HomeMy WebLinkAboutRALT-20-1844 of Arcadia, CA
City
Permit NO. RALT 20 1844"
Development Services Department i--'yr P Hilt Type:;Residenfial Additton/Alteration
40
240 West Huntington Drive,Post Office Box 60021 a t
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- Wo k-classification":Res-Addition/Alteration:
Arcadia,CA 91066-6021
(626)574-5416 Permit Status:Issued.
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.A I'CADIA Issue Date 11/05/2020 I Expiration: 11/05/2021
Addr NO. Dir Prefix Street Name Street Suffix Unit City,State,Zip Parcel Number
1001 BUNGALOW PL Arcadia,CA 91006-4522 8509003015
Contacts
YEUNG,MOON TAI AND LEE,ANITA K Owner COOPER CONSTRUCTION Contractor
1001 BUNGALOW PL PO BOX 9951,GLENDALE,CA 91226
795817
Description:VOLUNTARY EARTHQUAKE BRACE/BOLTING PER LA Valuation: $ 4,000.00 Tenant
CITY STANDARD,DETAIL#8
Total Sq Feet: 0.00 Plan Check# Plan#
Fees Amount Payments Amount Paid
Building Issuing Fee $47.01 Total Fees $289.83
Building Permit Fees $137.05 Cash/Receipt#REC-05987-20 $289.83
Building Plan Review Fee $89.09 Amount Due: $0.00
Cal Green Plan Check $8.91
Green Building Standard $1.00
Solid Waste Management Fee $6.25
Strong Motion Inst.Program Res $0.52
Total: $289.83
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.
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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.
✓
COMPLETED
November 05, 2020
Issued By: Date
November 05,2020 Page 1 of 1
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AFFI'AVIT,SELF-CERTIFICATION..
FOR C•Tt9 PUTANCE OF SMOKE ALARMS
AND CARB•N.:MONOXIDE ALARMS
Property Address: =100/ 8itl7 Gr(oL) :Pt. I Arc& i;4. ,CA-:9loo
Permit Number; gAL I 2 0 i g4
Brief Job:Description: :eA 1 U4/Ce .i 7r lT
: :Number of smoke alarms installed:
Number of carbon monoxide alarms.installed: f
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, .end on path additional story of the
dwelling, including basements and habitable attics as required by Section R31:4 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/licensinglistinas/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 the f regOing is true and correct, and that this
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( ) � ,k 2.n -1 , at Arcadia, California.
deciar�ti®ri was e��cgte� on �� ' „ :.
Owner's Name:(printed/typed): /g0oV1 - le f l-e.tay
Sign tune of:Owner: : '2- G1-\.,
This affidavit must be returned to the City of Arcadia inspector prior to final inspection
i
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STRUCTURAL INSPECTION
AND TESTING INC.
1215 North Dominion Avenue • Pasadena, California 91104 • (626) 487-1488 •Area4Inc@aol.com
JOB NO: DATE: ,Q - d PERMIT NO:. 1e 44,% `02/1 /8
PROJECT: )&,g.,tffl ❑CONCRETE ❑ POST TENSION ❑MASONRY ❑OTHER
ADDRESS: /6 o Ph,"' GEN. CONTRACTOR: (papala•-otarA,Letioi
OWNER: C1 SUB CONTRACTOR:
ARCHITECT: CONCRETE SUPPLIER:
ENGINEER: REINFORCEMENT SUPPLIER:
REINFORCEMENT INSPECTED BY: DATE INSPECTED:
Locations of Work Inspected, Work Rejected, Problems, Progress, Remarks Etc: ,Qyi3O,4-7/p.,,;
A L>�.:6 .1i pi' t,l.e►L .e 61 Ayla-lu.Lcr c.r, k 4,434 -1,0-r f 10-I ci&'J
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LOCATION SAMPLED
DESIGN STRENGTH
MIX DESIGN
CEMENT TYPE
TICKET NO.
