HomeMy WebLinkAboutTI-18-0241 -'V w
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I F ; `3 City of Arcadia, CA tr c r ' ; PermitI-18:40241.,
t -:I Development Services Department ' PermltType Tenant Improvement
- i 240 West Huntington Drive,Post Office Box 60021 ,-,' � o " "x
{ a II Arcadia,CA 91066-6021 . Wo k Classlf7Ca60n Tenant improvement'',,
i I (626)574-5416 .` - -permit Status'Issued ,
ARCADIA r 3' Issue Date 07/26/2ois' Expiration: 02/26/2019
Addr NO. Dir Prefix Street Name Street Suffix Unit City,State,Zip Parcel Number
[101S _ FIRST _AVE Arcadia,CA 5773018016
Contacts - . . • "-
- 60 ALTA LLC 2. , Owner EDWIN CHON Applicant
101 S FIRST AVE 2214 NEBRASKA ST,WEST COVINA,CA 91792
(909)938-7599
DIA-TECK` General Contractor(B)
1755 LEANING PINE DR, DIAMOND BAR,CA 91765
Description:T.I FOR SHABU SHABU RESTAURANT.MEP Valuation: $ 175.000.00 Tenant SHABU SHABU
INCLUDED
Total Sq Feet: 0.00 Plan Check#18-241 Plan d 32559
Fees Amount Payments Amount Paid
Accessibility Plan Check $186.62 Total Fees $4,873.67
Accessiblity Building Permit $174.15 Cash/Receipt If REC-000472-2018 $2,217.93
Building Issuing Fee $44.35 Cash/Receipt if REC-001844-2018 $2,655.74
Building Permit Fees $1,741.50
Building Plan Review Fee $1,244.10 Amount Due: $0.00
Cal Green Plan Check $124.41
Commercial T.I.Fire Plan Chk. $ 10.00 COMPlETED
Dishwasher $12.46
Distribution Panel $93.30
Electrical Permit Issuance Fee $44.35
Energy Plan Review Fee $382.80 CALLS FOR INSPECTIONS
Floor Drain Fee $62.30 Request for inspection by telephone at 626-574-5450. Leave a message
Floor Sink $37.38 requesting the address,timeframe and what inspection item is needed.
Green Building Standard $7.00
Hood Serviced by Mechanical Exhaust $14.11
Interceptor $24.97 This permit/plan review expires by time limitation and becomes null and
Kitchen Sink $12.46 void if the work authorized by the permit is not commenced within 180 days
Lavatories $24.92 from the date of issuance or if the permit is not obtained within 180 days
Light Fixtures $61.80 from the date of plan submittal.This permit expires and becomes null and
Mechanical Permit Issuance Fee $44.35 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
Motors,Generators 1-10 hp $15.55 Arcadia building inspector for a period of 180 consecutive days.
Total: $4,873.67
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n^
`f'; -. . -'=s.:„„... ,K1 July 26,2018
1/4\----"Issued By: Date
July 26,2018 Page 1 of 1
i
mow pi PERMIT/PLAN REVIEW APPLICATION
lia' 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
idi LICENSED CONTRACTOR'S DECLARATION WORKERS'COMPENSATION DECLARATION
Q 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:
' t Chapter
fessions 9(commCodeencdingmy with Sectionlicenseisin 7000full,force of Divisionandeffect3 of the Business and
Pro ,an . 0 I have and will maintain a certificate of consent to self-insure for workers'
{ !License Class ILicense No. Exp. Date_ compensation, as provided for by Section 3700 of the Labor Code, for the
Signature of Contractor n performance of the work for which this permit is issued.
