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HomeMy WebLinkAboutUntitled lea > City of Arcadia, CA --- , Permit No COMM-18-2197
Development Services Department [n�t Permit Type:Commercial
r � licit
240 West Huntington Drive,Post Office Box 6002L171.1) 9
,. r c Work Classification..Commercial-.Add/Alt
Arcadia,CA 91066-6021 }
"(7-1 (626)574-5416 _ - - - Permit Status:Issued
ARCAI3IAIssuebatet04115/2019 Expiration: 01/20/2020
Addr NO. Dir Prefix Street Name Street Suffix Unit City,State,Zip Parcel Number
321 E Huntington DR Arcadia,CA 5773009064
- Contacts -
-BRE NEWTON HOTELS PROPERTY Owner BRUNO FIORENTINI Applicant '
OWNER LLC SIMPSON THACHER
BARTLETT LLP (602)503-9757 .
425 LEXINGTON AVE,NEW YORK,NY 10017
GENESEE CONSTRUCTION AND Contractor
1164120PMENT N 2ND ST 130,SCOTTSDALE,AZ 85260 kit CO1PLETED
(602)503-9757
•
Description:346 SQ ADDITION TO GATE HOUSE AND 97 SQ ' Valuation: $ 1,009,310.11 Tenant
ADDITION TO LAUNDRY BUILDING FOR RESIDENCE INN.
REMODEL BREAKFAST AREA AT GATEHOUSE .NEW ENTRY Total Sq Feet: 443.00 Plan Check#18-2197 Plan#14
TRELLIS,ADA IMPROVEMENTS.NEW WOODEN PERGOLA,
REPLACE FIRE PIT AND BUILT IN BBQ AREA.
WITH EMP
Fees Amount Payments Amount Paid
Accessibility Plan Check $731.55 Total Fees $17,402.29
Accessiblity Building Permit $750.30 Cash/Receipt#REC-00944-19 $9,335.49
Add/Alter Ducts $131.32 Cash/Receipt#REC-02952-19 $190.00
Building Issuing Fee $47.01 Cash/Receipt#REC-003027-2018 $7,876.80
Building Permit Fees $7,503.00
Building Plan Review Fee $4,876.95 Amount Due: $0.00
Cal Green Plan Check $487.70 1
Clothes Washer $62.30
Commercial T.I.Fire Plan Chk. $280.00 FeVA10
� '1 r(Z'2
Commercial service 200 to 1000amps $62.13
Electrical Permit Issuance Fee $47.01 CALLS FOR INSPECTIONS
Energy Plan Review Fee $1,500.60 Request for inspection by telephone at 626-574-5450. Leave a message
Floor Drain Fee $24.92 requesting the address,timeframe and what inspection item is needed.
Floor Sink $12.46
Green Building Standard $41.00
Kitchen Sink $24.92 This permit/plan review expires by time limitation and becomes null and
Lavatories $24.92 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
Outlets-Receptacles&Switches $146.80 from the date of plan submittal.This permit expires and becomes null and
Plan Check,Per Hour $190.00 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
Plumbing Permit Issuance Fee $47.01 Arcadia building inspector for a period of 180 consecutive days.
Total: $17,402.29 `
i b
April 15, 2019
Issued By:Steven Roberts t Date
October 31,2019 k Page 1 ci 1
,FA•
1 PERMIT/PLAN REVIEW APPLICATION
zittb' Development Services Department,240 West Huntington Drive,Post Office Box 60021
, a
m•=�=<H 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 License No. Exp. Date 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
❑ I hereby affirm under penalty of perjury that I am exempt from the Contractors 3700 of the Labor Code,for the performance of he work for wh ch his 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
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 (TDs 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
❑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 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 isunlawful,
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.
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.
tle rye, //✓74/rieGr
■■■111 PR NT 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 buildin construction. I hereby authorize representatives of the City of
Arcadia to enter upon the mabove-mentioned property for inspection purposes.
