HomeMy WebLinkAboutSNew-19-0758 City of Arcadia, CA Permit NO. SNew-19-0758
Development Services Department Permit Type:Single Family New
240 West Huntington Drive,Post Office Box 60021
Arcadia,CA 91066-6021 Work Classification:SFR-New Dwelling
(626)574-5416 Permit Status:Approved
ARCADIA Issue Date: Expiration: 10/22/2019
,
Addr NO. Dir Prefix Street Name Street Suffix Unit City,State,Zip Parcel Number
68 W Naomi AVE Arcadia,CA 5782011013
Contacts
SOLEIL HOMES INC Owner SANYAO INTERNATIONAL INC. Applicant
• 480 Las Tunas DR,Arcadia,CA 91007 255 E SANTA CLARA 200,ARCADIA,CA 91006
(626)319-1031 maggiegiumail@gmail.com (626)446-8048
RODEO CONSTRUCTION AND Contractor
MANAGEMENT INC*
• 11001 VALLEY MALL 301C,EL MONTE,CA 91731
(626)864-8648 1012238
Description:4 BED,4 BATH, 1 POWDER RM,LIVING,DINING, Valuation: $ 477,275.95 Tenant
FAMILY,KITCHEN,WOK KITCHEN.2 CAR ATTACHED GARAGE.
Total Sq Feet: 3.215.00 Plan Check#19-758 Plan#138
Fees Amount Payments Amount Paid
Building Issuing Fee $47.01 Total Fees $19,227.25
Building Permit Fees $3,832.20 Cash/Receipt#REC-01066-19 $6,336.47
Building Plan Review Fee $2,490.93 Cash/Receipt#REC-02572-19 $12,890.78
Cal Green Plan Check $249.10
Amount Due: $0.00
Energy Plan Review Fee $766.44
Grading Issuance Fee $47.01 '
Grading Permit Fee(1-1000 CY) $450.00
Grading Plan Review Fee $850.00 "...CA
Green Building Standard $20.00 .` C^l '' i'p.
: nO_U `1L IiL�
LID Plan Check Fee $100.00
Off Site Plan Check(Per Site) $240.00 CALLS FOR INSPECTIONS
Parks&Recreation Fee(SFR) $5,429.25 Request for inspection by telephone at 626-574-5450. Leave a message
Single Family Fire Plan Check $280.00 requesting the address,timeframe and what inspection item is needed.
Single Family/Condo/Townhome Impact $1,983.00
Fee
Solid Waste Management Fee $6.25
This permit/plan review expires by time limitation and becomes null and
Strong Motion Inst.Program Res $62.05 void if the work authorized by the permit is not commenced within 180 days
SWMF FEE 2 $1.00 from the date of issuance or if the permit is not obtained within 180 days
SWMF FEE 2 $1.00 from the date of plan submittal.This permit expires and becomes null and
WELO Permit Fee $625.00 void if any work authorized by this permit is suspended or abandoned for 180
WELO Permit Issuance $47.01 consecutive days or if no progressive work has been verified by a City of
WELO Plan Check $1,700.00 Arcadia building inspector for a period of 180 consecutive days.
Total: $19,227.25
Issued By: Date
September 23,2019 Page 1 of 1
4 :00.FF. ` PERMIT/PLAN REVIEW APPLICATION
IV-1"111 :
Development Services Department, 240 West Huntington Drive, Post Office Box 60021
�0oel„of d
Arcadia, CA 91066-6021, (626) 574-5416, Fax (626) 447-9173
j
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, : d my license is in full force and effect. 0 I have and will maintain a certificate of consent to self-insure for workers'
License Class License No. _ Exp. Date3131 compensation, as provided for by Section 3700 of the Labor Code, for the
rperformance of the work for which this permit is issued.
.
Signature of Contractor 1
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 \41
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 P
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 CI/ v,/k(�
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 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 1 information.l ,�
Name k\LV'\ Title VA1^ 1l
PR ..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. t
Signature w Date C f 2 /`C1
NOTES
Building Inspections Date Insp. Plumbing Inspections Date Insp. / 4I. t w�„� A 1
100. Setbacks ,. 4, 210. Under flr.lbldg.drain ( I''.�' +'V (J ffN���111 /�J�'f,{" `
101. Rough grade 211. Copper underslab ,'" /Q - (q- Q 7.rg
102. Figs.&forms 1Z-j�q.li 212. Rough plumbing ! Lp
103. Pre-slab /-2-240 r 213. Rough gas 3'tO'�
104. Floor joists 214. Shower pan y-/3-24s �!)"'7 Z-7-2.1- Na/c./A/G 61/adzT/GI4C.St/246.P5
105. Steel 215. Water heater ,Fig-A. 2,a FG‘,a/2- i%ie-Ase PAd 5 i3r_
106. Grout lift 216. Roof drains
107. Shear nailing 7. Building sewer 12-I111 t "v r/fg t}<7 ..</b,0-.aAst_f/
108. Diaph nailing ( --2v 218. Water service 3-S-24, E)CTE2ion, S, K ?n,,.aaz
109. Roof nailing 2-19-Z0 219. Final gas 1-,`3'-i(
110. Framing 31--24:. ' 220. Fixtures 1414./n4G 4 I.i 1's cr c..y 11
, .., ,,,7„,
111. Occ./Area Sept.Wall 221. Final plumbing frtt? 1-1-2-Csj r I/,QA/"/S
112. Sound walls 222. Sewer cap/demo. /
113. T-bar grid _.-._
114. Insulation-Ar. Pool Inspections Date Insp.
115. Insulation-Wall '11_7.1) fiNi 240. Excavation/steel
116. Insulation-Ceil. J/ 41. Rough plumbing
117. Drywall nailing 3-2.3-2a 2. Light shell/bonding
118. Interior lath ‘i-13-2-6 ""' 3. Underground conduit
119. Exterior lath 7s5O-ZC► 44. P-trap
120. Finish grade 66GG 245. Gas line&test
121. Final building {._/9 _2/
- 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 /2-6-6 .In 250. Pool cover
-
151. Sales lot lighting 251. Pool final
152. Under.round conduit
153. Underslab conduit Reroof Inspections Date Insp.
154. UFERround
9 (Z`lQ--►1 70. Pre-reroof insp. R4.•r• 7--k. C.S Y(,
155. Water ground , 271. Roof framing C.T r 'cabal- l 61
156. Rough electrical 272. Sheathing nailingF4,44.e.Te Slew 13b
157. Fixtures 273. Final reroof GRxD� �S ._
158. G.F.C.I. 7i3` -Ze _ "
159. E.it.bondin. ',� Sign Inspections I Date I Insp.
160. Service panel vier
V ♦ \ 280. Setback/overhang
161. Final electric I 1 \ 281. Footing
282. Conduit/wirin.
Mechanical Inspections Date Insp. 283. Disconnect
180. Venting/flue 284. Final sign
181. Furnace/A.C.
182. Rouch HVAC _2.4f) i= Miscellaneous Insp. I Date I Insp.
183. Fire dampers 290. Fire alarm
184. Furnace compartment 291. Underground supply
185. Combustion air 3-026 �292. Fire sprinklers
186. Smoke detectors (-19 V .--/293. Monitor system
187. Metal F.P.rough (1 294. Hood dry chem.
188. Compressor setback 295. Final
189. Commercial hood
190. Duct shaft Sewers&Offsite Insp. I Date I Insp.
191. Final mechanical (.-M-2/ i300. Lateral(main to P/L) -
301. Saddle/Y
Block Wall Inspections Date Insp. 302. Cess...l filled
200. Footings 303. Sidewalk
201. Steel/rebar 304. Driveway
202. Grout lift 305. Curb replacement
203. Anal wall 306. Trash bin
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-1 - / i i ° SINGLE FAMILY HOUSE SANYAO INTERNATIONAL INC. o
' ! ^$ z 68 W.NAOMI AVENUE
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ARCADIA,CA ]SSE San.cI,.s,1100,prc.w..c sIWI,U.SA.
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Business Services 40,/
Certificate No. 20190226-019
150 South Third Avenue
Arcadia,CA 10AvAHCAD A
p 626 821 6631 Unified School District
f 626 821 6632 Imagine • Inquire • Inspire
www.ausd.net
Certificate of Compliance for Payment of Developer Fees
(Education Code §17620, et seq. & Government Code §65995, et seq.)
Effective April 29, 2019
Current rate in effect applies at the time of imposition of fees/payment.
Project Address/APN: 68 W. Naomi Ave., Arcadia, CA 91007
Number of Units: 1 Plan Check Number: 19-758
❑ Exempt* ® Residential** ❑ Commercial/Industrial**
El 500 sq.ft.or less(residential addition/expansion) $3.79/sq. ft. $0.61/sq. ft.
El Other:
Area in Sq. Ft.: 1,905 Receipt Number: 330498
Total Fee: $7,219.95 Check Number: 9562905438
Owner's Name: Soleil Homes INC
Owner's Address: 480 Las Tunas Dr., Arcadia, CA 91007
Phone Number: (626) 319-1031 Email: maggiegiumail@gmail.com
Representative's Name & Phone Number (if applicable): Maggie Qiu (626) 319-1031
*The above-described development has been determined to be exempt from the developer fees of Education Code §17620, et
seq., and Government Code §65995, et seq., and a Building Permit may be issued therefore.
**All fees due to the Arcadia Unified School District, under provision of Education Code §17620, et seq., and Government Code
§65995, et seq., as a prerequisite to the issuance of a Building Permit by the Building Department of the City of Arcadia, City of
Monrovia, City of Sierra Madre, City of Temple City, and County of Los Angeles, Department of Public Works have been
received. Based on the information presented above, this Certificate of Compliance is hereby executed.
Karine Hovsepian-Ruby
LA A A. a-� IL.AIa >Accounting Supervisor 8/5/19
Signature of District Represe ,.tive Name/Title Date of Issuance
The District charges a $100 fee to process reinstatement of the Developer Fee Certificate of Compliance resulting from an
"insufficient funds" check in addition to a $35 fee for the returned check. Only cash or a Cashier's Check will be accepted as
payment thereafter.
