HomeMy WebLinkAboutROOF-21-1503 P � Y
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Permit ivo ROOD 21 15033,14111.-
City of Arcadia, CA ,d6 ,h
ci Development Services Department p . � y° s Permit hype ROOF
240 West Huntington Drive,Post Office Box 60021
° I Work Glassificahon Reroo '$Residential
Arcadia,CA 91066-6021 ;, � � } � � }� i z.4 f
'( (626)574-5416 x Permit Status Issued
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A_ CADIA � "' Y issueDate o8/16/zO21 Expiration: 08/16/2022
Addr NO. Dir Prefix Street Name Street Suffix Unit City,State,Zip Parcel Number
954 ENCANTO DR Arcadia,CA 91007-6103 5776007009
Contacts
JENNY LAI Owner SUNSHINE ROOFING* Contractor
954 ENCANTO DR,ARCADIA,CA 91007, 516 Diamond Bar#183, Diamond Bar,CA 91765
(626)795-3688 (909)861-6037 755126
Description:T.0 REROOF HOUSE/GARAGE WITH BORAL SHAKE Valuation: $ 31,000.00 Tenant
600 STONE MOUNTAIN BLEND CLASS A 52 SQ.HOA APPROVAL
Total Sq Feet: 0.00 Plan Check# Plan#
Fees Amount Payments Amount Paid
Building Issuing Fee $55.00 Total Fees $732.50
Building Permit Fees $633.39 Cash/Receipt#REC-08501-21 $732.50
Solid Waste Management Fee $6.25
Technology Fee(Permit) $37.86 Amount Due: $0.00
Total: $732.50
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 fora period of 180 consecutive days.
El COMPLTD
E
August 16, 2021
Issued By:John Zurick Date
August 16,2021 Page 1 of 1
Ane
U~4 oFF RN,.-h,
i' PERMIT/PLAN REVIEW APPLICATION ,
•
\ je Development Services Department,240 West Huntington Drive,Post Office Box 60021
m°ni[Y°tH° 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 license is in full forc d e ect. ! _Vt..'),I ❑ 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 DECLA TION ❑ I have and will maintain workers'compensation insurance,as required by Section
❑ I hereby affirm under penalty of pe ' ry that,I am exempt from the Contractors 3700 of the Labor Code,for the performance of the work for which this permit
is issued.M workers'
License Law for the following reas (Section 7031.5,Business and Professions y ��pensat' insurance carrier and policy numbers are:
Code.Any city or county which quires a permit to construct,alter,improve, Carrier ,p w!i
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 / 53
provisions of the Contractors License Law(Chapter 9(commencing with Section 's section need noVO-Ddf
plyehe 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 Da (fir��g�a I 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'Comp nation coverage is unlawful,
sale.If,however,the building or improvement is sold within one(1)year of and shall subject an employer to criminal pen ties 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
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.
Name Title _
PRIN'r
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.
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. J
'gnature to `6— Z/
CITY OF ARCADIA File#
HOA ARCHITECTURAL REVIEW BOARD
SHORT REVIEW APPLICATION
PLEASE COMPLETE THE FO LOWING INFORMATION(REQUIRED):
PROJECT ADDRESS 54' „ e ) ?.._ ZIP '710767
APPLICANT(S)NAME " 5en ny J-GI.I ✓
MAILING ADDRESS 054 Evl nI-o Dr. r/
CITY Arcad I A. i STATE C4 VZIP di 10 a 7 t/
E-MAIL ADDRESS 'su»9 f A k1(y g mat If. Conn
TELEPHONE NO. b 2.& — 7 q 5^3 6�P- U /
PROPERTY OWNERS)NAME Jinn' LGI; A Tanics Su .
ng
MAILING ADDRESS q'54 54Ca44.0 Pr- ✓ /
CITY / C4 14 STATE rill a
' � ZIP at/ O ' V
E-MAIL ADDRESS 3 S IA n9-FA,vnit y@6mai1. G
TELEPHONE NO. 6,Z t- 71 S- 3 bog 1,
PR JECT TYPE(Check applicable):
Single-Story Remodel and Addition ❑ Landscaping and Hardscaping 0 Sport Court and Related Features
0 Detached Accessory Structure(not 0 Pool and Spa Equipment 0 Fences and/or Walls
ADUs)
❑ Facade Improvement 0 Mechanical Equipment 0 Ground-Mounted Solar
0 In-Ground Swimming Pools/Spa with 0 Above Ground Swimming 0 Fountains,Water Features,or
Water Features Pools and Spa Statues
GENERAL DESCRIPTION OF PROJECT:
DOES THE PROJECT REQUIRE DISCRETIONARY APPROVAL BY THE DEVELOPMENT SERVICES DIVISION(E.G.,
PROTECTED TREES,ADMINISTRATIVE MODIFICATIONS,ETC.)? 0 Yes 0 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.
APPLICANTS SOGNATURE DATE
`/ e-- 1 0 -2-0 7. 1 I
PROPERTY OWNcR'S SIGNATURE • DATE
ACTIONS AND FINDINGS
'APPROVED 0 CONDITIONALLY APPROVED 0 DENIED
CONDITIONS OR REASONS FOR DENIAL:
BY: DATE: EXPIRATION:
THERE IS A (10)DAY APPEAL PERIOD FOR THIS APPLI ATIO . APPEALS MUST BE SUBMITTED IN WRITI 0 T THE COMMUNITY
DEVELOPMENT DIVISION WITH A$600.00 APPEAL FEE BY P.M.ON
HOA Short Review • -4- 11/19
* i
I04 o,;--‘_,..,3':'4 t
i AFFID-2.VIT SELF-CERTIFICATION
FOR COMPLIANCEQF SMOKE AL,2-?tMS
AND CARBON MONOXIDE ALARMS
Property Address: 711-74 V-NOWTO 2k
Permit Number: 1- -i---4d..)3
Brief Job Description:7‹ffirliti 6 "—
Number of smoke alarms installed: 4 V
Number of carbon monoxide alarms installed:
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
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://osfrn.fire.ca.govilicensinglistinbs/litenselisting brnl 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.
ii/
I declare Under penalty of perjury that the foregoing is true and orrect, and that this
declaration was executed wn (Date) 9 e _2•e.74 _ at Arcadia, California.
Owner's Name (printed/ty0 td): fTelh 11 i If'.'.' : V
Signature of Owner:
t./
This affidavit must be returned to the City of Arcadia inspector prior to final inspection
:1-
. . .
S rE ALARMAN ARQF1
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Guest Room g ID
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Storage
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Family Room
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—4. Garage
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FT FLOOR FLOOR PL 4:'
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LL. 51 SMOKE ALARM k rx CARBON MONOXiDE ALARM
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1 FIN . MAI' -
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Master Bedroom
Dining Room
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. ._____..
-- Closet
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Closet
T Family
1 ' .
•=6"... Be,droom Bedroom
S EC(041:1 FLO°--,--', PLAN
C. .S',1 COKE AL,z\r.M - -0 C•Ni., -..;›ON MONOXIDE ALARM