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HomeMy WebLinkAboutSNew-18-1208 City of Arcadia, CA Permit NO. SNew-18-1208
Development Services Department Permit Type:Single Family New
►`` 240 West Huntington Drive,Post Office Box 60021
Arcadia CA 91066-6021 Work Classification:SFR-New Dwelling
(626)574-5416 Permit Status:Issued
ARCADIA Issue Date: 12/03/2018 ( Expiration: 06/01/2019
Addr NO. Dir Prefix Street Name Street Suffix Unit City,State,Zip Parcel Number
1100 S FOURTH AVE Arcadia,CA 5780004036
Contacts
HENAN D.R.CONSTRUCTION GROUP Owner BORIS HUANG Agent for owner
(USA)INC.
6600 SUNSET BLVD 304,LOS ANGELES,CA 90028 (310)754-5048
(310)754-5048
BENJAMIN GOODMAN Applicant
7035 SAINT CLAIR AVE,NORTH HOLLYWOOD,CA 91605
(310)808-4639 ben@goodmanarchitecture.com
Description:5 BED,5 FULL BATH, 3 HALF BATH,KITCHEN, Valuation: $ 1,047,102.23 Tenant
DINING,ENTRY HALL,LIVING,OFFICE,WOK RM,FAMILY, 3
CAR ATTACHED GARAGE.BASEMENT MECHANICAL RM. Total Sq Feet: 7.370.00 Plan Check#18-1208 Plan#32641
LAUDRY,WINE CELLAR,GAME RM,GYM,THEATER.
Fees Amount Payments Amount Paid
Building Issuing Fee $44.35 Total Fees $35,041.04
Building Permit Fees $7,765.20 Cash/Receipt#REC-003046-2018 $25,105.88
Building Plan Review Fee $5,047.38 Cash/Receipt#REC-001681-2018 $9,935.16
Cal Green Plan Check $504.74
Energy Plan Review Fee $1,553.04 Amount Due: $0.00
Grading Issuance Fee $44.35
Grading Permit Fee(1-1000 CY) $450.00
Grading Plan Review Fee $850.00
Green Building Standard $42.00
LID Plan Check Fee $100.00
Off Site Plan Check(Corner Lot) $340.00 CALLS FOR INSPECTIONS
Parks&Recreation Fee(SFR) $13,523.25 Request for inspection by telephone at 626-574-5450. Leave a message
Single Family Fire Plan Check $280.00 requesting the address,timeframe and what inspection item is needed.
Single Family/Condo/Townhome Impact $1,983.00
Fee
Solid Waste Management Fee $6.25 This permit/plan review expires by time limitation and becomes null and
Strong Motion Inst.Program Res $136.13 void if the work authorized by the permit is not commenced within 180 days
SWMF FEE 2 $1.00 from the date of issuance or if the permit is not obtained within 180 days
SWMF FEE 2 $1.00 from the date of plan submittal.This permit expires and becomes null and
WELO Permit Fee $625.00 void if any work authorized by this permit is suspended or abandoned for 180
WELO Permit Issuance $44.35 consecutive days or if no progressive work has been verified by a City of
WELO Plan Check $1,700.00 Arcadia building inspector for a period of 180 consecutive days.
Total: $35,041.04
/112
rrr�
December 03, 2018
Issued By: Date
December 03,2018 Page 1 of 1
4 PERMIT/PLAN REVIEW APPLICATION
giei,' IlliE 111
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. 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
f 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
0 1, 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.
VI, 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 11/0 54K�0 Signature Lender's Address
I PORTANT: 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 1 U Li f'1 UY-W6) Title GJA1 i?.'S P,C,P
PRINT NAME
I certify that I have read this application and state that the above information is co ct 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. l
ignature 'ate l Z/03/p2.Cf
NOTES
Building Inspections Date Insp. Plumbing Inspections Date Insp. / /6O S'. F /40174
100. Setbacks 210. Under;bldg.drain 3 2.CA -y 6f IG.' a ] (/G� p
101. Rough grade 211. Copper underslab 1 _ ( SAV e 4 -1 a - i 20 b
102. Figs.&forms -` �212. Rough plumbing
103. Pre-slab 94-ii y�1 213. Rough gas
104. Floor joists 214. Shower pan ��) 12-4--ie
�jQ -� /t�
105. Steel 215. Water heater 4.-2f-ref
f-/NI QA✓0r,[r T "e7 e4
106. Grout lift 216. Roof drains
107. Shear nailing 7-14-)O 217. Building sewer b-12-74 5-13-161 T'rcTe�O �--
uT-T
108. Diaph nailing j0-23-1q 218. Water service • -20 �{t�:cri' F31 „t - l Lt.61) Or ("/U
109. Roof nailing f•?"('lo - 219. Final gas L�ZI- IT" "�'�''f��I 14)1114,(J:619
/s1�/
110. Framing 7_30-ZO 220. Fixtures yiy ` 6-11'1 t �"�'(- T L-147 of
111. °cc./Area Sept.Wall r 221. Final plumbingpS:13-2e1 .(, I'I /y�1 6.4 3 ^ .)I / (pll)CK k
