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HomeMy WebLinkAboutUntitled X. .•sid'
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,' City of Arcadia, CA ) 0'' a Y: Permit No ElIeca20-0337
Development Services Department y" mqtz
240 West Huntington Drive,Post Office Box 60021 ' i gip' PermttType=Electrical,.
f b r x me
Arcadia,CA 91066-6021
work;Classification 4Elec Temporary Power Pole
_ x"Gtx
(626)574-5416 ,
�ew Permit Status:Issued,
ARCADIA
F11Issue D�to 02/27/2020 Expiration:
Addr NO. Dir Prefix Street Name Street Suffix Unit City,State,Zip Parcel Number
1220 RANCHO RD Arcadia,CA 91006-2240 5770012012
Contacts
GORMLY,RUTH K TR GORMLY FAMILY Owner A-CO TEMPORARY POWER* Contractor 0
TRUST PO BOX 16843, North Hollywood,CA 91615
1220 RANCHO RD (818)255-3560 777790
loawswox..,,, .4
•
Description:TEMP 2 Valuation: $ 0.00 Tenant
Total Sq Feet: 0.00 k Plan Check# Plan#
Fees Amount Payments Amount Paid
Electrical Permit Issuance Fee $47.01 Total Fees $81.40
Solid Waste Management Fee 2 $1.00 Cash/Receipt#REC-03986-20 $81.40
Temp Power Pole(auto) $33.39
Amount Due: $0.00
Total: $81.40 -
Fir4h (lee4s4
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.
4;Peiellit
February 27, 2020-
Issued By: • Date
February 27,2020 Page 1 of 1
-1�FAR
F RN,•, .
OA . �q . PERMIT/PLAN REVIEW APPLICATION
"E 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 a d
Professions Coe,ap$1,my license is in fu force as d effect. El have and will maintain a certificate of consent to self-insure for workers'
License Class �/ License No./ / / / /U Exp. Date compensation, as provided for by Section 3700 of the Labor Code, for the
Signature of Contractor l/I / performance of the work for which this permit is issued.
OWNER-BUIL ER 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'compen�ssaati-o-n•insurance carrier and policy numbers are:
Code.Any city or county which requires a permit to construct,alter,improve, Carrier ,,,1//lq/JnV' J �f-7
demolish,or repair any structure,prior to its issuance,also required the applicant Policy Number Icam MPU 6/4/7-1-/Lu c�
for such permit to file a signed statement that he or she is licensed pursuant to the (This section need not be completed if the permit is for one hundred dollars or less)
provisions of the Contractors License Law(Chapter 9(commencing with Section
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 the Labor Code,I shall
❑I, as owner of the property, or my employees with wages as their sole forthwith comply with those provisions. J l
compensation,will do the work,and the structure is not intended or offered for 2 /z b Signatu v L1
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.
Name J/ Jlly17 )/E lib Lt)-L- Title pUn'M / e_O_
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 a ,,t•r upon the above-mentioned property for inspection purposes.
ynatu:-1� v Date
447 City of Arcadia, CA Permit No..EI eC 20 0336
Development Services Department Permit Type,Electrical
2A. 40 West Huntington Drive,Post Office Box 60021
�ytork c assicahon �EIec=TemporarywPower Pole
Arcadia,CA 91066 602T ,Mce,
. (626)574-5416 x r 'u
L- �Permit5tatus Issue-
' � `i+ ' .� 9w, .,..� . a-
- t
.ARCADIA :1I; bate:02/27/20201 Expiration:
•
Addr NO. Dir Prefix Street Name Street Suffix Unit City,State,Zip Parcel Number
1220 RANCHO RD Arcadia, CA 91006-2240 5770012012
7724.
Contacts - -
GORMLY,RUTH K TR GORMLY FAMILY Owner A-CO TEMPORARY POWER* Contractor
TRUST PO BOX 16843,North Hollywood,CA 91615
1220 RANCHO RD (818)255-3560 777790
MEEENEEMEZEIMINFIR
Description:TEMP 1 200 AMP METER MAIN 100 AMP SUB POLE k Valuation: $ 0.00 k Tenant
Total Sq Feet: 0.00 Plan Check# Plan#
- . ._ .� moo., ti=.,•�t s ,a � �..,y a,,_. .
Fees Amount payments Amount Paid
Electrical Permit Issuance Fee $47.01 Total Fees $97.88
Solid Waste Management Fee 2 $1.00 Cash/Receipt#REC-03985-20 $97.88
Temp Power Pole(additional Panel) $16.48
Temp Power Pole(auto) $33.39 Amount Due: $0.00
Total: $97.88
j4(/e( 5
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 <, iod of 180 consecutive days.
•
4°4 eiA
February 27, 2020
Issued By: Date
February 27,2020 Page 1 of 1
AIR c
4 __
/410
•
CI 11. 114 1_ PERMIT/PLAN REVIEW APPLICATION
° r,, 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 Busine s and
Professions Code,and my license is in full force and effect.
