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TI-18-0559
S Permit No TI-1&0559 City of Arcadia, CA V Development Services Department D ® i. - it '1 Permit Type Tenant Improvement • 240 West Huntington Drive,Post Office Box 60021 �fS{ r i III Arcadia,CA 91066-6021 L a Wolk Classification Tenant Improvement (626)574-5416 _ ., - c.-• Permit Status:Issued ARCADIA Issue Oate;!o9/24/2018' Expiration: 03/23/2019 Addr NO. Dir Prefix Street Name Street Suffix Unit City,State,Zip Parcel Number ` 1271 S Baldwin AVE Arcadia,CA 5383038023 Contacts BALDWIN ARCADIA CENTER LP Owner TONG ***EDWARD***TAK Applicant 815 W NAOMI AVE A,Arcadia,CA 91007 1271 BALDWIN AVE,ARCADIA,CA 91006 (626)780-1127 KING SAN WONG* General Contractor(B) 439 S ALMANSOR,ALHAMBRA,CA 91801 (626)780-8366 Description:INTERIOR T.I FOR TONG TAK SEAFOOD Valuation: S 270.000.00 Tenant TONG TAK SEAFOOD RESTAURANT.WITH EMP Total Sq Feet: 0.00 Plan Check#18-559 Plan#32596 - - . - - Fees Amount Payments Amount Paid Accessibility Plan Check $233.71 Total Fees $6,367.41 Accessiblity Building Permit $239.70 Cash/Receipt#REC-002382-2018 $3,660.44 Add/Alter Ducts $9.38 Cash/Receipt#REC-000859-2018 $2,706.97 Building Issuing Fee $44.35 Building Permit Fees $2,397.00 Amount Due: 15 /4C 3_ t $0.00 Building Plan Review Fee $1,558.05 ' it- tie Cal Green Plan Check $155.81 Commercial T.I.Fire Plan Chk. $280.00 Electrical Permit Issuance Fee $44.35 OffiggOCTIONS Energy Plan Review Fee $ .40Floor Drain $12in Fee $12.46 Floor Sink $12.46 Request for insp-c on •y thone at 626-574-5450. Leave a message Green Building Standard $11.00 requesting the address,timeframe and what inspection item is needed. Hood Serviced by Mechanical Exhaust $14.11 Lavatories $24.92 Light Fixtures $155.80 This permit/plan review expires by time limitation and becomes null and Mechanical Permit Issuance Fee $44.35 void if the work authorized by the permit is not commenced within 180 days outlets-Receptacles&Switches $40.80 from the date of issuance or if the permit is not obtained within 180 days Plan Check,Per Hour $427.50 from the date of plan submittal.This permit expires and becomes null and Plumbing 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 Solid Waste Management Fee $6.25 Arcadia building inspector for a period of 180 consecutive days. Total: $6,367.41 September 24,2018 Issued By: Date September 24,2018 Page 1 of 1 1 PERMIT/PLAN REVIEW APPLICATION Lo 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 ' ense is in full force and effect. I ❑ I have and will maintain a certificate of consent to self-insure for workers' License Class 13 icens?No.7P2- ( Exp. Dat /ZI/2tr22 compensation, as provided for by Section 3700 of the Labor Code, for the Signature of Contractor //��/low / performance of the work for which this permit is issued. OWNER-BUILDER DECLARATION CII 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 -12-1i /-C----,�/ for such permit to file a signed statement that he or she is licensed pursuant to the Policy Number 0./t/ provisions of the Contractors License Law(Chapter 9(commencing with Section is 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 Se ion 3700 of the Labor Code,I shall 9 I, as owner of the property, forthwith comply with those provisions. or my employees with wages as their sole (J compensation,will do the work,and the structure is not intended or offered for Date -2 — (11' / "� sale(Section 7044,Business and Professions Code:The Contractors License 4' 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. 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. /^ \N arae L )�nJ )O.A rile COA1`/tLiCb/U 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 cora ly with all City ordinances and State Laws relating to buildin construction. I hereby authorize representatives of the City of Arcadia toe er upon � the above-mentionedboproperty for inspection purposes.\s �j �,,/� ignature / lam✓ Date %- -2 4' - l t i2Z" 5 , §3At-+mak"/ NOTES Building Inspections Date Insp. Plumbing Inspections Date Insp. 100. Setbacks 210. Under firlbldg.drain f 101.-Rough grade 1. Copper underslab / C7`zsb` t &-�u G 102. Figs.&forms 1rr31-l8 ft� - 212. Rough plumbing 16 2S'78` R, sr FG06Yc. /I"`7 103. Pre-slab 213. Rough gas �r(�.�� �yf _Y�,.,�� ��' 104. Floor joists 214. Shower pan 4 _' - /-''��� / A'� I"G�C" 105. Steel 215. Water heater /Lcs62 as// 106. Grout lilt 216. Root drains 107. Shear nailing 217. Building sewer 108. Diaph nailing 218. Water servicef - • il---c.7.41-/-/P:, FC.C70/.. r4401446.•ofe 109. Roof nailing 219. Anal gas 1 - 110. Framing 220. Allures t ///�/,,/� 111. 3-?5-01Area Sept.Wall 221. Final plumbing 3-�5- � (1_13-($ _FL�oR pRrwhGC /,�i�J 112. Sound walls 222. Sewer cap/demo. !!! 113. T-bar•rid 114. Insulation-Fir. Pool Inspections I Date Insp. (i.z1.18 FP-#M(7 6 Ar 6 - ness?... 115. Insulation-Wall 240. Excavation/steel /����'��y/ 116. Insulation-Ceil. 241. Rough plumbing ' 57,2ooMkS / '• f 117. Drywall nailing 242. Lightshell/bonding .ill$-Gs. , CEIClf!G �.kAruNd /,J PP 118. Interior lath 243. Underground conduit / J� 119. Exterior lath 244. P-trap 64 8 A SSI �� `o � _ 120. Finish grade 245. Gas line&test (t�'i VP7✓WTPr& A.'r Va.: e Oiglnll 121. Final building 3za,s-G9 246. Fence,gates&signs 122. Final demo/lot clear 247. Pool heater 7'•'1 �ILS�JrtF.//( / fLc6/L 248. Anal electric g.6 Si•zotots Electrical Inspections Date Insp. 249. Final •Iumbin• 150. Power pole 250. Pool cover 71•$/8 (06 ( 4su.Cc/toy/f ok tan-re 151. Sales lot lighting 251. Pool final .n- A2DED Roof- Swi • hRit-1.-,). 7. 152. Underground conduit 153. Underslab conduit Reroof Inspections Date Insp. 'I' L8 �� �� T4Cs� n'� 154. UFER ground 270. Pre-reroof insp. 12.20.16 I Sr r/xy4K bacr-'^I TZ-....155. Water ground 271. Root framin• /24G...0 Z4;1 //(n-f,.,"- ACJ D..er uW.p 156. Rough electrical 272. Sheathing nailing 157. Fixtures 273. Anal reroof el.-•D STAve. -rape..+ &fMdm 158. G.F.C.I. (2.31•/8 bays, a 57v1 psn-7. Two (,ey.c7cs 159. E•It.bondin! Sign Inspections I Date Insp. 160. Service•anel 80. Setback/overhan• UNDO- STvry¢5 Ap,/LoQo . g1*--- 161. Final electric 5 - - 281. Footing 282. Conduit/wirin• Mechanical Inspections Date Insp. 283. Disconnect 180. VentingRlue 284. Anal sign 181. Fumace/A.C. 182. Routh HVAC Miscellaneous Insp. 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.rough 294. Hood dry them. 188. Compressor setback 95. Anal - 189. Commercial hood -354' g/ 190. Duct shaft Sewers&Offsite Insp. I Date Insp. 191. Final mechanical 3 27 17 41" 300. Lateral(main to P/L) - 301. Saddle/V . Block Wall Inspections - Date Insp. 302. Cesspool filled 200. Footings 303. Sidewalk 201. SteeVrebar 304. Driveway 202. Grout lift 305. Curb replacement 203. Final wall 306. Trash bin 4it un n � tr A k Srrn...-n c,. + ,,,,,, srC � . ' ts a I / a l ¢ R' vh dal, 3w yuMw"JA^.�- nxv�vNAV e.N..MNW �3LLWR_i.ry 'uWx,nwaY l k 3 9 c' 14 a IRS 1113111 ,. '' dd . > “:. Certificate of Occupancy t �� % i` City of Arcadia Development Services Department-Building Division• ffi4 r ir. 1,. 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 constmction or use. e-. 'p Permit No. TI-18-0955 1 0 ( Building Address: 1271 S Baldwin Ave,Arcadia,CA 91007 € -,5 Permit Type: Tenant Improvement Effective CBC: 2016 CBC e "i. kii, r_ ; —I Occupancy Code: A-2 Zone Code: R-1 — itFinal Date: 03/25/2019 Type or Construction: TYPE V-A, SPRINKLERED a ,( 41 yam' Owner: Baldwin Arcadia Center LP Tenant: Tong Tak Seafood :( se,341 4 a� 4aisit y $. Kenneth Fi I , :uib g Offi 'I Post in Conspicuous Place I 2 �, rt y _:„.P,4.�'�xn�,evm,swrt gum,eLL'cert..:-.41/�,m ms✓.mvmg....�� za;Viet,'” ` J � n >R uvd fit wawmro,. '�igyp' kijjAreeW exy4 IA '� /'`mac \�..✓'; O -',.‘^ty ,a+' -: 041/ zt-b* .�/ \�plee��+ .'4ti � '' z'v t sxn„s-mr,- I 41;'•" sH.,,.w Mi'''/Or`ms' �1] Of re "/ \ Y ..:' I. ^ WN a �� �Ri T2 ''"y 4,.',- w' .wAS"2'A.%,,, x '• 0.4 Or Los44, COUNTY OF LOS ANGELES• DEPARTMENT OF PUBLIC HEALTH t4 I �%/p ENVIRONMENTAL HEALTH 4C- + LLtI,1► + + SPECIALIZED SURVEILLANCE AND ENFORCEMENT BRANCH *--- 1 PLAN CHECK PROGRAM-BALDWIN PARK COUNTY or Los ANGELES X qA..- X 5050 COMMERCE DR,BALDWIN PARK,CA 91706 Public Health PHONE: (626)430-5560 INVVW.P U B LI C H EALT H.LA C O U NTY.GO V/E H PLAN CHECK OFFICIAL INSPECTION REPORT DATE 03/19/2019 EHS VIVIAN TAN PLAN CHECK NUMBER SR0140471 1 PROGRAM ELEMENT 1705- RESTAURANT(10,000 SF OR MORE) OWNER/REQUESTER FRANK NGUYEN,ARCHITECT DBA TONG TAK SEAFOOD RESTUARANT ADDRESS 1271 S BALDWIN AVE,ARCADIA, CA 91007 • FINAL REINSPECTION STATUS: APPROVED CORRECTIONS COMPLETED' i; �' tea.. _ . CORRECTION CATEGORY DATE IDENTIFIED DATE CORRECTED FLOOR BASE COVING 03/11/2019 03/19/2019 WALLS 03/11/2019 03/19/2019 JANITORIAL FACILITIES 03/11/2019 03/19/2019 , LIGHTING/ELECTRICAL 03/11/2019 03/19/2019 EMPLOYEE FACILITIES 03/11/2019 03/19/2019 VERMIN EXCLUSION/ENCLOSURE 03/11/2019 03/19/2019 PLAN SUBMITTAL/REMODEL 03/11/2019 03/19/2019 • • Help us serve you better by completing a short survey.Visit our websitej -at at www.oublichealth.lacounty uov/eh. Operator Signature Page 1 of 3 PLAN CHECK OFFICIAL INSPECTION REPORT DATE • 03/19/2019 EHS VIVIAN TAN PLAN CHECK NUMBER SR0140471 PROGRAM ELEMENT 1705-RESTAURANT(10,000 SF OR MORE) OWNER/REQUESTER FRANK NGUYEN,ARCHITECT DBA TONG TAK SEAFOOD RESTUARANT ADDRESS 1271 S BALDWIN AVE,ARCADIA, CA 91007 ADDITIONAL REQUIREMENTS FINAL RE-INSPECTION CONDUCTED. THIS FACILITY IS HEALTH DEPARTMENT APPROVED AND ARE OK TO OPERATE WITH THE FOLLOWING CONTINGENCIES: 1. THE SEAFOOD TANK IS NOT FOR THE STORAGE OF BI-VALVES. 