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HomeMy WebLinkAboutSNEW-19-2161 City of Arcadia, CA Permit No.SNew-19-2161 t PermitT e:SingleNew Development Services Department 1 1-:,_ ,; II, ,Type: g Family 240 West Huntington Drive,Post Office Box 60021 L z i ( i -� � 04 � ! 3 l i Work Classification:SFR New Dwelling Arcadia,CA 91066-6021 L : �: ! _I L '; {�� ,_ ISSU(626)574-5416 g >.41 • Permit Status: ed' ARCAD LA 4 lssue'plate.04/422/2020I Expiration: 04/21/2020 Addr NO. Dir Prefix Street Name Street Suffix Unit City,State,Zip Parcel Number 1007 PORTOLA DR Arcadia, CA 91007-6444 5777034007 � �,.. Contacts JERRY SHEN Owner SANYAO INTERNATIONAL INC. Applicant 946 CORONADO DR,Arcadia,CA 91007-6424 255 E SANTA CLARA 200,ARCADIA,CA 91006 (626)353-7881 (626)446-8048 Sunshine Construction Contractor 5325 Temple City BLVD,Temple City,CA 91780 (626)286-3310 434319 ' I. Description:4 BED,4 BATH, 1 POWDER RM,LIVING, DINING, Valuation: $ 546,928.95 Tenant FAMILY,KITCHEN,WOK KITCHEN,NOOK,LIBRARY,LAUNDRY, WINE CELLAR.2 CAR ATTACHED GARAGE.;WITH EMP 400 AMP,/ Total Sq Feet: 3,727.00 Plan Check#19-2161 Plan if 251 SERVICE,SUB PANEL,TPP,HOODS. HVAC SYSTEM PER APPROVED PLANS.HERS REQUIRED FOR FINAL. p_.e:,A,,,mesax,,e.s-,41N';.vu^t,.., '.1,130,c.`zw..,..k.=• ,,,"waa 0 ear,. 'I'••..a-.w�:Sl. s..Mw.4S Fees Amount Payments Amount Paid Bar Sink $26.42 Total Fees $21,915.35 Bathtubs/or Combo $13.21 Cash/Receipt#REC-02953-19 $6,772.10 Building Issuing Fee $47.01 Cash/Receipt#REC-04325-20 $15,143.25 Building Permit Fees $4,308.30 Amount Due: $0.00 Building Plan Review Fee $2,800.40 Cal Green Plan Check $280.04 ' • Clothes Washer $13.21 Compressor 3-5 Ton(3 to 15 hp) $72.70 Dishwasher $13.21 Distribution Panel $16.48 Electrical Permit Issuance Fee $47.01 CALLS FOR INSPECTIONS Energy Plan Review Fee $861.66 Request for inspection by telephone at 626-574-5450. Leave a message Fireplace Pre-Fab $29.92 requesting the address,timeframe and what inspection item is needed. Furnace or Burner<=100,000 BTU $39.72 Garbage Disposal Fee $26.42 Gas System(Outlets) $83.93 This permit/plan review expires by time limitation and becomes null and Grading Issuance Fee $47.01 void if the work authorized by the permit is not commenced within 180 days Grading Permit Fee(1-1000 CY) $450.00 from the date of issuance or if the permit is not obtained within 180 days Grading Plan Review Fee $850.00 from the date of plan submittal.This permit expires and becomes null and Green Building Standard $22.00 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 Hood Serviced by Mechanical Exhaust $29.92 Arcadia building inspector for a period of 180 consecutive days. Total: $21,915.35 V: CO1PLE7 TED April 22, 2020 Issued By: Date April 22,2020 Page 1 of 1 NOTES Building Inspections Date Insp. Plumbing Inspections Date Insp. I l _Z'/W I 100. Setbacks 13 210. Under fin/bldg.drain 17•/3• 101. Rough grade 74 211. Copper underslab •t0 102. Figs.&forms 212. Rough plumbing 11 / 103. Pre-slab .1.72.2 213. Rough gas t� 104. Floor joists 214. Shower pan 105. Steel 215. Water heater 106. Grout lift 216. Roof drains 107. Shear nailing .Er. g•bozo 217. Building sewer •/$•20 108. Diaph nailing 218. Water service 3•LS•21 ��- 109. Roof nailing g•Z •Z° •-••••-----219. Final gas 7/S 24 4' I 110. Framing L(-5• 220. Fixtures 111. OccJArea Sept.Wall 221. Final plumbing ! 112. Sound walls 222. Sewer cap/demo. 113. T-bar grid Sect L, 3.16 2('--K-- 114. Insulation-Flr. - Pool Inspections Date Insp. 115. Insulation Wall 240. Excavation/steel 116. Insulation-Ceil. / 7�2 241. Rough plumbing 117. Drywall nailing r I1.1*- 242. Light shell/bonding 118. Interior lath I(Jo•Zes • 243. Underground conduit 119. Exterior lath II•Zg•2' 244. P-trap 120. Finish grade 245. Gas line&test 121. Final building f 7r2-1 Y'v 246.' Fence,gates&signs 122. Final demo/lot clear 247. Pool heater 248. Final electric Electrical Inspections Date Insp. 249. Final alumbing 150. Power pole 250. Pool cover 151. Sales lot lighting 251. Pool final 152. Underground conduit 153. Underslab conduit I?•2 2•40 ' Reroof Inspections I Date I Insp. 154. UFER ground 7.'3 270. Pre-reroof insp. 155. Water ground 271. Roof framing 156. Rough electrical ((•?j to 272. Sheathing nailing 157. Fixtures 273. Final reroof 158. G.F.C.I. 159. Es at.bondin Sign Inspections I Date I Insp. 160. Service panel( A (,S 2J 11 280. Setback/overhang 161. Final electric 8••-'24 , 281. Footing 282. ConduitAvirin. Mechanical Inspections Date Insp. 283. Disconnect 180. Venting/flue 284. Final sign 181. Furnace/A.C. 182. Rouch HVAC I( 20 Miscellaneous Insp. I Date I Insp. 183. Fire dampers 290. Fire alarm 184. Furnace compartment 291. Underground supply 185. Combustion air 292. Fire sprinklers 186. Smoke detectors 293. Monitor system 187. Metal F.P.rough I(•3.Zo '- 294. Hood dry chem. 188. Compressor setback 295. Final 189. Commercial hood 190. Duct shaft Sewers&Offsite Insp. I Date I Insp. 191. Final mechanical `Z 2.1 I"' 300. Lateral(main to P/L) 301. SaddlelY Block Wall Inspections ' Date Insp. 302. Cess.00l filled 200. Footings 303. Sidewalk 201. Steel/rebar 304. Driveway 202. Grout lift 305. Curb replacement 203. Final wall 306. Trash bin City of Arcadia, CA Permit NO.Wall-20-0808 a Development Services Department Permit Type:Wall_ %144, 240 West Huntington Drive,Post Office Box 60021 rifX ' Arcadia,CA 91066-6021w i � � � i '',Work Classification Wall Garden Wall. ,# . . (626)574-5416 - Permit Status:Issued I , ARCADIA Issue Date:06/04/2020 Expiration: 06/04/2021 Addr NO. Dir Prefix Street Name Street Suffix Unit City,State,Zip Parcel Number 1007 PORTOLA • DR Arcadia, CA 91007-6444 5777034007 _ Contacts JERRY SHEN Owner Sunshine Construction Contractor 946 CORONADO DR,Arcadia,CA 91007-6424 5325 Temple City BLVD,Temple City,CA 91780 (626)353-7881 (626)286-3310 434319 Description:34 LF OF 3'HIGH CMU,230 LF CMU Valuation: $ 15,320.88 Tenant WALL,3 Total Sq Feet: 0.00 Plan Check# Plan# Fees Amount Payments Amount Paid Building Issuing Fee $47.01 Total Fees $390.71 Building Permit Fees $337.45 Cash/Receipt#REC-04635-20 $390.71 Solid Waste Management Fee $6.25 Amount Due: $0.00 Total: $390.71 (t I� �onaGS e Efi'Si-f we-Yr P�L . 