The District charges a $100 fee for any amendments to or cancellation of a Developer Fee Certificate of Compliance formerly
issued on any type of development.
If 500 sq. ft. or less is the reason for exemption, any future additions, expansions, or remodels to the property that result in the
past aggregate square footage to exceed the allotted 500 sq. ft. will be subject to fees at the current rate for the entire square
footage of the development.
Owner/developer may request a refund of fees paid to the District within 12 months of payment only in the event the Building
Permit expires or the project is canceled without commencement of construction in accordance with Education Code section
17624 (all other requests for refunds must be made in accordance with the fee protest procedures set forth in Government
Code §66020). All refunds will be reduced by a $100 administrative fee. The refund check will be issued in the name of the
owner/developer and mailed to the address of payee.
PURSUANT TO GOVERNMENT CODE§66020(d), OWNER/DEVELOPER HAS A PERIOD OF 90 DAYS FROM THE
DATE OF ISSUANCE OF THIS CERTIFICATE OF COMPLIANCE TO PROTEST THE IMPOSITION OF FEES
Applicant confirms that he/she is authorized to sign on behalf of the owner/developer and that the information he/she provided
to the District true and accurate to t best of his/her knowledge.
l�,Lj 1�t Ut,t 67,6-IE (� t� S� 15
Signature pf'Aplicant Name Date
V
ORIGINAL—City/County COPIES—Business Services,Fiscal Services&Applicant Certificate of Compliance(4-29-19)
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LABORATORY INC.
December 5, 2019
Ms. Maggie Qiu
480 Las Tunas Drive
Arcadia. California 91007
Subject: Soils Compaction Report; Single-Family Residential Building, 68 West Naomi
Avenue, Arcadia, California, EGL Project No.: 18-114-010C.
References:
1. Report of Geotechnical Engineering Investigation for the Subject Site, by EGL, Inc.,
Project No.: 18-114-010GE, dated April 5, 2019.
2. 10-Scale Grading and Drainage Plan for the subject site by EGL Associates, Job No:
18-114-010, revised April 1, 2019.
Ladies and Gentlemen:
This report presents results of our field density tests performed on the building pad of the
proposed residence at the subject site. Building pad was constructed for building foundations and
associated structures. Site conditions, field and laboratory test results, and post-grading
recommendations are presented as follows:
SITE CONDITION
Subject site is located on the south side of West Naomi Avenue and at a relatively short distance
west of South Santa Anita Avenue in the City of Arcadia, California. Topographically, the subject
site is relatively flat. Existing residence and associated structures were demolished prior to
grading the building pad.
Onsite loose and/or disturbed soils within the proposed building pad area were excavated to a
maximum depth of three (3.0) feet below the existing ground surface and exposed competent
natural soil. The existing pool shell was completely removed exposing competent natural soil at a
maximum depth of 7 feet below the existing ground surface. Competent natural soils exposed
within the excavated areas were inspected and are considered suitable for the proposed
development.
Prior to all backfill, EGL field personnel had checked excavated bottom receiving fills to ensure
clearance of non-acceptable debris. Onsite and import soils were used as fill materials. Onsite
soils consisted of olive brown silty sand (SM, Soil Type A). Import soil consisted of olive brown
silty sand (SM, Soil Type B).
11819 Goldring Road, Suite A, Arcadia, California 91006 Phone: (626) 263-3588; Fax: (626)263-3599
Ms. Maggie Qiu Page 2 of 3
EGL Project Number: 18-114-010C December 5, 2019
LABORATORY TESTING
Laboratory maximum dry density and optimum moisture content for the onsite soils was
determined according to laboratory standard ASTM D-1557-12. Following table presents the test
results of representative soil samples collected from the subject site:
TABLE I
LABORATORY TEST RESULTS
Soil Type Maximum Dry Optimum Moisture
Density (pcf) Content (%)
A - Onsite olive brown silty sand (SM) 129.5 9.0
B - Import olive brown silty sand (SM) 133.0 8.0
FIELD DENSITY TEST
1. Field density tests were performed using the Nuclear Gauge Method (ASTM D-2922-01
and D-3017-01) and/or Sand Cone Method (ASTM D-1556-04). Field density test results
are presented below in Table II. Approximate locations of the tests are shown on the
enclosed Site Plan (Figure 1).
TABLE II
FIELD DENSITY TEST SUMMARY
Depth Moisture Dry Relative
Test Test Soil
Test Date Below FG Content Density Compaction Type
No. Location
(ft) (%) (pcf) (%) Yp
X-1 11/29/19 Pool 5.0 11.3 116.9 90.3 A
X-2 11/29/19 Pool 3.0 7.2 117.0 90.4 A
X-3 11/29/19 Pool 3.0 7.8 117.2 90.6 A
X-4 11/29/19 Pool 3.0 7.0 116.8 90.2 A
X-5 11/30/19 Building Pad 2.0 8.0 117.7 90.9 A
X-6 11/30/19 Building Pad 2.0 7.4 118.8 91.7 A
X-7 11/30/19 Building Pad 2.0 7.7 120.2 92.9 A _
X-8 11/30/19 Building Pad 2.0 9.6 120.0 92.7 A
X-9 12/2/19 Building Pad FG 8.7 128.6 96.6 B
X-10 12/2/19 Building Pad FG 9.1 130.3 97.9 B
X-11 12/2/19 Building Pad FG 9.0 128.1 96.3 B
X-12 12/3/19 Pool FG 10.2 121.5 91.3 B
1 X-13 12/3/19 Pool FG 10.7 120.9 90.9 B
FG = Finish Grade
2. Field density tests were performed at random locations to check compaction effort
provided by the contractor. Test results exceeded minimum required relative compaction
11819 Goldring Road, Suite A,Arcadia, California 91006 Phone: (626) 263-3588; Fax: (626) 263-3599
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Ms. Maggie Qiu Page 3 of 3
EGL Project Number: 18-114-010C December 5, 2019
of 90 percent. Test results herein are considered representative of the compacted area.
