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City of Arcadia, CA R • . Permit No. Mnew-18-1600 Development Services Department Permit Type:Multi-Family New 240 West Huntington Drive,Post Office Box 60021 Arcadia,CA 91066-6021 Work Classification:MF/New-Attached Condominium (626)574-5416 Permit Status:Issued ARCADIA Issue Date: 11/26/2019 Expiration: Addr NO. Dir Prefix Street Name Street Suffix Unit City,State,Zip Parcel Number 2619-2635 PAISLY CT ARCADIA,CA 91006 5788020031 Contacts LENNAR HOMES OF CALIFORNIA* Owner LENNAR Applicant 15131 ALTON PKWY 365,Irvine,CA 92618 (949)349-8215 Description:BUILDING#10(5 ATTACHED UNITS)PHASE 1 Valuation: $ 1,268,153.74 Tenant Total Sq Feet: 8.675.00 Plan Check#18-1590 Plan# Fees Amount Payments Amount Paid Accessibility Plan Check $810.26 Total Fees $52,070.43 Accessiblity Building Permit $929.01 Cash/Receipt#REC-03201-19 $42,845.98 Building Issuing Fee $47.01 Cash/Receipt#REC-002593-2018 $9,224.45 Building Permit Fees $9,290.10 Building Plan Review Fee $5,401.70 Amount Due: $0.00 Cal Green Plan Check $540.17 Energy Plan Review Fee $1,662.06 Fire Plan Check $810.26 Green Building Standard $51.00 Park&Recreation(MFR) $32,357.75 Solid Waste Management Fee $6.25 CALLS FOR INSPECTIONS Strong Motion Inst.Program Res $164.86 Request for inspection by telephone at 626-574-5450. Leave a message requesting the address,timeframe and what inspection item is needed. Total: $52,070.43 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 �/ D from the date of plan submittal.This permit expires and becomes null and r ti, d� 7-79 u 11 L�✓5 u L5 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. �O—/Z—2A) November 26, 2019 Issued By: Date November 26,2019 Page 1 of 1 %F A; _ PERMIT/PLAN REVIEW APPLICATION to*, Development Services Department,240 West Huntington Drive,Post Office Box 60021 • y/ Arcadia, CA 91066-6021, (626) 574-5416,Fax(626)447-9173 City of Arcadia LICENSED CONTRACTOR'S DECLARATION WORKERS'COMPENSATION DECLARATION ® I hereby affirm under penalty of perjury that I am licensed under provisions of I hereby affirm under penalty of perjury one of the following: hapter 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 K..% License No.74/J E p. Date t. compensation, as provided for by Section 3700 of the Labor Code, for the performance of the work for which this permit is issued. Signature of Contractor / - OWNER-BUILDER DECLARATION 0 I have and will maintain workers'compensation insurance,as required by Section ❑ I hereby affirm under penalty of perjury that I am exempt from the Contractors 3700 of the Labor Code,for the performance of the work for which this permit License Law for the following reason(Section 7031.5,Business and Professions is issued.My workers'compensation insurance carrier and policy numbers are: Code.Any city or county which requires a permit to construct,alter,improve, Carrier demolish,or repair any structure,prior to its issuance,also required the applicant Policy Number 0• /4/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 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 comply 'th 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 t 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 Lo�I��� Title ` - iY4/2.. P NAME I certify that I have read this application and state that the above information is correct and that I am the owner or duly authorized agent of the owner. I agree to comply with all City ordinances and State Laws relating to building construction. I hereby authorize representatives of the City of Arcadia to enter upon the above-mentioned property for inspection purposes. Signature / /�• Date 11/)7 /� '- . - NOTES Building Inspections Date Insp. Plumbing Inspections Date Insp. Zct( _26.3s- p/a/Sc, , 100. Setbacks 210. Under flr./bldg.drain I Z-/7-/q AY I 101. Rough grade 'Y" 211. Copper underslab Al-w / -1.-GayE.e /� �0.C.G. ,4- 102. Figs.&forms 'LZ1 ` 212. Rough plumbing L�i?P ST(1,A, ,,_, /(jj� 103. Pre-slab ` 213. Rough gas �e v N 104. Floor joists 214. Shower pan 2 4 q-2-0Z�!Ayr,--p#2544,sscc- A=" 105. Steel 215. Water heater C 57:441244 0.4'5, FLOvsZ D/Ata/ZA4 H 106. Grout lift �`� 216. Roof drains 107. Shear nailing _� ,. f- Building JIIIIL F 3 e�E' ai 3-� 217. sewer �oa� 108. Diaph nailing 2-(7-2.0 18. Water service 0 2cr=t.A.T Rao, Scc.770.1. a7:."109. Roof nailing 3-5-2-4> ' 19. Final gas -6-2-0 - 110. Framing S-21-20 220. Fixtures 2- -- 7- `` ,,J _ 111. 0cc./Area Sept.Wall 221. Final plumbing 1-23 76O-a° 113. Sound walls 222. Sewer cap/demo. 113. T-bar.rid 'OF c"w= 2635-rA./s[.y 114. Insulation-Flr. Pool Inspections Date Insp. 3..11_w Lisryee. c� I,,�,I r / IF 115. Insulation-Wall 6).4i� 240. Excavation/steel fr'�" ' WALL vV A I / nG f OD 116. Insulation-Ceil. 2 1. Rough plumbing N� IVA,14- 117. D all nailin. __I...6 „,% 242. Light shell/bondin. ) P' 6(' 242I 242- 118. Interior lath 6' p43. Underground conduit ,ry 119. Exterior lath (,-12-2..O -�^ 244. P-trap 3 I vI. ' 120. Finish grade 5. Gas line&test 3.24.2.0 1 S/0,.2. (r S/4A-2 NA-ft,4G €.- 121. Final building 10-I2--Z0 246. Fence,gates&signs Qvt L--&,45. \-------_ 122. Final demo/lot clear 247. Pool heater 248. Final electric Y-Z-Za Ave-C6M 4415c-V-441"/ere i-4.0 Electrical Inspections Date Insp. 249. Final plumbing ili= 150. Power pole 250. Pool cover Gsk E C /,✓G5 `ffJ 7 151. Sales lot lighting 251. Pool final V-/6-2A.) L�Ls -yEsC S AarR.Dc, Aft 152. Underground conduit 153. Underslab conduit Reroof Inspections Date Insp. A"‘'4G� G-E�Gs'�i ESI�7c'�7//1L 154. UFER ground . Pre-reroof insp. (,AS s TS c.,.4-6.-k- 11 j"-"7 155. Water ground / X24' 271. Roof framing Y- i Z,¢rEl2 51�,��rT /dv 156. Rough electrical • 272. Sheathing nailing ���Za 157. Fixtures 273. Final reroof W/A/KEICIA.c vPGtr- (2635.) 158. G.F.C.I. _ .2LP 159. Eqpt.bonding Sign Inspections Date Insp. Y ZZ� cot-YEA,0 Roc r .4.-1" 160. Service panel 8-41,-10 F'�'' 280. Setback overhang G-iiie.i.� «st,�sGs A=1,A=1,74. S o vr ,�raTX E_ 161. Final electric 9 Zj-2a z H--./� 281. Footing 111-2:200 7j,/sv✓� cT.6rl A r 76,,,-,- Gsrr- ,L 282. Conduit/wirin. _ / Mechanical Ins.ections Date Ins.. 283. Disconnect -ri- j eG.ddCs66r .