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City of Arcadia, CA = = Pernik No;RALT 18 0418 e+ e -DevelopmentServices Department U / ^ 7"m rii: Per rm t ype Residentta6Addition/Alteration;' 240 West Huntington Drive,Post Office Box 60021 '�I S$ f �) �.-- t� Work Classification;Window Change Out Arcadia,CA 91066-6021 x.... �..r L.t • (626)574-5416 `= Permitstatus In Review ARCADIA ' lssue,Dater. Expiration: Addr NO. Dir Prefix Street Name Street Suffix Unit City,State,Zip Parcel Number 412 W Camino Real Arcadia,CA 5785003099 Contacts JAMES MARSHALL Owner The Home Depot Usa General Contractor(B) 412 CAMINO REAL AVE W,ARCADIA, 105465 Po Box,Atlanta,GA 30348 (626)825-7186 (626)225-4591 Description:CHANGE OUT TWO WINDOWS,LAUNDRY AND 1/2 Valuation: $ 500.00 Tenant BATH,RETRO-FIT. Total Sq Feet: 0.00 Plan Check a Plan It Fees Amount Payments Amount Paid Building Issuing Fee $44.35 Total Fees $129.96 Building Permit Fees $40.65 Cash/Receipt it REC-000664-2018 $129.96 Building Plan Review Fee $26.43 Cal Green Plan Check $2.65 Amount Due: $0.00 Energy Plan Review Fee $8.13 Green Building Standard $1.00 12 ��UPI EEE��� Solid Waste Management Fee $6.25 PPTED Strong Motion Inst.Program Res $0.50 OCp Total: $129.96 CALLS FOR INSPECTIONS p Request for inspection by telephone at 626-574-5450. Leave a message ( requesting the address,timeframe and what inspection item is needed. r4,4„ t!v 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. s M /t Is a By: ate March 26,2018 Page 1 of 1 • 1 PERMIT/PLAN REVIEW APPLICATION ail • c_.,"440 Development Services Department,240 West Huntington Drive,Post Office Box 60021 'omic„/. 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 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 ofessions Codee�and myhl er}s is in full fOZ3an�effect. 10, I have and will maintain a certificate of consent to self-insure for workers' License Clas J V�106� II G���i 33cennse No. 11(' Exp. Da �7 compensation, as provided for by Section 3700 of the Labor Code, for the •erformance of the work for which this permit is issued. Signature of Contractor i -Tale - OWNER-BUILD RE D CLARATION ': 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 worker 'corn ensa' p t ss ran-{c�e,carri and policyn/g�mbers are: Code.Any city or county which requires a permit to construct,alter,improve, Carrier rI ' r 1 r'� i Dirt C Ne demolish,or repair any structure,prior to its issuance,also required the applicant Policy Number 1,vL k C G N 7 S O i a i for such permit to file a signed statement that he or she is licensed pursuant to the (This section need not be completed if the permit is for one hundred dollars or less) provisions of the Contractors License Law(Chapter 9(commencing with Section 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 ci ' 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 ❑I, as owner of the property; or my employees with wages as their sol forthwith comply with those provisions. compensation,will do the work,and the structure is not intended or offered f. sale(Section 7044,Business and Professions Code:The Contractors Licens Date Signature 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 civilfines 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. 