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HomeMy WebLinkAboutRALT-20-2160 City of Arcadia, CA Permit NO. RALT-20-2160 Development Services Department Permit Type:Residential Addition/Alteration 240 West Huntington Drive,Post Office Box 60021 Arcadia,CA 91066-6021 Work Classification:Res-Window Change-Out (626)574-5416 Permit Status:Issued ARCADIA Issue Date: 12/28/2020 Expiration: 12/28/2021 Addr NO. Dir Prefix Street Name Street Suffix Unit City,State,Zip Parcel Number 1024 FAIRVIEW AVE NO 3 Arcadia,CA 91007-7165 5783003061 Contacts VILLEDA,IAIRO AND LEUNG,CELIA Owner SEARS HOME IMPROVEMENT PRODUCTS Contractor 1024 FAIRVIEW AVE INC* (407)551-6000 1055034 Description:CHANGE OUT 5 WINDOWS(RETRO-FIT)LIKE FOR Valuation: $ 4,000.00 Tenant LIKE IN OPERATION AND STYLE. Total Sq Feet: 0.00 Plan Check# Plan# Fees Amount Payments Amount Paid Building Issuing Fee $47.01 Total Fees $317.24 Building Permit Fees $137.05 Cash/Receipt#REC-06408-20 $317.24 Building Plan Review Fee $89.09 Cal Green Plan Check $8.91 Amount Due: $0.00 Energy Plan Review Fee $27.41 Green Building Standard $1.00 Solid Waste Management Fee $6.25 Strong Motion Inst.Program Res $0.52 Total: $317.24 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 151 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 COMPLETED void if any work authorized by this permit is suspended or abandoned for 180 ( consecutive daysif ressive work has been verified by a City of � Z 44_2. or no ro p g Arcadia building inspector fora period of 180 consecutive days. December 28, 2020 Issued By: Date December 28,2020 Page 1 of 1 SpA• ONUPo14/4 ,• * PERMIT/PLAN REVIEW APPLICATION o�Etjo 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 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 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 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 pennit 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 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 Date • a . PERMIT/PLAN REVIEW APPLICATION 11i Ir Development Services Department, 240 West Huntington Drive,Post Office Box 60021 Arcadia,CA 91066-6021, (626) 574-5416, Fax(626)447-9173 ONLINE PERMIT/PLAN REVIEW APPLICATION CITY OF ARCADIA Job Site Address: 1024 FAIRVIEW AVENUE#3, ARCADIA CA 91007 LICENSED CONTRACTOR'S DECLARATION WORKERS'COMPENSATION DECLARATION DI 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. El I have and will maintain a certificate of consent to self-insure for workers' License Class B _1.icens• No. 1055' E •. Date 6/30/2021 compensation, as provided for by Section 3700 of the Labor Code, for the L performance of the work for which this permit is issued. Signature of Contractor ��,_.. — ❑X I have and will maintain workers'compensation insurance,as required by Section OWNER-BUILDER DECLARATION— / 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 ACE AMERICAN INSURANCE COMPANY demolish,or repair any structure,prior to its issuance.also required the applicant WLRC67456981 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 El 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(5500)): 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 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 12/28/2020 �7 ,/� sale(Section 7044,Business and Professions Code:The Contractors License Date Signature Jss-- A/of <>. 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 CONSTRUCTION LENDING AGENCY Code:The Contractors License Law does not apply to an owner of property 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). ElI am exempt under Section 7044,Business and Professions Code,for this reason: Lender's Name_NOT APPLICABLE C_, • Date,12/28/2020 Signature _..a, • _ .._ Lender's Address_ - - IMPORTANT: APPLICATION 1S HEREBY MADE TO THE BUILDING OFFICIAL FOR A PERMIT SUBJECT TO THE CONDITIONS AND RESTRICTIONS SET FORTH ON THIS APPLICATION AND THE FOLLOWING: I. 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 BRI MCLAUGHLIN Title AUTHORIZED AGENT 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. • C..