///1111111, 180. Venting/flue 284. Final sign6• -24_1 � S``Laf,E-e.. v wAL` 00"‘ 181. Furnace/A.C. 182. Rouch HVAC 3.Z -Zee 4t..v�Miscellaneous Insp. Date Insp. CEIC,IKC �* 2�3Y �AISc�r 183. Fire dampers 290. Fire alarm 184. Furnace compartment 291. Underground supply 185. Combustion air 292. Fire sprinklers 186. Smoke detectors 293. Monitor system 187. Metal F.P.rough 294. Hood dry chem. 188. Compressor setback 295. Final 189. Commercial hood 190. Duct shaft Sewers&Offsite Insp. Date Insp. 191. Final'mechanical 23-20 �A ' 300. Lateral(main to P/L) 301. Saddle/Y Block Wall Inspections Date Insp. 302. Cess..ol filled 200. Footings 303. Sidewalk 201. Steel/rebar 304. Driveway 202. Grout lift 305. Curb replacement 203. Final wall 306. Trash bin e \\ J. CJ� IIA ® . 0 17 Certificate ofOccupancy \� City of Arcadia y �� Development Services Department—Building Division ....c___ • tea, This certificate issued pursuant to the requirements of the � California Building Code certifying that at the time of issuance this structure was in compliance with the various ordinances of the City regulating building construction or use. )1 (\..j...,„." Permit No. 18-1600 ( f' "'"I Building Address: 2619-2635 PAISLY CT ARCADIA,CA 91007 \ �^ 1 / Permit Type: MF NEW Effective CBC: 2016 C.B.C. ' Occupancy Code: R-2 Zone Code: M/U • Final Date: 10-12-2020 Type of Construction: TYPE VB SPRINKLERED •-' \ \� ( .,-, - Owner: LENNAR HOMES OF CALIFORNIA c�{ 1 (1/4 :,:,-- ' . //,,,4,., i _./Z.: \\ ( Kenneth ReldBs, ildmg a tial ,� 1 Post in Conspicuous Place r L. b e . %�iV�, f \ /•'.v -- l \��V)' '----___!___\_____----:„X % ,y`) �_ ! =/ \'' / i / \ ��... —\ \'' = �_ %� �� .. _�/ __/ v �� Certificate No. 20190226-043 Business Services SThird Avenue kARCAD A Arcadia, CA 91006Av 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: 17 Las Tunas Dr., Units 76-80, Arcadia, CA 91007 Number of Units: 5 Plan Check Number: Permit Number 18-1600 ❑ Exempt* ® Residential** El Commercial/Industrial** ❑ 500 sq.ft.or less(residential addition/expansion) $3.79/sq. ft. $0.61/sq. ft. ❑Other: Area in Sq. Ft.: 8,675 Receipt Number: 330521 Total Fee: $32,878.25 Check Number: 1019411169 Owner's Name: Lennar Owner's Address: 15131 Alton Parkway#365, Irvine, CA 92612 Phone Number: (949) 349-8215 Email: dan.hosseinzadeh@lennar.com Representative's Name & Phone Number(if applicable): Dan Hosseinzadeh (949) 349-8215 * 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§17620, 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 receiv d. Based on th information presented above, this Certificate of Compliance is hereby executed. David Vong Director, Fiscal Services 11/22/19 Signa ure of istricresentative Name/Title Date of Issuance The District charges a 0 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. if Il ") P Signature of A licant Name •ate ORIGINAL—City/County COPIES—Business Services,Fiscal Services&Applicant Certificate of Compliance(4-29-19) CIVIL ENGINEER'S CERTIFICATION FORM From: Favreau-Savage Land Surveying Inc. 2488 Newport Blvd, Suite B-4 Costa Mesa, CA 92627 949 675-8030 Date: January 16, 2020 Rev. January 24, 2020 Building Form Certification City of Arcadia 5�oo S�QL Building Department ��`, Fo 240 Huntington Drive PATRICK J. 13 Arcadia, CA. 91007 * SAVAGE �* N No. 5183,.. - Attention: Building Inspector 1� � Re: WDID No. 4 19C384860 Tract Number: 77121 ��F C Project Name: Arcadia 80 Project Address: 17 Las Tunas Drive, Arcadia, CA Owner/Developer: Lennar Homes Type of Project: 12 Single Family and 10 Multi-Family buildings A field survey completed on January 8, 2020 at the above referenced project indicates that the building forms for multi-family residences Buildings 9 and 10 have been completed in conformance to the approved precise grading plans for both line and grade. I hereby certify that the described building forms at the subject site conform to the approved precise grading plans for line and grade. Favreau-Savage Land Surveying Inc. Patrick Savage G 1 �Z 7 77..o 2.e7 PL.S. 5183 (Exp. 6/30/21) Signed Dated Unit Buildin• 9 - Address Unit Buildin• 10 -Address 70 2616 Paisly Ct. 76 2619 Paisly Ct. 71 2620 Paisly Ct. 77 2621 Paisly Ct. 72 2624 Paisly Ct. 78 2627 Paisly Ct. 73 2628 Paisly Ct. 79 2631 Paisly Ct. 74 2632 Paisly Ct. 80 2635 Paisly Ct. 75 2634 Paisly Ct. Southwest Inspection and Testing, Inc.' ` 11— "' " 441 Commercial Way, La Habra, Ca 9063176'._, (562) 941-2990 • (714) 526-8441 • Fax (562) 946-0026 SWIT Job No. Date REGISTERED INSPECTOR/ACI TECHNICIAN DAILY REPORT TYPE OF ❑ Reinforced Concrete ❑ Welding ❑ DIA/Epoxy INSPECTION ❑ Post Tensioned Concrete ❑ Fireproofing ❑ Wood Framing REQUIRED ❑ Reinforced Masonry ❑ Asphalt ❑ Other Job Address ' i ,.. _ ' / IN. ^ "t `` }� ,,�, Tract No. 1 t -,,, 1 Phase) A Lot No. Job Name + Permit No. = Issued By . ', . -`<.. ( t_ L,) - , .. I a At- cs,-L{ Type of Structure Architect c_ „ Material Description (type, grade, source) Engineer —'. '\ ! ` } ' ,,,-1 Contractor Inspector's Name \ Subcontractor {Y r TESTS PERFORMED SAMPLE AIR CONC WATER TIME SET# TRUCK# TICKET# LOCATION SLUMP TEMP TEMP ADDED CAST MIX# REMARKS INSPECTION SUMMARY—LOCATIONS OF WORK INSPECTED, TEST SAMPLES TAKEN, WORK REJECTED, JOB PROBLEMS, PROGRESS, REMARKS, ETC. INCLUDES INFORMATION ABOUT-AMOUNTS OF MATERIAL PLACED OR WORK PERFORMED, NUMBER, TYPE & IDENT. NO'S OF TEST SAMPLES TAKEN:STRUCT.CONNECTIONS(WELD MADE H.T.BOLTS TORQUED)CHECKED,ETC. J r� t.-Q t, ?no ti +c _. c�C( i✓1 - C'+ c�v cif vcl qNi �,(N YA,C. . Iac vv,- v_. - - u..)/ Cori \Scil da-{ c, ti-c .; !'* t--'f'vr { ut+ NP ! - =. , , oyIi ,c - r- 7"--t. --t - GL c;.1c tt‘--,) v%. cz ri s.:L.bj C3 vA e ka J , dr) c,` -- t" c-, ,c --K' t A __1:::- - P1 <. 1 '' ' to t u.v-,' 7 ( �'-k Y . (.3 )- �. Lk k ;.j ' , 1�_ = V'fI z-6- 35- Ae" ,'sly . 26 31 ' 1 t 2 27 t' " 2 I' i' (- CERTIFICATION OF COMPLIANCE CONTINUED ON NEXT PAGE ❑ PAGE OF I HEREBY CERTIFY THAT I HAVE OBSERVED TO THE BEST OF MY KNOWLEDGE TIME IN TIME OUT SAMPLES ALL OF THE ABOVE REPORTED WORK UNLESS OTHERWISE NOTED. I HAVE FOUND THIS WORK TO COMPLY WITH THE APPROVED PLANS,SPECIFICATION, AND APPLICABLE SECTION OF THE GOVERNING BUILDING LAWS. ` i I Al j SIGNATURE OF REGISTERED INSPECTOR ` .. A tCApproved By f ` ~ � SPECIALTY NO. AGENCY Project Superintendent White—Office Copy• Canary—Accounting Copy• Pink—Inspector's Copy• Goldenrod—Jobsite Copy { I Dater g 0;10 Page: of Report No: DAILY FIELD OBSERVATION REPORT /j., i/< f2 ,Q / 9oT/vrr 5ysTf/45 Project Name: /1,2/7 "Ad!