HomeMy WebLinkAboutUntitled 7 1 F- - 1F f. _ 1 _ ,
r. e. . Permit NO.Wall-n=2137
>iCity of Arcadia, CA t�' r /,"� „„,
j:W Development Services Department j r^” ,)`y")f1 ` sf Y� "j „it , ',Permit Type:Wall'
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240 West A 9106 -6 Drive,Post Office Box 60021 d.i.f ii _, Q ! 11FI 5 Work Classification:Wall Garden Wall
Arcadia,CA 91066-fi021 ti„x ;: !. 1 I rt
I (626)574-5416 "" { #° Permit Status:IIssued
ARCADIA Issue Date 11/15/2018-' Expiration: 05/14/2019
Addr NO. Dir Prefix Street Name Street Suffix Unit City,State,Zip Parcel Number
1907 Watson DR Arcadia,CA 5789009010
Contacts ----
WEN HO SHEN Owner l
1907 WATSON DR
(626)445-6532 (
Description:BLOCK WALL PER APPROVED PLANS WITH SHARED Valuation: S 4,216.50 Tenant t
WALL AGREEMENT.6'H X 75'LF
Total Sq Feet: 0.00 Plan Check# Plan# 9
Fees Amount Payments Amount Paid
Building Issuing Fee $44.35 Total Fees $204.35
Building Permit Fees $153.75 Cash/Receipt#REC-002901-2018 $204.35
Solid Waste Management Fee $6.25
Amount Due: $0.00
Total: $204.35
—2-1-181 COMPLETED
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' f-,7-f P CALLS FOR INSPECTIONS
1 Request for inspection by telephone at 626-574-5450. Leave a message
rge 6p/}t(.T 3:::t/1� V - "y(ys I requesting the address,timeframe and what inspection item is needed.
I I-24-1
-2'.'7 I This permit/plan review expires by time limitation and becomes null and
Ot �V�J J) t 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.
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November 15, 2018
Issued By: Date
November 15,2018 Page 1 of 1
of AR
,00..vo.p4,.:
_ 1 PERMIT/PLAN REVIEW APPLICATION
ri3*' 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
0 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 License No. Exp. Date compensation, as provided for by Section 3700 of the Labor Code, for the
Signature of Contractor performance of the work for which this permit is issued.
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 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 (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 ❑ 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
❑I, as owner of the property, or my employees with wages as their sole forthwith comply wi those provisions. /
compensation,will do the work,and the structure is not intended or offered for J ��.a A_�j `/' �
sale(Section 7044,Business and Professions Code:The Contractors License Date �� ignaturel/t v'! rT� /`
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(1i 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),iii addition to the cost ofcoinpensation,
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:
p (J / / Lender's Name -
\ DatJ��J �Wd Signature i / / ender's Address
II ORTANT: APPLICATION IS HEREBY MADE TO THE BUILDING OFFICIAL FOR A PERMIT SUBJECT TO THE CONDITIONS AND
S`y`y RICTIONS 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. /,t .o C
• Name 1A)e>7 HeD s�" `'Ti�. �Gt�`1.P e1`'
PRINT NAME
ertify that I have read this application and state that the above information is cokect 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
rcadia to enter upon the above-mentioned property for inspection purposes.
rA / (lAtA°
ignamre v v Date
feF ,
c': d 4 CITY OF ARCADIA
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DEVELOPMENT SERVICES DEPARTMENT
f
FENCE, GARDEN WALL AND/OR RETAINING WALL ON
PROPERTY LINE RELEASE AND DECLARATION
ADJACENT PROPERTY OWNER'S DECLARATION
I. Men Ho 4-4en, as owner of the property located at /9o7ct lion Jjp Arcaa
hereby grant permission to the adjacent property owner located at /9/cm/irkp z pr` Int
to construct -75 A-F lineal feet of 6 t high fence, garden wall, and/or
retaining wall, some of which will be located on my property. I acknowledge,
understand and accept the scope and nature of the proposed work (i.e., color, size,
height, type and location of the fence, garden wall, and/or retaining wall and the removal
of landscaping). `/
Name: t(J-ea 1- S4eG/ Telephone Number: zZ^9�t3 3'332
Address: l90 7 pdq ni N Are& Date: ////f/.2e2
Signature: . � �
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... ..................... ............ ... ... ......... .................. ...............
PERMIT APPLICANTS DECLARATION
I declare under the penalty of perjury that I have obtained the approval and release from
the owner of the property located at 91,5- WA- iso./-/ /2Ho construct and
locate part of a fence, garden wall, and/or retaining wall on their property.
Name: / g qy CAa&c) /� �T"elephone Number: ( --- zo6v
Address: " , a-r OVI lPr • cry' atte: / /
Signature: rre
c: Applicant's file
Neighbor's file
Job site
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