURE) PROJECT ADDRESS: 861 Balboa Dr, Arcadia PROPERTY OWNER'S NAME: Edwin & Christine Chuong ADDRESS (IF DIFFERENT): TELEPHONE NO.: 714-248-6647 E-MAIL ADDRESS: echuong@outIook.COm APPLICANT NAME(IF DIFFERENT): ADDRESS: TELEPHONE NO.: E-MAIL ADDRESS: DESCRIPTION OF PROJECT(Check applicable): Sing a-st remodel (includes window re lacement)and/or addition(s) El Detached accessory structure(s)and/or Accessory Dwelling Units—new,additions to, and/or remodels ❑ Fences and/or walls in and/ol,facirlg(i.e.,vjsible from)front and street side yards yand ❑ Hardscape(ndscaping;nd structufal elements in front and street side yards,including without limitation, swimming pools,spas,fountains and other water features 0 Fences, lights,and other feat es related to tennis courts,sports courts or other significant pave• features ❑ ` ' te Mechanical equipment r ai `% fi..ted) • ❑ Roofinga4241/-- -46. ? AOI A `/ arry poirt,92. t. FA ANITA VILLAGE ACTION &FINDINGS: a440, 1:11tITY HOMEOWNERS'ASSO t ION Approved—The projecys consistent with all applicable guidelines=VED BY .. - ❑ Conditionally Approved—With the following conditions,the project will be consistent Ott—'--- applicable guidelines U Denied—The project is not consistent with the following guideline(s) • Byl- t-n-nyr1-1 ,ARB Chairperson Date: //-- v2' ' /9 4 10/18 • 861 Balboa Drive,Arcadia Issue#1: Ourbuilder installed single hung windows at the front elevation our house(see Exhibit 1A1. Exhibit 1A ate— +e. � "��' � •»--max" -.a —�—.�� ... ION: 11111 Otis k*s.. 5 Y 3 f , ± ; 17:!7,777`r77777. ^ �.1.43:1 1Z • ' x,.057." w: At the time of construct on,the single hung windows were installed at the front elevation as this was felt to be the direction •f the first action item from the ARB Findings and Action Report dated 4/23/2018 [see Attachment 1B]: "Eliminate pop out window and corresponding roof on front elevation. Replace with two single hung windows ith shutters on each side." • However,the City point. out that Page A-2 of the approved plans specifies casement windows[see Exhibit 1C]and that Pag- A-4 of the approved plans specifies double hung windows[see Exhibit 1D]for this location. The City Planning Depar ment is requesting that the HOA clarify and/or approve the use of single-hung windows at the front el:vation prior to sign off. • SANTA ANITA VILLAGE COMMUNITY HOMEOWNERS'ASSOCIATION APPROVED BYV. iii r� DATE //—Z2—i FILE . . . Exhibit 1C • • • , . '... .7 ii7-—ir--- -'" "• I, , ! , :....., .,: ,! ; ''',. :' :”.,*,- .. -•••':, 1 1 I '1 •1 li,...../,....::,,,-.......-,,,,‘\„1tr.,-,,<r,,,‘....ii I: i Ix i . . 5 i 0 I i 1: . 11 4.411.i I 1 1 i . II ,... I 1 • 1 i ,, -., i ,z1 i.. 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SANTA ANITA VILLAGE COMMUNITY HOMEOWNERS'ASSO . -,'' ION . - APPROVED BY „, .,„_, i I' • • DATE , - --/'f FILE • 311J -F--r' -/,/- -31vc r1"4. i' ' —/-;' ' .1. '--AEI 03A0..iciriV NO I OOSSII,SH2NMO3v1/4)0KAIINniNtNoo ,...—...,, 1 I 1 i I r•-.741 if poi .„ DD 11.. IA, ...V, ..1.1 NY V..LNV.S... • ,;::;;,,,:_ 1 'r dg N - 1 A - tins 1 trI .m.,...,‘ ..• -t •z t t i __..... . . _. k. ..______... . . . .. _. . ... _______. .._______...... ....•._ ....• •......... . . ,...••••..............._.... _.. ,... .. ... 3 3 I A A A• iv ........... i ii a ''.--::::17•71 I ;" ' • ! s . ' '''''------- • r ...'0,:...._.--__T.—, 11... _11.f. *.•'ICTIt;'-.12.... ".; t l'j- 1 I ;,,f i • I'.1., ti: 'I-- --it'r--"-,4=ii :'•'il,1 t* 3 17 ' • 4 I !GiW'iiiillr4 I h . . ,. , . .',1of : or.' ' it;;;•;i; ;e•r i (.JM riltVAI,1 Eir-ir,mtli ..,,,,, „ ,::, 2I ...i ' • .1 ,,, s ,..,1 , I „,.., . .., , ,, .., • (,,,, . .. , . „ ,.. ._, , . ... •_........ „. ., CI •' .. it:7.:-4 ....... 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Et : tj:I 371 ' ;•;.11 ]. •1 Si 'i ' il i: i , :. it • 4.,••, 1 it i..I r, i i •,::,t • ors-.)Cil P.- D1;1i4:I Iii 1): • ,. • • • . . . ®Z 11c1!4x3 . • • • , , . . . Issue#2: Our builder dinot document or did not obtain HOA approval prior to modifying the extent of the stone veneer exterior finish. - The stone veneer specifi-d in the approved plans was applied to the elevations of the house that are visible from the street[s-e Exhibit 2A]. However,thestone veneer stops at the wall separating the front from back yard and doe• not continue into the elevations of the house where visibility from the street is obstructed by walls and encing[see Exhibit 2B&Exhibit 2C]. Exhibit 2A PP m ye b 5 i �y - ...' Exhibit 2B i`J .14T V OMMUNITY-HOMEOANAWNERS AS I. PPROVEDSATA BYl SATE FILE ILLAGE ^sS w ' ■I 077' .. 3 Fe .,'"^* p., �.k x.F .moi e�a� " y.$`'`� • . No Stene Veneer ,.i ick YardStone Veneer ' Ends at Vivi • 4. f Exhibit 2C - 1 a � i 11 eills 4 '''' m✓ • az 70: ,.ffi, i ,. 3 T ,i ,174:1,',,41,,B ,. r .- ,�of' '',474`, ".' ..,:i°',14 .r.a s .m.i�..-<...' � - However, the City points out that Page A-4 of the approved plans specifies the use of stone veneer for most of the circumference of the house including on sections not visible from the street[Exhibit 2D]. Exhibit 2D • '-'1:::::".;.-.. - t ; moi. .R • .RF.-....; _I-- ini T tl stto.noC.�„ r Lte... t € € _mit +' F'�.t F j r y 1gi f , yI �," II, L . . ^." d. 7 =; 'a _ —., � it l..•., __ .c f t tEi: .. • , Ai --ai ✓"' ' t �if' 1 �' ...( S t°, 2 � , .110 110 • talMinan 7a • I'M t a _ 'l I E •_ SANTA ANITA VILLAGE COMMUNITY HOMEOWNERS'ASSN ION APPROVED BY04, , 1,4< /J ' '0 "1ATE //-75- %FILE • J � IJ LU � U LU��I LU I �J LU I_��I <_U��U L I�_ � I I I I I I I I I I I 11 III I hilt 11 I I I I II 11 II it I I N ..r./ re • WOOD SIDING 121 STONE • . - PRICK STEP AND LANDING 'eNTt241 A0012- 1-0 MATO( PARTIAL ELEVATION UUA- vez) cm mere- • 1,06,,tylfed4 024,4rnc. cir►er- bath- 00 �T 5068 �T� • BATH STUDY ROOM 1 LeVAI J ENTRY _ -_ !411Lor. ::I IP IND 3'-6" / J'-6'' SANTA ANITA VILLAGE 7'-O" COMMUNITY HOMEOWNERS' - 0 ATION APPROVED B ;OP • DATE r- FILE - PARTIAL PLAN ADDRESS: 861 BALBOA DRIVE, ARCADIA, CA 91007 L '1)0 Ili 1,. R «: a DOORS Search Results a-a-n-r& SANTA ANITA VILLAGE COMMUNITY HOMEOW�ERS'A�SSO y�'N APPROVED BYE_ , . �� r DATE ,_ _ -/ ILE ,. You searGLOY 74607 ched for: PI smooth-star i s4816xe-sdlfl Q SEARCH } � k S4816XE-SDLF1 ..,,,,,,,,i y Smooth-Star® I Craftsman Lite 2 Panel Shaker Flush- , i, ,}4, .-4r _m:x,v,.,. r Glazed CL 6 � Quick view Vievs1M h-Star® . y{ S4816XE-SDLF1 `PF Craftsman Lite 2 Panel Shy Flush-Glazed w/Satin Etch € "q v � �° 1Permit7O J.R�ALT 18 2360 City of Arcadia,CA ,� 1 3-,m C- t . i\s',',ti.,,./...?1 Development Services Department `"a icit''''' "4' ,Permki ltTypeg Residential Addition/Alteration 240 West Huntington Drive,Post Office Box 60021 (�t $ � 1 `� ,�WorkClassification Res Addition/Alteration' Arcadia,CA 91066 6021 --. � w �� Permit'Status Issued ! (626)574-5416 1 , �` ��ii ��. . .." ``1; . E•: x Issue�Date 12/19/20181 Expiration: 06 17 2019 Addr NO. Dir Prefix Street Name Street Suffix Unit City,State,Zip Parcel Number 861 Balboa DR Arcadia,CA 5777020013 Contacts CHUONG,EDWIN T AND CHRISTINE T Owner CUSTOM BUILT CONSTRUCTION* General Contractor(B) 861 BALBOA DR 15571 Marie,Westminster,CA 92683 (909)518-5107 CHRISTINE_CHUONG@YAHOO.COM (626)242-7503 669783 7. 