6,•r(-7-✓ wA[.L.s f -(;a0.,r (a •(8-Zo S^ CALLS FOR INSPECTIONS -Fco'j7NGj S• / •ZD•2/ Request for inspection by telephone at 626-574-5450. Leave a message requesting the address,timeframe and what inspection item is needed. r( This permit/plan review expires by time limitation and becomes null and �v 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. COSr BED • • I June 04, 2020 Issued By: Date June 04,2020 Page 1 of 1 13,x; City of Arcadia, CA Permit No.,FIRE 20 1337 tip: Development Services Department w~v� PermitType;Fire• .: r` cf./ 240 West Huntington Drive,Post Office Box 60021 [ k' ‘.". Arcadia,CA 91066-6021 = }, Work Classification Fire Sprinkler: 1 j (626)574-5416 Permit Status:Issued' ARCADIAissue'Date:09/08/20201 Expiration: 09/08/2021 Addr NO. Dir Prefix Street Name Street Suffix Unit City,State,Zip Parcel Number 1007 PORTOLA DR Arcadia,CA 91007-6444 5777034007 Contacts JERRY SHEN Owner SPECIALIZED FIRE PROTECTION,INC.* Contractor 946 CORONADO DR,Arcadia,CA 91007-6424 18305 E Valley.#H,La Puente,CA 91746 (626)353-7881 (626)416-9276 1005885 ' ' h Description:FIRE SPRINKLER FOR SF 41 HEADS Valuation: $ 6,000.00 Tenant Total Sq Feet: 0.00 Plan Check#20-1337 Plan# Fees Amount Payments Amount Paid Building Issuing Fee $47.01 Total Fees $965.47 Fire Issuance $47.01 Cash/Receipt#REC-05298-20 $700.00 Fire Permit Fees $170.45 Cash/Receipt#REC-05425-20 $265.47 Solid Waste Management Fee 2 $1.00 Sprinkler Heads $700.00 Amount Due: $0.00 Total: $965.47 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. COMPLETED September 08, 2020 Issued By: Date September 08,2020 Page 1 of 1 of ARC , n 0 14r e44a,.3,oc°�m• PLANNING SERVICES ATTENTION: V&Lj S PC. DATE: `` - FROM: BUILDING SERVICES INSPECTOR: 4err- PROPERTY ADDRESS: /D 07 7 <</M DR• PERMIT#: S - tq - 2 ( 6 ( PLAN#: 25 1 CONTRACTOR: SIAMs.htJS CNST PHONE#: 67. - E U i-- btO. ( P t JAC OWNER: ‘e14?%1 Oak, PHONE#: PLEASE INSPECT THE FOLLOWING ITEMS FOR COMFORMANCE WITH APPLICABLE PLANNING REQUIREMENTS. TYPE OF INSPECTION DATE & INITIAL . DATE &INITIAL FINAL APPROVAL LANSCAPING/IRRIGATION cite, 014026-7 TRASH ENCLOSURES PARKING/DRIVEWAYS STORAGE AREAS MECHANICAL EQUIPMENT • WALL HEIGHT BACKFLOW SCREENING COMMENTS: OV AR (4 F 4� •CtiN I. A ryrt 6.1907 nity MEMORANDUM Fire Department DATE: September 1, 2021 TO: BUILDING DEPARTMENT INSPECTOR Steven Roberts FROM: FIRE DEPARTMENT SUBJECT: FIELD INSPECTION ADDRESS: 1007 Portola Drive THE FOLLOWING ITEMS WERE CHECKED FOR CONFORMANCE WITH APPLICABLE FIRE DEPARTMENT REQUIREMENTS: TYPE OF INSPECTION DATE / INITIAL. . FINAL INSPECTION FIRE SPRINKLERS (PC# 20-1337) 8-16-2021 Alex Foskarino FIRE ALARMS KNOX BOX OCCUPANCY 8-16-2021 Alex Foskarino COMMENTS: Emailed Bldg. Dept. 8-16-2021 Rita ...a.•.1... 1 WATER DIVISION ATTENTION: Egl C DATE: &'. -16 -2- i FROM: BUILDING DIVISION INSPECTOR: Jpr ADDRESS: /(767 7oe-w)...44 1)2 ..), PERMIT NO.: 51Lieto -1 - 216i PLAN NO.: CONTRACTOR: Sc ki Sfit 1J e c6,/,.. -F PHONE NO.: 626-7 ect--0111),( e1t6,02.D OWNER: ‘ ‘et71P( Vk' f4. PHONE NO.: PLEASE INSPECT THE FOLLOWING ITEMS FOR CONFORMANCE WITH APPLICABLE DEPARTMENT OF PUBLIC WORKS REQUIREMENTS. 1: 1 Type of Inspection !,• Date & Initial Date& Initial Final Approval . I Meter Location ; At Siclia 1 _ _ - I 1 Blackflow Devices lic4 I • , . 1 Irrigation System , • Fire Sprinkler System _ t'S: )/6\1 -1 441'WM Meter Clear A.P.P: , 1 • 1?) S A/xi , Swimming Pool kVA 1 u COMMENTS: Rm . 1 DC., AAA-C.:.:. :D.r3,00_131 ek 0A,e--)) \•/\-141)"" y)"°?• 5( I*0,„.. r 'RI': i7 \c,t o .1i.45 Y (11:7S:I LL241' ). VielA" ?4V, Vti ,, gt + Ifl �' psf� - - city of Arcadia DEV ELOPMENT VELOPMENT.SERVICES DEPARTMENT: Inter,D epartmental Inspection:Request Date: 6''' - Public Works Inspector To: 1 - - From • . cl a Address: l O D7 pv/e 1 h�s V?-J • Permit No.: 5 r. l � ! 6 1ii . ' . Contractor 4t K..S1k9JS e 1 Z'7g 7 -:C3Ig .LE ) . Phone No.: (' Owner JZ)( I Phone No: -.. Please inspect the following items to ensure that the Contractor/Developer is in compliance with all conditions of approval established for the project,and that the work performed meets the City's standard for Public Works construction: . . Type of Inspection: : Date&.Initial-' Date&Initial' Final Approval Drainage. Grading : . . . : . . ) . Erosion Control .. Offsite Improvements' Street Improvement(s) (conduit, curb/curb & : � 2 gutter curb.numbers - . driveway approach, parkway planting, sidewalk,:street light; traffic:flow, etc.). : Sewer(s) . : (lateral,grease/san . ) r-t interceptor,saddle,wye,_ COMMENTS: . 1`A• ARC.D PoAATED' CITY OF A RCADIA 240 West Huntington Drive Arcadia, CA 91007 FINAL GRADING VERIFICATION ATTENTION: Community Development Administrator SUBJECT: Grading Verification for Project No. 19-180-003 Address: 1007 Portola Drive Gentlemen: Finish.grading operations have been completed for'Project.No. 19-180-003 for Lots through (if applicable)' and has been inspected by the undersigned Registered Civil Engineer or Licensed Architect. Based upon the observations, the grading subsequent to the Rough Grading has been completed in accordance with the approved plans and specifications and is in substantial conformance with the final grading plan approved by the City and no. unauthorized deviations were made. All required surface drainage devices have been installed. Provisions have been made for drainage'of surface waters around proposed buildings'and their appurtenances. O coDFESsi t"' r 11"Gl& Engineer(Signature) 40870 m Architect(Signature) * Exp.3-31-23 t R.C.E.No'. 