The URL can be used to link to this page

Home My WebLink AboutDEMO-19-1929 ACCOUNTS PAYABLE CHECK REQUEST VE# IAP use only) Request Date 12/27/2019 Department DSD - Building Dept. Check Payable to ARC DESIGN AND CONSULTING, LLC CITY OPAddress 4435 ROLAND'AVE ARCADIA City,State,Zip Code EL MONTE, CA 91731 INVOICE NUMBER(S) (If applicable) ACCOUNT NUMBER(S) AMOUNT 714-2275 $ 2,470.00 $ TOTAL CHECK AMOUNT $ 2,470.00 Reason for Payment: Please refund the demolition bond to the above recipient. Permit: DEMO-19-1929 603 W CAMINO REAL AVE APPROVED BY(MUST BE SIGNED BY AUTHORIZED SIGNERS)'. Signature Date Approved 2nd SIGNATURE REQUIRED FDR ANY CHECK AMOUNT OVER$2,500, , s . . ,, Signature Date Approved ACCOUNTS PAYABLE USE ONLY = Check here if check is to be Ii Reviewer's Initials returned to Department V11112019 City of Arcadia, CA • PermirNo.Demo-19-1929 `A�ilt Development Services DepartmentD` (i�—cr\ r'� ▪ ` Permrt Type:Demolition 240 west Huntington Drive,Post Office Box 60021 o s " 1[..r. Work Classification:Demo-Residential Arcadia,CA 91066-6021 : L...1 i Li� L �y�^�+ b `iI (626)574-5416 _,',E.,:- - .PermttStatus:Issued_ ARCADIA IssueDate:10/04/20191 Expiration: Addr NO. Dir Prefix Street Name Street Suffix Unit City,State,Zip Parcel Number ` 1603 W Camino Real Arcadia,CA 5784001021 Air Contacts WAI HON LAI Owner ARC DESIGN AND CONSULTING LLC Contractor 138 FANO ST A,ARCADIA,CA 910066707 4435 ROWLAND AVE,EL MONTE,CA 91731 (626)522-1284 1054674 Description:DEMO HOUSE/GARAGE IN PREP FOR SF NEW. ^Valuation: $ 0.00 Tenant REFUND DEMO BOND TO ARC DESIGN AND CONSULTING LLC 4435 ROLAND AVE EL MONTE CA 91731 2134402120 Total Sq Feet: 2.470.00 Plan Check# Plan# ' Fees Amount Payments Amount Paid Bond for Demolition $2,470.00 Total Fees $2,861.06 Demo-Sewer Cap and/or Cesspool Fill $16.48 Cash/Receipt#REC-02697-19 $2,861.06 Demolition Permit $77.78 - - Amount Due: $0.00 Demolition Permit Issuance Fee $47.01 Double Fee(Building) $$47.01 Plumbing ngg Permit Issuance Fee $47.01 Solid Waste Management Fee 56.25 di/ tO!'JlP1' O Solid waste Management Fee 2 51.00 Total: $2,861.06 (A I`IY.11c/ I I. /4,,,,i�I'V V 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. 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. U SecoEic Col- 0 I 3 r: pea/ V 5C f Lvvat October 04, 2019 ' Issued By: Date October 04,2019 Page 1 of 1. ro4V PERMIT/PLAN REVIEW APPLICATION Ella' 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, :.. my license is in full force and effect. 1:1I have and will maintain a certificate of consent to self-insure for workers' 1 License Class License No. V Z.' Exp. Dateb 4o.�I 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 ��aillr v , ' d 0 I have and will maintain workers'compensation insurance,as required by Section OWNER-BUILDER t ECL• •TION 3700 of the Labor Code,for the performance of the work for which this permit ❑ I hereby affirm under penalty of perjury that I am exempt from the Contractors fs issued. y orke s= ompensation insurance carrier and policy numbers are: License Law for the following mason(Section 7031.5,Business and Professions cI.,,', Code.Any city or county which requires a permit to construct,alter,improve, Carrier J1"NAT I W 3 T el-c/rod permit s demolish,or repair any structure,prior to its issuance,also required the applicant /�/G 3;� 5 for such peit 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 pe tis 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, 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 C�4 >17S1sale(Section 7044,Business and Professions Code:The Contractors License S'� 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. 1:1I, 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.f 1 \J n �•7 are T_ PYI� � ` RN PRAT NAME Tide V 1 " j-ect " rili I nem I certify that I have read this application and state that the above information is c rrect and that I am the owner or duly authorized agent of the owner. I agree to comply all City ordinances and State Laws relating to building construction. I hereby authorize representatives of the City of Arcadia to enter u t on the above-men". :e: :r.9perty for inspection purposes. ' Signature IV Date ( O ` r`f . 1 e\