Loading...
HomeMy WebLinkAboutUntitled City of Arcadia, CA Permit NO. RALT-20-0601 144: Development Services Department - Permit Type:Residential Addition/Alteration •;c 240 West Huntington Drive,Post Office Box 60021 ,i d I �,e i i ( z 1 ,, . �. - a k c# Arcadia,CA 91066-6021 i VVOrk Classification Res-Addition/Alteration k ,i`i l (626)574-5416 s.' Permit Status:IssuedA .. RCDIA Issue Date:04/22/20201 Expiration: 10/18/2020 Addr NO. Dir Prefix Street Name Street Suffix Unit City,State,Zip Parcel Number 1121 S NINTH AVE Arcadia, CA 91006-4420 5780026025 Contacts HENRY,ERNEST W CO TR ERNEST W Owner P T Anchor Construction& Contractor HENRY TRUST Development,Inc. 1121 9th AVE,Arcadia,CA 5218 Village Circle DR,Temple City,CA 91780 (626)636-5867 940947 a Description:LEGALIZE PREVIOUSLY ENCLOSED BREEZEWAY TO Valuation: $ 35,010.14 " Tenant CREATENEW FAMILY ROOM,INCLUDES ELECTRICAL AND a MECHANICAL. Total Sq Feet: 253.00 Plan Check# Plan it t+'&>"i 69':.:¶44.44.,S_SMM:....fkcan..�,,,,,,,...._^ieT"AE'"_. 1- Fees Fees Amount Payments Amount Paid Add/Alter Ducts $9.94 Total Fees $2,113.90 Building Issuing Fee $47.01 Cash/Receipt#REC-04322-20 $2,113.90 Building Permit Fees $628.00 Building Plan Review Fee $408.20 Amount Due: $0.00 Cal Green Plan Check $40.82 4 Electrical Permit Issuance Fee $47.01 Energy Plan Review Fee $125.60 Green Building Standard $2.00 Light Fixtures $13.04 Mechanical Permit Issuance Fee $47.01 Outlets-Receptacles&Switches $11.41 CALLS FOR INSPECTIONS Parks&Recreation Fee(SFR) $721.05 Request for inspection by telephone at 626-574-5450. Leave a message Solid Waste Management Fee $6.25 requesting the address,timeframe and what inspection item is needed. Solid Waste Management Fee 2 $1.00 Solid Waste Management Fee 2 $1.00 Strong Motion Inst.Program Res $4.56 This permit/plan review expires by time limitation and becomes null and void if the work authorized by the permit is not commenced within 180 days Total: $2,113.90 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 6-3—Zp void if any work authorized by this permit is suspended or abandoned for 180 ete0. (fhl „ consecutive days or if no progressive work has been verified by a City of Arcadia building inspector for a period of 180 consecutive days. App cM& ADM& /QtariftlIT ieN Gtl4, fp frot.iC. mi „80 6_1 0 !) oterroi,f Bl - I ��/� s -z6-Po 0 fixIAL (11"-J April 22, 2020 Issued By: Date April 22,2020 Page 1 of 1 A OV ARC of PERMIT/PLAN REVIEW APPLICATION .' 111,1 ,•44.3;* T Development Services Department,240 West Huntington Drive,Post Office Box 60021 044.Ulty orOP 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 performance of the work for which this permit is issued. Signature of Contractor OWNER-BUILDER DECLARATION ❑ I have and will maintain workers'compensation insurance,as required by Section ❑ I hereby affirm under penalty of perjury that I am exempt from the Contractors 3700 of the Labor Code,for the performance of the work for which this permit License Law for the following reason(Section 7031.5,Business and Professions is issued.My workers'compensation insurance