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Home My WebLink AboutUntitled C k City of Arcadia, CA Permit NO. Demo-19-1780 I Development Services Department J ,Ir E~-,. , i � ', . Permit Type:-Demolition I 240 West Huntington Drive,Post Office Box 60021 I t , i Arcadia,CA 91066-6021 i• 1`z i 1� .` I t '- Work Classification:Demo/Pool (626)574-5416 Permit Status:Issued ARCADIA - - - issue Date:$/05/2019- Expiration: 03/03/2020 Addr NO. Dir Prefix Street Name Street Suffix Unit City,State,Zip Parcel Number ` 401 Ilene DR Arcadia,CA 5780003025 Contacts PUKALE,AMAR K CO TR PUKALE Owner Earthworks Engineering Contractor PASUPULETI FAMILY TRUST 854 N White AVE,Pomona,CA 91768 401 ILENE DR (909)519-6754 1031142 Description:DEMO IN GOUND POOL Valuation: $ 0.00 Tenant Total Sq Feet: 0.00 Plan Check# Plan# Fees Amount Payments Amount Paid Demolition Permit(Pool/Spa Backfill) $53.00 Total Fees $106.26 Demolition Permit Issuance Fee $47.01 Cash/Receipt#REC-02378-19 $106.26 Solid Waste Management Fee $6.25 Amount Due: $0.00 Total: $106.26 LS a th4 1 COMDLHED II,Z1_' 1 CALLS FOR INSPECTIONS fl/LI r?. J I tt-�' _W I Request for inspection by telephone at 626-574-5450. Leave a message ql�r (i (f(J� (� yrequesting 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. September 05, 2019 Issued By: Date September 05,2019 Page 1 of 1 • 'R Y ).1' PERMIT/PLAN REVIEW APPLICATION ___ 111"4T 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 4/LIENSED CONTRACTOR'S DECLARATION WORKERS'COMPENSATION DECLARATION ereby affirm under penalty of perjury that I am licensed under provisions of I hereby affirm under penalty of perjury one of the following: apter 9(commencing with Section 7000,of Division 3 of the Business and Professions Co e,and my license is in full fortd effect. IDI have and will maintain a certificate of consent to self-insure for workers' License Class license No.I 42' Exp. Date $0 ?CI compensation, as provided for by Section 3700 of the Labor Code, for the Signature of Contractor 4411111 performance of the work for which this permit is issued. OWNER-BUILDER DECLARATION IDI have and will maintain workers'compensation insurance,as required by Section 1:1I 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 for 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 et, 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 comply 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 Daze S e?to-� 1 Signature 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 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 Date5 CeR cl 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. 1 / Name �.s rM1S I'�r �-! Title ��/`j�^e 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 the above-mentioned prop for inspection purposes. Signaturr"---a__ Date (7 1 chl /p 4 PROPERTY LINE SPA EQUIPMENT \--------- - - PLANTERS J )--D O SPA TO BE / GRASS 10 10 DEMOLISHED • 3` 8 11 12 COVERED PATIO 7 CONCRETE PATIO 6 1 PROPERTY T 1 . inivic 1cipzegskr,CAnr.A DRIVEWAY Development Services Department APPROVED• This set or i'l ;c" ,pccilicatiuns st be kept on the lull 111 .111 !(m1',anti 1111 c 1•, ge;i or alterations r'. . 41•(`•t. the Building Division. • 11 . pl 111 Mil RE(KNITFkd not I1• '•: ;r I!; 1, • . ,11 .fpinuvalOrthe violation .44_ -.4:4.%_4_h-.+s:(h4.t meo n1'statL.I:.w N SCALE 1" = 10'-0" 401 ILENEDR EARTHWORKS ENGINEERING ARCADIA SPA DEMOLITION 9-4-2019 LIC 1031142