Sinature S.>...pa C �� Date OG • `31/ ZO(/q
"' � -PermitNO Comm-18-2197
q6t City of Arcadia, CA -
Nip,4Development Services Department
P
(( `^ PermitT e.Commercial
• fir 240 West Huntington Drive,Port Office Box 60021 @F C yP a l7- Work Clossification:Commercial-Add/Alt
Arcadia,CA 91066 6021
` "`l (626)574-5416 - , „ , ,. Permit Status:Approved
ARCADIAIssue Date:04/11/Z019 Expiration: 10/14/2019
^
Addr NO. Dir Prefix Street Name Street Suffix Unit City,State,Zip Parcel Number `
321 E Huntington DR Arcadia,CA 5773009064
Contacts
BRE NEWTON HOTELS PROPERTY Owner BRUNO FIORENTINI Applicant
OWNER LLC SIMPSON THACHER
BARTLETT LLP (602)503-9757
425 LEXINGTON AVE,NEW YORK,NY 10017
GENESES CONSTRUCTION AND Contractor po a„���
DEVELOPMENT LLC' �tl 111®fy7@pq
16412 N 92ND ST 130,SCOTTSDALE,AZ 85260
(602)503-9757
Description:346 SQ ADDITION TO GATE HOUSE AND 97 SQ Valuation: $ 1,009,310.11 Tenant
ADDITION TO LAUNDRY BUILDING FOR RESIDENCE INN.
REMODEL BREAKFAST AREA AT GATEHOUSE.NEW ENTRY Total Sq Feet: 443.00 Plan Check#18-2197 Plan#14
TRELLIS,ADA IMPROVEMENTS.NEW WOODEN PERGOLA,
REPLACE FIRE PIT AND BUILT IN BBQ AREA.
WITH EMP
Fees Amount PaymentsAmount Paid
Accessibility Plan Check $731.55 Total Fees $17,212.29
Accessiblity Building Permit $750.30 Cash/Receipt#REC-00944-19 $9,335.49
Add/Alter Ducts $131.32 Cash/Receipt#REC-003027-2018 $7,876.80
Building Issuing Fee $47.01
Building Permit Fees $7,503.00 Amount Due: $0.00
Ili
Building Plan Review Fee $4,876.95
Cal Green Plan Check $487.70 r ) 2 • 2•
)q
Clothes Washer $62.30 I
Commercial T.I.Fire Plan Chk. $280.00
Commercial service 200 to 1000amps $62.13
Electrical Permit Issuance Fee $47.01 CALLS FOR INSPECTIONS
Energy Plan Review Fee $1,500.60 Retluest for inspection by telephone at 626-574-5450. Leave a message
Floor Drain Fee $24.92 requesting the address,timeframe and what inspection item is needed.
Floor Sink $12.46
Green Building Standard $41.00
Kitchen Sink $24.92 This permit/plan review expires by time limitation and becomes null and
Lavatories $24.92 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
Outlets-Receptacles&switches $146.80 from the date of plan submittal.This permit expires and becomes null and
Plumbing Permit Issuance Fee $47.01 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: $17,212.29
y . April 11, 2019
Issued By: Date
April 15,2019 Page 1 of 1
id fin- PERMIT/PLAN REVIEW APPLICATION "
@1 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 d effect. n�, ❑ I have and will maintain a certificate.of consent to self-insure for workers'
License Class Z:, License No. c J4 Exp. Date 4G/3m/
�Signan,re of Contractor compensation, as provided for by Section 3700 of the Labor Code, for the
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
❑ 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, I Carrier C CIA MC2C c A tiD I UDmJSTQy 114MA.ts.'
demolish,or repair any structure,prior to its issuance,also required the applicant
G.
for such permit to file a signed statement that he or she is licensed pursuant to the Policy Number C Q 4;TOGS
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 there from and the basis for the alleged exemption. Any violation of
Section 70315 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 complylywith those provisions.
compensation,will do the work,and the structure is not intended or offered for 1 Date Dt!i J/4 9 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 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 CONSTRUCTION LENDING AGENCY
Code:The Contractors License Law does not apply to an owner of property
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. tc-(
Name a D0,,,,eTitle 1..- 1---
PRINT NAME
certify that I have read this application and state that the above information is cor ct 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 onstruction. I hereby authorize representatives of the City of
Arcadia to enter upon the above- boned property for inspection purposes. �j
ignature
kte /<:57////
• SZ E. /0T1,46110-, ))2
NOTES „- . . -.
