HomeMy WebLinkAboutWALL-18-0668 Permit NO.Wall-18-0668
�.4,0•4h, City of Arcadia, CA
Development Services Department Permit Type:Wall
240 West Huntington Drive,Post Office Box 60021
Arcadia,CA 91066-6021 Work Classification:Garden Wall
(626)574-5416 Permit Status:Issued
ARCADIA Issue Date:04/25/2018 I Expiration: 10/22/2018
Addr NO. Dir Prefix Street Name Street Suffix Unit City,State,Zip Parcel Number
108 E Las Flores AVE Arcadia,CA 5789016002 1
ti
Contacts
GUANQUN LIN Owner Impact Construction Co Inc.* Contractor
108 LAS FLORES AVE,ARCADIA,CA 15902 Halliburton 125A,Hacienda Heights,CA 91745
(626)524-5000
Description: 13 PILASTERS,3'HIGH, 18"SQ. Valuation: S 548.15 Tenant
Total Sq Feet: 0.00 Plan Check# Plan ft
Fees Amount payments Amount Paid
Building Issuing Fee S44.35 Total Fees $162.20
Building Permit Fees $44.85 Cash/Receipt ri REC-000996-2018 $162.20
Electrical Permit Issuance Fee $44.35
Amount Due: $0.00
Light Fixtures $6.16
Motors,Generators<1 hp $15.24
Solid Waste Management Fee $6.25
Solid Waste Management Fee 2 $1.00
Total: $162.20
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
EXPIRED
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.
April 25, 2018
Issued By: Date
April 25,2018 Page 1 of 1
r4 ! PERMIT/PLAN-REVIEW APPLICATION
it .
ici*' Development Services Department, 240 West Huntington Drive, Post Office Box 60021
(N.._�eelry et%%* e 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 Li nse No. �q 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 have and will maintain workers'compensation insurance,as required by Section
0 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 SiG. ✓
demolish,or repair any structure,prior to its issuance,also requited the applicant
Policy Number l WI;67'1- —l
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, or my employees with wages as their sole orthwith 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 Dateilit Signature Cl
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.
Nam ". Title
P N
I rtify 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
rcadia to enter upon t above-mentioned property for inspection purposes.
9 �
Signature e. Date �') l�' . 8
,
ifil
ZONING CLEARANCE ZCLR l )-(:)1
WAS
ARCADIA
PLEASE COMPLETE THE FOLLOWING INFORMATION (REQUIRED) :
PROJECT ADDRESS /c E. h< 7014Ye_-.1. ,QY. ,, AreetoLavt./ CA 9./6O 6
APPLICANT(S) NAME „.,cL 'Z-0
MAILING ADDRESS 2¢,12 F/l'4o/flu A-v42 . '
CITY �? ,G-t / STATE CA. s ZIP 9/e)c'Z
E-MAIL ADDRESS Lox C-ori.a c ,rJlae.te. c Vl
TELEPHONE NO. �6 _..3-o3 6/nc
PROPERTY OWNER(S) NAME
MAILING ADDRESS /o.. . .. L0i4t9d ,44-c----- /
CITY �kre.A. Lc.o` STATE cA ZIP �loara
E-MAIL ADDRESS
TELEPHONE NO.
ZONING CLEARANCE TYPE
New Paving or Impervious Surfaces ❑ Antennas Wireless communication facilities
❑ Other
***PLEASE ANSWER THE QUESTION ON PAGE 2***
THE APPLICANT AND PROPERTY OWNER HEREBY DECLARE UNDER PENALTY OF PERJURY THAT ALL
THE INFORMATION SUBMITTED FOR THIS APPLICATION IS TRUE AND CORRECT.
= � _ .. � .,-A-L. //8
APPLICANT'S SIGNATURE DATE
i ---s' -, T',
>/_ tom'- I`e
PROPERTY OWNER'S SIGNATURE DATE
ACTION TAKEN
0 APPROVED \, '' 13 CONDITIONALLY APPROVED 0 DENIED
CONDITIONS/REASONS FOR DENIAL: O IYle sox o c- W( V\\asvC s soct o. be tedocR a -to k$is 1i` xy,04
(5 )-kite ljsxov.,h4- ;to' des‘.c.,r‘ S1.1ctl` Vie S-'1r✓l.L1% ea., like rCFo*'r, -re _
A/43""gVx.,4-` U`^ en Le t cj0. s�i-t S a t l r 0-E 1 to C 1 v d N C s+ %i S
BY: JQ DATE: SItu4I4, EXPIRATION: 3I1CJ1lc\
THERE IS A TEN(1 0)DAY APPEAL PERIOD FOR THIS APPLICATION. APPEALS MUST BE SUBMITTED IN WRITING TO THE
COMMUNITY DEVELOPMENT DIVISION WITH A$600.00 APPEAL FEE BY 5‘•. �jP.M.ON M046 4, ?IZ(' I I cc`
DATE FILED ''(?CD lib RECEIPT NO. 1?v PAID 1wL4--:' RECEIVED BY \--...1.\,C.L'
ZCLR -1- 1/13/17
PLEASE ANSWER THE FOLLOWING QUESTION (REQUIRED) :
1. Please describe the activity for which the Zoning Clearance is sought. Provide as much detail
a possible on the proposed use and/or structure.
✓��6�r f'y. c.,),;AA r .rte Cil ► ."`'1 /rte �.ccf. act,
0-2.-k cer. s/e":01,a .
1Qf/4 $fir �, --
3 . �.Qt1) ray‹ a'-' -441cWf
/tA e.,.) 04 /32,X , / v
to ,lJ.ra.e.,„r na. .2� C4)..461,44.64. C-�/o r - Jeil ate/4 - i I S7"'
•
FILING REQUIREMENTS
In order for this application to be processed without any delay, the application must include all of the
following materials. To ensure that your application package is complete, please check-off the boxes next
to the required application materials.
Completed application form
Filing Fee- $100
❑ An Ownership Disclosure is required if the property is owned by a corporation,
partnership, trust, or non-profit. The disclosure must reveal the agent for service of
process or an officer of the ownership entity. The disclosure must list the names and
addresses of all the owners and you must attach a copy of the current corporate articles,
partnership agreement, trust, or non-profit document, as applicable.
❑ A scaled site plan (11" x 17" maximum size) and digital copy in PDF format on a CD that
shows the following (if appiicable):
a. Scale, north arrow, parkway width, and street address
b. Location and size of all proposed structures (new and/or existing). The building
and setback areas shall be clearly dimensioned.
c. Description of types of materials, colors, treatments, etc.
d. Mechanical equipment and easements
e. Location and dimension of all landscaped areas and the type of trees and sizes
(to remain or proposed to be removed.)
❑Photos (prints and on CD) of the subject property as viewed from the street, sides, and rear
yard, and the surrounding buildings. Photos should typically be printed at 3"x5" at a minimum.
For operational requirements for mobile food vending,please refer to AMC Sec. 9104.02.220
ZCLR -2-
1/13/17