112. Sound walls 222. Sewer ca 'demo. 1 1 1
7-141
G � 4 �AI
113. T-bar'rid DI"F.
114. Insulation-Flr. Pool Inspections . Date I Insp. ARoufi . PK, 6\1
115. Insulation-Wall 7.30-AD W 240. Excavation/steel `O4 p.�A , i 1Der�J )� D/r./
116. Insulation-Ceil. 241. Rough plumbing O `l1 IiLN raw
117. Drywall nailing ��{ 1114 242. Light shelCbonding _OK,
118. Interior lath 243. Underground conduit
119. Exterior lath g-3.30 V'v 244. P-trap 2 S L` �'�(�r (' Alrik
.-0,
120. Finish grade 245. Gas line&test 6'1 c-2 ? t'i.ALL- C OA000
121. Final building - 6-21 246. Fence.gates&signs ,r-/�, - srr.. �^1kis o I
122. Final demoilot clear t (11\1 247. Pool heater IIJ u (C t/w"s
248. Final electric - -ral Flt o Y,V
Electrical Inspections Date Insp. 249. Final plumbing
150. Power pole /r-?9-r; *1 250. Pool cover -
151. Sales lot lighting 251. Pool final
152. Underground conduit
153. Underslab conduit Reroof Inspections Date I Insp. i
154. UFER ground 611- (q 270. Pre-reroof insp.
155. Water ground 271. Roof framing
156. Rough electrical 7-1-2 o 4:1K4\ 272. Sheathing nailing
-
157. Fixtures 273. Final reroof
158. G.F.C.I.
159. Es it.bondin. Sign Inspections I Date Insp.
160. Service panelC4b6k 4-2) . 280. Setback/overhang
161. Final electric 3-/7-2. 281. Footing
282. Conduibwirin.
Mechanical Inspections Date Insp. 283. Disconnect
180. Venting/flue 284. Final sign
181. Furnace!A.C.
182. Rouch HVAC .-('¢-)b .1. Miscellaneous Insp. 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 7-30,70 4-kA 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 (* 300. Lateral(main to Pit)
301. Saddle'Y
Block Wall Inspections Date Insp. 302. Cesspool filled
200. Footings 303. Sidewalk
201. Steelvebar 304. Driveway
202. Grout lift 305. Curb replacement _ T
203. Final wall 306. Trash bin - - -
City of Arcadia, CA Permit NO.Wall-21-0429
Development Services Department Permit Type:Wall
240 West Huntington Drive,Post Office Box 60021
Arcadia,CA 91066-6021 Work Classification:Wall-Garden Wall
(626)574-5416 Permit Status:Complete
ARCADIA Issue Date:03/11/2021 Expiration: 03/11/2022
Addr NO. Dir Prefix Street Name Street Suffix Unit City,State,Zip Parcel Number
1100 S FOURTH AVE Arcadia,CA 91006-4218 5780004036
4
Contacts
HENAN D R CONSTRUCTION GROUP INC Owner
C/O DAOYUAN HUANG
227 S Hamilton Dr Unit 111,BEVERLY HILLS,CA 90211-3480,
Description:TWO PILASTERS 4'HIGH 18"SQ.,ONE GATE Valuation: $ 118.08 Tenant
MOTOR,40 LF OF 1' HIGH STEM WALL WITH WOOD FENCE ON
TOP. Total Sq Feet: 0.00 Plan Check# Plan#
Fees Amount Payments Amount Paid
Building Issuing Fee $47.01 Total Fees $149.99
Building Permit Fees $40.65 Cash/Receipt It REC-07019-21 $149.99
Electrical Permit Issuance Fee $47.01
Motors,Generators<1 hp $8.07 Amount Due: $0.00
Solid Waste Management Fee $6.25
Solid Waste Management Fee 2 $1.00
Total: $149.99
7-2-( CALLS FOR INSPECTIONS
Request for inspection by telephone at 626-574-5450. Leave a message
_( 4 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
rl r
consecutive days or if no progressive work has been verified by a City of
„ Arcadia building inspector for a period of 180 consecutive days.
W1�riii a.I
IED
March 11, 2021
Issued By:Jeff Wang Date
September 03,2021 Page 1 of 1
s A.
`proJN.I%,
4PERMIT/PLAN REVIEW APPLICATION
Q►�' +
Development Services Department,240 West Huntington Drive,Post Office Box 60021
°' QabaltY 441. 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
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
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 (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
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
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).
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.
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
,.•., City of Arcadia, CA Permit NO. MEP-19-0192
Development Services Department Permit Type: MEP
240 West Huntington Drive,Post Office Box 60021
Arcadia,CA 91066-6021 Work Classification:MEP-Residential
(626)574-5416 Permit Status:Issued
A RCA D I A Issue Date:01/29/2019 1 Expiration: 07/28/2019
Addr NO. Dir Prefix Street Name Street Suffix Unit City,State,Zip Parcel Number
1100 S FOURTH AVE Arcadia,CA 5780004036
Contacts
SHENG,JIANG YAO AND QIU,LING AND Owner BORIS HUANG Agent for owner
YU,JIANG XIN C/O LISA LAU AND
COMPANY (310)754-5048
2633 Baldwin AVE,Arcadia,CA 91007
Description:FOR SF NEW.400 AMP SERVICE,2 200 AMP Valuation: $ 0.00 Tenant
SUBPANELS
Total Sq Feet: 0.00 Plan Check U Plan U
Fees Amount Payments Amount Paid
Bar Sink $13.21 Total Fees $1,797.15
Bathtubs/or Combo $13.21 Cash/Receipt#REC-00251-19 $1,797.15
Clothes Washer $26.42
Compressor<3 Ton(up to 3 hp) $119.16 Amount Due: $0.00
Dishwasher $13.21
Distribution Panel $32.96
Electrical Permit Issuance Fee $47.01
Fireplace Pre-Fab $59.84
Furnace or Burner<=100,000 BTU $119.16
Garbage Disposal Fee $13.21
Gas System(Outlets) $90.11 CALLS FOR INSPECTIONS
Install,Relocate Appliance Vent/Hood $19.88 Request for inspection by telephone at 626-574-5450. Leave a message
Kitchen Sink $26.42 requesting the address,timeframe and what inspection item is needed.
Lavatories $118.89
Lawn Sprinkler System on One Meter $19.86
Mechanical Permit Issuance Fee $47.01 This permit/plan review expires by time limitation and becomes null and
Misc.Plumbing Fixtures $13.21 void if the work authorized by the permit is not commenced within 180 days
Motors,Generators<1 hp $48.42 from the date of issuance or if the permit is not obtained within 180 days
New Residential Accessory Bldg (sq ft $46.48 from the date of plan submittal.This permit expires and becomes null and
area) void if any work authorized by this permit is suspended or abandoned for 180
New Residential Elect.(sq ft area) $589.60 consecutive days or if no progressive work has been verified by a City of
Plumbing Permit Issuance Fee $47.01 Arcadia building inspector for a period of 180 consecutive days.
Total: $1,797.15
S1-1 1
rA COMDLTED
January 29, 2019
Issued By: Date
January 29,2019 Page 1 of 1
4 ! 1 PERMIT/PLAN REVIEW APPLICATION
ce\E Development Services Department, 240 West Huntington Drive,Post Office Box 60021
mtia..,o4e 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
performance of the work for which this permit is issued.
Signature of Contractor
0 I have and will maintain workers'compensation insurance,as required by Section
OWNER-BUILDER DECLARATION
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 (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.
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
furtherinformation.
