HomeMy WebLinkAboutTI-18-1194 * r v ?LLt
s City of Arcadia, CA s; r� Perm t No TI 18 1194
Development Services Department °'4 tr` r iflpPermit Type Tenant Improvernentl
•
240 West Huntington Drive,Post Office Box 60021 t� � k� C y I ' E ;fi' p
' C SWrPassi ianon•Tenantimprovement
Arcadia,CA 91066-6021 I2 � 3_J. �-d 711,
-
(626)574-5416 r ;<# .. - w" Permit Status'issued.`
ARCADIA Issue Date p$/08/2018 Expiration: 02/04/2019
Addr NO. Dir Prefix Street Name Street Suffix Unit City,State,Zip Parcel Number
123 E Duarte RD Arcadia,CA 5779016009
Contacts
NSY GROUP LLC Owner ROBERT TSAI Applicant
123 E DUARTE 682 BLUEFIELD DR,CLAREMONT,CA 91711
(626)927-6316
WANKE DEVELOPMENT GROUP INC* General Contractor(B)
18472 COLIMA RD 218,ROWLAND HEIGHTS,CA 91748
(626)202-9083
Description:INTERIOR TI FOR SUNFLOWER MEDICAL USE Valuation: $ 30.000.00 Tenant
Total Sq Feet: 0.00 Plan Check#18-1194 Plan ff 32569
Fees Amount Payments Amount Paid
Accessibility Plan Check $53.78 Total Fees $1,506.06
Accessiblity Building Permit $55.15 Cash/Receipt ff REC-001979-2018 $667.65
Building Issuing Fee $44.35 Cash/Receipt N REC-001660-2018 $838.41
Building Permit Fees $551.50
Building Plan Review Fee $358.48 Amount Due: $0.00
Cal Green Plan Check $35.85
Commercial T.I.Fire Plan Chk. $280.00
Energy Plan Review Fee $110.30
Green Building Standard $2.00
Solid Waste Management Fee $6.25
Strong Motion Inst.Program Com $8.40 CALLS FOR INSPECTIONS
Request for inspection by telephone at 626-574-5450. Leave a message
Total: $1,506.06 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.
5111 COMPLETED
August 08, 2018
Issued By: Date
August 08,2018 Page 1 of 1
1f A•
1; PERMIT/PLAN REVIEW APPLICATION
0 E`*
43 T' Development Services Department,240 West Huntington Drive,Post Office Box 60021
c1/4,
%oh.a"°m 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:
jzi,,
9(commencing with Section 7000,of Division 3 of the Business and
IProfessions 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. i 0 Exp. Date 03/��Q• 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-BUILDER DECLARATION IA 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'compgns�tion insurance carrier and policy numbers are:
Code.Any city or county which requires a permit to construct,alter,improve, Carrier (JW ( e
demolish,or repair any structure,prior to its issuance,also required the applicant
for such permit to file a signed statement that he or she is licensed pursuant to the Policy Number
(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 IA
exempt there from and the basis for the alleged exemption. Any violation of 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 I forthwith co ply with those provisions.
compensation,will do the work,and the structure is not intended or offered for
Date 'K.7 �O�•'', /fSignature y2
sale(Section 7044,Business and Professions Code:The Contractors License
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).
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. r�
fame Lu. L !Title A 111 ) (t'ti
IVO-
PRINT NAME ..11 ..11
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. ,{
SignatureC...---1.-� �-- I Date Lfl 1 'di
1.a-
se-
• NOTES
Building Inspections Date Insp. - Plumbing Inspections Date Insp. 1.2 Eng
100. Setbacks 210. Under firJbldg.drain
101. Rough grade 211. Copperunderslab IR'� [�
_
102. Figs.&forms 212. Rough plumbing 4-131e
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. Roof nailing 1 , 219. Final gas -
110. Framing q-1s-ig an 220. Fixtures
111. Dcc/Area Sept.Wall 221. Final plumbing P..274 Chni
112. Sound walls 222. Sewer cap/demo.
113. T-bar.rid - -114. Insulation-Flr. Pool Inspections I Date Insp.
115. Insulation-Wall 240. Excavation/steel
116. Insulation-Ceil. 241. Rough plumbing -
117. Drywall nailing +.104a / " 242. Light shell/bonding
118. Interior lath 243. Underground conduit
119. Exterior lath 244. P-trap
120. Finish grade LL 11 245. Gas line&test
121. Final building 10 f p't .) 246. Fence,gates&signs
122. Final demo/lot clear 247. Pool heater - - -
248. Final electric
Electrical Inspections Date Insp. 249. Final•lumbin!
