HomeMy WebLinkAboutMEP-18-0234 City of Arcadia,CA Permit Na MEP-1841234.
Development Services Department `q , �fx�1' Permit Type MEP
lY 240 Wert Huntington Drive,Post Office Box 60021 t r-Ira') � ei 1 i :
TT WorkC{a`ssr cation:MEP Residential
� Arcadia,CA 91066-6021 a c- (,L.) �_ � h
(626)574-5416 - _ ',- =`g Is
` _ -= =°`• zt� -- �Permrt Siatur'Issued`
ARCADIA IssueDa 02/27/2018, Expiration: 08/26/2018
Addr NO. Dir Prefix Street Name Street Suffix City,State,Zip Parcel Number
1705 N • Santa Anita AVE Arcadia,CA 5766012012
Contacts
ZOSIMO PASCASIO Owner
1705 N SANTA ANITA AVE
(626)679-4354
Description:REMODEL KITCHEN AND BATHROOMS (EXISTING l Valuation: $ 0.00 Tenant
LOCATION TO REMAIN).NEW 200 AMP SERVICE.
Total Sq Feet: 0.0D Plan Check 8 Plan ff
Fees Amount payments Amount Paid
Bathtubs/or Combo $12.46 Total Fees $335.78
Electrical Permit Issuance Fee $44.35 Cash/Receipt tt $335.78
Floor Drain Fee $12.46
Install,Relocate Appliance Vent/Hood $9.38 Amount Due: $0.00
Kitchen Sink $12.46
Lavatories $24.92
Light Fixtures $21.56
Mechanical Permit Issuance Fee $44.35
Outlets-Receptacles&Switches $34.80
Plumbing Permit Issuance Fee $44.35
Residential Services up to 400 amps $15.55 CALLS FOR INSPECTION Request for inspection by telephone at 626-574-5450.
Shower Pan $12.46 Leave a message requesting the address,time frame and what inspection
item is needed.
Solid Waste Management Fee 2 $1.00
Solid Waste Management Fee 2 $1.00
Solid Waste Management Fee 2 $1.00
Ventilation Fan(Single Duct) $18.76 This permit/plan review expires by time limitation and becomes null and
Water Closet $24.92 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
Total: $335.78 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 27,2018
i Issued By: Date
riks
`-30-/6 Iry/ce o---- _
gxPitep 3-1z-(7 .
February 27,2018 Page 1 of 2
A , IT PERMIT/PLAN REVIEW APPLICATION
ifid Ills 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 effect. 0 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 Contractorperformance of the work for which this permit is issued.
rifNER-BUILDER DECLARATION ❑ I have and will maintain workers'compensation insurance,as required by Section
0ereby 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
ense Law for the following reason(Section 7031.5,Business and Professions is issued.My workers'compensation insurance carrier and policy numbers are:
de.Any city or county which requires a permit to construct,alter,improve, Carrier
molish,or repair any structure,prior to its issuance,also required the applicant
such permit to file a signed statement that he or she is licensed pursuant to the Policy Number
visions 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)
00)of Division 3 of the Business and Professions Code)or that he or she is
mpt 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
tion 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'
alty 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, ormy 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 v /7/4—Signature
sale(Section 7044,Business and Professions Code:The Contractors License 1 7
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.
❑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
runtrac 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
IDate �L(O Signature 1—•••••••' Lender's Address
IMPORTANT: APPLICATIO 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 buil,.jngs
and structures. IY
3. Per South Coast Air Quality Management District(AQMD)regulations,renovation and remodeling work that results in the removal,stripping,or alteggng
of asbestos containing materials requires an asbestos survey and removal prior to disturbing the asbestos.Please contact AQMD at(909) 396-200,f'or
further information.
(Name '577 tS�,��s e-fl/s SAC. Title /z7
PRINT 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
Arcadia to enter upon the above-mentioned property for inspection purposes.
Signature a
'a
!r
Date //74r-