carrier and policy numbers are: Code.Any city or county which requires a permit to construct,alter,improve, Carrier demolish,or repair any structure,prior to its issuance,also required the applicant 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 ❑ 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 ElI, as owner of the property, or my employees with wages as their sole forthwith comply with those provisions. compensation,will do the work,and the structure is not intended or offered for sale(Section 7044,Business and Professions Code:The Contractors License Date Signature Law does not apply to an owner of property who builds or improves thereon, or who does such work himself or herself or through his or her own employees,provided that such improvements are not intended or offered for WARNING: Failure to secure Workers'Compensation coverage is unlawful, sale.If,however,the building or improvement is sold within one(1)year of and shall subject an employer to criminal penalties and civil fines up to one completion,the owner-builder will have the burden of proving that he or she hundred thousand dollars($100,000),in addition to the cost of compensation, did not build or improve for the purpose of sale). damages as provided for in Section 3706 of the Labor Code, interest, and attorney's fees. ❑I, as owner of the property, am exclusively contracting with licensed contractors to construct the project(Section 7044, Business and Professions Code:The Contractors License Law does not apply to an owner of property CONSTRUCTION LENDING AGENCY who builds or improves thereon,and who contracts for such projects with a I hereby affirm under penalty of perjury that there is a construction lending agency contractor(s)licensed pursuant to the Contractors License Law). for the performance of the work for which this permit is issued (Section 3097, Civil Code). ❑ I am exempt under Section 7044,Business and Professions Code,for this reason: Lender's Name Date Signature Lender's Address IMPORTANT: APPLICATION IS HEREBY MADE TO THE BUILDING OFFICIAL FOR A PERMIT SUBJECT TO THE CONDITIONS AND RESTRICTIONS SET FORTH ON THIS APPLICATION AND THE FOLLOWING: 1. The City's approved plans and permit inspection cardtMust remain on the job site for use by City inspection personnel. 2. Final inspection of the work authorized by this pernnit:is r,,quired.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 Iltii PERMIT/PLAN REVIEW APPLICATION Development Services Department, 240 West Huntington Drive, Post Office Box 60021 il1 Arcadia, CA 91066-6021, (626) 574-5416, Fax (626) 447-9173 ONLINE PERMIT/PLAN REVIEW APPLICATION are-tip-' ARCADIA Job Site Address: 1121 S. 9th Ave LICENSED CONTRACTOR'S DECLARATION WORKERS'COMPENSATION DECLARATION 111 I hereby affirm under penalty of perjury that 1 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. ID I have and will maintain a certificate of consent to self-insure for workers' License Class B • License No. 940947 Exp. Date 11.2021 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 ❑X I have and will maintain workers'compensation