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HomeMy WebLinkAboutPATIO-19-2410 City of Arcadia, CAIT/ r Pe�mrt No P.ai�O 19 2410
Development Services Department
P � , ( PermitType Patio
240 West Huntington Drive,Post Office Box 60021 '
� e Work Gassification Patio
Arcadia,CA 91066 6021 x ? ' r a a� a� rxx fi
(626)574-5416 Permit Status Issued
ARCAD ,4Issue Date 12/02/2019;1 Expiration:!
Addr NO. Dir Prefix Street Name Street Suffix Unit City,State,Zip Parcel Number
1751 RODEO RD Arcadia,CA 91006-1602 5766017007
Contacts
.SCHILZ,JERRY AND STACI TRS SCHILZ Owner
TRUST
1751 RODEO RD,ARCADIA CA,91006
(626)260-5928
Description: 16'x 20' DETACHED COVERED PATIO (***HIGH Valuation: $ 7,456.00 Tenant
FIRE HAZARD ZONE***)INCLUDES ELECTRICAL
Total Sq Feet: 0.00 Plan Check# Plan#
Fees Amount payments Amount Paid
Building Issuing Fee $47.01 Total Fees $446.12
Building Permit Fees $203.85 Cash/Receipt#REC-03226-19 $446.12
Building Plan Review Fee $132.51
Amount Due: $0.00
Electrical Permit Issuance Fee $47.01
Green Building Standard $1.00
Light Fixtures $3.26
Outlets-Receptacles&Switches $3.26
Solid Waste Management Fee $6.25
Solid Waste Management Fee 2 $1.00
Strong Motion Inst.Program Res $0.97
CALLS FOR INSPECTIONS
Total: $446.12 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
C01111P1 ETED 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 02, 2019
Issued By: Date
December 02,2019 Page 1 of 1
OF ARC
4LIFORN 9
(~1! PERMIT/PLAN REVIEW APPLICATION
, :41.:E 7• Development Services Department,240 West Huntington Drive,Post Office Box 60021
,,..
Y Arcadia, CA 91066-6021, (626) 574-5416,Fax(626) 447-9173
City of
Arcadia
LICENSED CONTRACTOR'S DECLARATION WORKERS'COMPENSATION DECLARATION
❑ I hereby affirm under penalty of perjury that I am licensed under provisions of I hereby affirm under penalty of perjury one of the following:
Chapter 9(commencing with Section 7000,of Division 3 of the Business and
Professions Code,and my license is in full force and effect. ❑ 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.
R-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
for such permit to file a signed statement that he or she is licensed pursuant to the Policy Number
provisions of the Contractors License Law(Chapter 9(commencing with Section (This section need not be completed if the permit is for one hundred dollars or less)
7000)of Division 3 of the Business and Professions Code)or that he or she is
exempt there from and the basis for the alleged exemption. Any violation of certify that in the performance of the work for which this permit is issued,I shall
Section 7031.5 by any applicant for a permit subjects the applicant to a civil not employ any person in any manner so as to become subject to the workers'
penalty of not more than five hundred dollars($500)): compensation Laws of California,and agree that if I should become subject to the
orkers'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 rthwithco ply with those provisions.
compensation,will do the work,and the structure is not intended or offered for1C1
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 execnder S on�A Business and Professions Code,for this reason:
,L /(l �i Lender's Name
Date i2- 1 i 1 I Signature2)--1/4-------- Lender's Address
ORTANT: APPLICATION IS HEREBY MADE TO THE BUILDING OFFICIAL FOR A PERMIT SUBJECT TO THE CONDITIONS AND
TRICTIONS 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
JVine
/ further information.
c " p
S S
� C 1 Title
fr-614/\(2 . IkiUWr
PRINT N
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- •1 'oned property for inspection purposes. \
