HomeMy WebLinkAboutRALT-21-0978 • *..` City of Arcadia, CA Permit NO. RALT-21-0978
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
A RCA D I A Issue Date:06/02/2021 Expiration: 12/13/2021
Addr NO. Dir Prefix Street Name Street Suffix Unit City,State,Zip Parcel Number
178 LONGLEY WAY Arcadia,CA 91007-8525 5788016016 1
Contacts
RICHARD WU Owner
178 LONGLEY WAY
(408)518-2553
Description:REMODEL 2 BATHROOMS AND KITCHEN (ESITING Valuation: $ 2,353.56 Tenant
LAYOUT TO REMAIN )
AMENDED 6-25-21 ADDING RECESSED LIGHTS IN LIVING Total Sq Feet: 0.00 Plan Check# Plan#
ROOM. -'
Fees Amount Payments Amount Paid
Building Issuing Fee $47.01 Total Fees $793.17
Building Permit Fees $120.35 Cash/Receipt#REC-08023-21 $42.51
Building Plan Review Fee $78.23 Cash/Receipt#REC-07791-21 $750.66
Cal Green Plan Check $7.83
Dishwasher $13.21
Amount Due: $0.00
Double Fee(Building) $120.35
Electrical Permit Issuance Fee $47.01
Energy Plan Review Fee $24.07
Garbage Disposal Fee $13.21
Green Building Standard $1.00
Install,Relocate Appliance Vent/Hood $9.94 CALLS FOR INSPECTIONS
Kitchen Sink $13.21 Request for inspection by telephone at 626-574-5450. Leave a message
Lavatories $52.84 requesting the address,timeframe and what inspection item is needed.
Light Fixtures $22.82
Mechanical Permit Issuance Fee $47.01
Outlets-Receptacles&Switches $16.30 This permit/plan review expires by time limitation and becomes null and
Plan Check,Per Hour $26.08 void if the work authorized by the permit is not commenced within 180 days
Plumbing Permit Issuance Fee $47.01 from the date of issuance or if the permit is not obtained within 180 days
Shower $13.21 from the date of plan submittal.This permit expires and becomes null and
Shower Pan $26.42 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
Solid Waste Management Fee $6.25 Arcadia building inspector for a period of 180 consecutive days.
Total: $793.17
lit C MPLETE
0
7—Z 7-2, �+---�
June 02, 2021
Issued By: Henry Kenrick Date
June 25,2021 Page 1 of 1
.. .:_._,,,,, � . PERMIT/PLAN REVIEW APPLICATION
441b.
r Development Services Department,240 West Huntington Drive,Post Office Box 60021
0..,..,.f" Arcadia,CA 91066-6021,(626)574-5416,Fax(626)447-9173
City of
Arcadia
LICENSED CONTRACTOR'S DECLARATION WORKERS'COMPENSATION DECLARATION
0 I hereby affirm under penalty of perjury that I am licensed under provisions of I hereby affirm under penalty of perjury one of the following:
Chapter 9(commencing with Section 7000,of Division 3 of the Business and
Professions Code,and my license is in full force and effect. ❑ I have and will maintain a certificate of consent to self-insure for workers'
License Class License No. Exp. Date compensation, as provided for by Section 3700 of the Labor Code, for the
Signature of Contractor performance of the work for which this permit is issued.
OWNER-BUILDER DECLARATION 0 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
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 Date b 1is(2( Signature ~
sale(Section 7044,Business and Professions Code:The Contractors License
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 information.
\si
ame 0(c U Y) itle
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.
1 •
S gnature ��/ ate
b/ zc I Uzi
S ,
City of Arcadia, CA Permit NO. RALT-21-0978
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
A RCA IA Issue Date:06/02/2021 Expiration: 06/02/2022
Addr NO. Dir Prefix Street Name Street Suffix Unit City,State,Zip Parcel Number
l 1178 LONGLEY WAY Arcadia,CA 91007-8525 5788016016
Contacts
RICHARD WU Owner
178 LONG LEY WAY
(408)518-2553
Description:REMODEL 2 BATHROOMS AND KITCHEN (ESITING Valuation: $ 2,353.56 Tenant
LAYOUT TO REMAIN )
Total Sq Feet: 0.00 Plan Check# Plan#
1
Fees
Amount Payments Amount Paid
Building Issuing Fee $47.01 Total Fees $750.66
Building Permit Fees $120.35 Cash/Receipt#REC-07791-21 $750.66
Building Plan Review Fee $78.23
Cal Green Plan Check $7.83 Amount Due: $0.00
Dishwasher $13.21 '
Double Fee(Building) $120.35
Electrical Permit Issuance Fee $47.01
Energy Plan Review Fee $24.07
Garbage Disposal Fee $13.21
Green Building Standard $1.00
Install,Relocate Appliance Vent/Hood $9.94 CALLS FOR INSPECTIONS
Kitchen Sink $13.21 Request for inspection by telephone at 626-574-5450. Leave a message
Lavatories $52.84 requesting the address,timeframe and what inspection item is needed.
