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HomeMy WebLinkAboutTI-18-1519 :to-wN City of Arcadia, CAx PermirNO TI 18 4519 \4ar^,e, Development Services Department © egc;:::::Box 60021 :-Tenant Improvement`: (626)574-5416 " 4, , Permit Status:Issued.'. ARCADIA IssueDate 01/23/2019' Expiration: 07/23/2019 Addr NO. Dir Prefix Street Name Street Suffix Unit City,State,Zip Parcel Number 301 W Huntington DR 120 Arcadia,CA 5775001019 Contacts WINDROSE SANTA ANITA PROP LLC C/0 Owner JOHN RIX Applicant CPAC 250 N GOLDEN CIRCLE DR 204,SANTA ANA,CA 92705 301 W HUNTINGTON DR (714)836-0702 1 T CONSTRUCTION GROUP INC General Contractor(B) 1730 EVERGREEN ST,DUARTE,CA 91010 (626)500-0404 1011456 Description:EQUIPMENT REPLACEMENT PROJECT OF CANCER Valuation: $ 200,000.00 Tenant CITY OF HOPE TREATMENT LINAC AND RELATED CONTROL AREA FOR INSTALLATION OF NEW EQUIPMENT.REPLACE CHILLER UNIT, Total Sq Feet: 0.00 Plan Check#18-1519 Plan#32665 80 AMP SUBPANEL,PERMIT INCLUDES MEPS Fees Amount Payments Amount Paid Accessibility Plan Check $186.62 Total Fees $4,743.21 Accessiblity Building Permit $191.40 Cash/Receipt 0 REC-00191-19 $2,805.00 Building Issuing Fee $47.01 Cash/Receipt#REC-002236-2018 $1,937.93 Building Permit Fees $1,914.00 Building Plan Review Fee $1,244.10 Amount Due: $0.28 Cal Green Plan Check $124.41 ky Commercial T.I.Fire Plan Chk. $280.00 Compressor 15-30 hp $46.86 FTNA- ¶--/5/9 Distribution Panel $15.55 Electrical Permit Issuance Fee $47.01 Energy Plan Review Fee $382.80 CALLS FOR INSPECTIONS Furnace or Burner<=100,000 BTU $18.74 Request for inspection by telephone at 626-574-5450. Leave a message Green Building Standard $8.00 requesting the address,timeframe and what inspection item is needed. Lavatories $12.46 Light Fixtures $38.80 Mechanical Permit Issuance Fee $47.01 This permit/plan review expires by time limitation and becomes null and Outlets-Receptacles&Switches $26.18 void if the work authorized by the permit is not commenced within 180 days Plumbing Permit Issuance Fee $47.01 from the date of issuance or if the permit is not obtained within 180 days Solid Waste Management Fee $6.25 from the date of plan submittal.This permit expires and becomes null and Solid Waste Management Fee 2 $1.00 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 2 $1.00 Arcadia building inspector for a period of 180 consecutive days. Total: $4,743.21 v COMPLETED January 23,2019 Issued By: Date January 23,2019 Page 1 of 1 �F AR .:Nom PERMIT/PLAN REVIEW APPLICATION t;, NtrtnEa 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 eby under penalty of perjury one of the following: Chapter 9(commencing with Section 7000,of Division 3 of the Business and Professions Code,and my license is in full force and effect. I have and will maintain a certificate of consent to self-insure for workers' License Class 10 I irense No./O7I7 U Exp. Date" 243 compensation, as provided for by Section 3700 of the Labor Code, for the performance of the work for which this permit is issued. ature of Contractor OWNER-BUILDER DECLARATION ❑ I have and will maintain workers'compensation insurance,as required by Section CII 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 Ti/is issued.My ,,orn workers'cum eation insurance carrier and policy numbers are: Code.Any city or county which requires a permit to construct,alter,improve, Carrier 5 _/1"6"7-- //t ft//7-0t. demolish,or repair any structure,prior to its issuance,also required the applicant Ante/Co�� (���72/ G 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 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 LII, 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 fort 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, 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 , NAIG: 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 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 licensedcontractors 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 rther information. ��/� Name. 1) /✓ Title " PRINT NAME I certify that I have read this application and state that the above information is correct and that I am the owner or duly authorized agent of the owner. I agree to comply with all City ordinances and State Laws relating to building construction. I hereby authorize representatives of the City of Arcadia to enter upon the ab ' red property for inspection purposes. �/ Signature Date / • C�J EJ NOTES Building Inspections Date Insp. Plumbing Inspections Date