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HomeMy WebLinkAboutELEC-19-2594 . �/ V City of Arcadia, CA .= - Permit NO..EI eC 19 2594, i Development Services Department L--,,,). #, ✓^w, Permlt Type Electrical ... 240 West Huntington Drive,Post Office Box 60021 r ''''(-1\ ' t, Work Classification Electrlcal4Residential Arcadia,CA 91066-6021 , ~ _.{ (626)574-5416 ,h.. .` .,Permit States:tissued ARCADIA Issuoate 12/30/2019'I Expiration: Addr NO.. Dir Prefix Street Name Street Suffix Unit City,State,Zip Parcel Number 72 W WINNIE WAY Arcadia,CA 91007-8047 5782018028 Contacts . DOUG FAILING Owner SLR ELECTRIC CORPORATION* Contractor 72 W WINNIE WAY 19528 VENTURA BLVD 176,TARZANA,CA 91356 (818)454-5747 1032067 Description:UPGRADE MAIN SERVICE,200 AMP,ADD 8 NEW I Valuation: $ 0.00 Tenant sz RECESSED LIGHTS TO BEDROOMS,LED Total Sq Feet: 0.00 Plan Check It Plan# Fees Amount Payments Amount Paid Electrical Permit Issuance Fee $47.01 Total Fees $77.53 Light Fixtures $13.04 Cash/Receipt#REC-03476-19 $77.53 Residential Services up to 400 amps $16.48 Solid Waste Management Fee 2 $1.00 Amount Due: $0.00 Total: $77.53 -1 r a-31—IT guru cc�;gee 1 12F- 726-v,,r09 Lf k-1- CALLS FOR INSPECTIONS 6-24) A1114"4 4.24- 7-12/4- 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. December 30, 2019 Issued By: Date December 30,2019 Page 1 of 1 O(4�FFo R 91, 7 PERMITIPLAN REVIEW APPLICATION— - # ; 4, o\4�j� 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 EviCENSED CONTRACTOR'S DECLARATION WORKERS'COMPENSATION DECLARATION 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 myalicense is in full force and effect. I have and will maintain a certificate of consent to self-insure for workers' License Class 16 C� I ic : o. '/° Exp. Date 10/ ; ''/,' compensation, as provided for by Section 3700 of the Labor Code, for the Signature of Contractor r performance of the work for which this permit is issued. OWNER-BUILDER DECLARA have and will maintain workers'compensation insurance,as required by Section V 3700 of the Labor Code,for the performance of the work for which this permit 0 I hereby affirm under penalty of perjury that I am exempt from the Contractors is issued.My workers'compensation ins rance carrier and policy numbers are: License Law for the following reason(Section 7031.5,Business and Professions Code.Any city or county which requires a permit to construct,alter,improve, Carrier S F'/71 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 I provisions of the Contractors License Law(Chapter 9(commencing with Section (This section need n �e 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 :0 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'corn ensation provisions o tion 3700 of the Labor Code,I shall ❑I, as owner of the property, or my employees with wages as their sole forthwith lIth comply wi rovisions. compensation,will do the work,and the structure is not intended or offered for , Date rd.1 -0I g 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 Law). for the performance of the work for which this permit is issued (Section 3097, Civil Code). 0 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 IHL 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. Le A �c 11-1.2p'� 4 W o Title a Y�p r r7 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. . Ti d agree to comply with all City ordinances and State Laws relating to building construction. I hereby authorize representatives of the City of iArcadia to enter u.. 1 the above-mentioned property for inspection purposes. gnature '111114141110Date I-).1 3-t) / Jq r -. ',7444.4 A:J:n 1.lJpJ ' • AFFIDAVIT SELF-CERTIFICATION FOR COMPLIANCE OF SMOKE ALARMS AND C. _:BON MONOXIDE ALARMS Property Address: 7 Z• Gam- 4,,///1//v/z- /a!/T / 4--/ G/fid/. -/ 14 /ad 7 Permit Number: i.CC ~ /7 = 5-1 it- Brief Job Description: 6) RIC Elf (f. %'—1 ,o,2,- P,ov1C aAK/Z"< (4- Number of smoke alarms installed: Number of carbon monoxide alarms installed: p 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 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. hti•://osf n.fire,ca.•ovj/licensin i lisiin•s/lieenselistin• bml searchcotesi.•h•. 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. ! declare tinder penalty of perjury that the foregoing is true and correct, and that this declaration was executed on (Date) ,_,____x_27 o /22/I at Arcadia, California. Owner's Name (printed/typed): ,7a It q -'.' �'/� Signature of Owner: / , This affidavit must be returned to the City of Arcadia inspector prior to final inspection si,liCkt._•ko, ti I* k;• Guest Room gi 10 o , Bothroon 8322. LI \ . , Storage ( ' - C: 1 Family Iton: _ ail I I um '= . Caragt i mos 1 pill ___:. ...... , . _ FIRST FLOOR PLAN .' C. 12 SittiOKE ALARM CAR ON MONOXIDE AL ..4A ti ill • Mstr . i IIII 0, Master Bedroom Dining Room _ ' C Closet Hull- G. El ___, ---,.. Ciosgt Closet. ----- -- -7-- Family Room owe _ - -- - - Bedroom Bedroom ---_-7----7-- -=-_-_-.:-.. SECOND FLOOR PLAN C .SMOKE ALARM L. 0 CARSON MONOMDE ALARM