Building Inspections Date Insp. Plumbing Inspections •Date Insp. �+ Al - /g - 2. ' 9 D
100. Setbacks 210. Under fir/bldg.drain �--0 I/
101. Rough grade 211. Copper underslab �1 /�
102. Figs.&fors 212. Rough plumbing 11/7-// toiGr 6E t Wr,F. 'Leo,,,, -2'b cat
103. Pre-slab 213. Rough gas rr
104. Floor joists 214. Shower pan 'f'teA^"'a d+ t R•C1.-c t A.Peto..res a E^.r"16
105. Steel 215. Water heater etrw f�,y%S lb", A.pp(LJ k L .
106. Grout lift 216. Roof drains ''//
107. Shear nailing 217. Building sewer T•3o 11 2^o ,off (j/r,FC¢D La1.i_ -rataw<
108. Diaph nailing 218. Water service APpro✓ee pe..A.tir, Appts✓Ct f'1AJre.J. fr-
109. Roof nailing 219. Anal gas
110. Framing 220. Fixtures S 2•/7 U/F ftnst rrva a law t4114oen5 ��
111. OcciAreaSept.Wall 221. Final plumbing lZ2.19 -1.-- 5•319 Pak-Sim, pMe.tfw,x@!S/'lAgosS W-
112.
112. Sound walls 222. Sewer cap/demo.
113. T-bar.rid S'8•19 (7)fib9 Pppi‘it, @6aileJEJ Cefilan- 5
114. Insulation-Hr. Pool Inspections Date Insp. 5.11.7•f`j u4 sirs(2-- L es.rr.. - F w e., R. ace,
115. Insulation-Wall 240. Excavation/steel
116. Insulation-Ceil. 241. Rough plumbing Q.9tu ye (1.frYZw's #/Susi Nei) CFYtEX -1-4145
117. Drywall nailing 242. Light shell/bonding 4'PAzDveo To 0.,vevt. fs--
118. Interior lath 243. Underground conduit /G.,
119. Exterior lath 244. P-trap 5-.2/41D- /`'A'r'`e evJiw tlr. xc F
120. Finish grade 245. Gas line&test 4/yr/✓fisn J ,4ppe!o vra.
121. Final building 12-Lis 246. Fence,gates&signs x.23.19 Aw+bM7o.-19-44 @ iAvNORAi cg--'
122. Final demo/lot clear ,247. Pool heater
248. Anal electric 6.'/.19 u/F Pt vnar.+y s$/rnrr394144._ e_.
Electrical Inspections Date Insp. 249. Final.lumbin.
150. Power pole 250. Pool cover ID ( Ape/2.,„,„-i,151. Sales lot lighting 251. Pool final C.(0'(9 ger ietP1iettovez e kerma r7 I •__
152. Under.round conduit
153. Underslab conduit Remo'Inspections ' Date Insp. G 11.11 •u�.JM7o.J ,slid a .Q2.-�4KF�tSr �
154. UFER ground 270. Pre-reroof insp. 611.•(9 u4 (o4)olr ,CR-LAv,..>)171 S`✓G. .-
155. Water ground ,271. Root framing 6.v149 E.-Arai- /Ng Yt,oL �.1++rv4 @//lvdbk
156. Rough electrical 272. Sheathing nailing /
157. Fixtures 273. Final reroof 4,•I6•(r1 /Z. guta L4VuDn7 Appaptio 71. (-ilex_
158. G.F.C.I. 7-/o•f? o 70 - • S/an r,ci*sr Est.edict
159. E..f.bondin. Sign Inspections Date Insp.
160. Service panel 280. Setback/overhang N4-ILr OP fltszob A•PPgoLieD-Cgt--
161. Final electric 12.2.0 4' ` t ' 281. Footing %7•12-l'q Urr S 7ucco Len" - E,2r ohten_ prim_
.
282. Conduit/wirin. �-
Mechanical Inspections Date InspEN
. 283. Disconnect 4n/to;r b & Q2Kfrar-
180. Venting/lue 284. Anal sign {6-/% 477c.M! Abht/ A/Oa/Mwa&& @. c-s --
-
181. Furnace/A.C.
182. Routh HVAC Miscellaneous Insp. I Elate Insp. frvtiNL wAtu. £oF of FI/le* ,}.1e/bdty Te
183. Fire dampers 290. Fre alarm , yt. VF Q/,NS,•..r,@ /-.raced Appove9 7,-
184. Furnace compartment 291. Underground supply
185. Combustion air 292. Fire sprinklers A'odhir-�7E
.l1"3"2'
