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HomeMy WebLinkAboutMEP-19-0846 City of Arcadia, CA = Permit No MEP-19,0846 { Development Services Department 1' v--T ",--- ---:-!.:9_,;1 ---- Permit Type MEP- . G ^e I I 240 West Huntington Drive,Post Office Box 60021 "- �' - € I Wor Classlf�cahon MEP Residential' Arcadia,CA 91066-6021 ;�. 1�' s r I t . (626)574-5416 s - Permit Status:Issued., ARCADIA Issueoate os/o6/ 20191 Expiration, Addr NO. Dir Prefix Street Name Street Suffix Unit City,State,Zip Parcel Number 430 Vaquero RD Arcadia,CA 57760280066 Contacts J CHING,CHAN Y AND SANDRA S TRS Owner CALFLOOR 88 INC' Contractor CHING FAMILY TRUST 229 W MISSION RD H,SAN GABRIEL,CA 91776 430 VAQUERO RD (626)284-2382 953475 (626)574-7127 - Description:REMODEL BATHROOM ( EXISTING LAYOUT TO q Valuation: $ 0.00 Tenant REMAIN) t a Total Sq Feet: 0.00 Plan Check q Plan N Fees Amount Payments _ _ Amount Paid Bathtubs/or Combo $13.21 Total Fees $225.04 Electrical Permit Issuance Fee $47.01 Cash/Receipt g REC-01135-19 $225.04 Lavatories $26.42 Amount Due: $0.00 Mechanical Permit Issuance Fee $47.01 Outlets-Receptacles&Switches $6.52 Plumbing Permit Issuance Fee $47.01 Shower Pan $12.46ppp/��C , k'P Solid Waste Management Fee 2 $1.00 ell 171'fkr Solid Waste Management Fee 2 $1.00 rr99flfl (, Solid Waste Management Fee 2 $1.00 Ventilation Fan(Single Duct) $9.94 CALLS FOR INSPECTIONS Water Closet $12.46 Request for inspection by telephone at 626-574-5450. Leave a message requesting the address,timeframe and what inspection item is needed. Total: $225.04 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. /—/7-/i 4L 4—,1 7—z3-il fi4kL Dec d,Al 4 May 06, 2019 Issued By: Date May 06,2019 Page 1 of 1 AR 1 cf'''nW '• .• PERMIT/PLAN REVIEW APPLICATION 0l..:. l , 4p 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 F'il. Li . - No ' ad E to — • l� compensation, as provided for by Section 3700 of the Labor Code, for the /1G>ef/ performance of the work for which this permit is issued. Signature of Contractor .r cif : N.eI'- A ❑ I have and will maintain workers'compensation insurance,as required by Section OWNER-BUILDER D LARON 3700 of the Labor Code,for the performance of the work for which this permit 0 I hereby affirm under penalty of perj at 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, I Carrier g-TATE-rUrJD demolish,or repair any structure,prior to its issuance,also required the applicant 1 Policy Number otori It t r7U for such permit to file a signed statement that he or she is licensed pursuant to the (This section need not be completed if the permit is for one hundred dollars or less) provisions of the Contractors License Law(Chapter 9(commencing with Section 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 ection 3700 of the Labor shall I, as owner of the property, forthwith comply with those provisions. ❑ or my employees with wages as their sole 40111111.111h _ ..d/ compensation,will do the work,and the structure is not intended or offered for DateSignature . c ola S _ sale(Section 7044,Business and Professions Code:The Contractors License 1 ,4 Law does not apply to an owner of property who builds or improves thereon, fr or who does such work himself or herself or through his or her own . 1 employees,provided that such improvements are not intended or offered for WARNING: Failure to secure Workers'Compen : on coverage is unlawful, sale.If,however,the building or improvement is sold within one(1)year of and shall subjectan 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 fade: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 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. (Name `)0046 t'H t.. I Title r -%i ctM /� P NAME I certify that I have read this application and state that the above inform: fon is correct and that I am the owner or duly authorized agent of the owner. I agree to comply wi , dinances and State Laws relating to .wilding construction. I hereby authorize representatives of the City of Arcadia : •. . :r u the above- •n;oned property for inspection purpos•• . k �z% Ate' ignature ✓� Ii �� _ \Date t� /I • It-at 31_—.. 1 . — _ I t C I .7).Pt i i . I j r it-- — f--t= 1-Y' ` t_ I • \------- s we i ' R� E` H�lt , n NSC} iiiitit -t,tt }iv\i� Vi ts� neo ( 1-1103 . • ii 'Wzf d�Q `1 • • vizi tt � C . w,;..Vk 4 _ k o- j Ni G S