\
OWNER-BUILDER DECLARATION rd 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 pl 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 fdI is issued.My workers'compensation insurance carrier and y numbers are:
Code.Any city or county which requires a permit to construct,alter,improve, Ii I Carrier
DC
/14-4�
demolish,or repair any structure,prior to its issuance,also required the applicant ;d 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 f) not employ any person in any manner so as to become subject to the workers'
penalty of not more than five hundred dollars($500)): s i compensation Laws of California,and agree that if I should become subject to the
I 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 those provisions.
compensation,will do the work,and the structure is not intended or offered for }. -7.7.7,/p
g
sale(Section 7044,Business and Professions Code:The Contractors License 'Vale Si ature
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 ow _
employees,provided that such improvements are not intended or offered for WARNING: Failure to secure Workers'Compensationcoverage is unlawful,
sale.If,however,the building or improvement is sold within one(1)year of and'shall subject an employer to criminalpenalties and civil fines up to one
completion,the owner-builder will have the burden of proving that he or she hundredthousand 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
��1 further information. 1'� �/ / L
!!b arae �(ril h I/o h Title aind(6.�( O"
lf,14NAME
t' 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.
.If' agree to comply with all City ordinances and State Laws relating to building construction. I hereby authorize representatives of the City of
s 'iradm to enter upon the abo e-mentioned property fo pection purposes.
�Ja, 'f !� G
[S{ig acute Date / ` 2 / " ,a
vr:
NOTES
Building Inspections Date Insp. 'Plumbinginspections Date Insp. /D 1 G' ` ng
100. Setbacks 210. Under fir/btdg.drain 1,-7-y. t 1 1 J&-'024-1/r
101. Rough grade 211. Copper underslab T l- I &"024-1
102. Figs.&forms 212. Rough plumbing 94-tR ftu
103. Pre-slab 213. Rough gas 4" Nieles-0_I s TYPE
104. Floor joists 214. Shower pan 13vt/rs CSI+'..
105. Steel 215. Water heater gcr ip-23--IR
106. Grout lift 216. Roof drains 6 par �Q pow
107. Shear nailing 217. Building sewer ." I '/ • J., 'V.
108. Dia.hnailint 218. Water service ���� I�-/$ S L-Aree /jRE- p
109. Root nailin! 219. Final'as �Ghrl•119gn7 J I r^' PIP&
110. Framing 0 , ; , 220. Fixtures TyreZ Klrct( ) MO DucT 5 41
ill. 0cc/Area Sept.Wall 221. Final plumbing 14/94 AT ani
112. Sound walls 222. Sewer cap/demo.
113. T-bar grid
114. Insulation-Fir. Pool Inspections. Date I. Insp.
115. Insulation-Wall 240. Excavation/steel
116. Insulation-Ceil. p 1 � 241. Rough plumbing •
117. Drywall nailing ( i'j lt' 1W 242. Light shell/bonding
118. Interior lath 243. Underground conduit
119. Exterior lath 244. P-trap
120. Finish grade 245. Gas line&test
121. Final building 1-16-11 bni 246. Fence,gates&signs
122. Final demo%lot clear `, 247. Pool heater •
248. Final electric
Electrical Inspections Date , Insp. 249. Final plumbing
150. Power pole 250. Pool cover
151. Sales lot lighting 251. Pool final
152. Underground conduit
153. Underslab conduit g7-�a Date Insp. - -
154. UFER ground 270. Pre-reroot insp.
155. Water ground 271. Roof framing •
156. Rough electrical y-L-lk 272. Sheathing nailing
157. Fixtures 273. Final rermof
158. G.F.C.I.
159. E.ot.bondin. Sign Inspections Date. Insp.
160. Service panel I 280. Setbackloverhang
161. Final electric 14(,aa{ I 281. Footing
1 "11-- "" 282. Conduit/wiring
Mechanical Inspections Date Insp.'` 283. Disconnect
180. Venting/flue 284. Final sign
181. Furnace/A.C.
182. Rauch HVAC '•-G- M •II. "i i I I. 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.rough294. Hood dry chem.
188. Compressor setback 295. Final
189. Commercial hood
190. Duct shaft ewers : I si e nsp. I Date I Insp.
191. Final mechanical j-1.' -(' '1 300. Lateral(main to P/L)
301. Saddle/Y
Blocli;Wail.lri'spections''d Date, i- Ibsp? 302. Cesspool filled
200. Footings 303. Sidewalk
201. Steet/rebar 304. Driveway
202. Grout lift 305. Curb replacement
203. Final wall 306. Trash bin
yr,•• +k� �aia't n� ' awaa tiff ,t- we,d "�' .� ' -
✓F"tn` F`dy'">`,.31^ a�e>rt'x '% aw .Ls' n ,4 'e " ` le"Y^x w" ' o,. aY
IAIXa �/ Aton /7 = s 1,ar P �9',, .� t `(4a a 4-4,,,,a00.—1� ri '�� w ter,kI� ale r� "at`N .� ri
: �
4,4
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y '
•
41 ," Certificate of Occupancy °
is
City of Arcadia
r'I, _ Development Services Department—Building Division
moi,*t Alf 1'
- :_
/i. This certificate issued pursuant to the requirements of the
California Building Code certifying that at the time of issuance this structure was in
compliance with the various ordinances of the City regulating building construction or use. '5,
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4
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Permit No. TI-18-0241
Building Address: 101 S. FIRST AVE ARCADIA,CA 91006
1�
y, Permit Type: TENANTIMPROVEMENT Effective 2016 C.B.C.
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Occupancy Code: A-2 ft,'�,
` '1= P Y Zone Code: MU
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Final Date: 1-21-19 Type of Construction: TYPE VB SPRINKLERED
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r Owner: 60 ALTA LLC Tenant: SHABU LIN . J, ,
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7,40
Kenneth Fields, 'ding•ffi
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PU102 RAM = DOSTING INTERIOR & EMERIOR WALL
1/4--1-c• r=. NEW NON-BEARING INTERIOR WALL
ID° NEW WALK-IN COOLER&FREEZER WALL PANEL
arffil&NEW EMERGENCY DR SIGN W/EMERGENCY LTG&
90 MINUTE BACK-UP BATTERY
NEW EMERGENCY WI 90 MINUTE BACK-UP
BA TER
SHABU LIN
PROJECT ADDRESS: SHT NO.
101S. FIRST AVE.
ARCADIA, CA. 91006 1 of 1
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SHABU LIN
PROJECT ADDRESS: SHT NO.
101 S. FIRST AVE. '
ARCADIA, CA. 91006 1 of 1
ROUTING ACTION
ee
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Initials of 1 ,RisetoQc Y\ N
I Checker ' P CAG
an Sheet#
Planning '
Eng.
Building X 714 a •1'
Fire
PWS-Water
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Y 37-5,. 15•-6" ' 15-9'` — —_---
Ar
(1) = 759 sf �u ciS ✓1 � �jPCZf^7dff+ / 101
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(2) = 218sf \
(3) =40 s / 1I iF (2)
(4) = 110sf
(5) =28 sf / {
Sin
N ,- _ i 'C_- -1-
(6) =43sf I
(7) = 337sf /
\ / Ig•
MAZ 4N IN (7)
Open A6 below 1
/ N 'j i Machanibal I (1)
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s)- 2011 #202 #203 I- 71___ I
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/ \ I ��-{ 1,147sf 681 sf 691 sf _A _
• + - - 216 sf F I
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P.O.Box 63304
Los Angeles,CA 90063
I I Tel: (800)791-2136
Fax: (888)808-1317
NATIONAL INSPECTION&TESTING 24 Hrs.: (310)930-5515
.... office@nationallab.us
SPECIALJDEPUTY INSPECTION REPORT Job No. (Date 10-18-2018 (Time
TYPE.OF Reinforced concrete 0 Structural Steel Assembly 0 Quality Control
INSPECTION ® Post Tensioned Concrete 0 High Strength Bolts ❑ Epoxy
REQUIRED 0 Reinforced Masonry ❑ Fire Proofing ' ❑r Other Smoke Test
Building Department Job Address
City of Arcadia 101 S. First Ave.
Job Nameermit No
T I TI-18-0241
Owner ddress
60 Alta LLC.
Contractor DIA-Teck ddress 1755 Leaning Pine Dr. Diamond bar
Sub-Contractor Engineer
Inspector(s)Name rchitect
Mario Cordero
TESTS PERFORMED
TYPE OF SAMPLE SLUMP QUANTITY IN SET ADDITIONAL REMARKS ON SAMPLES
SUMMARY-LOCATIONS OF WORK INSPECTED,TEST SAMPLES TAKEN,WORK REJECTED,JOB PROBLEMS,PROGRESS,REMARKS,ETC.
