HomeMy WebLinkAboutRALT-20-0181 `. City of Arcadia, CA Permit NO. RALT-20-0181
Development Services Department Permit Type:Residential Addition/Alteration
240 West Huntington Drive,Post Office Box 60021 Work Classification:Res-Addition/Alteration
Arcadia,CA 91066-6021
(626)574-5416 Permit Status:Issued
ARCADIA Issue Date:09/30/2020 Expiration: 09/30/2021
Addr NO. Dir Prefix Street Name Street Suffix Unit City,State,Zip Parcel Number
118 E MAGNA VISTA AVE Arcadia,CA 91006-4165 5781009005
.,. .,
Contacts
JON PANG Owner
118 MAGNA VISTA
(626)372-1273
Description:385 50 ADDITION AT REAR OF HOUSE TO CREATE Valuation: $ 90,777.28 Tenant
MASTER BED/BATH.271 SQ ADDITION AT FRONT OF HOUSE
TO CREATE BATHROOM AND ENLARGE KITCHEN . Total Sq Feet: 656.00 'Plan Check#20-0181 Plan#330
TOTAL 4 BED 3.5 BATH
mi. mommommimiums
Fees Amount Payments Amount Paid
Building Issuing Fee $47.01 Total Fees $4,328.73
Building Permit Fees $1,148.85 Cash/Receipt#REC-05615-20 $3,437.97
Building Plan Review Fee $632.78 Cash/Receipt#REC-03735-20 $890.76
Cal Green Plan Check $63.28
Amount Due: $0.00
Energy Plan Review Fee $194.70
Green Building Standard $4.00 -
Parks&Recreation Fee(SFR) $1,869.60
Plan Check,Per Hour $190.00
Plan Check,Per Hour $160.45
Solid Waste Management Fee $6.25
Strong Motion Inst.Program Res $11.81 CALLS FOR INSPECTIONS
Request for inspection by telephone at 626-574-5450. Leave a message
Total: $4,328.73 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
1 consecutive days or if no progressive work has been verified by a City of
Arcadia building inspector for a period of 180 consecutive days.
C COMPLETED
September 30, 2020
Issued By: Date
September 30,2020 Page 1 of 1
•
0 •4,
PERMIT/PLAN REVIEW APPLICATION
e Development Services Department,240 West Huntington Drive,Post Office Box 60021
c�\Y% 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. 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
Signature of Contractor performance of the work for which this permit is issued.
NER-BUILDER DECLARATION ❑ I have and will maintain workers'compensation insurance,as required by Section
I hereby affirm under penalty of perjury that I am exempt from the Contractors 3700 of the Labor Code,for the performance of the work for which this permit
License Law for the following reason(Section 7031.5,Business and Professions is issued.My workers'compensation insurance carrier and policy numbers are:
Code.Any city or county which requires a permit to construct,alter,improve, Carrier
demolish,or repair any structure,prior to its issuance,also required the applicant
for such permit to file a signed statement that he or she is licensed pursuant to the Policy Number
( is 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
1fIjfy that in the performance of the work for which this permit is issued,I shallexempt 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
❑I, as owner of the property, or my employees with wages as their sole forthw' • amply with those provisions.
compensation,will do the work,and the structure is not intended or offered for / '°I-3.
1 f'3 ZO Ot
� �sale(Section 7044,Business and Professions Code:The Contractors License - ,� tgnature
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
I, as owner of the property, am exclusively contracting with licensed
contractors to construct the project(Section 7044, Business and Professions attorney's fees.
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 70 t u•1 ss. •• • •fessions Code,for this reason:
iiil
/�� / Lender's Name
Date 1/••t'/2O Signatu - I v — Lender's Address
• IM'ORTANT: 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
f asbestos containing materials requires an asbestos survey and removal prior to disturbing the asbestos. Please contact AQMD at(909)396-2000 for
further information.