0 I, as owner of the property, am exclusively contracting with licensed - contractors to construct the project(Section 7044,Business and Professions CONSTRUCTION LENDING AGENCY Code:The Contractors License Law does not apply to an owner of property 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. /:ree e 4 ,�c y P Title PRAT NAME tify 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.to comply with all Ci ordinances and State Laws relating to building construction. I hereby authoze representatives of the City of rcadia to enter upon tth. .. i 1� .- entioned propert : s.• ion purposes. n/� Q Signature / V/�� �� Date J-- /V � �i FAMILY Ahd'g� (Ov »� Col onot / whit w4-11 BEDROOM �xkJ/,Liy LAUNDRY #1 DH 34x36 BATH KITCHEN BATH #2 DH 34x36 BEDROOM LIVING -ACTION • AOUTINOi i Date t als of PQQ°P •G°�cP Q °eQ�°sO�SNotes on Sheet s Checker z.")W nc1Cw5 Planning (0116 �. Eng. IX Building i$ Cut— Fire PWS-Water — WELO Trees N JAMES MARSHALL California Permits it 412 WEST CAMINO REAL AVENUE I ARCADIA I CAI 91007 111 E CEDAR AVENUE I STE 202 RETROFIT 2 WINDOWS. SAME SIZE AND LOCATION. BURBANK I CA 191502 U-FACTOR 0.30 i SHGC 0.25 I VINYL i DUAL GLAZED I LOW E 818.459.3839 I INFO@CAPERMITS.COM C 0 (r1G_EDS-7r8(° WINDOWS DIfIRAIYI SHEET r1A \�/ Job M: IO Customer. � N- � Consultant:TON Ye r-(o YA- Date: 2�.7///5 1 F oor REAR SYMBOLS :a - aKitchen Nam sal' ^T '� I ^� /1111. Room Wa r qn<< Vie? 21 i :an, i I Window r:�FJ4GiP�' ; raf= - Y3� a I I Exterior Door �' . -4iJ5,f2s 7i-0 /-,70, Ac% . FRONT. .. - . . .• •. Note: 1)indicate 1st,2nd,etc Floor of house at top of template;2)create outline of house and indicate all windo Dors,and rooms; 3)number the windows to be replaced with corresponding number from Spec Sheet gltidan Diagram Sneed 1119!2012 3113 )(4 . I. IN- 1'. 5-LiF DOUBLE—HUNG WINDOWS a.f`. }e ITV,spa laxer t3trtt Ittotia,'•Cnet C^l f Ain 4t-t hi q}u"4,"Ptte_ll:uts�u`rs'aesajysllcet ra , Fm•A:+ tierneL.Jos.,. Ora mr=# a sasa') 's ,�Get unix JY.'47/ Or.,Or.,*t tit WA rsm it'_At t•thpaa ttPt eer,P AW11 M ',4 Mat t.r.A' i'17 1-.1.7 tt • ,r✓ - In RrlisOM Y:Ct FPO ""ii ywt PC-1.`P f .nanwe:m - ;_ . I am r. { miI.': 11141 .. r l Y!t OOYf FEATURES Df 8P a3 8. P� .- . 7 .,..- L � .., 9 ,� 1 F' wr: Low-Msintentlles Este ion _ ... crurn rinnytel t i top Y?' rlA6 `�) x r-�. ,s c.nnm. SI • f • • ii A i1 ��y :I "1,. 1- - '• �✓ Dadi+-hutO reylo-xmem made easy. • nwo..w _} • • • ,,, / h'4 IYf1�YLlw:n fY.vn rJMY'•lawtllYJ�IpeV4 I -•"{ I)I ' . v :E ...- - eta .-iV - . .. 