HomeMy WebLinkAboutPLUM-19-2453 City of Arcadia, CAii '� PermrtNo Plum 19 2453
',KT:PAKto ° Development Services Department �, � w Permit Type PlUmbing
240 West Huntington Drive,Post Office Box 60021
, Arcadia,CA 91066-6021 r o ` a 11s ' Work,Casslfication Water Heater
(626 574-5416 '''' r` ,- far Permit Status Issued°�
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A CA D
IhtIssuefiDate 12/09/20191 Expiration:
Addr NO. Dir Prefix Street Name Street Suffix Unit City,State,Zip Parcel Number
1137 - FAIRVIEW AVE NO D Arcadia,CA 91007-7060 5379029027
Contacts
LANI MUCHE Owner A.R.S./Rescue Rooter* Contractor
1137 FAIRVIEW AVE D 706 W Arrow Grand CIR,Covina,CA 91722
(213)458-0189 (626)858-9284765155
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Description:REPLACE WATER HEATER IN SAME LOCATION . a Valuation: $ 0.00 Tenant
i
Total Sq Feet: 0.00 Plan Check# Plan#
Fees Amount Payments Amount Paid
Plumbing Permit Issuance Fee $47.01 Total Fees $63.56
Solid Waste Management Fee 2 $1.00 Cash/Receipt#REC-03284-19 $63.56
Water Heater and/or Vent $15.55
Amount Due: $0.00
Total: $63.56
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CALLS FOR INSPECTIONS
Request for inspection by telephone at 626-574-5450. Leave a message
gczeiv£p
54b es pE7 C7. A P,4Uu-s 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
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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.
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December 09, 2019
Issued By: Date
December 09,2019 Page 1 of 1
FA C
�_ PERMIT/PLAN REVIE APPLICATION
ilia 11
oiggm Development Services Department,240 West Huntington Drive,Post Office Box 60021
...thy of N° Arcadia, CA 91066-6021, (626) 574-5416, Fax (626)447-9173
City of
Arcadia
LICENSED CONTRACTO' S DE ARATION WORKERS'COMPENSATION DECLARATION
❑ I hereby affirm under penalty of p. ry that i amlicensed under provisions of I hereby affirm under penalty of perjury one of the following:
Chapter 9(commencing with Sect•.n 7000, s ivision 3 of the Business and
Professions Cod/ee� annd my license n full : ce and effect. ❑ I have and will maintain a certificate of consent to self-insure for workers'
License Class t__3 Lic o %I S Exp.' Date 3('20
Signature of Contractor Vcompensation, as provided for by Section 3700 of the Labor Code, for the
performance of the work for which this permit is issued.
� -�
WNER-BUILDER DECLARATION ❑ I have and will maintain workers'compensation insurance,as required by Section
IDI hereby affirm under penalty of perjury that I a pt 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 abd Professions is issued.My orkers'compensation insu pnce carrier and policy numbers are:
Code.Any city or county which requires a permit to construct,alter,improve, Carrier (.t lo all HA-0
demolish,or repair any structure,prior to its issuance,also required the applicant 6447- (a31)-SC�3f(v'31 - 01 ef
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 ❑II certify that in the performance of the work for w '. this p 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 .me : bj i to the workers'
penalty of not more than five hundred dollars($500)): compensation Laws of California,and agree th. .sho d b: ome subject to the
workers'compensation provisions of Sectio 00 o 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 for j 2 • / 'IC( Signature �,
sale(Section 7044,Business and Professions Code:The Contractors License Date 1
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 % -rage 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
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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.
ame_IYJY iAT WO rre',16,01 Title
.,f NAME
I ertify that I have rea f is ap! on and state that the above information is co ect and that I am the owner or duly authorized agent of the owner.
I agree to comply wit' all Ci I, . dinances and State Laws relating to building construction. I hereby authorize representatives of the City of
Arcadia to enter upo• he ab i •-mentioned property for inspection purposes.
ignature Date /2 L
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�:44.013,1
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AFFIDAVIT SELF-CERTIFICATI+N
FOR Cie PLIANCE OF SMOKE ALARM
AND.0 r;;-; ,•N MONOXIDE ALARMS
Property Address: 11.3 - IF-i kevi e,,J . 1).4,,a:
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Permit Number: P4.4-701 II ars-3
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Brief Job Description: s-{-14A -ova oc k A ,rm.5 + .t c-i +•» • s c-0 " "
Number of smoke alarms installed: 3$4
Number-of carbon monoxide alarms installed: i -
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.
:4 For dwellings or sleeping units containing fuel_burning appliances or having 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://osfm.fire.ca.qov/licensinalistinas/licenselisting bml searchcotest.php
As owner of the above referenced property, I 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.
l declare under.p•;pasty of perjury that the foregoing is true and correct, and that this
declaration was executed on (Date) /e, n-zz.44w �wa. o_. at Arcadia, Calf ,rniae
Owner's Name (printed/typed): L.-' i M kA-4-f+c5
Signature of 'caner: (;� i� 1
This affidavit must be returned to the City of Arcadia inspector prior to final inspection
pjggio Augm ARusAgammgmmE ALO6I LOCATORS,
Guest Room j0
Bathrouri
Storage
ita In IN' Roam - •
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Garage
FST
FLOOR PLAN .
SRtiOKE ALARM 111 CARBON MON*X1DE ALARM
I _
s r
Bath
ro
Master Bedroom
Dining Room kitchen •
13atli
Closet
Hall 0 ti
' Closet
mom - — Closet 1 _
Family Room owl - -
_
-', Bedroom Bedroom
• SECOND FLOOR PLAN
• SMOKE ALARM CARE*N MONOXIDEARM