HomeMy WebLinkAboutUntitled WI City of Arcadia, CA Permit NO.RALT-19-1133
Development Services Department { D 1,---\p :.-1/ � 1?e mrf Type Residential Addltton/Alteration
;, 240 West Huntington Drive,Post Office Box 60021 v f e' lj ,r`xS 1 1 -
1 c t-WorkG/assiJtcatlon:°Res-Addltton/Alteration
'S Arcadia,CA 91066-6021 - - ;t L,� t
. i (626)574-5416 - - t- - Permit'Status Issued
ARCADIA ,Iselie free:06/P/2019,1 Expiration:
Addr NO. Dir Prefix Street Name Street Suffix Unit City,State,Zip Parcel Number
494 Stanford DR Arcadia,CA 5775002001
y
Contacts
COOPER,ROBERT M AND Owner BARRETO BUILDERS INC Contractor
ROSENBERG,SARAH L 936 W BARBARA AVE,WEST COVINA,CA 91790
494 STANFORD DR (626)945-1134 1034753
Description:ENCLOSE EXISTING CARPORT TO CREATE NEW 2 Valuation: $ 7,000.00 Tenant
CAR ATTACHED GARAGE
Total Sq Feet: 0.00 Plan Check q Plan p
Fees Amount` Payments Amount Paid
Building Issuing Fee $47.01 Total Fees $413.57
Building Permit Fees $187.15 Cash/Receipt#REC-01552-19 $413.57
Building Plan Review Fee $121.65
Cal Green Plan Check $12.17 Amount Due: $0.00
Energy Plan Review Fee $37.43
Green Building Standard $1.00
Solid Waste Management Fee $6.25
Strong Motion Inst.Program Res $0.91 FL
� �®de �u ���
Total: $413.57
D
CALLS FOR INSPECTIONS
Request for inspection by telephone at 626-574-5450. Leave a message
7-4-1? Cil requesting the address,timeframe and what inspection item is needed.
7 /6.11 /5:4444 7�rr(/�Atat� This permit/plan review expires by time limitation and becomes null and
Ivoid 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
�Q,,/q /ix/ / I`/ / ,�Efrom the date of plan submittal.This permit expires and becomes null and
/
7- / l ex (q7g
r`/ �k C�(f C_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/firNeei4e- days.
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flit (-, Adhet �`-L(I CG//�/1 i I C,�� ,,%aC��
June 17, 2019
Issued By: Date
June 17,2019 Page 1 of 1
OF A•
PERMIT/PLAN REVIEW APPLICATION
itr.*
r4l* Development Services Department,240 West Huntington Drive,Post Office Box 60021
<=1eiH
„ Arcadia, CA 91066-6021, (626) 574-5416, Fax (626) 447-9173
City of
Arcadia
LICENSED CONTRACTOR'S DECLARATION •
WORKERS'COMPENSATION DECLARATION
❑ I hereby affirm under penalty of perjury that I am licensed under provisions of I hereby affirm under penalty of perjury one of the following:
Chapter 9(commencing with Section 7000,of Division 3 of the Business and
Professions Code, d my license is in full force and effect.
0 I have and will maintain a certificate of consent to self-insure for workers'
License Class
Signature of Contractor
License No. I�3 y 7 Exp. Data•3)- 0
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 ECLARATION ❑ I have and will maintain workers'compensation insurance,as required by Section
❑ I hereby affirm under penalty of perjury that I am exempt from the Contractors 3700 of he Labor Code,for the pe formance of he 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
exempt there from and the basis for the alleged exemption. Any violation of -L.certify that in the performance of the work for which this permit is issued,I shall
Section 7031.5 by any applicant for a permit subjects the applicant to a civil not employ any person in any manner so as to become subject to the workers'
penalty of not more than five hundred dollars($500)): compensation Laws of California,and agree that if I should become subject to the
workers'compensation provisions of Section 3700 of the Labor Code,I shall
❑I, as owner of the property, or my employees with wages as their sole forthwith comply with those provisions.
compensation,will do the work,and the structure is not intended or offered for
sale(Section 7044,Business and Professions Code:The Contractors License Date nit Signature.
Law does not apply to an owner of property who builds or improves thereon,
or who does such work himself or herself or through his or her own
employees,provided that such improvements are not intended or offered for WARNING: Failure to secure Workers'Compensation coverage is unlawful,
sale.If,however,the building or improvement is sold within one(1)year of and shall subject an employer to criminal penalties and civil fines up to one
completion,the owner-builder will have the burden of proving that he or she . hundred thousand dollars($100,000),in addition to the cost of compensation,
did not build or improve for the purpose of sale). damages as provided for in Section 3706 of the Labor Code, interest, and
attorney's fees.
❑I, as owner of the property, am exclusively contracting with licensed
contractors to construct the project(Section 7044,Business and Professions
Code:The Contractors License Law does not apply to an owner of property CONSTRUCTION LENDING AGENCY
who builds or improves thereon,and who contracts for such projects with a I hereby affirm under penalty of perjury that there is a construction lending agency
contractor(s)licensed pursuant to the Contractors License Law). for the performance of the work for which this permit is issued (Section 3097,
Civil Code).