Insp. 100. Setbacks 210. Under BrJbldg.drain q rr. 101. Rough grade - 11. Copper underslab Z 4, G o-ep.7 5 102. Figs. forms 212. Rough nwree- 103. Pre-slab �Q-�4 ;I �'�/ 213. Rough plumbing 2-/ 1-19 �� 1� gas 104. Floor Joists 214. Shower pan 5-r- 105. Steel 215. Water heater 2- -2:- ,-r f,- 106. Grout lift 216. Roof drains F� /VACc5 107. Shear nailing 217. Building sewer C, He U. mac C. Fent a' 108. Diaph nailing 218. Water service 109. Roof nailing 219. Final gas 110. Framing 220. Fixtures 2ny/9 .21w EGCC�G /p 111. Occ./Area Sept.Wall 221. Final plumbing c(-4 7-1 Sy �i._;/ 112. Sound-barwalls _ 22. Sewer cap/demo. Q4 PSP// 113. T-bar grid -Z(9-�9 ,�eaZ � //- 114. Insulation-Fir. Pool Inspections Date . Insp. L•Q'6Cul ` 115. Insulation-Wall 240. Excavation/steel 116. Insulation-Cell. 241. Rough plumbing ,J - 117. Drywall nailing 242. Light shell/bonding Z-25- 9 ? rv6/Q/'/?%tT•cc sl s iC, 118. Interior lath 243. Underground conduit CN/�/� /4/(2,- 120. r ' 119. Exterior lath 244. P-trap 121. Fina h grade 46. Gas linea test 121. Final building �7-15`cq 246. Fence,gates&signs 122. Final demo/lot clear 247. Pool heater 248. Final electric lec rico! nspec ions Tate Insp. 249. Anal•lumbin! 150. Power pole 250. Pool cover 151. Sales lot lighting 251. Pool final 152. Under•round conduit 153. Underslab conduit Bernet Inspections Date Insp. 154. UFER ground 270. Pre-reroof insp. 155. Water ground 271. Roof framing • 156. Rough electrical 272. Sheathing nailing 157. Fixtures 273. Final reroof 158. G.F.C.I. 159. Es It.bondin• Sign Inspections Date I Insp. 160. Service panel r J 4 ,/i /280. Setback/overhang _ 161. Final electric -7.-/ GIa11l.__✓ii'281. Footing 282. Conduit/wirin• Mechanical Inspections Date Insp.° 283. Disconnect 180. Venting/flue 284. Final sign 181. Furnace/A.C. 182. Pouch HVAC Miscellaneous Insp. Date Insp. 183. Fire dampers 290. Fire alarm 184. Furnace compartment 291. Underground supply 185. Combustion air 292. Fire sprinklers 186. Smoke detectors 293. Monitor system 187. Metal F.P.rough 294. Hood dry chem. 188. Compressor setback 295. Final 189. Commercial hood 190. Duct shaft Sewers&Offsite Insp. Date Insp. 191. Final mechanical z-Z$ - ��/^� 300. Lateral(main to P/L) 301. SaddleP( Block Wall Inspections Date Insp. 302. Cess•ool filled 200. Footings 303. Sidewalk 201. SteeVrebar 304. Driveway 202. Grout lift 305. Curb replacement 203. Final wall 306. Trash bin = Permit No Wall 19 0251 City of Arcadia, CA - ll#J 1. Development Services Department Perm/t Type Wdll" S 240 West Huntington Drive,Post Office Box 60021 TI2)1 �IJ?[rTTffJtiU?wotaosimcahon Wall Gar"den Wall -"` (626)574-5416 - : ' _ Permit'Status,Issued .. . ,. ARCADIA Issjued ate 62/o /2019 Expiration: 08/06/2019 Addr NO. Dir Prefix Street Name Street Suffix Unit City,State,Zip Parcel Number 301 W Huntington DR 120 Arcadia,CA 5775001019 Contacts • WINDROSE SANTA ANITA PROP LLC C/0 Owner J T CONSTRUCTION GROUP INC Contractor CPAC 1730 EVERGREEN ST,DUARTE,CA 91010 301 W HUNTINGTON DR (626)500-0404 1011456 Description:CHILLER ENCLOSURE 6'H X 18'LF PER APPROVED Valuation: $ 1,062.72 Tenant PLANS Total Sq Feet: 0.00 ' Plan Check# Plan# Fees Amount payments Amount Paid Building Issuing Fee $47.01 Total Fees $119.11 Building Permit Fees $65.85 Cash/Receipt#REC-00335-19 $119.11 Solid Waste Management Fee $6.25 Amount Due: $0.00 Total: $119.11 - - - - - - - - i-V P.<,4c. C;—/S-47 G7 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. D COMPLETED 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. February 07, 2019 Issued By: Date February 07,2019 Page 1 of 1 .FAR ;;,• ��+ - 1T PERMIT/PLAN REVIEW APPLICATION el 013r Development Services Department,240 West Huntington Drive, Post Office Box 60021 Arcadia, CA 91066-6021, (626)574-5416, Fax(626) 447-9173 City of Arcadia LICENSED CONTRACTOR'S DECLARATION WORKERS'COMPENSATION DECLARATION ❑ I hereby affirm under penalty of perjury that I am licensed under provisions of I hereby affirm under penalty of perjury one of the following: Chapter 9(commencing with Section 7000,of Division 3 of the Business and Professions Code,and my license is in full force”andeffect. License Class� 9� ❑ I have and will maintain a certificate of consent to self-insure for workers' �Gla License,No.1 O�(' / Exp. Date0//r.