1t t _ ors ® • �.. + lir. least MA/ ear e. Intlllo,s 400 SERIES ;AAA NYw4 NA y anNv _I _ _ �q wmO.YgNIJ-1 INe.t diY M . No 1FS:Vss SNu•IL>-r.n-t 14 wyl. I • • - Vl000WRIGt1Ta WINDOWS ® ,nor•.0 al l-t u.lr vrh + t nv t m rrY ,'�'' htdmrrewlmmeslxllald end tl16...J.i.. .., ....- g,1.I J a e:•nt " as ac .mJ nil ntxr - IPimte 3 • • _ Wd Mmes Oienew. nbrYcv�i :-ct an I o-aa as eJ ..c rrr<..,a/ = win I • y • I • • _ • ,ya.•.Iticros Iron Uraizarm 'ALA ,.w -.unlem rne. • ® 0 • • •_ 14TSntl urvrn,t,ck 0CM'at.ni a., — _- _ / . Y, V t vtiMdA _ WrtO w:m M,elvl sCrtuhp r/i+nW NCn. I a IW IDevr l • •_I.. Tin 4'V/aril 1'N]ricntnle wlbllem. 1 v 1 Me 1_ • L • IL n.r. nr..t a A;Acta (70-w.n11u n REPLACING A WINDOW? A In Imes am Lad u fie.* 6 Cleaning _ in lati=I.iha.ra.t lvWm N»e tLnwt �W—rCn.-..< / :La`.mliYr.,n<n s Easy S I•_ m-rtwatn kir din Mei Cr rtsrn:lrcn.lir lima `4r r" Gu ieeea�san '. O 1 S � _S_� �, lot.ein Airkrini riAirendentL n,aaaaluoM 1 • I • • • • 400 SERIES tri4.....-rsfOLTiwATCI{ .17-777171 In-Ainn rrm+ya SWAM SOYA*strrm ! • 1 1 • i • n el1At.r.�..w.rf—e—r• •Fe •• •• I TILT-WASHWINDOWSte,, re an i el lin.,,,,,ti.,,,-,,,....,,,r...,.. ani-. .,,:mawrrancemy amt L!�_ ,— Ow mast pc 4M date-hong wa tow. .. 1+•bSAbnrs- . .....:.< ,r, wrwlslr loa!r.n.. e e e e `e e l se w"A ;•77,77'd .murnas _ Performance0ptlnu_ _ _ 't{'fes"+...Z. CraOc)r' .IM1e A.�1f,e�41]$ne:ln•ua, }- - - U 1 YMt uarV VYat4.� unr' b•.- 6maPrmata i � L•_Iaid la .amu, fr.•fsrens._lue.+ QPEWNCCOMM.WV=KIT High-Performance Glass Options K e 1flhiy ow r ant art sepee, REPL.ACIt:G AWINDOW? Palate ntlyd i n sang 4mseraaln.aewanseJ,n - 111 t'I�,arccCtrlCWI? 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Iaw r w rartsrtl O.rf.1Vm'•IrwN.-raYi rtiY.n Jt 4 utl r.W+n 1r doe riYU ell 0. .v•..r r..•<.r Mva.I4,fY r . - An meenert.m mm 3n H .n _Custom Sir / �e e I r.eo• Xrw __ ew•..0 r. .e.Dace. wt . ....m Custom Sims .. • • I • I • +.c . mm • wCL : .r 24 --------,--• r.,.. ..., „,,,, : `. ,,.... r , vl. .....n.wft1 w ADD STYLE WITH iasectocass.“...44,CMtbialYillcvnldbfrt +�^cvn 4 ArWasnr°¢rags add clavada b any horse.They au evalW4e to Al rude selccOcnG '"� mai'gyp' '#4 tC.�F=='�" PFaan9k'F�"* SLlf1(Ja'dµ:1!M116.a m.CY510.'n Mamma tl5brrl!'uPMM Iota lrl/y s(t-u!aO tth. I. .0a0¢L iT Ppb btW P=ne)µTME'Crtrei rt:1200 F. GRILLE OPTIONS GRILLE CONFIGURATIONS l' fwOrsirkd Licht Aru4M1dOPrNed 1412 Carrattnt SnarCrntbn orrma cr, S'iJatlm.a 1I*Itdhrc Cemi9PPakm Crts.Uerh Sash StxYmd Prare LI-0050 an,ruM3ysarpsro ral.re+nacch a C.rn Hr:e N1WI I k f^"ra'✓N VrNla^t ee2'v ' (- I R 0 irOrtogilry 6rtyalrga r J!ea N.:l 'd Iav rrP v. Ya r tt OPt1n5 eleavy __� ;+r fl �I■—■ :: t0La:i� +`-- 1_ _ r r<•+wn Ve C+e 1 wmOa VenrlJ taw.* •I ar%wall•wY'ptlk V_ 1 _1t M1 n,I2cr a r.—vuf....a I.�-nai&.n rnr Inpn UYr 1 I Ir-...u.m,NT%o.. Merlbcra Pr...tY.nra +kv:✓rr P., V.On, C ~ o Ctlrnel 1 . I I D.... O. 1 ,:.. j c- -� •U ^ice Grm.widur.(atriddn.h.an) al .. ] .+..ar .r os r Z 5 _ 4 J G aY 'b 1 K- 2 Y+' en Lm.