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Home My WebLink AboutUntitled • A07 CITY OF ARCADIA ot: CHECK REQUEST 7 Li 3 7 Vendor No. 2 Date December 10, 2019 (for Administrative Services Only) c9-tuft, Petr Pay to: CHATEAU OPERATING CORP i d 1,414111 119A LA PORTE ST ARCADIA, CA 91006 626-371-6311 Account No. Amount 714-2275 $ 4,962.00 $ € $ 9 a tl $. TOTAL $ 4,962.00 i Reason for payment. (PLEASE SUBMIT BACK-UP IN DUPLICATE) A/ Please process a refund to the above recipient, demo bond B00-058-749 1041 FOOTHILL BLVD 3i 4 ❑ Check here if check is to be Approved by: Zs/ returned to Department. Department: Buildi i • D art ent :t Development Services Department ""1"i.! 240 West Huntington Drive,Post Office Box 60021 ' ..--,:i Arcadia,CA 91066-6021 PERMIT NO ;B00:.058 749 City of (626)574-5416,Fax(626)447-9173 ArcadiaPermrtType ,�- Demolition ..�. PROJECT TRACT NO. LOT NO. APPLICATION DATE ISSUED BY PRINT DATE PERMIT STATUS 12129 1/26/2018 EP 8:01 1/26/2018 Issued . ADDRESS NO Dir.Prefix- Street Name .Street Suffix UNIT BLG. i 'ASSESSORS PARCEL'NO:GEOCODE_,- 1041 Foothill Blvd 5769-006-017 ONMER- , ''MAILING ADDRESS'_ -. . - , .:..t ....11.2.2-.L.2.—:. "' Jia,Liu 1350 Highland Oaks Dr PHONE NO. - Arcadia,CA 91006- EMAIL ADDRESS: -- APPUCANT MAILING ADDRESS - . . - • G R Martinez Inc.Dba Martinez De PHONE NO. EMAIL ADDRESS: e G R Martinez Inc.Dba Martinez Den:14164 Joanbridge Street PHONE NO. (626)484-0033 FAX NO. Baldwin Park, CA 91706 EMAIL ADDRESS: License No 863529 Type: C-21 Expires 8/31/2019 12:00: TENANT ' -7'_. C1MANNG A00RESS.— ' ' '—`"— --.-- r'—..'.._:t's72.7..,:::: _ ,.,.;=.n_ . .. ..___._-_ PHONE NO. FAX NO. DESCRIPTION DEMO EXISTING HOUSE IN PREP FOR SF NEW AND ADU. DEMO REFUND TO CHATEAU OPERATING CORP~119 A LA PORTE ST ARCADIA CA 91006 6263716311 Construction Type UOM #01 Units Value Construction Type UOM q ofUoits Value OCCUPANCY: TOTA T;tempi! CtK� ��Jtppl�� I' 1 I QTY UOM DESC AMT AMT PAID ACCT QTYEa' ;temp .�^T AMT PAID ACCT 1.00 Flat SPlmbgewer issuance 44.35 44.35 01-3105 '''WWW'VVY IIYY �O� 1.00 each Sewer cap 15.55 15.55 01-3105 1.00 Flat Demo issue 44.35 44.35 01-310741/j °Li4 4,962.00 soft Demolition 108,93 108.93 01-3107L / 4,962.00 sq ft Bond-demo 4,962.00 4,962.00 2275 /' 1.00 Flat SWMF2 1.00 1.00 88-30 7 / /�ce9 i ( dM 4 len) 7 / Total Fees $5,176.18 Balance Due $0.00 Paid Today: $5,176.18 This permit/plan review expires by time limitation and becomes null and void if the work authorized by the Receipt H: 119137 permit isnot commenced within 180 days from the date of issuance or if thipennit isnot obtained within 180 days from 01-3105 59.90 the date of plan submittal.This permit expires and becomes null and void if any work authorized by this permit 01-3107 153.28 is suspended or abandoned for 180 consecutive days or if no progressive work has been verified by a City of 2275 4,962.00 Arcadia building inspector for a period of 180 consecutive days. 88-3027 1.00 CALLS FOR INSPECTION INSPECTORS'OFFICE HOURS 9 Requests for inspection should be made at least Monday-Thursday Friday one(1)business day in advance of the inspection 7:30 a.m.to 8:30 a.m. 7:30 a.m.to 8:30 a.m. by telephone at(626)574-5416 for onsite work. 4:00 p.m.to 5:30 p.m. 4:00 p.m.to 4:30 p.m. (Closed on alternate Fridays) Mr wan PERMIT/PLAN REVIEW APPLICATION X 04 �t 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 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 Pmfessiyh)C ,a icense is infill fj ect. • I have and will maintain a certificate of consent to self-insure for workers' Al Licens . icense No CC L Exp. Da 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-BUIL R DECLARA CII have and will maintain workers'compensation insurance,as required by Section IDI 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 f'�- 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 the Labor Code,I shall ❑I, as owner of theforthwith mply with those provisions. property, or my employees with wages as their sole 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 Signa 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 WARNINGf 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 criminalpenalties 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 -attomey'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 Ltie isturbing the asbestos.Please contact AQMD at(909)396-2000 for isifurt he ��r ,iinform{aation. / /' / arae l,`W /-'�l{�T/feZ / may' 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-menti ned property for inspection purposes. l )sinamre 4 ate $6/Se