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Home My WebLink AboutUntitled A $'ir City of Arcadia, CA . - Permit NO. Plum-19-1672 Development Services Department J - r' ` -rr.^x --ui permit Type:Plumbing 240 West Huntington Drive,Post Office Box 60021 1r" ('+�-Ardia,cA 91066-6021 t� ,.\�+� u ,yWorkClassiiication Plumbing Commercial (626)574-5416 _ - - Permit Stdtu;:'Issued ARCADIA I sueDate:o8/22/20191 Expiration: Addr NO. Dir Prefix Street Name Street Suffix Unit City,State,Zip Parcel Number h 1101 W Huntington DR Arcadia,CA 5777038012 Contacts H MART Owner SHAFER PLUMBING' Contractor 1101 W Huntington DR,Arcadia,CA 1787 N GREENGROVE ST,ORANGE,CA 92865 (951)684-6006 579269 Description:2 FLOOR SINKS PER APPROVED PLANS FOR HMART Valuation: $ 0.00 Tenant Total Sq Feet: 0.00 Plan Check stoic Plan# A Fees Amount payments Amount Paid Floor Sink $26.42 Total Fees $74.43 Plumbing Permit Issuance Fee $47.01 Cash/Receipt#REC-02222-19 $74.43 Solid Waste Management Fee 2 $1.00 - -- - Amount Due: $0.00 Total: $74.43 0 COPLE TED u/q 42 Lwt it Cf 4pP/lo v. 8.2,4 9,- p CALLS FOR INSPECTIONS \iAJ l_ uQ' 78 4 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. August 22,2019 Issued By: Date August 22,2019 Page 1 of 1 A. I ,;:;, I' PERMIT/PLAN REVIEW APPLICATION J. ilz ft y4 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 k. Professions Code,andmy license is in full force and eff t ❑ I have and will maintain a certificate of consent to self-insure for workers' License Class&-'J4/- License No.`if cy�P. Date compensation, as provided for by Section 3700 of the Labor Code, for the Signature of Contractor f 3 I 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 ❑ 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 workers'compensation ^insurance carrier and policy numbers are: Code.Any city or county which requires a permit to construct,alter,improve, Carrier f 4'Y 4 -TA/ 1 demolish,or repair any structure,prior to its issuance,also required the applicant Policy Number is,N f 7L�-f 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 ❑ I certify that in the performance of the work for which this pennit 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 mom 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 s• tP ❑I, as owner of the property, forthwith comply with those provisions. / /� or my employees with wages as their sole //�� p compensation,will do the work,and the structure is not intended or offered for Date —D ' '' / Signature .i�/� datesale(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($100,000),in addition to the cost of compensation, did not build or improve for the purpose of sale). damages as provided for in Section 3706 of the Labor Code, interest, and attomey's fees. ❑I, as owner of the property, am exclusively contracting with licensed contractors to construct the project(Section 7044,Business and Professions Code:The Contractors License Law does not apply to an owner of property CONSTRUCTION LENDING AGENCY who builds or improves thereon,and who contracts for such projects with a I hereby affirm under penalty of perjury that there is a construction lending agency contractor(s)licensed pursuant to the Contractors License Law). for the performance of the work for which this permit is issued (Section 3097, Civil Code). 0 I am exempt under Section 7044,Business and Professions Code,for this reason: Lender's Name Date Signature Lender's Address IMPORTANT: APPLICATION IS HEREBY MADE TO THE BUILDING OFFICIAL FOR A PERMIT SUBJECT TO THE CONDITIONS AND RESTRICTIONS SET FORTH ON THIS APPLICATION AND THE FOLLOWING: 1. The City's approved plans and permit inspection card must remain on the job site for use by City inspection personnel. 2. Final inspection of the work authorized by this permit is required.A Certificate of Occupancy must be obtained prior to use and occupancy of new buildings and structures. 3. Per South Coast Air Quality Management District(AQMD)regulations,renovation and remodeling work that results in the removal,stripping,or altering of asbestos containing materials requires an asbestos survey and removal prior to disturbing the asbestos.Please contact AQMD at(909) 396-2000 for further information. ��7 \Name_7V . STitle _ )):$ p Sar I certify that I have read this application and state that the above in ormation 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 La::Dieing to building construction. I hereby authorize representatives of the City of Arcadia to enter up,/ a a.ab' e-mentioned •ropertyfo {r on purposes. \ina �% � Date 2-2 ' c - ��/ 1 w'••"�. City of Arcadia 240 West Huntington Drive ELECTRICAL - MECHANICAL - PLUMBING •� —'- • Arcadia, CA 91006.6021 PERMIT WORKSHEET �.: (626) 574-5416 BUILDING ADDRESS 1101 Huntington Dr.,Arcadia, CA 91007 _ DESCRIPTION OF WORK Install rough plumbing below grade, provide & install (2) floor sinks SQUARE FEET TYPEOFCONSTRUCTION Tenant Improvement VALUATION OWNER NAME PHONE ADDRESS CITY STATE - ZIP APPLICANT NAME Shafer Plumbing Contractors-Steven D. Shafer PHONE 714-974-9448 ADDRESS 1787 N. Greengrove St. CITY Orange STATE CA ZIP 92865 CONTRACTOR RSVC Company PHONE 951-684-6006 ADDRESS 891 Iowa CITY Riverside STATE CA ZIP 92507 STATE LICENSE NO. 579269 LICENSE CLASS C36 EXPIRATION DATE 10/31/1 9CITY LICENSE NO. ELECTRICAL SYSTEM PLUMBING SYSTEM #of Units Description (Additions,Commercial,Industrial) #of Units Description Temporary Power Pole: #of Panels Bathtubs Services Size Showers Outlets(Receptacles,Switches) Fixtures: Water Closets Motors HP Each: Lavatories Subpanel Size Bidet Sign Branch Circ. Kitchen Sinks Pool Wiring Dishwashers I Miscellaneous Sq.Ft.Area New Res.Bldg. Sq.Ft.Area New Res. Garbage Disposals Accessory Bldg. 2 Floor Sink MECHANICAL SYSTEM Floor Drain #of Units Description FAU to and including 100,000'BTU - Laundry Trays I FAU over 100,000 BTU Clothes Washers Floor/Wall/SUSR/Heater Grease Trap Pre-Fab Fireplace Gas Systems-#outlets Kitchen Exhaust Hood Shower Pan Replacement Ventilation Fan including duct(COM and IND only) Boiler/Compressor to and including 3HP Swimming Pool Piping "p"trap Boiler/Compressor over 3HP to 15HP Pool Water Heater Boiler/Compressor over 151-P to 30HP Water Heaters • Boiler/Compressor over 30HP to 50HP Sewer Connections • Boiler/Compressor over 5OHP to 1.75HP Lawn Sprinkler System Air Handler to and including 10,000 CFM Miscellaneous Air Handler over 10,000 CFM Relocate/Add Registers or Ducts Evaporative Cooler Miscellaneous