�.rd 1 - . co Parshohaa L'.mwd 0.10a Crani ter,Groan Mn t `� -- i - -4 !shun Wash* - IfltI G- I I ; nI ,. a 1 . .,.. -, - L tlmar.ai . i . I 1 P _ _It l.a.rs YCaroni ' imlha®d'Rm Snort./ t Y' r . I iF • DESIGN YOUR OWN PATTERN 1n, am .Prsrx nml.a M.nuV ma--.sn - t., I 1 LL �'• � � aw . .1r- '411- �•�e. % .f carr gale 1,00 L:.KnO 4e jni 1 • ty� „ l I cY SSICKndo sr dpZ 4 rdrt {a f' . �,._ Cir.i CC, - �_._ Y�"- ,, >.wahmitm Ce W1 t Farno r, F , 14IT i k: %. .. J� • I - r h ._ i '1 14 ,. Andersenwlxobws•000ws 400 SERIES 6, TILT-WASH FULL-FRAME WINDOWS Tilt-Wash Double-Hung Window Details Scale 11/2°(38)=1'-0'(305)-1:8 13(333)) I 141/1(114) + I Lower Sash In Insect Screen ' '� 1 Open Position 'Llalp 5/ 27/s' `11i (62) 4 • '_�� Low-E4'Insulating Glass Head 35/re' Upper Sash = m (84) Lower Sash I. tri, I rim o .� 11®� 1 v'" (38) 4Vt . c' E c • Stool (114) c 1 a/re' I i A a I STA 17h'(38) .` _14 (33) ® a/s"(16) Jamb 1'/e' Clear Op&Width 11 VC lamb (37)� Unit Dim.Width 1(37)I ^+ m A A} 1 lit (62) Sig Stop V4'(6) V4'(6) •�� / i (13) to Subtoor Min Minimum Rough Opening Width Min• 3/e'(10) �I r I Dimension sill Horizontal Section Vertical Section Tilt-Wash Picture Window Details15/19 1141/2'(114) ++ Scale 11/2°(38)-1'-0"(305)-1:8 (33) I I 3/e`(10) rl.� III' 5 „spAhim 2 Vu'(62) 41/3 /1+� OM 1 C° Vs (114) ,'1 _T � 5 = a Head Stool S a/re' �I � 3 E tl' „ 1 We(38) (33) lamb The"I 27/2e" lamb c — H Oil.HIr a/e"(16) (62) !Unobstructed Glass' (82) 0 in-' A 2'/st(62) 1 a VP Unit Dimension Width 5/4' - ii I 1/x'(13) (6) Minimum Rough Opening Width (6) 3/a'(10) SM Horizontal Section Vertical Section Tilt-Wash Transom Window Details ism(33) a1n•u14) Scale 11/2"(38)-1'-0°(305)-1:8 f f • 1/416) 141e101 A A Ia • c (84) (1141 ,/' l�rs i'_+l lig' glir�/� o rN Head c a (33) l8°th lamb Unobstructed 35/le' 0 3Vre' = 35/ ' (84) Glass (84) V'j�� (84) i ;ilia 1/4, Unit Dimension Width 1/4' 1 (8) Minimum Roc; O.enin:Width (6) 1/416) I• Sill Horizontal Section Vertical Section •Dght-colored areas are parts Included with window.Dark-colored areas are additional Andersen'parts required to complete window assembly as shown. •Rough openings may need to be increased to allow fan use of bulldingsmpa,flashing,YD panning,brackets,fasteners or other Items. •Details are for Illustration only and are not Intended to represent product inemilation methods or materials.Refer to product Installation guides at andersenwtndowscom. •Dimensions in parentheses are In m0imeters. 2013-2014400200 Series Product Guide Page 1 of 1 f it, k drn! 400 Series Woodwright® US$ Wood Interior Fibre&Composite Exterior Up to 3'90-1/8"wide and 6'4-718'high Available in 1/8' increments SmartSun',SmartSun with Heatlock'Coating,Low- E4e,Low-E48 with Heatlocle Coating,PassiveSuno,Sun Easy Tilt-to-aeon Fr- „Ji •,� �; ,'4 ' L a''"�y• a ) r i �.. Y , art f ,,t.._. ....4,,,i. , - , #� ,. F {, " w.��, ail " - '1.... ; '. y r.rp -t - fit . +lty, a� _ ,+�"u:9s.: "at'gpv e}� E. s f'f ..ti's.-. `/Y S '.'� ;� . 