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SNew-19-1125
/ City of Arcadia, CA Permit NO.SNew-19-1125 'r Development Services Department Permit Type:Single Family New 240 West Huntington Drive,Post Office Box 60021 Work Classification:SFR New Dwelling Arcadia,CA 91066-6021 (626)574-5416 Permit Status:Issued ARCADIA Issue Date:09/25/2019 I Expiration: 12/16/2019 Addr NO. Dir Prefix Street Name Street Suffix Unit City,State,Zip Parcel Number 618 Gloria RD Arcadia,CA 5769022013 -, Contacts I WILSON&JESSICA CHOW Owner SANYAO INTERNATIONAL INC. Applicant 618 GLORIA RD 255 E SANTA CLARA 200,ARCADIA,CA 91006 (818)429-9814 (626)446-8048 RODEO CONSTRUCTION AND Contractor MANAGEMENT INC` 11001 VALLEY MALL 301C,EL MONTE,CA 91731 [ (626)864-8648 1012238 Description:5 BED,4 BATH, 1 POWDER RM,LIVING,DINING, Valuation: $890,194.50 Tenant FAMILY,NOOK, KITCHEN,WOK RM,THEATER,LIBRARY, ELEVATOR. 2 CAR ATTACHED GARAGE. 1 CAR DETACHED Total Sq Feet: 5.950.00 Plan Check#19-1125 Plan#141 GARAGE. WITH ELECTRICAL AND MECHANICAL.400 AMP 2 SUBPANELS.TPP, FIRE PLACE,HOODS AND HVAC SYSTEM PER APPROVED PLANS. Fees Amount Payments Amount Paid Building Issuing Fee $47.01 Total Fees $28,266.96 Building Permit Fees $6,681.90 Cash/Receipt#REC-01574-19 $8,943.95 Building Plan Review Fee $4,343.24 Cash/Receipt#REC-02611-19 $19,323.01 Cal Green Plan Check $434.33 Compressor 3-5 Ton(3 to 15 hp) $109.05 Amount Due: $0.00 Distribution Panel $32.96 Electrical Permit Issuance Fee $47.01 Energy Plan Review Fee $1,336.38 Fireplace Pre-Fab $14.96 Furnace or Burner<=100,000 BTU $59.58 Grading Issuance Fee $47.01 CALLS FOR INSPECTIONS Grading Permit Fee(1-1000 CY) $450.00 Request for inspection by telephone at 626-574-5450. Leave a message Grading Plan Review Fee $850.00 requesting the address,timeframe and what inspection item is needed. Green Building Standard $36.00 Hood Serviced by Mechanical Exhaust $29.92 LID Plan Check Fee $100.00 This permit/plan review expires by time limitation and becomes null and Mechanical Permit Issuance Fee $47.01 void if the work authorized by the permit is not commenced within 180 days Motors,Generators<1 hp $24.21 from the date of issuance or if the permit is not obtained within 180 days New Residential Accessory Bldg (sq ft $54.60 from the date of plan submittal.This permit expires and becomes null and area) void if any work authorized by this permit is suspended or abandoned for 180 New Residential Elect.(sq ft area) $476.00 consecutive days or if no progressive work has been verified by a City of Off Site Plan Check(Per Site) $240.00 Arcadia building inspector for a period of 180 consecutive days. Total: $28,266.96 GIJ COMPLETED ,:,, 1 9/i° September 25, 2019 Issued By: Date September 25,2019 Page 1 of 1 ! ii PERMIT/PLAN REVIEW APPLICATION .: e ,,,, 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. License Class License No. ' ❑ I have and will maintain a certificate of consent to self-insure for workers' 17I 2,2-WExp. Date;�a1 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 DECLARA'N ❑ requiredby I have and will maintain workers'compensation insurance,as Section 0 I herebyaffirm under 3700 of the Labor Code,for the performance of the work for which this permit penalty of perjury that I am exempt from the Contractors 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 'M demolish,or repair any structure,prior to its issuance,also required the applicant 1(�/� r for such permit to file a signed statement that he or she is licensed pursuant to the Policy Number (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 ❑II 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 411251 t 19(Vr3iti\j?) 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). ❑ 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. IN ame M 1 trifle '�r (V\ OY P 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. °il 2 c Jsignaulre Date 4. NOTES Building Inspections Date Insp. Plumbing Inspections Date Insp. g jg (Z j„l- 100. Setbacks 210. Under fir/bldg.drain -/ 1 �- l`� 101. Rough grade 211. Copper underslab f 102. Figs.