1 /�,'
Name L t'"v 1 (Title CC.J/`(P�
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 ente
r upon the above-mentioned property for inspection purposes. / /
SignatureDate C;r /'Z 9./ 70 /el
City of Arcadia, CA Permit No. EIec-18-2208
Development Services Department Permit Type:Electrical
/i 240 West Huntington Drive,Post Office Box 60021
Arcadia,CA 91066-6021 Work Classification:Elec-Temporary Power Pole
(626)574-5416 Permit Status:Issued
ARCADIA Issue Date:11/28/2018 i Expiration: 05/27/2019
Addr NO. Dir Prefix Street Name Street Suffix Unit City,State,Zip Parcel Number
1100 S FOURTH AVE Arcadia,CA 5780004036
Contacts
SHENG,JIANG YAO AND QIU,LING AND Owner ILLESCAS ELECTRIC* Electrical Contractor
YU,JIANG XIN C/O LISA LAU AND (C-10)
COMPANY 3714 E AVE S-12,PALMDALE,CA 93550
2633 Baldwin AVE,Arcadia,CA 91007 (818)441-6826
Description:TPP FOR SF NEW Valuation: $0.00 Tenant
Total Sq Feet: 0.00 Plan Check# Plan#
Fees Amount Payments Amount Paid
Electrical Permit Issuance Fee $44.35 Total Fees $76.85
Solid Waste Management Fee 2 $1.00 Cash/Receipt#REC-002995-2018 $76.85
Temp Power Pole(auto) $31.50
Amount Due: $0.00
Total: $76.85 ,
irelosce, - z7 -� �
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
i COMPLETED 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.
November 28, 2018
Issued By: Date
November 28,2018 Page 1 of 1
I
.F .
4
iv' womo PERMIT/PLAN REVIEW APPLICATION
le4.2. r.
e p., Development Services Department,240 West Huntington Drive,Post Office Box 60021
,bd•t,Y-'IV' 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,rand my license is in full force an effect. ❑ I have and will maintain a certificate of consent to self-insure for workers'
License Class l 'b License No.kOZS 3 Exp. Date03/f/IIy compensation, as provided for by Section 3700 of the Labor Code, for the
Signature of Contract
/ performance of the work for which this permit is issued.
OWNER-BUILDER DE LARATION ❑ 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' pensatni i�surance carrier and policy numbers are:
Code.Any city or county which requires a permit to construct,alter,improve, Carrier 12
demolish,or repair any structure,prior to its issuance,also required the applicant D
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.
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 infomation.
) Name c 1 j ( c cc-/J , ink l.• -L)...),. .,i .
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 i enter upon the above-mentioned property for inspection purposes.
Si:,_.00Date (( — 7- - .
City of Arcadia, CA Permit NO. FIRE-19-1921
Development Services Department Permit Type:Fire
240 West Huntington Drive,Post Office Box 60021
Arcadia,CA 91066-6021 Work Classification:Fire Sprinkler
• (626)574-5416 Permit Status:Issued
ARCADIA Issue Date:11/21/20191 Expiration: 03/18/2020
Addr NO. Dir Prefix Street Name Street Suffix Unit City,State,Zip Parcel Number
1100 S FOURTH AVE Arcadia,CA 5780004036
Contacts
SHENG,JIANG YAO AND QIU,LING AND Owner UNITED FIRE&SAFETY CO.* Contractor
YU,JIANG XIN C/O LISA LAU AND 2318 CHICO AVE,SOUTH EL MONTE,CA
COMPANY (951)279-8208
621096
2633 Baldwin AVE,Arcadia,CA 91007
•
Description: FIRE SPRINKS FOR SF NEW 65 HEADS Valuation: $9,000.00 Tenant
Total Sq Feet: 0.00 Plan Check#19-1921 Plan#
Fees Amount Payments Amount Paid
Fire Issuance $47.01 Total Fees $968.56
Fire Permit Fees $220.55 Cash/Receipt#REC-03157-19 $268.56
Solid Waste Management Fee 2 $1.00 Cash/Receipt#REC-02566-19 $700.00
Sprinkler Heads $700.00
Amount Due: $0.00
Total: $968.56
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
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
Pot!IIage !�4�
consecutive days or if no progressive work has been verified by a City of
I
Arcadia building inspector for a period of 180 consecutive days.
�>i.s
November 21, 2019
Issued By: Date
November 21,2019 Page 1 of 1
A.
I
%A
`*�,FOQ%/4.I
1 ^ PERMIT/PLAN REVIEW APPLICATION
®�� Development Services Department,240 West Huntington Drive, Post Office Box 60021
`� �.
�Yn ItY oS\\ 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:
I
Chapter 9(commencing with Section 7000,of Division 3 of the Business and
Professions Code,and ng license is in full force and peef�f t.
License Class ❑ I have and will maintain a certificate of consent to self-insure for workers'
�i'{ License No. 6=��(�j Exp. Date X13 / compensation, as provided for by Section 3700 of the Labor Code, for the
performance of the work for which this permit is issued.
/„ J
Signature of Contractor Itvti
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 83700 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 �J%��,s issued.My worker 'compensation-p'— G'insurance carrier and policy numbers are:
Code.Any city or county which requires a permit to construct,alter,improve, Carrier � 1 4t r-e?4 �
r »
demolish,or repair any structure,prior to its issuance,also required the applicant
Policy Number )� C. 'a3
for such permit to file a signed statement that he or she is licensed pursuant to the iL!
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
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 forJ`
sale(Section 7044,Business and Professions Code:The Contractors License Date /�Zj7/� 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. it
Name Crit (.....p(C.A.--- Title it,/ w
(Ol
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.
ignature Date 1/g./ /p
•
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0aaltoi�° ` PLANNING SERVICES
ATTENTION:
v"v 5 eo \#\11K) DATE: 6- O "vt
FROM: BUILDING SERVICES INSPECTOR: cleft-
PROPERTY ADDRESS: I /06 3 . '1e 7 7 l AVE-,
PERMIT#: 5NGGL1- / r6 --- 1 oZL74 PLAN#: -3.264 i
CONTRACTOR: CLaidgra. ibtlit0Eg- PHONE#: ✓167..E-st481 t I )Beg
OWNER: 1+ekileski 0• R , Cotk tq. PHONE#:
PLEASE INSPECT THE FOLLOWING ITEMS FOR COMFORMANCE WITH APPLICABLE PLANNING
REQUIREMENTS.
