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HomeMy WebLinkAboutUntitled (3) r= -fie;
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1 _ „w ; ` b r E �� Permit No SNew 18 1873
City of Arcadia, CA E „_
Development Services Department t ,` • tty Permit Type•Single Family New
240 West Huntington Drive,Post Office Box 60021 ,
Arcadia,CA 91066-6021 x ;fi 4 , i, r Work Classification SFR New Dwelling.
i (626)574-5416 > a ,� e z s r ";, _a Permit,Status,Issued
ARCADIA / / Expiration: 04 08 2019
Issue Date 10 10 2018 p'
Addr NO. Dir Prefix Street Name Street Suffix Unit City,State,Zip Parcel Number
1608 S Santa Anita AVE Arcadia,CA 5789005014 0.
Contacts
JUDY HANG&TOM NGUYEN Owner
1608 SANTA ANITA AVE
(323)864-2965
Description:4 BED 5 BATH,FOYER,LIVING,DINING,LIBRARY, ' Valuation: $ 709,469.27 Tenant
MEDIA,FAMILY,KITCHEN,WOK ROOM,LAUNDRY, 3 CAR
ATTACHED GARAGE.WITH EMP 200 AMP SERVICE,HOODS, Total Sq Feet: 5.010.00 Plan Check#18-1873 Plan#32606
FIREPLACE,HVAC PER APRROVED PLANS.HERS REQUIRED FOR ',,,,,,°'"""`"'pt "v'"""''---T.,v "-"°",
FINAL.
d
Fees Amount Payments Amount Paid
Building Issuing Fee $44.35 Total Fees $18,492.53
Building Permit Fees $5,433.00 Cash/Receipt#REC-002544-2018 $18,492.53
Clothes Washer $12.46
Compressor 3-5 Ton(3 to 15 hp) $68.58 Amount Due: $0.00
Dishwasher $24.92 ,
Electrical Permit Issuance Fee $44.35
Fireplace Pre-Fab $14.11
Furnace or Burner<=100,000 BTU $37.48
Garbage Disposal Fee $24.92
Gas System(Outlets) $77.75
Grading Issuance Fee $44.35 .CALLS FOR.INSPECTIONS
Grading Permit Fee(1-1000 CY) $450.00 Request for inspection by telephone at 626-574-5450. Leave a message
Green Building Standard $29.00 requesting the address,timeframe and what inspection item is needed.
Install,Relocate Appliance Vent/Hood $18.76
Kitchen Sink $24.92
Laundry Trays $12.46 This permit/plan review expires by time limitation and becomes null and
Lavatories $74.76 void if the work authorized by the permitlis not commenced within 180 days
Lawn Sprinkler System on One Meter $18.74 from the date of issuance or if the permit is not obtained within 180 days
LID Plan Check Fee $100.00 from the date of plan submittal.This permit expires and becomes null and
Mechanical Permit Issuance Fee $44.35 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
Motors,Generators<1 hp $15.24 Arcadia building inspector for a period of 180 consecutive days.
Total: $18,492.53
Lti COMP&ETED
.
0 ,
October 10, 2018
Issued By: Date
October 10,2018 Page 1 of 1
• I NOTES
Building Inspections Date Insp:, - Plumbing Inspections Date Insp. gj' I g. ,( ,_i Q, P&73
100. Setbacks 210. Under fir/bldg.drain I j,to•/8 J vG1fU C) l i ,�� tt ii
101. Rough grade 211. Copper underslab ! 2 c, �� i I... r
102. Figs.&forms ,�,w\ 212. Rough plumbing 6-1714 Oki
103. Pre-slab /�2 Dr 3 V r v 213. Rough gas y_ ,�
N
104. Floor joists 214. Shower pan 9 I r 18 o (-�Dc
105. Steel 215. Water heater 3 I-
r L�/at s�f� *
106. Grout lift 216. Roof drains l.-�
107. Shear nailing .6"l7'1 iliki 217. Building sewer )f•(o.fe} -1- (/�
4-Y\I
108. Diaph nailing 1-�- 218. Water service 2a8-2) j-v
109. Roof nailing 2 271 219. Final gas ,/ 4
110. Framing 6►24.1 220. Fixtures
111. 0cc./Area Sept.Wall 221. Final plumbing oZ!t'21 f
112. Sound walls 222. Sewer cap/demo. _
113. T-bar grid 7aF 45 1-Z9-7-6 '114. Insulation-Flr. 1_ ` Pool Inspections Date Insp.
115. Insulation-Wall 24-IL 240. Excavation/steel
116. Insulation-Cell. 1/ 4/ 241. Rough plumbing
117. Drywall nailing 7411 242. Light shell bonding
118. Interior lath 43. Underground conduit
119. Exterior lath 7-(7-i1 244. P-trap
120. Finish grade 245. Gas line&test
121. Final building s'l 1 VI‘) 246. Fence,gates&signs
122. Final demo/lot clear 247. Pool heater
248. Anal electric
Electrical Inspections Date Insp. 249. Final,lumbin.
150. Power pole j0-3 -I % c" 250. Pool cover
151. Sales lot lighting 251. Pool final .
152. Underground conduit
153. Underslab conduit Reroof Inspections I Date I Insp.
154. UFER ground //?•0-fg +'* 270. Pre-reroof insp.
155. Water ground 271. Roof framing
156. Rough electrical &111 tit ChAl 272. Sheathing nailing
157. Fixtures 273. Anal reroof
158. G.F.C.I.
159. Eqpt.bonding Sign Inspections I Date I Insp.
160. Service panel q.,elp tfZij - 280. Setback/overhang
161. Final electric - 21 281. Footing
it f . , 282. Conduit/wirin.
