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Home My WebLink AboutUntitled (2) l 7,. Permit Elec-18.0083 .;\ I City of Arcadia, CA ' - " w Permit Type•Electrical Report Text Library:Municipality_Address 1 , 1 7 r LA, d LH , : ! 't. , , ,, Work Classification:Electrical Residential 23'` Permit Status:Issued ARCADIA Issue Date.02/07/2018 Expiration: 08/06/2018 Location Address Parcel Number 801 E Norman AVE,Arcadia,CA 91006 5791012004 V ems. - •:. :. x> .,-m. ,�. �.x .. , . ��ter. : . ..,.., ,._.f: . . ..__ .. Contacts 1. Rick Shum Owner A FIRST ELECTRIC SERVICE Electrical Contractor 801 E NORMAN AVE,ARCADIA,CA 91006 (C-10) (626)636-0608 5418 1/2 BLACKWELDER ST,LOS ANGELES,CA 90016 (323)493-7508 C.n. ">.. _._ ^ R:^:P"R.*8.. -,<""fii^.9'"e`�Ys m :.ag'--"- _ 3.e x`2°! f'.R""'"'91l"--["d: ....Y, -RSi3_Y Td:;.¢" SS2. _."CJ"'_-_"b':59', a.,x:•L_d- .:-rk.k cv'a -,.. . ,.. ._ Description:REWIRE ENTIRE RESIDENCE ,.. Valuation: $0.00 Inspection Requests: (626)574-5416 Total Sq Feet: 0.00 �.'a _. r gid: �F :. . :;��._ .n :��.- _ .• �..; -ri _ u Fees Amount Payments Amt Paid Available Inspections: Electrical Permit Issuance Fee $44.35 Total Fees $204.35 Inspection Type I IVR Light Fixtures $43.80 Cash $204.35 New Residential Accessory (sq Bldg ft $115.20 Amount Due: $0.00 area Solid Waste Management Fee 2 $1.00 - Total: $204.35 2-27-ik pWJ4-L a< . i!ii ilii) i / II February 07, 2018 "Ku:d By: Date Wednesday,February 7,2018 Page 1 of 1 ��4 oV Ane„ 1F ,-4,, oil „jai _7 ill PERMIT/PLAN REVIEW APPLICATION "E • Development Services Department,240 West Huntington Drive,Post Office Box 60021 c' Y/0Arcadia, CA 91066-6021, (626) 574-5416,Fax(626) 447-9173 City of Arcadia EILICENSED 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 i\\.43 Professions Code,and my license is in full force and effect. El I have and will maintain a certificate of consent to self-insure for workers' License Class a/0 Licens •o.l0 91>5��Exp. Date � `l� . 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 f WNER-BUILDER DECLARATION ❑ 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 workers'compensation insurance carrier and policy numbers are: Code.Any city or county which requires a permit to construct,alter,improve, arrier demolish,or repair any structure,prior to its issuance,also required the applicant for such permit to file a signed statement that he or she is licensed pursuant to the olicy Number provisions of the Contractors License Law(Chapter 9(commencing with Section s 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 U 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 Date �'7 ` /%'/ sale(Section 7044,Business and Professions Code:The Contractors License ()� Signator 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. ,�f INTame /%Z_, / /D je/ r S (Title '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-mentioned property for inspection purposes. 7 ignature ✓ /Date r/7