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HomeMy WebLinkAboutMECH-18-0349 City of Arcadia, CA ,'" ��w' Permit Mech '18-0349` i , [/1 Development Services Department ,� ‘ s permit Type Mechanical % 240 West Huntington Drive,Post Office Box 60021 b 1511 f.,;.; ",j4V,as �� Arcadia,CA 91066-6021 .,, h� 1 Work Classification Residential I (626)574-5416 Vit 4i , PermitStatus,'.iIssued, ARCADIA ,, issue Date 03/15/2018 Expiration: 09/11/2018 Addr NO. Dir Prefix Street Name Street Suffix City,State,Zip Parcel Number 311 California ST Arcadia,CA 5773016060 Contacts LEE,CHARLTON S AND LIU,SOPHIA Y Owner Connor Air Conditioning Inc Connor Air HVAC Contractor(C-20) 311 CALIFORNIA ST E Conditioning Inc 4931 E Encinitas,Temple City,CA 91780 (626)286-3157 Description:REPLACE EXISTING HVAC i Valuation: $0.00 i Tenant li Total Sq t. Feet: 0.00 Plan Check# Plan# Fees Amount payments Amount Paid Compressor<3 Ton(up to 3 hp) $18.74 Total Fees $82.83 Furnace or Burner<=100,000 BTU $18.74 Cash/Receipt# $82.83 Mechanical Permit Issuance Fee $44.35 Amount Due: $0.00 Solid Waste Management Fee 2 $1.00 Total: $82.83 7-3b -1 e FilLiki.,) 46-7� CALLS FOR INSPECTION Request for inspection 2y telephone at 626-574-5450. Leave a message requesting the address,time'rame and what inspection item is needed. 41 C ;PLE1E 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. March 15,2018 Issue By: Date March 15,2018 Page 1 of 2 4 oupc9 . r h PERMIT/PLAN REVIEW APPLICATION "5.711\\\7 ERM `4 Development Services Department,240 West Huntington Drive,Post Office Box 60021 • °A55;of 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 y license is in ful fro ect. y ❑ I have and will maintain a certificate of consent to self-insure for workers' License Class License N•. vJ xp. Date P\b 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 -leave 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, Carrier ���/ � demolish,or repair any structure,prior to its issuance,also required the applicant Policy Numbery"q/d cb'LA.S y` 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 permit is for one hundred 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 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 Secti. 11 •( 'mw.,.e ode,I shall ❑I, as owner of the property, or my employees with wages as their sole forthwith co ply Ith those provision `T 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 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. Name V L A 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 ordi 5 tir�s_ ,d State Laws relating to building construction. I hereby authorize representatives of the City of Arcadia to enter upon the ab� , u entioned i roper • o '••I ection purposes. Agie Signature V Date 3 �1 \‘' iF +\741.1 PblFO3 �':jA.\ - ct.7 - zi) -lo.erporesd Auluel S.I903. ‘<,h +lyS�PF` AFFIDAVIT SELF-CE . . FOR Co'MPUTANWE ;,F SMOKE ALARMS AND CARBON MONOXIDE ALARMS 30 CMsFi�RAif/i srIZ Property Address: ) Permit Number: Mee)/ I 0 34, Brief Job Description: flp1 AJ ' sr . iJ Number of smoke alarms installed: Ib. n Number of carbon monoxide_alarms installed: -2 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/licenselistinq 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 that the foregoing is true and c•rr 6t, and that this. declaration was °,:ssecuted on (Date) Q3>25--2-a/eff . at 'Arcadia, California, Owner's Name (printed/typed)o - Signature of Owner:. This affidavit must be returnedto the City of Arcadia inspector prior to final inspection SMOKE AL NARM AND CAR:,ON MON*XIDE ALARM LOCATIONS Guest Room. vi 0 Bathroo CJ Storage D (-----/\ Family Room Garage FIRST FLOOR PLAN IPm SMOKE ALARM ® at CARBON MONOXIDE ALARM [ i Mstr 1 —1-1.04— Bath jPi Master Bedroom Dining Room Kitchen - Bath J Closet Holl 0 Ei 1 Closet Closet Family Room0 05 Bedroom Bedroom SECOND FLOI R PLAN O.SMOKE ALARM ® o CAR ,®N MONOXIDE AL "?M