HomeMy WebLinkAboutRALT-2-0071 City of Arcadia, CA Permit NO. RALT-21-0071
Development Services Department Permit Type:Residential Addition/Alteration
240 West Huntington Drive,Post Office Box 60021
Arcadia,CA 91066-6021 Work Classification:Res-Addition/Alteration
(626)574-5416 Permit Status:Issued
ARCADIA Issue Date:03/11/2021 Expiration: 03/11/2022
Addr NO. Dir Prefix Street Name Street Suffix Unit City,State,Zip Parcel Number
1032 S SIXTH AVE Arcadia,CA 91006-4309 5780014019 1
Contacts
VERLATO,CLETUS AND ANNETTE TRS Owner BRQWN'S PROTEGO CONSTRICTION • Contractor
VERLATO FAMILY TRUST ' INC*:
1030 S SIXTH AVE 11626 GOLDRING ROAD GOLDRING RD,ARCADIA,CA 91007
(626)359-8283 972016
Description:FIRE DAMAGE REPAIR TO LIVING ROOM,WALLS, Valuation: $ 30,000.00 Tenant
CEILING FRAMING AND ROOF REPAIR.WITH ELECTRICAL AND
MECHANICAL. REPLACE FAU IN ATTIC. REROOF PITCHED Total Sq Feet: 0.00 Plan Check U Plan U
PORTION OF ROOF WITH MALARKEY SILVERWOOD CLASS A
(LT)
Fees Amount Payments Amount Paid
Add/Alter Ducts $9.94 Total Fees $1,143.85
Building Issuing Fee $47.01 Cash/Receipt U REC-07016-21 $1,143.85
Building Permit Fees $551.50
Building Plan Review Fee $358.48 Amount Due: $0.00
Cal Green Plan Check $35.85
Electrical Permit Issuance Fee $47.01
Furnace or Burner<=100,000 BTU $19.86
Green Building Standard $2.00
Light Fixtures $3.26
Mechanical Permit Issuance Fee $47.01
Outlets-Receptacles&Switches $9.78 CALLS FOR INSPECTIONS
Solid Waste Management Fee $6.25 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
Strong Motion Inst.Program Res $3.90
This permit/plan review expires by time limitation and becomes null and
Total: $1,143.85 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.
n COMPLETED
•
March 11, 2021
•
Issued By:Jeff Warfg Date
March 11,2021 Page 1 of 1
.F A•
4 uctimk PERMIT/PLAN REVIEW APPLICATION
.
4fa' Development Services Department, 240 West Huntington Drive, Post Office Box 60021
oCN^ Arcadia, CA 91066-6021, (626) 574-5416, Fax (626)447-9173
City of
Arcadia
xLICENSED 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, my license is in full fo ce and ffect. I have and will maintain a certificate of consent to self-insure for workers'
License Class CI
o. I 4 xp.�Date,I 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 Contracto —
OWNER-BUILDER DECLARATION ❑ I have and will maintain workers'compensation insurance,as required by Section
CII 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
provisions of the Contractors License Law(Chapter 9(commencing with Section (This section need not be completed if the permit is for one hundred dollars or less)
7000)of Division 3 of the Business and Professions Code)or that he or she is
exempt there from and the basis for the alleged exemption. Any violation of ❑ I certify that in the performance of the work for which this permit is issued,I shall
Section 7031.5 by any applicant for a permit subjects the applicant to a civil not employ any person in any manner so as to become subject to the workers'
penalty of not more than five hundred dollars($500)): compensation Laws of California,and agree that if I should become subject to the
workers'compensation provisions of Section 3700 of the Labor Code,I shall
❑I, as owner of the property, or my employees with wages as their sole forthwith comply with those provisions.
compensation,will do the work,and the structure is not intended or offered for
sale(Section 7044,Business and Professions Code:The Contractors License Date 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 °T--- 2\X T' A►71-"C
Title 1 ‘.1C---14 —
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 above-m ntio property for inspection purposes.
_-_ 1 2\
Signature 1 Date �1� l
NOTES
Building Inspections Date Insp. Plumbing Inspections Date Insp. to • J J, 'tX
100. Setbacks 210. Under fir/bldg.drain
101. Rough grade 211. Copper underslab gALT- ( /-7
/ _
102. Figs.&forms 212. Rough plumbing
103. Pre-slab 213. Rough gas
104. Floor joists 214. Shower pan
105. Steel 215. Water heater
106. Grout lift 216. Roof drains
107. Shear nailing_ 217. Building sewer
108. Diaph nailing , - 218. Water service
109. Roof nailing 5-14-2I 111S1 219. Final gas
110. Framing .]/ 4/ 220. Fixtures
111. 0cc./Area Sept.Wall 221. Final plumbing
112. Sound walls 222. Sewer cap/demo.
113. T-bar grid
114. Insulation-Fir. Pool Inspections Date Insp.
115. Insulation-Wall gj°30-2` 11‘ 240. Excavation/steel
116. Insulation-Ceil. .�/ te\
241. Rough plumbing
117. Drywall nailing - . 242. Light shell/bonding
118. Interior lath 243. Underground conduit
119. Exterior lath 244. P-trap
120. Finish grade 245. Gas line&test
121. Final building `2i 246. Fence,gates&signs
122. Final demo/lot clear 247. Pool heater
248. Final electric
Electrical Inspections Date Insp. 249. Final slumbin.
150. Power pole 250. Pool cover
151. Sales lot lighting 251. Pool final
152. Underground conduit
153. Underslab conduit Reroof Inspections Date Insp.
154. UFER ground 270. Pre-reroof insp.
155. Water ground 271. Roof framing
156. Rough electrical(t(f) tvsl 272. Sheathing nailing
157. Fixtures 273. Final reroof
158. G.F.C.I.
159. E..1.bondin. Sign Inspections I Date I Insp.
160. Service panel 280. Setback/overhang
161. Final electric -4�� , V 281. Footing
282. Conduithvirin.
Mechanical Inspections Date Insp. 283. Disconnect
180. Venting/flue _ 284. Final sign
181. Furnace/A.C.
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. Date I Insp.
191. Final mechanical 300. Lateral(main to P/L)
301. SaddleN
Block Wall Inspections • Date Insp. 302. Gesso el 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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