Signature --.--7Date Id' I1631
NOTE$
Building Inspections Date Insp. Plumbing Inspections , Date Insp. 757 J fig' 4
100. Setbacks 210. Under ft./bldg.drain
101. Rough grade 211. Copper underslab
102. Figs.&forms / 212. Rough plumbing
103. Pre-slab k r17'- ,r( , 213. Rough gas
104. Floor joists 214. Shower pan //�����
105. Steel 215. Water heater 4ee7 C ,� /44e "br ,i,(�
106. Grout lift 216. Roof drains `�� /// 7✓. r J
107. Shear nailing 217. Building sewer
108. Diaph nailing 7,..--7zye, 218. Water service //...//... �� i< -A , `
109. Roof nailing C JZ` 219. Final gas
110. Framing l'Gp a� � 220. Fixtures q e''t
111. .Occ./Area Sept.Wall 221. Final plumbing
112. Sound walls 222. Sewer cap/demo.
113. T-bar grid
114. Insulation-Flr. Pool Inspections Date I °Insp.
115. Insulation-Wall 240. Excavation/steel
116. Insulation-Ceil. 241. Rough plumbing
117. Drywall nailing 242. Light shell/bonding
118. Interior lath 243. Underground conduit
119. Exterior lath 244. P-trap
120. Finish grade 245. Gas line&test
121. Final building 20it_ 246. Fence,gates&signs
122. Final demo/lot clear 247. Pool heater
248. Final electric
Electrical Inspections Date Insp. 249. Final'lumbin•
150. Power pole 250. Pool cover
151. Sales lot lighting 251. Pool final
152. Underground conduit
153. Underslab conduit/_M Reroof Inspections Date I Insp.
•
154. UFER ground 270. Pre-reroof insp.
155. Water ground 271. Roof framing
156. Rough electrical `1��� 272. Sheathing nailing
157. Fixtures 273. Final reroof
158. G.F.C.I.
159. Es it.bonding Sign Inspections I Date I Insp.
160. Service panel 280. Setback/overhang
161. Final electric 2¢-Oe (1-L 281. Footing
282. Conduit/wiring
Mechanical Inspections - Date Insp. 283. Disconnect
180. Venting/flue 284. Final sign
181. Furnace/A.C.
182. Rouch HVAC Miscellaneous Insp. Date I Insp.
183. Fire dampers 290. Fire alarm
184. Furnace compartment 291. Underground supply
185. Combustion air 292. Fire sprinklers
186. Smoke detectors 293. Monitor system
187. Metal F.P.rough 294. Hood dry chem.
188. Compressor setback 295. Final
189. Commercial hood
190. Duct shaft Sewers&Offsite Insp. Date I Insp.
191. Final mechanical 300. Lateral(main to P/L)
301. Saddle/Y
Block Wall Inspections . Date . Insp. 302. Cess'ool filled
200. Footings 303. Sidewalk
201. Steel/rebar 304. Driveway
202. Grout lift 9,36 , 305. Curb replacement
203. Final wall 6:7411-7.0 j"--L._ 306. Trash bin
County of Los Angeles
41
DEPARTMENT OF PUBLIC WORKS BUILDING & SAFETY DIVISION
PUBLIC WORKS
\4< ,.n Los Angeles Regional Uniform Code Program
STRUCTURAL OBSERVATION REPORT FORM
STRUCTURAL OBSERVATION means the visual observation of the structural system, for general conformance to the
approved plans and specifications, at significant construction stages and at completion of the structural system.
Structural observation does not include or waive the responsibility for the inspections required by Section 108, 1704 or
other sections of the Los Angeles County Building Code. (Sections 106.4.5, 1709)
Report No.
This report includes all construction work through 30 day of December ,20 19 Page No. of
Project Address: Structural Observer of Record (SOR): SOR Phone No.:
1751 Rodeo Road,Arcadia, CA Les Schulz (626)695-5422
Building Permit No.: Structural Observation Observr Professional Lic./Reg. No.: Observer Phone No.:
performed by: SE 2570 (626)695-5422
OBSERVED STRUCTURAL ELEMENTS AND THEIR CONNECTIONS
FOUNDATION WALL FRAMES FLOOR ELEMENTS/CONNECTION
OBSERVATION LOCATION
®Footing, Stem Walls 0 Concrete 0 Steel Moment Frame 0 Concrete Footing reinforcing has been
installed per approved drawings.
❑ Mat Foundation 0 Masonry 0 Steel Braced Frame 0 Steel Deck
❑ Caisson, Piles, 0 Wood 0 Concrete Moment 0 Wood
Grade Beams Frame
❑Retaining Foundation 0 Others: 0 Masonry Wall 0 Others:
Hillside Special Anchors Frame
❑Others: 0 Others:
NOTED DEFICIENCIES with the proposed corresponding corrective actions with respect to general
conformance with the approved plans or in the load path: (A final report by the structural observer which states that
all observed deficiencies have been resolved is required before acceptance of the work by the building officials.)
No deficiencies observed
I DECLARE THAT THE FOLLOWING STATEMENTS ARE TRUE TO THE BEST OF MY KNOWLEDGE:
1. I AM THE ENGINEER OR ARCHITECT RETAINED BY THE OWNER TO BE IN RESPONSIBLE
CHARGE FOR THE STRUCTURAL OBSERVATION IN ACCORDANCE WITH THE
REQUIREMENTS OF THE COUNTY OF LOS ANGELES. 9,0ESS/049
2. I, OR ANOTHER ENGINEER OR ARCHITECT WHO I/HAVE DESIGNATED ABOVE AND IS ��O • SC CF
UNDER MY RESPONSIBLE CHARGE, HAS PERFORMED THE REQUIRED SITE VISITS AT , y6< 2
EACH SIGNIFICANT CONSTRUCTION STAGE TO VERITY IF THE STRUCTURE IS IN
GENERAL CONFORMANCE WITH APPROVED PLANS AND SPECIFICATIONS; No. '570 m
rn
E •.3— —20
3. ALL NOTED DEFICIENCIES WHICH REMAIN TO BE CORRECTED HAVE BEEN INDICATED
ABOVE; \ T. �Q
4. I RECOMMEND THAT ACCEPTANCE OF THE STRUCTURAL SYSTEMS BY THE COUNTY 91F444L C ON-
OF LOS ANGELES BE WITHHE .• TIL ALL OBSERVED DEFICIENCIES ARE OF CAL_ ,
COR CTED.
12-30-19 (STAMP OF STRUCTURAL OBSERVER)
SIGNATURE OF STRUCTURAL OBSERVE1-c-- DATE
Version 1.0(2008 LACBC) Jan.10 2008
�� }'fb it Ff�'.
1u�),YI u,O)
AFFIDAVIT SELF-CERTIFICATION
' FOR COMPLIANCE OF SMOTE ALARMS
AND C, -,BON MONOXIDE ALARMS
Property Address: `75/ 2001:_z_,0 /e..,c -
Permit Number:Tel0, iq a q {D
Brief Job Description: `-I- CD
Number of smoke alarms installed: l
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 in each sleeping room, and outside each 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 :sleepirig 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).
Multi-purpose alarms (combination carbon monoxide and smoke alarms) may be used.
All alarms shall comply with requirements for listing and approval by the Office of the State Fire
Marshal. hi.a/osfm.fire.ca.•ov/licensin•listin•s/licenselistin. bml searchcotest.•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 foregifn is true and correct, and that this
declarationwas executed o (Date) i /o� J at Arcadia, California.
Owner's er's Name (printc�dity. e •_ l_ ( 4411_
Signature of Owner:
This affidavit must be returned to the City of Arcadia inspector prior to final inspection
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