insurance,as required by Section OWNER-BUILDER DECLARTION Elhereby 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 STATEFUND demolish,or repair any structure,prior to its issuance,also required the applicant 1966188 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 0I 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 4/22/2020 sale(Section 7044, Business and Professions Code:The Contractors License Date Signature U , 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). DI am exempt under Section 7044,Business and Professions Code,for this reason: Lender's Name 4.22.2020 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 PATRICK YANG 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 4/22/2020 105.03' 1 1 . ` A CO1/20-, SCOPE OF FORKSalN • LEGALIZE A LANAI TO FAMILY ROOM(253 SF) PROPERTY LINE N. r------, \ 10 PROJECT SL RORY, APPLICANT, TU GUI YANG —.'..-BATHROWII 5634 BALDWIN AVE. TEMPLE CITY CA 4760 BEDROOM I z PRONE:626-6'36-5e6T CONTACT:PAIR.TANG 0 • APR 5780-E6.025 ____ BOLDING CODE:2Nrc gRCb[BCMCEC,,,19 ENS - I WITH LOCAL AMENDMENTS. TYPE OF CONSTRUCTION TTK V-B BEDROOM 2 OCCUPANCY GROUP R-3/U 2 8 LOT DIMENSIONS: 100.3'X]6' - - ,'$'pG TER LOT SIZE. 7,431 SF (E)WANEATER 7 �� .�.7 MIND R-I 1 LOO 1 BIUILDING HEIGHT, COSTING TO REMAIN T 1 ,�j•�•,.GL PRPOSED USE, ONE STONY SINGLE 1 - - '--"" E FAMILY NOISE 1\ I`(-MN 1 IIP A A'T LIVING AREA 1,253 SF ` PROPERTY LINE AREA LI BE LEGALIZED Tia SF TNRWM i TOTAL LIVING AREA 1,572 SF N.I.0 GARAGE AREA 315 SF BEDROOM 4 N TOTALACOVERAGE 2, SF LOT COVERAGE 2,271/7,431.18.632 - - - - II YARD SETBACKS(SEE PLAN) O 0 BEDROOM 3 KEEL 0 0 ALL ALL GLASS MORE THAN 4SF IN AREA WITHIN ID INCH OF FLOOR OR - GRADE OR STAIR LANDING,AND - GLASS DOORS AND WALL PANELS OF n 37'-O"TO STREET CURB BATA TUB AND SHOWER ENCLOSUED,ALALL BE O O LAMINATED,FULLY TEMPERED OR WIRE • NME GLASS. AA3•-� 2.NEW WINDOW U-VALUE,7.092; - C4) .-Iii SAGO:440.2S KITCHEN 4 (j IFGFND - lo—o O ENTRANCE •L i'1 1 1= ELECTRIC OUTLET 9'-7" (E) Q - l 3f 3-WAY LIGHT BWITCN i •1 I f"2 ( O �- 1 K..1 - i A LJ • V ERIOI HALL AAT PROPER O f]�- iROM ADA7INWG PItWERNES. $_A:—S30` \\�__ 32( 0 4'RECESSED DOWN LIGHT(LED) l 20-3. LJ 0' 6. . IV) CEILING MOUNT LGHT FIXTURE - - N 1,i1 SKTLiGNT GARAGE - ® DINNING ROOM LIVING ROOM LEGALIZE FROM A LANAI TO FAMILY ROOM 253 SF 5aa OPENING TO BE CLOSED 0 0 0 O ti i NEW WALL - I7'-11" CI O O - I I (N) NEN ♦ -�_ I - 7 _ (E) EXISTING �, _f a F ,py] • .. / A PROPERTY LINE \ O / g i 5 TAr .. SITE/FLOOR PIAN i/4'-i•-.. nog '..,A—'3(...nRAC - / \ .. .._..BIL.........._....... na in — A- 1 SCOPE OF WORKS LEGALIZE A LANAI TO FAMILY ROOM(253 SF) �I PROJECT SUMMARY: APPLICANT: YU HUI YANG 5634 BALDWIN AVE. TEMPLE CITY CA 91780 PHONE:626-636-5867 CONTACT:PATRICK YANG APN 5780-026-025 BUILDING CODE:2019 IIC CRCANCBC�CE,C2019 ENS WITH LOCAL AMENDMENTS. TYPE OF CONSTRUCTION Type V-B OCCUPANCY GROUP R-3/U LOT DIMENSIONS: 100.3'X 76' LOT SIZE: 7,931 SF (E)NATER HEATER ■ ZONING: R-I BUILDING HEIGHT: EXISTING TO REMAIN PRPOSED USE: ONE STORY SINGLE FAMILY HOUSE EXIST'G LIVING AREA 1,619 SF AREA TO BE LEGALIZED 253 SF TOTAL LIVING AREA 1,872 SF GARAGE AREA 399 SF TOTAL FLOOR COVERAGE 2,271 SF LOT COVERAGE 2,271/7,931-28.632 YARD SETBACKS(SEE PLAN) NOTE: I. ALL GLASS MORE THAN 9SF IN - AREA WITHIN 15 I NCH OF FLOOR OR GRADE OR STAIR LANDING, AND GLASS DOORS AND WALL PANELS OF N BATH TUB AND SHOWER ENCLOSURES,SHALL BE LAMINATED,FULLY TEMPERED OR WIRE ' GLASS. 