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Home My WebLink AboutUntitled (2) Certificate No. 20190226-015 Business Services 410 150 South Third Avenue , A A C A A Arcadia,CA 91006 p 626 821 6631 �� Unified School District f 626 821 6632 Imagine • Inquire • Inspire www.ausd.net Certificate of Compliance for Payment of Developer Fees (Education Code§17620, et seq. &Government Code§65995, et seq.) Effective April 29, 2019 Current rate in effect applies at the time of imposition of fees/payment. Project Address/APN: 179 W. Palm Dr.,Arcadia, CA 91007 Number of Units: 1 Plan Check Number: 19-952 ❑ Exempt* ® Residential** LI Commercial/Industrial** ❑500 sq.ft.or less(residential addition/expansion) $3.79/sq.ft. $0.61/sq.ft. ❑Other: Area in Sq. Ft.: 1,960 Receipt Number: 330494 Total Fee: $7,428.40 Check Number: 820015546 Owner's Name: Monte Palm LLC Owner's Address: 711 S. First Ave., Arcadia, CA 91006 Phone Number: (626) 574-8083 Email: info@sunnyconstruction.net Representative's Name & Phone Number(if applicable): Grace Cheng (626)826-3603 *The above-described development has been determined to be exempt from the developer fees of Education Code§17620, et seq., and Government Code§65995, et seq., and a Building Permit may be issued therefore. **All fees due to the Arcadia-Unified-School District, under provision of Education Code-§1-7620;-et seq.,-and-Government Code §65995, et seq., as a prerequisite to the issuance of a Building Permit by the Building Department of the City of Arcadia, City of Monrovia, City of Sierra Madre, City of Temple City, and County of Los Angeles, Department of Public Works have been received. Based on the information presented above, this Certificate of Compliance is hereby executed. Connie Chu Senior Administrative Assistant 7/9/19 Signature of District Representative Name/Title Date of Issuance The District charges a $100 fee to process reinstatement of the Developer Fee Certificate of Compliance resulting from an "insufficient funds" check in addition to a $35 fee for the returned check. Only cash or a Cashier's Check will be accepted as payment thereafter. The District charges a $100 fee for any amendments to or cancellation of a Developer Fee Certificate of Compliance formerly issued on any type of development. If 500 sq.ft. or less is the reason for exemption, any future additions, expansions, or remodels to the property that result in the past aggregate square footage to exceed the allotted 500 sq.ft.will be subject to fees at the current rate for the entire square footage of the development. Owner/developer may request a refund of fees paid to the District within 12 months of payment only in the event the Building Permit expires or the project is canceled without commencement of construction in accordance with Education Code section 17624 (all other requests for refunds must be made in accordance with the fee protest procedures set forth in Government Code§66020). All refunds will be reduced by a $100 administrative fee. The refund check will be issued in the name of the owner/developer and mailed to the address of payee. PURSUANT TO GOVERNMENT CODE§66020(d), OWNER/DEVELOPER HAS A PERIOD OF 90 DAYS FROM THE DATE OF ISSUANCE OF THIS CERTIFICATE OF COMPLIANCE TO PROTEST THE IMPOSITION OF FEES Applicant confirms that he/she is authorized to sign on behalf of the owner/developer and that the information he/she provided to the District is true and accurate to the best of his/her knowledge. Signature of Applicant Name Dat ORIGINAL—City/County COPIES—Business Services,Fiscal Services&Applicant Certificate of Compliance(4-29-19) I- REVISION. ° APPLICANT I OWNER I I _ _ • OWNER: DESIGNER: L I- SDI NNG5WOK PDS STUDIO INCV 7115.FAST AVE. III S.FIRST AVE t I NORTH $ 4 ARGOq CA 91C06 TELARGO62as42901 s EARL:PCHANNPOSSTUOIO.COW /\ p y of CONST UTNER: p p p OI CONSTRUCT NEW 81NC1EFAWlYAE8NEN11ALM041E 3Q 34 34 •'nnnp PROJECT DESCRIPTION �5 G g PROJECT DESCRIPTION MNGLEFAWLYXOYE a R, g CI w ,$I W " PROJECTAOORE55: 176 W.PALM DR SSS°55'30"W 75.00 a, 1075)20 77050 SF GE 007 I x114/1xO61OPxE.x w 21,11,15.6.114.0ACCEBSOR PARCEL KAISER 67611406.816 �i 2 NUMBER OF STORY P1 (I�7 RG --•----Y�� DEYOMTgk CI 3:.0 I OCCUPANCY GROUP: AIL ELSTIND was S O 1. /"\4 - :\ /; ..\_. __ __ __ }_ __ 0-1 �Q OCCSTRNLRONME: R•311/ d . %. Y � L"l�J�1 LAM AREA-11- �� I� f61F% FRE SPRINKLER: NKL FULLY SPRIER I I I No\ a \' I p SITE DATA/BUILDING DATA 10 I I CONC.PAIIo. \ ° 00600616:1•014,JSCn. :=0.0:410.019 WN,O[aa na I IALIUw5SHED. \_ I __ W/BORDERS) __.i__ x-_�__�. LEOR x1x REIT IST RR I •. - \ [IF:,JII�1 �: II�il �� .1 •rO 'O IST flR ro*uumoARSA 6ae a REAR BA.2151-0. V I _.I I \ : --+. 1�.-I 1 O REM S$!XV FLOOR AREA RATIO: ,s,s NxEo_o, imxa µ RR Ii ioLi - `IL�'_-. I j I51200%LRW6 wt. V+71EUVWq Y I •,,CV%1ECEEa r G T I$ i PFlarr ctO1661.OEP.,PUN. LOU , u W REO'D2RDFLR , I __J 1 OI �,• F0006Ae�4 • I. .I REOTEN0 FIR p.11.01akaSSOSsyvua41 REM58.=0154 - •, IFI 1 - -_r 'I •.'I i • REMSB..Try I_ LOT COVERAGE TOTAL LOT COVERAGEN. Fx.rt�RvuPrn+ ,- :-I'( -tint - -'! 106A MI •Lne.w.S.E.l4.F7 ,,,a 5, 0 C7 erla ID4EAFwvw o l. ,,, l`I I�roF.,ro�a,E,» e .. I ..a ; 1 MEAS: 'fPS 4"o D IIA 11= v J Q rn (7,-.\1-1 ,...411...1 iI Ip�F AMMO 2 STORY SINGLE r1 I' •I \� FRONT „G� 43 OWIFY LI g 11 a L' o ''. 415 Jv,D>,. FAMILY HOME �� d $\ NOTES4 � �MGM.� 44x Y,4 w I;., P 1s ERIE o • e I/.1E'' -ZI, / . . 'd �t � ° 100.1.0 ° � a � P�Rro,41,11011 B�Rx nNm �JF� C0402EEE6LOc[W�rtNSE Plnx46�w.x,1110 4141,11a KAY, I Fl Q \g� . � / `\`I c \ \ S CEN0.1°fONNiCIT116.6IM5�WJ4L BEPPTTED510 ,FELESmIAN MAHE. xSAOSE NSIRLIVI.D.CC am..CwERFO OAxtwA155xELL 61 I-I \'�� -- ' ± I::17 lel I va_ ii_TFROM88•0S-0'1T- „\ -� I. • - 2.0501,13, Axw .A A nww,a6.,E01.aE1240.1 xtCOW \ wAn u.uaur. W 1,160TFOIFDI \ 1- 0 A \ 1 frAl 1AOULTeo1 0 h .mlRxAx • 11110170.1.0M: IMOTECCIEo1614 �0� ` CONCRETE \ • O lO O Ir� a•ew65 ISPANA,EF Cx W1 OF DLOPACxO, C,'4-'' •DRIVEWAY I' -I 1�. _ • f • I`.-I �Ox�.,y�l� • I _ S ANOLIMSCAP Wut6E ON SFSAPA5 IL,18 D I wuo-wasHED,wr °'4-,:it I�_-!I_II-HE JI.;\'i1 it-N.:...1L iLJE. Il'-1 .ona...e..M IO BORDERI `s,:t.i1� • I g ,L ` 1 1 i1 L HARD�SCAPE CALC.AT FRONT • ;sea°30"W -5..00 t NI I. I FI i _ F : -. . W. PALM DR. ! L 1.•::•,2 -)--T- r SITE PLAN KEYNOTES: • I I I . t'-i tom IR �7 CONCRETE FJEWORwEW,1VMPR0ACNPER CITYS7Atm.4R01 .- r . f { 1 I F. N 4 ICONCRETEWAU{WAYBORDERED(HONEY BEIGEFROM - I I I = P I. ~�.9 -`q -._� ., 1 'COLORFUL.)WJ Ur BORDERS PLAN I r�r I] !IMMURE AREA I SITE PLAN _ 'CI! rllgi ►llan 1 V is :4 u4 wucRETESIM { •• SCALE: 118 1.0 k t `l 5RE PIAN • I FI:t �7 {SSYYNNTHERPIIf7INGGREFN SURFACE I a ;,.,-,4- 11�'y L�LI I:.�1i©L��I J4 '- ._.1 � '1 ---- -ti _' ..'.. IB 1g•A15.24•PLASTER STUCCOEDTM1O MATCH 01215 { t \•?•p T_- - T = -1 'r-+.'�-'S r —�.,j., _ — Al r� , i 7 City of Arcadia, CA1----", Permit NoFIRE 19 1813 .} , -,e', °-v - , Permit-Type:Fire t‘ Development Services Department - t 240 West Huntington Drive,Post Office Box 60021 i t ' ( ; j 1 ) • Arcadia,CA 91066-6oz1 � '1 •1 ; t Work Classification F1 g„Sprinkler' t•s ..4 (626)574-5416 r ,,'''.',1„.` im, Permrt6tatus Issued iRCA DTA Issue`Date:,12/12/20191 Expiration: Addr NO. Dir Prefix Street Name Street Suffix Unit City,State,Zip Parcel Number 179 W Palm DR Arcadia,CA 5788006015 Contacts MONTE PALM,LLC Owner SPECIALIZED FIRE PROTECTION,INC.