The URL can be used to link to this page

Home My WebLink AboutUntitled Permit No ROOF 18=0048 . I City of Arcadia, CA 3 Permit Type:Roof Report Text Library:Municipality_Address j 1 �r ) 1,i i ' ",. Y. . o ' (d ;f `I i s Work Classification:Residential Reroof a �" ;'�PermitStatus:'Issued era ARCADIA Issue Date:02/05/2p18 I Expiration: 08/04/2018 Location Address Parcel Number 801 E Norman AVE,Arcadia,CA 91006 5791012004 Contacts Rick Shum Owner DOWD INDUSTRIES CORPORATION Roofing Contractor(C-39) 801 E NORMAN AVE,ARCADIA,CA 91006 (626)636-0608 (626)857-1070 Inspection Requests: Description:T.0 REROOF HOUSE/DETTACHED GARAGE WITH Valuation: $ 14,500.00 CERTEED PRESIDENTIAL CHARCOAL 420LB PER SQUARE,CLASS (626)574 5416p A (JC) Total Sq Feet: 0.00 ". .-»x s�� :.�.•-.-TM.',rra.:wtu r W.'A-,SC _.,. ., A-ail^*-A!A-.,.s:^' .�-.:. x .,.xa,as.. .:`x..__.,t:-.za,...:„..,.. u.:+........ ,.a' . .. ,., Fees Amount Payments Amt Paid Available Inspections: Building Issuing Fee $44.35 Total Fees $371.35 Inspection Type I IVR Building Permit Fees $320.75 Cash $371.35 Solid Waste Management Fee $6.25 Amount Due: $0.00 Total: $371.35 - g 7 gaDF Stf rirtfiJlr c ct6c ONLY) (tv\1 I 2-113-18- it\i"rb o'i -, cb-\, February 05,2018 Issu_cy: Date Monday,February 5,2018 Page 1 of 1 4oi ARN,- °~ • L PERMIT/PLAN REVIEW APPLICATION o "• 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 0 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 license is in full force and effect. ❑ I have and will maintain a certificate of consent to self-insure for workers' C.- L License Class C.- I.; No f xp. Date J-3/-icompensation, 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 _ OWNER-BUILDER DELLA TION ❑ 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.A workers'compensation insurance carrier and policy numbers are: Code.Any city or county which requires a permit to construct,alter,improve, Carrier v A 1 demolish,or repair any structure,prior to its issuance,also required the applicant '-`7 7 Z./00—' I—Q 1 for such permit to file a signed statement that he or she is licensed pursuant to the Policy Number / 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 ❑ I 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 -ction 3700 of th; or Co l- .hall ID 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 '•- ry - �i sale(Section 7044,Business and Professions Code:The Contractors License Date b 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. Name 0 4k AM V ✓ IP (Title P PRINT NAME I certify that I have read this application and st t 1 at 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 or' ces .. d Sta.• Laws relating to building construction. I hereby authorize representatives of the City of : : ° above-me _i pr1 1 erty fo. inspection purposes. e ate 5-•- • 4" 6-<� 9 jam , '7 AFL9D VI`s SELF CERTFF CATIIN FOR COI1IFU1 .CE OF SMOKE ALARMS AND C:.-BON MONOXIDE L Vi�S. /�,�. (_ ,47 ,� /F. c//1)(4, 4 Cl 0�6 Property Address: �� (. tills P Permit Number:4;1;0�- 00 ' iQ>� cBrief Job Descrp s. / ( � 0.e,e Number of smoke alarms installed: Number of carbon monoxide alarms installed ( 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, andon 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 storyof 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.gov/licensinolistings/Iicenselistino bml searchcotest.php As owner of the a+•uft r-ferenced property, I hereby certify that the smoke.alarms and carbon . monoxide alarms r -,'R en installed in accordance with the manufacturer's instructions and in compliance with the code sections referenced above:. ( de 6eelm Lv2 I declare under penalty of perjury that the foretoi -•g is true andcorrects and that this . • declaration was executed on (Date) at_(BPD/ - at ' rcadia, California. Or. h____ _S-7,ZZL/A , /&,)/*., I., Z 7 Owner's Name (printedltYPe r / / / Signature of Owner: / ��t h This affidavit must be returned to the .City of Arcadia inspector prior to final inspection 4xd ied t (4//d tr .._ . . r /2no1c2Jq €4„ (G1,LhGii ,i, „ L ,f ., _,,,,,,t, -f,PEA/71;X- Z2_ -'c -((r-pobl , S OKE AL,\RM tND C Rr-ZO ii :': 4 NOX PE-Ai A LOCATIONS Guest Room y 110 Baatitroura , 1111J Storage Family Roam: slit Garage F@'ST:FLO"R PLAN 11=_SMOKE ALARM I CARBON MONOXIDE ALARM _ wrimort -Mstr Bath. • MasterI3edroor j . . Dining Room Kitchen — HallC LL g.��y closet oset _ 1' it - I°anaily Room ® }tel Bcdroonm 13cdroom - SECOND FLOOR.PLAN lit.SMOKE ALAR , F=1 c >. \BON i,1ONOXtDE AL \ �