HomeMy WebLinkAboutROOF-20-2018 •., City of Arcadia, CA Permit NO. ROOF-20-2018
Development Services Department Permit Type:Roof
1 240 West Huntington Drive,Post Office Box 60021
Arcadia,CA 91066-6021 Work Classification:Reroof-Residential
(626)574-5416 Permit Status:Issued
•
ARCADIA Issue Date: 12/03/2020 f Expiration: 12/03/2021
Addr NO. Dir Prefix Street Name Street Suffix Unit City,State,Zip Parcel Number
1420 GREEN OAKS DR Arcadia,CA 91006-1911 5769001027
Contacts
RITA MA Owner Ken Shea Contractor
1420 GREENOAKS DR 1951 N Ontario,Burbank,CA 91505
(626)355-5237 (818)847-0470 730563
Description:T.0 REROOF HOUSE/GARAGE WITH WITH BORAL Valuation: $ 35,000.00 Tenant
SAXONY SLATE 600 CHARCOAL BROWN BLEND CLASS A 52 SQ
PER HOA APPROVAL#122 Total Sq Feet: 0.00 Plan Check# Plan#
Fees Amount Payments Amount Paid
Building Issuing Fee $47.01 Total Fees $668.51
Building Permit Fees $615.25 Cash/Receipt#REC-06211-20 $668.51
Solid Waste Management Fee $6.25
Amount Due: $0.00
Total: $668.51
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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.
7inite t(foe./n eCP-cet//li;16--0,1 %-?
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
-- complETED Arcadia building inspector for a period of 180 consecutive days.
December 03, 2020
Issued By: Date
December 03,2020 Page 1 of 1
%1 A•
palm! PERMIT/PLAN REVIEW APPLICATION
J , Development Services Department,240 West Huntington Drive,Post Office Box 60021
unit,of H° Arcadia, CA 91066-6021, (626) 574-5416, Fax (626) 447-9173
City of
Arcadia
LICENSED CONTRACTOR'S DECLARATION WORKERS'COMPENSATION DECLARATION
0 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 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
contractors)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:
I. 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 File# / .4
HOA ARCHITECTURAL REVIEW BOARD
SHORT REVIEW APPLICATION
PLEASE COMPLETE THE FOLLOWING INFORMATION(REQUIRED):
PROJECT ADDRESS II 146wLyteetk�T_ Thr ZIP 0 /DC1(p
APPLICANT(S) NAME ____51/1
MAILING ADDRESS 061 r) 2/-
CITY RL02190. 1 I STATE /1- `�1
" ZIP 1St
E-MAIL ADDRESS 5I'lt�C-(�tl)FJ�{� - di 174-77 i/ •
TELEPHONE NO. e1 j(, 1,(41-. C L( ( C
PROPERTY OWNER(S)NAME R11- J KY16 _
MAILING ADDRESS I L( • •/_ // '�k a
CITY ioreryei / STATE ZIP I 0
E-MAIL ADDRESS
TELEPHONE NO.
PROJECT TYPE (Check applicable):
❑ Single-Story Remodel and Addition 0 Landscaping and Hardscaping 0 Sport Court and Related Features
O Detached Accessory Structure(not 0 Pool and Spa Equipment 0 Fences and/or Walls
ADUs)
❑ Fapade Improvement 0 Mechanical Equipment 0 Ground-Mounted Solar
❑ In-Ground Swimming Pools/Spa with 0 Above Ground Swimming U Fountains,Water Features,or
Water Features Pools and Spa Statues
GENERAL DESCRIPTION OF PROJECT: T rs A 4 l• I ea •
rkis pap-ea( n Z 4 rte-to f n,i v trpu4 ' k-cee �l()
C rkA ec cH L i l 'c 4_c ki� \
DOES THE PROJECT REQUIRE DISCRETIONARY APPROVAL BY THE DEVELOPKNT SERVICES DIVISION(E.G.,
PROTECTED TREES,ADMINISTRATIVE MODIFICATIONS,ETC.)? Li Yes 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
SUBMITTED FOR THIS APPLICATION IS TRUE AND CORRECT.
L.,:
� h
APPLICANT'S SIGNATURE DATE
PROPERTY OWNER'S SIGNATURE DATE
ACTIONS AND FINDINGS
Ei APPROVED 0 CONDITIONALLY APPROVED ❑ DENIED
CONDITIONS OR REASONS FOR DENIAL:
BY: 47 le&v DATE: 1 /j/? < EXPIRATION: / !j/z I
THERE IS A TEN(10)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
City of Arcadia INSPECTION RECORD
4(•L Community Development Department Permit No. ROOF-20-2018
ii .. Building Division Permit Type: Roof
et .4, 240 West Huntington Drive - P.O. Box 60021 Workclass: Reroof- Residential
c, ¢=jB• Arcadia, CA 91066-6021
°jasl.>of No
Inspections: (626) 574-5450
Building 1420 GREEN OAKS DR Owner Name RITA MA Contractor Shea Roofing inc.