TYPE OF INSPECTION DATE & INITIAL DATE & INITIAL FINAL
APPROVAL
LANSCAPING/IRRIGATION
TRASH ENCLOSURES /
G ( 1kJzt ‘
PARKING/DRIVEWAYS �A- /
6 (< < I 2( 9i
STORAGE AREAS /
MECHANICAL EQUIPMENT e� '25 r u 5,
WALL HEIGHT / ( I f Zi moi'
BACKFLOW SCREENING ‘...-------
0/(1
�0/(1 I 2( 44-
COMMENTS:
ti4 O FoRAr
U y
oiRlil'�is`oi�
if:'P
�4aityot� MEMORANDUM
Fire Department
DATE: April 28, 2021
TO: BUILDING DEPARTMENT
INSPECTOR Jeff Wang
FROM: FIRE DEPARTMENT
SUBJECT: FIELD INSPECTION
ADDRESS: 1100 S. Fourth Avenue
THE FOLLOWING ITEMS WERE CHECKED FOR CONFORMANCE WITH APPLICABLE FIRE
DEPARTMENT REQUIREMENTS:
TYPE OF INSPECTION DATE / INITIAL
FINAL INSPECTION
FIRE SPRINKLERS (PC# 19-1921) 4-28-2021 Jill Perumean
FIRE ALARMS
HOOD & DUCT
KNOX BOX
OCCUPANCY (PC# 18-1208) Perumean
COMMENTS:
Emailed Bldg. Dept. 4-28-2021 Rita
00:#",-k1
itiEizmi re
WATER DIVISION
ATTENTION: DATE: -- 1
FROM: BUILDING DIVISION INSPECTOR: <jef T
ADDRESS: L l Ct2 �� � r 745V6
PERMIT NO.: VI• — --/G,20& PLAN NO.: 64 I
CONTRACTOR: t4Et4 p► R.' CO*67. PHONE NO.: 310-
OWNER:
10-OWNER: t A. t�k-, Ct* T PHONE NO.:
PLEASE INSPECT THE FOLLOWING ITEMS FOR CONFORMANCE WITH APPLICABLE DEPARTMENT
OF PUBLIC WORKS REQUIREMENTS.
Type of Inspection Date & Initial Date & Initial Final Approval
Meter Location
-t 5/6/�
Blackflow Devices
-b 5/bf
Irrigation System
Fire Sprinkler System
Meter Clear A.P.P.
% 5R6/a 1
�9B 5/6/a t
Swimming Pool
it
COMMENTS: !' . 4 V C. W,, 1 AA ! . ► 14-1t-f) N€)4 k �rn
I,t
r`t y I.,4 )q° VeV o <6,05N(
( o6 )5) N oro-1,, pyo -
!■f�!;!
tome
City of Arcadia
DEVELOPMENT SERVICES DEPARTMENT
Inter-Departmental Inspection Request
Date: -4- /
Public Works Inspector (erPF
To: /' From:
•
Address: POO' 5, Foeilz711 Permit No.: N i_j _ 120g
Contractor: uw L u 1 extei Phone No.: 3 iD -74-4-48 ( /s)
Owner: 144 b K • (.4;45-r Phone No.:
Please inspect the following items to ensure that the Contractor/Developer is in compliance with all conditions of
approval established for the project,and that the work performed meets the City's standard for Public Works
construction:
Type of Inspection Date& Initial Date& Initial Final Approval
Drainage
k60sl� z,
Grading
Erosion Control
Offsite Improvements
Street Iraprovement(s) \\e/ 46(3
(conduit, curb/curb &
gutter, curb numbers, 5-` (C•2
driveway approach, S . ,.•Z
parkway planting,
sidewalk, street light,
traffic flow, etc.)
Sewer(s)
(lateral,grease/san
interceptor, saddle, • �" pr
etc.)
COMMENTS: I I/ v M i' CJ GeA3 ste
.0) C3- f- tgb yfr-c-bt4
Rev.I/12/II --
,444,460hte
1
1 :�•f•?J l\C�c:F
rb
4•°4PonATEfl- CITY OF ARCADIA
240 West Huntington Drive
Arcadia, CA 91007
FINAL GRADING VERIFICATION
ATTENTION: Community Development Administrator
SUBJECT: Grading Verification for Project No. 17-023-263
Address: 1100 S.4th Avenue
Gentlemen:
Finish grading operations have been completed for Project No. 17-023-263
Lots through for
by the undersigned Registered Civil Engineer or(Li Licensed applicable)
d has s been inspected
Based upon the observations, the grading subsequent to the Rough Grading has been
completed in accordance with the approved plans and specifications and is in
substantial conformance with the final grading plan approved by the City and no
unauthorized deviations were made.
All required surface drainage devices have been installed. Provisions have been made
for drainage of surface waters around proposed buildings and their appurtenances.
QROFEsstok4
G s. to
Engineer(Signature) 040870 Architect(Signature)
R.C.E.No. 40870
Exp.3-31-23
R.P.A. No.
"t CIVIL ‘0%
Date: April 29, 2021 oF CALF
Received and approved:
4.44/ Date: C L2- j
r •
!�!�g
cc: C.D.D./Maint. Ser.
C.D.D./Building
Project Patricia, 1100 S. 4th Ave, Arcadia, CA 91006
Project Information:
Project Name: Project Patricia
15) Created
Tracking k: GH524-919-9016
Address: 1100 S.4th Ave.Arcadia,CA
Submitted
Permit#: SNew-18-1208-New Construction-12/27/18
Tract Number: N:A
Approved
Start Dale: 12/21/18
End Date: 1227/19 ell/ Tickets Uploaded (5)
Project Type: New Construction
Building Type: Residential Submitted For Final
Project Value: 51.400.000
Square Feet: 7,343 15) Completed
Description File: N A
Project Description: Single story Single family home with basement.
Selected Project Managers
1. Yu Li huang President bhua"g@bi.cl,gr4_V¢ 310-754-5048
Account Holder Info
Email Phone
1. Yu Li huang President Building Science Development Group,Inc. bhuang@bsd.group 310-754-5048
0.41010 LOS ANGELES COUNTY Robert General Manager Ferrante
Chief Engineer and Gene
SANITATION DISTRICTS 1955 Workman Mill Road,Whittier,CA 90601-1400
Converting Waste Into Resources Mailing Address: P.O. Box 4998,Whittier,CA 90607-4998
(562)699-7411 • www.lacsd.org
Counter Hours: 7:00 a.m.-4:00 p.m.Mon.-Thurs.