&forms C'' l� 212. Rou•h•lumbin• y7- 9 /// ee cjrf e 7 't5 S 4 103. Pre-slab l -/',7_ 213. Rough gas /) / / 104. Floor joists 214. Shower pan an(/14/��� ' `�e e //C�l l� 105. Steel 215. Water heater 4/04 /, 1 ,.„44/1/aw' POSA n' 106. Grout lilt 216. Roof drains 107. Shear nailin. Arjtil��.v` 217. Buildin^sewer D/ , A. 6 GI.,' L I ' /, 108. Diaph nailing 1 �1 _� _218. Water service '7 i- j ,/ 1 ' 4�i� n- i 109. Roof nailing - ,(�j 219. Final.as c ` - -2(3 / /� II / 110. Framing / 7,p 220. Fixtures 6 1 ��, _,rd/ �/l/ 111. Occ./Area Sept.Wall 221. Final plumbing /l f /�' orr 112. Sound walls 222. Sewer cap/demo. _ /�/� /'r��� Per L( G/� / o�,m 113. T-bar•rid /t (� I/c� 7/�/N 114. Insulation-Fir. Pool Inspections Date Insp. (� _ T v D ! " ` . 115. Insulation-Wall 240. Excavation/steel 7 , `("� 116. Insulation-Ceil. • "S 241. Rough plumbing uho y�R / 117. Drywall nailing %! ii 242. Light shell/bonding 118. Interior lath i - 243. Underground conduit /� INTIMMIOR e_ 119. Exterior lath 4.0L 244. P-trap C 120. Finish grade 245. Gas line&test GI 121. Final building !Z-EcZ 246. Fence,gates&signs rye - -- 122. 122. Final demo/lot clear 247. Pool heater ��� �� "� 248. Final electric 4 /rh i /f /�i�/S Electrical Inspections Date Insp. 249. Final plumbing _ •/ 150. Power pole 7-7.6r/(27,7 ,250. Pool cover �/• -% l��- /h L I,II. 151. Sales lot lighting 251. Pool final /7 - Ce7f 7 i/A.,Fel 152. Underground conduit 153. Underslab conduit Reroof Inspections Date I Insp. ' eC.' ' i / 154. UFER•round Are6f_�� 270. Pre-reroof ins'. et•,• ., . i '// '41 /!/. - ' 155. Water•round 271. Roof framin• ' /e Lei i l� r/ 'ir7jo-Y, moi/ 156. Rough electrical / - 1 No 272. Sheathing nailing c .r•,• 157. Fixtures 273. Final reroof /M gi 4, wie 04//7 erfr''7)76. G/h 158. G.F.C.I. - / ,/ .11/1d A:lia1 159. Eqpt.bondin. Sign Inspections I Date Insp. / / 160. Service•.nel Miff-"4 A 280. Setback/overhan. moi/ �f ., ii/,Mr/ i 161. Finalpelectric / 281. Footing ! / rege /� ����ff r'e` ' ' �ifj 282. Conduit/wirin• �/ / / '/ Mechanical Inspections Date Insp. 283. Disconnect %► 1" /" �` 180. Venting/flue 284. Final sign 6-i iVI) /-I�40 1417 181. Furnace/A.C. 3r6- j' 182. Rouch HVAC ^ Miscellaneous Insp. I 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 - / J 300. Lateral(main to P/L) - 301. Saddle/Y Block Wall Inspections Date Insp. 302. Cess•••I filled 200. Footings 303. Sidewalk 201. Steel/rebar 304. Driveway 202. Grout lift 305. Curb replacement 203. Final wall 306. Trash bin \ ice. 1 W , ! W aq I V —. 0 12. ,,,./...i.,j.,...:1_,..\ ,,,,,,I,,,,0 i C O t� c� ` 30 v o t U O N tt 6. A- Sq> C i �. ' ` ot y �/ 'O e $ E csiw , i iiii o a op rlE. .0 E — >, 4.. , Ca) "� Q w0 g1Ch F .- `/ O CI v � E ,ft ' `� /, \ '. 1t ! � ewe .;, p Gd a � pp ci O J s, o. cT C V / _,.( itila ..it N , i � �'Oi ; /z U ¢cu 8 on g c o CO > 3 x 1\ 04 c E x U I, vE o U \ __,.. ) 8 /� /' ,. E T V . L' 0 , i ,.. *5 " c., , I i ( , 1 ' C...,c,,,,;. v E: Certificate No. 20190226-028 Business Services 150rc Soudia, h Third1Avenue \ + ARCADIA Arcadia,CA 91006 Unified School District p 626 821 6631 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: 618 Gloria Rd., Arcadia, CA 91006 Number of Units: 1 Plan Check Number: 19-1125 ❑ Exempt* ® Residential** ❑ Commercial/Industrial** LI 500 sq.ft.or less(residential addition/expansion) $3.79/sq. ft. $0.61/sq.ft. 0 Other: Area in Sq. Ft.: 2,751 Receipt Number: 330507 Total Fee: $10,426.29 Check Number: 1162715731 Owner's Name: Wilson &Jessica Chow Owner's Address: 3830 Mayfair Dr., Pasadena, CA 91107 Phone Number: (818)808-9839 Email: jessicatchow@gmail.com Representative's Name& Phone Number(if applicable): ( ) * 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. Connie Chu sti/14444,..e4, Senior Administrative Assistant 9/17/19 Signature of District Representative 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 District is true and -.curate to the best of his/her knowledge. toAF, ‘„ar ACit 01k) 117-1161 Signature of Applicant Name Date ORIGINAL—City/County COPIES—Business Services,Fiscal Services&Applicant Certificate of Compliance(4-29-19) i a •=:.19!9)•'.i•a.0a'97IV.,'.1 V^ V V3 iV n d Sfl'90a18 YO'.IV••'Y'007J-IS.