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HomeMy WebLinkAboutRenewal CI r G City of Arcadia, CA ti Permit Misc-19-1552
• Development services Department }�,J )(11-3i.r;--Ir, r\ i Permit'Type:MISC
' \1: : 240 West Huntington Drive,Post Office Box 60021 q r '' , , i 1
t Arcadia,CA 91066-6021 U 1 U_. ii i'l Work Classification Misc-Renewal
' ! (626)574-5416 - . ' ' - „„.:. .Permit Status:issued
-
ARCADIA IssueDate:o8/21/2ot9l Expiration:
Addr NO. Dir Prefix Street Name Street Suffix Unit City,State,Zip - Parcel Number
50 W Duarte RD Arcadia,CA 5782002031
Contacts
ARCADIA MASONIC TEMPLE ASSN INC Owner
50 W DUARTE RD
Description:RENEWAL OF SIGN PERMIT B00-055-957.ARCADIA Valuation: $ 0.00 Tenant
MASONIC CENTER MONUMENT SIGN
Total Sq Feet: 0.00 Plan Check# Plan if
Fees Amount Payments Amount Paid
Building Issuing Fee $47.01 Total Fees $121.78
Renewal Fee $68.52 Cash/Receipt44 REC-02201-19 $121.78
Solid Waste Management Fee $6.25 -- -
Amount Due: $0.00
Total: $121.78 - -
/-1.7•V
` 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.
e ii COMM
Thisermit lan expiresbytime limitation and becomes null and
P /P review
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.
4,/
/ August 21, 2019
Issued By: Date
August 21,2019 Page 1 of 1
li
• 1 PERMIT/PLAN REVIEW APPLICATION .. '
111
.4 iiia '-
fiI*' Development Services Department,240 West Huntington Drive,Post Office Box 60021
4740Ity a.° 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 Contractor performance of the work for which this permit is issued.
OWNER-BUILDER DECLARATION ❑ I have and will maintain workers'compensation insurance,as required by Section
0 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 Policy Number
for such permit to file a signed statement that he or she is licensed pursuant to the - -
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
exempt them from and the basis for the alleged exemption. Any violation of 0 I certify that in the performance of the work for which this permit is issued,I shall
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
❑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
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 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
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 them 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 informJaatiio�n�./� �y yam,,, �w rrcD
Name fff21 p(pt fr/t ae lir G r !-' Title
'` 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
ppurposes.
Signature *fat /r`SNIL fo /peioDate €'/Zl/I?
•. Devsdopment Services Department
telt!,tt 240Vest Huntington Drive,Post Office BL -50021
Arcadia,CA 91066-6021 t
PERMIT NO. BOO-055-957
• City of (626)574-5416,Fax(626)447-9173
Arcadia Permit Type: Sign
/, PROJECT TRACT NO. LOT NO. APPLICATION DATE ISSUED BY PRINT DATE PERMIT STATUS
\i 06074 1/302017 EP 13'18 1/302017 Issued
rt ADDRESS NO. Dlr.Prolix Street Name Sheet&Mx UNIT BLG ASSESSORS PARCEL NO. GEA CODE
50 W Duarte Rd 5782-002-028
OWNER MAILING ADDRESS
Arcadia Masonic Temple Assn Inc 50 W Duarte Rd PHONE NO. Inspector#: CHRIS
Arcadia, CA 91007 EMAIL ADDRESS:
Plan Chic#: IN FILE
APPLICANT MAILING ADDRESS
Martinez Sign Inc. PHONE NO.
EMAIL ADDRESS:
'
NTRACTORNPROFESSIONAL
CAMAILING ADDRESS
Martinez Sign Inc. 2810 Temple Ave#B PHONE NO. (562)427-0513 FAX NO. (562)427-0573 •
Long Beach,CA 90806 EMAIL ADDRESS:
License No. 849768 Type: C45 Expires: 12/31/2017 12.01
TENANT MAILING ADDRESS
Arcadia Masonic Center PHONE NO. FAX NO.
DESCRIPTION
ARCADIA MASONIC CENTER MONUMENT SIGN
Construction Type UOM Nof Units Value Cow-- NafUoits Value
Value Value 3,500.00 53,500.00
OCCUPANCY: Sign TOTAL VALUATION: $3,500.00
QTY UOM DESC AMT AMT PAID ACCT QTY UOM AMT AMT PAID ACCT
Sign plan rev 76.75 76.75 01-3103 /j/a�
1.00 Fact Bldg Issue permit 44.35 44.35 01-3104 ®/
each Bldg
ec iss137.05 144.35 01-3104 ��,999//J/// ��jj
1.00 bat Sign issuee44.35 44.35 01-3105 ��
1.00 branch sin Signs des 5917 59 17 01-3105
1.00 each Sign Connection 15.55 15.55 01-3105
1.00 Flat SWMF2 1.00 1.00 88-3027
1.00 each SWMF 2 Auto 1.00 1.00 88-3027
a
a-2-67 oflatvi 2 ,Q/+-nava, .iT DuccwitteGr yeaskrC.l4 4 saip cegr Ansi W dh-c
.,,,T!Total Fees: $379.22 Balance Due: $0.00 Paid Today: $379.22
a
This permit/plan review expires by time limitation and becomes null and void if the work authorized by the
Receipt a• 115673
-ipemdtisnet commenced within 180days from the date ofissuance orifthe permit isnot obtained within 180days from 01-3103 76.75
the date of plan submittal.This permit expires and becomes null and void if any work authorized by this permit 01-3104 181.40
is suspended or abandoned for 180 consecutive days or if no progressive work has been verified by a City of 01.3105 119 07
Arcadia building inspector for a period of 180 consecutive days. 88-3027 2.00
CALLS FOR INSPECTION INSPECTORS'OFFICE HOURS
Requests for inspection should be made at least Monday-Thursday Friday
one(1)business day in advance of the inspection 7:30 a.m.to 8:30 a.m. 7:30 a.m.to 8:30 a.m.
by telephone at(626)574-5416 for onsite work. 4:00 p.m.to 5:30 pan. 4:00 p.m.to 4:30 p.m.