3. Onsite soils consisted of olive brown silty sand (SM, Soil Type A). Import soil consisted of
olive brown silty sand (SM, Soil Type B). Soil samples were verified to match with the
laboratory tested samples.
4. Compacted fill is considered adequate for its intended use.
POST-GRADING RECOMMENDATIONS
1. All utility backfill should be brought to near optimum moisture content and then compacted to
obtain a minimum relative compaction of 90 percent of the laboratory standard.
2. Soils generated from footing excavations should be compacted to 90 percent minimum
relative compaction, whether it is to be placed in landscape areas or within areas to be
improved. This material must not alter positive drainage patterns away from the structural
areas.
3. All trench excavations should conform to CAL-OSHA and local safety codes.
REGULATORY COMPLIANCE
Cuts, fills or processing of original ground under the purview of this report have been completed
under the observation of and with selective testing by EGL, and are found to be in compliance
with the Grading Code of the City of Arcadia, California. EGL's findings were made and
recommendations prepared in conformance with generally accepted professional engineering
practices and no warranty is expressed or implied. This report is subject to review by the
controlling authorities for this project.
This opportunity to be of service is appreciated. If you should have any questions. please call the
undersigned.
Respectfully submitted.
Environmental Geotechnology Laboratory Inc. L)
oF��rFSS/(EGn\
c:6/\? c\-\
w No. 2852 m
Exp...
RyaP ari , GE 2852 �V
Proje ngineer -� ACH\A )���/
Dist: (4) Addressee
HJ/RJ/rj
11819 Goldring Road, Suite A,Arcadia, California 91006 Phone: (626)263-3588; Fax: (626) 263-3599
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C%.0.00-'° CITY OF ARCADIA
240 West Huntington Drive
Arcadia, CA 91007
FINAL GRADING VERIFICATION
ATTENTION: Community Development Administrator
SUBJECT: Grading Verification for Project No. 1 R--( tf —0(t
Address: & ki . K1(Laryl, (6\--VQ
Gentlemen:
Finish grading operations have been completed for Project No. for
Lots through (if applicable) and has been inspected
by the undersigned Registered Civil Engineer or Licensed Architect.
tothe Rough
Gradinghas been
Based upon the observations, the grading subsequent g
completed in accordance with the approved plans and specifications and is in
substantial conformance with the final grading plan approved by the City and no
unauthorized deviations were made.
All required surface drainage devices have been installed. Provisions have been made
for drainage of surface waters around proposed buildings and their appurtenances.
.0 ���pROFEss/o�G
4 �,c\S1NG,z/q 4
Engineer (Signature) c rQ� tiZ itect(Signature)
zl
R.C.E. No. * 48846 gi r . No.
Date: 4 N9,. C
�P
Receiv-d and approved: OFCALIF��
/
141011. /� .
f Lo
+i' ��j%' Date:
cc: C.D.D./Maint. Ser.
C.D.D./Building
DEPARTMENT OF BUILDING AND SAFETY
STRUCTURAL OBSERVATION REPORT FORM
REPORT NO.
THIS REPORT INCLUDES ALL CONSTRUCTION WORK THROUGH I el DAY OF fb / ZD Zp
PAGE NO. ( OF
PROJECT ADDRESS Gc< AM M A-de- , STRUCTURAL OBSERVER S UC.OBS.PHONE NO.
WOL �4- j1 ..�/ / (6 71.2 S W- 410190
OWNER UC.OR REGISTRATION NO. BUILDINPERMIT NO.
