HomeMy WebLinkAboutDEMO-21-0706 1
� �''' City of Arcadia, CA • Perrnit No Demo 21 0706
',� (._, Development Services Department >n i Permit Type Demolition
240 West Huntington Drive,Post Office Box 60021 s ._ JijiiJ
�. Work`CIasificahon Demo/Pool„ ). : ::-
( • ( (626)574-5416 , s r Permit Status Issued
ARCADIA issue',Date t,04/19/2021,I Expiration: 04/19/2022
Addr NO. Dir Prefix Street Name Street Suffix Unit City,State,Zip Parcel Number
629 GLORIA RD Arcadia,CA 91006-2124 5769019012
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Contacts
YEE,JIING KUAN CO TR KAN YEE TRUST Owner TORRES DEMOLITION CONTRACTOR* Contractor
629 GLORIA RD 5134 N LANDIS AVE,BALDWIN PARK,CA 91706
(626)833-8461 806495
Description:DEMO INGROUND POOL/SPA Valuation: $ 0.00 Tenant
Total Sq Feet: 0.00 Plan Check# Plan#
Fees Amount Payments Amount Paid
Demolition Permit(Pool/Spa Backfill) $53.00 Total Fees $106.26
Demolition Permit Issuance Fee $47.01 Cash/Receipt#REC-07366-21 $106.26
Solid Waste Management Fee $6.25
Amount Due: $0.00
Total: $106.26 -
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5.0i5 ` R/I 7j - 144 4#c/V CALLS FOR INSPECTIONS
Request for inspection by telephone at 626-574-5450. Leave a message
ii reques 'ng the address, mef a and what inspection item is needed.
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/� This permit/plan review expires by time limitation and becomes null and
z",/ /1�_/ �� void if the work authorized by the permit is not commenced within 180 days
�G�( / 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.
4140 COMLETED
, .
April 19, 2021
Issued By:John Zurick Date
April 19,2021 Page 1 of 1
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AFFIDAVIT SELF-CE.RTIFIC ,Ti9N'
FOR C®MPUTANCE OF SM.GCE ALAR S •
AND CARBON MONOXIDE ALARMS
Property Address: . q `J7G rJ J 7 t
Permit Number: Z/ - ® 706
Brief Job Description: : Al J?t"z'O / 277/ (' /�.
Number of smoke alarms installed: b
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://osfm:fire.ca.qov/licensinolistings/licenselistina 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 urid=r penalty of perjury that the foregoing is true and correct, and that this
(Date) 2/ten . P '3 U z0Z'/ at: Arcadia; California.
declaration was executed on date' ..
> 9_
Owner's Name (printed/typed)° C4 ei) (Biel & ✓)
Signature of Owner: A 14 AC44/ -'��
This affidavit must be returned to the City of Arcadia inspector prior to final inspection
ENVIRONMENTAL
GEOTECHNOLOGY
.41""O- LABORATORY, INC.
„a"s, '
April 28, 2021
Torres Demolition Contractor
Mr. Francisco Torres
5134 Landis Avenue
Baldwin Park, California 91706
Subject: Soils Compaction Report; Swimming Pool Backfill, 629 Gloria Road, Arcadia,
California, EGL Project No.: 21-141-002C.
Ladies and Gentlemen:
This report presents results of our field density tests performed on the swimming pool backfill at
the subject site. Swimming pool was backfilled for the support of landscaping. Site conditions,
field and laboratory test results, and post-grading recommendations are presented as follows:
SITE CONDITION
Subject site is located on the northeast side of Gloria Road at a relatively short distance east of
North Baldwin Avenue in the incorporated area of Arcadia, California. Topographically, the
subject site is relatively flat. Existing residence and associated structures will remain. The
swimming pool shell was completely removed and hauled off site prior to backfilling.
The swimming pool was a maximum depth of 8.0 feet below the existing grade after the pool shell
was removed and hauled off site.
Prior to all backfill, the exposed soil within the pool was inspected and approved by EGL to
ensure clearance of non-acceptable debris. Import soils were used as fill materials. Import soils
consisted of dark brown silty sand with gravel (SM; Soil Type A).
