HomeMy WebLinkAboutPLUM-19-1236 City of Arcadia, CA
,, m v.permitNO Plurn49-1236
: i Development Services Department �,�� 1 ' I."✓—'s nil Permit Type:'PIUmI)Ing.
240 West Huntington Drive,Post Office Box 60021 t v 1.t i - s i ;i 'llyyork Classy/tcotion.:-Plumbing;Commercial •
Arcadia,CA 91066-6021 i_t i+ t,,-,,Ii 11
(626)574-5416
:1' - Perd,t Status Issued
ARCADIA issue Date 06/27/20191 Expiration:
Addr NO. Dir Prefix Street Name Street Suffix Unit City,State,Zip Parcel Number
1108 5 Baldwin AVE g-(,, Arcadia,CA 5778007029
Contacts .- -
500 PROPERTIES LLC Owner dba CALPARK CONSTRUCTION CO Contractor
25 E Huntington DR,Arcadia,CA 91007 P 0 BOX 1491,ROSEMEAD,CA 91770
(626)821-8777 MS00@ASIASPEC.COM (626)380-5282 845108
A
Description:INSTALL NEW GREASE TRAP,HAND SINK,FOOD Valuation: $ 0.00 Tenant � �te&n I'�
PREP SINK,WATER HEATER,DISHWASHER,BURNERS AS PER
HEALTH DEPT APPROVED PLANS. Total Sq Feet: 0.00 Plan Check iJ Plan N
Fees Amount Payments Amount Paid
Dishwasher $13.21 Total Fees $145.01
Fixture with Trap/Misc. $13.21 Cash/Receipt U REC-01670-19 $145.01
Gas System(Outlets) $15.55 Amount Due: $0.00
Interceptor $26.27
Kitchen Sink $13.21
Plumbing Permit Issuance Fee $47.01
Solid Waste Management Fee 2 $1.00
Water Heater and/or Vent $15.55
Total: $145.01 fit p detry'
'f�' INSPECTIONS
7-2-r7 Request forinspeccol' r'lee [��pp. 6-574-5450. Leave a message
Wr ra7�°R_ L ) requesting the address,timeframe and what inspection item is needed.
7-7-4 F/ ! 'HkL Xv��f'�` �W 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
.n� �
°L ,ciuCY �e4.C.ra 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
Ag
6 VA'C- Tb °A°tl� void if any work authorized by this permit is suspended or abandoned for 180
/�P 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 27, 2019
Issued By: Date
June 27,2019 Page 1 of 1
PERMIT/PLAN REVIEW APPLICATION
,C41j, 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
iliihereby affirm under penalty of perjury that I am licensed under provisions of I hereby affirm under penalty of perjury one of the following:
M
Chapter 9(commencing with Section 7000,of Division 3 of the Business and
ofessions Codey�and my license is in full fo a and eff ct. / / ❑ I have and will maintain a certificate of consent to self-insure for workers'
icense Class I3 Licen e No.�xp. Date 4 Z7 i` 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 .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 l 3700 of he Labor Code,for he performance of the work for which his perm t
License Law for the following reason(Section 7031.5,Business and Professions is issued.My workers'compensation insurancecar7rier and policy numbers are:
Code.Any city or county which requires a permit to construct,alter,improve, 1 Carrier oN ,L 1.r
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 'Y Policy Number
provisions of the Contractors License Law(Chapter 9(commencing with Section {yl (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 1
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 I! not employ any person in any manner so as to become subject to the workers'
penalty of not more than five hundred dollars($500)): 1{ compensation Laws of California,and agree that if I should become subject to the
jworkers'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 l /
sale(Section 7044,Business and Professions Code:The Contractors License Date �/71/i7 Signature .../CCC......
Law does not apply to an owner of property who builds or improves thereon, III
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),inaddition to thecost of compensation,
did not build or improve for the purpose of sale). damages as provided for in Section 3706 of the Labor Code, interest, and
attorney's fees. _ •
❑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
contractors)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.�
.11
tame /\ E-tt//(/Z T� O Title
I'
PRINT NAME
I'
certify that I have read this application and state that the above information is correct and that I am the owner or duly authorized agent of the owner.
agree to comply with all City ordinances and State Laws relating to building construction. I hereby authorize representatives of the City of
' rcadia to enter upon the above-mentioned p perty for inspection purposes. ,{ 9� Q
gnature Date V/' //f /
Ida
�<t or Lo;,k,^ COUNTY OF LOS ANGELES• DEPARTMENT OF PUBLIC HEALTH
�o��?nrhs ENVIRONMENTAL HEALTH (C.9"?