. On site for inspection of Type 1 Hood Duct with smoke test.
Performed visual smoke inspection for leaks on Hood Duct in kitchen. No leakswere
detected after 30 minutes of smoke exposure.
Inspection passed
TERMS:BILLING AT 4 AND B HOURS MINIMUMS.WITH 2 HOUR CHARGE FOR CANCELLATIONS,SHOULD NIT BE REQUIRED TO INSTITUTE LEGAL ACTION FOR THE COLLECTION OF
A DEBT INCURRED AS A RESULT OF ACCEPTANCE OF THIS SERVICE TICKET NIT WILL BE ENTITLED TO ATTORNEYS FEES AND COST INCURRED IN SAID SUITE.
THIS FIELD REPORT PRESENTS A SUMMARY OF OBSERVATIONS AND TESTING BY NATIONAL INSPECTION&TESTING PERSONNEL OR SUB-CONTRACTORS.OUR WORK DOES NOT
INCLUDE SUPERVISION OR DIRECTION OF THE ACTUAL WORK OF THE CONTRACTOR,HIS EMPLOYEES OR AGENTS.THE CONTRACTOR IS INFORMED THAT NEITHER THE
PRESENCE OF OUR FIELD REPRESENTATIVE NOR THE OBSERVATION AND TESTING BY OUR FIRM SHALL EXCUSE THE CONTRACTOR IN ANY WAY OF DEFECTS DISCOVERED IN THE
CONTRACTORS WORK.IT IS UNDERSTOOD THAT OUR FIRM WILL NOT BE RESPONSIBLE FOR JOB OR SITE SAFETY ON THIS PROJECT.
CERTIFICATION OF COMPLIANCE CONTINUED ON NEXT PAGE❑ PAGE 1 OF 1
I HEREBY CERTIFY THAT I HAVE INSPECTED TO THE BEST OF MY KNOWLEDGE ALL TIME IN TIME OUT REG.HOURS O.T.HOURS TRAVEL TIME
OF THE ABO REPORTED WORK UN SS OTHERWISE NOTED.I HAVE FOUND THIS
WORK O Cr TI.Y"TH THE APPR• LANS SPECIFICATIONS,AND APPLICABLE
SECTIO •r ,1 G•VERNING BUI iIs•W5. 12:00 1•nn 4 0 0
All inspections based on a minimum of 4 hours and over 4 hours-8 hours
minimum.In addition any inspection extending passed noon will bean 8 hour minimum
Overtime Wring after 8-Hours and Saturdays al Time and a Hail,Sundays Double Time.
• r _ • . (INSPECTOR
8012943 ICC
SPECIALTY NO - AGENCY
cal
��y or Los;wp COUNTY OF LOS ANGELES• DEPARTMENT OF PUBLIC HEALTH
(C.f
A' , .`"} ENVIRONMENTAL HEALTH
iq;I } SPECIALIZED SURVEILLANCE AND ENFORCEMENT BRANCH
yC?I . PLAN CHECK PROGRAM-BALDWIN PARK
CWNIY Of LOS ANGELES
XGuroaMhX_,.'- 5050 COMMERCE DR,BALDWIN PARK,CA 91706 Public Health
PHONE: (626)430-5560
W W W.PUBLICHEALTH.LACOUNTY.GOV/EH
PLAN CHECK OFFICIAL INSPECTION REPORT
DATE 01/08/2019 EHS ELENA BORJON
PLAN CHECK NUMBER SR0135591
PROGRAM ELEMENT 1703-RESTAURANT(2,000-3,999 SF)
OWNER/REQUESTER EDWIN CHON,ARCHITECT
DBA SHABU LIN
ADDRESS 101 S 1 ST AVE,ARCADIA,CA 91006
FINAL REINSPECTION STATUS: APPROVED
5 - - - +Y3 =_277:1 — —
CORRECTIONS COMPLETED
CORRECTION CATEGORY DATE IDENTIFIED DATE CORRECTED
WALLS 12/28/2018
01/08/2019
CEILINGS 12/28/2018 01/08/2019
FOOD PROTECTION/FOOD STORAGE 12/28/2018 01/08/2019
VERMIN EXCLUSION/ENCLOSURE 12/28/2018 01/08/2019
PLAN SUBMITTAL/REMODEL 12/28/2018 01/08/2019
SCOPE OF OPERATION "'' . ` : • ;'<
APPROVED FOR FOOD PREPARATION
ADDITIONAL REQUIREMENTS
THE FACILITY IS APPROVED TO OPERATE.