2. THE ROOMS NEXT TO THE LOCKER ROOMS AND OFFICES ARE FOR NON-FOOD AND NON-FOOD RELATED ITEMS. THE FOLLOWING ITEMS NEED TO BE CORRECTED AND WILL BE CHECKED IN TWO WEEKS: 1. PROVIDE AN APPROVED FLOOR IN THE PORTION OF THE BAR(5'X3'). 2. PROPERLY SECURE THE LOCKERS TO THE WALL. 3. REPAIR THE BURNT OUT LIGHT BULB IN THE WALK-IN FREEZER. RECEIVED THE MEPF AND BLDG. FINALS. THE DISTRICT INSPECTOR WILL CONDUCT A ROUTINE INSPECTION AND ISSUE A LETTER GRADE. • COMMENTS • NONE Help us serve you better by completing a short survey.Visit aur website at www oublichealth lacounN,aov/eh. Operator Signature Page 2 of 3 PLAN CHECK OFFICIAL INSPECTION REPORT DATE 03/19/2019 EHS VIVIAN TAN PLAN CHECK NUMBER SR0140471 PROGRAM ELEMENT 1705-RESTAURANT(10,000 SF OR MORE) OWNER/REQUESTER FRANK NGUYEN,ARCHITECT DBA TONG TAK SEAFOOD RESTUARANT ADDRESS 1271 S BALDWIN AVE,ARCADIA, CA 91007 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 thepermit/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 lacountv.cov/eh. Operator Signature Page 3 of 3 • :mar,,,,, County of Los Angeles r , _.„ i?usucWGRKs DEPARTMENT OF PUBLIC WORKS BUILDING &SAFETY DIVISION -,, Los Angeles Regional Uniform Code Program STRUCTURAL 0:SERVAT00N REPORT FOR? STRUCTURAL OBSERVATION means the visual observation of the structurafsystem,for generalconformahce to the approved plans and specifications, at significant construction stagesand at completion Of the structural system. Structural observation does not include ocwaive the responsibilityfor the,inspections required by Section 108; 1704 or other sections of the Los Angeles County Building Code.(Sections 106.4.5, 1709) r Report No. This report includes all construction work through 2 day of :,20 ,'1:: Page No. of Project Addres : Structural Observer of R cord(SOR) : SOR ne PhoNo I271 i3-44-M11.1 fill&. Age-APIA Tei - Wei :. Ga : d 347 3`3 3 Building Permit No.: Structural Observation ObservrProfessionalLiOVReg.No OserverPhoeNO perfomredby:7 .w4 431: + : 4� 7q OBSERVED STRUCTURAL ELEMENTS AND THEIR CONNECTIONS ELEMENTSlCONN CTION ; FOUNDATION WALL FRAMES FLOOR 0i3SEt2VAT16N L06A1Q1 O Footing, Stem Walls/ ❑Concrete A Steel Moment Fre e O.Concrete f K. p2' ,(/!/(� ❑Mat Foundation 1 Masonry/ 'O Steel Braced me 0 Steel D1ick y- 1 fxl ❑Caisson, Pit , `O Wood 0 Concrete men( ❑Wood i t i a Grade B ms / Frame • :. e41S (.. �ad� � '� � a$4 0 Ret ' Ing.Foundation 0 Others: 0 Mas ry Wall Cl(ethers ' side Special Anchors // Fr me / ,:. ❑Others: thers: • . NOTED DEFICIENCIES with the proposed corresponding corrective ions repect st actwith ojgeneral, conformance with the approvedplans or in the load path (A final report by the structural observer which states that all observed deficiencies have been resolved is required before acceptance of the work by the'building otlrciais) • I DECLARE THAT THE FOLLOWING STATEMENTS ARE TRUE TO THE BEST OF MY KNOWLEDGE 1. IAM THE ENGINEER OR ARCHITECT RETAINED BY THE OWNER TO BE IN RESPONSIBLE> _ CHARGE FOR THE STRUCTURAL OBSERVATION IN ACCORDANCE WITH 'THE: e. ' '` REQUIREMENTS OF THE COUNTY OF LOS ANGELES. r CESS? 2. L OR ANOTHER ENGINEER OR ARCHITECT WHO I HAVE DESIGNATED'ABOVE AND IS: ' Y 4 a.1..n UNDER MY RESPONSIBLE CHARGE,HAS PERFORMED THE REQUIRED SITE VISRs AT �'C.� �i'�N(7` ysr. -.C� EACH SIGNIFICANT CONSTRUCTION STAGE TO VERITY IF THE STRUCTURE IS IN it? ‘ . y- Q ::': . GENERAL CONFORMANCE WITH APPROVED PLANS AND SPECIFICATIONS; 9,rj "-i' t cn. 43144 ; gym.; 3. ALL NOTED DEFICIENCIES WHICH REMAIN TO BE CORRECTED HAVE BEEN INDICATED •_ • 73.; ABOVE; k txp.5-31'x; ', . . 1. I *.•• • 4. I RECOMMEND THAT ACCEPTANCE OF THE STRUCTURAL SYSTEMS BY THE COUNTY ' I>, CIVIL 1�Q`.' . .. OF LOS ANGELES BE WITHHELD UNTIL ALL OBSERVED DEFICIENCIES ARE '\ F -ll-to'R CORR •� / / • 1-'‘ '' 20/47 (STAMP OF STRUCTURAL OBSERVER) SIGNATURE OF STRUCTURAL OBSEficER DATE _ Version l.0(2008 LACBC) County of Los Angeles 9� i-±-1..f.-;4_ DEPARTMENT OF PUBLIC WORKS BUILDING & SAFETY DIVISION PUBLIC WORKS �` { ';;°:1 Los Angeles Regional Uniform Code Program STRUCTURAL OBSERVATION REPORT FORM STRUCTURAL OBSERVATION means the visual observation of the structural system, for general conformance to the approved plans and specifications, at significant Construction stages and at completion of the structural system. Structural observation does not include or waive the responsibility for the inspections required by Section 108, 1704 or other sections of the Los Angeles County Building Code. (Sections 106.4.5, 1709) Report No. This report includes all construction work through 2— day of b(io ,20/S Page No. / of—/ Project Address: Structural Observer of Record(SOR): SPQR Phone No.: 7/ RALa/Ji v ,8-re , Ac4PG4 'fent GUS4 • G•�-3¢7-39 A. Building Permit No.: ` Structural Observation Ob ervr Professional Lic. eg.No.: Observer Phone No.: performed by: C *3/44/ A6.-3¢7-39513 OBSERVED STRUCTURAL ELEMENTS AND THEIR CONNECTIONS • ELEMENTS/CONNECTION FOUNDATION WALL FRAMES FLOOR OBSERVATION LOCATION ❑Footing, Stem Wall 0 Concrete 0 Steel Moment Fra 0 Concrete '; 0 Mat Foundatio 0 Meson 0 Steel Braced F me 0 Steel eck ❑Caisson, P' s, 0 Wo ❑ Concrete ment ❑ Wo frAA WA# Grade ams Frame ❑Ret ' ing Foundation ❑ thers: 0 Mas ry Wall ❑ thers: ' side Special Anchors F me Others: Others: NOTED DEFICIENCIES with the proposed corresponding corrective actions with respect to general conformance with the approved plans or in the load path: (A final report by the structural observer which states that palll observed deficiencies have been resolved is required before acceptance of the work by the building officials.) 608r _ I DECLARE THAT THE FOLLOWING STATEMENTS ARE TRUE TO THE BEST OF MY KNOWLEDGE: 1. I AM THE ENGINEER OR ARCHITECT RETAINED BY THE OWNER TO BE IN RESPONSIBLE CHARGE FOR THE STRUCTURAL OBSERVATION IN ACCORDANCE WITH THE REQUIREMENTS OF THE COUNTY OF LOS ANGELES. . ,?. . ... - 2. I, OR ANOTHER ENGINEER OR ARCHITECT WHO I HAVE DESIGNATED ABOVE AND IS V �/� UNDER MY RESPONSIBLE CHARGE,HAS PERFORMED THE REQUIRED SITE VISITS AT ^ O PING (y ,' EACH SIGNIFICANT CONSTRUCTION STAGE TO VERITY IF THE STRUCTURE IS IN J ‘) t i GENERAL CONFORMANCE WITH APPROVED PLANS AND SPECIFICATIONS; M( ` 43144 m 3. ALL NOTED DEFICIENCIES WHICH REMAIN TO BE CORRECTED HAVE BEEN INDICATED I` FX rn . . ABOVE; *i 4. OFE, OSMANGELEST BEC WITHHELDFUNTILTALLTOBSERVED DEFICIENCIES ARE ` f FGA1THE SRUCURAL SYSTEMS BY THE COTY "i• CIVIL #O0 CO REC 19 / '1 7 L a ^ 2 - Zo/3 (STAMP OF STRUCTURAL OBSERVER) SI ATURE OF STRUCTURAL OBVER DATE Version 1.0(2008 LACBC) Jan.10 2008 rCcn/ r'r 17 - 26•us. ces'L �� ` County of Los Angeles isi "gni DEPARTMENT OF PUBLIC WORKS BUILDING & SAFETY DIVISION Pueuc woacs `Ai: �, i Los Angeles Regional Uniform Code Program STRUCTURAL OBSERVATION REPORT FORM STRUCTURAL OBSERVATION means the visual observation of The structural system,for general conformance to the approved plans and specifications,at significant construction stages and at completion of the structural system. . Structural observation does not include or waive the responsibility for the inspections required by Section 108, 1704 or other sections of the Los Angeles County Building Code. (Sections 106.4.5, 1709) Report“ No. This report includes all construction work through to day of I)eCt'fl44y .20 1 R Page No. of Project Address: Structural Observer of Record(S R): SOR RholiNo.:/Z1( ar / w ve vo-p a. � Ja td ” Building Permit No.: Structural Observation / Observr Professional LiclReg.No.: Observer hone No.: performed by: p W/�/04 f)113/ y 676 q.cg ale g OBSERVED STRUCTURAL ELEMENTS AND THEIR CONNECTIONS FOUNDATION WALL FRAMES FLOOR ELEMENTS/CONNECTION OBSERVATION LOCATION ❑Footing,Ste /Walls ❑Concrete ❑ Steel Mame Frame ❑ Concret , Wall ❑.Mat Foundation ❑Maso ❑ Steel B d Frame ❑Steel eck �QI f'La tN ❑Caiss h,Piles, ❑Wo ❑ Commit Moment ❑ Wo d brace 0/ Gra a Beams Fra J 13R aining Foundation 0 99 hers: 0 M9onry Wall ❑ thers: illside Special Anchors / frame Others: / Others: r NOTED DEFICIENCIES with the proposed corresponding corrective actions with respect to general conformance with the approved plans or in the load path: (A final report by the structural observer which states that all gbrierved deficiencies have been resolved Is required before acceptance of the work by the building officials.) ) ✓11Qi I DECLARE THAT THE FOLLOWING STATEMENTS ARE TRUE TO THE BEST OF MY KNOWLEDGE: 1. I AM THE ENGINEER OR ARCHITECT RETAINED BY THE OWNER TO BE IN RESPONSIBLE -CHARGE FOR THE STRUCTURAL OBSERVATION IN ACCORDANCE WITH THE REQUIREMENTS OF THE COUNTY OF LOS ANGELES. .csk.