HomeMy WebLinkAboutROOF-20-0893 A; City of Arcadia, CA Permit NO. ROOF=20 0893
6 4
Development Services Department
*. == Permit Type:Roof
• - �k 240 West Huntington Drive,Post Office Box 60021
Work Classification:Reroof-.Residential
'Arcadia,CA 91066-6021 h
r, (626)574-5416 -
Permit Status:Issued
.f RCA D I Issue Date:06/17/20201 Expiration:
xp'ration.•
Addr NO. Dir Prefix Street Name Street Suffix Unit City,State,Zip Parcel Number
2509 ALBERT WAY Arcadia,CA 91007-8440 5787017028
Contacts
YANG,HUI MEI TR HUI MEI YANG TRUST Owner EDUARDO PERALTA* Contractor
2509 Albert WAY,Arcadia,CA 91007 9622 LORICA ST,ROSEMEAD,CA 91770
(626)862-2049 1038978
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Description:TO REROOF HOUSE/GARAGE WITH EAGLE BEL AIR Valuation: $ 26,500.00 Tenant
SLATE RANGE LBS CLASS A 49 SQ (VQ)
**FIELD VERIFY EXISTING TILE STANDARD WEIGHT** (If not Total Sq Feet: 0.00 Plan Check# Plan#
customer to provide structural calcs or change to light
wei ht tile and amend ermit
Fees Amount Payments Amount Paid
Building Issuing Fee $47.01 Total Fees $566.51
Building Permit Fees $513.25 Cash/Receipt#REC-04726-20 $566.51
Solid Waste Management Fee $6.25
Amount Due: $0.00
Total: $566.51 -,
oigai
��czE�VEQ oicg” PErscr:FA A,4=-A;eo,4t/ir 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.
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June 17, 2020
• Issued By: Date
June 17,2020 Page 1 of 1
OF ARO
CA
d k' PERMIT/PLAN REVIEW APPLICATION
Oki WEE.
% " 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
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
0 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 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'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 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.
0 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.
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
.
ter." •
. ' ' PERMIT/PLAN REVIEW APPLICATION • -
1 Vit,1}
• ��•,,_.ilf ' Development Services Department,240 West Huntington Drive, P• ost Office Box'60021- •_ •
t ii, - • . Arcadia;CA 91066-6021, (626) 574-5416, Fax(626).447-9173
,_ ONLINE �ERNII'T/PL,AN REVIEW APPLICATION
•cjtvor . .• .
RCADIA ' •Job-Site Address:
. - •LICENSED CONTRACTOR'S DECLARATION, WORKERS'-COMPENSATION DECLARATION
I hereby•affirm under penalty,of perjury that I am licensed under.provisions of 1 hereby affirm under penalty of perjury one 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. al have and will maintain a•certificate of consent to self-insure for workers' - .
License Class C.1 q� L nse '.,/.56 71 Exp. Date r5 5/-2/ compensation,-aS provided for by Section 3700 of the Labor Code,for the
performance of the work for.which this permit is.issued:
•(gnature,of Contractor -
I have and will maintain workers'compensation insurtince,as requircd.by Sectio
OWNER-BUILDER DELARATION n
T J perfotmance.of-the.work for which this permit-
I hereby affirm under penalty of perjury that t am exempt from the.Contractors
• 3700 of-the Labor Code;for the
.-License Law for:the following reason(Section 7031:5,Business and Professions is issued •workers'compensation insurance:carrier and policy oombers are:•
. . Code.•Any City Dr county which requires a permit to construct;alter,improve, Carrier •44r �(D. . . • .• •
. : , demolish,or repairany structure;prior to its,issuance,•also required the applicant � ��c/2 z
for such permit to file aligned statement that.he or she is licensed pursuantto the Policy Number P r
. provision 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 13usins and.Professions Code)or that-he or:she is , .,! • - - • • -. .
. . exempt there from and the basis for"•the alleged exemption. Any violation of L`J I certify that in.the performance of the work.for which this permit is issued;I shall ' .
. Section 70313by 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 forth
with comply with those provisions
compensation,will do the work,andthe structure is not intended or•offered for —�_
-sale'(Section 7044,Business and Professions Code:The Contractors License Date (n^F .�� . :SSS ---- re�_ -�-__. _w_____
.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 shire 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..
DI, 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 • f hereby'affirm under-penalty f perjury that there is a.construction tending_ agency
contractors)licensed pursuant to the Contractors License'Law). • for the.perfonnance of the.work for which this.permit is issued (Section 3097; ,
Civil Code). • • . .
3: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 SI'BJECT TO'THE CONDITIONS AND
. RESTRICTIONS SET FORTH ON THIS APPLICATION AND THE FOI.I:OWiNG :
' 1, The.Ciry's approved,plans and permit.inspection card must remain on the job.site.foruse by City.inspection personnel. .
2. Final inspection of the work authorized`by;this permit is required:A Certificate of Occupancy mustbe 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 .
.l certify that .I have read this application and state that. the above information is correct and that I am the owner or.duly authorised agent of the owner,
1 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 apo mentioned property for inspection Purposes.
f
•
3lgnature !_—_. : • __ \ Date 6'^•/r�-2.o U. • .
0�,of Wo
AFFIDAVIT SELF-CERTIFICATION
FOR COMPLIANCE OF SMOKE ALARMS
AND CARBON MONOXIDE ALARMS
Property Address:25 oc( /k\ 10,x1,
Permit Number: c> —2-5 -()%9-z,
Brief Job Description: A • in ' _
Number of smoke alarms installed:
Number of carbon monoxide alarms installed: 3
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 R31 4 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 shalt 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.l/oslrn:fire.ca.qov/licensinglistings/licenselistinq bml searchcolest.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.
I declare under penalty of perjury that the foregoing is true and corrects and that this
declaration was executed on,.(Date) - at Arcadia, Catifornia.
)wner's Name (printed/typed): �_ l✓1 1 �J S�
tignature of Owner: •
This affidavit must be returned to the City of Arcadia inspector prior to final inspection
• • ,i.
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