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HomeMy WebLinkAboutWALL-20-0660 i I . City of Arcadia, CA Permit NO.Wall-20-0660 Development Services Department Permit Type:Wall 240 West Huntington Drive,Post Office Box 60021 Arcadia,CA 91066-6021 Work Classification:Wall-Garden Wall (626)574-5416 Permit Status:Issued ARCADIA Issue Date:05/06/2020 I Expiration: Addr NO. Dir Prefix Street Name Street Suffix Unit City,State,Zip Parcel Number 501 E CAMINO REAL AVE Arcadia,CA 91006-4347 5780010018 0 .mss Contacts SHIN,HYUN&MEENA Owner 501 E CAMINO REAL AVE (626)622-0983 misl • Description:6 PILASTERS 3'HIGH 16 X 16"WITH WROUGHT Valuation: $ 354.24 Tenant IRON IN BETWEEN. AMENDED 6-2-2020 FROM 9 TO 6 PILASTERS Total Sq Feet: 0.00 Plan Check# Plan# Fees Amount Payments Amount Paid Building Issuing Fee $47.01 Total Fees $93.91 Building Permit Fees $40.65 Cash/Receipt#REC-04419-20 $93.91 Solid Waste Management Fee $6.25 Amount Due: $0.00 II Total: $93.91 - / /-3 - 2-0. Fo-677A6-- * getYsiz- i'llA. 1 f.-,-—Z0 CALLS FOR INSPECTIONS j/ siI Request for inspection by telephone at 626-574-5450. Leave a message �Du� (/�- V'—Y requesting the address,timeframe and what inspection item is needed. 12-7 —� L kThis 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 j - iJA 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. ail �o 4 ��a May 06, 2020 Issued By: Date June 02,2020 Page 1 of 1 cpuF°RA4 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 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. 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 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 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 ❑I, as owner of the property, forthwith comply with those provisions. or my employees with wages as their sole 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 attomey's fees. 0 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). 0 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 ' PERMITIPLAN REVIEW APPLICATION \ i ! Development Services Department, 240 West Huntington Drive, Post Office Box 60021 ?i Arcadia,CA 91066-6021, (626)574-5416, Fax (626)447-9173 ONLINE PERMIT/PLAN REVIEW' APPLICATION , ;i; AL- rdtVE ARC;ADIA Job Site Address: SO\ E E. GR M t ND R% LICENSED CONTRACTOR'S DECLARATION WORKERS'COMPENSATION DECLARATION 0 1 hereby affirm under penalty of perjury that i am licensed under provisions of I hereby affrm+under penalty of perjury one of the following: Chapter 9(commencing with Section 7000.of Division 3 of the Business and Professions Code.anti my license is in full force and effect. 0 I have and will maintain a certificate of consent to self insure for workers' License Class ___ license No. Fxp. Date compensation, as provided for by Section 3700 of the Labor Code, for the performance of the work fru which this permit is issued Signature of Contractor OWNER-BUILDER DECLARATION El 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 QI 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 consauct.alter,improve, Carrick __. �_ ---------- — demolish,or repair any structure.prior to its issuance.also required the applicant Policy Nr+mbec — ----- for such permit to tile a signed statement that he or she is licensed pursuant to the (Nis section aced not he cunmpleicd it the penult is fur one hundred dollars or less; provisions of the Contractors Licence Law(Chapter 9(commencing with Section 7000)of Division 3 of the Business and Professions Code)or that he or she is I 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 vinlaliao1' © nut employ any person in any manner so as to become subject to the workers' Section 70313 by any applicant for a permit subjects the applicant to a civil civil penalty of not more than Live hundred dollars(5500)1: 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 coreply with those prt visiotn compensation,will do the work,and the structure is not intended or offered for ���Zo� Signature 44,01. sale(Section 7411, Business and Professions Code:The Contractors License t)aie Law does not apply to air 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, sate.If,however,the building or improvement is sold within one(I)year of and shall subject an entployer to criminal penalties and civil lines up to one completion,the owner-budder will have the burden of proving that he or she hundred thousand dollars 15100.000),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 Cao, interest, and attorney's fees. �a til. as owner of the property. amu exclusively contracting with licensed contractors to construct the project(Section 7044-1. Business and Professions CONSTRUCTION LENDING AGENCY Code:The Contractors License Law does not apply to an owner of property 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 contractoits)licensed pursuant to the Contractors License Law). for the performance of the work for which this permit is issued (Section 1097. Civil C'rxlel. DI am exempt under Section 7044,Business and Professions Code.for this reason: Lender's Name .. -- bah,. 5/5/ LZ-Ow Signetute4 Lender's Address__._.__ __._.._.._......_. ._ I>?i'ORIAN f: al' ER.Al ION IS fllItEit}' SI ADE 10 1 11E LII"il. 'r e; OFF 1CIAs. FOR l'ERNllr 't 13,1ECT TO THE CONDITIONS AND ?.I,>:1 l !CT1O SS SEE FO12TI1 01 Truk;A PPLIS:ATtoN AND Tiff,H It ?.fent iN(:: 1. The City's approved plans and permit inspection card must remain on the job she for use by City inspection personnel. 2. Final inspection of the work authorized by this permit u 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 AQN1D at(909)396-2000 for further information. Name _ hit?e --------- ..—._......_ -----------_.._-...._. � — MUNI NAME. I certify that I have read this application and state that the above information is correct and that 1 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. 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Dir Prefix Street Name Street Suffix Unit City,State,Zip Parcel Number 501 E CAMINO REAL 1 AVE Arcadia,CA 91006-4347 5780010018 Contacts SHIN,HYUN&MEENA Owner 501 E CAMINO REAL AVE (626)622-0983 , Description:9 PILASTERS 3'HIGH 16 X 16"WITH WROUGHT Valuation: $354.24 Tenant IRON IN BETWEEN Total Sq Feet: 0.00 Plan Check# Plan# Fees Amount Payments Amount Paid Building Issuing Fee $47.01 Total Fees $93.91 Building Permit Fees $40.65 Cash/Receipt#REC-04419-20 $93.91 Solid Waste Management Fee $6.25 Amount Due: $0.00 Total: $93.91 , , xief1 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. May 06,2020 Issued By: Date May 06,2020 Page 1 of 1 e . I.