HomeMy WebLinkAboutB00-056-075 ‘1 *, Development Services Department
10.r,_„1";►. 240 West Huntington Drive,Post Office Box 60021
\;; PERMIT NO. B00-056-075
Arcadia,CA 91066-6021
City of
(626)574-5416,Fax(626)447-9173
ArcadiaPermit Type: EMP Combo
PROJECT TRACT NO. LOT NO. APPLICATION DATE ISSUED BY PRINT DATE PERMIT STATUS
11528 2/15/2017 CM 9:26 2/15/2017 Issued
ADDRESS NO. Dir.Prone Sheet Naim Sheet Suffix UNIT BLG ASSESSORS PARCEL NO. GEO CODE
449 Las Tunas Dr 5787-023-008
OWNER MAILING ADDRESS
Yu, Shiu Hwa 372 Valley Cir PHONE NO. Inspector#: CHRIS
Monrovia,CA 91016 EMAIL ADDRESS:
APPLICANT MAILING ADDRESS
Mota&Sons Construction PHONE NO.
EMAIL ADDRESS:
f
CONTRACTOR/PROFESSIONAL MAILING ADDRESS
Mota&Sons Construction 482 Cody Road PHONE NO. (626)253-1176 FAX NO. (909)599-9361
San Dimas,CA 91773 EMAIL ADDRESS:
License No. 798028 Type: B Expires: 8/31/2017 12:00:
TENANT MAIUNG ADDRESS
PHONE NO. FAX NO.
DESCRIPTION
INTERIOR REMODEL FOR KITCHEN AND 2 BATHS.REWIRE ENTIRE RESIDENCE/GARAGE.REPLACE HVAC SAME LOCATION.HERS REQUIRED
AT FINAL.
Construction Type UOM Hof Units Value Construction Type UOM II-of Units Value
kc 1 compiEgo .,3„..-2_,
/f(---.--/----"-----
OCCUPANCY: TOTAL VALUATION: $0.00
QTY UOM DESC AMT AMT PAID ACCT QTY UOM DESC AMT AMT PAID ACCT
1.00 flat Elec issue 44.35 44.35 01-3105 400.00 sq ft New res access 24.00 24.00 01-3105
1.00 Flat Mech issue 44.35 44.35 01-3105 1.00 Flat Add/Alter Ducts 9.38 9.38 01-3105
1.00 Flat Plmbg issuance 44.35 44.35 01-3105 1.00 each Wtr htr/vent 15.55 15.55 01-3105
1.00 each Furn<100,000btu 18.74 18.74 01-3105 1.00 Flat SWMF2 1.00 1.00 88-3027
2.00 each Shower 24.92 24.92 01-3105 1.00 Flat SWMF 2 1.00 1.00 88-3027
2.00 each Water Closet 24.92 24.92 01-3105 1.00 Flat SWMF 2 I.00 1.00 88-3027
1.00 each 0-400 Res Ser 15.55 15.55 01-3105
2.00 each Lavatories 24.92 24.92 01-3105
1.00 each Hood 14.11 14.11 01-3105
1.00 each Kitchen sinks 12.46 12.46 01-3105
2.00 each Fan-vent single 18.76 18.76 01-3105
1.00 each Dishwashers 12.46 12.46 01-3105
1.00 each Garbage Disp 12.46 12.46 01-3105
1.00 each Comp 3 hp 18.74 18.74 01-3105
1.00 each Clothes wsh 12.46 12.46 01-3105
1,362.00 sq ft New res elec 95.34 95.34 01-3105
2.00 each Shower Pan 24.92 24.92 01-3105
Total Fees: $515.74 Balance Due: $0.00 Paid Today: $515.74
This permit/plan review expires by time limitation and becomes null and void if the work authorized by the Receipt#: 115825
permit is not commenced within 180 days from the date of issuance or if the permit is not obtained within 180 days from 01-3105 512.74
the date of plan submittal.This permit expires and becomes null and void if any work authorized by this permit 88-3027 3.00
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.
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)
�4 !� PERMIT/PLAN REVIEW APPLICATION
�.
E0*' I)clelopment Services Department,240 West Huntington Drive,Post Office Box 60021
- %°4..•.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 Ii L'ce No. 7 S g 0 2`3 Exp. Date9(>i l f 7 compensation, as provided for by Section 3700 of the Labor Code, for the
Signature of Contractor
U� performance of the work for which this permit is issued.
