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Home My WebLink AboutB00-056-968-DEMO 1 tais CITY OF ARCADIA CHECK REQUEST Ito' Vendor No. Date August 23, 2019 (for Administrative Services Only) • Pay to: MUR SOL BUILDERS 119 E ST JOSEPH ST ARCADIA, CA 91006 626-733-7066 1 i r f Account No. Amount 714-2275 $ 3,159.00 i $ i b $ 4 i $ Q. f } I $ I d $ TOTAL $ 3,159.00 Reason for payment. (PLEASE SUBMIT BACK-UP IN DUPLICATE) Please process a refund to the above recipient, demo bond 11 3' B00-056-968 ,s 1035 FALLEN LEAF RD •{ zi 1 i / ❑ Check here if check is to be Approved by: ; returned to Department. BUlldlrl• •". artmerlt Department: p . -.,: ,. z _ _ ..tea.:, h. —.. — --_-.-. ... _ .._,....- tiI,t Development Services Department a 240 West Huntington Drive,Post Office Box 60021 PERMIT NO. BOO-056-968 Arcadia, CA 91066-6021 City of (626) 574-5416,Fax(626)447-9173 Permit Type: Arcadia Yp : Demolition 1 PROJECT TRACT NO. LOT NO. APPLICATION DATE ISSUED BY PRINT DATE PERMIT STATUS 10957 10/9/2017 EP 9:13 10/19/2017 Issued ADDRESS NO. DIr.Prefix Street Name Street Suffix UNIT SLG ASSESSORS PARCEL NO. GEO CODE 1035 Fallen Leaf Rd 5769-004-014 OWNER MAILING ADDRESS 1035 Fallen Leaf, LIc 119 E St.Joseph St PHONE NO. Arcadia, CA 91006- EMAIL ADDRESS: APPLICANT MAILING ADDRESS Mur Sol Builders PHONE NO. EMAIL ADDRESS: ' CONTRACTOR/PROFESSIONAL MAILING ADDRESS Mur Sol Builders 119 E St Joseph St PHONE NO. (626)447-0558 FAx NO. Arcadia,CA 91006 EMAIL ADDRESS: License No. 997510 Type: B Expires: 10/31/2018 12:01 TENANT MAILING ADDRESS PHONE NO. FAX NO. DESCRIPTION DEMO HOUSE/GARAGE IN PREP FOR SF NEW. REFUND DEMO BOND TO MUR SOL 119E ST JOSEPH ST ARCADIA CA 91006 626-733-7066 Construction Type UOM N of Units Value Construction Type UOM of Units Value G,-/111 ;416/( % cem4,n / OCCUPANCY: TOTAL VALUATION: $0.00 QTY UOM DESC AMT AMT PAID ACCT QTY UOM DESC //II AMT AMT PA ACCT l�/, 1.00 Flat Plmbg issuance 44.35 44.35 01-3105 /,r /' 1.00 each Sewer cap 15.55 15.55 01-3105 Q_tl�/ (,fA��AI�/ 1.00 Flat Demo issue 44.35 44.35 01-3107 Q 3,159.00 sq ft Demolition 108.93 108.93 01-3107 re/24 ,I1.009.00 sqFI ft Band-demo 3,151.00 3,159.00 2275 CURETED 1.00 Flat SWIvff2 1.00 1.00 88-3027 Total Fees: $3,373.18 Balance Due: $0.00 Paid Today: $3,373.18 This permit/plan review expires by time limitation and becomes null and void if the work authorized by the eceip : i permit isnot 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 153.28 is suspended or abandoned for 180 consecutive days or if no progressive work has been verified by a City of 2275 3,159.00 Arcadia building inspector for a period of 180 consecutive days. 88-3027 1.00 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 p.m. 4:00 p.m.to 4:30 p.m. (Closed on alternate Fridays) • A. 11 1 PERMIT/PLAN REVIEW APPLICATION F. ted .41 ,\I Or' Development Services Department,240 West Huntington Drive,Post Office Box 60021 /.• mmaa,,,ore 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 provis .ns of I hereby affirm under penalty of perjury one of the following: Chapter 9(commencing with Section 7000,of Division 3 of the Bu i ss and Professions Co d my license is in it .•• 'i t. � jrt I have and will maintain a certificate of consent to self-insure for workers' License Class License No. xp. D e a compensation, as provided for by Section 3700 of the Labor Code, for the �Signature.of.Contmctor -_ ...,__t_ f erformance of the work for which this permit is issued. OWNER-BUILDER DE ' . 'I TI— /a ave 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' ompensatig(1 insuranFgcarrie�an policy numbers are: Code.Any city or county which requires a permit to construct,alter,improve, Carrier O �iJ -� � demolish,or repair any structure,prior to its issuance,also required the applicant Policy Number t v t`� 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 ❑ 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 0 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 Q_pgw 2 sale(Section 7044,Business and Professions Code:The Contractors License at`e-� 1� �Si: ature- Law does not apply to an owner of property who builds or improves thereon, x� 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. 0 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, t 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. — jper r •1 _ Title - �' PRAT AME illilame 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. agree to comply with all City ordinances and State Laws relating to building construction. I hereby authorize representatives of the City of rcadia to enter upon the above-mentioned property for inspection purposes. 11gnature i ��Date.=—� 1 —