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HomeMy WebLinkAboutUntitled ss° CITY OF ARCADIA
/" CHECK REQUEST
IWO
Vendor No. Date SEPTEMBER 30, 2019
(for Administrative Services Only)
Pay to: RAJASEKHAR ARATIKATLA
1102 S TENTH AVE
ARCADIA CA 91006
•
Account No. Amount
3509 $ 2,151.75
2203 $ 6.00
3027 $ 6.25
2207 $ 16.54
3104 ' $ 1,41720
$ j
TOTAL $ 3,597.74
Reason for payment. (PLEASE SUBMIT BACK-UP IN DUPLICATE)
Please process a refund to the above recipient y
1102 S TENTH AVE
Permit: RALT 18-2237
❑ Check here if check is to be Approved by:
returned to Dcheck is to Bui�di artment
Department: p
lob City of Arcadia, CA ,: a Permit NO RALT 18 2237
;,4 Development Services Department CI i"-;---,:,:- r PefmtrType�Residential Addition/Alteration
" i 240 West Huntington Drive,Post Office Box 60021 1 ,.1C °'1 f n a( ir.-4 ._,--0_ /
1 u, Nf 1 Workodssiration:Res-Addition Alteration
Arcadia,CA 91066-6021 LI
au a
i (626)574-5416 - is _ Permit Rot'us Issued
ARCAIDIA IssueDatec04/15/20191 Expiration:
Addr NO. Dir Prefix Street Name Street Suffix Unit City,State,Zip Parcel Number
1102 S TENTH AVE Arcadia, CA 8509005040 ,
Contacts
ARATIKATLA,RAJASEKHAR AND Owner JULIO SILERIO Applicant
GUDIVADA,JYOTSNA
1102510TH ST (626)252-1586 argjuliocesar@hotmail.com
(626)625-8130
Description:CONVERT STORAGE SHED TO LIVING AND NEW Valuation: $ 127,196.22 Tenant
ADDITION TO CREATE EXERCISE RM,OFFICE,BEDROOM,
LAUNDRY CLOSET, 2 BATHROOMS. NEW PORCH AND NEW Total Sq Feet: 755.00 Plan Check#18-2237 Plan#17
ATTACHED GARAGE. "....' .._`.`"`....'"—.
TOTAL 4 BED,5 BATH
Fees Amount Payments Amount Paid r
Building Issuing Fee $47.01 Total Fees $5,221.49
Building Permit Fees $1,417.20 Cash/Receipt it REC-00941-19 $3,644.75
Building Plan Review Fee $921.18 Cash/Receipt U REC-003038-2018 $1,576.74
Cal Green Plan Check $92.12
Energy Plan Review Fee $283.44
Amount Due: $0.00
Green Building Standard $6.00
Parks&Recreation Fee(SFR) $2,151.75
Single Family Fire Plan Check $280.00
Solid Waste Management Fee $6.25
Strong Motion Inst.Program Res $16.54
CALLS FOR INSPECTIONS
Total: $5.22149 Requ t f i p ti by telephone at 626-574-5450. Leave a message
requesting t e Jdkttimeframe 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.
V9
April 15, 2019
Issued By: Date
April 15,2019 Page 1 of 1
,,FA•
�JJFagy„(,
S, • 1 PERMIT/PLAN REVIEW APPLICATION
"_,;,, h_ip
roc 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❑ 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. 0 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.
WNER-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 Contractors3700 of the Labor Code,for the performance of the work for which this permit
License Law for the following mason(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
exempt there from and the basis for the alleged exemption. Any violation of sI 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
L as owner of the property,
forthwith comply with those provisions.
0 or my employees with wages as their sole 'j•
compensation,will do the work,and the structure is not intended or offered for
Date
sale(Section 7044,Business and Professions Code:The Contractors License I�SI1� Signature .../4-1
/ /v,(//\---------'
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.
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
h1l
Date Ql'l)cI 19 Signam Lender's Address
'I ORTANT: 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.
1 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 g IrOlrS E-N-Al2
1412 Pr TIRKFL,f1 Title
PRINT NAME
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 comply with all City ordinances and State Laws relating to building construction. I hereby authorize representatives of the City of
Arcadia to enter upon the above-mentioned property for inspection purposes.
i
Signature A9_,tj '-_----- Date 411 ill 19
OF AR •
4�PueosNlC `r
7
E;gprs
o i� e>
oma'unity atN°S
City of
Arcadia September 11, 2019
ARCADIA UNIFIED SCHOOL DISTRICT
Development 150 S. Third Avenue
p Arcadia, CA 91006
Services
Department RE: 1102 S Tenth Ave— Parcel # 8509-005-040
Permit: RALT-18-2237
Owner: Aratikatla, Rajasekhar
. Jason Kruckeberg
Assistant City Manager/ To whom it may concern:
Development Services
Director
This letter serves to confirm that the above referenced property agent for
the owner has cancelled the'active permit and has requested a refund.
