HomeMy WebLinkAboutSIGN-18-1721 v:. 5 Permit NO SIGN-184721:
- City of Arcadia,CA -, i'
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. i Development Services Department i,y C;;;;4427,--1474W444-4:-.:i* yi 1 O E Permit Type,. Sign
West Huntington Drive,Post Office Box 60021 „_! �, {�` t + j S ())4, t.., yyork clossificobon•;Sign Illuminated
•
Arcadia,CA 91066-6021 s .i P l 5 I {., ,
(626)574-5416 'ffPermit Status:'Issued
ARCAD[AIssue bate 09/20/2018Expiration: 03/19/2019
Addr NO. Dir Prefix Street Name Street Suffix Unit City,State,Zip Parcel Number
,
1108 S BALDWIN AVE ARCADIA,CA 91007 5778007029
Contacts
500 PROPERTIES LLC Owner ALEXIS ESTRADA Electrical Contractor
11085 BALDWIN AVE B7 (C-10)
1928 TYLER AVE F,SOUTH EL MONTE,CA 91733
(562)441-3172 ABEN EONSIG NC0.88@GMAI L.COM
Description:LED ILLUMINATED SIGN FOR MY DELI Valuation: S 3,500.00 Tenant
Total Sq Feet: 0.00 Plan Check N Plan 8
Fees Amount Payments Amount Paid
Building Issuing Fee $44.35 Total Fees $379.20
Building Permit Fees $137.05 Cash/Receipt ft REC-002346-2018 $379.20
Electrical Permit Issuance Fee $44.35
Sign and Branch Circuit $62.13 Amount Due: $0.00
Sign Connection $15.55
Sign Plan Review $68.52 COIYIPLE'IEL
Solid Waste Management Fee $1.00
Solid Waste Management Fee 2 $1.00iNi
Total: $379.20
r+�'''j� CALLS FOR INSPECTIONS
A 1 Request for einspectiondesby telephoneatd 626-what inspect0.ion
Leave a message
needed.
7-2I-1 i al4<. 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.
L I\
September 20,2018
Issued By: Date
September 20,2018 Page 1 of 1
AR
s.'4G,}\FO i
PERMIT/PLAN REVIEW APPLICATION
•L ...as
47t' Development Services Department,240 West Huntington Drive,Post Office Box 60021
em^ n` 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 Cod-,.at d my license is in 11 i - .nd e j�ct. I have and will maintain a certificate of consent to self-insure for workers'
L
License Class V Lc-nse No. .1 /t/(Exp. Date (7:12)1.1 s compensation, as provided for by Section 3700 of the Labor Code, for the
\ ) Np_ performance of the work for which this permit is issued.
Signature of Contractor %
OWNER-BUILDER DECLARATION 0 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
for such permit to file a signed statement that he or she is licensed pursuant to the Policy Number
Ily
provisions of the Contractors License Law(Chapter 9(commencing with Section rs 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
ti I certify that in the performance of the work for which this permit is issued,I shall
exempt them 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 ci ' not employ any person in any manner so as to become subj- t . the orkers'
nal of not more than five hundred dollars $500 ,.mpensafion Laws of California,and a
penalty ( )): g -- ti should .-i.ve ubPito the
workers'compensation provisions of S1jtIINSSk'S
t i i'o a L. s O. shall
❑I, as owner of the property, or my employees with wages as their sole forth 'th 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 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 intenddd;or`offered for'• WARNING: Failure to secure Workers'Compensation coverage is unlawful,
sale. If,however,the building or improvement is sold witliiiiohe41 'ice:of and shall subject an employer to criminal penaltiesand civil fine's up to one
completion,the owner-builder will have the burden of proving thal.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.
0 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).
Ad I am exem t u er S br ,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. ,lf�C ��-
Name - Wi `IMai
Title �l�l_ MI
PRINT NAME
I certify that I e read this application and state t y .t the above information is correct and that I am the owner or duly authorized agent of the owner.
I agree to co ply all City ordinan es 1. d '(fie Laws relating to building construction. I hereby authorize representatives of the City of
Arcadia to ent r upo ve- ntion pro,ert r inspection purposes.
At:`
Signature Date ` 1C:6