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Home My WebLink AboutUntitled i-Vua .,tai a to , „ .�#c °a, ° :; ,t""t? ca, Ivc' v '''101.: �4 5 4 -.T Permit NO EIeci`18 2104 City of Arcadia, CA tai,,-0 ,", e,, f '`,kr up kyyr ,*$, . Development Services Department 1 4 ▪ ,r'' ; s } b �+'' 3 Permit Type":Electrical .^ j 240 West Huntington Drive,Post Office Box 60021 re „ Iii r� ) ,, ” ,, �' �' Work Classification:Electrical Commercial @ "" Arcadia,CA 91066 6021 ,� r , r 's a 4 7t 3. alp% y (626)574-5416 I. , t� �t&t„▪ a▪ ''� ,, Y i,,, �� .. PermitStat s,Issued , m i▪ d k 1s "'" ''''''A''''O''' $ j[ x T Issue Date 11/08/2018 Expiration: 05/07/2019 Addr NO. Dir Prefix Street Name Street Suffix Unit City,State,Zip Parcel Number 154-160 E Duarte RD Arcadia,CA 5781006050 Contacts GENERATION CHU LLC LLC Owner MHN LIGHTING Electrical Contractor 20352 EVERGLADES LN (C-30) z PO BOX 921,WRIGHTWOOD,CA 92397 (714)280-5436 Description:REPLACE FOUR COMMERCIAL SERVICES Valuation: $0.00 Tenant 3PHASE-200 AMP,FOUR NEW 200 AMP PANELS S Total Sq Feet: 0.00 Plan Check It Plan# ! : - ,.IF.Y.S.4114,41 1 Fees Amount Payments Amount Paid Commercial service 200 to 1000amps $248.52 : . Total Fees $356.07 Distribution Panel $62.20 Cash/Receipt#REC-002856-2018 $356.07 Electrical Permit Issuance Fee $44.35 Amount Due: $0.00 Solid Waste Management Fee 2 $1.00 Total: $356.07 I -Z0•"18 �► sup ?We 1. UMr1 t 50, c r6, 4-1 4 g((,D 6k. 64 CALLS FOR INSPECTIONS Request for inspection by telephone at 626-574-5450. Leave a message requesting the address,timeframe and what inspection item is needed. /5"eg0J166 /01 &,-/7/°,77e71.e,-. 3---(—_ f / This permit/plan review expires by time limitation and becomes null and void if the work authorized by the permit is not commenced within 180 days ze.2A /44 `- iV ('c:i ?.__ from the date of issuance or if the permit is not obtained within 180 days � from the date of plan submittal.This permit expires and becomes null and void if any work authorized by this permit is suspended or abandoned for 180 consecutive days or if no progressive work has been verified by a City of Arcadia building inspector for a eriod of 180 consecutive days. ffehz, /14$/ial 4, DI November 08, 2018 ued By: Date November 08,2018 Page 1 of 1 A.0,3,1vokv,of ARC 9d °~ _ ' PERMIT/PLAN REVIEW APPLICATION oE i Development Services Department,240 West Huntington Drive,Post Office Box 60021 141,,of Arcadia, CA 91066-6021, (626) 574-5416,Fax (626) 447-9173 • City of • . Arcadia CENSED 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 ---IC-2 LicenseNoqq2-8-'Z2- Exp. Date c3ifaa compensation, as provided for by Section 3700 of the Labor Code, for the j 1 i ''i- performance of the work for which this permit is issued. Signature of Contractor aL1; OWNER-BUILDER i '7 ION ,,IDI 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 �£• '-, is issued.My workers'compensation insurance carrier and policy numbers are: License Law for the following reason(Section 7031.5,Business and Professions „ .;, A 1{ Code.Any city or county which requires a permit to construct,alter,improve, -4, Carrier demolish,or repair anystructure,prior to its issuance,also required the applicant Li1'. P q PP �i� for such permit to file a signed statement that he or she is licensed pursuant to the `v[ri cPolicy Number provisions of the Contractors License Law(Chapter 9(commencing with Section j 4-`(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 14 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 ❑I, as owner of the property, or my employees with wages as their sole ppi4 forthwith comply with those provisions. compensation,will do the work,and the structure is not intended or offered for 4• I sale(Section 7044,Business and Professions Code:The Contractors License Date (ell` 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). ❑ 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 r further information. ,,•4 -. !.' �� 'Name f! ` i-•r�� Title eP w°" ...L�_ d' 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. ,.z1;�,�Iagree to comply with all City ordinances and State Laws relating to building construction. I hereby authorize representatives of the City of IArcadia to enter upon the above-mentioned property for inspection purposes. 