LABORATORY TESTING
Laboratory maximum dry density and optimum moisture content for the import soils were
determined according to laboratory standard ASTM D-1557-12. Following table presents the test
results of representative soil samples collected from the subject site:
11819 Goldring Road,Suite A,Arcadia, California 91006 Phone: (626)263-3588;1 Fax:(626)263-3599
Torres Demolition Contractor Page 2 of 3
EGbProject Number: 21-141-002C April 28, 2021
TABLE I
LABORATORY TEST RESULTS
Soil Type Maximum Dry Optimum Moisture
Density'(pcf) Content(%)
A-Import dark brown silty sand with gravel (SM) 131.0 9.0
FIELD DENSITY TEST
1. Field density tests were performed using the Nuclear Gauge Method (ASTM D-2922-01
and D-3017-01) and/or Sand Cone Method (ASTM D-1556-04). Field density test results
are presented below in Table II. Approximate locations of the tests are shown on the
enclosed Site Plan (Figure 1).
TABLE II
FIELD DENSITY TEST SUMMARY
Depth Moisture Dry Relative
Test Test Soil
Test Date Below Content Density Compaction
No. Location o Type
Grade (ft) (%)- (pcf) (%).
X-1 4/23/21 Pool 6.0 10.2 118.5 90.5 A
X-2 4/23/21 Pool 4.0 9.2 118.0 90.1 A
X-3 4/26/21 Pool 2.0 7.6 118.6 90.6 A
X-4 4/26/21 Pool 2.0 7.2 118.1 90.2 A
X-5 4/27/21 Pool 0.5 (FG) 7.5 117.9 90.0 A
X-6 4/27/21 Pool 0.5 (FG) 7.9 119.3 91.1 A
FG = Finish Grade
2. Field density tests were performed at random locations to check compaction effort
provided by the contractor. Test results exceeded minimum required relative compaction
of 90 percent. Test results herein are considered representative of the compacted area.
3. Import soils consisted of dark brown silty sand (SM; Soil Type A). Soil samples were
verified to match with the laboratory tested samples.
4. Compacted fill is considered adequate for its intended use.
POST-GRADING RECOMMENDATIONS
1. All utility backfill should be brought to near optimum moisture content and then compacted to
obtain a minimum relative compaction of 90 percent of the laboratory standard.
2. All trench excavations should conform to CAL-OSHA and local safety codes.
3. The finished grade is approximately 6 inches below the adjacent grade to allow for top soil.
11819 Goldring Road,Suite A,Arcadia,California 91006 Phone: (626)263-3588 Fax: (626)263-3599
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Environmental
Geotechnology
LEGEND Laboratory
• - ■ Limits Under Purview of This Report Site Plan
DRAWN BY: RJ
X-1 Approximate Location of Field Density Test DATE:4/28/21 SCALE: 1"=30 REVISED:
Project Address: 629 Gloria Road
Arcadia, California
3 Maximum Fill Depth=3.0 feet JOB NO.
Figure 1 21-141-002
Torres Demolition Contractor Page 3 of 3
E,GL Project Number: 21-141-002C April 28, 2021
REGULATORY COMPLIANCE
Cuts, fills or processing of original ground under the purview of this report have been completed
under the observation of and with selective testing by EGL, and are found to be in compliance
with the Grading Code of Arcadia, California. EGL's findings were made and recommendations
prepared in conformance with generally accepted professional engineering practices and no
warranty is expressed or implied. This report is subject to review by the controlling authorities for
this project.
This opportunity to be of service is appreciated. If you should have any questions, please call the
undersigned.
Respectfully submitted,
Environmental Geotechnology Laboratory Inc. (EGL)
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11819 Goldring Road,Suite A,Arcadia,California 91006 Phone:(626)263-3588;Fax:(626)263-3599
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SEC:':'ND FLOOR PLAN
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of ARe
cil. ,� PERMIT/PLAN REVIEW APPLICATION
E Development Services Department,240 West Huntington Drive,Post Office Box 60021
\ j, Arcadia, CA 91066-6021, (626) 574-5416,Fax (626)447-9173
City of
Arcadia
LICENSED CONTRACTOR'S DECLARATION WORKERS'COMPENSATION DECLARATION
Il
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 lice • in full force and effec
License Class 6-2-l
El have and will maintain a certificate of consent to self-insure for workers'
se N . ®e xp. Date��jq r
2� compensation, as provided for by Section 3700 of the Labor Code, for the
Signature of Con 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, Carrier ex) F1/_
demolish,or repair any structure,prior to its issuance,also required the applicant y�
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 ElI 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
sale(Section 7044,Business and Professions Code:The Contractors License Date 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:
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
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further information.
ame K4,4 iti�f2-J itle 7 r 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 compl with all City ordinances and State Laws relating to building construction. I,hereby authorize representatives of the City of
1rcadia to ente I•• the , •ove-mentioned property for inspection purposes.
gna .. -��`` Date 9 /