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HomeMy WebLinkAboutROOF-19-2103 Permit NaROOF-19'2103 r 411.4 Ciof�itadia, CA Development Services Department �� v v—•r }t� ti }w - permit Type:Roof m 240 West Huntington Drive,Post Office Box 60021 i.; € ' pa T .r-. P 1 Arcadia,CA 910 6 6-6 0 21 ,_ ',_� ;_i. work�CFosslJicanon:•Reroof-Residential ,; - . . " - Permit Stows Issued '� (626)574-5416 ARCADIA Iesueoate io%a /,20191 Expiration: I Addr NO. Dir Prefix Street Name Street Suffix Unit City,State,Zip Parcel Number 420 E DUARTE RD Arcadia,CA 91006-3948 5780005011 Contacts JEFF&LINDA WONG Owner BE KING INC* Contractor 420 E DUARTE RD 2269 RITCHEY ST,SANTA ANA,CA 92705 (213)925-3112 (714)542-0101 759061 Description:REMOVE EXISTING TILE AND INSTALL 2 LAYERS OF Valuation: $ 9,000.00 Tenant , .o ^F`_ 30 LBS FELT. RE INSTALL ORIGINAL EXISTING TILE ON HOUSE AND GARAGE. 405Q Total Sq Feet: 0.00 Plan Check ti Plan# Fees Amount Payments Amount Paid Building Issuing Fee $47.01 Total Fees $273.81 Building Permit Fees $220.55 Cash/Receipt#REC-02816-19 $273.81 Solid Waste Management Fee $6.25 Amount Due: $0.00 Total: $273.81 - EK Is nNy sHntTthai y /0 •22 -t7 �- COMPLETED �//liac //—`1—/?J 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. 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. / / October 17,2019 Issued By: Date October 17,2019 Page 1 of 1 ,F A; 1111011111 1 PERMIT/PLAN REVIEW APPLICATION lii' iDevelopment 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 •f perjury that I am licensed under provisions of I hereby affirm under penalty of perjury one of the following: Chapter 9(commencing with .ection 7000,of Division 3 of the Business and Professions Code ancliwt lice se is 1 foto-tam}effect. 0 I have and will maintain a certificate of consent to self-insure for workers' License Class L"-Sul License N..1 ` `"/d (p Exp. Date/243(I 2.0 compensation, as provided for by Section 3700 of the Labor Code, for the l1 perf• ance of the work for which this permit is issued. Signature of Contractor • OWNER-BUILDER DEC 1 ARATI 1 N al I have and will maintain workers'compensation insurance,as required by Section ❑ I hereby affirm under penalty of p rjury that I am exempt from the Contractors3700 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 T issued.My workers''cc�o�tm-apeennsatioinsurance carrier and policy numbers are: Code.Any city or county which requires a permit to construct,alter,improve, Carrier 1 r 1 l�-• �' F�l demolish,or repair any structure,prior to its issuance,also required the applicant .�2 R t 1?)®C) 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 t5 become subject to the workers' penalty of not more than five hundred dollars($500)): compensation Laws of California,and agree the t ifI should become subject to the workers'compensation provisions of Section 3700 of the L rb' ode,I shall ❑I, as owner of the property, forthwith corn ly with those provisions. or my employees with wages as their sole compensation,will do the work,and the structure is not intended or offered for p9Date � G ( I � Signature sale(Section 7044,Business and Professions Code:The Contractors License 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 adcition to the cost of compensation, , did not build or improve for the purpose of sale). damages asprovided 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). 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.(� � (Name 71)Pint� F•1°‘ (Title Title C0 I`7)"4O0 P ever PRINT NAME I certify that I have ead this appli\.tion 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 , ith all City o'.din: c•s and State Laws relating to building construction. I ereby uthorize representatives of the City of Arcadia to enter upo' the above-m.\•ne r prope.• or inspection purposes. ,Signature I Date _ 10 r AFFIDAVIT SELF-CERTIFICATION FORRCOMPLIANCE OF SMOKE ALARMS AND CARBON MONOXIDE IA`ARMS q Property'Address: e.� ,. 6 ©OAR TC / `D AR '( D/f CA- /i`0©,41 Permit Number ,k aF- / ?r 2/c Brief Job bescriptiion: 1 ; •/ / Number of smoke-alarms in tailed: G �. Number of carbon monoxide alarms installed: 2/ When alterations, repairs or additions requiring apermit occur, or sleeping rooms are created; Smoke alarms shall be:installed:in each ;sleeping room; and outside each separate sleeping-area in the immediate.vicirity of the bedrooms, and on each additional story'of the dwelling, including basements and habitable attics as required by Section R314 of the 2016' California Residential Code (CRC) and California Health'and Safety Code Section 13113.7: For dwellings or sleeping units'.containing fuel burning appliances-or having;attached garages, carbon monoxide alarms shall be installed, outside each separate sleeping' area in the immediate vicinity of the bedrooms, and on each additional story of the dwelling, including'basements as required by Section R315 of the of the 2016 California Residential Code(CRC): Multi-purpose alarms(eombinatian carbtwimonoxide and smoke alarms)maybe used: Ail alarms shall comply With requirements for listing and'approval bythe.Office of the State Fire Marshal. http://osfm.fire:i a.Qov/lioensinolistinos/licenselistiinq bml searchcotest.phn As owner of the above.referenced property, I hereby certifyahatLthe.smoke alarms and carbon monoxide alarms have been installed in accordance with the manufacturer's instructions and in compliance with;the code sections referenced above. l declare under penalty.of perjury that the.fore ding is true and correct, and that.this declaration was executed on (State) /O o?il at Arcadia, California. Otivni is Marne (printed/typed): SCF //aIUQ Signature of Owner: /Or� This affidavit must be returned to the City of Arcadia inspector prior to final inspection ' z q)' jilt ON MO Yi 11‘ 111 111 I• I I ;, Guest Room ti • Bethreo CY!' Storage r C =rel Fainily Room MIS Garage. ,,..FIRSTFLOOR PLAN. MORE ALAS 1 CARBON MONOXIDE ALARM pit Mdt Master Bedthoni _Dining Rdmit Kitchen . .- - nal a el°5° closet, 1Mkt .Finnity Room sis Sr Roo • MIMI" SIC, }ISOM B d e roam SECOS FLOOR PLAN - _ clicb aftam 1 iv.cARBoN MONOXIDE ALAW: • •