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Home My WebLink AboutUntitled (2) 1 City of Arcadia, CA PermitNO MEP-19-1430'' Development Services Department :-.2,1' D i -v"'�, - it_ _ Permit Type:MEP II 240 West Huntington Drive,Post Office Box 60021 P "r 1) _ ' '`. o Arcadia,CA 91066-6021 ', 1 t `.-- t ! ) ')Warracssificotion•MEP-Residential ( (626)574-5416 - Permit Status:Issued iARCADIA issue-Date a7 26/2019.1 Expiration: Addr NO. Dir Prefix Street Name Street Suffix Unit City,State,Zip Parcel Number 243 W Magna Vista AVE 5784023040 _.—. .. - ._ - _ _ _ _. Contacts _ s VI HONG Owner P T Anchor Construction& Contractor 243 MAGNA VISTA AVE Development,Inc. (213)880-6219 5218 Village Circle DR,Temple City,CA 91780 (626)636-5867 940947 Description:REMODEL KITCHEN,WOK RM AND WET BAR, Valuation: $ 0.00 Tenant REPLACE SINK IN POWDER RM Total Sq Feet: 0.00 Plan Check# Plan# Fees Amount Payments Amount Paid Bar Sink 513.21 Total Fees $157.01 Electrical Permit Issuance Fee $47.01 Cash/Receipt#REC-01920-19 $157.01 Kitchen Sink $26.42 Amount Due: $0.00 Lavatories $13.21 4 Outlets-Receptacles&Switches $8.15 Plumbing Permit Issuance Fee $47.01 Solid Waste Management Fee 2 $1.00 Solid Waste Management Fee 2 $1.00 Total: $157.01 CALLS FOR INSPECTIONS Z�{� Y ej.44 l��,e,t 4 g� reser Request for inspection by telephone at 626-574-5450. Leave a message 7- G G requesting the address,timeframe and what inspection item is needed. F This pif the work uthreviori expiresbbtime t limitationooand need es oll and (0-24—ii /p(/JL 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 v cid if any work authorized by thisive permit work ishas suspendedbeen orverified abandoned forof 180 Zif fljr,'321 Ir ays or if no progressby a City pector for a period of 180 consecutive days. July 26, 2019 Issued By: Date July 26,2019 Page 1 of 1 , : 1 PERMIT/PLAN REVIEW APPLICATION c. or Development Services Department,240 West Huntington Drive, Post Office Box 60021 , oramoo. ,N" Arcadia, CA 91066-6021, (626) 574-5416, Fax (626) 447-9173 City of i Arcadia ICENSED CONTRACTOR'S DECLARATION WORKERS'COMPENSATION DECLARATION Ili hereby affirm under penalty of perjury that I am licensed under provisions of I hereby affirm under penalty of perjury one of the following: capter 9(commencing with Section 7000,of Division 3 of the Business and ofessions Code,a d my license is in full force,(� pand effect. I have and will maintain a certificate of consent to self-insure for workers' ense Class License No 'C°/4'/ Exp. Date /�d+/. ! compensation, as provided for by Section 3700 of the Labor Code, for the performance of the work for which this permit is issued. • namre of Contractor OWNER-BUILDER DECL TION 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 ctti-f(7• fu i+U� demolish,or repair any structure,prior to its issuance,also required the applicant Policy Number (l 0 )/e 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 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 f 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 forX' ( 9 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.asprovided 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). _ 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: I. 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.or Name l t.. H(4• Y' 1Title PRINT NAME Irtify 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 gree to comply with all City ordinances and State Laws relating to building construction. I hereby authorize representatives of the City of Acadia to enter upon the above-mention roperty for inspection purposes. /q%. S' nature Date /