* Contractor 711 S First Ave,Arcadia,91006 18305 E Valley#H,La Puente,CA 91746 (626)416-9276 1005885 Description:FIRE SPRINKS FOR SF NEW 40 HEADS Valuation: $ 6,000.00 1 Tenant Total Sq Feet: 0.00 Plan Check#19-1813 Plan# Fees Amount Payments Amount Paid Fire Issuance $47.01 Total Fees $918.46 Fire Permit Fees $170.45 Cash/Receipt#REC-03335-19 $218.46 Solid Waste Management Fee 2 $1.00 Cash/Receipt#REC-02425-19 $700.00 Sprinkler Heads $700.00 Amount Due: $0.00 Total: $918.46 - r W nn LYJS 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. • gjP December 12, 2019 Issued By: Date December 12,2019 Page 1 of 1 OF �s4 lFOgA'jC"10 i ' I' PERMIT/PLAN REVIEW APPLICATION "� • Development Services Department,240 West Huntington Drive,Post Office Box 60021 C�0\y of 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, .:i my; ense is in full force and effect. 0 I have and will maintain a certificate of consent to self-insure for workers' License Class Code,Ai. ..'7i, icense No. Ex Date compensation, as provided for by Section 3700 of the Labor Code, for the performance of the work for which this permit is issued. 1Signature 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 Policy Number a `/� 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 th 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 0 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 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 �/l y//q 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 '.. .,,s 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 information. Name G Title 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 tate Laws relating to building construction. I hereby authorize representatives of the City of Arcadia to enter upon the above-mentioned pro rty for inspection purposes. Signare Date . _ � —/� 1 1 �� r > City of Arcadia, CA '4 ""PermrtIVO Plum-19-1934 Development Services Department �� ' , I Permit Type Plumbing 240 West Huntington Drive,Post Office Box 60021 t, , t I + { , r ; Arcadia,CA 91066-6021 �__ ..k'& l,_i.` .4. Work Cfossificahon:•Plumbing Residential rl f -1 (626)574-5416 „ . , _ r Permit Status ISSled- ARCADIA IssueDate 09/23/2019'1 Expiration: Addr NO. Dir Prefix Street Name Street Suffix Unit City,State,Zip Parcel Number 179 W Palm DR Arcadia,CA 5788006015 Contacts MONTE PALM,LLC Owner DNC PLUMBING* Contractor 711 S First Ave,Arcadia,91006 2627 LOMA AVE,SOUTH EL MONTE,CA 91733 • (626)443-6366 969825 < � w.:.:..m«• ;. - , m4ro-.o mow.. ... J Description:FOR SF NEW Valuation: $ 0.00 Tenant Total Sq Feet: 0.00 Plan Check# Plan# Fees Amount Payments Amount Paid Bar Sink $13.21 Total Fees $511.40 Bathtubs/or Combo $39.63 Cash/Receipt#REC-02575-19 $511.40 Clothes Washer $13.21 Dishwasher $13.21 Amount Due: $0.00 Garbage Disposal Fee $26.42 Gas System(Outlets) $80.84 Kitchen Sink $26.42 Laundry Trays $13.21 Lavatories $66.05 Lawn Sprinkler System on One Meter $19.86 Plumbing Permit Issuance Fee $47.01 CALLS FOR INSPECTIONS Sewer Connection on Property $33.01 Request for inspection by telephone at 626-574-5450. Leave a message Shower $24.92 requesting the address,timeframe and what inspection item is needed. Solid Waste Management Fee 2 $1.00 Water Closet $62.30 Water Heater and/or Vent $31.10 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 Total: $511.40 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 fora period of 180 consecutive days. id L�� S 7-2-o September 23, 2019 Issued By: Date September 23,2019 Page 1 of 1 ARe G~4�FeoR,u9d� dfy�.*_ �y PERMIT/PLAN REVIEW APPLICATION . - #`i' Development Services Department,240 West Huntington Drive,Post Office Box 60021-a.= \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 y 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. .1'Alt" 'Exp. Date 1/a-l/ compensation, as provided for by Section 3700 of the Labor Code, for the • Signature of Contractor r/ performance of the work for which this permit is issued. OWNER-BUILDER DECLA''ION ❑ 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 �l demolish,or repair any structure,prior to its issuance,also required the applicant y� l/ for such permit to file a signed statement that he or she is licensed pursuant to the Policy Number (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 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 0 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 Date A � // Signature C J 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. 0 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 ' q Date q7 /( / Signature / Lender's Address IMPORTANT:APPLICATION IS HEREBY MADE WI 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. �, �y Name b vur C7,...-7.:— ,,Title c-9 l —7 /f 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. J Signature Date C/A Z 3/_ j _ __, Lir,4 { � Permrtnib ivech 20 003'51° 5.4w., r City of Arcadia, CA ap - ' "t _ . �, " f� Development Services Department 1 t -7,-=-,,,,,i-,--, -li 11Permit Type Mechanical ..1.m.97, 240 West Huntington Drive,Post Office Box 60021 ; .• ( �� @=, i. j g "< ` '. ,i 1 Work Classij�cation:•HVAC New System,liesidential fir.. Arcadia,CA 91066-6021 d (626)574-5416 Permit Status Issued �.a ARCAD A ,4-1 issue'Date•01107/2020' Expiration: Addr NO. Dir Prefix Street Name Street Suffix Unit City,State,Zip Parcel Number 179 W PALM DR Arcadia, CA 91007-5143 5788006015 is Contacts MONTE PALM,LLC Owner NEW CENTURY HEATING AND AIR Contractor 711 S First Ave,Arcadia,91006 CONDITIONING INC* 118 Las Tunas DR C,Arcadia,CA (626)831-1985 922877 Description:NEW HVAC SYSTEM PER APPROVED PLANS FOR SF t Valuation: $ 0.00 Tenant NEW. HERS REQUIRED FOR FINAL a Total Sq Feet: 0.00 Plan Check# Plan# Fees Amount Payments Amount Paid Compressor<3 Ton(up to 3 hp) $19.86 Total Fees $143.94 Compressor 3-5 Ton(3 to 15 hp) $36.35 Cash/Receipt#REC-03512-20 $143.94 Furnace or Burner<=100,000 BTU $39.72 Mechanical Permit Issuance Fee $47.01 Amount Due: $0.00 Solid Waste Management Fee 2 $1.00 Total: $143.94 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. 0 cicx-,inul fifTri.m, ii.:6, i11,11 ILL Ilj This permit/plan review expires by time limitation and becomes null and 'a_`,-24 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 07, 2020 Issued By: Date January 10,2020 Page 1 of 1 Aite• 4 vv `/ j 3IIIII 11' PERMIT/PLAN REVIEW APPLICATION itEsEEf- •E Development Services Department,240 West Huntington Drive,Post Office Box 60021 maaity 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 forcefoand effect. p� El have and will maintain a certificate of consent to self-insure for workers' License Class C-z0 License No. 92177 Exp. Date 10 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 workersinsurance carrier and policy numbers are: Code.Any city or county which requires a permit to construct,alter,improve, Carrier ff}}►►��((�� 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 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 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. • Name 4W-t1 APVl„� Title PRINT VAME 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 ab ve-mentioned property for inspection purposes. Signature Date /( D( -°1' -° Permitivo. EIeC 19-1919 r1 City of Arcadia, CA Development Services Department a \ i, ",r-V--- ",'1--'-.----- i ._ Permit Type Electrical ittil � 240 West Huntington Drive,Post Office Box 60021 , }...�'4 a , �b'-1 i ),� E� �° " l ^ Arcadia,CA 91066-6021 ;: a � , } i ''WorkiClassification EIec TemporaryfPowertPole (626)574-5416 } - c ' "ipPermit Status:Issued, ARCAD A i sue pate 09/20/2019;I Expiration: Addr NO. Dir Prefix Street Name Street Suffix Unit City,State,Zip Parcel Number L:e.7,9 W Palm DR Arcadia,CA 5788006015 Contacts MONTE PALM,LLC Owner SUNNY CONSTRUCTION* Contractor 711 S First Ave,Arcadia,91006 711 S First AVE,Arcadia,CA 91006 (626)574-8083 737977 Description:FOR SF NEW Valuation: $ 0.00 Tenant Total Sq Feet: 0.00 Plan Check# Plan 4 A - 1122110313612, 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-02562-19 $81.40 Temp Power Pole(auto) $33.39 Amount Due: $0.00 Total: $81.40 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. LiL%....N LbL J L'in__. 