40870 CML R.P.A.No. P Date: August 5, 2021 �9�OF cAtt°�a` Received and approved: Date: qyi f C.D ./,Planr)i 1 cc: C.D.D./Maint. Ser. • C.D.D./Building • • • - • "1007 Portola , 1"007 Portola Dr., Arcadia, CA•91007,.Arcadia;:CA'91•007. • . .. ' - . Project Information: " - I Project Name:.'1007 Portola • • Tracking#:. GN339-589-5923' ( Created . Address 007,PortolaDr rcadia-CA91007 ArcadiaiCA •' .. ' - - • _ 1O Submitted • • . Permit#e, SNEW-19-2161.-NewConstruction:08/05/21 : • :. ' . itill . Tract Number: ,N/A •.. _. - ... (' Start Date 06l08/20 ' _ - Approved End Dateo- 08/02/21 Protect Type New Canstrucewn Tickets Uploaded(6) .• Building Type Residential' Submitted For Final .. Project Value: '$900,000. ' - - . ( a rs irk-,-A 1_ = � l • Description Filer N/A;. P_roject Description Construct a new house.. Selected:Project.Managers; - . Name Position Email Phone .Cell 1. Edward Chang:' ' President eddiec70fa)vahoo.com:. ' 626-665-2810' ' 2. Edward Chang .. Superintendent 5unshinecorlstruction2002Caivahoo,com:. - 626-665-2810 ' . Account.Holder Info • • - NamePosition Company Email Phone 1. Edward chancy ' Superintendent .. Sunshine Construction" sunshlneconstruc11on2002@yahoo.com•' '626-665-2810 • • • . i i Robert C. Ferrante LOS ANGELES COUNTY Chief Engineer'and.General Manager iiape SANITATION DISTRICTS 1955 Workman Mill Road,Whittier,CA 90601-1400 Converting Waste anto Resources Mailing Address: R.O. Box 4998,Whittier,CA 90607-4998 (562) 699-7411 •www.lacsd.org Counter Hours: 7:00 a.m.-4:00 p.m.Mon.-Thurs. 7:00 a.m.-3:00p.m.Fri. Application No.: 5777034007-002 Date: August 19,2020 SEWERAGE SYSTEM CONNECTION FEE RECEIPT APN:5777 034 007 District No.: 15 Owner/Situs Address Applicant Information LILLARD INVESTMENT LLC Jerry Shen(current owner) 1007 PORTOLA DR Edward Chang ARCADIA,CA 91007 5325 Temple City Dr, Temple City,CA 91780 Phone:(626)665-2810 ' CILIT*„ 401Xt O CO,r ECTIQN FEE.CALGULA ONS a Facility Type Measure of Use Unit Rate Amount Single Family Home D 1.00 DU Single Family Home N 1.00 DU $1,551.00/DU $1,551.00 1007 PORTOLA DR,ARCADIA Base Line Credit 1.00 CUs $1,551.00/CUs ($1,551.00) Connection Fee Due $0.00 Type Abbreviations N-New or Additional;C-Change of Existing;E-Existing to Remain;D-Demolition of Existing;T-Tenant Improvement of Existing;S-Septic to Sewer (E)SFR demolished;(N)SFR proposed Includes demolition of 1.00 DU of existing Single Family Home Processor:Erika Ballesteros Approver:Cynthia Villa � � 1Stl D.C.: { 13F1fJSdWtl1, G€3UNTY ' qb APPROVED PaymentI2eeel ed ,,,,:,, Check No:7 ., Amouat Edward ChangTE $0.00 ROBi INE F&GEN. CNlEFENGINEER GEN..MG . Valid Only When Stamped THIS IS NOT A CONNECTION PERMIT. A CONNECTION PERMIT IS REQUIRED BEFORE CONNECTING TO ANY SEWER. DOC#5877382 ^.i- CITY OF ARCADIA I , `i , a;, _ .- 4 WATER EFFICIENT T' LANDSCAPING - ORDINANCE NO. 2330 i aa: `' CERTIFICATE OF COMPLETION I This certificate is to be filled out by the project applicant and acknowledged by the property owner(s) upon completion of the landscaping project. ri I 1. Project Information :- i is 'I Date of ProiecjComplAion Permit Type and No. ii j Project Name and/or Address s " /19U- f i r2 l p12 t _ Project Applicant and Title Property Owner 1.1 Company Name Mailing Address Mailing Address 3' y3Lc_7_ /Pa-c_rry J3Lr j77']2'LC cm 69 9( 3a c_AD ill- i CJi9 Ci ip-c te i Telephone a d Fax No(s). Telephone and Fax No(s). it I �vzi —ibST-Z3I c) Oh - `;S3 . qg131 Email Acidiess Email Address •I 5vtft,h �fior>s4((AL, lov)2oozg y A04,can jerry14heel Q Catmol, .t 00PIP— ! 1 2. Answer the questions below: ( a Date the Landscape Documentation Package. was submitted to the.City of'Arcadia... P l b. Date the Landscape Documentation Package was approved:by the`City of Arcadia rl c. Date that a copy of the Water Efficient Landscape Worksheet or Prescriptive Measures Compliance Option was j submitted to the project water supplier — 1 4i l 3. Project Applicant— Certification —The signer of the landscape design plan, signer of the irrigation plan, or the licensed ! landscape contractor(s) that installed the landscaping and/or irrigation. is to certify that the landscape project has been constructed/installed in accordance with the approved Landscape Documentation.Package and in compliance with Ordinance No. 'i: 2330 and State law. Where there have been significant changes made in the field during construction/installation, "as-built" or 11 I record drawings shall be included with this certification._ _1 "I/we certify that based upon periodic site observations; the work has been completed in"accordance with iii Ordinance No.2330 and State law, and.:that the landscape planting and irrigation`,installation conform with the K i criteria and specifications of the approved Landscape and Irrigation Plans and Landscape. Documentation 1 Package and acknowledge that the project may be subject to inspection and a Landscape Irrigation Audit to 3I verify that the projec . aintaine ' ompliance with Ordinance No.2330 and State law." I;• Signature Date it Name(print) Telephone and.F x No(s). il IN i��� U�l/� t7�-�6S —18 b ( Title License No.or Certification No. j Company Email Address• 9.4MSNinr� C010c7 ILIA C71..bk) �h„sh i YIP