License Class lb License No /� I have and will maintain a certificate of consent to self-insure for workers'
��O Exp. Date/ /zo
compensation, as provided for by Section 3700 of the Labor Code, for the
Signature of Contra performance of the work for which this permit is issued.
OWNER-BUILDER DECLARATION ..121 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. workers'compensation insurance carrier and policy numbers are:
Code.Any city or county which requires a permit to construct,alter,improve, Carrier lf67
demolish,or repair any structure,prior to its issuance,also required the applicant /.���U�//� . ,��
for such permit to file a signed statement that he or she is licensed pursuant to the PolicyNumber be `7�I
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 ofOf-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 co ply w'th those provisions.
property,rty, or my employees with wages as their sole
compensation,will do the work,and the structure is not intended or offered for .
r J
sale(Section 7044,Business and Professions Code:The Contractors License Date Signature V
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.
Name "/, /1CIt /i;.4 Title _1644/11/ 1
P-T N I I
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
'rcadia to en er upon the above-mentioned property for inspection purposes.
ignatur w V /
]Date Z/2-7/10
Ars'I' , City of Arcadia, CA r` Permit No:E100 1972596
259. 6
• Development Services Department jet x � � Permlt Type mElectrlcal
A240rcWestadiaCA Huntington91066-6021 Drive,Post Office Box 60021 r + r
°' � WorkClassifica>Lon Electrical Residential,
t t t g
(626)574-5416 Permit StatusIssued"
ARCA DIA Issue tate:-12/30/2019 Expiration:
Addr NO. Dir Prefix Street Name Street Suffix Unit City,State,Zip Parcel Number
1220 RANCHO RD Arcadia,CA 91006-2240 5770012012
Contacts
GORMLY,RUTH K TR GORMLY FAMILY Owner N Pro Electric Inc. Contractor
TRUST 2651 Lee AVE#5,South El Monte,CA 91733
1220 RANCHO RD (626)416-9297 1029203
Description:ADD NEW RECESSED LIGHTS,LED TO FAMILY RM. Valuation: $ 0.00 Tenant
f
Total Sq Feet: 0.00 Plan Check# Plan#
1 1
Fees Amount payments Amount Paid
Electrical Permit Issuance Fee $47.01 Total Fees $56.16
Light Fixtures $8.15 Cash/Receipt#REC-03478-19 $56.16
Solid Waste Management Fee 2 $1.00
Amount Due: $0.00
Total: $56.16
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.
•
•
4#4
December 30, 2019
Issued By: Date
December 30,2019 Page 1 of 1
Of ARC
C1 y PERMIT/PLAN REVIEW APPLICATION
igaEn
M
Ery Development Services Department,240 West Huntington Drive,Post Office Box 60021
c�0y% Arcadia, CA 91066-6021, (626) 574-5416,Fax (626) 447-9173
City of
Arcadia
LICENSED CONTRACTOR'S DECLARATION WORKERS'COMPENSATION DECLARATION
❑`S 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 C 1 0 License No. (0 1 3 Exp. Date i9Q/2- ( compensation, as provided for by Section 3700 of the Labor Code, for the
performance of the work for which this permit is issued.
Signature of Contractor
OWNER-BUILDER DECLARATION ❑ 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 ✓-l� i
for such permit to file a signed statement that he or she is licensed pursuant to the Policy Number VV l'
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 Li 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 al 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 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 A I ,4 G 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 ---�T� Date ')'/
l A..40.....1...d2,....\1;i5.
/ .....-Z,L57 .. ..
ELECTRICAL LEGEND
CABINET CABINET Q WALL LIGHT
0 O O 6" RECESSED LIGHT
+3" +3"
AFF AFF -Et} PENDANT LIGHT
0 ( CABINET LED STRIP LIGHT
YYY
I / \\ C DUPLEX RECEPTACLE
I ` /
JACK
• / N/ \\ A F
\ 0 SZ
14FF-O \ / TV TELEVISION OUTLET
/ , _ _ ell
\\ / +v SOUND SYSTEM DEVICE
\ / /
/ /
Z
\\ / SINGLE POLE SWITCH
m 1 \N / /
Q 1 / ,+4.-9"
1 ��""0 IAFFIV:
' II0HIN I 1
i ,
I \
- \\
I
/"...--
i Oil
,i +3..0
. I N / AFF
+3' +3"
GAFF - .-- GAFF
V+2'-6" AFF; CABINET
WITHIN H VINAli!
PROPOSED REMODEL
FAMILY ROOM-ELECTRICAL PLAN SCALE: 1/2"=1'-0"
CABINET CABINET
0 0
+3" +3" I
AFF AFF I
I I
+3".
1+5'-0 AFF
IAFF
V
H f
W f
Z
00
i A/
O
+FF4'-9"
• U
+6-1/2"
AFF; WITHIN
CABINET 1
------------------------------ \
+3'"0
AFF
+3" +3"
GAFF GAFF
-7+2'-6" AFF; CABINET
•
EXISTING
FAMILY ROOM-ELECTRICAL PLAN SCALE : 1/2"=1'-0"