HomeMy WebLinkAboutMECH-19-1573 A PerrnjtNO.Mech 19 1573
City of Arcadia, CA
I Development Services Department 1 t ' "V . 'Permit Type Mechanical
240 West Huntington Drive,Post Office Box 60021 �� ,� ,` ' "
i Arcadia,CA 91066-6021 K I f, 1,--•'-',4\714..¢"IWork Classification HVAC.Repair/Replace`:;
(626)574-5416 s ` s1 - Permit Status Issued-
A.RCADIA ' Issue Date 08/12/2019.1 Expiration:
Addr NO. Dir Prefix Street Name - Street Suffix Unit City,State,Zip Parcel Number
1116 Arcadia AVE 4 Arcadia,CA 5379022101
Contacts
KANANI,LATA DTR LATA D KANANI Owner W C HEATING&AIR CONDITIONING Contractor
TRUST INC*
1116 ARCADIA AVE 4 41085 GOLDEN GATE CIR,MURRIETA,CA 92562
(951)600-0700 779604
imeassaizeinuralik
Description:REPLACE EXISTING HVAC SYSTEM, PACKAGE ROOF Valuation: $ 0.00 Tenant
TOP UNIT UNIT#4
Total Sq Feet: 0.00 Plan Check# Plan#
,
Fees Amount payments Amount Paid
Compressor 3-5 Ton(3 to 15 hp) $36.35 Total Fees $104.22
Furnace or Burner<=100,000 BTU $19.86 Cash/Receipt#REC-02099-19 $104.22
Mechanical Permit Issuance Fee $47.01
Solid Waste Management Fee 2 $1.00 Amount Due: $0.00
Total: - $104.22
3-zo-zo C
COMPLETED
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CALLS FOR INSPECTIONS
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 12, 2019
Issued By: Date
August 12,2019 Page 1 of 1
A FARC
��
� PERMIT/PLAN REVIEW APPLICATION
, 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 an
Professions Code,and my license is in full force and effect. ❑ I have and will maintain a certificate of consent to self-insure for workers'
License Class 2O License No. ‘0v I( Exp. Date / ' G compensation, as provided for by Section 3700 of the Labor Code, for the
Signature of Contractor performance of the work for which this permit is issued.
OWNER-BUILDER DECLARAT arh-Fie-T—nd will maintain workers'compensation insurance,as required by Section
❑ I hereby affirm under penalty of perjury that I exempt from the Contractors 3700 of the Labor Code,for the performance of the work for which this permit
is issued.My rkers'compensation
License Law for the following reason(Section . , usmess and Professions nsuranc andpolicy 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 ❑ 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, or my employees with wages as their sole forthwith c mply w'th those provisions.
compensation,will do the work,and the structure is not intended or offered for -( `(�L q
sale(Section 7044,Business and Professions Code:The Contractors License Date 2[[�� / 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 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.
Name Title
eA
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 o ances and State Laws relating to building construction. I hereby authorize representatives of the City of
Arcadia to enter upon the above entioned property for inspection purposes.
Signature Date _ �'l ;"
City of Arcadia, CA PermitNO..Mech 19-2367,
Development Services Department ) — ` .Permit Type Mechanical
Is/
240 West Huntington Drive,Post Office Box 60021 fE, ' alt,
ti I'� 1,1j1 iV>ork ClassificatioMn HVAC,Repair/Replace',
° Arcadia,CA 91066-6021 ��
y -
(626)574-5416
Permit Status:;Issued
ARCADIA Issue`Date _11/21/2019:I Expiration:
Addr NO. Dir Prefix Street Name Street Suffix Unit City,State,Zip Parcel Number
1116 ARCADIA AVE NO 4 Arcadia,CA 91007-7005 5379022101
Contacts
KANANI,LATA D TR LATA D KANANI Owner W C HEATING&AIR CONDITIONING Contractor
TRUST INC*
1116 ARCADIA AVE 4 41085 GOLDEN GATE CIR, MURRIETA,CA 92562
(626)445-2807 (951)600-0700 779604
Description:REPLACE 10 DUCTS. HERS REQUIRED FOR FINAL Valuation: $ 0.00 Tenant
Total Sq Feet: 0.00 Plan Check# Plan#
Fees Amount payments Amount Paid
Add/Alter Ducts $99.40 Total Fees $147.41
Mechanical Permit Issuance Fee $47.01 Cash/Receipt#REC-03155-19 $147.41
Solid Waste Management Fee 2 $1.00
Amount Due: $0.00
Total: $147.41 -
3-zo-
�rJAL �ksfe-
COMPLETED
CALLS FOR INSPECTIONS
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.