(,{ �%+��/-c T7 ---F6-07/ /1_ IG�JIProject No � TI / � Job Location:/ 30 Aur. ur;d )L;: 'ii AVt5; • /I!': , t ,tio Cr;,,i3Ld 5 • �+%t`rJ�fU• Contractor: A L. /` • Weather Conditions: ,,,;a Ui)f)'1 (?i)i/ C-(;)0/4,:);;7/-I, • Equipment:(- //) F r ., Observations: TAVEL / C� j'a'i fo2 l)}11 610 .�j �E l( f /2 '11 I/ 5fEc 10115 ci; 7.4L 1a -5O;' Vti)C Gas 1//,"4901 1/f/t Yr / :s j \i/jT,'11 5 fJ1?d Cca/7)Po"?1`J7 . /') /e.5--k"5 E� 0 ) �' /i S'JYJ�� ,,ju/ MoTZ'5 %i ' /iX57 ti()776 r 5 o ;/i e 56VJC (56 LC f/ Pug S(.,13 --Soh VFfiTiji/ $ Y$T-g#241////') 57-0i/6776w (:).4 r- 1-1-5 6,1(1 C:9tiii:2)/) ,-;r5 s //i vl 5 0s ) ,�� , I) /- t u/1 `7/ T�1?TCi;�:J ,4Cr I1JE /11/ � AI ? oV'r PIOliC -Y(55. (- c- ; p/r1 f �;/� �,. • cF/1 # )4/9--:) '7,2 /"...)e) Phone:(949)502-5353 SIGNATURE: /... i'y' lj(/n G eoK�net�cs Fax:(949)502-5354 Geotechnical& REVIEWED BY: n^ I/ Environmental Engineers r ption one CONSULTING ENGINEERS PAGE I OF I STRUCTURAL OBSERVATION REPORT CITY of ARCADIA THIS REPORT INCLUDES ALL CONSTRUCTION WORK THROUGH THE: March 24, 2020 PROJECT , "Essex"-MFD OPTION ONE J.N. 0718-2279 LOCATION , Arcadia,California BLDG.PERMIT NUMBER Mnew-18-1600 OWNER , Lennar Homes LOCATION/DIVISION Coastal ARCHITECT , Angeleno ARCHITECT J.N. 1704 STRUCT.OBS.OF RECORD • Ilia Sarad,P.E.,S.E.,S.E.C,B. LIC.OR REGISTRATION No. S-3855 STRUCTURAL OBSERVER Erik Torres,E.I.T LIC.OR REGISTRATION No. . OBSERVED STRUCTURAL ELEMENTS&THEIR CONNECTIONS: LOT(S)&PHASE OBSERVED: Interior and Exterior General Framing;i.e.,roof trusses,roof sheathing, Phase:IA. Tract: 7712/ shear elements,holdowns,floor sheathing,floor trusses,beams,headers,and Bldg. 10,5B-Plex general hardware. HS 76/P7,2635 Paisly Ct. HS 77/P1.5,2631 Paisly Ct. HS 78/P2,2627 Paisly Ct. HS 79/Pl,2621 Paisly Ct. HS 80/P2.2,2619 Paisly Ct. Arcadia,California 91007 OBSERVED DEFICIENCIES: (ATTACH ADDITIONAL PAGES IF NECESSARY) Initial/Completion Date The deficiencies noted during the observation visit have been corrected and/or installed by a collaborated effort of the foreman and project superintendent. E.T. 03/24/20 Construction Stage: — Double Sided Plywood CI'g Guard X HVAC x Electrical x Plumbing ❑X u Deck Option Li N/A — Shear Walls Lid(s) Rails Note:When box is checked,it indicates that construction stage is in progress,and it has not yet been completed at the time of observation was conducted ❑X STRUCTURAL SYSTEM WAS VISUALLY OBSERVED TO BE IN GENERAL CONFORMANCE WITH THE APPROVED PLANS El STRUCTURAL DEFICIENCIES ARE OF A MINOR NATURE&MAY BE REVIEWED BY CITY BLDG INSPECTOR FOR COMPLIANCE I DECLARE THAT THE FOLLOWING STATEMENTS ARE TRUE TO THE BEST OF MY KNOWLEDGE AND BELIEF 1. I AM THE REGISTERED ENGINEER WHO HAS RESPONSIBLE CHARGE FOR THE STRUCTURAL OBSERVATION. RpFESS/p� 2. I,OR ANOTHER QUALIFIED-CHARGE OBSERVER WHO I HAVE DESIGNATED Q ABOVE AND IS UNDER MY RESPONSIBLE CHARGE,HAS PERFORMED THE ~�(4° 6 544,4( REQUIRED SITE VISITS AT EACH SIGNIFICANT CONSTRUCTION STAGE TO VERIFY IF THE STRUCTURE IS IN GENERAL CONFORMANCE WITH THE APPROVED PLANS AND SPECIFICATIONS. NO. S 3855 x, 3. ALL DEFICIENCIES,WHICH I DOCUMENTED,HAVE BEEN CORRECTED UNLESS OTHERWISE INDICATED ABOVE. * E p. 3/31/2022 4. ALL OBSERVED DEFICIENCIES SHALL BE CORRECTED AND APPROVED BY THE Q OBSERVER PRIOR TO FINAL ACCEPTANCE OF THE STRUCTURAL SYSTEMS BY d>,9T RUCT‘)%0 THE BUILDING DEPARTMENT. e or cAo 5. THIS REPORT IS PROVIDED TO THE OWNER AS A PART OF THE OWNERS OVERALL CONSTRUCTION QUALITY CONTROL PROGRAM. March 24,2020 6. OPTION ONE HAS PROVIDED STRUCTURAL OBSERVATION IN ACCORDANCE WITH THE SEAOC RECOM. NDED GUIDEL ES FOR THE PRACTICE OF STAMP OF ENGINEER-OF-RECORD STRUCTURAL ENGINEE' ,, ALIFO' I• SIGNED BY: 4 l• ft PI •A March 24,2020 llia Sara!, .E., . .C.B STRUCTURAL OBSERVATI I'N DOE' NOT WAIVE THE REQUIREMENTS FOR INSPECTIONS BY CITY BUILDING INSPECTORS. ALL WORK MUS 0 Y WITH THE APPROVED PLANS AND APPLICABLE STATE&LOCAL CODES. 227950R_Frmg_5Idg1O_H576-80 Option One Tel 714.556.1916 C nncnitinn Fnninaarc 9755 Rrictnl Sfreef Suite 100 Costa Mesa-Ca.92626 Fax 714 556 1g52 lkji Option one CONSULTING ENGINEERS PAGE 1 OF 1 STRUCTURAL OBSERVATION REPORT LENNAR HOMES, CA 2 y THIS REPORT INCLUDES ALL CONSTRUCTION WORK THROUGH THE: January,21I, 2020 PROJECT "Essex"-MFD OPTION ONE J.N. 0718-2279 LOCATION Arcadia,California BLDG.PERMIT NUMBER Mnew-18-1600 OWNER _ Lennar Homes LOCATION/DIVISION Coastal ARCHITECT Angeleno ARCHITECT J.N. 1704 STRUCT.OBS.OF RECORD Ilia Sarad,P.E.,S.E.,S.E.C.B. LIC.OR REGISTRATION No. S-3855 STRUCTURAL OBSERVER : Luis Salas,E.I.T LIC.OR REGISTRATION No. OBSERVED STRUCTURAL ELEMENTS&THEIR CONNECTIONS: LOT(S)&PHASE OBSERVED: Conventional Foundation System;i.e.,anchor bolts,holdown bolts&straps, Phase:1A, Tract:77121 post bases,Strong-Wall/Hardy Frame anchor bolts,slab size/reinforcement and Bldg. 10,5B-Plex footing&pad size/reinforcement(NOTE:monolithic pour system). HS 76/P7,2635 Paisly Ct. HS 77/P1.5,2631 Paisly Ct. HS 78/P2,2627 Paisly Ct. HS 79/PI,2621 Paisly Ct. HS 80/P2.2,2619 Paisly Ct. Arcadia,California 91007 OBSERVED DEFICIENCIES: (ATTACH ADDITIONAL PAGES IF NECESSARY) Initial/Completion Date The deficiencies noted during the observation visit have been corrected and/or installed by a collaborated effort of the foreman and project superintendent. L.S. 01/21/20 Construction Stage: ri nDouble Sided n Plywood CPgGuard HVAC DElectrical Plumbing Deck Option ❑ N/A Shear Walls Lid(s) Rails Note:When box is checked,it indicates that construction stage is in progress,and it has not yet been completed at the time of observation was conducted ❑X STRUCTURAL SYSTEM WAS VISUALLY OBSERVED TO BE IN GENERAL CONFORMANCE WITH THE APPROVED PLANS STRUCTURAL DEFICIENCIES ARE OF A MINOR NATURE&MAY BE REVIEWED BY CITY BLDG INSPECTOR FOR COMPLIANCE I DECLARE THAT THE FOLLOWING STATEMENTS ARE TRUE TO THE BEST OF MY KNOWLEDGE AND BELIEF 1. I AM THE REGISTERED ENGINEER WHO HAS RESPONSIBLE CHARGE FOR THE STRUCTURAL OBSERVATION.2. I,OR ANOTHER QUALIFIED-CHARGE OBSERVER WHO I HAVE DESIGNATED ilitaESS/04 ABOVE AND IS UNDER MY RESPONSIBLE CHARGE,HAS PERFORMED THE P B• Sq,.REQUIRED SITE VISITS AT EACH SIGNIFICANT CONSTRUCTION STAGE TOO Z�VERIFY IF THE STRUCTURE IS IN GENERAL CONFORMANCE WITH THE APPROVED PLANS AND SPECIFICATIONS. NO. S 3855 21 3. ALL DEFICIENCIES,WHICH I DOCUMENTED,HAVE BEEN CORRECTED UNLESS OTHERWISE INDICATED ABOVE. * Exp. 3/31/2020 4. ALL OBSERVED DEFICIENCIES SHALL BE CORRECTED AND APPROVED BY THE S OBSERVER PRIOR TO FINAL ACCEPTANCE OF THE STRUCTURAL SYSTEMS BY �.