1. Description:REFRAME ROOF STRUCTURE ON EXISTING Valuation: $3,500.00 " Tenant GARAGE ROOF PER APPROVED PLANS. Total Sq Feet: 0.00 Plan Check# Plan# Fees Amount Payments Amount Paid Building Issuing Fee $44.35 Total Fees $314.56 Building Permit Fees $137.05 Cash/Receipt#REC-003199-2018 $314.56 Building Plan Review Fee $89.09 Amount Due: $0.00 Cal Green Plan Check $8.91 Energy Plan Review Fee $27.41 Green Building Standard $1.00 10 ` ' Solid Waste Management Fee $6.25 piJA.'.......- Strong Motion Inst.Program Res $0.50 ti Total: $314.56 ! 7 , , CALLS FOR INSPECTIONS t s ' Request for inspection by telephone at 626-574-5450. Leave a messagee _' 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. December 19, 2018 Issued By: Date December 19,2018 Page 1 of 1 OF AJt 44, PERMIT/PLAN REVIEW APPLICATION illi\\\mac. - - _ .®je Development Services Department,240 West Huntington Drive, Post Office Box 60021 Arcadia, CA 91066-6021, (626) 574-5416,Fax (626) 447-9173 City of Arcadia LICENSED CONTRACTOR'S DECLARATION WORKERS'COMPENSATION DECLARATION ❑ I hereby affirm under penalty of perjury that I am licensed under provisions of I hereby affirm under penalty of perjury one of the following: Chapter 9(commencing with Section 7000,of Division 3 of the Business and Professions Code,and my license is in full force and effect. ❑ I have and will maintain a certificate of consent to self-insure for workers' License Class �7 L'ECnse No��✓ �3 Exp. Date I♦�, �1 ° compensation, as provided for by Section 3700 of the Labor Code, for the performance of the work for which this permit is issued. Signature of Contractor OWNER-BUILDER D 4 LARATIONfi ❑ 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 r ,I certify that in the performance of the work for which this permit is issued,I shall Section 7031.5 by any applicant for a permit subjects the applicant to a civil not employ any person in any manner so as to become subject to the workers' penalty of not more than five hundred dollars($500)): compensation Laws of California,and agree that if I should become subject to the workers'compensation provisions of Section 3700 of the Labor Code,I shall ❑I, as owner of the property, or my employees with wages as their sole forthwith comply with those provisions. compensation,will do the work,and the structure is not intended or offered for sale(Section 7044,Business and Professions Code:The Contractors License Date /2-7 07-1 C6 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 cfurther information. �/� ame -A-(W L O 113 Title (f)l,J(L O _ PRINT NAME I certify that I have read this application and state that the above information is co ect and that I am the owner or duly authorized agent of the owner. I agree to comply with all City ordinances and State Laws relating to building construction. I hereby authorize representatives of the City of Arcadia to enter upon the abo • mentioned property for inspection purposes. nature �I/ ate /?.,---- /61.-za 1" ;',.k..1. City of Arcadia, CA o I, iit , Permit NO RALT 18 0839 I ' Development Services Department , 1 ` Permit Type Residential:Addltion/Alteration 240 West Huntington Drive,Post Office Box 60021 , rr 1 ,, ,, 'I ; ,, E r Ii !