ConS a efi oil Z0c2 A( Pico i Mailing A dress / Cd M F a_c ��-10--� �rr�I 7`&1 Pt_t= -C_�_ Ei/_rig 4. Property Owner-Acknowledgment �— #• "I/we certify that I/we have received copies of all the documents within the Landscape Documentation Package and the Certificate of f Completion for our project and that it is our responsibility to see that the • project is maintained in accordance with the Landscape and Irrigation Maintenance Schedule for our project, including a diagram of the irrigation plan that shows the hydrozones posted with the irrigation controller, in "" compliance with Ordinance No. 2330 and State law, and I/we acknowledge that the project,may be subject to inspection and a Landsca pe irrigation Audit to verify that the project is:being.maintained in compliance with is • Ordinance No.2330 and State law." Pi _____ i _1' Property Owner(s)Signature(s) Date l 5. Include the following documents with this Certificate: a. irrigation Schedule—The parameters for setting the irrigation schedule on the controller(s)per Ordinance Section 7554.5.C. it b. Schedule of landscape and irrigation maintenance per Ordinance Section 7554.5. . j c. Landscape Irrigation Audit Report per Ordinance Section 7554.3.E. ` d. Soil Analysis and Management Report(s),if not previously submitted with the Landscape Documentation Package per b '1,' Ordinance Section 7554.4.• p _$_ report, perdinanceSections 7554:4 and 7554c6,e. Verification of implementation of recommendations from toil Or December 1,2015 }!t I DEPARTMENT OF BUILDING AND SAFETY STRUCTURAL OBSERVATION REPORT FORM REPORT NO. THIS REPORT INCLUDES ALL CONSTRUCTION WORK THROUGH OZ. DAY OF /UDC/. 2-0 2-0 PAGE NO. 1 OF PROJECT ADDRESS /012 7 pezzicyA ��Q,P STRUCTURAL OBSERVER STRUC.OBS.PHONE NO. feE-4l 24) OWNER LIC.ORREGISTRATION NO. Bt1ILDING PERMIT NO. �?? OBSERVED STRUCTURAL ELEMENTS.AND THEIR CONNECTIONS LOCATION AND PORTION OF BLDG. DATE ❑- FOUNDATION ❑-WALL ❑- FRAMES 0- FLOOR 0-FOOTINGS,SLAB&STEM WALLS ❑-CONCRETE ❑- S I EEL MOMENT-SPECIAL ❑- CONCRE I E ❑-PRESTRESSEDCONCRETESLABS ❑-MASONRY ❑- SI EEL MOMENT-ORDINARY ❑- SI EEL DECK ❑-CAISSONS,PILES,GRADE BEAMS 0- WOOD ❑- SIEEL BRACED 0- WOOD 0- HILLSIDE BLDGS-SPECIAL ❑- ❑- CONCRETE-DUCTILE 0- FOUNDATION ANCHORS ❑- ifrik0V7,-V-41❑ ❑- CONCRETE-NON-DUCTILE ❑-51 OBSERVED DEFICIENCIES: Al 06. e • ❑- DEFICIENCIES CONTINUED ON ATTACHED FORM(B&S 261 A) Qko�Es/ov SIGNED 0 2' OF A1O t , AT *0 CA \c xp 9/301;/ �' DAY MONT YEAR CITY • CIVIL-�� X WET SIG RE OF REGISTERED CML OR S I HUCTURAL ENGINEER OR UCENSED ARCHITECT STAMP OF ENGINEER OR ARCHITECT STRUCTURAL OBSERVATION DOES NOT WAIVE ANY OF THE REQUIREMENTS FOR BUILDING INSPECTION BY AUTHORIZED EMPLOYEES OF THIS DEPARTMENT DISTRIBUTION:STRUCTURAL OBSERVER TO SEND ORIGINAL TO THE BUILDING INSPECTOR'S OFFICE,ATTACH THE FIRST COPY TO THE APPROVED PLANS,AND KEEP SECOND COPY FOR STRUCTURAL OBSERVER'S RECORD AND DISTRIBUTIONS. DEPARTMENT OF BUILDING AND SAFETY STRUCTURAL OBSERVATION REPORT FORM REPORT NO. THIS REPORT INCLUDES ALL CONSTRUCTION WORK THROUGH Z I DAY OF 406 PAGE NO. I OF / PROJECT ADDRESS /0-07 13e 7Wf 1)1e'"' e , STRUCTURAL OBSERV STRUC.-BS.PHONE NO. C � r7/- y °-�=v OWNER 1 LIC.OR REGISTR TION NO. BUILDING PERMIT NO. OBSERVED STRUCTURAL ELEMENTS AND THEIR CONNECTIONS LOCATION AND PORTION OF BLDG. DATE 0- FOUNDATION 0-WALL 0- FRAMES 0- FLOOR ❑-FOOTINGS,SLAB&STEM WALLS ❑-CONCRETE ❑-STEEL MOMENT-SPECIAL ❑- CONCRETE ❑-PRESTRESSED CONCRETE SLABS ❑-MASONRY ❑- STEEL MOMENT-ORDINARY ❑- STEEL DECK ❑-CAISSONS,FILES,GRADE BEAMS 0-WOOD ❑- S I EEL BRACED ❑- WOOD ❑- HILLSIDE BLDGS-SPECIAL 0- ❑- CONCRETE-DUCTILE ['- FOUNDATION ANCHORS ❑- ❑- ❑- CONCRETE-NON-DUCTILE ❑- CE( 5/� _ et ' ❑- p ❑- OBSERVED DEFICIENCIES: / -A - ( �_ te°497°:, 5,er-7e- /1-7/7A1--g--1. eleszvo-/c-- 0 --6- 1� i �i�—� 61 ✓�-'— -1 % V902- ) ❑- DEFICIENCIES CONTINUED ON ATTACHED FORM(B&S 261 A) )71 rn � .,C682O6 , SIGNED CA X AT 9130 Z /��t/. 7121 ��'��C/f'iJ p. �, .&I DAY OF , MONTH YEAR CITY CIVi�-, �� oQ'" X WET SIGNATU OF REGISTERED CIVIL OR STRUCTURAL ENGINEER OR LICENSED ARCHITECT STAMP OF INEER OR ARCHITECT STRUCTURAL BSERVATION DOES NOT WAIVE ANY OF THE REQUIREMENTS FOR BUILDING INSPECTION BY AUTHORIZED EMPLOYEES OF THIS DEPARTMENT DISTRIBUTION:STRUCTURAL OBSERVER TO SEND ORIGINAL TO THE BUILDING INSPECTOR'S OFFICE,ATTACH THE FIRST COPY TO THE APPROVED PLANS,AND KEEP SECOND COPY FOR STRUCTURAL OBSERVER'S RECORD AND DISTRIBUTIONS. CITY OF ARCADIA 240 West Hun tingiou Driye Arcticliti; CA 91007 ROUGH GRADING VERIFICATION ATTENTION: COmintnity Development Administrator SUBJECT: Grading Verification for Project No 19-180-003. Address: 1007 Portola Drive Gentlemen: Rough grading Operations have beencomplotpd for ptoject No: 19-180-003 for Lots through (if applicable) and has been inspected by the undersigned Registered Civil Engineer or Licensed Architect Based upon the observations, the TQp.gb. graclizig of the lot(s) listed above have been completed in conformance With plans,marked "APPROVED" by the COT The work includes.but is not linuted to the following: grading to approximate final elevations; staking of property lines; location and gradient of cut,and fill slopes, location, cross- sectional configuration and flow-line gradient of drainage swales and terraces; berms installed where indicated; and required"drainage slopes provided on building pads. Enclosed herewith is a Soil and Compaction Report for the Building Division which is required n all new construction sites prior:to footing inspection. 