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Home My WebLink AboutDemo CITY OF ARCADIA "t§iCHECK REQUEST Vendor No. Date May 31, 2019 (for Administrative Services Only) Pay to: The Olson Company 3010 Old Ranch Parkway, suite 100 Seal Beach, CA 90740-2751 562-370-2228 Account No. Amount 714-2275 $ 68,550.00 $ $ 1 TOTAL $ 68,550.00 4 Reason for payment. (PLEASE SUBMIT BACKUP IN DUPLICATE) Please process a refund to the above recipient, demo bond Demo-19-0215 17 Las Tunas Dr. 1 ❑ Check here if check is to be Approved by: returned to Department. Department: BUIldltl pa meet e -v. City of Arcadia, CA Permit NO. Demo-19-0215 Development Services Department 1.� f r^ r ., •%' '- 1 p p E L; �•,( fl Permit Type:Demolition \\ 240 West Huntington Drive,Post Office Box 60021 4 �; f, i' r i ,� �,I �0 ` Arcadia,CA 91066-6021 ~ : r I i 'I I' -WorkCldssii kation:Demo-Commercial (6z6)s74-s416 Permit Status:Issued ARCADIA , Issue Date:03/07/2019,1 Expiration: 09/03/2019 Addr NO. Dir Prefix Street Name Street Suffix Unit City,State,Zip Parcel Number 17 Las Tunas DR Arcadia,CA 5788020031 1 Contacts 1 OLSON URBAN COMPANY* Owner 3010 OLD RANCH PKWY 100,SEAL BEACH,CA 90740 (562)370-2228 Description:DEMO COMMERCIAL BUILDING IN PREP FOR MF Valuation: $ 0.00 Tenant NEW 68 CONDO AND 12 SF NEW. REFUND DEMO BOND TO THE OLSON COMPANY 3010 OLD RANCH PARKWAY SUITE 100 Total Sq Feet: 68.550.00 Plan Check# Plan# SEAL BEACH CA 90740-2751 5623702228 Fees Amount Payments Amount Paid Bond for Demolition $68,550.00 Total Fees $68,916.97 Demo-Sewer Cap and/or Cesspool Fill $16.48 Cash/Receipt#REC-00607-19 $68,916.97 Demolition Permit $249.22 Amount Due: $0.00 Demolition Permit Issuance Fee $47.01 Plumbing Permit Issuance Fee $47.01 Solid Waste Management Fee $6.25 ,�.��/jJJt Solid Waste Management Fee 2 $1.00 VI,�1 (aie....A./....." ' Total: $68,916.97 CALLS FOR INSPECTIONS Request for inspection by telephone at 626-574-5450. Leave a message r - 'n:'n_the address,timeframe and what inspection item is needed. s. adz V-15-1-77 mes null and // v km i within 180 days dfft(// - f thin 180 days o. f omes null and p 'PSP i-. I . bandoned for 180 /� 3! f • by a City of o lays. ;Ce .A4 jPJt2j Q 1 i , . 10 1/ I d . ,i Avc- SA-x1.171 G T/i p Aie March 07, 2019 Issued By: Date March 07,2019 Page 1 of 1 f R yFORV�,ti • PERMIT/PLAN REVIEW APPLICATION V/11\C y r4;b Development Services Department,240 West Huntington Drive,Post Office Box 60021 ,,y 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 p 0 I have and will maintain a certificate of consent to self-insure for workers' License Class - No. of 0 .•• .• Exp. Date to.3�.� 1 compensation, as provided for by Section 3700 of the Labor Code, for the 1 performance of the work for which this permit is issued. Signature of Contractor ail' ❑ I have and will maintain workers'compensation insurance,as required by Section OWNER-BUILDER DECLARAT ON 3700 of the Labor Code,for the performance of the work for which this permit O I hereby affirm under penalty of perjury that I am exempt from the Contractors 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 pnPCS nsurtirt('o (loin puny demolish,or repair any structure,prior to its issuance,also required the applicant Z.'Nlll C (7 2. 23 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 ❑ 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 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 ralifomia,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, forthwith comply with those provisions. ❑ or my employees with wages as their sole -7 -�� compensation,will do the work,and the structure is not intended or offered for cDate .3 /- 20 q Signaturesale(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 tocriminal 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 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. ( r Name t JL(1n0 '�S Q C tile 0 Ve rah()OS MQV\o Pr 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 abo e-mentioned property for inspection purposes. , ‘k d n \Signature f�- `(late 3 . 7. o i'7ry