NONE
Help us serve you better by completing as�hort survey.Visit our website al www.publichealth.lacountv.00v/eh.
9 -
PLAN CHECK OFFICIAL INSPECTION REPORT
DATE 01/08/2019 EHS ELENA BORJON
PLAN CHECK NUMBER SR0135591
PROGRAM ELEMENT 1703—RESTAURANT(2,000-3,999 SF)
OWNER 1 REQUESTER EDWIN CHON,ARCHITECT
DBA SHABU LIN
ADDRESS 101 5 1 ST AVE,ARCADIA,CA 91006
DISCLOSURES`
It is a misdemeanor violation to begin operation without a valid Public Health Permit/License.The Public Health
Permit/License will be issued by 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 may be 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 to either 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.lacounty.gov/eh.
_ *`Permit NO.SIGN-18-2379
i;City of Arcadia, CA
\ I ' Development Services Department PermltType:Sign
\1 240 West Huntington Drive,Post Office Box 60021
Arcadia,CA 91066-6021 Work Classification:Sign-Illuminated
(626)574-5416 Permit Status;Issued
ARCADIA - .a Issue Date 12/24/2018. Expiration: 06/22/2019
Addr NO. Dir Prefix Street Name Street Suffix Unit City,State,Zip Parcel Number
101 5 FIRST AVE Arcadia,CA 5773018016
Contacts
60 ALTA LLC Owner SOONHO KIM* Contractor 'I
1837 MONTEREY RD,SOUTH PASADENA,CA 91030 21901 BELSHIRE AVE 8,HAWAIIAN GARDENS,CA 90716
(626)379-8291 1032427
Description:2 SIGNS FOR SHABU LIN Valuation: $ 3,000.00 Tenant SHABU LIN
Total Sq Feet: 0.00 Plan Check 4 Plan 4 t
Fees Amount Payments Amount Paid
Building Issuing Fee $44.35 Total Fees $431.84
Building Permit Fees $120.35 Cash/Receipt 4 REC-003221-2018 $431.84
Electrical Permit Issuance Fee $44.35
Amount Due: $0.00
Sign and Branch Circuit $124.26
Sign Connection $31.10
Sign Plan Review $60.18
Solid Waste Management Fee $6.25
Solid Waste Management Fee 2 $1.00 COP&PLEisii
to
Total: $431.84 i
7 CALLS FOR INSPECTIONS
1-7-( Request for inspection by telephone at 626-574-5450. Leave a message
requesting the address,timeframe and what inspection item is needed.
4-L, a4 k.
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.
Cd
December 24, 2018 •
Issued By: Date
December 24,2018 Page 1 of 1
4 LOIN h* PERMIT/PLAN REVIEW APPLICATION
;m iltr 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 L' ense No. /03 Exp. Date I/-jo-l� compensation, as provided for by Section 3700 of the Labor Code, for the
Signature of Contractor
f'�/ performance of the work for which this permit is issued.
WNER-BUILDER DECLARATION ❑ 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'compensation insurance carrier and policy numbers are:
Code.Any city or county which requires a permit to construct,alter,improve, i Carrier
demolish,or repair any structure,prior to its issuance,also required the applicant /I -
Policy Number
for such permit to file a signed statement that heor 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 3700 of the Labor Code,I shall
❑I, as owner of the roeforthwith comply with those provisions.
property,work,and employees withtwagesnas theirs for �
compensation,will do the the structure is not intended or offered for
sale(Section 7044,Business and Professions Code:The Contractors License Dare /1— 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 coverageis unlawful,
sale.If,however,the building or improvement is sold within one(1)year of andshall 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 penally 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 So tMH° . KIM Title 0 11
PRINT NAME
I certify that I have read this application and state that the above information is co ct 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.
