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WALL-19-2022
ale "! City of Arcadia, CA -. Permit Na Wal!-19202Z Development Services Department 7 [�" 2 rvil -` r-t. IST j-. Permit Type Wall 240 West Huntington Drive,Post Office Box 60021 (�`" €� rr I I -( 1 ' Arcadia,CA 91066-6021 ,,1/4-:'.)" f'' Li I _5 Work'Classification Wall Garden Wall =r IN.:`.p.71"' (626)574-5416 -.' • .- , - _u, , \_ - s^ - � -_ - - PermrYStatgs;issued om r4,1 ARCAI3IA Issuepate 10/04/2019 1 Expiration: Addr NO. Dir Prefix Street Name Street Suffix Unit City,State,Zip Parcel Number 50 Lucille ST Arcadia,CA 5779015016 Contacts Wu Richard Tweedy L Owner 50 Lucile St,Arcadia,CA 91006 • Description:BLOCK WALL AT FRONT OF PROPERTY PER ., Valuation: $442.80 Tenant - APPROVED PLANS 3'H X 15'LF WITH SHARED WALL e AGREEMENT. WALL WILL BE BETWEEN 54 AND 50 LUCILE. . Total Sq Feet: 0.00 Plan Check# Plan# Fees Amount Payments Amount Paid Building Issuing Fee $47.01 Total Fees $93.91 Building Permit Fees $40.65 Cash/Receipt#REC-GO!P1PL(T(D 02702-19 $93.91 Solid Waste Management Fee $6.25 Amount+e r� $0.00 Totl:_ $93.91 I L 0 30-1i I, t—I—t l Gam CALLS FOR INSPECTIONS �1/ AIA Request for inspection by telephone at 626-574-5450. Leave a message (/d•.. Y requesting the address,timeframe and what inspection item is needed. tI— HR (PM) '��/, b K V N' This permit/plan review expires by time limitation and becomes null and I4� ! \ 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. q)121 October 04, 2019 Issued By: Date October 04,2019 Page 1 of 1 AR ,V 1 PERMIT/PLAN REVIEW APPLICATION 11 .24- 77• 14I b' Development Services Department,240 West Huntington Drive,Post Office Box 60021 �/. Arcadia, CA 91066-6021, (626) 574-5416,Fax (626) 447-9173 III 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. ❑ I have and will maintain a certificate of consent to self-insure for workers' License Class License No. Exp. Date 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 ❑ 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 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 P exempt there from and the basis for the alleged exemption. Any violation of y.+ I certify that in the performance of the work for which this permit is issued,I shall Secfion 7031.5 by any applicant for a permit subjects the applicant to a civil III 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 do 37Q 0�e Labor Code,I shall ❑I, as owner of the m forthwith comply with those provisio , c�� property, or my employees with wages as their sole p //n _ compensation,will do the work,and the structure is not intended or offered for Data OMA l Signature fr . ( _ �--`�--- sale(Section 7044,Business and Professions Code:The Contractors License v-r 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. G 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). , O I am exempt under Section 7044,Business and Professions Code,for this reason: Lender's Name • (ti- t Date I O/4 (1 I Signature / .� r�LS= Lender's Address I q ORTANT: APPLICATION IS HEREBY I •DE TO THE BUILDING OFFICIAL FOR A PERMIT SUBJECT TO THE CONDITIONS ANI) 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. nt � r �,�/�7 (fre IName`T(t,.) Q Ar� V" U--- amr co/44 G' L 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 port the above-mentioned property for inspection purposes. kreIiS (ti I . -��'eur [Date I 0/4- q cF f CITY OF ARCADIA `' DEVELOPMENT SERVICES DEPARTMENT moi , • • tag ,_ice /.. FENCE, GARDEN WALL AND/OR RETAINING WALL ON PROPERTY LINE RELEASE AND DECLARATION ADJACENT PROPERTY OWNER'S DECLARATION I, L I D/iV s owner of the property located at 54 Lucite- hereby grant permission to the adjacent property owner located at_So Uo,to to construct Z0' lineal feet of 3' high fence, garden wall, and/or , retaining wall, some of which will be located on my property. I acknowledge, understand and accept the scope and nature of the proposed work (i.e., color, size, height, type and location of the fence, garden wall, and/or retaining wall and the removal of landscaping). Name: L 1 0 r/ 4 - two Telephone Number. ? -3 6 -2 j c ( Address: t4- LAK( ars. 5/ii Date: (.0. 0 / Signature: _ PERMIT APPLICANTS DECLARATION I declare under the penalty of perjury that I have obtained the approval and release from the owner of the property located at '5 Lucite. locate paa of a fence, garden wall, and/or retaining wall on their property. to construct and Name:—I Ct '4 Telephone Number: Address: 5 /I �1.., �i (ST 1"\I - 1Date: 9 i© I Signature: �4�__ c: Applicant's file Neighbor's file Job site • 1-15 L �;c 5t 7 r 3' lx 15 ' LF Z l BLoca WALL t Of in rateipe 1' / 11.11 , , T� ,. TER a 'dr I, �u��le s (,u� r I tet _ E • -I -0 -9 m m y <D m r2 m c-a JJ 0 y rcn n - = O O ' n C e, I m Z G, _QC^^ w CD O C Q • X O 9 .. D,fl ! N. 9Fc/ ari a fen Mtg. 11.) I �Stoy c. hetMi1 m m m 'r1 4LN CD . .11 - lc-- 6-- - --- --.• - -. •• ••• • -- ..---- �; -