HomeMy WebLinkAboutTI-19-0850 City of Arcadia, CA ` [] Perm t V0 11-19 0850
c.,,,
Development Services Department j u ,,, xi( ^)r`� tr"-- P;[" Permit Type:Tenant Improvement
240 West Huntington Drive,Post Office Box 60021 9 J7 fC( & f� 1 1 yi 1 r
Arcadia,CA 91066-6021 -s 4, 3 .I. s }'5,.; i (i_l 'Work Classification:Tenant Improvement
i (626)574-5416 `= Permit Status.IsSuec(
ARCADIA issue-ate 07/1%/2019'1 Expiration:
Addr NO. Dir Prefix Street Name Street Suffix Unit City,State,Zip Parcel Number
298 E Live Oak AVE Arcadia, CA 8572002010
Contacts
ABS CA 0 LLC C/O PROPERTY TAX Owner NICO MARCUS Applicant
0 PO BOX 990, MINNEAPOLIS,MN 55440
(714)560-8657
RK BUILD GROUP INC` Contractor
11762 DE PALMA ROAD STE 10031 DE PALMA RD 1C031,CORONA,CA
(909)331-7176 1031105
Description:T.I FOR ALBERTSONS,REMOVE,ADJUST AND ' Valuation: $ 750,000.00 Tenant
INSTALL NEW CASES
Total Sq Feet: 0.00 Plan Check#19-850 Plan#84
.,�, ..
Fees Amount Payments Amount Paid
Accessibility Plan Check $556.63 Total Fees $13,721.18
Accessiblity Building Permit $570.90 Cash/Receipt#REC-01845-19 $7,660.81
Add/Alter Ducts $69.58 Cash/Receipt#REC-01181-19 $6,060.37
Air Handling Units a 10,000 cu ft per min. $29.92
Building Issuing Fee $47.01 Amount Due: $0.00
Building Permit Fees $5,709.00 complETEDBuilding
eview Fee
CommerciialnT Check $371.09
3,710.85
I,Fi a Plan Chk. $Cal Green Plan $28000C
Distribution Panel $16.48
Electrical Permit Issuance Fee $47.01 CALLS FOR INSPECTIONS
Energy Plan Review Fee $1,141.80 Request for inspection by telephone at 626-574-5450. Leave a message
Fire Final Occupancy Fee $200.00 requesting the address,timeframe and what inspection item is needed.
Floor Sink $303.83
Furnace or Burner a 100,000 BTU $79.44
Green Building Standard $30.00 This permit/plan review expires by time limitation and becomes null and
light Fixtures $95.14 void if the work authorized by the permit is not commenced within 180 days
Mechanical Permit Issuance Fee $47.01 from the date of issuance or if the permit is not obtained within 180 days
Misc.Plumbing Fixtures $39.63 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
Motors,Generators 1-10 hp S49.44
consecutive days or if no progressive work has been verified by a City of
Outlets-Receptacles&Switches $60.16 Arcadia building inspector for a period of 180 consecutive days.
Total: $13,721.18
July 17, 2019
Issued By: Date
July 17,2019 Page 1 of 1
OF AR
onaniRki.,
Cd
,>.�1": 1 PERMIT/PLAN REVIEW APPLICATION
0. >llj• 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 .
ICENSED 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.efI have and will maintain a certificate of consent to self-insure for workers'
License Class License No. IO3R05 Exp. Date�' 'II �' compensation, as provided for by Section 3700 of the Labor Code, for the
�� _ performance of the work for which this permit is issued.
ignamre of Contractor 5 �� \
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 reason(Section 7031.5,Business and Professions is issued.Mgqy workers'companon insurance carrier and policy numbers are:
Code.Any city or county which requires a permit to construct,alter,improve, Carrier ��
/•tniSi/ LISP; anon
ton/ 112
demolish,or repair any structure,prior to its issuance,also required the applicant
Policy Number 020-11 (9.-.)-W
for such permit to file a signed statement that he or she is licensed pursuant to the
provisions of the Contractors License Law(Chapter 9(commencing with Section (This section need not be completed if the permit is for one hundred dollars or less)
7000)of Division 3 of the Business and Professions Code)or that he or she is ,(b
exempt there from and the basis for the alleged exemption. Any violation of )a.I I certify that in the performance of the work for which this permit is issued,I shall
Section 7031.5 by any applicant for a permit subjects the applicant to a civil not employ any person in any manner so as to become subject to the workers'
penalty of not more than five hundred dollars($500)): compensation Laws of California,and agree that if I should become subject to the
workers'compensation provisions of Section 3700 of the Labor Code,I shall
❑I, as owner of the property, or my employees with wages as their sole forthwith comply with those provisions.
compensation,will do the work,and the structure is not intended or offered for
sale(Section 7044,Business and Professions Code:The Contractors License Date -((O-I`( 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 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. �l' n
flame 3RET' WEPICtiuS Title OW l VP
PRINT NAME
I certify that I have read this application and state that the above information is correct and that I am the owner or duly authorized agent of the owner.
