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HomeMy WebLinkAboutTI-18-1502 ✓s
18 ;
a-. City of Arcadia, CA Permit No TI 1502
T
' i Development Services Department 7 \Jy �., q" "t PermitT a Tenant Improvement
240 West Huntington Drive,Post Office Box 60021 } ,,/Y br � J4 YP P .
; 1€ t�C --- orkCiassi canon tenantim rovement
Arcadia,CA 910 6 6-6 0 21 �. _
(626)574-5416 'az, =,+i. ' --iPermit Status:Issued;
s i' �ti :#
ARCADI!?I , Issue Date 08/20/2018_ Expiration: 02/16/2019
Addr NO. Dir Prefix Street Name Street Suffix Unit City,State,Zip
1220 5 Golden West AVE D Arcadia,CA 91006
II
Contacts
Landtec Development Inc Contractor
9080 Telstar 307,El Monte,CA 91731
(626)280-8358
Description:T.I.V U A KHO BO INC Valuation: S 1,500.00 Tenant V U A KHO BO INC
Total Sq Feet: 0.00 Plan Check#otc Plan#
Fees Amount Payments Amount Paid
Accessibility Plan Check $8.06 Total Fees $506.72
Accessiblity Building Permit $8.27 Cash/Receipt ft REC-002078-2018 $506.72
Building Issuing Fee $44.35
Amount Due: $0.00
Building Permit Fees $82.65
Building Plan Review Fee $53.73
Col Green Plan Check 80.00 Lam''/A C 9d64a G _,,,,r j�
Commercial T.I.Fire Plan Chk. $280.00 !� �/`� 7 (J—
Energy Plan Review Fee $16.53
Green Building Standard $1.00
Solid Waste Management Fee $6.25
Strong Motion Inst.Program Com $0.50 CALLS FOR INSPECTIONS
Request for inspection by telephone at 626-574-5450. Leave a message
Total: $506.72 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 nulland
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.
1 GOWILETED
August 20, 2018
. Ise y: Date
August 20,2018 Page 1 of 1
.F AR I. _ y.
eUFnR e •
-
• '1 PERMIT/PLAN REVIEW APPLICATION
4 , � F
0.4 IsFElp .11
4flt Development Services Department,240 West Huntington Drive, Post Office Box 60021
-Jr Arcadia, CA 91066-6021, (626) 574-5416,Fax (626) 447-9173
City of
Arcadia
f) 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:1pChapter 9(commencing with Section 7000,of Division 3 of the sines
Professions Codq,and my license is in full forc and effect. t
p?/ ❑ I have and will maintain a certificate of consent to self-insure for workers'
License Class ' ense N . Exate Y 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 Conn ctor
OWNER-BUILDER DECLARATION 0 I have and will maintain workers'compensation insurance,as required by Section
0 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
(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 A
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 it 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 t �forthwi omply ith those provisi
compensation,will do the work,and the structure is not intended or offered for Yb
sale(Section 7044,Business and Professions Code:The Contractors License Date �Signam s- `
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.
Name Title
PRINT NAME
flcertify 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.
}agree to comply with all City ordinances and State Laws relating to building construction. I hereby authorize representatives of the City of
rcadia to enter upoentioned property for inspection purposes.
S.1 bature Date a— / t.
NOTES
Building Inspections Date Insp. Plumbing Inspections Date Insp.
100. Setbacks 210. Under fir./bldg.drain
101. Rough grade 211. Copper underslab
102. Figs.&forms 212. Rough plumbing
103. Pre-slab 213. Rough gas
104. Floor joists 214. Shower pan
105. Steel 215. Water heater
106. Grout lift 216. Roof drains
107. Shear nailing 217. Building sewer
108. Diaph nailing 218. Water service
109. Roofnailing 4 19. Final gas
110. Framing
g"'
ming Z�"'�8 220. Fixtures
111. Dcc/Area Sept.Wall 221. Final plumbing
112. Sound walls 222. Sewer cap/demo.
113. T-bar!rid
114. Insulation-Flr. Pool Inspections Date Insp.
115. Insulation-Wall 240. Excavation/steel
116. Insulation-Ceil. /�"�� 41. Rough plumbing
117. Drywall nailing `r-Y-ig 242. Light shelVbonding
118. Interior lath 243. Underground conduit
119. Exterior lath 244. P-trap
120. Finish grade45. Gas line&test
121. Anal building 1-10-18 h46. Fence,gates&signs
122. Anal demo/lot clear , 247. Pool heater
248. Anal electric
Electrical Inspections Date lnsp. 249. Anal.lumbin.