• Signature__ _ Date 12/28/2020 i x x Pm x MASTER BEDROOM A • x 27X ?5 x Ot 14! x x x •la DOUBLE HUNG 18 W X 60H " 12 DOUBLE HUNG 21W X 60H x KITCHEN 15 •lblDOUBLE HUNG 18 W X 60H O (cPcN 3a DOUBLE HUNG 48W X 60H ux zo LIVING ROOM Z 25 X 18 E3 3b DOUBLE HUNG 48W X 60H OFFICE BATH lox 12 8X8 4XXlix GARAGE N 10FT I SCALE Y ADDRESS: 1024 FAIRVIEW AVE #3,ABCADI GA 91007 _APN_ 5783003061 HOMEOWNER: CELIA LEUNG "' I``� ' Datr,aril -T� E,333 2 ' 319'See SCOPE OF WORK: 5 WINDOW RETROFIT tnitialsd ,zQ�� !����sikr.* �- Notes _ _ � / d' 4Q v)j'on Sheet# .__.A.g_02 4_ilia .____t__' ___ ___ , Buil ':s LP-28 : .#i �.a/�.!1.P .3 er �y[GC ‘r- 2 Fire _w!�r� k - c PWS•Ih' WELO !.. _ -- -4 4--___ Trees .1 L , .:4 t 4 WiA0 vis/Maim pi ATG/4 C 4-6T 0 N 0 111 Li-3 •CtU N 0 CU O O a a 0 o ca F •i fl, E a >, ..: c J N y ° tO a a cu E vo—i a c 4 Z' a ° _u a a H . 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F - 0 0 C a - a 0 c c '^ m - w NUCC n1 to < = E E w ,n a 'c o 0 w in 3 a (J > > VI n m a U W i a 3 r 0 o o a u - N M V K U Q Q a Ill U d a J 0 0 0 ,--1 0 0 a u U - ANSFORM Agent Authorization for Contractor Company Name: Transform SR Home Improvement Products . Contractor's Name: Alfred William Nyman Jr. Contractor's License Number: 1055034 Email: al.nymantaltransformhome, ro.com . The below listed individual employee(s) are authorized to apply/modify to the city/county for a building permit, pay for, amend or cancel a permit as required, as well as for the purchase of a business license on behalf of the above identified licensed contractor. I understand that it is the licensed contractor's responsibility to provide a copy of this form with each building permit application. If a copy of this form is not provided at the time that a building permit application is filed, an agent(s) of the above identified licensed contractor may not apply for a building permit. The below listed employees are authorized to apply for permits for the above identified licensed contractor: 1. Bruce Edgar 11. Laura Johnson 21. Stephen Swinney 31. Kyle Au Coin 2. Carolyn Christian 12. Mark Becker 22.Tamia Williams 32. Rob Cleaver 3. Shawnna Young 13. Matt McHattie 23.Teresa Kump 33. Christopher Harris 4. Eric Beriault 14. Nate Colyott 24. Tim Lane 34. Alyssa Ross S. Sam"Sandy"Hiscock 15. Cam Hiscock 25.Todd Chronister 35. Rosa De La Camp 6. Donald Stone 16. Peter Lujan 26.Tony Thai 36. Stephanie Smith 7. Evan Volkwein 17. Samuel Vallejo 27.Steven Todd 37. Josh Smelser 8. John Maltman 18. Shawn Kunsemiller 28.Cod/Turner 38. Breanna Peterson 9. Kedar Sotomey 19. Shon Fleming 29.Brianne McLaughlin 39. Anna Maxwell 10.John Whalen 20. Stephen Krale 30.Nicole Godina 40. Jessica Barajas Printed name and title of sig r: /I2,e,f'f0 W N,✓VA-AJ ,74. /4137 Authorized signature: lam. "� Date: //OSA)O*C This certificate is attached to a 1 page document dealing with/entitled and dated Witness of Si nature STATE OF l,I()(rfiD, COUNTY OF ✓yr/N •fi,this / 7 , day of-.TfilQ 2odObefore me, the undersigned notary public, personally appeared (name of person acknowledging) proved to me through satisfactory evidence, which was I ,l .,d.,A (type of identification) to be the person whose rd-, -- ;s signed, the preceding or attached document in my presence. ` �j .�b'J'P'' Bethany Audette �ir *��q. f" Commission f GG066686 - ei� c= Signature of Notary Public ��� Expires: Jan 26, 2021 - fr 4 Bonded thru Aaron Notary Commission Expiration Date of Notary Public Phone: 1-877-600-0123 www.energuy.com Fax: 1-877-571-0123 Esquire Plaza 1215 K Street,17th Floor Sacramento,CA 95814 a ,r4Irrrrr>=,--- -44 Almada FairvievvH34 Eterd d Drectcrs September 17, 2020 To Whom It May Concern: This is to inform you that the Board of Directors of the Arcadia Fairview HOA have approved the replacement of the patio facing windows in unit 1024-3 with new windows and doors having the same design as the current windows • Richard Johnson President