Please issue a refund to the applicant of record. A new AUSD receipt is
required to reactive the permit and continue with the proposed construction.
If you have further questions regarding this matter, please contact me at
your convenience.
Thank you,
Kennet Fi; .s
Buildin. Official
626-574-5420
:KF/cm
240 West Huntington Drive
Post Office Box 60021
Arcadia,CA 91066-6021
(626) 574-5415 •
(626)447-3309 Fax
www.ci.arcadia.ca.us
Certificate No.20121023-943
ARCADIA UNIFIED SCHOOL DISTRICT
150 South Third Avenue,Arcadia, CA 91006 • (626) 821-8300 Ext. 6732
Certificate of Compliance for Payment of Developer Fees
(Education Code §17620,et seq. &Government Code§65995,et seq.)
Effective July 24,2017
Current rate in effect applies at the time of imposition of fees/payment.
Project Address/APN: 1102 S. Tenth Ave. , Arcadia; CA 91006
Number of Units in Project: One Plan Check Number: 1 8-2237
[ 1* [x1** [ 1**
Exempt: [ ]500 sq.ft.or less(residential addition/expansion/remodel) Residential Commercial/Industrial
[ ] Other: $3.20/sq.ft. $0.51/sq. ft.
Area in Sq.Ft.: 7 5 5 Receipt Number: 3 3 0 4 6 4
Total Fee: $2, 416. 00 Check Number:
688
Owner's Name: Rajasekhar Aratikatla
Owner's Address: 1102 S. Tenth Ave. , Arcadia, CA 91006
Phone Number: Email:
626-975-7077 raratikatla@yahoo.corn
Representative's Name& Contact Info(if appl.):
*The above-described development has been determined to be exempt from the developer fees of Education Code §17620, et seq.,
and Government Code§65995,et seq.,and a Building Permit may be issued therefore.
** All fees due to the Arcadia Unified School District, under provision of Education Code §17620, a seq., and Government Code
§65995, et seq., as a prerequisite to the issuance of a Building Permit by the Building Department of the City of Arcadia, City of
Monrovia,City of Sierra Madre,City of Temple City,and County of Los Angeles,Department of Public Works have been received.
Based on the information prese d above,this Certificate of Compliance is hereby executed.
Connie Chu
Senior Administrative Asst. 4/8/19
S gnature of District Representative Name/Title Date of Issuance
> The District charges a $100 fee to process reinstatement of the Developer Fee Certificate of Compliance resulting from an
"insufficient funds"check in addition to a$35 fee for the returned check. Only cash or a Cashier's Check will be accepted as
payment thereafter.
> The District charges a$100 fee for any amendments to or cancellation of a Developer Fee Certificate of Compliance formerly
issued on any type of development.
> If 500 sq.ft. or less is the reason for exemption, any future additions,expansions,or remodels to the property that result in the
past aggregate square footage to exceed the allotted 500 sq. ft. will be subject to fees at the current rate for the entire square
footage of the development.
> Owner/developer may request a refund of fees paid to the District within 12 months of payment only in the event the Building
Permit expires or the project is canceled without commencement of construction in accordance with Education Code section
17624(all other requests for refunds must be made in accordance with the fee protest procedures set forth in Government Code
§66020). All refunds will be reduced by a $100 administrative fee. The refund check will be issued in the name of the
owner/developer and mailed to the address of payee.
PURSUANT TO GOVERNMENT CODE§66020(d), OWNER/DEVELOPER HAS A PERIOD OF 90 DAYS FROM THE
DATE OF ISSUANCE OF THIS CERTIFICATE OF COMPLIANCE TO PROTEST THE IMPOSITION OF FEES
Applicant confirms that he/she is authorized to sign on behalf of the owner/developer and that the information he/she provided to the
District is true and accurate to the best of
his/her knowledge.
-
Signature of Applicant: ✓ Name: pin/yawthent Ti-A-
WHITE—City/County YELLOW—Fiscal Services PINK—Business Services GOLD—Applicant Certificate of Compliance(7-24-17)
Sep 11N 2019
•
To:City of Arcadia Building Department,Arcadia,CA.
From: Raj Aratikatla, 1102 S 10th Ave,Arcadia,CA.
Subject:Cancellation of proposed remodel at my home.
Permit Number:
Hello,
I received a permit to remodel my house(1102 S 10th Ave,Arcadia,CA) recently.Afterfurther
consideration,we have decided to not move forward with the upgrade project. I would like to close the
project and get a refund on any applicable fees.
Than
A'
Raj Aratikatla
Date: 91) 1 I to l y
_ ? _.` •-
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CLASS &SHAPE NO.STY. ARCHITECTURE YR. BLT. RECORD MAP BOOK PAGE PARCEL _ SUB PARTJ'I
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