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Home My WebLink AboutUntitled 0 Development Services Department 240 West Huntington Drive,Post Office Box 60021 PERMIT NO. BOO-044-948 Arcadia,CA 91066-6021 City of 626 574-5416,Fax(626)447-9173 Permit Type: Demolition Arcadia ( ) ( ) yP PROJECT TRACT NO. LOT NO. APPLICATION DATE ISSUED BY PRINT DATE PERMIT STATUS 0007 11/4/2013 CM 15:42 11/4/2013 Issued ADDRESS NO. Dir.Prefix Street Name Street Suffix UNIT BLG ASSESSORS PARCEL NO. GEO CODE 1235 Oakhaven Rd 5771-024-031 OWNER MAILING ADDRESS Huang Residence 1235 Oakhaven Rd PHONE NO. Inspector#: JOHN Arcadia, CA 91006 EMAIL ADDRESS: APPLICANT MAILING ADDRESS Michael Fortanasce PHONE NO. (626)484-6977 EMAIL ADDRESS: CONTRACTORIPROFESSIONAL MAILING ADDRESS Fortanasce Construction& Developm 1531 Glen Oaks Boulevard PHONE NO. (626)484-6977 FAX NO. Pasadena, CA 91105 EMAIL ADDRESS: License No. 909091 Type: B Expires: 1/31/2014 12:00: TENANT MAILING ADDRESS PHONE NO. FAX NO. DESCRIPTION DEMOLISH INTERIOR IN PREPARATION FOR FUTURE SF/ADD ALT Construction Type UOM N of Units Value Construction Type UOM it of Units Value OCCUPANCY: TOTAL VALUATION: $0.00 QTY UOM DESC AMT AMT PAID ACCT QTY UOM DESC AMT AMT PAID ACCT I,00 Flat Demo issue 44.35 44.35 01-3107 33(—rS — ili ' s. -i'.'/'''. Total Fees: $44.35 Total Amount Paid: $44.35 Paid Today: $44.35 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#: 102890 days from the date of plan submittal. This permit expires and becomes null and void if any work authorized by 01-3107 44.35 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. 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) , 14 1 PERMITIPLAN REVIEW APPLICATION iii 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 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 Cod pl, my license is in ful:e 4.e t. ❑ I have and will maintain a certificate of consent to self-insure for workers' compensation, as provided for by Section 3700 of the Labor Code, for the License Class icense No. Ii 1 E. .Data ■ performance of the work for which this permit is issued. Signature of Contractor ,46_,_ ..•'_ . , ❑ 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 ❑ I hereby affirm under penalty of perjury that 1 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 Carrier Code: Any city or county which requires a permit to construct, alter, improve, 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 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 0 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 j4J1 mp with those provisions. ❑ 1, as owner of the property, or my employees with wages as their sole compensation,will do the work,and the structure is not intended or offered for Date " Signatui 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. ❑ 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 rformance of the work for which this Pe 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 affi nilli 4 tI q tg. Title ..111 4 Sitbt 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- tinned propert for inspection purposes. 14113 �� Signature s'"r'�' Date t