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HomeMy WebLinkAboutTI-18-1893 City of Arcadia, CA °' _ Permit No TI 18x1893 Development Services Department { '�` R g, ,,`y Permit Type Tenant Improvement 240 West Huntington Drive,Post Office Box 60021 - `� � �� 1, tae } °+ �� `~,.-; WorkClassr cahon Tenant Im rovement Arcadia,CA 91066-6021 t,f .3 S f t.,,r Ifi .� p I (626)574-5416 " ` Pelmet Status I.. S.gfevv" ARCAD IA /L/"; ��cot- Issue Date Expiration: 04/09/2019 Addr NO. Dir Prefix Street Name Street Suffix Unit City,State,Zip Parcel Number 250 W Colorado BLVD 200 Arcadia,CA 5775011030 Contacts FOOTHILL CREDIT UNION Owner INTEGRATED BUILDERS GROUP INC* General Contractor(B) i 250 W COLORADO BLVD 5137 GOLDEN FOOTHILL PKWY 140,EL DORADO HILLS,CA 95762 , (925)787-1776 Description:INTERIOR TI FOR FOOTHILL CREDIT UNION.NEW t Valuation: S 260.000.00 Tenant PARITION WALLS AND CEILING. e Total Sq Feet: 0.00 Plan Check#18-1893 Plan#32619 Fees Amount payments Amount Paid Accessibility Plan Check $226.98 Total Fees $5,332.30 Accessiblity Building Permit $232.80 Cash/Receipt#REC-002576-2018 $2,637.10 Building Issuing Fee $44.35 Cash/Receipt#REC-002725-2018 $2,695.20 Building Permit Fees $2,328.00 Building Plan Review Fee $1,513.20 Amount Due: $0.00 Cal Green Plan Check $151.32 Commercial T.I.Fire Plan Chk. $280.00 Energy Plan Review Fee $465.60 rpp� Green Building Standard $11.00 4 2 tot Solid Waste Management Fee $6.25 Wj C Strong Motion Inst.Program Com $72.80 CALLS FOR INSPECTIONS Request for inspection by telephone at 626-574-5450. Leave a message Total: $5,332.30 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 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. • Issued By: Date October 29,2018 Page 1 of 1 •FAR 1. PERMIT/PLAN REVIEW APPLICATION tilirDevelopment Services Department,240 West Huntington Drive,Post Office Box 60021 44, . „on " Arcadia, CA 91066-6021, (626) 574-5416,Fax(626) 447-9173 City of Arcadia IWORKLICENSED CONTRACTOR'S DECLARATION ERS'COMPENSATION DECLARATION x 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 o c- and effect. ❑ I have and will maintain a certificate of consent to self-insure for workers' License Class •'cense No. *wia Exp. Date/0/20 compensation, as provided for by Section 3700 of the Labor Code, for the c Signature of Co':?�rs-� r .__ performance of the work for which this permit is issued. OWNER-BUILDER % CLARATI 1 N ' © 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 I • 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 G .: is issued.My workers'compensation insurance carrier and policy numbers are; II Code.Any city or county which requires a permit to construct,alter,improve, 1. tl Carrier demolish,or repair any structure,prior to its issuance,also required the applicant j"~i' for such permit to file a signed statement that he or she is licensed pursuant to the ilia Policy Number provisions of the Contractors License Law(Chapter 9(commencing with Section I'ii (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 it exempt there from and the basis for the alleged exemption. Any violation of i fY 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 3700 of the Labor Code,I shall ❑I, as owner of the property, or my employees with wages as their sole `t forthwith comply with those provisions. compensation,will do the work,and the structure is not intended or offered for - i sale(Section 7044,Business and Professions Code:The Contractors License ate �� w* ��-�= - t 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: 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. tame 9.be(0.t2Ej '�kISTE2 c Title cJCt.�=ew e—too es;r 111�,1,{�s PRINT NAME eF rtify 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. 'Itagree to comply with all City ordinances and State Laws relating to building construction. I hereby authorize representatives of the City of ItfArcadia to enter upo ,,,,e above-mentioned p .' erty for inspection purposes.Signature 1�12 � , ' Date121/4 al NOT S r ry Building Inspections Date Insp. Plumbing Inspections Date Insp. r ,7v v7/ �-%LD// c ,'v /1 4 /JO100. Setbacks 210. Under fir/bldg.drain ���TTT/// �l 101. Rough grade 211. Copper underslab / yy 102. Figs.&forms 212. Rough plumbing //0/5 .S( ✓/C a/0/g/04 ( �y,� �/ 103. Pre-slab 213. Rough gas v i 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 nailingyy,, 218. Water service 110.109. 