„-?,:::°.1., v3 /,..,,,,„, , I� i I ; X„ :Work`Classi cation..Remodel ' Arcadia,CA 91066-6021s , (626)574-5416 .,- - ',lb' 4 Permit Status `Issued ARCAD IA Issue Date 05/22/2018 Expiration: 11/18/2018 Addr NO. Dir Prefix Street Name Street Suffix Unit City,State,Zip Parcel Number 861 Balboa DR Arcadia,CA 5777020013 Contacts CHUONG,EDWIN T AND CHRISTINE T Owner CUSTOM-BUILT CONSTRUCTION* General Contractor(B) 861 BALBOA DR 15571 Marie,Westminster,CA 92683 (909)518-5107 CHRISTINE_CHUONG@YAHOO.COM (657)247-2051 Description:INTERIOR DEMO ONLY FOR ADDITION THATS IN Valuation: $ 500.00 Tenant PLAN CHECK. s Total Sq Feet: 0.00 Plan Check# Plan# Fees Amount Payments Amount Paid Building Issuing Fee $44.35 Total Fees $129.96 Building Permit Fees $40.65 Cash/Receipt it REC-001212-2018 $129.96 Building Plan Review Fee $26.43 Cal Green Plan Check $2.65 Amount Due: $0.00 Energy Plan Review Fee $8.13 Green Building Standard $1.00f‘._... /` - Solid Waste Management Fee $6.25 i' fife..eu Strong Motion Inst.Program Res $0.50 �A&� • itt, Total: $129.96 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. • . IP May 22, 2018 Issued By: Date May 22,2018 Page 1 of 1 U%4_,t1F0ii,v,'' r 7 PERMIT/PLAN REVIEW APPLICATION , 4010 Development Services Department,240 West Huntington Drive,Post Office Box 60021 m4uitY.i-* 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. El I have and will maintain a certificate of consent to self insure for workers' License Class p, .cense 661 y ci“ Exp. Date 4/24 Signature of Contractor 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 ❑ I have and will maintain workers'compensation insurance,as required by Section 0 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 WIcertify 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 Jrj-ZL►to% 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 Lknder'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 Name ►V \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 'ity ordinances and State Laws relating to building construction. I hereby authorize representatives of the City of Arcadia to enter upon the • ,ove-mentioned property for inspection purposes. ,\ i Signature ,iIt�,till I Date 1-2--Z-P-- 70 1 sr ASBESTOS BULK SURVEY REPORT for the property located at: 861 Balboa Dr. Arcadia, CA prepared for: Custom-Built Construction, LLC 15571 Marie Palce Westminster, CA • by: Hart Laboratory,Inc. 2028 E. Route 66, Unit#103 Glendora, CA 91740 Phone (626) 852-0090 Fax (626) 852-0215 hartenvinc(ayahoo.com May 21,2018 861 Balboa Dr. Arcadia,CA May 21,2018 Submitted By: Hart Laboratory,Inc. 2028 E.Route 66,Unit#103 Glendora,CA 91740 (626)852-0090 Erin Hart CAC#94-1332 DISCLAIMER This project manual was prepared by Hart Laboratory, Inc. under contract with Custom-Built Construction, LLC no warranties, expressed or implied, are made by Hart Laboratory, Inc. or its employees as to the use of any information, apparatus, product, or process disclosed in this report. Though reasonable efforts have been made to assure correctness, if a contractor is employed, he should bring any discrepancies to the immediate attention of Hart Laboratory, Inc.. We have employed state-of-the-art practices to perform this analysis of identification. No demolition or product review was performed in attempts to reveal material compositions. Our services consist of professional opinions and recommendations made in accordance with generally accepted engineering principles and practices, and is designed to provide an analytical tool to assist the client. Hart Laboratory, Inc. or those representing Hart Laboratory, Inc. bears no responsibility for the actual condition of the structure or safety of the site pertaining to asbestos and/or asbestos contamination regardless of the actions taken by the client. Note: This asbestos survey report