Mechanical Inspections Date Insp. 283. Disconnect
180. Venting/flue 284. Final sign
181. Furnace/A.C.
182. Rouch HVAC 6.-17-1 'MIMI Miscellaneous Insp. I Date Insp.
183. Fire dampers 290. Are alarm
184. Furnace compartment 291. Underground supply
185. Combustion air 292. Are sprinklers
186. Smoke detectors 293. Monitor system
187. Metal F.P.rough 6-11-t l l iV 294. Hood dry chem.
188. Compressor setback 295. Anal
189. Commercial hood
190. Duct shaft Sewers&0ffsite Insp. I Date I Insp.
1
191. Final mechanical ,7-Ur - (' 300. Lateral(main to PIL)
301. Saddle/Y
Block Wall Inspections ' Date Insp. 302. Cess.00l filled
200. Footings 3-g-30 303. Sidewalk
201. Steel/rebar _ .9/ 304. Driveway
202. Grout lift 305. Curb replacement
203. Final wall S-1 7 9 - 306. Trash bin
I
i
City of Arcadia, CA � _� Permit NO"Pool 19.2124
Development Services Department I --"-: ') C " ap'-,ems 1 a$ L Permit Type:�POOI/Spa
240 West Huntington Drive,Post Office Box 60021 l -1 fi`1 1 0� ' d ,
®s°, Work Classification:Pool Residential,
t., Arcadia,CA 91066-6021 j E mi )4 ,
(626)574-5416 ' % °^ , ' �MrgN �'` Permit Status Issued
ARCADIA *,1',1 Issue Date:10/21/2Oi9I Expiration:
Addr NO. Dir Prefix Street Name Street Suffix Unit City,State,Zip Parcel Number
1608 S SANTA ANITA AVE Arcadia,CA�91006-4601 5789005014
Contacts
JUDY HANG&TOM NGUYEN Owner ' Wonderful Pools&Spas Contractor
as
1608 SANTA ANITA AVE 475 S Rexford,Rialto,CA 92376
(323)864-2965 (951)823-6829 902812
Description:DECREASE SIZE AND REMODEL EXISTING POOL, t Valuation: $ 10,000.00, Tenant
NEW POOL EQUIPMENT
Total Sq Feet: 0.00 Plan Check# Plan#
�.
Fees Amount Payments Amount Paid
Building Issuing Fee $47.01 Total Fees $652.66
Building Permit Fees $237.25 Cash/Receipt#REC-02839-19 $652.66
Building Plan Review Fee $154.22
Amount Due: $0.00
Electrical Fee(Motors,Fix,Wiring) $71.71
Electrical Permit Issuance Fee $47.01
Plumbing Permit Issuance Fee $47.01 .
Pool Piping $28.69
Pool P-Trap $11.51
Solid Waste Management Fee $6.25
Solid Waste Management Fee 2 $1.00
SWMF FEE 2 $1.00 CALLS FOR INSPECTIONS
Request for inspection by telephone at 626-574-5450. Leave a message
Total: $652.66 requesting the address,timeframe and what inspection item is needed.
1(`4 11 'Pg�0-ivArF STcEC.1 T.L,,..*„..4,.This permit/plan review expires by time limitation and becomes null and
F(F�7,12LG GzsNOvt� L.(CsT Ii�Dlr void if the work authorized by the permit is not commenced within 180 days
���7from 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
12-14- 1 consecutive days or if no progressive work has been verified by a City of
f o I, fa D/N(r Gg OW. Arcadia building inspector for a period of 180 consecutive days.
l
3 2L-z-e) AeL6f e o/
ciedi,-4 Ceei-ns, o71-el--- 0-z---
7COMPLETED
October 21, 2019
Issued By: Date
October 21,2019 I Page 1 of 1
I
'u � ��Ry, 2 � LreS L'z k m ...
L City of Arcadia, CA " Permit,NO WaII 20"0359:n
' Development Services Department 7 .`-*, tti ,,nw, Permit Type Wall
,' ) a1�' � t q i $s;ti
t- 240 West Huntington Drive,Post Office Box 60021 f s
Arcadia,CA 91066 6021 f �,, ,Work Classification Wall Garden Wall
);;. (626)574-5416 �r , ' ; i �c PermitStatus Issued
ARCADIA issue Date:03/03/2026 IExpiration:
Addr NO. Dir Prefix Street Name Street Suffix Unit City,State,Zip Parcel Number
1608 S SANTA ANITA AVE Arcadia,CA 91006-4601 5789005014
Contacts
JUDY HANG&TOM NGUYEN Owner VM DEVELOPER INC* , Contractor
' '1608 SANTA ANITA AVE 1923 MYRTLE AVE,MONROVIA,CA 91016
(323)864-2965 (323)864-2965 978855
Description:4 PLILASTERS 18"X 18",36"HIGH,4 LIGHTS,2 Valuation: $ 196.80 Tenant
GATE MOTORS APPROVED BY VO.
Total Sq Feet: 0.00 Plan Check# Plan#
i
Fees Amount payments Amount Paid
Building Issuing Fee $47.01 Total Fees $164.58
Building Permit Fees $40.65 Cash/Receipt#REC-04017-20 $164.58
Electrical Permit Issuance Fee • $47.01
Light Fixtures $6.52 Amount Due: $0.00
Motors,Generators<1 hp $16.14
Solid Waste Management Fee $6.25
Solid Waste Management Fee 2 $1.00
Total: $164.58.
,6.
— CALLS FOR INSPECTIONS
`,1/14 r�,;z.i a �._ \ Request for inspection by telephone at 626-574-5450. Leave a message
(�JCX ��1PJYe a i'V requesting the address,timeframe and what inspection item is needed.
t (.'.1 This permit/plan review expires by time limitation and becomes null and
be\\ void if the work authorized by the permit is not commenced within 180 days
ft
i (� o 5¢-� v from the date of issuance or if the permit is not obtained within 180 days
le1� 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 periodlof 180 consecutive days.
o COMPLE?ED
March 03, 2020
Issued By: Date
March 03,2020 I Page 1 of 1
i
RtCity of Arcadia, CA 1, , ' k Permit NO Wall 20 0359
Development Services Department :" '0:°n` , Permlt Type Walk
"` 240 West Huntington Drive,Post Office Box 60021 4 _ ' led I n g P '" '' & `�
i P f i` Wor ,,asslfication:Wall Garden Wall
•-C Arcadia,CA 91066-6021 �, )
(626)574-5416 . 3 Ls- .4.3 Permit Status Issued
ARCADIA u� „ Issue Date 03/03/20201 Expiration:
Addr NO. Dir Prefix Street Name Street Suffix Unit City,State,Zip Parcel Number
1608 S SANTA ANITA AVE Arcadia,CA 91006-4601 5789005014 ;
Contacts
1
JURY HANG&TOM NGUYEN Owner VM DEVELOPER INC* ; Contractor
1608 SANTA ANITA AVE 1923 MYRTLE AVE, MONROVIA,CA 91016
(323)864-2965 , (323)864-2965 978855
T.