219. Final Framing'ng gas �/'4k '( 220. Fixtures 111. Occ./Area Sept.Wall 221. Final plumbing ?'-‘17 A 112. Sound walls 222. Sewer cap/demo. 113. T-bar!rid 1%1'ICI 114. Insulation-Flc Pool Inspections Date Insp. 115. Insulation-Wall ' 'u _ 240. Excavation/steel 116. Insulation-Ceil. /9 /� 241. Rough plumbing 117. Drywall nailing /C M (XL 242. Light shelVbonding 118. Interior lathJ/ 243. Underground conduit 119. 120. Fn Finish gr245. Gas erior lath ade �7/ /� 244. aline&test 121. Final building Chi/Ye- 246. Fence,gates&signs 122. Anal demo/lot clear 247. Pool heater 248. Anal electric. Electrical Inspections Date Insp. 249. Anal.lumbin. 150. Power pole 250. Pool cover 151. Sales lot lighting 251. Pool final 152. Underground conduit 153. Underslab conduit Reroof Inspections Date Insp. 154. UFER ground• 270. Pre-reroof insp. 155. Water ground /�/�( / �/ 271. Roof framing 156. Rough electrical ' v 272. Sheathing nailing 157. Fixtures 1.3•19 273. Final reroof 158. G.F.C.I. 159. E..t.bondin. Sign Inspections I Date Insp. 160. Service panel280. Setback/overhang 161. Anal electric 7-67/ 281. Footing 282. Conduittwidn. Mechanical Inspections Date Insp. 283. Disconnect 180. Venting/flue 284. Final sign 181. Furnace/A.C. 182. Rouch HVAC I •3.11 Miscellaneous Insp. 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. Final 189. Commercial hood 190. Duct shaft / Sewers&Offsite Insp. Date Insp. 191. Anal mechanical #.7'1`, /V ) 300. Lateral(main to PI) 301. Saddle/Y Block Wall Inspections ` Date Insp. 302. Cess...l filled 200. Footings 303. Sidewalk - --- 201. SteeVrebar 304. Driveway 202. Grout lift 305. Curb replacement 203. Anal wall 306. Trash bin l City of Arcadia, CA 4 Permit N-0.11-184894-, Development Services Department C Y"*`"'a " "' Permif Type Tenant Improvement 240 West Huntington Drive,Post Office Box 60021 Dis'l � F ra t� ' LWorkClassif cohon:TI-'Interior Demohiton )41, � Arcadia,CA 91066-6021 .,....� Y 4-� �,.� - .. '. (626)574-5416 Permit Status Issued', ARCADIA Issue Da 10/11/20181 Expiration: 04/09/2019 Addr NO. Dir Prefix Street Name Street Suffix Unit City,State,Zip Parcel Number 250 W Colorado BLVD 200 Arcadia,CA 5775011030 Contacts FOOTHILL CREDIT UNION Owner INTEGRATED BUILDERS GROUP INC* General Contractor(B) 250 W COLORADO BLVD 5137 GOLDEN FOOTHILL PKWY 140,EL DORADO HILLS,CA 95762 (925)787-1776 Description:INTERIOR DEMO FOR COMMERCIAL TI Valuation: S 500.00 Tenant Total Sq Feet: 0.00 ' Plan Check U Plan U Fees Amount Payments Amount Paid Accessibility Plan Check $3.97 Total Fees $138.00 Accessiblity Building Permit $4.07 Cash/Receipt N REC-002577-2018 $138.00 Building Issuing Fee $44.35 Amount Due: $0.00 Building Permit Fees $40.65 Building Plan Review Fee $26.43 Cal Green Plan Check $2.65 fell/ /'/� F;(7/4'r Energy Plan Review Fee $8.13 6 Green Building Standard $1.00 Solid Waste Management Fee $6.25 Strong Motion Inst.Program Com $0.50 Total: $138.00 CALLS FOR INSPECTIONS Request for inspection by telephone at 626-574-5450. Leave a message requesting the address,timeframe and what inspection item is needed. Eii C OMI19 This permit/plan review expires by time limitation and becomes null and void if the work authorized by the permit is not commenced within 180 days from the date of issuance or if the permit is not obtained within 180 days from the date of plan submittal.This permit expires and becomes null and void if any work authorized by this permit is suspended or abandoned for 180 consecutive days or if no progressive work has been verified by a City of Arcadia building inspector for a period of 180 consecutive days. October 11,2018 Issued By: Date October 11,2018 Page 1 of 1 1 PERMIT/PLAN REVIEW APPLICATION it 1:- .,r. w tot ' Development Services Department, 240 West Huntington Drive,Post Office Box 60021 em° °'"° Arcadia, CA 91066-6021, (626) 574-5416,Fax (626)447-9173 City of Arcadia LICENSED CONTRACTOR'S DECLARATION WORKERS'COMPENSATION DECLARATION ®,I hereby affirm under penalty of perjury that I am licensed under provisions of I hereby affirm under penalty of perjury one of the following: Chapter 9(commencing with Section 7000,of Division 3 of the Business and Professions Code,and my license is in full force and effect.1 