HomeMy WebLinkAboutPOOL-19-0875 City of Arcadia, CA Permit NO. Pool-19-0875
Development Services Department Permit Type:Pool/Spa
240 West Huntington Drive,Post Office Box 60021
Arcadia,CA 91066-6021 Work Classification:Pool-Residential
(626)574-5416 Permit Status:Issued
A RGA D I A Issue Date:05/09/2019 Expiration:
Addr NO. Dir Prefix Street Name Street Suffix Unit City,State,Zip Parcel Number
1150 Fallen Leaf RD Arcadia,CA 5769005013
Contacts
SEPETJIAN,SARKIS AND NUNE TRS Owner LEVEL CONSTRUCTION GROUP INC* Contractor
SEPETJIAN FAMILY TRUST 2411 E FOOTHILL BLVD,PASADENA,CA 91107
1150 FALLEN LEAF RD (626)215-4826 991265
Description:ADD BAJA SHELF TO EXISTING POOL, 3" P-TRAP Valuation: $ 0.00 Tenant
REQUIRED,FENCE AND GATES ATTACHED
Total Sq Feet: 0.00 Plan Check# Plan#
Fees Amount Payments Amount Paid
Building Issuing Fee $47.01 Total Fees $112.78
Plumbing Permit Issuance Fee $47.01 Cash/Receipt#REC-01174-19 $112.78
Pool P-Trap $11.51
Solid Waste Management Fee 56.25 Amount Due: $0.00
SWMF FEE 2 $1.00 •
Total: $112.78
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.
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rA COMPLETED
May 09, 2019
Issued By: Date
May 09,2019 Page 1 of 1
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PERMIT/PLAN REVIEW APPLICATION
�� EN 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
❑ 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 andOect. 0 I have and will maintain a certificate of consent to self-insure for workers'
License Class 5 License No. P2-42� Exp. Date -3D.- 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 herebyaffirm underpenaltyofthat I am exempt from the Contractors 700 of the Labor Code,for the performance of the work for which this permit
0 perjury p 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 V W�� Cdicc0"..l`7/N lit)c/ •
demolish,or repair any structure,prior to its issuance,also required the applicant
Policy Number Z(J(�9 Al�(7 f3 S-el -7_
for such permit to file a signed statement that he or she is licensed pursuant to the (This section need not be completed if the permit is for one hundred dollars or less)
provisions of the Contractors License Law(Chapter 9(commencing with Section
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 /q/,% 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 P)gD'ZoS 1)6 # Title YI-61 e'?"/
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 : . _' u roperty for inspection purposes.Signatu • � Date '/�/t77
NOTES _(.4 �C
Building Inspections Date Insp. Plumbing Inspections Date Insp. /6-6 (( „ J�
100. Setbacks 210. Under fir/bldg.drain / (J L,'/
101. Rough grade 211. Copper underslab
102. Figs.&forms 212. Rough plumbing
103. Pre-slab 213. Rough gas
104. Floor joists 214. Shower pan
105. Steel 215. Water heater
106. Grout lift 216. Roof drains
107. Shear nailing 217. Building sewer
108. Diaph nailing 218. Water service
109. Roof nailing 219. Final gas
110. Framing 220. Fixtures
111. OccJArea Sept.Wall 221. Final plumbing
112. Sound walls 222. Sewer cap/demo.
113. T-bar'rid
114. Insulation-Flr. Pool Inspections Date I Insp.
115. Insulation-Wall 240. Excavation/steel 9
116. Insulation-Ceil. 241. Roush.lumbin.
117. Drywall nailing 242. Li.ht shell/bondin. Aa .1110 Air 5- t;'
118. Interior lath 243. Under.round conduit o/�/, lr '��(r
119. Exterior lath 244. P-trap •c- //�� /
120. Finish grade 245. Gas line&test ' ra),
121. Final building 246. Fence,gates&sig •. lV
122. Final demo/lot clear 247. Pool heater Z-/
248. Final electric - -7 , 7-7 AG 4 f-ctwp
Electrical Inspections Date Insp. 249. Final.lumbin.
150. Power pole 250. Pool cover
151. Sales lot lighting 251. Pool final '( j
152. Underground conduit
153. Underslab conduit Reroof Inspections I Date I Insp. ' ���
J//
154. UFER ground 270. Pre-reroof insp.
155. Water ground 271. Roof framing
156. Rough electrical 272. Sheathing nailing
157. Fixtures 273. Final reroof
158. G.F.C.I.
159. E.it.bondin. Sign Inspections I Date Insp.
-
160. Service panel 280. Setback/overhang
161. Final electric 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 lnsp. Date 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. I Date Insp.
191. Final mechanical 300. Lateral(main to P/L)
301. Saddle/Y
' . ' .11 '• 1• ' • ' 302. Ce�pool filled
200. Footings 303. Sidewalk
201. SteeVrebar 304. Driveway
202. Grout lift 305. Curb replacement
203. Final wall 306. Trash bin