SLUMP
AGE TO BE TESTED: @ 7 DAYS, @28 DAYS, @ DAYS, OTHER:
INSPECTOR'S NAME: R-ei7 150117 ,i OM677 SIGNATURE: AVd
TERMS:30 DAYS.ALL REPORTS WILL BE HELD UNTIL ACCOUNT IS MID IN FULL SERVICES BILLED AT 4 AND 8 HOUR AMWtMLJAS.WITH A 4 HOUR CHARGE FOR CANCE TIONS AND
T7I4E AND A HALF FOR SATURDAYS.SHOULD AREA 4 INC.BE REWIRED TO INSTITUTE LEGAL ACTION FOR THE C117I FCTAON OF A DEBT INCURRED AS A RESULT OF YOUR ACCEP-
TANCE OF THIS REPORT.'AREA 4 INC.WILL BE EN-RILED TO ATTORNEY FEES AND COSTS INCURRED IN SAID SUIT.THIS FIELD REPORT PRESENTS A SUMMARY OF OBSERVATIONS AND
TESTING BY AREA 4 WC.PERSONNEL OUR WORK DOES NOT INCLUDE SUPERVISION OR DIRECTION OF THE ACTUAL WORK OF THE CONTRACTOR.HIS EMPLOYEES.OR AGENTS THE
CONTRACTOR SHOULD BE INFORMED THAT NEITHER THE PRESENCE OF OUR F7ELD REPRESENTATIVE NOR THE OBSERVATLOW AND TESTING BY OUR FIRM SHALL EXCUSE HIM IN ANY
WAY FOR DEFECTS DISCOVERED IN HIS WORK IT IS UNOL:RS7000 THAT OUR FIRM WILL NOT BE RESPONSIBLE FOR JOB OR SITE SAFETY ONTMS PROJECT.
NO. OF HOURS REGULAR: OVERTIME: AUTHORIZED BY:
Guest itount.. �, • : • :.
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F R T FLOOR•PLAN: • •
SMOKE AL ` - I CARS AP.N MOWOX AL•.;-;
yyQQ CY A �k • M
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Bath• • •• ..
I • Master Bedroon.,:
•
•Dmmrng Room Kitchen ± . • �, . : .
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flop" - .. .-._ . • -- .•
• • • :•:- -11a-11- 17L1;7i. •.• • ••
L p • C1®sed . j
• ami y Room
Bedroom •-, • ..Bedroor�t
S COW FLOOR•PLAN . .
• 011.;•stooKE ALAre i P:CAR O MO OXt® AARM
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°~ a, ,,; 7 PERMIT/PLAN REVIEW APPLICATION
1, ,1
"441; ' Development Services Department,240 West Huntington Drive,Post Office Box 60021
o0\y of
Arcadia, CA 91066-6021, (626)574-5416,Fax (626)447-9173
City of
Arcadia
ICENSED CONTRACTOR'S DECLARATION WORKERS'COMPENSATION DECLARATION
I hereby affum under penalty of perjury that I am licensed under provisions of I hereby affirm under penalty of perjury one of the following:
Chapte{9(commencing with S•'tion 7000,of Division 3 of the Business and
Professions Code,and my lic, se i 'n full forc- an, effect. 0 I have and will maintain a certificate of consent to self-insure for workers'
License Class I r‘ense I o. mac' / ,. Dat• _ 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 BAIP
OWNER-BUILDER D IF' ' ON ❑ I have and will maintain workers'compensation insurance,as required by Section
❑ I hereby affirm under penalty of perj 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(S- tion 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 A I certify that in the performance of the work for which this permit is issued,I shall
exempt there from and the basis for the alleged exemption.Any violation of
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• .me subject to the
workers'compensation provisions of Section 3700 o lie AlikL•,• Code,I shall
ElI, as owner of the property, or my employees with wages as their sole forthwith c ply with those provisi n .
compensation,will do the work,and the structure is not intended or offered for ii \
sale(Section 7044,Business and Professions Code:The Contractors License Date J � Signature
ripr
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
further information. f
�
Name ,sU oW I-Z 1 Cam/ Title C 6I G.i
akrN'r NAME
I certify that I hav 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 corn with City ordi ce and State Laws relating to building construction.! I hereby authorize representatives of the City of
Arcadia to ente( jnu the a ve-me oned roperty for inspection purposes.
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Signature Date ✓ a G fie'
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