Description:4 PLILASTERS 18"X 18",36"HIGH,4 LIGHTS,2 Valuation: $ 196.80 , Tenant
GATE MOTORS APPROVED BY VQ
AMENDED 3-4-2020 ADD 15 PILASTERS 18"X18"X36"HIGH Total Sq Feet: 0.00 Plan Check# Plan#
WITH WROUGHT IRON IN BETWEEN CS)
Fees Amount Payments Amount Paid
Additional Plan Review $53.25 Total Fees $234.26
Building Issuing Fee $47.01 Cash/Receipt#REC-04034-20 $69.68
Building Permit Fees $40.65 Cash/Receipt#REC-04017-20 $164.58
Electrical Permit Issuance Fee $47.01
Amount Due: $0.00
Light Fixtures $6.52
Motors,Generators<1 hp $16.14
Solid Waste Management Fee $6.25
Solid Waste Management Fee 2 $1.00
Supplemental Building Issuance $16.43
Total: $234.26 CALLS FOR INSPECTIONS
3 3j -.Wn, Request for inspection by telephone at 626-574-5450. Leave a message
1 requesting the address,timeframe and what inspection item is needed.
f c j? 6i O . J
J
K-, V
.. 0_Z© This permit/plan review expires by time limitation and becomes null and
,.Q �_I void if the work authorized by the permit is not commenced within 180 days
fge-e v rr , (► ,\ 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
2 -�- a void if any work authorized by this permit is suspended or abandoned for 180
7 consecutive days or if no progressive work has been verified by a City of
g „C Ct,(DUr3 0 j/ ChAl Arcadia building inspector for a period of 180 consecutive days.
fita-L, a- (1-Y\\ El COMPLETED
March 03, 2020
Issued By: Date
Page 1 of 1
March 04,2020
..` PermitNo FIRE 18 0514
i City of Arcadia, CA � i ,
x Development Services Department l ' "if ) I ,' , " Permit Type Fire
i , ��` 240 West Huntington Drive,Post Office Box 60021 i a t { : `, s ' "
a' an y Arcadia,CA 91066-6021 € i i c.1:1v:2::,`�!€ i I i Wo'rk CIassffication Fire° Sprinkler
(626)574-5416 a It J ', ''Permit Status Issued:
rie ARCADIAr Issue Date 05/153/2O18I Expiration: 10/05/2018
Addr NO. Dir Prefix Street Name Street Suffix Unit City,State,Zip Parcel Number
1608 S Santa Anita AVE Arcadia,CA 5789005014
Contacts
HANG,JUDY P Owner F&H Fire Protection* Applicant
1608 SANTA ANITA AVE 1119 Westminster AVE,Alhambra,CA 91803
(626)705-4338 .
m
Description:FIRE SPRINKS FOR SINGLE FAMILY 53 HEADS Valuation: S 5.300.00 Tenant
Total Sq Feet: 0.00 Plan Check#18-514 Plan#
�33' °an br,�•�.,.,,., . n , sn.z.. oBn .,,_.,�.,.rmvae, .. ...,ws c^a ma�sr ur*ti,t va a;•,cw 4F.rs... .,,e.,�zy
Fees Amount payments Amount Paid
Fire Issuance $44.35 Total Fees $915.80
Fire Permit Fees $170.45 Cash/Receipt#REC-001076-2018 $215.80
Solid Waste Management Fee 2 $1.00 Cash/Receipt#REC-000783-2018 $700.00
Sprinkler Heads $700.00 .
Amount Due: $0.00
Total: $915.80 -,
,
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.
COmpiETED i
May 03, 2018
Issued By: Date
May 03,2018 . Page 1 of 1
4 VIZ;
m74ti„ot� PLANNING SERVICES
ATTENTION: ��1\ 5s°% �7�DATE: � � r.
FROM: BUILDING SERVICES INSPECTOR: SI6PF
PROPERTY ADDRESS: /60g S . A-NJ riPs
PERMIT#: S (? -f p 73 PLAN#: 3-2 60,,6
CONTRACTOR: OW D 722 /kJc PHONE#: 3Z� - 0 0`'t -27 C16M)
OWNER: 7OM klerlytKi . PHONE#:
PLEASE INSPECT THE FOLLOWING ITEMS FOR COMFORMANCE WITH APPLICABLE PLANNING
REQUIREMENTS.
TYPE OF INSPECTION DATE& INITIAL DATE&INITIAL FINAL
APPROVAL •
LANSCAPING/IRRIGATION (� 3'3G ri )
TRASH ENCLOSURES �J�-►� l
PARKING/DRWEWAYS
\A-R 313C:
STORAGE AREAS ,__-
MECHANICAL EQUIPMENT l
WALL HEIGHT
BACKFLOW SCREENING
410)
COMMENTS: l • 41;,;i;=;" — - �•,��=._:y. �- -- ��, .;,.,tom •
Z _ _ _ ter,
�`�•��l�, l R\>��,:� � s�Il: elti• y�r c.�- - cL,iiy�I• 4Wi Str�
of ARc
441-o1F0R4v 9,
�FRZ
�
o „faits, `0
om°� MEMORANDUM
Fire Department
DATE: May 17, 2021
TO: BUILDING DEPARTMENT
INSPECTOR Jeff Wang
FROM: FIRE DEPARTMENT
SUBJECT: FIELD INSPECTION
ADDRESS: 1608 S. Santa Anita Avenue
THE FOLLOWING ITEMS WERE CHECKED FOR CONFORMANCE WITH APPLICABLE FIRE
DEPARTMENT REQUIREMENTS:
TYPE OF INSPECTION DATE / INITIAL
FINAL INSPECTION
FIRE SPRINKLERS (PC# 18-514) 12-11-2020 Jill Perumean
FIRE ALARMS
HOOD & DUCT
KNOX BOX
OCCUPANCY (PC# 17-421) 12-11-2020 Jill Perumean
COMMENTS:
Emailed Bldg. Dept. 12-11-2020 Rita
O As
c 1k
rF}L
WATER DIVISION
ATTENTION: : DATE
FROM: BUILDING.DIVISION INSPECTOR
V
ADDRESS: 160 g:. S' . 3 - AKI,VTA
- ::PERMIT NO.:: SKIekl :[.-��.I '73 PLAN NO.: 3 i2 tom. 6, : : . :; :
CONTRACTOR: :0 ' e� G' 1) /4c. PHONE NO.: .3 Z '.0 7 7.ASS C 1 )
OWNER: , .- . PHONE NO.: .:
PLEASE INSPECT THE FOLLOWING ITEMS FOR CONFORMANCE WITH APPLICABLE.DEPARTMENT
OF PUBLIC WORKS REQUIREMENTS:
: :Type of.Inspection. . . Date&Initial Date&.Initial Final Approval. - .-
Meter Location
Blackflow Devices :
Irrigation System . - : .:
•
Fire Sprinkler System
�g
Meter Clear A.P.P.
