HomeMy WebLinkAboutTI-19-1278 d al -o��{ City of Arcadia, CA it Permit No.T1-19-1278
1\\ A Development Services Department i� r ,:jr- ,- . fi Permit Type:Tenant Improvement
ii a 240 West Huntington Drive,Post Office Box 60021 1
Arcadia,CA 91066-6021 rvY��t i { ; '_� Work classification:Tenant improvement
(626)574-5416 Permit Status:Issued
ARCADIA - issue. ate:o7/03/2019:1 Expiration:
•
• Addr NO. Dir Prefix Street Name Street Suffix Unit City,State,Zip Parcel Number
30 S FIRST AVE Arcadia,CA 5773014001
Contacts
FOOTHILL CREDIT UNION Owner COURTS CONSTRUCTION COMPANY INC Contractor
250 W COLORADO BLVD 449 W FOOTHILL BLVD,GLENDORA,CA 91741
(626)914-1432 819962
Description:EXTERIOR TI. REPLACE SIDING AT TOP OF Valuation: $ 15,000.00 Tenant
BUILDING WITH JAMES HARDI 7"LAP SIDING. (LT)
Total Sq Feet: 0.00 Plan Check p Plan k
Fees Amount Payments Amount Paid
Accessibility Plan Check $31.28 Total Fees $703.98
Building Issuing Fee $47.01 Cash/Receipt N REC-01728-19 $703.98
Building Permit Fees 5320.75
Building Plan Review Fee $208.49 Amount Due: $0.00
Cal Green Plan Check $20.85
Energy Plan Review Fee $64.15 g Ctillaliti V 6, vlGreen Buildin Standard $1.00 FFSolid Waste Management Fee 56.25J.�
Strong Motion Inst.Program Com $4.20
Total: $703.98 CALLS FOR INSPECTIONS
Request for inspection by telephone at 626-574-5450. Leave a message
,S--# requesting the address,timeframe and what inspection item is needed.
lin
Fluht 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.
July 03, 2019
Issued By: Date
July 03,2019 Page 1 of 1
OF 'R
011F0 '
_ PERMIT/PLAN REVIEW APPLICATION
tie-
tljj,, Development Services Department,240 West Huntington Drive,Post Office Box 60021
%NET oft" Arcadia, CA 91066-6021, (626) 574-5416,Fax (626)447-9173
City of
Arcadia
LICENSED CONTRACTOR'S DECLARATION WORKERS'COMPENSATION DECLARATION
/�_I 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 S• 'on 7000,of Division 3 of the Business and
Professions Code,and my I''-nse is'n full force and effect. ❑ I have and will maintain a certificate of consent to self-insure for workers'
License Class z # ,t Licen e o. [/
Signature of Contractor a
_Exp. Date Zb2Z compensation, as provided for by Section 3700 of the Labor Code, for the
performance of the work for which this permit is issued.
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.My workers'compensation insurance carrier and policy numbers are:
Code.Any city or county which requires a permit to construct,alter,improve, Carrier
demolish,or repair any structure,prior to its issuance,also required the applicant 'r 'L05,
for such permit to file a signed statement that he or she is licensed pursuant to the Policy Number n1/41
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 S 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 provision .
compensation,will do the work,and the structure is not intended or offered for 7-1.3fj Signature
sale(Section 7044,Business and Professions Code:The Contractors License \Date 1
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 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 coning materials requires an asbestos survey and removal prior to disturbing the asbestos. Please contact AQMD at(909)396-2000 for
further infonnati .
Name Title
WA
PRI AME
certify that I have read this application and state that the above information is co ct and that I am the owner or duly authorized agent of the owner.
I agree to compl 'th all City ordinances and State Laws relating to building onstruction. I hereby authorize representatives of the City of
Arcadia to ent• ' upo above-mentioned property for inspection purposes. -y/ /`r`
nature `J Date / 1 5
-
City of Arcadia, CA _ 4 • Permit NO: ROOF-19-1280
Development Services Department ( —, ((' Permit,Type:Roof
240 West Huntington Drive,Post Office Box 60021 /irt! tx E i� J^ f
-�i, (626) 74-541066-6D21 `" j f°5,t j ) j ji Work-, ossifiication:Reroof—Commercial
(626)574-5416 ° --- ' , Permit status:Issued
ARCADIA -- ,Issue Date:07/03/2019 f Expiration:
Addr NO. Dir Prefix Street Name Street Suffix Unit City,State,Zip I Parcel Number
30 S FIRST AVE Arcadia, CA 5773014001 e
Contacts 1
FOOTHILL CREDIT UNION Owner COURTS CONSTRUCTION COMPANY INC` Contractor
250 W COLORADO BLVD 449 W FOOTHILL BLVD,GLENDORA,CA 91741
(626)914-1432 819962
Description:T.0 REROOF COMMERCIAL BUILDING WITH METAL 6 Valuation: $ 40,000.00 Tenant
ALES STANDING SEAM 24 GAUGE BLUE CLASS A 50 SQ(LT)
Total Sq Feet: 0.00 Plan Check H Plan N
Fees Amount Payments Amount Paid
Building Issuing Fee $47.01 Total Fees $732.26
Building Permit Fees $679.00 Cash/Receipt 4 REC-01730-19 $732.26
Solid Waste Management Fee $6.25
Amount Due: $0.00
Total: $732.26 ,
7-16- 1
Tge-r 6d5 iai t4 COMPLETf
q-S-1 7 CALLS FOR INSPECTIONS
Fft%fICSL A Jf 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.
July 03, 2019
Issued By: Date
July 03,2019 Page 1 of 1
OF AR
.O,JJFmert e'e
,,r
PERMIT/PLAN REVIEW APPLICATION
ifa E43r 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
/0-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 lice :- 1 'Jr full force and effect. ❑ I have and will maintain a certificate of consent to self-insure for workers'
License Class ', r'16 Z icenseio. Exp. Date a 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 DECLARA ION I have and will maintain workers'compensation insurance,as required by Section
ID I hereby affirm under penalty of perjury that I am exempt from the Contractors ll�� 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'compensation insurance carrier and policy numbers are:
Code.Any city or county which requires a permit to construct,alter,improve, Carrier
demolish,or repair any structure,prior to its issuance,also required the applicant Vry FR-6-
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 Sect 700 of the Labor Code,I shall
❑I, as owner of the property, or my employees with wages as their sole forthwith comply with hose provisions.
compensation,will do the work,and the structure is not intended or offered for
D ( I are /3 q
Signature
sale(Section 7044,Business and Professions Code:The Contractors License '1\
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 andshall 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 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 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 �-CIWK J Title
PRINT NAME
I certify that I have read this application and state that the above information is co rect and that I am the owner or duly authorized agent of the owner.
I agree to co ,y ith all City ordinances and State Laws relating to buildin construction. I hereby authorize representatives of the City of
Arcadia toe ter ii o the above-mentioned property for inspection purposes.
\nature (Date 90 al