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HomeMy WebLinkAboutRALT-19-2463 i•4.• City of Arcadia, CA Permit NO. RALT-19-2463 Development Services Department Permit Type:Residential Addition/Alteration 240 West Huntington Drive,Post Office Box 60021 Arcadia,CA 91066-6021 Work Classification:Res-Addition/Alteration (626)574-5416 Permit Status:Issued ARCADIA Issue Date:08/11/2020 1 Expiration: 08/11/2021 Addr NO. Dir Prefix Street Name Street Suffix Unit City,State,Zip Parcel Number 111 W LE ROY AVE Arcadia,CA 91007-4070 5782008028 Contacts YANG,HOWARD H AND AMANDA P Owner SAM ZHOU Applicant 111 W LE ROY AVE 320 W HOLLOW AVE,WEST COVINA,CA 91790 (626)622-1956 (626)632-4293 zigasinc@gmail.com Charles H Niles Construction Contractor 601 E Dalton,Glendora,CA 91741 568389 Description:REMODEL ENTIRE HOUSE TO ADD BED RM#4, Valuation: $ 111,336.90 Tenant BATH#3,LAUNDRY RM,ADDITION TO ENLARGE MASTER BED RM,CONVERT PORTION OF FRONT ENTRY,MEP INCLUDED, Total Sq Feet: 58.00 Plan Check#19-2463 Plan#296 REWIRE HOUSE,ADD NEW RECESSED LIGHTING. lREFRAME/RAISE ROOF,REPLACE WINDOWS, NEW A/C(ALL WORK PER APPROVED PLANS) 11111111111111111111111111111161111111111601011110. Fees Amount payments Amount Paid Bathtubs/or Combo $39.63 Total Fees $3,396.08 Building Issuing Fee $47.01 Cash/Receipt#REC-05184-20 $2,200.35 Building Permit Fees $1,306.80 Cash/Receipt#REC-03302-19 $1,195.73 Building Plan Review Fee $849.42 Cal Green Plan Check 584.95 Amount Due: $0.00 • Clothes Washer $13.21 Compressor 3-5 Ton(3 to 15 hp) $36.35 Dishwasher $13.21 Electrical Permit Issuance Fee $47.01 Energy Plan Review Fee $261.36 Furnace or Burner<=100,000 BTU $19.86 CALLS FOR INSPECTIONS Garbage Disposal Fee $13.21 Request for inspection by telephone at 626-574-5450. Leave a message Gas System(Outlets) $46.65 requesting the address,timeframe and what inspection item is needed. • Green Building Standard $5.00 Install,Relocate Appliance Vent/Hood $9.94 Kitchen Sink $26.42 This permit/plan review expires by time limitation and becomes null and Laundry Trays $13.21 void if the work authorized by the permit is not commenced within 180 days Lavatories $52.84 from the date of issuance or if the permit is not obtained within 180 days Mechanical Permit Issuance Fee $47.01 from the date of plan submittal.This permit expires and becomes null and New Residential Elect.(sq ft area) 5158.56 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 Parks&Recreation Fee(SFR) $165.30 Arcadia building inspector for a period of 180 consecutive days. Total: $3,396.08 77 OCT] .iiiir r -?V Vii_: August 11, 2020 Issued By: Date August 11,2020 Page 1 of 1 4 PERMIT/PLAN REVIEW APPLICATION i4, -. o,1etEm 4w, Development Services Department,240 West Huntington Drive,Post Office Box 60021 0anl,Y°(‘" Arcadia, CA 91066-6021, (626) 574-5416, Fax (626) 447-9173 City of Arcadia ICENSED CONTRACTOR'S DECLARATION WORKERS'COMPENSATION DECLARATION 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 hapter 9(commencing with Section 7000,of Division 3 of the Business and Professions Code,and my license is in full or ei d e�. El have and will maintain a certificate of consent to self-insure for workers' icense Classk ( L' .