7:00 a.m.-3:00 p.m.Fri. Application No.: 5780004036-002
SEWERAGE SYSTEM CONNECTION FEE RECEIPT Date: April 20,2021
APN:5780 004 036 District No.: 15
Owner/Situs Address Applicant Information
NC HENAN D R CONSTRUCTION GROUP I Henan D R Construction Group(USA)Inc
1100 4TH AVE Yuli Huang
ARCADIA,CA 91006 227 South Hamilton Drive
Beverly Hills,CA 90211
Phone:(310)754-5048
F
Facility Type Measure of Use Unit Rate Amount
Single Family Home I) 1.00 UU
Single Family Home N 1.00 1)1.1 $1,551.00/DU $1,551.00
• 11004TH AVE.ARCADIA
Base Line Credit 1.00 CUs $1,551.00/CUs ($1,551.00)
Connection Fee Due $0.00
Type Abbreviations
N-New or Additional:C-Change of Existing;E-Existing to Remain;D-Demolition of Existing:T-Tenant Improvement of Existing:S-Septic to Sewer
New SFH;Demolishing Existing SFH;Demo Permit Provided;NO FEE REQUIRED
Includes demolition of I.00 DU of existing Single Family Home
Processor: Nell Madigan Approver:Kimberly Gonzalez SANITATION DISTRICTS
U.C.: n ,v OF LOS ANGELES COUNTY
%APPROVED
Payment Received Check No ,. Amount
Yuli Huang 50.00 ROBERT C.FERRANTE
br CHIEF ENGINEER&GEN.M!R.J
Valid Only When Stamped
THIS IS NOTA CONNECTION PERMIT.
A CONNECTION PERMIT IS REQUIRED BEFORE CONNECTING TO ANY SEWER.
DOC#6150801
1100 S. 4TH Ave Arcadia, CA 91007
Prepared for:
Boris Company"Boris Huang CIO"
1100 S. 4th Ave Arcadia CA, 91007
April 21,2021
Prepared by:
Javier Cabral Consulting Arborist
International Society of Arborists# WE- 8116A
1390 El Sereno Ave
Pasadena, California 91103
(626)818-8704
jctcabral@a,sbcglobal.net
ic i� I r(J) Javier Cabral
rra7 WE 8116A
ISA Certified Arborist® 31 COY:2(1,-2
International
(.,-
International Society of Arbsdadture
Boris Company"Boris Huang C/O 1100 S.4th Ave Arcadia,CA 910007 _ April 21,2021
Javier Cabral/Consulting Arborist Pg.# 1
•
Summary
Mr. Huang,
You have retained my consulting arborist services to provide a tree final tree inspection for protected trees at the
property described as 1100 S.4th Ave Arcadia,CA 910007. Construction has been completed and you are
submitting for planning review from the City of Arcadia.
The protected tree#5 Coast live oak,and# 17, 18,& 19 Crape myrtle trees were inspected by the Consulting
Arborist Javier Cabral on April 21,2021 and found to be in good health free from any visible construction
damage or stress.
Tree#5& 17(facin: north east)
a'
t
ltt
e r 6' A
141 _ F,
� ,ice,
1 I MEnk1
Tree# 17
41010 ,
Boris Company"Boris Huang C/O 1100 S.4'h Ave Arcadia,CA 910007 April 21,2021
Javier Cabral/Consulting Arborist Pg.#2
Tree#5& 17(facin: north east)
. .Y
implorsi.„„-
^f '� '•/'�'`) .y ji..
a7,'t.
• Y �•.. � y 00- -ti `.
ji +rOW '`
l
', •
'i .i. y .y 1' ?r Y. I � 1a
PPilleAlt '1"' /: ' ' .:• ;'`.:'
1 t.
,,4il Tree# 19 } ..:. .
di
rill
Boris Company"Boris Huang C/O 1100 S.41"Ave Arcadia.CA 910007 April 21.2021
Javier Cabral/Consulting Arborist Pg.#3
•
Thank you and feel free to contact me if you have any questions or concerns.
Yours truly,
Javier Cabral/Consulting arborist
1390 El Sereno Ave Pasadena, Ca 91103
International Society of Arboriculture # WE 8116A ««� � `'f` �;`�
Boris Company"Boris Huang C/O 1100 S.4'h Ave Arcadia.CA 910007 April 21,2021
Javier Cabral/Consulting Arborist Pg.#4
Certificate of Performance & Arborists Disclosure Statement
I Javier Cabral certify the following:
• No warranty is made,expressed or implied,that problems or deficiencies of the trees or the property will not
occur in the future,from any cause.The Arborist shall not be responsible for damages or injuries caused by any
tree defects and assume no responsibility for the correction of defects or tree related problems.The Arborist
assumes no responsibility for damage to trees as a result of the construction activities as the Arborist cannot be
present at all times to witness all construction tasks near the subject trees.
• The owner and client of the trees may choose to accept or disregard the recommendations of the Arborist or
seek additional advice if the owner decides not to accept the Arborists findings or recommendations.
• The Arborist has no past,present or future interest in the removal or preservation of any tree.The opinions
contained in the Arborist report are independent and objective judgements of the Arborist.
• The findings,opinions,and recommendations of the Arborist are based on based on the physical inspection of
said property.The opinions are based on knowledge,experience,and education.
• The Arborist shall not be required to provide testimony,provide site monitoring,provide further documentation
for changes beyond the control of the Arborist,be deposed,or to attend any meeting without contractual
arrangements for additional fees to the Arborist.
• The Arborist assumes no responsibility for verification of ownership or location of property lines,or for any
recommendations based on inaccurate information.
• This Arborist report may not be reproduced without the expressed written permission of the Arborist and the
client to whom the report was provided to.Any changes or alteration of this report invalidates the entire report.
• Arborists are tree specialists who use their education, knowledge, training and experience to examine
trees,recommend measures to enhance the beauty and health of trees,make recommendations to prevent or
minimize damage to trees during and after construction projects, and attempt to reduce the risk of living near
trees. Clients may choose to accept or disregard the recommendations of the arborist, or to seek
additional advice.
• Arborists cannot detect every condition that could possibly lead to the structural failure of a tree. Trees
are living organisms that fail in ways we do not fully understand. Conditions are often hidden within
trees and below ground. Arborists cannot guarantee that a tree will be healthy or safe under all
circumstances,or for a specified period of time. Likewise,remedial treatments,like any medicine,cannot
be guaranteed.
• Treatment,pruning and removal of trees may involve considerations beyond the scope of the arborist's
services such as property boundaries, property ownership, site lines, disputes between neighbors, and
other issues. Arborists cannot take such considerations into account unless complete and accurate
information is disclosed to the arborist. An arborist should then be expected to reasonably rely upon the
completeness and accuracy of the information provided.
• Trees can be managed,but they cannot be controlled. To live near trees is to accept some degree of risk.
The only way to eliminate all risk associated with trees is to eliminate all trees.
Boris Company"Boris Huang CIO 1100 S.4th Ave Arcadia,CA 910007 April 21,2021
Javier Cabral/Consulting Arborist Pg.#5
CITY OF ARCADIA
_ WATER EFFICIENT LANDSCAPING - ORDINANCE NO. 2330
/ CERTIFICATE OF COMPLETION
This certificate is to be filled out by the project applicant and acknowledged by the property owner(s) upon completion of the
landscaping project.
