HomeMy WebLinkAboutMEP-20-0895 City of Arcadia, CA Permit NO. MEP-20-0895
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
ARCA I)IA Issue Date:06/17/2020 Expiration: 06/17/2021
Addr NO. Dir Prefix Street Name Street Suffix Unit City,State,Zip Parcel Number
11 W CAMINO REAL AVE Arcadia,CA 91007-8002 5782016052
V teaks' .. n.
Contacts
MAK,DAVID V AND DIANA TRS DM Owner
TRUST
11 W CAMINO REAL AVE
i Description:BBQ ISLAND WITH SINK AT REAR OF HOUSE Valuation: $ 0.00 Tenant
` ommensmons. Total Sq Feet: 0.00 Plan Check d Plan q
• -umensustanitossur
Fees Amount Payments Amount Paid
Electrical Permit Issuance Fee $47.01 Total Fees $126.41
Gas System(Outlets) $15.55 Cash/Receipt tt REC-04721-20 $126.41
Kitchen Sink $13.21
Amount Due: $0.00
Outlets-Receptacles&Switches $1.63
Plumbing Permit Issuance Fee $47.01
Solid Waste Management Fee 2 $1.00
Solid Waste Management Fee 2 $1.00
Total: $126.41 O �n , �(�
ftiglUUrJ l I'J`i}I'II
CALLS FOR INSPECTIONS
Request for inspection by telephone at 626-574-5450. Leave a message
GG requesting the address,timeframe and what inspection item is needed.
8—12.— frvol4c- /77r"
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.
June 17, 2020
Issued By: Date
June 17,2020 Page 1 of 1
%F A•
4 PERMIT/PLAN REVIEW APPLICATION
.4
�. ® Development Services Department,240 West Huntington Drive,Post Office Box 60021
Y Arcadia, CA 91066-6021, (626)574-5416,Fax(626) 447-9173
City of
Arcadia
LICENSED CONTRACTOR'S DECLARATION WORKERS'COMPENSATION DECLARATION
❑ I hereby affirm under penalty of perjury that I am licensed under provisions of I hereby affirm under penalty of perjury one of the following:
Chapter 9(commencing with Section 7000,of Division 3 of the Business and
Professions Code,and my license is in full force and effect. ❑ I have and will maintain a certificate of consent to self-insure for workers'
License Class License No. Exp. Date compensation, as provided for by Section 3700 of the Labor Code, for the
Signature of Contractor performance of the work for which this permit is issued.
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 [�Ircemfy 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 Date 6, )-111-0 Signature
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 hg Qr 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 I
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).
am exempt under Section 7044,Business and Professions Code,for this reason:
/ Lender's Name
Date 6 / )-7 /} Z Signature ,oe ..- 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 P R'n Y> i-1 0 it"
Title G t.....,11-P Ad
PRINT NAME
I certify that I have read this application and state that the above information is c rrect 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 representatives of the City of
rcadia to enter upon the above-mentioned property for inspection purposes.
ignature ��� ate 6/t-t1 Z -1-'0
P.L.70.00
E E \ E/ E -E• E E•-••- ,
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� ALL Dor THAT HAVE ACCESS TO
�C��ly POOL REA WILL HAVE DOR OALARMS
TALLER PRIOR TO PLASTER AND
FILL UP
\
RESIDENCE(E)
7 100.00 ELEV.
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SING
GARAGE(E)
DRIVEWAY(E)
ROUTING I i ACTION 1
Dale and I /�,p,�� .�c� 'See
__LInitials of ;0 o'Q?� Qk° Notes
Checker ✓"�, P G on Sheet I
Planning 1X1 lliLo_IA—j( • l '
Eng. r2 �
Building J
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Fire i _ i _ I
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P.L.70.00
W.CAMINO REAL AVE
.."`.. City of Arcadia, CA Permit NO. Pool-20-0785
Development Services Department Permit Type:Pool/Spa
240 West Huntington Drive,Post Office Box 60021
r Arcadia,CA 91066-6021 Work Classification:Pool-Residential
(626)574-5416 Permit Status:Estimate
ARC:At)IA I Issue Date: Expiration:
Addr NO. Dir Prefix Street Name Street Suffix Unit City,State,Zip Parcel Number
11 W CAMINO REAL AVE Arcadia, CA 91007-8002 5782016052
Contacts
MAK,DAVID V AND DIANA TRS DM Owner POOL LOGIC* Contractor
TRUST 1255 Ruggles ST, La Verne,CA 91750
11 W CAMINO REAL AVE (909)450-7804 1013333
1
Description:96 PF OF IN GROUND POOL AND SPA Valuation: $ 23,221.44 Tenant
Total Sq Feet: 0.00 Plan Check# Plan It
Fees Amount Payments Amount Paid
Building Issuing Fee $47.01 Total Fees $1,081.61
Building Permit Fees $471.05 Cash/Receipt#REC-04605-20 $1,081.61
Building Plan Review Fee $306.19
Amount Due: $0.00
Electrical Fee(Motors,Fix,Wiring) $71.71
Electrical Permit Issuance Fee $47.01 '
Plumbing Permit Issuance Fee $47.01
Pool Piping $28.69
Pool P-Trap $11.51
Solid Waste Management Fee $6.25
Solid Waste Management Fee 2 $1.00 J CCIPLETE
Swimming Pool,Spa/HotTub Heater $43.18
CALLS FOR INSPECTIONS
SWMF FEE 2 $1.00 Request for inspection by telephone at 626-574-5450. Leave a message
requesting the address,timeframe and what inspection item is needed.
