HomeMy WebLinkAboutTI-19-0031 tissiaCity of Arcadia,CA 'S»- Ir§s^fs� E .6 tr ' ` s� PermitNO TI-140-7:AAAillir 31.,
i stk,S : Development Services Department �'+ .a n Permit Ty e Tenant Impro ement
-_ 240 West Huntington Drive,Post Office Box 60021 R i �
work C/assifcatioa Tenant Imprtovement.
al
Arcadia,CA 91066-6021 t N�.,, J£,q,,y6 ��,,..t _- 4.
(626)574-5416 t t r � ;� js5 ii I* 'P.�>:u PermitStatus:Issued,,
ARCADIA :,_.):5 r.?,,,MIssuseDate:01/08/2019 Expiration: 07/07/2019
Addr NO. Dir Prefix Street Name Street Suffix Unit City,State,Zip Parcel Number
289 W Huntington DR 407 Arcacia,CA 91007 5775001034
s
Contacts ..,..
SANTA ANITA LAND HOLDINGS LLC Owner THE HALE CORPORATION Applicant
LESSOR S AND H NO 1 LLC LESSEE 513 5 MYRTLE AVE,MONROVIA,91016
289 W HUNTINGTON DR 401 (626)358-4523
Description:T.I.SUITE 407 LIFE IVF(CONSULTING OFFICE) 0 Valuation: $71,300.00 k Tenant LIFE IVF CONSULT.
Total Sq Feet: 0.00 = Plan Check f(19-0031 Plan N Z
Fees Amount Payments Amount Paid
Accessibility Plan Check $96.55 Total Fees $2,771.90
Accessiblity Building Permit $99.02 Cash/Receipt U REC-00036-19 $2,771.90
Add/Alter Ducts $9.38 Amount Due: $0.00
Building Issuing Fee $44.35
Building Permit Fees $990.20
Building Plan Review Fee $643.63
$64
Cal Green Plan Check $fi4.37
Commercial T.I.Fire Plan Chk. $280.00 �� 3—2 1-17
Electrical Permit Issuance Fee $44.35
Energy Plan Review Fee $198.04
Green Building Standard $3.00 CALLS FOR INSPECTIONS
Lavatories $37.38 Request for inspection by telephone at 626-574-5450. Leave a message
Light Fixtures $39.80 requesting the address,timeframe and what inspection item is needed.
Mechanical Permit Issuance Fee $44.35
Outlets-Receptacles&Switches $44.80
Plumbing Permit Issuance Fee $44.35 This permit/plan review expires by time limitation and becomes null and
Solid Waste Management Fee $6.25 void if the work authorized by the permit is not commenced within 180 days
Solid Waste Management Fee 2 $1.00 from the date of issuance or If the permit is not obtained within 180 days
Solid Waste Management Fee 2 $1.00 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
Solid Waste Management Fee 2 $1.00
consecutive days or if no progressive work has been verified by a City of
Strong Motion Inst.Program Com $19.97 Arcadia building inspector for a period of 180 consecutive days.
.,
Total: $2,771.90 0 COMPLETED
..,-/
January 08,2019
ssued By: Date
January 08,2019 Page 1 of 1
;;. !! 1 PERMIT/PLAN REVIEW APPLICATION
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 o; S31„1 14—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 Contract
OWNER-BUILDER DECLARATION ❑ 1 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 pennit to construct,alter,improve, Carrier 0 ra r'IC
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
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 certifythat 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.
or my employees with wages as their sole
compensation,will do the work,and the structure is not intended or offered forfr
sale(Section 7044,Business and Professions Code:The Contractors License Date /gM 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
attomey'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 "T�v c AN ps\2Q &LC .l I f1 • Title C:Sem,
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 the above-menti ned pro for inspection purposes.
