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Home My WebLink AboutUntitled .a• Development Services Department al I"'ft 240 West Huntington Drive, Post Office Box 60021 Arcadia, CA 91066-6021 PERMIT NO. B00-055-578 City of (626)574-5416,Fax(626)447-9173 Arcadia Permit Type: Demolition PROJECT TRACT NO. LOT NO. APPLICATION DATE ISSUED BY PRINT DATE PERMIT STATUS 11775 12/8/2016 EP 12:59 12/8/2016 Issued ADDRESS NO. Dir.Prefix Street Name Street Suffix UNIT SLG ASSESSORS PARCEL NO, GEO CODE 412 W Palm Dr 5787-014-016 OWNER MAILING ADDRESS You Wu 412 W Palm Dr PHONE NO, Plan Chk#: IN FILE Arcadia, CA 91007 EMAIL ADDRESS: APPLICANT MAILING ADDRESS G R Martinez Inc. Dba Martinez Dc PHONE NO. EMAIL ADDRESS: ' CONTRACTOWPROFESSIONAL MAILING ADDRESS G R Martinez Inc.Dba Martinez Dew 14164 Joanbridge Street PHONE NO. (626)484-0033 FAX NO. Baldwin Park,CA 91706 EMAIL ADDRESS: License No. 863529 Type: C-21 Expires: 8/31/2017 12:00: TENANT MAIUNG ADDRESS . PHONE NO. FAX NO. DESCRIPTION Demo house and attached garage. Refund demo bond to:JW Pacific 556 W.Las Tunas Dr.#201Arcadia CA 91007 Construction Type 110 a of Units Value Construction Type UOM N of Units Value e* FI�p � 1 , ,� q-?o-l/ 12.Al �4- OCCUPANCY: �L VALUATION: �, ; $0.00 QTY UOM DESC AMT AMT PAID ACCT QTY IIOM DESC AMT AMT PAID ACCT 1.00 each Sr issuance 44.35 44.35 01-3105 ^ 1.00 each Sewer1 cap 15.55 15.55 01-3105 `•�/) 1.00 Flat Demo issue 44.35 44.3501-3107 l 2,408.00 sq fl Demolition 77.78 77.78 01-3107 (7 2,408.00 sq fl Bond-demo 2,408.00 2,408.00 2275 1.00 Flat S W MF 2 1.00 1.00 88-3027 SQA- . 0.-4P a eat % )9--74--I b 4 4 (,) 4!Writ 0. F. Xl T4116 Total Fees: $2,591.03 Balance Due: $0.00 Paid Today: $2,591.03 1� This permit/plan review expires by time limitation and becomes null and void if the work authorized by the Receipt#: 115236 permit is not commenced within 180 days from the date of issuance or if the permit is not 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 122.13 is suspended or abandoned for 180 consecutive days or if no progressive work has been verified by a City of 2275 2,408.00 Arcadia building inspector for a period of 180 consecutive days. 88-3027 1.00 CALLS FOR INSPECTION INSPECTORS'OFFICE HOURS / 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) .F AR __litimiI PERMIT/PLAN REVIEW APPLICATION IP 11EN Se 4:41nr 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(co ncing.with Section 7000,of Division 3 of the Business and rofessions dera�Ihy license is in fuiso .r ems'• - -ct. R� I have and will maintain a certificate of consent to self-insure for workers' icense Class — / ' ense N,/�A J/� Exp. Dah;/' . ' compensation, as provided for by Section 3700 of the Labor Code, for the C / performance of the work for which this permit is issued. nature of Contractor 1/7//71 sir ❑ I have and will maintain workers'compensation insurance,as required by Section OWNER-BUILDE' DECLARATION ❑ 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 weer corn nsatio%rljpsu ranee c r and policy numbers are: Code.Any city or county which requires a permit to construct,alter,improve, Carrier COOP' T ��0 demolish,or repair any structure,prior to its issuance,also required the applicant Policy Number oV�C/ for such permit to file a signed statement that he or she is licensed pursuant to the (Phis 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 0 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, 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 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. €arae / / . (ritle r__•‘;;Le-a-9'4 k— 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 ttthheeaaabove-mentio property for inspection purposes. ((( / Q /- ignattire i/�� "/la I Date <2- �50