186. Smoke detectors 293. Monitor system )./g./9 .6Mec'Jr 712v5S 94.tvt6, /L/rulrw
187. Metal F.P.rough 294. Hood dry chem. �y
2.nee iii�r•e TRavc/ ,Mc tF Fiu+.,,.itr "f'fner7 57
188. Compressor setback 295. Anal l(
189. Commercial hood 7.220? Ram, Ali a Jutrl E_Vet-erre-A) S-
190. Duct shaft Sewers&Offsite Insp. Dale Insp.
191. Final mechanical (2.2.19 CI--- 300. Lateral(main to P/L) �'Z�(9 a2.74/42/..- L k?,TC :✓ /f/sc'w- 8L
301. SaddleN t7.14.11 t%srtLinr4,tarce g2e 'Z6t-sr
Block Wall Inspections ' Date Insp. 302. Cess...1 filled
Open,'mi• ?L--
200. Footings 303. Sidewalk
201. SteeVrebar 304. Driveway $1-7f5Nnt- I tr'64.ws M?1oved (C,t
202. Ground! 305. Curb replacement
/inn/ �],,,, '/
203. Final wall 306. Trash bin r i ten/ 471. °vs�/ctn.-a H rate,
820.1( J(q<. tli4 olU'( @ A-...NfN4
flJ'/l -'e-,4 e thew-Kr-or ter.brig__-
doaoot City of Arcadia, CA PermriNO.TI-19-0117
t
117,/ Development Services Department ti permit type:Tenant Improvement
#+ is 240 West Huntington Drive,Post Office Box 60021 `-'.-! #.J I Worm:Classi catfon:Tl-Interim Demolition
1 f$ Arcadia,CA 91066-6021 ��II fi
r 1 — l (626)574-5416 - Permit status:'..Issued
ARCADIA Isspepate:01/16/2019 f Expiration: 07/15/2019
Addr NO. Dir Prefix Street Name Street Suffix Unit City,State,Zip Parcel Number
321 E Huntington DR Arcadia,CA 5773009064
Contacts
BRE NEWTON HOTELS PROPERTY Owner BRAD BIELENBERG Owner
OWNER LLC SIMPSON THACHER
BARTLETT LLP (602)361-8215
425 LEXINGTON AVE,NEW YORK,NY 10017
Description:INTERIOR DEMO ONLY. OFFICE AREA,FRONT Valuation: $ 500.00 Tenant 3240
REGISTRATION AREA ANO 2ND FLOOR.
Total Sq Feet: 0.00 Plan Check# Plan k
Fees Amount Payments Amount Paid
Accessibility Plan Check $3.97 Total Fees $140.66
Accessiblity Building Permit $4.07 Cash/Receipt U REC-00149-19 $140.66
Building Issuing Fee $47.01
Amount Due: $0.00
Building Permit Fees $40.65
Building Plan Review Fee $26.43 '
Cal Green Plan Check $2.65 Energy Plan Review Fee $8.13 GUflIPLETEO
Green Building Standard $1.00
Solid Waste Management Fee $6.25
Strong Motion Inst.Program Corn $0.50
CALLS FOR INSPECTIONS
Total: $140.66 Request for inspection by telephone at 626-574-5450. Leave a message
requesting the address,timeframe and what inspection item is needed.
�NA212-2!-Ii 49'--
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.
January 16, 2019
Issued By: Date
January 16,2019 Page 1 of 1
•
1 PERMIT/PLAN REVIEW APPLICATION
lap
ft* Development Services Department,240 West Huntington Drive, Post Office Box 60021
\ /.•
"m•=�,>=+N 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 U I have and will maintain a certificate of consent to self-insure for workers'
License Class License No. Exp. Date 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
0 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
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 t
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,will do the work,and the structure is not intended or offered for t,�ate (a� (('1 Signature ���(/ i ___sale(Section 7044,Business and Professions Code:The Contractors License 'I 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 to one
completion,the owner-builder will have the burden of proving that he or she hundred thousand dollars($100,000),in addition to the cost of compensation,
did not build or improve for the purpose of sale). damages as provided for in Section 3706 of the Labor Code, interest, and
attomey's fees.
❑I, as owner of the property, am exclusively contracting with licensed
contractors to construct the project(Section 7044,Business and-Professions
Code:The Contractors License Law does riot 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.