1. Project Information
Date of Project.Completion Permit Type and No.
OilY/7/zal' SINGLE.. FA-MtL'( uaw SNEW- 1>rr-720(
Project Name and/or Address
IIOU S. 41" AtrC freGM>114 oo6
Project Applicant and Title Property Owner/,/i;F1/+/4 p.Q. Cv451/4/(.7(0N 6twt'
044. 6W (rtar.DHA!si (0150 inc.
Company Name&Mailing Address Mailing Address
6,out.MhtJ /�rR GI-lt1f;C'G11iL�
(too k"4$ gL1/0 3 of, L.05It�c,&( 5
GA- °fo-e,2-e
Telephone and Fax Np(s),. Telephone and Fax No(s).
46 3c 31c'- X54"- 5t✓4s'
Email Address Email Address
6 ► e caooUKmAtuiKecrott- Lc ri gaits m44 of?- e GHAtL. Gcrwl
2. Answer the questions below:
a. Date the Landscape Documentation Package was submitted to the City of Arcadia
b. Date the Landscape Documentation Package was approved by the City of Arcadia
c. Date that a copy of the Water Efficient Landscape Worksheet or Prescriptive Measures Compliance Option was
submitted to the project water supplier
3. Project Applicant — Certification —The signer of the landscape design plan, signer of the irrigation plan, or the licensed
landscape contractor(s) that installed the landscaping and/or irrigation is to certify that the landscape project has been
constructed/installed in accordance with the approved Landscape Documentation Package and in compliance with Ordinance No.
2330 and State law. Where there have been significant changes made in the field during construction/installation, "as-built" or
record drawings shall be included with this certification.
"I/we certify that based upon periodic site observations, the work has been completed in accordance with
Ordinance No. 2330 and State law, and that the landscape planting and irrigation installation conform with the
criteria and specifications of the approved Landscape and Irrigation Plans and Landscape Documentation
Package and acknowledge that the project may be subject to inspection and a Landscape Irrigation Audit to
verify that the project's maintained in compliance with Ordinance No. 2330 and State law."
aturew,'',(l G • J � Date A' 21--34024(print) a {�•►�- Telephoneonand Fax No(s).
gmuvt G- L u ttl4?G.11�e is .s R s 4-4-
Title� ogc-A,P6 d/t'co ` ense No. ertification No.
au
CoiNany Email Address
19u LUi1004 rt,fin/ ssocia-r;-sc g1.4-c.0G1ZA>��ve4.-Tr'., UE--1—
MailluNdress
Os 4 ! 1 •(�,
Ley )n+U 4424.00 , q t C O fJ
4. Property Owner-Acknowledgment
"I/we certify that I/we have received copies of all the documents within the Landscape Documentation
Package and the Certificate of Completion for our project and that it is our responsibility to see that the
project is maintained in accordance with the Landscape and Irrigation Maintenance Schedule for our project,
including a diagram of the irrigation plan that shows the hydrozones posted with the irrigation controller, in
compliance with Ordinance No. 2330 and State law, and I/we acknowledge that the project may be subject to
inspection and a Landscape Irrigation Audit at any time to verify that the project is being maintained in
compliance with Ordinance No.2330 and State law." /
d�! z L/w Z-
Property Owner(s)Signature(s) Date
5. Include the following documents with this Certificate:
a. Irrigation Schedule—The parameters for setting the irrigation schedule on the controller(s)per Ordinance Section 7554.5.C.
b. Schedule of landscape and irrigation maintenance per Ordinance Section 7554.5.
c. Soil Analysis and Management Report(s), if not previously submitted with the Landscape Documentation Package per
Ordinance Section 7554.4.
d. Verification of implementation of recommendations from soil analysis report per Ordinance Sections 7554.4 and 7554.6.
-8- November 3,2016
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DEPARTMENT OF BUILDING AND SAFETY
STRUCTURAL OBSERVATION REPORT FORM
/ REPORT NO. _
THIS REPORT INCLUDES ALL CONSTRUCTION WORK THROUGH / S DAY OF 47l'7! > uj/C,
PAGE NO. / OF
PROJECT ADDRESS / /� (' 5 ct STRUCTU AL OBSERVER STRUC.OBS.PHONE NO.
f14-6,49> */ .A 9/0o,� ,M 41 //0-0-71/ t '?,C)s7Do?
OWNER LIC.OR REGISTRATION NO. 6ILDING PERMIT NO.
�.� 6 8 ''-O
OBSERVED STRUCTURAL ELEMENTS AND THEIR CONNECTIONS LOCATION AND PORTION OF BLDG. DATE
FOUNDATION ❑- WALL ❑- FRAMES 0- FLOOR
❑-ra,T1NGS,SLA'&STEM WALLS ❑- C' NC iETE ❑- STEEL MOMENT-SPECIAL ❑- CONCRETE
❑-PRESTRESSED CNCRETE SLABS ❑- M ;NRY ❑- STEEL MOMENT-ORDINARY ❑- STEEL DECK
0-CAISSONS,PILES,GW.DE BEAMS ❑- W.!!; ❑- STEEL BRACED ❑- WOO')
❑- HILLSIDE BLDGS-SPECIAL ❑- ❑- CONCRETE-DUCTILE ['-
FOUNDATION ANCHORS
❑- Cl- ❑- CONCRETE-NON-DUCTLE ❑-
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OBSERVED DEFICIENCIES: fr it)ET-
66 l Pftifig_�' /�� /A- ,
❑- DEFICIENCIES CONTINUED ON ATTACHED FORM(B&S 261 A)
C � o.C68205 m
SIGNED /.5. OF "? /r AT
DAY M NTH YEAR CITY O! \{� Exp.9/30/J?
sj-, CIVIL ; 1:";
0FCFi�f : /
WET SIGNATURE CF R ISIERED CIVIL CR STRUCTURAL ENGINEER OR LICENSED ARCHITECT STAMP OF ENGINEER OR ARCHITECT
STRUCTURAL OBSERVATION DOES NOT WAIVE ANY OF THE REQUIREMENTS FOR BUILDING INSPECTION BY AUTHORIZED EMPLOYEES OF THIS DEPARTMENT
DISTRIBUTION:STRUCTURAL OBSERVER TO SEND ORIGINAL TO THE BUILDING INSPECTOR'S OFFICE.ATTACH THE FIRST COPY TO THE APPROVER PLANS.AND KEEP SECOND COPY FOR STRUCTURAL OBSERVER'S RECORD AND DISTAIDOT!i'
DEPARTMENT OF BUILDING AND SAFETY
STRUCTURAL OBSERVATION REPORT FORM
REPORT NO.