_�'
Signature. V.,/ � ! Date 7/8/to q
NOTES
Building Inspections Date Insp. Plumbing Inspections Date Insp. 2.89 '4 /{igrittc-nr,
100. Setbacks 210. Under fir/bldg.drain 2-5-14 ,,- • l
101. Rough grade. 211. Copper underslab '/////
102. Figs.&forms 212. Rough plumbing 2-5-19 #p'1""7 2-q--LI ' y(�f( X,ciatgta(li I
103. Pre-slab 213. Rough gas
104. Floor joists 214. Shower pan EL.ECT/Z.10V- (N 1Jd•C,CS crec�,
105. Steel 215. Water heater lelita lie. /.44 A rr�� ,
106. Groutlift 216. Roof drains /
107. Shear nailing 217. Building sewer � /
108. Diaph nailing 218. Water service 2_('n9 Me�/Zpp .!4VAC Dta5
109. Roof nailing 4/219. Final gas /'Jam'
110. Framing 7-Y-ll 220. Fixtures �[/ -�71'�
111. OcclArea Sept.Wall 221. Final plumbing 7'21-0 A
112. Sound walls 2. Sewer cap/demo. _
113. T-bar!rid 3-Y- ` v/r.i.-"
114. Insulation-Flr. Pool Inspections Date . Insp.
115. Insulation-Wall 240. Excavation/steel
116. Insulation-Ceil. ,/' 241. Rough plumbing
117. Drywall nailing 2-1r/t d7S+�Y/242. Light shell/bonding118. Interior lath _/ 243. Underground conduit
119. Exterior lath 244. P-trap
120. Finish grade245. Gas line&test
121. Final building 3321-19 / 246. Fence,gates&signs
122. Final demo/lot clear 247. Pool heater
248. Final electric
Electrical Inspections Date Insp. 249. Anal •lumbin•
150. Power pole 250. Pool cover
151. Sales lot lighting 251. Pool final
152. Undertround conduit
153. Underslab conduit Reroof Inspections Date Insp.
154. UFER ground 270. Pre-reroof insp.
155. Water ground 271. Roof framing
156. Rough electrical 3-4-19 272. Sheathing nailing
157. Fixtures 273. Final reroof
158. G.F.C.I.
159. E..t.bondin. Sign Inspections Date Insp.
160. Service panel :� I��i 280. Setback/overhang
161. Final electric 3_Q1-(q `'- 281. Footing
282. Conduit/wirin•
Mechanical Inspections Date Insp.' 283. Disconnect _
180. Venting/flue 284. Anal sign
181. Furnace/A.C.
182. Rauch HVAC y-(9 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. Anal
189. Commercial hood
190. Duct shaft Sewers&Offsite Insp. Date I Insp.
191. Final mechanical 3-2/-/??Fre 300. Lateral(main to PIL)
301. Saddle/y
Block Wall Inspections Date Insp. 302. Cesssool filled
200. Footings 303. Sidewalk
201. SteeVrebar 304. Driveway
202. Grout lift 305. Curb replacement
203. Final wall 306. Trash bin
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CertificateCi
of Occupancy
_ City of Arcadia
1:4ty '
let-,,,40:1:i
Development Services Department—Building Division �; : :`
tt 11��
od This certificate issued pursuant to requirements of the1),' "..
'
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. y.;„
s9
Permit No. TI-19-0031 r`
;ii_ ry
•
Building Address: 289 W HUNTINGTON DR#407 ARCADIA, CA 91007 $
`' Permit Type: TENANT IMPROVEMENT Effective CBC: 2016 C.B.C.
3
Lr,,
CO-H6
ant r
Occu01
p y Code: CB Zone Code.
Final Date: 3-22-19 Type of Construction: TYPE III B SPRINK ^
SSE v"
Owner: SANTA ANITA LAND HOLDINGS LLC Tenant LIVE IVF
its '.
