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Home My WebLink AboutUntitled City of Arcadia, CA ,t : '-i'Permit NO 'RALT-18=0707 1p1Development Services Department 9 Penni('Type Residential Addition/Alteration. 240 West Huntington Drive,Post Office Box 60021 `! —).S " U L• r Arcadia,CA 91066-6021 • :�i �j work Classif capon Ralt=Window Change-Out I (626)574-5416 -+ • .Permit Status:Issued ARCADIA .{ Issue',Date o5/01/2o18s1 Expiration: 10/28/2018 Addr NO. Dir Prefix Street Name Street Suffix Unit City,State,Zip Parcel Number 1730 La Ramada AVE Arcadia,CA 5766015019 Contacts DOROTHY CHENG Owner Christopher Williams GeneralContractor(B) 1730 LA RAMADA AVE,ARCADIA,CA 91006 P.O.Box 8652,La Crescenta,CA 91224 (818)903-7053 Description:RETRO FIT 7 WINDOWS. REMODEL EXISTING Valuation: $3.00D.00 Tenant BATHROOM#2 TO APPROVED PLANS.WITH EMP Total Sq Feet: 0.00 Plan Check# Plan# Fees Amount payments Amount Paid Bathtubs/or Combo $12.46 Total Fees $529.65 Building Issuing Fee $44.35 Cash/Receipt#REC-001046-2018 $529.65 Building Permit Fees $120.35 Amount Due: $0.00 Building Plan Review Fee $78.23 Cal Green Plan Check $7.83 Electrical Permit Issuance Fee $44.35 Energy Plan Review Fee $24.07 Green Building Standard $1.00 Lavatories $24.92 Light Fixtures $37.80 Mechanical Permit Issuance Fee $44.35 CALLS FOR INSPECTIONS Outlets-Receptacles&Switches $4.62 Request for inspection by telephone at 626-574-5450. Leave a message Plumbing Permit Issuance Fee $4435 requesting the address,timeframe and what inspection item is needed. Solid Waste Management Fee $6.25 Solid Waste Management Fee 2 $1.00 Solid Waste Management Fee 2 $1.00 This permit/plan review expires by time limitation and becomes null and Solid Waste Management Fee 2 $1.00 void if the work authorized by the permit is not commenced within 180 days Strong Motion Inst.Program Res $0.50 from the date of issuance or if the permit is not obtained within 180 days Ventilation Fan(Single Duct) $18.76 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 Water Closet $12.46 consecutive days or if no progressive work has been verified by a City of Total: $529.65 Arcadia building inspector for a period of 180 consecutive days. , cif/1g edAning k yv4C( 0-7_ �� 7/7/{ g 0 ,)v/ 41% ®� 4-317 rP/ 4( Ce----- 4 4 May 01,2018 Issued By: Date May 01,2018 Page 1 of 1 AR ugp.4., I ;i k PERMIT/PLAN REVIEW APPLICATION 4ae, X33*' Development Services Department,240 West Huntington Drive, Post Office Box 60021 ^\ •o 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 d 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 N 30° Exp. Data 1t t`1 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. o-� 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 wo ers'c ensation=7:1:2 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 t SFJ 3�� _.. ._4:::,(.42 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 ❑ 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 the property, forthwith pl with those provisions. 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 Da 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 employerto 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). ❑ 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. \r Name •\ • Title CD1-9-Nl,-01 — . ` NAME I certify that I have read this application and state that the above information is co rest 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 t� . : • . (•• ed property for inspection purposes. Date S ((8 çSinature • SYMBOLS SHEET INDEX • as RYIEIA� PO? M IF E R0.YNREEERENcE ARCOrsium C H E N G RESIDENCE - REFERENCE it1 E1mu81EFl.Yfe PLAN all INTERIOR REMODEL AND WINDOW REPLACEMENT AlFICGIPLIWELECIRIU1 RAN AFDDAIDTY SCHEDULE --'"E'D'-� DATUM POINT 1730 LA RAMADA - Rp teaWAD-SECTION -— ARCADIA,CA 91008 ��JJ��-- ��!!!