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Home My WebLink AboutROOF-21-0948 City of Arcadia, CA `; Permit vo ROOF 21 0945 •' Development Services Department ,w� ��ii i fii p p I k Permit Type Roof 1 i .4 240 West Huntington Drive,Post Office Box 60021 ✓ , r w� ) L.Work Classifrcation Reroof Residential: ? , .,,1 Arcadia,CA 91066-6021 . ;-, ;_J f 1 .( (626)574-5416 Permit Status Issued : 'A RCA D i1 Issue Date 05/26/2021 � Expiration: 05/26/2022 Addr NO. Dir Prefix Street Name Street Suffix Unit City,State,Zip Parcel Number 1634 PERKINS DR Arcadia,CA 91006-1841 5766028024 Contacts VICTORIA GILES Owner 3RD GENERATION ROOFING* Contractor 1634 PERKINS DR 6371 WATERSTONE WAY,FONTANA,CA 92336 (626)355-7543 (951)206-2794 768618 e Description:T.0 REROOF HOUSE/GARAGE WITH GAF COOL Valuation: $ 11,900.00 Tenant s ROOF CHARCOAL CLASS A 27 SQ(LT) **NO FEE PERMIT HIP** Total Sq Feet: 0.00 Plan Check# Plan# s Fees Amount Payments Amount Paid Building Issuing Fee $47.01 Total Fees Building Permit Fees $270.65 Solid Waste Management Fee $6.25 Amount Due: Total: $323.91 6- 17-ZI ft&-Palectsp j)W CALLS FOR INSPECTIONS 6-24 I Request for inspection by telephone at 626-574-5450. Leave a message requesting the address,timeframe and what inspection item is needed. fiALKfr 'f/#\ 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 COMPLETED 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. - CA &I la0(Jo<(Da 4- 5 ke• go A-1,06sgfrt5 vigeg vto eiD ArT isi-D 91/9 May 26, 2021 Issued By:John Zurick Date May 26,2021 Page 1 of 1 °~ ! PERMIT/PLAN REVIEW APPLICATION - _.;. - 0 4,je 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. License Class Cam_3 j IDI have and will maintain a certificate of consent to self-insure for workers' License No. 0 �f Exp. Date t Z/ZZ 1compensation, 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 ❑ 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 is issued.My workers'compensation insurance carrier and policy numbers are: License Law for the following reason(Section 7031.5,Business and Professions r' Code.Any city or county which requires a permit to construct,alter,improve, Carrier 5 -! I-co-✓9 demolish,or repair any structure,prior to its issuance,also required the applicant Policy Number OA/ ( lE for such permit to file a signed statement that he or she is licensed pursuant to the (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 ��rrrcoomply with those provisions. compensation,will do the work,and the structure is not intended or offered for f�(y7�I Signature sale(Section 7044,Business and Professions Code:The Contractors License Date �/ 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 attomey'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. )N ame fr r C.- 'r S S \Tirie ('`)W A-Eil... 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 Lnature cadia to enter upon the above-me ' ned property for inspection purposes. 1Date 06 A, CITY OF ARCADIA HOME IMPROVEMENT PROGRAM Permit Fee Waiver Form The full name of the ^property owner(s) is/are The full address of the subject proper,is 1 � 31' PA/VAvis DVI ,e • A_HIP grant was approved for the subject property on 5/40- The awarded contractor is 5Ire -ervi-eiv c t►avi !2o vvr The approved improvements are 1200 C ri flOC-e e4A- ✓1 Nit-St 4 GI ci-cc.A14( By signing below, the housing consultant confirms the information is true and correct: Beatrice P con Date Housing Consultant