Total: $1,081.61
/14(..---
Thispermit/plan review expires by time limitation and becomes null and
4_g....24> 764.- C,r1/ei iT!' 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
7--g-2-6 04-4/4 .DJKG ,,.mj 7�" " from the date of plan submittal.This permit expires and becomes null and
r // void if any work authorized by this permit is suspended or abandoned for 180
7.45-Zr-s ��2-r-,5 D 6 _ 41-.6MS consecutive days or if no progressive work has been verified by a City of
Arcadia building inspector for a period of 180 consecutive days.
/77(
7,
ic, ..7
7...2,-z., „co 4,0.04 /44,49.04 c
r-/2 rZ4S , .i4 7rc rc_, elicere/e.
Aov.9 144 F Z !!s®6-4,7-0., /11-‘ ,/,-
Issued By: Date
June 03,2020 Page 1 of 1
%-f AR
4 ! 1 PERMIT/PLAN REVIEW APPLICATION
�, * Development Services Department,240 West Huntington Drive,Post Office Box 60021
<N Arcadia, CA 91066-6021, (626) 574-5416,Fax (626)447-9173
City of
Arcadia
LICENSED 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 Code,and my license is in full force and effect. 4-3o ❑ I have and will maintain a certificate of consent to self-insure for workers'
License Class C-S3 License�-No.103333 Exp. Date compensation, as provided for by Section 3700 of the Labor Code, for the
Signature of Contractor ffi 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 / �J11
C 1 L�-
for such permit to file a signed statement that he or she is licensed pursuant to the Policy Number v
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'compensation provisions of Sectio' 3700 of the Labor Code,I shall
❑I, as owner of the property, or my employees with wages as their sole orthwith comply with those provisions.
compensation,will do the work,and the structure is not intended or offered forD.te 40 /
-3- c, `/
sale(Section 7044,Business and Professions Code:The Contractors License 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-prbving that he.or, ,e hundred thousand dollars($100,000),in addition to the cost of compensation,
did not build or improve for the purpose of sale). ; fit, damages as provided for in Section 3706 of the Labor Code, interest, and
s`"� 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
er information.
Name id h vl-e-// gc^1 G1/\
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.
agree to comply with all City ordinances and State Laws relating to building construction. I hereby authorize representatives of the City of
rcadia to enter upon the above-m tinned property for inspection purposes.
- 3
Signature Date
PLAN WILL.FOLLOW ALL FOLLOWING CODES;2019 CALIFORNIA BUILDING
SCOPE OF WORE
CODE.2019 CALIFORNIA RESIDENTIAL CODE,2019 CALIFORNIA FIRE CODE.
205 eq.ft.Ftd 2019 CALIFORNIA ENERGY CODE,2019 CALIFORNIA MECHANICAL COPE.
SPA 7'x 5' 18' 2019 CALIFORNIA GREEN BUILDING STANDARDS CODE.2019 CALIFORNIA
350 SF EXISTING PAVERS TO BE REPLACED FOLLOWING POOL PLUMBING CODE AND 2019CAUFORMA ELECTRICAL COVE -y.
CONSTRUCTION
`�-01�wG _ - x'■ .._ CONTRACTOR INFORMATION:
CALLOUTS • �'�'. .-
POOL LOGIC
1 EXISTING 5 BLOCK WALL U VERNE,CAE 1750
2 3505E EXISTING PAVERS TO DE REPLACED � 7
804
FOLLOWING POOL CONSTRUCTION �� -"6^-a-. . UCS 1013333
.r - iiii;h1......,
CONTACT:
EQUIPMENT LIST: " .,. _
ALCH
3HPF ,tair inteEflo Pump and Motor . �'..`' pA,. 7ANIER S5-176
420 Clean and Clear Cartridge Fater ----- ----_--.- -.___....._.-_---- --.--_-- _ - _----- -----
4004961 Heater 917E PLAN SIGNATURE:
5001V Pod Light
60W Spa Light r. •.''i SPA7x5',18'
AUTOMATIC WATERFILL UNIT WOK
OMR 3.5' .11.1111111111111111
SALT SYSTEM .o... %L.••••.•:••••••••••
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LINE INFORMATION:
1 1/2'Gas Line
3/4*
I Q
3/4'Electrical Conduit NI.4282-018-092
\ SANtAAMRA fIA(INYL0/(NN
3''Suction Line ' J, �' ` SWIMMING POOL 23'x 11' era
2 1/2'P.etvn lira —{ '‘.0.0PER:6B LFT 91aOFT FerYw
ws ccuF 11.1212.t10 CopperWxe AREA 205 Eq.ft 1K61D/Z11NF(NEON
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. 5'HIGH 4'WIDE SELF-CLOSING.u. oluu..w.anml -_-_._ SELF-LATCHING GATE GARAGE(E) _ � 14 0
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PROPERTY ASSESSOR 5'HIGH a'WIDE SELF-CLOSING CO
® rmL.�rm.eaa..NrurA..�
-- -------- ' • SELF-LATCHINGGATE
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D.A. 75 V.'S I 7
DRIVEWAY(E)
75 f3 /
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DIGGER NAM /�5'A' w .rwwn.l.,.
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DIGGER SIGNATURE '.23 i + V ..
tOFCONCRETE LOADS
I MARXUPAPPROVEDBY:
t OF 500 WADS
Mg WYE,. ems..
SOF TRASH LOADS
S OF GRADING LOADS S.B 70 1 7/ 1 (2,,............
a�-'r
ELEVATION r�.°"
REVISION NO. N
INITIAL SKIMMER LOCATION '
W.CAMIN O REAL AVE `,II
SCALE �n=
„ SEE NOTED I