WNER-BUILDER DECLARATION 0 I have and will maintain workers'compensation insurance,as required by Section
0 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 is 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
forthwith com 1 with thoseprovisions.
gn to e .4--
❑I, as owner of the property, or my employees with wages as their solep y p ....4--
sale
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 IS 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).
0 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.,, io /�
(.% iame ( L-(D1 44- (Title 6 /r(4G-C( C.. '.y pti„.-f
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 up the above-mentioned property for inspection purposes.
ihict-
Signature Date 2/1 s 17
UNIMEIMINIMINIME NOTES
Building Inspections Date Insp. Plumbing Inspections Date Insp.
100. Setbacks 210. Under fir./bldg.drain 4-1-/7 A'A
PIPF
101. Rough grade 211. Copper underslab
102. Figs.&forms 212. Rough plumbing 6-/-/7103. Pre slab �14. RoShowegps
104. Floor joists (o--�-L? 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 219. Final gas
110. Framing 220. Fixtures
111. Occ./Area Sept.Wall 221. Final plumbing 17-21-17 64K-5-//1
112. Sound walls 222. Sewer cap/demo.
113. T-bar'rid
114. Insulation-Flr. � Pool Inspections Date Insp.
115. Insulation-Wallow 240. Excavation/steel
116. Insulation-Ceil. 241. Rough plumbing -
117. Drywall nailing , -17 tl,„' 242. Light shell/bonding
118. Interior lath !) 243. Underground conduit
119. Exterior lath 4- -47 Z 244. P-trap
120.1Finish uil grade �6. Gas line&test
121. Final building S�=� 246. Fence,gates&signs
122. Final demo/lot 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 Date Insp.
154. UFER ground 270. Pre-reroof insp.
155. Water ground 271. Roof framing
156. Rough electrical 61011 V 272. Sheathing nailing
157. Fixtures 273. Final reroof
158. G.F.C.I.
159. Es.t.bondin. Sign Inspections Date Insp.
160. Service panel J/280. Setback/overhang
11-241- -
161. Final electric (2" 1 r 281. Footing
282. Conduit/wirin.
Mechanical Inspections Date Insp. 283. Disconnect
180. Venting/flue 284. Final sign
181. Furnace/A.C.
182. Rouch HVAC ."" Miscellaneous Insp. 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 them.
188. Compressor setback 295. Final
189. Commercial hood
190. Duct shaft Sewers&Offsite Insp. Date I Insp.
191. Final mechanical 'r- " 300. Lateral(main to P/L) -
301. Saddle/Y
Block Wall Inspections Date Insp. 302. Cess•oil filled
200. Footings 303. Sidewalk
201. Steel/rebar 304. Driveway
202. Grout lift 305. Curb replacement
203. Final wall 306. Trash bin
City of Arcadia, CA Permit NO. Misc-20-1674
Development Services Department Permit Type:Misc
240 West Huntington Drive,Post Office Box 60021 Work Classification:Misc-Renewal
Arcadia,CA 91066-6021
(626)574-5416 Permit Status:Issued
ARCADIA Issue Date:10/15/2020 f Expiration: 10/15/2021
,
Addr NO. Dir Prefix Street Name Street Suffix Unit City,State,Zip Parcel Number
449 LAS TUNAS DR Arcadia,CA 91007-8424 5787023008
Contacts
SHIU HWAYU Owner
449 LAS TUNAS DR
(626)256-9288
Description:RENEW MEP PERMIT B00-056-075. Valuation: $0.00 Tenant
Total Sq Feet: 0.00 Plan Check# Plan#
Fees Amount Payments Amount Paid
Building Issuing Fee $47.01 Total Fees $114.21
Extra Inspection-Not ready/Hrs not $60.95 Cash/Receipt#REC-05760-20 $114.21
covered
Solid Waste Management Fee $6.25 Amount Due: $0.00
,
Total: $114.21
,
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.
12 COMPIETEOThispermit/plan review expires fires by
time limitationon and becomes null and
—✓" void if the work authorized by the permit is not commenced within 180 days
�'`—2-( �� 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.
October 15, 2020
Issued By: Date
October 15,2020 Page 1 of 1
A.
4mop PERMIT/PLAN REVIEW APPLICATION
i 1E44 .go
� Development Services Department,240 West Huntington Drive, Post Office Box 60021
c�` 11 �� 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
0 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 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 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.