�'9JFESS/0 _ 2. I, OR ANOTHER ENGINEER OR ARCHITECT WHO I HAVE DESIGNATED ABOVE AND IS ;a 10\46 hit e<O�k UNDER MY RESPONSIBLE CHARGE,HAS PERFORMED THE REQUIRED SITE VISITS AT EACH SIGNIFICANT CONSTRUCTION STAGE TO VERITY IF THE STRUCTURE IS IN , .,: �0 -- GENERAL CONFORMANCE WITH APPROVED PLANS AND SPECIFICATIONS; I i 43144 m I . i cc D3 3. ALL NOTED DEFICIENCIES WHICH REMAIN TO BE CORRECTED HAVE BEEN INDICATED EXP•3 l ABOVE; ` • ' 3}( - r CIVIL �F, 4. I RECOMMEND THAT ACCEPTANCE OF THE STRUCTURAL SYSTEMS BY THE COUNTY 9T ----'161/4 ,- OF LOS ANGELES BE WITHHELD' UNTIL ALL OBSERVED DEFICIENCIES ARE - _COF( \..\\ - COO/RJ4E ED. /P / ..-- - �,/ /2(r U 1 is/3 (STAMP OF STRUCTURAL OBSERVER) SI ATURE OF STRUCTURAL OBSERVE DATE Version 1.0(2008 LACBC) Jan.10 2008 `9-EO`A %2 .2f4.us ca— /-3.0(. --, County of Los Angeles PUBLIC WORKS DEPARTMENT OF PUBLIC WORKS BUILDING & SAFETY DIVISION \ . , Los Angeles Regional Uniform Code Program STRUCTURAL OBSERVATION REPORT FORM STRUCTURAL OBSERVATION means the visual observation of the structural system, for general conformance to the approved plans and specifications, at significant construction stages and at completion of the structural system. Structural observation does not include or waive the responsibility for the inspections required by Section 108, 1704 or other sections of the Los Angeles County Building Code. (Sections 106.4.5, 1709) fit Report No. This report includes all construction work through 9 day of N AV '20/aPage No. / of I Project Address: St uctural Observer of Record (SOR): S Phon No : /x.71 MI-Dgiu AV . o--plc/ /,��I4 aA-C 6'/dg Building Permit No.: Structural Observation Observr Professio al ic./Re . No.: Observer Phone No: performed by:p W / 0 43/4L4 Ai 9JZ'•- D//k ' OBSERVED STiRUCTURA ELEMENTS AND THEIR CONNECTIONS • FOUNDATION WALL FRAMES FLOOR ELEMENTS/CONNECTION OBSERVATION LOCATION 0 Footing, Stem Walls/ ❑Concrety ❑ Steel Moment Fr e 0 Concre b/j4etA; ❑Mat Foundation/ ❑Mason Steel Bra Frame 0 Stee eck hark`"C�c ,q,f44 ❑Caisson, Pi eg, 0 Wo l ❑ Conc a Moment ❑ W od SWAN firriZ J�/d/ fJr . Grade B ms F ma _„���� ❑Retai ng Foundation ❑,Others: asonry Wall Others: Hil :de Special Anchors / Frame ❑ theta: /1 fj?I Others:fe6L cc4c& exito i. — NOTED DEFICIENCIES with the proposed corresponding correctiveactions with respect to general conformance with the approved plans or in the load path: (A final report by the structural observer which states that all observed deficiencies have been resolved is required before acceptance of the work by the building officials.) kleWs- . I DECLARE THAT THE FOLLOWING STATEMENTS ARE TRUE TO THE BEST OF MY KNOWLEDGE: 1. I AM THE ENGINEER OR ARCHITECT RETAINED BY THE OWNER TO BE IN RESPONSIBLE ' CHARGE FOR THE STRUCTURAL OBSERVATION IN ACCORDANCE WITH THE REQUIREMENTS OF THE COUNTY OF LOS ANGELES. . ,r•""""`" 2. I, OR ANOTHER ENGINEER OR ARCHITECT WHO I HAVE DESIGNATED ABOVE AND IS Qr��I� EJStQn,9 \ UNDER MY RESPONSIBLE CHARGE,HAS PERFORMED THE REQUIRED SITE VISITS AT .Gj4,y'�S�`"f7 Vt%t Fi�' _ EACH SIGNIFICANT CONSTRUCTION STAGE TO VERITY IF THE STRUCTURE IS IN i x.5? • •`� `Q •,v.I GENERAL CONFORMANCE WITH APPROVED PLANS AND SPECIFICATIONS; CD 43144 m` w !m . S. ALL NOTED DEFICIENCIES WHICH REMAIN TO BE CORRECTED HAVE BEEN INDICATED LC Exp. ._3l-w,j ;17. ABOVE; 1T F4. I ELOSMEND ANGEL ST BE WITHHELDEPTANCE FTHE UNTILTALLTOBSERVEDURAL ECOUNTY DEFICIENCIES ARE 9c OF CALWY. CORRE - 4 ///>.— 5 Ah& (STAMP OF STRUCTURAL OBSERVER) SIG RE OF STRUCTURAL OBSERVER DATE \ Version 1.0(2008 LACBC) Jan.10 2008 • County of Los Angeles PUBLIC WORKS DEPARTMENT OF PUBLIC WORKS BUILDING & SAFETY DIVISION Los Angeles Regional Uniform Code Program STRUCTURAL OBSERVATION REPORT FORM STRUCTURAL OBSERVATION means the visual observation of the structural system, for general conformance to the approved plans and specifications, at significant construction stages and at completion of the structural system. Structural observation does not include or waive the responsibility for the inspections required by Section 108, 1704 or other sections of the Los Angeles County Building Code. (Sections 106.4.5, 1709) Report No. This report includes all construction work through 2 6 day of �,�G p1ier ,20 78 Page No. of Project Address: Structural Observer of Record (SOR): SOR Phone No.: l� �l �ti�v /QALI& kr�o_Piwa ww 4 626956- v1G3 Building Permit No.: Structural Observation Observr Professional Lic./Reg. No.: Observer Phone No.: performed by: /2.G✓fVt)li q‘-3/11‘1,- 6z6 fic6 o/68 OBSERVED STRUCTURAL ELEMENTS AND THEIR CONNECTIONS . FOUNDATION WALL FRAMES FLOOR ELEMENTS/CONNECTION OBSERVATION LOCATION %Footing, Stem Walls 0 Concrete/ ❑ Steel Moment Fr e ❑ Concret ❑ Mat Foundation ' 0 Masonry/ 0 Steel Bracede ❑ Steel eck ❑ Caisson, Piles, 0 Wood/ ❑ Concre oment 0 W 6d Grade Beams/ Front ❑Retaining bundation 0 Others: ❑,Masonry Wall Others: HillsideXpecial Anchors / Frame ❑Othp{s: / Others: Sq_egL KC/N et,yet/1/2i, i NOTED DEFICIENCIES with the proposed corresponding corrective actions with respect to general conformance with the approved plans or in the load path: (A final report by the structural observer which states that all observed deficiencies have been resolved is required before acceptance of the work by the building officials.) ?JO N6 I DECLARE THAT THE FOLLOWING STATEMENTS ARE TRUE TO THE BEST OF MY KNOWLEDGE: 1. I AM THE ENGINEER OR ARCHITECT RETAINED BY THE OWNER TO BE IN RESPONSIBLE . CHARGE FOR THE STRUCTURAL OBSERVATION IN ACCORDANCE WITH THE —" . REQUIREMENTS OF THE COUNTY OF LOS ANGELES. (\,Q%OFESS'/O4 \\ 2. I, OR ANOTHER ENGINEER OR ARCHITECT WHO I HAVE DESIGNATED ABOVE AND IS S41.• -PING , .. e \ UNDER MY RESPONSIBLE CHARGE, HAS PERFORMED THE REQUIRED SITE VISITS AT ..".;t:13 4 . `, EACH SIGNIFICANT CONSTRUCTION STAGE TO VERITY IF THE STRUCTURE IS IN 43144 �� GENERAL CONFORMANCE WITH APPROVED PLANS AND SPECIFICATIONS; 3. ALL NOTED DEFICIENCIES WHICH REMAIN TO BE CORRECTED HAVE BEEN INDICATED 3/— � �'i ABOVE; * to•ViCIVIL \ 4. I RECOMMEND THAT ACCEPTANCE OF THE STRUCTURAL SYSTEMS BY THE COUNTY FrJF at L,Fo�`' OF LO ANGELES BE WITHHELD UNTIL ALL OBSERVED DEFICIENCIES ARE CA CORR T D. / 4' r — . �� /1226 r o/ (STAMP OF STRUCTURAL OBSERVER) SIGN URE OF STRUCTURAL OBSERVER DATE Version 1.0(2008 LACBC) Jan.10 2008 City of Arcadia A ""` Los Angeles Uniform Code Program LARUCP) Uniform Procedure I-7: Special Inspections �'"""•""°`' Special Inspection Report [ ] DISCREPANCY [x] CONFORMANCE All discrepancies shall be brought to the immediate attention of If work conforms to approved design and code requirements,submit the Contractor for correction. If corrections are not made in a this report to Building Department and copies to Contractor,Engineer/ timely manner,this report shall be used as a discrepancy notice. Architect of record and Owner no later than the business day following Submit the original to Building Department and copies to the conclusion of the special inspection, For inspections greater than 5 Contractor, Engineer/Architect of record and Owner. days duration,submit a conformance report at least once every week. This is a Ri Progress Report [ 1 Final Report Report No. 3 Page No. 1 of 1 Project Address: Description of Project: 1271 S. Baldwin Ave. Restaurant/T.I. Permit Number: Owner: Architect/Engineer of Record: Contractor: TI 18-0557 Teng Tak Restaurant JWL Associates Edward Steel Full Name of Special Inspector:: City Registration Number: Company: Phone Number: Huan Van Bui P013049 VanBui Inspection 714-345-8266 Type of Inspection: [ ] Reinforced Concrete [ ] Structural Masonry [ ] Piling, Piers &Caissons [ ] Smoke Control [ ] Prestressed/Post-tensioned [ ] Bolts in Concrete/Masonry [ ] Excavation and Fills [ ] Energy Compliance [ ] Shotcrete/Gunite [X] Structural Welding [ ] w/Spray-Applied Fire [ ] Testing Reports [ ] Insulating Concrete/Gyperete[ 1 High Strength Bolting [X] Other AAIBepoxy Date Time Time Description and Location of Work Inspected Arrived Departed 12/7/18 8:00 am 4:30 pm Stair opening support frame per 1/SD-2 Welding (2) columns TS 6x6x1/2 with 12 sq x 3/4" base plates, Beam TS 6x6x1/2 (1/4"flare bevel) (8) 3/4" dia all threaded rods for (2) column base plates 4" into concrete footing with SET-XP (36) angles 3" x3/8 welded to columns & beam w/5/8" dia all threaded rods, 4" into concrete brick wall w/ SET-XP Remarks: 1. Electrode E71T-8 NR 232 2. Certified welder: Carlos O. Uribe 3. SET-XP, ICC-ESR 2508, exp. 10/17/2020 I HEREBY DECLARE THAT THE FOLLOWING IS TRUE TO THE BEST OF MY KNOWLEDGE: 1. I AM,OR MY COMPANY IS,RETAINED BY THE OWNER OR THE ARCHITECTIENGINEER OF RECORD TO PROVIDE SPECIAL INSPECTION FOR THE WORK COVERED IN THIS REPORT. 