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Home My WebLink AboutRALT-19-0454 ;004, City of Arcadia, CA Permit No RALT,19 0454' \VIA ' Development Services Department ! {1 Ei/'e.a"-x�. '" Prean/rType-Residential Addition/Alteration }F { 240 West Huntington Drive,Post Office Box 60021 '' `/ 1 44 t ) it IT - - Arcadia,CA 91066-6021 ' J korkClassificanon:Res-Window Change-Out., (626)574-5416 :,;. - : PermltStotus Issued ARCADIA Issue Date 03/06/2019°I Expiration: 09/02/2019 Addr NO. Dir Prefix Street Name Street Suffix Unit City,State,Zip Parcel Number 314 E Camino Real Arcadia,CA 5790003024ll Contacts FRANCES CHIU • Owner THE HOME DEPOT USA• Contractor 314 E CAMINO REAL AVE 105465 Po Box,Atlanta,GA 30348 (626)283-3843 (626)225-4591 602331 Description:3 RETRO FIT WINDOWS IN KITCHEN PER Valuation: $ 1,917.00 Tenant APPROVED PLANS Total Sq Feet: 0.00 Plan Check ff Plan 4$ Fees Amount Payments Amount Paid Building Issuing Fee $47.01 Total Fees $253.26 Building Permit Fees $103.65 Cash/Receipt N REC-00583-19 $253.26 Building Plan Review Fee $67.38 Amount Due: $0.00 Cal Green Plan Check $6.74 Energy Plan Review Fee $20.73 Green Building Standard $1.00 v Solid Waste Management Fee $6.25 COIk1PIETED `Tota : $253.26 CALLS FOR INSPECTIONS 4-3D-1 i Request for inspection by telephone at 626-574-5450. Leave a message requesting the address,timeframe and what inspection item is needed. fl(4ACL oh— c}J 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. 04 March 06, 2019 Issued By: Date March 06,2019 Page 1 of 1 of AR 4s Li • 4 ;rs wv1 PERMIT/PLAN REVIEW APPLICATION p 4i3 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 ❑ 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. Q 0 I have and will maintain a certificate of consent to self-insure for workers' License Class )3 License No.60 7. Exp. Date 0✓0/ 2t' 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 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'c mpensation insurance carrier and policy numbers are: Code.Any city or county which requires a permit to construct,alter,improve, Carrier 7k--(6-,' // ?cad" kuici °c.!'I eP demolish,or repair any structure,prior to its issuance,also required the applicant Policy Number ly/ C (/(�6- '�() g a2d for such permit to file a signed statement that he or she is licensed pursuant to the (This section need'hot 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 0 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 70315 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)): r 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 sale(Section 7044,Business and Professions Code:The Contractors License Date O C Q 6. Srgnature6.... tr 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 attomey'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 contacts 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. Mame S6tfl ei1 ed rdetta Sd 1CJ.C4#7 JTitle O i i ' ertify 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 buildin construction. I hereby authorize representatives of the City of Ircadia to enter upon the above-mentioned property for inspection purposes. O n Z /53'gnature Date d Oh q Dining Room Bedroom Bedroom Bathroom 3 SH 36X301 Living Room Kitchen 2 SH 36X30fiij 1 SH 36X48 Bedroom N ROUTING I ACTION s *See Date tials odf ��Qop��pS`Q oAPeQC., Notes Checker cA CP on Sheet# Plannins I 1-417_91-13. Vit rafrir Fre IM ' PWS-Water WELD Trees LEGEND 314 East Camino Real Ave,Arcadia, Ca 91006 F�LPjLACING-3-,WINDOWS VINYL.DUAL.GLAZED_U-FACTOR•0:32-SHGC'0i257 ALLlNINbOWS WILI:STAY-IN HE-SAME-SIZE'&LOCATION CONTRACTOR-HOME DEPOT USA INC. LIC.602331 California Permits Fit ALL JOB AND MATERIALS WILL COMPLY WITH 2016 111 E CEDAR AVENUE I STE 202 RESIDENTIAL BUILDING CODE BURBANK I CA 191502 818.459.3839 IINFO@CAPERMITS.COM fk •''''74314t'- l04,4, tP.S{ 1b s',^ ii, r e.st rka " ' ts.., .' 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