The URL can be used to link to this page

Home My WebLink AboutCOMM-18-0046 43' City of Arcadia, CA � �c',if t - Permrt tuo ColliN: - 4 0046,E Development Services Department - '" ' v per'mltType,9 Commercial., • fit, �+ 240 West Huntington Drive,Post Office Box 60021 �` of ,, + ddb -m-•.' Arcadia,CA 91066 6021 x iNOrk Classi�catroP CommerGialP-Add/Alt (626)574-5416 �, i ` � .�. , '° � 5 1 1'!' ��q"9�S��w�,a�ri Pe17104attlS (SSU@C, ARC:ADiA Issuebatez0l/29/20191 Expiration: 07/28/2019 Addr NO. Dir Prefix Street Name Street Suffix Unit City,State,Zip Parcel Number 56 E Duarte RD Arcadia,CA 5781005020 Contacts Pacific Plaza Arcadia,LLC Owner Jason Mak Applicant E (626)533-1942 METROCELL CONSTRUCTION INC General Contractor(B) 4711 Chino AVE,Chino,CA 91710 (562)587-0693 829469 Description:NEW CELL SITE SPRINT Valuation: $ 25,000.00 Tenant Total Sq Feet: 0.00 Plan Check# Plan# 67y Fees Amount payments Amount Paid Accessibility Plan Check $47.56 Total Fees $1,321.66 Accessiblity Building Permit $48.78 Cash/Receipt#REC-000234-2018 $443.87 Building Issuing Fee $47.01 Cash/Receipt#REC-00252-19 $877.79 Building Permit Fees $487.75 Building Plan Review Fee $317.04 Amount Due: $0.00 Cal Green Plan Check $31.71 Commercial T.I.Fire Plan Chk. $280.00 Fire Plan Check $47.56 Green Building Standard $1.00 Solid Waste Management Fee $6.25 OCOMPLETE.D Strong Motion Inst.Program Com $7.00 CALLS FOR INSPECTIONS Request for inspection by telephone at 626-574-5450. Leave a message Total: $1,321.66 requesting the address,timeframe and what inspection item is needed. 7-i2-I` 't . OF sTA.'12-42, 433 t' N • This permit/plan review expires by time limitation and becomes null and 7-24-11 ' 1 2tt)mt.5 xliviarkl&of void if the work authorized by the permit is not commenced within 180 days p122,*3 or ) 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 8-S'-1 1 gerAT of sr4/2 It/ 4h) 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 $'b'! CO Of S I,a CR ?*cQTIAL) Arcadia building inspector for a period of 180 consecutive days. OF gras 1 IZ 0-1 I-1,—(1 eteC Set/ice egilAJ q-3o-1°( t LL 6k iv, 4;7 January 29, 2019 Issued By: Date January 29,2019 Page 1 of 1 Or ARe 4.exivoRkA , +!I PERMIT/PLAN REVIEW APPLICATION 00 ,,,,,,,s_—,et/�01 liEg r Development Services Department,240 West Huntington Drive,Post Office Box 60021 ��4�,Y.iIt Arcadia, CA 91066-6021, (626) 574-5416,Fax(626) 447-9173 City of Arcadia LICENSED CONTRACTOR'S DECLARATION ' WORKERS'COMPENSATION DECLARATION J 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'. •• 11 force and a ct. � I have and will maintain a certificate of consent to self-insure for workers' License Class A_ • icense .. (8z 14° xp. Date -31-70 compensation, as provided for by Section 3700 of the Labor Code, for the 111 h 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 0I 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 Crx 9 r2f po r` 1C-- demolish,or repair any structure,prior to its issuance,also required the applicant , C.J.---1C.J.---11 L�� 170 l 1 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 agr-- I at if hould become subject to the workers'compensation provisions of ction 3704 of the Labor Code,I shall /I, as owner of the property, or my employees with wages as their sole forthwith comply with those provision compensation,will do the work,and the structure is not intended or offered for Date V--2-9.-- ) l Signature �L.�� sale(Section 7044,Business and Professions Code:The Contractors License I 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 j nrch�io n e f d lri eg tins ' io Ne,contractors to construct the project(Section 7044,Business an zProfe s'bns i��sl l: �� CTION LENDING AGENCY Code:The Contractors License Law does not apply to an ownertfisrb ' '1. -' V'1 " 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. ( _y,..,___ _______ ) (NameL- e (? C y,_Lk (Title ?ion C-V AA e'er PRINT NAME I certify that I have re 's applica ion 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 ith all City o`i inances and State Laws relating to building construction. I hereby authorize representatives of the City of /Arcadia to enter on the abov= 1,entioned p ., v for inspect}d'n purposes. I Signature � _ _ �— 1 Date 1 — 2 1 — 1