� T P l?t/C T RP THE BUILDING DEPARTMENT. TF S OF CALI10 5. THIS REPORT IS PROVIDED TO THE OWNER AS A PART OF THE OWNERS OVERALL CONSTRUCTION QUALITY CONTROL PROGRAM. JanuaP ,2120 6. OPTION ONE HAS PROVIDED STRUCTURAL OBSERVATION IN ACCORDANCE WITH THE SEAOC RECO 4 MENDED GUIDELINES FOR THE PRACTICE OF STAMP OF ENGINEER-OF-RECORD STRUCTURAL ENGINEE ! G ". C IIIFO) SIGNED BY: AP* _,�'I` 4 January Yr,2020 Ilia Sar-2,P.E.,S.E., ' . .C, STRUCTURAL OBSERVATI!N DOES OT WAIVE THE REQUIREMENTS FOR INSPECTIONS BY CITY BUILDING INSPECTORS. ALL WORK MUS COMP WITH THE APPROVED PLANS AND APPLICABLE STATE&LOCAL CODES. 227950R_Foundation_5Idg10_H 576-80 Option One Tel 714.556.1916 Consulting Engineers 2755 Bristol Street. Suite 100, Costa Mesa, Ca. 92626 Fax 714.556.1952 Southwest Inspection and Testing, Inc. 441 Commercial Way, La Habra, Ca 90631 (562) 941-2990 • (714) 526-8441 • Fax (562) 946-0026 S,WIT Job No, Date REGISTERED INSPECTOR'S DAILY REPORT - TYPE OF ❑` Reinforced Concrete ❑ Welding ❑ DIA/Epoxy INSPECTION ❑ Post Tensioned Concrete ❑ Fireproofing El Wood Framing REQUIRED 0 Reinforced Masonry ❑ Asphalt ❑ Other Job Address Tract No. Lot No. Job Name Permit No. ,': Issued By Type of Structure Architect Material Description (type,grade, source) Engineer Contractor Inspector's Name Subcontractor TESTS PERFORMED SAMPLE AIR CONC WATER TIME SET# TRUCK# TICKET# LOCATION SLUMP TEMP TEMP ADDED CAST MIX# REMARKS • INSPECTION SUMMARY—LOCATIONS OF WORK INSPECTED, TEST SAMPLES TAKEN, WORK REJECTED, JOB PROBLEMS, PROGRESS, REMARKS, ETC. INCLUDES INFORMATION ABOUT-AMOUNTS OF MATERIAL PLACED OR WORK PERFORMED, NUMBER, TYPE& IDENT. NO'S OF TEST SAMPLES TAKEN:STRUCT.CONNECTIONS(WELD MADE H.T.BOLTS TORQUED)CHECKED,ETC. { CERTIFICATION OF COMPLIANCE CONTINUED ON NEXT PAGE ❑ PAGE OF I HEREBY CERTIFY THAT I HAVE OBSERVED TO THE BEST OF MY KNOWLEDGE TIME IN TIME OUT SAMPLES ALL OF THE ABOVE REPORTED WORK UNLESS OTHERWISE NOTED. I HAVE FOUND THIS WORK TO COMPLY WITH THE APPROVED PLANS,SPECIFICATION, AND APPLICABLE SECTION OF THE GOVERNING BUILDING LAWS. SIGNATURE OF REGISTERED INSPECTOR Approved By SPECIALTY NO. AGENCY Project Superintendent White-Office Copy• Canary-Accounting Copy• Pink-Inspector's Copy• Goldenrod-Jobsite Copy zez . s Amos atsla9arWroa�4�e OZ60v£S#30a:um:T-ro3 a".^ 33 V.LONSi gil41 �HM83 tit �S41S03ks169 v 7.'!'S.1 ik a + s' W'� A!jX ��y \jvpr:Zu�aSSOH Ma i y kainoo Sitio i*q !' .:...... tai.. 0 3a 3 lFEe ffi i . tIt . :ia v 'otmaw:a Milli :10ss3313a,1 salur3 2u!cidotiS SDnstxap la-bS 00UI 007;50,.£Jo uogefu;uap sapn!Cu.I AIMS X172 3o 7d'b5 00OI 00'60S-1Z 3o uollHoufap zpn[ou[ -OLsi1utiAlIfiitA-I INVEI-IqulHAS'TZ:LLt4 .j,1 :.z ,ramal•of a?M. - :8s;tstsy jn it ae,:.<<ct:lurl;:rarnl:t!Supspig..,.uogllvr:: ?-G:Wawa otrt-31:11. v112 fe.a%ur4.0-)vuo Ni snolx Rq'ami, FL'OS o'msl`s��? sn�ICa Cc2`s s MG Bog 1101;3056103R3eni n12213 eon OSag allikt maguraithlus atom almond CO'OI: b3 iffav0'StJ'i limn`2t{I BM!.Stt7 Li 1;i1'01«y17S no:OfrOIZ`h au 00-zI li yiavatlItirl ta svkau sv-i:.i i aluoji Awn%al0utg 1 Cr,o[Lr; nu �tu'aszvW nu 'b '''I+Q'c:7)w`iLINA ausv=a`:;t. 1a.t la'bS 000'00'ZSv`ic Q d /01-1-1W7--- o---...._ la is ems 00'605`? aPitl 11ua asaJo aeasean -011uns "1rLaud S 128.6171(6176):mimic' 8I9Z6 YD`se'l-I 59£#Km-1d II03I I£151 yanrzapsoil use LOU 16 `�'IC4d72I�' (I au`etid-seuiti seri LI)satuS S.1131111a1 `dQ S"dNFL S�'!Li I<l em�o�eY;es ddd 317 1 d'Itld:3'ad II Mifflin NOTIO Si :'oft lar,�srQ snippysaltS/.�aas►O £S4 OZO 88/S:Nar toz`s[Jag01-o0 :awl 1 1c1193311 3M.1 NOI.Ld�NNOd JVZLSRS 3J�'N.1M2'S ._LQO-£500201381.4 :'s'id uolZraijddy i 'I�I'�'d 80:£-lire 08=L ' m�.L--uolyj-mrd 89:17-vim opt, :mug aaluaoj E.oCrlas321•,Amv,.6117/-669gS3 R6Eb-.0906 VD'inf111y1V1`86617^08't:�'d:ssaapatY bulli��yh: saa/nasa�y qui vow BIJ a uo 0071-109;.',6 tYD'.aa411I1M`Peon MN ueu wmA 9S6i 41111111k 41 r®Beti2 pi/2..r1ua9 pue JeauJ5u3 jag e4ueilatl '- agoii � �Nv�n SANITATION DISMI Armes COUNTY' Robert C. Ferrante MOP" Chief Engineer and General Manager 1955 Workman Mill Road,Whittier.CA 90601-1400 Mailing Address:P.O.Box 4998,Whittier,CA 90607-4998 Converting Waste Into Resources (562)699-7411 0 www.lacsd.orc3 Application No.: 5788020053-002 SEWERAGE SYSTEM CONNECTION FEE RECEIPT Date October 15,2019 SUPPLEMENTAL FACILITIES . Facility Type Measure of Use Unit Rate ..~ ' . Single Family HomeAmo0 00 17 LAS TUNAS DR,UNIT 4,ARCADIA N 1.00 DU 4210 $4 210.00 Single Family Home N 1.00 DU 17 LAS TUNAS DR,UNIT S,ARCADIA 4210 $4 210.00 Single Family Home N 1.00 DU 4210 17 LAS TUNAS DR,UNIT 6,ARCADIA 54,210.U0 Single Family Home N 1.00 DU 4210 17 LAS TUNAS DR,UNIT 7,ARCADIA $4 210.00 Single Family Home N 1.00 DLJ 4210 17 LAS TUNAS DR,UNIT 8,ARCADIA $4,210.00 Single Family Home N 1.00 DU 4210 17 LAS TUNAS DR,UNIT 9,ARCADIA $4,210.00 Single Family Horne N 1.00 DU 4210 17 LAS TUNAS DR,UNIT 10.ARCADIA $4 210.00 Single Family Home N 1.00 DU 4210 17 LAS TUNAS DR,UNIT II,ARCADIA ^y4,210.00 Single Family Home N 1.00 DU 17 LAS TUNAS DR.UNIT 12,ARCADIA 4210 $4 210.00 Multi-Unit Residential N 10.00 DU 2526 17 LAS TUNAS DR Units 70-80,ARCADIA rai S'- S2 ,260.00 Subtotal $63,150.00 THIS IS NOT a CONNECTION PERMIT .4 CORRECTION PERefIT IS REQUIRED BEFORE CONNECTING TO ANY SEWER. DOC#5340920 �4 f. PLANNING SERVICES ATTENTION: VAC(C...SY- DATE: °i "Z 3-z U FROM: BUILDING SERVICES INSPECTOR: g-Aig-r7 PROPERTY ADDRESS: 2616-16 3r PA-is j' (P#Mc - PERMIT#: PLAN#: CONTRACTOR: /6-/1Gi4 PHONE#: OWNER: icLi�!