N e y l— C r1C,f`I�- \9A tJCr OW kl e
Title
PRINT NAME
/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.
agree to comply with all City ordinances and State Laws relating to building construction. I hereby authorize representatives of the City of
Arcadia t -enter upon the above-mentioned property for inspection purposes.
ignatu
l
Date 3D/ z.o 2,0
NOTES
Building Inspections Date Insp. Plumbing Inspections Date Insp. `fig- gAeAlA 15Tc
100. Setbacks 210. Under flr.,bldg.drain /14' iwi
101. Rough grade , 211. Copper underslab 204-1-7- - >--6-CI "
V>440-20102. Figs.&forms (0 -2°h(-7/ 212. Rough plumbing I-(4 iY4
103. Pre-slab 213. Rough gas
104. Floor joists 1/4/-20 t 214. Shower pan 3-12.1
105. Steel 215. Water heater
106. Grout lift216. Roof drains
107. Shear nailing /48).;24 4 217. Building sewer _
108. Diaph nailing 218. Water service
109. Roof nailing 12-22-20 219. Final gas
110. Framing 2-•,S--24 220. Fixtures
111. 0cc./Area Sept.Wall 221. Final plumbing 4-11-24
112. Sound walls 222. Sewer cap/demo.
113. grid
Insulation
114. Insulatioon-Flr. (i-1-20 Pool Inspections Date Insp.
115. Insulation-Wall 2-3-24 ers1 240. Excavation/steel
116. Insulation-Ceil.
V4-21 241. Rough plumbing
117. Drywall nailing -ZI 242. Light shell/bonding
118. Interior lath 31".2-1 243. Underground conduit
119. Exterior lath Z-4-2,1 244. P-trap
120. Finish grade 245. Gas line&test
121. Final building $-f(---Z) ON 246. Fence,gates&signs
122. Final demoilot clear 247. Pool heater
248. Final electric
Electrical Inspections Date Insp. 249. Final •lumbin•
150. Power pole 250. Pool cover
151. Sales lot lighting 251. Pool final
152. Underground conduit
153. Underslab conduit Reroof Inspections I Date Insp.
154. UFER ground 270. Pre-reroof insp.
155. Water ground 271. Roof framing
156. Rough electrical fr(4`24 4.,,, 272. Sheathing nailing
157. Fixtures 273. Final reroof ---
158. G.F.C.I.
159. E••t.bondin• Sign Inspections I Date I Insp.
160. Service panel 280. Setback/overhang
161. Final electric b-li Z1 t 281. Footing
282. Conduit/wirin•
Mechanical Inspections Date Insp. 283. Disconnect
180. Venting/flue 284. Final sign
181. Furnace/A.C.
182. Rouch HVACC',r - 4 - !M Miscellaneous Insp. I Date I 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 I Insp.
191. Final mechanical • 2,2 ', 300. Lateral(main to P/L)
301. Saddle'Y
Block Wall Inspections Date Insp. 302. Cess•••1 filled
200. Footings 303. Sidewalk
201. Steelirebar 304. Driveway
202. Grout lift 305. Curb replacement
203. Final wall 306. Trash bin
_1
City of Arcadia, CA Permit NO. MEP-21-0317
y.+.Y
Development Services Department Permit Type:MEP
240 West Huntington Drive,Post Office Box 60021 Work Classification:MEP Residential
Arcadia,CA 91066-6021
(626)574-5416 Permit Status:Issued
ARCADIA Issue Date:02/24/2021 Expiration: 02/24/2022
Addr NO. Dir Prefix Street Name Street Suffix Unit City,State,Zip Parcel Number
118 E MAGNA VISTA AVE Arcadia,CA 91006-4165 5781009005
Contacts -
JON PANG Owner
591 TEDFORD WAY,MONTEREY PARK CA 91754-2522,
(626)372-1273
Description:MEP FOR ADDITION Valuation: $ 0.00 Tenant
Total Sq Feet: 0.00 Plan Check# Plan#
ro
Fees Amount Payments Amount Paid
Add/Alter Ducts $19.88 Total Fees $399.76
Dishwasher $13.21 Cash/Receipt#REC-06861-21 $399.76
Electrical Permit Issuance Fee $47.01
Amount Due: $0.00
Garbage Disposal Fee $13.21
Gas System(Outlets) $16.43
Hood Serviced by Mechanical Exhaust $14.96
Kitchen Sink $13.21
Lavatories $52.84
Mechanical Permit Issuance Fee $47.01
New Residential Elect.(sq ft area) $52.48
Plumbing Permit Issuance Fee $47.01 CALLS FOR INSPECTIONS
Shower $13.21 Request for inspection by telephone at 626-574-5450. Leave a message
Solid Waste Management Fee 2 $1.00 requesting the address,timeframe and what inspection item is needed.
Solid Waste Management Fee 2 $1.00
Solid Waste Management Fee 2 $1.00
Ventilation Fan(Single Duct) $19.88 This permit/plan review expires by time limitation and becomes null and
Water Closet $26.42 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
Total: $399.76 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.
