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Home My WebLink AboutELEC-20-0579 r ?" City of Arcadia, CA S PetrmitNQ EIeC X20 OS79 � ,,, Development Services Department 2 ,y , f Permit Type :Electrical kil'kite"` 240 West Huntington Drive,Post Office Box 60021 X .'I Arcadia,CA 91066-6021 ' ' 3 i 1 1' Work Classification EIeC ServicePChange r,% fi r1# (626)574-5416 ' { a * IPermit�StatusIssued4. h F � RCAD I� ',IssueMate o4/1�/2020 Expiration: Addr NO. Dir Prefix Street Name Street Suffix Unit City,State,Zip Parcel Number 2517.. -. . S. SECOND AVE Arcadia, CA 91006-5260 5789019029 Contacts ALEX LU Owner 2517 S SECOND Description:REPAIR ELECTRICAL SERVICE DUE TO FIRE Valuation: $ 0.00 k Tenant DAMAGE FROM NOVEMBER 2019 Total Sq Feet: 0.00 Plan Check# Plan# Fees Amount payments Amount Paid Electrical Permit Issuance Fee $47.01 Total Fees $64.49 Residential Services up to 400 amps $16.48 Cash/Receipt#REC-04285-20 $64.49 Solid Waste Management Fee 2 $1.00 Amount Due: $0.00 Total: $64.49 r 1,1„,..2c„,,-7—( ii ,4o.G i,..7// 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. 411rr At, . ell'i?II t Pith April 17, 2020 Issued By: Date April 17,2020 Page 1 of 1 ``'' OF ARC 1 ,l .a.iF07�.�'y�, i i ., VI' PERMIT/PLAN REVIEW APPLICATION Development Services Department,240 West Huntington Drive,Post Office Box 60021 @,,o,,,,ow 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 full force and effect. ❑ 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 Signature of Contractor performance of the work for which this permit is issued. 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 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 0 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 sale(Section 7044,Business and Professions Code:The Contractors License Date 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). 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 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 ordinances and State Laws relating to building construction. I hereby authorize representatives of the City of Arcadia to enter upon the above-mentioned property for inspection purposes. Signature Date • .4°711141004-�, ��RI�II'�'/PLA I� REVIEW APPLICATION • Development Services Departrrlent, 240 626 5 4-S416t n Driv , Pot 447-9173 a Box 60021 Arcadia,CA 91066-6021, (626) . •ONLINE PERMIT/PLAN REVIEW APPLICATION . ARCADIA 7t 7 :. Or,-9.1- 'Job Site Address . LICENSED CONTRACTOR'S DECLARATION WORKERS'COMPENSATION DECLARATION that 1 am licensed under-provisions of I hereby affirm under penalty of perjury one of the following: I hereby affirm under penalty of perjury Chapter 9(commencing With Section 7000,of Division 3.,'of the Business and IEl have and will maintain a certificate of consent to Professionsself-insure.For workers' compensation, as provided for by Section 3700 of the Labor ode,for the Code,and my license is in full force and effect. License No. Exp. Date performance of the work for which this permit is•issued. C License Class-- _ - -_ _ --.-. --- 1Signature ;of Contractors. I have and will maintain workers'compensation insurance,as required by Section QWNERrBUILDER DECLARATION - 3700 of the Labor Code.for the performance of the work for which this permit I hereby'afftrm under penalty perjury that I am exempt from the Contractors is issued.My workers'compensation insurance carrier and policy numbers are: License Law for the following reason(Section 7031.5,Business and Professions ve, Carrier Code.Any city or county which requires a permit to construct,alter,imp`over policy Number demolish,or repair any structure,prior to its issuance.also required the app i for such permit to file'a signed statement that he or she is licensed