4(&e• w Ck,oFcE. s Engineer(Signature) s•/04s4,/ Architect(Signature) 40870 Exp.3-31-21 R.C.E. No. 040870 R.P.A. No. CIVIL 0 Date: June 2,2020 (91-.974'OF CAlg° Received and approved: Date: C.D.D./Planning cc: CD.D./Iviaint. Ser. 47, Cal Land Engineering, Inc. dba Quartech Consultants Geotechnical, Environmental, and Civil Engineering June 2, 2020 Lilard Investment LLC 949 Coronado Dr. Arcadia, CA 91007 Attention: Mr. Jerry Shen Subject: Soil Compaction Report, Proposed Residential Development, 1007 Portola Drive, APN: 5777-034-007, Arcadia, California QCI Project No.: 19-180-003GE Reference: "Report of Geotechnical Engineering Investigation, Proposed Residential Development, 1007 Portola Drive, APN: 5777-034-007, Arcadia, California", by Cal Land Engineering Inc., Project No.: 19-180-003GE, dated October 23, 2019. Gentlemen: This report presents results of our field density tests performed on the proposed building pad at the subject site. The site conditions, field and laboratory test results, and post-grading recommendations are presented as follows: SITE CONDITION This report presents result of our field density tests performed on the proposed building pad. Two septic seepage pits of 36-inches in diameter and 14 feet deep were encountered during the onsite grading. The approximate locations of the encountered seepage pits are indicated in the attached Site Plan (Figure 1). The pits were backfilled with cement slurry to approximated four feet below the final grade, then backfill to design grade with fill material. The building pad as depicted on the attached Site Plan (Figure 1) was excavated to a minimum depth of four feet below the final pad grade and four feet horizontally beyond the building footprint. The loose and/or disturbed soils were removed and exposed competent natural soil within the building pad area. FIELD DENSITY TEST 1. Field density test was performed using the Nuclear Gauge Method (ASTM D-6938-10) and/or Sand Cone Method (ASTM D-1556-07). The field density test results are presented in Table I. Approximate locations of the test are shown on the enclosed Site Plan (Figure 1). 2. Field density tests were performed at random locations to check compaction effort provided by the contractor. The test results exceeded minimum required relative compaction of 90 percent. The test results herein are considered representative,of the compacted area. LABORATORY TESTING The laboratory maximum dry density and optimum moisture content for the onsite and import soils were determined according to laboratory standard ASTM .D-1557-12. The following table presents the test result of representative soil samples collected from the subject site: 576 East Lambert Road, Brea, California 92821; Tel: 714-671-1050, Fax: 714-671-1090 Lilard Investment LLC. Page 2 QCI Project No.: 19-180-003C _ June 2, 2020 TABLE II LABORATORY TEST RESULTS Soil Type Maximum Dry Density Optimum Moisture Content A-Brown silty sand 128.0 9.0 B-Medium brown silty sand 132.0 8.0 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. Soils generated from footing excavations to be used on onsite should be compacted to 90 percent minimum relative compaction, whether it is to be placed in landscape areas or within areas to be improved. This material must not alter positive drainage patterns away from the structural areas. 3. All trench excavations should conform to CAL-OSHA and local safety codes. REGULATORY COMPLIANCE The field compaction tests were performed in accordance to the American Society for Testing and Materials (ASTM) standard procedures. The test results would not indicate the conditions of the subsurface materials underlying the fills. The engineering performance of the underlying materials and other materials are therefore not included in this report. Our field observation and soil tests were conducted in conformance with generally accepted professional engineering practices, and no further warranty is implied nor made. This report is subjected to review by the controlling authorities of this project. This opportunity to be of service is appreciated. If you should have any questions, please call the undersigned. Respectfully submitted, CalLand Engineering, Inc. (CLE) dba Quartech Consultants (QCI) i*oFESsiok C S. !F t 2153 rn� % ./•. �nA * Exp.3-31-21 t { Cam` c`°aT�cuoC Jack C. Lee, GE 2153 `>q ����' Jerry Lin Principal Engineer °F�-'F° Project Engineer Encl.: Figure I-Site Plan Dist: (4)Addressee 576 East Lambert Road, Brea, California 92821; Tel: 714-671-1050, Fax: 714-671-1090 Lilard Investment LLC. Page 3 ' QCI ProjecttNNo.: 19-180-003C June 2, 2020 TABLE I FIELD DENSITY TEST SUMMARY 1 Test Test Test ' Depth Moisture _ Dry Relative Soil Test NO Date Location Below Content Density. ' Compaction Type Method : F ,(ft)'; :(/o) '(pcf), . .._,(/o)_: .. X-1 05-26-20 Building Pad 2 8.4 116.5 91.0 A S X-2 05-26-20 Building Pad 2 9.3 118.3 92.4 A N X-3 05-26-20 Building Pad 2 9.9 118.7 92.7 A N X-4 05-26-20 Building Pad 2 9.1 117.6 91.9 A N X-5 05-26-20 Building Pad 2 8.9 118.0 92.2 A S X-6 05-26-20 Building Pad FS 7.3 123.4 93.5 B N X-7 05-26-20 Building Pad FS 7.1 125.4 95.0 B N X-8 05-26-20 Building Pad FS 8.0 122.4 92.7 B N X-9 05-26-20 Building Pad FS 7.7 122.1 92.5 B N X-10 05-26-20 Building Pad FS 8.4 122.8 93.0 B N Note: FS =Finish Surface, N=Nuclear Gauge Method, S=Sand Cone Method 576 East Lambert Road, Brea, California 92821; Tel: 714-671-1050, Fax: 714-671-1090 1 I 1 1 1 1 1 Ex HOUSE 1 I 1 I ------------ II 1 r`` II II I N 0739'37'E I T---- 149.88' — — — — — — I �_ 3 ,N II X-7 _ z I i 03 I X-5 X-8 I u t I — Septic Hole ed X-2 N I d \oJ PROPOSAL BUILDING X-9 IX-4 GARAGE IO 3 X-1 X-3 I �, X-6 X-10 Z I • i ' II I 1 1 I - - — — — ,s,.4 4' I I 1 —1— L..