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 (3"—ZS—Z� 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. 0 September 20, 2019 Issued By: Date September 20,2019 Page 1 of 1 A OV Ane ,. PERMIT/PLAN REVIEW APPLICATION t,,,", io o j, Development Services Department,240 West Huntington Drive,Post Office Box 60021. m.n,.y al 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 g License No. el7 Exp. Date ,]/3�/1�' compensation, as provided for by Section 3700 of the Labor Code, for the Signature of Contractor /Srr�� performance of the work for which this permit is issued. fnr OWNER-BUILD4° ,4011111/401”-- RATION 0 I have and will maintain workers'compensation insurance,as required by Section ❑ I hereby affirm under 1 ty 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'compensa insurance carrier and policy numbers are: Code.Any city or county which requires a permit to construct,alter,improve, Carrier Gen-- r 7—Q— 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 0 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 compl with those provisions. compensation,will do the work,and the structure is not intended or offered for Date l Sign. �� 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. // Name /� r Gn. i itle ,. e Gtrl PRINT Li��/% 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-mention property for inspection purposes. ' Signature /Date �(/ l 0 ( -'''''''',',:.,, ,,7,', Permit No SNeW 19 0952 • City of Arcadia, CA „ d Development Services Department ' "'g - ' PermitTType•Single'Family New 240 West Huntington Drive,Post Office Box 60021 y a ) r Work Classification SER New Dwellin €rs 3 Arcadia,CA 91066-6021 ; t �° ( fi g (626)574-5416 , a ° ,,, m PermitStatus.Issued .ARCADIA issue3Date:07/10/2019'°I Expiration: Addr NO. Dir Prefix Street Name Street Suffix Unit City,State,Zip Parcel Number 179 W Palm DR Arcadia, CA 5788006015 . Contacts MONTE PALM,LLC Owner PDS STUDIO Applicant 711 S First Ave,Arcadia,91006 711 S 1st AVE,Arcadia,CA 91006 (626)294-9402 PCHAN@PDS-STUDIO.NET SUNNY CONSTRUCTION* Contractor 711 S First AVE,Arcadia,CA 91006 (626)574-8083 737977 Description:4 BED,4.5 BATH,LIBRARY,KITCHEN,WOK RM, Valuation: $481,455.80 Tenant GREAT RM,LAUNDRY,FOYER,WINE RM, 2-CAR ATTACHED GARAGE Total Sq Feet: 3,266.00 Plan Check#19-952 Plan#79 Fees Amount Payments Amount Paid Building Issuing Fee $47.01 Total Fees $19,437.39 Building Permit Fees $3,859.80 Cash/Receipt#REC-01788-19 $13,075.67 Building Plan Review Fee $2,508.87 Cash/Receipt#REC-01274-19 $6,361.72 _ Cal Green Plan Check $250.89 -- Energy Plan Review Fee $771.96 Amount Due: $0.00 Grading Issuance Fee $47.01 _ Grading Permit Fee(1-1000 CY) $450.00 aZ7_Z0C/�� Grading Plan Review Fee $850.00 �^v Green Building Standard $20.00 d I+�7�/ p,Vip- luill�i:,J J/,� '' nri LID Plan Check Fee $100.00 LLQ IL Off Site Plan Check(Per Site) $240.00 CALLS FOR INSPECTIONS Parks&Recreation Fee(SFR) $5,586.00 Request for inspection by telephone at 626-574-5450. Leave a message Single Family Fire Plan Check $280.00 requesting the address,timeframe and what inspection item is needed. Single Family/Condo/Townhome Impact $1,983.00 Fee Solid Waste Management Fee $6.25 - This permit/plan review expires by time limitation and becomes null and —_ Strong Motion Inst.Program Res $62.59 void if the work authorized by the permit is not commenced within 180 days SWMF FEE 2 $1.00 from the date of issuance or if the permit is not obtained within 180 days SWMF FEE 2 $1.00 from the date of plan submittal.This permit expires and becomes null and WELO Permit Fee $625.00 void if any work authorized by this permit is suspended or abandoned for 180 WELO Permit Issuance $47.01 consecutive days or if no progressive work has been verified by a City of WELO Plan Check $1,700.00 Arcadia building inspector for a period of 180 consecutive days. Total: $19,437.39 July 10, 2019 Issued By: Date July 10,2019 Page 1 of 1 g......-- , oF AR PERMIT/PLAN REVIEW APPLICATION Development Services Department,240 West Huntington Drive,Post Office Box 60021 0,;›,, 4.,, 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 g License No.73 7`E?7 Exp. Date 7131 l ct compensation, as provided for by Section 3700 of the Labor Code, for the g � " performance of the work for which this permit is issued. Signature of Contractor / �r OWNER-BUILD ARATION ave and will maintain workers'compensation insurance,as required by Section I hereby affirm und:r p: alty 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 wprke;s'corn�ensau insurance carrier and policy numbers are: Code.Any city or county which requires a permit to construct,alter,improve, Carrier �V'2 V�,� j. demolish,or repair any structure,prior to its issuance,also required the applicant Policy Number )ct,l Ff l 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 .bor 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 / /1g, —�`. sale(Section 7044,Business and Professions Code:The Contractors License Date 7/�G S' na � Law does not apply to an owner of property who builds or improves thereon, r AY- or 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. N me _ Olt.et-,147....1" .; Title -C./1/- PRINT NAME 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-men '•r:r- I ro'•��or inspection purposes. GJ • nature Date -7/(.. ///' / jht • . , . . ., .• - . r, 11/4 , -. , • . . . . e -a NOTES .Budd ng;lnspections pate.; insp iffiknbingrlhspechons • Dated 1 spy. fig, /a � � 100. Setbacks a 0. Under flr./bld•.drain ` 101. Rough grade „_,_-d • i 211. Copper underslab '� ►11� -`q-O QS Z 102. Figs.&forms 12. Roush.lumbins b.-'f.1) Ril.r • 103. Pre-slab (es-9--17. 213. Rough gas 104. Floor joists 214. Shower pan 1-t3 I ' 11-5-Pt 2/40 Ft co a-.5404e. ` 105. Steel 215. Water heater 106. Grout lift 216. Roof drains �/ 107. Shear nailing frig->o17. Building sewer cr./5 F{RcA, p4 ' ./.71-6 108. Diaph nailing (Cs-255-01 218. Water service -(a „,.-Ay 0.g( 109. Roof nailing i(-1,-i, 219. Final gas (e ' - 110. Framing /-44-24) `V`4 220. Fixtures -- - 111. 0cc./Area Sept.Wall 221. Final plumbing g4 112. Sound walls 222. Sewer cap/demo. y-' 1Cr 113. T-bar grid 114. Insulation-Flr. Aj,olxlnspec,loris, ,, ,, era Date 'InSj.„ 115. Insulation-Wall i9,6 r - -'b�,i i 240. Excavation/steel . IA! 116. Insulation-Cell. C 241. Rough plumbing 117. Drywall nailing 1-2}-245,, _0...242. Light shell/bonding 118. Interior lath 2-3-20 � 43. Underground conduit 119. Exterior lath ( 2�5 7-a 244. P-trap 120. Finish grade 245. Gas line&test 121. Final building 246. Fence,gates&signs 122. Final demo/lot clear 247. Pool heater i 248. Final electric E,I'ectricali a_ii ectitins . Dated *�losp,' 249. Final plumbing 150. Power pole ) 'f1 ' 250. Pool cover 151. Sales lot lighting 251. Pool final I 152. Underground conduit 153. Underslab conduit '`er(o VrisTectililis,•.' ''{'.,,,Date-' in-RI!..: i 154. UFER ground ( 347 "�1 270. Pre-reroof insp. 155. Water ground Gi ' )./ / 271. Roof framing 156. Rough electrical ','/ 272. Sheathing nailing 157. Fixtures 273. Final reroof 158. G.F.C.I. 159. E.it.bondin• n�A'nspeclions :.;) ea•.,,Date ',1 Jnspt/ 160. Service panel 6-a-Z. ' ' 80. Setback/overhang 161. Final electric $25-zo , 281. Footing ' 282. Conduit/wiring ' 1Vlephanicg r pec iiisl tate;'• • ..4114W-;283. Disconnect • 180. Venting/flue 284. Final sign 181. Furnace/A.C. 182. Rouch HVAC 1-6-1C tea..... sce Paneo isAnsp r,i t_,LAate r4 1.1 4Insps;.:` 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 _ewer ,ff�it�e�,lns r� A ffe"?',t:1-711-14', 191. Final mechanical -- 1 i -24`) f"11 300. Lateral(main to P/L) 301. SaddleN ':.'o-u,!'a pesc,io s .,+ ` tate : #, Jn?;:.v . ��„ � , _,P. ;302. Cesspool filled 200. Footings 303. Sidewalk 201. Steel/rebar 304. Driveway 202. Grout lift 305. Curb replacement , 203. Final wall 306. Trash bin �ff °wry g PLANNING SERVICES ATTENTION: DATE: S—G-Z.0 SERVICES • INSPECTOR: FROM: BUILDING /loaf PROPERTY ADDRESS: 1 1 9 tPilcm PERMIT#: 5 f kt EW i 9 -(39 Z PLAN#: 7 CONTRACTOR: S V,1/44.