HomeMy WebLinkAboutB00-056-934 r.,,_ Development Services Department
240 West Huntington Drive, Post Office Box 60021 PERMIT NO. BOO-056-934
.,.2 Arcadia,CA 91066-6021
City of (626)574-5416,Fax(626)447-9173 rI
Arcadia Permit Type: SF Add/Alt
PROJECT TRACT NO. LOT NO. APPLICATION DATE ISSUED BY PRINT DATE PERMIT STATUS
00808 5/22/2017 CM 14:07 5/22/2017 Issued
ADDRESS NO. Dir.Prefix Street Name Street Suffix UNIT BLG ASSESSORS PARCEL NO. GEO CODE
1017 S Sixth Ave 5780-007-014
OWNER MAILING ADDRESS
Liu, Bin And Xiao Shuo Y 1017 S 6th Ave PHONE NO. Inspector#: JEFF
Arcadia, CA 91006 EMAIL ADDRESS:
Plan#: IN FILE
APPLICANT MAILING ADDRESS
Bin&Xiao Liu PHONE NO. (626)689-8079
EMAIL ADDRESS:
CONTRACTORIPROFESSIONAL MAILING ADDRESS
PHONE NO. FAX NO.
EMAIL ADDRESS:
License No. Type: Expires:
TENANT MAILING ADDRESS
PHONE NO. FAX NO.
DESCRIPTION
TWO NEW CONSTRUCTION WINDOWS IN BATH AND FAMILY RM, RECESSED LIGHT'S IN KITCHEN AND MASTER BED RM.,**AMENDED,
REMODEL KITCHEN&3 BATHS,REPLACE]I WINDOWS RETRO-FIT
Construction Type 11051 k of Units Value Construction Type UOM N of Units Value
Value Value 5,000.00 $5,000.00
OCCUPANCY: Dwellings TOTAL VALUATION: $5,000.00
QTY' 11OM DESC AMT AMT PAID ACCT QTY UOM DESC AMT AMT PAID ACCT
each Plan review 99.94 99.94 01-3103 1.00 Flat SWMF Auto 6.25 6.25 88-3027
each Energy p,c fee 30.75 30.75 01-3103 1.00 Flat SWMF 2 1.00 1 00 88-3027
PC Cal Green 9.99 9.99 01-3103 /- z I-17
1.00 Flat Bldg Issue Auto 44.35 44.35 01-3104 �j t ,/,,�,�. 01 ���nDUt/
each Bldg permit 153.75 153.75 01-3104 F �It /v� t/ �Y
1 00 flat Flee issue 44.35 44.35 01-3105 /���}y� ,� `
1 00 Flat Plmbg issuance 44.35 44.35 01-3105 �ZZ"11 dVV
1.00 each Bathtub 12.46 12 46 01-3105 6-2 t...1/ ' I1�j (/ziO I bK 4-1,1.)
3.00 each Shower 37.38 37 38 01-3105 N
3.00 each WatKitchr en sinks 312.46 3712 38 01-3105 to-(c)-17 Flab d� 1 -
IAO each Kitchen sinks 12.46 12.46 01-3105 ` (VII�/���
1.00 each Outlets 1.54 I.54 01-3105
1.00 each Dishwashers 12.46 12.46 01-3105
8.00 each Lig fixtures 12.32 12.32 01-3105 4 COA'lPLE1A0 each Garbage Disp 12.46 12.46 01-3105SMIP Res 0.65 065 14-2207r
FD
gm bldg std 1.00 100 714-2203
Total Fees: $574.84 Balance Due: $0.00 l'aid Today: $358.80
This permit/plan review expires by time limitation and becomes null and void if the work authorized by the Receipt#: 116844
permit is not commenced within 180 days from the date of issuance or if the permit is not obtained within 180 days from 01-3103 96.60
the date of plan submittal.This permit expires and becomes null and void if any work authorized by this permit 01-3104 92.10
is suspended or abandoned for 180 consecutive days or if no progressive work has been verified by a City of 01-3105 168.95
Arcadia building inspector for a period of 180 consecutive days. 14-2207 0.15
88-3027 100
CALLS FOR INSPECTION INSPECTORS'OFFICE HOURS
Requests for inspection should be made at least Monday-Thursday Friday
one(1)business day in advance of the inspection 7:30 a.m.to 8:30 a.m. 7:30 a.m.to 8:30 a.m.
by telephone at(626)574-5416 for onsite work. 4:00 p.m.to 5:30 p.m. 4:00 p.m.to 4:30 p.m.