)^(
+ Hi +t SPECIALIZED SURVEILLANCE AND ENFORCEMENT BRANCH
FE
PLAN CHECK PROGRAM-BALDWIN PARK COUNTY OF LOS ANGELES
XGlIEO0.M.X 5050 COMMERCE DR,BALDWIN PARK,CA 91706 Public Health
PHONE:(626)430-5560
WWW.PUBLICH EALTH.LACOUNTY.GOV/EH
PLAN CHECK OFFICIAL INSPECTION REPORT
DATE 07/16/2019 EHS VIVIAN TAN
PLAN CHECK NUMBER SR0183238
PROGRAM ELEMENT 1703-RESTAURANT(2,000-3,999 SF)
OWNER/REQUESTER EDDY MAI, DESIGNER
•
DBA DAGU
ADDRESS 1108 BALDWIN AVE B6,ARCADIA,CA 91007
FINAL CHARGEABLE REINSPECTION STATUS: NOT APPROVED
CORREC7T1IONS REQUIRED
CORRECTION CATEGORY: FLOOR BASE COVING IDENTIFIED: 07/11/2019
CORRECTIVE ACTION:A. PROVIDE AN APPROVED BASE COVING(TOPSET/SLIMFOOT IE,DAL TILE 3619TN)
THROUGHOUT THE KITCHEN/SERVICE AREA.
CALIFORNIA RETAIL FOOD CODE:Floor surfaces shall be coved at the juncture of the floor and wall with a 3/8 inch minimum radius coving and shall
extend up the wall at least 4 inches,except in areas where food is stored only in unopened bottles,cans,cartons,sacks,or other original shipping
containers.Section#:1,14268
CORRECTION CATEGORY:WALLS IDENTIFIED:07/11/2019
CORRECTIVE ACTION:A. SEAL HOLES AROUND PLUMBING LINES UNDER THE HAND SINK/WAREWASHING SINK.
B. SEAL CRACKS AND CREVICES UNDER THE COUNTER ABOVE THE COLD TABLE REFRIGERATOR IN THE
SERVICE AREA.
C. REPAIR THE DAMAGED WALL UNDER THE PRE-RINSE SINK AND THE HANDSINK NEXT TO IT:
CALIFORNIA RETAIL FOOD CODE:Walls and ceilings of all rooms shall be of a durable,smooth,nonabsorbent,and easily cleanable surface except for
areas as specified in 114271(b).When otherwise installed,they shall be mounted or enclosed so as to facilitate cleaning.Attachments to walls and ceilings,
such as light fixtures,mechanical room ventilation system components,vent covers,wall mounted fans,decorative items,and other attachments,shall be
easily cleanable. Section It 114143,114271
CORRECTION CATEGORY:WAREWASHING FACILITIES IDENTIFIED: 07/11/2019
CORRECTIVE ACTION:A. REPAIR THE LEAK AT THE FAUCET KNOB OF THE WAREWASHING SINK.
CALIFORNIA RETAIL FOOD CODE:All food facilities in which food is prepared or in which multiservice utensils and equipment are used shall provide
manual methods to effectively clean and sanitize utensils. Manual warewashing sinks shall have at least three compartments with two integral metal
dreinboards for manually washing,rinsing,and sanitizing equipment and utensils. Mechanical machine warewashing shall be accomplished by using an
approved machine installed and operated in accordance with the manufacturer's specifications. Section#:114095,114099,114101, 114103,114130
Help us serve you better by completing a short survey.Visit our website at www.cublichealth.lacountv.00vleh.
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Operator Signature Page 1 of 4
MP IN.
PLAN CHECK OFFICIAL INSPECTION REPORT
•
DATE 07/16/2019 EHS VIVIAN TAN
PLAN CHECK NUMBER SR0183238
PROGRAM ELEMENT 1703-RESTAURANT(2,000-3,999 SF)
OWNER/REQUESTER EDDY MAI, DESIGNER
DBA DAGU
ADDRESS 1108 BALDWIN AVE B6,ARCADIA, CA 91007 ,
L , o , REQUIRED
CORRECTION CATEGORY:WASTE WATER/PLUMBING IDENTIFIED:07/11/2019
CORRECTIVE ACTION:A. REPAIR THE LEAKY PLUMBING LINES UNDER THE WAREWASHING SINK AND THE HAND
SINK IN THE KITCHEN.
B. OBTAIN APPROVAL FOR THE SEPARATION OF PLUMBING LINES FOR THE HAND SINK AND THE PRE RINSE SINK
(AS REQUIRED).