.5
Kenneth Fieldd a ild'ng 0 tial c
O
Post in ConspicuousPlace %{S.
d •
„� � ?,ivzMM'S�Cqm.. 71 Z5'A&' '_&,�A'M
y%" .r °iv'sv *' vp�ao 1 ''sy,Pd '� , y,Ammo ! yG �7,'ffi.,,^� 'C! �r�.,�* tErP'� u w,•r1.ca'
` &uemwu;. V "�%raanysa �.j^ x tawww+Ms - kay...m •s6fo+HY f '"ysbwvbwaa<xC" uatx •'ay. Ip�', 'ipy`#Wya�fi vA�1»�,y YIs '"kt �di+wmv �.4X`
4+ V tTi 1' V
' Permit No'FIRE 19 0232'
,..41;4,9:. City of Arcadia, CA "
Development Services Department v-^ Permit Type Fire ;
240 West Huntington Drive,Post Office Box 60021 {
Arcadia,CA 91066-6021vy " Work Classihcatfon:.F.ire Alarm.:
,�`( }".1 (626)574-5416 .: - ":" z.. _
�./ .. _ '�- ;- - - Permit Status:Issued
ARCADIA • ,.-- Issue Date:93/1 /2019'I Expiration: 09/04/2019
Addr NO. Dir Prefix Street Name Street Suffix Unit City,State,Zip Parcel Number
289 W HUNTINGTON DR 407 ARCADIA,CA 91007 5775001034
Contacts
SANTA ANITA LAND HOLDINGS LLC Owner EXECUTIVE SURVEILLANCE INC" Contractor
LESSOR S AND H NO 1 LLC LESSEE P O BOX 8245,LA CRESCENTA,CA 912240245
289 W HUNTINGTON DR 401 (818)541-1091
Description:ALARMS FOR UNIT 407. 9 DEVICES Valuation: $ 5,000.00 Tenant
Total Sq Feet: 0.00 Plan Check#19-232 Plan ft
X
Fees Amount Payments Amount Paid
Fire Alarm Plan Check $700.00 Total Fees $901.76
Fire Issuance $47.01 Cash/Receipt#REC-00637-19 $901.76
Fire Permit Fees $153.75
Amount Due: $0.00
Solid Waste Management Fee 2 $1.00
Total: $901.76
CALLS FOR Ell i 4i PiETED
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.
March 11,2019
Issued By: Date
March 11,2019 Page 1 of 1
.F 'R
osa'oFHNti
' �.,• i PERMIT/PLAN REVIEW APPLICATION
‘Nitilio' 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 L(0 License GuzzS Exp. Date Stat 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 D CLARATION ❑ 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 he Labor Code,for the 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 insure carrier and policy numbers are:
Code.Any city or county which requires a permit to construct,alter,improve, Carrier 'r1^c_ ti.r{rCe r
demolish,or repair any structure,prior to its issuance,also required the applicant 7 Zkl E C.C�3 q \
for such permit to file a signed statement that he or she is licensed pursuant to the Policy NumberZ 1
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 D. 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 ( 1_\
sale(Section 7044,Business and Professions Code:The Contractors License Date 3- A 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 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 thecost 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's fees.
❑I, as owner of the property, am exciusively 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 them 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
Ifurther information.
Name \..\ \s^Le—rA- (.‘41/4 e---r. o Title (c-e e.c..- F'l a." c._�
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
cadia to enter upon the above-mentioned property for inspection purposes. I 3 q
L
;nae sy,,.. � �'�e% JDate — ( l l
x
'' PermttNO FIRE 19-0237
'�b4�r� City of Arcadia, CA ''`-''�
'1 Development Services Department i i '' r—M`` -L`y ;x Permrt type'Fire
240 West Huntington Drive,Post Office Box 60021 "� ' ,-s 3
Arcadia,CA 91066-6021 _ . t „ ' 1 '� work ClassiJicanon Fire Spnnkler
(626)574-5416 `:,' i " - .Permit StatJJS Issued
ARCADIA Issue=Date;03/04/20191 Expiration: 08/31/2019
Addr NO. Dir Prefix Street Name Street Suffix Unit City,State,Zip Parcel Number
289 HUNTINGTON DR ARCADIA, 5775001034
Contacts
SANTA ANITA LAND HOLDINGS LLC Owner CRAIG FIRE PREVENTION• Contractor
LESSOR S AND H NO 1 LLC LESSEE 123 E CENTRAL AVENUE AVE,MONROVIA,CA 91016
289 W HUNTINGTON DR 401 (626)357-4045 692823
Description:SPRINKS FOR TI LIVE IVF.17 HEADS Valuation: $ 2,600.00 Tenant
Total Sq Feet: 0.00 Plan Check#19-237 Plan#
Fees Amount Payments Amount Paid
Fire Issuance $47.01 Total Fees $868.36
Fire Permit Fees $120.35 Cash/Receipt#REC-00313-19 $700.00
Solid Waste Management Fee 2 $1.00 Cash/Receipt#REC-00547-19 $168.36
Sprinkler Heads $700.00
Amount Due: $0.00
Total: $868.36
CALLS FOR I ZSOMPIETED
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.