��!!```" CFNIFRCRFLOOR UNE FNUPEONi PROJECT INFORMATION fi MEM casmLCPCN cua MEM- CEEARREFERENCE TOSE REMOVED PROJECT DESCRIPTION wmn D24 —__— AtWERTYLINE REPLACE•Elena STEEL W6LCW3011N MOOD CLAD Rate FOR METER O®RM4 WINO Rom AND R rcuEN AND WIK KM GATNRMI Aro F68 wa ' ` BEDROOM MIXER WEAWIEIE9ELOAV TO O NW OCATION..DCAION WE _ IIXAiONQII ER mac REFIDOEL215063 TURESOF AN }OMNI DA 1W0 AOORBRI WE S u� DETAIL REFERENCE RECESS®Y01RS FOR O®RCOD.LIVE.ROOK NO MEND REI.T. '. `� �\ NOTES >a oma V 1NNCgrREFERENS PROJECT FLMJ.AT STRUCTURAL ENGINEER ACCESSORYESSOMMOFH Eil p� A a� WNXEFSREI4'E A.THIS PNo1ECTSM41COMPLY 1NMTIff wuOV.SIaCODES: EeunuDOR eRiosews enw PPFRM:RELEVATYN can.—0 is2016 CCLFORNNPEBNENMLCODE(CRC) SIRRENRYDE6•UPMX REFERENCE 101SCK6ORNNMECNNAGLCODES(CRC) PR�Po®LVF�IEXN —A REVISION REFERENCE NIS CALIFORNNELECIRICAL CODE(CRC) ZONING NID CNIFORNIAPLUMBINO CODE(CPC) mRM DESIGNER wolve�u .. „,_s ECUPNENT REFERENCE RISCALIFORNIA GREEN BUILDING CODE(CALMED° meypr Af cDNamualoNTrPeOWNER s.s Run Ns w t8 I .c.W�m Rano...Ise.Rao.an Fu.nry A OCCUPANCY GROUP W FEZ ZONE t-f9$ mo nN Inrte '47 41� 40 ARENT PMT C."RM.CSVRgyOF TWT // // �-' l ••.. Hogs or ENE Roionso FRAKRIEs WR ENTEP ,SORE]4MTRKToERE ER rIZre wacDIT /A .\ R V I£OUIm iO PK.SP FIMRO NTIP RT. FRO ISFORCREIPP micas EAO1RRl YD REFER KI /A LIIIIIIIIIIJ*////Piriliiajgill't P nee a.522 nap 7°RIM'IT CIRIRATM Cil CCIWed YRAPe nOR,ILLUTMscRav nEDi0APRDCom On;ca /A `�.YR WI Br Les 01.eLL RC si st LwYl.RER �\14TWD ATROUED O.T,E Demon AORCY // `\� a Canoes WN A LINERS,DUCTED STTII j TM I A IADEYDO cRERW1CR HOIJRNfR Date and AGTIQ/bw t ''�. /•Sea "a # / Initials /�//Notes Check r /on ShcelW - _ / PIaMInO X. 1 rb __ C ..._ -EINACO 4u -la...(> - L.,� 4 I LC P• uRw•P+.c.uee. BIRO h 541 ' e Ertl MI4NU Dar , 'f I Pot 4— -Tr." 1Z 044.14-) all! `1 I sd W Ela WELO / -- 1p� ''"'"' '"' I P b PWS-Water �— . �� " t F O In__ / _ s �I �v' "��I w a Trees / rc j/ _ 1�. I a w9$ . -DIa u - x Z -------------------------------------------- aN if SITE PLAN 1 ' • T1 DEMOLITION PLAN NOTES: LEGEND FOR DEMOLITION PLAN 0)CONTRACTOR To VEtlFT ALL new aM£GW, DIDiW]W.WDroRI'WM ALL DEAMS.RAPIERS,MOST ICES.ETC NOTED AS EMMET ON PLANS PIaER TO STARTING COOTRYCTIM =i2=== Dooln UPDAR To DO lh]WED 2)GRERLL CONTRACTOR Am(Oi)FRGTlH 77777/7/727777TeiNWG GALLS TO ES REYT/ED 11 CWIRACTOR SMALL OE RESPa ISLE FOR 4 swnr.m.n MANTASENO PERMANENT ARS TEMPORARY ESITTPORING SI RAL eW EC�LLOP WSTT1 NECESSARY RTO IOT, , go CORM THIS COURSE OP CONSTRUCTOR i2 Ee = o YEA Ell w 1 L ......., J N a 1 � Ilk E I® M ----r_,/ XLv ® I. iii OD o .yea 0 1I z e,,...a. W 4! NR -- W g 959 Li II g a a na EXISTING FLOOR PLAN ' ' Al- I WINDOWTYPES 9 n rs est ail s,. I " AB�®�Ignausamenni . gal �,�e- 11114 I F$m II Pia WINDOW SCHEDULE t=ow `°"nv'"`."r`°"'n"""""`".R'"mmmn:.mc na...nwu.oTOOo.a ,II „g emmmw.Rnnmorewlwnae.amamew tiw .o«emum ws STYLE mnutvie nom mreum". ascii 0 2gTAP= 19911311 PAM eras AWED 8 .. _ COX/Ew nv n YES mo POWADAITOVACOM m romwv A1,5” � _ moan. OWLPINetWEN Gun WS PPM= cap ws rEMACE92.7119VAMOW re __ snw.we 'p... V.? .mm 5 Wm mn..wewry MATE n. .® It nn wn.aw.muro v..t_- � ` ..