Loading...
HomeMy WebLinkAboutUntitled City of Arcadia, CA - - Permit NO MEP-P-2246- v i Development Services Department ,mss+ s"v-� _ PermftType MEP 'f3 240 West Huntington Drive,Post Office Box 60021 Ga p� ca - -s_,KI t' ">•�' Arcadia,CA 91066-6021 :' i )'k work cfossificafion MEP Colnmercig (626)574-5416 _ - Penni(Status:'Issued' ARCADIA issue.Date 11/26/2019.1 Expiration: Addr NO. Dir Prefix Street Name Street Suffix Unit City,State,Zip Parcel Number 11921 GOLDRING RD Arcadia, CA 91006-5882 8532015013 Contacts - •^^-�- ^ ._ W H W INC Owner INNOVATIVE MAINTENANCE&REPAIR Contractor 11921 GOLDRING RD INC* 12904 HASTER ST,GARDEN GROVE,CA 92840 (714)980-1998 916706 Description:INSTALL BOILER (50HP)IN SAME LOCATION. Valuation: $ 0.00 Tenant Total Sq Feet: 0.00 Plan Check#19-2246 Plan B 181 ,.m. .....��m.,...- ...+a.. ..,... ....ate.:: Fees Amount payments Amount Paid Compressor 31-50 hp $74.44 Total Fees $281.01 Gas System(Outlets) $15.55 Cash/Receipt N REC-03206-19 $281.01 Mechanical Permit Issuance Fee $47.01 Plan Check,Per Hour $95.00 Amount Due: $0.00 Plumbing Permit Issuance Fee $47.01 ' Solid Waste Management Fee 2 $1.00Solid @�p p0y, ttyt��_ Total: Management Fee 2 $1.00 $281.01 i O� ��,�N We-23'41 CALLS FOR INSPECTIONS Request for inspection by telephone at 626-574-5450. Leave a message FIA I/LL_ 5t. Vi".�_I 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. 4 November 26, 2019 Issued By: Date November 26,2019 Page 1 of 1 •FA• +!� PERMIT/PLAN REVIEW APPLICATION •4 lii ip •,4f1- Development Services Department,240 West Huntington Drive,Post Office Box 60021 \ /a 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: p/ hapter 9(commencing with Section 7000,of Division 3 of the Business d Professio9ode.•artd my license is in full force and effect. ❑ I have and will maintain a certificate of consent to self-insure for workers' License las ' //�JJGGL�t) Lice allo. �i 7� xp. Da �° compensation, as provided for by Section 3700 of the Labor Code, for the Signature of Contractor (1tI ��' performance of the work for which this permit is issued. • OWNER-BUILDER DE r LARATION 0 I have and will maintain workers'compensation insurance,as required by Section 0 I hereby affirm under penalty •f perjury that I am exem, 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 policy Number 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 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 for11 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 additionto 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 Ifurther information. y Vame /���`-��v �4-64 `S 1(e cJ✓f/ hie Mfi I (J--e-✓�-7 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 enteruplo the -mentioned property for inspection purposes. �J \signamreeiy /�/- (Date �7 • INSPECTION CONSULTING SERVICES P.O.Box 2047•West Covina,CA 91793-2047 • J Serving Southern California Phone(626)9264236 �- - INSPECTION REPORT icsinspection@yahoo.com tweeter Nems Job Number Delo M T F SS en ILO /2 - 17 • 19 Job Name Burd Parma Number//OSA/OBHPO App.Fao JUMbon LA Ca-�CO .CNNC pntP-- E'< t4 - ZzH� A*Cat Address General o tDIN( G til e �� t�l Anieetl Eng14°' Sib Canbeao,(II Any) • REQUIREMENTS:Limit of one job number,one permit number per sheet Identify all work by type end SPECIFIC location. Non-Compliant work must be specifically Identified.Communication(RFI Sketch,etc.)voiding previous non-compliant Items must be listed. Record conversations and communication with protect designers.building and permit granting authority officials. • Hours • REGULAR 1.5 X 2 X Mileage: ..1 Expenses: ❑Reinforcement ❑Concrete 0 Masonry ❑ Prestress Post Ten 0 Fireproofing ❑ Structural Steel ' l3Epoxy ❑Other Description of Work Inspected /s.(Jry4-Lt_Avri O F lz/ rtf-tt i°rDC b retcfs t.n r 5- • c:nt F3�r J, it'i n+ /'h L ,-r H . -"- Hi zoo SCC ES t2 31 8 7 Loc art o frr SRS;- 6 .= NS ••••.! 134- ILuciQ LOC-e co INCL. 6. 7 Umar I&- 1 • • Mix Used Design PSI Cubic Yards Specimens Certification of Compliance I declare under penalty of perjury that all of the above statements All Inspection based on a minimum of 4 hours and over 4 are true, and that of own personal knowledge that the work hours-8 hour minimum.In addition,any Inspection extending during the period covered by this report has been performed past noon will be an 8 hour minimum.If Inspector is called to • and installed In every material respect in compliance with the a project and no work performed, a 2 hour minimum will be approved plans,specifications and all applicable codes applied. Inspector Name: II I CS-1"P F L. t P' Approved/Authorized by: Inspector Signature: � (Project Superintendent) InspectorlD's f`0 S S I S TCC Submitted By: (Inspection Consulting Services) Page: of: • Scanned with Can Scanner