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HomeMy WebLinkAboutDEMO-21-0048 • City of Arcadia, CA Permit NO. Demo-21-0048 Development Services Department Permit Type:Demolition 240 West Huntington Drive,Post Office Box 60021 Arcadia,CA 91066-6021 Work Classification:Demo/Pool (626)574-5416 Permit Status:Issued ARCADIA Issue Date:01/13/2021 Expiration: 01/13/2022 Addr NO. Dir Prefix Street Name Street Suffix Unit City,State,Zip Parcel Number 941 VICTORIA DR Arcadia,CA 91007-6235 5777017019 Contacts KUO,KELVIN AND KATY C TRS KUO Owner H G POOL CONSTRUCTION* Contractor FAMILY TRUST 1490 SAN PONTE RD,CORONA,CA 92882 941 VICTORIA DR (626)361-1137 1043752 Description:DEMO IN GROUND POOL Valuation: $0.00 Tenant Total Sq Feet: 0.00 Plan Check q Plan It Fees Amount Payments Amount Paid Demolition Permit(Pool/Spa Backfill) $53.00 Total Fees $106.26 Demolition Permit Issuance Fee $47.01 Cash/Receipt q REC-06501-21 $106.26 Solid Waste Management Fee $6.25 Amount Due: $0.00 Total: $106.26 /1/1/ ,"J sn#EL� 141 PL E1ED Z• r. Z( FN/ .- C 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. • January 13, 2021 Issued By: Date January 13,2021 Page 1 of 1 .F AR 11161001 PERMIT/PLAN REVIEW APPLICATION • '.4141•11Y , 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 •.. effect. ❑ I have and will maintain a certificate of consent to self-insure for workers' License Class 3' ) 3 Lic �. �° 3 '- -Exp. Da / 2 compensation, as provided for by Section 3700 of the Labor Code, for the Signature of Contractor de., performance of the work for which this permit is issued. \ ,C/WNER-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 /<7T6CA i) demolish,or repair any structure,prior to its issuance,also required the applicant � c/ _ 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 n 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 16,1 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 mply 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). 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 )i�9'CN i( Title Title (�_2, 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 ordinan . . d State Laws relating to building construction. I hereby authorize representatives of the City of Arcadia to enter upon i • abo en property for inspection purposes. Signature Date / y/ • i Owner's Name: Kelvin Kuo Job Address: 941 Victoria Dr. Arcadia, CA 91007 Contractor's Name: H.G. Construction Paul Wang 1490 San Ponte Rd. Corona, CA 92882 626—228 —8775, C-53 # 1043752 Re: Swimming Pool Back Fill : a) drill 2—3 holes (4' dia. ) at bottom on deep and shallow side b) remove 6"high gunite from coping and obtain site inspection from soil engineering I c) remove and disconnect pool equipment and power source d) fill back clean dirt every 3ft with 93%compact up to 4" below existing concrete and inspection by Soil Engineer l , b r elp 8' (p MT. /lI .0(. pool- 155' x 5 z^ .EX. all RA6E 1� -23 NV.----int NON L CVti,�ntcr�icc� t r� a Brat os y •co ,ti u•.d1 set u f\�\gin`'attd l A t*10•ttt�r� <i�tan• .1 s i\t\•:eta:.\. . A not •\ltl►S d\1�une h`�1�c1�u ..tion<tta n tk`e\oh ,.�,i:.c���\1 ;nt\gees ,n :.,0.31iyn be �(`��attt\t':�'. '`'` ,.; ,c gar I i ‘066t"''.-, ,.. ' '. - '". 1 I 1 k GEOTECHNICAL INTERNATIONAL LAN & ASSOCIATES Civil,Structure& Geotechnical Engineering& Land Survey 13139 Harbor Boulevard,Garden Grove,CA 92843 Tel: (714)414-9215, Fax: (714) 537—7974, Email: Lanpham9@hotmail.com Permit No.DEMO-20-0048 January 27,2021 Kelvin&Katy Kuo KUO FAMILY TRUST • 941 Victoria Drive Arcadia, CA 91007 do Paul Wang H.G. CONSTRUCTION 626-228-8775 Paulwang2009@yahoo.com Subject: Geotechnical Engineer's Certification of Demolition and Backfilling of Pre-Existing Swimming Pool for Abandoning Purpose Located at 941 Victoria Drive,Arcadia,CA 91007 Dear Mr. & Mrs. Kuo/Mr. Wang: In accordance with the requirements of the City and per your request and authorization, this certification has been prepared for the demolition and backfilling of the pre-existing swimming pool located at the subject site. 1. We understand that creation of drainage holes along the bottom of the swimming pool by puncturing/breaking-out the pool shell has been approved by the City inspector prior to backfilling the swimming pool. 2. Removal of the coping, bond beam, and upper portions of the swimming pool shell side walls has also been performed and approved by the City Inspector. 