HomeMy WebLinkAboutB00-058-905 �) 4. Development Services Department -
240 West Huntington Drive,Post Office Box 60021 x'- PERMIT NO. BOO-058-905
'- . Arcadia,CA 91066-6021
City of (626) 574-5416,Fax(626)447-9173 Permit Type: Tenant Improve.w/energ'
Arcadia
PROJECT TRACT NO. LOT NO. APPLICATION DATE ISSUED BY PRINT DATE PERMIT STATUS
0001 1/31/2018 CM 16:43 4/26/2018 Issued
ADDRESS NO.: -Dir.:Prefix:"Street Name Street Suffix UNIT BLG ASSESSORS PARCEL NO. GEO CODE
225 N Second Ave 5773-007-033
OWNER '
MAILING ADDRESS
Apw Development Co 225 N 2nd Ave PHONE NO. Inspector#: HENRY
Arcadia, CA 91006 EMAIL ADDRESS:
Plan Chk#: 18-34
APPLICANT 'MAILING ADDRESS
Madrid Construction Company Inc PHONE NO. Plan#: 32489
EMAIL ADDRESS:
CONTRACTOR/PROFESSIONAL MAILING ADDRESS
Madrid Construction Company Inc 225 N Second Ave PHONE NO. (626)969-4149 FAX NO.
Arcadia,CA 91006 EMAIL ADDRESS:'
License No. 659521 Type: B Expires: 4/30/2018 12:00: seri 59 t)3
TENANT_ -- MAILING ADDRESS
Test Tech PHONE NO. FAX NO.
DESCRIPTION '
T.I.TEST TECH
Construction Type UOM #of Unite Value Construction Type - '' ' t T'¶1 Z.' #of Units Value
Value Value 100,000.00 SI00,000.00
OCCUPANCY: Tenant Improve TOTAL VALUATION: $100,000.00
QTY UOM DESC AMT AMT PAID ACCT QTY UOM DESC AMT AMT PAID ACCT
each Plan review 795.60 795.60 01-3103 SMIP Com 28.00 28.00 14-2207
each Energy p/c fee 244.80 244.80 01-3103 grn bldg std 4.00 4.00 714-2203
PC ADA 119.34 119.34 01-3103 1.00 Flat SWMF Auto 6.25 6.25 88-3027
PC Cal Green 79.56 79.56 01-3103 1.00 Flat SWMF 2 1.00 1.00 88-3027
1.00 Flat Bldg Issue Auto 44.35 44.3501-3104 1.00 Flat SWMF 2 1.00 1.0088-3027
each Bldg permit 1,224.00 1,224.00 01-3104
Bldg Issue ADA 122.40 122.40 01-3104
1.00 flat Elec issue 44.35 44.35 01-3105
1.00 Flat Mech issue 44.35 44.35 01-3105 p
'1.00 Flat Plmbg issuance 44.35 44.35 01-3105 F,,, ,,• n g • , 1q
1.00 each Shower 12.46 12.46 01-3105
1.00 each Distrib panel 15.55 15.55 01-3105
1.00 each Garbage Disp 12.46 12.46 01-3105
50.00 each Outlets 60.80 60.80 01-3105
36.00 each Lig fixtures 46.80 46.80 01-3105
8.00 Flat Add/Aller Ducts 75.04 75.04 01-3105
1.00 each T.I.Fire Pkc 280.00 280.00 01-3109
Total Fees: $3,306.46 Balance Due: $0.00 Paid Today: $1,787.16
This permit/plan review expires by time limitation and becomes null and void if the work authorized by the -` ` '
01permit is not commenced within 180 days from the date of issuance or if the permit is not obtained within 180 days from 01-3105-3104 1,390.75
the date of plan submittal.This permit expires and becomes null and void if any work authorized by this permit 142 356.16
is suspended or abandoned for 180 consecutive days or if no progressive work has been verified bya Cityof 4220 28.00
P Y P � 714-2203 4.00
Arcadia building inspector for a period of 180 consecutive days. 88-3027 8.25
CALLS FOR INSPECTION INSPECTORS'OFFICE HOURS
Requests for inspection should be made at least Monday-Thursday Friday
one(1)business day in advance of the inspection 7:30 a.m.to 8:30 a.m. 7:30 a.m.to 8:30 a.m.
by telephone at(626)574-5416 for onsite work. 4:00 p.m.to 5:30 p.m. 4:00 p.m.to 4:30 p.m.
