HomeMy WebLinkAboutB00-046-503 i s` Development Services Department
240 West Huntington Drive,Post Office Box 60021
t'E Arcadia,CA 91066-6021 PERMIT NO. B00-046-503
City of (626)574-5416,Fax(626)447-9173
Arcadia Permit Type: EMP Combo
PROJECT TRACT NO. LOT NO. APPLICATION DATE ISSUED BY PRINT DATE PERMIT STATUS
19739 4/22/2014 .113 14:04 4/22/2014 Issued
•
ADDRESS NO. Dir.Prefix Street Name Street Suffix UNIT BLG ASSESSORS PARCEL NO. GEO CODE
1837 Stonehouse 5766-008-015
OWNER MAILING ADDRESS
Bowden Development 212 W Foothill Boulevard PHONE NO. (626)945-0344 Inspector#: JOHN
Monrovia,CA 91016- EMAIL ADDRESS:
APPLICANT MAILING ADDRESS
Bowden Development PHONE NO.
EMAIL ADDRESS:
CONTRACTOR/PROFESSIONAL MAILING ADDRESS
Bowden Development, Inc 212 Foothill BI PHONE NO. (626)303-7917 FAX NO. (626)358-1930
Monrovia,CA 91016 EMAIL ADDRESS:
License No. 322620 Type: B Expires: 12/31/2014 12:0(
TENANT MAILING ADDRESS
PHONE NO. FAX NO.
DESCRIPTION
PREFAB FIREPLACE AND ONE GAS OUTLET
Construction Type UOM #of Units Value Construction Type UOM #of Units Value
. 1i.1 COMPLETED
OCCUPANCY: Dwellings TOTAL VALUATION: $0.00
QTY 1.1OM DESC AMT AMT PAID ACCT QTY UOM DESC AMT AMT PAID ACCT
1.00 each Mech suppl iss 15.50 15.50 01-3105
1.00 Flat Plmbg iss suppl 15.50 15.50 01-3105 g.r l I Y
1.00 each Firepl pre-fab 14.11 14.11 01-3105 y,
1.00 outlets Gas piping 15.55 15.55 01-3105 ffit#W /At/Y a
1.00 Flat SWIvIF 2 1.00 1.00 88-3027
I.00 Flat SWMF 2 1.00 1.00 88-3027
Total Fees: $62.66 Total Amount Paid: $62.66 Paid Today: $62.66
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 Receipt#: 104692
the date of plan submittal.This permit expires and becomes null and void if any work authorized by this permit 01-3105 60.66
is suspended or abandoned for 180 consecutive days or if no progressive work has been verified by a City of Ar-
88-3027 2.00
cadia building inspector for a period of 180 consecutive days.
C'AI LS FOR INSPECTION INSPECTORS'OFFICE HOURS
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)
,PO4., I
to h PERMIT/PLAN REVIEW APPLICATION
, id t*,, Development Services Department,240 West Huntington Drive,Post Office Box 60021
Arcadia,CA 91066-6021,(626)574-5416,Fax(626)447-9173
City of
Arcadia
yiLICENSED 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 C nd my license is in fu force and effect. ., ❑ I have and will maintain a certificate of consent to self-insure for workers'
License Class Lic No. f�� a compensation, as provided for by Section 3700 of the Labor Code, for the
Signature of Contractor './�,L. — ��.
performance of the work for which this permit is issued.
OWNER-BUILDER DECLARATION I have and will maintain workers'compensation insurance,as required by Section
❑ I hereby affirm under potfalty 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 work o en lion insurance carrier and policy numbers are:
Code.Any city or county which requires a permit to construct,alter,improve,de- Carrier Lt
es
molish,or repair any structure,prior to its issuance,also required the applicant for ‘�//�/�!�{,'�j�!�
such permit to file a signed statement that he or she is licensed pursuant to the pro- Policy Number 1lJli(0(i(°/fie hJ
visions of the Contractors License Law(Chapter 9(commencing with Section 7000) (This section need not be completed i the rmit is for one hundred dollars or less)
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 Section 7031.5 ❑ I certify that in the performance of the work for which this permit is issued,I shall
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 sub'ec to the
workers'compensation provisions of Section 3700 of the 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 221« '�
sale(Section 7044,Business and Professions Code:The Contractors License Date L'! 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 Worlf 'Compensation coverage is unlawful,and
sale.If,however,the building or improvement is sold within one(1)year of 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 did hundred thousand dollars($100,000),in addition to the cost of compensation,
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.
❑1, 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 who CONSTRUCTION LENDING AGENCY
builds or improves thereon,and who contracts for such projects with a contrac- I hereby affirm under penalty of perjury that there is a construction lending agency
tor(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 RE-
STRICTIONS 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 fur-
ther information.
ha l0(
Name Is 1 A Title
PRI NAME
I certify that I have read this application and s.. • at the . I 1 e information is correct and that I am the owner or duly authorized agent of the owner.