I have and will maintain a certificate of consent to self-insure for workers' License Class 4�3fl/ ❑ LaiceAns�e No.QQ7d�,$� Exp. Date �� compensation, as provided for by Section 3700 of the Labor Code, for the Signature of Contractor /VLiso � performance of the work for which this permit is issued. OWNER-BUILDER DECLARATION ❑ 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 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 Policy Number `e, 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 (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 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 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 w h those provisions. compensation,will do the work,and the structure is not intended or offered for ,/AI sale(Section 7044,Business and Professions Code:The Contractors License Date ICA //0' 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. ^' , (Name M"tweeS�'T&A Title >`' wetted .- ear Leader' s7.) 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. cSignature (Date /c/o/ 4c/9 0-441 City of Arcadia, CA Permit No._MeCh 18-2149 Development Services Department Permit Type:Mechanical `c 240 West Huntington Drive,Post Office Box 60021 {• • "' { Work Classification Mechanical,Commercial Arcadia,CA 91066-6021 L r , - (626)574-5416 -' Permit Status:Issued • ARCADIA ; : •• Issue Date 11/16/2o1a Expiration: 05/15/2019 Addr NO. Dir Prefix Street Name Street Suffix Unit City,State,Zip Parcel Number 250 W Colorado BLVD Arcadia,CA 5775011030 Contacts FOOTHILL CREDIT UNION Owner AIR BUILDERS INC* HVAC Contractor(C-20) 250 W COLORADO BLVD 104 East K-4#F,Lancaster,CA 93535 (661)726-4822 accounting@airbuilders.com Description:17 SUPPLY REGISTERS,8 DUCT RETURNS,AND Valuation: $ 0.00 Tenant EXHAUST FAN FOR TI t Total Sq Feet: 0.00 Plan Check# Plan# Fees Amount payments Amount Paid Add/Alter Ducts $234.50 Total Fees $289.23 Mechanical Permit Issuance Fee $44.35 Cash/Receipt#REC-002915-2018 $289.23 Solid Waste Management Fee 2 $1.00 Amount Due: $0.00 Ventilation Fan(Single Duct) $9.38 Total: $289.23 COMPLE1Lta 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 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. November 16, 2018 Issued By: ' Date November 16,2018 Page 1 of 1 OE A• JY,ruRN .,, .. xi 1 PERMIT/PLAN REVIEW APPLICATION Eit%34::;47 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. 0 I have and will maintain a certificate of consent to self-insure for workers' License Class 2.0 L' nse No. V Exp. Date 00/16% 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. OWNER-BUIL DECLARATION 0 1 have and will maintain workers'compensation insurance,as required by Section ❑ I hereby affirm un er 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 mason(Section 7031.5,Business and Professions is issued.My workers'compensation insurance �caa'rrier and policy numbers are: Code.Any city or county which requires a permit to construct,alter,improve, 1 Carrier I ASU(isrlt4 COM sl W'444 WL04- demolish,or repair any structure,prior to its issuance,also required the applicant I policy Number WL V 5-03v 71.1 to 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 (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 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 hose 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 1/` `l� 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: Fiilure 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($100,000),in addition to the cost of compensation, did not build or improve for the purpose of sale). damages as provided for in Section 3706 of the Labor Code, interest, and attorney's fees. 0 I, as owner of the property, am exclusively contracting with licensed contractors to construct the project(Section 7044, Business and Professions Code:The Contractors License Law does not apply to an owner of property CONSTRUCTION LENDING AGENCY who builds or improves thereon,and who contracts for such projects with a I hereby affirm under penalty of perjury that them is a construction lending agency contractor(s)licensed pursuant to the Contractors License Law). for the performance of the work for which this permit is issued (Section 3097, Civil Code). ❑ I am exempt under Section 7044,Business and Professions Code,for this reason: Lender's Name Date Signature Lender's Address IMPORTANT: APPLICATION IS HEREBY MADE TO THE BUILDING OFFICIAL FOR A PERMIT SUBJECT TO THE CONDITIONS AND RESTRICTIONS SET FORTH ON THIS APPLICATION AND THE FOLLOWING: 1. The City's approved plans and permit inspection card must remain on the job site for use by City inspection personnel. 