(y Ci k(?CT6o-.-( PHONE#: OWNER: /Y!6j47-iE PaLli.t L. C PHONE#: PLEASE INSPECT THE FOLLOWING ITEMS FOR COMFORMANCE WITH APPLICABLE PLANNING REQUIREMENTS. TYPE OF INSPECTION DATE&INITIAL DATE& INITIAL FINAL (1 APPROVAL LANSCAPING/IRRIGATION V l�n'� it. t i I ��C1 ?�( \C� TRASH ENCLOSURES � PARKING/DRIVEWAYS NIQ ceS1 t 0-0 NjLR Pv21 STORAGE AREAS MECHANICAL EQUIPMENT \-L (SI I k( 2 G WALL HEIGHT ulu 51 " L0 l \G`120 BACKFLOW SCREENING �— COMMENTS: S� `p r u W rn '`TM it14,1 _ • • City of Arcadia DEVELOPMENT SERVICES DEPARTMENT Inter-Departmental Inspection Request Date: . : • Public Works Inspector To : From /-4/4er Address: Il LITA.c-A-t Permit No.: 5A164.) I 9-.-6152, • Contractor: : &Xis:: Phone NO.: .G2;4 (5-1X gio5 2%3 Owner : hogrr LWit : : Phone No.: : • . 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. . . . :rive 0.f,hioptetipla • In Date Final. . P ,T14**• " •••0:‘: 644in • • • • " . . . . . . . • • : .• 00646 Lmprovernents • • • Street pi-OttiV.iinOtiit(s) (Conduit;curb/curb& 1.7/16,_j1 r.5o, gutter,curb**Ors, driveway pproach, • parkwaypioting, street light,• • 111.34c flow,etc,) • . • ' SeiVii(s) • • (lateral,grease/san •Ir-k• interceptor,sadd'e,Wye, • 004 . • • . •. . • : . COMMENTS: . • • . . • • • : . R .1/11 o tblit tri ai WATER DIVISION ATTENTION: . £2G G DATE: '1 -ZZ-Zv FROM: BUILDING DIVISION / = INSPECTOR: �.rlR: Y • ADDRESS: 179..- _id:. P4c- PERMIT NO.: 5NF i,+ . :I'7 =csqSZ PLAN NO.: "79 CONTRACTOR: SvuA Y. GAS, . . PHONE NO.: 4.2,i(5711-7$4N3 OWNER:. Mbnir 'A #4 PHONE NO.: PLEASE INSPECT THE FOLLOWING ITEMS FOR CONFORMANCE WITH APPLICABLE DEPARTMENT OF.PUBLIC WORKS REQUIREMENTS. . !I-We'of Iiis echon . .:. . T , i P Dade 8 In1ti 1 • Date :Initial Final pprovai Meter Location Black [ow Devices : .?jaq/ao • Irrigation System Fir=e Sprinkler System • Meter agar A,P.P. Jig al .ao Siazinmin PooI A COMMENTS: :L is . . ‘�,^ = ► : a ra..�� SOLID WASTE MANAGEMENT COUNTY SANITATION DISTRICTS OF LOS ANGELES COUNTY • 1955 Workman Mill Road,Whittler,CA 90601-1400 Mailing Address:P.O.Box 4998,Whittler,CA 90607-4998 Grace Robinson Hyde Telephone:(562)699-7411,FAX:(562)699-5422 Chief Engineer and General Manager www.lacsd.org • Counter Hours: 7:00 a.m.-4:00 p.m.Mon.-Thurs. 7.00 a.m.-3:00 p.m.Fri. Application No.: 5788006015-002 Date: June 17,2019 SEWERAGE SYSTEM CONNECTION FEE RECEIPT APN: 5788 006 015 District No.: 15 Owner/Situs Address Applicant Information ICHIRO MOCHIZUKI Monte Palm,LLC 179 PALM DR Janet Chan ARCADIA,CA 91007 711 S. 1st Ave Arcadia,CA 91006 Phone: (626)574-8083 Facility Type Measure of Use Unit Rate Amount Single Family Home D 1.00 DU Single Family Home N 1.00 DU $4,210.00/DU $4,210.00 179 PALM DR,ARCADIA Base Line Credit 1.00 CUs $4,210.00/CUs ($4,210.00) Connection Fee Due $0.00 Type Abbreviations N-New or Additional;C-Change of Existing;E-Existing to Remain;D-Demolition of Existing;T-Tenant Improvement of Existing;S-Septic to Sewer Includes demolition of 1.00 DU of existing Single Family Home Processor:Cynthia Villa Approver:E �BalFilesltr s SANITATION DISTRICTS D.C.: OF LOS ANGELES COUNTY Payment Received Che' o Amount Janet Chan �� $0.00 s*1J � - APPROVE GRACE ROBINSON HYDE CHIEF ENGINEER&GEN.MGR 1itte ftr1Vi9 a e -' DOC#5192695 THIS IS NOTA CONNECTION PERMIT. A I-ONNFf_TION PERMIT IR RFOIIIRFO RFF()RF(:nNNFI.TIN( TO ANY CFWFR i i ,..„1.. ,.,.., . CITY OF ARCADIA ''I ir�l\® � WATER EFFICIENT LANDSCAPING DOCUMENTATION PACKAGE I�` {! ..e,,.< CERTIFICATE OF COMPLETION r �;l This certificate is to be filled out by the project applicant and the property owner upon completion of f :I! the landscaping project. Project Information f Date of Project Completion Permit Type and No. i` '` 8/18/2020 Project Address 179 W. Palm Dr. Name of Project Applicant and Title Name of Property Owner ; Monte Palm LLC Monte Palm LLC .i C Company Name&Mailing Address Mailing Address i.: I 711 S. 1st Ave.Arcadia, CA 91006 i Il I., i{ Telephone and Fax No(s). Telephone and Fax No(s): • 'i 626-574-8083 i Email Address; Email Address .! mail@sunnyconstruction.net < 1 Ii Project Applicant — The signer of the landscape design plan, signer of the irrigation plan, the [ licensed landscape contractor that installed the landscaping and irrigation, or a licensed professional that performed periodic site observations to verify that the project is consistent with the Water Efficient Landscaping Documentation Package for the project and that the project iE complies with Ordinance No. 2267. i . "I/we certify that based upon periodic site observations, the work has been substantially completed in accordance with Ordinance No. 2267 and that the !' landscape planting and irrigation installation conform with the criteria and. , , , specifications of the approved Landscape and Irrigation Plans and Landscape 1i Documentation Package and acknowledge that the project may be subject to . 1 inspection and a Landscape Water Audit to verify that the project is maintained in +� compliance with Ordinance No. 2267." ol Signature Date 8/18/2020 III Name(print) Telephone and Fax No(s). .' Janet Chan 626-574-8083 ; Title License No. or Certification No. , Secretary _ B737977 iI CompanySunny Construction&Development. Email Address ' mail@sunnyconstruction.net ! Mailing Address ;; Property Owner "I/we certify that I/we have received copies of all the documents within the Water Efficient (,l Landscaping Documentation Package for our project and that it is my/our responsibility to see that `i 'I the project is maintained in accordance with the Landscape and Irrigation Maintenance Schedule I,1 1 for the project and in compliance with Ordinance No. 2267, and I/we acknowledge that the project E;I I may be subject to inspection and a Landscape. Water Audit to verify that the project is being 1 ` maintained in compliance with Ordinance No. 2267. - 8/18/2020 I f! Property 0 R-r(s)Signature(s) Date 1N - ,i �o�F RN.,' �d tir P7.71'4 117 0•. 4P; i `iao.ryarated t. Auryst 5.1901 1/4444nityoi MEMORANDUM Fire Department DATE: August 31, 2020 TO: BUILDING DEPARTMENT INSPECTOR Henry Kemich FROM: FIRE DEPARTMENT SUBJECT: FIELD INSPECTION ADDRESS: 179 W. Palm Drive THE FOLLOWING ITEMS WERE CHECKED FOR CONFORMANCE WITH APPLICABLE FIRE DEPARTMENT REQUIREMENTS: TYPE OF INSPECTION DATE / INITIAL FINAL INSPECTION FIRE SPRINKLERS (PC# 19-1813) 8-27-2020 Jill Perumean FIRE ALARMS KNOX BOX OCCUPANCY 8-27-2020 Jill Perumean COMMENTS: Emailed Bldg. Dept. 8-27-2020 Rita C/i)' 6)--AQ%z7/J LA ylo+th1D B 9k REGISTERED DEPUTY INSPECTOR'S ; # CERTIFICATE OF COMPLIANCE DEPARTMENT OF BUILDINGINAt ANDSAFETY jf Address /7NG`"' 11' 1L� / /A Date of Certificate 69 0 �/z `2C7 Fabricator Permit CGgrA1?V'4 ~7-.7" TO THE SUPERINTENDENT OF BUILDING: CITY INSPECTOR: I hereby certify that the following portion of the work at the above job address which required continuous and/or periodic inspection,and which I was employed to inspect,was inspected and approved by me and complies with provisions of the building Codes applicable thereto: Type of inspection: [ ] Steel Construction [ ] Sprayed Fire-Resistant Materials [ ] Prestressed Concrete [ ] Concrete Construction [ ] Smoke Control [ ] Drilled-in Anchor [ ] Masonry Construction [ ] Methane [ ] Gunite/Shotcrete [ ] Wood Construction [ ] Exterior Insulation&Finish System [ ] Seismic Resistance d. [ ] Soils [ ] Wind Resistance [ ] Other: /j0//_Ot44 4;A Location and Description of work completed %T.,Ef 0/Z/ry , /ILL 3 Wa 5ofJ73„ fTGL Ca . i 6j J frL'22 L r . .J - cZ Size of Structure Time Arrived No.of Stories Time Left Job Conc.Mix Design No. P.S.I. Registration Number / /1/4V,./9/Z"ig/C9 (� Employed by: Lab: Independent [ ] " Signature: !w// Registered Deputy Buildi' Inspector: Print Full Name: '� ,z` /� Cell phone number: 3` /�� d E-Mail Address: DO NOT AMEND,ALTER,CHANGE,DELETE OR APPEND ANY PRINTED PORTION OF THIS CERTIFICATE AS IT WILL RENDER IT NULL AND VOID. IN FORM 07(Rev. 01/04/12) www.ladbs.org 111111 JKL ENGINEERING JKL Structural Engineering, Inc. 