-,xw... II I -- —n it SELECTRICALSYMBOLLEGEND Cel 44, IP RECEPTACLES iyb . m. o..w ` mIbri ,n .7. c .... -- 0. si ?r ELECTRICAL NOTES: ".m..Nxmee �ti......... �� ""b I _�" r-e I IZ2 wacecancepotoram ... ..waw.....,........ "t 'ate _ £ rm..�.m.. Ow.mew O� O _ e in ...., e e ^� I Lal- aa 1 a, PROPOSED FLOOR PLAN/ELECTRICAL PLAN r ; f 5 NAl r ' ''"` ` hermit Ala:'RALT-18-2033' / City of Arcadia, CA ": 1pi Development Services Department rPerfmlt Type Residential Addition/Alteration 240 West Huntington Drive,Post Office Box 60021 • 't' fsh' ) ., WorkClasslhcation Res-Remodel I • Arcadia,CA 91066-6021 tr �'! r' 51.41 J s'*�' _ (626)574-5416 ,.161.f.,: . 1.4-,.-ut Permit Status:Issued taz�II c rrsr 11-,Ar ARCADIA ; �F sue Date 11/01/2018;1 Expiration: 04/30/2019 , Addr NO. Dir Prefix Street Name Street Suffix Unit City,State,Zip Parcel Number 1730 La Ramada AVE Arcadia,CA 5766015019 Contacts DOROTHY CHENG Owner CHRISTOPHER WILLIAMS* General Contractor(B) 1730 LA RAMADA AVE,ARCADIA,CA 91006 P.O.Box 8652,La Crescenta,CA 91224 (818)903-7053 Description:CREATE TWO NEW SKYLIGHTS,CEILING FRAMING Valuation: $9.500.00 Tenant IN FAMILY ROOM. Total Sq Feet: 0.00 ' Plan Check#18-2033 C Plan#32621 Fees Amount Payments Amount Paid Building Issuing Fee $44.35 Total Fees $507.19 Building Permit Fees $237.25 Cash/Receipt it REC-002749-2018 $507.19 Building Plan Review Fee $154.22 Amount Due: $0.00 Cal Green Plan Check $15.43 Energy Plan Review Fee $47.45 Green Building Standard $1.00 Solid Waste Management Fee $6.25 Strong Motion Inst.Program Res $1.24 Total: $507.19 AA CALLS FOR INSPECTIONS 7J/(� Ada. A _//! m Request for inspection by telephone at 626-574-5450. Leave a message T O j bl/ GGGccc7 lJ �-- requesting the address,timeframe and what inspection item is needed. Al-A7 idne A% Cr-L This permit/plan review expires by time limitation and becomes null and ift d 3-9-it nit/re/Q/ (art, �`/�l fromvoid thethe datework of issuanceauthorized orby if thethe permitpermit isis not not obtained withincommencedwithin 180 days180ays / �./p � ()from the date of plan submittal.This permit expires and becomes null and -20-// V'��t. -* ( C7�_ void if any work authorized by this permit is suspended or abandoned for 180 V consecutive days or if no progressive work has been verified by a City of Arcadia building inspector for a period of onsecutive days. /6-3—/? 4C CI--- eel --- Atti I November 01, 2018 Issued By: Date November 01,2018 Page 1 of 1 FAR fPERMIT/PLAN REVIEW APPLICATION ,,,,� * Development Services Department, 240 West Huntington Drive,Post Office Box 60021 ,,,car 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 Cod d my license is in fullforceand effect. 0 I have and will maintain a certificate of consent to self-insure for workers' License Class License No.Noll Exp. Date& 3l 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. OWNER-BUILDER DECLARATION 0 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 wor rs'con rnsu ce tamer and policy numbers are: Code.Any city or county which requires a permit to construct,alter,improve, q Carrier demolish,or repair any structure,prior to its issuance,also required the applicant +l [ &f Z� 0 - 2� �i for such permit to file a signed statement that he or she is licensed pursuant to the IYII Policy Number J / 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 0 I, as owner of the property, orhwith m I with those provisions. or my employees with wages as their sole y p compensation,will do the work,and the structure is not intended or offered for sale(Section 7044,Business and Professions Code:The Contractors License Datel L ° 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 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). 