+.��.IY.S-3 SSL Y J,Y IQ Y J O Y Ia .o�ivamd inw•vi+•e.1 aeoa VlaolO 91.9 8 R .ONI1VNOLLVNi131NI OVAN V�../S 3Sf10H AlIWdd 31ONIS Y 3 ? Ia a * * " IN** t;aill yI ! � 11.1. 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LI1 41 ut 11 ii 11 z §D ie k� ( ` i . �; ill . ill I11 t d fil�fi,F }!{11if itfiili; 1,1 to # _iaYly4�91i# tii# ,ililii�iti}fllt cl II ii - I .. ,a� 3 itt Litt tt t####t#ttttt M.6L.20.EE N TM ,,^0'06 ill t t i l-a'W.h..U+ DOY YYMI .Ai•OW"D IT. - .•• •••• --1. » .f.f• CITY OF ARCADIA DEVELOPMENT SERVICES DEPARTMENT BUILDING&SAFETY DIVISION 240 W.Huntington Drive Arcadia,California 91007 (626)574-5416 ELEVATOR CERTIFICATE OF COMPLIANCE 618 Gt-o/Z+A ROA t# Address of Building: A r cwDl A • Permit Number: 7 7b 8 L �l�oob Manufacturer of Elevator: 2E-.510E^-}'i Elevator Model Number: 9.5 Z C-eVATQRS This is to certify that the work performed and materials used for this installation of the elevator(s)are per City approved plans and specifications and complies with the applicable requirements specified in the City's adopted codes as well as the American National Standards Institute standards.Certificate will be signed by a licensed contractor or by the owner-builder if work was not performed by a contractor. ggO°l2-7 IZ-'L-Zo70 Contractor's Signature License Number Date Z - 2 — L. L • Owner-Builder Signature, Date Scanned with CamScanner PBA Patel Burica & Associates, Inc. STRUCTURAL OBSERVATION REPORT STRUCTURAL OBSERVATION means the visual observation of the structural system, for general conformance to the approved plans and specifications,at significant construction stages and at completion of the structural system. Structural observation does not include or waive the responsibility for the inspections required by Section 108, 1701 or other sections of the Code. PBA Project#/Name: 1503 S11-CHOW/618 Gloria Road,Arcadia Date: November 26,2019 Report No: 001 Lot(s)/Building#: Main House& Owner/Builder: Wilson &Jessica Chow Page No.01 of 01 Detached 1-Car Garage OBSERVED STRUCTURAL ELEMENTS FOUNDATION (WOOD)ROUGH FRAMING COMMENTS/ADD'L DESCRIPTION ® Hardware& Reinforcement ❑ Floor Sheathing Footing geometry. Trenches formed and poured. Hardware and reinforcement installed. ❑ Roof Sheathing ❑ Exterior ❑ Interior OBSERVED DEFICIENCIES: ❑ Location as Described ❑Key(s)Attached ®No Deficiencies Observed CONTRACTOR SHALL CORRECT ALL OBSERVED DEFICIENCIES. Once all items listed above have been properly addressed,please sign this form and return a copy to Patel Burica& Associates, Inc. k\iki0/1,144A -- Signature of Observer Signature of Report Recipient Khoi H.Nguyen,P.E. Mindy Huang/Ming Chen—General Contractor(GC) Patel Burica&Associates, Inc. Signature of Concrete Foreman Date Print Name: Print Company: 9283 Research Drive • Irvine,California 92618 Tel:949.943.8080 • Fax:714.352.2203 • www.PBAstructural.com PBA Patel Burica & Associates, Inc. STRUCTURAL OBSERVATION REPORT STRUCTURAL OBSERVATION means the visual observation of the structural system,for general conformance to the approved plans and specifications,at significant construction stages and at completion of the structural system. Structural observation does not include or waive the responsibility for the inspections required by Section 108, 1701 or other sections of the Code. PBA Project#/Name: 1503 SII-CHOW/618 Gloria Road,Arcadia Date: March 19 2020 Report No: 003 Lot(s)/Building#:Main House& Owner/Builder:Wilson&Jessica Chow Page No.01 of 01 Detached 1-Car Garage OBSERVED STRUCTURAL ELEMENTS FOUNDATION (WOOD)ROUGH FRAMING COMMENTS/ADD'L DESCRIPTION ❑Hardware&Reinforcement EI Floor Sheathing Roof loaded. Windows installed. Rough framing. Most MEP installed. All similar areas shall be ElRoof Sheathing corrected. ® Exterior ®Interior OBSERVED DEFICIENCIES: ❑ Location as Described 0 Key(s)Attached ®No Deficiencies Observed CONTRACTOR SHALL CORRECT ALL OBSERVED DEFICIENCIES. Once all items listed above have been properly addressed,please sign this form and return a copy to Patel Burica&Associates,Inc. 144r1V,,144Al2A___-- Signature of Observer Signature of Report Recipient Khoi H.Nguyen,P.E. Ming Chen—General Contractor Patel Burica&Associates,Inc. Rodeo Construction Signature of Framing Foreman Date Print Name: Print Company: 9283 Research Drive•Irvine,California 92618 Tel:949.943.8080•Fax:714.352.2203•www.PBAstructural.com 060T-T49('TA.) :XV3 090T-Th90-I4) Ma T2926 VO 'VSIIH 'aVOTI LtIaHImI '3 94B QX siNv,L'msMoo e03.Lavnb BO � '3NI 19NIaaaMI NZ QAIVTId0 VIe!070 O o I d ,89'II I I Gy .