HomeMy WebLinkAboutRALT-21-1046 .01City of Arcadia, CA Permit NO. RALT-21-1045
Development Services Department Permit Type:Residential Addition/Alteration
240 West Huntington Drive,Post Office Box 60021
Work Classification:Res-Window Change-Out
1
Arcadia,CA 91066-6021
(626)574 5a16 Permit Status:Issued
ARCADIA Issue Date:07/23/2021 I Expiration: 07/25/2022
Addr NO. Dir Prefix Street Name Street Suffix Unit City,State,Zip Parcel Number
1401 N BALDWIN AVE Arcadia,CA 91006-2021 5769016006
Contacts
AHMAD,SHAHNAWAZ CO TR S AND F Owner FIRST STEP BUILDERS INC Contractor
AHMAD TRUST 3855 RIVERTON AVE#3 RIVERTON AVE 3,STUDIO CITY,CA 91604
1401 N BALDWIN AVE (323)603-8605 1070374
Description:CHANGE OUT 6 WINDOWS,3 CHANGING FROM Valuation: $ 5,783.00 Tenant
CRANK TO SLIDER. BEDROOM WINDOW TO COMPLY WITH
EGRESS. HOA APPROVAL#216 Total Sq Feet: 0.00 Plan Check# Plan#
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Fees Amount Payments Amount Paid
Building Issuing Fee $47.01 Total Fees $381.44
Building Permit Fees $170.45 Cash/Receipt#REC-08306-21 $381.44
Building Plan Review Fee $110.80
Cal Green Plan Check $11.08 Amount Due: $0.00
Energy Plan Review Fee $34.09
Green Building Standard $1.00
Solid Waste Management Fee $6.25
Strong Motion Inst.Program Res $0.76
Total: $381.44
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.
r COMPLETED
July 23, 2021
Issued By:John Zurick Date
July 23,2021 Page 1 of 1
r1FOT4,.,
PERMIT/PLAN REVIEW APPLICATION
E43 j� Development Services Department, 240 West Huntington Drive, Post Office Box 60021
0�6ei.,a o. Arcadia, CA 91066-6021, (626) 574-5416, Fax (626) 447-9173
City of
Arcadia
I,JCENSED CONTRACTOR'S DECLARATION WORKERS'COMPENSATION DECLARATION
a'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 Bus�'gess : d 4
Professions Cod d my license is in full force and effect. Q/2) ;s.�►' ■ I have and will maintain a certificate of consent to self-insure for workers'
License Class License No l0 7 D314 Ex pate compensation, as provided for by Section 3700 of the Labor Code, for the
Signature of Contractor rformance of the work for which this permit is issued.
OWNER-BUILDER DECLARATION 1 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'coryca6on insurance carrier and policy numbers are:
Code.Any city or county which requires a permit to construct,alter,improve, Carrier D Y
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 ��7Signature
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).
❑ 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. /1,
N me S��n i` \Title / t- �UvrlPd H 9-e��"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
rcadia to enter upon the above-mentioned property� for inspection purposes.
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APPRC dED PLANS
FILING REQUIREMENTS (CONT d�1ITAPR[1PFRTYOIHN
•
PLEASE COMPLETE THE FOLLOWING INFORMATION (REQUIRED): "` INION
PROJECT ADDRESS 1401 N. Baldwin Avenue
DAZE
APPLICANT(S) NAME Shahnawaz Ahmad
MAILING ADDRESS 1401 N. Baldwin Avenue �:�-" �M.YI'F. Y:•.a.M •wN�
CITY Arcadia STATE CA ZIP 91006
E-MAIL ADDRESS sahmad@saassociates.net
TELEPHONE NO. Work: 626-821-3456; Cell: 626-826-3456
PROPERTY OWNER(S) NAME Shahnawaz Ahmad
MAILING ADDRESS 1401 N. Baldwin Avenue
CITY Arcadia STATE CA ZIP 91006
E-MAIL ADDRESS sahmad@saassociates.net
TELEPHONE NO. Work: 626-821-3456; Cell: 626-826-3456
PROJECT TYPE (Check applicable):
❑ Single-Story Remodel and Addition ❑ Landscaping and Hardscaping ❑ Sport Court and Related Features
❑ Detached Accessory Structure (not ❑ Pool and Spa Equipment ❑ Fences and/or Walls
ADUS)
\I Façade Improvement ❑ Mechanical Equipment ❑ Ground-Mounted Solar
❑ In-Ground Swimming Pools/Spa with ❑ Above Ground Swimming ❑ Fountains, Water Features, or
Water Features Pools and Spa Statues
GENERAL DESCRIPTION OF PROJECT: Replace 4 front windows
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 FOR THIS APPLICATION IS TRUE AND CORRECT.
5-11/ 01.\ ^ �� �e� -1 JULY 8, 2021
APPLICANT'S SIGNATURE DATE
v--64 U�� wro`-1 JULY 8, 2021
PROPERTY OWNER'S SIGNATURE DATE
ACTIONS AND FINDINGS
Igr APPROVED El CONDITIONALLY APPROVED ❑ DENIED
CONDITIONS OR REASONS FOR DENIAL:
BY: mama, DATE: - I 141-2-021 EXPIRATION:
THERE IS A TEN( 0)DAY APPEAL PERIOD FOR THIS APPLICATION. APPEALS MUST BE SUBMITTED IN WRITING TO THE COMMUNITY
DEVELOPMENT DIVISION WITH A$600.00 APPEAL FEE BY P.M.ON
HOA Short Review -1- 12/19