2. I HAVE PERFORMED THE REQUIRED INSPECTION DURING THE TIME PERIOD AS STATED ABOVE. 3. THE WORK COVERED IN THIS REPORT IS IN CONFORMANCE TO THE APPROVED PLANS,SPECIFICATIONS AND APPLICATION WORKMANSHIP PROVISIONS OF THE CODE,EXCEPT AS INDICATED OTHERWISE. Signature: c l/i Date 12-07-2018 Huan Van Bui, Deputy Inspector 12c-c 0 n _ .L .r% SC_ Sales OrderNO326714 MILL CERTIFIC 4` TE Customer BROWN-STRAUSS STEEL Date 12/01/18 1560 TIIIS TIMING WAS MANUFACTURED IN TIIE II S.A. Specification A5008/C-13 SEARING INDUSTRIES Article 40866-F aim teas Ilse•Po auSERS•4•dnoamp oaInC reaerws%mu • Quantity OEm®ICarpostmllamsarelyslsl Tensile Test • C tin P S Si Cr CoMo NI Vs YEW Tens& Elongation (Heat No ) S 1 Z e Number piece coIghtpa (Date Produced) of Placos Ighl per fl 1%) 0I11 11%) (71) I%I 1911 1711 1761 Strata Stenryb) x100 x100 x1000 1000 X 100 00 x1000 X 100 x100 x100 11130 11000 (-) (•)) 6 SQ X .500 X HR 30' 12 35.240 22 76 8 3 40• 3 8 0 3 3 67000 76000 23 17174641 11/06/18 i� • • - SEARING INDUSTRIES,INC. We hereby codify that the material descnbed ) conforms fully to the said specification. G 8I a Unless noted this tubing does not meet the me ed /A' • and manufactured specification for MADE IN AMERICA of (g )((9x/1 Alain, MILL CERTIFICATE a MIC No MC0000074166 MAC ORIGINAL Date 08/30/2015 Lis✓ THIS PIPE AND TUBE MADE IN U.S A BL No SH00000R1207 Destination BROWN-STRAUSS STEEL INC-FontPAARUICHI AMERICANCOIRPORATION Supplier BROWN-STRAUSS STEEL INC-CO 11529 GREENSTONE AVENUE SANTA FE SPRINGS, CALIFORNIA TEL. (562)903-8600 FAX (562)903-8601 aik SPEC No of Chemical Composihon(Ladle Analysis) Tensile Test NT`1 en • PCS c SI P Pmesum aemm�o nbmn.K SIZE Heel No Mn S Cu N, Ct Mo V 'Acid Towle Dana ( Sq Test Tan Remarks Cekulaled (96) (16) (qb)x (16) N%) (x) 06) (96) 1%) (+6) ,Suengtn SImngat euon I CUSTOMER PO NO VVI(MT) too foo 100 100E 100( toxo( toxo t00( 10x0[ 1W( (PS" (PS" (%) Result 1 ASTM A500/A500M-10a GRADE B ERW TUBING 3 F1031 18 1 82 1C 4 67400 78700 26 SA0000117520 7IN x 7IN x 0 5IN x 32FT 1 834 M.GR-C 39374 2 ASTM A500/A500M-10a GRADE B ERW TUBING • 5 F1032 16 1 79 14 2 5740C 67000 31 SA0000117520 71N x 71N x 0.5IN x 32FT 3 056 M,GR-C 139374 3 ASTM A500/A500M•10a GRADE B ERW TUBING 12 F1174 1 B 2 78 1E E 54300 59300 30 SA0000117520 t 61N x 61N x 0.51N x 32FT 6.144 M ,GR-C 139374 - 4 ASTM A500/A500M-10a GRADE B ERW TUBING 12 F1174 18 2 78 1E e 54300 69300 30 5A0000117520 61N x 61N x O SIN*NWT 6 912 M.GR-C 39374 I 5 ASTM A500/A500M-10a GRADE B ERW TUBING 6 F1080 17 1 79 1C 3 61700 73100 28 1 SA0000117535 8IN x 8IN x 0 375IN x 30FT 3078 I M.GR-C I I 39374 + 61ASTM A500/A500M-10a GRADE B ERW TUBING 2 F1081 16, 1 8C 11 3. 54300;813100 32 5A0000117535 8IN x 81N x 0 375IN x 30FT 1 026 M,GR-C • 39374 We hereby certify that the material described herein MARUICHI AMERICAN CORPORATION conforms fully to the said specificatIo Remarks M -Domestic Call QY B A 1C y� c-&tot - GR-C -Meet ASTM A500/A500M-10 GRADE C (quality Control) City of Arcadia Los Angeles Uniform Code Program I-A,R:iCP) Uniform Procedure I-7: Special Inspections "ste' Special Inspection Report [ ] DISCREPANCY [X] CONFORMANCE All discrepancies shall be brought to the immediate attention of If work conforms to approved design and code requirements,submit the Contractor for correction. If corrections are not made in a this report to Building Department and copies to Contractor,Engineer/ timely manner,this report shall be used as a discrepancy notice. Architect of record and Owner no later than the business day following Submit the original to Building Department and copies to the conclusion of the special inspection, For inspections greater than 5 Contractor,Engineer/Architect of record and Owner. • days duration,submit a conformance report at least once every week. This is a [X] Progress Report [ ] Final ReportReport No. _ Page No. _1_of_1_ Project Address: Description of Project: 1271 S. Baldwin Ave., Arcadia New Restaurant/T.I, Permit Number: Owner: Architect/Engineer of Record: Contractor: TI-18-0559 Baldwin Arcadia JWL Associates King San Wong Full Name of Special Inspector:: City Registration Number: Company: Phone Number: Huan Van Bui P013049 City of L.A. VanBui Inspection 714-345-8266 1027013 ICC Type of Inspection: [ ] Reinforced Concrete [ ] Structural Masonry [ ] Piling, Piers &Caissons [ ] Smoke Control [ ] Prestressed/Post-tensioned [ ] Bolts in Concrete/Masonry [ ] Excavation and Fills [ ] Energy Compliance [ ] Shotcrete/Gunite [X] Structural Welding [ ] Spray-Applied Fire Proofing [ ] Testing Reports [ ] Insulating Concrete/Gyperete[ ] High Strength Bolting [X] Other AB Date Time Time Description and Location of Work Inspected Arrived Departed 10-25-18 8:00am 3:30pm Basement—Addition Stairway Footing 1. #4 dowels @ 16"o/c, installed in 5/8"dia. holes, 6"into existing 4"thick concrete slab w/SET-XP epoxy, Detail 6/SD2 2. (8) 5/8"dia. all threaded rods, installed in 3/4"dia. holes, 4"into existing concrete beam/deck w/SET-XP, Detail 4/SD2 I First floor— Welding (4) angles 6x6x1/2 @ opening w/(18) 5/8"all threaded rods, 4"into concrete deck w/SET-XP, welding TS 6x4x1/2 to angle, 5/8 D-2 • Remarks: Electrode E71T-8, NR232 Certified welder: Carlos 0. Uribe, P019229, exp. 4/7/2019 I HEREBY DECLARE THAT THE FOLLOWING IS TRUE TO THE BEST OF MY KNOWLEDGE: 1. I AM,OR MY COMPANY IS,RETAINED BY THE OWNER OR THE ARCHITECTIENGINEER OF RECORD TO PROVIDE SPECIAL INSPECTION FOR THE WORK COVERED IN THIS REPORT. 2. I HAVE PERFORMED THE REQUIRED INSPECTION DURING THE TIME PERIOD AS STATED ABOVE. 3. THE WORK COVERED IN THIS REPORT IS IN CONFORMANCE TO THE APPROVED PLANS,SPECIFICATIONS AND APPLICATION WORKMANSHIP PROVISIONS OF THE CODE,EXCEPT AS INDICATED OTHERWISE. Signature: '.7. 7j1 Date: 10/25/2018 AOaria Ramos Arkpe ® q y$C❑ © CARRETERA MONCLOVAKM 1 NUMER02125 20428380-22 Na Ce- mAciOJ 38DS/ �r �i�,-t,• TWO SANTA CRUZ WOCALENTE ICERTIEICATE OF TEST AN ANALYSIS CB1D bNo: CP/iIp RAMOSARQPE,GOAMlBq Fecha/13805; 12g3R070 E]ICE{ENCIA EN CAEI CAE TeW71347(+53)01810368 1111 MA 01 800 021 3322.USA 1800 337 2378 OATOS DEL CUENTE/SOLD TO Hechoen M6dmlMade b Medw ,CBanle/Gu6tomer.000 STEEL INC CIENTE COMINAOOjSi P70 DAMS DEL EMBAROUElSHPPINGNFORMA N Macau/Address;2578 EAST VCTORR STREET CllenalCuammor.Anco7iappppna0pn OimecMn/Addms20D200 Fruitland Ave. Nam.Nq'e 7Trns1 Ak 54388 ICIWedfCIty RAN- CH- ppp{gNG�� Evade/SfMa..CA Nam,Feekea/Woke MaVC53384 Telefono/phary:808soeo Glided/CIry:VERNON Estado/Stale:•Cq _ Pala/Carry,USAC.P.OP90220 PedyolCusSmerONerNo:21/28380 Como Elect:Moo)eMall; Wm.Plan/ShippIlg Man:38534 Pena Embargo mate:12n132010 Oldende Compm7PumbMeOmar. ii� Gotta / Claval Podia/Oxolp6q-d Goods %C %Nn %SI %P %8 %pi %Cr. %5 %Me %Sn %Ti %V %it %N CE .. _ _ COde 750413 751008 60670 SQUARE 01818'-0.]8202-01 pin AVG AVG ANT AVC' AvG AMA Av6 AVG Ave Av0 A ye Avs RIG A% 022 0A3 0.18 0.004 0019 0.17 0.014 0.078 0.020 0.010 0.000 0.000 0.000 0.008 0.345 0 0 0 0 0 3 27519 35315 62281 FIAT BAR 3'41!4'A38152 05 0 2 9 2.07 0.20 0.05 021 0.008 0.015 0.11 0.054 0059 0,013 0.007 0-000 0.012 0.015 1008 0269 0 0 5 2 24051 77896 78191 FIAT BAR Px1'A70'SE65020.2.0T 0.21 0.90 0.19 0 5 0 5 5 0 0 5 0 ! 1 . 20705 34247 00511 AMIE 1112'-0 l lire 1/3We/52950 0.21 0.73 0.19 0.006 0.0010 0.21 0068 0.078 00 0. 0801 0.063 1013 0.010 0008 0.012 obas 0.009 0.376 0.015 0.010 0.001 0.002 0.001 0-0353 0 5 5 6 0 2 0 d 4 202.02 27577 35075 60829 ANGLE 3'x T[101•AU/M.5020'2.0T 020. 0.75 0.19 0.009 0.001 0.14 0060 0.002 0.015 0.007 0.001 0.001 D.002 0.008 0.342 0 8 8 27680 35074 0085 AN(aE9'e Yet?/'AJ8752B•5p5•i.07 0.20 0.74 0 5 5 0 3 2 0.19 0.007 0.001 0.10 0.089 0.002 0.016 0.010 0.001 0.001 0,003 0.008 0340 27002 34490 80611 ANGLE Pea'x l/2'ASB295p5'2.OT 0.21 0.80 0.21 0.005 0.005 0.17 0 5 0 0 6 0.037 0.058 0.013 0010 0.006 0.014 1009 0.009 1317 26092 52508 78052 ANGLE 6'x 8'[VT-036/52950202,07_ 021 034 0.19 0.006 0.006 0.12 0.103 0.002 0.014 0.008 0.010 0.012 0.009 0.009 0.301 26089 32980 78051 ANGLES[6.411T A38/529404014.0T 021 0.1 0.21 0.005 0.003 0.12 0.052 0.040 0.010 0,005 1010 0.14 0.010 0.006 0.380 .1_2 5 0 6 8 2 5 1 R4'44: n Cd4de/ Soeasio! 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Se� 7J �+ CM/Cemm98004bnuted0l ha So Pmduddo,511904173600 ypmbedode weerd0o be names defabdCaci06 dal acerd'eplicamw alaASTM . 1211....- _._._._.._._-A384008,A529.505(m e0mbade M 2009),A572-2012 yAB92.20H ye in Kane dlmenpan5es NW(8252.ASTMA6/-06642012.7We co* - %I sma%al btenpmducvd hotrolled carbon,inspected and apeda0Wldl to standards appi®ble ebelmakingb ASTMA38.2008, • A/.'_ ; A529.2005(Reappmyd 2009),A5724012 yA092.2011,arid the dimensional etandarde NMX024A$TMANASM-512. - .