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HomeMy WebLinkAboutUntitled 4,-(,,,,,,, i, s*v E , r.-., ..a ani a . '� `b'*aE`U� A}�a t z ' Permit IVO RALT 2 0792 ��.' City of Arcadia, CA s ' ?',e .1.,:', ! Development Services Department �a � ✓ - per tType Residential Addit�Ori/Alterat on , 240 West Huntington Drive,Post Office Box 60021 Ott , 9,9/ < ') a Work'ClassrPccoon.,Res"Seismic Retro fit .a,s Arcadia,CA 91066-6021 ( . a (626)574-5416 „J, ' 16 ` ' Permit Status Issued, ARCADIA `fWra ISsuckDate 04/30/2021;;1 Expiration: 05/02/2022 Addr NO. Dir Prefix Street Name Street Suffix Unit City,State,Zip Parcel Number 421 W PALM DR Arcadia,CA 91007-8311 5787007015 1.st Contacts ANNIE CHEN Owner NEW CASTLE CONTRACTORS* Contractor 423 W PALM DR 1985 WILCOX AVE A,MONTEREY PARK,CA 91755 (323)822-8261 983897 11 Description:VOLUNTARY SEISMIC UPGRADE PER LA CITY i Valuation: $ 4,000.00 1 Tenant STANDARD DETAIL#7 Total Sq Feet: 0.00 Plan Check# Plan# Fees Amount payments Amount Paid Building Issuing Fee $47.01 Total Fees $289.83 Building Permit Fees $137.05 Cash/Receipt#REC-07484-21 $289.83 Building Plan Review Fee $89.09 Cal Green Plan Check $8.91 Amount Due: $0.00 • - Green Building Standard $1.00 Solid Waste Management Fee $6.25 Strong Motion Inst.Program Res $0.52 Total: $289.83 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. 0 Ceifii.17 FvF0 )4("........ ,Z April 30,2021 Issued By: Henry Kemick Date April 30,2021 Page 1 of 1 FP wv�c9d� PERMIT/PLAN REVIEW APPLICATION '©-jam Development Services Department,240 West Huntington Drive,Post Office Box 60021 131tY°t"° 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 0 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 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 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. ❑I, as owner of the property, am exclusively contracting with licensed - contractors to construct the project(Section 7044,Business and Professions t . 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 ri MUM ki4PERMIT/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 111.iiii ONLINE PERMIT/PLAN REVIEW APPLICATION CITY OF ARCADIA Job Site Address: 421 W. Palm Dr. 91007 LICENSED CONTRACTOR'S DECLARATION WORKERS'COMPENSATION DECLARATION 111'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. D I have and will maintain a certificate of consent to self-insure for workers' License Class B License No. 983897 Exp. Date 5-31-21 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 0 I have and will maintain workers'compensation insurance,as required by Section 3700 of the Labor Code.for the performance of the work for which this permit El.l hereby affirm under penalty of perjury that I am exempt from the Contractors is issued. My workers'compensation insurance carrier and policy numbers are: License Law for the following reason(Section 7031.5, Business and Professions 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 !certify that in the performance of the work for which this permit is issued.I shall exempt there from and the basis for the alleged exemption. Any violation of Q 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 morethan 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 4-30-21 e CAA"}-) ' 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 workhimself 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 oriinprove 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)licensedpursuant.to the Contractors License Law). for the performance of the work for which this permit is issued (Section 3097, • Civil Code). - 1 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: I. 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-mentionedonproperty for inspection purposes. r...c„,,e/o " �.� 4-30-21 Signature , , _ . J , ... .. , Date z Or ARC (11 .1110111111111-1* 7 PERMIT/PLAN REVIEW APPLICATION Development Services Department,240 West Huntington Drive,Post Office Box 60021 \Y% 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 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 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. ❑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 craw d Lank .4,54.5,,15.5r5.51 - cIlm Cede. L •.r ^' ma me Calton.w< .i Coda a,��.y Gaps ____ , -2019 CallforN8 WWI,Code i -.519 Carp..15•515511.11 Coda -201S Caillorn055sr.Cob E.Garage 1 Lewi oi.ennion 5155 rE.,5531.1, -45 1 ne 1 I41 151.1:5,5501 e550 ono me,.551,51510155015 E.Addition i AMA mw 0 111 i I° -Tete 5551 ea..t3.556. 1l 14si ,i E. 1,080 S.F Home ~-�; OE.2,006 S.F Nome !,IO e e e 323 022-0261 Id li' ' I nIL CA uc•.3891 I . IL .........„---.----,................ii , _6.____,, , __ ., maimmen ,..„. ...„. ,,--, _o Front Unit Back Unit °1 al LL m A r Q m 0._•p, E0 11 tm0 Fao O Foundation Plan a 'AL F.3 m uak m— g 'd'l Bratm VB'.f0. m U, QY= u3 m 2.1 .7,'1' 3t~�pp z.2L 0 ..•„ Foundation