4/47'
November 21, 2019
Issued By: Date
November 21,2019 Page 1 of 1
O~4 oFF Rv�AR,9d�
PERMIT/PLAN REVIEW APPLICATION
IEEEB
"EyDevelopment 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
Professions Code,and my license is in fullulforceorand effect. ❑ I have and will maintain a certificate of consent to self-insure for workers'
License Class C- License N6T 7 (()I/ Exp. Date compensation, as provided for by Section 3700 of the Labor Code, for the
Signature of Contractor performance of the work for which this permit is issued.
OWNER-BUILDER DECL•)1. kavemtd wiIl-maintain workers'compensation insurance,as required by Section
IDI hereby affirm under penalty of perjury th. • -.- •t from the Contractors 3700 of the Labor Code,for the erformance of the work for which this permit
License Law for the following reason(Section 7031.5,Business and Professions is issued.Mykl�elrs'corn ation insurance carrier and policy numbers are:Code.Any city or county which requires a permit to construct,alter,improve, Carver `J
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 ❑ 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, or my employees with wages as their sole forthwith(complywith those provisions.
compensation,will do the work,and the structure is not intended or offered for y �( Signature
sale(Section 7044,Business and Professions Code:The Contractors LicenseDate
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 improvement's aze•not intended or offered for WARNING: Failure to secure Workers'Compensa i:. I'erage is unlawful,
sale.If,however,the building or improvenient 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
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.
Name ✓ Title
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 rdinances and State Laws relating to building construction. I hereby authorize representatives of the City of
Arcadia to enter upon the above entioned property for inspection purposes.
Signature Date (//V%
P1.,;312k1'*
CY yr\J
•
4, e.rvu r.rror
AFFIDAVIT SELF-CERTIFICATION
FOR COMPLIANCE:OF SMOKE ALARMS
AND CARBON MONOXIDE ALARMS
Property Address: i t 1 4.. Af -L `f A-tz-casWk- Cz4 9 ,a-G7
Permit Number: rz36 7 .
Brief Job Description: - . N.. c!� 1-tv11-
Number of smoke alarms installed: .
Number of carbon monoxide alarms installed:
When alterations; repairs or additions requiring a permit occur, or sleeping rooms are created,
Smoke alarms shall be installed in each sleeping room, and outside each separate
sleeping area in the immediate vicinity of the bedrooms, and on each additional story of the
dwelling, including basements and habitable attics as required by Section R314 of the 2016
California Residential Code (CRC) and California Health and Safety Code Section 13113.7.
For dwellings or sleeping units containing fuel burning appliances or.havirig attached
garages, carbon monoxide alarms shall be installed outside each separate sleeping.
area in the immediate vicinity of the bedrooms, and on each additional story of the
dwelling, including basements as required by Section R315 of the of the 2016 California
Residential Code (CRC).
Multi-purpose alarms (combination carbon monoxide and smoke alarms) may be used.
All alarms shall comply with requirements for listing and approval by the Office of the State Fire
Marshal. http://osfrn,fire.ca.qov/licensinclistinos/licenselistinq bml searchcotestphj
As owner of the above referenced property; l hereby certify that the smoke alarms and carbon
monoxide alarms have been installed in accordance with the manufacturer's instructions and in
compliance with the code sections referenced above.
I declare under penalty of perjury that the foregoing is true and correct, and.that this
declaration was executed on (Date) c/ 2m � at Arcadia, California.
Owner's Name (printed/typed): Lr -
Signature of Owner: O
This affidavit must be returned to the City of Arcadia inspector prior to final inspection
Crest Roo mt E ,1. ;at[ii oun
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"11j• Citi igr
Fl-Si' FLOOR PLAN
CI tg SMOKE ALARM o~:CARSON MONOXIDE ALARM
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- . To—,, Master Bedroom
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Dining Room Kitchen :.--
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Closet . . .
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_..--7.7 ."...5- :: SECOND FLOOR PLAN
(-, m SMOKE ALARM E CARBON `,,ONOX P ALARM