•
Mame f517-4S-D jta)l'et *-14 Title Pl-OtIt-t 't4M4ACTEF -
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 upe above-men siiiikkThoperty for inspection purposes.
tgrt re See d � .ate\��WA Date 7. /A ) '7
CoQ SCity of Arcadia, CADev _ J Permit NO. FIRE-19-0793
rtment
240WestHuntington ent sDr Drive,Post Office Box 60021 �� fir_ 1 i p.'c i S~, 'f' i ' Permit Type:Fire
Arcadia,CA 91066-6021 r)� h Work classih'cotlon:Fire,Sprinkler
(626)574-5416 - _ - - - - PermitStatus:Issued
ARCADIA IssueDate:05/14/2019.1 Expiration: 10/22/2019
•
Addr NO. Dir Prefix Street Name Street Suffix Unit City,State,Zip Parcel Number
321 E Huntington DR Arcadia,CA 5773009064
Contacts
BRE NEWTON HOTELS PROPERTY Owner JOHNSON CONTROLS FIRE PROTECTION Contractor
OWNER LLC SIMPSON THACHER LP'
BARTLETT LLP
425 LEXINGTON AVE,NEW YORK,NY 10017 (562)405-3842
Description:RELOCATE 11 SPRINKLERS,REMOVE 3 AND 8 Valuation: $ 5,800.00 Tenant
SPRINKLERS
Total Sq Feet: 0.00 Plan Check#19-793 Plan#
Fees Amount Payments Amount Paid
Fire Issuance $47.01 Total Fees $498.46
Fire Permit Fees $170.45 Cash/Receipt#REC-01198-19 $218.46
Solid Waste Management Fee 2 $1.00 Cash/Receipt#REC-01065-19 $280.00
Sprinkler Heads $280.00
Amount Due: $0.00
Total: $498.46
FNM, 12.2.14`3,..-- COMPLETED
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.
( 7111111119
May 14, 2019
Issued By: Date
May 14,2019 Page 1 of 1
,F Art
ulF",„y<.
k04 I'' PERMIT/PLAN REVIEW APPLICATION
S's01' Development Services Department,240 West Huntington Drive,Post Office Box 60021
%wryat„° Arcadia, CA 91066-6021, (626) 574-5416,Fax(626) 447-9173
City of
Arcadia
LICENSED CONTRACTOR'S DECLARATION WORKERS'COMPENSATION DECLARATION
4-Thereby 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
ofessions Code,and my license is in full force/' and effect �/ ❑ I have and will maintain a certificate of consent to self-insure for workers'
C
Class License TIo 9 cillo h7'Exp ate v 3f/i)' compensation, as provided for by Section 3700 of the Labor Code, for the
mf Co�-ac—-' -i0 r-c, n.‘?..7,t•-•te-t:1-ryw• ::.t c-ra; performance of the work for which this permit is issued.
•
OWNER-BUILDER DECLARATION AI have and will maintain workers'compensation insurance,as required by Section
t
0 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 rsre:
License Law for the following reason(Section 7031.5,Business and Professions is issued.My workers'pcompensation insurance carrier and policy numbers are:
Code.Any city or county which requires a permit to construct,alter,improve, t Carrier Oki R o,pU to lt L �-''t Su v a„Ce Conn po n y
demolish,or repair any structure,prior to its issuance,also required the applicant Policy Number 4/1141 3 13 9 4 3 o O /
for such permit to file a signed statement that he or she is licensed pursuant to the
provisions of the Contractors License Law(Chapter 9(commencing with Section (This section need not be completed if the permit is for one hundred dollars or less)
7000)of Division 3 of the Business and Professions Code)or that he or she is
exempt there from and the basis for the alleged exemption. Any violation of Q-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 Ra fonhwith wmply with those provisions.
property, or my employees with wages as their sole r�kxtifl n;
compensation,will do the work,and the structure is not intended or offered for Dare S/)V AD/9 Signature � ���
sale(Section 7044,Business and Professions Code:The Contractors License ; QQQ
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 CONDLTIONS 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.
sl e U ✓e k �iS-C l ! OT e3' evl f
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.
