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HomeMy WebLinkAboutROOF-19-1877 • • .N1/411/41, City of Arcadia, CA _ Permit NO. ROOF-19-1877 Development Services Department v-+-v�> 1 '-; f) i;CS i , '} - _ Permit Type:.Roof br-240 West Huntington Drive,Post Office Box 60021 i " ) Arcadia,CA 91066-6021 I iWork Classi cation:Reroof-Residential (626)574-5416 Permit Status:Issued ARCADIA - Issuetate:.09/16/20191 Expiration: Addr NO. Dir Prefix Street Name Street Suffix Unit City,State,Zip Parcel Number 2501 Albert WAY Arcadia,CA 5787017027 Contacts YANG,STEVETAND CHERIE H Owner EDUARDO PERALTA' Contractor 2501 Albert Way,Arcadia,CA 91007-8440 9622 LORICA ST,ROSEMEAD,CA 91770 (626)862-2049 1038978 Description:T.O,NEW SHEATHING. REROOF HOUSE ONLY Valuation: $ 10,000.00 Tenant WITH COMP GAF SANDALWOOD CLASS A 23 SQ(1C) Total Sq Feet: 0.00 '. Plan Check 0 Plan ll Fees Amount Payments Amount Paid Building Issuing Fee $47.01 Total Fees $290.51 Building Permit Fees $237.25 Cash/Receipt if REC-02502-19 $290.51 Solid Waste Management Fee $6.25 Amount Due: $0.00 Total: $290.51 :Bit ....._ !G-i-f 9 road.. EtE/vco Si46Kir par��T:rit CALLS FOR INSPECTIONS AF/=10,4/14; "7"... 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. September 16, 2019 Issued By: Date September 16,2019 Page 1 of 1 t.3 A. d FOks3/4"1 1; PERMIT/PLAN REVIEW APPLICATION `- ' • • F {- r :::tY/1t-- 1\'c " Itt-tit4a 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 license is in full force and effectErlhave and will maintain a certificate of consent to self-insure for workers' License Class C 3 Cr License No. 0 Exp. Date s — — .. Signature of Contractor 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 PSI have and will maintain workers'compensation insurance,as required by Section o 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'co anon Code. carrier and policy numbers are: Code.Any city or county which requires a permit to construct,alter,improve, 1 Carrier �4-CL�Q- LeVl.r'-1 demolish,or repair any structure,prior to its issuance,also required the applicant Policy Number 9i2o21:1 I//2,Z for such permit to file a signed statement that he or she is licensed pursuant to the 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 ; ..CFVFOR. - �\ 8.,-7 ,•. �00oylts:00"" AFFIDAVIT SELF-CERTIFICATION FOR COMPLIANCE OF SMOKE ALARMS ANDI 1CARBON MONOXIDE ALARMS Property Address: aSO ( A 16Ci4 .Uq y Permit Number: Roo' - l e/ -( 51-7 1 Brief Job Description: RwI" nrA(e Apt" th v�( lite-5 iA jAOQL - Number of smoke alarms installed: 4Y S jure. ala✓»i Number of carbon monoxide alarms installed: I Co latwn. When alterations, repairs or.additions requiring a permit occur, or sleeping rooms are created, Spoke alarms shall be installed in each sleeping room, and outside each separate sleeping area in the immediate vicinity 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 (combination carbon monoxide and smoke alarms) may be used. All alarms shall comply with requirements for listing and approval by the Office of the State Fire Marshal. httpa/osfm.fire.ca.eov/licensinglistings/licenselistinq bml searchcotest.php As owner of the above referenced property, I hereby certify that the 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. I declare under penalty of perjury that the foregoing is true and correct, and that this declaration was executed on (Date) 4/27/IT at Arcadia, California. Owner's Name (printed/typed): 'SC, Va Signature of Owner: A.� Val This affidavit must be returned to the City of Arcadia inspector prior to final inspection ISL . )Z lick 1 J�'_ �] -�i VIir ,F Guest Room �'Bailn oon [{' Storage 11 Family Room w Garage t2s FIRST FLOOR PLAN . • On SMOKE ALARM a = CARBON MONOXIDE ALARM fi !trot - — Batit AMaster Bedroom Dining Room Kitchen -Bath 0 Hall 0 Closet Closet Closet Family Room Bedroom . Bedroom SECOND FLOOR PLAN 0 a SMOKE ALARM L' o CARBON MONOXIDE ALARM