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Home My WebLink AboutMISC-RENEWAL k - F Y'. --. 6 - . City of Arcadia, CA Permit NO. MISC 18 1507r, Development Services Department B =.� Permit Type.°Misc 240 West Huntington Drive,Post Office Box 60021 �'� (C. Work classification Mtsc°Ret ewaf Arcadia,CA 91066-6021 " '�..'� fi c _ (626)574-5416 • '� �" , rPermit Status:Issued kx? ARCADIA issue Date 08/21/2018: Expiration: Addr NO. Dir Prefix Street Name Street Suffix Unit City,State,Zip Parcel Number 1685 Highland Oaks DR Arcadia,CA 5771005004 Contacts ZHENG,QIN Owner CHARLES MOH Agent for owner 1685 HIGHLAND OAKS DR (626)823-7925 Description:RENEW EXPIRED PERMIT B00-044-49 1 Valuation: $ 0.00 Tenant Total Sq Feet: 0.00 Plan Check# Plan# Fees Amount payments Amount Paid Building Issuing Fee $44.35 Total Fees $360.07 Renewal Fee $309.47 Cash/Receipt#REC-002082-2018 $360.07 Solid Waste Management Fee $6.25 Amount Due: $0.00 Total: $360.07 �.� q•Lf.18 �- ✓ CO�PL T 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. 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. August 21, 2018 • Issued By: Date August 21,2018 Page 1 of 1 O AR nay s PERMIT/PLAN REVIEW APPLICATION fik IS ill Ce ilr Development Services Department,240 West Huntington Drive,Post Office Box 60021 %44131,7 a"°'' 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_ 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 efWNER-BUILDER DECLARATION ❑ I have and will maintain workers'compensation insurance,as required by Section 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 aze: 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 (Thus 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 ertify 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 forthwith comply with those provisions. V1/1 compensation,will do the work,and the structure is not intended or offered for sale(Section 7044,Business and Professions Code:The Contractors License $&DateQ4il( P 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 tosecureWorkers'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 /1 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 exe I;u der Se\tjpn 704eusiiiness an^o, ioip ys C e,for this reason: any rr. t`y� 1 �v v./, = Lender's Name IDate A i>I(t O Signature ( —"' " id& / - -'s Address MPORTANT: 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. ,/ ame �e.. rk s /,l 0 Title PRINT NAME 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 t e above-mentioned property for inspection purposes. Signature d �� 7', ( �i'/ Date �� .0(p • F O ' ti-,G,,µeoRryGa: `1 WPM City of Arcadia • Building Division • 240 West Huntington Drive,Arcadia CA 91007 Office: (626) 574-5416 Fax: (626) 447-9173 • When the permit application and the Owner-Builder Declaration have been executed by a person other than the propertyowner,prior to issuing the permit, the following shall be completed by the property owner and returned to the agency responsible for issuing the permit: • AUTHORIZATION OF AGENT TO ACT ON PROPERTY OWNER'S BEHALF Excluding the Notice to Property Owner, the execution of which I understand is my personal responsibility, I hereby authorize the following person(s) to act as my agent(s)to apply for, sign, and file the documents necessary to obtain an Owner-Builder Permit for my project. • I declare under penalty of perjury that I am the property owner for the address listed above, and I personally filled out the above information and certify its accuracy. ' ^/ Date: 09:11 PM GMT Pr8 operty Owner's Signature: Iain 7 Property Address: ( 4S',c 4L,phd Oaks r. 4 r • Owner's Name: t Y� pZ ei1q C IT Owner's Address: LLgJiglk(artcl Oaks )r Arcajack Phone# (,4 -.(0) l — (q�6 / Agent's Name: CILO r t es rG��(o i /� /� r �} Agent's Address: .›.10;�/ 5. 3 z(CI W/K G'1 v e�. . /1 rcc c i 6 cA gCoo7 Agent's Phone#: (43-4) Re frka2 l6 w?rod aWs R„d 3 petao doors , RRMode( titcle„ and 2. bA-ns . QepfAee e.-K;rtiftcl WAta-t— keA£ec { Scope of Work: $a a4e (°ca ti o in NOTE: This authorization must be NOTARIZED or accompanied by a copy of the homeowner's current photo I.D. (i.e., driver's license, passport or military I.D. with signature),when presented for issuance of a permit. !,. . . . .. .. . .. . • Jr •:-.