�! compensation, as provided for by Section 3700 of the Labor Code, for the Signature of Contractor ' performance of the work for which this permit is issued. OWNER-BUILDER DECLARATION ❑ I have and will maintain workers'compensation insurance,as required by Section 1:1I 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 on r (_o demolish,or repair any structure,prior to its issuance,also required the applicant olicy Number for such permit to file a signed statement that he or she is licensed pursuant to the (This section need not be completed if the permit is for one hundred dollars or less) provisions of the Contractors License Law(Chapter 9(commencing with Section 7000)of Division 3 of the Business and Professions Code)or that he or she is I exempt there from and the basis for the alleged exemption. Any violation of '• L I certify that in the performance of the work for which this permit is issued,I shall Section 7031.5 by any applicant for a permit subjects the applicant to a civil not employ any person in any manner so as to become subject to the workers' penalty of not more than five hundred dollars($500)): compensation Laws of California,and agree that if I should become subject to the workers'compensation provisions of Section 3700 of the Labor Code,I shall ❑I, as owner of the property, forthwith comply with those provisions. or my employees with wages as their sole 7 compensation,will do the work,and the structure is not intended or offered for \DateZ. ! (/9 Signaturesale(Section 7044,Business and Professions Code:The Contractors License Law does not apply to an owner of property who builds or improves thereon, or who does such work himself or herself or through his or her own employees,provided that such improvements are not intended or offered for WARNING: Failure to secure Workers'Compensation coverage.is unlawful, sale.If,however,the building or improvement is sold within one(I)year of and shall subject an employer to criminal penalties and civil 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 perjurythat 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 Mr 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 \mnefurther information. /�'ipi \Tule U-PRINT NAME I certify that I have read this application and state that the above information is correct and that I am the owner or duly authorized agent of the owner. I agree to comply with all City ordinances and State Laws relating to building construction. I hereby authorize representatives of the City of rcadia to enter upon t mentioned property for inspection purposes. I itllnature Date 2_,' OF ARe 04�yuoRvy i A! 100411M, if &No 6 Ap..C�.YOI 24 9 MEMORANDUM Fire Department DATE: April 22, 2019 TO: BUILDING DEPARTMENT INSPECTOR John Zurick FROM: FIRE DEPARTMENT SUBJECT: FIELD INSPECTION ADDRESS: 301 W. Huntington Drive #120 (PC# 18-1519) THE FOLLOWING ITEMS WERE CHECKED FOR CONFORMANCE WITH APPLICABLE FIRE DEPARTMENT REQUIREMENTS: TYPE OF INSPECTION DATE / INITIAL FINAL INSPECTION FIRE SPRINKLERS FIRE ALARMS HOOD & DUCT KNOX BOX OCCUPANCY 4-10-2019 Jill Perumean COMMENTS: Emailed Bldg. Dept. 4-10-2019 Rita a a City of Arcadia, CA Permit nfo 411E718-1435 Development Services Department De� Tz PermitType Fire r ✓✓✓ 240 west Huntington Drive,Post Office Box 60021 t a f y f 'Mit classification Fire Alarm \\ 1 Arcadia,CA 91066-6021 � ' = �- � " , I (626)574-5416 - _ - Permit Status:Issued ARCADIA lssueDat2 08/09/2018' Expiration: 02/05/2019 ............. Addr NO. Dir Prefix Street Name Street Suffix Unit City,State,Zip Parcel Number 301 E Huntington DR Arcadia,CA 5773009065 Contacts SHIGENOBU AND HIKARU TRS KAKU Owner INTERFACE SECURITY SYSTEMS LLC* Fire Contractor(C-16) FAMILY TRUST KAKU 3750 SCHAUFELE AVE 200,LONG BEACH,CA 90808 3605 LONG BEACH BLVD,Long Beach,CA (562)353-4680 Description:FIRE CONTROL PANEL UPGRADE FOR GARDEN Valuation: S 500.00 Tenant FRESH GARDEN FRESH Total Sq Feet: 0.00 Plan Check U Plan ft OTC Fees Amount payments Amount Paid Fire Alarm Plan Check $280.00 Total Fees $366.00 Fire Issuance $44.35 Cash/Receipt St REC-001990-2018 $366.00 Fire Permit Fees $40.65 Amount Due: $0.00 Solid Waste Management Fee 2 $1.00 , Total: $366.00 FINAL 2111iici n CP[ TE 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. illir August 09,2018 Issued By: Date August 09,2018 Page 1 of 1 ♦t A• op.i.w YyGt I . 