150. Power pole 250. Pool cover
151. Sales lot lighting 251. Pool final
152. Undereround conduit
153. Underslab conduit Reroof Inspections Date Insp.
154. UFER ground 270. Pre-reroof insp.
155. Water ground71. Roof framing
156. Rough electrical et-Y-48 / 72. Sheathing nailing -_
157. Fixtures 273. Final reroof
158. G.F.C.I.
159. Bit.bondin. Sign Inspections Date Insp.
160. Service panel //280. Setback/overhang
161. Anal electric °I`t6-i8 281. Footing
282. Conduitwirin.
Mechanical Inspections Date Insp. 283. Disconnect
180. Venting/flue 284. Anal sign
181. Furnace/A.C.
182. Rouch HVAC Miscellaneous Insp. I Date Insp.
183. Are dampers 290. Fire alarm
184. Furnace compartment 291. Underground supply
185. Combustion air 292. Are sprinklers
186. Smoke detectors 293. Monitor system
187. Metal F.P.rough 294. Hood dry chem.
188. Compressor setback 295. Anal -189. Commerdal hood
190. Duct shaft Sewers&Offsite Insp. I Date Insp.
191. Anal mechanical 300. Lateral(main to P/L)
301. Saddle/?
Block Wall Inspections " Date Insp. 302. Cess.00l filled
200. Footings 303. Sidewalk
201. SteeVrebar 304. Driveway
202. Grout lift 305. Curb replacement
203. Anal wall 306. Trash bin
or:Os 44,0% COUNTY OF LOS ANGELES• DEPARTMENT OF PUBLIC HEALTH
I ;p`} ENVIRONMENTAL HEALTH
SPECIALIZED SURVEILLANCE AND ENFORCEMENT BRANCH
}*.o, ... yF
PLAN CHECK PROGRAM-BALDWIN PARK Cowry bLos:mums
xGuwalloX 5050 COMMERCE DR,BALDWIN PARK,CA 91706 Public Health
PHONE:(626)4305560
VJJJW.PUBLICHEALTH.LACOUNTV,GOV/EH
PLAN CHECK OFFICIAL INSPECTION REPORT
DATE 09/06/2018 EHS CHENG SHAO
PLAN CHECK NUMBER SR0153629
PROGRAM ELEMENT 1701 -RESTAURANT(0-500 SF)
OWNER/REQUESTER KEN FANG, DESIGNER,9095692069 -
DBA VUA.KHO BO INC.
ADDRESS 1220 GOLDEN WEST AVE D,ARCADIA,CA 91007
FINAL INSPECTION STATUS: APPROVED
ADDITIONAL REQUIREMENTS
APPROVED MARKET RETAIL, NO PI-IF
COMMENTS.
APPROVED OK TO OPEN -
Help us serve you better by completing a short survey.Visit our website at waw.oublichealthlacounty.gov/eh.
Operator Signature Page 1 or 2
PLAN CHECK OFFICIAL INSPECTION REPORT
DATE 09/06/2018 EHS CHENG SHAO
PLAN CHECK NUMBER SR0153629
PROGRAM ELEMENT 1701 -RESTAURANT(0-500 SF)
OWNER/REQUESTER KEN FANG, DESIGNER,9095692069
DBA VUA KHO BO INC.
ADDRESS 1220 GOLDEN WEST AVE D,ARCADIA,CA 91007
DISCLOSURES
It is a misdemeanor violation to begin operation without a valid Public Health Permit/License.The Public Health
Permit/License will be issuedby the Los Angeles County Department of Public Health Environmental Health Division(DPH-EH)
Plan Check Program at the job site following final inspection and approval by all applicable agencies. Remodeled areas of an
existing food facility/establishment must obtain a final inspection and approval from all applicable enforcement agencies prior
to use.
Any future alteration,construction,building,renovation,repair,change of equipment,change of the operation of a food
facility/establishment or change of menu may require plans to be submitted to the DPH-EH Plan Check Program. Additional
approvals maybe required from other enforcement agencies.
It is improper and illegal for any County officer,employee or inspector to solicit bribes,gifts or gratuities In connection with
performing their official duties. Improper solicitations include requests for anything of value such as cash,discounts,free
services,paid travel or entertainment,or tangible items such as food or beverages. Any attempt by a County employee to
solicit bribes,gifts or gratuities for any reason should be reported immediately toeither the County manager responsible for
supervising the employee or the Fraud Hotline at(800)544-6861 or www.lacountyfraud.org. YOU MAY REMAIN ANONYMOUS
Public Health Permit/License:
A separate fee is required for the Public Health Permit/License.A billing statement will be sent to the permit/license holder
annually by the DPH-EH. The fee is required to be paid to perform or carry on,conduct or engage in any mobile food facility
listed in Los Angeles County Code,Title 8,Section 8.04.720.
State and Local Licenses and.Permits:
Contact the State of California and your local city hall regarding additional license and permit requirements.
Restrooms:
Customer may use restroom facilities if they are located in a customer area.Customers may not enter the food preparation
area,food storage area,or the utensils washing/storage areas in order to access the restrooms.All food,utensils and
equipment must be protected from contamination.
Routine Inspection:The DPH-EH conducts routine inspections of all food facilities in Los Angeles County. Following the
issuance of your Public Health Permit by the Plan Check Program,an Environmental Health Specialist from your local district
will conduct an inspection of your facility. If your Business is located In a city that has adopted the grading ordinance,the
inspector will post a grade or score card at your facility. Grade/Score cards are not issued by the Plan Check Program.
Help us serve you better by completing a short survey.Visit our website at www.publichealth.lacountv.00vleh.
Operator Signature Page 2 of 2