�L'g6 W n do J A, 0 6 st - -..—_.._ __ '►1 ..OZ,0.8Z N 0L11 a c _ I ,t yv O yf' \ �s ui .load '� F; 0 o t� M O .:,,, cc, .,.., • rn rI, cn c CT) Co co . coCV Ci N 00 ki E-1 ,..) 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L� Li_ U_ l_ Li_ Li_ Li_ Li_ Z. m U !-� qc, rYi N `O I� W d'El I• m I' MN � OOOO) � � O � I� a O •-�; rn = OONNNO � t0f� 000 (A @7 ca M W 00 00 6 O O O 00 00 00 00 O 00 a' I � � O .r Z I -- 0_ 00 00 00 00 00 00 00 00 00 00 00 00 QOI O �y .- m r b . .- O w cD c0 cD c0 «) c0 as O c0 c0 c� c0 �-, I w co o ,� 0 Ey AD o of I 0tii 1 �� � r � � � r � � rrr' r' U c0 N Z c0 L. c0 cD cD tD to t0 °' I� I I � � a w rnrnrnrncn666666ci 0.i Z m o X I �n o 00 0o co 00 00 a0 co co 00 00 00 co E., O r- WW+ 1 o s W co (0 co co 00 00 Co 00 CO 00 00 C0 Z U Z c�i =— —� I I W O N 0U a a 00'06 ,- NMNtMCOt, oOrnr- r- r- M „6Z,Zi.cc N . 3+415`.;<a JCC 0'a °4 r°" ` CITY OF ARCADIA 240 West Huntington Drive Arcadia, CA 91007 FINAL GRADING VERIFICATION ATTENTION: Community Development Administrator SUBJECT: Grading Verification for Project No. 19-180-002 Address: 618 Gloria Road Gentlemen: Finish grading operations have been completed for Project No. 19-180-002 for Lots through (if applicable) and has been inspected by the undersigned Registered Civil Engineer or Licensed Architect. Based upon the observations, the grading subsequent to the Rough Grading has been 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. O QFtOFESS/OA,_ �� c,K C s �� Fye Engineer (Signature) J ( 40870 m Architect(Signature) R.C.E. No. 40870 • \ Exp.3-31-21 l \ 'CIVIL/\P R.P.A. No. Date: November 20, 2020 AiTt OF CAl.1E0iL Received and approved: firoordr l :L/l / - Date: l C.bi.D./Pla'!'�g cc: C.D.D./Maint. Ser. C.D.D./Building 0401-1OIL)a UIvi0601-Inoi-In OW'un • • • 0401-101 • •• •• MU vv"MA ovo Minn'3 sic 90016 1101/ICV021V 1 Jb fnl CGf©)011@klATiwate&MP WOW/91010 919 • a d ! I � a .'DM1 9 3 9M 1�11Va� _ NOI1V0011031 OMdV21 . U i r fp !. ''' 0 iliggill Oil I lid I k. §15131 ilild i licliiIINillFfG�� j! iI!I'Ii 1li�l) g y � ! ll ��I 1111111/111111111i Y fi ,.. �� QON Y �i a:) :`°g1 ZON} laWAIJU I R " k gag Za-- t m Ula.IL0 p t 4 11 Lr ! a 1_:. O y 'I� 0 I rt Y n Ito M y♦ r KxKxa = fe oil 1 Ell zi all i s2 it g I. II f 0 h i— . li i Cill :f, I '— g � , Inv- . � l 1: ;i I , aa cr.) I :V' t4° 1 .I 22 q$ I sr,s4 e--_- .. © - 1 I ;g g' j ! k a Si LoTY 14 11 'o. 61 =i 1 i A 1-I 7 tr. ---1 .1 0g, f.-11 --- lipi „ i I 13:1 8 Elird/ ., $ - — .1 1. .,..._________ _..1- . e:j-ei- 4. 1 01 O 4 a A #i# j O JP i 1 lq nt 1 1 11 1;8 I x s � = :` Hill01 111111111111111 x 1 1� i . _ : a #4 c 8ggggg aaaffas i;g ; C a" b kikkkifi C E . 39 000000000 ®®®®®® ®�®® 1 r§ i 4 pop • CITY OF ARCADIA °4PoILAT6240 West Huntington Drive Arcadia, CA 91007 ROUGH GRADING VERIFICATION ATTENTION: Community Development Administrator SUBJECT: Grading Verification for Project No. 19-180-002 Address: 618 Gloria Road Gentlemen: Rough grading operations have been completed for Project No. 19-180-002 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 sites prior to footing inspection. Q FESSt0 e //_ � Qy0 k9l Engineer(Signature) c. " e Architect aoe�o (Signature) R.C.E. No. 040870 Exp. a1-z1 73 CMLR.P.A. No. Date: November 1,2019 44. N' OF Gekt Received and approved: Date: C.D.D./Planning cc: C.D.D./Maint. Ser. C.D.D./Building Cal Land Engineering, Inc. dba Quartech Consultants Geotechnical, Environmental, and Civil Engineering November 1, 2019 Mr. Wilson Chow 618 Gloria Road, Arcadia, CA 91006 Subject: Soil Compaction Report, Proposed Residential Development, 618 Gloria Road, APN: 5769-022-013, Arcadia, California QCI Project No.: 19-180-002C Reference: "Report of Geotechnical Engineering Investigation, Proposed