2. NEW WINDOW U-VALUE: C.0.32; SHGC: <.0.25 LEGEND (E) ELECTRIC OUTLET In'YAX. 9 - 3$ 3-WAY LIGHT SWITCH A 1 b EXTERIOR WALL LIGHT FIXTURE $3& AWAY FROM ADJOINING PROPERTIES. 2O'_5' )� 4'RECESSED DOWN LIGHT(LED) 0- 03.1 CEILING CEILING MOUNT LIGHT FIXTURE I _ (�) 6 SKYLIGHT GARAGE 7 LEGALIZE FROM A LANAI TO FAMILY ROOM 253 SF OPENING TO BE CLOSED iii,- NEW WALL 17'-11" 0 11 (N) NEW _— I (E) EXISTING t— _---. Plann Eng. PROPERTY LINE Buildi Fire \ � PWS- - • WEL( Trees 117 - • • I I I--' 11 ' ' c� o I w -�- � �� 8 8 o Cl..) p R. L r i • r c �� J6 � � iirn � G I 8 l�, m _ I I ���/` 90 yl _ w e. il \\nv*.,, ii . F 1 1 ! 1 " J :2 \ C0 C-2 CD o (n 4 vii CD Of J V 1 I . O \ . CL Oo m --m{{ A 03 m A -C 73 rn z m ..� rn 1 m \P)1:1 c 0 ___,t_ / Ill/ • N O_ SHEET PT ANCHOR MIER", PROJECT DATA CONSTRUCTION SINGLE HOUSE 1 = S .., . ...... ........ .. FAMILY ROOM i FGARLICATION SITE/ FLOOR PLAN "__' 1121 S 9TH AVE ei F,,, b Mr..........mow,,,,, ARCADIA, CA 91006 - 0 ELEVATION KEY NOTES ❑1 STUCCO WALL PAINTED COLOR MATCH DUNN EDWARDS DE5579 SILVER LAKE Q SHUTTER/FACIA PAINTED COLOR MATCH DUNN EDWARDS DE6303 BANK VAULT (DARK GRAY) ❑3 WINDOW:MILGARD STYLE LINE, WHITE ❑I 0 © 0 r. .r is _ 1 U. low 1 if NEW SOUTH ELEVATION 1/6"=1'-0' O ll& j_I EXISTING SOUTH ELEVATION O 1/0"=1'-0" 2 DOOR SCHEDULE OP NG. RCOM LOCATIONSIZE NO. TYPE MATERIAL GLASS COLOR WIDTH HEIGHT pl FAMILY ROOM D-I FIBERGLASS 5'-0' 6'-5' TEMPERED WHITE WINDOW SCHEDULE ////- NO.---- LOCATION TYPE W IX H SILL HEIGHT MATERIAL FINISH NOTES NOTES NOTES FAMILY ROOM N-I 6'-0'X4-6' 2'-6' VINYL WHITE SLIDING TEMPERED RETROFIT B FAMILY ROOM W-2 6'-0'X4'-6' 2'-6' VINYL WHITE SLIDING RETROFIT a— � WIDTN X —� WIDTH WIDTH X I- i I 0 w = _ _ 0 /, i xo I- ox W J J J 1,4-I N W-2 D-I U) .r610. Q 2/11/20 .. ..-alagg&YeggilhEREROOREMERWOMEAgEMigyAN,„ 0 llI!J i CITY OF ARCADIA -,'_ NEW NORTH EIi�VATION D ''ailment Services I)epa tt melt _;; :;: .1„„:=::1/8°=1"-0• APPROVED - o §4:c6 = ; R '� < gi This set of plans and specifications I ilUtit ig El '''ir: on the job at all tunes and no changes o altiI kli ,. shall he made eaccpi by the Buildh,g bivision. The Stamping of thi plan and specification shall not ..-.,, o............uggy;,,:,,,-:,�, �:,,, ,,:.,,:,,w:�:,,,:,,,isil,.� tell permit r ; #a ,, , • .,...1.„�,,.:��:,..,,�,..,,,..,,�....._.,.,,,...,,.,�.,,�..,,,.,,,,..,,,..,...,.,..,.�..,,�.,.,,,..,,,..,,,:.,.,.�,,., , .,, to 1 o t � �i .in approval )t the violation P:.�r..a:: ; � �:�: ,an:x^� .�,,,,,,,,,,,,,,,,�,.,,,..,,,..�,,..,,...�..,,�,.,.,..,...,,..�,,..,.�.„� ..,._. ' ® i 1; of any provisions of any city ordinance,)r state law EXISTING NORTH ELEVATION® • 1/8•=1'-0' Z 00 - — V • e• k D O p U . 7/ (E)2X INFILL WALL � / (E)4X6 (E)4X6\ 1 ----I __,A.