HomeMy WebLinkAboutROOF-20-0571 . ° W4*- 74"4-0; " '. f �
- City-of Arcadia, CA '��q ' , , A,: iPermrtivo ROOF-2D 0571`
4 . Development Services Department l.-- k 'PermttType Roof`,:
f 240 West Huntintillsk,IP* gton Drive,Post Office Box 60021 'L# 1 ,7,:-N1 t :s ir.7'< ..��u i" �, '
' _ Arcadia,CA 91066-6021
, IY i.4Irt/orkClassification Reroof Residential;
(626)574-5416 t ra 3r. ' PermittStatus 1Issued;:
:ARCADIA ' : IssuebDate 04/16/20201 Expiration:
Addr NO. Dir Prefix Street Name Street Suffix Unit City,State,Zip Parcel Number
1 906 VICTORIA DR Arcadia,CA 91007-6234 5777018024
Contacts
•
SIU PING A CHAN Owner LANSFORD ROOFING* Contractor
906 VICTORIA DR,ARCADIA CA,91007 3535 Landfair, Pasadena,CA 91107
(626)390-3480 775436
. .- aaeaC' .4 ::.$NUNNVAN'd.N ° , ,S N.N.ANAMNPAN,NN ..Ito ...rt....,
NJ
Description:T/0 AND REROOF AND DETACHED GARAGE WITH I Valuation: $ 0.00 Tenant
BORAL SAXONY SHAKE OVER EXISTING SHEATHING,NO FEE
4.
PERMIT HOME IMPROVEMENT PROGRAM tTotal Sq Feet: 0.00 i Plan Check# Plan#
Fees Amount Payments Amount Paid
Building Issuing Fee $47.01 Total Fees
Solid Waste Management Fee $6.25
•
Total: $53.26 Amount Due:
l 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.
..14v 440,
, 41/401:19
April 16, 2020
Issued By: Date
April 16,2020 Page 1 of 1
G~�ouF +�v,C'9d,
PERMIT/PLAN REVIEW APPLICATION
4 Development Services Department,240 West Huntington Drive,Post Office Box 60021
ty 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 License No. Exp. Date compensation, as provided for by Section 3700 of the Labor Code, for the
Signature of Contractor performance of the work for which this permit is issued.
OWNER-BUILDER DECLARATION ❑ I have and will maintain workers'compensation insurance,as required by Section
❑ I hereby affirm under penalty of perjury that I am exempt from the Contractors 3700 of the Labor Code,for the performance of the work for which this permit
License Law for the following reason(Section 7031.5,Business and Professions is issued.My workers'compensation insurance carrier and policy numbers are:
Code.Any city or county which requires a permit to construct,alter,improve, Carrier
demolish,or repair any structure,prior to its issuance,also required the applicant
for such permit to file a signed statement that he or she is licensed pursuant to the Policy Number
provisions of the Contractors License Law(Chapter 9(commencing with Section (This section need not be completed if the permit is for one hundred dollars or less)
7000)of Division 3 of the Business and Professions Code) or that he or she is
exempt there from and the basis for the alleged exemption. Any violation of ❑ I certify that in the performance of the work for which this permit is issued,I shall
Section 7031.5 by any applicant for a permit subjects the applicant to a civil not employ any person in any manner so as to become subject to the workers'
penalty of not more than five hundred dollars($500)): compensation Laws of California,and agree that if I should become subject to the
workers'compensation provisions of Section 3700 of the Labor Code,I shall
❑I, as owner of the property, or my employees with wages as their sole forthwith comply with those provisions.
compensation,will do the work,and the structure is not intended or offered for
sale(Section 7044,Business and Professions Code:The Contractors License Date Signature
Law does not apply to an owner of property who builds or improves thereon,
or who does such work himself or herself or through his or her own
employees,provided that such improvements are not intended or offered for WARNING: Failure to secure Workers'Compensation coverage is unlawful,
sale.If,however,the building or improvement is sold within one(1)year of and shall subject an employer to criminal penalties and civil fines up to one
completion,the owner-builder will have the burden of proving that he or she hundred thousand dollars($100,000),in addition to the cost of compensation,.
did not build or improve for the purpose of sale). damages as provided for in Section 3706'of lite'Labor Code, interest, and
attorney's fees.
❑I, as owner of the property, am exclusively contracting with licensed
contractors to construct the project(Section 7044, Business and Professions
Code:The Contractors License Law does not apply to an owner of property CONSTRUCTION LENDING AGENCY
who builds or improves thereon, and who contracts for such projects with a I hereby affirm under penalty of perjury that there is a construction lending agency
contractor(s)licensed pursuant to the Contractors License Law). for the performance of the work for which this permit is issued (Section 3097,
Civil Code).