THIS REPORT INCLUDES ALL CONSTRUCTION WORK THROUGH / ti L)\Y OF HAW } 2-0 f`�
�/ PAGE NO. / OF /
PROJECT ADDRESS / /0 0 Of 7f /FL's' STRUC URAL OBSERVER STRUC.OBS.PHONE NO.
C h 7/1-- (C,61-- '`i /7;"--://..s.) �' ?& S7/- 8--0->
OWNER LI .OR REGISTRATION NO. BING PERMIT NO.
c,6> 2e, - ,
OBSERVED STRUCTURAL ELEMENTS AND THEIR CONNECTIONS LOCATION AND PORTION OF BLDG. DATE
[ FOUNDATION ❑- WALL ❑- FRAMES ❑- FLOOR
❑-FOOTINGS,SLA:' STEM WALLS 0- CONCRETE ❑- STEEL MCMENT-SFECUAL 0- CONCRETE
❑-PRESTRESSED OACRETE SL'DS ❑-MASONRY 0- STEEL MOMENT-ORONARY ❑- STEEL DECK
❑-CAISSONS,PILES,Gat-DE BEAMS ❑- WOOD ❑- STEEL BRACED ❑- WOCI)
❑- .I'_LSIDE BLDGS-SPECLAL ❑- ❑- CONCRETE-DUCTILE ❑-
F UN)ATION ANCHORS
0- ❑- ❑- CONCRETE-NON-DUCTILE ❑-
B' / s linin , res rz-vvr /J77.6.0./v 6 e", ,,i(
D-
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OBSERVED DEFICIENCIES: A,d p_,,)s- i
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/ A / 770 i>12-°"‹
❑- DEFICIENCIES CONTINUED ON ATTACHED FORM(B&S 261 A)
QLOFES`i .
9 liPAV
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SIGNED Il OF �7 ZD if AT /�'�--C�°'� e�'�Cl� ((
DAY MON YE CITY \�sq Crvtl ,‘„:\\\",,,OF CA05'(")%
X --
WET SIGNATURE OF REGI RED CIVIL OR STRUCTURAL ENGINEER OR UCENSED ARCHITECT STAMP OF ENGINEER OR ARCHITECT
STRUCTURAL OBSERVATION DOES NOT WAIVE ANY OF THE REQUIREMENTS FOR BUILDING INSPECTION BY AUTHORIZED EMPLOYEES OF THIS DEPARTMENT
DISTRIBUTION:STRUCTURAL OBSERVER TO SENO ORIGINAL TO THE BUILDING INSPECTOR'S OFFICE,ATTACH THE FIRST COPY TO THE APPROVED PLANS,AND KEEP SECOND COPY FOR STRUCTURAL OBSERVER'S RECORD AND DISTRIBUTG:h''
DEPARTMENT OF BUILDING AND SAFETY
STRUCTURAL OBSERVATION REPORT FORM
Report No.
This report includes all construction work through t P day of 761 N e , 20 ty
No. of
Project Address: Structural O server of Record(SOR): Phone No.of SOR:
Building Permit No.: Structural Observation performed by: Professional Lic./Reg. No.of Observer: Pone No.of Observer:
rLa, _-2,,s•st-ctubo
OBSERVED STRUCTURAL ELEMENTS AND THEIR CONNECTIONS
FOUNDATION WALL FRAME FLOOR PORTION OBSERVED,IF NOT WHOLE
❑ Footing, Stem Walls ❑ Concrete ❑ Steel Moment Frame ❑Concrete
NiSWil-e-rjt Wei.C,
❑ Mat Foundation ("Masonry ❑ Steel Braced Frame ❑Steel l2''e,eNC/IALL
❑ Caisson, Piles, Grade Beams U Wood ❑ Concrete Moment Frame ❑Wood z6/16e4cf t k4l/L
❑ Retaining Foundation ❑ Others: ❑ Masonry Wall Frame ❑Others: Rat!, —77E • OWVIM&
❑ Others: ( ) ,rn�,y'�❑ Others: N 511-14-4-7-1°N it
OBSERVED DEFICIENCIES:
NU PepeceHCY
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SIGNATURE DATE STAMP OF ENGINEER
DEPARTMENT OF BUILDING AND SAFETY
STRUCTURAL OBSERVATION REPORT FORM
NO
THIS REPORT INCLUDES ALL CONSTRUCTION WORK THROUGH 2q DAY OF l 7,0/ T
PAGE NO. r OF 1
PROJECT ADDRESS /( O y 71 /105 • STRUCTURAL OBSERVER STRUC.OBS.PHONE NO.
/ (� v�2p' . CA 9/06,& 4/ , 6TH S e19
OWNER LIC./4-
REGISTRATION NO. LDING PERMIT NO.
OBSERVED STRUCTURAL ELEMENTS AND THEIR CONNECTIONS LOCATION AND PORTION OF BLDG. DATE
FOUNDATION 0- WALL 0- FRAMES ❑- FLOOR
Er-TWIG,SAB&STEM WI'S ❑- CONCRETE ❑- STEEL MCJMENT-SPECIAL ❑- CONCRETE
0-PRESTRESSED CONCRETE SLABS ❑- MASONRY ❑-STEEL MCOENT-ORDWY ❑- STEEL DECK
0-CAISSONS,RES,GRADE BEANS ❑- WOOD ❑- STEEL BRACED ❑- WOOD
❑-HLI.SIDE BLDGS-SPECIAL ❑- 0- CONCRETE-DUCTILE ❑-
FOUNOATION ANCHORS
❑' i 0- ❑-CONCRETE-NON-DUCTAL ❑-
i
❑-
-
❑-
OBSERVED DEFICIENCIES: /0,d IP-
it-0 G '6/;1Kr> i Xc( bt 0-0-S d (f�e' - ✓ ��5
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❑- DEFICIENCIES CONTINUED ON ATTACHED FORM(BBS 261 A)
OQPUrcZ
/ 410*::•Is y
•
SIGNE ' Z Of /. Al 4-4-cit-0 7� Act I • C6827/' m
C;; p.9/30/ �I
DAY M' 1 H EAR CI-1 Y � C 7 *'
P
x
WET SK dATURE %, REGISTERED CML CR STRUCTL fAL ENCNEER OR LICENSED ARCHITECT STAMP OF ENGINEER OR ARCHITECT
STRUCTURAL OBSERVATION DOES NOT WAIVE ANY OF THE REQUIREMENTS FOR BUILDING INSPECTION BY AUTHORIZED EMPLOYEES OF THIS DEPARTMENT
OISTRIBUTIOk.STRUCTURAL OBSERVER TO SEND DIIMENAI TO THE BUILDING INSPECTOR'S OFFICE.ATTACH THE FIRST COPY 10 THE APPROVED PLANS.AND KEEP SECOND COPY FOR STRUCTURAL OBSERVER S RECORD AND DISTRIEITA'NS
DEPARTMENT OF BUILDING AND SAFETY
STRUCTURAL OBSERVATION REPORT FORM
REP RT NO.