�. �+••• Date ignature of Contras� compensation, as provided for by Section 3700 of the Labor Code, for the performance of the work for which this permit is issued. -. OWNER-BUILDER DECLARATION ElI have and will maintain workers'compensation insurance,as required by Section El 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 NFIL for such permit to file a signed statement that he or she is licensed pursuant to the Policy Number l= 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 ElI 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 (� /(f _ sale(Section 7044,Business and Professions Code:The Contractors License / at�/ U " Law does not apply to an owner of property who builds or improves thereon, • or who does such work himself or herself or through his or her own employees,provided that such improvements are not intended or offered for WARNING: Failure to secure Workers'Compensation coverage is unlawful, sale. If,however,the building or improvement is sold within one(1)year of and shall subject an employer to criminal penalties and civil fines up to one completion,the owner-builder will have the burden of proving that he or she hundred thousand dollars($100,000),in addition to the cost of compensation, did not build or improve for the purpose of sale). damages as provided for in Section 3706 of the Labor Code, interest, and attorney's fees. ❑I, as owner of the property, am exclusively contracting with licensed contractors to construct the project(Section 7044, Business and Professions Code:The Contractors License Law does not apply to an owner of property CONSTRUCTION LENDING AGENCY who builds or improves thereon,and who contracts for such projects with a I hereby affirm under penalty of perjury that there is a construction lending agency contractor(s)licensed pursuant to the Contractors License Law). for the performance of the work for which this permit is issued (Section 3097, Civil Code). ❑ I am exempt under Section 7044,Business and Professions Code,for this reason: Lender's Name Date Signature Lender's Address IMPORTANT: APPLICATION IS HEREBY MADE TO THE BUILDING OFFICIAL FOR A PERMIT SUBJECT TO THE CONDITIONS AND RESTRICTIONS SET FORTH ON THIS APPLICATION AND THE FOLLOWING: 1. The City's approved plans and permit inspection card must remain on the job site for use by City inspection personnel. 2. Final inspection of the work authorized by this permit is required.A Certificate of Occupancy must be obtained prior to use and occupancy of new buildings and structures. 3. Per South Coast Air Quality Management District(AQMD)regulations,renovation and remodeling work that results in the removal,stripping,or altering of asbestos containing materials requires an asbestos survey and removal prior to disturbing the asbestos. Please contact AQMD at(909)396-2000 for further infotion./ /� /� /,, { amee C Cl►'l CM- K-S �/V t I`S Title �-/�'`�LLw— I P NT NAME N 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. _ Si(/ 0 ignatur- Date / NOTES Building Inspections Date Insp. Plumbing Inspections Date /Inrsp: /r( /� r// 100. Setbacks 210. Under fir/bldg.drain 7-23-20 , ! �-G /la 101. Rough grade 211. Copper underslab 102. Figs.&forms „� - �• 212. Rough plumbing ' 'ZS _211.27_2t Ht;.rr ,ice 103. Pre-slab j-- / 213. Rough gas . _...--- 104. 104. Floor joists 214. Shower pan 44-4 SbJcA. Gc`1C.oi-i/cr--keS 105. Steel 215. Water heater 106. Grout lift 216. Roof drains 107. Shear nailing 3-Z5-Z4 217. Building sewer 108. Diaph nailing 18. Water service 109. Roof nailing to .- - . 4.101 219. Final gas 23-2 110. Framing 3-2S---21 220. Fixtures ,�/ 111. Occ.Area Sept.Wall 221. Final plumbing ;.--6-2/ t"--'/ 112. Sound walls 222. Sewer caprdemo. 