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Home My WebLink AboutUntitled �; r Permrt nio. ROOF-1870079 City of Arcadia,CA ,Permit Type:Roof .f, .I,. - Report Text Library:Municipality_Address i! 1, ' j� I I .°°'\ft ; 'rte irvr ( i,1., ' . , 1 =.r Work Classification:Residential Reroof i, , Permit Status:Issued ARCA DI:A Issue Date:02/07/20181 Expiration: 08/06/2018 Location Address Parcel Number 62 W Woodruff AVE,Arcadia,CA • 5788020007 Drax:r..^ :.m ._.;r_...:..am:. ;: - :sr:z r:,.._:. :.;' :. ........._....:sa +.:.>a. .ra_-,-..•rs:. ...... sno ^n......,_.,„„r,. W a:.,.. ;:,- .�r::.:r,.-steam:..:.. a a .4;,asp. -s r Contacts GRABIS,GUNARS TR GRABIS FAMILY Owner ' Savely Roofing Roofing Contractor(C-39) TRUST 1505 Pilgram,Monrovia,CA 91016 62 W WOODRUFF AVE (626)419-0001 Inspection Requests: Description:T/0 AND REROOF HOUSE AND GARAGE WITH 1,1 Valuation: $8,000.00 POLY GLASS TORCH DOWN ROOFING SYSTEM OVER EXISTING L ; (626)574-5416 SHEATHING,COLOR WHITE,DECRATIVE ROCK Total Sq Feet: 0.00 Fees Amount Payments Amt Paid Available Inspections: Building Issuing Fee $44.35 Total Fees $254.45 Inspection Type- I IVR Building Permit Fees $203.85 Cash $254.45 Solid Waste Management Fee $6.25 Amount Due: $0.00 Total: $254.45 - 2-I5 -I. )(i3---;---,46,-2 5GI-€4-7-' �i,/ S /A 40-z.r0 -re®crio.e 2-03--'8. , 16g c. .//-r- 44 COMPLETE V [,, Co4February 07, 2018 Issued By: Date Thursday,February 8,2018 Page 1 of 1 C,%,.A. ~A.OFp RNG9d, f.. • �7 PERMIT/PLAN REVIEW APPLICATION-"' - o j� Development Services Department,240 West Huntington Drive,Post Office Box 60021 Ot" Arcadia, CA 91066-6021, (626) 574-5416,Fax(626) 447-9173 City of Arcadia ' ICENSED CONTRACTOR'S DECLARATION WORKERS'COMPENSATION DECLARATION II hereby affirm under penalty of perjury that I am licensed under provisions of I hereby affirm under penalty of perjury one of the following: hapter 9(commencing with Section 7000,of Division 3 of the Business and Professions Code,and my license is in full force and effect. ❑ I have and will maintain a certificate of consent to self-insure for workers' License Class C)5 License No. .S'7,,z.7 Exp. Date 1(—30—J$' 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 I have and will maintain workers'compensation insurance,as required by Section 0 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.(y workers'compensation insurance carrier and policy numbers are: Code.Any city or county which requires a permit to construct,alter,improve, Carrier A✓ 0 demolish,or repair any structure,prior to its issuance,also required the applicant Policy Number i q Si s `Z o I 6 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 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 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 ate2— 9-'I sale(Section 7044,Business and Professions Code:The Contractors License 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). 0 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 Al) RESTRICTIONS SET FORTH ON THIS APPLICATION AND THE FOLLOWING: C 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 l '4- (� �")cam' `'y Title (6 a/'�0-afD It--i P NAME 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. agree to comply with all City ordinances and State Laws relating'to building construction. I hereby authorize representatives of the City of rcadia to enter upon the above-mentioned property for inspection purposes. 2._ FS _ ( e' Sig ture Date :1 i "4 Cr � 1-,N.,''...'-4. F "e.c t Prot t . AFFIDAVIT a SELF-CERTIFICATIIN FOR CI,,,',PLIANCB OF SMOKE ALAR' S AND CARBON MONOXIDE AL1`-',MS Property Address: . C"4 A./ �'O?�,0,�fi. p y Permit Number: Brief Job Description: 000,4' 46,2 Numoerof smoke. alarms installed: -4-- - ---- 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, 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/licensinglistings/licenselistino 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 the•t the f rag in'g is true and correct, and that thie decl,ration w•e executed on (Date) . Z Zi• 0 " . . .. at Arcadia, Californi,.. Owner's Name (printed/typed Com✓ -'M-5 ftrri-tura of Owner This affidavit must be returned to the"City of Arcadia inspector prior to final inspection SMOKE !,LARRBt;'. i.LNDC t R t N MONOXIDE ALARM LIC I iONS -:, • Guest ROOM . ® I3attrroort Storage (----Cl. 1- . Family Room .- • Carnge QRST FLO SR PLAN It® SMOKE ALARM • Ill CAR'::}OSE I0;NOXBDE A,s-114 s , ,. Mstr m Bath • 1 .A. , Master Bedroom . . 1Dining RoomKitchen ri; . ._ _, . Hall _. .Closet. _{I •T ,,,; • ' --,-eet Closet. 1 ' , Family Room 7 11111111: .., . , ' - ; ' . Bedroom Bedroom ii . • - =T = = — _ - �._.-. ___ _ -_-_ SECOND. FLOOR P m SES KE ALARM o CON `, *NO)C®E ems'\,''t