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 110, 1704.or other sections of the Code. JKL Project#108 I Name: 179 W.Palm Dr.Arcadia,CA I Date: 1/3/2020 I Report No:04 Area/Building#:Single Family Home I Contractor: Sunny Construction,Inc. I Page No. 1 of 1 OBSERVED STRUCTURAL ELEMENTS FOUNDATION. (WOOD)ROUGH FRAMING COMMENTS/ADD'L DESCRIPTION ❑Hardware&Reinforcement ❑Floor Sheathing MEP installation in progress.Roof has been papered but not ❑Footing Geometry ❑Roof Sheathing weighted. ®Exterior Walls ®Interior Walls OBSERVED DEFICIENCIES: El Location as Described ❑Key(s)Attached ®No Deficiencies Observed • • CONTRACTOR SHALL CORRECT ALL OBSERVED DEFICIENCIES. Once all items listed above have been properly addressed,please sign this form and return a copy to JKL Structural Engineering,Inc. i Signature of Observer 4 4Signature of Report Recipient Jason Lin,S.E. .,•'Q;t ESSfp�-,;=-. Jonathan Vargas—Project Superintendent • JKL Structural Engineering,Inc. ':* , ,.C4 Jll . •, � Signature of Framing Foreman Date 7`N Print Name: OFet ''' • Print Company: + � ""' '`' '.• CITY OF ARCADIA REQUEST FOR INSPECTION -77 -5- 7 � READY A.M. P.M. l MONDAY DATE TUESDAY 17 '1 _ 1 f /r' WEDNESDAY IpC/{1_/� THURSDAYRIDAY +` ADDRESS !BUILDING PLUMBING ELECTRICAL SWIM POOL SC. FOOTING GROUND ROUGH PRE-GUNITE SLAB ROUGH CONDUIT ELECTRICAL PRKMOLIT FLOOR JOIST GAS SERVICE P-TRAP FINAL DEMOLITION FRAMING WATER HEATER FIXTURES HEATER ROOF INSULATION SHOWER PAN •POWER POLE GAS PRE-INSPECT LATH SEWER CAP UNDERGROUND FENCE/GATES TEAR OFF DRYWALL BLDG.SEWER UFER ALARMS SHEATHING T-BAR ROOF DRAINS SOLAR BONDING HEATING&NC SHEARWALLS SITE DRAINS EVC POOL DEMO BLOCK WALL FLOOR DIAPHRAGM WATER SERVICE FOOTINGS CORRECTIONS GAS SERVICE STEEL/GROUT REPIPE NPDES FINAL FINAL FINAL FINAL FINAL MESSAGE: _ riG� - ;rar kms. Pick Atom-yr-kw 7-x 5 DEPARTMENT OF BUILDING AND SAFETY STRUCTURAL OBSERVATION REPORT FORM Report No. This report includes all construction work through =/1-- day of Oma'"O 6-2"' , 20(61 No. of Project Address: Structural Observer of Record(SOR): Phone No.of SOR: 6 f (,)-, (,tet„ ki i.Le-Q 6z6- 9-ct ('d Building Permit No.: Structural Observation performed by: Professional Lic./Reg. No.of Observer: Phone No.of Observer: Lee �a1�� C�6— -16a? OBSERVED STRUCTURAL ELEMENTS AND THEIR CONNECTIONS FOUNDATION WALL FRAME FLOOR PORTION'OBSERVED,IF NOT WHOLE ❑ Footing,Stem Walls ❑Concrete ❑Steel Moment Frame ❑Concrete r- re Mvi6 (P(0-fr i ❑ Mat Foundation. ❑Masonry ❑Steel Braced Frame ❑Steel — O/Z. rM(t(C(p, ❑ Caisson, Piles,Grade Beams Wood ❑ Concrete Moment Frame gWood 21r4Pria7212- 5W 21444, ❑ Retaining Foundation ❑Others: ❑ Masonry Wall Frame ❑Others: (SS( paba ❑ Others: ❑ Others: � ��Ltu off0-4101(a i l('!r� �°xlS7gut-f`0�l pa: Apr s- - . re-44. OBSERVED DEFICIENCIES: • a PO (ce«riv�'} CvPROFESsj� �� 0NG P67'7) S 3948 r EXP03/31/ ?ir - �J s ° 614\T T�rUCTUr�'� gyp, te to -ZS -I-o `I SIGNATURE DATE STAMP OF ENGINEER . . , . . . . . . : .. . . Kowa ' . . 1-----siciskop_E 041 . . _ . . - • 41- , ,s 4/ * - .' , w 2 45346 ', :•). . :. . , - ' . „_ .,...• ,.. , . ,. . * Exp . ...,. . . . , . t. OF i . '‘ .. • ., . :: :._ . . .. _ _..... . ...... ... .. . .., _ .. . .. ., \rA ?ALP") \DR R . AKPL)f-A . .., . . . 9 /Ril9 '.. •-,....-:„.::: --..1/4z, . , coe,. ' ' --'"'• ' ..,".t'''',,_Al w:)..• . • ,. ._ •••.'.III' , , : .„ .,. . \‘',.• '''.; ikj4,2,br'el ;:-•` 'II. " '" - , ,,.,,,,„,,, •• '',-Y • . .. .. ' .:"._ —• ",- •...../, ,, , _. . .. . . • - '''••`•zzZ.-',...i,:-•,11,1•-,••=,,,,,,-- , . 1-1---5 ' . .. .. , .. . .. .. . .. . . .., _ ,.. , .. . , .. ,.. ,, .. .... '..: , p 'r 4 eKZ9 2 ,,.. 6-6z9,"•.6q.',,-[,;4,.,..,..-,.- ... _ . J - . _ . , . - .. •- . - ., •, . .,..,‘ . , . . . - .. • , , - . . . . , . . .. . , . . . • 75-a° . ,_ _ . . . . . . . . . ....... .. _. . . . . _ .. ... _ . _. . . . , 1 . . ... . , f-, ..., ,irmk=412,(r, ,.. ' ttp 64)5.,':),,t:a.'' ,' . -1-- :, ' • 1:,-, WI7 '''''!, •,,F.C.- a .. — 117_8-.4--rz. - - : -,!. . :-.- . . . z , • ?Qri pg._ . • . ... .. ,,. .. . .. . , , ..,_.. ,.. . . . . . .. . . . . , • . „ . . . . ., , .. . _ . . . . , .... :. ,. . , . . . , . ♦TY A OF o CITY OF ARCADIA r� 0a cckpoRATO 240 West Huntington Drive Arcadia, CA 91007 ROUGH GRADING VERIFICATION ATTENTION: Community Development Administrator SUBJECT: Grading Verification for Project No. 1 9— ›17 0 0 4t' Address: 19 N. Pod Ave-• Gentlemen: Rough grading operations have been completed for Project No. for Lots through (if applicable) and has been inspected by the undersigned Registered Civil Engineer or Licensed Architect. Based upon the observations, the rough grading of the lot(s) listed above have been completed in conformance with plans marked "APPROVED" by the City. The work includes but is not limited to the following: grading to approximate final elevations; staking of property lines; location and gradient of cut and fill slopes; location, cross- sectional configuration and flow-line gradient of drainage swales and terraces; berms installed where indicated; and required drainage slopes provided on building pads. Enclosed herewith is a Soil and Compaction Report for the Building Division which is required on all new construction site i. aoN= &inspection:--=- - - �(2 S\NG-L/ 9eF Engineer (Signature) = 45846 Arc )(Signature) R.C.E. No. 4- `t-b * R.P ►'o. �>,9 CIVIC �� Date: 6V (o - pF CAL�FO Received and approved: Date: C.D.D./Planning cc: C.D.D./Maint. Ser. C.D.D./Building ENVIRONMENTAL =• GEOTECHNOLOGY MAIO 400m. ...... .11 LABORATORY, INC. September 16, 2019 PDS Studio 711 South 1st Avenue Arcadia, California 91006 Subject: Soils Compaction Report; Single-Family Residential Building, 179 West Palm 'Avenue, Arcadia, California, EGL Project No.: 19-203-004C. References: 1. Report of Geotechnical Engineering Investigation for the Subject Site, by EGL, Inc., Project No.: 19-203-004GE, dated May 6, 2019. 2. 10-Scale Grading and Drainage Plan for the subject site by EGL Associates, Job No: 19-203-004, revised June 20, 2019. Ladies and Gentlemen: This report presents results of our field density tests performed on the building pad of the proposed residence at the subject site. Building pad was constructed for building foundations and associated structures. Site conditions, field and laboratory test results, and post-grading recommendations are presented as follows: SITE CONDITION Subject site is located on the north side of West Palm Drive and at a relatively short distance east of El Monte Avenue in the City of Arcadia, California. Topographically, the subject site is relatively flat. Existing residence and associated structures were demolished prior to grading the building pad. Onsite loose and/or disturbed soils within the proposed building pad area were excavated to a maximum depth of three (3.0) feet below the existing ground surface and exposed competent natural soil. Competent natural soils exposed within the excavated areas were inspected and are considered suitable for the proposed development. Prior to all backfill, EGL field personnel had checked excavated bottom receiving fills to ensure clearance of non-acceptable debris. Onsite soils were used as fill materials. Onsite soils consisted of dark olive clayey sand (SC, Soil Type A). 