HomeMy WebLinkAboutTI-18-2103 klrr
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i` n„F °* Permit NO TI-18r2103.;
b i City of Arcadia, CA � � _ ,
Development Services Department }��--- ")�` "�”` v
p �J J/ e.> a -� Perm::::— e Tenant•Improvement
f ', 240 West Huntington Drive,Post Office Box 60021 fit °- P �-: '. r `
I WorkCICISSArcanon•Tenantlmprove`ment*'
l Arcadia,CA 91066-6021
(626)574-5416 -. '"" *' "' Permit5tatusJa{l!6{LW- S�+'
ARCADIA !Z:, --1 Issue Date: I Expiration: 05/07/2019
Addr NO. Dir Prefix Street Name Street Suffix Unit City,State,Zip Parcel Number
1045 W Huntington DR Arcadia,CA 5777036002 •
Contacts
ORSI,BENARD A ET AL TRS Owner JENNY XU Applicant
KALMANOVITZ CHARITABLE TRUST C/O 615 LAS TUNAS DR 205,ARCADIA,CA 91006
PBR REALTY LLC (626)388-4919
1045 W HUNTINGTON DR
Kiss Construction Group,Inc. General Contractor(B) .
913 S Ramona ST,San Gabriel,CA 91776
(626)689-0149
Description:SECOND FLOOR T.I.ADD NEW CONFERENCE RM, IValuation: 5 5.200.00 Tenant -
MEETING RM,TWO NEW OFFICE RMS. t Total Sq Feet: 0.00 Plan Check#18-2103 Plan#32640 t
rt
Fees Amount Payments Amount Paid
Accessibility Plan Check $16.62 Total Fees $753.90
Accessiblity Building Permit $17.05 Cash/Receipt#REC-002855-2018 $452.59
Building Issuing Fee $44.35 Cash/Receipt It REC-003036-2018 $301.31
Building Permit Fees $170.45
Building Plan Review Fee $110.80 Amount Due: $0.00
Cal Green Plan Check $11.08
Commercial T.I.Fire Plan Chk. $280.00
Electrical Permit Issuance Fee $44.35 - COMPLETED
Energyy Plan Review Fee $34.09
Green Building Standard $1.00
Outlets-Receptacles&Switches $15.40 CALLS FOR INSPECTIONS
Solid Waste Management Fee $6.25 Request for inspection by telephone at 626-574-5450. Leave a message
Solid Waste Management Fee 2 $1.00 requesting the address,timeframe and what inspection item is needed.
Strong Motion Inst.Program Com $1.46
Total: $753.90
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
, (9 c-..._ from the date of issuance or if the permit is not obtained within 180 days
rr�J1'�
1'itZ•Z6from 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
December 03,2018 Page 1 of 1
of AR
1‘ 111" ,
I PERMIT/PLAN REVIEW APPLICATION
'z4i�'57 ,
IffEEEDevelopment 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
Bi hereby affirm under penalty of perjury that I am licensed under provisions of I hereby affirm under penalty of perjury one of the following:
hapter 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 33 License .rt9L 415.Exp. Dag OA 1/40 compensation, as provided for by Section 3700 of the Labor Code, for the
.I performance of the work for which this permit is issued.
Signature of Contractor Ci-I
i WNER-BUILDER DECLARATION 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 he Labor Code,for he perfo mance of he work for which this permit
License Law for the following mason(Section 7031.5,Business and Professions is issued.My workers'comaensati n insurance carrier and policy numbers are:
Code.Any city or county which requires a permit to construct,alter,improve, Carrierly'�'ffr /
demolish,or repair any structure,prior to its issuance,also required the applicant
Policy Number 914 v
for such pemai[to file a sired 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 them from and the basis for the alleged exemption. Any violation of ❑ Ycertify 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 orthwith 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 Da 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 isunlawful,
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 ContractorsLicense 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 I / / Title 0o err
/ -•RINT 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 alio -mentioned property for inspection purposes.
Signature L��' V"� Date 17i( 3 7/v/»�
Ti - 18 - 2-10S
(k5.- ��(( �-NOTE
Building Inspections Date Insp. I Plumbing Inspections Date Insp. /0W /AWING) ZvD
100. Setbacks 210. Under fir/bldg.drain
101. Rough grade 211. Copper underslab
102. Figs.&forms 212. Rough plumbing (•'7.71 (.-30-C
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 219. Final gas
110. Framing I.7• ('( Fm. 220. Fixtures
111. Occ./Area Sept.Wall 221. Final plumbing
112. Sound walls 222. Sewer cap/demo.
113. T-bar.rid
114. Insulation-Flr. Pool Inspections Date I Insp.
115. Insulation-Wall 240. Excavation/steel
116. Insulation-Cell. 241. Rough plumbing
117. Drywall nailing I •°P)1 19-- 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 Z•2t•t`{ ` '- 246. Fence,gates&signs
122. Final demo/lot clear 247. Pool heater
248. Anal 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 271. Roof framing
156. Rough electrical I •7- t°I <' 272. Sheathing nailing
157. Fixtures 273. Anal reroof
156. G.F.C.I.
159. Eqpt.bonding Sign Inspections Date Insp. - ---
160. Service panel 280. Setback/overhang ____ _ ---_
161. Anal electric Z•26'IR ci" 281. Footing
282. Conduit/whinI
Mechanical Inspections Date Insp. 283. Disconnect --
180. Venting/flue 284. Anal sign
181. Furnace/A.C.
182. Rauch HVAC 2 "?.i x•9.19 Miscellaneous Insp. Date I 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. Anal --- ---
189. Commerdal hoed
190. Duct shaft Sewers&Offsite Insp. Date Insp.
191. Final mechanical 2.ZQ.4 8c- 300. Lateral(main to PR) ---- -
301. SaddleM
Block Wall Inspections Date Insp. 302. Cess...lfilled
200. Footings 303. Sidewalk
201. SteeUrebar 304. Driveway
202. Grout lift 305. Curb replacement
203. Anal wall 306. Trash bin