HomeMy WebLinkAboutMECH-20-1877 i
: � e r e�t a y w''''u'r, 'Permit NO Mach`20 1877
_� City of Arcadia; CA b
Development Services Department b "rd „ ^'Permit Type 1(IechanlCalM
p'.,�;+ , 240 West Huntington Drive,Post Office Box 60021 iJlJfJcahon
,,„%,.._.4 dI � � 1. 4 HVAENew System,Residential
(626)574-5416 ; Permit Status issued
A')'CADI • Issue Date 11/12/2O2O Expiration: 11/12/2021
Addr NO. DirPrefix Street Name Street Suffix Unit City,State,Zip Parcel Number
2082 VISTA AVE Arcadia,CA 91006-1546 5765005007
. .
Contacts
KYLE LO Owner W C HEATING&AIR CONDITIONING Contractor
2082 VISTA AVE INC*
(626)297-4990 41085 GOLDEN GATE CIR,MURRIETA,CA 92562
;:n,;,. (951)600 0700 779604
F
Description:INSTALL HVAC SYSTEM PER APPROVED PLANS AND Valuation:
Plan#
$ 0.00 Tenant
FURANCE IN SAME LOCATION. HERS REQUIRED FORrFINAL.
(EA) Total Sq Feet: 0.00 Plan Check#
s:'''
Fees Amount Payments
$153.86
Amount Paid
Compressor 3-5 Ton(3 to 15 hp) $36.35 Total Fees $153.86
Electrical Permit Issuance Fee $4701 Cash/Receipt#REC 06017 20
Furnace or Burner<=100,000 BTU
$47.01
$19.86
Mechanical Permit Issuance Fee Amount Due: $0.00
Outlets-Receptacles&Switches $1.63
Solid Waste Management Fee 2 $1.00
Solid Waste Management Fee 2 $1.00
Total: $153.86
r CALLS FOR INSPECTIONS
- `NA L `��30 '2 � -�� Request for inspection by telephone at 626 574 5450. Leave a message
requesting the address,timeframe and what inspection item is needed.
T permit/plan review expiresauthorizedthe by permit
withinnull 180 days
work
from the date of issuance orbyi if the permit i iss not obtained withins 180 days
from e plan t T pmd b nll a andnd
void if the he eh workof authorized byal.this permerit is suspended
expiresan or ecomes abandoneud for 180
consecutive days or if no progressivesubmit his work hasit been verified by a City of
Arcadia building inspector for a period of 180 consecutive days.
99
i
November 12, 2020
Date
Issued By:
November 12,2020 Page 1 of 1
Ca
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AFFIDAVIT SELF:.CERTIFICi.TE•N
FOR COMPLIANCE OF SMOKE ALARMS
AND CARBON Me NOXIDE LARMS
Property Address:
Permit Number: - 20- 1V77.
Brief Job Description:
Number of smoke alarms installed:
Number of carbon monoxide alarms installed:
When alterations repairs'or additions requiring a permit occur, or sleeping rooms are created,
Smoke alarms shall be installed in each sleeping room, and outside each separate.
sleeping area in the immediate vicinity of the bedrooms, and on each additional story of the
dwelling, including basements and habitable attics as required.by Section R314 of the 2016
California Residential Code (CRC) and California Health and Safety Code Section 13113.7. . .
For dwellings or sleeping units containing fuel burning appliances or having attached.
garages, carbon monoxide alarms shall be installed outside each separate sleeping
area in the immediate vicinity of the bedrooms, and on each additional story of the
dwelling, including basements as required by Section R315 of the of the. 2016' California
Residential Code(CRC).
Multi-purpose alarms (combination carbon Monoxide and smoke alarms) may be used.
All alarms shall.comply with requirements for listing and approval by the Office of the State Fire
Marshal. http://osfm.fire:ca.cov/licensinolistinos/licenselistinq bml searchcotest.php
As owner of the above referenced property, I hereby certify that the smoke alarms and carbon
monoxide alarms have been installed in accordance with the manufacturer's instructions and in
compliance
with the code sections referenced above: •
I declare under Penalty if perjury that the f re orng is true and correct, and that this
deel.:ration was executed on (Date) 3 l at Arcadia, California.
Owner's Name (printed/typ
Signature of Owner:
This affidavit must be returned to the City of Arcadia inspector prior to final inspection
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FIRST FLOOR PLAN
4o SMOKE ALARM II .r.r. CARBON M'o NOX!DE AVM ';M
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Master Bedroom
Dining Room Kitchell
Bath -
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Family Room - • • -
Bedroom Bedroom
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• SECOND:FLOOR PLAN •
®SMOKE AL M . CARBON M'..•NOXtD ALARM
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.. PERMIT/PLAN REVIEW APPLICATION
° ,7,..iiiiiiam.
E Development Services Department,240 West Huntington Drive,Post Office Box 60021
0.
0.
°°,.Y°.�°s 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 forcer Fideffect. ❑ I have and will maintain a certificate of consent to self insure for workers'
License Class CZ0 �Licens o. 1wo=4 Exp. Date (olt)(� 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 ❑ 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 700 of the Labor Code,for the performance of the work for which this permit
s issued.My workers'compensati n insurance carrier and policy numbers are:
License Law for the following reason(Section 7031.5,Business and Professions N S UP
'TM-
�! /� l
Code.Any city or county which requires a permit to construct,alter,improve, arrier Vf PCs (,, r�
demolish,or repair any structure,prior to its issuance,also required the applicant olicy Number I/ C.-0 Q I 1 `4�(J
for such permit to file a signed statement that he or she is licensed pursuant to the 's 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 ElI 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 700 of the Labor Code,I shall
❑I, as owner of the property, or my employees with wages as their sole forthwi corn ly 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 2 2)-9 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).
❑ 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. ir?%Dc
nQ_Name \ ' `CO .L-- itle .�N�PAME l3
I certify that I have read this application and state that the above information is c rrect 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 buildin construction. I hereby authorize representatives of the City of
Arcadia to enter upon the above-mentioned property for inspection purposes.
Signature \\(\--7----------------
_ Date \,1 l \(-21\
1