is limited only to those areas listed. PURPOSE AND SCOPE The purpose of this investigation is to identify visually accessible suspect materials located at the 861 Balboa Dr., Arcadia, CA for asbestos exposure risk during renovation/demolition. Components of the survey were: -A bulk sampling program for potential ACM. -Analysis of the samples utilizing polarized light microscopy (PLM) and dispersion staining techniques. This procedure is in accordance with USEPA Bulk Analysis Methodology, USEPA 600/M4-82-020. -Development of recommendations for control options for confirmed ACM. Erin Hart, Certified Asbestos Consultant #94-1332, of Hart Laboratory, Inc. performed the site visit and sampling of the suspect asbestos containing material. Hart Laboratory, Inc.'s observations and sampling results contained in this report are limited solely to the potential for ACM in accessible areas of the site structure. Hart Laboratory, Inc. did not perform the evaluation of concealed structural members. The site survey was conducted on May 10, 2018. The asbestos containing materials (ACM) most likely to release asbestos fibers are those which are in a friable state. Friability describes the condition of asbestos. The definition of friable is any material that is capable of being crumbled, pulverized, or reduced to powder by hand pressure. The evaluation is limited to those areas accessible for an inspection. Non-friable sources of asbestos are the materials that have a cement or asphalt binder and may become friable and release fibers if the sources are exposed to actions such as abrasion, drilling, cutting, fracturing or hammering. Non-friable sources of asbestos do not typically pose a significant health if they remain in good condition and are not disturbed. During demolition or renovation activities, non-friable sources may become friable and thus may pose an exposure risk. State laws require that building owner(s) and/or their representative(s), prior to any demolition and/or renovation operations that may disturb any asbestos-containing materials in their building(s), must meet the following requirements: • notifications • removal techniques for asbestos-containing material(s) • clean-up procedures, and • waste storage and disposal requirements. • SURVEY METHODOLOGY Prior to the collection of any samples, distinct homogeneous sampling areas and specific sampling locations were based in accordance with Asbestos Hazard Emergency Response Act (AHERA) protocol (40CFR part 763). A homogeneous sampling area is described as any material that is identical in appearance, identical in color, and has the same installation date. Although AHERA regulations do not pertain specifically to the property, the AHERA methodology generally is considered state-of the art for asbestos building inspections. Suspected ACM was identified by Hart Laboratory, Inc. through a physical survey. The physical survey involved the inspection of the site structure and recording of locations, and conditions of suspect ACM. Each type of suspect ACM was sampled randomly. Usually three samples per homogeneous material were collected. Occasionally, the actual number of samples varied, dependent on the professional judgment and experience of the inspector, as well as based on the amount of suspected ACM. ANALYTICAL METHODS All bulk samples were analyzed by Sanair Technologies, Inc. (NVLAP 20087-0) via polarized light microscopy utilizing dispersion staining techniques according to USEPA Interim Method USEPA 600/M4-82-020. An analyst in