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POOL-21-0362
Permrt No Poo,1 21 0362 i'Ltit` � City of Arcadia, CA , • qifif ) Development Services Department } v �^ - �, p4 Permit Type -Pool/Spa; ; 240 West Huntington Drive,Post Office Box 60021 s Work Classification.PoolResidential }, 9� Arcadia,CA91066-6021 .ti °"'1, � � •l � "-1 (626)574-5416 " PermrtStatus Issued, A.RCAD IA IssueDate 03/02/2021 I • . .. Expiration: 03/0 2/2022 Addr NO. Dir Prefix Street Name Street Suffix Unit City,State,Zip Parcel Number 1801 OAKWOOD AVE Arcadia,CA 91006-1724 5765021012 Contacts CUELLAR,ANTHONY M CO TR CUELLAR Owner FAMILY TRUST 1801 OAKWOOD AVE (626)321-3747 Description:119 PF OF INGROUND POOL&SPA Valuation:p $ 28,784.91 Tenant Total Sq Feet: 0.00 Plan Check# Plan# Fees Amount Payments Amount Paid Building Issuing Fee $47.01 Total Fees $1,193.31 Building Permit Fees $538.75 Cash/Receipt#REC-06924-21 $1,193.31 Building Plan Review Fee $350.19 Amount Due: $0.00 Electrical Fee(Motors,Fix,Wiring) $71.71 - Electrical Permit Issuance Fee $47.01 Plumbing Permit Issuance Fee $47.01 Pool Piping $28.69 Pool P-Trap $11.51 Solid Waste Management Fee $6.25 Solid Waste Management Fee 2 $1.00 Swimming Pool,Spa/HotTub Heater $43.18 CALLS FOR INSPECTIONS SWMF FEE 2 $1.00 Request for inspection by telephone at 626-574-5450. Leave a message requesting the address,timeframe and what inspection item is needed. Total: $1,193.31 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 oiB 1 from the date of issuance or if the permit is not obtained within 180 days v\1 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 fora period of 180 consecutive days. March 02,.2021 Issued By:Steven Roberts Date March 03,2021 Page 1 of 1 1! 1ill ' PERMIT/PLAN REVIEW APPLICATION ii o j• Development Services Department,240 West Huntington Drive,Post Office Box 60021 m-,.o,.,ofIP 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 aci 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 (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 ofKuI 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 S ion 700 of the Labor Code,I shall RI, as owner of the property, or my employees with wages as their sole forthwith comply with those provisio . ? compensation,will do the work,and the structure is not intended or offered for DateSigna 3 12. �Z�'zsale(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. ❑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 Dat 0Z J22i Signa a a,, CF, 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. J� / Name 4N- i-1`� a 4 C4•t 142 Title 0 L.ti C 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 comp with all City ordinances and State Laws relating to building construction. I hereby authorize representatives of the City of A a to enter u on the above-me ' ned roperty for inspection purposes. 12. //-2 �SignDate X UTRffYPOLE 75-cr /. C. E70STIG 6'FENCE -,0 UTILITY EASEMENT I� . ATE PLANTER jr-PCANTER N. NEW POOL r ECUIPMENT AREA / IS-Y / 21 S' -0 I_ S 0' I2 / i9 CI a 11' I f f ��EXISTING GE ASS AREA A Ia-2' a-' 11'-e / / / / - Se-S. %e S-0" / x �y -Irma I'TROUGH G i �{ V BAJA LEDGE AROUND SPA SPA b b E., ENGINEERED n Ffy RDRAWNGs r-e- - �R DETAILED �,1 / m I POOL CONCRETE l _ NFORMATICN DRIVEWAY t / -0' % a-0' /'-6% 1'-0'\ If r O.