3. We also understand that all utility lines serving the swimming pool were terminated/disconnected/removed and plugged/capped and approved by the City Inspector. I ' g ti 4. Regular soil fill materials generally consisted of silty fine sand with traces of clay, was placed in thin lifts, added water by using a water hose, and compacted to 90 % relative density by using a mini Bobcat equipped with a small compactor. Conclusion: The demolition and backfilling of the pre-existing swimming pool is considered geotechnically acceptable and suitable for the intended use. Note: If a structural object such as an ADU/room addition is to be constructed at or near the swimming pool backfill area in the future, Geotechnical International or a qualified geotechnical engineer should be consulted. A soil report may be required by the city for provision of geotechnical recommendations for structural and foundation design as well as for remedial removal of the native soils located beneath the proposed new structure to reduce the potential differential settlements of the underlying soils which may cause distress to the proposed new structure. If you have any questions or required clarification, please contact this office. This opportunity to be of service is sincerely appreciated. Very truly yours, F£SSiat, N.P,y 91c� No,688 • Exp, m yj461 sCHN\C7 \Q Lan N. Pham,P.E. FOF CALIC�F� Chief Geotechnical Engineer RGE 686,exp. 03/31/21 J 4 /4,� � 9? _,_.., •o ' 1 �....r...ed 'r `altr ofN AFFIDAVIT SELF-CERTIFICATION FOR COMPLIANCE OF SMOKE ALARMS AND CARBON MONOXIDE ALARMS Property Address: ('/ Vi GT7 1i9. i>-)c . / C./ <ld- , efq )i ,07 Permit Number: ,Ul' To ->/ -- coLIS 1 Brief Job Description: SG:J/MMi4JEr )cc-,L_. or m a c_.///on.) Number of smoke alarms installed: L/- Number of carbon monoxide alarms installed: 2- When alterations, repairs or additions requiring a permit occur, or sleeping rooms are created, Smoke alarms shall be installed in each sleeping room, and outside each separate sleeping area in the immediate vicinity of the bedrooms, and on each additional story of the dwelling, including basements and habitable attics as required by Section R314 of the 2016 California Residential Code (CRC) and California Health and Safety Code Section 13113.7. For dwellings or sleeping units containing fuel burning appliances or having attached garages, carbon monoxide alarms shall be installed outside each separate sleeping area in the immediate vicinity of the bedrooms, and on each additional story of the dwelling, including basements as required by Section R315 of the of the 2016 California Residential Code (CRC). Multi-purpose alarms (combination carbon monoxide and smoke alarms) may be used. All alarms shall comply with requirements for listing and approval by the Office of the State Fire Marshal. http://osfm.fire.ca.qov/licensinglistings/licenselistinq bml searchcotest.php As owner of the above referenced property, I hereby certify that the smoke alarms and carbon monoxide alarms have been installed in accordance with the manufacturer's instructions and in compliance with the code sections referenced above. I declare under penalty of perjury that the foregoing is true and correct, and that this declaration was executed on (Date)l __ �_ .____._....__.^ at Arcadia, California. Owner's Name (printed/typed): K�Li rnj 0 Signature of Owner: This affidavit must be returned to the City of Arcadia inspector prior to final inspection SMOKE ALARM AND CARBON MONOXIDE ALARM LOCATIONS Guest Room o �Bathroo Storage Family Room 1 Garage FIRST FLOOR PLAN = SMOKE ALARM F. = CARBON MONOXIDE ALARM ' L Mstr Balli Pi Master Bedroom Dining Room Kitchen Bath 1IaU f ` Closet Closet Closet Family Room = rr Bedroom Bedroom SECOND FLOOR PLAN =SMOKE ALARM 5 = CARBON MONOXIDE ALARM