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: I. 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. It\ ^ Nam �fS W\. C&LLt4 'Title cam- �JVAS PRINT NAME 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. 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 upm �b rro edpro erty for inspection purposes. ) Si maturer--� Date t iF ((e ' Permit NO RALT-18-0936 City of Arcadia, CA , . , ur `` Development Services Department Permit Type Residential-Addition/Alteration" I \�'r 1 240 West Huntington Drive,Post Office Box 60021 r r - Arcadia,CA 91066-6021 ` ^,Work Classification:.Remodel (626)574-5416 ,...r ' 'y- ;, Permit Status jilsued. ARCADIA :Issue Date 06/05/2018'I Expiration: 12/02/2018 Addr NO. Dir Prefix Street Name Street Suffix Unit City,State,Zip Parcel Number 1730 La Ramada AVE Arcadia,CA 5766015019 P Contacts DOROTHY CHENG Owner CHRISTOPHER WILLIAMS* General Contractor(B) 1730 LA RAMADA AVE,ARCADIA,CA 91006 P.O.Box 8652,La Crescenta,CA 91224 (818)903-7053 Description:REPLACE AND ENLARGE TWO EXISTING BEDROOM Valuation: $ 11.000.00 Tenant WINDOWS.REMOVE EXISTING FAMILY ROOM FIREPLACE. INSTALL ONE NEW WINDOW AND FRAME NEW CEILING IN Total Sq Feet: 0.00 Plan Check#OTC Plan It 32525 BEDROOM SUITE. REMOVE EXISTING WALL BETWEEN EXISTING LIVING AND DINING ROOM. Fees Amount Payments Amount Paid Building Issuing Fee $44.35 Total Fees $593.94 Building Permit Fees $253.95 Cash/Receipt#REC-001352-2018 $593.94 Building Plan Review Fee $165.07 Cal Green Plan Check $16.51 Amount Due: $0.00 Electrical Permit Issuance Fee $44.35 Energy Plan Review Fee $50.79 Green Building Standard $1.00 Light Fixtures $9.24 Solid Waste Management Fee $6.25 Solid Waste Management Fee 2 $1.00 Strong Motion Inst.Program Res $1.43 CALLS FOR INSPECTIONS Request for inspection by telephone at 626-574-5450. Leave a message Total: �// $593.94 requesting the address,timeframe and what inspection item Is needed. Q 7-`/ /% ?la 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 7-25"/ 9I7, "7jjt7 avrQcs-E, 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 5.2&'Qconsecutive days or if no progressive work has been verified by a City of etle1;40VJef," u (___ Arcadia building inspector fora period oonsecutive days. 9-;0-is ed 4/4 t� C®/�,� .7-76,11i K(G� /ff /6,3-/r4, (a June 05,2018 Issued By: Date June 05,2018 Page 1 of 1 ...;,a'+;w ,: • PERMIT/PLAN REVIEW APPLICATION •, [4j 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 C 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. Signature of Contractor / ��Exp. Dateg43iLl3compensation, as provided for by Section 3700 of the Labor Code, for the performance of the work for which this permit is issued. OWNER-BUILDER D ❑ I have and will maintain workers'compensation insurance,as required by Section U 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 wor 'corm/%ensan'nn fns a came d policy numbers are: Code.Any city or county which requires a permit to construct,alter,improve, Carrier •--- c demolish,or repair any structure,prior to its issuance,also required the applicant (4-j Zoe - ?c L+ for such permit to file a signed statement that he or she is licensed pursuant to the Policy Number H/ provisions of the Contractors License Law(Chapter 9(commencing with Section (This section need not be completed if the permit is for one undyed dollars or less) 7000) of Division 3 of the Business