HomeMy WebLinkAboutMEP-18-0164 r:
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City of AreadiS, CA nermn'No:'M EP 18.0164.
Development Services Department 1 + i e,%-
t t '` I1 l I ri • PermrtType. '
EP
I I 240 West Huntington Drive,Post Office Box 60021 'r } + f C! _
f Arcadia,CA 91066-6021
nt` i .� ( '% # f i Work ClasslhcaHoni;MEP Resid ential !
-I (626)574-5416 - Status:
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-�t,� �-. -�Permrt5tatusCassued'.
ARCAIDIA IssueDie:02/20/2018 Expiration: 08/19/2018
Addr NO. Dir Prefix Street Name Street Suffix City,State,Zip Parcel Number
51 W Lemon AVE Arcadia,CA 5782021011
Contacts
DEAN NORRIS Owner SAFE STEP WALK-IN TUB COMPANY INC General Contractor(B)
51 W LEMON AVE 15262 PIPELINE LN,HUNTINGTON BEACH,92649
l (714)373-8545
Description:REMOVE TUB,INSTALL WALK IN TUB,INSTALL 20 , Valuation: S 0.00 Tenant
AMP CIRCUIT FOR OUTLET AND DRYWALL PATCH .
Total Sq Feet: 0.00 Plan Check if Plan U
Fees Amount payments Amount Paid
Bathtubs/or Combo $12.46 Total Fees $104.70
Electrical Permit Issuance Fee $44.35 Cash/Receipt U $104.70
Outlets-Receptacles&Switches $1.54
=Plumbing Permit Issuance Fee $44.35 Amount Due: $0.00
Solid Waste Management Fee 2 $1.00
Solid Waste Management Fee 2 $1.00
Total: $104.70
This permit/plan review expires by time limitation and becomes null and
EXP i E D void ifthe work plan subd by the. permit is not commenced within180 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
I- i n . 7/(Id Arcadia building inspector for a period of 180 days.
CUC -( (V L 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.
February 20, 2018
Issued By: Date
February 20,2018 Page 1 of 2
1, . `I PERMIT/PLAN REVIEW APPLICATION
`t4it Development Services Department,240 West Huntington Drive,Post Office Box 60021
`m,„,,,„.. 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. ❑ I have and will maintain a certificate of consent to self-insure for workers'
License Class License No. �03de Exp. Date Jr/3'll compensation, as provided for by Section 3700 of the Labor Code, for the
Signature of Contractor L-7‘11----•
performance of the work for which this permit is issued.
OWNER-BUILDER DECLARATION ALP' 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 workkerrss'compensation insurance carrier and policy numbers are:
Code.Any city or county which requires a permit to construct,alter,improve, Carrier v�"� C^✓s.a
demolish,or repair any structure,prior to its issuance,also required the applicant policy Number n'e'D2 1-11'7 7
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'
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 with hose p ovisions.
compensation,will do the work,and the structure is not intended or offered for 1 ‘7/2-4-0644-1— "•7-
sale(Section 7044,Business and Professions Code:The Contractors License Date 7/749 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
attomey's fees. ' r•, L•^
❑I, as owner of the property, am exclusively contracting with licensed rI' '
contractors to construct the project(Section 7044,Business and Professions t ' • • . - ' . '
Code:The Contractors License Law does nota I to an owner of roe CONSTRUCTION LENDING AGENCY, ;
apply property rtY f ',)-...•
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.' �/_ /et
�� ,,, �,,,,,¢.
Name /Vir/O 2*5 [-rtU el- Title I�0e/y'U
PRINT NAME (!
I certify that I have read this application and state that the above information is corr t 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 c nstruction. I hereby authorize representatives of the City of
Arcadia to enter uu/poo�n the above-mentioned property for inspection purposes.
�i41 /9
gnature 4/'>/ipOi� :tate 7//z/7c
•
Si FSSTEP 15262 Pipeline Lane
WALK-I IV TUB C o Huntington Beach, Califomia 92649
Phone(714)373-8545 Fax(714)895-8594
Exclusively offered through Galkos Construction, Inc. License:. 983603 Website: www.galkos.com
10/25/18
City of Arcadia
Attn: Building Division
240 West.Huntington Dr.,
Arcadia, Ca 91066
To Whom It May Concern,
This written notice is to cancel and request a refund for the following:
Permit Numbers: MEP-18-0164
Address: 51 W LEMON AVE
The refund check can be mailed to:
Safe Step Walk-In Tub Co
Galkos Construction,Inc
15262 Pipeline Lane
Huntington Beach, CA 92649
•
•
•
•
Thank you, •
EXPIRED
David Boyaner
Permit Manager — — - — —_ _
OWNER: DEAN NORRIS CONTRACTOR: SAFE STEP WALK-IN TUB CO
51 W LEMON AVE 15262 PIPELINE LANE
ARCADIA, CA 91007 HUNTINGTON BEACH, CA 92649
626.802.0836 PH: 714.373.8545
ST CONT LIC #: 983603
SCOPE OF WORK:
REMOVE (E) TUB, INSTALL (N) WALK-IN TUB, INSTALL •ALL NEW WORK WILL COM-
PLY WITH 2016 ELECTRICAL
(N) 20 AMP CIRCUIT FOR OUTLET, DRYWALL PATCH CODE&2016 PLUMBING CODE
rr,
New gfci outlet
0
Existing and proposed --existing Vanity
•
tub location
I
Existing Toilet - -
-----)
NOT TO SCALE