Residential Development, 618 Gloria Road, APN: 5769-022-013, Arcadia, California", by Cal Land Engineering, Inc., Project No.: 19-180-002GE, dated June 13, 2019. Dear Mr. Chow: This report presents results of our field density tests performed on the building pads at the subject site. The site conditions, field and laboratory test results, and post-grading recommendations are presented as follows: SITE CONDITION This report present result of our field density tests performed on the proposed single-family residence. The building pads are depicted on the attached Site Plan (Figure 1) were excavated to a minimum depth of four feet below the final pad grade, and four feet horizontally beyond the building footprint. The loose and/or disturbed soils were removed and exposed competent natural soils within the building pad area. FIELD DENSITY TEST 1. Field density test was performed using the Nuclear Gauge Method (ASTM D-6938-10) and/or Sand Cone Method (ASTM D-1556-07). The field density test results are presented in Table I. Approximate locations of the test are shown on the enclosed Site Plan (Figure 1). 2. Field density tests were performed at random locations to check compaction effort provided by the contractor. The test results exceeded minimum required relative compaction of 90 percent. The test results herein are considered representative of the compacted area. LABORATORY TESTING The laboratory maximum dry density and optimum moisture content for the onsite soil was determined according to laboratory standard ASTM D-1557-12. The following table presents the test result of representative soil samples collected from the subject site: 576 East Lambert Road, Brea, California 92821; Tel: 714-671-1050, Fax: 714-671-1090 Mr. Wilson Chow Page 2 QCI Project Number: 19-180-002C November 1, 2019 TABLE II LABORATORY TEST RESULTS Soil Type Maximum Dry Density Optimum Moisture Content (pcf) (%) A- Brown silt sand 132.0 8.0 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 to be used on onsite 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 The field compaction tests were performed in accordance to the American Society for Testing and Materials (ASTM) standard procedures. The test results would not indicate the conditions of the subsurface materials underlying the fills. The engineering performance of the underlying materials and other materials are therefore not included in this report. Our field observation and soil tests were conducted in conformance with generally accepted professional engineering practices, and no further warranty is implied nor made. This report is subjected to review by the controlling authorities of this project. This opportunity to be of service is appreciated. If you should have any questions, please call the undersigned. Respectfully submitted, CalLand Engineering, Inc. (CLE) dba Quartech Consultants (QCI) okoFEss/04 �O 414, GK C. S. CO 11.1%��r� 2153 m �� Jack C. Lee, GE 2153Exp.3-31-21 ) Jerry Lin Principal Engineer GC4?)qHN�oP" Project Engineer P �of CAlg°' Encl.: Figure I—Site Plan Dist: (4)Addressee 576 East Lambert Road, Brea, California 92821; Tel: 714-671-1050, Fax: 714-671-1090 Mr. Wilson Chow Page 3 QCI Project Number: 19-180-002C November 1, 2019 TABLE I FIELD DENSITY TEST SUMMARY Depth Moisture Dry Relative Test Test Test Soil Test NO. Date Location Below Content Density Compaction Type Method FS (ft) (%) (pcf) (%) yp X-1 10-25-19 Building Pad 2 9.3 120.5 91.3 A N X-2 10-25-19 Building Pad 2 8.0 119.7 90.7 A N X-3 10-25-19 Building Pad 2 8.7 121.8 92.3 A N X-4 10-25-19 Building Pad 2 8.9 120.3 91.1 A S X-5 10-28-19 Building Pad 2 10.3 120.3 91.1 A N X-6 10-28-19 Building Pad 2 9.7 119.7 90.7 A N X-7 10-28-19 Building Pad 2 10.0 118.6 90.0 A N X-8 10-28-19 Building Pad 2 10.7 119.2 90.3 A S X-9 10-28-19 Building Pad 2 9.5 119.5 90.5 A N X-10 10-28-19 Building Pad 2 9.1 118.9 90.1 A N X-11 10-29-19 Building Pad FS 8.1 121.4 92.0 A N X-12 10-29-19 Building Pad FS 9.0 121.0 91.7 A S X-13 10-29-19 Building Pad FS 8.4 122.6 92.9 A N X-14 10-29-19 Building Pad FS 7.9 120.3 91.1 A N X-15 10-29-19 Building Pad FS 8.2 