1 ':,Stgnature Date /f[ e/( r•l: Fiji — ti F 77 401 - s '� 44 A PermrrNo E�2G 20`T0251"c City of Arcadia, CA ti `,` i t ' 5 � ,i , ,V . , u 41 {a sem.4 t 4`e 44. Development Services Department �� PermltType EI2CtrICal 240 West Huntington Drive,Post Office Box 60021 1 r ) r r t � k a 4e ., Arcadia,CA 91066-6021 P \ 14/OrkClOsSlficatiar ElectrlCdl GOmrnerCIP '. i1:7 (626)574-5416 ` 0 k ~r , a* a „ , Permit Status Expired , . :, 44 5 ARCADIA 11/08/2018` Expiration: 05/07/2019 Addr NO. Dir Prefix Street Name Street Suffix Unit City,State,Zip Parcel Number 154-160 E Duarte RD Arcadia, CA 5781006050 _ Ft Contacts . GENERATION CHU LLC LLC Owner MHN LIGHTING Electrical Contractor 20352 EVERGLADES LN (C-10) PO BOX 921,WRIGHTWOOD,CA 92397 (714)280-5436 972822 Description:REPLACE FOUR COMMERCIAL SERVICES el Valuation: $ 0.000 Tenant 3PHASE-200 AMP,FOUR NEW 200 AMP PANELS Total Sq Feet: 0.00 Plan Check# Plan# Fees Amount Payments Amount Paid Commercial service 200 to 1000amps $248.52 Total Fees $358.73 Distribution Panel $62.20 Cash/Receipt#REC-03849-20 $358.73 Electrical Permit Issuance Fee $47.01 Amount Due: _ $0.00 Solid Waste Management Fee 2 $1.00 Total: $358.73 q- / 14-0Te(4 /)' / Cmge)/ 6 /o ,/7/./97e.71e75 S� 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. 7&- 7 C CZ_ 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 Arcs : ding inspector for a period of 180 consecutive days. tliffPlirt,ri • • November 08, 2018 Issued By: Date February 12,2020 Page 1 of 1 A OF ARC PERMIT/PLAN REVIEW APPLICATION 'ZIV "SII ;E wl . Development Services Department,240 West Huntington Drive,Post Office Box 60021 o0mme ual[y of NoArcadia, CA 91066-6021, (626) 574-5416,Fax (626) 447-9173 City of - Arcadia ICENSED 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: hapter 9(commencing with Section 7000,of Division 3 of the Business and Professions Code,and my license is in full force and effect. 43/ J 1:1I have and will maintain a certificate of consent to self-insure for workers' C.— License Class License NoR r}Z6ZZ 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 IDI 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 t demolish,or repair any structure,prior to its issuance,also required the applicant L E 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 nee of 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 Ll 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 shouldbecome subject to the workers'compensation provisions of Section 3700 of the Labor Code,I shall ❑I, as owner of the property, or my employees with wages as their sol forthwith comply with those provisions. compensation,will do the work,and the structure is not intended or offered forN. Z G i 2. cD sale(Section 7044,Business and Professions Code:The Contractors License Ell`; 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). ❑ 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. rf-..\G{n�-[ ( f3C/�'-'t�� Title CJ..v'�z'*�PRINT NAME hat 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. o comply with all City ordinances and State Laws relating to building construction. I hereby authorize representatives of the City of o enter upon the above-mentioned property for inspection purposes. --s = Date 7— ( 12 i 40