(Closed on alternate Fridays)
I
arm ! h PERMIT/PLAN IZEVIEW APPLICATION
ei ,Is
Development Services Department,240 West Huntington Drive,Post Office Box 60021
0••1n°f N° Arcadia, CA 91066-6021, (626)574-5416,Fax(626) 447-9173
City of
Arcadia
LICENSED CONTRACTOR'S DECLARATION WORKERS'COMPENSATION DECLARATION
❑ I hereby affirm under penalty of perjury that I am licensed under provisions of I hereby affirm under penalty of perjury one of the following:
Chapter 9(commencing with Section 7000,of Division 3 of the Business and
Professions Code,and my license is in full force and effect. ❑ I have and will maintain a certificate of consent to self-insure for workers'
License Class License No. Exp. Date compensation, as provided for by Section 3700 of the Labor Code, for the
performance of the work for which this permit is issued.
Signature of Contractor
OWNER-BUILDER DECLARATION ❑ I have and will maintain workers'compensation insurance,as required by Section
❑ I hereby affirm under penalty of perjury that I am exempt from the Contractors 3700 of the Labor Code,for the performance of the work for which this permit
License Law for the following reason(Section 7031.5,Business and Professions is issued.My workers'compensation insurance carrier and policy numbers are:
Code.Any city or county which requires a permit to construct,alter,improve, Carrier
demolish,or repair any structure,prior to its issuance,also required the applicant
Policy Number
for such permit to file a signed statement that he or she is licensed pursuant to the
provisions of the Contractors License Law(Chapter 9(commencing with Section (This section need not be completed if the permit is for one hundred dollars or less)
7000)of Division 3 of the Business and Professions Code)or that he or she is
exempt there from and the basis for the alleged exemption. Any violation of ❑ I certify that in the performance of the work for which this permit is issued,I shall
Section 7031.5 by any applicant for a permit subjects the applicant to a civil not employ any person in any manner so as to become subject to the workers'
penalty of not more than five hundred dollars($500)): compensation Laws of California,and agree that if I should become subject to the
workers'compensation provisions of Section 3700 of the Labor Code,I shall
❑I, as owner of the property, forthwith comply with those provisions.
or my employees with wages as their sole
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 Z /i' 7�S gnature
Law does not apply to an owner of property who builds or improves thereon, /
or who does such work himself or herself or through his or her own
employees,provided that such improvements are not intended or offered for WARNING: Failure to secure Workers'Compensation coverage is unlawful,
sale.If,however,the building or improvement is sold within one(1)year of and shall subject an employer to criminal penalties and civil fines up to one
completion,the owner-builder will have the burden of proving that he or she hundred thousand dollars($100,000),in addition to the cost of compensation,
did not build or improve for the purpose of sale). damages as provided for in Section 3706 of the Labor Code, interest, and
attorney's fees.
0 I, as owner of the property, am exclusively contracting with licensed
contractors to construct the project(Section 7044,Business and Professions
Code:The Contractors License Law does not apply to an owner of property CONSTRUCTION LENDING AGENCY
who builds or improves thereon,and who contracts for such projects with a I hereby affirm under penalty of perjury that there is a construction lending agency
contractor(s)licensed pursuant to the Contractors License Law). for the performance of the work for which this permit is issued (Section 3097,
Civil Code).
0 I am exempt under Section 7044,Business and Professions Code,for this reason:
Lender's Name
2(Date/243'/1 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. f/
Name / //\/ LI
J ' Title
PRINT NAME
I certify that I have read this application and state that the above information is correct and that I am the owner or duly authorized agent of the owner.