Light Fixtures $22.82
Mechanical Permit Issuance Fee $47.01
Outlets-Receptacles&Switches $16.30 This permit/plan review expires by time limitation and becomes null and
Plumbing Permit Issuance Fee $47.01 void if the work authorized by the permit is not commenced within 180 days
Shower $13.21 from the date of issuance or if the permit is not obtained within 180 days
Shower Pan $26.42 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
Solid Waste Management Fee $6.25
consecutive days or if no progressive work has been verified by a City of
Solid Waste Management Fee 2 $1.00 Arcadia building inspector for a period of 180 consecutive days.
Total: $750.66
-,
r:T COM$LETED
9/61 June 02, 2021
Issued By: Henry Kemick Date
June 02,2021 Page 1 of 1
FAR
.�yIFOq,�'!
o.. :,�
PERMIT/PLAN REVIEW APPLICATION
0 1 j�, Development Services Department, 240 West Huntington Drive, Post Office Box 60021
m°o,,y "° Arcadia, CA 91066-6021, (626) 574-5416, Fax (626) 447-9173
City of
Arcadia
LICENSED CONTRACTOR'S DECLARATION WORKERS'COMPENSATION DECLARATION
❑ I hereby affirm under penalty of perjury that I am licensed under provisions of I hereby affirm under penalty of perjury one of the following:
Chapter 9(commencing with Section 7000,of Division 3 of the Business and
Professions Code,and my license is in full force and effect. ❑ I have and will maintain a certificate of consent to self-insure for workers'
License Class License No. Exp. Date compensation, as provided for by Section 3700 of the Labor Code, for the
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
❑ I hereby affirm under penalty of perjury that I am exempt from the Contractors 3700 of the Labor Code,for the performance of the work for which this permit
License Law for the following reason(Section 7031.5,Business and Professions is issued.My workers'compensation insurance carrier and policy numbers are:
Code.Any city or county which requires a permit to construct,alter,improve, Carrier
demolish,or repair any structure,prior to its issuance,also required the applicant
for such permit to file a signed statement that he or she is licensed pursuant to the Policy Number
provisions of the Contractors License Law(Chapter 9(commencing with Section (This section need not be completed if the permit is for one hundred dollars or less)
7000)of Division 3 of the Business and Professions Code)or that he or she is
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 Sectio 700 of the Labor Code,I shall
❑I, as owner of the property, forthwith comply with those provisions.
or my employees with wages as their sole , t I
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 / 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 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:
t/ ' Lender's Name
I t J ,/
r,(J `
�ih
Date f f 1-21 Signature L ~ 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:
I. The City's approved plans and permit inspection card must remain on the job site for use by City inspection personnel.
2. Final inspection of the work authorized by this permit is required.A Certificate of Occupancy must be obtained prior to use and occupancy of new buildings
and structures.
3. Per South Coast Air Quality Management District(AQMD)regulations,renovation and remodeling work that results in the removal,stripping,or altering
of asbestos containing materials requires an asbestos survey and removal prior to disturbing the asbestos. Please contact AQMD at(909)396-2000 for
further information. p.
1
Name ())iN\\1 l r,{ 4) Title .,\ cif,1
PRINT N ME
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•tnept'onedproperty for inspection purposes.
l11� I
Signature Date "�i?' Zi
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NOTES
Building Inspections Date Insp. Plumbing Inspections Date Insp.
100. Setbacks 210. Under flr./bldg.drain
-
101. Rough grade 211. Copper underslab
102. Figs.&forms 212. Rough plumbing 6-a-24
103. Pre-slab 213. Rough gas
104. Floor joists 214. Shower pan L/-u//`
105. Steel 215. Water heater
106. Grout lift 216. Roof drains
107. Shear nailing 217. Building sewer _
108. Diaph nailing 218. Water service
109. Roof nailing 219. Final gas
110. Framing 220. Fixtures L
111. Occ./Area Sept.Wall 221. Finalal7-Z7-Z(-�l-Z�
112. Sound walls 222. Sewer cap/demo.
113. T-bar'rid
114. Insulation-Flr. Pool Inspections Date Insp.
115. Insulation-Wall 240. Excavationisteel
116. Insulation-Ceil. 241. Rough plumbing
117. Drywall nailing Light shell/bonding
118. Interior lath (o/`j'-Lr/ °f c 243. Underground conduit
119. Exterior lath 244. P-trap
120. Finish grade 6,.245. Gas line&test
121. Final building 7-27-27 246. 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. Underground conduit
153. Underslab conduit Reroof Inspections Date Insp.
154. UFER ground 270. Pre-reroof insp.
155. Water ground r/71. Roof framing
156. Rough electrical 6.47-2-( 272. Sheathing nailing
-
157. Fixtures 273. Final reroof
158. G.F.C.I.
159. E.It.bondin. Sign Inspections Date I Insp.
-
160. Service panel /280. Setback/overhang
161. Final electric Z-Z7-Z(fif7/ 281. Footing
282. Conduit/wirin.
Mechanical Inspections Date Insp. 283. Disconnect
180. Venting/flue 284. Final sign
181. Furnace/A.C.
182. Rouch HVAC 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 294. Hood dry chem.
188. Compressor setback 295. Final
189. Commercial hood
190. Duct shaft Sewers&Offsite Insp. Date I Insp.
191. Final mechanical 300. Lateral(main to P/L)
301. Saddle/Y
Block Wall Inspections Date Insp. 302. Cess•..l filled
200. Footings 303. Sidewalk
201. Steel/rebar 304. Driveway
202. Grout lift 305. Curb replacement
203. Final wall 306. Trash bin