HomeMy WebLinkAboutUntitled 4 Oyr�IFo y-4 .
V V7 May 22, 2017
vitiar1044 °°'°'°p0 30 d RE: New Address Assignment for Accessory Dwelling Unit(Rear Unit)
Augus[5.1903
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1t Please be advised that the City of Arcadia has approved a new address for the
" °f subject property. Please update your records as follows:
Cityof CURRENT ADDRESS ASSIGNMENT:
Arcadia 1530 Rodeo Road
APN: 5766-023-018
NEW ADDRESSES ASSIGNMENT
Development
Services 1530 Rodeo Road (Front House)
1532 Rodeo Road (Rear Accessory Dwelling Unit)
Department
Should you have any question,please contact the City's Development Services
Jason ICruckeberg Department/Building and Safety office at(626) 574-5416.
Assistant City Manager/
Development Services Sincerely,
Director
Don Stockham, Building Official
Development Services Department/Building and Safety Office
cc: File
Property Owner
Arcadia Unified School District
City of Arcadia Administrative Services Department
City of Arcadia Business License Office
• City of Arcadia Engineering Division I
City of Arcadia Fire Department: Attention Mike Stratton
City of Arcadia Planning Division
City of Arcadia Police Department
City of Arcadia Public Works Department: Craig Clark
City of Arcadia Public Works Department: Water Dept—Anne Woo
Los Angeles County Assessor
Los Angeles County Registrar of Voters
Los Angeles Tax Collector
Southern California Edison Company
Southern California Gas Company
United States Postmaster
Waste Management
240 West Huntington Drive
Post Office Box 60021
Arcadia,CA 91066-6021
(626) 574-5415
(626)447-3309 Fax
www.ci.arcadia.ca.us
:‘,!--14.'\ Development Services Department
., 240 West Huntington Drive,Post Office Box 60021 PERMIT NO. BOO-056-898
�� Arcadia, CA 91066-6021
City of (626)574-5416,Fax(626)447-9173 Permit Type: Address change
Arcadia
PROJECT TRACT NO. LOT NO. APPLICATION DATE ISSUED BY PRINT DATE PERMIT STATUS
08765 5/17/2017 CM 14:19 5/17/2017 Issued
ADDRESS NO. Dir.Prefix Street Name Street Suffix UNIT BLG ASSESSORS PARCEL NO. GEO CODE
1530 Rodeo Rd 5766-023-018
OWNER MAILING ADDRESS
Wang,Jihong PHONE NO.
EMAIL ADDRESS:
APPLICANT MAILING ADDRESS
Chateau Operating Corp. PHONE NO.
EMAIL ADDRESS:
,
CONTRACTORIPROFESSIONAL MAILING ADDRESS
Chateau Operating Corp. P.O. Box 660087 PHONE NO. (626)574-7725 FAX NO.
Arcadia,CA 91066 EMAIL ADDRESS:
License No. 851158 Type: B Expires: 2/28/2018 12:00:
TENANT MAILING ADDRESS
PHONE NO. FAX NO.
DESCRI•T.ION ...._T"-^, '"`""'' _` S_ 1..
'-'`.
MU t11 DRESSI<AxSSIEiNMEI FAE R AW-ES ORYDWELLINO .IT ) .RQDIQ R^AIS
Construction Type UOM #of Units Value Construction Type UOM #of Units Value
OCCUPANCY: TOTAL VALUATION: $0.00
QTY UOM DESC AMT AMT PAID ACCT QTY UOM DESC AMT AMT PAID ACCT
1.00 Flat Address change 500.00 500.00 01-3530
Total Fees: $500.00 Balance Due: $0.00 Paid Today: $500.00
This permit/plan review expires by time limitation and becomes null and void if the work authorized by the Receipt#: 116802
permit is not commenced within 180 days from the date of issuance or if the permit is not obtained within 180 days from 01-3 53 0 500.00
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.
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)
OF ARC
ti40,400'406r
PERMIT/PLAN REVIEW APPLICATION
r.
tip 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 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 License No. Exp. Date 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
OWNER-BUILDER DECLARATION ElI have and will maintain workers'compensation insurance,as required by Section
D 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, Carrier
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 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 Li 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 ariy 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 roe forthwith comply with those provisions.
property,rty, or my employees with wages as their sole
compensation,will do the work,and the structure is not intended or offered for
sale(Section 7044,Business and Professions Code:The Contractors License Date 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 provingthat he or she
P hundred thousand dollars($100,000),in addition to the cost of compensation,
did not build or improve for the purpose of sale). damagesas provided for in'Section 3706 of the Labor Code, interest, and
attomey'sfees.
❑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 forwhich 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 Title
PRINT AME
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.
Signature �� Date • �/ /J
CITY OF ARI CAD :
..DE LOP:IM'XENT SETIVI.CES i',P iT1ENT
.- ._ 240. ST IEVNTIN('TO!N DRI , ; _
ARCA IA!CA:01007'
- (626-574-S41&
APPLIfC.ATICON.J OR AN:ADDRESS CHANGE
$O. f 0FEE QUii )AT TIME Q,EAPP„ LTC TION]
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,(Address ��}} . - i.Pzoperty Address). .
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` ASSIGNED PROPEI ! -
Building O' ia1 Date
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