accordance with the EPA Interim Asbestos Bulk Sample Quality Assurance Program completed all reference testing. Sanair Technologies, Inc, 1551 Oakridge Dr., Suite B, Powhattan, VA 23139, phone (804) 897-0070. The USEPA Interim Method requires the microscopist to take a portion of the bulk samples and treat it with an oil of specific refractive index. This prepared slide is then subjected to a variety of tests while being viewed under varying polarizations of light. Each type of asbestos displays unique characteristics when subjected to these tests. Percentages of the identified types of asbestos are determined by visual estimation. Any material that contains more than 1.0 percent by area or 0.1 percent by weight of any type of asbestos is considered an ACM and must be managed in accordance with Cal OSHA, SCAQMD, and USEPA regulations, if disturbed. SUMMARY OF RESULTS After visual examination and analysis of samples taken from 861 Balboa Dr., Arcadia, CA it was determined that asbestos was NOT detected in the suspect sampled materials (please refer to the enclosed laboratory sheet). Negative for asbestos content • Wall Plaster • Skim Coat • Window Putty Comments- This inspection is limited to visually accessible ACM suspect materials. If untested suspect materials are discovered during renovation/demolition, further testing may be needed. SanAir ID Number SaAij�- :°18Q.1'9652 l 1 I FINAL REPORT Technologies Laboratory 5/18/2018 7:29:37 PM Name: Hart Laboratory Project Number: Address: 2028 Rt. 66#103 P.O. Number: Glendora, CA 91741 Project Name:861 Balboa Ave. Arcada CA Phone: 626-852-0090 Collected Date:5/10/2018 Received Date:5/11/2018 10:15:00 AM Analyst: Steiner,Tara 1 Vaughan, Nathaniel 1 Sobrino, Sandra Asbestos Bulk PLM EPA 600/R-93/116 ° t Stereoscopic Components S nAirjp/Description Appearance ° %Fibrous %SNon berotis 0. Asbestos Fibers 01/18019652-001 `Grey 100%Other None Detected Wall,Plaster Non-Fibrous Homogeneous 02/18019652-002 White 100%Other None Detected Skim Coat Non-Fibrous Homogeneous 03/"18019652-003 Grey 100%Other None Detected Wall Plaster Non-Fibrous Homogeneous 04/18019652-004 White 100%Other None Detected Skim Coat Non-Fibrous Homogeneous 05/18019652-005 Grey 7" 100%Other None Detected ' Wall;Plaste"r - . Non Fibrous Homogeneous 06/18019652-006 White 100%Other None Detected Skim Coat Non-Fibrous Homogeneous 07/18019652-007 >,Tan 100%Other None Detected 'Window Putty Non-Fibrous Homogeneous, 08/18019652-008 Tan 100%Other None Detected Window Putty Non-Fibrous Homogeneous 091.18019652-009 Grey 100%Other. None Detected. Window Putty Non Fibrous Homogeneous ;. '' 10/18019652-010 Various 100%Other None Detected Window Putty Non-Fibrous Homogeneous m a". Analyst: ' ~ Approved Signatory: ,/ Analysis Date: 5/18/2018 Da e: 5/18/2018 " 1551 Oakbridge Dr. Suite B, Powhatan,VA 23139 1 804.897.11771 Fax: 804.897.0070 I www.SanAir.com 1 IAQ@SanAir.com Page 1 of 3 SanAirIDNumber 18019652 Sank FINAL REPORT` Technologies Laboratory 5/18/2018 7:29:37 PM Name: Hart Laboratory Project Number: Address: 2028 Rt. 66#103 P.O. Number: Glendora, CA 91741 Project Name:861'Balboa Ave. Arcada CA Phone: 626-852-0090 Collected Date:5/10/2018 Received Date:5/11/2018 10:15:00 AM Analyst:Steiner,Tara I Vaughan, Nathaniel I Sobrino, Sandra Asbestos Bulk PLM EPA 600/R-93/116 Stereoscopic Components SanAir ID`IDescription. Appearance ° %Fibrous ° %Non Fiberous Asbestos Fibers 11/18019652-011 °';Various - 100%Other None Detected Window Putty Non-Fibrous Homogeneous 12/18019652-012 Various 100%Other None Detected Window Putty Non-Fibrous Homogeneous Analyst: � ,� Approved Signatory: u } _et 1 Analysis Date: 5/18/2018 Da e: 5/18/2018 1551 Oakbridge Dr. Suite B, Powhatan,VA 23139 1804.897.1177 I Fax:804.897.0070 I www.SanAir.com I IAQ@SanAir.com Page 2 of 3 • - 1 &)(9 652- HART LABORATORY Environmental Consulting and Analytical Services 2028 Rt.66,#103,Glendora,CA 91740,Phone(626)852-0090,Fax(626)852-0215 CHAIN OFCUSTODY _ Customer Info: DATE:. - - , "1ME: 7 .' 