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HomeMy WebLinkAboutElec-19-0194 m,4%2: City of Arcadia, CA 26),64- �LJ�\, Permit NO Elec-19 0194 - , x'11 Development Services Department ( 4- �ti;�' a Permrt Type:Electrical. e 240 West Huntington Drive,Post Office Box 60021 ( y i Work;Ctastff ati i Elec Service Change Arcadia,CA 91066-6021 � - .. J.(m, t Liu - "i) (626)574-5416 - ' + - Permit Status Issued� ARCS DIAIssue Date:01/30/2019' Expiration: 07/29/2019 Addr NO. Dir Prefix Street Name Street Suffix Unit City,State,Zip Parcel Number 1206 S FIFTH AVE Arcadia,CA 5780008002 Contacts BENSON GIANG Owner T D T CONTRACTOR INC* , Electrical Contractor 1206 FIFTH AVE (C-10) (626)297-1229 2402 STRATHMORE AVE,ROSEMEAD,CA 91770 (626)523-9708 521176 Description:100 AMP PANEL UPGRADE Valuation: $ 0.00 Tenant Total Sq Feet: 0.00 Plan Check N Plan ft Fees Amount payments Amount Paid Electrical Permit Issuance Fee $47.01 Total Fees $64.49 Residential Services up to 400 amps $16.48 Cash/Receipt k REC-00259-19 $64.49 Solid Waste Management Fee 2 $1.00 Amount Due: $0.00 Total: $64.49 , 2-7 -r1 7z?1s J6 'PNr" L t' " CALLS FOR INSPECTIONS Request for inspection by telephone at 626-574-5450. Leave a message compiETED requesting the address,timeframe 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. 0/CI January 30, 2019 Issued By: Date January 30,2019 Page 1 of 1 ,FAR 4 >uvoa,4ii I • 1 PERMIT/PLAN REVIEW APPLICATION fi.,. . n ra `illi`*' 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 a t. ElI have and will maintain a certificate of consent to self-insure for workers' License Class CIO License o. S L xp. Date 5 31l 111 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 ".....(1A k • •OWNER-BUILDER DECLARATION {I have 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 Code. ems'compensation insurance carrier and policy numbers are: Code.Any city or county which requires a permit to construct,alter,improve, Carrier SP demolish,or repair any structure,prior to its issuance,also required the applicant Policy Number UDC Z�7 for such permit to file a signed statement that he or she is licensed pursuant to the (This section need not be completed if thetpermit 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 ❑ I certify that in the performance of the work for which this permit is issued,I shall exempt there from and the basis for the alleged exemption. Any violation of 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 complyth those provisions. compensation,will do the work,and the structure is not intended or offered for Date Signature (J7 sale(Section 7044,Business and Professions Code:The Contractors License vl _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(I)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 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 CONSTRUCTION LENDING AGENCY Code:The Contractors License Law does not apply to an owner of property 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: 1 } Lender's Name Date l 'JO\ \Lj Signanue (, 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. / I� Fame l I�-/I/ I/ Title Cl WM t( RINT NAME certify that I have read this application and state that the above information is rrect 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. ( f / Y�f çSinature Date //3 1 7 See City of Arcadia, CA ,4 ' -i Permit No Wall 18 1576`. e��,I! Development Services Department 'I D kr `* ` ., I- ' .Permit Type Walla I 240 West Huntington Drive,Post Office Box 60021 s 'It j yyork Class cahon -Wall Garden Wall I (626)57,-591066-6021 . -~„ (....X71:i �k... .z,-y**,. 1d -. 626 574-5416 _ ,+ -;� `' 4 Permit status:issued . ARCADIA -- `lssaeDatei,oaj3o/zo184 Expiration: 02/26/2019 Addr NO. Dir Prefix Street Name Street Suffix Unit City,State,Zip Parcel Number 1600 S FIFTH AVE Arcadia,CA 5790001001li Contacts ELIZABETH WU Owner 1600 S FIFTH AVE (626)283-3232 Description:BLOCK WALL 5'H X 48'LF PER PLANNING Valuation: 5 2.248.80 Tenant MODIFICATION (96-001) Total Sq Feet: 0.00 Plan Check# Plan# Fees Amount Payments Amount Paid Building Issuing Fee $44.35 Total Fees $170.95 Building Permit Fees $120.35 Cash/Receipt#REC-002168-2018 $170.95 Solid Waste Management Fee $6.25 Amount Due: $0.00 Total: $170.95 ?-3o-I Faorthjer 4 vt COMPLETED q-,�-(e CALLS FOR INSPECTIONS I Request for inspection by telephone at 626-574-5450. Leave a message fiz - requesting the address,timeframe and what inspection item is needed. ?jS---1 1 ��sin i- This permit/plan review expires by time limitation and becomes null and I 1 ) void if the work authorized by the permit is not commenced within 180 days .