Swimmin Pool : ; ?:. -
�1J
COMMENTS: F��e. . 1 D aO�B: : AN i"-5. L-I3�q-7 �ves�': lb?
j
eF
•
�� .. ,
g.
eaa,,,o�,ae City of Arcadia
DEVELOPMENT.SERVICES DEPARTMENT:
Inter-Departmental:Inspection.Request: -
Date
1 s - zI
Public Works Inspector
To: M From 5-
Address: /608r . :S . S'A T.A AtJIT Permit No:: Watt.i--I-
Contractor:. . . Ukl lJ /t to/ bXMe__, . .. Phone No: 3 2 R K4- 27 6 . :(1CM)
Owner: --rot 7../earA 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 atandard for Public Works
construction: .
:. Type of Inspection - Date&Initial Date&Initial Final Approval
Drainage.
Grading : . .• ' - ) - - :
Erosion Control . : .: / '- - -
VY
Offsite Improvements
Street Improvements)
(conduit, curb/curb&
\-1.-z
1
gutter, curb numbers;
- driveway:approach,. :1 (.
P Yplanting,
arkwa
sidewalk, street light,
traffic flow,etc.) :
Sewers.
(lateral,:grease/san
interceptor, saddle,wy ,
etc.)
. cf?)
COMMENTS. . 1 • >./.:)G 'q./ )V(. • e w-20 . 6,,f),.•J <:•_.e. ,_ ,____, . t .
Rev,-1/12111 - .. .. ..
t il - Opi
441111 .
1
6 WO ar:;-':ilit ;'•-,7,11 s.'
TW 17
CITY OF ARCADIA
240 West Huntington Drive -
Arcadia, CA 91007
FINAL GRADING. VERIFICATION
AITENTION: Community Development Administrator
SUBJECT: Grading Verification for Project No. 16-023-036
Address: 1,608 S. Santa Anita Avenue
Gentlemen: •
Finish grading operations have been completed for Project No. for
16-023-036
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.
okoFEssiok4
Ct4 Ca 49r c so•
40 6 • . e *
r
\t‘ 10 e
Engineer(Signature) 0 40870 A Architect(Signature)
m
xi
3-31-219
R.C.E.No. 40870
R.P.A.No.
N„___CIVILY
Date: January 14, 2021 OF CAlg°
Received and approved:
Date: '
•
cc: C.D.D./Maint.Ser.
C.D.D./Building
•
•
•
• AS.. BUILT GRADING PLAN a
j i \ I CONSTRUCTION NOTES. m .
II TO g • =
.I 01 LI 90]O 1 q$�n) .. pO.EItiSTNO TREE TO BEE REMGEOB•
E REMOVED
I' 1C 1 ) (BR6 NSTALL211O BOTTOMLESS CONOIEIE GTLH BASH HEREON .- nnl!..�5
. 19 �--/7 I11�5_�) ® - O '0 EXISTING 611 CONCBLOCK WALL TO REMNN ® VU m
•
' 4444Ll N001512 W (366 BOLA 1J250' 1NSa.) (19B. 0 EXISTING CONCBLOGWALL TO REMOVE•
DETAE
IS-•g _--- -.-.- -�i V•jtmm�v-tvvl 113c.]t) (15a,Ya 39T 85) . .O BOWING ORNEWAVAPPROACH TO BE ROADBED, •
, 1 1 1 W O
1 a � �I O CONSTRUCT NEW DRIVEWAY APPROACH PEROT'STD.501.1 �v.
' . ' i . ■ •;i.Y 2.1., -_ _- _ 11L -__la ��.,,sAit-_. ,. m..3-� 059-C., . •.O'CONSTUCT ONE(I)CURB.OIETTCO 31)RECTANGULAR CURB DWVN ;It. , •• - S .� �5 m..
� ` II� •pP BarALLeao:A GAri oETAaNrtREON • 5
�.1] . 'f',••', ��\ \lr +[, ®NSTALL'1-f SCR10 PVC PIPE WITH 06%SLOPE s •
( (• S I.I • 93�) L' n A� .0 (ASTN 1-4.30.IS PV PIPE .. .. '11' �i g�
:1 • .l - e e s d I•'�'}-h • .: F` I _ 0 CONSTRUCT CONCRETE DwBEWAr RR ARCHITECTURAL PLAN •• /LN HIV W
8 :a 'V / D/ II, p� ID CONSTRUCT CONCRETE WNRWAYPERMCHRECTUML RAN . �'p ^
• 11" --i :20 t I.•.._,p i h e.17 j p h+' O^' m PISTALL MITOFO-1.6uLeowOPrE'Armasx SLOPE A i
j .I• ■T )-_ F•ia I DARAGE �. G�;I. � •8. ®uglD(DthAE.uw ,1w+ - 1 c Q 3
j'. k.^9 1' ((.J9B.6J(1 / 9E � �o&B%) I • \E•Ir.:L+AW. _ •®'asrAU NFLIiUIKINTRENlOIWRHf PERFORATED PPEWmlOaxem SLOPE - `, ., ..
• (J99 I: PAp.390.96 - .
• j 3 I.■`- _'� l 93 1) ! 51 • 1 \• 0 DIMNO WALKWAY
TO BEAd � .
'F4 ,� 'lC 6 \ EA6TN0 WAlICWAYTO BE REMOVED 1'�I '� 6
\w VICINITY MAP' Cl
• I.-etix. I `� n Ii• g.. 'O NEWTREEPERlMNSGPE RAN �' : (ya''R
CL� 30 39.,61 93 Eirifl a.wm;.c F .J \\\\.••\- 3 D 13 6ea). 3v9.T]I -1 ae • .. EASING;MET°BE REMOVED
C1:', 15' I S• ��.Yt 1 (19830). l )986< ` , /� '1`: .. '®HEW iN6AR0EN WALL • • -
I IF - " - REMAIN •�. ` ` '®EASINOWALLT05ERENOYED .
95' I x�l)'0T7 - ■ 4'6U �C S \ \ ?r".`-� 3.395 Ce. .PPEIC/SCD. .
�y `) .®RERNDRIPLAMTEN fROYRTORPERePPNCH10.1301 MLLU0E 1.AC SLOT
�(/% F •y [ P 9 \ - curAND RERACEw+c ul[ or for 1s1BD w.n s(
`I+ I \•1 I 6 �.!E - 3 ' \ ®RERw�snEwAL1cRDM(im RPPnaPnc srD.Tu 'asa9 ACT[ ..