I agree to comply with all City ordinances and State Laws relating to building construction. I hereby authorize representatives of the City of
Arcadia to enter upon the above-mentioned property for inspection purposes. ^�
Signature c Date (2- 2-- (e /
' Gk1�min (ib I7 -3�
1 .
4PROPERTY LINE
110!
o6 6 ,,v-cb; • c�,..a.t, I;,.t '\ S W%\' .,' I LEGE N.L i
(4-1a e."ti, - - - EXISTING
O NEW
A k") ' -
V
CARBON MONOXIDE
AND SMOKE DETECTORS
_® 1
SHALL BE REQUIRED
PURSUANT TO
CRI :1 ND CRC
KITCHEN ---I
DOOR I
9
r
•
11.
1 I
{
O I li-47)!i
V
Jyl .
-GA KA6E
CD
''' 1
-- FIRST F[IOOK INDc1W5 {
i
1 _ REPIACEMENJ
lok-7 s G+i_
PROPEKTY LINE
® LEGENP
_-
7v
EXISTIN6
NEW
0 1."TCI4, b
0 ( \lefiv
MASTET7 A -9' - o -
BATH _- ,e Ma5TEK RP RM.
_ 0- — O -
I [
BED R00101 O
Room1 ,
�o
5ED ROA1*z
New
i1� \C��•C.A/.11
iv'ek
ivn‘IGv d� �aGk\F-r►l�-
1\114ttr'
SEC0 N D F,00 //I \ROWS
YLALE_VE\T
Iot_
.. ,... Development Services Department
.I" 11 240 West Iuntington Drive,Post Office Box 60021 PERMIT NO.
• * • BOO-057-229
'z'-J Arcadia,CA 91066-6021
CCi adifa (626)574-5416,Fax(626)447-9173
Permit Type: SF Add/Alt
PROJECT TRACT NO. LOT NO. APPLICATION DATE ISSUED BY PRINT DATE PERMIT STATUS
00808 6/26/2017 It 14:51 6/26/2017 Issued
ADDRESS NO. Dlr.Prefix Street Name Street Suffix UNIT BLG ASSESSORS PARCEL NO. GEO CODE
1017 S Sixth Ave 5780-007-014
OWNER MAILING ADDRESS
Liu,Bin And Xiao Shuo Y 1017 S 6th Ave PHONE NO.
Arcadia,CA 91006 EMAIL ADDRESS:
APPLICANT MAILING ADDRESS
Michael Zheng PHONE NO. (626)838-8772
EMAIL ADDRESS:
CONTRACTOR/PROFESSIONAL MAILING ADDRESS
PHONE NO. FAX NO.
EMAIL ADDRESS:
License No. Type: Expires:
TENANT MAILING ADDRESS
PHONE NO. FAX NO.
DESCRIPTION
REMOVE EXISTING BRICK FIREPLACE
Construction Type UOM Noifaits Value Construction Type CONI Ii oil nI \aluc
Value Value 2,000.00 $2,000.00
• OCCUPANCY: Dwellings TOTAL VALUATION: $2,000.00
QTY (IOM DESC AMT AMT PAID ACCT QTY !DOM DESC AM ANI7'PAID A(( I
each Plan review 67.37 67.37 01-3103 w .,�1 7
each Energy plc fee 20.73 20.73 01-3103 ( 4I /���
PC Cal Green 6.74 6.74 01-3103 �Cye!e,.� b 1-A V f €5k ,�,� I.
1.00 Flat Bldg Issue Auto 44.35 44.35 01-3104 ��'�`moi—�', ` v� V' V
each Bldg permit 103.65 103.65 01-3104
SMIP Res 0.50 0.50 14-2207 I .
gm bldg std 1.00 1.00 714-2203
1.00 Flat SWMF Auto 6.25 6.25 88-3027 p
Iv o dv\.
