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HomeMy WebLinkAboutralt-19-0233 rbobt3�� City of Arcadia, CA , -riPermit.NO.RALT-19-0233 ,\t.t ` Development Services Department -Thr, Perm�Type:Residential Addition/Alteration \; ' 240 West Huntington Drive,Post Office Box 60021 t/ © ( �� . \v Arcadia,CA 91066-6021 'P) I Workrlassi/lcahon:Res-Addition/Alteration (626)574-5416 l` ' - - _ Permit Status:Issued ARCADIA - - Issue:Date:02/05/2019' Expiration: 08/04/2019 A Addr NO. Dir Prefix Street Name Street Suffix Unit City,State,Zip Parcel Number 1129 Fairview AVE 8-Z Arcadia,CA 5379029081 Contacts v LAM,KHAI AND TRIEU,LISA Owner dba LKL RESTORATION General Contractor(B) 1129 FAIRVIEW AVE B2 - 15235 BRAND BLVD A 106,MISSION HILLS,CA 91345 (661)644-6959 1036846 Description:REPAIR AND REPLACE DRYWALL/INSULATION Valuation: $4,000.00 Tenant FROM WATER DAMAGE.REINSTALL ORIGINAL PLUMBING FIXURES Total Sq Feet: 0.00 Plan Check ft Plan 7f Fees Amount payments Amount Paid Building Issuing Fee $47.01 Total Fees $279.47 Building Permit Fees $137.05 Cash/Receipt41 REC-00309-19 $279.47 Dishwasher $13.21 Garbage Disposal Fee $13.21 Amount Due: $0.00 Green Building Standard $1.00 Kitchen Sink $13.21 Solid g Permit ent Fee $47.01 �/ COIYIPiETED Solid Waste Management Fee 56.25 -/ Solid Waste Management Fee 2 $1.00 VVV Strong Motion Inst.Program Res $0.52 CALLS FOR INSPECTIONS Total: $279.47 Request for inspection by telephone at 626-574-5450. Leave a message requesting the address,timeframe and what inspection item is needed. �--- -/'�C�L 3-2.64? 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 within 180 days VE/CGF/et, Cfloi t DETh ?t P.S 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 05, 2019 lip By. / Date ` February 05,2019 Page 1 of 1 'U,urocr . ,• 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 ■ 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 etpec�. El have and will maintain a certificate of consent to self-insure for workers' License Class \� Licen� .Y■�3fpQj xp. Date3a'� Signature of Contractor compensation, as provided for by Section 3700 of the Labor Code, for the ell of the work for which this permit is issued. OWNER-BUILDER DE ' .TION ❑ 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 is issued.My workers'compensation insurance carrier and policy numbers are: License Law for the following reason(Section 7031.5,Business and Professions 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 ea '+,®t��",,,--,=h Y'i:!tac,,s ,.._•r 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 comple .R' 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 ❑ 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 the Labor Code,I shall ❑ as owner of the property, forthwith comply with those provisions. '\ / I, or and employees withtwages as their sole q Ace compensation,will do the work the structure is not intended or offered for Date -� ;�-`'`:-A�–.^Signature`7 7–l� sale(Section 7044,Business and Professions Code:The Contractors License 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 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 contractors to construct the project(Section 7044, Business and Professions CONSTRUCTION LENDING AGENCY Code:The Contractors License Law does not apply to an owner of property 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. arae 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. I7agree 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. 1gnaffire .)jael---'8)--- 21:11-r– Date ^S^1 9