(Closed on alternate Fridays) '
•
0,�,,FflaAYt, �
•, 1A PERMIT/PLAN REVAW APPLICATION
t% o,- Development Services Department,240 West Huntington Drive,Post Office Box 60021
es
"m,„0,µ* Arcadia, CA 91066-6021, (626) 574-5416,Fax(626)447-9173
` 1 City of
'E 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,an nse is in full force and effect. I have and will maintain a certificate of consent to self-insure for workers'
çaeoi
cense Class G , ken�99_- Exp. Date f2.31.1 compensation, as provided for by Section 3700 of the Labor Code, for the
Contrac.-
/ �cr! performance of the work for which this permit is issued.
OWNER-B i r R DECLARATION ❑ 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 4s issued.My workers'compensation insurance carrier and policy numbers are:
Code.Any city or county which requires a permit to construct,alter,improve, Carrier I N —Ft LE:
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
provisions of the Contractors License Law(Chapter 9(commencing with Section �ulls 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
exempt there from and the basis for the alleged exemption.Any violation of 0 I cerufy that in the performance of the work for which this permit is issued,I shall
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
❑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
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 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
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). .
❑ 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)396-200tWor •
further information.
f
a
ame GAPGiera) m Tide AtaSeMT
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 . co i . with all City ordinances and State Laws relating to building construction. I hereby authorize representatives of the City of
Arradi: to enter up I n the above- entr ned p for ityspechon purposes.
n
ignamreAO
— C -34:1 Date 1 et 7
DOUBLE SIDED SIGN
Daytime View Night Time View Side View
1 g' — I I - 1
- 1si 4-1s•
I
S ARCADIA i ' ali C4"aD:a In-CutAuyII�Op9wWhib tellers
MASONIC TEMPLE G\,.r1 6�,LA. ` iffA :,t.�' L� OPABNhDaedoroWTWSf Sign ITE
y i• Y 4 C N ] e,5 OW.QDEISTRAESWCEWNITE
A■v/AAA■vi WIlINE15TRAN6WCEM
�� -"1 — ' , _ / • LED
r. tat I
VIM
. 66 W. Quarte 1 66 W.:Duarte -. j
vi m \ RS"P.. 16' r F �.,{i \`Lvjo"ZIy r a.6.
. ti 4t,eN. +e- l�A a via., '�ti
M
I— - —r I r-- r I
TekStar-Full Color NOTE:Cowling shown is to be provided
20mm 24x112
CABINETSIZE:4'x8' by the Installer.Vinyl letters on cowling
will be installed after the cowling is installed.
f Vinyl Colon..Royal Blue Paint Colon Almond Approved as shown
J/fi'*1'
Text Colon.White 4.66•Letters Draft White Sail
Cowling Text Vinyl:3'Blatr SIGN DESIGN AN/ACot3120lesDate ` Curt Jllle96
GRAPHICS DIsILVMEkmbastomartworkbnotintendedtoprovldean Approved with listed changesV stewarfsigns 7/13/2016eat match between Ink,.tyl,pabd,or LEG color.Bddrvork,masonry Awek P, Inst'.errant 0/sMuryhy
and landscaping b notbidedinthepmpoaLMeasurements shownare
appimlmatIom;mmewf
onsofaalpt
odumayvaryw
.LED Date SOW
are simulated to regale aptlmumNreng distance.Sign Is designed to ORIGINAL.DESIGN DO NOT DUPLICATE
beNuminatedetalltlmes.Sketrlvarebased off olthIsp emise-
L / PH.1-800-23T-3928 - FAX 1-800.485-0180
Daytime View Night Time View
I—30.9"Line 1—I • H 30.9"Line 1-- I'
ARCADIA 4 G o©AD0l1
-g; MASONIC TEMPLE I1 Q OO X10 16L1
•
80.75"Line 1 80.75"Line 1
CUT PLASTIC LETTERS 1/2"Cut Acrylic Opaque White Letters
1/2"Thick Raised Letters Applied to Exterior of Sign Face
Line 1: 4"Letters OPAQUE FACES,EXCEPT WHITE
Line 2: 6"Letters OUTLINE IS TRANSLUCENT
Font: Helvetica
Color:White •
Vinyl •
•
Colon Royal Blue Paint Colon Almond
ya Approved as shown
Co TextColon
tvinyt 5"BlLelters Draft:GWhiDESIGN
skaTassilca
Cowling Te#VInyL•B'BWck SIGN DESIGNg WA
Date Eust alllp96
GRAPHICS DISCWMER:Thisautomaeworklsnotlntendedtoprovidean Approved with listed changes \?teWart signs 7/mots
exact match between Ink,vinyl,pate,or LED color.Bdckwork,masonry emMnmvuptymu. 0/sMurphy 45
and landscaping isnotIncludedIntet proposal Measurements shown are
approximations;dimensions of find vary.LEDlmagnshnwn Date SOLD
alEXPERIENCE
are simulated torep0cate opbmnn viewing distance.Sign 6 designed to ORIGINAL DESIGN DO NOT DUPLICATE
beituminated atauumes.skrtdsaarebased off oftWspr,mise
PH.1400-237-3918 - SAX 1-B00-485-42g0