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Home My WebLink AboutUntitled G VPDY,` i CITY OF ARCADIA CHECK REQUEST Vendor No. Date May 18, 2018 (for Administrative Services Only) Pay to: Magnificent Territory Construction Inc. 3329 Punta Del Este Dr. Hacienda Heights, CA 91745 Account No. Amount 714-2275 $ 2,949.00 $ $ $ $ $ $ TOTAL $ 2,949.00 Reason for payment. (PLEASE SUBMIT BACKUP IN DUPLICATE) Please process a refund to the above recipient, demo bond Demo18-0060 512 W Woodruff Ave 0 Check here if check is to be Approved by: returned to Department. Department: Building Department-".,y_-ti�E'?.c_"r'q,3 �Tn:".;;.,.f.F.. ,.n;•Ezva..�?F.-r�=t.•::..r�. .._ .. .. .. _. .-. ,,,_,. ._-.._..^ ,,•.� Permit NO. Demo18-0060 City of Arcadia, CA Permit Type:Demolition Report Text Library:Municipality_Address Work Classification:Demo-Residential Permit Status:Issued ARA I)LA. Issue Date:02/06/2018 I Expiration: 08/05/2018 Location Address Parcel Number 512 W Woodruff AVE,Arcadia,CA 91006 5787024011 Contacts YAO,CHI CHUAN A AND NIANN HSIANG Owner Magnificent Territory Construction Inc General Contractor(B) 512 3329 Puta Del Este DR,Hacienda Heights,CA 91745 (626)806-4332 Inspection Requests: Description:DEMO HOUSE/GARAGE IN PREP FOR SF NEW. Valuation: $0.00 REFUND DEMO BOND TO MAGNIFICENT TERRITORY (626)574 5416 CONSTRUCTION INC 3329 PUNTA DEL ESTE DRIVE HACIENDA Total Sq Feet: 2,949.00 HEIGHTS CA 91745 Fees Amount Payments Amt Paid Available Inspections: Bond for Demolition $2,949.00 Total Fees $3,138.28 Inspection Type I IVR Demo-Sewer Cap and/or Cesspool Fill $15.55 Cash $3,138.28 Demolition Permit $77.75 Amount Due: $0.00 Demolition Permit Issuance Fee $44.35 Plumbing Permit Issuance Fee $44.35 l Solid Waste Management Fee $6.25 s/� n Solid Waste Management Fee 2 $1.00 '�CO'pl�nl-'J 3 Total: $3,138.28Ke,"ttid VVV ((JJ (�( ��I � n L, --fid F;Al4C. 3 -i //e7/ e'$ • 1/ 56,„2„, 3 31 February 06, 2018 Issued By: Date Tuesday,February 6,2018 Page 1 of 1 . 0,yronr,'• 4PERMIT/PLAN REVIEW APPLICATION Development Services Department,240 West Huntington Drive,Post Office Box 60021 /e , Arcadia, CA 91066-6021, (626)574-5416,Fax(626)447-9173 City of Arcadia LICENSED CONTRACTOR'S DECLARATION WORKERS'COMPENSATION DECLARATION ❑a 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 8 License N . ' 4 Exp. Date b/ZoIQ compensation, as provided for by Section 3700 of the Labor Code, for the Signature of Contracto performance of the work for which this permit is issued. OWNER-BUILDER DEC RATION ❑ I have and will maintain workers'compensation insurance,as required by Section ❑ I hereby affirm under penalty of 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 Policy Number 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 0 I, as owner of the property, or my employees with wages as their sole fate rthwith comply with tprovisions. compensation,will do the work,and the structure is not intended or offered for Z ! �+ /, nhose b Signa i ��' sale(Section 7044,Business and Professions Code:The Contractors License 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' 1rT �'on 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 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.---1 Name Ve l Cl itle Critle 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. 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 ro r• for ins$• '1 : purposes. S gna i1,{�� ate 2-/6 /,,,,2