bS-20
OBSERVED STRUCTURAL ELEMENTS AND THEIR CONNECTIONS LOCATION AND PORTION OF BLDG. DATE
❑- FOUNDATION WALL ❑- FRAMES El- FLOOR
0-FOOTINGS,SLAB&STEM VVALLS ❑-CONCRETE 0- STEEL MOMENT-SPECIAL ❑- CONCRETE
❑-PRESTRESSED CONCRETE SLABS ❑-MASONRY ❑- STEEL MOMENT-ORCINARY 0- STEEL DECK
O-CAISSCNS,PILES,GRt,DE REAMS [WOOD ❑- STEEL BRACED Er WOOD
❑- HILLSIDE BLDGS-SPECIAL ❑- ❑- CONCRETE-DUCTILE ❑-
FCUNE AT1ON ANCHORS
0- 0- 0- CONCRETE-NON-DUCTILE ❑-
1:9( :// fiz_414/ 7,1,71•
❑-
OBSERVED DEFICIENCIES $i'fjf'
iia- I T ,
d;
❑- DEFICIENCIES CONTINUED ON ATTACHED FORM(B&S 261 A)
( tJV
CAl*
Z ;
•.C68205
SIGNED /et OF flogb„ ZO Zp AT e ,SCA xp.9/30%
DAY MONTH AR CITY NtU/�`2
_ 'fig• . '
X
WET SIGNA '4' REGISTERED CML OR STRUCTURAL ENGINEER OR LICENSED ARCHITECT STAMP OF ENGINEER OR ARCHITECT
STRUCTURAL : ERVATION DOES NOT WAIVE ANY OF THE REQUIREMENTS FOR BUILDING INSPECTION BY AUTHORIZED EMPLOYEES OF THIS DEPARTMENT
DISTRIBUTION:STRUCTURAL OBSERVER TO SEND ORIGINAL TO THE BUILDING INSPECTOR'S OFFICE,ATTACH THE FIRST COPY TO THE APPROVED PLANS.AND KEEP SECOND COPY FOR STRUCTURAL OBSERVER'S RECORD AND OISTRIBUTIC'.
DEPARTMENT OF BUILDING AND SAFETY
STRUCTURAL OBSERVATION REPORT FORM
EPORT NO.
THIS REPORT INCLUDES ALL CONSTRUCTION WORK THROUGH ' 5 DAY OF 126t ;/ 2-'/i
PAGE NO. / Cf-
/
PROJECT ADDRESS I[.,3 h/, /j,cO/4y Ac!c, STRUCTURALOBSERVER STRUC.OBS.PHONE NO.
A - />-b d"I �,�, ��, ' ,S7/•-yO)
OWNER LIC.OR REGISTRATION NO. ILDING PERMIT NO.
L 6cz-o�'
OBSERVED STRUCTURAL ELEMENTS AND THEIR CONNECTIONS LOCATION AND PORTION OF BLDG. DATE
[- FOUNDATION ❑- WALL ❑- FRAMES ❑- FLOOR
-FX;IWGS .LAB&STEM WI1S 0- CONCRETE ❑- STEEL MOMENT-SPECV1L ❑- CONCRETE
❑-FRESTRESSED D] RETE SLATS p- MASONRY ❑- STEEL MOMENT-ORDIN RY ❑- STEEL DECK
❑-CA6SONS,FILES,GRADE E3EA!AS ❑- WC' ) 0- STEEL BRACED ❑- mop
❑- HILLSIDE BLDGS-SPECVIL 0- ❑- CONCRETE-DUCTILE ❑-
OUNDATION ANCHORS
❑- ❑- ❑- CCCRETE-NON-DUCTILE ❑-
❑-
❑"
❑"
OBSERVED DEFICIENCIES: A
L ( l - - f �,� .
(I ' C h �� i/o(
❑- DEFICIENCIES CONTINUED ON ATTACHED FORM(B&S 261 A)
tt �y,, �"l aY 11/ m
� SIGNED �� OF �. iAT iR 1�CCA '`= •%. -' 4:S�u:, m
DAY M NTH YEAR CITY ., xP• 9i30/ZI J ;
X
WET SIGNATURE OF REGISTERED CIVIL OR STRUCTURAL ENGINEER OR UCENSED ARCHITECT STAMP OF ENGINEER OR ARCHITECT
STRUCTURAL OBSERVATION DOES NOT WAIVE ANY OF THE REQUIREMENTS FOR BUILDING INSPECTION BY AUTHORIZED EMPLOYEES OF THIS DEPARTMENT
DISTRIBUTION:STRUCTURAL OBSERVER TO SEND ORIGINAL TO THE BUILDING INSPECTOR'S OFFICE,ATTACH THE FIRST COPY TO THE APPROVED PLANS.AND KEEP SECOND COPY FOR STRUCTURAL OBSERVER'S RECORD AND DISTRIBUTION;
• CITY OF ARCADIA
240 West Huntington Drive
Arcadia, CA 91007
ROUGH GRADING VERIFICATION
ATTENTION: Community Development Administrator
SUBJECT: Grading Verification for Project No.
l �_'I t ---0 f D
Address: - JG� �iM� ��
Gentlemen:
Rough grading operations have been completed for Project No. for
Lots through (if applicable) and has been inspected
by the undersigned Registered Civil Engineer or Licensed Architect.
Based upon the observations, the rough grading of the lot(s) listed above have been
completed in conformance with plans marked "APPROVED" by the City. The work
includes but is not limited to the following: grading to approximate final elevations;
staking of property lines; location and gradient of cut and fill slopes; location, cross-
sectional configuration and flow-line gradient of drainage swales and terraces; berms
installed where indicated; and required drainage slopes provided on building pads.
Enclosed herewith is a Soil and Compaction Report for the Building Division which is
required on all new construction sit g inspection.
Nr
Engineer (Signatu Luiz ' 45846 Ar (Signature)
R.C.E. No.
4579.1-1,Date: * R.P o.
�� / OF CAU
Received and approved:
Date:
C.D.D./Planning
cc: C.D.D./Maint. Ser.
