HomeMy WebLinkAboutPLUM-21-0242 r.•.� City of Arcadia, CA Permit NO. Plum-21-0242
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:02/16/2021 Expiration: 02/16/2022
Addr NO. Dir Prefix Street Name Street Suffix Unit City,State,Zip Parcel Number
(1016 W HUNTINGTON DR B Arcadia,CA 91007-6522 5783007085 J
Contacts
CYRUS LAM Owner A.R.S./Rescue Rooter* Contractor
1016 HUNTINGTON DR B 706 W Arrow Grand CIR,Covina,CA 91722
(310)344-8868 (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-06746-21 $63.56
Water Heater and/or Vent $15.55
Amount Due: $0.00
Total: $63.56 -
2-24—I
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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.
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
c,teteisob1 ,k tDt1/4)Ox)06 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
C t l0 Ke l ve S i ige void if any work authorized by this permit is suspended or abandoned for 180
cam{"` f'11•/�� �'�'''"' consecutive days or if no progressive work has been verified by a City of
1 I Fi eo A-T f ED Arcadia building inspector for a period of 180 consecutive days.
J41( COMPLETED
February 16, 2021
Issued By: Henry Kemick Date
February 16,2021 Page 1 of 1
4 :: i: PERMIT/PLAN REVIEW APPLICATION
0•
E4W Development Services Department, 240 West Huntington Drive, Post Office Box 60021
0.,;,...„0,Y/. Arcadia, CA 91066-6021, (626) 574-5416, Fax (626)447-9173
City of
cadia
LICENSED CONTRACTOR'S 1 r C , RATION WORKERS'COMPENSATION DECLARATION
❑ I hereby affirm under penalty of perju at I . licensed under provisions of I hereby affirm under penalty of perjury one of the following:
Chapter 9(commencing with Section 71II, • Division 3 of •e Business and
rofessions C d my license is in 11 'or. d ffect. ) t ❑ I have and will maintain a certificate of consent to self-insure for workers'
License Class_ Licen - . ) E Date 7.31'2• 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 ❑ I have and will maintain workers'compensation insurance,as required by Section
❑ I hereby affirm under penalty of perjury that I am : -• pt from the Contractors 3700 of the Labor Code,for the performanceJ�f the work for which this permit
is issued.My w kers',compensatjon jpsura7e carrier and policy numbers are:
License Law for the following reason(Section 7031.5,Business and Professions -/��, """ v
Code.Any city or county which requires a permit to construct,alter,improve, Carrier L t� // y IAC)(
demolish,or repair any structure,prior to its issuance,also required the applicant Policy Number 6✓0*� J%1) -5'(3 g'.?II ' 016
for such permit to file a signed statement that he or she is licensed pursuant to the This section need not be completed if the permit is for 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
exempt there from and the basis for the alleged exemption. Any violation of ❑ I certify that in the performance of the work for whi :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 •-.. r subject to the worke.'
penalty of not more than five hundred dollars($500)): compensation Laws of California,and agree that if s .uld become subject . e
workers'compensation provisions of Section /II I ,• the Labor Code all
IDI, 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 6 ,21 /
sale(Section 7044,Business and Professions Code:The Contractors License Date / Signature 'S,
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'Compen tion coy: le is unlawful,
sale. If,however,the building or improvement is sold within one(1)year of and shall subject an employer to criminal penalti 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 t the c t of compensation,
did not build or improve for the purpose of sale). damages as provided for in Section 3706 of the 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 dai r°`L.�i (iY at—, Title 2414"--
'RINT NA E
I certify that I have rea• is apply:tion and state th: the above information is correct and that I am the owner or duly authorized agent of the owner.
I agree to comply wit all Ci ordinances and :to Laws relating to building construction. I hereby authorize representatives of the City of
Acadia to enter upon he a••v -mentioned pro:: y for inspection purposes.
/ f
Si ature , Date 2`