CALIFORNIA RETAIL FOOD CODE:Liquid waste shall be disposed of through the approved plumbing system and shall discharge into the public sewerage
or into an approved private sewage disposal system. All steam tables,ice machines and bins,food preparation sinks,warewashing sinks,display cases,
walk-in refrigeration units,and other similar equipment that discharge liquid wasteshall be drained by means of indirect waste pipes,and all wastes drained
by them shall discharge through an airgap into a floor sink or other approved type of receptor. Conduits of all types shall be installed within walls as
practicable.Section#:114193, 114197,114199,114201, 114271,Uniform Plumbing Code Section,704.3
CORRECTION CATEGORY:PLAN SUBMITTAUREMODEL IDENTIFIED:07/11/2019
CORRECTIVE ACTION:PROVIDE A PAYMENT OF$167 PRIOR TO THE THIRD INSPECTION.
RE-INSPECTION IS REQUIRED.
CALIFORNIA RETAIL FOOD CODE:A person proposing to build or remodel a food facility shell submit complete,easily readable plans drawn to scale,and
specifications to the enforcement agency for review,and shall receive plan approval before starting any new construction or remodeling of any facility for use
as a retail food facility. Section#:114380, 114381
CORRECTION CATEGORY:PLAN SUBMITTAUREMODEL IDENTIFIED:07/16/2019
CORRECTIVE ACTION: RE-INSPECTION CONDUCTED. ALL REMAINING VIOLATIONS HAVE BEEN CORRECTED.
THIS FACILITY IS HEALTH DEPARTMENT APPROVED;OK TO STOCK AND TRAIN.
APPROVAL TO OPERATE AND ISSUANCE OF PUBLIC HEALTH PERMIT IS CONTINGENT UPON PROVIDING
THE BLDG. FINAL
CALIFORNIA RETAIL FOOD CODE:A person proposing to build or remodel a food facility shall submit complete,easily readable plans drawn to scale,and
specifications to the enforcement agency for review,and shall receive plan approval before starting any new construction or remodeling of any facility for use
as a retail food facility. Section it 114360,114381
Help us serve you better by completing a short survey.Visit our website at www.oublichealth.lacountv.gov/eh.
Operator Signature Page 2 of 4
aft
PLAN CHECK OFFICIAL INSPECTION REPORT
DATE 07/16/2019 EHS VIVIAN TAN
PLAN CHECK NUMBER SR0183238
PROGRAM ELEMENT 1703-RESTAURANT(2,000-3,999 SF)
OWNER/REQUESTER EDDY MAI, DESIGNER
DBA DAGU
ADDRESS 1108 BALDWIN AVE 86,ARCADIA,CA 91007
CORRECTIONS COMPLETED
CORRECTION CATEGORY DATE IDENTIFIED DATE CORRECTED
FLOOR BASE COVING 07/09/2019 07/11/2019
WALLS 07/09/2019 07/11/2019
CEILINGS 07/09/2019 07/11/2019
WAREWASHING FACILITIES 07/09/2019 07/11/2019
WASTE WATER/PLUMBING 07/09/2019 07/11/2019
EQUIPMENT/STORAGE 07/09/2019 07/11/2019
LIGHTING/ELECTRICAL 07/09/2019 07/11/2019
VERMIN EXCLUSION/ENCLOSURE 07/09/2019 07/11/2019
PLAN SUBMITTAL/REMODEL 07/09/2019 07/11/2019
COMMENTS
NONE
•
Help us serve you better by completing a short survey.Visit our website at www.publichealth.lacountv.cov/eh.
Operator Signature Page 3 of 4
PLAN CHECK OFFICIAL INSPECTION REPORT
DATE 07/16/2019 EHS VIVIAN TAN
PLAN CHECK NUMBER SR0183238
PROGRAM ELEMENT 1703-RESTAURANT(2,000-3,999 SF)
OWNER/REQUESTER EDDY MAI, DESIGNER
DBA DAGU
ADDRESS 1108 BALDWIN AVE B6,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 the permit/license holder
annually by the DPH-EH. The fee is required to be paid to perform or carry on,conduct or engage in any mobile food facility
listed in Los Angeles County Code,Title 8,Section 8.04.720.
State and Local Licenses and Permits:
Contact the State of California and your local city hall regarding additional license and permit requirements.
Restrooms:
Customer may use restroom facilities if they are located in a customer area.Customers may not enter the food preparation
area,food storage area,or the utensils washing/storage areas in order to access the restrooms.All food,utensils and
equipment must be protected from contamination.
Routine Inspection:The DPH-EH conducts routine inspections of all food facilities in Los Angeles County. Following the
issuance of your Public Health Permit by the Plan Check Program,an Environmental Health Specialist from your local district
will conduct an inspection of your facility. If your Business is located in a city that has adopted the grading ordinance,the
inspector will post a grade or score card at your facility. Grade/Score cards are not issuedby the Plan Check Program.
Help us serve you better by completing a short survey.Visit our website at www.publlchealth.lacountv.00v/eh.
Operator Signature Page 4 of 4