___ — N o4s3,o'w II I ----------------I II - ' I I1 EX.HOUSE I 1 i CalLand Engineering, Inc. Project Address: dba Quartech Consultants LEGEND APN: 5777-034-007 Geotechnical, Enviromental & Civil 1007 Portola Drive Engineering Services Arcadia, California X-1 Approxmiate Field Density Test Location Approximate Limit of Compacted Fill Placed Under Purview of This Report SCALE AS SHOWN SITE P LAN 06/2020 FIGURE 1 CONSTRUCTION STAKING PLAN - GRADING LAND LOCATION: 1007 PORTOLA DR ARCADIA CA 91007 r G� APN: 5777-034-007 j� JACK C. LEE DATE: 06-01-2020lirtrd a N. T. S. , :0. 8407 �. lFOF CA�N- i _r_._LN 02'39'18" E 1 11.78' -• 1 co : J. 5.�8 3 • 6.7' 149.87' __. 2 __ ai N4 �j. J1-1F 1 :- PROPOSAL BUILDING 1 F.F.=539.82' 60.0' L z • PAD=539. 15' 16 25.11' II 30' ! • - -5.0' 89.83' I - 34.27' l o 10 �. F to1 I M II d I I I ro : 1 -�11-65' r7 _ _ rn • I . . 1. _ . • J � � 44' Z � 4' 6.5' --- 1 51. , - -. o _I_- ' _ - --4.90 —I --1- N 04'53 10 W J 1',O LEGEND a' # FF ELEV TOP HUB CUT/FILL DRSCRIPTION ELEV ® SET L&T ON TC 1 539.82 539.29 F 0.53 BE LS 8407 ' 2 539.82 537.53 F 2.29 BE ® SET 2"X2" HUB CALLAND ENGINEERING, INC. 3 .539.82 539.13 F 0.69 5' 0/S BE dba QUARTECH CONSULTANTS LS 8407 576 E. LAMBERT ROAD, BREA, CA 92821 4 539.82 539.01 F 0.81 5' 0/S BE • SET 1"X2" HUB TEL: (714)671-1050 5 539.82 539.30 F 0.52 5' 0/S BC FAX: (714)671-1090 6 539.82 539.26 F 0.56 4' 0/S BC • CONSTRUCTION`."STAKING 'PLAN " - GRADING LAND : . LOCATION: 1007 PORTOLA DR ARCADIA CA 91007 o�Q� sG APN: -577.7-034.-007 1 -. o ; JACK C. LEE o" DATE:; 06-01-2020 4/, .0 a N. T.. S. ' N0. 8407. �Q. . F-OF CO" - --LN 02'39`18" E 1 11.78' - '4 - --• T. oc?, .. : 7 -7.-7.-"r7r 7-7 ---. 2 . - : . : rn. : I. TEl r�- 1. 41 �: . . . . L . :mob r- • I PROPOSAL BUILDING. : " I 00 • o I.[ F.F,=539:82' I. .N 2_ I. PAD=539. 15': I Sri : . . . 1. .25.1 1' I I: : I" . I. 30' I" 5.0,. 89.83.,. - i � '. I" 34.27'--.-1 0 I Io . : I :1 10: 1-65 - rn . 5 I I 1 — --- 00 I" 1— -- -- z • 0_,i . o 4 6:5 _-•- 151.44 " I o. _a-- -r .N 04 53 10_ W \ ., LEGEND # FF ELEV " ELEV E OP HUB CUT/FILL. DRSCRIPTION - ® " SET".L&T ON TC " 1 539.82 539,29 F 0.53 BE LS 8407 2 . 539.82 537.5.3. : F .2.29 BE. ® SET 2""X2» 'HUB . CALLAND ENGINEERING, INC. -.' 3 539.82 539.13. F .0.69 5: 0/S BE. dba" QUARTECH: CONSULTANTS LS. 8407 576:E. LAMBERT ROAD, BREA, CA 92821 4 539.82 539.01 . F .0:81 5' 0 "8 BE � • SET .1"X27 : HUB• TEL,1714)671-1050' 5 539.82 539:30 F 0.52 5' 0/S. 'BC FAX (714)671-1090 6 539.82 539.26 F ""0.56 4' 0/S BC DEPARTMENT OF BUILDING AND SAFETY STRUCTURAL OBSERVATION REPORT FORM • THIS REPORT INCLUDES ALL CONSTRUCTION WORK THROUGH /3 DAY OF 1 REPO RT NO. PAGE NO. / OF PROJECT ADDRESS /007 /?o/Zi/I PA.* STRUCTURAL OBSERVER STRUC.OBS.PHONE NO. A�0 - fr' ' 74-/r/ r6Z s7/ -��ta OWNER LIC.OR REGISTRATION NO. BtJILDIN PERMIT NO. OBSERVED STRUCTURAL ELEMENTS AND THEIR CONNECTIONS LOCATION AND PORTION OF BLDG. DATE FOUNDATION ❑-WALL El- FRAMES ❑- FLOOR &STEM WALLS ❑-CONCRETE ❑-STEEL MOMENT-SPECIAL ❑- CONCRETE ❑-PRESTRESSED CONCRETE SLABS ❑-MASONRY ❑- STEEL MOMENT-ORDINARY ❑- SI EEL DECK ❑-CAISSONS,FILES,GRADE BEAMS ❑-WOOD ❑- STEEL BRACED ❑- WOOD ❑-HILLSIDE BLDGS-SPECIAL ❑- ❑- CONCRETE-DUCTILE ❑- FOUNDATION ANCHORS ❑- 0- ❑- CONCRETE-NON-DUCTILE r❑- ❑- El" El" OBSERVED DEFICIENCIES: xtp-A1-0- / ee // Q AL-a-5- "I -frva i>.1.1.--c_tr- . ,,,exi,. .7 --V' 4,-01: 9-(4._ /4 . ( • El- DEFICIENCIES CONTINUED ON ATTACHED FORM(B&S 261 A) QROFE SIGNED /3 OF .�„( �c �0 AT --:".7*\/�xp.9/3%;5/41-A DAY MONT YEAR CITY �4yj ,l'f_ONIL 1` x - WET SIGNATURE OF REGI " RED CML OR SIHUCTURAL ENGINEER OR LICENSED ARCHITECT ,STAMP OF ENGINEER OR ARCHITECT STRUCTURAL OBSER, ON DOES NOT WAIVE ANY OF THE REQUIREMENTS FOR BUILDING INSPECTION BY AUTHORIZED EMPLOYEES OF THIS DEPARTMENT DISTRIBUTION:STRUCTURAL OBSERV B TO SENO ORIGINAL TO THE BUILDING INSPECTOR'S OFFICE,ATTACH THE FIRST COPY TO THE APPROVED PLANS,AND KEEP SECOND COPY FOR STRUCTURAL OBSERVER'S RECORD AND DISTRIBUTIONS. 6/9/2020 noname ,. era CClY OF RCADIA DPVEL PMEMT,SERVlCES DEPARTMENT, 0 FENCE, GARDEN WALL AND/OR RETAINING WALL ON PROPERTY LINE RELEASE AND DECLARATION , ADJACENT PROPERTY OWNER'S DECLARATION 1,� as owner of the property located at 1001 POitilec Dr, hereby rant permissio o the adjacent property owner located at t vo7 . to construct f 15 lineal feet of 6 -ft high garden wall, and/or I.1 ( .yie -retaining .wall,; 5of which will' be located on my`props. y. I acknowledge, g,_ understand and accept the snipe and nature of the proposed work (Le., color, size, height, type and location of the fence,garden,wall, and/or retaining wall and the removal k`lk"b io Of iandsca in rat:l e... p g " Name: I C, Cl ;Telephone Number !'' - ,SZ� - p levInvltvett Address:40! kPflr '0(g.. :DYt v2 pate:_ t, -?_.-G,14) o k t"o Signature, 1,`� y k, Of Ay ' rr .sa . ...:. x4• x «•.♦ , r• .s.,s. .r.a+,., r,•sr >,t rs •+♦ r.u,e..r r ..r x ... ...ns+, ..r cX PERMIT APPLICANTS DECLARATION e I declare under�the penalty of perjury that I have obtained the'appioval and release from- `.' "' the owner Of,the property located at . to"construcct and • lacete part of a'.fence, garden,y ell,:and/or retaining wall on their property. ; ;', . r , Nem l��e'ri t , �`` t NGRx,.c.7-0 _Telephone Number_ 4.2 70 —, (5'z._. Address)3 t' fi r g•v L•• G, ' Date: C/Il/2.,0 e. Signature. k t' (tc, f'`." ;'e, ,1:, c�,. , di,. Applicant's rile Neighbors file -0 9 F . Job site` u ` https://mail.google.com/mail/u/0/#inbox/FMfcgxwHNglfPWrsTLGDtGvkWrvsGJfk?projector=l&messagePartld=0.1 1/1 • CITY OF ARCADIA • c' DEVELOPMENT SERVICES DEPARTMENT • 0� Q FENCE, GARDEN WALL AND/OR RETAINING WALL ON ty PROPERTY LINE RELEASE AND DECLARATION • ` ADJACENT PROPERTY OWNER'S DECLARATION I, r , ao, ke , as owner of the property o �� �z p p y located at / // 1`" �1 v� 4A-10�e hereby grant permission.to the adjacent property owner located at / c) 7 /ur--cic to construct So lineal feet of high fence, garden wall, and/or • retaining wall, 49C' of which will be located on my property. I acknowledge, understand and accept the scope and nature of the proposed work (i.e., color, size, height, type and location of the fence, garden wall, an /or retaini g w Il and the removal, of landscaping).