-_ ___ 14 �� FRANCISCO JAVIER VARGAS SOT0 RMN GerentedeAsepummlenbde candid/Quality AssuraceM6nager AC.Tl6 Fumes Adept DC : CI,- CNNET6iAMDNCLOYA KMINUAERO2125 NG Carted°/ 54389-2142 a3BJ�22 �: TRA%o s.4NTA GRU2OI0 CA0EtrtE /CERTIFICATE OF TEST AN ANALYSIS Wilco ND' CPRP RAMD9 ARRPE,COASNM Feclte/DeY: 72103RO1B 1052)01 619 368 1111 EXCEIENCIA EN SALINAS MX 0p0213322.UMA 18003322378 HeohocrM e°IMade In Mexico ._ iROPIEDAOl7 MECAt41WIMECNANICALPROPERT@8 _ .._. --.......____._.......__ ... .. Cdade/ Sewell/ Claw/ Relma/OeselplknalGe0e Calle/ CaNkad/ RT TS %EbYS P.Detlev! i - • ng/ LE Heal Segura Cade Demeter Beide ,. - �;.. . PSI E t nP P81 &stl Tat" - . 27571 96076 r.:.60878 Ab AbG Alt alt Atq . . .• ANGLE xI14'A9N52960 'f 60.68 721171e 30.67 4327 pump p{ 7P20T 27580 35074 80628 ANGLES'xTxil IT/35/52350 _ _ 2P2DT ... 1, 5f.D2 72601.16 70.67 1957 620W,11 Curvet .- 21012 31190 6O841 ANGLEPx/'x 17AJ&'52950 Sutws/MH - 2N01E ._ .i' 67.03 7409689 2172 96,10 516025$ Cape; . 92:...3208.8..: 73D57.A401E6'eP d1/2:836/12150 .......".. _ ... .. •.:.....u.v.+..�..'.. .�.. .> �.:�__�:-....:.. r.-.,..dsr-.._.,_�.....__...�_.._:..>. .i...._..-...�._..._...._... —,•. . ,F 20207 7.,—f6,11 7812157 7311 J7.o 5285f.W Oielkl i 26088 97680 78051 ANCAEB•s8'x1?AJ&52560 2 53.07 73N756 90.57 Seme/I 1 474.07 3B5I 586{8.8] Steereethli • • 4- Cedikarnasdue este melald ha eSo Roduddo.inspecclanadayprobadn de acuerdo a las TamesdefandcaelenddaceroapfuNasalaASTM- /� � A36-2008.A528.2005(re eprehada el 2009),A672-2012yA992.2011 ye tae 5 mesdlmavlmelesMIX 9252,ASTM),&A66T2012,IW6 cagyy .: that MN malarial has been paced ha4roled carbon,inspected enO tested accordingbsUndarm applicable eleelmaldnpt ASTM A362000, • /«,,_ s < A52930051Reappmuadppaced00),457 Of21A9g2.2011,end Be dlmemi0nd standards NA0T8252,nTMAe/A5 2ol2, s ___ft„,.......:. ,____,......,,..t..,, „ , .1.5,_ c________:,r,c,..,_,... . ________________ ._______ MORO FRANCISCO JAVIER VARGAS SOTO V&RDE GererdedoAse9urzmlentodeCalidad/O0ady 4.. Assurance Manager City of Arcadia �• '"" . Los Angeles Uniform Code Program `LARUCP,I Uniform Procedure I-7: Special Inspections Special Inspection Report [ ] DISCREPANCY [X] CONFORMANCE All discrepancies shall be brought to the immediate attention of If work conforms to approved design and code requirements,submit the Contractor for correction. If corrections are not made in a this report to Building Department and copies to Contractor,Engineer/ timely manner,this report shall be used as a discrepancy notice. Architect of record and Owner no later than the business day following Submit the original to Building Department and copies to the conclusion of the special inspection, For inspections greater than 5 Contractor,Engineer/Architect of record and Owner. days duration,submit a conformance report at least once every week. This is a [X] Progress Report [ ] Final Report Report No. _ Page No. _1_of_1_ Project Address: Description of Project: 1271 S. Baldwin Ave., Arcadia New Restaurant/T.I, Permit Number: Owner: Architect/Engineer of Record: Contractor: 11-18-0559 Baldwin Arcadia JWL Associates King San Wong Full Name of Special Inspector:: City Registration Number: Company: Phone Number: Huan Van Bui P013049 City of L.A. VanBui Inspection 714-345-8266 1027013 ICC Type of Inspection: [ ] Reinforced Concrete [ ] Structural Masonry [ ] Piling, Piers &Caissons [ ] Smoke Control [ ] Prestressed/Post-tensioned [ ] Bolts in Concrete/Masonry [ ] Excavation and Fills [ ] Energy Compliance [ ] Shotcrete/Gunite [X] Structural Welding [ ] Spray-Applied Fire Proofing [ ] Testing Reports [ ] Insulating Concrete/Gyperete[ ] High Strength Bolting [. ] Other Date Time Time Description and Location of Work Inspected Arrived Departed 11-9-18 8:30am 3:30pm Basement to First Floor Stair 1. Welding (2) TS 6x6x1/2"with 18x18x1/2" base platesl, 9x9x1/2" top plates, Detail 11/SD-1 2. Welding beams W10x26 bearing plates 12x12x1/2"per 4/SD-1. 3. Welding (4) stiffener plates of 1/4"(2) beams 10x26 4. Welding (2) 1/4"connecting plates to (2) columns TS 6x6x1/2", connecting beam W8x13 per detail 3/SD-1 Remarks: Electrode E71T-8, NR232 Certified welder: Carlos 0. Uribe, P019229, exp. 4/7/2019 I HEREBY DECLARE THAT THE FOLLOWING IS TRUE TO THE BEST OF MY KNOWLEDGE: 1. I AM,OR MY COMPANY IS,RETAINED BY THE OWNER OR THE ARCHITECTIENGINEER OF RECORD TO PROVIDE SPECIAL INSPECTION FOR THE WORK COVERED IN THIS REPORT. 2. I HAVE PERFORMED THE REQUIRED INSPECTION DURING THE TIME PERIOD AS STATED ABOVE. 3. THE WORK COVERED IN THIS REPORT IS IN CONFORMANCE TO THE APPROVED PLANS,SPECIFICATIONS AND APPLICATION WORKMANSHIP PROVISIONS OF THE CODE,EXCEPT AS INDICATED OTHERWISE. Signature: + Date: 11/9/2018 Huan Van Bui, Deputy Inspector City of Arcadia Los Angeles Uniform Code Program LARUCP Uniform Procedure I-7: Special Inspections Special Inspection Report [ ] DISCREPANCY [X] CONFORMANCE All discrepancies shall be brought to the immediate attention of If work conforms to approved design and code requirements,submit the Contractor for correction. If corrections are not made in a this report to Building Department and copies to Contractor, Engineer/ timely manner,this report shall be used as a discrepancy notice. Architect of record and Owner no later than the business day following Submit the original to Building Department and copies to the conclusion of the special inspection, For inspections greater than 5 Contractor,Engineer/Architect of record and Owner. days duration,submit a conformance report at least once every week. This is a [X] Progress Report [ ] Final Report Report No. _ Page No. _1_of Project Address: Description of Project: 1271 S. Baldwin Ave., Arcadia New Restaurant/T.I, Permit Number: Owner: Architect/Engineer of Record: Contractor: TI-18-0559 Baldwin Arcadia JWL Associates King San Wong Full Name of Special Inspector:: City Registration Number: Company: Phone Number: Huan Van Bui P013049 City of L.A. VanBui Inspection 714-345-8266 1027013 ICC Type of Inspection: [ ] Reinforced Concrete [ ] Structural Masonry [ ] Piling, Piers &Caissons [ ] Smoke Control [ ] Prestressed/Post-tensioned [ ] Bolts in Concrete/Masonry [ ] Excavation and Fills [ ] Energy Compliance [ ] Shotcrete/Gunite [. ] Structural Welding [ ] Spray-Applied Fire Proofing [ ]Testing Reports [ ] Insulating Concrete/Gyperete[ ] High Strength Bolting [X] Other Anchor Bolt Epoxy Date Time Time Description and Location of Work Inspected Arrived Departed 11-10-18 9:00am 2:00pm Basement to First Floor Deck 5/8"dia all threaded rods, 6"long, installed in 3/4"dia holes, 4"overhead into existing concrete deck, both sides of beam W10x26 (18 pieces), (3) pieces at beam W8x13 into concrete deck per Detail 3/SD-4 with SET-XP epoxy Remarks: Note: 1. Holes cleaned with compressed air prior to epoxy. 2. SET-XP ICC-ESR 2508, exp. 5-06-2020 I HEREBY DECLARE THAT THE FOLLOWING IS TRUE TO THE BEST OF MY KNOWLEDGE: 'I. I AM,OR MY COMPANY IS,RETAINED BY THE OWNER OR THE ARCHITECT/ENGINEER OF RECORD TO PROVIDE SPECIAL INSPECTION FOR THE WORK COVERED IN THIS REPORT. 2. I HAVE PERFORMED THE REQUIRED INSPECTION DURING THE TIME PERIOD AS STATED ABOVE. 3. THE WORK COVERED IN THIS REPORT IS IN CONFORMANCE TO THE APPROVED PLANS,SPECIFICATIONS AND APPLICATION WORKMANSHIP PROVISIONS OF THE CODE,EXCEPT AS INDICATED OTHERWISE. Signature: �", _ Date: 11/10/2018 Huan Van Bui, Deputy Inspector 1 ea.- _ _ . IAF _ . _^ -i-+- _7 I •zi.-lii-iiiw °rte_ -.i3_ _ .1::it--u.�(��'p-r-�_y- t y't- -`r-j11t:,:Q{i. YL _ ____ _ _L_,TaiiI ii:jtt'C•L�--7: vY:Ti "l4Sep1B r3;_-18_ _ _:.L_ _ _'S: SIT, ;'C E R T = 'F"I C=A- TLE =No_.1 ? : S94895 -- fi �,[=''` • - P/O No 40442 . . . : If .....,-/-,/:3: . vest inc. Rel _ S!�_ �•;_�r' I b023 Al[oa Avenue S/0 No 1 145926-027 / ,, D/^.:I Los Angeles,CA 90058 ry:`"• a/,, I B/L No 1 152180-002 Shp 14Sep18 323.581.81323 �e^'- �Ir! 323581.3465 Inv NO Inv i Sold To: ( 15202) Ship To: ( 1) BROWN STRAUSS BROWN STRAUSS ACCOUNTS PAYABLE - STEEL 14970 JURUPA 2495 URAVAN STREET FONTANA, CA. 92335 AURORA, CO. 80011 Tel: 303-371-2200 Fax: 303-375-8512 CERTIFICATE of ANALYSIS and TESTS Cert. No: 1 594895. Part No 13Sep18 . SQUARE TUBE/STRUCTURAL Qty-FT Pcs : Wct 6. 000 X 6. 000 X .500 X 44' 352 8 12,404 MATERIAL CONFORMS TO ASTM-A-500M-13 GRADE B Heat Number Tag No Shipped Qty-FT Pcs Wgt T54787 572401 176 4 6,202 YLD=<54,600>/TEN=<65,300>/ELG=<38.0>/RCK=<83.0> T54787 572402 176 4 ' 6,202 YLD=<54, 600>/T!N=<65,300>/ELG=<38.0>/RCK=<83 .0> Heat Number *** Chemical Analysis *** T54787 C=c0.17> Mn=<0.80> P=c0.018> S=c0.003> Si=<0.016> WE CERTIFY THAT THE INFORMATION SUPPLIED IN THIS TEST IS RECORDSPORT AND THATOTHE CMATERIAL INED COASON OF RMS TOINUTHcE, CY SPECIFICATION IDENTIFIED, UNLESS OTHERWISE NOTED. MATERIALS REFERENCED WERE MANUFACTURED IN THE UNITED STATES OF AMERICA AND TESTED IN ACCORDANCE TO ASTM STANDARDS Page: 1 . . . . Last I • • 1 INSPECTION CERTIFICATE . . i M YUJIN STEEL INDUSTRY CO., LTD. i 041-SS %RAW 041 5:EEd 980 9G21 5e3-2 MEELM 01114 GERM 484-48 R HEAD OFFICEJNCHEON PLANTSEOUL OFFCE f_ 593-2.SONOOUNI.JWCNEON-EUP,JMCHEON-DUN.CHUNOCHEONe00N-DO,KOREA 08048,SHNDAEDANO-DONE,DON3WCOU.SEOUL.KOREA TEL.