6'' I 113. T-bar grid 114. Insulation-Flr. Pool Inspections Date Insp. 115. Insulation-Wall S�Z I240. Excavation/steel 116. Insulation-Cell. l 41. Rough plumbing 117. Drywall nailing 3-3d- Fe 0242. Light shell bonding 118. Interior lath y-/6-2/ - 243. Underground conduit 119. Exterior lath 244. P-trap 120. Finish grade _ 45. Gas line&test 121. Final building g4-Z( 246. Fence.gates&signs 122. Final demo/lot clear 247. Pool heater 248. Final electric Electrical Inspections Date Insp. 249. Final.lumbin. 150. Power pole 250. Pool cover 151. Sales lot lighting 251. Pool final 152. Under.round conduit 153. Underslab conduit - Reroof Inspections Date Insp. 154. LIFER ground270. Pre-reroof insp. r 155. Water ground 25.` 271. Roof framing 156. Rough electrical 272. Sheathing nailing 157. Fixtures 273. Final reroof 158. G.F.C.I. 159. Et It.bondins Sign Inspections Date Insp. 160. Service panel80. Setback/overhang 161. Final electric �� 281. Footing 282. Conduit/wirin. Mechanical Inspections Date Insp. 283. Disconnect 180. Venting/flue 284. Final sign 181. Furnace/A.C. 182. Rouch HVAC 3-75-ZI d A 11 'Il-n., 1 .. Date Insp. 183. Fire dampers 290. Fire alarm 184. Furnace compartment 291. Underground supply 185. Combustion air 292. Fire sprinklers 186. Smoke detectors 293. Monitor system 187. Metal F.P.rough 294. Hood dry chem. 188. Compressor setback 295. Final 189. Commercial hood 190. Duct shaft MUM Sewers&Offsite Insp. Date I Insp. 191. Final mechanical `, --7 7- . 300. Lateral(main to P/L) 301. Saddle/Y Block Wall Inspections Date Insp. 302. Cess..ol filled 200. Footings 303. Sidewalk 201. Steel/rebar 304. Driveway 202. Grout lift 305. Curb replacement 203. Final wall 306. Trash bin of ARc 4 �tyiFOR,�9gd October 22. 2019 • Sam Zhou � ��. 320 N. Hollow Avenue @°n,tY of 0° West Covina, CA 91790 City of SUBJECT: Single-Story Architectural Design Review No. SSADR 19-23 PROJECT ADDRESS: 111 W. Le Roy Avenue Arcadia Dear Mr. Zhou, The Development Services Department has conditionally approved the Development single story design review project dated September 17, 2019, for a 77 Services square foot one-story single family addition and 35 square foot front porch expansion to an existing single-story residence at 111 W. Le Roy Avenue, Department subject to the following conditions: 1. The applicant/property owner shall comply with all City requirements regarding building safety, fire prevention, detection, suppression, Jason Kruckeberg emergency access, public right-of-way improvements, parking, water Assistant City Manager/ supply and water facilities, sewer facilities, trash reduction and Development Services recycling requirements, and National Pollutant Discharge Elimination Director System (NPDES) measures to the satisfaction of the Building Official, Fire Marshal, Public Works Services Director and Development Services Director. Compliance with these requirements is to be determined by having fully detailed construction plans submitted for plan check review and approval by the foregoing City officials and employees. 2. The applicant/property owner shall defend, indemnify, and hold harmless the City of Arcadia and its officials, officers, employees, and agents from and against any claim, action, or proceeding against the City of Arcadia, its officials, officers, employees or agents to attack, set aside, void, or annul any approval or conditional approval of the City of Arcadia concerning this project and/or land use decision, including but not limited to any approval or conditional approval of the City Council, Planning Commission, or City Staff, which action is brought within the time period provided for in Government Code Section 66499.37 or other provision of law applicable to this project or decision. The City shall promptly notify the applicant of any claim, action, or proceeding concerning the project and/or land use decision and the City shall cooperate fully in the defense of the matter. The City reserves the right, at its own option, to choose its own attorney to rep esent the City, its officials, officers, employees, and agents in the defense of the matter. 