HomeMy WebLinkAboutSNew-20-1622 City of Arcadia, CA Permit NO.SNew-20-1622
• Development Services Department Permit Type:Single Family New
240 West Huntington Drive,Post Office Box 60021 Work Classification:SF/New- Pool House
r Arcadia,CA 91066-6021
(626)574-5416 Permit Status:Approved
ARCADIA /-5-2021 Issue Date: I Expiration: 12/23/2021
1
Addr NO. Dir Prefix Street Name Street Suffix Unit City,State,Zip Parcel Number
960 HAMPTON RD Arcadia,CA 91006-1913 5761012011
Contacts .
BUSTER WILLIAMS Owner MIKE GARVEY Contractor
960 HAMPTON RD,Arcadia,CA 91006-1913
(626)315-7349 (805)223-5405
Description:CONVERT EXISTING REAR COVERED PATIO Valuation: $47,519.75 Tenant
ATTACHED TO GARAGE TO A POOL HOUSE PER HOA APPROVAL .
WITH 1 BATH 355 SQ**(NON CONDITIONED SPACE)** Total Sq Feet: 355.00 Plan Check#20-1622 Plan#383
INCLUDES ELECTRICAL AND PLUMBING SHOWER ONLY
Fees Amount Payments Amount Paid
Building Issuing Fee $47.01 Total Fees $1,959.33
Building Permit Fees $781.00 Cash/Receipt#REC-05676-20 $994.62
Building Plan Review Fee $507.65 Cash/Receipt#REC-06451-21 $964.71
Cal Green Plan Check $50.77
Amount Due: $0.00
Electrical Permit Issuance Fee $47.01
Energy Plan Review Fee $156.20
Green Building Standard $2.00
Light Fixtures $3.26
Outlets-Receptacles&Switches $9.78
Plumbing Permit Issuance Fee $47.01
Shower $13.21 CALLS FOR INSPECTIONS
Single Family Fire Plan Check $280.00 Request for inspection by telephone at 626-574-5450. Leave a message
Solid Waste Management Fee $6.25 requesting the address,timeframe and what inspection item is needed.
Solid Waste Management Fee 2 $1.00
Strong Motion Inst.Program Res $6.18
SWMF FEE 2 $1.00 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
Total: $1,959.33 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.
5 COMPLETED
Issued By: Date
January 05,2021 Page 1 of 1
$F A•
4 : li PERMIT/PLAN REVIEW APPLICATION
, t4,. 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
0 1 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
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, Carver
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
exempt there from and the basis for the alleged exemption. Any violation of `fir' I certify that in the performance of the work for which this permit' v
Section 7031.5 by any applicant for a permit subjects the applicant to a civil ,i .t employ any person in any manner so as to become sub'- to the workers'
penalty of not more than five hundred dollars($500)): compensation Laws of California,and agree that if I should .. •me su.ject to the
workers'compensation provisions of Section 3700 of the La.. C..ee,I shal
❑I, as owner of the forthwith comply with those provisions. 1 ;
pe property, or my employees with wages as their sole � -� �� `
compensation,will do the work,and the structure is not intended or offered for 4 r-
sale(Section 7044,Business and Professions Code:The Contractors License Içe Signature ,4j
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($100000) 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
eas owner of the property, am exclusively contracting with licensed je) ipn
tractors to construct the project(Section 7044,Business and Professions attorney's fees.
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).
1►A am exempt under Section 7044,Business and Professions ,for this on:
/
Lender's Name
Date ��� Signature Lender's Address
IM ORTANT: APPLICATION IS HEREBY MADE TO a'r`m'- I,DING OFFICIAL FOR A PERMIT
SUBJECT TO THE CONDITIONS AND
0
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 15,.Ue3 &t L& l 1-(441-144,.5Title JlupI
PRINT NAME fl
I certify that I have read this applicati 1 and state that e above information is correct and that I am the owner or duly authorized agent of the owner.