\ ./ ) � \ •--\ 1 L-.O■El/fS:k)�• °\•
®DDAT6PpRMINIANRRAPOMIrEC1NUL RAN [6 NO - 56.D3[ 46.T .
mNc w r[R ��''PP
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EMS NO WATER MAN • DSD/ENGINEERING
_ • ,. GENERAL TREE PROTECTION NOTES: , APPROVED.' � �LAt"' - 95.029 032
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• _ gPBY_YgErg0 9 205R°":E o 99 920IREwD roY R�DC,MAR 24 2021 roI .10
•
'EARTH WORK QUANTITIES:• -OWNENR:•• • BENCHMARK:' ' - . .LEGAL DESCRIPTION:. . . ' LOW IMPACT DEVELOPMENT CONSTRUCTION NOTES: '_1_ BY:: I. al l
. • 0012• 1.33 0MOD.0/OE RL• moss W.YD. 17io N.Sarno AMR, MIN AN3NA AVE.&KRUM AVE.. LOS AN0Cl[S,.SIATC LOT t OF CALIFORNIA TRACT TAS PER REC IN TNE CITY CORDED IN BOO ARCADY wK25 OF
Q ML9PA199 IRO/.(KR9ONAm PPE) �-A^ Dne�orG6u�Oe2 g • - � .
OVER CXUVAION/RCCOIPACIAN: &10.6T CUM). Arced...CA 9100B NGTN.MT.CW8 RRURN,1.5-.NJRM .PACES 23 TO N.OF,WPS;N IRE,000NIT RECORDER.OFFICE OF.SAD O
THE YARDAGE SH0MN HEREON IS FOR PERYR AND BONDING PURPOSES.lIR ''COLNN. • '.O.CIROCNT 005*90i.
CO/iRAGIOR SHALL BE RFSPwSNNE FOB VERI7RsC OP THE COMMIES. .. LLMTDN:393.89" • 'APN:5790 0OS-DTI. .. '. .. . •
SHEET t 0 vv.CM
•
•
•
1608 6th Ave New Construction,.1608 Sixth Ave, Arcadia, CA 91006 •
Project Information: •
•
(; -Prolecti a 6oesst Ai New GonSiNchon' ' •• • . ®
. - -
• Created:
•
• 'Tracking#. GH275412 2540 .. - - - : • - -..
I l Ar,Address 1606 m1 Ave Arcadia0A n.
. _ l Permit#.. . •' —— .. _ .
Submitted
Tract Number N/A • �O Approved- _ -
�'' Start Date: 06/10/13 __
End Date 05/30/14 - •" �O :.Tickets Uploaded(7)'
� rotect Type: New ConstrucUan -- :r_ '.
ff BuildmgType: FlesdenLal - t-O Submitted For Final -
Protect value: se55,o0o. "• "f Square Feel:' 5,700 ;. �,.Q ,,Completed .. -
Description File tJ/A •. -- -
Protect Description: Construct a new'single family home,2 story with 3-car attached garage ' - •
•
•
•
Selected Project Managers •
-
-
Name Position Email Phone Cell
1: David Lau • ' President : *doclatkairahnoxern
Account Holder Info • . : - •
Name Position Company Email Phone
1. David Lau • - Le Crest Development dpclau@yahoo.com : ,' - 626-447-1666' •
•
•
i -
3
SOLID WASTE MANAGEMENT COUNTY SANITATION DISTRICTS
OF LOS ANGELES COUNTY
1955 Workman Mill Road,Whittier,CA 90601-1400 1
Mailing Address:P.O.Box 4998,Whittier,CA 90607-4998 Grace Robinson Hyde
Telephone:(562)699-7411,FAX:(562)699-5422 Chief Engineer and General Manager
www.lacsd.org
Counter Hours: 7:00 a.m.-4:00 p.m.Mon.-Thurs.
7:00 a.m.-3:00 p.m.Fri. Application No.: 5789005014-002
SEWERAGE SYSTEM CONNECTION FEE RECEIPT Date: July 10,2018
APN: 5789 005 014 District No.: 15
Owner/Situs Address Applicant Information
JUDY P HANG Judy Hang(owner)
1608 SANTA ANITA AVE Tom Nguyen
ARCADIA,CA 91006 1740 N Santa Anita Ave
Arcadia,CA 91006
Phone:(323)864-2965
Facility Type Measure of Use Unit Rate Amount
Single Family Home D 1.00 DU
Single Family Home N 1.00 DU $4,210.00/DU $4,210.00
1608 S SANTA ANITA AVE,ARCADIA
Base Line Credit 1.00 CUs $4,210.00/CUs ($4,210.00)
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
Includes demolition of 1.00 DU of existing Single Family Home
Processor:Erika Ballesteros Approver:Cy la Vill SANITATION DISTRICTS
D.C.: 1 OF LOS ANGELES COUNTY
!Payment Received Check No. Am ount! j APPROVED
Tom Nguyen $0.00 �
GRACE ROBINSON HYDE
CHIEF ENGINEER&GEN.MGR.J
I "valid Only When Stamped
• I •
DOC#4641274 THIS IS NOT A CONNECTION PERMIT.
A CONNECTION PERMIT IS REQUIRED BEFORE CONNECTING TO ANY SEWER.
b F61,tr i CITY OF ARCADIA
u © F"� WATER EFFICIENT LANDSCAPING DOCUMENTATION PACKAGE
[j,r•
! CERTIFICATE OF COMPLETION 1
This certificate is to be filled out by the project applicant and the property owner upon completion of
the landscaping project.
i Project Information
Date of Project Completion Permit Type and No. i
©5/s-72azi S AiE0 - /r-. /5/7
Proje Address
/tsar 5 . S �l
Name of Project Applicant and Title Name of Propert Owner
7 t7 A/ C y ee 1v %vj /7c c/fvyex,
Company Name&Mailing ddr ss Mailing Address _
741)&
4 CATelephone and Fax No((s/))... ^/ `/�,l Telephone and Fax Nc(s).
Email Address 7 Email Address
Project Applicant — The signer of the landscape design plan, signer of the irrigation plan, the I i
licensed landscape contractor that installed the landscaping and irrigation, or a licensed
professional that performed periodic site observations to verify that the project is consistent with
the Water Efficient Landscaping Documentation Package for the project and that the project
complies with Ordinance No. 2267.
"I/we certify that based upon periodic site observations, the work has been
substantially completed in accordance with Ordinance No. 2267 and that the
landscape planting and irrigation installation conform with the criteria and
specifications of the approved Landscape and Irrigation Plans and Landscape
Documentation Package and acknowledge that the project may be subject to
. inspection and a Landscape Water Audit to verify that the project is maintained in 1,
compliance-with-ordinance No. 2267." I
I'
Signature - %/ Date 43 d�S �Q2f
Name(print) — P Telephone and ax No(s).
/or/ xr!dyeA/ 3o.3 5-64- ,2*.--- ,
Title � � License No. or Certification No.