240 West Huntington Drive Post Office Box 60021 Arcadia,CA 91066-6021 (626)574-5415 (626)447-3309 Fax www.ArcadiaCA.gov There is a ten (10) day appeal period for this application. To file an appeal, a completed Appeal Application form must be submitted to the Community Development Division along with a $600.00 appeal fee by 4:30 p.m. on Friday, November 1, 2019. You will be notified if an appeal is filed. Approval of SSADR 19-23 shall not be of effect unless the property owner and applicant have executed and filed the enclosed Acceptance Form to indicate awareness and acceptance of these conditions of approval. The Acceptance Form is due now and if it is not received by November 22, 2019, this approval will become null and void. This approval shall expire in one year (November 2, 2020) from the effective date unless a building permit is issued and the construction is diligently pursued, a certificate of occupancy has been issued, or the approval is renewed. An extension may be granted by the Development Services Director or designee, or the Review Authority that approved the project for a maximum period of one (1) year from the initial expiration date. An extension can only be granted if the required findings can be made. Please note that acceptance of an extension request does not indicate approval of an extension. A building permit must be obtained prior to any construction activity. Please contact Building Services at (626) 574-5416 to determine the type of documentation, plans, and fees for the appropriate permit. This approval letter must be presented to Building Services to initiate the permitting process. You may visit the City's website at www.ArcadiaCA.gov/noticesanddecisions to view this letter. If you have any questions regarding the above approval, please contact me at (626) 574-5442 or by email at Itorrico@ArcadiaCA.gov. Thank you. Sincerely, DEVELOPMENT SERVICES DEPARTMENT Community Development Division/Planning Services r....t---. 1—c.----------' Luis Torrico Senior Planner Enclosure c. Amanda Yang, Property Owner 4. STRUCTURAL OBSERVATION REPORT FORM STRUCTURAL OBSERVATION means the visual observation of the structural system, for general conformance to the approved plans and specifications, at significant construction stages and at completion of the structural system. Structural observation does not include or waive the responsibility for the inspections required by Section 108, 1704 or cher sections of the Los Angeles County Building Code. (Sections 106.4.5, 1709) T`;s report includes all construction work through Z�da of Report No. _day FP 1:) ,20 '7/ Page No. of Pro ect .address: Structural Observer of Record (SOR): SOR Phone No.: ..not.",g{g Perm it No.: structural Observation Observr Professional Lic./Reg. No.: Observer Phone No. I performed by: �__ OBSERVED STRUCTURAL ELEMENTS AND THEIR CONNECTIONS . FOUNDATION WALL FRAMES ELEMENTS/CONNECTION FLOOR LOBSERVATION LOCATION -noting, Stem Walls ❑ Concrete ❑ Steel Moment Frame ❑ Concrete 12 Mat Foundation ❑ Masonry 0 Steel Braced Frame ❑ Steel Deck Caisson, Piles, 0 Wood 0 Concrete Moment ❑ Wood Grade Beams Frame Retaining Foundation 0 Others: 0 Masonry Wall ❑ Others: Hillside Special Anchors "tea v�� 't176"._ Frame _ j� 2 Others: i-(77'74.0_ 0,,4�Gt , 0 Others: 1 " / L�1-locF 1 Gr NOTED DEFICIENCIES with the proposed corresponding corrective actions with respect to general conformance with the approved plans or in the load path: (A final report by the structural observer which states that observed deficiencies have been resolved is required before acceptance of the Nurk by the building officials.) - p-a lam'i � u . v �� •ter- /' trvS G c) � — 4 6F I DECLARE THAT THE FOLLOWING STATEMENTS ARE TRUE TO THE BEST OF MY KNOWLEDGE: I. I AM THE ENGINEER OR ARCHITECT RETAINED BY THE OWNER TO BE IN RESPONSIBLE CHARGE FOR THE STRUCTURAL OBSERVATION IN ACCORDANCE WITH THE REQUIREMENTS OF THE COUNTY OF LOS ANGELES. 1 OR ANOTHER ENGINEER OR ARCHITECT WHO I HAVE DESIGNATED ABOVE UNDER MY RESPONSIBLE CHARGE, HAS PERFORMED THE REQUIRED SITE VISITS AT ----,,,\ �� EACH SIGNIFICANT CONSTRUCTION STAGE TO VERITY IF THE STRUCTURE IS IN GENERAL CONFORMANCE WITH APPROVED PLANS AND SPECIFICATIONS; �� ALL NOTED DEFICIENCIES WHICH REMAIN TO BE CORKliECTED HAVE BEEN INDICATED ABOVE;I RECOMMEND THAT ACCEPTANCE OF THE STRUCTURAL SYSTEMS BY THE COUNTY — - il I OF LOS ANGELES BE WITHHELD UNTIL ALL OBSERVED DEFICIENCIES ARE CORRECTED. /� S'GNATURE OF STRUCTURAL OBSERVER (STAMP OF STRUCTURAL OBSERVER) DATE y,,rsien :.0(2008 LACBC) Jan. 10 200 STRUCTURAL OBSERVATION REPORT FORM STRUCTURAL OBSERVATION means the visual observation of the structural system, for general conformance to the approved plans and specifications, at significant construction stages and at completion of the structural system. Structural observation does not include or waive the responsibility for the inspections required by Section 108, 1704 or cther sections of the Los Angeles County Building Code. (Sections 106.4.5, 1709) Report No. This report includes all construction work through 9 _day of Rab --ca,r, ,20 '-I Page No. of Project Address: Structural Observer of Record (SOR): SOR Phone No.: II yJ . llaelr 46-A/'G - hoz C tom. 1 ' 3 Tts..J Cv 12-1' 6 z-6.3-2--9) i Ler) Building Permit No.: Structural Observation Observr Professional Lic./Reg. No.: Observer Phone No.: performed by: J Ccy.-`l t4 0 C2-6 .y'i I'. 1- I OBSERVED STRUCTURAL ELEMENTS AND THEIR CONNECTIONS FOUNDATION WALL FRAMES FLOOR ELEMENTS/CONNECTION OBSERVATION LOCATION Footing, Stem Walls 0 Concrete 0 Steel Moment Frame 0 Concrete O Mat Foundation 0 Masonry 0 Steel Braced Frame 0 Steel Deck 0 Caisson, Piles, 0 Wood 0 Concrete Moment 0 Wood Grade Beams Frame G Retaining Foundation 0 Others: 0 Masonry Wall 0 Others: W Hillside Special Anchors Frame I T 0 Others: ® Others: X06 N i--- .M10,)41 NOTED DEFICIENCIES with the proposed corresponding corrective actions with respect to general conformance with the approved plans or in the load path: (A final report by the structural observer which states that ail observed deficiencies have been resolved is required before acceptance of the work by the building officials.) f2 a 0--4 c-T I DECLARE THAT THE FOLLOWING STATEMENTS ARE TRUE TO THE BEST OF MY KNOWLEDGE: 1. I AM THE ENGINEER OR ARCHITECT RETAINED BY THE OWNER TO BE IN RESPONSIBLE CHARGE FOR THE STRUCTURAL OBSERVATION IN ACCORDANCE WITH THE REQUIREMENTS OF THE COUNTY OF LOS ANGELES. 