(2J, rd-L (n/V from the date of issuance or if the permit is not obtained within 180 days `fV�J 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. Cfla August 30,2018 Issued By: Date August 30,2018 Page 1 of 1 1; PERMIT/PLAN REVIEW APPLICATION - �\ ,)-, 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 U I hereby affirm under penalty of perjury that I am licensed under provisions of I 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 WISER-BUILDER DECLARATION U I have 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 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' penal 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 comply with those provisions. 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 +b— >6 Zc/g Signature Law does not apply to an owner of property who builds or improves thereon, or who does such work himself or herself'ot'through his;or her own employees,provided that such improvements aie,nht�iniended'or offered for . WARNING: Failure to secure Workers'Compensation coverage is unlawful, sale.If,however,the building or improvementjislsgldwithin are,(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 ontractor(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: tt �yj ' 'n ,py/� Lender's Name E a-3D —<B(9 Signature . 7teit /mil&lam Lender's Address ITANT: 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.r +I ' PRINT NAME Name Eli1U R E T �V1 L t( Title OY1�vl1N I certify that I have read this application and state that the above information is co ect 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 ( abovArcadia to enter fp the ‘'e-.f-r"- e-mentioned Q � property for inspection purposes. p 7 �,r/p ignamre Yw"�L V�l�✓ ( Date TO - 3 6 - 2-(O I o '(�4,' > City of Arcadia, CA - rn-� PermitNO ROOF 19 0124-, '\iiiii Development Services Department \,D1r-` r' i Permit Type Roof' t e 240 West Huntington Drive,Post Office Box 60021 f �tra '3 € Ire t l^- u 3 '4 work Classlfication•ReroofCommercial i Arcadia,CA 91066-6021 ' .J x, z .. �`'� (626)574-5416 - '"- - PermitStatus Issued ARCAIDIA Issuetpate:.01/17/2019, _Expiration: 07/16/2019 Addr NO. Dir Prefix Street Name Street Suffix Unit City;State,Zip Parcel Number 302 N FIRST AVE Arcadia,CA 5773004029 Contacts YOUNESSI,JIM AND MICHELE TRS JIM Owner RAIN GUARD ROOFING" Roofing Contractor(C-39) AND MICHELE YOUNESSI TRUST 623 Virginia Ave,Glendora,CA 91741 (626)914-0270 989741 Description:T.0 REROOF COMMERCIAL BUILDING WITH Valuation: $ 14,000.00 Tenant POLYGLASS COOL ROOF APP WHITE 110 LBS CLASS A 30 SQ. Total Sq Feet: 0.00 Plan Check# Plan# io wee... .._ —— Fees Amount payments Amount Paid Building Issuing Fee $47.01 Total Fees $357.31 Building Permit Fees $304.05 Cash/Receipt#REC-00158-19 $357.31 Solid Waste Management Fee $6.25 Amount Due: $0.00 Total: $357.31 /-21--11 friar CosiETED Tet- gercor Asreemaki it 6,) CALLS FOR INSPECTIONS R.5 Request Z Request for inspection by telephone at 626-574-5450. Leave a message requesting the address,timeframe 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. January 17, 2019 Issued By: Date January 17,2019 Page 1 of 1 . '+ PERMIT/PLAN REVIEW APPLICATION •' :Y.;llll ._, E+t3a' 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. 0 I have and will maintain a certificate of consent to self-insure for workers' License Class el-se? Li No.el R143'14( Exp. Date /-3)-2/ compensation, as provided for by Section 3700 of the Labor Code, for the performance of the work for which this permit is issued. *nature of Contractor WNER-BUILDER D CLARATION tEll I have and will maintain workers'compensation insurance,as required by Section 0 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 mason(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 c� -E 51-0"../.2$ _ demolish,or repair any structure,prior to its issuance,also required the applicant Policy Number d 01 fr7 1/ 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 0 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 L as owner of the property, forthwith comply with those provisions. or my employees with wages as their sole compensation,will do the work,and the structure is not intended or offered for Date /- 9 Signature '- //J1'-` 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'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 attomey'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. \iile \Name �i�/VI e1 �f'�AGW PRINT NAME 1I 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 hove-mentio ed property for inspection purposes. \gnature ti `Date / -/ 7 - /9