HomeMy WebLinkAboutRALT-20-0422 4,..; City of Arcadia, CA Permit NO. RALT-20-0422
Development Services Department Permit Type:Residential Addition/Alteration
240 West Huntington Drive,Post Office Box 60021 Work Classification:Res-Addition/Alteration
r Arcadia,CA 91066-6021
Permit Status:Issued
(626)574-5416
ARCADIA Issue Date:03/11/2020 I Expiration:
Street Suffix Unit City,State,Zip Parcel Number
Addr NO. Dir Prefix Street Name
L1220C RD Arcadia,CA910062240 5770012012
Contacts
GORMLY,RUTH K TR GORMLY FAMILY
Owner BRIX CO INC dba CONCEPT BUILDERS Contractor
TRUST 411 W CHESTNUT AVE,MONROVIA,CA 91016
1220 RANCHO RD (626)303-5052 643751
Description:TURN SOUTH FACING WINDOW IN BEDROOM TO I Valuation: $ 800.00
Tenant
A DOOR PER APPROVED HOA PLANS.SAME SIZE AND Total Sq Feet: 0.00 Plan Check it Plan#
LOCATION.
-1
Fees
Amount Payments Amount Paid
$47.01 Total Fees $156.75
Building Issuing Fee $156.75
Building Permit Fees $53.25 Cash/Receipt#REC-04089-20
Building Plan Review Fee $34.62 $0.00
Amount Due:
Cal Green Plan Check $3.47
Energy Plan Review Fee $10.65 ~
1 Green Building Standard $1.00
Solid Waste Management Fee $6.25
Strong Motion Inst.Program Res $0.50
Total: $156.75
CALLS FOR INSPECTIONS
Request for inspection by telephone at 626-574-5450. Leave a message
3r1�- j��/ -� requesting the address,timeframe and what inspection item is needed.
3,--3.7.4) F44( Z
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
consecutive days or if no progressive work has been verified by a City of
Arcadia building inspector for a period of 180 consecutive days.
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March 11, 2020
Issued By: Date
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March 11,2020
G,�,JFOq,�.� • r
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,�4 PERMIT/PLAN REVIEW APPLICATION
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,gpik , Development Services Department,240 West Huntington Drive, Post Office Box 60021
°'r'°"' Arcadia,CA 91066-6021,(626)574-5416,Fax (626) 447-9173
City of
Arcadia
LICENSED CONTRACTOR'S DECLARATION WORKERS'COMPENSATION DECLARATION
„LICENSED
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 Co) d my license is in full ice dt. ❑ I have and will maintain a certificate of consent to self-insure for workers'
License Class License No. Ezp. Date7r�� compensation, as provided for by Section 3700 of the Labor Code, for the
Signature of Contractor /44/c performance of the work for which this permit is issued.
❑ I have and will maintain workers'compensation insurance,as required by Section
OWNER-BUILDER DECLARATION
❑ I hereby affirm under penalty of perjury that I am exempt from the Contractors 3700 of the Labor Code,for the performance of the work for which this permit
License Law for the following reason(Section 7031.5,Business and Professions is issued.M worers'compensation insurance carrier and policy numbers are:
Code.Any city or county which requires a permit to construct,alter,improve, Carrier j e (,1/42VA//''.5/)47--
demolish,or repair any structure,prior to its issuance,also required the applicant �^—'
for such permit to file a signed statement that he or she is licensed pursuant to the Policy Number
(This section need not be completed if the permit is for one hundred dollars or less)
provisions of the Contractors License Law(Chapter 9(commencing with Section
7000)of Division 3 of the Business and Professions Code)or that he or she is
0 I certify that in the performance of the work for which this permit is issued,I shall
exempt there from and the basis for the alleged exemption. Any violation of
Section 7031.5 by any applicant for a permit subjects the applicant to a civil not employ any person in any manner so as to become subject to the workers'
penalty of not more than five hundred dollars($500)): compensation Laws of California,and agree that if I should become subject to the
workers'compensation provisions of Section 3700 of the Labor Code,I shall
❑I, as owner of the property, or my employees with wages as their sole forthwith comply with those provisions. ►�j�
compensation,will do the work,and the structure is not intended or offered for Q .E�"z�
sale(Section 7044,Business and Professions Code:The Contractors License Date J�//Z� 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
did not build or improve for the hundred thousand dollars($100,000),in addition to the cost of compensation,
�p purpose of sale). damages as provided for in Section 3706 of the Labor Code, interest, and
❑I, as owner of the property, am exclusively contracting with licensed attorney's fees.
contractors to construct the project(Section 7044,Business and Professions
Code:The Contractors License Law does not apply to an owner of property CONSTRUCTION LENDING AGENCY
who builds or improves thereon,and who contracts for such projects with a I hereby affirm under penalty of perjury that there is a construction lending agency
contractor(s)licensed pursuant to the Contractors License Law). for the performance of the work for which this permit is issued (Section 3097,
Civil Code).
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 a'sturbing the asbestos.Please contact AQMD at(909)396-2000 for
further information.
Name D'1" . er.ir"'t� /'
ie
PRINT NAME rile 1,
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 ! I perty for inspection purposes.
