HomeMy WebLinkAboutplum-20-1864 +►,� City of Arcadia, CA Permit NO. Plum-20-1864
Development Services Department Permit Type:Plumbing
240 West Huntington Drive,Post Office Box 60021 Work Classification:Water Heater
Arcadia,CA 91066-6021
(626)574-5416 Permit Status:Issued
ARCADIA Issue Date: 11/10/2020 Expiration: 11/10/2021
1111111,
Addr NO. Dir Prefix Street Name Street Suffix Unit City,State,Zip Parcel Number
60 W MAGNA VISTA AVE Arcadia,CA 91007-4026 5782006006
Contacts
CHARLES HUANG Owner A.R.S./Rescue Rooter* Contractor
60 W MAGNA VISTA AVE 706 W Arrow Grand CIR,Covina,CA 91722
(626)759-8362 (626)858-9284 765155
Description:REPLACE WATER HEATER IN SAME LOCATION . Valuation: $0.00 Tenant
Total Sq Feet: 0.00 Plan Check# Plan#
Fees Amount Payments Amount Paid
Plumbing Permit Issuance Fee $47.01 Total Fees $63.56
Solid waste Management Fee 2 $1.00 Cash/Receipt#REC-06006-20 $63.56
Water Heater and/or Vent $15.55
Amount Due: $0.00
Total: $63.56 k
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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.
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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.
November 10, 2020
Issued By: Date
November 10,2020 Page 1 of 1
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04 NO* I PERMIT/PLAN REVIEW APPLICATION
`E 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 I Li ' •TION WORKERS'COMPENSATION DECLARATION
❑ I hereby affirm under penalty of perj Ilt I .I licensed under provisions of I hereby affirm under penalty of perjury one of the following:
Chapter 9(commencing with Section 7 i.I, . ''vision 3 of the Business and
Professions Code, my license is in 11 . 4 e and effect. 0 I have and will maintain a certificate of consent to self-insure for workers'
License Class • License 'o s Exp. tel 3 I 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 0 I have and will maintain workers'compensation insurance,as required by Section
0 I hereby affirm under penalty of perjury that I . exempt .m the Contractors 3700 of the Labor Code,for the performance of the work for which this permit
License Law for the following reason(Section 70 .5,Bus'1 ess and Professions is issued.Myogkers'cpensasurange carrier and policy numbers are:
Code.Any city or county which requires a permit o co•.truct,alter,improve, Carrier II of IA/vt Ga. ((
demolish,or repair any structure,prior to its issuance,• •required the applicant A • (03 SO to
for such permit to file a signed statement that he or she is licensed pursuant to the Policy Number LAT
provisions of the Contractors License Law(Chapter 9(commencing with Section (This section need not be completed if the permit is .r one s un . 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 w 'ch .s . 'tis 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 - $ a subj. • the workers'
penalty of not more than five hundred dollars($500)): compensation Laws of California,and agree that''I.+ ould.:,.me subject to the
workers'compensation provisions of Section 3 I I of the I .bor Code,I sh.
❑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 // . /Q .ZG
•
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 s 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 u ses 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 •.•t . 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 P . ity Management District(AQMD)regulations,renovation and remodeling work that results in the removal,stripping,or altering
of asbestos conta'•..,g materials re• - :I asbestos survey and removal prior to disturbing the asbestos. Please contact AQMD at(909)396-2000 for
further informatio,.
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Name h''' iYa( I i Title
PRINT N i
I certifythat I have • ! 'cation and state that the a 1 . :mformation is co t and that I am the owner or dulyauthorized agent of the owner.
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agree to comply i ► ordinances and State ws •lating to building construction. I hereby authorize representatives of the City of -
rcadia to enter . i n • • 1 ove-,0 entioned property f 1 ins• • on purposes.
ignature - Date /` d Z C