(Closed on alternate Fridays)
cls'roq,4
sa, PERMIT/PLAN REVIEW APPLICATION
rao
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
I 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 13 Li nse No.GSell Exp. Date`/-301'G 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-BUILDE E ARATION Ericave 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 he 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 6toctc. 04,14
demolish,or repair any structure,prior to its issuance,also required the applicant Policy Number 9 I Stp9 1�
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, forthwith comply with those provisions.
wer and, employees with wages or theirs forf
compensation,e( ti7044,wll Bo sines andProfessionsfe structure Code:note ContractorstofferedLe Date G�-z4 ,//%�
sale(Section Business and The License � 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(I)year of and shall subject an employer to criminal penalties and civil firtes'uplo 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
attomey'sfees
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
t{,r further information.
arae i1-1C Oevocr. PRINT NAME Title �fesel
I certify that I have read this application and state that the above information is cdrrect 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
lignature
r`7'�l ��Arcadia to enter upon the above-mentioned property for inspection purposes.
{� 1/ Date �
NOTES
Building Inspections Bate Insp. Plumbing Inspections Date Insp.
100. Setbacks 210. Under fin/bldg.drain /�
101. Rough grade 211. Copper underslab Cr1-fat "eatt6 /•�i...,iney.0sG re:VC
102. Fgs.&forms 212. Rough plumbing ,f(/�
103. Pre-slab 213. Rough gas //�//. /1fE[.xJ ��otJC-JZ p'UGp/�
104. Floor joists 214. Shower pan • '-(c �/ ( • Fi3g_ gar SMFak� ecom
105. Steel 215. Water heater
106. Grout lift 216. Roof drains //)�
107. Shear nailing 217. Building sewer I'3�r 1'A/Ltfrif Ili04_ to.2cCi'8 ?t-
108. Diaph nailing 218. Water service
109. Roof nailing //_ 319. Final gas
110. Framing 5--q-G3 etre /220. Fixtures
111. Occ/Area Sept.Wall - / 221. Final plumbing 3-(8-11
112. Sound walls 222. Sewer cap/demo.
113. T-bar•'d
114. Insulation-Flr. Pool Inspections Date . Insp.
115. Insulation-Wall 240. Excavation/steel
116. Insulation-Cell. 41. Rough plumbing
117. Drywall nailing 05> 6$ 242. Lightshelllbonding
118. Interior lath 6-17425 243. Underground conduit
119. Exterior lath 244. P-trap
120. Finish grade 245. Gas line&test
121. Final building 3•16.0'L- 246. Fence,gates&signs
122. Final demo/lot dear 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. Under!round conduit
153. Underslab conduit Rereof Inspections Date I Insp.
154. UFER ground 270. Pre-reroof insp.
155. Water ground ///, 271. Root framing
156. Rough electrical 5•y Ls / 272.✓ Sheathing nailing
157. Fixtures 273. Final reroof
158. G.FC.I.
159. E..Lbondin! Sign Inspections Date Insp.
160. Service panel 280. Setback/overhang
161. Anal electric 3-1•19 -__ 281. Footing
282. Conduit/wirin.
Mechanical Inspections Date Insp.' 283. Disconnect
180. Venting/flue 284. Final sign
181. Fumace/A.C.
182. Rouch HVAC Miscellaneous Insp. Date Insp.
183. Are dampers 290. Are 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 shaft Sewers&Offsite Insp. Bate Insp.
191. Anal mechanical 3•1; ti • 300. Lateral(main to P/L)
301. Saddle/Y
Block Wall Inspections Date Insp. 302. Cess.•.I filled
200. Footings 303. Sidewalk
201. SteeVrebar 304. Driveway
202. Grout lift 305. Curb replacement