/�,� PHONE#: PLEASE INSPECT THE FOLLOWING ITEMS FOR COMFORMANCE WITH APPLICABLE PLANNING REQUIREMENTS. TYPE OF INSPECTION DATE & INITIAL DATE& INITIAL FINAL APPROVAL LANSCAPING/IRRIGATION N.Q CW-E,243 TRASH ENCLOSURES PARKING/DRIVEWAYS c( /26 STORAGE AREAS MECHANICAL EQUIPMENT \-k-R a ( l WALL HEIGHT BACKFLOW SCREENING COMMENTS: Southwest Inspection and Testing, Inc. 441 Commercial Way, La Habra, Ca 90631 (562) 941-2990 • (714) 526-8441 • Fax (562) 946-0026 SWIT Job No. Date 02/19/2020 REGISTERTED INSPECTOR/ACI TECHNICIAN DAILY REPORT 190406 TYPE OF ❑■ Reinforced Concrete D Welding 0 DIA/Epoxy INSPECTION ❑■ Post Tensioned Concrete 0 Fireproofing ❑ Wood Framing REQUIRED ❑ Reinforced Masonry 0 Asphalt ❑ Other Job Address 2636,2631,2627,2621&2619 Paisly Court Tract No.7721 Phase 1 Lot No.76_80 Job Name Willowtown Permit No.Mnew-18-1600 Issued By City Type of Structure Shear wall/epoxy Architect Material Description (type, grade, source) Simpson set-XP Engineer Anchor bolts Contractor Lennar Inspector's Name Michal Fekry Subcontractor TESTS PERFORMED SAMPLE AIR CONC WATER TIME SET# TRUCK# TICKET# LOCATION SLUMP TEMP TEMP ADDED CAST MIX# REMARKS INSPECTION SUMMARY— LOCATIONS OF WORK INSPECTED, TEST SAMPLES TAKEN, WORK REJECTED, JOB PROBLEMS, PROGRESS, REMARKS, ETC. INCLUDES INFORMATION ABOUT-AMOUNTS OF MATERIAL PLACED OR WORK PERFORMED, NUMBER, TYPE& !DENT. NO'S OF TEST SAMPLES TAKEN: STRUCT. CONNECTIONS(WELD MADE H.T.BOLTS TORQUED)CHECKED, ETC. I arrived on site as requested and observed the installation of 5/8th diameter A307 for steel for popper embedment depth 7" embedment T.O.F.F, for the shear walls in the concrete footing at lots#76,77,78,79&80. Verified holes for proper cleaning.All holes were blown and brushed prior placement of epoxy. Epoxy used : Simpson Set XP exp date 11/03/21 applied per Icc ER-2508 and manufacture instructions.All work observed were in compliance per approved plans specifications. CERTIFICATION OF COMPLIANCE CONTINUED ON NEXT PAGE ❑ PAGE OF I HEREBY CERTIFY THAT I HAVE OBSERVED TO THE BEST OF MY KNOWLEDGE TIME IN TIME OUT SAMPLES ALL OF THE ABOVE REPORTED WORK UNLESS OTHERWISE NOTED. I HAVE FOUND THIS WORK TO COMPLY WI H THE APPROVED PLANS,SPECIFICATION, 12:00 m 3:00 m AND APPLICABLE SECTION / /�ii RN . LDING LAWS. p p " ii SIGNATURE OF REGISTERED INSPECTOR Concrete 8944802 ICC Approved By SPECIALTY NO. AGENCY Project Superintendent White—Office Copy• Canary—Accounting Copy• Pink—Inspector's Copy• Goldenrod—Jobsite Copy SITZ F-049 S:\FORMS\DAILY REPORT TEMPLATES&FORMS\Concrete Tech_Inspector's Daily Report Template.dot ©Southwest Inspection &Testing, Inc. 7h - f4— B/�. j Southwest Inspection and Testing, Inc. * ,'e /3Q0¢- 441 Commercial Way, La Habra, Ca 90631 (562) 941-2990 • (714) 526-8441 • Fax (562) 946-0026 ( flo/Jcia-4,. SW IT Job No. Date REGISTERED INSPECTOR'S DAILY REPORT ZOO 02— 12.-2 0 TYPE OF CI Reinforced Concrete CI Welding 1DIA/Epoxy INSPECTION ❑ Post Tensioned Concrete ❑ Fireproofing ❑ Wood Framing REQUIRED ❑ Reinforced Masonry ❑ Asphalt ❑ Other Job Address _S ` -�1Q. ,, - Tract No. ---1 i ' \ , Lot No. p'�J 9 Job Name J Permit No. Issued By t Cis ���1 `-1� - i r AY-\-oke Type of Structure `` Architect 9 `� P r��\ ° ‹ L e I1 CZ /�sVs 0 c , Material Description (type,pe,grade,source) 0 3 -/ �O' Engineer O d vv-e-_l S . cme-N ,S E i xx d Contractor L .� Inspector's Name CA.V e ► \ ,1\` Subcontractor..j con c F '� TESTS PERFORMED SAMPLE AIR CONC WATER TIME SET# TRUCK# TICKET# LOCATION SLUMP TEMP TEMP ADDED CAST MIX# REMARKS INSPECTION SUMMARY—LOCATIONS OF WORK INSPECTED, TEST SAMPLES TAKEN, WORK REJECTED, JOB PROBLEMS, PROGRESS, REMARKS, ETC. INCLUDES INFORMATION ABOUT-AMOUNTS OF MATERIAL PLACED OR WORK PERFORMED, NUMBER,TYPE& IDENT. NO'S OF TEST SAMPLES TAKEN:STRUCT.CONNECTIONS(WELD MADE H.T.BOLTS TORQUED)CHECKED,ETC. S t VA -i"- .. *0 1'`ro i 1 a, E.?a,,,/ I,,,s p, +�o cci- 1,--411(1w ,•., Lo CG,-t'lid h, I , 13r, 11 -eo 7 vv\o", ttil hak S , cL-eco .-r( 1,101-Q.4, W14y- 4 krieuk, �ickc '& '$ Al 14v=ect4 `3(41 - vi j Ef c i ` eb Y- Mt', ,t Y1 a r- A4 I�.t• t o c a-k c Lest..t . 1 S E4x y 13o\-t- Oct.- �YIt f i o J 44- Epoxy Rat a,1 t,�,ll►-t 11 . Et'ax)i sot- ct lit 41 , E xy 'Q�tt -t- (Ah,,+ `ft , 9 1-!oxr tot-t- cvt tik.,h,t 1.4, t�_ Epoxy ii- a{- (ilL►^t t 7S . ci-ce d2ta I t. /f---.1Y2.. a, D rk k1 -4-\\f'A. c--oQ.-4-+w5 i t`.`'ta.t.e. t"(1 Aq 411 nz_oc . R41-{- w/ 61t 4 P ck-t- -et k 1 Wi ..2. q)(y `Qa v-- NQZ.Ssi •.) 1,-ttktz4 td ai\r�, a- v i f '7 0 t-'2Y^ dAtc,,t 1 t 4'/f hz'.. , Eror Gt.s.8 : St vvpShv‘ zET--x p, Lx', <144,s21 1-06-z i t � 6�.0 6_ z‘,. _ X63 ` �6.?4 -Pcieo, iy Ct. CERTIFICATION OF COMPLIANCE CONTINUED ON NEXT PAGE ❑ PAGE OF I HEREBY CERTIFY THAT I HAVE OBSERVED TO THE BEST OF MY KNOWLEDGE TIME IN TIME OUT SAMPLES ALL OF THE ABOVE REPORTED WORK UNLESS OTHERWISE NOTED. I HAVE FOUND THIS WORK TO COMPLY WITH THE APPROVED PLANS,SPECIFICATION, `) Q �, ` �, AND APPLICABLE SECTION OF THE GOVERNING BUILDING LAWS. t. L , a.1 Qt_ -all MIL SIGNATURE OF REGIS RED INSPE TOR / , Ik D 1 A D S( , L , Approved B __ _- //. Aft/ SPECIALTY NO. AGENCY ' ° Project Superintendent White—Office Copy• Canary—Accounting Copy• Pink—Inspector's Copy• Goldenrod—Jobsite Copy Southwest Inspection and Testing, Inc. 441 Commercial Way, La Habra, Ca 90631 (562) 941-2990 • (714) 526-8441 • Fax (562) 946-0026 REGISTERTED INSPECTOR/ACI TECHNICIAN DAILY REPORT I(WIT Job No. Date / TYPE OF ���� �� I ���( 0 Reinforced Concrete ❑ Welding ❑ DIA/E INSPECTION 0 Post Tensioned Concrete 0 Fireproofing po'ry REQUIREDWood Framing 0 Reinforced Masonry 0 Asphalt El Other 1. Job Address i %G_s 75 Tract No. Phase Lot No. Job Name '.- ►- tss ex Permit No. Issued By iftedi Type of Structure W ` COMP/WC Architect la bil Material Description(type, grade, source) Engineer /p 151-1 Contractor • Inspector's NameL-C1inL (pa 1 )1(.14 op Subcontractor TESTS PERFORMED SAMPLE.. . AIR CONC WATER TIME SET# TRUCK# TICKET# LOCATION SLUMP TEMP TEMP ADDED CAST MIX# REMARKS INSPECTION SUMMARY— LOCATIONS OF WORK INSPECTED, TEST SAMPLES TAKEN, WORK REJECTED, JOB PROBLEMS, PROGRESS, REMARKS, ETC. INCLUDES INFORMATION ABOUT-AMOUNTS OF MATERIAL PLACED OR WORK PERFORMED, NUMBER,TYPE& IDENT. NO'S OF TEST SAMPLES TAKEN:STRUCT.CONNECTIONS(WELD MADE H.T.BOLTS TORQUED)CHECKED,ETC. c6� X12 o , 1-6-f, 2-6.2 243 2 I A 3`r Pai6 Corr /Perm, i i--15119 elf �Sfruc`tw a/—/ S Ats°4*/ ttieX W, ,�h��r^I ov- � �ac'�i''�ov- 5�ear-i�2s� � . p � n Cori" Mi'/ f h CI cP (or / 5 Ir ps k g & hard ware acc°i4 fi aproie-Q plats, J `$3 5 2.6'31 2.627 W) ) 241c/ Pal Cokr�`l Perr it # )2 /i oa 46 ' eel , . `sfY '-�-a1-I She 4tiri� ed 1,/di,.11or 41 esoir Co,recl POI// 1 ha(; nS 5fraS i' efat>°lQ kCct^&zre/ CiCarfiLli $3% a pproeeY 140s• CERTIFICATION OF COMPLIANCE CONTINUED ON NEXT PAGE ❑ PAGE OF _ I HEREBY CERTIFY THAT I HAVE OBSERVED TO THE BEST OF MY KNOWLEDGE ALL OF THE ABOVE REPORTED WORK UNLESS OTHERWISE NOTED. I HAVE TIME IN TIME OUT SAMPLES FOUND THIS WORK TO COMPLY ITH THE AP ROVED PLANS,SPECIFICATION, • /� n AND APPLICABLE SECTION O T VER I // LDING LAWS. q' 3o 6Th .