HomeMy WebLinkAboutCOMM-20-0489 YCity of Arcadia, CA Permit No. Comm-20-0489
Development Services Department Permit Type:Commercial
240 West Huntington Drive,Post Office Box 60021 Work Classification:Commercial Add/Alt
Arcadia,CA 91066-6021
(626)574-5416 Permit Status:Issued
ARCADIA Issue Date:04/20/2020 Expiration: 09/21/2020
Addr NO. Dir Prefix Street Name Street Suffix Unit City,State,Zip Parcel Number
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206 E LIVE OAK AVE Arcadia,CA 91006-5629 8572002001 ^.
Contacts — —,
CHOI,KWANG 1 AND SOOK I TR CHOI Owner Crown Castle International Applicant
FAMILY TRUST Corporation
206 E LIVE OAK 200 Spectrum Center DR,Irvine,CA
(949)930-7464
BECHTEL INFRASTRUCTURE AND POWER Contractor
CORPORATION
272 CORPORATE TERRACE CIR,CORONA,CA 92879
(714)679-0764 913045
•
Description: MODIFICATION TO EXISTING TOWER for AT&T Valuation: $ 30,000.00 Tenant
Total Sq Feet: 0.00 Plan Check#20-489 Plan# 250
Fees Amount Payments Amount Paid
Accessibility Plan Check $53.78 Total Fees $1,508.72
Accessiblity Building Permit 555.15 Cash/Receipt tt REC-04295-20 $670.31
Building Issuing Fee $47.01 Cash/Receipt fi REC-04146-20 $838.41
Building Permit Fees $551.50 $0.00
Building Plan Review Fee $358.48
Cal Green Plan Check $35.85 l Amount Due:
Commercial T.I.Fire Plan Chk. $280.00
Energy Plan Review Fee $110.30
Green Building Standard $2.00
Solid Waste Management Fee $6.25
Strong Motion Inst.Program Corn $8.40 CALLS FOR INSPECTIONS
Request for inspection by telephone at 626-574-5450. Leave a message
Total: $1,508.72 requesting the address,timeframe and what inspection item is needed.
This permit/plan review expires by time limitation and becomes null and
L6 . 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.
•1 COMPLETED
April 20, 2020
Issued By: Date
April 20,2020 Page 1 of 1
7 7
II 4 ! i PERMIT/PLAN REVIEW APPLICATION
•;' 111 ;
0•,d;jo Development Services Department, 240 West Huntington Drive,Post Office Box 60021
°•��Y•t"' Arcadia, CA 91066-6021, (626) 574-5416,Fax (626)447-9173
City ofr 1
Arcadia v p
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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 eegect. ❑ I have and will maintain a certificate of consent to self-insure for workers'
License Class (—LtO License No.'JI3 0 `�feet.
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 •ve 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 edioy numbers are:
Code.Any city or county which requires a permit to construct,alter,improve, Carrier ......-
/
, 1
demolish,or repair any structure,prior to its issuance,also required the applicant /I`.JI
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
exempt there from and the basis for the alleged exemption. Any violation of ❑II 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 .: ome subject to the workers'
penalty of not more than five hundred dollars($500)): compensation Laws of California,and agree that I should become subject to the
workers'compensation provisions of Section i00 of th abor Code,I shall
❑I, as owner of the property, or my employees with wages as their sole forthwith 4/7o
ply 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 iignature
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.
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).
❑ 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 11 A �v
PR NAME
I certify that I have read i' 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 City rdinances and State Laws relating to building construction. I hereby authorize representatives of the City of
Arcadia to enter upon 4 re ab i c , e 1 is red perty for inspection purposes.
Signature # 0
Date
City of Arcadia, CA
Commercial Plan Review
ARCADIA
Permit#. Comm-20-0489
PLAN CHECK #: 20-489 Parcel #: 8572002001
Application Date: 03/25/2020 Expiration Date:
Project Address: 200 E LIVE OAK AVE Project:
Arcadia, CA 91006-5629
Owner CHOI,KWANG J AND SOOK I TR CHOI FAMILY Applicant: ALYCE C READ
Address: 206 E LIVE OAK Address: 200 Spectrum Center DR
Irvine, CA
Phone: Phone: (949) 930-7464
Project Details
SQ Ft: 0 Valuation: $ 30,000.00
Description: MODIFICATION TO EXISTING TOWER for AT&T
Permit Fees
Name Amount Paid Due
Accessiblity Building Permit $55.15 $55.15
Building Plan Review Fee(01-3103) $358.48 $358.48 $0.00
Accessibility Plan Check (01-3103) $53.78 $53.78 $0.00
Building Permit Fees $551.50 $551.50
Green Building Standard $2.00 S2 00
Building Issuing Fee $47.01 547 01
Cal Green Plan Check(01-3103) $35.85 $35.85 $0.00
Strong Motion Inst. Program Corn $8.40 $8.40
Commercial T.I. Fire Plan Chk. (01-3109) $280.00 $280.00 $0.00
Solid Waste Management Fee $6.25 $6.25
Energy Plan Review Fee (01-3103) $110.30 $110.30 50.00
Totals: Receipt#: REC-04146-20 $1,508.72 $838.41 $670.31
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.
Receipt#: REC-04146-20
01-3103 $558.41
01-3109 $280.00
4 Az
00.1FOgY,„.,
PERMIT/PLAN REVIEW APPLICATION
°,��t , 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. ❑ 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
(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 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 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.
0 1, 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.
Fe .
1 C fa& ,
itle
PRINT NAME
I certify that I have read this application and state that the above information is co t and that I am the owner or duly authorized agent of the owner.
I agree to comply with all Cit o divan and to Laws re 'ng to building construction. I hereby authorize representatives of the City of
Arcadia to enter u the bo - entioned property for inspec on purposes.
ignature C 1(.f uDate /Q,5 / !�
1