HomeMy WebLinkAboutRALT-19-2131 City of Arcadia, CA PermrtNO RALT-19-2131
° Development Services Department a ip i v").1-5--v„ Type:°Residential Addition/Alteration
1 240 West Huntington Drive,Post Office Box 60021 ` "" ) ( ( 'i r [-
-,,..111 , ., -,, s , .Work Classification:Res-Addition/Alteration
?, : Arcadia,CA 91066-6021
-1 (626)574-5416 - , Permit Status:In eview
ARCA DIA issue Date .1
Expiration:
F y
Addr NO. Dir Prefix Street Name Street Suffix Unit City,State,Zip Parcel Number
11 E LE ROY AVE Arcadia,CA 91006-4052 5781003047
Contacts
KOTECHA,GOVIND B AND SAROJ G TRS Owner SAL&SONS CONSTRUCTION INC* Contractor
KOTECHA TRUST 857 SANDSPRINGS DR,LA PUENTE,CA 91746
11 E LE ROY AVE (626)484-1887 1020801
(626)755-6459
Description:REMODEL BATH#1 PER APPROVED PLANS.WITH Valuation: $4,814.10 Tenant
EMP
Total Sq Feet: 0.00 , Plan Check# Plan#
i
Fees Amount Payments Amount Paid
Add/Alter Ducts $9.94 Total Fees $587.56
Bathtubs/or Combo $13.21 Cash/Receipt#REC-02844-19 $587.56
Building Issuing Fee $47.01
Building Permit Fees $153.75 Amo nt Due: $0.00
Building Plan Review Fee $99.94
Cal Green Plan Check $10.00
Electrical Permit Issuance Fee $47.01 474,,,,t
Energy Plan Review Fee $30.75
Green Building Standard $1.00 44/ill
Light Fixtures $4.89
Mechanical Permit Issuance Fee $47.01 CALLS FOR INSPECTIONS
Outlets-Receptacles&Switches $8.15 Request for inspection by telephone at 626-574-5450. Leave a message
Plumbing Permit Issuance Fee $47.01 requesting the address,timeframe and what inspection item is needed.
Shower $13.21
Shower Pan $12.46
Solid Waste Management Fee $6.25 This permit/plan review expires by time limitation and becomes null and
Solid Waste Management Fee 2 $1.00 void if the work authorized by the permit is not commenced within 180 days
Solid Waste Management Fee 2 $1.00 from the date of issuance or if the permit is not obtained within 180 days
Solid Waste Management Fee 2 $1.00 from the date of plan submittal.This permit expires and becomes null and
Strong Motion Inst.Program Res $0.63 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
Ventilation Fan(Single Duct) $19.88 Arcadia building inspector for a period of 180 consecutive days.
Total: $587.56
9'
Issued By: Date
October 21,2019 Page 1 of 1
1! 9 PERMIT/PLAN REVIEW APPLICATION
Development Services Department,240 West Huntington Drive,Post Office Box 60021
°4a04a,,y°t18Arcadia, 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 6 License No. f 2O O Exp. Date l f13�7/2o 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 _.nGa l�
OWNER-BUILDER DECLARATION IDI have and will maintain workers'compensation insurance,as required by Section
IDI 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'
,}compelnsation insurance carrier and policy numbers are:
Code.Any city or county which requires a permit to construct,alter,improve, Carrier AJO') ' l v--3demolish,or repair any structure,prior to its issuance,also required the applicant
Policy Numberd r;A--1,4/4 Ci..6,
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
IDI, as owner of the property, or my employees with wages as their sole forthwith comply with those provisions. / ' — I/
compensation,will do the work,and the structure is not intended or offered for Date !0 l 2Z Signature .�Q �G
i' � /71414-1.)
sale(Section 7044,Business and Professions Code:The Contractors License
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.I
)
Name ca`l/ Tis/ i \Titie
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.
ignature /(-A-r-A Date (0/24 /
•
NOTES
Building Inspections Date Insp. Plumbing Inspections Date Insp. 1 G.r Roy
100. Setbacks 210. Under flr./bldg.drain I.I'-' en)
- G
101. Rough grade 211. Copper underslab EA1j?-(R- 2 13
102. Figs.&forms 212. Rough plumbing )26-(1
103. Pre-slab 213. Rough gas
104. Floor joists 214. Shower pan
105. Steel 215. Waler heater
106. Grout lift 216. Root drains
107. Shear nailing 217. Building sewer
108. Diaph nailing 218. Water service
109. Roof nailing 219. Final gas
110. Framing 1 , ` 220. Fixtures
111. Occ./Area Sept.Wall 221. Final plumbing 3&-7o (1-1-‘)
112. Sound walls 222. Sewer cap/demo.
113. T-bar grid _
114. Insulation-Fir. Pool Inspections Date Insp.
115. Insulation-Wall 240. Excavation/steel
116. Insulation-Ceil. 241. Rough plumbing
117. Drywall nailing I 1.25-'1T77 242. Li ht shell/bondin
118. Interior lath f I.25. -243. Underground conduit
119. Exterior lath 244. P-trap
120. Finish grade 245. Gas line&test
121. Final building ot 246. Fence,gates&signs
122. Final demo/lot clear 247. Pool heater
248. Final electric
Electrical Inspections Dale Insp. 249. Final.lumbin.
150. Power pole 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.
155. Water ground 271. Roof framing
156. Rough electrical /!_Ic'(9 fr) 272. Sheathing nailing
157. Fixtures VV 273. Final reroof
158. G.F.C.I. •
159. E..t.bondin. Sign Inspections I Date I Insp.
160. Service panel 280. Setback/overhang
161. Final electric 3-A-7.o ilf.1 281. Footing
282. Conduit/wiring
Mechanical Inspections Date Insq. 283. Disconnect
180. Venting/flue �f"I� I ."4 284. Final sign
181. Furnace/A.C.
182. Rouch HVAC r41141TM111171M 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 8i.Offsite Insp. I Date I Insp.
191. Final mechanical 3-c-2 1 300. Lateral(main to P/L)
301. Saddle/Y
Block Wall Inspections Date Insp. 302. Cesspool filled
200. Footings 303. Sidewalk
201. Steel/rebar 304. Driveway
202. Grout lift 305. Curb replacement
203. Final wall • 306. Trash bin