2. I. OR ANOTHER ENGINEER OR ARCHITECT WHO I HAVE DESIGNATED ABOVE AND IS UNDER MY RESPONSIBLE CHARGE, HAS PERFORMED THE REQUIRED SITE VISITS AT %:,.may dia Cy EACH SIGNIFICANT CONSTRUCTION STAGE TO VERITY IF THE STRUCTURE IS IN imp 47140 GENERAL CONFORMANCE WITH APPROVED PLANS AND SPECIFICATIONS; 0 nal/ Exp nal/ 3. ALL NOTED DEFICIENCIES WHICH REMAIN TO BE CORRECTED HAVE BEEN INDICATED • • OVIL ABOVE; F `n 4 I RECOMMEND THAT ACCEPTANCE OF THE STRUCTURAL SYSTEMS BY THE COUNTY OF LOS ANGELES BE WITHHELD UNTIL ALL OBSERVED DEFICIENCIES ARE CORRECTED. 2 —el- (STAMP OF STRUCTURAL OBSERVER) SIGNATURE OF STRUCTURAL OBSERVER DATE Version 1.0(2008 LACBC) Jan. 10 2008 STRUCTURAL OBSERVATION REPORT FORM STRUCTURAL OBSERVATION means the visual observation of the structural system, for general conformance to the approved plans and specifications, at significant construction stages and at completion of the structural system. Structural observation does not include or waive the responsibility for the inspections required by Section 108, 1704 or cther sections of the Los Angeles County Building Code. (Sections 106.4.5, 1709) Report No. Th;s report includes all construction work through - day of (') ,20 2-cc Page No. of Project Address: Structural Observer of Record (SOR): SOR Phone No.: I t( W .. 1—va-oy ,tr&-- /&42-e40.-17(.Al 17 o .3 Z',as�,.1 Cv r 6 z-6 3 1 Li-) BL;ilo ng Permit No.: Structural Observation Observr Professional Lic./Reg. No.: Observer Phone No.: performed by: 2,4.3 _,6... C�...t lam- o G'z-6 3 s9 t t 1- i _y OBSERVED STRUCTURAL ELEMENTS AND THEIR CONNECTIONS FOUNDATION WALL FRAMES FLOOR ELEMENTS/CONNECTION OBSERVATION LOCATION Footing, Stem Walls ❑ Concrete ❑ Steel Moment Frame 0 Concrete :: Mat Foundation 0 Masonry 0 Steel Braced Frame 0 Steel Deck Caisson, Piles, 0 Wood 0 Concrete Moment 0 Wood Grade Beams Frame Retaining Foundation 0 Others: 0 Masonry Wall 0 Others: 1, Hillside Special Anchors Frame Others: 0 Others: NL 1.4 ei NOTED DEFICIENCIES with the proposed corresponding corrective actions with respect to general conformance with the approved plans or in the load path: (A final report by the structural observer which states that observed deficiencies have been resolved is required before acceptance of the work by the building officials.) F SLA i�.�`Zl-� mit lam►'- )�itilcr DECLARE THAT THE FOLLOWING STATEMENTS ARE TRUE TO THE BEST OF MY KNOWLEDGE: 1. I AM THE ENGINEER OR ARCHITECT RETAINED BY THE OWNER TO BE IN RESPONSIBLE CHARGE FOR THE STRUCTURAL OBSERVATION IN ACCORDANCE WITH THE REQUIREMENTS OF THE COUNTY OF LOS ANGELES. 2. I. OR ANOTHER ENGINEER OR ARCHITECT WHO I HAVE DESIGNATED ABOVE AND IS G;1„ UNDER MY RESPONSIBLE CHARGE, HAS PERFORMED THE REQUIRED SITE VISITS AT , EACH SIGNIFICANT CONSTRUCTION STAGE TO VERITY IF THE STRUCTURE IS IN 1Zd11 GENERAL CONFORMANCE WITH APPROVED PLANS AND SPECIFICATIONS; rryp .y 3. ALL NOTED DEFICIENCIES WHICH REMAIN TO BE CORRECTED HAVE BEEN INDICATED \.J . V‘\' i ABOVE; 4 I RECOMMEND THAT ACCEPTANCE OF THE STRUCTURAL SYSTEMS BY THE COUNTY OF LOS ANGELES BE WITHHELD UNTIL ALL OBSERVED DEFICIENCIES ARE CORRECTED. c:N4,14-1 ,� /e) -- -- _U_nom (STAMP OF STRUCTURAL OBSERVER) S'GNATURE OF STRUCTURAL OBSERVER DATE Version 1.0(2008 LACBC) Jan. 10 2008 2a -'z( o STRUCTURAL OBSERVATION REPORT FORM STRUCTURAL OBSERVATION means the visual observation of the structural system, for general conformance to the approved plans and specifications, at significant construction stages and at completion of the structural system. Structural observation does not include or waive the responsibility for the inspections required by Section 108, 1704 or ether sections of the Los Angeles County Building Code. (Sections 106.4.5, 1709) Report No. This report includes all construction work through 2 2. day of Se-to 1_0-,20 ""2-0 Page No. _ of __, Project Address: Structural Observer of Record (SOR): SOR Phone No.. 1 k I. • - c-- A..