-it ow l 0t ow OF REGIS .R • INSPECTOR �� ( ) ) 03771 L> L'' I PB Approved Bj�� SPECIALTY NO. AGENCY ' Project Superintendent White—Office Copy• Canary—Accounting Copy•Pink—Inspector's Copy• Goldenrod—Jobsite Copy SITZ F-049 S:\FORMS\DAILY REPORT TEMPLATES&FORMS\Concrete Tech_Inspector's Dally Report Template.dot ©Southwest Inspection&Testing,Inc. Southwest Inspection and Testing, Inc. 441 Commercial Way, La Habra, Ca 90631 (562) 941-2990 • (714) 526-8441 • Fax (562) 946-0026 REGISTERTED INSPECTOR/ACI TECHNICIAN DAILY REPORT SWIT Job No. Date /,n TYPE OF �� C I Mak O 0 Reinforced Concrete 0 Welding ❑ DIA/Epoxy INSPECTIONREQUIRED 0 Post Tensioned Concrete 0 Fireproofing ' Wood Framing 0 Reinforced Masonry ❑ Asphalt 0 Other Job Address ),� % . -r— 5 Tract No. Phase Lot No. Job Name j SS t�–xG f Permit No. Issued By f,1-��,�,,�� Type of Structure , �"`Kt ��fi fel 1 C' Architect ��frlC'�'Gll� Material Description(type, grade, source) Engineer Opnoli Qhe Contractor • Inspector's Name Vn a� I j--a •hioa �� Subcontractor TESTS PERFORMED -SAMPLE AIR CONC WATER TIME - _ - -- SET# TRUCK# TICKET# LOCATION SLUMP TEMP TEMP ADDED CAST MIX# REMARKS INSPECTION SUMMARY— LOCATIONS OF WORK INSPECTED, TEST SAMPLES TAKEN, WORK REJECTED, JOB PROBLEMS, PROGRESS, REMARKS, ETC. INCLUDES INFORMATION ABOUT-AMOUNTS OF MATERIAL PLACED OR WORK PERFORMED, NUMBER,TYPE& IDENT. NO'S OF TEST SAMPLES TAKEN:STRUCT.CONNECTIONS(WELD MADE H.T.BOLTS TORQUED)CHECKED,ETC. [e ; 0 6LO , 24, 2622 , -632 , Th31 PaIsj Curd /Per1n� l� -15411 }o>•I 5frr eturz�l-! sAe4 .. t ieJ c/; 1 h�`�r►o �- � mac i�r�ov- she �t�s� � Cc eA MI'/i51 hof, �o�•ms i. s ( .-- t lifie& hark/are' k/are acca 4 (lb'a pv'oue-Q pl ►s, `263 5 '3I i 2. 6 27 ' 26 21 /6I Pal Ca►,r f l Perim IF# )2 -16 Oa ......ifer e L l— l S/l 'jt4,11 COwilt? Correcl PA llh 1 hd) i'ns 5fra s ref t42 ilar WGrc, 4 a pproed plans• CERTIFICATION OF COMPLIANCE CONTINUED ON NEXT PAGE ❑ PAGE OF _ I HEREBY CERTIFY THAT I HAVE OBSERVED TO THE BEST OF MY KNOWLEDGE ALL OF THE ABOVE REPORTED WORK UNLESS OTHERWISE NOTED. I HAVE TIME IN TIME OUT SAMPLES FOUND THIS WORK TO COMPLY ITH THE AP ROVED PLANS,SPECIFICATION, n AND APPLICABLE SECTION O T VERNI •, .LDING LAWS. C 30Gis"„ V n� IJ /� n SIGNATURE OF REGIS` " =R INSPECTOR LVifs pt1J/7l b^AV VJ Approved B i- . • SPECIALTY 'C �, NO. AGENCY ' Project Superintendent White–Office Copy• Canary–Accounting Copy•Pink–Inspector's Copy• Goldenrod–Jobsite Copy SIT!F-049 S:\FORMS\DAILY REPORT TEMPLATES&FORMS\Concrete Tech_Inspector's Daily Report Template.dot ©Southwest Inspection&Testing,Inc. w», City of Arcadia, CA Permit NO. Misc-19-0073 Development Services Department Permit Type:Misc 240 West Huntington Drive,Post Office Box 60021 Arcadia,CA 91066-6021 Work Classification:Misc-Address Change (626)574-5416 Permit Status:Issued A.RCA DL A. Issue Date:01/22/2019 Expiration: Addr NO. Dir Prefix Street Name Street Suffix Unit City,State,Zip Parcel Number 17 Las Tunas DR Arcadia,CA 5788020030 Contacts LENNAR Owner Description:ADDRESS CREATION FOR CONDO PROJECT. Valuation: $ 0.00 Tenant 2619-2635 PAISLY COURT AND HOUSE METER U PAISLY COURT Total Sq Feet: 0.00 Plan Check# Plan# Fees Amount Payments Amount Paid Address Change $700.00 Total Fees $753.26 Building Issuing Fee $47.01 Cash/Receipt#REC-00170-19 $753.26 Solid Waste Management Fee $6.25 Amount Due: $0.00 Total: $753.26 CALLS FOR INSPECTIONS Request for inspection by telephone at 626-574-5450. Leave a message requesting the address,timeframe and what inspection item is needed. This permit/plan review expires by time limitation and becomes null and void if the work authorized by the permit is not commenced within 180 days from the date of issuance or if the permit is not obtained within 180 days from the date of plan submittal.This permit expires and becomes null and void if any work authorized by this permit is suspended or abandoned for 180 consecutive days or if no progressive work has been verified by a City of Arcadia building inspector for a period of 180 consecutive days. /V4C- ci-23 -2-b 71\fr-7 January 22, 2019 Issued By: Date December 31,2019 Page 1 of 1 A: cpookvii .. .% 1 PERMIT/PLAN REVIEW APPLICATION R+ t Development Services Department,240 West Huntington Drive,Post Office Box 60021 4.kaiti at i" Arcadia, CA 91066-6021, (626) 574-5416,Fax (626)447-9173 City of Arcadia LICENSED CONTRACTOR'S DECLARATION WORKERS'COMPENSATION DECLARATION ❑ I hereby affirm under penalty of perjury that I am licensed under provisions of I hereby affirm under penalty of perjury one of the following: Chapter 9(commencing with Section 7000,of Division 3 of the Business and Professions Code,and my license is in full force and effect. ❑ I have and will maintain a certificate of consent to self-insure for workers' License Class License No. Exp. Date compensation, as provided for by Section 3700 of the Labor Code, for the Signature of Contractor performance of the work for which this permit is issued. OWNER-BUILDER DECLARATION ❑ I have and will maintain workers'compensation insurance,as required by Section ❑ I hereby affirm under penalty of perjury that I am exempt from the Contractors 3700 of the Labor Code,for the performance of the work for which this permit License Law for the following reason(Section 7031.5,Business and Professions is issued.My workers'compensation insurance carrier and policy numbers are: Code.Any city or county which requires a permit to construct,alter,improve, Carrier demolish,or repair any structure,prior to its issuance,also required the applicant for such permit to file a signed statement that he or she is licensed pursuant to the Policy Number_ provisions of the Contractors License Law(Chapter 9(commencing with Section (This section need not be completed if the permit is for one hundred dollars or less) 7000)of Division 3 of the Business and Professions Code)or that he or she is exempt there from and the basis for the alleged exemption. Any violation of 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 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). 