and Professions Code)or that he or she is ❑ I certify that in the performance of the work for which this permit is issued,I shall exempt there from and the basis for the alleged exemption. Any violation of 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 the property, or my employees with wages as their sole forthwith co ply 'm 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 S 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 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). ❑ 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. . n 1`lame_�J�r l (Lin-d C (re CLO(_A.ciir • 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 upo • troperty for inspection purposes. //// ' ignature (Date 6 /-s 7g ,/ City of Arcadia, CA n Permirlvo Plum-19-1362 ,b, i„,, 7 I Development Services Department c1 �}rr 1 r Petrait Type;Plumbing .. __ � / !. 240 West Huntington Drive,Post Office Box 60021 ("i rl fl l l (` Arcadia,CA 91066-6021 T-7 Li,I L Jul tJ irk Classification:PlumbingResidential ,` (626)574-6416 Permit status:Issued ARCADIA - •� dseueDate:07/16/20191 Expiration: Addr NO. Dir Prefix Street Name Street Suffix Unit City,State,Zip Parcel Number h 1730 La Ramada AVE Arcadia,CA 5766015019 V Contacts 1 DOROTHY CHENG Owner Cappello Plumbing Contractor 1730 LA RAMADA AVE,ARCADIA,CA 91006 1002 N Lyman AVE,Covina,CA 91724 (626)672-6213 931278 Description:REPLACE KITCHEN SINK AND UNDER SINK Valuation: $ 0.00 Tenant PLUMBING • Total Sq Feet: 0.00 Plan Check N Plan fl Fees Amount Payments Amount Paid Kitchen Sink $13.21 Total Fees $61.22 Plumbing Permit Issuance Fee $47.01 Cash/Receipt it REC-01828-19 $61.22 Solid Waste Management Fee 2 51.00 — - - Amount Due: $0.00 Total: $61.22 /9 ��7�( 4x33 l ealpitte CALLS FOR INSPECTIONS quest for inspection by telephone at 626-574-5450. Leave a message questing 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. July 16, 2019 Issued By: Date July 16,2019 Page 1 of 1 of AR * PERMIT/PLAN REVIEW APPLICATION t 210 Q*�3*09 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 License force and effect. ❑ I have and will maintain a certificate of consent to self-insure for workers' License Class I.PLicensse 12.�- Exp. Date 20/2.( 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. OWNER-BUILDER DECLARATION ❑ I 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, Carver demolish,or repair any structure,prior to its issuance,also required the applicant Policy Number C 1 l\\I I '_ 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 ❑ 1 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 the property, forthwith comply with those provisions. ❑ or my employees with wages as their sole p y compensation,will do the work,and the structure is not intended or offered for -7 sale(Section 7044,Business and Professions Code:The Contractors License ate4l��p ,) 9 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(I)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. 9 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 1 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 to disturbing the asbestos.Please contact AQMD at(909)396-2000 for further information. N.me V OYZ-DAv CALF Title fit^-rrl.� // PRINT NAME 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. agree to comply with all City ordinances and State Laws relating to building construction. I hereby authorize representatives of the City of Arcadial to enter upon the above-mentioned property for inspection purposes. Signature Date l i V I V al