__ ] E w .... '0 (E)SLAB — Z ? > z 4 LEGALIZE FROM A LANAI TO FAMILY ROOM 0 j a (E)2X4 C.J. D (E)LIVING ROOM 2X STRUCTURE Q I (E)GARAGE 2X STRUCTURE (E)4X6 I / - a .\\__E)2X INFILL WALL R EXISTING STRUCTURE g 1/4"-T-0” O I Z 1 DHE PP...P. 4/08/2020 DATE: 4/08/2020 scud DRAW P.Y. JOB B0. 811 9' ' A - 2 OP 910311..19 '::44443:-:,--.,+ City of Arcadia, CA PerrriitNO RALT 19 2531 Development Services Department fi '--1I 1P,ermitType:Residential'Addition/Alteration 240 West Huntington Drive,Post Office Box 60021 l ; I°) } .tom Arcadia,CA 91066-6021 s, . Work-Classif7cation:Res Addition/alteration t a L` I i . , , Y ..' (626)574-5416 Permit Status:Issued ARCADIA - Issue Date..12/18/2019 I Expiration: Addr NO., Dir Prefix Street Name Street Suffix Unit City,State,Zip Parcel Number 1121 S NINTH AVE Arcadia, CA 91006-4420 5780026024. 5 . .� _... ._ .o�_�..�-, �. : :k,-_a� . .a ... . _ . .- - .�._ u... ... ..� �_g ...Q... ..�. Contacts YU HUI YANG Owner P T Anchor Construction& Contractor Development,Inc. 5218 Village Circle DR,Temple City,636-5867 g P Y.CA 91780 (626)636-5867 940947 _„ aa..,.,mrmav .,t'._.,.s..-, , a,..,�.e:' ^,rs,-�,aam .•.,:ra-e',,,a ... _e w.e �,w.- , _a,.q._.:.;a.._e s .r�. ..�saaa'-a.aa...a a.,,a a.... x_,..a.... mma .,�.....�_a a,:� a-,n_.. ..._w.. Description:CREATE BED#4,ENLARGE/REMODEL KITCHEN Valuation: $ 24,056.47 Tenant AREA,REMODEL BATHROOM BETWEEN BED#2&3.9 NEW WINDOWS.REMODEL BATHROOM IN BED# 1(EXISTING Total Sq Feet: 0.00 Plan Check# Plan# LAYOUT TO REMAIN).WITH EMP 200 AMP SERVICE TOTAL 4 BED 2 BATH. Fees . Amount Payments Amount Paid Bathtubs/or Combo $13.21 Total Fees $1,397.66 Building Issuing Fee $47.01 Cash/Receipt#REC-03394-19 $1,397.66 Building Permit Fees $487.75 Building Plan Review Fee $317.04 Amount Due: $0.00 Cal Green Plan Check $31.71 Diishwasher $13.21 Electrical Permit Issuance Fee $47.01 Energy Plan Review Fee $97.55 Garbage Disposal Fee $13.21 Green Building Standard $1.00 Install,Relocate Appliance Vent/Hood $9.94 CALLS FOR INSPECTIONS Kitchen Sink $13.21 Request for inspection by telephone at 626-574-5450. Leave a message Lavatories $26.42 requesting the address,timeframe and what inspection item is needed. Light Fixtures $40.02 Mechanical Permit Issuance Fee $47.01 Outlets-Receptacles&Switches $56.98 This permit/plan review expires by time limitation and becomes null and Plumbing Permit Issuance Fee $47.01 void if the work authorized by the permit is not commenced within 180 days Residential Services up to 400 amps $16.48 from the date of issuance or if the permit is not obtained within 180 days Shower $13.21 from the date of plan submittal.This permit expires and becomes null and Solid waste Management Fee $6.25 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 Solid Waste Management Fee 2 $1.00 Arcadia buildir, pector for a period of 180 consecutive days. Total: $1,397.66 /a L-0 '‘C41 December 18, 2019 Issued By: Date December 18,2019 Page 1 of 1 v��OFA C I,IFOR4,0469 ./ _ 1 f VVI PERMIT/PLAN REVIEW APPLICATION I 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. p I have and will maintain a certificate of consent to self-insure for workers' License Class Licen No. q‘074- ?