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Home My WebLink AboutB00-044-577 n". Development Services Department 240 West Huntington Drive,Post Office Box 60021 PERMIT NO. BOO-044-577 ;.,'✓� Arcadia,CA 91066-6021 ' City i 626 574-5416,Fax (626)447-9173 Permit Type: -OW Arcadia ( � ( � Yp PROJECT TRACT NO. LOT NO. APPLICATION DATE ISSUED BY PRINT DATE PERMIT STATUS 19503 9/27/2013 JB 9:57 9/27/2013 Issued ADDRESS NO. Dir.Prefix Street Name Street Suffix UNIT BLG ASSESSORS PARCEL NO. GEO CODE 809 Southview Rd #4 5783-009-014 OWNER MAILING ADDRESS Yamamoto, Ron 809 Southview Rd#4 PHONE NO. (626)446-3182 Inspector#: CRIS Arcadia, CA 91007 EMAIL ADDRESS: APPLICANT MAILING ADDRESS Ron Yamamoto 809 Southview Rd#4 PHONE NO. (626)446-3182 Arcadia, CA 91006 EMAIL ADDRESS: CONTRACTOR/PROFESSIONAL MAILING ADDRESS PHONE NO. FAX NO. EMAIL ADDRESS: License No. Type: Expires: TENANT MAILING ADDRESS PHONE NO. FAX NO. 1 DESCRIPTION SIX(RETROFIT)WINDOWS REPLACED AND ONE WATER HEATER REPLACEMWNT(SAME SIZE,SAME LOCATION) Construction Type UOM #of Units Value Construction Type UOM N of Units Value Value Value 5,000.00 $5,000.00 ✓1 COMPLETED OCCUPANCY: Dwellings TOTAL VALUATION: $5,000.00 QTY 1.1OM DESC AMT AMT PAID ACCT QTY UOM DESC AMT AMT PAID ACCT 1.00 Flat Bldg Issue Auto 44.35 44.35 01-3104 each Bldg permit 153.75 153.75 01-3104 ) wl� ,a^.- 0 ,/OT 1-13 4- 1.00 Flat Plmbg issuance 44.35 44.35 01-3105 K/t>� `�S "'N'r �l 1.00 each Wtr htr/vent 15,55 15.55 01-3105 SMIP Res 0.50 0.50 14-2207 grn bldg std 1.00 1.00 714-2203 1.00 Flat SWMF Auto 6.25 6.25 88-3027 1.00 Flat SWMF 2 1.00 1.00 88-3027 Total Fees: $266.75 Total Amount Paid: $266.75 Paid Today: $266.75 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 Receipt#: 102434 days from the date of plan submittal. This permit expires and becomes null and void if any work authorized by 01-3104 198.10 this permit is suspended or abandoned for 180 consecutive days or if no progressive work has been verified by 01-2207 50.50 a City of Arcadia building inspector for period of 180 consecutive days. 714-2203 0.00 Y g l� Pe Y 714-2203 1.00 CALLS FOR INSPECTION INSPECTORS'OFFICE HOURS 88-3027 7.25 Requests for inspection should be made at least Monday-Thursday Friday one(1)business day in advance of the inspection 7:30 a.m.to 8:30 a.m. 7:30 a.m.to 8:30 a.m. by telephone at(626)574-5416 for onsite work. 4:00 p.m.to 5:30 p.m. 4:00 p.m.to 4:30 p.m. (Closed on alternate Fridays) i^yIPOgK,ii.1 1 PERMIT/PLAN REVIEW APPLICATION ' Development Services Department, 240 West Huntington Drive, Post Office Box 60021 00\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: Chapter 9, commencing with Section 7000, of Division 3 of the Business and Professions Code,and my license is in full force and effect. ❑ I have and will maintain a certificate of consent to self-insure for workers' License Class License No. Exp.Date 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 ❑ I have and will maintain workers'compensation insurance,as required by Section OWNER—BUILDER DECLARATION 3700 of the Labor Code,for the performance of the work for which this permit is 1 hereby affirm under penalty of perjury that I am exempt from the Contractors issued. My workers'compensation insurance carrier and policy number are: License Law for the following reason(Section 7031.5, Business and Professions Code: Any city or county which requires a permit to construct, alter, improve, Carrier demolish,or repair any structure,prior to its issuance,also requires the applicant Policy Number for such permit to file a signed statement that he or she is licensed pursuant to the (This section need not be completed if the permit is for one hundred dollars or less.) provisions of the Contractors License Law(Chapter 9(commencing with Section 7000)of Division 3 of the Business and Professions Code)or that he or she is 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 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 compensation laws of California,and agree that if I should become subject to the penalty of not more than five hundred dollars($500)): workers' compensation provisions of Section 3700 of the Labor Code, I shall forthwith mply ith those provisions. ❑ I, as owner of the property, or my employees with wages as their sole Q n compensation,will do the work,and the structure is not intended or offered for Date J L7 13 Signature sale(Section 7044,Business and Professions Code:The Contractors License 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 attorneys fees. yi 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 erformance of the work for which this p permit is issued(Section 3097,Civil Code). I am exe �t nd Section 7044,Business and Professions Code,for this reason: vibe' Lender's Name Date 91211 13 Signatur Lender's Address IMPORTANT:APPLICATION IS HEREB ADE 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 fu er information. q Name Title cTWfl ( PRINT NAME I certify that I have read this application and state that the above information is correct and that I am the owner or the duly authorized agent of the owner. I agree to comply with all City ordinances and State laws relating to building construction. I hereby authorize representatives of the City of Arcadia to enter upon the above-mentioned property for inspection purposes. Signature Date 9/2 7/0