11819 Goldring Road,Suite A,Arcadia, California 91006 Phone: (626)263-3588; Fax: (626)263-3599 PDS Studio Page 2 of 3 EGL Project Number: 19-203-004C September 16, 2019 LABORATORY TESTING Laboratory maximum dry density and optimum moisture content for the onsite soils was determined according to laboratory standard ASTM D-1557-12. Following table presents the test results of representative soil samples collected from the subject site: • TABLE I LABORATORY TEST RESULTS Soil Type Maximum Dry Optimum Moisture Density (pcf) Content (%) A-Onsite dark olive clayey sand (SC) 126.5 10.0 FIELD DENSITY TEST 1. Field density tests were performed using the Nuclear Gauge Method (ASTM D-2922-01 and D-3017-01) and/or Sand Cone Method (ASTM D-1556-04). Field density test results are presented below in Table II. Approximate locations of the tests are shown on the enclosed Site Plan (Figure 1). TABLE II FIELD DENSITY TEST SUMMARY Test Test Depth Moisture Dry Relative Test Date Below FG Content Density Compaction Soil No. Location ft ( ) (%) (pcf) (%) Type X-1 9/11/19 Building Pad 1.0 12.2 114.6 90.6 A X-2 9/11/19 Building Pad 1.0 11.8 113.9 90.1 A X-3 9/12/19 Building Pad 1.0 8.7 114.4 90.5 A X-4 9/12/19 Building Pad 1.0 9.3 114.2 90.3 A X-5 9/13/19 Building Pad FG 9.4 118.0 93.3 A X-6 9/13/19 Building Pad FG 8.9 118.2 93.5 A X-7 9/13/19 Building Pad FG 9.1 117.1 92.6 A FG = Finish Grade 2. Field density tests were performed at random locations to check compaction effort provided by the contractor. Test results exceeded minimum required relative compaction of 90 percent. Test results herein are considered representative of the compacted area. 3. Onsite soils consisted of dark olive clayey sand (SC, Soil Type A). Soil samples were verified to match with the laboratory tested samples. 4. Compacted fill is considered adequate for its intended use. POST-GRADING RECOMMENDATIONS 1. All utility backfill should be brought to near optimum moisture content and thencompacted to obtain a minimum relative compaction of 90 percent of the laboratory standard. 11819 Goldring Road, Suite A,Arcadia, California 91006 Phone: (626)263-3588; Fax: (626)263-3599 — — 1 )�, i -si55'30"W 75.00'' - tie?` y,� ., II / �' ,�1'r,�p ThE I 1R'AVOCADO ) X.6' ~ \4 ^vx/ / (/ WOOD ii �x l� >��I� LEGEND II ` ax '\\ 1'�bx 'L^1� �V,*'� �ti'\>1,.` .1'' \\ (372.13.1072.5 Limits Under Purview of This Report I �nY� I�I�1-' \\ (372.6. �I DC 6'WOOD -4 C ,� S e ilf FENla'"T0 _ �' �� X-1 Approximate Location of' Field Density Test 0$4._.,'‘.<'r.Aci ,y fl I qI ` ""� " 3 IEl /3\ Maximum Fill Depth = 3.0 feet \ )373.13) r�X y 'X 1 I O �X \). `,, `1} abs) o ,1ti , �mx X—5 I X-4 1�1x I oI I ) X� 1II,,,,,<,...., 0 o ' m` II,) ° NEW SINGLE FAMILY HOUSE PAD 373.40 it ''''':\ —N N ,! X `1//�/��`1 `191X x-1 I /IX BLDG./ N ••-L A —� II i BIRO. / /, I GARAGE ,TX 41X _ i ` FF 373.50 `S `1 1 I PAD 373.00 \�//,^� X—6 �� ..')N X-7 '�`�, `'- ,.....,.—,�-_.,� try '�' I.px �x 4x E >472.6,)\ . . ', — —. C ...1. — — — [ iJ ��, 1I\\ 73..1 7 ,(1 1�X `1N b°XIii lc O ❑ ❑❑ Q ?"1111111111111 � I /, NORTH 6 CI1RU6x V (372.53k `372.32) I ///-_�/_ \Sti1 \ I eix I 11., . MI \ M� - I-- --h, - 5830 W`I 75.00' I ~ `J DC CONC `1N�a. `1 ^11' I I IX CONC � ,M1 RY ti Environmental `. r I ` �r \C'' ...7;\44 Geotechnology Laboratory E%.TEWER_� PALM DR _DR � � — — Site Plan DRAWN BY: RJ EX.SEWER MAI IN---7.. DATE: 9/16/19 SCALE: 1°= 20' REVISED Project Address:179 West Palm Drive Arcadia, California 4X JOB NO. S. Figure 1 19-203-004 i 4 PDS Studio Page 3 of 3 EGL Project Number: 19-203-004C September 16, 2019 - 2: Soils generated from footing excavations should be compacted to 90 percent minimum relative compaction, whether it is to be placed in landscape areas or within areas to be improved. This material must not alter positive drainage patterns away from the structural areas. 3. All trench excavations should conform to CAL-OSHA and local safety codes. REGULATORY COMPLIANCE Cuts, fills or processing of original ground under the purview of this report have been completed under the observation of and with selective testing by EGL, and are found to be in compliance with the Grading Code of the City of Arcadia, California. EGL's findings were made and recommendations prepared in conformance with generally accepted professional engineering practices and no warranty is expressed or implied. This report is subject to review by the controlling authorities for this project. This opportunity to be of service is appreciated. If you should have any questions, please call the undersigned. Respectfully submitted, Environmental Geotechnology Laboratory Inc. (EGL) QROFESS/pN ��IITy✓o lF� az No. 2852 cc Exp. Ryan J,f? ; 71r' 2852 d9(7, GP Projee� .!neer TH TECH� Oc)_ CF CAt fi Dist: (4)Addressee HJ/RJ/rj 11819 Goldring Road, Suite A,Arcadia, California 91006 Phone: (626)263-3588; Fax: (626)263-3599 • = ENVIRONMENTAL GEOTECHNOLOGY ;, ••• LABORATORY, INC. -ice , September 16, 2019 PDS Studio 711 South.1St Avenue Arcadia, California 91006 Subject: Soils Compaction Report; Single-Family Residential Building, 179 West Palm Avenue, Arcadia, California, EGL Project No.: 19-203-004C. References: 1. Report of Geotechnical Engineering Investigation for the Subject Site, by EGL, Inc., Project No.: 19-203-004GE, dated May 6, 2019. 2. 10-Scale Grading and Drainage Plan for the subject site by EGL Associates, Job No: 19-203-004, revised June 20, 2019. Ladies and Gentlemen: This report presents results of our field density tests performed on the building pad of the proposed residence at the subject site. Building pad was constructed for building foundations and associated structures. Site conditions, field and laboratory test results, and post-grading recommendations are presented as follows: SITE CONDITION Subject site is located on the north side of West Palm Drive and at a relatively short distance east of El Monte Avenue in the City of Arcadia, California. Topographically, the subject site is relatively flat. Existing residence and associated structures were demolished prior to grading the building pad. Onsite loose and/or disturbed soils within the proposed building pad area were excavated to a maximum depth of three (3.0) feet below the existing ground surface and exposed competent natural soil. Competent natural soils exposed within the excavated areas were inspected and are considered suitable for the proposed development. Prior to all backfill, EGL field personnel had checked excavated bottom receiving fills to ensure clearance of non-acceptable debris. Onsite soils were used as fill materials. Onsite soils consisted of dark olive clayey sand (SC, Soil Type A). 