Signature �� ---//4"-C)i atc
1
CITY OF ARCADIA File#
HOA ARCHITECTURAL REVIEW BOARD
SHORT REVIEW APPLICATION
PLEASE COMPLETE THE FOLLOWING INFORMATION�f� REQUIRED): n�I
PROJECT ADDRESS 7CJ1 C) II
1C C ZIP
1 I Wv
APPLICANT(S) NAME C ��1^,� IL(rr5e_ r �hfz-
MAILIN DDRESS ,C) .�X el '3 L
CITY I • '�� STATE J ZIP q 110 7
E-MAIL ADDRESS ��?'•' ( , �� (L-/Fs l^i1�(�C ����YYil. • Cin
TELEPHONE NO. LOC9Nt.0,- 6 lS� F
PROPERTY OWNER(S) NAMERr\ril M( "Fary) '
I PCALS
MAILING ADDRESS 17,70? D (�
CITY f - AI q_ II STATE CR ZIP l (00 t' '
E-MAIL ADDRESS . (Q M l octo1, scrim
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TELEPHONE NO. `C t - ;311J n
PROJECT TYPE(Check applicable):
❑ Single-Story Remodel and Addition 0 Landscaping and Hardscaping ❑ Sport Court and Related Features
❑ Detached Accessory Structure(not 0 Pool and Spa Equipment ❑ Fences and/or Walls
ADUs)
Xl Facade Improvement ❑ Mechanical Equipment ❑ Ground-Mounted Solar
❑ In-Ground Swimming Pools/Spa with 0 Above Ground Swimming 0 Fountains,Water Features, or
Water Features Pools and Spa11 Statues f
GENERAL DESCRIPTION OF PROJECT: --ibrn,n 3)LJ k - rj (.r)� icO(
neTv1/\ i -&(gym vitn ar\ ex-t-72 r- col('
DOES THE PROJECT REQUIRE DISCRETIONARY APPROVAL BY THE DEVELOPMENT SERVICES DIVISION(E.G.,
PROTECTED TREES,ADMINISTRATIVE MODIFICATIONS,ETC.)? ❑ Yes ;No
If Yes, submit copies of the requests to the ARB for concurrent consideration
THE APPLICANT AND PROPERTY OWNER HEREBY DECLARE UNDER PENALTY OF PERJURY THAT ALL THE INFORMATION
SUBMITTED•- ' S APPLICA•N IS TRUE AND CORRECT.
APPLIC• S SIGNATURE DATE
PROPERTY OWNER'S SIGNATURE DATE
ACTIONS AND FINDINGS
APPROVED ❑ CONDITIONALLY APPROVED ❑ DENIED
CONDITIONS OR REASONS FOR DENIAL:
BY: I / /eaid DATE: .3 D L EXPIRATION:
THERE I • TEN(10) DAY APPEAL -ERIOD FOR THIS APPLI ATIO . APPEALS MUST BE SUBMITTED IN WRITING TO THE COMMUNITY
DEVELOPMENT DIVI •N WITH A$•00.00 APPEAL FEE BY P.M.ON
HOA Short Review -4- 11/19
HOA MAP AND ARB CONTACT INFORMATION
The Short Review process is for minor alterations to the existing house or to the property, and is
reviewed by the ARB Chair, or designee. The proposed project must comply with the City's Single-
Family Residential Design Guidelines.
1. PRELIMINARY INFORMATION GATHERING
Obtain and carefully review the specific zoning regulations and Design Guidelines for applicable to the
subject property. It is imperative that the proposed project is consistent with the both Zoning regulations
and Design Guidelines. Information regarding the Zoning and Design Guidelines can be obtained from
City's website at www.ArcadiaCA.gov and the Planning Division Counter.
2. CONTACT THE ARB CHAIRPERSON
Contact the ARB Chairperson to arrange a preliminary discussion of the design ideas for the site.
Conceptual plans, example photos, and renderings are encouraged for the ARB Chairperson to identify
any concerns early in the process.
3. ZONING COMPLIANCE
After a preliminary set of plans have been developed, please bring your plans to the Planning Services
Counter in City Hall for a preliminary review of the project. Planning staff may provide informal verbal
comments on zoning compliance and whether other discretionary permits are needed for the project.
These comments should be addressed prior to submitting to the ARB. Please note that these comments
will be general and additional issues may arise when Planning staff conducts a thorough review of the
application.
4. SUBMIT COMPLETE APPLICATION TO THE ARB
Once the applicant has compiled a "completed application," it should be submitted to the ARB
Chairperson to begin the review process. The applicant should follow the checklist included with the
application form. The checklist is intended to be comprehensive. Smaller projects, such as additions,
need not needed to conform to all the submittal requirements.
5. REVIEW OF APPLICATION
The application will be reviewed for completeness within 14-days of submittal. The ARB Chairperson will
notify the applicant if the application is found to be incomplete. Incomplete means that either all
information required was not submitted or, some of that information was found inadequate or inconsistent
with the Design Guidelines.You will be told what information we need to make your application complete.
Revised plans must be resubmitted with 90-days of the date of the incompletion letter or the application
will be consider withdrawn.
6. ARB DECISION
Within 14-days of a complete application being submitted, the ARB Chairperson shall approve,
conditionally approve, or deny, the application. The ARB Chairperson may defer action and refer the
application to the ARB for review and final decision under the Regular Review process. Within 10-days
days after final action by the ARB, a notice of the decision shall be mailed to the applicant and all other
persons who requested notice of the decision from the ARB.
7. BUILDING AND PLANNING PERMITS
After the project is approved, the next step will be to apply for a building permit. If the project requires
approval of any discretionary permits from the Planning Division those applications must be submitted
and processed prior to submitting plans to Building Services. The ARB's approval is valid for 12 months
following the date of final approval. The approval must be exercised prior to the expiration date.
HOA Short Review -3- 12/19