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Home My WebLink Aboutmech-19-0123 City of Arcadia, CA Permit Na Mech-19 0123 / Development Services Department D ( - i-"r" t": '' :- Permit Type:Mechanical 1/ 240 West Huntington Drive,Post Office Box 60021 X' Arcadia,CA 91066-6021 Work Classification:HVAC Repair/Replace. (626)574-5416 '. Permit Status Issued ARCADIA IssueDate:ol/17/2019'I Expiration: 07/16/2019 Addr NO. Dir Prefix Street Name Street Suffix Unit City,State,Zip Parcel Number 860 Palo Alto DR Arcadia,CA 5777020018 Contacts GEORGE VILLALOBOS Owner REDLANDS PLUMBING HEATING&AIR HVAC Contractor(C-20) 860 PALO ALTO DR CONDITIONING INC* (626)445-7423 (626)445-7428 184826 Description:REPLACE HVAC IN SAME LOCATION.HERS Valuation: $0.00 Tenant REQUIRED FOR FINAL. Total Sq Feet: 0.00 _ Plan Check ft Plan M Fees Amount payments Amount Paid Compressor 3-5 Ton(3 to 15 hp) $36.35 Total Fees $104.22 Furnace or Burner<=100,000 BTU $19.86 Cash/Receipt If REC-00157-19 $104.22 Mechanical Permit Issuance Fee $47.01 Solid Waste Management Fee 2 $1.00 Amount Due: $0.00 Total: $104.22 q. - /9 0 COMPLETED 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. / • January 17, 2019 Issued By: Date January 17,2019 Page 1 of 1 NUF0scr " .... '‘ PERMIT/PLAN REVIEW APPLICATION tno 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 'cense No. 2U 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. t Signature of Contractor rx 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 Contractorsis 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 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 at),. �r/'P for such permit to file a signed statement that he or she is licensed pursuant to the Policy Number 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 0 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 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 Date 1_1 7 Lo! sale(Section 7044,Business and Professions Code:The Contractors License 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 am 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 pioving'that hear 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 I 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. arae Gent 2 4JBSa!vv \itle 4,r PRINJ'r NAME I 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 rcadia to ent erupon the ahoy -mentioned property for inspection purposes. Signature .. / Date — 7-�1 . sif �'w t 9 ih�.,Y;f:T'� 1'�Y Y § :;; rr pat f j.R2,•as:i o- eiri.F. ' ;_y 't.'. 'ale,• ,9 , ,.c -7 . . . 3 q�P°L SN`b��} -, � /%%yl`�i� T�E f r�S.Y44r't�3�!-J�'� rf ytk inn f r��'y ,�`i�"3�^�'� .:• 9°i�it'��{ i 714,,J:,,;,?, ' . t ftAe ,4 1-ntiz (Jf G 1 r �` e4. �6-ce I# ,i -I° : ( �n :f7P."c�#`Q ��pc`a c' c,, r 1 - t r,?.y.4ttUrMBINGYIHEATING AIR CONDITIONING '" s Y t t '�1S4t U1 I hereby grant authorization for the undersigned individuals to act on my behalf in obtaining and signing business permits and licenses, as well as related applications. I am properly licensed as required by the State of California, and assume full responsibility under the law for permits pulled by authorized individuals to act on my behalf. This authorization is in effect until the Department of Building and Safety of each City and County included is notified in writing of such cancelled authorization. AUTHORIZED PERSONS TO OBTAIN AND SIGN PERMITS: Christopher Stark George Desario , a' V 1,2 i Rebecca Hickey / Craig Shrom Marina Chavez `-�-1 Steve Geivett Michael Rankin Armando Rocha All Ihorizing officer must be listed on the Personnel List maintained by the State Contractors license Board. r • COMPANY NAML ' r /, . f j' /. .,. ,•.I` //< . •.,Y / -1. . `_... C.. C CONTRACTORS STATE I ICENSraI ___ �. ''±_ "r. < ' _ - AUTHORIZING OFFICER I \-. t\,' \'''- '-' AUT --.f0 =.___ i __.2:_----- -� -{--=--- ) . SIGNATURE \ _ 4•'( , illti 2;'V,41:461:i:'IYYFr i` NST-wi!i5gilT2 rZiTk ?::va i.72. 1-49— y^t; *5 ^.Y .n:F}.e Wi tUG falgeriT.TA x+tarc�-:r