/0 xp. Date d�. )'/ 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 DE LARATION 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 0 M (: ( 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 ❑ 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 1----1------- 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 i A, I f lit Title C G v P NAME I certify that I have read this application and state that the above information is co rect 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 buildin construction. I hereby authorize representatives of the City of Arcadia to enter upon the above-mentioned property for inspection purposes. Signature Date l t e, (7 NOTES Building Inspections Date Insp. Plumbing Inspections Date pInsp. / !`.1 C V`Nt f-j- 100. Setbacks 210. Under ft./bldg.drain ' /2 S V 101. Rough grade 211. Copper underslab LT- � -.2s3 I 102. Figs.&forms 212. Rough plumbing 1 103. Pre-slab 213. Rough gas %�,�� _ - 104. Floor joists 214. Shower pan ZU L 105. Steel 215. Water heater 7zo eXC�►�i/Jd/'o106. Grout lift 216. Roof drains 107. Shear nailing 217. Building sewer DF/ eita,,le 108. Diaph nailing 218. Water service 109. Roof nailing ,219. Final gas 110. Framing 41-1-10 220. Fixtures L 111. 0cc./Area Sept.Wall 221. Final plumbing g L&'2' 112. Sound walls 222. Sewer cap/demo. 113. T-bar grid 114. Insulation-Flr. Pool Inspections Date I Insp. 115. Insulation-Wall �� 240. Excavation/steel 116. Insulation-Ceil. -, 241. Rough plumbing --- 117. Drywall nailing 1G 242. Light shell/bonding 118. Interior lath 77/ 243. Underground conduit 119. Exterior lath 3 8.7.E 244. P-trap 120. Finish grade / 245. Gas line&test 121. Final building S 2b-2O 246. Fence,gates&signs 122. Final demo/lot clear 247. Pool heater 248. Final electric Electrical Inspections Date Insp. 249. Final.lumbin. 150. Power pole 250. Pool cover 151. Sales lot lighting 251. Pool final 152. Underground conduit 153. Underslab conduit Reroof Inspections Date Insp. 154. UFER ground 270. Pre-reroof insp. 155. Water ground 271. Roof framing 156. Rough electrical 34$-7.b a14 272. Sheathing nailing 157. Fixtures 273. Final reroof 158. G.F.C.I. 159. E.it.bonding Sign Inspections Date I Insp. • 160. Service panel L 280. Setback/overhang ( 161. Final electric p�ZQ-? Y 281. Footing 282. Conduit/wirin. Mechanical Inspections Date Insp. 283. Disconnect 180. Venting/flue 284. Final sign 181. Furnace/A.C. 182. Rouch HVAC Miscellaneous Insp. I Date I Insp. 183. Fire dampers 290. Fire alarm 184. Furnace compartment 291. Underground supply 185. Combustion air 292. Fire sprinklers 186. Smoke detectors 293. Monitor system 187. Metal F.P.rough 294. Hood dry chem. 188. Compressor setback 295. Final 189. Commercial hood 190. Duct shaft Sewers&Offsite Insp. Date I Insp. 191. Final mechanical .- 300. Lateral(main to PIL) 301. Saddle/Y Block Wall Inspections ' Date Insp. 302. Cess.00l filled 200. Footings 303. Sidewalk • 201. Steel/rebar 304. Driveway 202. Grout lift 305. Curb replacement 203. Final wall 306. Trash bin