2. Final inspection of the work authorized by this permit is required.A Certificate of Occupancy must be obtained prior to use and occupancy of new buildings and structures. 3. Per South Coast Air Quality Management District(AQMD)regulations,renovation and remodeling work that results in the removal,stripping,or altering of asbestos containing materials requires an asbestos survey and removal prior to disturbing the asbestos.Please contact AQMD at(909)396-2000 for further information. \Name 64nh}$Cv Or 4-7"1.4. 'fitle 047.t.41 $y /n/4ga d- n► P NAME I certify that I have read this application and state that the above information is correct and that I am the owner or duly authorized agent of the owner. I agree to comply with all City ordinances and State Laws relating to building construction. I hereby authorize representatives of the City of Arcadia to enter upon the above-mentioned property for inspection purposes. �t //--- / 9 knatur/Ve ( Date f/ /V ~// 133�ilder$, Inc. Air Conditioning Contractors (661) 726-HVAC (0622) License#960085 October 3, 2018 To Whom It May Concern: This letter serves as authorization for Francisco (Frank) Ortega,Jr: to act on my behalf for Air Builders, Inc. He has the authority to perform whatever duties are necessary that concern pulling permits, mechanical plans, plan checks, and etc. Should you have any questions, please contact my office at 661-726-4822. Thank yo . A notary public or other effkOf completing this certificate verifies only the Identity of the i404 individual who signed the document to which this tlficate is attached,and not the truthfulness. ; cv,or validity of that document Scott W. Bascom State of California President,Air Builders, Inc. County of Los Angeles Subscribed and sworn(or affirmed)to before me on this ��rd day of O' 2ott/ ,by Data Mont Neat 5C01+ ly• (30-frwnt Woof Signer proved to me on the basis of satisfactory evidence t person who , me. /71-- r _ a Y •,r •• Jo$HUA FIATFlfcLDD .. r tNorkrr .M21< Uct81AUPon Q : � LDS WOES COUNTY wf Cawn map+it/AiDto j � t � —,� ` ff City of Arcadia, CA t) , vPermi[NOEIeC 18-2145' !f Development Services Department I n '";,7":::y.:' i "� Permit Type Electrical l •/ 240 West Huntington Drive,Post Office Box 60021 1 r ( 1,1-111 f iil ;•1 S"`lack Classification Electrical Commercial. I Arcadia,CA 91066-6021 P yF" J f , I (626)574-5416 C 4•••" Permit Status:Issued ARCADIA Issue Date 11/is/2ol8a Expiration: 05/14/2019 , Addr NO. Dir Prefix Street Name Street Suffix Unit City,State,Zip Parcel Number 250 W Colorado BLVD Arcadia,CA 5775011030 ., Contacts FOOTHILL CREDIT UNION Owner INTEGRATED BUILDERS GROUP INC* General Contractor(B) 250 W COLORADO BLVD 5137 GOLDEN FOOTHILL PKWY 140,EL DORADO HILLS,CA 95762 (925)787-1776 . Description:ELECTRICAL FOR TI WORK 2 200 AMP SUB PANELS 1 Valuation: 5 0.00 Tenant 6 .....w Total Sq Feet: 0.00 Plan Check# Plan# .] Fees Amount Payments Amount Paid Distribution Panel $31.10 Total Fees $208.05 Electrical Permit Issuance Fee $44.35 Cash/Receipt#REC-002908-2018 $208.05 Light Fixtures $75.80 Outlets-Receptacles&Switches $55.80 Amount Due: $0.00 Solid Waste Management Fee 2 $1.00 Total: $208.05 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 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. / November 15,2018 Issued By: Date November 15,2018 Page 1 of 1 1 �,.; PERMIT/PLAN REVIEW APPLICATION e • „43 j 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 0 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,an' my license is in full fake and effect. 0 I have and will maintain a certificate of consent to self-insure for workers' License Class — 0 e 0. Si ref Date 2620 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 Cons. — i.