Fi GOALETED
gP
February 24, 2021
Issued By:Jeff Wang Date
February 24,2021 Page 1 of 1
%FA'
4 PERMIT/PLAN REVIEW APPLICATION
off”,, Development Services Department,240 West Huntington Drive,Post Office Box 60021
.attallY.0 t" 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
Signature of Contractor performance of the work for which this permit is issued.
OWNER-BUILDER DECLARATION ❑ I have and will maintain workers'compensation insurance,as required by Section
❑ I hereby affirm under penalty of perjury that I am exempt from the Contractors 3700 of the Labor Code,for the performance of the work for which this permit
License Law for the following reason(Section 7031.5,Business and Professions is issued.My workers'compensation insurance carrier and policy numbers are:
Code.Any city or county which requires a permit to construct,alter,improve, Carrier
demolish,or repair any structure,prior to its issuance,also required the applicant
for such permit to file a signed statement that he or she is licensed pursuant to the Policy Number
(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 \ 1'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
❑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 for2/24 '2 p/`��
sale(Section 7044,Business and Professions Code:The Contractors License Date Signature (/ pr
u,..„
does not apply to an owner of property who builds or improves thereon, J
or who does such work himself or herself or through his or her own
employees,provided that such improvements are not intended or offered for WARNING: Failure to secure Workers'Compensation coverage is unlawful,
sale.If,however,the building or improvement is sold within one(1)year of and shall subject an employer to criminal penalties and civil fines up to one
completion,the owner-builder will have the burden of proving that he or she hundred thousand dollars($100,000),in addition to the cost of compensation,
did not build or improve for the purpose of sale). damages as provided for in Section 3706 of the Labor Code, interest, and
attorney's fees.
0 I, as owner of the property, am exclusively contracting with licensed
contractors to construct the project(Section 7044, Business and Professions
Code:The Contractors License Law does not apply to an owner of property CONSTRUCTION LENDING AGENCY
who builds or improves thereon,and who contracts for such projects with a I hereby affirm under penalty of perjury that there is a construction lending agency
contractor(s)licensed pursuant to the Contractors License Law). for the performance of the work for which this permit is issued (Section 3097,
Civil Code).
0 I am exempt under Section 7044,Business and Professions Code,for this reason:
/ / Lender's Name
Date 2/ 1 Z I Signature 0I 1f�C/�� 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.
ame yl— CNE06 ?AtJCf (Title -\--\-Dv-A - ow)1e .
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.
ignatu e Date Z
i /24 7
Q r-i-civ.......„,
E OR
N
y�'1' U.4. `� dom z E�lc.),
z. qo z'J t Cli DI ck3 c:;, W z U E-4 W
NC) ' �' a q J ::_y o: <<., 124 z oaaw w w >byo, w o o S 8
a F~ is-
OA,
z x x o 0
® z
® w xi is_orm
iE
,9L'Z ..." �‘ 6..5L ] „2Z,82o68 N z
o M A 4i ..
bCo W
Z 0 U , w
E
r .. — f
0 �..= 0 0'
Q
N Z
o
,
H SL•Z 0z
N 0
Z
W d Is 000
c:1-1
U go-c98 o�D
0
p.., .. w� 0
U V) z > w0
I � � � 0 tYcto
d CO JNI-
NOi°<
._
� N W <�'
I
1„4 Z 0 O 1- o
G-�
0
w 1 ,sr)
Q��
Z !�N ct00
Er-
� � I---• z r`O) o �
;AVJ; 1 m = J
1 "11 w cn Z -
�4 z r-isr--- Z 0 <w
H
Z Z
U./ C7 Z Z
d aJw
cx d U
Z o ,� 00•SL A <<2Z,82o68 N o N �
C) C\I
E-, , rn -�. � ZCtCt
N 0
�. cn
'"4 O I Nco 0Qo
I
I
0
z 0:), . ,_,,, , „, o z
..