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.
fame IIf l (....-kw 5\4' itie CS, i rA C.-k(Y.--
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
rcadia to enter u n the above-mentioned property for inspection purposes.
ignature h Date 0/i 7 ->
,,.=. Development Services Department
It4:" CI! 240 West Huntington Drive,Post Office Box 60021 PERMIT NO. BOO-056-993
)Y Arcadia,CA 91066-6021
City
Ci adia (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
11528 5/30/2017 i-11 13:50 5/30/2017 Issued
ADDRESS NO. Dlr.Prefix Street Name Street Suffix UNIT BLG ASSESSORS PARCEL NO. GEO CODE
449 Las Tunas Dr 5787-023-008
OWNER MAIUNG ADDRESS
ector#: CHRIS.
Yu, Shiu Hwa 372 Valley Cir PHONE NOIng P
Monrovia,CA 91016 EMAIL ADDRESS:
Plan Chk#: OTC
APPLICANT MAIUNG ADDRESS Plan#: 32265
PHONE NO.
Mota&Sons Construction
EMAIL ADDRESS:
CONTRACTOR/PROFESSIONAL MAIUNG ADDRESS
Mota& Sons Construction 482 Cody Road PHONE NO. (626)253-1176 Fax No. (909)599-9361
San Dimas,CA 91773 EMAIL ADDRESS:
License No. 798028 Type: B Expires: 8/31/2017 12:00:
TENANT MAIUNG ADDRESS
PHONE NO. FAX NO.
DESCRIPTION SFR Add
REPLACE 12 WINDOWS WITH NAIL ON VINYL WINDOWS.FRAME FLOOR UP IN FAMILY ROOM AND RELOCATE I BATHROOM.
Construction Type UOM N or Units Value Construction Type UOM N of Units Value
Value Value 20,000.00 $20,000.00
OCCUPANCY: Dwellings TOTAL VALUATION: $20,000.00
QTY UOM DESC AMT AMT PAID ACCT QTY UOM DESC AMT AMT PAID ACCT
each Plan review 262.76 262.76 01-3103
each Energy p/c fee 80.85 80.85 01-3103
PC Cal Green 26.28 26.28 01-3103
1.00 Flat Bldg Issue Auto 44.35 44.35 01-3104
each Bldg pe404.25 404.25 01-3104
SMTP Reses 2.60 2.60 14-2207 r.:411
! complETED
go bldg std 1.00 1.00 714-2203
100 Flat SWMF Auto 6.25 6.25 88.3027a_ ,Z ` ~/
Total Fees: $828.34 Balance Due: $0.00 Paid Today: $828.34
This permit/plan review expires by time limitation and becomes null and void if the work authorized by the liccclpfn — 11692 i
permit is not commenced within 180 days from the date of issuance or if the pefmit is not obtained within 180 days from 01-3103 369.89
the date of plan submittal.This permit expires and becomes null and void if any work authorized by this permit 01-3104 448.60
is suspended or abandoned for 180 consecutive days or if no progressive work has been verified by a City of 14-2207 2.60
714-2203 1.00
Arcadia building ins ector for a period of 180 consecutive days.
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. I
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)
r'4 ! PERMIT/PLAN REVIEW APPLICATION
0.,...., ,,--00
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. ❑ I have and will maintain a certificate of consent to self-insure for workers'
License Class i nse No.7 980 2 SExp, Dateo�//r'7 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 0 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
0 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 for / / I^"//���Ci
sale(Section 7044,Business and Professions Code:The Contractors License Dare ( � 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
completion,the owner-builder will have the burden of proving that he or she atiotpenalties and civiltfines a tosa one
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 attorney's fees.
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).
ti I am exempt under Section 7044,Business and Professions Code,for this reason:
Lender's Name
Date S 60/I7 Signature ' 1
/rJI 74 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./ r _
Name ((oC4r G4 M k Title C-1.9l(b al,"-
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.
14'41]Signature 7/41" Date >17,-' Il
`'''' Development Services Department
ia" t 240 West Huntington Drive,Post Office Box 60021 PERMIT NO. BOO-058-483
`. Arcadia,CA 91066-6021
City of (626)574-5416,Fax(626)447-9173 Permit Type: Garden wall
Arcadia
PROJECT TRACT NO. LOT NO. APPLICATION DATE ISSUED BY PRINT DATE PERMIT STATUS
11528 11/30/2017 EP 10:54 11/30/2017 Issued
ADDRESS NO. Dir.Prefix Street Name Street Suffix UNIT BLG ASSESSORS PARCEL NO. GEO CODE
449 Las Tunas Dr 5787-023-008
OWNER MAIUNG ADDRESS
Yu, Shiu Hwa 372 Valley Cir PHONE NO.