4 f;.iis 17 . PERMIT/PLAN REVIEW APPLICATION Q� �Irepr Development Services Department,240 West Huntington Drive, Post Office Box 60021 > Arcadia, CA 91066-6021, (626) 574-5416,Fax(626) 447-9173 City of Arcadia LICENSED CONTRACTOR'S DECLARATION WORKERS'COMPENSATION DECLARATION ❑ I hereby affirm under penalty of perjury that I am licensed under provisions of I hereby affirm under penalty of perjury one of the following: Chapter 9(commencing with Section 7000,of Division 3 of the Business and Professions Code,and my license is in full force and effect. ❑ I have and will maintain a certificate of consent to self-insure for workers' License Class G ID cense No.c/ 9 OW Exp. Date Signature of Contractor Ccompensation, as provided for by Section 3700 of the Labor Code, for the performance of the work for which this permit is issued. 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 he performance of the work for which his permit License Law for the following reason(Section 7031.5,Business and Professions is issued.MyCworkers'cocmpensation insurance carrier and policy numbers are: Code.Any city or county which requires a permit to construct,alter,improve, Carrier C U r(tf`.y t actrtw.. a-•Mt g demolish,or repair any structure,prior to its issuance,also required the applicant policy Number Fill 13616 55-6. 2. s for such permit to file a signed statement that he or she is licensed pursuant to the is section need not be completed if the permit is for one hundred dollars or less) provisions of the Contractors License Law(Chapter 9(commencing with Section 7000) of Division 3 of the Business and Professions Code)or that he or she is exempt there from and the basis for the alleged exemption. Any violation of 0 I certify that in the performance of the work for which this permit is issued,I shall Section 7031.5 by any applicant for a permit subjects the applicant to a civil not employ any person in any manner so as to become subject to the workers' penalty of not more than five hundred dollars($500)): compensation Laws of California,and agree that if I should become subject to the workers'compensation provisions of Sectio 371 t of the Lab ode,I shall ❑I, as owner of the property, or my employees with wages as their sole forthwith comply with those provisions. / compensation,will do the work,and the structure is not intended or offered for ' / sale(Section 7044,Business and Professions Code:The Contractors License Date 8-1-/k Signature Law does not apply to an owner of property who builds or improves thereon, or who does such work himself or herself or through his or her own employees,provided that such improvements are not intended or offered for WARNING: Failure to secure.Workers'Compensation coverage is unlawful, sale.If,however,the building or improvement is sold within one(1)year of and shall subject an employer to criminal penalties and civil fines up to one completion,the owner-builder will have the burden of proving that he or she hundred thousand dollars($100,000),in addition to the cost of compensation, did not build or improve for the purpose of sale). damages as provided for in Section 3706 of the Labor Code,interest, and attorney's fees. ❑I, as owner of the property, am exclusively contracting with licensed contractors to construct the project(Section 7044,Business and Professions Code:The Contractors License Law does not apply to an owner of property CONSTRUCTION LENDING AGENCY who builds or improves thereon,and who contracts for such projects with a I hereby affirm under penalty of perjury that there is a construction lending agency contractor(s)licensed pursuant to the Contractors License Law). for the performance of the work for which this permit is issued (Section 3097, Civil Code). ❑ I am exempt under Section 7044,Business and Professions Code,for this reason: Lender's Name Date Signature Lender's Address IMPORTANT: APPLICATION IS HEREBY MADE TO THE BUILDING OFFICIAL FOR A PERMIT SUBJECT TO THE CONDITIONS AND RESTRICTIONS SET FORTH ON THIS APPLICATION AND THE FOLLOWING: 1. The City's approved plans and permit inspection card must remain on the job site for use by City inspection personnel. 2. Final inspection of the work authorized by this permit is required.A Certificate of Occupancy must be obtained prior to use and occupancy of new buildings and structures. 3. Per South Coast Air Quality Management District(AQMD)regulations,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. ame -gyp - a Lla- a — itle Mtty 4 t-- PR •ME 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 a City ordinances : State Laws relating to building construction. Ilhereby authorize representatives of the City of Arcadia to enter ruupp sfir ove- entione��t�perty for inspection purposes. çSisnature . � (Date /P