11819 Goldring Road,Suite A,Arcadia, California 91006 Phone: (626)263-3588; Fax: (626)263-3599 PDS Studio Page 2 of 3 EGL Project Number: 19-203-004C September 16, 2019 LABORATORY TESTING Laboratory maximum dry density and optimum moisture content for the onsite soils was determined according to laboratory standard ASTM D-1557-12. Following table presents the test results of representative soil samples collected from the subject site: • TABLE I LABORATORY TEST RESULTS Soil Type Maximum Dry Optimum Moisture Density (pcf) Content (%) A-Onsite dark olive clayey sand (SC) 126.5 10.0 FIELD DENSITY TEST 1. Field density tests were performed using the Nuclear Gauge Method (ASTM D-2922-01 and D-3017-01) and/or Sand Cone Method (ASTM D-1556-04). Field density test results are presented below in Table II. Approximate locations of the tests are shown on the enclosed Site Plan (Figure 1). TABLE II FIELD DENSITY TEST SUMMARY Test Test Depth Moisture Dry Relative Test Date Below FG Content Density Compaction Soil No. Location Type (%) (pcf) (%) X-1 9/11/19 Building Pad 1.0 12.2 114.6 90.6 A X-2 9/11/19 Building Pad 1.0 11.8 113.9 90.1 A X-3 9/12/19 Building Pad 1.0 8.7 114.4 90.5 A X-4 9/12/19 Building Pad 1.0 9.3 114.2 90.3 A X-5 9/13/19 Building Pad FG 9.4 118.0 93.3 A X-6 9/13/19 Building Pad FG 8.9 118.2 93.5 A X-7 9/13/19 Building Pad FG 9.1 117.1 92.6 A FG = Finish Grade 2. Field density tests were performed at random locations to check compaction effort provided by the contractor. Test results exceeded minimum required relative compaction of 90 percent. Test results herein are considered representative of the compacted area. 3. Onsite soils consisted of dark olive clayey sand (SC, Soil Type A). Soil samples were verified to match with the laboratory tested samples. 4. Compacted fill is considered adequate for its intended use. POST-GRADING RECOMMENDATIONS 1. All utility backfill should be brought to near optimum moisture content and then compacted to obtain a minimum relative compaction of 90 percent of the laboratory standard. 11819 Goldring Road, Suite A,Arcadia, California 91006 Phone: (626)263-3588; Fax: (626)263-3599 ,1 FENCE RENAIN� �d>1 — — i....._____,_4_-r..._ 11' .a'�� fii_' _ S�88'S5'30,'W 75.00'' "�'� ., I I / _ —ter �Q� 11��21 TRE.' /I 16'AVOCADO )riC6: .,;;� \ ,6X i / I/ 1,VO'I \ 1 `1��1"! / \,.L1" / ENAINTO X - ` ��_,� LEGEND II `y>' `. "hex II-"xP ' 4; 'q.�,4\ ,P ."' \`\\ (3,2`6y13E3,25 i II I`� — — Limits Under Purview of' This Report ' X \ (372.6 I 4. EX 6'WOOD `REva°1�-I.... 4, tiox— -4,,it111 ❑ _ I1 X-1 Approximate Location of Field Density Test 373.13) s� p 1/4:- ;753)14 Flo \ . Maximum Fill Depth = 3.0 feet o 1. I X \1.11 9X \q X-5 Q I i2.63) IA I ` tt)I I �I o / NEW SINGLE FAMILY HOUSE I 'i z Z I ^;" ,�.� — PAD 3 3.40 1` 1 I / X-1 ,I EX SLOG. �» — 9X EX cR1 X-2 3.0 /S"�jlj\, GARAGE y ,1�x I \S X—6 ` FF 373.50 1 =\ PAD 373.00 �C `,N 1 Q 7 1 0 ��I= ji ��°PX `1"^PX L *72.61): 1 , 4..„ ,,,,.. ,, ,73..§., \ 30'PIN `1 `1 �ql I /�9�\`` "eX�'g❑❑ Q ❑❑❑❑❑❑ NORTH U 6 C11RUS ' (372.539( 72.32) (." i 1 . ry� 1 S88 5 30 W I 75.00' �Sq `J " ' ,,i___ .2 _--------------- IX CONC "� `1 „1'L I I EX CONC Y1 A > \ ry�ti , ,J, I „„..,,,•,.. 4, �1'`, b1R ] 1 :Al Environmental `r,' c°' fir' �`I I (s`� ��1�\f-'' •.'' �� Geotechnology i Laboratory EX.SEWER_„..) LATERAL Site Plan PALM/ DRIDRAWN BY, RJ EX.SEWER MAIN) i DATE: 9/16/19 SCALE: 111= 20' REVISED: Project Address:179 West Palm Drive . Arcadia, California X JOB N0. \� Figure 1 19-203-004 PDS Studio Page 3 of 3 EGL Project Number: 19-203-004C September 16, 2019 • 2. Soils generated from footing excavations should be compacted to 90 percent minimum relative compaction, whether it is to be placed in landscape areas or within areas to be improved. This material must not alter positive drainage patterns away from the structural areas. 3. All trench excavations should conform to CAL-OSHA and local safety codes. REGULATORY COMPLIANCE Cuts, fills or processing of original ground under the purview of this report have been completed under the observation of and with selective testing by EGL, and are found to be in compliance with the Grading Code of the City of Arcadia, California. EGL's findings were made and recommendations prepared in conformance with generally accepted professional engineering practices and no warranty is expressed or implied. This report is subject to review by the controlling authorities for this project. This opportunity to be of service is appreciated. If you should have any questions, please call the undersigned. Respectfully submitted, Environmental Geotechnology Laboratory Inc. (EGL) QROFESS/pN co 0 No. 2852 Dcc .* O Exp. Ryan J,%:� , GE 2852 (.5") P Proj-. gineer -9TH TECHS o`��P OF CAS\F Dist: (4) Addressee HJ/RJ/rj 11819 Goldring Road, Suite A,Arcadia, California 91006 Phone: (626)263-3588; Fax: (626)263-3599 JKL ENGINEERING JKL Structural Engineering, Inc. 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 110, 1704 or other sections of the Code. JKL Project#108 Name: 179 W. Palm Dr.Arcadia,CA Date: 10/2/2019 Report No: 01 Area/Building#: Single Family Home Contractor: Sunny Construction,Inc. Page No. 1 of 1 OBSERVED STRUCTURAL ELEMENTS FOUNDATION (WOOD)ROUGH FRAMING COMMENTS/ADD'L DESCRIPTION ® Hardware&Reinforcement ❑Floor Sheathing ® Footing Geometry ❑ Roof Sheathing ❑ Exterior Walls ❑ Interior Walls OBSERVED DEFICIENCIES: ❑Location as Described ❑ Key(s)Attached 1 l No Deficiencies Observed CONTRACTOR SHALL CORRECT ALL OBSERVED DEFICIENCIES. Once all items listed above have been properly addressed,please sign this form and return a copy to JKL Structural Engineering,Inc. Signature of Observer Signature of Report Recipient Jason Lin,S.E. Jonathan—Project Superintendent JKL Structural Engineering,Inc. �W-�-�- --. Sunny Construction Inc. �, ��3f rS51•�, '�. _ `042 � Gag �ll, 12p 2 Signature of Foundation Foreman Date `, �- *,' Print Name: AL101 Print Company: 1,:ir ARawi . r r�CO\ATE S CITY OF ARCADIA • 240 West Huntington Drive Arcadia, CA 91007 FINAL GRADING VERIFICATION ATTENTION: Community Development Administrator efSUBJECT: Grading Verification for Project No. l' � i— 00 Address: i . l I ‘A/ • Pc6v, Pie- • Gentlemen: Finish grading operations have been completed for Project No. for Lots through (if applicable) and has been inspected by the undersigned Registered Civil Engineer or Licensed Architect. Based upon the observations, the grading subsequent to the Rough Grading has been completed in accordance with the approved plans and specifications and is in substantial conformance with the final grading plan approved by the City and no unauthorized deviations were made. All required surface drainage devices have been installed. Provisions have been made for drainage of surface waters around proposed buildings and their appurtenances. ;NG tS8/49,0•• � Engineer (Sib nature Q� ,O• tlitect(Signature) 45846 Z Z) R.C.E. No. 4� -� * a.6 () •. No. Date: ()-- "9� C �p OF CALIF Received and approved: 410-407-/ Arnb, Date: " 4i0 • `.�./Plat •� cc: C.D.D./Maint. Ser. C.D.D./Building CITY OF ARCADIA WATER EFFICIENT LANDSCAPING - ORDINANCE NO. 2330 • LANDSCAPE DOCUMENTATION PACKAGE - SECTION A _ PROJECT INFORMATION _ • Date: rj --(.6 t 1 Project Name: S)&cA.I2 .0•1144,111/4/ 4o'MP_ Project Applicant: V is t i lP c__ 1,„v‘ — ?'‘)s s-pU6 ro tc.3 c. Project Address and Location: Street Address Assessor Parcel Number _ , 177( w . QA LM De 78ff — 00..6 -- OIs Tract/Parcel Map No.and Lot Number(s) Arcadia California 19100_ Nearest Cross Street Project Type (Please check all that apply): I EA New 0 Rehabilitation &Single-Family Residential 0 Private ❑ Public 0 Multiple-Family Residential - , 0 Commercial!Industrial - : 0 Mixed-Use ,1 0 Institutional(i.e., hospital,school,etc.) ❑. Other -. -- - .. 4 Please fill in the information below to describe ••'- . - oject= :- Total landscaped area ' p 31 / 7�q. (sq.feet) Total turf area o etga (sq.feet) , T . Total non turf area 1 4' _(sq.feet) i. :, Total active recreational areas i 4. 