C.D.D./Building
City of Arcadia, CA Permit NO. Plum-19-2470
Development Services Department Permit Type:Plumbing
240 West Huntington Drive,Post Office Box 60021
Arcadia,CA 91066-6021 Work Classification:Plumbing Residential
(626)574-5416 Permit Status:Issued
ARCADIA Issue Date: 12/11/2019 Expiration:
Addr NO. Dir Prefix Street Name Street Suffix Unit City,State,Zip Parcel Number
68 W NAOMI AVE Arcadia,CA 91007-4030 5782011013 —11
Contacts
DIAN LIU Owner S&G PLUMBING INC Contractor
68 W NAOMI AVE 961 WASHINGTON ST,SAN CARLOS,CA 94070
(626)623-8222 (650)595-4050 841206
Description:PLUMBING FOR SF NEW Valuation: $ 0.00 Tenant
Total Sq Feet: 0.00 Plan Check q Plan U
Fees Amount Payments Amount Paid
Clothes Washer $13.21 Total Fees $475.43
Dishwasher $13.21 Cash/Receipt tt REC-03305-19 $475.43
Garbage Disposal Fee $13.21
Amount Due: $0.00
Gas System(Outlets) $83.93
Kitchen Sink $26.42
Lavatories $105.68
Lawn Sprinkler System on One Meter $19.86
Plumbing Permit Issuance Fee $47.01
Sewer Connection on Property $33.01
Shower $52.84
Solid Waste Management Fee 2 $1.00 CALLS FOR INSPECTIONS
Water Closet 566.05 Request for inspection by telephone at 626-574-5450. Leave a message
requesting the address,timeframe and what inspection item is needed.
Total: $475.43
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.
OPT) 11)1-0� �Lr
December 11, 2019
Issued By: Date
December 11,2019 Page 1 of 1
.�
4
! ±w - PERMIT/PLAN REVIEW APPLICATION
•4 r
' Development Services Department,240 West Huntington Drive, Post Office Box 60021
ce�¢I�se
0ee1ry of Ne Arcadia, CA 91066-6021,(626)574-5416, Fax (626) 447-9173
City of
Arcadia
ICENSED 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,andmy license is in full and ffect.
11
License Class C License No. r\43
Exp. D��/W3 or ❑ I have and will maintain a certificate of consent to self-insure for workers'
compensation, as provided for by Section 3700 of the Labor Code, for the
Signature of Contractor
��\ l performance of the work for which this permit is issued.
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 Professionsis issued.My w rs'compe_nsation insurance carrier and policy numbers are:
Code.Any city or county which requires a permit to construct,alter,improve, Carrier f!/�ti/(1Z/{`f/'TC
demolish,or repair any structure,prior to its issuance,also required the applicant
Policy Number 0/`/� LIN��
for such permit to file a signed statement that he or she is licensed pursuant to the completed(This section need not be if the
provisions of the Contractors License Law(Chapter 9(commencing with Sectionpermit 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
Date /h 1
I���
sale(Section 7044,Business and Professions Code:The Contractors License _ 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:
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.
Mame ��/1�� 1. Jfa fecu / vePRINT NAME (Title
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. ,
/
ignature tate
p11/20ti!
I\
i'+ City of Arcadia, CA Permit NO. MEP-19-2352
Development Services Department Permit Type: MEP
240 West Huntington Drive,Post Office Box 60021
1 Arcadia,CA 91066-6021 Work Classification:MEP-Residential
(626)574-5416 Permit Status:Issued
ARCADIA Issue Date: 11/25/20191 Expiration:
Addr NO. Dir Prefix Street Name Street Suffix Unit City,State,Zip Parcel Number
68 W NAOMI AVE Arcadia,CA 91007-4030 5782011013
Contacts
SOLEIL HOMES INC Owner RODEO CONSTRUCTION AND Contractor
480 Las Tunas DR,Arcadia,CA 91007 MANAGEMENT INC*
(626)319-1031 maggieqiumail@gmail.com 11001 VALLEY MALL 301C,EL MONTE,CA 91731
(626)864-8648 1012238
Description:MECHANICAL AND ELECTRICAL FOR SF NEW.HVAC Valuation: $0.00 Tenant
SYSTEM PER APPROVED PLANS.HERS REQUIRED FINAL.TPP
Total Sq Feet: 0.00 Plan Check# Plan U
Fees Amount Payments Amount Paid
Compressor<3 Ton(up to 3 hp) $39.72 Total Fees $672.19
Distribution Panel $32.96 Cash/Receipt it REC-03173-19 $672.19
Electrical Permit Issuance Fee $47.01
Amount Due: $0.00
Furnace or Burner<=100,000 BTU $39.72
Hood Serviced by Mechanical Exhaust $29.92
Mechanical Permit Issuance Fee $47.01
Motors,Generators<1 hp $16.14
New Residential Accessory Bldg (sq ft $31.50
area)
New Residential Elect.(sq ft area) $257.20
Residential Services up to 400 amps 516.48 CALLS FOR INSPECTIONS
Solid waste Management Fee 2 $1.00 Request for inspection by telephone at 626-574-5450. Leave a message
Solid Waste Management Fee 2 $1.00 requesting the address,timeframe and what inspection item is needed.
