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Home My WebLink AboutUntitled CITY OF ARCADIA f� :# CHECK REQUEST Vendor No. Date December 10, 2019 (for Administrative Services Only) Ink ku Proce4l Pay to: EVERGREEN DESIGN GROUP 't14' 111/110/1? 1370 VALLEY VISTA DR #200 DIAMOND BAR, CA 91765 909-802-9057 Account No. Amount 714-2275 $ 5,200.00 $ { $. 3 TOTAL $ 5,200.00 d Reason for payment. (PLEASE SUBMIT BACKUP IN DUPLICATE) Please process a refund to the above recipient, demo bond 1 DEMO-19-1949 837-843 W HUNTINGTON DR. ri•a ❑ Check here if check is to be Approved by: - y returned to Department. Department: Build) • D art ent 2 je.M� City of Arcadia, CA �.' (t : , Permit NO Demo-19-1949; ��i li. 1 Development Services Department 3 '- ✓"^ •,:i,,:,...._. Pefmlt Type 'DemOhtion. s�tf a 240 West Huntington Drive,Post Office Box 60021 i r �y n i t - KK �.) , Arcadia,CA 91066-6021 - { I W I, 1•:„ 'ork Classifrcahon rDemo Residential , 1 (626)574-5416 . :I - 6,. 4 L Permit Status Issued'. ARCADIArlssueDate 10/15/2019.1 Expiration 04/12/2020 Addr NO. Dir Prefix Street Name Street Suffix Unit City,State,Zip Parcel Number 837-843 W Huntington DR Arcadia,CA 5777029027 Contacts HUNTINGTON COTTAGE LLC Owner Mark Hwang Contractor 837 W HUNTINGTON 2646 Broken Feather LN,Diamond Bar,CA 91765 (909)802-9057 964592 y Description:DEMO 8 APARTMENTS AND CARPORTS IN PREP Valuation: $ 0.00 Tenant fl FOR NEW MF 10 UNITS. REFUND DEMO BOND TO EVERGREEN 6 DESIGN GROUP 1370 VALLEY VISTA DRU 200 DIAMOND BAR CA Total Sq Feet: 5,200.00 Plan Check U Plan If 91765 9098029057 Fees Amount Payments Amount Paid Bond for Demolition $5,200.04/ ' Total Fees $5,426.68 Demo-Sewer Cap and/or Cesspool Fill $16.48 ..Cash/Receipt it REC-02778-19 $5,426.68 Demolition Permit $108.93 Amount Due: $0.00 Demolition Permit Issuance Fee $47.01 Plumbing Permit Issuance Fee $47.01 Solid Waste Management Fee $6.25 Solid Waste Management Fee 2 $1.00 Total: $5,426.68 4J COMPLE1E F.-00_ 1o.29'. 1 CALLS FOR INSPECTIONS Request for inspection by telephone at 626-574-5450. Leave a message / requesting the address,timeframe and what inspection item is needed. a' /-0 7 I'%4 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 J 41'0 consecutive days or if no progressive work has been verified by a City of N 48 D J Arcadia building Inspector for a period of 180 consecutive days. �1, flew cy .� Z 11-c42 LJ 1 'J- -47.”- Da- y,e-C. 6,,f,i,/ �/ �j October 15, 2019 Issued By: Date October 15,2019 Page 1 of 1 ,FAR n . 1 PERMIT/PLAN REVIEW APPLICATION oll .43to 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 Professions Code,and my license is in forc and effect. \F‘have and will maintain a certificate of consent to self-insure for workers' License Class W License NofiExp. Date 3/ 2/ compensation, as provided for by Section 3700 of the.Labor Code, for the IY performance of the work for which this permit is issued. Signature of Contractor 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 ��YX.'0 L 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 ( section need not wmpletd 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 ralifomia,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 rthwith comply 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 fate Lb/ 1t ll Sign. ///�i� sale(Section 7044,Business and Professions Code:The Contractors License 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 ag provided for in Section 3706 of the Labor Code, interest, and attomey'sfees. -. - , 0 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 them 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 prio to disturbing the asbestos.Please contact AQMD at(909)396-2000 for further information. 9�a�/'�,�/ )Name /1/417/1/6 [iurL1Z ' • t// Title Z-1-_,_ :i t i...' - i /�,�Ir P 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 bull...g construction. I hereby authorize representatives of the City of Arcadia to enter upon th• : ''ye-mention.d property for inspection purposes. /Signature d 'wigS — IlliDate 10/./Or