THIS REPORT INCLUDES ALL CONSTRUCTION WORK THROUGH 0 Cf DAY OF T 1 Zo
PAGE NO. I OF
PROJECT ADDRESS //00 it 74 ,V$ • STRyyURAL55RVER STRUC.OBS.PHONE NO.
/ler, 74 C 9 iee6 1 /e410/ 6 i6 __C 70 - Ye 6-DOWNER LIC.OR REGISTRATION NO. BUILDING PERMIT NO.
: g 2_o s
OBSERVED STRUCTURAL ELEMENTS AND THEIR CONNECTIONS LOCATION AND PORTION OF BLDG. DATE-1
❑- FOUNDATION 1=1- WALL El- FRAMES Cl- FLOOR 1
❑-MUMS,SLAB&STEM WALLS ❑-CONCRETE ❑- STEEL MOMENT-SPECIAL ❑- CONCRETE
❑-PRESTRESSED CCNCBETE&A1BS ❑- MASONRY ❑- STEEL MOMENT-ORGNAAY 0- STEEL DECK
❑-CAISSONS,RES,GRACE BEAMS ❑- WOOD ❑- STEEL BRACED ❑- WOOD
❑- HILLSICE BUMS-SPECIAL ❑- ❑- CONCRETE-DUCTILE ❑-
ECUNDATION ANCHORS
❑- Cl- ❑- CONCRETE-NON-CIJCTILE ❑-
12,,,,,,,„- s s Hzs- b- fErte ,s---1.
❑-
❑-
OBSERVED DEFICIENCIES:- S f'�' (Act( er. Srt s 6- kfid 7 litre-5� A-lt.fr pjev� j
v4' (5-1,40-p) e6 k iz G . R;FI, iz re°►--) ys (5. /e,
,,six,--), ii-4-44• ( '&-. S'/i-+'� - 141,-a ?- /firs & A-t-r 7r peo el.:) z—>! .
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G4.2,r -b bE ailioS z ©., e
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x �Gs*26- SIS-, e, Ay4,f�r� � '�y_ El- DEFICIENCIES CONTINUED ON ATTACHED FORM(B&S 261 A)
Or ' ' ,
��O? OFES ONq
�lF
I6 1 T
SIGNED en OF )0 AT " CA I
"' •.C68205 m
DAY 17 NT YEAR CITY `* x1 9/30/2/ */
X
WET SIGNA ' OF REGISIERED CML OR STRUCTURAL ENGINEER OR LICENSED ARCHITECT STAMP OF ENGINEER OR ARCHITECT
STRUCTURA OBSERVATION DOES NOT WAIVE ANY OF THE REQUIREMENTS FOR BUILDING INSPECTION BY AUTHORIZED EMPLOYEES OF THIS DEPARTMENT
DISTRIBUTION:STRUCTURAL OBSERVER TO SEND ORIGINAL TO THE BUILDING INSPECTOR'S OFFICE.ATTACH THE FIRST COPY TO THE APPROVED PLANS.AND KEEP SECOND COPY FOR STRUCTURAL OBSERVER'S RECORD AND DISTRIBUTIONS.
DEPARTMENT OF BUILDING AND SAFETY
STRUCTURAL OBSERVATION REPORT FORM
THIS REPORT INCLUDES ALL CONSTRUCTION WORK THROUGH 2� REPORT NO.
Dl\Y OF �-lC�f �17
l t
PAGE N0. r OF `I
PROJECT ADDRESS /' 00 $ U Z.1 ñ( - STRUCTURAL OBSERVER STRUC.OBS.PHONE NO.
OWNER Al-(A-D )7 CA ?f o bk 4 4,/ 6 s 7/ v ece
LIC. R REGISTRATION NO. LDING�PERMIT NO.
OBSERVED STRUCTURAL ELEMENTS AND THEIR CONNECTIONS LOCATION AND PORTION OF BLDG. DATE
FOUNDATION ❑- WALL ❑- FRAMES ❑- FLOOR
[-WINGS,SLAB&STEM WALLS ❑- CONCRETE ❑- STEEL MOMENT-SPECIAL ❑- CONCRETE
❑-PRESTRESSED CONCRETE SLABS ❑- MASONRY ❑- STEEL MOMENT-ORDINARY ❑- STEEL DECK
❑-C JSSGNIS,FILES,GRADE BEAMS 0- WOOD ❑- STEEL BRACED ❑- WOOD
❑- HILLSIDE BLDGS-SPECIAL ❑- 0- CONCRETE-DUCTILE 0-
FOUNDATION ANCHORS
0- 0- ❑- CONCRETE-NOA_r CTI1_E ❑-
❑-
0
❑-
OBSERVED DEFICIENCIES: /die AY IF-
6 1E 7xs0 C b s / (.6 4- ✓ga fr-s
,1 _i .,Yl( 7-n/ 7(AKV5 , ) -r,. ( .
7
❑- DEFICIENCIES CONTINUED ON ATTACHED FORM(B&S 261 A)
it
7,--
SIGNED Z OF L. s N••066205 in'
/1' AT nr--Cl1�a!/P CA p. s/3O/� �/
DAY MO TH — YEAR CITY
J
\<-1)41,)),,C1�I1 /
..,9.0z-r/r9�\�
X
WET SIGNATURE /REGISTERED CML OR SIHUCTURAL ENGINEER CR UCENSED ARCHITECT STAMP OF ENGINEER OR ARCHITECT
STRUCTURAL OBSERVATION DOES NOT WAIVE ANY OF THE REQUIREMENTS FOR BUILDING INSPECTION BY AUTHORIZED EMPLOYEES OF THIS DEPARTMENT
DISTRIBUTION:STRUCTURAL OBSERVER TO SEND ORIGINAL TO THE BUILDING INSPECTOR'S OFFICE.ATTACH THE FIRST COPY TO THE APPROVED PLANS,AND KEEP SECOND COPY FOR STRUCTURAL OBSERVER'S RECORD AND DISTRIBUTION;