- ( _ �� OWNER-BUILDER D CLARATION 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 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 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 I 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 CII, as owner of the property, or my employees with wages as their sole forthwith comply with hoseprov Bions. compensation,will do the work,and the structure is not intended or offered for r sale(Section 7044,Business and Professions Code:The Contractors License Date f�l Sig 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 costof 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 TILE 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 ere !4/Q 03 f ttR-(S vfd2_ Title c7—C410F4t/l'TopOati/ 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 gree to comply with all City ordinances and State Laws relating to buildi g construction. I hereby authorize representatives of the City of Acadia to enterif e above-mentione roperty for inspection purposes. i i 01-814, Si nature f Date /t06f/ a?- . City of Arcadia, CA PermitNO FIRE-18-2231 Development Services Department , Permit Type:Fire: \. 1 240 West Huntington'Drive,Post Office Box 60021 `x i i tl I . j , , WorkClassificatfon FlreSpfinkler ' Arcadia,CA 91066-6021 ,� �, ti r„+ -� t J (626)574-5416iiiir Permit Status:'Issued ARCADIAIssue Date 12/14/20181 Expiration: 06/12/2019 Addr NO. Dir Prefix Street Name Street Suffix Unit City,State,Zip Parcel Number 250 W Colorado BLVD Arcadia,CA 5775011030 Contacts FOOTHILL CREDIT UNION Owner Code 4 Fire Inc. Fire Contractor(C-16) 250 W COLORADO BLVD 187 W Orangethorpe,Placentia,CA 92870 (949)439-1979 905117 Description:FIRE SPRINKLERS FOR FOOTHILL CREDIT UNION Valuation: $ 1,100.00 Tenant Total Sq Feet: 0.00 Plan Check#18-2231 Plan p Fees Amount Payments Amount Paid Fire Issuance $44.35 Total Fees $811.20 Fire Permit Fees $65.85 Cash/Receipt U REC-003024-2018 $700.00 Solid Waste Management Fee 2 $1.00 Cash/Receipt p REC-003156-2018 $111.20 Sprinkler Heads $700.00 Amount Due: $0.00 Total: $811.20 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. l;i\t‘all lc% IcThis permit/plan review expires by time limitation and becomes null and Q 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 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. C.N\--i December 14;2018 Issued By: Date December 14,2018 Page 1 of 1 ,FAR ,,tookY7_, - it4 , ,:;..� 1 PERMIT/PLAN REVIEW APPLICATION ,<$1,":„."'„,„ Development Services Department,240 West Huntington Drive,Post Office Box 60021 • ,,a te. Arcadia, CA 91066-6021, (626) 574-5416, Fax (626)447-9173 City of Arcadia LICENSED CONTRACTOR'S DECLARATION WORKERS'COMPENSATION DECLARATION 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 nd Professions Code�,a`nd/v license is in ful rc aaaoddd effect. / g ❑ I have and will maintain a certificate of consent to self-insure for workers' License Class r/ t6 Licen. No. 67 Exp. Dater // 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 a OWNER-BUILD DECLARATION PP 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'c�pensauynsurance carrier and policy numbers are: Code.Any city or county which requires a permit to construct,alter,improve, Carrier Q Jy` t/G� 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 (Thins 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 II I certify that in the performance ofpermit work for which this 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 mom 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, forthwith comply w.mho provisions. ❑ or my employees with wages as their sole /(7/// compensation,will do the work,and the structure is not intended or offered for ` `G sale(Section 7044,Business and Professions Code:The Contractors License gate /�7 Signa 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. /yJ Na e 34 Title ��-( PRINT NAME 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. 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 upon th bove-mentioned property for inspection purposes. Date /? /9 /( O ARO 4�rauon�,� i -7a owo c�\ c MEMORANDUM Fire Department DATE: January 16, 2019 TO: BUILDING DEPARTMENT INSPECTOR John Zurick FROM: FIRE DEPARTMENT SUBJECT: FIELD INSPECTION ADDRESS: 250 W. Colorado Blvd. #200 THE FOLLOWING ITEMS WERE CHECKED FOR CONFORMANCE WITH APPLICABLE FIRE DEPARTMENT REQUIREMENTS: TYPE OF INSPECTION DATE / INITIAL FINAL INSPECTION FIRE SPRINKLERS 1-16-2019 Jill Perumean FIRE ALARMS TANKS HOOD >;< DUCT KNOX BOX OCCUPANCY 1-16-2019 Jill Perumean COMMENTS: Emailed Bldg. Dept. 1-16-2019 Rita