pursuant to the (This seclion need not tic completed Utile permit is for one hundred dollars or less} provisions of the Contractors License Law(Chapter 9(commencing with or she Section 7000)of Division 3 of the Business and Professions Code).or I certify that in the performance of the work for which this permit is issued.I shall exempt there from and the basis for the alleged exemption. Any.violation of not employ any person in any manner so as to become subject to the workers' Section 7031 5 by any applicant for a permit subjects the applicant to a civil compensation Laws of California.and agree that if I should become subject to the penalty of not more than five hundred dollars($500)): workers, coiitpensation provisions of Section 3700 of The Labor Code.I shall forthwith comply with those provisions. LLI employees with wages as their sole as owner of the property, or my _ _ —- Compensation;will,de the work;and the structure is not intended offered For Date sale(Section 7044,Business and Professions Code:The Contractors license ;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 emplof,ho, provided that such improvements are soldot ttwith n od ne(1offered yearfor of and WARNING: 6 llSubject an employer to rmina]penalties�and-c it fines punlawful, t one Sale.If,however,the building improvement ishtindred in addition.to the completion,the ojvner-builder will have the burden of proving that he or she dam ges as provided dollars(in OSect�ion,3706 of the Laborost of Code, >nteresta and did not build or improve for the purpose of sale).iti attorney's fees. I, as owner of the property, am exclusively contracting with licensed contractors to construct the project (Section 7044,Business and Professions CONSTRUCTION LENDING AGENCY • Code:The Contractors License Law docs not apply to an owner of property I hereby affirm under penalty of perjury that there is a construction lending agency who buildsor licensedimpps thereon,and who contractsrsLicense for such projects with a for the performance of the work for which this permit is issued (Section 3097, contractor(s) pursuant to the Contractors Law). Civil Code): DI am exempt under Section 7044,Business and Professions Code,for this reason: Lender's Name' 7 j yp . / '`"�� Lender's Address._ Date_ /( l� Signature IMPORTANT: APPLICATION IS HEIS "t' MADE TO THE BUILDING OFFICIAL FOR A'PERMIT SUBJECT TO THE CONDITIONS ANDr�gSlgzr( RESTRICTIONS SET FORTH ON III f,`/PPL!CAT€S)N AND 11�E 1()s.t.43�4'i!�14 : . 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 ordinances and State Laws relating to building construction. I hereby authorize representatives of the City of Arcadia to enter upon the above-mentioned propefty for inspection purposes. ,Signature_ = _ Date YD a i` • , RECEIPT (REC. —04285-20•)e FOR CITY OF,ARCADIA CA.,- BILLING'CONTACT ALEX LU I� 2517 S Second ARCADIA Reference Number Fee Name Transaction Type Payment Method Amount Paid • Elec-20-0579 Electrical Permit Issuance Fee Fee Payment Cash $47.01 Residential Services up to 400 amps Fee Payment , Cash $16.48 Solid Waste Management Fee 2 Fee Payment Cash $1.00 • 2517 S Second Ave Arcadia, CA 91006 SUB TOTAL , $64.49 TOTAL $64.49 • ,. .....,. .. .,,.... r,.,,. M.:.,. M GL ACCOUNT TOTAL 01-3105 $63.49- • 88-3027 $1.00 r± . TOTAL $64.49 w ,:4,y.. CITY OF A1CAIIA "� RECVD BY:-RN tliOt10Tt8924 PAYOR: TODAY'S DATE: 04/174 REGISTER DATE: 04/17/20 :TIME: 056 : . DESCRIPTION• AMQUNT COST ID:REC0428520 F'LUMBING,ELECTRIC;8MEC ' CUST ID:REC0428520 SOLID WASTE MONT :::S:i-OD TOTAL Dl ::`':.: TENDERED: :: 64 49. CHANGE: • :. `•.:1,130 CREDIT CARD: $6449 REF NUM: cc :: ' April 17,2020 City of Arcadia,240 West Huntington Drive, P.O.Box 60021,Arcadia,CA 91066-6021 Page 1 of 1