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HomeMy WebLinkAboutmep-19-1322 7 City of Arcadia, CA _ Permit No. MEP-19-1322 �� {111tUUU' Development Services Department ® �{'�, r-- fes- Permit Type:MEP ' 240 West Huntington Drive,Post Office Box 60021 `. U` . Arcadia,CA 91066-6021 uutt, Work Classification:MEP-Residential /! r---(71 (626)574-5416 - - Permit Status:Issued , ARCADIA Issue Date:07/11/2019.,.1 Expiration: Addr NO. Dir Prefix Street Name Street Suffix Unit City,State,Zip Parcel Number 801 Coronado DR Arcadia,CA 5777031001 Contacts JERRY BRASCIA Owner SAFE STEP WALK-IN TUB COMPANY INC Contractor 801 CORONADO DR 15262 PIPELINE LN,HUNTINGTON BEACH,92649 (626)446-9252 (714)373-8545 983603 Description:INSTALL NEW WALK IN TUB IN SAME LOCATION . Valuation: $ 0.00 Tenant NEW 20 AMP CIRCUIT FOR OUTLET AND DRYWALL PATCH WORK. Total Sq Feet: 0.00 Plan Check# Plan# Fees Amount Payments Amount Paid Bathtubs/or Combo $13.21 Total Fees $110.86 Electrical Permit Issuance Fee $47.01 Cash/Receipt#REC-01795-19 $110.86 Outlets-Receptacles&Switches $1.63 Amount Due: $0.00 Plumbing Permit Issuance Fee $47.01 Solid Waste Management Fee 2 $1.00 ' Solid Waste Management Fee 2 $1.00 Total: $110.86 140 ,uq1 (Ars/cep0NS (e c Eo • CALLS FOR INSPECTIONS ..417— 0 -5-1/ '14----- Request for inspection by telephone at 626-574-5450. Leave a message 7 requesting the address,timeframe and what inspection item is needed. This permit/plan review expires by time limitation and becomes null and COPLE1ED �Gqpin void if the work authorized by the permit is not commenced within 180 days '�18 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. July 11, 2019 Issued By: Date July 11,2019 Page 1 of 1 o?AR kli PERMIT/PLAN REVIEW APPLICATION v 13j, Development Services Department, 240 West Huntington Drive,Post Office Box 60021 Arcadia, CA 91066-6021, (626) 574-5416,Fax (626) 447-9173 A City of Arcadia ftICENSED CONTRACTOR'S DECLARATION WORKERS'COMPENSATION DECLARATION ereby 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. ❑ I have and will maintain a certificate of consent to self-insure for workers' License Class License No.i 7(3603 Exp. Date 5/31/71 compensation, as provided for by Section 3700 of the Labor Code, for the Signature of Contractor performance of the work for which this permit is issued. OWNER-BUILDER DECLARATION irave 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'compensra`ti2on insurance carrier and policy numbers are: St�Ox�'C Code.Any city or county which requires a permit to construct,alter,improve, Carrier C demolish,or repair any structure,prior to its issuance,also required the applicant 400,2-LI -71 for such permit to file a signed statement that he or she is licensed pursuant to the 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 ,-'44— sale(Section 7044,Business and Professions Code:The Contractors License Date 91 / 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(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, 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 PERIIIIT 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. I Name NWaZl.s' HE/ title A t qL PRINT NAME rrrr//// 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 )it rcadia to enter upon the above-mentioned property for inspection purposes. Signature )Date OWNER: JERRY BRASCIA • CONTRACTOR: SAFE STEP WALK-IN TUB CO 801 CORONADO DR 15262 PIPELINE LANE ARCADIA, CA 991007 HUNTINGTON BEACH, CA 92649 626.446.9252 PH: 714.373.8545 ST CONT LIC #: 983603 COM- SCOPE OF WORK: L REMOVE (E) TUB, INSTALL (N) WALK-IN TUB, INSTALL *ALLNEWWORK 6PL6UMBILL(N) 20 AMP CIRCUIT FOR OUTLET, DRYWALL PATCH PLY WITH 6PLUUMBINNGCO E Existing and proposed UB CITYOp,t RCA 1)1, UNDEROT NEWGFCIOUTLET tub location Development Services Department A I'I'I f~rVED This set of plans and specifications must be kept on llie:job at all Miles toll no changes or alterations shall he made event hy the Building Mishit]. The Stumping of ibis pial mind slieciic.uion shall not • be Kehl to permit or to be an approval or 11w violation of lntt pro Nom of any city ordinance or state lair Existing Vanity C Existing Toilet NOT TO$CAIJ