HomeMy WebLinkAboutB00-057-845-DEMO .z .;,,.• CITY OF ARCADIA
`e54
rt. CHECK REQUEST
Vendor No." Date August 23, 2019
(for Administrative Services Only)
•
Pay to: CHATEAU OPERATING CORP.
119 LA PORTE ST, UNIT A
ARCADIA, CA 91006
•
626-371-6311
Account No. Amount
714-2275 $ 2,550.00
• $
$
$
TOTAL $ 2,550.00
Reason for payment. (PLEASE SUBMIT BACK-UP IN DUPLICATE) •
Please process a refund to the above recipient, demo bond
B00-057-845
1530 RODEO RD
I
a
y
❑ Check here if check is to be Approved by: Zial/returned to Department. BUIldailment
Department:
Development Services Department
240 West Huntington Drive,Post Office Box 60021 PERMIT NO. BOO-057-845
Vis, Arcadia,CA 91066-6021
City
of (626)574-5416,Fax(626)447-9173 Permit Type: Demolition
ia
PROJECT TRACT NO. LOT NO. APPLICATION DATE ISSUED BY PRINT DATE PERMIT STATUS
08765 9/14/2017 EP 16:12 9/14/2017 Issued
ADDRESS NO. Dir.Prefix Street Name Street Suffix UNIT BIG ASSESSORS PARCEL NO. GEO CODE
1530 Rodeo Rd 5766-023-018
OWNER MAILING ADDRESS
Wang,Jihong PHONE NO. Inspector#: john
EMAIL ADDRESS:
APPLICANT MAILING ADDRESS 1
G R Martinez Inc. Dba Martinez De PHONE NO.
EMAIL ADDRESS:
'
CONTRACTOR/PROFESSIONAL MAILING ADDRESS
G R Martinez Inc. Dba Martinez Dew 14164 Joanbridge Street PHONE NO. (626)484-0033 FAX NO.
Baldwin Park, CA 91706 EMAIL ADDRESS:
License No. 863529 Type: C-2I Expires: 8/31/2019 12:00:
TENANT MAILING ADDRESS
PHONE NO. FM NO.
DESCRIPTION
DEMO HOUSE/GARGE IN PREP FOR SF NEW. REFUND DEMO BOND TO CHATEAU OPERATING CORP 119 A LA PORTE STREET ARCADIA CA
91006 626-371-6311
Construction Type U0111 N°R inks Value Construction Type UOM N of Units Value
OCCUPANCY: TOTAL VALUATION: $0.00
QTY UOM DESC AMT MIT PAID ACCT QTY UOM DESC MIT AMT PAID ACCT
1.00 Flat Plmbg issuance 44.35 44.3501-3105 /61A/7
) J �J �- '//
1.00 each Sewer cap 15.55 15.5 01-3105 / o//// f(7/v/ CV J _--
1.00
1.00 Flat Demo issue 44.35 44.3501-3107
2,550.00 sq a Bond-demoDemo77.78 77.78 2275 01-3107 COMP w
2,550.00 sq ft 22,550.00 2,551.00 2275 4„)�
1.00 Flat SWMF 2 1.00 1.00 88- 027 q
6-5-7, �/'z/ ok re �,�-r Dilun�•��LL�I�ie75/c�/S<sr✓�t`//)�7
��
/ 3 'dee,
. L Z1 / /
/ 'toil
Foe_
Total Fees: $2,733.03 Balance Due: $0.00 Paid Today: $2,733.03
This permit/plan review expires by time limitation and becomes null and void if the work authorized by the ecelp
permit is not commenced within 180 days from the date of issuance or if the permit is not obtained within 180 days from 01-3105 59.90
the date of plan submittal.This permit expires and becomes null and void if any work authorized by this permit 01-3107 122.13
is suspended or abandoned for 180 consecutive days or if no progressive work has been verified by a City of 2275 2.550.00
Arcadia building inspector for a period of 180 consecutive days. 88-3027 I.00
CALLS FOR INSPECTION INSPECTORS'OFFICE HOURS
V
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 p.m. 4:00 p.m.to 4:30 p.m.
(Closed on alternate Fridays)
1y40rU'o¢4'.
k1P! 1.' 1; PERMIT/PLAN REVIEW APPLICATION
e - ' 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 od m 1' ense is in fu rce and effect. /� U I have and will maintain a certificate of consent to self-insure for workers'
License �i nse Na�x,. D -3/—/ compensation, as provided for by Section 3700 of the Labor Code, for the
Signature of Contractor r.� performance of the work for which this permit is issued.
OWNER-BUILD"' I C ARATION ❑ 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 1212--dr--/4..,,,
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
exempt 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
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'compensationvvvprovisions of Section 3700 of the Labor Code,I shall
❑I, pensa owner , thellproperty, or and employees withtwages as their sole
forthwithacomply/ those provisions.
compensation,will do the work, the structure is not intended or offered for
sale(Section 7044,Business and Professions Code:The Contractors License Signature de
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,
r : ; I;01,4 .! , Civil Code).
❑ I am exempt under Section 7044,Business and•Profesions 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 fr'/tiVI/' ! LG Title - %rJry
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 •ntioned property for inspection purposes. ,!
Signature ..iii/ ' - Date 7/07