I agree to comply with all City o .. .ances and State .ws relating to building construction. I hereby authorize representatives of the City of
Arcadia to en • . .'s . thea. eve- e t 1 ,ed property fe inspection purposes.
Signature / 1 ( I t ' Date ` , eces a_.1
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®o ( • Proposed Pool House
C (E) Pwd Rm . 5'-10" A/
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n Existing Garage
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Roof' Line Above
18-0x7-0
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Proposed Detached Garage And Pool House Remode
EXISTING WINDOW AND DOOR DEMO SCHEDULE
SYMBOL SIZE (FEET—INCHS) TYPE AND MODEL NO. QTY
O3-0 x 4-0 SLIDER WINDOW, VINYL, DUAL GLAZED, LOW EMISSION 2 NEW
BO 4-0 x 4-0 SLIDER WINDOW, VINYL, DUAL GLAZED, LOW EMISSION 2 NEW
OC 2-8 x 2-8 SLIDER WINDOW, VINYL, DUAL GLAZED, LOW EMISSION 2 EXISTING '
0
3-0 X 6-8 EXTERIOR GLASS DOOR 1 EXISTING
.••,r City of Arcadia, CA Permit NO. Plum-21-0862
Development Services Department Permit Type:Plumbing
240 West Huntington Drive,Post Office Box 60021 Work Classification:Plumbing Residential
Arcadia,CA 91066-6021
(626)574-5416 Permit Status:Issued
ARCADIA Issue Date:05/11/2021 f Expiration: 05/11/2022
Addr NO. Dir Prefix Street Name Street Suffix Unit City,State,Zip Parcel Number
960 HAMPTON RD Arcadia,CA 91006-1913 5769012011
Contacts
BUSTER WILLIAMS Owner
960 HAMPTON RD,Arcadia,CA 91006-1913
(626)315-7349
Description:INSTALL WATER HEATER FOR POOL HOUSE PER Valuation: $ 0.00 Tenant
APPROVED PLANS.(CS) Total Sq Feet: 0.00 t Plan Check# Plan#
Fees Amount Payments Amount Paid
Plumbing Permit Issuance Fee $47.01 Total Fees $63.56
Solid Waste Management Fee 2 $1.00 Cash/Receipt#REC-07589-21 $63.56
Water Heater and/or Vent $15.55
Amount Due: $0.00
Total: $63.56 -
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
consecutive days or if no progressive work has been verified by a City of
Arcadia building inspector for a period of 180 consecutive days.
RI COMPLETED
May 11, 2021
Issued By:John Zurick Date
May 11,2021 Page 1 of 1
us
PERMIT/PLAN REVIEW APPLICATION
od44,
s, 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. ❑ 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 CII 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
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 rA rtrfy that in the performance of the work for which ..permit is issued,I s all
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 becom subject to the wor rs'
penalty of not more than five hundred dollars($500)): compensation Laws of California,and agree that if I sho d become i bject 6 the
workers'compensation provisions of -- '. •700 of t'- Labor ode, shall
forthwith comply with those provisi.CII, as owner of the property, or my employees with wages as their sole
,compensation,will do the work,and the structure is not intended or offered for _ /1 I
sale(Section 7044,Business and Professions Code:The Contractors License Date 11.r4: 1--..Signature •• I a♦
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 ' .fessions Code,for'•'s reason:
Lender's Name
f
ITWIIIIIIIIrlrjtOr-
l
Date I.. Signaturerid. Lender's Address
MPORTANT: 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 UrC st - W t ( Glikwt,5 isle (0 Li) �JL�+2
PRINT NAME
I ertify that I have read this application an, :to that the above • ormation is corr t and that I am the owner or duly authorized agent of the owner.
I •gree to comply with all City ordinan%•s and State Laws relat ng to building construction. I hereby authorize representatives of the City of
A, adia to •• upon he above-mention., . •r. inspectio• purposes.
iliic - ( ( a
Si:nature � �� A ,-'� Date � —
I