67,u7V.saS' 1
1 Company Email Address
Mailing Address c/
Property Owner
"I/we certify that I/we have received copies of all the documents, within the Water Efficient
Landscaping Documentation Package for our project and that it is my/our responsibility to see that
the project is maintained in accordance with the Landscape and Irrigation Maintenance Schedule
for the project and in compliance with Ordinance No. 2267, and I/we acknowledge that the project i
may be subject to inspection and a Landscape Water Audit to verify that the project is being
maintained in compliance with Ordinance No, 2267.
`
.r z....__
2
______...„,...
i
__....__
Property'—awner s ignature s D
- 11 - i
r'-.
.P/P'`"7/ __� C-04 /id s'- PRODUCT INFORMATION SHEET (PC 13
-------- Page of
1. Insert product information below. 2. Insert the Item#'s for each product listed below into the appropriate boxes on ROOM/LOCATION MATRIX.
3. Attach all product specification sheets or labels. 4. Use additional sheets if necessary.
Item#1 . Description of Product
Formaldehyde Limits
Color/Product#: .r 0. 31'0, ,/o,e
Series/Collection: Current Proposed
p�rJe
Limit* Product
Manufacturer: ��Z/,rj, 4�tcr 46'.
•
Other:
9 /40
•
Item#2 Description of Product
Formaldehyde Limits
Color/Product#: 7.4.175c c-a /
Series/Collection: J '��� �1 Current Proposed
Limit* Product
Manufacturer: P-I/ i, 44,Vi‹,==.
Other:
Item#3 Description of Product
Formaldehyde Limits
Color/Product#:
e_ .`-�� �vis '�' Current Proposed
Series/Collection: — _NT7 /�
f Limit* Product
Manufacturer: i9v/44Va t1'wielor
Other:
SD•
Item#4
scription of Product Formaldehyde Limits
Color/Product#: `"� — �€ .�'` "� 'f J . Current Proposed
_ /�
Series/Collection:
�111453C D., aKe- Limit* Product
Manufacturer: ©�, ,,,Ctia t7.
Other: /
G 0 // -
*See Table 4.504.5 for current limits
PAINTS AND COATINGS - ROOM/LOCATION MATRIX (PC 6)
Page of
1. Insert product Item#(1,2,3, etc.)from PRODUCT INFORMATION SHEET in the boxes below to indicate the type of finish
used in each room or location. 2. Attach additional sheets if necessary.
i��� •,; �•�im r +Vn ,r �{'^ten ix,r �w
yfb ''�;- y��r �,`' $�i�" " • ,"�4 « F'r t�7„K} 1 ,�F �'fa�''aix ^ .'I -
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�t cd:c ..-. ,{�t t A 4: rr f'� •..�7 �}"kY.> „✓ i\.; i.�� eY�.. - +'.. / .tee •,.�`,.1 •�r,.. Y, t,� fir. „"Y',' ✓ 4
.. 35 h.•.,:�3 s @,...;5.�. )�i.�., .2, /fi �jcrj/. ..,..j� _.i,��•,:.�r .;.�'- � f � y.:;F`.. .�.!�P f�.,,... � �',"*� `;ftn',+�•,(,r�l��,,��$°�f^ si'�,.
�- ..M1+..n,?.i144f' .'}i'v+. win:�F^�..'":i;.a�Js•'.��t..:/F2:. ��^-•�'k' • "'t' %�• rN r..nJ .tF.aJ /.f,•�Jz. r;ti v �F:. ,.�:L v�.x. ,a''}r' l�i q+ fi., .: .
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.. ky� ;� s,. :l ';:;r r -.- fir>C'a-,�.: !�a/�<,F. T; N` .':, ..,X�� "1✓ , :.4
CkxNy d,•¢7 F 'A4'. Mrs.; Y. z >7.,t :' ,xrRr \ 1r T r ^ZT ! ~ 7" �^ maw. *.r ?'LLti I$bti.vr ate 1.. +SF.&,
COATING„, r 6 •.t.1 { 4 t •4 r x, �y
{1 ri xTs: j S "4� Rti v 2 t� i Ti :' "r� .. F f. ,4 x l K sFfr
7�Z't,"m�,l"�iiLi„ :r r3ox..§�r� ,J}:t''} »"5 r v� :,�,•i .�h. }'I �� # i v f *t? �f.•:4xsy.k7 v 1}t,G"1.4`'m: � q a�,r„'.k ''S
! `* � r. � .r r t:�, a3.,, �,w a,,X,;�: Y' j� � qg�,�• 4a'�ts a� �;�
. /
Flat
Nonflat,: . . .
High;:Gloss
Faux Finish
Floor:coatings`
Primers/sealers
undercoaters
Shellacs; , .
Stains
Tub and;tile
refnish coatings
Wood,Ooatin s
Other: ::..
Other
Other . •
Other°:.
Other''.
•
111111!
PAINTS AND COATINGS - DECLARATION STATEMENT (PC 7) Page of
The following section shall be completed by a person with overall responsibility for the planning and design portion of the project.
DECLARATION STATEMENT
• I certify under penalty of perjury, under the laws of the State of California, the information provided is true and correct.
e I certify that the installed measures, materials, components, or manufactured devices identified on this certificate conform to all
applicable codes and regulations, and the installation is consistent with the plans and specifications approved by the enforcing
agency.
Responsible Person's Name:
Respo sible Person'' Signature:
. CW � /ye
Date Signed: Posi
s � 2/
Notes:
_'12J
C ',DOSt7t W ODL&_piesepRODUCT INFORMATION SHEET (PC 5) Page 9 of
1. Insert product information below. 2. Insert the Item#'s for each product listed below into the appropriate boxes on ROOM/LOCATION MATRIX.
3. Attach all product specification sheets or labels. 4. Use additional sheets if necessary.
Item#1 Description of Product
VOC grams/liter
Color/Product#: f7, - /Z,)/ v , Avir s
Series/Collection: ,'yid /� CALGreen Proposed
1 ,ei l ,,��J Limit* Product
•
Manufacturer: 5 - .44 2 74. ? ,%,c „s iv f� GS
Other:
Item#2
Description of Product VOC grams/liter
Color/Product#: AM)0
Color/Product
Pe,Y,4' c' a s Aoy9 i- CALGreen Proposed
‘36 1) 5' Limit* Product
Manufacturer: M7-7,-= 1 cool V V . ,r J
Other: •
4�
Item#3 Description of Product
VOC grams/liter
Color/Product#: �z.�,', <oc./iA/in€1 , n Z
°`'%!'/� D cbo 7 • 0454'ot, ok.CALGreen Proposed
Series/Collection: 7-it e.e,GSA
Limit* Product
Manufacturer: 7� /� ) __�_
Other:
--- ---------
, oy
Item#4 Description of Product
VOC grams/liter
Color/Product#: "! CtlbA
Series/Collection: CALGreen Proposed
> 6 S Limit* Product
Manufacturer: .9I7 a4Y #vJ.4 '
/43�L�,C�,9�r' v
Other: . er s G er
*See Section 4.504.2.2 and Table 4.504.3 for paints and coatings. See Section 4.504.2.3 for aerosol paints and coatings.