..,
oa ,_,44 ,..?-
O �1I�1b
a <4
VISIA ViV,,9 bill
JCR INSPECTION SERVICES
OFFICE/CELL: 213-703-9649 1100 SAN LUIS REY DR.
iti Pit INSPECTION PAGER: 213-360-1007 GLENDALE, CA 91208
•-- SERYICES.INC
FAX: 818-637-2232
REGISTERED SPECIAL/DEPUTY INSPECTOR DAILY REPORT
BUILDING DEPARTMENT Arcadia 1 Proj.Date 1 10/27/20
Project Name i Permit# RALT-20-0281
Project Address :118 E Magna vista
IL Owner Name 1Jon pang 1 Phone# 1
Address
rL General ContractorlCRS construction 1 Phone# 1
Address : Fax#
L Site Contact 1 Beeper# 1
Sub-Contractor ; Phone#
r T 7 Fax # 7
Address
Engineering Firm :Len Hor Phone # : (626) 658-7974 j
[Address 1333 N Santa Monica Blvd 1 Fax # 1
TYPE OF INSPECTION
❑ Reinforced Concrete ::❑ Shotcrete ;0 Gunite E❑ Rebar insp I Welding
❑ Masonry ;0 Pretress :0 Anchor bolts ;0 Dowels :0 Fireproofing
O Post-tension ;0 Fraiming ;❑ Nail Inspect ;0 Grading 0 Other
i r r
O Quality Control j '
_, i 4. a
Cylinders Samples ; Core Panels ; Mortar [ Grout � Masonry prism
To the Building Official Building Inspector
I hereby certify that the following portions of the work at the above address which required Special/Deputy Inspection and
for which I was employed to inspect, were inspected by me and comply with the applicable provisions of the Building
Codes and approved drawings.
'Provided continuous visual inspection of placement of 24 #4 dowels into existing footing for new
footing connection per detail 8/ SD1 using Simpson XP epoxy 4" minimum EMD used
All dowels placement completed per manufactures instructions.
,Location- new footing to existing footing connection at front and rear additions connection
All inspections are based on a minimum of 4 •,urs,any inspection ver 4 hours will be charged as 8 hours.Any inspection extending past noon will be
charged as 8 hours. Saturday are billed as ti d a half.Su... d as double time.
Inspector (Print): J . n R. OS License #: P020525 Type: DIA
Inspection Sign: Date: 10/27/20
HOURS: Mon Tues 4 Wed Thur Fri Sat Sun
Verified By: (Print & Sign)
Al, JCR INSPECTION SERVICES
\'� / OFFICE/CELL: 213-703-9649 1100 SAN LUIS REY DR.
i . �� INSPECTION PAGER: 213-360-1007 SENVICES.IMc GLENDALE, CA 91208
FAX: 818-637-2232
REGISTERED SPECIAL/DEPUTY INSPECTOR DAILY REPORT
BUILDING DEPARTMENT Arcadia Proj.Date 1 10/27/20 J
Project Name 1 ; Permit# RALT-20-0281
Project Address ;118 E Magna vista
Owner Name 1Jon pang 1 Phone# ,
Address
General Contractor1CRS construction 1 Phone#
Address ; Fax#
L Site Contact -11
Beeper# 1
Sub-Contractor Phone#
Address , Fax #
Engineering Firm Len Hor ; Phone# ; (626) 658-7974
Address 1333 N Santa Monica Blvd 1 Fax #
TYPE OF INSPECTION
Cl Reinforced Concrete j❑ Shotcrete ,_❑ Gunite [❑ Rebar insp 10 Welding
El Masonry ;0 Pretress 0 Anchor bolts :0 Dowels ;0 Fireproofing
❑ Post-tension :El Fraiming ❑ Nail Inspect :❑ Grading T❑ Other
El Quality ControlI '
Cylinders Samples : Core Panels Mortar ; Grout , Masonry prism
To the Building Official Building Inspector
I hereby certify that the following portions of the work at the above address which required Special/Deputy Inspection and
for which I was employed to inspect, were inspected by me and comply with the applicable provisions of the Building
Codes and approved drawings.
rProvided continuous visual inspection of placement of 24 #4 dowels into existing footing for new
footing connection per detail 8/ SD1 using Simpson XP epoxy 4" minimum EMD used
All dowels placement completed per manufactures instructions.
Location- new footing to existing footing connection at front and rear additions connection
Ail inspections are based on a minimum of 4 , urs, any inspection ver 4 hours will be charged as 8 hours.Any inspection extending past noon will be
charged as 8 hours. Saturday are billed as ti : . d a half. Sul.. d as double time.
Inspector (Print): an R. OS License #: P020525 Type: DIA
Inspection Sign: Date: 10/27/20
HOURS: Mon Tues 4 Wed Thur Fri Sat Sun
Verified By: (Print & Sign)
AN. JCR INSPECTION SERVICES
y / OFFICE/CELL: 213-703-9649 1100 SAN LUIS REY DR.
