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Home My WebLink AboutTI-18-1325 4� City of Arcadia,CA tet{' 1 Permit No TI 18=1325; Development Services Department"'' "' # - Per it Type Tenant Improvement 240 West Huntington Drive,Post Office Box 60021 �' ' -" i f{ 1t ekClasslficabon Tenant Improvement I � Arcadia,CA 91066-6021 �. .��4.�LJ I (626)574-5416 - ^r: Perm,t slants': ARCADIA IssueDate:as/10/2018 Expiration: 01/29/2019 Addr NO. Dir Prefix Street Name Street Suffix Unit City,State,Zip Parcel Number 622 W Duarte RD 103 Arcadia,CA 5784003044 v-1 Contacts 624 MEDICAL CENTER Owner PATSY MA Applicant 622 W DUARTE RD 205 (626)688-7680 Description:INTERIOR TI. MOVING 3 WALLS AND ADDING A Valuation: S 20.000.00 Tenant 103 BATHROOM IN MEDICAL OFFICE UNIT 103 Total Sq Feet: 0.00 Plan Check#18-1325 Plan#32571 Fees Amount Payments Amount Paid Accessibility Plan Check $39.42 Total Fees $1,191.20 Accessiblity Building Permit $40.43 Cash/Receipt#REC-001845-2018 $689.32 Building Issuing-Fee $44.35 Amount Due: $501.88 Building Permit Fees $404.25 Building Plan Review Fee $262.77 Cal Green Plan Check $26.28 Commercial T.I.Fire Plan Chk. $280.00 Energy Plan Review Fee $80.85 Green Building Standard $1.00 Solid Waste Management Fee $6.25 Strong Motion Inst.Program Com $5.60 CALLS FOR INSPECTIONS Request for inspection by telephone at 626-574-5450. Leave a message Total: $1,191.20 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. 4 comp/fill 1Vk) August 10,2018 Issued By: Date August 10,2018 Page 1 of 1 F AR r l cp.uFOR,.4,tI j! 1110111111 7 PERMIT/PLAN REVIEW APPLICATION i -,i -44 19 Development Services Department,240 West Huntington Drive,Post Office Box 60021 c1/4 4:6` 41"itor 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. ❑ I have and will maintain a certificate of consent to self-insure for workers' License Class License No. Exp. Date 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 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 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(337770c00.�ooff the �Labor rCCode,I shall I, as owner , thellthe rthwith ora with those provisions. U y" ❑ property,rty, or my employees with wages as their sole p yP ,t/ compensation,will do the work,and the structure is not intended or offered for sale(Section 7044,Business and Professions Code:The Contractors License kDate w 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: / //J�/�J Lender's Name • bate 0lit Signature // tK-. Lender's AddreORTANT: APPLICATION IS HEREBY MADE TO THE BUILDING OFFICIAL FOR A PERMIT SUBJECT TO THE J 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. kme PY S ,Title r 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 Arcadia to enter upon t above-mentioned property for inspection purposes. Q'/,J Signature Date "/ ia//et,(r NOTES Building Inspections Date Insp. Plumbing Inspections Date Insp. 100. Setbacks 210. Under fir/bldg.drain 8-22,4,8, rair 101. Rough grade 211. Copper underslab / ' 102. Figs.&forms y''y/2�72. Rough plumbing :��a `x'06 $ 103. Pre-slab (2:. • 2 3. 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. Roof nailing219. Final gas 110. Framing -g3-ts��°220. Fixtures &4 '' 111. OcoiArea Sept.Wall 221. Final plumbing 'g4:54S�- 112. Sound walls 222. Sewer cap/demo. 113. T-bar.rid et-If-L$ 114. Insulation-Fir. ' Pool Inspections Date Insp. 115. Insulation-Wall 240. Excavation/steel 116. Insulation-Ceil. icfro,241. Rough plumbing 117. Drywall nailing $ � 242. Light shelLbonding 118. Interior lath 243. Underground conduit 119. Exterior lath 244. P-trap 120. Finish grade p 45. Gas line&test 121. Final building It-205-ea zit 246. Fence,gates&signs 122. Final demoilot dear 247. Pool heater 248. Final electric Electrical Inspections Date lnsp. 249. Final.Iumbin! 150. Power pole 250. Pool cover 151. Sales lot lighting 251. Pool final _ 152. Under.round conduit - - 153. Underslab conduit Remo'Inspections Date Insp. 154. UFER ground 270. Pre-reroof insp. 155. Water ground }71. Roof framing 156. Rough electrical g'� -f 272. Sheathing nailing 157. Fixtures 273. Final reroof 158. G.F.C.I. 159. E..Lbondin. Sign Inspections Date Insp. 160.1Service pt / 10. Footing overhang 161. Final electric �-i1S-j8G/y�� 281. Footing 282. Conduivvirin. . Mechanical Inspections Date Insp. 283.-Disconnect 180. Venting/flue 284. Final sign 181. Furnace/A.C. 182. Rauch HVAC Miscellaneous Insp. Date Insp. 183. Fire dampers 290. Fire alarm 184. Furnace compartment 291. Underground supply 185. Combustion air 292. Fire sprinklers 186. Smoke detectors 293. Monitor system 187. Metal F.P.rough 294. Hood dry chem. 188. Compressor setback 295. Final 189. Commerdal hood 190. Duct shaft Sewers&Offsite Insp. Date Insp. 191. Final mechanical 300. Lateral(main to P/L) 301. SaddleN Block Wall Inspections Date Insp. 302. Cess...l filled 200. Footings 303. Sidewalk 201. Steel/mbar 304. Driveway 202. Grout lift 305. Curb replacement 203. Final wall 306. Trash bin OF ARC 4cnvtro .44 lot tie MEMORANDUM Fire Department DATE: September 20, 2018 TO: BUILDING DEPARTMENT INSPECTOR Henry Kemich FROM: FIRE DEPARTMENT SUBJECT: FIELD INSPECTION ADDRESS: 622 W. Duarte Road#103 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 9-19-2018 Jill Perumean COMMENTS: _ Emailed Bldg. Dept. 9-19-2018 Rita