7 Site Address: / bcic& ate` Contact: "" 0 Phone ( ) Client Info: i, _-:r-yti(C/-- Fax ( ) Office ( ) Cell ( ) EMAIL: ANALYSIS PLM Asbestos -- ' Flame AA Lead (chips, wipe OTHER Sample # Material 4 Location Condition SF/LF* Other (.,1 Z. ,9-:---t-i---1-7 G'tt-f ,cit;ii , 'cif 2 6, 5 t,z.--.i:t."--- ,,,4.._-2 2,,,,,,L9-ify _ - /7,-. / /* Irgl . //,/ 1,4,'`- " �',-z/ , - e, • / ---- toc-ndai4--/ /1. ?).,(1-( 'K./ 0- . *The square footage is an es •te. Ul square footag must me confirmed b the abatement company prior to bidding the removal project. 7_`." �,i �� lia.I �� Sllt(I,� tors ..3 +. /1- Page 3 of 3 1.3a YS y +'R "' ,° , .it R ��a� 8P* 4r ootoi�, t ,"'' y 4. ...--°.. "; � � t rrnat No FIRf�l9�01'07 - City of Arcadia, CA E ,:�t�-r.,,� ,; a � Development Services Department j - , , a ,�*, ,,,�rrr7 i Type Fire i0,1111 i 240 West Huntington Drive,Post Office Box 60021 ,, fl TA s 1 3 ,,, Work '1assi cation iFIre,AS rinkier.i ,1‘7Arcadia,CA 91066-6021 ` r'�.0 + p ".. (626)574-5416 c PeYt�lt` 1 AT ISSUed ACAIA � i 0' . sstmate1/28/2019; Expiration: 07/27/2019 -,. ,Wr d izi, ase<F: < t Addr NO. Dir Prefix Street Name Street Suffix Unit City,State,Zip Parcel Number 861 Balboa DR Arcadia,CA 5777020013 Contacts CHUONG,EDWIN T AND CHRISTINE T Owner SPECIALIZED FIRE PROTECTION,INC.* Fire Contractor(C-16) 861 BALBOA DR 18305 E Valley#H, La Puente,CA 91746 (909)518-5107 CHRISTINE_CHUONG@YAHOO.COM (626)416-92761005885 Description:FOR SF NEW 32 Valuation: $ 5,000.00 - Tenant Total Sq Feet: 0.00 Plan Check#19-107 Plan# Fees Amount Payments Amount Paid Fire Issuance $47.01 Total Fees $901.76 Fire Permit Fees $153.75 Cash/Receipt#REC-00143-19 $700.00 Solid Waste Management Fee 2 $1.00 Cash/Receipt#REC-00227-19 $201.76 Sprinkler Heads $700.00 Amount Due: $0.00 Total: $901.76 1 4: A `'I by t13.r.. CALL 3 IONS Request for inspection by telephone at 626-ti74450. 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. January 28, 2019 Issued By: Date January 28,2019 Page 1 of 1 of U�4`OF ,,C�r o_ PERMIT/PLAN REVIEW APPLICATION lio o• Development Services Department,240 West Huntington Drive,Post Office Box 60021 0°a,tY°fe° Arcadia, CA 91066-6021, (626) 574-5416,Fax(626) 447-9173 City of Arcadia LICENSED CONTRACTOR'S DECLARATION WORKERS'COMPENSATION DECLARATION ❑ I hereby affnn 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, d/my license is in full force and effect. 0 I have and will maintain a certificate of consent to self-insure for workers' License Class C(� License No. /0 fr. Exp. Date 7p1/17 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 DECLARAT ON 0 I have and will maintain workers'compensation insurance,as required by Section 01I 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'cgmpensation insurance carrier and policy numbers are: Code.Any city or county which requires a permit to construct,alter,improve, Carrier CJ '-..-z.. demolish,or repair any structure,prior to its issuance,also required the applicant 3 I/9/ for such permit to file a signed statement that he or she is licensed pursuant to the Policy Number �n expo provisions of the Contractors License Law(Chapter 9(commencing with Section (This section need not be completed if the permi(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 •.