121.8 92.3 A N X-16 10-29-19 Building Pad FS 8.8 120.3 91.1 A S Note: FS = Finish Surface N=Nuclear Gauge Method S=Sand Cone Method I il 576 East Lambert Road, Brea, California 92821; Tel: 714-671-1050, Fax: 714-671-1090 w gamziy CC - dhf079 O 0 I v - in N 0 LT O O N Oct v -o Q 00 o U N O �_ in- v_ .cuss ,-, 'o Z co ° Z y 0_ Q(D Q w Q. M ,,Z N Cl_ R - (n �> � o c U W D Cr)01v) .o V I CL O a' a)0 o cn 1 N 2 N C_ >_U 0)U w I N W _v) 1 i L a ° v, c 0 s `, 1 - °._ II II , 0D 0w N 1 r0 X I I I x x X 1 E O I I v) _ IN1111\"\.. Q ' w m J CV 1 , CiN X F I X i 1o I , o U i-;_- O a 8 Lo X (..0 , -, y ct XX I v 0 0) X I I- a� J I � o w L r, N U ° 7 11 X a 0 I Z L - -- - � I (T) E c Ii.: i .0: l''. C w I- O I x x I O O m U (D X ' ' I iW a a o ti I, QQ X ( 'h ci I rn ° I w I I I I 'Z 1 x x i 2 - - J o 0w ,.. J M-6Z,Z*.ff N .,, City of Arcadia, CA Permit NO. PIum-19-2347 Development Services Department Permit Type:Plumbing 240 West Huntington Drive,Post Office Box 60021 Work Classification:Plumbing Residential Arcadia,CA 91066-6021 (626)574-5416 Permit Status:Issued ARCADIA Issue Date:11/20/2019 Expiration: Addr NO. Dir Prefix Street Name Street Suffix Unit City,State,Zip Parcel Number 618 GLORIA RD Arcadia,CA 91006-2123 5769022013 Contacts WILSON&JESSICA CHOW Owner DNC PLUMBING* Contractor 618 GLORIA RD 2627 LOMA AVE,SOUTH EL MONTE,CA 91733 (818)429-9814 (626)443-6366 969825 Description:FOR SF NEW Valuation: $ 0.00 Tenant Total Sq Feet: 0.00 Plan Check# Plan# Fees Amount Payments Amount Paid Bar Sink $13.21 Total Fees $588.88 Bathtubs/or Combo $26.42 Cash/Receipt#REC-03135-19 5588.88 Clothes Washer $13.21 Amount Due: $0.00 Dishwasher $13.21 Garbage Disposal Fee $26.42 Gas System(Outlets) $87.02 Kitchen Sink $39.63 Laundry Trays $13.21 Lavatories $105.68 Lawn Sprinkler System on One Meter $19.86 Plumbing Permit Issuance Fee $47.01 CALLS FOR INSPECTIONS Sewer Connection on Property $33.01 Request for inspection by telephone at 626-574-5450. Leave a message Shower $52.84 requesting the address,timeframe and what inspection item is needed. Solid Waste Management Fee 2 $1.00 Water Closet $66.05 Water Heater and/or Vent $31.10 This permit/plan review expires by time limitation and becomes null and void if the work authorized by the permit is not commenced within 180 days Total: $588.88 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 /( *-Z consecutive days or if no progressive work has been verified by a City of ��► ✓ ( Arcadia building inspector for a period of 180 consecutive days. COMPLETED November 20, 2019 Issued By: Date November 20,2019 Page 1 of 1 %F A• oxirortv, 4 • PERMIT/PLAN REVIEW APPLICATION , e�4tj,, 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.eEDI have and will maintain a certificate of consent to self-insure for workers' License Cla��D ` License No. s 7� Exp. Date Z q/ 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 a.,....,OWNER-BUILDER DECLARATI/ IDI 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 Professionst 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 ----1 C--- demolish,or repair any structure,prior to its issuance,also required the applicant eij 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 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 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 IDI, as owner of the property, or my employees with wages as their sole forthwith comply with those provision compensation,will do the work,and the structure is not intended or offered for l / d 'g - sale(Section 7044,Business and Professions Code:The Contractors License \ te / co 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 information. Nameu,}7 ( _� Title ��N'Tl2l' 70/t 11 t3 PRINT NAME certify that I have read this application and state that the above information is cor ct and that I am the owner or duly authorized agent of the owner. agree to comply with all City ordinances and State Laws relating to building onstruction. I hereby authorize representatives of the City of Arcadia to enter upon the above-mentioned property for inspection purposes. nature / afitiy ate I / / -).