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Home My WebLink AboutWALL-18-2060 a City of Arcadia,CA -, Permit NO.WaII.18-2060- - - i Development Services Department Permit Type:Wall t 240 West Huntington Drive,Post Office Box 60021 I -, �, ` , Arcadia,CA 91066-6021 • Work Classification:Wall-Garden Wall (626)574-5416 Permit status.:Issued • ARCADIA Issue Date 11/05/2018 Expiration: 05/04/2019 Addr NO. Dir Prefix Street Name Street Suffix Unit City,State,Zip Parcel Number 330 Arbolada DR Arcadia,CA 5770020005 Contacts , KEITH THAI Owner Medina Concrete Construction Concrete Contractor(C-8) 330 ARBOLADA AVE P.O.Box 1341,Azusa,CA 91702 (626)652-1014 (909)623-1393 Description:BLOCK WALL AT REAR OF PROPERTY.6'H X 70'LF Valuation: $3,935.40 Tenant I WITH SHARED WALL AGREEMENT. Il Total Sq Feet: 0.00 Plan Check N Plan N Fees Amount payments Amount Paid Building Issuing Fee $44.35 Total Fees $187.65 Building Permit Fees $137.05 Cash/Receipt tt REC-002793-2018 $187.65 Solid Waste Management Fee $6.25 Amount Due: $0.00 Total: �j /J p $187r.65 // / (� /2-/5/8 4f44 y� ,geba_ g le�'tni d,reef ir7t at__ /lit 0k ✓ f t c 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. 5:17-/7 fi (Cr_ 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 COMPLETED 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. OffNovember 05, 2018 Issued By: Date November O5,2018 Page 1 of 1 OFA. A 111 1 PERMIT/PLAN REVIEW APPLICATION \t}3*. Development Services Department,240 West Huntington Drive,Post Office Box 60021 mm. "° Arcadia, CA 91066-6021, (626) 574-5416,Fax (626) 447-9173 City of Arcadia LICENSED CONTRACTOR'S DECLARATION WORKERS'COMPENSATION DECLARATION ❑ 1 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,dnla my license is in fullulllfort d ect. ❑ I have and will maintain a certificate of consent to self-insure for workers' License Class `r rcense Nod/c5 17 xp. Dater/3 //f compensation, as provided for by Section 3700 of the Labor Code, for the Signature of Contractor -Milr performance of the work for which this permit is issued. t 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.Myarkejsj cgfipensation insurance carrier and policy numbers are: Code.Any city or county which requires a permit to construct,alter,improve, Carrier Dalt demolish,or repair any structure,prior to its issuance,also required the applicant for such penult to file a signed statement that he or she is licensed pursuant to the 1 Policy Number 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 ❑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 /7'i)S%0 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(I)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 there-on,"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: I. 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. 1 r / / ]Name , (NY L gi� title °e //e 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 n the above-mentioned/ ' perty for inspection purposes. Signature ate G/—p -/(V velope ID:05683247-74C7-4604-82A0-631378278E500 rosaaroe4.4,--, CITY OF ARCADIA v DEVELOPMENT SERVICES DEPARTMENT 171:75" 42.0 "' a' FENCE. GARDEN WALL AND/OR RETAINING WAL_ ON 0"`°=°`-a= PROPERTY LINE RELEASE AND DECLARATION ADJACENT PROPERTY OWNER'S DECLARATION I, • bobby Moon , as owner of the property located at II 2o San Gar/os 2ci hereby grant permission to the adjacent property owner located at 33b 4rko(actA to construct IS lineal feet of high fence, gar en wall, andlor retaining wall, )pme of which will be located on my property. I acknowledge, understand and accept the scope and nature of the proposed work (.e., color, size, height, type and location of the fence, garden wall, and/or retaining wall Ond the removal of landscaping). Robby Moon 626-688-9150 Name: Telephone Number. Address:1120 San Carlos Rd, Arcadia CA 91006 Date: 11/2/2018 I 7:25 AM PDT DoeuSigned by. Signature: C�oblf Mcew SOSZECBBI 15E4F5.. • PERMIT APPLICANT'S DECLARATION I declare under the penalty of perjury that I have obtained the approval nd release from the owner of the property located at 330 Rrbolr4,. Orta. to construct and locate part of a fence, garden wall, and/or retaining wall on their propert . - // Name: Veilek 'I?tic i Telephone Number. 4 �I 4SZ/(6 iy Address: 336 AT keisi (o. Or'`^-4 Date: 1/72-it Signature: • c: Applicant's file Neighbor's The Job site 1-15