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Home My WebLink AboutTI-18-1621 i ,i City of Arcadia, CA tt r F,S5;t ``n 3 Permit Na TI-18-1621:. 4 I Development Services Department ,,y/2 ; ""C'"` Permit Type Tenant Improvement"' I '{ " 240 West Huntington Drive,Post Office Box 60021 ,,,t" pip p [t°� - ' Arcadia,CA 91066-6021 ji{r �` f ii F k Ciosslhcanon Tenant Improve"`anent' { (626)574-5416 , q a:.• 4 }r - Permit Et•atuvissued' ARCADIA ' ,Issue Date De/06%zo1s, Expiration: 03/05/2019M Addr NO. Dir Prefix Street Name Street Suffix Unit City,State,Zip Parcel Number 150 N Santa Anita AVE 700 Arcadia,CA 5773006036 Contacts PI Properties No. 111,LLC Owner NEW CONCEPT CONSTRUCTION General Contractor(B) 610 N SANTA AMITA AVE,ARCADIA,91006 SERVICES INC (626)321-4800 520 E FOOTHILL BLVD,POMONA,CA 91767 (909)525-4020 Description:T.l. Valuation: $ 2,500.00 Tenant Total Sq Feet: 0.00 Plan Check# Plan# Fees Amount payments Amount Paid Accessibility Plan Check $11.74 Total Fees $661.17 Accessiblity Building Permit $12.04 Cash/Receipt#REC-002224-2018 $661.17 Building Issuing Fee $44.35 Building Permit Fees $120.35 Amount Due: $0.00 Building Plan Review Fee $78.23 Cal Green Plan Check $7.83 Commercial T.I.Fire Plan Chk. $280.00 Electrical Permit Issuance Fee $44.35 Energy Plan Review Fee $24.07 Green Building Standard $1.00 Light Fixtures $23.10 CALLS FOR INSPECTIONS Outlets-Receptacles&Switches $6.16 Request for inspection by telephone at 626-574-5450. Leave a message Solid Waste Management Fee $6.25 requesting the address,timeframe and what inspection item is needed. Solid Waste Management Fee 2 $1.00 Strong Motion Inst.Program Com $0.70 This permit/plan review expires by time limitation and becomes null and Total: $661.17 void if the work authorized by the permit is not commenced within 180 days r t, nn i from the date of issuance or if the permit is not obtained within 180 days T'k/W- ,C t Ico4k! t= e7. -C—• 9. 10'/8 g_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 1324r /ft+- mfribI4c1 9.l/•/e> consecutive days or if no progressive work has been verified by a City of Arcadia building inspector for a period of 180 consecutive days. f trAti 9-20.18 0 COMPLFfO 6" September 06,2018 Issued By: Date September 06,2018 Page 1 of 1 04,41VORAzi4i.111 ,x..,: 1 PERMIT/PLAN REVIEW APPLICATION ifil zi ' Development Services Department,240 West Huntington Drive, Post Office Box 60021 o0 'aim Gop 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 Cod nd my license is in full fo ce and effect. ❑ I have and will maintain a certificate of consent to self-insure for workers' License Class Lice: / I Sy ,. Date 7nelp 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. O NER-BUILDERart'�• " • 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 License Law for the following mason(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 n I for such permit to file a signed statement that he or she is licensed pursuant to the Policy Number 1 ` V 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 them 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 Secti of the Labor Code,I shall 0 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 -f 6 1V sale(Section 7044,Business and Professions Code:The Contractors License ate Sign 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 them 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). 0 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. I Name We f(d' 4 Title S" e-PSc✓ V CP 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 ordin,• es and State Laws relating to building construction. I hereby authorize representatives of the City of Arcadia to enter upon • : ,• •ro•e for ins•ection purposes. t Signatu - —_ Date - Y• 2&10e '^"'t o 7 witsx,7 174.02j, tin Gal. 'E pj. 7,11 C11-srxa -r,•,iami • j "tl''1++.0 rntt. ?21411' y""M 't2/7 4" C .15(o{. Ui clad • i 711+ol2 LIV)9 at al.j J II -t'''�tL 11814s �•,.n" lit r 'ct-,. -rc -Aiwa of -Ai to �3 f3�y I-) 'C',, T . --)-,Myr-1 �� .., m. Plai 1,—......r. ill. N ov '/ 03 L" I 1 :7) Ill) '03 [ , �� i 3) \ '' ' {yam V — 1 . r� D Ars_ Ki ('i yfl y ;, 03 r 3v .c �. ■ c .0 c..- -,r—. 'C c Y - a. _D- ■ -c- D°L ?-(-/'VIS' 1 Date and — 1 Initials of QV o\�\oV sicos\o�s Notes Checker PQ Cf3 0 GoP on Sheet# Plannin. I +__ Ell En.. it. =MI Buildin. ' 6c- -1; Ciegiia IN Ilifiniailill72 vale- Weg PWS-Water ==a L:• P7�fr1/7 WELO of AR Oa' A l-ta" 1117 ;,1 :;.i . =a,cc B t . wwo:s;iw, %nutty car MEMORANDUM Fire Department DATE: September 21, 2018 TO: BUILDING DEPARTMENT INSPECTOR FROM: FIRE DEPARTMENT SUBJECT: FIELD INSPECTION ADDRESS: 150 N. Santa Anita Avenue #700 THE FOLLOWING ITEMS.WERE CHECKED FOR CONFORMANCE WITH APPLICABLE FIRE DEPARTMENT REQUIREMENTS: TYPE OF INSPECTION DATE / INITIAL FINAL INSPECTION FIRE SPRINKLERS FIRE ALARMS TANKS HOOD & DUCT KNOX BOX OCCUPANCY 941-2018 Mark Krikorian COMMENTS: Emailed Bldg. Dept. 9-21-2018 Rita