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HomeMy WebLinkAboutDEMO-18-1461 "" VE# '• (AP use only) ACCOUNTS PAYABLE CHECK REQUEST 4 if 7 Request Date 09/18/2020 Department DSD - Building c Check Payable to H & C PROPERTY MANAGEMENT, LLC ur: Q _. ' Address 12353 WILSHIRE BLVD City,State,Zip Code LOS ANGELES, CA 90025 INVOICE NUMBER(S) (if applicable) ACCOUNT NUMBER(S) AMOUNT 714-2275 $ 2,121.00 •$ $ $ $ TOTAL CHECK AMOUNT $ 2,121 .00 Reason for Payment: REFUND DEMOLITION BOND TO ABOVE RECIPIENT 1530 S FIRST AVE , DEMO-18-1461 APPROVED BY MUST BE SIG ED BY,AUTHORIZED`SLGNERS} ..,...., > ; _ = a, .. y_.... ,p Signature Date Approved • gtr._ ., .I.tet V, 1� w A Mi :2nd SIGNATURE 1REQUIRED FOR ANY,CA-ECK,,AMOUNT'OVER$2,500_-; l ,.,.,.: ,k r; . .„ <F 4. _.,-� . Signature Date Approved ,40OUNTS PAYABLE:USE ONLY`.- R6 Check here if check is to be Reviewer's Initials returned to Department • VR112019 Pe City of Arcadia, CA rmitNODemo 18 1461_' ! ,i,iivt 4 Development Services Department Permit Type Demolition e '240 West Huntington Drive,Post Office Box 60021 p t k F A `14.':' Work Classification Demo Residential i Arcadia,CA 91066-6021 I (626)574-5416 :AP erg , 4` :Permn.pALus �ISSUed' r R a u e.4 "O/ / Expiration: 04/06/2019 Issue Date 1,' 08 2,,' - L. Addr NO. Dir Prefix Street Name Street Suffix Unit City,State,Zip Parcel Number 1530 S FIRST AVE Arcadia,CA 5781013001 R '.a,-.... C"..4">r"Sw.^R�. :md� .,:=a3.h'�" .�"�, s . . fl.,a a..;.,.. k'Ya;s erra.,.8. 'i'3tl:8 wad C r44C4 e.4*°'t.➢,: ., ,y r� ,'a."fi"AMtsn N#. Tai.: ;..'Yan'4..a, � .°94..�. ^"a,.ro[ Contacts c H AND C PROPERTY MANAGEMENT LLC Owner EMCON CA INC* General Contractor(B) a LLC 12353 WILSHIRE BLVD,LOS ANGELES,CA 90025 16988 MARQUEZ AVE,PACIFIC PALISADES,CA 90272-3246 (310)820-9690 iR.:'aN.' .+",^'Skt5i4K' tii;:iF-Wp'.�r"R5- Y. 1 w :4.0,440.. R.4a,R`4W 04 "b'•Egt :ek&.[A*e �eN'�: Description:DEMO HOUSE/GARAGE IN PREP FOR SF NEW. u Valuation: S 0.00 Tenant REFUND DEMO BOND TO H&C PROPERTY MANAGEMENT,LLC 12353 WILSURE BLVD,LOS ANGELES,CA 90025310-820-9690 Total Sq Feet: 2.121.00 Plan Check# Plan# Fees Amount Payments Amount Paid Bond for Demolition $2,121.00 Total Fees $2,310.28 Demo-Sewer Cap and/or Cesspool Fill $15.55 Cash/Receipt#REC-002522-2018 $2,310.28 Demolition Permit $77.78 Amount Due: $0.00 Demolition Permit Issuance Fee $44.35 Plumbing Permit Issuance Fee $44.35 - .44 Solid Waste Management Fee $6.25 Solid Waste Management Fee 2 $1.00 Total: $2,310.28 (.6)Gelliglillip Ir•i- CALLS FOR INSPECTIONS Irr 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 i I 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 R. � `J consecutive days or if no progressive work has been verified by a City of Arcadia building inspector for a period of 180 consecutive days. 0 14. -r0 'y 'fr` 41 '6 ebgt) 4)4 orktmo Rat\(6, til►'% f J CAA P ,fOctober 08, 2018 � Issued By: Date October 08,2018 Page 1 of 1 v~4 OFF wu0.,, 9 PERMIT/PLAN REVIEW APPLICATION o t> 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 tr;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 rI`''�'Professions Code,and/� my li nseis in full fort and effect. ❑ I have and will maintain a certificate of consent to self-insure for workers' 1�- License Class e5.— r No. 11 2Exp. Date q/30)2� compensation, as provided for by Section 3700 of the Labor Code, for the 4 u Signature of Contractor �j. performance of the work for which this permit is issued. OWNER-BUILDER DCLARATION \7\ •I have and will maintain workers'compensation insurance,as required by Section 63700 of the Labor Code,for theperformance of the work for which thispermit CilI hereby affirm under penal of perjury that I am exempt from the Contractors ''-=it p P • License Law for the following reason(Section 7031.5,Business and Professions is f issued.M workers'compensation insurance carrier and policy num ar Code.Any city or county which requires a permit to construct,alter,improve, +arrier S e_ Co W fe $ i o N 1V•-S4 ace k demolish,or repair any structure,prior to its issuance,also required the applicant li 9 n for such permit to file a signed statement that he or she is licensed pursuant to the !+'Policy Number -I G_ 1. „(This section need not be complied if t permit is for one hundred dollars or less) provisions of the Contractors License Law(Chapter 9(commencing with Section ;s 7000)of Division 3 of the Business and Professions Code)or that he or she is ����., �1., exempt there from and the basis for the alleged exemption. Any violation of O�rIcertify 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 root 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 i -on •become subject to the =^workers'compensation provisions of Section 700 •/the Labor Code,I shall ❑I, as owner of the property, or my employees with wages as their sole ,+gfo; with comply with those provisions. compensation,will do the work,and the structure is not intended or offered for + i©/Q/9 n sale(Section 7044,Business and Professions Code:The Contractors License bate ( �1 1 Sig naturei. 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 thebnrdeh of provin'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):"`'" • L tt"`�1-' '.' :,>- 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 s-- ,., oTitle dprii NAME ;;/I1:certi fy that I have read t -: 1 plication and state that the above information is correct and that I am the owner or duly authorized agent of the owner. :.,f I!!jagree to comply with all C ty o dinances and State Laws relating to building construction. I hereby authorize representatives of the City of IArcadia to enter upon t'e abs e- entioned property for inspection purposes. ,AI 14 r+ Signature Date (1S/6/ ep ' C / �.