4 444. �. t sI 1 '11. ' lir '! d, } M 4,s :e 7 ' r it :-.—s- ice if A a le 4 t a . 1' .mss !' YFh ui C ..n»r 1] .. ! y' • ,� ir FF t4 ". 9 1 ,x(' 1 {� i�1 . -nwc _ •u h• tl Qi.�- .t i •• • i 5t, ' 4 . • ..r0 • •.s 3 , .,t+ +� , i` t }d • X - 7A-Vi .K-r.- 4 r 't - ••• - Zr . to Y ,m !�-�j ' l n. .1 .. a y ' s f fico City of Arcadia, CA - Permit.No RALT-18-0418 Development Services Department v *4' r �� 1 U o ) Perm'riType Residential Addition/Alteration ll _ 240 West Huntington Drive,Post Office Box 60021 �s n Arcadia,CA 91066-6021 I '. Work Classification: •Res-Window Change-Out (626)574-5416 is_ r '% Permit Status:Expired ARCADIA Issue Date:03/27/2018I Expiration: 09/22/2018 Addr NO. Dir Prefix Street Name Street Suffix Unit City,State,Zip Parcel Number 4 412 W Camino Real Arcadia, CA 5785003099 Contacts JAMES MARSHALL Owner THE HOME DEPOT USA' General Contractor(B) 412 CAMINO REAL AVE W,ARCADIA, 105465 Po Box,Atlanta,GA 30348 (626)825-7186 (626)225-4591 602331 Description:CHANGE OUT TWO WINDOWS,LAUNDRY AND 1/2 Valuation: $ 500.00 Tenant BATH,RETRO-FIT. RENEWED 9-30-19 Total Sq Feet: 0.00 Plan Check H Plan H -, Fees Amount Payments Amount Paid Building Issuing Fee $44.35 Total Fees $164.96 Building Permit Fees $40.65 Cash/Receipt#REC-02636-19 $35.00 Building Plan Review Fee $26.43 Cash/Receipt#REC-000664-2018 $129.96 Cal Green Plan Check $2.65 Double Fee(Building) $35.00 Amount Due: $0.00 Energy Plan Review Fee $8.13 Green Building Standard $1.00 Solid Waste Management Fee $6.25 / Strong Motion Inst.Program Res $0.50 v com : pu7.7 Total: $164.96CALLS FOR INSPECTIONS Request for inspection by telephone at 626-574-5450. Leave a message ` y, requesting the address,timeframe and what inspection item is needed. ridlit 1044, 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. March 27, 2018 Issued By: Date September 30,2019 Page 1 of 1 FAR JW°4°y`6 14 PO" ' PERMIT/PLAN REVIEW APPLICATION ,.. ice I VW` Development Services Department,240 West Huntington Drive, Post Office Box 60021 'me.,,,.n' 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 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 .1 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 Policy Number 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 31700 of the Labor Code,I shall ❑I, as owner of the property, or my employees with wages as their sole forthwith comply with those provisions. compensation,will do the work,and the structure is not intended or offered for sale(Section 7044,Business and Professions Code:The Contractors License Date Signature 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 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 arid 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 pQMD at(909) 396-2000 for further information. Name J f P' /1larflt4(( Title ©f/v�L PRINT NAME 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 upon the above-mentioned property for inspection purposes. Signature Date cyte/ACt