• �1f SEISIY CES�INC PAGER: 213-360-1007 GLENDALE, CA 91208
FAX: 818-637-2232
REGISTERED SPECIAL/DEPUTY INSPECTOR DAILY REPORT
BUILDING DEPARTMENT Arcadia 1 Proj.Date 1 01/15/21
Project Name 1 ; Permit # ; RALT-20-0181
Project Address ;118 E Magna Vista Ave, Arcadia CA
L Owner Name 1Jon Pang 1 Phone # 1
Address
General Contractor Owner builder 1 Phone # 1
Address Fax #
Site Contact Shirley Flores Beeper#
Sub-Contractor ; Phone #
Address Fax # 1
Engineering Firm WPH engineering ; Phone # ; (626) 658-7974
Address 333 N. Santa Anita Ave st 3, Arcadia Ca i Fax #
TYPE OF INSPECTION
❑ Reinforced Concrete ❑ Shotcrete ❑ Gunite L❑ Rebar insp +❑ Welding
❑ Masonry :❑ Pretress 0 Anchor bolts ;❑ Dowels : ❑ Fireproofing
❑ Post-tension : ❑ Fraiming ❑ Nail Inspect : ❑ Grading : ❑ Other
r r
❑ Quality Control '
Cylinders Samples : Core Panels Mortar Grout � Masonry prism
J L 1
To the Building Official Building Inspector
I hereby certify that the following portions of the work at the above address which required Special/Deputy Inspection and
for which I was employed to inspect, were inspected by me and comply with the applicable provisions of the Building
Codes and approved drawings.
Provided continuous inspection for the placement of (7) 5/8" hold downs @ 12" embedment with 3/4"
concrete hole per detail 6/SD-1 Using set epoxy-XP by Simpson. @ grid lines A/1 .5, 2/A, 2/B, 4/D, 5/
D, 5.8/D, and 6.1/D approximately.
Note: new hold downs placed next to previous hold downs that were placed without deputy inspector
on site.
Inspected embedment, cleanliness, epoxy used and size.
Work complies with approved plans.
;
All inspections are based on a minimum of 4 hours,any inspection over 4 hours will be charged as 8 hours.Any inspection extending past noon will be
charged as 8 hours.Saturday are billed as time and a half.Sunday are billed as double time.
Inspector (Print): Janpierre License #: 8343006 Type: DIA
Inspection Sign: YKke Date: 01/15/21
HOURS: Mon Tues Wed Thur Fri 4 Sat Sun
Verified By: (Print & Sign)
City of Arcadia
BUILDING DIVISION i LA1R4ICP)
240 West Huntinton Drive, Arcadia, California, 91007 -_-
Telephone Number: (626)574-5416 Fax. Number: (626)447-9173
STRUCTURAL OBSERVATION REPORT FORM
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.
Report No.
This report includes all construction work through 19 day of December , 20 20 Page No. 1 of 1
Project Address: 118 E. MAGNA VISTA AVE. Structural Observer of Record(SOR): SOR Phone No.:
20042 ( 626 ) 658-7974
Building Permit No.: Structural Observation performed by: Observer Professional Lic./Reg.No.: Observer Phone No.:
PHILLIP PHAN C76425 ( 562 ) 277 5649
OBSERVED STRUCTURAL ELEMENTS AND THEIR CONNECTIONS
FOUNDATION WALL FRAMES FLOOR PORTION OBSERVED,IF NOT WHOLE
0 Footing,Stem Walls, 0 Concrete 0 Steel Moment Frame 0 Concrete verify framing, wall,
O Mat Foundation 0 Masonry 0 Steel Braced Frame 0 Steel Deck hold down, and anchors
❑ Caisson,Piles,Grade Beams Q9 Wood 0 Concrete Moment Frame ❑ Wood
0 Retaining Foundation 0 Other: 0 Masonry Wall Frame 0 Others:
Hillside Special Anchors
O Others: ® Others:
OBSERVED DEFICIENCIES:
NO DEFIENCIES (ADDITION PLYWOOD UNDER CEILING JOISTS )
I DECLARE THAT THE FOLLOWING STATEMENTS ARE TRUE TO THE BEST OF MY KNOWLEDGE:
1. I AM THE ENGINEER OR ARCHITECT RETAINED BY THE OWNER TO BE IN RESPONSIBLE
CHARGE FOR THE STRUCTURAL OBSERVATION IN ACCORDANCE WITH THE REQUIREMENTS R
OF THE CITY OF ARCADIA. ESS/04,��O Q.
