HomeMy WebLinkAboutMEO-20-1457 City of Arcadia, CA Permit NO. MEP-204457
Development Services Department Permit Type:MEP
240 West Huntington Drive,Post Office Box 60021 Work Classification:MEP-Residential
r Arcadia,CA 91066-6021
(626)574-5416 Permit Status:Issued
ARCADIA Issue Date:09/14/2020 Expiration: 09/14/2021
,
Addr NO. Dir Prefix Street Name Street Suffix Unit City,State,Zip Parcel Number
527 E NORMAN AVE Arcadia,CA 91006-4828 5790001020
Contacts
PAUL AND SANDY Owner LANTERPRISE CORPORATION* Contractor
5460 PECK RD,Arcadia,CA 91006-5863
1002046
,
Description: REMODEL KITCHEN AND I BATHROOM ( Valuation: $0.00 Tenant
EXISTING LAYOUT TO REMAIN) Total Sq Feet: 0.00 Plan Check tt Plan tt
Fees Amount Payments Amount Paid
Bathtubs/or Combo $13.21 Total Fees $281.12
Electrical Permit Issuance Fee $47.01 Cash/Receipt U REC-05469-20 $281.12
Hood Serviced by Mechanical Exhaust $14.96
Amount Due: $0.00
Lavatories $26.42
Light Fixtures $9.78
Mechanical Permit Issuance Fee $47.01
Plumbing Permit Issuance Fee $47.01
Shower $13.21
Shower Pan $13.21
Solid Waste Management Fee 2 $1.00
Solid Waste Management Fee 2 $1.00 CALLS FOR INSPECTIONS
Solid Waste Management Fee 2 $1.00 Request for inspection by telephone at 626-574-5450. Leave a message
ventilation Fan(Single Duct) $19.88 requesting the address,timeframe and what inspection item is needed.
Water Closet $26.42
Total: $281.12
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
/(2-1-2.-0 from the date of issuance or if the permit is not obtained within 180 days
5 1 •1 C t''PC J` CK M 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
2-1 ->1 Arcadia building inspector for a period of 180 consecutive Fu4ks-L
tom,- \mT1e 4,T L1bt3 sale,
CMDL1TED
September 14, 2020
Issued By: Date
September 14,2020 Page 1 of 1
• AR
4`r b,Fokt,-.#
:M PERMIT/PLAN REVIEW APPLICATION
,�.tj,, 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:
��\TTT Chapter 9(commencing with Section 7000,of Division 3 of the Business and
Professions Code, d my license is in full force and effect. p ❑ I have and will maintain a certificate of consent to self-insure for workers'
License Class Li se N . by 4r2 Exp. Date? 7(' compensation, as provided for by Section 3700 of the Labor Code, for the
Signature of Contractor l/� (' 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
(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 I,.
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 violation of ��
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 00 of the Labor ,•e,I shall
❑I, as owner of the property, or my employees with wages as their sole forthwicomply with those provisions.
n
compensation,will do the work,and the structure is not intended or offered forIF
„ r'
sale(Section 7044,Business and Professions Code:The Contractors Licensemir
Date /7 ()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. 14
Name ( t � jj 1 / J
PRINT ME Title D b)"i Jr,�
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 upo a abov(TI?\
tioned pro rty for inspection purposes.
signature Date Y ^ / `'