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 Title PRINT NAME I certify that I have read this application and state that the above information is correct and that I am the owner or duly authorized agent of the owner. I agree to comply with all City ordinances and State Laws relating to building construction. I hereby authorize representatives of the City of Arcadia to enter upon the above-mentioned property for inspection purposes. Signature Date City of Arcadia, CA Permit NO. MEP-19-2559 Development Services Department Permit Type:MEP 240 West Huntington Drive,Post Office Box 60021 Arcadia,CA 91066-6021 Work Classification:MEP-Residential (626)574-5416 Permit Status:Issued ARCADIA Issue Date: 12/24/2019 Expiration: Addr NO. Dir Prefix Street Name Street Suffix Unit City,State,Zip 2619-2635 PAISLY CT ARCADIA, Contacts LENNAR HOMES OF CALIFORNIA* Owner 15131 ALTON PKWY 365,Irvine,CA 92618 (949)349-8215 Description:UNITS 2635,2631,2627,2621,2619 PAISLY CT. 400 Valuation: $ 0.00 Tenant AMP SERVICE(5)125 AMP SUB PANEL(2) 100 AMP SUB PANELS.HVAC SYSTEM PER APPROVED PLANS. HERS REQUIRED Total Sq Feet: 0.00 Plan Check# Plan# FOR FINAL. Fees Amount Payments Amount Paid Bathtubs/or Combo $79.26 Total Fees $3,534.25 Bidet $132.10 Cash/Receipt#REC-03460-19 $3,534.25 Clothes Washer $66.05 Compressor 3-5 Ton(3 to 15 hp) $181.75 Amount Due: $0.00 Dishwasher $66.05 Distribution Panel $115.36 Electrical Permit Issuance Fee $47.01 Furnace or Burner<=100,000 BTU $99.30 Garbage Disposal Fee $66.05 Gas System(Outlets) $124.10 Hood Serviced by Mechanical Exhaust $74.80 CALLS FOR INSPECTIONS Install,Relocate Appliance Vent/Hood $298.20 Request for inspection by telephone at 626-574-5450. Leave a message Kitchen Sink $66.05 requesting the address,timeframe and what inspection item is needed. Laundry Trays $66.05 Lavatories $303.83 Mechanical Permit Issuance Fee $47.01 This permit/plan review expires by time limitation and becomes null and Motors,Generators<1 hp $48.42 void if the work authorized by the permit is not commenced within 180 days Motors,Generators 1-10 hp $82.40 from the date of issuance or if the permit is not obtained within 180 days New Residential Accessory Bldg (sq ft $170.87 from the date of plan submittal.This permit expires and becomes null and area) void if any work authorized by this permit is suspended or abandoned for 180 New Residential Elect.(sq ft area) $694.00 consecutive days or if no progressive work has been verified by a City of Plumbing Permit Issuance Fee $47.01 Arcadia building inspector for a period of 180 consecutive days. Total: $3,534.25 December 24, 2019 Issued By: Date December 27,2019 Page 1 of 1 %F A: ..1FOIL 4 ! 1 PERMIT/PLAN REVIEW APPLICATION -' - IDevelopment Services Department,240 West Huntington Drive,Post Office Box 60021 j. Arcadia, CA 91066-6021, (626) 574-5416,Fax(626)447-9173 City of Arcadia LICENSED CONTRACTOR'S DECLARATION WORKERS'COMPENSATION DECLARATION ❑ I hereby affirm under penalty of perjury that I am licensed under provisions of I hereby affirm under penalty of perjury one of the following: Chapter 9(commencing with Section 7000,of Division 3 of the Business and Professions Code,and my license is in full force and effect. ❑ I have and will maintain a certificate of consent to self-insure for workers' License Class License No. / 1---/ ^Exp. Date compensation, as provided for by Section 3700 of the Labor Code, for the gnature of Contractor © IBJ / performance of the work for which this permit is issued. WNER-BUILDER DECLARATION +v'9 0 I have and will maintain workers'compensation insurance,as required by Section I hereby affirm under penalty of perjury that I am exempt from the Contractors 3700 of the Labor Code,for the performance of the work for which this permit • nse 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 ^J / demolish,or repair any structure,prior to its issuance,also required the applicant Policy Number 0'1 �7 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 ❑II 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'comp sation rovisions 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 comp with ose provisions. a7 compensation,will do the work,and the structure is not intended or offered for Date �� /5 Si /' sale(Section 7044,Business and Professions Code:The Contractors License Signature //f ` 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 Date /e )1(2 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 c /� Tide , `y6PRINT NAME /XJc 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. / ,/ Q Signature ((, Date / 9 J / / •.•r... City of Arcadia, CA Permit NO. EIec-20-1238 Development Services Department Permit Type:Electrical 240 West Huntington Drive,Post Office Box 60021 Arcadia,CA 91066-6021 Work Classification:Electrical Commercial (626)574-5416 Permit Status:Issued A.RCA DIA Issue Date:08/10/2020 f Expiration: 08/10/2021 Addr NO. Dir Prefix Street Name Street Suffix Unit City,State,Zip 2635 PAISLY CT B (METER) • Contacts LENNAR HOMES OF CALIFORNIA* Owner 15131 ALTON PKWY 365,Irvine,CA 92618 (949)349-8215 Description: 100 AMP METER FOR COMMERCIAL PORTION OF Valuation: $ 0.00 Tenant LIVE/WORK UNIT. Total Sq Feet: 0.00 Plan Check it Plan if Fees Amount Payments Amount Paid Commercial Service<200amps $33.32 Total Fees $81.33 Electrical Permit Issuance Fee $47.01 Cash/Receipt#REC-05171-20 $81.33 Solid Waste Management Fee 2 $1.00 Amount Due: $0.00 Total: $81.33 -, $—i!ZO SefZ✓Ic.t eilroiEG X,714.QTY 2EGE4- e— CALLS FOR INSPECTIONS Request for inspection by telephone at 626-574-5450. Leave a message requesting the address,timeframe and what inspection item is needed. This permit/plan review expires by time limitation and becomes null and void if the work authorized by the permit is not commenced within 180 days from the date of issuance or if the permit is not obtained within 180 days from the date of plan submittal.This permit expires and becomes null and ^ � y� void if any work authorized by this permit is suspended or abandoned for 180 i J CI11J P,E I�j consecutive days or if no progressive work has been verified by a City of u Arcadia building inspector for a period of 180 consecutive days. —28 Zo //(1 August 10, 2020 Issued By: Date August 10,2020 Page 1 of 1 0011.0.14,4 PERMIT/PLAN REVIEW APPLICATION Development Services Department,240 West Huntington Drive,Post Office Box 60021 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. 