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Home My WebLink AboutROOF-18-0823 City of Arcadia,CA • Permit Na ROOF-18-0823 rr—mt 11 Development Services Department i S 'Permit Type Roof, 240 West Huntington Drive,Post Office Box 60021 r� r o It c s 3 171 ?" yorkClassificonon Commercial Reroof Arcadia,CA 91066-6021 g iW` (626)574-5416 Permit Status issued' ARCADIA Issue Dat' O5/17/2O18rl Expiration: 11/13/2018 Addr NO. Dir Prefix Street Name Street Suffix Unit City,State,Zip Parcel Number 50 W Duarte RD Arcadia,CA 5782002031 Contacts ARCADIA MASONIC TEMPLE ASSN INC Owner Reycrest Roofing&Waterproof Roofing Contractor(C-39) 50 W DUARTE RD Reycrest Roofing&Waterproof 3057 Verdugo,Los Angeles,CA 90065 (213)257-9329 Description:T.0 REROOF CHURCH WITH SINGLE PLY PVC t Valuation: 5 55,000.00 Tenant SARNAFIL COOL ROOF WHITE CLASS A 200 SQ. (1C) Total Sq Feet: 0.00 Plann Check# Plan it Fees Amount Payments Amount Paid Building Issuing Fee $44.35 Total Fees $898.85 Building Permit Fees $848.25 Cash/Receipt#REC-001189-2018 $898.85 Solid Waste Management Fee $6.25 Amount Due: $0.00 Total: // $898.85 �j,G/1 — —i1—f S %rr CALLS FOR INSPECTIONS Request for inspection by telephone at 626-574-5450. Leave a message �, requesting the address,timeframe and what inspection item is needed. COMPIta 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. • May 17, 2018 Issued By: Date May 17,2018 Page 1 of 1 •�+ PERMIT/PLAN REVIEW APPLICATION ilg' 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 fessions Code and�ymy license is in full force an[d. ect I have and will maintain a certificate of consent to self-insure for workers' cense Class '/ ns No...4 7✓ilf Exp. Date /D ❑ compensation, as provided for by Section 3700 of the Labor Code, for the ignature of Contractor ii / /r" performance of the work for which this permit is issued. WNER-BUILDER DECLARATIO j ❑ I have and will maintain workers'compensation insurance,as required by Section CI I hereby affirm under penalty of perjury that am ex t 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. ,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, Carver /T(J _ri(f S(/IPi4' LP /i4/(Ce. demolish,or repair any structure,prior to its issuance,also required the applicant S 2^1306 f - D/i og 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 ❑ 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 beco a subject to the workers'compensation provisions of Section 3700 of the r Code, shall ❑I, as owner of the roe forthwith corn ly wi 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 5 /7 ��/ O / sale(Section 7044,Business and Professions Code:The Contractors License Date Signature ll`- 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 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 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 Ifurther information. .�// re /bn6 Title FY OF � //ei, e,�S PRINT NAME II I c rtify that I have read this application and •to that the above information is corzrt ct and that I am the owner or duly authorized agent of the owner. I agree to comply with all City ordina 's . d S • Laws relating to building onstruction. I hereby authorize representatives of the City of Arcadia to enter upon the a -me tied !_1 Pe' for inspection purposes. ignature / Date moi-7 /2 / ¶0 Li 0 er4a2rr '( oor Building Inspection NOTES , 5 -22-QS occF S�ar#tnsc, Foie OPpt2 Kook= (Po ftsc- � ) /' -` 5-23-<S i ow Ciiordr,- rag. Nogri' go-or= $Law Rao.= cp.rWesr pe-zte- 08s eveD _/2-,1,�cS•x/�'r/c..r ,4,-- "VGA ne vF 11./6Ir gtrtrF. g�Qe&SSS 5 /,14 1S4.h4 tusrn ci-ef/6 DENSAErK �N ges<71L .a 11 / .J4 S 21-[$ 542-r/lac $0Esir1<#N6 i.4S?gcr'o .J Ar �cwva Ego or ricer lisp,_ game a,‘9 rife S /< i os= riere £asr-Rozw ,# 7'