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Home My WebLink AboutUntitled i o City of Arcadia, CA ��° G 9 Permit NO Mech 18 0214 Development Services Department i Pr '441° Permit Type Mechanical' 240 West Huntington Drive,Post Office Box 60021 ° �lp�� " Arcadia,CA 91066-6021 ,�� j0,1 0 Wok Clossificabort HVAC Repair/Replace (626)574-5416i" 0 �� Permit Status.Issued ARCADIA �issue�oate 02/26/2018: Expiration: 08/25/2018 Addr NO. Dir Prefix Street Name Street Suffix City,State,Zip Parcel Number 624 E Norman AVE Arcadia,CA 5791017005 • Contacts TINA MEIFENG Owner W C HEATING&AIR CONDITIONING INC HVAC Contractor(C-20) 624 E NORMAN AVE 41085 GOLDEN GATE CIR,MURRIETA,CA 92562 (626)215-0953 (951)600-0700 Description:REPLACE HVAC PACKAGE UNIT SYSTEM IN SAME Valuation: $0.00 4 Tenant LOCATION (ROOF).HERS REPORT FOR FINAL. Total Sq Feet: 0.00 t Plan Check# Plan# Fees Amount Payments Amount Paid Compressor 3-5 Ton(3 to 15 hp) $68.58 Total Fees $151.41 Furnace or Burner<=100,000 BTU $37.48 Cash/Receipt# $151.41 Mechanical Permit Issuance Fee $44.35 Solid Waste Management Fee 2 $1.00 Amount Due: $0.00 Total: $151.41 CALLS FOR INSPECTION Request for inspection by telephone at 626-574-5450. Leave a message requesting the address,time frame and what inspection item is needed. 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 the date of plan submittal.This permit expires and becomes null and void if any work authorized by 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. February 26, 2018 Issued By: Date .-'" 4e- 41—e2 G6 r February 26,2018 Page 1 of 2 Of ARcIL 4 cN tF°'e��99d 1. 9 PERMIT/PLAN REVIEW APPLICATION "E Development Services Department,240 West Huntington Drive,Post Office Box 60021 0,4 INIEBE .1 \Y% 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 Code,and my license is in fullforce and effect. / / ❑ I have and will maintain a certificate of consent to self-insure for workers' �C,C �5 compensation, as provided for by Section 3700 of the Labor Code, for the License Class Lk) License No. 7462uyExp. Date ep I Signature of Contractor �/ performance of the work for which this permit is issued. OWNER-BUILDER DE RATIO have and will maintain workers'compensation insurance,as required by Section ❑ I hereby affirm under penal of perjury that)lam 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'}g31.5,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, Carrier /:,._('• rS demolish,or repair any structure,prior to its issuance,also required the applicant Policy Number C?/C for such permit to file a signed statement that he or she is licensed pursuant to the (This section need not be completed if the permittis foonr a dred dollars or less) provisions of the Contractors License Law(Chapter 9(commencing with Section 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 corn y with Ilse provisions. compensation,will do the work,and the structure is not intended or offered for —...----"---- ,(Section 7044,Business and Professions Code:The Contractors License Date 1� ignature 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'Compensati 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 a_8 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 c. t of compensation,. did not build or improve for the purpose of sale). damages as provided for in Section 3706 of the Labor .de, 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 informs ton. (Name '41 t/.4 / S Title PRINT NAME I certify that I have read this application and state that the ab 1 e information is cor ect 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 pro 4• y for inspection purposes. � (C2)Signature / Date �7�// /� ,,•cam, t AFFI ,VII' SELF-CERT1FVCA1iON FOR C ;MPUUANCE OF SMOKE ALAR'' S AND C,,,'-;BiN MONOXIDE ALARMS Property Address: Permit Number: :!/�y 1-ech (S- ZJ brief Job Description: . / Number of smoke alarms installed: L�: Number of carbon monoxide alarms it., -. 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 beinstalled outside each separate sleeping . area inthe 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 requirementsfor listing and approval by.the Office of the State Fire Marshal. http://osfm.fire.ca.qov/licensinglistings/licenselistinq; brnl searchcotest.php As ownerof 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. l declare under penalty of perjury th:;t the foregoing is tru- and corrects and th<,t this decl gyration was executed i n (Date) /? 7/2', __ : at Arc,dia, Cal`hforni•. lojwner's Name.(printed/typed): MCA. . ' Avi Signature of Owner: / 1.7 This affidavit must be returned to the City of Arcadia inspector prior to final inspection A , u iIII Storage 1 , LI 1 • - - Family Room INN" e mom Carpsg i FIRST FLOOR PLAN SMOKE ALARM II = CARBON MONOXIDE ALARM { ,' . y� sr Vii • I �- Bath R 1' A, Master Bedroom Dining Room Kitchen1 i 1 _-__.....,_1 i 1- _II". 11":. , - ----_--- Closet I 1lailhsit. x _ Closet -- Family j _ lid ia ii B.cdr000u Bedroom 1 11 SECOND FLOOR PLAN ilt®MtsKE A 14 III r. CAONMONPXIDEALARM