*82 43-532-1754 FAX.*82-43-532-1750 TEL.82-2-842-1350 FAX..82-2-242-4568 ( PAGE 5/5 ' COMMODITYWELDED CARBON STEEL STRUCTURAL TUBING $LM p14 2018081 t-400 RHERE • CERTIFICATE No. SPECIFICATION ASTM A500 GRADE B L L W 73 DATE OF ISSUE 2018.06. 11 4aR CUSTOMER HANWA AMERICAN CORP. ANN l3 1D4 EE • 187C1017 PRO-002257-1 PO NO. ITEM TEAT Me. TYPES QUANTITY WEIGHT ZCW(dm2)O) No. ORDER91ZE (11) ® ( ) (I5) TOP/BACK REMARKS 41 Y1180412-01 8' X 4' X 0.188' X 20' „, 30 7,183 321E1'd't4t 42 Y1180412-01 6' X 4' X 0.188' X 40' _ 18 8.620 43 Y1190412-02 0' X 4' X 0.250' X 20' 30 9.385 44 Y110412-02 8' X 4' X 0.250' X 40' 18 11.239 45 Y11800412-02 6' X 4' X 0.250' X49' 18 13.488 48 Y0180501-02 8' X 4' X 0.250' X 20' 10 3,801 47 Y0180501-02 8' X 4' X0.250' X A' 1 379 ' 48 Y0180501-02 8'X 4' X 0.250' X 40' 20 . 15.203 — 49 Y0180501-02 8' X 4' X 0.250' X 48' 20 18.243 • 50 Y0190501-02 8' X 4' X 0.250' X48' 3 2.738 - VISUAL RATTY- DEED NON- REV, 5:I 3J Al 19 CHEMICAL COMPOSITION % ITEM 8 DIM- DUNG DIICE- CEST- DRIFT FIARIC FLATT- TENSILE T E 8 T ( 1 8n ENERGY 1 TEST �. EN51ON (EEC) ILITY MOTIVE ENING T•a V• C & Mn P 3 cut NI 6 No V (JI ' AREA(%)AR TEST® TEST® TESTA TEST® TESfp TEST® TSST15 Imp (680 (+) (J) 2 3 2 41 GOOD ( TC _ 69908 47427 37 17 1 42 42 GOOD 88808 47427 3) 7 1 42 141 GOOD 69618 48702 25 17 1 46II i _ M GOOD 89618 46702 25 17 1 46 45 GOOD 09818 46702 25 17 1 48 1 3 48 GOOD 69328 46122 25 19 1 42 4 47 GOOD 69328 46122 25 19 1 42 4 40 GOOD 69328 46122 25 19 1 42 4 09 GOOD 69328 46122 25 19.1 42 4 50 GOOD 89328 46122 25 19 1 42 4 I. DI THE &'E 9Aq RAIN 9® WED aE BEVELED STYE BUR MOOED D03 ETC BLACK MECO 8 CORD) OPE&ILVNIIIID PLAIN ENS DEB GE BEVELED 01E GALVAYIIIO DFE133 DOS ETC GALVANIZED WOOED 4 RED W piEN 812E SIZE X 111100ESS X LOWE NOTE 0 SWINE COMM EIOIT 0102ff434E CD VISUAL a 01XBSIYI MIT•E 4 1,14074 CD RATIEXIE1900)TEST MITE BRAIN 0 END MOTILITY RST 9y4gyME 0 NOUFSIHCTDE TEST 0IW21OA1 0)DRIFT TEST 111114114 0 FURIES TEST untie/ 0 IE. FLAUO(IN4 TEST C7(ME 0 001011[OSPISITIM 2:A 1/100 3:5 1/100 it SIONITUE ! nate EF 772101 LC Alt L WANG LhhflRCY SLL44. aONRUf1E f 314131•1 1 XE HEREBY CERTIFY THAT TILE MOULTS HEREIN HAVE PEEN MALE NO TESTED X'3 n ,i- L.%4•M IN AOWOAN(F WITH TIE ABOVE SPECIFICATION AND ALSO NI TN H 1 1 I a1{'pt{� SWVEYDT TO: TIE FEWINEIENR CALLED FOR TIE.ORDER. MANAGi OF OUAUTY ASSURANCE ., YJS-F004-04 'Y/' `4'EM5IRO - A4(21Ommx297mm) i / • • • 1 i • 1 « Invoice No. 912922 NUCOR-YAMATO STEEL CO CERTIFIED MIL.TEST REPORT P 0 BOX 1228 BLYTHEVILLE,AR 72316 100%Melted and Manufactured in U.S A ±13,11 71 L:IIIitIiF- '-+(6928 All Shapes produced by Nucor-Yamato Steel ale cast and rolled to a fully j(;'iI SfOIl1l'I' 11`11. 7603 killed and fine grain practice rouefUlncr P.O 41002 Date 2018.09-19 . o BROWN STRAUSSSTEEL CO so BROWN STRAUSS-FONTANA • ASTM A992/A992M-11 A572/A572M GR50.15 c 2495 URAVAN ST I 0/0 MHX FONTANA-NAPA ASEM A709/A709M-15 GR50(345) D AURORA CO 130011 P 13600 NAPA STREET ASTM A709/A709M•15 G11505(345S) r USA T FONTANA CA 92335 CSA 64021-135OWM(345WM) ASEMA6/A6M-04 o o USA Mechanical Properties Chemical Properties OM%) Yield Tensile Charpy Impact Item Item Description QTY Heat: Yield to Strength Strength ELONG Temp Impact Energy Loc C Mn P S Si Cu Ni Cr Mo V Cb CE Sn Pcm CI Ratio KSI KSI % 'F It•1b1 MPa MPa % •C 1 W10X0260 62 74 24 60110 in 083 62 74 25 1 W250X385 2 494328 084 425 509 07 90 013 030 23 26 13 14 04 01 016 29 01 15 (18 29 m) 426 508 W10X0260 . 64 76 25 — 2 60110 in 2 494563 0 83 64 77 25 08 90 015 030 24 30 13 13 03 00 014 29 01 16 W250X385 083 438 527 (18 29 m) 440 530 W10X0260 62 75 25 3 60 ft O in 3 494566 0 83 64 76 25 W250X385 084 428 517 07 90 014 028 21 29 13 13 04 00 014 28 01 15 - (18 29 m) 441 526 _ W14X0340 55 71 23 4 50 ft 0 in 2 493199 0 77 55 72 23 06 1 27 020 030 23 28 10 15 03 04 001 34 01 16 W360X51 077 378 492 (15 24 m) 382 495 ELONGATION BASED ON 800 INCH GAUGE LENGTH Y CARBON EQUIVALENTCEF CtMn/6t(Cr4MotV)/5t(Ni,Cu)/15 Pero=C+Si/30tMn/20tCu/20tNi/61:tCr/20+Mo/15+V/10t5B(B=Approx 0005) Mercury has not been used in the direct manufacturing of this material Corrosion Index=26 01(%Cu)43 881%Ndt1 2(%Cr)t149(%Si)t17 28(%P)-7 29(96Cu)(%Ni)•910(%Ni)(%P)•33 39(%Cu)A2 ISO 90D1 2003 certified(Registration 110985.07) All mechanical testing is performed by the Quality Testing Lab,which is independent of the production departments I hereby certify that the contents of this report are accurate and State of Arkansas correct All test results and operations performed by this matenal /y�"(�Q�� I D oto 'irl�,{y -- ,J / County of Mississippi •.' S, + manufacturer are in compliance with the requirements of the _ ,r - r material specifications,and when designated by the purchaser, .�.[,� Sworn to and subscribed before me NOTARY meet the applicable specifications 4 -'‘ Chief Metallurgist IluLswl t , `?•ds•1 c • PUBLIC r. ,3 on 2018-09-19 " \,•' My commission expires on 07/17/2023 •,I, .. .i, � ` . � t - arra, ' 'snOT3oaTlTaed6 etgvattddv geei0•'xesngasnd eql fiq pe312g6Tcep•Qegm - - T0x300D fi3T DO ' put'6IOT3123T;Toed6't9Txe39w g3Tn'eanotrdwoa UT,exv,xexnlowno9w ' , - • Ex IT e.4, TQtxe390 ap; fin powxo;xad,saoT39xedo p99 63(n6a3 366; flu '33exxoa _ % .puv63vxnaav exv,•3xodex'sTg; So s7ge;no3 eq; 712113 63T7xw figasaq I (ST/(n]+T0))4(S/(g]+A+oW3x])).+(9/(T Q ) 3 v (301 0 g, +, } I (5T/(n]+TO))+(5/(A+0N41]))+(9041)+] n/33 .63Qew3xvde o;+(Ot/e)'I(st/?W)4(OZ/=]),+(09/TS)4(0t/n3)4(0t/a5)4(0E/TS)+3 = wad not;3npozd eq7 ;o 3nepuedepvT sT gatgn 'cm 6uT36e; (o]6n])6EE'EE'(dltNgat:6)-(TOun]6Z•L)'d8Z•L(T+TTS4(D't f30 'I+TNBB'E4n]t0'9t - 13 63Ttvnb eq; fiq pewxo7xed ,6T,6UTIse3 tvaT4_vgaaw no. •�pewxo7xed.son .1TvdaB ptem 011. 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'Mb Sd03O1 OL66T 13328 SIOUANd SIX003Du EMU CO - BSB I II xewo3sn] I toi�rg5 - - --- [D 'TvTxe79w 5Tg7 Io 6vtxn3a97nv12w 3aextp ex; TIT pogo ueeq 3OU us fixnaxeW d�ddng �b W2Wnu,.ip aiuoyy -137 Pt05 'enn;xvxd QTvx6 e9T7 Pay pari hitt; 12 03 petTDa 0009-9EE (EDB) [egogd poo 3643 679 6OTatlxe9-103nN hq pa3npoxd swaeq ttu , 5916t '3'S 'MOMS ';N USO 391 XI 03XCI]uinsuN Thu 03I73N 2U3 0001 6SZZ log '0'd Z1lZ110 BS/tt/S I80838 I53I 7IIW 03I4II833 73I3X93g - 13335 110]10 CEN IIRIEU MAIF,IINL ZEST REPOR2 V� Page I/1 CUSTOMER SMP 10 CUSTOMER MU TO GRADE SHAPE/SIZE DOCUMENP ID GO GERDAU L Monte Ornamental Supply b A992/A572-50 Wide Flange Beam / 10X2611/2500000000000 IWOSCHLSNurSI 249SURAVANST X 38 5 SALT LAKECITY,UT.84104 AURORA.0080011-3539 LCNGIIIPCS WEIGHT HEAT/BATCH US-ML-MIDLOTHIAN USA USA 60'00" • 112 116,720 LB 59079300102 300 WARD ROAD MIDLOTHIAN,TX 76065 SALES ORDER CUSTOMER MATERIAL N° SPECIFICATION/DATE or REVISION USA' 6196356/000690 ASTM A6.I7 ASTM A709.17 CUSTOMER PURCHASE ORDER NUMBER BILL OF LADING DATE ASTM 9992-I I(2013).9572-IS 34420 1327-0000275166 04/15/2018 CSA 040 21-13 345WM CHEMICAL COMPOSITION fiM1; 0 b 008 085 0014 0036 23 03 009 016 0017 0007 0001 0014 0004 CHEMICAL COMPOSITION CE97A6 • a 029 - MECHANICAL PROPERTIES gpz� 'MTg yygg 11s Yryatl G Y PSI/a PSI MPa as //yy 56559 71787 390 InaL 8 000 55467 70632 382 487 0790 8000 MECHANICAL PROPERTIES • �m Elir - 2000 2460 200 0 24 30 _ , COMMENTS/NOTES • • • The above figures are certified chemical and physical test recants as contained m the permanent records of company We certify that these data am correct and in compliance with specifiedAm-qurrements This matenal,including the billets.was melted and manufactured In the USA CMTR complies with EN 10204 3 I �pn �j - / " ,Q �OUALITIRUTAL MA TOR CIIIW , 4�cL •A %C WARRLUMPKINS Ky a N IY] Ya``QUALITY ASSURANCE 4MAR{EeGG L Those (409)769.1014 Email Bhaskar YalamanebdmQngerdeu tom Phone 972.779-3118 Email Wade Cumpkau agedaucom , re� COUNTY OF LOS ANGELES • DEPARTMENT OF PUBLIC HEALTH ;r -1m N, ENVIRONMENTAL HEALTH til`: +' ,� �_IHI + SPECIALIZED SURVEILLANCE AND ENFORCEMENT BRANCH !k .A �+ PLAN CHECK PROGRAM -BALDWIN PARK COUNTY OF LOS ANWElES ".q�r'O p".' 5050 COMMERCE DR, BALDWIN PARK,,CA91706 Public Health PHONE: (626)430-5560' NMNV.PUBLICHEALTRLACO UNTY.GOV/Ery OFFICIAL PLAN REVIEW REPORT • DATE 05/17/2018 EHS VIVIAN TAN PLAN CHECK NUMBER SR0140471 PROGRAM ELEMENT - 1705-RESTAURANT(10,000 SF OR MORE) OWNER/REQUESTER FRANK NGUYEN,ARCHITECT DBA TONG TAK SEAFOOD RESTUARANT ADDRESS 1271 S BALDWIN AVE,ARCADIA,CA 91007 • REVISED PLAN REVIEW STATUS: APPROVED CORRECTIONS COMPLETED CORRECTION CATEGORY DATE IDENTIFIED DATE CORRECTED WATER SUPPLY 05/03/2018 05/17/2018 WASTE WATER/PLUMBING 05/03/2018 05/17/2018 EQUIPMENT/STORAGE 05/03/2018 05/17/2018 FOOD PROTECTION/FOOD STORAGE 05/03/2018 05/17/2018 VERMIN EXCLUSION/ENCLOSURE 05/03/2018 05/17/2018 PLAN SUBMITTAUREMODEL 05/03/2018 05/17/2018 • Help us serve you better by completing a short survey.Visit our website at www.publichealth.lacounty-oouieh. EHS Signature Page 1 of 3 • OFFICIAL PLAN REVIEW REPORT DATE 05117/2018 EHS VIVIAN TAN PLAN CHECK NUMBER SR0140471 PROGRAM ELEMENT 1705-RESTAURANT(10,000 SF OR MORE) OWNER/REQUESTER FRANK NGUYEN,ARCHITECT DBA TONG TAK SEAFOOD RESTUARANT ADDRESS • 1271 S BALDWIN AVE,ARCADIA, CA 91007 ADDITIONAL REQUIREMENTS THE REVISED PLANS ARE APPROVED AS CORRECTED BY FRANK NGUYEN, SUBJECT TO ON-SITE INSPECTION PRIOR TO OPERATION OR STOCKING FOOD ON THE PREMISES. APPROVAL IS CONTINGENT UPON THE FOLLOWING: 1) OBTAIN LOCAL BUILDING DEPARTMENT PERMITS AND APPROVALS. 