27 o oZ (sq.feet) Total area of Special Landscaped Areas \ -B- (sq.feet) Total irrigated landscape area sr,� ‘P (sq.feet) =� OF cAt'Fo�' �- Total non-irrigated landscape area (sq.feet) Please check the Water Supplier for this project: ❑ City of Arcadia Water Services - 11800 Goldring Road,Arcadia, CA 91006 - (626)256-6650 j 0 East Pasadena Water Company - 3725 Mountain View Ave., Pasadena,CA 91107 - (626)793-6189 0 Sunny Slope Water Company - 1040 El Campo Dr., Pasadena,CA 91107 - (626)568-4266 r 0 California American Water - 2020 Huntington Drive,San Marino, CA 91108 - (831)646-3252 0 Golden State Water Company - 110 E.Live Oak Avenue,Arcadia, CA 91006 - (626)446-1372 • Acknowledgment: I agree to comply with the requirements of the City of.Arcadia Water Efficient Landscaping li Ordinance and submit a complete Landscape Documentation Package. rn •, q Appli - _ Sig - �� _ Date S 1 C 1 ., adli December 1,2015 _ CITY OF-ARCADIA • WATER EFFICIENT LANDSCAPING -ORDINANCE NO. 2330 LANDSCAPE DOCUMENTATION PACKAGE -SECTION B PROJECT CONTACTS — The project ;applicant and other individuals may receive inquiries or - notifications of all proceedings regarding:-the Water Efficient Landscaping Documentation Package. Please provide the name, mailing address, email address, and telephone no(s), etc. of each person to receive such inquiries and notifications. 1. Project Applicant Name Telephone and Fax Number(s) UL t? c-1.1'N cZC).X614-e(402- Title `� Email Address - W el 2.. peu01NaFoss uct0 N -. - Company Mailing Add Pp$ S ,. -T UD10 INCl(' 5__:- ' !"-- ;c - City State Zip Code 44. c VP � et,too6 • 2. Property Owner Name(s) Telephone and Fax Number(s) 51v 1411%G K JcK 1,2G) 574— &) Mailing Address Email Address , 111 S. - -e_s-1 ASV- ingo Ga suNNY conA-ceuurtoty.cow R City de c1 too6 State c.41/4zip c1 l p(�,‘ 3. 'Licensed Landscape Architect -- ,1 Name IA : '1, - � Title tel- 1012-1 -0 it L ?, Company License No.- '' .1N/INNv LCibi2C44-_, LAl h CINr- _ ArL I1 14c 929 Mailing Address Telephone and Fax Number(s) ' l i 3'��. .c 6) -1'j 0702 City _ Email Address Gott'•l.17O VZA t A G.L IQOAR-U-t cimtai L.C-OM .1 State Zip Code Website I, CA1/4 Cl 171 0 4. Certified Irrigation Designer • pp Name Title Company License No. Mailing Address Telephone and Fax Number(s) , • r I': in City Email Address ` , State Trp Code Website . -Continued on next page- `°' -4- December 1,2015 L r j 7 CITY OF ARCADIA • WATER EFFICIENT LANDSCAPING ORDINANCE NO. 2330 LANDSCAPE DOCUMENTATION PACKAGE - SECTION B (continued) 5. Landscape Installation Contractor Name Title Company _ License No. • rf \ Mailing Address Telephone and Fax Number(s) lll City Email Address 7 State Zip Code Website 8j 6. Irrigation Installation ContractorV Name Title J Company License No. 2- 8 Mailing Address Telephone and Fax Number(s) City Email Address 1 1 State Zip Code Website -. 7. Landscape&Irrigation Maintenance Contractor-: Name Title Company License No. Mailing Address Telephone and Fax Number(s) .- City Email Address State Zip Code Website 1 ill 8. Certified Irrigation Auditor Name Title Company License No. Mailing Address Telephone and Fax Number(s) O City Email Address State Zip Code - . Website fcl , — 5- December 1,2015 1 Io CITY OF ARCADIA � . WATER EFFICIENT LANDSCAPING - ORDINANCE NO. 2330 _ WORKSHEET - SECTION C - THIS WORKSHEET IS REQUIRED TO BE FILLIED OUT BY THE PROJECT APPLICANT Reference Evapotranspiration (ETD) Rate=50.2 inches per year 1 The ETo for the Arcadia area is based on the State Department of Water Resource,Reference Evapotranspiration rate(ETo) for the City of Monrovia-Appendix'A'of the State MWELO. 41 Hydrozone# Plant Irrigation Irrigation ETAF Hydrozone ETAF Estimated Total &Planting Factor Method Efficiency (PF÷IE) Area x Area Water Use • Description (PF) (IE) in sq.ft. (ETWU) Regular Landscape Areas _ A low water planter 0.2 drip 0.81 0.25 872 215.31 6,700 .- B turf(WST) 0.6 rotor .0.75 0.80 450 360.00 11,203 moa.water C planter 0.5 drip 0.81 0.62 528 325.93 10,143 moa.water D planter 0.5 drip s 0.81 0.62 249 153.70 4,783 moo.water E planter 0.5 drip 0.81 0.62 383 236.42 7,357 • moa.water • F planter 0.5 drip 0.81 0.62 204 125.93 3,919 I. G low water planter 0.2 drip 0.81 0.25 607 149.88 4,664 H turf(WST) 0.6 rotor 0.75 0.80 432 345.60 10,755 Totals 3,725 1,913 ,% _ $:-_`; Special Landscape Areas(SLAs)-Includes areas irrigated with recycled water - - ' ..e.::, L ` ' none > - - - 'A f t t,. f ti 7 '', S ,, Totals 3,725 1,913 . - !---,..=,-i.? ETWU Total 59,525 1 1: -,P':-,"'', r ,$. 1 t • , MAWA Total 63,772 gallons per year MAWA Calculations (Eto) (Cony. Factor) (ETAF x LA) = ((1-ETAF) x SLA))= MAWA 50.2 0.62 0.55 3,725 (0 x 0) = 63,772 Gallons per year 4 =L -6- December m r 1 2015 5 1 S' • • aZk CITY OF ARCADIA X11 ® WATER EFFICIENT LANDSCAPING -ORDINANCE NO. 2330 CERTIFICATE OF COMPLETION This certificate is to be filled out by the project applicant and acknowledged by the property owner(s) upon completion of the landscaping project. 1. Project Information Date of Project Completion Permit Type and No. Project Name and/or Address Project Applicant and Title Property Owner Company Name&Mailing Address Mailing Address Telephone and Fax No(s). Telephone and Fax No(s). Email Address Email Address 2. Answer the questions below: a. Date the Landscape Documentation Package was submitted to the City of Arcadia b. Date the Landscape Documentation Package was approved by the City of Arcadia - c. Date that a copy of the Water Efficient Landscape Worksheet or Prescriptive Measures Compliance Option was submitted to the project water supplier 3. Project Applicant—Certification —The signer of the landscape design plan, signer of the irrigation plan, or the licensed landscape contractor(s) that installed the landscaping and/or irrigation is to certify that the landscape project has been constructed/installed in accordance with the approved Landscape Documentation Package and in compliance with Ordinance No. 2330 and State law. Where there have been significant changes made in the field during construction/installation, "as-built" or record drawings shall be included with this certification. "I/we certify that based upon periodic site observations, the work has been completed in accordance with Ordinance No.2330 and State law,and that the landscape planting and irrigation installation confc.;-m t�=" criteria and specifications of the approved Landscape and Irrigation Plana aria Package and acknowledge that the project may be subject to inspection and a Land iv verify that the project is maintained in compliance with Ordinance No.2330 and State law." Signature Date Name(print) Telephone and Fax No(s). Title License No.or Certification No. Company Email Address Mailing Address 4.. Property Owner-Acknowledgment "Ilwe certify that Uwe have received copies of all the documents within the Landscape Documentation Package and the Certificate of Completion for our project and that it is our responsibility to see that the project is maintained in accordance with the Landscape and Irrigation Maintenance Schedule for our project, including a diagram of the irrigation plan that shows the hydrozones posted with the irrigation contra:!:..-, in compliance with Ordinance No. 2330 and State law, and lIwe 4t'a th_w- .�. �._.`rte_ t� inspection and a Landscape Irrigation Audit at any time to verify that the project is being maintained in compliance with Ordinance No.2330 and State law." Property Owner(s)Signatures) Date 5. Include the following documents with this Certificate: a. irrigation Schedule—The parameters for setting the irrigation schedule on the controller(s)per Ordinance Section 7554.5.C. b. Schedule of landscape and irrigation maintenance per Ordinance Section 7554.5. c. Soil Analysis and Management Report(s),if not previously submitted with the Landscape Documentation Package per Ordinance Section 7554.4. d. Verification of implementation of recommendations from soil analysis report per Ordinance Sections 7554.4 and 7554.6. Armor -8- November 3,2016