- (e-�9 43' ulefv.b �y i .-cc0 ga c o skies ; � Name: /C t t. / oU i e Telephone Number: &76 - 447-3 cc- Address: /O I/ 4rh�Q �,, Aregii L. Date: / /0/-oa 0 Signature: /C . ,C . 4i Fs4 PERMIT APPLICANT'S DECLARATION. I declare under the penalty of perjury that I have obtained the approval and release from the owner of the property located at to construct and locate part of a fence, garden wall, and/or retaining wall on their property. Name:TR8 PLE rt Co iv�t r /Al L Telephone Number: Q ' 8 90-3 /S • - Address: 3)53 A T P o L S T. (3. PA-2c( Date: 6 ,/ ( ( oLo Signature: N1` uei • c: Applicant's file Neighbor's file Job site • 1-15 IikINSIO • I I I ° �Q I I I o �.NE• I I I A 4 EX..RAGE I • (ro OE 4v sml I 11�� 149.86• / •e or.a GM. �� I I IN I z 3 �� r, :I-T I . .-.. o I I All I a Ii r a I� fllr4 �■�_�a�ii��1�r�i z z DmPm d•Sx EMa i t "f Vim° A 4 ■ gi p m J 0. 1� �M �C! gITLi.�..emv L ,♦♦ `Svc ur•Au.4rSuwl „"1 I Z k I r--- --- ii NOM It Will ti. lg 0 c.--1 El . -: I .i . . . . ., Io-er • I hall • D RM ro law my.) V t).,ontimro I1.- �•� ' � ISItil / pl! 7 ilr14T • 51 r. .v memo(no.) 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L./:a a t7 ti 0 ° .m: s....+�r a-. as W.s.N1 no°•°�...100)o.i war a wul....Imm e.x MOM OW Am4 niri4INSM 5 Xi.ro0 M. ru:,11,.)Rii-,wo um*.Ta.n..n rmvl v PM 2,n sr. Z O r.° Ara w 4+ ....... 4 ma4.mn+.. .IL. ..100 clv.:saE a OEM.lm I •son.Pa x /uua4N[c°rtart[:(RR NAx.) O a .z., mny:.eee+.aeiwr Le owi.utu.mam.o wmsoua�01°wL[MmI"'.aPDA.ay.¢wve¢asm'L�� ow.rw i[-G� lwoscw[.RE. DII Sr.�m >,n,.I« �m mM,I COMO rat t,1�N.a c w°¢.100115.� I� [ I I CONSULTING 3 SHEET INDEX 2 .n.nl s,..:..Ias<.m fn ,1 ENGINEERING 11 "°'�� i u:mv.S..a a u:rao.a P. Cab w'o,a.0 eI"mrows°�i°aru I I URDnRD IuB1mTAL4 MRICABLE COOES: GRADUATED 0991W me.Glw000 k u r °�'� 1 am w a.wa asa%nw. II Gu®o.n[x.nanm santOo°4ARi RCA.ns•wz M m4me[aa rw ns ovoan ac ueA �:a. 1.s4 v. iM02078 G ° 4. `ae°' a A [ . aI*ow I m+m.FM a s.sc.) PIS t.uaoo¢OEM�l SUM.CON. M 10E WAY .000 SF..I see ss e IX 114 5. aEE RIAN ..ter�.,...•. 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Rv..I m WM.�a f 4wma..wM ' / H°dDiwnaR"�> Rmo.own.P is T 6 ..w.mom... `.°eal.o %1/ra..5.0.a.. �M E.T.D. rfe F%.,w ISna4...Iu:..4 1-1 k2016 CALGREEN MANDATORY MEASURES 9 GENERAL NOTES 4a�aaa.m 1 8 FIRE DEPT.REQUIREMENT 17 AVE.FRONT SETBACK 33•-10' 6 DEFERRED SUBMITTALS&CODE REVIEW 4 PROJECT SUMMARY 1 vls iegisILI Icels8gzueo4411 ne sl eq"4 1841 e i si)0Asia 94 01 ue lad018A9Pfienui:e:14d6ly,117011:e°14due:q3u:Vu°611sda0 14173 :Eile-in392 Pu wiliu°3 lue°11ddlf )1Aold 8t1S/84 UOneLUJOIUI atAleill P S33d dO NOWS0dOili 3141 1$3108d 01 3-- 3141 INOdd Wera dO°Mad V SVH 83d013,130/0-I3NMO - Ai punstjaeueow00J 9 4.1.1. etwv‘10.93atujootv*aloeoei s it i ieul'Pttn)°8°,1p,9"0(0:41:Jea9d39:16°,3esi.ssasn9paewjaPpoia0PlitisiepuopliuNuee:n:JW°pesi°JpINI:lelidOPluSjeHNIP:Sn'tovapeVi:snwdnapenSePt4S°u.49101„1:AsiilliptinljoJI:aed°e's(41.1w41:3°V:012e1,11°d:(199xS1990°11Pn:tiusa4d:u:9:itcy:::7::: il jo oweu a%ui pans's! act film 131401444eip euiweme ut quo;las seunpaooid isalold eel a4 uewwoo 1n0411m P-bloobe tit uogorusuoo Id luat404 0 pled saaJ 10 poo uorm3nP3 41tm°31i-r-- * ultottA 1341ala 04) punjai e isanbal Aew JadoiaAappauma, - )P" 9. 4 uoluOwAt30 i0 134100111 EV • luawdoleAap au'joe60100) 391919 a41111"9 etn 1." 1 aeoxa oi 96elool atenbs ale6a0350 isad,, --,,- s Ga inm 11 .ba 009 P011011e 041 P 0 _seat a...si ssal 10 .4 ts 009 o 41E414a-um 041 le sEial(4 Pain- 's.uompe aminj cue `uogdwaxe i j U0 4; , ienbs oinua 041 i / d em 01 siepowej Jo'SLJOIS11611X0 . 41 til iin$811e11141adw '" luawcroleAap jo oaAt AUB U0 *'-' AUe XN ON 0011 e"8'18tP g)..144110;?7‘241:42d1 44atw0j aatialla403 10 el , eotoso aaA Jedoiatma e jo uolieneoueo JO 01 swewpuewe loan Jakla00 e 30 trae°Alt* IPat43 Pawn' am wisutat ssezioX1 01 001 003 Re p81da300 9q1194 -S *,,, aed le(1010A013 941 1° lu-—a' * ue wwl fkuillnaal 0.7,'- ,wu r# . on...M. .eareno. .IXL 1 euieN imirgi,INudoti -, ,,k.r,,P,-:;,'•-*. _„ ' - '. ,,,'..: : souenssilo*lap _ ; '-1 T" ,- i °1,04,410,,,;c4 - itir --..;, - ; • • ozan,tit ' - iueisIsiv emarmulwpv Jollies —18: ,f;ord nuo aluuoo -Pe11*.,,,,P>.?*:''',' .•' : *''' • .- ••"* *' .., le WOUIPSONI .4$6106tAill*Ii I° pu,,,„,rseff. e Jo 4; joaq s014 so M Wq"4:1 eutpvng 04)144.1U11943 14wfe '.111 ' 10 40 etPlgglell#40-110 ,,, rk i 1 4 am uoileopa st uotOiaid AO Wr 1 s,...' lapoO1AsoweuNOV Pue 14Pri49 Aoste.- latiVO4),port $1V4Aewitito#11/40,1 -,1,,,,-_ <44,,,,,k, ..A....Aws 41 um*Imititt04 01(.-%'.,1 -;,,, :0-,,,,,..,,,,4e,,- p sossi„,„„,---, a - "'","' ''''' ', ' , ,' 1''''*?''.);',..`',- Tr„': 2, " ' . .• 1 , ( )r' AJ,,,.!. .1,go :fle ,,,,, .,4 A,,,,v,i'-' ,44100.1 .10megAitif A , -r, .-1,..,-,,,''' ,,,, 4 * -- 4 .ei way" 55 ., , '''" 1 f t ,0 4•44;',4" , ..,.,.., 4 ------ 7-"'- -, , • ,, ,:is„,„„ °'-' .,-.-: ,› ''':• -'-,-„,, 6Stt1,040 :10(11UON Vat* -;,:.;:‘"r$% :;-414L11;/.-,_ leloi - ,,. „.' ,.„,... -1!;.lia,', .:, ,1,':. ' 91.0 r:te,',.::rilk:'MI W17*WV ' etp$Otttlef4WON idia2aH o ......- ,,,,, .sei)5$01 Jo if*00v Ci 1 111:411-9.3 ,'ll'bsi6L'e$ (uolg ,.. . .. 