Temporary Power Pole $33.01
Ventilation Fan(Single Duct) $79.52
Total: $672.19 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
c-.i Oi I TdP l�r g ni void if any work authorized by this permit is suspended or abandoned for 180
Jt v JIJL u L5consecutive days or if no progressive work has been verified by a City of
Arcadia building inspector for a period of 180 consecutive days.
1— (jr...— /
«`u it
,
November 25, 2019
Issued By: Date
November 25,2019 Page 1 of 1
A
of PERMIT/PLAN REVIEW APPLICATION
1.• 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 Codes 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 P. License No. ti ; 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
(Thi •coon need not be completed if the permit is for one hundred dollars or fess)
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 F4I 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 fI /1
sale(Section 7044,Business and Professions Code:The Contractors License Date {` �u( l� Signature aAA.,•----67)11-\
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 IV/
employees,provided that such improvements are not intended or offered for WARNING: Failure to secure Workers'Compensation coverage is unlawful,
sale.If,however, ti:a 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 W l\&\ ` " -- `h Title (MY-01V\ o " "
NT 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 ��/`Ci
• City of Arcadia, CA Permit NO. FIRE-20-0197
Development Services Department Permit Type:Fire
240 West Huntington Drive,Post Office Box 60021
Arcadia,CA 91066-6021 Work Classification:Fire Sprinkler
(626)574-5416 Permit Status:Issued
ARCADIA Issue Date:03/03/20201 Expiration: 08/03/2020
Addr NO. Dir Prefix Street Name Street Suffix Unit City,State,Zip Parcel Number
68 W NAOMI AVE Arcadia,CA 91007-4030 5782011013
Contacts
DIAN LIU Owner SPECIALIZED FIRE PROTECTION, INC.* Contractor
68 W NAOMI AVE 18305 E Valley#H,La Puente,CA 91746
(626)623-8222 (626)416-9276 1005885
Description: FIRE SPRINKS FOR SF NEW 37 HEADS Valuation: $ 5,000.00 Tenant
•
Total Sq Feet: 0.00 Plan Check#20-197 Plan#
Fees Amount Payments Amount Paid
Fire Issuance $47.01 Total Fees $901.76
Fire Permit Fees $153.75 Cash/Receipt#REC-04013-20 $201.76
Solid Waste Management Fee 2 51.00 Cash/Receipt#REC-03763-20 $700.00
Sprinkler Heads $700.00
Amount Due: $0.00
Total: $901.76
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.
C;(.1
March 03, 2020
Issued By: Date
March 03,2020 Page 1 of 1
! • 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
m�otr,of N
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 Cod d my lice rs n ll force d effect. 0 I have and will maintain a certificate of consent to self-insure for workers'
License Class_i 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 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 !i( if:://e,
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 3 7;') 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:
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.
NameTitle
P N E
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 ordinanc d State Laws relating to building construction. I hereby authorize representatives of the City of
Arcadia to enter upon the above-mentio -i •roperty for inspection purposes.
Signature Date ?/ /2c
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(u•
y°t� Q MEMORANDUM
Fire Department
DATE: January 20, 2021
TO: BUILDING DEPARTMENT
INSPECTOR Henry Kemick
FROM: FIRE DEPARTMENT
SUBJECT: FIELD INSPECTION
ADDRESS: 68 W. Naomi Avenue
THE FOLLOWING ITEMS WERE CHECKED FOR CONFORMANCE WITH APPLICABLE FIRE
DEPARTMENT REQUIREMENTS:
TYPE OF INSPECTION DATE / INITIAL
FINAL INSPECTION
FIRE SPRINKLERS (PC# 20-197) 9-16-2020 Jill Perumean
FIRE ALARMS
HOOD & DUCT
KNOX BOX
OCCUPANCY 9-16-2020 Jill Perumean
COMMENTS:
Emailed Bldg. Dept. 9-16-2020 Rita
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1
Robert C. Ferrante
LOS ANGELES COUNTY Chief Engineer and General Manager
.11161111111110°eVSANITATION DISTRICTS 1955 Workman Mill Road,Whittier,CA 90601 1400
Converting Waste Into Resources Mailing Address: P.O. Box 4998,Whittier,CA 90607-4998
(562)699-7411 •www.lacsd.org
Counter Hours: 7:00 a.m.-4:00 p.m.Mon.-Thurs.