❑ I am exempt under Section 7044,Business and Professions Code,for this reason:
Lender's Name
Date Signature Lender's Address
IMPORTANT: APPLICATION IS HEREBY MADE TO THE BUILDING OFFICIAL FOR A PERMIT SUBJECT TO THE CONDITIONS AND
RESTRICTIONS SET FORTH ON THIS APPLICATION AND THE FOLLOWING:
1. The City's approved plans and permit inspection card must remain on the job site for use by City inspection personnel.
2. Final inspection of the work authorized by this permit is required.A Certificate of Occupancy must be obtained prior to use and occupancy of new buildings
and structures.
3. Per South Coast Air Quality Management District(AQMD)regulations,renovation and remodeling work that results in the removal,stripping,or altering
of asbestos containing materials requires an asbestos survey and removal prior to disturbing the asbestos. Please contact AQMD at(909) 396-2000 for
further information.
ame .0re 5411-/F TA - Title B w2� t2
PRINT NAME
I edify 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 gree to comply with all City ordinances and State Laws relating to building construction. I hereby authorize representatives of the City of
Acadia to enter upon the above-mention 1'F roperty for inspection purposes. /�
S' nature '. Date b -1 7 .1'
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AFFIDAVIT SELF-CERTIFICATION
FOR COMPLIANCE OF SMOKE ALARMS
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AND CARBON MONOXIDE ALARMS C
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Property Address: " I y S t "r"nV" rd &s . 1z p ) pa_ 067-
Permit Number: /44-yr —i ' 073 -
Brief Job Description: ie. (AMA -L-�( '
Number of smoke alarms installed: 00
Number of carbon monoxide alarms installed: 7,..
When alterations, repairs or additions requiring a permit occur, or sleeping rooms are created,
Smoke alarms shall be installed in each sleeping room, and outside each separate
sleeping area in the immediate vicinity of the bedrooms, and on each additional story of the
dwelling, including basements and habitable attics as required by Section R314 of the 2016
California Residential Code (CRC) and California Health and Safety Code Section 13113.7.
For dwellings or sleeping units containing fuel burning appliances or having attached
garages, carbon monoxide alarms shall be installed outside each separate sleeping
area in' the immediate vicinity of the bedrooms, and on each additional story of the
dwelling, including basements as required by Section R315 of the of the 2016 California
Residential Code (CRC). (
Multi-purpose alarms (combination carbon monoxide and smoke alarms) may be used.
All alarms shall comply with requirements for listing and approval by the Office of the State Fire
Marshal. http://osfm.fire.ca.qov/licensinglistingsilicenselistinq bml searchcotest.php
As owner of the above referenced property, I hereby certify that the smoke alarms and carbon
monoxide alarms have been installed in accordance with the manufacturer's instructions and in
compliance with the code sections referenced above.
I declare under penalty of perjury that the foregoing is true and correct, and that this
declaration was executed on (Date) 's ;-_---__--. -- 20-1 ---- at Arcadia, California.
Owner's Name (printed/typed): S I 1 CIA L -
(2 ecal l e r
Signature of Owner:
This affidavit must be returned to the City of Arcadia inspector prior to final inspection
T 1-4 •',y _L L,Lr • ‘ '. ; :: e,i i ;,h_• I 1r $.tee,:_11_ •C •, '•-017. _
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Garage
FIRST FLOOR PLAN
o SMOKE ALARM U'.'c = CARBON MONOXIDE ALARM
_SAT,. Bath
® Master Bedroom
Dinini Room Kitchen
Bath
•' E Y
� Hall r�
CiOsci^
I now ' Closet
Family RRootn
-_— Bedroom Bedroom
—
SECOND FLOOR PLAN
C SMOKE ALARM E o CARBON MONOXIDE ALARM
•
DocuSign Envelope ID:AO9B2OEF-E5E4-4117-AA2A-CFAC5BB5FBA4
DATE FILED
APPLICATION FOR HOMEOWNER ASSOCIATION
ARCHITECTURAL DESIGN REVIEW
n� (SHORT REVIEW PROCEDURE) �Q Q�
PROJECT ADDRESS: ti g ilf�1�'8IA 06 Pc-CC-0-66-", loot
PROPERTY OWNER'S NAME: 9otira k. Qnsr(lbe.r0
ADDRESS(IF DIFFERENT): �� c
TELEPHONE NO.: "310-4 bi- 0404( E-MAIL ADDRESS: SA4 C05e.ADP5 2,e,gwtati I•ca
APPLICANT NAME(IF DIFFERENT): J
ADDRESS:
TELEPHONE NO.: E-MAIL ADDRESS:
DESCRIPTION OF PROJECT(Check applicable):
-- _ ( Single-story remodel(includes window replacement)and/or addition(s) 61 Undid,.
• Detached accessory structure(s)and/or Accessory Dwelling Units-new,additions to,and/or remodels
❑ Fences and/or walls in and/or facing(1.e.,visible from)front and street side yards -
❑ Hardscape,landscaping and structural elements in front and street side yards,including without limitation,
swimming pools,spas,fountains and other water features
❑ Fences,lights,and other features related to tennis courts,sports courts or other significant paved features
❑ Mechanical equipment
❑ Roofing
ACTION&FINDINGS: •
® Approved-The project Is consistent with all applicable guidelines.
❑ Conditionally Approved-With the following conditions,the project will be consistent with all
applicable guidelines
4
❑ Denied-The project is not consistent with the following guldeline(s)
,—Docmi gnus Gy.
, dd Rancho Santa AniB Chairperson Date: 6/7/2019
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