er
March 04,2019
Issued By: Date
March 04,2019 Page 1 of 1
• AR
;totag. I PERMIT/PLAN REVIEW APPLICATION
Mtn : - .1i-,1
C>,....... ll*' Development Services Department,240 West Huntington Drive,Post Office Box 60021
'4 pais'ofr 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.
License Class C-1 (o
0 I have and will maintain a certificate of consent to self-insure for workers'
License No. fti33'7 �27Ezp. Date Z 21 compensation, as provided for by Section 3700 of the Labor Code, for the
Signature of Contractor I performance of the work for which this permit is issued.
OWNER-BUILDER DECLARATION la'fhave 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.
��M�1t y workers'compensation insurance carrier and policy numbers are:
Code.Any city or county which requires a permit to construct,alter,improve, Carrier �W1.t-64:ru.ut Yam: l.1 H h..-4S
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 Number2-(:lgrj W CD re S )$n 1
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 0 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 forthwith comply with those provisions.
property, or my employees with wages as their sole
compensation,will do the work,and the structure is not intended or offered for ��^\,�J
sale(Section 7044,Business and Professions Code:The Contractors License Dated/9 l Signature ✓] G0
Law does not apply to an owner of property who builds or improves thereon, G v
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 thecost 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 T}HS 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.Pease contact AQMD at(909) 396-2000 for
further information. 0., .,
a
7
Name /�tE-� 0CL51 - Title 4't-urZ 'r"--
PRINT NAME
I ertify 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 gree to comply with all City ordinances and State Laws relating to building construction. I hereby authorize representatives of the City of
Acadia to enter upon the above-mentioned property for inspection purposes.
Si nature i' d )Date 31 `'1 , I 1.f
v�q� F ,
14164
MEMORANDUM
Fire Department
DATE: - March 28, 2019
TO: BUILDING DEPARTMENT
INSPECTOR John Zurick
FROM: FIRE DEPARTMENT
SUBJECT: FIELD INSPECTION
ADDRESS: 289 W. Huntington Drive #407
THE FOLLOWING ITEMS WERE CHECKED FOR CONFORMANCE WITH APPLICABLE FIRE
DEPARTMENT REQUIREMENTS:
TYPE OF INSPECTION DATE / INITIAL
FINAL INSPECTION
FIRE SPRINKLERS 3-14-2019 Mark Krikorian
FIRE ALARMS 3-14-2019 Mark Krikorian
HOOD & DUCT
KNOX BOX
OCCUPANCY
COMMENTS:
Emailed Bldg. Dept. 3-14-2019 Rita
OF AR
40 o vi
MEMORANDUM
Fire Department
DATE: April 1, 2019
TO: BUILDING DEPARTMENT
INSPECTOR John Zurick
FROM: FIRE DEPARTMENT
SUBJECT: FIELD INSPECTION
ADDRESS: 289 W. Huntington Drive #407
THE FOLLOWING ITEMS WERE CHECKED FOR CONFORMANCE WITH APPLICABLE FIRE
DEPARTMENT REQUIREMENTS:
TYPE OF INSPECTION DATE / INITIAL
FINAL INSPECTION
FIRE SPRINKLERS 3-14-2019 Mark Krikorian
FIRE ALARMS 3-14-2019 Mark Krikorian
HOOD & DUCT
KNOX BOX
OCCUPANCY 3-14-2019 Mark Krikorian
COMMENTS:
Emailed Bldg. Dept. 4-1-2019 Jill