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WALL-18-2378
t yso .; ' City of Arcadia, CA •Permit NO Wall 18-2378 Development Services Department Permit Type?Wall 240 West Huntington Drive,Post Office Box 60021 v 1• Arcadia,CA 91066-6021 1 r work Classification Wall Ga Iden Wall'_ (626)574-5416 ?14,1"-,"1.-x- 3 " .Perm-Stat, s issued ARCAI26�i Issue Dat 2/24/2018-1 Expiration: 06/22/2019 Addr NO. Dir Prefix Street Name Street Suffix Unit City,State,Zip Parcel Number 1163 La Rosa RD Arcadia,CA 5776003005 i Contacts WELLY MAKM U RA Owner 1163 LA ROSA RD (626)321-6219 ,._. . ..,. .. Description:BLOCK WALL ON WEST SIDE OF PROPERTY PER Valuation: $ 1,799.04 Tenant i APPROVED HOA PLANS. 6'H X 32'LF Total Sq Feet: 0.00 Plan Check# Plan# ._--.,.».......,.—,,.,_— ,.,..m.......,....,.. ..».. ..... .... i.. .,.. ,,..,,_. ...,.., ,..„.. Fees Amount Payments Amount Paid Building Issuing Fee $44.35 Total Fees $145.85 Building Permit Fees $95.25 Cash/Receipt#REC-003220-2018 $145.85 Solid Waste Management Fee $6.25 Amount Due: $0.00 Total: $145.85 C'Z7r/f n4 r-2.74? fgc Ccu r 1S12---- CO 1PL � L'S FOR INSPECTIONS '�1 n.1p,L '7 'IICgt— 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. gir December 24, 2018 Issued By: Date December 24,2018 Page 1 of 1 OF AR CIF 1 PERMIT/PLAN REVIEW APPLICATI©N Ilk ISEE "3 %:1:1111.1" :j 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. 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 performance of the work for which this permit is issued. Signature of Contractor OWNER-BUILDER 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 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 there from and the basis for the alleged exemption. Any violation of WI 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 VIL I, as owner of the property, or my employees with wages as their sole forthwith comply with those provisions. Iv compensation,will do the work,and the structure is not intended or offered for h.p & sale(Section 7044,Business and Professions Code:The Contractors License Date �� 2� 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 shallsubject 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. . , 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). 0 I am exempt under Section 7044,Business and Professions Code,for this mason: I 'L y Lender's Name Pate ��'/�-'T/ / Signature__��^A 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. (Name yaw/ mmcntuALA- Title tovIVE42. 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. (Sinature (Date I goLti`/ ,r r • DATE FILED • APPLICATION FOR HOMEOWNER ASSOCIATION ARCHITECTURAL DESIGN REVIEW • • • . (SHORT REVIEW PROCEDURE) • • • PROJECT ADDRESS: (l6S L& 'ROSA, RnA-ReAP lh r CA-9loo7 • • . PROPERTY OWNER'S NAME: . $EU-`(. MI KM�IRA ADDRESS(IF DIFFERENT): SAME TELEPHONE NO.: &Lk . 39.i• Gzlq E-MAIL ADDRESS: trJryiq• ura�N.ahoo.coM APPLICANT NAME(IF DIFFERENT): CA-114E /rS A3 ADDRESS: • • TELEPHONE NO.: E-MAIL ADDRESS: DESCRIPTION OF PROJECT(Check applicable): • 0 Single-story remodel(includes window replacement)and/or addition(s) ❑ Detached accessory structures)and/or Accessory Dwelling Units—new,additions to, and/or remodels Fences and/or walls in and/or facing(Le.,visible froTiftiFnt°J etoMitEEPP REVIEWED AND APPROVED BY THE RCHIT C— i . ❑ Hardscape, landscaping and structural elemen s,,i��jy",,f((o,Et a�� eFSi99A (lAfj�i06i$IN�ii�t4Wl�i2H0 SANTA ANI' swimming pools, spas,fountains and other te'r'fie$t�� HERS ASSOCIATION,HOMEOWNER UNDERSTANDS AND UREES THAT ANY D VIATI N F ❑ Fences, lights,and other features related.to tennisp ,mr tN r s� HOAIZA ION�FR�FROM THEA R8£COND AN CONSTITUTE E ❑ Mechanical equipment REASONABLE,GROUNDS FOR THE REMOVAL OF NON COMPLIANT ❑ Roofing IMPROVEMENTS AT THE OWN •• ��. PENSE. DATE 2 20 e y • HOM VE DATEalre: By ACTION&FINDINGS: . AR Approved—The project is consistent with all applicable guidelines ❑ Conditionally Approved—With the following conditions,the project will be consistent with all applicable guidelines • - ❑ Denied—The project is not consistent with the following guideline(s). By j��,✓(, 626 46/ 7 2rd0 ,ARB Chairperson Date: 72/19/' d • 4 10/18 Th f ! Ff �i ,"/ G4i lJi I Id Qrli'.. LA =�1,.ay, � �� ,.; �)„ ; , ;.�h-f,1-,% 1163 (ZOS �� r9, '.y `ry�/yyp��f .:1 1 91/1434/t..'; ,,'is- A /y�lQ�o PN�'C' `KWT/-"'"•"��1 � , N- ,P \/CS V�tf SAFwtirk: A�� 1 p31^ P , �@ v: ',• t' ` „ -,If' 'aLi i a r �� PPP Nps OS PNO c‘-`4`i ., h4 i, , 43i � ��F• .. 0 G Ps - A�' 'Ci i ''(r "(��.j�'' Pali r: PN tPPN Ss PN S,Ppi y. J ..yam SX �A Y.1421141,1%1411c.,'7UlnA ,•( I 4a2 �� b. �� N A; ealt NTt\lCel 0 v- CE v int uP. • .- ,ZT-,4-a1 1 CAST E68v P PPB t1 iv- GNSj� ,..„ t ";-ti Y 1 � u l P G �P ' ?2 aai. 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