I agree to comply with all ., ,s i i 8• es . . . elating to building construction. I hereby authorize representatives of the City of
Arcadia to enter upon the,ab tion•' prop• y fo J :•ection purposes.
Signature /°' ��'� Date 14
§4:-1k Development Services Department
y ' 240 West Huntington Drive,Post Office Box 60021
iitr
`,,� Arcadia,CA 91066-6021 PERMIT NO. $QQ-045-7$0
City of (626)574-5416,Fax(626)447-9173
Arcadia Permit Type: Mechanical
PROJECT TRACT NO. LOT NO. APPLICATION DATE ISSUED BY PRINT DATE PERMIT STATUS
19739 2/12/2014 CM 7:36 2/12/2014 Issued
ADDRESS NO. Dir.Prefix Street Name Street Suffix UNIT BLG ASSESSORS PARCEL NO. GEO CODE
1837 Stonehouse 5766-008-015
OWNER MAILING ADDRESS
Bowden Development 212 W Foothill Boulevard PHONE NO. (626)945-0344 Inspector#: JOHN
Monrovia, CA 91016- EMAIL ADDRESS:
APPLICANT MAILING ADDRESS
20th Century Air PHONE NO.
EMAIL ADDRESS:
CONTRACTOR/PROFESSIONAL MAILING ADDRESS
(NO. 714
20th Century Air P 0 Box 638 PHONE (714)777-6641 FAX NO.
Earp, CA 92242 EMAIL ADDRESS:
License No. 511598 Type: C-20,B Expires: 6/30/2015 12:00:
TENANT MAILING ADDRESS
PHONE NO. FAX NO.
DESCRIPTION
MECHANICAL FOR SF/NEW
Construction Type UOM N of Units Value Construction Type t
t*MDLETEDIThus Value
OCCUPANCY: Dwellings TOTAL VALUATION: $0.00
QTY UOM DESC AMT AMT PAID ACCT QTY UOM DESC AMT AMT PAID ACCT
1.00 Flat Mech Issue Auto 44.35 44.35 01-3105
3.00 each Furn<100,000btu 56.22 56.22 01-3105 t( NY
3.00 each Comp 3 hp 56.22 56.22 01-3105
1.00 each SWMF 2 Auto 1.00 1.00 88-3027 / o i W� _ _ iv .
Total Fees: $157.79 Total Amount Paid: $157.79 Paid Today: $157.79
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 pennit is not obtained within 180 days from Receipt#: 103845
the date of plan submittal.This permit expires and becomes null and void if any work authorized by this permit 01-3105 156.79
is suspended or abandoned for 180 consecutive days or if no progressive work has been verified by a City of Ar-
88-3027 1.00
cadia building inspector for a period of 180 consecutive days.
CALLS FOR INSPECTION INSPECTORS'OFFICE HOURS
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)
PERMIT/PLAN REVIEW APPLICATION
0" litiE. rift
Development Services Department,240 West Huntington Drive,Post Office Box 60021
r
�� a' Arcadia, CA 91066-6021,(626) 574-5416,Fax(626)447-9173
....it,a'b
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 Co and y license is in fur rte ct. ❑ I have and will maintain a certificate of consent to self-insure for workers'
License Class License No / 0 Exp. Da / compensation, as provided for by Section 3700 of the Labor Code, for the
Signature of Contractor
performance of the work for which this permit is issued.
OWNER-BUILDER DECLARATION rA 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 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 wor r pen lion insurance carrier and policy numbers are:
Code.Any city or county which requires a permit to construct,alter,improve,de- Carrier e
molish,or repair any structure,prior to its issuance,also required the applicant for 7(0 /�/� 3Q�(�/2
such permit to file a signed statement that he or she is licensed pursuant to the pro- Policy Number J (� �UTT�>''/
visions of the Contractors License Law(Chapter 9(commencing with Section 7000) (This section need not be completed if t e permit is for one hundred dollars or less)
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 Section 7031.5 ❑ I certify that in the performance of the work for which this permit is issued,I shall
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 comp) 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 ____4///
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,and
sale.If,however,the building or improvement is sold within one(1)year of 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 did hundred thousand dollars($100,000),in addition to the cost of compensation,
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 who CONSTRUCTION LENDING AGENCY
builds or improves thereon,and who contracts for such projects with a contrac- I hereby affirm under penalty of perjury that there is a construction lending agency
tor(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 RE-
STRICTIONS 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 fur-
ther information.
• a
Name Title e -�,)l (/,
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 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-me tioned property for inspection purposes.
/
Signature Date 2/i 411