4dwax, 0 "..tetwiriPutIPPAuswge3 0 ..jentioRlsoli DI I, moun Jo Jeciu.inN ' M2'61 uagtuaN V0140 ulid____ `PIPaulf '',43 elotiod L001, NectissaMPV;a0i040 , ___LOO ke vo iustaxdotoei 10 uoluswitul so ekull ato le saticide p.m)ut euu )uoJin3 61,0Z'6Z itAdV eAllaa,43-- -- g one (-bps.Je '966s9§epoo luovuuiciAo0 2 119v la 'ozoLi„ap 00 u 3 11-10 sued ieciotemociio luetu ed Jol ouell wo3 Ao .3)eoUonp3) - ietrittStIteMANN* Ze99 I.Z9 9Z9 # LC99 Lai 9Z9 d \c/1 C V 0 EV ' ' 90016 VD'EllPddistie dridaAte PiltilknddS 091, i ', - seolowes esaulsne 21,0-9=061.0Z'ON elevilia0 . _ - - - - -- - — U% FF m9dr ,: PERMIT/PLAN REVIEW APPLICATION } Development Services Department,240 West Huntington Drive,Post Office Box 60021 �0muol,Y orN°e� 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 Codes my license is in full force and effect. ❑ I have and will maintain a certificate of consent to self-insure for workers' License Class L 6 License No/ Ol dQu Exp. Da 7 7 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 ID 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 �vC 1(�sG 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 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 ,e 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 2f fht.7 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 attomey'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 THLS 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. I ame N Title I certify that I have read this application and state that the above information is c rect 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 buil ' construction. I hereby authorize representatives of the City of rcadia to enter upon the above-ment' ed property for inspection purposes. q Signature Date 7, of ARc. 4�oFORyy•to s.c , V PERMIT/PLAN REVIEW APPLICATION E0 ' ,. Development Services Department,240 West Huntington Drive,Post Office Box 60021 \Y% 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: )4 Chapter 9(commencing with Section 7000,of Division 3 of the Business and Professions Code,and my license is in full force and effect. b I have and will maintain a certificate of consent to self-insure for workers' License Class t (33 License No. I Exp. Date ?( f 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 DELL TI ❑ I have and will maintain workers'compensation insurance,as required by Section El I hereby affirm under penalty of perjury that om 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 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 12 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 become subject to the workers'compensation provisions of Section 3700 of Labor Code,I shall ❑I, as owner of the property, or my employees with wages as their sole forthwith comply with those provisions. 7 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'Compen ' rage 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 attomey'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 1)M ) r P /( ( Title f'i2 ,-C r f P E 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 ord' ances and State Laws relating to building construction. I hereby authorize representatives of the City of Arcadia to enter upon the a -mentio ro inspection purposes. Signature !._ Date (4/il U OF ARe �`t cauFon4y ci 9d . .: q PERMIT/PLAN REVIEW APPLICATION' a '44,117 Development Services Department,240 West Huntington Drive,Post Office Box 60021 'mAUoi,Y o��°e Arcadia, CA 91066-6021, (626) 574-5416,Fax (626) 447-9173 City of Arcadia / bOle0 (4 / � VICENSED CONTRACTOR'S DECLA TION WORKERS'COMPENSATION DECLARATION , I hereby affirm under penalty of perjury that I am licensed under provisions of ,..1hereby affirm under penalty of perjury one of the following: M1 apter 9(commencing with Section 7000,of Division 3 of the Business and d ' i Signature of Contractor Professions Code, d my license is in full force and effect. 0I have and will maintain a certificate of consent to self insure for workers' Licen1se Class �! C7' icense No. Exp. Dated /tV)i compensation, as provided for by Section 3700 of the Labor Code, for the performance of the work for which this permit is issued. OWNER-BUILDER DECLA TI N 'fir :: -and will maintain workers'compensation insurance,as required by Section ID hereby affirm under penalty of perjury that 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'compe sation insurance carrier and pol�ry-numbers are: Code.Any city or county which requires a permit to construct,alter,improve, (Carrier C � 4_,�demolish,or repair any structure,prior to its issuance,also required the applicant i 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 ❑ I certify that in the performance of the work for which this permit is issued,I shall not employ any person in any manner so as to become subject to the workers' Section 7031.5 by any applicant for a permit subjects the applicant to a civil Ipenalty of not more than five hundred dollars($500)): j 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 LJ 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 attomey'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). Cl 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 require an asbestos survey and removal prior to disturbing the asbestos.Please contact AQMD at(909)396-2000 for further information. i r---, Name �� u'S�'�'1 Title T S(0 PRINT NAME :IEcertify 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. ,141,agree to comply with all City ordi and State Laws relating to building construction. I hereby authorize representatives of the City of "'_Arcadia to enter upon the abo a 'copr rty for inspection purposes. I c{- 2yZ(�Signature Date