203. Anal wall 306. Trash bin
vvIv PermrtNo:FIRE-18:0769
City of Arcadia, CA
Development Services Department F•t
,y ...*
Permit Type:
FIre_
240 West Huntington Drive,Post Office Box 60021 'II (lir i - ''1 " . • : j. ' "
Arcadia,CA 91066-6021
(626)574-5416 i ' ' assrfcF '-
Arcadia,
w ,, r Permit Stat us•issued
- ARCADIA Issue+Date 05/17/2018: Expiration: 11/13/2018
Addr NO. Dir Prefix Street Name Street Suffix Unit City,State,Zip Parcel Number
225 N SECOND AVE Arcadia,CA 5773007033
Contacts
APW DEVELOPMENT CO Owner Arroyo Plumbing,Inc Fire Contractor(C-16)
225 N SECOND AVE 300 Santa Anita,Arcadia,CA 91006
(626)446-5117
,®--.....m.,....- ---- ...----.. . .--..,gym,......_--..,...._.:.. ,a-a
Description:FIRE SPRINKS FOR T.I.TECH TEST Valuation: S 1.200.00 Tenant TECH TEST
Total Sq Feet: 0.00 Plan Check#18-769 Plan N
Fees Amount Payments Amount Paid
Fire Issuance '$44.351 Total Fees $395.40
Fire Permit Fees $70.05 Cash/Receipt U REC-001195-2018 $115.40
Solid Waste Management Fee 2 $1.00 Cash/Receipt U REC-001121-2018 $280.00
Sprinkler Heads $280.00
Amount Due: $0.00
Total: $395.40
�r,.,pr'- 3 • IS• 19 .c.--_
j j; r CALLS FOR INSPECTIONS
;" i�) .i 11 Y telephone at 626-574-5450. Leave a message
151 reque'�'"t "",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.
May 17,2018
Issued By: Date
May 17,2018 Page 1 of 1
Nan t PERMIT/PLAN REVIEW APPLICATION
r:3a' 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. ❑ I have and will maintain a certificate of consent to self-insure for workers'
License Class C-1(, License o.61,992-3 Exp. Date/°-3/-/7 compensation, as provided for by Section 3700 of the Labor Code, for the
9-**"
/ performance of the work for which this permit is issued.
Signature of Contractor /S T-
OWNER-BUILDER DECL_ A ION ❑ 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 -/- G t./ _
demolish,or repair any structure,prior to its issuance,also required the applicant O Y
for such permit to file a signed statement that he or she is licensed pursuant to the Policy Number WS Q 513 Z 7 (7 8 /O�r—%�
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 with those 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 5--1 7 ( B 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,renovati n and remodeling work that results in the removal,stripping,or altering
of asbestos containing materials requires an asbestos survey and removal prior t disturbing the asbestos. Please contact AQMD at(909)396-2000 for
further information.
N\.me oewiti 2.----,37-7'n gra-,oh itleCO"lie;°To✓`
PRINT NAME
I certify that I have read this application and state that the above information is c rrect and that I am the owner or duly authorized agent of the owner.tI gree to comply with all City ordinances and State Laws relating to buil ' g construction. I hereby authorize representatives of the City of
A dia to enter uponthe above-mentioned property for inspection purposes.
S gnature 9t / , Date 5--7 7 -/8
OV ARe
As
Po\ je0
%%haft°`r MEMORANDUM
Fire Department
DATE: September 20, 2018
TO: BUILDING DEPARTMENT
INSPECTOR John Zurick
FROM: FIRE DEPARTMENT
SUBJECT: FIELD INSPECTION
ADDRESS: 225 N. Second Avenue
THE FOLLOWING ITEMS WERE CHECKED FOR CONFORMANCE WITH APPLICABLE FIRE
DEPARTMENT REQUIREMENTS:
TYPE OF INSPECTION DATE / INITIAL
FINAL INSPECTION
FIRE SPRINKLERS 9-20-2018 Jill Perumean
FIRE ALARMS.
TANKS
HOOD & DUCT
KNOX BOX
OCCUPANCY 9-20-2018 Jill Perumean
COMMENTS:
Emailed Bldg. Dept. 9-20-2018 Rita