2. I,OR ANOTHER ENGINEER OR ARCHITECT WHO I HAVE DESIGNATED ABOVE AND IS UNDER
MY RESPONSIBLE CHARGE, HAS PERFORMED THE REQUIRED SITE VISITS AT EACH
SIGNIFICANT CONSTRUCTION STAGE TO VERIFY IF THE STRUCTURE IS IN GENERAL w N . 76425rn
r'
CONFORMANCE WITH APPROVED PLANS AND SPECIFICATIONS; . Exp.12-31-20
3. ALL DEFICIENCIES WHICH REMAIN TO BE CORRECTED HAVE BEEN INDICATED ABOVE; I CIVIL
4. I RECOMMEND THAT ACCEPTANCE OF THE STRUCTURAL SYSTEMS BY THE CITY OF 9TF OF CO��
ARCADIA BE WITHHELD UNTIL ALL OBSERVED DEFICIENCIES ARE CORRECTED.
(Pe;elp• a'' 12/19/2020
STAMP OF STRUCTURAL
SIGNATURE DATE OBSERVER OF RECORD
Certificate No. 20200211-018
Business Services
150rc Southia, Third Avenue /� R C /� D ( /�
Arcadia,CA 91006 H H H
p 626 821 6631 li
f 626 821 6632 .�(� Unified School District
www.ausd.net �� !movie -Inquire• Inegre
Certificate of Compliance for Payment of Developer Fees
(Education Code §17620, et seq. & Government Code§65995, et seq.)
Effective April 13, 2020
Current rate in effect applies at the time of imposition of fees/payment.
Project Address/APN: 118 E. Magna Vista Ave., Arcadia, CA 91006
Number of Units: 1 Plan Check Number: 20-181
❑ Exempt* ® Residential** ❑ Commercial/Industrial**
❑500 sq.ft.or less(residential addition/expansion) $4.08/sq. ft. $0.66/sq. ft.
❑Other:
Area in Sq. Ft.: 656 Receipt Number: 330568
Total Fee: $2,676.48 Check Number: 502
Owner's Name: Jon Pang
Owner's Address: 118 E. Magna Vista Ave., Arcadia, CA 91006
Phone Number: (626) 372-1273 Email: yi-cheng@live.com
Representative's Name & Phone Number(if applicable): Yi-Cheng Pang (626) 372-1273
* 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 Ma. -, City of Temple City, and County of Los Angeles, Department of Public Works have been
received. rased on the infor - on presented above,this Certificate of Compliance is hereby executed.
Connie Chu
Oil o
Senior Administrative Assistant 9/30/2020
Signature of District Representative Name I Title Date of Issuance
The District charges a $100 fee to process reinstatement of the Developer Fee Certificate of Compliance resulting from an
"insufficient funds" check in addition to a $35 fee for the returned check. Only cash or a Cashier's Check will be accepted as
payment thereafter.
The District charges a $100 fee for any amendments to or cancellation of a Developer Fee Certificate of Compliance formerly
issued on any type of development.
If 500 sq. ft. or less is the reason for exemption, any future additions, expansions, or remodels to the property that result in the
past aggregate square footage to exceed the allotted 500 sq. ft. will be subject to fees at the current rate for the entire square
footage of the development.
Owner/developer may request a refund of fees paid to the District within 12 months of payment only in the event the Building
Permit expires or the project is canceled without commencement of construction in accordance with Education Code section
17624(all other requests for refunds must be made in accordance with the fee protest procedures set forth in Government Code
§66020). All refunds will be reduced by a $100 administrative fee. The refund check will be issued in the name of the
owner/developer and mailed to the address of payee.
PURSUANT TO GOVERNMENT CODE§66020(d), OWNER/DEVELOPER HAS A PERIOD OF 90 DAYS FROM THE DATE
OF ISSUANCE OF THIS CERTIFICATE OF COMPLIANCE TO PROTEST THE IMPOSITION OF FEES
Applicant confirms that he/she is authorized to sign on behalf of the owner/developer and that the information he/she provided
to.the istrict is true and accurate to the best of his/her knowledge.
� pit_ -7) --,../ _ \{t—c11010 ,�i►- _ c-(-3-4 a.V zc
Signature of Applicant Name Date
ORIGINAL-City/County COPIES-Business Services,Fiscal Services&Applicant Certificate of Compliance(4-13-20)