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SNew-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 • 1 \ ,.%.,::,..,.------ r I ,,,,',.,,:,:7----- A. / ----•. :;;:,,,.'... V J' --1,7.1:`'... ..,,,::- \ I V / \' r.: I I. i W n .;,77--Ail. j . n _ ,. ' z I Q 1 X ! / RG 01 0c. ' i- a c. y Z o0 0o T, v1 ) A , �o r, '71 0 w ` �� Cz o I C) O �/ / ' 0 N G z o 0 C x F d mica.) jco et H Y [cii ,-s I •o tra I 9 �c o of O /A % �,�/ ,. z C e 4. 3 9 to n \'/gam �'� ‘\*.,.,.,', '\ y C C UO fC 0. O f C • �, I I � jI I 1111 �°_ea I a. 11 0111 i f< •<' ° q 0�0 O0 �' �'! ;Z 1 o C `i { < n co . c4n i z r- y , Cr1 \ 1/ C7 _1! 111911,11 li. o\t 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 0901-IL9 OW:XV! 0931-10(OW,I31 • • • ■ • I39L9 q Y399'O►OM 139M'3 9LS IT a- GIOO@ NORIET/WD W� 90016 VO•VIGVD V a e ')N9013LL1U) Qll l I�3 3()N3Av HIV'S 001 rt ._y= p ■ 1� u ■ . Noiiv001103f0ad d d I I� i Y illi 4t td Pgpr I i zo _Io LiiIDi1 Qlik � . 1 1. z „,) , x. V d. g3( :y- g 3�� N i g v aW5sO: 41')4 gig ill tO g ��- a Ofig h t I :1 I r f- i a} 7g ! c a X ;14 a O z ° r, 253 Z s s �� 0py/ g{R�[dE i w i (3Lu o .. iVd° ,..'25!..,,2 25� 2 : ° s � JKa �`Ygh ZJCV 33 '_° elegy * _ _i ° 0 11 6 , �� g J 0_o m g og Z 0- z i 3i re * 6 W2> Wx' o E �I c _11 dwri. 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WC S him i F 1 - ►° -- +I_ —" - 'ply b .I =oI r - a4n .�� NIS s _ I- j Oma' :'' 111 I y g,•.- L I 0 I .1U 1 �' -.i�i. 5.11V1 i 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 ❑- RE-4,1/2,./e- /id( Air K6-A s vs- ❑ Xza 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- I ❑- I OBSERVED DEFICIENCIES: A,d p_,,)s- i ,4/( it-0 71 �an`7 0-. AZ-1;71-0.-S. At--g-:J. Z.-^1 It-fort a - / A / 770 i>12-°"‹ ❑- DEFICIENCIES CONTINUED ON ATTACHED FORM(B&S 261 A) QLOFES`i . 9 liPAV c c Z w •.068205 m ', xp.9/30// � q 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 O F Esso ‘`;_ G PE l`�2=U � S3948 m rn m m I * `XP.0313i \UC7U�� �P \��C.4L1c0 -6 i6 -1-6, q 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 il--x.F A-W i-*/ 1910-ct-- , sem-ri-ri --r-c 1 TE-f/4- - 1 ❑- 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—>! . S-c f, 6-k 16004 A. 40.6-- at/ 7; &i & . i- its - G4.2,r -b bE ailioS z ©., e SCO C 4ya --s T,51; 7v -67, e,' // ric e. Gte 6-. Mt-s- o.e- �'va. b Ac l'(ns rye- S7p. @. /gam #/ ,tic p,,! ,p',,•a, a. 6 itiMew ' i (ala-c. i?,.-*) -) 6) 5 p kA-S ff,c 51-1_10.J 6- r-s s-✓7-o - �d 'Jfi- 17-4 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;