2)SUBJECT TO ON-SITE INSPECTION AND APPROVAL. ALL EQUIPMENTS MUST BE CERTIFIED OR CLASSIFIED FOR SANITATION BY AN AMERICAN NATIONAL STANDARDS INSTITUTE(ANSI) ACCREDITED CERTIFICATION PROGRAM OR AN ACCREDITED TESTING AGENCY. 3)ALL USED AND/OR EXISTING EQUIPMENT AND FINISHES SHALL BE IN GOOD REPAIR AND ARE SUBJECT TO ON-SITE INSPECTION AND APPROVAL. 4)ENSURE THAT THE COMMERCIAL HOOD AND MECHANICAL EXHAUST AND MAKE UP AIR SYSTEMS MEET THE UNIFORM MECHANICAL CODE. 5) READ AND COMPLY WITH THE FOLLOWING ATTACHMENTS REGARDING: A) FINAL INSPECTION NOTICE B) PLAN APPROVAL CHECK LIST C) CERTIFIED FOOD HANDLERS CERTIFICATE 6) HEALTH DEPT.APPROVED SET OF PLANS SHALL BE MADE AVAILABLE-SITE AT THE TIME OF FINAL INSPECTION. 7)ALL FLOORS,WALLS, CEILING SHALL BE SMOOTH, WASHABLE AND DURABLE, EXCEPT IN THE DINING AREA. THE BASE COVING SHALL HAVE A MINIMUM HEIGHT OF 4"WITH 3/8" RADIUS. CONTACT VIVIAN TAN AT 626 430-5546NTAN@PH.LACOUNTY.GOV<MAILTO:430-5546NTAN@PH.LACOUNTY.GOV> TO SCHEDULE A FINAL INSPECTION. PROVIDE AT LEAST 3 WORKING DAYS PRIOR NOTICE FORAFINAL INSPECTION. • A FINAL INSPECTION SHALL BE CONDUCTED AND A PUBLIC HEALTH PERMIT SHALL BE OBTAINED PRIOR TO OPENING AND OPERATING THIS FOOD ESTABLISHMENT. COMMENTS NONE • Help us serve you better by completing a short survey.Visit our website at www.publichealth.lacountv.00v/eh. ti EHS Signature Page 2 of 3 • OFFICIAL PLAN REVIEW REPORT DATE 05/17/2018 EHS VIVIAN TAN PLAN CHECK NUMBER SR0140471 PROGRAM ELEMENT 1705-RESTAURANT(10,000 SF OR MORE) OWNER I REQUESTER FRANK NGUYEN,ARCHITECT DBA TONG TAK SEAFOOD RESTUARANT ADDRESS 1271 S BALDWINAVE,ARCADIA, CA91007 DISCLOSURES Prior to construction and approval'from the Los Angeles County Department of Public Health Environmental Health Division " (DPH-EH) Plan Check Program, final inspections must be obtained from Building and Safety(mechanical, plumbing, electrical) and all other enforcement agencies. Failure to obtain a Public Health Permit/License prior to operation of the facility/establishment is a misdemeanor violation. Construction of the food facility/establishment must be completed and approved within.twelve(12) months from the date of approval to avoid submitting new plans. A copy of the approved plans must be available at the time of the field construction review. All utilities must be on and operational at the time of the field construction review. Please contact your plan check inspector at least 3 days prior to the field construction review. Two field inspections will be covered under the Plan Check fees assessed upon plan submission. A charge will be assessed for each subsequent field construction review. • • • Help us serve you better by completing a short survey.Visit our website at www.publirhealth.laeountv.govleh. EHS Signature Page 3 of 3 • City of Arcadia, CA .4 a {--x= �PermitiNO TI 18 0955- Development Services Department , �-"-"` "`' t' 1. -) Permit Type Tenant Improvement,, I. I 240 West Huntington Drive,Post Office Box 60021 Arcadia,CA 9 106 6-6021 r r"' } , {j *� i i (" -' f 1 i = 3 • i i UWork Classification Interior Demolition .,,� �} 1, ) (626)574-5416 • Permit Status:Issued ARCAD Issue Date 06/07/2018; Expiration: 12/04/2018 Addr NO. Dir Prefix Street Name Street Suffix Unit City,State,Zip Parcel Number 1271 S Baldwin AVE Arcadia,CA 5383038023 • Contacts BALDWIN ARCADIA CENTER LP Owner KING SAN WONG* General Contractor(B) 815 W NAOMI AVE A 439 5 ALMANSOR,ALHAMBRA,CA 91801 Description:INTERIOR DEMO FOR NEW RESTAURANT T.I a Valuation: $ 500.00 Tenant a Total Sq Feet: 0.00 Plan Check N Plan q Fees Amount Payments Amount Paid Accessibility Plan Check $3.97 Total Fees $138.00 Accessiblity Building Permit $4.07 Cash/Receipt U REC-001376-2018 $138.00 Building Issuing Fee $44.35 Building Permit Fees $40.65 Amount Due: $0.00 Building Plan Review Fee $26.43 Cal Green Plan Check $2.65 rr � Ener Plan Review Fee $8.13 "�T"� Green Building Standard $1.00 p COMPLETE ��`�� Solid Waste Management Fee $6.25 Strong Motion Inst.Program Corn $0.50 CALLS FOR INSPECTIONS Total: $138.00 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. June 07,2018 Issued By: Date June 07,2018 Page 1 of 1 A. ' ° 'Z . u PERMIT/PLAN REVIEW APPLICATION B.,.. „,i„,, tS1 •EDe P 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 DECLARATIONWORKERS'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 ense is in full force and//�effect. <S ❑ I have and will maintain a certificate of consent to self-insure for workers' License Class g Licensi No. 2 f S5' Exp. ate - ..4 compensation, as provided for by Section 3700 of the Labor Code, for the /� performance of the work for which this permit is issued. ignature of Contractor j�/J/lir, 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 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 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 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 cerdfy that in the performance of the work for which this permit is issued,I shall Section 70313 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 Sec'on 3700 of the Labor Code,I shall L as owner of the property, forthwith comply with those provisions. t 0 or my employees with wages as their sole compensation,will do the work,and the structure is not intended or offered for //�� /,. �t sale(Section 7044,Business and Professions Code:The Contractors License DateJ7"'7' / Signature ` V L-di) Q 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 Contactors 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. t Name P Ri V I G(J fi,:ki /iI PRINT NAME Title EONS/1-tttnC- 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. .1 agree to cora ly with all City ordinances and State Laws relating to building construction. I hereby authorize representatives of the City of Arcadia to en a on the abovt-mentioned property for inspection purposes. N. lDate � 74Signature �'�'./ .1 "i t' , i 'i tl 'sPPermitNO SIGN 19 0057 ( '+ City of Arcadia,CA + �'"-{+x „N 1Er e ', ' S Development Services Department W s. 4, PerrttitrT,ype:Sign, ( 240 West Huntington Drive,Post Office Box 60021 r—„ ' Ver Classy canon-Si n IliUmiilated i t o a . ez i • Arcadia,CA 91066-6021 , '.rm. iJ s `sisr.- g .:. r (626)574-5416 4,-.1,.',1,3*o ``��4, 0,. ro4hua rrSNi. Permit Statu t155Ued ARCADIAi f / i Expiration: 07/09/2019 n � Issue Dte,,01 10 2019'' _ .-w _ 3u:.:rszL Az.'_:3 1_ Addr NO. Dir Prefix Street Name Street Suffix Unit City,State,Zip Parcel Number 1271 S Baldwin AVE Arcadia,CA 5383038023 Contacts BALDWIN ARCADIA CENTER LP Owner SIGN ART COMPANY" Electrical Contractor 815 W NAOMI AVE A,Arcadia,CA 91007 (C-10) 423 California,San Gabriel,CA 91776 (626)287-2512 757903 Description:TWO CHANNEL LETTER SIGNS FOR TONG TAK Valuation: $3,600.00 Tenant TONG TAK SEAFOOD SEAFOOD I Total Sq Feet: 0.00 Plan Check# Plan# Fees Amount payments Amount Paid Building Issuing Fee $47.01 Total Fees $337.94 Building Permit Fees $137.05 Cash/Receipt#REC-00066-19 $337.94 Electrical Permit Issuance Fee $47.01 Amount Due: $0.00 Sign Connection $31.10 Sign Plan Review $68.52 - COMPLETEDSolid Waste Management Fee $6.25Eli Solid Waste Management Fee 2 $1.00 Total: $337.94 CALLS FOR INSPECTIONS `_Z f-{/ r-�aL ss- lfr r` "•Request for Inspection by telephone at 626-574-5450. Leave a message �/ G' ` 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. Com)` — January 10, 2019 Issued'By: Date January 10,2019 Page 1 of 1 �F ' L1FOgy.„O meg . PERMIT/PLAN REVIEW APPLICATION till rQ� la�� 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 hereby affirm under penalty of perjury that I am licensed under provisions of I hereby affirm under penalty of perjury one of the following:si Chapter 9(commencing with Section 7000,of Division 3 of the Business and Professions Code,and my-license is in full force an. effect. ❑ I have and will maintain a certificate of consent to self-insure for workers' License Class C .c License No. It 0 Exp. Date Signature of Contractor OWNER-BUILDER DECLARATION compensation, as provided for by Section 3700.of the Labor Code, for the performance of the work for which this permit is issued. I have and will maintain workers'compensation insurance,as required by Section I hereby a00 ffirm under penalty of perjury that I am exempt from the Contractors 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 insuran carrier and policy numbers are: Code.Any city or county which requires a permit to construct,alter,improve, Carrier Skive demolish,or repair any structure,prior to its issuance,also required the applicant r for such permit to file a signed statement that he or she is licensed pursuant to the Policy Number 1`x/7 v D 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 ❑II 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 becomesubject 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 Signature Law does not apply to an owner of property who,builds or improves thereon, ll V or who does such work,himself ofherselfr through his or her own employees,provided that such imprbven,efts 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. �.Fy-�_,.,, 11`\ }1rr.'