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HomeMy WebLinkAboutSNew-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
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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)
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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
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` 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
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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
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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
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576 East Lambert Road, Brea, California 92821; Tel: 714-671-1050, Fax: 714-671-1090
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.,, 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• .