--Li /(7 /, .,`• City of Arcadia, CA Permit NO. FIRE-20-0196 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 A RCA D I A Issue Date:03/02/2020 Expiration: Addr NO. Dir Prefix Street Name Street Suffix Unit City,State,Zip Parcel Number r. 618 GLORIA RD _ Arcadia,CA 91006-2123 5769022013 Contacts CHOW,WILSON AND JESSICA TRS Owner SPECIALIZED FIRE PROTECTION,INC." Contractor WILSON AND JESSICA CHOW TRUST 18305 E Valley#H, La Puente,CA 91746 (l i 618 GLORIA RD (626)416-9276 1005885 l Description:FIRE SPRINKS FOR SF NEW 65 HEADS Valuation: $ 8,000.00 Tenant Total Sq Feet: 0.00 Plan Check#20-196 Plan q Fees Amount Payments Amount Paid Fire Issuance 547.01 Total Fees $951.86 Fire Permit Fees 5203.85 Cash/Receipt tt REC-03762-20 $700.00 Solid Waste Management Fee 2 51.00 Cash/Receipt ti REC-04006-20 $251.86 Sprinkler Heads $700.00 Amount Due: $0.00 Total: $951.86 - 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. ] COMPLETED March 02, 2020 Issued By: Date March 02,2020 Page 1 of 1 cl'L'F RV�4 PERMIT/PLAN REVIEW APPLICATION �4 '® I 4411*' Development Services Department, 240 West Huntington Drive,Post Office Box 60021 \r% 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 for e and e ct. ❑ I have and will maintain a certificate of consent to self-insure for workers' License Class (--(6 License No. n lgp. 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 inch carrier and policy numbers are: Code.Any city or county which requires a permit to construct,alter,improve, Carrier /g' 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 ❑ 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 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 be e subject to the workers'compensation provisions of Section 3700 oft abor Code,I shall 1:1I, 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 �/ Z.) 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 information. Name iKTV 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 ordinal ces and State Laws relating to building construction. I hereby authorize representatives of the City of Arcadia to enter upon the above-mentioned roperty for inspection purposes. Signature Date �,�/� ill!‘). "I9A 7 Avryl i9'.0 �"nity'it°' MEMORANDUM Fire Department DATE: November 17, 2020 TO: BUILDING DEPARTMENT INSPECTOR John Zurick FROM: FIRE DEPARTMENT SUBJECT: FIELD INSPECTION ADDRESS: 618 Gloria Road THE FOLLOWING ITEMS WERE CHECKED FOR CONFORMANCE WITH APPLICABLE FIRE DEPARTMENT REQUIREMENTS: TYPE OF INSPECTION DATE / INITIAL FINAL INSPECTION FIRE SPRINKLERS (PC# 20-196) 11-16-2020 Jill Perumean FIRE ALARMS KNOX BOX OCCUPANCY 11-16-2020 Jill Perumean COMMENTS: Emailed Bldg. Dept. 11-17-2020 Rita I 06440 LOS ANGELES COUNTY Robert Ferrante Chief Engineer and General Manager daleSANITATION 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.: 5769022013-002 SEWERAGE SYSTEM CONNECTION FEE RECEIPT Date: December 4,2020 APN:5769 022 013 District No.: 15 Owner/Situs Address Applicant Information WILSON K AND JESSICA T CHOW SFR Demo&Rebuild Project 618 GLORIA RD Mindy Huang ARCADIA,CA 91006 618 GLORIA RD ARCADIA,CA 91006 Facility Type Measure of Use Unit Rate Amount Single Family Home D 1.00 DU Single Family Home N 1.00 DU $1551.00/DU $1,551.00 618 GLORIA RD,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 NO FEE REQUIRED-(E)SFR demolished;(N)SFR proposed Includes demolition of 1.00 DU of existing Single Family Home 0 Processor:Erika Ballesteros Approver:Nayeli Viramontes / SANITATION DISTRICTS D.C.: OF LOS ANGELES COUNTY jOiarn A %APPROVED Payment Received Check No. AmountROBERT C.ENGINEER FERNTE Mindy Huang $0.00 CHIEF NEER 8 GEN MGR.f Valid Only When Stamped THIS IS NOTA CONNECTION PERMIT. A CONNECTION PERMIT IS REQUIRED BEFORE CONNECTING TO ANY SEWER. DOC#5991191 r'' ►�• CITY OF A ,ADJA e- 4;! S: WATER EFFICIENT LANDSCAPING DOCUMENTATION PACKAGE ��: CERTIFICATt f1F COMPLETION • This.oert'tic ate is,o baffled out by the projeot applicant and the property owner upon completion of the landscaping project. • PrOlfmtlpfot'ma4on _ _ _ i Date of Project Completion t Pe_rmlt Type and No. 1 t't �-ZOTr --�-- - -- St\I e\n) -V1 - 11 z.S i Project AddressV I C u. :o'n 0 Name of P oacct'Appplicant and Title Naine of Property Owner ivWIr. 