COMPOSITE WOOD PRODUCTS - ROOM/LOCATION MATRIX (PC 14)
Page of
1. Insert product Item#(1,2,3, etc.)from PRODUCT INFORMATION SHEET in the boxes below to indicate the type of composite wood product
used in each room or location. 2. Attach additional sheets if necessary.
t
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PRODUCTS : rhf3;' a s -1,n:.s, sr , _- M f r 1r C .,• M,• L .' ,;:,l r;, , ,.�'" �:iAi;:, :..,: -,'N r :,y• • pF s a.•q E y !• • 7 fi,.-- 7�''r .. S 't`,n ,t,e- ,,z"4 y,t
.I, f Mr:: 7 :.` r t :f y, y ,+;i 1 r' 4i` +'+ 2S"r9, C .
Hardwooi: �•: :. tr 3R 41 } w�tit sy
Plywood veneer.
core: 2,' Z
Hardwood .. .
Plywood
composite core .1"
Particleboard::' f Z il,— L. L
Medium Density.,'
Fiberboard: I l t 1 1 r /
Thin medium
Density: .'
Fiberboard ,, :'
Other:.`:<. .> ,
Other:
Other
•
Other
Other..... . ..
Other
COMPOSITE WOOD PRODUCTS - DECLARATION STATEMENT (PC 15) Page of
The following section shall be completed by a person with overall responsibility for the planning and design portion of the project.
DECLARATION STATEMENT
• I certify under penalty of perjury, under the laws of the State of California, the information provided is true and correct.
I certify that the installed measures, materials, components, or manufactured devices identified on this certificate conform to all
applicable codes and regulations, and the installation is consistent with the plans and specifications approved by the enforcing
agency.
Responsible Person's Name:
Responsible Person's Sign'ture:
att
Date Signed: Ar?cfie.-� Z�
Position/Title:
oy Z./ fly
Notes:
ADHESIVES, SEALANTS AND CAULKS -PRODUCT INFORMATION SHEET (PC 1) Page of
1. Insert product information below. 2. Insert Item#'s for each product listed below into appropriate boxes on ROOM/LOCATION MATRIX.
3. Attach product specification sheets for each product used 4. Use additional sheets if necessary.
Item#1 Description of Product
VOC grams/liter
Color/Product#: /. `: 4/2 .
f CALGreen Proposed
Series/Collection: ' (41 , ? s aA
//'c,'c /9e,y Limit* Product
Manufacturer: _Other: j 2 7
Item#2 Description of Product
VOC grams/liter
Color/Product#:
/ F.,y�� CALGreen Proposed
Series/Collection: #61
Manufacturer: � /,. .
Limit* Product
Other: c"`� `ro _ /l
Item#3 Description of Product
VOC grams/liter
Color/Product#: �e j f" ; �_ _
Series/Collection: 9 ` /���
—�'r �' C% �.Os - �OZL d/Q CALGreen Proposed
ng /� Limit* Product
Manufacturer: ,5 7/67,1 J'///V#3' c je
Other: — v
Item#4 Description of Product
VOC grams/liter
Color/Product#:
Series/Collection: �,p�_ / CALGreen Proposed
��"'r `'�ve"P A51-0 �' f /4 ! , V�G Limit* Product
Manufacturer: 3 'l U /
Other: ,/ Z�
*See Section 4.504.2.1(1)and Table 4.504.1 for adhesives, sealants and caulks. See Section 4.504.2.1(2)for aerosol adhesives,sealants and caulks.
to
ADHESIVES, SEALANTS AND CAULKS - ROOM/LOCATION MATRIX (PC 2) Page of
1. Insert product Item#(1,2,3,etc.)from PRODUCT INFORMATION SHEET in the boxes below to indicate the type of product
used in each room or location. 2. Attach additional sheets if necessary.
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Indoor'carpet I it;i r {",t p a?; 1➢"'uzrs b a� w t J Fn a�
'•+ " �' �
adhesive.
Carpet pad
adhesive- ,: t
Wood flooring
adhesive: I r
Subfloor •
adhesive,
Ceramic file adhesive 1 c I t ( T 1 ( 1
Vinyl:composite
titleand rubber
' tile adhesive.
Drywall and
panel::adhesives;:
Cove'base `
adhesives;:
Other. •
O •
ther:.
Other_."
Other
ADHESIVES, SEALANTS AND CAULKS - DECLARATION STATEMENT (PC 3) Page of
The following section shall be completed by a person with overall responsibility for the planning and design portion of the project.
DECLARATION STATEMENT
• I certify under penalty of perjury, under the laws of the State of California, the information provided is true and correct.
• I certify that the installed measures, materials, components, or manufactured devices identified on this certificate conform to all
applicable codes and regulations, and the installation is consistent with the plans and specifications approved by the enforcing
agency.
Responsible Person's Name: Responsibl Person's Si nature:
Date Signed: Position itje;
// L i
Notes: / i
t u
+ ' '�
DEPARTMENT OF MARX
y
LOG R }�
i«
STRUCTURAL COSERVA 'c ,,L,..„ ,
,
Y
rwaive the reeponsalabr kw*.
l a�tklbr �4t}! (�SOCAt]fN 1Ot t
R... -L a
L}_ __ S ,#` -"`' 1, w' '''
1 h
'
�''=SE-RV CD STRI1C11ThRAL ELL__EMEi+i75 AND T num., "• I .&„t ...,,-
.-Li, N''''47°''' "..:t 1ir
PPA MFS
S....-:,,T. , _ I - ' 1' Sled hic 11 t Frame D C k ,ti%
ai
-v . -- i i, ". ly ..3 S ':l 3iaced Frarne 0`:-.fi� 4 4 •I
L.__ c,1 I_� Svr: 'L� Cor,C.rr,le Moment
r i„ _ 22_T ! Frarno w.