Signaturerrcrc\e„,-..,,,_ Date / 1 — / 09
oa- . City of Arcadia, CA
- . '"PermrtNO, FIRE-f84879'
DeveloIpment Services Department )("i� *✓ - - �� Permrt TypeFire
• 240 West Huntington Drive,Post Office Box 60021 s`
F Work C aa"ssilicaeoni Fire Suppression
Arcadia,CA 91066-6021 5• �, .. . �; - - -.
(626)574-5416 - x- zb 'Permit Status Issued
.RCADIAIssue Date 10/2.3/20189 Expiration: 04/08/2019
Addr NO. Dir Prefix Street Name Street Suffix Unit City,State,Zip Parcel Number
101 S FIRST AVE Arcadia,CA 5773018016
Contacts
60 ALTA LLC Owner 200 PSI FIRE PROTECTION CO' Fire Contractor(C-16)
101 5 FIRST AVE 11453 YOLANDA AVE,NORTHRIDGE,CA 91236
(213)820-0788
Description:FIRE HOOD SYSTEM 10 NOZZLES SHABU LIN Valuation: S 6.000.00 Tenant SHABU LIN
Total Sq Feet: 0.00 Plan Check#18-1879 Plan tt
Fees Amount payments Amount Paid
Fire Extinguishing System Plan Check $280.00 Total Fees $495.80
Fire Issuance $44.35 Cash/Receipt it REC-002661-2018 $215.80
Fire Permit Fees $170.45 Cash/Receipt tl REC-002553-2018 $280.00
Solid Waste Management Fee 2 $1.00
Amount Due: $0.00
Total: $495.80
ittitatil 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.
October 23, 2018
Issued By: Date
October 23,2018 Page 1 of 1
.. s
i PERMIT/PLAN REVIEW APPLICATION
Edi* Development Services Department,240 West Huntington Drive,Post Office Box 60021
"btioity% 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,anldlmy license is'' fullforgeand effect. ❑ I have and will maintain a certificate of consent to self-insure for workers'
License Class I bb Licen No. iIt 66�� (� Exp Date I �"o I 1 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 DELL- ` TION• ❑ 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'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 G
Policy Number l� UC
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($500)): compensation Laws of California,and agree that if I should become subject to the
workers'compensation provisions of Section 3700 of the Labor Code,I shall
❑I, as owner of the roe forthwith comply with those provision .
property,rty, or my employees with wages as their sole
compensation,will do the work,and the structure is not intended or offered for .
sale(Section 7044,Business and Professions Code:The Contractors License Date c �� I I$ 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 iecure 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 r
Sqh� � • Title lvl NN R
PRINT NAME
I certify that I have read '. applicatio nd 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 ordinanc'.. a State Laws relating to building construction. I hereby authorize representatives of the City of
Arcadia to enter upon the ab,ve- •ntioned ' s erty for inspection purposes.
Signature \ Date I 1-1.-21 I
OV
.,4 49
it t:. 1n1•;.:
naw.e,iwe
tY of
MEMORANDUM
Fire Department
DATE: December 14, 2018
TO: BUILDING DEPARTMENT
INSPECTOR Jeff Wang
FROM: FIRE DEPARTMENT
•
SUBJECT: FIELD INSPECTION
ADDRESS: 101 S. First Avenue
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 12-10-2018 Jill Perumean
KNOX BOX
OCCUPANCY 12-13-2018 Jill Perumean
COMMENTS:
Emailed Bldg. Dept. 12-13-2018 Rita
of Alts,
Ute%00,iFORV, 4,,,'
am„�.,tszt,
ilkl‘ S
Q.•
.(:2* ysr
'.
mm°°,ty°Sx°s MEMORANDUM
Development Services Department
File
May 1, 2018
To whom it may concern:
RE: 101 S. First Ave,Arcadia, CA
The Arcadia Fire Marshall and.Building Official have approved an overhead Type II
hood and duct system for the proposed new restaurant located at 101 S. First Ave. This
approval is based on the"Induction Type”of cooking which is proposed and the fact that
this will generate very minimal amounts of grease/steam. The overhead hoods and
ductwork will be able to be serviced easily and will be monitored by periodic inspections.
This approval is consistent with other similar uses within the City of Arcadia.
Don Stockham
Building Official