❑ I am exempt under Section 7044,Business and Professions Code,for this reason:
Lender's Name
Date Signature Lender's Address
IMPORTANT: APPLICATION IS HEREBY MADE TO THE BUILDING OFFICIAL FOR A PERMIT SUBJECT TO THE CONDITIONS AND
RESTRICTIONS SET FORTH ON THIS APPLICATION AND THE FOLLOWING:
1. The City's approved plans and permit inspection card must remain on the job site for use by City inspection personnel.
-2. Final inspection of the work authorized by this permit is required.A Certificate of Occupancy must be obtained prior to use and occupancy of new buildings
and structures.
3. Per South Coast Air Quality Management District(AQMD)regulations,renovation and remodeling work that results in the removal,stripping,or altering
of asbestos containing materials requires an asbestos survey and removal prior to disturbing the asbestos.Please contact AQMD at(909)396-2000 for
further information.
Name Title
PRINT NAME
I certify that I have read this application and state that the above information is correct and that I am the owner or duly authorized agent of the owner.
I agree to comply with all City ordinances and State Laws relating to building construction. I hereby authorize representatives of the City of
Arcadia to enter upon the above-mentioned property for inspection purposes.
Signature Date
City of Arcadia INSPECTION RECORD
`j.,N. - Community Development Department Permit No. ROOF-20-0571
I
Building Division Permit Type: Roof
'` � _ i" 240 West Huntington Drive-P.O. Box 60021
A
g Workclass: Reroof- Residential
,,,,,:.,;,...-4_412..%, Arcadia, CA 91066-6021
"°"'°" Inspections: (626) 574-5450
Building 906 VICTORIA DR Owner Name SIU PING A CHAN Contractor LANSFORD ROOFING*
Address Arcadia CA 91007-6234 and Address 906 VICTORIA DR Name and 3535 Landf'air
ARCADIA CA,91007 Pasadena,CA 91107
Address
Phone (626)390-3480 Phone State Lic. 775436
& Classif.
Proposed Construction:T/0 AND REROOF AND DETACHED GARAGE WITH BORAL SAXONY SHAKE OVER EXISTING SHEATHING,NO FEE PERMIT
HOME IMPROVEMENT PROGRAM
POOLS/SPAS Date Insp. ELECTRICAL Date Insp. MECHANICAL Date Insp.
Alarms Power Pole Venting/Flue
Excavation/Steel _ Underground Conduit Furnace/A.C.
Rough Plumbing Underslab Conduit Rough HVAC
Light Shell/Bonding UFER Ground Fire Dampers
Underground Conduit Water Ground Furnace Compartments
P-Trap Rough Electrical Combustion Air
Gas Line&Test Fixtures/T-Bar Metal F.P.Rough
Fence,Gates&Signs Service Panel Release Compressor Setback
Pool Heater Smoke Detector Commercial Hood
Final Electrical Utility Clearance Duct Shaft
Final Plumbing Final Electrical Final Mechanical
Pool Cover BUILDING Date Insp. PLUMBING Date Insp.
Deck Bonding Setbacks Under Flr./Bldg.Drain
----- - - -------------- -------- — - ---- —
Final Pool - Rough Grade - Copper Underslab
REROOF ` Date Insp. Ftgs&Forms Rough Plumbing
Pre-reroof Inspection Pre-Slab Rough Gas
Roof framing --- - Floor Joists --- Shower Pan--- - - ------ __- -- -
r
Sheathing Nailing Grout Lift Water Heater
Final Reroof Shear Nailing Roof Drains
SIGNS Date Insp. Diaph Nailing Surface Drains
Setback/Overhang Roof Nailing Building Sewer
Footing Framing Backwater Valve -
Conduit/Wiring Occ./Area Sep_Wall Water Service
Disconnect T-Bar Grid Gas Service
Final Sign Insulation-flr. Sewer Cap/Demo
MISC Date Insp. Insulation-wall Miscellaneous
Solar Final Insulation-ceiling Final Gas
VCU Drywall Nailing Final Plumbing
Interior Lath BLOCK WALL Date Insp.
Exterior Lath Footings
FIRE Date Insp. Final Demo/lot clear Steel/Rebar
Occupancy Final Final Building Grout Lift
Final Wall
COMMENTS:
NO INSPECTIONS ON ALTERNATE FRIDAYS.
Of ARO
070 ' PERMIT/PLAN REVIEW APPLICATION
orkl *Emil
Development Services Department,240 West Huntington Drive,Post Office Box 60021
4att4+t,ot 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 deeff/e� , ❑ I have and will maintain a certificate of consent to self-insure for workers'
License Class C-73 or
Lic e No. !TLS "iExp. DateJ' 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 ave 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 S
demolish,or repair any structure,prior to its issuance,also required the applicant
Policy Number bC�(3taJ�
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
ElI, 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 / C _
sale(Section 7044,Business and Professions Code:The Contractors License Date /' Z/'""' 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 1'HE 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 1 + /,-t `�1'""`
(-7'✓7 Title
PRINT NAME
I certify that I have read' ri 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 . 'ove-•1 entioned property for inspection purposes.