Address Arcadia, CA 91006-1911 and Address 1420 GREENOAKS DR Name and 1951 N Ontario
Address Burbank,CA 91505
Phone (818)847-0470 Phone (626)355-5237 State Lic. 730563
&Classif.
Proposed Construction:T.O REROOF HOUSE/GARAGE WITH WITH BORAL SAXONY SLATE 600 CHARCOAL BROWN BLEND CLASS A 52 SQ PER
HOA APPROVAL# 122
POOLS/SPAS Date Insp. ELECTRICAL DateInsp. MECHANICAL Date Insp.
Alarms Power Pole I Venting /Flue
Excavation/Steel 1_ _� _ Underground Conduit � Furnace/A.C.
Rough Plumbing Underslab Conduit Rough HVAC
Light Shell/Bonding UFER Ground Fire Dampers
Underground Conduit Water Ground Furnace Compartments
P-Trap _ Rough Electrical Combustion Air
Gas Line&Test Fixtures/T-Bar Metal F.P.Rough
Fence,Gates&Signs - Service Panel Release _ Compressor Setback
Pool Heater ! Smoke Detector Commercial Hood
Final Electrical. . Utility Clearance Duct Shaft
Final Plumbing ______ ___ __– Final Electrical Final Mechanical
Pool Cover _. BUILDING Date Insp. PLUMBING Date IUD.
Deck Bonding Setbacks Under Flr./Bldg.Drain
Final Pool Rough Grade _ Copper Underslab
REROOF , Insp. Ftgs&Forms Rough Plumbing
Pre-reroof Inspection ,e Pre-Slab Rough Gas
Roof framingi Floor Joists Shower Pan
Sheathing Nailing_ Grout Lift Water Heater
Final Reroof i Shear Nailing Roof Drains
SIGNS Date Inst,. Diaph Nailing Surface Drains
Setback/Overhang I — Roof Nailing Building Sewer
Footing Framing Backwater Valve
Conduit/Wiring I Occ./Area Sep.Wall Water Service
Disconnect T-Bar Grid Gas Service
Final Sign Insulation-flr. Sewer Cap/Demo
MISC I Date Insp. Insulation-wall Miscellaneous
Solar Final Insulation-ceiling Final Gas
VCU Drywall Nailing Final Plumbing
Interior Lath ( 131.001.\111 I. Date Insp.
Exterior Lath Footings
FIRE Date Insp. Final Demo/lot clear Steel/Rebar
Occupancy Final Final Buildin Grout Lift
Final Wall
COMMENTS:
NO INSPECTIONS ON ALTERNATE FRIDAYS.
•F Alt
•_ PERMIT/PLAN REVIEW APPLICATION
Rthto •
o, 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. ❑ 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
0 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
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
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:
I. 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
• ` r PERMIT/PLAN REVIEW APPLICATION
Development Services Department,240 West Huntington Drive,Post Office Box 60021
• t Arcadia,CA 91066-6021, (626) 574-5416, Fax(626)447-9173
ONLINE PERMIT/PLAN REVIEW APPLICATION
AR(..'A i)IA Job Site Address: i �.,{Z O Qy2( 1X6(
LICENSED CONTRACTOR'S DECLARATION WORKERS'COMPENSATION DECLARATION
LJ 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. El have and will maintain a certificate of consent to self-insure for workers'
License Class �' 6-I _License No.c 13(5161) Exp. Date_ /1 JZI 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 r��'T-74/\
OWNER-BUILDER DECLARATION U 'haveand will maintain workers'compensation insurance,as required by Section
3700 of the Labor Code,for the performance of the work for which this permit
ElI hereby affirm under penalty of perjury that I am exempt from the Contractors is issued.My workers'compcnsa.flori insur a 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 Iaw(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
132/I,certify that in the performance of the work for which this permit is issued,I shall
exempt there from and the basis for the alleged exemption. Any violation of not employ any person in any manner so as to become subject to the workers'
Section 703(.5 by any applicant fora permit subjects the applicant to a civil compensation Laws of California,and agree that if I should become subject to the
penalty of not more than five hundred dollars(S500)): workers'compensation provisions of Section 3700 of the Labor Code,I shall
0 I, as owner of the property, or my employees with wages as their sole fotthwithcomply with those provisions. �f
compensation,will do the work,and the structure is not intended or offered for ��--�77 77i� /�� (%C!r' 1
sale(Section 7044,Business and Professions Code:The Contractors license Date_t2- 7i�-(�_ 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 seine Workers'Compensation coverage is unlawful,
sale.If,however.the building or improvement is sold within one(I)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 CONSTRUCTION LENDING AGENCY
Code:The Contractors License Law does not apply to an owner of property
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).
ElI am exempt under Section 7044,Business and Professions Code,for this reason:
Lender's Name -_— -----
Date _Signature Lender's Address - -
IMPORIAN F: APPLIC.ITION IS HEREBY MADE TO TRE BU'll.I)ING OFFICIAL FOR A PERMIT SUBJECT'TO THE ('ONDI CIONS AND
RFS I RI('TIE)NS SEC FOR ON THIS APPLICATION AND TIIE 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_11E114 _V Tide `---t L-
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 17—1 )20 2D
— — — — -- __._ --- Date