��' � ,,pp 7� (Name ✓ VV� PRINT AME 1 �y( Title Y�e—F-6/ I certify that I have read this application and state that the above information is correct and that I am the owner or duly authorizedllagent 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. Signature w`� 41(t`� Date - ...\ 36'-0" I I I 8'-0" I I 26'-6" ir- _-2; v;. -:- a j ,\ j L'' k L a - A e./ i " I t,4 ?" ONE SET OF ILLUMINATED CHANNEL LETTERS WALL SIGN. ENGLISH LETTERS IN GREEN COLOR. 5 _ .0, 316" 3,;-{,-, 1 ,..,f-, 22" HEIGHT, 1 .83' X 26.5'= 48.5 SQ. CHINESE CHARACTERS IN RED COLOR 24" HEIGHT, 2' X 8'= 16 SQ. ALL IN 3/4' BLACK TRIM CAP AND BLACK RETURN ..,,,- ONE LOGO SIGN IN 3'-0" X 3'-0". WHITE BACKING WITH BURGUNDY GRAPHIC. 9 SQ. TOTAL SIGN AREA= 2'-0" X 36'-0'= 72 SQ. PLUS LOGO 9 SQ. TOTAL = 81 SQ. , --- - . .,.......„,......„...... ..„ ,Thr_,, ,iyp:i",,,A....„.........„7.,, ,..„ ,,rz ...T ,....7 ...., t,________,.,,,,,,, ,.„., ,.. . . .;,1 - - --, - ... - --- - In), '.e4 ".il It&4 I r . ''...1 'a t.I.-n... 4-4 r1/444.1 ..., 4144, E armc , - .1/4----------- - -ty yr 111 cc t ' r-4111,; 1771141 . _ 1- ; ' .111 i .' esia TO WI SEA\ D I. 4 = (:;t3i4Tt,. ., . r . . --•••--t- '--"Z,1/4#."."a_"."--1 I sat 1444 r•V CC: ci .1/4 :C tole 4. t ok +Ca i s+ • ,e,„ .. I * , :*tow? S...—$.• L l. ; t "ttS,1/442.- A '''45” 1/41/4 . ji i'"( ilit..:- 'i Il "' ". kit '3.0.1 ' Iitt % ...-,-- , 11.0%-estrair* tis P r ,,.,, _ t-,/ .- - ; -- -- .7 " I r 4 . „, , ., j H . tit i r r . , .... ......,. - . . _ ..... 4 i ' 5 • i trri ' Me , - ... • _...-. T. _ . . _ . . , a ..-- - 541-0" SCALE 1/8"=11-0" VVEST ELEVATION 1271 S. BALDWIN AVE. ARCADIA, CA. 91007 i ,../ I City of Arcadia, CA Pe mlt No FIRE-184684' 11 Development Services Department / � >�� E Permit Type Fire) 1* 240 West Huntington Drive,Post Office Box 60021 •• j Arcadia,CA 91066-6021 Work Classification:Fire Sprinkler' s'' (626)574-5416 -_: i Permit Status:Issued ARCADIA Iseueoaje+o9/zs/zois' Expiration: 03/24/2019 Addr NO. Dir Prefix Street Name Street Suffix Unit City,State,Zip Parcel Number 1271 S Baldwin AVE Arcadia,CA 5383038023 Contacts BALDWIN ARCADIA CENTER LP Owner F&H Fire Protection' Fire Contractor(C-16) 815 W NAOMI AVE A,Arcadia,CA 91007 1119 Westminster AVE,Alhambra,CA 91803 (626)262-3876 DANIEL@FHFIREPRO.COM Description:FIRE PRINKS FOR COMM T.I 36 HEADS - Valuation: $4,000.00 Tel Total Sq Feet: 0.00 Plan Check 1118-1684 Plan R Fees Amount Payments Amount Paid Fire Issuance $44.35 Total Fees $882.40 Fire Permit Fees $137.05 Cash/Receipt p REC-002393-2018 $182.40 Solid Waste Management Fee 2 $1.00 Cash/Receipt 6 REC-002307-2018 $700.00 Sprinkler Heads $700.00 Amount Due: $0.00 Total: $882.40 151 tit%?1 II 1 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. September 25,2018 Issued By: Date September 25,2018 Page 1 of 1 as ,F • . 03"..' aC ,' PERMIT/PLAN REVIEW APPLICATION F 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 0 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 1I Professions Code,and my license license is in full force and effect. ❑ I have and will maintain a certificate of consent to self-insure for workers' License Class $4 L f t7 License No. to 4311 Ex ate 4/3t24�1 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 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 thispermit License Law for the following reason(Section 7031.5,Business and Professions is issued. y work rs'compensation insurance c/�Irrer and policy numbers are: Code.Any city or county which requires a permit to construct,alter,improve, Carrier V?rsa e ins,A ref it e P- l�fc 2a c1C demolish,or repair any structure,prior to its issuance,also required the applicant /[u "7000 Z__ / for such permit to file a signed statement that he or she is licensed pursuant to the 1Policy Number r r l�'.j C. 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 of less) 7000)of Division 3 of the Business and Professions Code)or that he or she is V 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,tnw044ll do n work,andtheofe structureonsCis not intended otr ct offered for //t/215. / CS-7....-- sale A ' sale(Section 7044,Business and Professions Code:The Contractors License Date P/r 2O� Signature ` - —a// 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 jl 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,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.. ee ,,r /' lame G ft'H CI W N/V oCm le c 'IA/ PRINT NAM 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. 9 / S gnamre 6 <_ /- / L (4e /L n IS 11 City,�ofArcadia,CA , & Permit NO FIRE-1812161 J 1t Development Services Department y^ I , j ",5" , r Permit Type:Fire �. 240 West Huntington Drive,Post Office Box 60021 A , Ec Arcadia,CA 91066-6021 . 3 jj work C/assncconon:Fire Suppression 6 l (626)574-5416 : •PermitStatus:'Issued ARCADIA . IssueDate 12/03/2018 Expiration: 06/03/2019 Addr NO. Dir Prefix Street Name Street Suffix Unit City,State,Zip Parcel Number {� 1271 S Baldwin AVE Arcadia,CA 5383038023 contacts • 11 BALDWIN ARCADIA CENTER LP Owner United Fire Service,Inc' Fire Contractor(C-16) 3 815 W NAOMI AVE A,Arcadia,CA 91007 8755 Remmet AVE B,Canoga Park,CA 91304 i (818)346-2499 Description:HOOD SYSTEM 9 NOZZLES. ADii 15T NOZZLES ON Valuation: $4.000.00 Tenant EXISTING SYSTEM FOR TONG TAR 5EAFeroD Total Sq Feet: 0.00 Plan Check#18-2161 Plan# Fees Amount l Payments Amount Paid Fire Extinguishing System Plan Check $280.00 Total Fees $462.40 Fire Issuance $44.35 Cash/Receipt#REC-002933-2018 $280.00 Fire Permit Fees $137.05 Cash/Receipt It REC-003028-2018 $182.40 Solid Waste Management Fee 2 $1.00 Amount Due: $0.00 Total: $462.40 PAIN-- 3—2-s-1/ ,y- CALLS FORECTIXIMPLE I C 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. December 03, 2018 Issued By: Date December 03,2018 Page 1 of 1 .F AR Pa.II 1 PERMIT/PLAN REVIEW APPLICATION @l*' Development Services Department,240 West Huntington Drive, Post Office Box 60021 o %thy on" Arcadia, CA 91066-6021, (626) 574-5416, Fax(626) 447-9173 City of Arcadia LICENSED CONTRACTOR'S DECLARATION WORKERS'COMPENSATION DECLARATION 0 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 license is in full force and effect. 0 I have and will maintain a certificate of consent rto self-insure for workers' License Class�' /� License No. ...??1' fa Date? 37"� compensation, as provided for by Section 3700 of the Labor Code, for the Signature of Contractor (L�_ .� _ performance of the work for which this permit is issued. OWNER-BUILDER DECLARATION 0 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 L�S O demolish,or repair any structure,prior to its issuance,also required the applicantt----A-1,/C "2c r Sri for such permit to file a signed statement that he or she is licensed pursuant to the Policy Number 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 ❑ I certify that in the performance of the work for which this permit is issued,I shall exempt them from and the basis for the alleged exemption. Any violation of 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 Ishould 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 Date /7 `3_ (1 Signature sale(Section 7044,Business and Professions Code:The Contractors License 1\ 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 toone completion,the ownervtiuilder will have the burden of proving that he or she hundred thousand dollars($100,000),inaddition 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 \Name further information.n /A�`-1'./ S��—tl 4 Title �� PRINT NAME - ✓✓✓ I certify that I have read this application and state that the above information is co rect 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. f �/ ignamre a—- _ - (Date �2—3—/ o l OF AR 4. II V~ Goy t it Pr .., c,\ i`o �maalty uttae MEMORANDUM Fire Department DATE: March 28, 2019 TO: BUILDING DEPARTMENT INSPECTOR Henry Kemich FROM: FIRE DEPARTMENT SUBJECT: FIELD INSPECTION ADDRESS: 1271 S. Baldwin Avenue 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 TANKS HOOD & DUCT 3-8-2019 Jill Perumean KNOX BOX OCCUPANCY 3-14-2019 Mark Krikorian COMMENTS: Emailed Bldg. Dept. 3-14-2019 Rita