Signature it ' Date '1/7V0'—'_
CITY OF ARCADIA File# 49 54,
HOA ARCHITECTURAL REVIEW BOARD
SHORT REVIEW APPLICATION
PLEASE COMPLETE THE FOLLOWING INFORMATION (REQUIRED):
PROJECT ADDRESS 906 Victoria Drive ZIP 91007
APPLICANT(S)NAME Siu Ping Annette Chan
MAILING ADDRESS 906 Victoria Drive
CITY Arcadia STATE CA Zip 91007
E-MAIL ADDRESS
TELEPHONE NO. 626 390-0927
PROPERTY OWNER(S) NAME Siu Ping Annette Chan
MAILING ADDRESS 906 Victoria Drive
CITY Arcadia STATE CA ZIP 91007
E-MAIL ADDRESS
TELEPHONE NO. 626 390-0927
PROJECT TYPE (Check applicable):
❑ Single-Story Remodel and Addition 0 Landscaping and Hardscaping 0 Sport Court and Related Features
❑ Detached Accessory Structure(not 0 Pool and Spa Equipment 0 Fences and/or Walls
ADUs)
❑ Fagade Improvement 0 Mechanical Equipment 0 Ground-Mounted Solar
❑ In-Ground Swimming Pools/Spa with 0 Above Ground Swimming 0 Fountains,Water Features, or
Water Features Pools and Spa Statues
GENERAL DESCRIPTION OF PROJECT: House and detached garage roof replacement
. CS/ t I " . X40 $ :r 8 SANTA AN ITA VILLAGE
COMMUNITY HOMEOWN,'S'ASSO • I N
COKik
DOES THE PROJECT REQUIRE DISCRETIONARY APPROVAL BY THE DEVE RP i _�I . `,)
'PROTECTED TREES,ADMINISTRATIVE MODIFICATIONS,ETC.)? 1=1Ye -J
If Yes, submit copies of the requests to the ARB for concurrent consideration
THE • -;*3;a., ER HE EBY DECLARE UNDER PENALTY OF PERJURY THAT ALL THE INFORMATION
SU: I i!' 3�•' ICATIO AND CORRECT.010 IV >0-2')ATURh DAT
(iJ yY69_0
i)
PROPERTY OWNER'S SIGNATURE DAT
ACTIONS AND FINDINGS
APPROVED ❑ CONDITIONALLY APPROVED ❑ DENIED
CONDITIONS OR REASONS FOR DENIAL:
BY: ; � / 1,,Air DATE: EXPIRATION: /-/3
T ERE IS A TEN(10)DAY APPEAL PERIOD FOR THIS APPLICATION. APPEALS MUST BE SUBMITTED IN WRITING TO THE COMMUNITY
DEVELOPMENT DIVISION WITH A$600.00 APPEAL FEE BY P.M.ON
HOA Short Review -4- 11/19
•
7: •
votik
, rrAj
AFFIDAVIT SELF-CERTIFICATION
FOR COMPLIANCE OF SMOKE ALARMS
o AND,CARBON MONOXIDE ALARMS
Property Address:: T 0 t7 V/ 6-70R 14. 1172eiQlF} dPr qI OD
Permit Number: '007 - 05-71
Brief Job Description:.
Number of smoke alarms installed: .
Number of carbon:monoxide alarms installed: /
When alterations, repairs or additions requiring a permit occur, or,sleeping rooms are created,
Smoke alarms shall be..installed iri each sleeping room, and outsideeach separate
sleeping area in the immediate vicinity of the bedrooms, and on each additional story of the
dwelling, including basements and habitable attics as required by Section R314 of the 2016
California Residential Code. ('CRC) and California Health and Safety Code Section 13113.7.
For dwellings or sleeping units containing fuel burning appliances or having attached
garages, carbon monoxide alarms shall be installed outside each separate sleeping.
area in the immediate vicinity of the-bedrooms, and on each additional story of the
dwelling, including basements as required by Section R315 of the of the 2016 California
Residential Code (CRC).
IVlulti-purpose•alarms (combination carbon monoxide and smoke alarms) may used.
All alarms shall comply with requirements for listing and approval by the Office of the State Fire
Marshal. htt•://osfm.fire.ca.•ov/Gcensin•listin•.s/li.censelistin"+ bml searchcolest.•h,
As owner of the above referenced property, I hereby certify that the smoke alarms and carbon
monoxide alarms have been installed in accordance with the manufacturer's instructions and in
compliance with the code sections referenced above.
I declare under penalty of perjury that the foregoing is true and correct, and that this
declaration was executed on (Date) 11 " 16 --c at Arcadia, California.
Owner's Name.(prinfed/typed): SI i( p/ivy,. Q-77E /c)/173-A)
_
Signature of Owner: :-- __
IlOS
!,04001."" �
This affiday. `
? / f Arca:la inspec • prior to final inspection
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