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Home My WebLink AboutUntitled U • i T<z CITY OF ARCADIA CHECK REQUEST ittir Vendor No. 37 t z7 Date December 10, 2019 (for Administrative Services Only) Q(< -(o Pr°arc Pay to: 856 VOLANTE, LLC 221'!1 12/144, 1032 ENCANTO DR ARCADIA, CA 91007 626-698-5510 Account No. Amount 714-2275 $ 2,240.00 $ $ $ TOTAL $ 2,240.00 Reason for payment. (PLEASE SUBMIT BACKUP IN DUPLICATE) Please process a refund to the above recipient, demo bond DEMO-18-0984 4 856 VOLANTE DR 1 >.s /� a ❑ Check here if check is to be Approved by: returned to Department. BUIIdI /71/ lt Department: li '& ti :"4PermlttJo Demo 18 9984; City of Arcadia, CA ` Development Services Department 1-÷iiitil `s.� Fern it-Type Demolition240 West Huntington Drive,Post Office Box 60021 �,, +o c r i s- x a,; x+ I W*i. ta..._*aaon Demo Resldenhal; Arcadia,CA 91066-6021 tus -�,r ' (626)574-5416 s —-t a is ' .,,, - ? FermttStafus+ISSUefI?; ARCADIA7 - Issue Date 08/21/2018; Expiration: 02/17/2019 Addr NO. Dir Prefix Street Name Street Suffix Unit City,State,Zip Parcel Number 856 Volante DR Arcadia,CA 5776014010 Contacts 856 Volante Dr Llc Owner ORTIZ DEMOLITION INCORPORATED* Earthwork&Paving 856 VOLANTE DR Contractor(C-12) 3045 5 ARCHIBALD AVE H310,ONTARIO,CA 91761 (213)216-4405 Description:DEMO HOUSE/GARAGE IN PREP FOR SF NEW. Valuation: 5 0.00 Tenant REFUND DEMO BOND TO 856 VOLANTE LLC 1032 ENCANTO DR ARCADIA CA 91007 Total Sq Feet: 2.240.00 Plan Check# Plan N 626-698-5510 __. . Fees Amount Payments Amount Paid Bond for Demolition $2,240.00 Total Fees $2,429.28 Demo-Sewer Cap and/or Cesspool Fill $15.55 Cash/Receipt it REC-002092-2018 $2,429.28 Demolition Permit $77.78 Amount Due: $0.00 Demolition Permit Issuance Fee $44.35 Plumbing Permit Issuance Fee $44.35 Solid Waste Management Fee $6.25 Solid Waste Management Fee 2 $1.00 Total: $2,429.28 CALLS FOR INSPECTIONS / Request for Inspection by telephone at 626-574-5450. Leave a message 1.// requesting the address,timeframe and what inspection item is needed. C7/ 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 NIvoid if any work authorized by this permit is suspended or abandoned for 180 COM 1 LES consecutive days or if no progressive work has been verified by a City of I k I 'Arcadia building inspector for a period of 180 consecutive days.i , 1 4 /i /2-//0/1/ • Op August 21, 2018 Issued By: Date August 21,2018 Page 1 of 1 a ,FA• 1 Nil" 1 PERMIT/PLAN REVIEW APPLICATION a ® ft, 0. 4i*' Development Services Department,240 West Huntington Drive, Post Office Box 60021 0m4= " 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 ofessions Cod and my license is in fulll rand effect. qy I have and will maintain a certificate of consent to self-insure for workers' License Class 7/ License No. �-'H y3 Exp. Date V '�'�° compensation, as provided for by Section 3700 of the Labor Code, for the Signature of Contractor �o--� 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 ❑ herebyaffirm under penaltyof perjury3 00 of the Labor Code,for the performance of the work for which this permit that I am exempt from the Contractors ' issued.My workers'compensation insurance carrier and policy numbers are: License Law for the following reason(Section 7031.5,Business and Professions S� -�£��J� Code.Any city or county which requires a permit to construct,alter,improve, barrier demolish,or repair any structure,prior to its issuance,also required the applicant '-'� ( o.%kS 1 for such permit to file a signed statement that he or she is licensed pursuant to the ohcy Number t x`48 th (This section need not be completed if the permit is for one hundreddollazs 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 ❑,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 ifI 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 hose provisions. compensation,will do the work,and the structure is not intended or offered for 81.'U 2 ! sale(Section 7044,Business and Professions Code:The Contractors License Dare ' �VQ 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 emp1oyer.to criminal penalties and civil"lies 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. �+y� (Name t=✓J*% ()An PRINT NAME A Title C�ii- I certify that I have read this application and state that the above information is co ct 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 upon the above-mentioned property for inspection purposes. Q ' • f Signature 1111111131=a Date O �i -fie ny