2- (1 _o��N V ----- �i :.1.;KUA_0 __-_ . Company Name&Miming Address !tailing Addr:17._,,i-es.‘to,A t;tSc Lon(t b-dTelephone and Fax No(s). Tn��tp;ume riNo(s). • • t=mail�r _ _ _.._ mail Address -- — • — 111111; ,1,11 q-1^i 1' de,0.c_G 01- I Project Applicant — The signer of the Ia tisoape design plan, signer of the irrigation plan, the I licensed landscape contractor that installed. the Landscaping and Irrigation, or a licensed I professlpnal that performed periodic site observation.to verify that the project Is.consistent with ;� the Water Efficient Landscaping Documentation Package for the project and that the project • complies with Ordinance No.2267. "I/we certify that based upon pudodic site observations,, the work has been ._ , • substantlally completed in accordance with Ordinance No, 2267 and that the landscape plrtnttng and irrigation installation conform with the .criteria and j specifications of the approved .Landscape and irrigation Plans and Landscape • I Documentation Package and acknowledge that the project may be subject to laspaetion and a Landscape Water Audit to verify that the project is maintained'In compliance with Ordinance No.2267." • • Signature Date / / �� 1 • 11 I Name(print) Telephone.and Fax No(s). • s-,�11r�I 1.Pt, 6 C62,6)— ../.F. & Tip Ucafiae•Iclo.or Ctirti�catiott too. I (Pw4 76 7-�Sc:9,57 i Company Email Address- I l " g Address / ��. .• Property Owner "Uwe certify that ttwe nave recaiveu mptts4 of au Ole aoourneuns wIU)J1 LI KJ Water GSTk:font Landscaping Dacuritentation Pacicage.for our project and that it Is my/our reeponatbtllty to see that 1 the project Is maintained In accordance-with the Landscape and Irrigation Maintenance Schedule • for the project and In compliance with Ordinance No.2287, and I/we acknowledge that the project . I may, be subject to inspection and.a Landscape Water Audit to verity that the project Is being malptained In compiian •, with Or11m:thee No:.2287, 1 U C l� z(702� . , nets PCope 4 er(s)5bnerure(s i -11 - I . 11111 7777 I °'mfr PLANNING SERVICES ATTENTION: Gt/7.e555-(( DATE: / Z---3 Ze) FROM: BUILDING SERVICES INSPECTOR: ,! PROPERTY ADDRESS: 6-/g ( 74 a PERMIT#: PLAN#: CONTRACTOR: 477g77' PHONE#: 9D / ZO(� 3 ? OWNER: PHONE#: PLEASE INSPECT THE FOLLOWING ITEMS FOR COMFORMANCE WITH APPLICABLE PLANNING REQUIREMENTS. TYPE OF INSPECTION DATE & INITIAL DATE & INITIAL FINAL APPROVAL LANSCAPING/IRRIGATION X7---t I I,2cD \ ) ( 11-( _) TRASH ENCLOSURES I PARKING/DRIVEWAYS STORAGE AREAS MECHANICAL EQUIPMENT WALL HEIGHT BACKFLOW SCREENING .. -_____ / COMMENTS: 7461‘6.4111"111:;" /r0-''tt,►a (t1 ; A�J Lr Lj V-1 \�`c7 1 5�C-3 o L-( tl> �1 C , „ - 1 ' t, c-Nc1ct C •i v ♦ r t, 'c(S ' A E ICvct ' . \2L iS (X''< \ �r4019010 City of Arcadia DEVELOPMENT SERVICES DEPARTMENT Inter-Departmental Inspection Request Date: f 7 2 ff Public Works Inspector To: 6./t ' From: Address: C%/ Permit No.: Contractor: ,/ U ji Phone No.: 9e? 'COK-3551:/ Owner: Phone No.: Please inspect the following items to ensure that the Contractor/Developer is in compliance with all conditions of approval established for the project,and that the work performed meets the City's standard for Public Works construction: Type of Inspection Date& Initial Date& Initial Final Approval Drainage V160 Grading `Z Erosion Control Offsite Improvements Street Improvement(s) (conduit, curb/curb & gutter, curb numbers, 12—Q driveway approach, parkway planting, sidewalk, street light, traffic flow, etc.) Sewer(s) (lateral, grease/san Irep interceptor, saddle, wye, etc.) COMMENTS: et-).4-13 b-a 1--vp2a c, yr 1EL oZ 7 7 ;: Rev I/12/11 i �""'`�• WATER DIVISION ATTENTION: DATE: /Z./Z-0 FROM: BUILDING DIVISION INSPECTOR: ._) / ADDRESS: � -6(e774 Z2 PERMIT NO.: PLAN NO.: CONTRACTOR: ' /`A ?p,;'XPHONE NO.: / `T 75(� 3 �� OWNER: 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 Blackflow Devices — �a1a�a 4 Irrigation System is/a/a6 twi Fire Sprinkler System ' 1. 1a/act $8 144,20 Meter Clear A.P.P. Swimming Pool 44614 a./ao tesla/ao COMMENTS: �( . /: , A. A • • _ SC• .