7:00 a.m.-3:00 p m.Fri. Application No.: 5782011013-002
SEWERAGE SYSTEM CONNECTION FEE RECEIPT Date: January 19,2021
OPERTY&APPLICANT INFORMATIO
APN:5782 011 013 District No.: 15
Owner/Situs Address Applicant Information
DIAN WEN LIU Soleil Homes Inc Dian Wen Liu(Owner)
68 NAOMI AVE Mindy Huang
ARCADIA,CA 91007 PO Box 504
Walnut,CA 91788
Phone: (626)378-6262
IICILITYIiVFORMATION& CONNECTION FEE CALCULATIONS 1
Facility Type Measure of Use Unit Rate Amount
Single Family Home I) 1.00 DU
Single Family Home \ 1.00 DU S1,551.00/DU $1,551.00
68 NAOMI AVE,ARCADIA
Base Line Credit 1.00 CUs $1,551.00/CUs ($1,551.00)
Connection Fee Due $0.00
Type Abbreviations
N-New or Additional;C-Change of Existing;E-Existing to Remain;D-Demolition of Existing;T-Tenant Improvement of Existing;S-Septic to Sewer
(E)SFR to be demolished;Construction of(N)3,215 sqft SFR;Demo credit given
Includes demolition of 1.00 DU of existing Single Family Home
Processor:Kimberly Gonzalez Approver:Nell Madigan • S/IIATATION O!R,CT$
D.C.: OF LOS ANGELES COUNTY
%APPROVED
Payment Received Check No. Amount
MindyHuang $0.00 ROBERT C.FERRANTE
CHIEF ENGINEER&GEN.MGR.
Valid Only When Stamped
THIS IS NOT A CONNECTION PERMIT.
A CONNECTION PERMIT IS REQUIRED BEFORE CONNECTING TO ANY SEWER.
DOC#6037262
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4WATER DIVISION
ATTENTION: E-2<C DATE: a-17- - 2..v
FROM: BUILDING DIVISION INSPECTOR: .4jeR j ,1 -7r it
ADDRESS: G v fI4L o/4-1.I
PERMIT NO.: Af(1i,,. l 1--015P> PLAN NO.: l 3
CONTRACTOR: ?6 UE .,4<5_7:k.4,c.;/o../ PHONE NO.: G2.6/34-y 8Lsib
OWNER: c-e/c- e 5 PHONE NO.:
PLEASE INSPECT THE FOLLOWING ITEMS FOR CONFORMANCE WITH APPLICABLE DEPARTMENT
OF PUBLIC WORKS REQUIREMENTS.
Type of Inspection Date& Initial Date&Initial Final Approval
Meter Location
rk/i(/ao
Blackflow Devices -
`eV 1\ft6/26
Irrigation System
. 4Q I06/2o
Fire Sprinkler System
-366 "/a/20
Meter CIear A.P.P.
'fig \\(IG /ao
Swimming Pool ` '
COMMENTS: �is.e_ 44le(5 I b L \fasTus _S_50 ( ma4 c1 b 3) weSA-bra..
r
s3.9,�y _-
_.__..7:
r6.-,, CITY OF
. : : WATER EFFICIENT LANDSCAPING DOCUMENTATION PACKAGE
, CERTIFICATEOF GORAPLETlON
Thiscertificate is.to Pe:filled out by the project applicant and the property owner upon completion of
the Iandscepir project. •
Project Information.
Date of )-� an�pietto�t Penult Type and No.
Project Ad ddrgssss
68 W Naonti o venaLi Rreadtia, CA 9/oo 7
' Name of Pijec t: pplleant and Title Nan*Of Property Owner
i'
/ ie Chat Mawa e4- Soi.ehI l-/ooze. inc-
Company Name&Mailing Meiling Address
P�0 i4ox ,sv�u teidnitt CA 9/7S8 cla/n czz , 6'99/]�8 :'
• Telephone and Fax No(s). --T-eI iene-arid Fax No(s).
969 -2e3--.›63_3 6-)-6 -4*2- 8.3d'4
Email Address. Email Ades
,7n r3>-e,m = Chan @ 67mait.Coat
Project Applicant -The signer of the landscape design plan, signer of the irrigalion plan, the
licensed landscape contractor that installed the landscaping and irrigation, or a licensed
i professional that performed periodic site observations to verify that the project is consistent with
the Water Efficient Landscaping Documentation Package for the project and that theproject
complies with Ordinance No. 2267.
"I/we certify that based upon periodic site observations the work has been
substantially completed in actiotdance. with Ordinance No. 2207 and that the
landscape planting and irrigation installation conform with the criteria and
specifications of the approved Landscape and Irrigation Plans and Landscape
Documentation Package and acknowledge that the poi Oct may be subject to
inspection and a Landscape Water. Audit to verify that the project is maintained in
compliance wilt Ordinance No,2267.."
• Signature 1 , i Date
1/2-1/ZI
Name(prim Telephone-and Fax.No( °
i 3-i c 16i4q— 62-6 70.0 /6S
Title Uce aseto..dr Oertilicatitin No.
fi ate' 145Y13 'I-
Company .1lo-�sam¢�"Jl� /-4 Jct F.i#iaii,4ddress ail cM
Mailing Address /9a/ /d (p/Ga& ./ 4)$44 /i 3')) .� 6/:' 7/7o
Property Owner c
"l/we certify that Uwe havereceived copies of all the documents within the Water Efficient
Landscaping Documentation Package for our project and that it is myfour responsibility to see that
• the project is maintained in accordance with the Landscape and irrigation Maintenance Schedule
for the project and In compliance with Ordinance No. 2267, and liwe acknowledge that the project
may be subject to inspection and a Landscape Water Audit to verify that the project is being
I maintained in compta •.= with Ordinance No. 2267.
.r. _ .?i
,
Property Owner(s)10:1` ature(s) Date
-1.1 -
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