Monrovia,CA 91016 EMAIL ADDRESS:
APPLICANT MAILING ADDRESS
Yu, Shiu Hwa 372 Valley Cir PHONE NO.
Monrovia, CA 91016 EMAIL ADDRESS:
CONTRACTORIPROFESSIONAL MAILING ADDRESS
Homeowner PHONE NO. FAX NO.
EMAIL ADDRESS:
License No. Type: Expires.
TENANT MAILING ADDRESS
PHONE NO. FAX NO.
DESCRIPTION
BLOCK WALL AT FRONT SIDE OF PROPERTY.3'1-1 X 45'LP.6'11 X 12'LF,AND CH X 30'
Construction Type UOM N of Units Value Construction Type UONI N of Units Value
Wall Masonry sq 0 180.00 $1,686.82
Wall Masonry sq 0 72 00 S674 73
Wall Masonry sq It 135.00 $1,265.1 I
OCCUPANCY: Wall masonry TOTAL VALUATION: $3,627.00
QTY UOM DES(' ANTI AMT PAID ACCT QTY UOM I)ESC AMT AMT PAID ACCT
100 Flat Bldg Issue Auto 44 35 44.35 01-3104
each Bldg permit 137 05 137.05 01-3104
I.00 each SWMF 2 Auto 1.00 1.00 88-3027
2-1—o ° 1 ?, (___(-) e,.,/,
, . _.. •74,,, .
. • • ,
$ 3 , - -j kfr----r
Total Fees: $182.40 Balance Due: $0.00 Paid Today: $182.40
This permit/plan review expires by time limitation and becomes null and void if the work authorized by the ll•<..:pt N: 118701
permit is not commenced within 180 days from the date of issuance or if the permit is not obtained within 180 days from 01-3104 181.40
the date of plan submittal.This permit expires and becomes null and void if any work authorized by this permit 88-3027 100
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.
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)
A;
this'°qyc,',•
14 PERMIT/PLAN REVIEW APPLICATION
.„� IL
,�l�j, Development Services Department, 240 West Huntington Drive,Post Office Box 60021
.•,l,Y et It's 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. ❑ 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.
r--- 1 have and will maintain workers'compensation insurance,as required
OWNER-BUILDER DECLARATION 0q ' 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
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 3 00 of the Labor Code,I shall
0 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 Dat //' 7Signatu //�_�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.
as owner of the property, am exclusively contracting with licensed
"LIcontractors 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
f4 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
J �'
Dater 1 3° �l Znatu� _ Lender's Address
// - V
I PORTANT: APPLICATION IS HEREBY MADE TO THE BUILDING OFFICIAL FOR A PERMIT SUBJECT TO THE CONDITIONS AND
R 'STRICTIONS 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.
lame / .I *I/t r Title , A
PRINT 'AME
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 upo i the above-mentioned property for inspection purposes.
cz `
Signature / ,^ :�1i ` ft- J`� Date (7 + O — ( 7
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4, CITY CITY OF ARCADIA
DEVELOPMENT SERVICES DEPARTMENT
co\ %• FENCE, GARDEN WALL AND/OR RETAINING WALL ON
PROPERTY LINE RELEASE AND DECLARATION
ADJACENT PROPERTY OWNER'S DECLARATION
I, N , as owner of the property located at 443 y DC
hereby grdnt permission to the adjacent property owner located at LP/ 9 Ids 1 k.',4f
to construct L/5 lineal feet of b , 3 ` high fence, garden wall, and/or
retaining wall, some of which will be located on my property. I acknowledge,
understand and accept the scope and nature of the proposed work (i.e., color, size,
height, type and location of the fence, garden wall, and/or retaining wall and the removal
of landscaping).
Name: (vlc`\ L52_ Telephone Number(Ga k"2 730
Address: 2:1 �' .r- rices P C Date: 1 11/ 50 1'( 7
Signature: ,`iat
... ... ... ... ... ... ... ... ... ... ... ......... ...... ......... ......... ... ... ...... ...... ............
PERMIT APPLICANT'S DECLARATION
I declare under the penalty of perjury that I have obtained the approval and release from
the owner of the property located at yy9 LAS 't(4,JA5 to construct and
locate part of a fence, garden wall, and/or retaining wall on their property.
Name:cc-ICC K(/'
( Telephone Number: 6 '6 72 cg
Address: � �� //7� Date: l l - l
Signature: Air AP-
c: Applicant's file
Neighbor's file
Job site
1-15