I agree to comply with all City ordinances and State Laws relating to building construction. I hereby authorize representatives of the City of
Arcadia to enter upon the above-mentioned property for inspection purposes.
Signature —� Date -(9
Buildmg likskeelibp- t
, Kate Insp - ;P,luintiing+tospections I , Oafs I ;fnsp:
100. Setbacks --210. Under flr.lbld..drain � -r-- p n
101, Rough. gradeo ■■ `_ I 4 1- -L 'DO.�o
102. Figs.&forms -.•, `�,,.1g19 f A
103. Pre-slab l (
105. Steel joists 13-i ',J€ 4 oaS.
--215. Water heater -�
105. Steel EIEC. -•7-p A,,(
106. Grout lift --216. Roof drains - `T I N,l,�i �
' -- --217. Building sewer I 1• -Ube Roe (/oma• ,
10 D-• 218. Water service 72S=(q rgd.M'xJL 4 7i _„`�I g
' 109. Roof nailine, --219. Final.as IIII_ ! 1 I r"- �t �,(ILbpt'1 gat
110. Framing / Ell 7
r - C_WpAIL Aut r) O C•ASN fi 441A.111. OcclArea Se.t.Wall ' `
��n [ ` I-,Q DE dAiL, if.
T0,4614got ,
112. Sound walls --222. Sewer ca.Poemo.
113. T.bar.rid G MeirMN -� T• 11L1NE -so., gra& DI' d2
114. Insulation Flr. -1P,00ljlhspections: , ,,, ' 1, Oate., y Insp. 1j4. ,{V\ \
115. Insulation-Wall --240. Excavation/steel 8-111 •V pi`ilGL 4. vise
117. D all nailin. -- . tJ �-- xT ' il( $ E?:
118. Interior lath 243. Under.round conduit
&S
SINKS (3-�S)
119. Exterior lath 244. P-tra• I-- _J l�
120. Finish•rade _��R� VIII�245. Gas line&test -IIII_ ' /' • ../ , 1'eG Ag P.. . to --c'gr
121. Final' I I171_'SiYirm.246. Fence,•ales&sins I_- 4 U ,1& f\ttlizes e
122. Final demonot clearal.247. Pool heater _
11111MIIIMMIIIMIll 248. Final electric R0bH Ok thrNi
Electrical lnspectibos -, •Date Alspii. 249. Final ilumbin!
-1Q� I 2 7�
150. Power.ole , 1 u�1J V S ''! /'t
151. Sales lot lighting 251. Pool final ClkSIC a pf ogAL 4 TlitithL Mtn .jr
152. Under.round conduit ,
153. Underslab conduit -- S a�;Datte, ,`Insp.• (h- UAV ,,I � �a OF
154. UFER ground '• ' - •, 8 2 �I Q VikiDela9, 8 DRAIN HP1111
155. Water ground Int. a &A b( Fv4
156. Rough electrical "' -' ' ` 6� ` `
157. Fixtures ar-�19 . .
8-4-It [.4JJ $ms } „rn�5 Of
158. G.F.C.I. fwd.Si i..11* Q,j'tDoUCE f4nldr 1 I
159. &.1.bondin8 l5 n Ins_"eciiens IV�
- l9 J P. , I =l1'ate I•,�Ihspi
•' q--14-y i 280. Setback/overhang -- i:..a/ LT -i •! .- r , -
161. Final electric • ' % 281. Fooun•
��282. ConduitAvmne -- Vii. ill _ /�' ! 614 I
t l c. n ,o 9_P ctc•' r` ek_. �lnsj% 283. Disconnect -- H ®�".
Mechanical I s ectrons r .Oate'� �- '��;' ' ii
180. Venlin.flue 284. Final si.n -IIII_'411 A5I,s E z pP Soo'
181. Routh Furnace/A.C. - 5 MI$ e, t / A Jb L L _I�°)
182. Routh HVAC --r-i- I::: "`n"g "":'3",.'-:1`.-1-. ^'',ir 4. 1w
183. Fire dam.ers 290. Fire alarm -q_(g4q NaveggAg D2AA11�i oF goo,-
-291. Under.round su..I �I ,l."J
• Combustion•.detectors let Furnace•• --293. FireMon sorisklers Ili Stl %F
293. Monitors stem 4
(111
187. Metal F.P.rough •• .
188. Compressor setback 295. Final
189. Commercial hood
190. Duct shaft Sewers i''Dffsite.In d'"^ 3.Pillicerces6
a I;J .,Insp_?' :
191. Final mechanical 300. Lateral main to -j �
1134 laIsp`dt ;\'7Y 1'11+4 =,lspai
.302. Cesspool filled
200. Footings 303. Sidewalk
201. Steegrebar 304. Driveway
202. Grout lift 305. Curb replacement
203. Final wall 306. Trash bin