150. Power pole 250. Pool cover
151. Sales lot lighting 251. Pool final
152. Under•round conduit
153. Underslab conduit Reroof Inspections Date I Insp.
154. UFER ground 270. Pre-reroof Insp.
155. Water ground p. 271. Roof framing '
156. Rough electrical 9-7-S cir. 272. Sheathing nailing
157. Fixtures 273. Final reroof
158. G.F.C.I.
159. E••t.bondin. Sign Inspections Date Insp.
160. Service panel 280. Setback/overhang
161. Final electric I0Z7.4 th,J 281. Footing
282. ConduiUwirin•
Mechanical Inspections Date Insp. 283. Disconnect
180. Venting/Flue 284. Final sign
181. Fumace/A.C.
182. Rauch HVAC r r•" vizir Alm Miscellaneous Insp. Date Insp.
183. Are 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. Commercial hood
190. Duct shah Sewers&Offsite Insp. I Date Insp.
191. Final mechanical 10471 I S "It 300. Lateral(main to PIL)
301. SaddleN
Block Wall Inspections ` Date Insp. 302. Cess•••I filled
200. Footings 303. Sidewalk
201. SteeVrebar 304. Driveway
202. Grout lift 305. Curb replacement
203. Final wall 306. Trash bin
-itCity of Arcadia,CA :Permirrvo 'MP-18-1468
14it { ,
Development Services Department �.ii• )` 'it`"i'-'-"""i 4- `, - Permit Type`MEP-:
240 West Huntington Drive,Post Office Box 60021 i < t12.1 rs s hi r "`-
Arcadia,CA 91066-6021 - r-- -•,y , .. ill ,i work Ciassifrcation.MEP Residential
(626)574-5416 +} - 1. .r i iiii i=1_ i Permit Statusk`Iss'ued.
ARCADIA - IssueDate.08/14/2018, Expiration: 02/10/2019
Addr NO. Dir Prefix Street Name Street Suffix Unit City,State,Zip Parcel Number
123 E Duarte RD Arcadia,CA 5779016009
Contacts
NSY GROUP LLC Owner WANKE DEVELOPMENT GROUP INC" General Contractor(B) .
123 E DUARTE 18472 COLIMA RD 218,ROWLAND HEIGHTS,CA 91748
(626)202-9083
Description:EMP FOR COMM.SUNFLOWER MEDICAL USE Valuation: _ 5 0.00 Tenant �c - - • .
Total Sq Feet: 0.00 Plan Check ff Plan If
Fees Amount Payments Amount Paid
Add/Alter Ducts $9.38 Total Fees $313.28
Compressor 3-5 Ton(3 to 15 hp) $34.29 Cash/Receipt N REC-002031-2018 $313.28
Electrical Permit Issuance Fee $44.35
Furnace or Burner<=100,000 BTU $18.74 Amount Due: $0.00
Lavatories $24.92
Light Fixtures $44.35 ® compiEr
Mechanical Permit Issuance Fee $44.35
Outlets-Receptacles&Switches $52.80 6hy11,"
Plumbing Permit Issuance Fee $44.35
Solid Waste Management Fee 2 $1.00
Solid Waste Management Fee 2 $1.00 CALLS FOR INSPECTIONS
Solid Waste Management Fee 2 $1.00 Request for inspection by telephone at 626-574-5450. Leave a message
Water Closet $12.46 requesting the address,timeframe and what inspection item is needed.
Total: $313.28
This permit/plan review expires by time limitation and becomes null and
I b--yL g L 1 void if the work authorized by the permit is not commenced within 180 days
(, � dL ,{►,s e from the date of lanissuancesubmittal,
or if t1. e permpermst is not i obtained wthin 180 days
VV`'V 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.
August 14, 2018
Issued By: Date
August 14,2018 Page 1 of 1
is,: l PERMIT/PLAN REVIEW APPLICATION
4a 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
ICENSED CONTRACTOR'S DECLARATION WORKERS'COMPENSATION DECLARATION
01
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, d 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-_ ,License No./0 3)to Exp. Datum/ 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-BUILDER DECLARATION a'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
is issued.My workers'compensation insurance carrier and policy numb s are:
License Law for the following reason(Section 7031.5,Business and Professions �-- r
Code.Any city or county which requires a permit to construct,alter,improve, Carrier //1 -/UJ/(/C /j4( of ('1 Set,��46c/1 /7YZ/a
demolish,or repair any structure,prior to its issuance,also required the applicant
Policy Number 3�n 3 LW)de
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 r��
exempt there from and the basis for the alleged exemption. Any violation of u '� '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
0 I, as owner of the property, or my employees with wages as their sole forthwith co ply with hose provisions. ���,J^
compensation,will do the work,and the structure is not intended or offered for
Date V 12 f(Tt -411 Signature 714/7/7117
� 14 _��y17
sale(Section 7044,Business and Professions Code:The Contractors License
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(I)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. //-- j� 11
Name J Z/'L u' IN ,J J itle 11/1 el k4 ten-
PRINT AME I
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
rcadia to enter upon the above-m ntioned property for inspection purposes.
2 , 4(4(///,/ignamre �/ )Date
��y.IFORivoa
0 imam L7
�,+ :• �a..m,:ins
174,..+`yMEMORANDUM
Fire Department
DATE: October 22, 2018
TO: BUILDING DEPARTMENT
INSPECTOR Jeff Wang
FROM: FIRE DEPARTMENT
SUBJECT: FIELD INSPECTION
ADDRESS: 123 E. Duarte Road
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 10-18-2018 Lili Huang
COMMENTS:
Emailed Bldg. Dept. 10-22-2018 Rita