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HomeMy WebLinkAboutMECH-20-0892 •,� City of Arcadia, CA • Permit NO. Mech-20-0892 Development Services Department Permit Type:Mechanical 240 West Huntington Drive,Post Office Box 60021 Arcadia,CA 91066-6021 Work Classification:HVAC Repair/Replace (626)574-5416 Permit Status:Issued A RCA D I A Issue Date:06/16/2020 I Expiration: 06/16/2021 Addr NO. Dir Prefix Street Name Street Suffix Unit City,State,Zip Parcel Number 421 ELDORADO ST A Arcadia,CA 91006-3914 5779006075 Contacts STEPHAINE CHEN Owner Service Champions Heating And Air Contractor 421 EL DORADO ST A Conditioning' (801)652-2155 3150 E Birch, Brea,CA 92821 (714)777-7777 799170 Description:REPLACE HVAC SYSTEM IN SAME LOCATION . HERS Valuation: $ 0.00 Tenant REQUIRED FOR FINAL Total Sq Feet: 0.00 Plan Check U Plan a wirsow 1 l Fees Amount Payments Amount Paid Compressor 3-5 Ton(3 to 15 hp) 536.35 Total Fees $104.22 Furnace or Burner<=100,000 BTU $19.86 Cash/Receipt tt REC-04719-20 $104.22 Mechanical Permit Issuance Fee $47.01 Amount Due: $0.00 Solid Waste Management Fee 2 51.00 Total: $104.22 q-q-zo i L d1.4 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. 0421206Ki 1,4046XIDe `4 SRove s W 6 This permit/plan review expires by time limitation and becomes null and F void if the work authorized by the permit is not commenced within 180 days gyp I f`� �� F`ELDi from the date of issuance or if the permit is not obtained within 180 days Y(/�'"` 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. COMDLE?ED June 16, 2020 Issued By: Date June 16,2020 Page 1 of 1 GpµFoANf7•.. 4 ! PERMIT/PLAN REVIEW APPLICATION 41, 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 for such permit to file a signed statement that he or she is licensed pursuant to the Policy Number 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 ElI, 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 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 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 • ' ' 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 ONLINE PERMIT/PLAN REVIEW APPLICATION CITY OI ARCADIA Job Site Address: 421 EL DORADO ST A 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. El I have and will maintain a certificate of consent to self-insure for workers' License Class C20 )cense N. 791b0 Exp. Date 10/31/2021 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 a0f,,• TION o•i i y ® 1 have and will maintain workers'compensation insurance,as required by Section OWNER-BUILDER DECLA ❑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 EVEREST NATIONAL INSURANCE COMPANY demolish,or repair any structure,prior to its issuance.also required the applicant RM8WC00054201 for such permit to file a signed statement that he or she is licensed pursuant to the Policy Number 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 ❑ 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 1 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 6/17/2020 %'JZuuur(241.0 6 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. 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). El1 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: I. 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 IAN JACOBY Title AGENT 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 6/17/2020 y„+„„ City of Arcadia, CA Permit NO. EIec-20-1363 Development Services Department Permit Type:Electrical 240 West Huntington Drive,Post Office Box 60021 Work Classification:Elec-Service Change V Arcadia,CA 91066-6021 (626)574-5416 Permit Status:Issued ARCADIA Issue Date:08/31/2020 f Expiration: 08/31/2021 Addr NO. Dir Prefix Street Name Street Suffix Unit City,State,Zip Parcel Number 1 629 ENCINO CT Arcadia,CA 91006-4451 5780013049 Contacts — -- WEIJUN DAI Owner 629 ENCINO CT Description:200 AMP SERVICE UPGRADE Valuation: $ 0.00 Tenant Total Sq Feet: 0.00 Plan Check ti Plan tt Fees Amount Payments Amount Paid Electrical Permit Issuance Fee $47.01 Total Fees $64.49 Residential Services up to 400 amps $16.48 Cash/Receipt St REC-05347-20 $64.49 Solid Waste Management Fee 2 $1.00 Amount Due: $0.00 I Total: $64.49 q-et - 24 TEtegys 4f JA1 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 F.7- 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 COMPLETED Arcadia building inspector for a period of 180 consecutive days. August 31, 2020 Issued By: Date _ — — — — --— — Page 1 of 1 August 31,2020 a0Ji .' 1,:1;. 1i 1.. •) ,.. • • k 14 • l • 1.t! _ f.- f . 9 _ 0 0 , Gucst Room _ !.alto ou ■ Storage T Room 1.= � II age FIRST FLOOR PLAN t = SMOKE ALARM It = CARBON MONOXIDE ALARM — LTpg PI Master Bedroom Dining Room Kitchen r )0 1ill c iIP Closet Hall _ Closet k.... Closet Family Room Bedroom Bedroom SECOND FLOOR PLAN (; =SMOKE ALARM 1 = CARBON MONOXIDE ALARM