1_4(j COMPLE?ED
Total Fees: $250.59 Balance Due: $0.00 l'aid'I'oday: $250.59
This permit/plan review expires by time limitation and becomes null and void if the work authorized by the Receipt#: 117203
permit is not commenced within 180 days from the date of issuance or if the permit is not obtained within 180 days from 01-3103 94.84
the date of plan submittal.This permit expires and becomes null and void if any work authorized by this permit 01-3104 148.00
is suspended or abandoned for 180 consecutive days or if no progressive work has been verified by a City of 14-2207 0.50
Arcadia building inspector for a period of 180 consecutive days. 714-2203 1.00
88-3027 6.25
CALLS FOR INSPECTION INSPECTORS'OFFICE HOURS
Requests for inspection should be made at least Monday-Thursday Friday
one(1)business day in advance of the inspection 7:30 a.m.to 8:30 a.m. 7:30 a.m.to 8:30 a.m.
by telephone at(626)574-5416 for onsite work. 4:00 p.m.to 5:30 p.m. 4:00 p.m.to 4:30 p.m. .._.,)V.
(Closed on alternate Fridays)
c.,,61F0/(h,,4',
!IPERMIT/PLAN REVIEW APPLICATION
Ai.li+' - cis
Development Services Department,240 West Huntington Drive,Post Office Box 60021
0.....
�\ t/. Arcadia, CA 91066-6021,(626)574-5416,Fax (626)447-9173
City of
Arcadia
LICENSED CONTRACTOR'S DECLARATION WORKERS'COMPENSATION DECLARATION
0 I hereby affirm under penalty of perjury that I am licensed under provisions of I hereby affirm under penalty of perjury one of the following:
Chapter 9(commencing with Section 7000,of Division 3 of the Business and
Professions Code,and my license is in full force and effect. 0 I have and will maintain a certificate of consent to self-insure for workers'
License Class License No. Exp. Date compensation, as provided for by Section 3700 of the Labor Code, for the
performance of the work for which this permit is issued.
Signature of Contractor
OWNER-BUILDER DECLARATION ❑ I have and will maintain workers'compensation insurance,as required by Section
❑ I hereby affirm under penalty of perjury that I am exempt from the Contractors 3700 of the Labor Code,for the performance of the work for which this permit
License Law for the following reason(Section 7031.5,Business and Professions is issued.My workers'compensation insurance carrier and policy numbers are:
Code.Any city or county which requires a permit to construct,alter,improve, Carrier
demolish,or repair any structure,prior to its issuance,also required the applicant
Policy Number
for such permit to file a signed statement that he or she is licensed pursuant to the
provisions of the Contractors License Law(Chapter 9(commencing with Section (This section need not be completed if the permit is for one hundred dollars or less)
7000)of Division 3 of the Business and Professions Code)or that he or she is
exempt there from and the basis for the alleged exemption. Any violation of ❑ I certify that in the performance of the work for which this permit is issued,I shall
Section 7031.5 by any applicant for a permit subjects the applicant to a civil not employ any person in any manner so as to become subject to the workers'
penalty of not more than five hundred dollars($500)): compensation Laws of California,and agree that if I should become subject to the
workers'compensation provisions of Section 3700 of the Labor Code,I shall
❑I, as owner of the property, forthwith comply with those provisions.
p perty, or my employees with wages as their sole p y
compensation,will do the work,and the structure is not intended or offered for / 1/1:4‘
sale(Section 7044,Business and Professions Code:The Contractors License �� /ZO 7 Signature
Law does not apply to an owner of property who builds or improves thereon,
or who does such work himself or herself or through his or her own
employees,provided that such improvements are not intended or offered for WARNING: Failure to secure Workers'Compensation coverage is unlawful,
sale.If,however,the building or improvement is sold within one(1)year of and shall subject an employer to criminal penalties and civil fines up to one
completion,the owner-builder will have the burden of proving that he or she hundred thousand dollars($100,000),in addition to the cost of compensation.
did not build or improve for the purpose of sale). damages as provided for in Section 3706 of the Labor Code, interest, and
attorney's fees.
❑1, 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
/,,
ate 11 /?'v 7 Signature c4:---y 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 lg j PI t^ PRINT NAME Title
I certify that I have read this application and state that the above information is correct and that I am the owner or duly authorized agent of the owner.
I agree to comply with all City ordinances and State Laws relating to building construction. I hereby authorize representatives of the City of
Arcadia to enter upon the above-mentioned property for inspection purposes.
/2i7(Signature Date 6