0 I have and will maintain a certificate of consent to self-insure for workers' License Class License No. Exp. Date compensation, as provided for by Section 3700 of the Labor Code, for the Signature of Contractor performance of the work for which this permit is issued. OWNER-BUILDER DECLARATION 0 I have and will maintain workers'compensation insurance,as required by Section ❑ I hereby affirm under penalty of perjury that I am exempt from the Contractors 3700 of the Labor Code,for the performance of the work for which this permit License Law for the following reason(Section 7031.5,Business and Professions is issued.My workers'compensation insurance carrier and policy numbers are: Code.Any city or county which requires a permit to construct,alter,improve, Carrier demolish,or repair any structure,prior to its issuance,also required the applicant for such permit to file a signed statement that he or she is licensed pursuant to the Policy Number provisions of the Contractors License Law(Chapter 9(commencing with Section (This section need not be completed if the permit is for one hundred dollars or less) 7000)of Division 3 of the Business and Professions Code)or that he or she is exempt there from and the basis for the alleged exemption. Any violation of 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 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). 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. are Title PRINT NAME ertify 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. agree to comply with all City ordinances and State Laws relating to building construction. I hereby authorize presentatives of the City of rcadia to.enter e above-mentioned pro rty for inspection purposes. /, /,14) ignatuFs . Date 7_ 1 •,.•* City of Arcadia, CA Permit NO. FIRE-20-0127 Development Services Department Permit Type:Fire 240 West Huntington Drive,Post Office Box 60021 Arcadia,CA 91066-6021 Work Classification:Fire Sprinkler (626)574-5416 Permit Status:Issued ARCADIA Issue Date:02/19/2020 Expiration: Addr NO. Dir Prefix Street Name Street Suffix Unit City,State,Zip Parcel Number 2619-2635 PAISLY CT ARCADIA, 5788020031 Contacts LENNAR HOMES OF CALIFORNIA* Owner dba ON GUARD FIRE PROTECTION Contractor 15131 ALTON PKWY 365,Irvine,CA 92618 6438 ARVILLE ST,LAS VEGAS,CA 89118 (949)349-8215 (702)966-8021 053718 Description:FIRE SPRINKLERS FOR BLD 10,2619-2635 PAISLY Valuation: $ 37,000.00 Tenant CT Total Sq Feet: 0.00 Plan Check#20-0127 Plan# Fees Amount Payments Amount Paid Fire Issuance $47.01 Total Fees $1,528.76 Fire Permit Fees $640.75 Cash/Receipt#REC-03901-20 $688.76 Solid Waste Management Fee 2 $1.00 Cash/Receipt#REC-03662-20 $840.00 Sprinkler Heads 5840.00 Amount Due: $0.00 Total: $1,528.76 CALLS FOR INSPECTIONS Request for inspection by telephone at 626-574-5450. Leave a message requesting the address,timeframe and what inspection item is needed. This permit/plan review expires by time limitation and becomes null and void if the work authorized by the permit is not commenced within 180 days from the date of issuance or if the permit is not obtained within 180 days from the date of plan submittal.This permit expires and becomes null and void if any work authorized by this permit is suspended or abandoned for 180 consecutive days or if no progressive work has been verified by a City of Arcadia building inspector for a period of 180 consecutive days. February 19, 2020 Issued By: Date February 19,2020 Page 1 of 1 .F A• 4 . '.4 iii ± _ PERMIT/PLAN REVIEW APPLICATION # ' Development Services Department,240 West Huntington Drive,Post Office Box 60021 - ,/,...„ °' Arcadia, CA 91066-6021, (626)574-5416,Fax(626)447-9173 City of Arcadia ICENSED CONTRACTOR'S DECLARATION WORKERS'COMPENSATION DECLARATION hereby affirm under penalty of perjury that I am licensed under provisions of I hereby affirm under penalty of perjury one of the following: hapter 9(commencing with Section 7000,of Division 3 of the Business and Professions C e, d my license is in full force andect. ❑ I have and will maintain a certificate of consent to self-insure for workers' License Clas�" License No./ 3 Exp. Datef /A) compensation, as provided for by Section 3700 of the Labor Code, for the rformance of the work for which this permit is issued. Signature of Contractor OWNER-BUILDER D C ARAT /%I I have and will maintain workers'compensation insurance,as required by Section ❑ I hereby affirm under penalty of rjury 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 carver and policy numbers are: Code.Any city county which requires to a permit , construct, lte improve, Carrier ✓ demolish,or repair any structure,prior to its issuance,also required the applicant �`// for such permit to file a signed statement that he or she is licensed pursuant to the Policy Number 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 subj: to the workers'compensation provisions of Section 700 s'the Labor C. I shall ❑I, as owner of the property, or my employees with wages as their sole forthwith fi ply 'ih those provisions. compensation,will do the work,and the structure is not intended or offered for /j-Z 0 u sale(Section 7044,Business and Professions Code:The Contractors License Da (([ 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 ow employees,provided that such improvements are not intended or offered fo WARNING: Failure to secure Workers' ompensation c. erage 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). 0 I am exempt under Section 7044,Business and Professions Code,for this reason: / Lender's Name Date{}2// --'e Signature Lender's Address IMPORTANT: APPLICATION IS HE'1 BY MA%E TO THE BUILDING OFFICIAL FOR A PERMIT SUBJECT TO THE CONDITIONS AND RESTRICTIONS SET FORTH ON T IS APPLI ATION 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. 1 e ' C l - - 'G,�i=sem Title UO / , PRINT N i / , nn 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 : 1 City o 1', : 1 ces and State Laws relating to building construction. I hereby authorize representatives of the City of Arcadia to enter u / above-me, +'.ned property for inspection purposes. ignature 'i' Date ob D 7 i V12-- / t/