-4,--7 2,d.1 __ . 17- ,..l na - 6 _ 3 ^ t L- ) B;:ilo:ng Permit No.: tructural Observation •bservr Professional Lic./Reg. No.: Observer Phone No. performed by. p�� T:—.,,1 cf-`j t.4- o _ az-6 32-9 i t 1- I rOBSERVED STRUCTURAL ELEMENTS AND THEIR CONNECTIONS FOUNDATION WALL FRAMES FLOOR ELEMENTS/CONNECTION OBSERVATION LOCATION Lr2 Footing, Stem Walls ❑ Concrete ❑ Steel Moment Frame 0 Concrete Mat Foundation 0 Masonry 0 Steel Braced Frame 0 Steel Deck J I C Caisson, Piles, 0 Wood 0 Concrete Moment 0 Wood EGrade Beams Frame C Retaining Foundation 0 Others: ❑ Masonry Wall 0 Others: . Hillside Special Anchors Frame I� f-Edl, ��� � _,,Cthers. �� . /2_45 ,1;,_06f.4., ❑ Others: I , NOTED DEFICIENCIES with the proposed corresponding corrective actions with respect to general conformance with the approved plans or in the load path: (A final report by the structural observer which states that ;, observed deficiencies have been resolved is required before acceptance of the work by the building officials.? ix"i tz--C., GSA--R...__ a.pc._ ,4.J Cl-ic 12- P .es L- �Cc a I DECLARE THAT THE FOLLOWING STATEMENTS ARE TRUE TO THE BEST OF MY KNOWLEDGE: I AM THE ENGINEER OR ARCHITECT RETAINED BY THE OWNER TO BE IN RESPONSIBLE I CHARGE FOR THE STRUCTURAL OBSERVATION IN ACCORDANCE WITH THE REQUIREMENTS OF THE COUNTY OF LOS ANGELES. i. OR ANOTHER ENGINEER OR ARCHITECT WHO I HAVE DESIGNATED ABOVE AND IS - UNDER MY RESpON$I81-E CHARGE, HAS PERFORMED THE REQUIRED SITE VISITS AT N2.eE� _- EACH SIGNIFICANT CONSTRUCTION STAGE TO VERITY IF THE STRUCTURE IS IN «o cc- .ti t,nrarfI II GENERAL CONFORMANCE WITH APPROVED PLANS AND SPECIFICATIONS; .,::..w. a." , AO s , 3. A24'411ALL NOTED DEFICIENCIES WHICH REMAIN TO BE CORRECTED HAVE BEEN INDICATED \ r ABOVE; xi. CIV OFV___--ie 1 I RECOMMEND THAT ACCEPTANCE OF THE STRUCTURAL SYSTEMS BY THE COUNTY ~- OF LOS ANGELES BE WITHHELD UNTIL ALL OBSERVED DEFICIENCIES ARE CORRECTED. II - ' -2 Z - 4-2)Z-a (STAMP OF STRUCTURAL OBSERVER} :;NATURE OF STRUCTURAL OBSERVER DATO Version 1.0(2008 LACBC) Jan 10 2ooe. / 60'-0" / / 20'-0" L 37'-0" / \ \ F—"."'.......: . . . . . .\. . . . a. . . q: . . . . . . . . . . of ° q ' e d ° ° ° (E) dU ` d • -. o 0 1•.•. 2-CAR GARAGE a r 4 :•:1 I N 400 SF. 4 d 1:•....:;"n \\\ a O . 4 C 11 .•: a // .° C 4 a 4e4/ . o // SWIMMING POOL ja ' qIla da TO BE FILLED=sa' :i II d //',/ ea '•7• o • (E) CONC. DRIVEWAY , 11" a jam\ d i o if N o d. 4• "° oQ� ° Ila d 11 ° . N d a a 4 ° 4. —‘1‘— • 4 ° VD:.EXPANSION 2/ ELECTRICAL PANFI :AKik•7F•SF:: 11 -0.. 6.--1" e 4 —\-- .4 \ f o° 11'-0"4 44'-0" 0 , o ' o I 4 0 1 O N N O ` (E) N " ON s. \� 1 STORY S.F.D. 1 0 4. 4. 1924-19+84=1998 SF. • I a (N) WATER HEATER\�, • 1., 1 to I d "q CN)A/C %' ' ' • • ' '• \ CONDENSER .fT:..... .' 0 A . ›- d ., (E)HOUSE AREA a - CONVERT TO o w • PORCH > f ce d 1=1a 19 SF. 7'-0" L 7'-0" -1. 17'-2" /I( Z GAS METER • L.,54:— .o ° o' (E)PORCH 7 . . . . ..•.•.•.•.•.•.•.• . �5 SF. n ° vl P� d e PL� q N I ° .. e LANDSCAPE :• : : ' (FRONT YARD) . .'•'. •' • • s,' :•LOT 7200 SF, : : : : : ., e" e Od £ ' ' ' ' ' ' ' ' ' ' ' ' ' ' ' '. A. a •:(•PI�D[44):•.•.•. •.•.•.•.•.•. J \ a . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . • . , . . . 111 W LE ROY AVE, ARCADIA PROPOSED SITE PLAN ,/4 E,.-o.