HomeMy WebLinkAboutUntitled City of Arcadia, CA Perrr)rtNO 20-0814
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Development Services Department
n �` PermrtType:Wall
240 West Huntington Drive,Post Office Box 60021 '' Work Classification:Wall-Gdrden Wall
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.a Arcadia,CA 91066-6021 :l ,
1 ; ^:'4',:` (626)574-5416 Permit Status:Issued
ARCADIA issue Date:06/08/2020 1 Expiration: 06/08/2021
Addr NO. Dir Prefix Street Name Street Suffix Unit City,State,Zip Parcel Number
409 COYLE AVE Arcadia,CA 91006-4854 5790009009
Contacts
SAME CHE Owner
409 COYLE AVE
(626)560-3471
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Description:BLOCK WALL AT REAR OF PROPERTY ON EAST SIDE Valuation: $ 3,542.40 Tenant
PER SHARED WALL AGREEMENT. 6' H X 65' LF
Total Sq Feet: 0.00 Plan Check# Plan#
Fees Amount Payments Amount Paid
Building Issuing Fee $47.01 Total Fees $190.31
Building Permit Fees $137.05 Cash/Receipt#REC-04640-20 $190.31
Solid Waste Management Fee $6.25
Amount Due: $0.00
Total: $190.31 - •
4kt/ton a< /4l
6'230 CALLS FOR INSPECTIONS
/32, ,e,,,g.,,,__ l mac: 4 Request for inspection by telephone at 626-574-5450. Leave a message
v� Qv`► requesting the address,timeframe and what inspection item is needed.
6,...24%.-
This permit/plan review expires by time limitation and becomes null and
tL`Ajsj void if the work authorized by the permit is not commenced within 180 days
" v- 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.
June 08, 2020
Issued By: Date
June 08,2020 Page 1 of 1
CIV AR
`,Nocnv,_ dr
esit
•9 PERMIT/PLAN REVIEW APPLICATION
llll\\t31
:tow Development Services Department,240 West Huntington Drive,Post Office Box 60021
mom°o,,Y°tN 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
Policy Number
for such permit to file a signed statement that he or she is licensed pursuant to the
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).
❑ 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
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• .
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. . •
Pj
. ,
. . .. •
.. .
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. . \if, . • PERMIT/PLAN .REVIEW APPLICATION . .
Development Services Department, 240 West Huntington Drive,Post Office Box 60021
.- - Arcadia,CA. 91066-6021, (626)574-5416, Fax(626)447-9173
•
. . . , • • .
ALM ' ONLINE PERMIT/PLAN RENIEW APPLICATION
. . . .
. .
. rr ':ril.- .
ARCADIA . . •
. Job Site Address: .
409 Coyle Ave. Arcadia CA 91006
. • .
•
. . . . . . . . • . .
. . . . .
.. •
LICENSED CONTRACTOR'S DECLARATION WORKERS'COMPENSATION DECLARATION
Li 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 fiill force and effect. . 0 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
. „ . performance of the work for which this permit is issued • .
• Signature of Contractor _ -- . -:.:• - ' - ' ' - ' .
,
• 0 thave and will maintain workers compensation inSurance,as required by Section
•
' • OWNER•BUILDER D.ECLARATION : • . ' - • - 3700 of the Labor Code.for the performance of the work for which this permit
• ID I hereby affirm under penalty of perjury that I am exempt from the Contractors is issued.My workers'compensation insurance carrier and policy.riurrihers are
• -
License Law for the following reason(Section‘7031.5..Business and Professions
•
Code Any city or county which requires a'permit to construct.alier,improve, • Carrier • - ,
•
, .
deMolish,or repair any structure;prior to its isstiancealso required the applicant • '
for such petmit to file a signed statement that he or she is licensed pursuant to the Policy Number . . . . •
(This section need.nut he completed if the permit is ire one hundred dollars or less) . •
provisions of the Contractors License Law(Chapter 9(coMmencing with Section •
7000)of Division 3 of the Business and Professions Code)or:that he or she is . r--i• .. . •
exempt there from and the basis'for the.'alleged'exeMption. Any violation.Of• 1...j [certify that in the performance of the Work for which thiis permit is issued I shall
. Section 3031.5 by any app.:jean for a permit subjects the appli::ant 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(S500)): • : . 1 • . compensation Laws of California.and agree that ill should become subject to the
. . • workerscomPepsation provisions of Section 3700 of the labor Code.I shall . • ..
•
D 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 isnot intended oroffered for .. • . • . _ .. • • .
sale(Section 704,Business and Professions Code:The Contractors LiCense• . ._ _.__ _ .. • ._ .. •
Date . - • -. 'Signanire.• - - • -•. - - • " • • '.