'' Others: «
i '',,•r_ *T C, a .Cn eltI rs: i 13 1',i3sanry 143I1 F LG �zj
A . „,z ATIC;crs Fame
C Others:�r __ .s
r: ,��cr?u- y C'ES..- n tiie proposed'curresponding corrective actio with respect to g.rwr.$ i
-:nz�:-'_=1•ee L '''.7-,-pproTed plans or in the load path: (A final report by the structural observer � ,
_:c:: -t•a::dui 7::nras hat been re oived is required before acceptance of the wo+it by the bu k �� ,s
( FIB.M 1l`1G P `,. V. -la _�►. fib > '
— . 7 5 o' ' 0 , Sti f L
TO Q c. . iz.A-Ce. �,ref Rzza it".. ' -t:-a a
t C= 1 AT red IILLQw"i�PlG " E .c 7r3 A!$e 1 RU a ' �'is OF Sys EDGL -`
• I,--.s;Ti-f=EISXE c'R OR ARCHITECT RETAINED BY C 'ESPONS::,LE ,,. ii'
�H�RCE FOR. THE STRUCTURAL OBSERVATION IN ACCORD t E WITH THE 2t, w";
FELQII E.: �t'iS OF THE COUNTY OF.LOS ANGELES, �•A , ' ; "1"`
CR Al OTH=R ENGINE OR ARCHITECT WHO I HAVE DESIGNATED ABOVE AND IS ¢At . , r."{4
UNDER MY RESPONSIBLE.CHARGE,-HAS PERFORMED THE REQUIRED SITE VISITS AT K', `, ' .�
EACH SIGNIFICANT CONSTRUCTION STAGE TO VERITY IF THE STRUCTURE IS IN
T,
GE.';EF2liL CONFORMANCE WITH APPROVED PLANS AND SPECIACATIC>}1S; , "'-f � .� c�•I
471
ALL NOT C CIEHCIES WHICH REMAIN TO SE CORRECTED HAVE BEEN INDICATED D t ,, *
E? 7'"
J. I RECOMMEND THAT ACCEPTANCE OF THE STRUCTURAL SYSTEIIIIS BY THE COUNTY '
OF LOS ANGLES BE. WITHHELD UNTIL ALL OBSERVED DEFICIENCIES ARE a „ ,, � : �:_ �'
CORRECTED. ;1, : = ':
1-9
. fit
TUBE OF STRUCTURAL OBSER 4"/DATE S4 eFa
�yy�p /� 14 4
Version 1.0(2008 LACSC} '� -. , r w r
1 Ares S' '', P F
' ' t i�
12. 5 J•f���.�
r -- - --- - - -
1.
`'it ;�.` County Angeles
PUBLicwor.xs DEPARTMENT OF PUBLIC WORKS BUILDING &SAFETY DIVISION
%`` Los Angeles Regional Uniform Code Program
STRUCTURAL OBSERVATION REPORT FORM
STRUCTURAL OBSERVATION means the visual observation of the structural system, for general conformance to the
approved plans and specifications, at significant construction stages and at completion of the structural system.
Structural observation does not include or waive the responsibility for the inspections required by Section 10B 1704 or
other sections of the Los Angeles County Building Code. (Sections 106.4.5, 1709)
Report No.
This report includes all construction work through F 2+1 day of j I I IUk— ,20 •I 9, Page No._____V____of x
!Project Address: Structural Observer of Record(SOR):' SOR Phone No.:
© .SAI , ) " F Tic --G l.D-7zit3..
Building Permit No.: Structural Obse Lion Observr Professional Lic./Reg. No.: Observer Phone No.:
performed by: ,-G- 3.3 Cd 2 low,-51o'0 6,9
i OBSERVED STRUCTURAL ELEMENTS AND THEIR CONNECTIONS
FOUNDATION IQ4IiALL FRAMES citKOOR ELEMENTS/CONNECTION
OBSERVATION LOCATION
Cl Footing, Stem Walls I❑Concrete ❑ Steel Moment Frame 0 Concrete
❑Mat Foundation ❑M onry '0 Steel Braced Frame 0 St,eel Deck
G Caisson, Piles, NIJood 0 Concrete Moment Mood
Grade Beams Frameicz 4.
\t
0 Retaining Foundation 10 Others: 10 Masonry Wall hYOihers: i
Hillside Special Anchors _ Frame LOott
❑Others: I 0 Others:
is
•
NOTED DEFICIENCIES with the proposed corresponding corrective actions with respect to general
conformance with the approved plans or in the load path: (A final report by the structural observer which states that
all observed deficiencies have been resolved is required before acceptance of the work by the building officials.)
i I Fk.A.►"l I NG PR.O Vi�7 ?t ASS PSG. APT'RO N S
WD ff�L.A .
• Z.) Da TA4-I L. 7/58 �1C'T 'R.E b . S i 11GG GRl LE k A .X`C1l J
TO R Q�ce. f reiT R- . 'fl. M4X,5 PA►.1 2 R-
3) Er; CP/67 71 7/s7 ` E 'er TRAta Nor R.F 'ram. ri5 141
I DECLARE THAT THE FOLLOliV1AJGTTS ARE TRUE TO THE BEST OF MY KNOWLEDGE: t*-1/.
1. I AM THE ENGINEER OR ARCHITECT RETAINED BY THE OWNER TO BE iN RESPONSIBLE I -
CHARGE FOR THE STRUCTURAL OBSERVATION IN ACCORDANCE WITH THE
REQUIREMENTS OF THE COUNT'!OF LOS ANGELES. "'-
/' a,DFc3St0,V
2. i, OR ANOTHER ENGINEER OR ARCHITECT WHO i HAVE DESIGNATED ABOVE AND IS '4� ^`" -I f
e-'' 4y �AG{r .�
UNDER MY RESPONSIBLE CHARGE,HAS PERFORMED THE REQUIRED SITE VISITS AT f O `"`to,
EACH SIGNIFICANT CONSTRUCTION STAGE TO VERITY IF THE STRUCTURE IS IN `"
GENERAL CONFORMANCE WITH APPROVED PLANS AND SPECIFICATIONS; t ilki;3361 Ti}l '
‘ t )3. ALL NOTED DEFICIENCIES WHICH REMAIN TO BE CORRECTED HAVE BEEN INDICATED 'ff 1 �I
ABOVE; rr/
4. I RECOMMEND THAT ACCEPTANCE OF THE STRUCTURAL SYSTEMS BY THE COUNTY
OF LOS ANGELES BE WITHHELD UNTIL ALL OBSERVED DEFICIENCIES ARE _ "`
CORRECTED.
I ..7P--,1€--ee - 47/1 7/1°2 eq./ - ,
!SIG TURE OF STRUCTURAL OBSER1 DATE (STAMP OF STRUCTURAL OBSERVER)
Version 1_0(2Q08 LACBC)
Jan.10 2005