• • •:-.4.•J::" tpr• =- .7•-•-.„.„-.••.,:-...-:.:,-,... , ' 1 . • Hy:: :MOVED. VIA'Ner,- :I ,. „ •-;;\ ei .0.2 , • • . ......., __ . - k ilti'A u.5 .1411C41°114°:" . 11Mt'°V;14ESTh . tt ' ' . ' '' '-' -- ci'DPIALETENFilLErc-' :-'1;;;Ltr-6'Ji*-7?-ci"Ii.$;'';`, .7:- 1.44' 1--- - ; -. , p ,... .. .. -- ,, - r Atiom(.‘ , , ,,r -: . I*: ' ' • 't --1-. '''4 61'1. '1 l'at ‘iiiikcMR--„Ig&ilfiErcittitiNiatiSsoolATiom .,,,,-,,"2.,. , -ir; t.',. • ,c.„ ..,,.. PA" ' 1 ' "' - entilir . " --..--------- .. i.cto - - '. P'' “OftitS .. - .AR i, . ' _. .„ -•.:,..7::', .1 ' -.''-..'-'-`:".±t --:, , ': , (SHORT BonEwpaccEpti„:4;; -..---,j .. r•,,, ,;•., J,, :, , 1' . , ' ',T; :,c, 1 . ‘.- ,,, , t>1.,.•e',...,—;.:::,,,-,,,„,.:,, ; ,'i.. ,--.. 71': ,...:2,[7,c,.:„;„ i PROPERTY OWNEIVSNE ' ;'•' ' !'" ' ' ' 4. fr , ' C . lot . . 9 - / 6.kkg ••• r -- ; . ...-:. .r. r . - rit,?, -.... .3/4 - i . a.:•.; ;,.. \Rtiatter-ADDIIFS /A-: ',J. -,. : .7.-..,..--:,-...--. , : .t .;2 ,,. --;..,-..,.:-•,,,,,,:.„-:-.; .. ., :-..,-;..:„.::,.--1),.,•" .•.-.... --," -.,. ' ' " : :- • • - • Y -'' .,... .„ „... • 1tLEPHipNENO.: • .; „ ,....: ,?r....,lc yr,: -,!,.c.”:! P "II\-t.. . 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' ' • , , . . • .... _., . - -- -„ Development Services Department ^4West Huntington Drive,Post Office Box 60021 PERMIT NO. $00-044-487 * of Arcadia,CA 91066-6021 CitArcadia (626)574-5416,Fax(626)447-9173 Permit Type: SF Add/Alt PROJECT TRACT NO. LOT ND. APPLICATION DATE ISSUED BY PRINT DATE PERMIT STATUS 17853 9/19/2013 CM 9'15 9/19/2013 - Issued ADDRESS No. Cir.Prefix Street Name street Suffix UNIT DLO ASSESSORS PARCEL NO. GEO CODE 1685 Highland Oaks Dr 5771-005-004 OWNER MAILING ADDRESS e Nancy Lm PHONE NORED. C-") V v DRESS: tSii• APPLICANT MAILING ADDRESS txpi P S M Superior Construction • EMAIL ADDRESS. CONTRACTOR/PROFESSIONAL 'MAILING ADDRESS . P S M Superior Construction 9059 Wooley St PHONE No. (626)378-2781 FAX NO. Temple City,CA 91780 EMAIL ADDRESS. License No. 964260 Type: B Expires: 8/31/2015 12:00: . TENANT MAILING ADDRESS PHONE NO. FAX NO. • DESCRIPTION REPLACE 16-WINDOWS AND 3 PATIO DOORS(RETRO-FIT),REMODEL KITCHEN AND TWO BATHS,REPLACE EXISTING WATER HEATER.SAME LOCATION CanelrutaonType UOM N of Units Value Construction Type UOM N of Units Value Value Value 10,00000 $10,00000 - '• • OCCUPANCY Dwellings TOTAL VALUATION: .$10,000.00 QTY UOM DESC AMT AMT PAID ACCT QTY UOM DESC AMT AMT PAID ACCT each Plan review 15421 154.2101-3103 100 Flat SWMF 2 100 10088.3027 1.00 flat Bldg Issue Auto 44.35 44.3501-3104 1.00 Flat SWMF 2 1.00 1 00 88-3027 each Bldg permit ' 237.25 237.25 01-3104 100 Flat SWMF 2 1.00 1 00 88-3027 • 100 Flat Elec issue 44.35 44.35 01-3105 I 00 Flat Medi issue 44.35 44.35 01-3105 100 Flat Plmbg issuance 44.35 44.3501-3105 2 00 each Water Closet 24.92 24.92 01-3105 200 each Lavatories 2492 2492 01-3105 1 00 each Kitchen sinks 12.46 1246 01-3105 100 each Dishwashers 12.46 12.46 01-3105 1 00 each Garbage Dtsp .12.46 12.46 01-3105 10.00 each 'Lig fixtures 1540 15 40 01-3105 - 1 00 each Vent-appliance 9.36 9.36 01-3105 1.00 each WN his:vent 15 55 15.55 01-3105 _ . .SMIP Res 1 00 1 00 14-2207 gns bldg std 1 00 1.00 714-2203 100 Flat SWMF Auto 6.25 6.25 88-3027 Total Fees: 5707.64 Total Amount Paid: $707.64 Paid Today: $707.64 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.within980. Receipt n: 102326 days from the dateof plan submittal. This permit expires and becomes null and void if any work authorized by 01-3103 154:21 thispermit is suspended or abandoned for 180 consecutive days or if no progressive work has been verified by Ol-3104 281 60 a City rcadia buildinginspector foraperiod of 180 consecutive days. 1401-2207 26I0 00 � PeY 14-2207 100 CALLS FOR INSPECTION INSPECTORS'OFFICE HOURS 714-2203 1 00 Requests for Inspection should be made at'least Monday-Thursday Friday 88-3027 .25 one(1)business day in advance of-the inspection 7:30 a.m.to 8:30 am. 7.30 a.m.to 8:30 aim 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. L (Closed on alternate Fridays)