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 (/7�� 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. ��J Name �ivt5r✓ Title PRIM AME 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 an tate Laws relating to building construction. I hereby authorize representatives of the City of Arcadia to enter upon the above-mentioned prq arty for inspection purposes. Signature Date (( -zs7 • O°'s9dr '7 • : -*N 7, 5,3907 • • �°ai`y°tIV" MEMORANDUM Fire Department DATE: November 25, 2019 TO: BUILDING DEPARTMENT INSPECTOR Steven Roberts FROM: FIRE DEPARTMENT SUBJECT: FIELD INSPECTION ADDRESS: 861 Balboa Road THE FOLLOWING ITEMS WERE CHECKED FOR CONFORMANCE WITH APPLICABLE FIRE DEPARTMENT REQUIREMENTS: TYPE OF INSPECTION DATE / INITIAL FINAL INSPECTION FIRE SPRINKLERS 11-25-2019 Jill Perumean FIRE ALARMS HOOD & DUCT KNOX BOX OCCUPANCY 11-25-2019 Jill Perumean COMMENTS: Emailed Bldg. Dept. 11-25-2019 Rita 4 cTyf°cNy'7 *Wro Wit WATER DIVISION ATTENTION: M(k-(z(L DATE: (17 .1 1 FROM: BUILDING DIVISION INSPECTOR: SZai- ' ADDRESS: 8b1 g,A1.1,o A 2 PERMIT NO.: L1- - of (o PLAN NO.: 3 25-7163 CONTRACTOR: O4 4t)t Lr &tis:- PHONE NO.: ( W') 21f2 ->So 3 OWNER: Th C#00,,N PHONE NO.: (o1) S l�- SI) 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 Blackflow Devices Irrigation System Fire Sprinkler System Meter Clear A.P.P. Swimming Pool COMMENTS: I1 VIA' ` n G - W NLt NQS-35� -11Z 46-1„(t„.., -,) cr1-41_1 —. & mine w \A-i H r'[ N, R(/[724/k1)15 !6`141 C ?V\ tr/a4,-(.17 n VZ cls; 5 ti��F • City of Arcadia DEVELOPMENT SERVICES DEPARTMENT Inter-Departmental Inspection Request Date: (0. 12_ .11 Public Works Inspector To: From: jl n Zit2 SQP-13 Address: 0( 1 LA-1.6oPc Permit No.: iMi t I g- Q t' Contractor: 0.11 SToi• - i,vT 0„").i1-• Phone No.: uo 26) z'/2 - t'sb3 Owner: CH (..)°"`-) PhoneNo.,: (9o1) 5-I6 - ..S(or) Please inspect the following items to ensure that the Contractor/Developer is in compliance with all conditions of approval established for the project, and that the work performed meets the City's standard for Public Works construction: Type of Inspection Date& Initial Date&Initial Final Approval Drainage Grading V-4)14,- Erosion Control Offsite Improvements Street Improvement(s) (conduit,curb/curb & gutter, curb numbers, driveway approach, ' , 0 ' 19 parkway planting, sidewalk, street light, traffic flow, etc.) Sewer(s) (lateral,grease/san h-a 1 0- interceptor, saddle,wye, etc.) COMMENTS: G'\T ?d til oar ..-It 61. `-D VL- Rev.1/11/11 A (0.31F0/34%,•, ° y'.. ,.1.) 1.6?•M 4 1.4 ilEfikil 51 %° PLANNING SERVICES salty oS ATTENTION: VA0C3-511/4 DATE: 1t 'VS '/7 FROM: BUILDING SERVICES INSPECTOR: ,S7LA.C. 12oge-9---r- PROPERTY ADDRESS: Ob( & lA4o, 9--- PERMIT#: --PERMIT#: 24'1T - 18 60(0 PLAN#: 32S116 CONTRACTOR: N S^v M I�T &N Sr- PHONE#: '(�p ZL) Z y2 " •no OWNER: EbwlN (off dbN'C, PHONE#: 009) 5/6—St ch PLEASE INSPECT THE FOLLOWING ITEMS FOR COMFORMANCE WITH APPLICABLE PLANNING REQUIREMENTS. TYPE OF INSPECTION DATE& INITIAL DATE&INITIAL FINAL APPROVAL LANSCAPING/IRRIGATION V\1 VOk!/\CA_ li-ilAt \..1. TRASH ENCLOSURES PARKING/DRIVEWAYS 'v lvCAj9_ - k'v[L -Ir STORAGE AREAS MECHANICAL EQUIPMENT , 1 \CA L \c-` -(1/i-t.� -U4 WALL HEIGHT 11 - L1.c7k-l-- VzI-z)-.le' UP BACKFLOW SCREENING COMMENTS: 6 CVNOLV‘Of P ..(2\/C.IL., Cy-S I`eeck -A c,t-pp YCv"T' Y Uva.tcvc+c .=" S .AiS\1c5 -cS fie . v\c_A cam- `'