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 seane Workers'Compensation coverage is unlawful,
sale.If;howeverthe building or improvement is sok,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(S100,0130),in addition to the cost of compensation,
did not build or improve for the purpose of sale). • damages as provided for in Seinen.3706 of the Labor Code, interest:and •
• • aitomey's fees. " - . - -
El I. as owner of the property, am exclusively contracting with licensedi .
. .
- contractors to construct the project(Seddon 3044,Business and Professions - ' . • • • • •
Code:The Contractors License Law does not apply to an owner of properly . CONSTRUCTION LENDING AGENCY -
who builds or improves thereon,and who contracts fur such projects with a I hereby affirmunder penalty of perjury that there is a construction lending agency
. contractor(S)licensed pursuant to the Contractors'Lim*Law).' • • • for the performance of the work for which this permit is issued(Section 3097, . •
• Civil Code).
ElI am exempt under Section 7044,Business and Professions Code,for this reason • •
•
,
Lender's Nanie •
—--7---- . .- - . .
- • ,
. . . .
Date Signature .• • • •. • - Lender's Address:__-_ • -
• . . . . . . • - - - - - - .
. . . . . .
INIPORTA.NT: A I'M Ic.VIION IS HEREBY NIADE TO TIV. BLit.DIN(. OFFICIAL POR A PERMIT SUBJECT TO Tiff: CONDITIONS AND
RESTRICTIONS SET FORTH:ON Tills APPLICATION.AND TILE I.Of.LOWING:
. •
. . . .
. - . .
. . .
. I. The City.s approved plans and permit inspection card Must.remain on the job site for use by City itipection 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 strUeturek:
.. •
1- 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 suiVeY•and removal prior to disturbing.the asbestos. Please contact AQMD at(909)3.96-2090 for•.
further information .
. •
. .
Name Sam Che _. Title .
• • . .
Pa itrr u•ss.tE - • - •
- I certify that I have read this application and state that the above information is correct and that I ant,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 • e107,' . .u("4„,....„,‘r........_„,...-!---' ' .
• ' 06-00-200' Date , .
. . .
. . .
•
CITY OF ARCA DIA
• DEVELOPMENT SERVICES DEPARTMENT
FENCE;GARDEN WALLAND/OR RETAINING WALL ON.
mpblt!ass°
PROPERTY LINE RELEASE AND DECLARATION'
ADJACENT PROPERTY OWNER'S DECLARATION
I, .
CO-T60X5 as owner of the property located at 41 C (LL ,AVE..
hereby grant permission to the adjacent property owner located att o`(Li Ail .
to construct lineal.-feet of (al high fence, g rd n wall, and/or . •
retaining: wall, some of which Will be located on my property. . I. acknowledge,
understand and accept the scope and nature-of the proposed work (i.e., color, size, ._
height; type and location of the fence, garden well, and/or retaining wall and the removal
of landscaping).2,419gi 4-C0141i .O Si of ACE. 4446 rve:
0E-M1�
TH .
G�
Telephone Number;426.91471112--
Address:
914711'2-Address: 46
COte4M6-. Date' 11 Nikki. eiga
Signature:
PERMIT APPLICANT'S DECLARATION
I declare under the penalty of perjury that I have obtained the approval and release from
- the owner of the property located at 40
Co Ie. A�/e:.. to Construct and
locate part of a fence, garden wall, and/ar retaining wall on their.property.
Name:, SAM . T .Che_Che_ b 1
Telephone Number; �-�0-3[� ..
• CAgtoo6 M
Address: 40? Cade.Ave, rc,�diA , Date: t�IA J I`, Tai?,a
Signature:
c: Applicant's file
Neighbor's file .
Job site
1-15.
5790 .I. .9 . 4-6-60.
7/01/0
:ALE•1" = 80'. 7903/5
.1893 1887 F
• LAS F LO RBildfblkllith6ft
AVE.
o : high per city code-
r 15 N 83'04'50 E pr
a2^ 56.42 77.58 ' .'.7L// . . ••• . •• 7/.// 38/3 32.9817/// 7/•/i 56./6.,6�`�` ��
so • ‘2,07,3%,
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P• . M. I 0 3 tih 102 N I 0 I a 100. 9.9 98 97 96 95 •-94 ,, . 93 a .-
Na'9° 4715£.. 1
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m /. h
COYLE AVE. . k o ,ve9'36E. COYLE
' ' i . AVE.
EC
TRACT NO. 14665 ARCADIL.-.-- . ._. ._. ___ . 'CT.
M.B. 369 -26-28 M B. 10-18 _
1 TRACT NO;x•21200 TRACT NO. 19593
M..B.. 581-26' M.B. .547-35-36
CODE -
1887 . .
I 1893
FOR PREV. ASSMT.SEE:861-323'8.344' ASSESSOR'S MAP
I.
COUNTY OF LOS ANGELES, CALIF.
ACT�ONP�- •P�y �G\o�� *See
RO TING to and / Notes
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Planning _ . - _ -
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PWS-Water -
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