HomeMy WebLinkAboutRALT-20-1142 City of Arcadia, CA Permit NO. RALT-20-1142
Development Services Department Permit Type:Residential Addition/Alteration
240 West Huntington Drive,Post Office Box 60021
Arcadia,CA 91066-6021 Work Classification:Res-Window Change-Out
(626)574-5416 Permit Status:Issued
ARCADIA Issue Date:07/24/2020 Expiration: 07/26/2021
Addr NO. Dir Prefix Street Name Street Suffix Unit City,State,Zip Parcel Number
11162 LA ROSA RD Arcadia, CA 91007-6144 5776004004
Contacts
AMARIS STICH Owner
1162 LA ROSA RD
(909)630-6649
Description:RETRO FIT 6 WINDOWS PER HOA APPROVED Valuation: $ 2,485.00 Tenant
PLANS. (SAME STYLE,SIZE,LOCATION)
Total Sq Feet: 0.00 Plan Check N Plan U
Fees Amount Payments Amount Paid
Building Issuing Fee $47.01 Total Fees $285.24
Building Permit Fees $120.35 Cash/Receipt q REC-05052-20 $285.24
Building Plan Review Fee $78.23
Cal Green Plan Check $7.83 Amount Due: $0.00
Energy Plan Review Fee $24.07 •
Green Building Standard $1.00
Solid Waste Management Fee $6.25
Strong Motion Inst.Program Res $0.50
Total: $285.24
CALLS FOR INSPECTIONS
Request for inspection by telephone at 626-574-5450. Leave a message
/// Z11 /r/7k 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.
COMPLETED
July 24, 2020
Issued By: Date
July 24,2020 Page 1 of 1
of AR
PERMIT/PLAN REVIEW APPLICATION • •
•
Development Services Department,240 West Huntington Drive,Post Office Box 60021 ,
qt
OY•ltY * 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
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 ❑ 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.
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 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
DocuSign Envelope ID:C6AFBB02-6488-4F09-AD6F-B60ABCE8077C
CITY OF ARCADIA File#
HOA ARCHITECTURAL REVIEW BOARD
SHORT REVIEW APPLICATION
PLEASE COMPLETE THE FOLLOWING INFORMATION (REQUIRED):
PROJECT ADDRESS 1162 La Rosa Road ZIP 91007
APPLICANT(S) NAME Amaris Stich
MAILING ADDRESS 1162 La Rosa Road
CITY Arcadia STATE CA ZIP 91007
E-MAIL ADDRESS amarismao@gmail.com
TELEPHONE NO. (909) 630-6649
PROPERTY OWNER(S) NAME Amaris and Yuuki Stich
MAILING ADDRESS 1162 La Rosa Road
CITY Arcadia STATE CA ZIP 91007
E-MAIL ADDRESS amarismao@gmail.com
TELEPHONE NO. (909) 630-6649
PROJECT TYPE (Check applicable):
❑ Single-Story Remodel and Addition ❑ Landscaping and Hardscaping ❑ Sport Court and Related Features
❑ Detached Accessory Structure(not ❑ Pool and Spa Equipment 0 Fences and/or Walls
ADUs)
❑ Facade Improvement ❑ Mechanical Equipment ❑ Ground-Mounted Solar
❑ In-Ground Swimming Pools/Spa with ❑ Above Ground Swimming 0 Fountains,Water Features, or
Water Features Pools and Spa Statues
GENERAL DESCRIPTION OF PROJECT: replacing windows in two bedrooms
DOES THE PROJECT REQUIRE DISCRETIONARY APPROVAL BY THE DEVELOPMENT SERVICES DIVISION(E.G.,
PROTECTED TREES,ADMINISTRATIVE MODIFICATIONS, ETC.)? ❑ Yes 8 No
If Yes, submit copies of the requests to the ARB for concurrent consideration
THE APPLICANT AND PROPERTY OWNER HEREBY DECLARE UNDER PENALTY OF PERJURY THAT ALL THE INFORMATION
SUBMITTE FOR THIS APPLICATION IS TRUE AND CORRECT.
07/23/2020
APPLICANT'S SIGNATURE DATE
07/23/2020
PROPERTY OWNER'S SIGNATOR DATE
ACTIONS AND FINDINGS
® APPROVED ❑ CONDITIONALLY APPROVED ❑ DENIED
CONDITIONS OR REASONS FOR DENIAL:
iDoo�c�uSiyned by: ,I
3y v I..- bod4, DATE: 7/23/2020 EXPIRATION:
'-5C04
THERE IS A B7E47E7TEN(110)DAY APPEAL PERIOD FOR THIS APPLICATION. APPEALS MUST BE SUBMITTED IN WRITING TO THE COMMUNITY
DEVELOPMENT DIVISION WITH A$600.00 APPEAL FEE BY P.M.ON
HOA Short Review -4- 11/19
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ikSO ii. 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
ONLINE PERMIT/PLAN REVIEW APPLICATION
CITY OF
( (/6 v /J l
ARCADIA Job Site Address: —,?'
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
performance of the work for which this permit is issued.
Signature of Contractor
OWNER-BUILDER DECLARATION 0 1 have and will maintain workers'compensation insurance,as required by Section
3700 of the Labor Code,for the performance of the work for which this permit
❑ I hereby affirm under penalty of perjury that I am exempt from the Contractors is issued. My workers'compensation insurance carrier and policy numbers are:
License Law for the following reason(Section 7031.5, Business and Professions
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
IL
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.1 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 07/31/2020
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.
VII, 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
07/31/2020 Signature Lender's Address
IMPORTANT: APPLICATION IS HEREBY MADE TO THE BUILDING OFFICIAI. 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.
SignatureCX...armDate 07/31/2020