-eI 6.DEEPIrt 1'COPING o AJ DEED POOL EXISTING S FENCE-� 4. NI EtiJ Qaa L 4 a. .: t POOL 57 I /V bATC -. --.; _ CONCRETE .r.4STAL DRIVEWAY T. �EX BRIOR[MORI.:1 HBWALL - AT ALL EXTERIOR WORSE 1 Pm- ACCESX•/-_ 1 L SDEEP e ti. . .i-'`-. .. --1 \ �,:g 1S_a• 16•-a• (NO CHANGE) 1 / _ / ._ S LIGHTED DEECOTWTER ' FEATURE(SEE POOL --fe'TALL WALL �t ' !A--�� I''_ - --...- -VEHICLEGATE--„ 1. • \.- ".I I .'4 T-I £-..,.. \ r - 1 - OESTRIPN SEII -T•, ...J b PA1aEL' 1 . .- - ..I I ' .`. ry'°aGL_- I _ _ 1 i . Y l il _`~"��� •1),AIARM TO NSTALLED , r•'i� \ ATALL Eft DOORS I{ ' WffH POOLSCCOLACCESS / I _ CONCRETE `I f/•t,•-r��r.�.--J..' - DRIVEWAY • - -WATERNEATER- - \ CHANGE) b L'.(E)AC CONDENSOR'. /5-10'1 1S-e / 42'-10' / 10.-10' / it g z z z b Fa 2 CONCRETE AREA + e GRASS AREA CONCRETE DRIVEWAY STEET CURB 1801 O721/4KW6OD AVE ED k'`-tc 0 ibk0PLiFoR4.4g'f�•, 4 Cv r:A6-.-72._ .xi Ar.'.a., 4.. AFFID A,VIT SELF©CE''TIFICATION 1 FOR CtMPLIANCE OF SMOKE ALARMS AND CARBON MONOXIDE ALARMS Property Address: I �O / 0 (+ 1(Were) kv-e-nv4 Permit Number: ,R.,, Gei,r:u t 2 i -0 3 b` . Brief Job Description: �p - k� �k` 1-4 Number of smoke alarms installed: Number of carbon monoxide alarms installed: Z When alterations, repairs or additions requiring a permit occur, or sleeping rooms are created, Smoke alarms shall be installed in each sleeping room, and outside each separate 1 sleeping area in the immediate vicinity of the bedrooms, and on each additional story of the dwelling, including basements and habitable attics as required by Section R314 of the 2016 California Residential Code (CRC) and California Health and Safety Code Section 13113.7, For dwellings or sleeping units containing fuel burning appliances or having attached garages, carbon monoxide alarms shall be installed outside each separate sleeping area in the immediate vicinity of the bedrooms, and on each additional story of the dwelling, including basements as required by Section R315 of the of the 2016 California Residential Code (CRC). Multi-purpose alarms (combination carbon monoxide.and smoke alarms) may be used. : All alarms shall comply with requirements for listing and approval by the Office of the State Fire Marshal. http://osfm.fire.ca.gov/licensinglistines/licenselistinq bml searchcotest.php As owner of the above referenced property, I hereby certify that the smoke alarms and carbon monoxide alarms have been installed in accordance with the manufacturer's instructions and in compliance with the code sections referenced above. I declare under penalty of Perjury that th- foregoing is true and correct, ,::nd that this declaration was executed on (Date) _ 61_1"7 ) 292t at Arcadia, California. Owner's Name (print d/typ d): 4rsa\.o,-, /4 ' . a-'11/-‘ Sig ,atureofOwne ° /"4 __.-- This affidavit must be returned to the City of Arcadia inspector prior to final inspection S * E A IV', ND AR'40 JOJXIDE AR CATIONS ......., 4.,Guest Room Room 'IA JO * Bathroom U Storage V - rt V D (f---f7\---'----"----'-'-' Family Room = Garage ...._ ..._ _._ FI NST 01-0g;."' PLAN (:).w. SMOCE ALARM El ... CARBON MON*giot AL iveM -*`' . L. - ' ' 1,7—TYL71--- 14 t • - I _ . ' =-.,.: . -,-, • - .. : -1,-___, Bath ::. : : .1 .-. - : . Master Bedroiim Ditilag Rom :itchOn ,-..---- 1 Hall . 0 E ' ci..1°'61_ - - Closet Family Room • 0 0 - ' Bedroom • Bedroom — , • ----------„--- ---,.--.-4----,-----' i . CIO FLOOR PLAN 0.-SMOKE ALARM I -.3 CARrzON MONOXtD ALARM