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HomeMy WebLinkAboutROOF-20-0589 `;� ,+�;� City of Arcadia, CA Permit NO. ROOF-20-0589 Development Services Department Permit Type:Roof 240 West Huntington Drive,Post Office Box 60021 ' Arcadia,CA 91066-6021 Work Classification:Reroof-Residential (626)574-5416 Permit Status:Issued ARCADIA Issue Date:04/20/20201 Expiration: Addr NO. Dir Prefix Street Name Street Suffix Unit City,State,Zip Parcel Number 1733 LA RAMADA AVE Arcadia,CA 91006-1629 5766015022 Aim j Contacts JOHANSEN,ERIC C AND MAYEDA,SUSAN Owner CALIFORNIA HOME SOLAR Contractor 4 1733 LA RAMADA DR 17309 VENTURA BLVD 312,ENCINO,CA 91318 '' (323)515-4484 998940 i Description:REMOVE EXISTING PV SYSTEM,REROOF HOUSE Valuation: $ 15,000.00 Tenant AND GARAGE WITH CERTAINTEED PRESIDENTIAL -TL CLASS A DIMENTIONAL COMP OVER NEW SHEATHING,REINSTALL PV Total Sq Feet: 0.00 Plan Check it Plan q SYSTEM Fees Amount Payments Amount Paid Building Issuing Fee $47.01 Total Fees $374.01 Building Permit Fees $320.75 Cash/Receipt tt REC-04303-20 $374.01 Solid Waste Management Fee $6.25 Amount Due: $0.00 Total: $374.01 - 1--Z/2 eh,-41(r �� 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 ki. ( complETEp 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 20, 2020 Issued By: Date April 20,2020 ------- --_ ---- ------ Page 1 of 1 A_ 4 .00P-5), PERMIT/PLAN REVIEW APPLICATION 0" 4,4p, 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 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 (Tins 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 0 I certify 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 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: 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 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 Pl."444, PERMIT/PLAN REVIEW APPLICATION 11,4 iitigs Development Sc rvices Department, 240 West Huntington Drive, Post Office Box 60021 Art adia,CA 91066-6021, (626) 574-5416,Fax(626) 447-9173 ONL( E PERMIT/PLAN REVIEW A.PPLICATI(1.N Job Site .AI.lidt•esf,: LICENSED CONTRACTOR'S DECLARATION WORKERS'COMPENSATION DECLARATION Wit hereby affirm under penalty of perjury the I am lice'ised under provisions of t hereby affirm under penalty of perjury one of the following: Chapter 9(commencing with Section 71 ),of Divisi>-n 3 of the Business and Professions Code.and my liceni' . in • II force and,iacct, 0 i have and will maintain a certificate of consent to self-insure for workers' Y License Class I f r.: r -!%) rep. Date. tJcompensation. as provided for by Section 3700 of the Labor Code. for the j - performance of the work for which this perriut is issued. Signature of Contractor_..,. / r. I_. ...,.� _.... tl,F I haveand wit:maintain workers'compensation insurance, required Section OWNER-BUILDER .0 CLARATION 0 as 0 I herebyaffirm under 3700 of the tabor Code.for the performance of the work for which this permit pest,by of perjyry that I am exer from the Contractors is issued.My workers'compensation insurance carrier and policy numbers are: License Law for the following reason(Section 7031.5.`;rosiness and Professions Code.Any city or county which requires a permit to,^"onstruet.alter.improve, Career demolish.or repair any structure,prior is its issuance.a'",o required the applicant for such permit to file a signed statement that he or she i licensed pursuant to the Policy umber provisions of the Contractors License Law(Chapter 9(c mimcncing with Section t Phis section need nix be co srpleted it'the permit is for tine hundred dollars or 7000)of Division 3 of the Business anc Professions C xief or that he or she is exempt there from and the basis for-the alleged exer prion. Any violation of I �LI certify that in the performance of the work for which this permit is issued.I shall Section 70315 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 riot more than five hundred do`.lars($500)). compensation Laws of California.and agree that if I should become subject to the workers"compensation provisions of Section (Si, the Labor Code.I shall ❑1, as owner of the property, or my employees w th wages as their sole forthwith comply with those provisions / , compensation,will do the work,and the structure is n.t intended or offered for U / sale(Section 7044, Business and Professions Code: -he Contractors License Date 1 (011P _ Signature_ - Law does not apply to an owner of property who bu ds or improves thereon, f® or who does such work himself a herself or ti rough his or her own offeredr employees. provided that such improvements are no intended or for WARNING: Failure to saute Workers'Compensation coverage is unlawful, sale.If.however.the building or improvement is sot t 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 i f 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. El1. as owner of the property, am exclusively con ratting with licensed contractors to construct the project (Section 7044, E iciness and Professions Code:The Contractors License Law does not apply o an owner of property CONSTRUCTION LENDING AGENCY who builds or improves thereon,and who contracts or 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 Lico-Ise 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 Professio s Code,for this reason: Lender's Name Date_._ Signature___...__._. Lender's Address_ • • 1. The City's approved plans and permit inspection :ard must remain on the job site for use by City inspection personnel. 2. Final inspection of the work authorized by this per itt is required.A Certificate of Occupancy roust 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 asbe tos survey and removal prior to disturbing the asbestos. Please contact AQMD at(909)396-2000 for further information. Name Title vet5tr MAWtr. I certify that I have read this application and state tht t the above information is correct and that I am the owner or duly authorized agent of the owner. I agree to comply wit i all Cit •rdinances and Sti to Laws relating to building construction. I hereby authorize representatives of the City of Arcadia to enter upoi e abo • • entioned propertyfor inspection purposes, i 1 _._ fiats ld/ • W K r 1 Fg „--... .2z oar LII. HhI w •� z l.7N. 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