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RALT-20-0427
,; ' i 4��� p " 414.7*,,,,,: ' Pe,•;rnitNO.RALT 20 0427: i,,,.3.,$:,;11,4,447,4714,i, City of Arcadia, CA � r �� � t� , Development Services Department + s P ,' Permit type Residential Addtt�on/Alterat,on k 240 West Huntington Drive,Post Office Box 60021 1 / "' 0 r:o r x a g � {,� Arcadia,CA 91066-6021 L k7,-...4,1 a F ) ( 0 4Wol'kVisi.ssrflcabon Res Remodel )n -�1 (626)574-5416 ` < a W PC . .ISSu'ed c , " r ,. '.' ::- ARCADIA IsueDate o3/1 /zo20 Expiration: Addr NO. Dir Prefix Street Name Street Suffix Unit City,State,Zip Parcel Number 7, 411 S OLD RANCH RD Arcadia, CA 91007-6229 5777024013 Contacts LU,WANGE AND DANG,WEI Owner 411 S OLD RANCH RD (626)354-0759 . Ty Description:REMOVE NON LOAD BEARING WALL BETWEEN Valuation: $ 2,000.00 k Tenant KITCHEN AND ISLAND,REMODEL KITCHEN ADD NIEW ISLAND Total Sq Feet: 0.00 Plan Check# Plan it A Fees Amount payments Amount Paid Building Issuing Fee $47.01 Total Fees $797.90 Building Permit Fees $103.65 Cash/Receipt#REC-04096-20 $797.90 Building Plan Review Fee $67.38 Cal Green Plan Check $6.74 Amount Due: $0.00 Dishwasher $13.21 Double Fee(Building) $346.15 Electrical Permit Issuance Fee $47.01 iiii COMPLETED Energy Plan Review Fee $20.73 Garbage Disposal Fee $13.21 Green Building Standard $1.00 Install,Relocate Appliance Vent/Hood $9.94 CALLS FOR INSPECTIONS Kitchen Sink $13.21 Request for inspection by telephone at 626-574-5450. Leave a message Light Fixtures $1.63 requesting the address,timeframe and what inspection item is needed. Mechanical Permit Issuance Fee $47.01 Outlets-Receptacles&Switches $3.26 Plumbing Permit Issuance Fee $47.01 This permit/plan review expires by time limitation and becomes null and Solid Waste Management Fee $6.25 void if the work authorized by the permit is not commenced within 180 days Solid Waste Management Fee 2 $1.00 from the date of issuance or if the permit is not obtained within 180 days Solid Waste Management Fee 2 $1.00 from the date of plan submittal.This permit expires and becomes null and Solid Waste Management Fee 2 $1.00 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 Strong Motion Inst.Program Res $0.50 Arcadia building inspector for a period of 180 consecutive days. Total: $797.90 -, I NJ �L71 o L l t'� aON a E'041-. b A-0-ESS '-j..1At_ Itispc�.�4o„b o>Jt``1 . No n 5� March 11, 2020 Issued By: Date March 11,2020 Page 1 of 1 OF ARc 4°puao8,v.'9�r 7 PERMIT/PLAN REVIEW-APPLICATION 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 0 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 full force and effect. 0 I have and will maintain a certificate of consent to self-insure for workers' License Class License No. Exp. Date compensation, as provided for by Section 3700 of the Labor Code, for the performance of the work for which this permit is issued. Signature of Contractor OWNER-BUILDER DECLARATION ❑ 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 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 subjec.to the workers' penalty of not more than five hundred dollars($500)): compensation Laws of California,and agree that if I should be•rme sub'% to the • workers'compensation provisions of Section 3,,10 of the/L bor C d:,I shall ❑I, as owner of the property, or my employees with wages as their sole f with comply with those provisions. compensation,will do the work,and the structure is not intended or offered for D to 3 -7(170�' Signature sale(Section 7044,Business and Professions Code:The Contractors License 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 L. ). 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 /de,for this reason: Lender's Name oz--//-2D ) Sinature , Lender's Address ORTANT: 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. f in e 11 G,..' • r Title PRINT NAME I certify that I have read this applicatio r i 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 Cit/i rd' nces and S . e aws relating to building construction. I hereby authorize representatives of the City of A dia to enter upon the abo A ent 'ned prope ' for inspection purposes. ature ` Date 3 - /- 7,0 2t) . E.] . . : .. , R ' 1 co• 0 Z . . • • . 0 o . l L, . . 21' • ND. 19` r � o o ,,7 ' I ••12' to © . to HOZ — 3846 ,.. m !=: 41* 01- i . flllwAtsik.-. ' __� td 1,51 6' - $ .9i I .. ra ,.: 0.1 es o .(Di .4 . . . c Cl CITY OF ARC'AI)IA S. Development Services Department - .. .,... ,,..'" • This set aplatin and specifications must-he kept l• on the job at all times y d rechanges or alterations ) �, shall he math:c at•cpt h"the Building Division. • The Stamping of this plan and specification shall not be held to permit or Er.k an approval of the violation ot•any pro%isior,s.of aU\ cite ordinance or state law ' • r ,•,) , . , • > • —h .i; (D -1 - . . . • . . • . . . . . 20* NJ 0) iax 'my • . CO u0 ro • :IL 0 _ . 21' 19' • .. k v . 1-4 PIP Ot1 MI - . 19 .F' UI „ . 7,11• y: = . C7 to -II , -7e • .. 1...k CO 41 • • OZ , (a 1 18' &./ "TilTj _______J 49 1 rn IC . 011 ij.1 ri • es Low ::,• -2 10 — i 4:,.. 0 bar i m a iD 7 i ICI Er • CO . g ft) CO el, = 01 o o a g in n - = 3 0 B =. . .95 C .. :. . CITY OF ARCADIA. DIA , . Development Sen ices Department APPROVE!) ..-__. This set of plans and specifications must he kept ,..f L....-. on the job at all times and no changes or alterations .C.,.. shall he made em•cpt by the Building Division. The Stamping of this plan and specification shall not • :.. be held to permit or to he an approval of the violation ...)1 of any pros isions of any city ordinance or state law