�S true P:c0f
�� lfit 5/1 4 0 r 9
'Aviv
\0, City of Arcadia, CA t{ FIRE-19-233E
Development Services Department -1 '"•'S "'�t"( t Permit Type Fire
240 West Huntington Drive,Post Office Box 60021 { ca I
Arcadia,CA 91066-6021 ` (- Work Classification Classification-Fire-Sprinkler
(626)574-5416 +
:Permit SrgluS Issued
ARC:AgDIA -- issueDate 11/25/2019`1 Expiration:
Addr NO. Dir Prefix Street Name Street Suffix Unit City,State,Zip Parcel Number
321 E HUNTINGTON DR Arcadia, CA 91006-3747 5773009064
Contacts
BRE NEWTON HOTELS PROPERTY Owner JOHNSON CONTROLS FIRE PROTECTION Contractor
OWNER LLC C/O PROPERTY TAX-HOTELS LP*
321 E HUNTINGTON DR
(562)405-3842
Description:ADD TWO HEADS TO EXISTING SPRINKLER SYSTEM Valuation: $ 500.00 Tenant
Total Sq Feet: 0.00 Plan Check#19-2336 Plan#
Fees Amount Payments Amount Paid
Fire Issuance $47.01 Total Fees $368.66
Fire Permit Fees 540.65 Cash/Receipt#REC-03177-19 $88.66
Solid Waste Management Fee 2 $1.00 Cash/Receipt#REC-03116-19 $280.00
Sprinkler Heads $280.00
Amount Due: $0.00
L Total: $368.66 q
'(i Null—
11-7 •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.
0
COPLETgp
November 25, 2019
Issued By: Date
November 25,2019 Page 1 of 1
°a. PERMIT/PLAN REVIEW APPLICATION
it+ 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 tICENSED 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. ID I have and will maintain a certificate of consent to self-insure for workers''
License Class cense No. Exp. Date compensation, as provided for by Section 3700 of the Labor Code, for the
Performance of the work for which this permit is issued.
Signature of Contractor _ to i
WNER-BUILDER DECLARATION ISI have and will maintain workers'compensation insurance,as required by Section
I hereby affirm under penalty of perjury that I am exempt from the Contractors3700 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 1
demolish,or repair any structure,prior to its issuance,also required the applicant —.a..for such permit to file a signed statement that he or she is licensed pursuant to the Policy Number @d
provisions of the Contractors License Law(Chapter 9(commencing with Section (This section need not be c mpleted-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
I, as owner of the ro forthwith comply with those provisions.
p perty, or my employees with wages as their sole
compensation,will do the work,and the structure is not intended or offered forIJ) t
sale(Section 7044,Business and Professions Code:The Contractors License Date lac 1Sign '' ��6?��t.Jl_
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 . d hall 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 huni r thousand dollars($100,000),in addition ro 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 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. r � I ^
N e�U�f� U��-sZ Title �r tll-ec Crn cL
PRINT NAME 1
I ertify that I have read this application and state that the above information is correct and that I am the owner or duly authorized agent of the owner.
I agree to comply with all City ordinances and State Laws relating to building construction. I hereby authorize representatives of the City of
A radia to en
er upon the above-mentioned property for inspection purposes.
Sig amre C 072- ^/*f Date I I /Z.r I 1 G/
4.1.00,1FORN, 40
•'=ry . Kf
04,
MEMORANDUM
Fire Department
DATE: October 1, 2019
TO: BUILDING DEPARTMENT
INSPECTOR Jeff Wang
FROM: FIRE DEPARTMENT
SUBJECT: FIELD INSPECTION
ADDRESS: 321 E. Huntington Drive
THE FOLLOWING ITEMS WERE CHECKED FOR CONFORMANCE WITH APPLICABLE FIRE
DEPARTMENT REQUIREMENTS:
TYPE OF INSPECTION DATE / INITIAL
FINAL INSPECTION
FIRE SPRINKLERS 8-12-2019 Jill Perumean
FIRE ALARMS
TANKS
HOOD & DUCT
KNOX BOX
OCCUPANCY 9-30-2019 Lili Huang
COMMENTS:
Emailed Bldg. Dept. 10-1-2019 Rita
Arcadia Fire Department
� pEPARlgr � ER Permit Number 250514 Permit Date 12/14/2018 12:00:00 AM
CO)CConstruction Effective Date
ARCADIA Permit Type Commercial Building 12/14/2018 3:16:36 PM
ARCADIA FIRE DEPARTMENT Tenant Improvement
FIRE PREVENTION BUREAU
710 SOUTH SANTA ANITA AVENUE Created By Chen, Rita Expiration Date 6/14/2019 3:16:36 PM
ARCADIA,CA Authorized Date 1/1/1900 12:00:00 AM Authorized By
(026)574-5104 3104 (6(026)405-1010 FAX
Site Information Billing Information
CONSTRUCTION: 321 E. HUNTINGTON DRIVE 18-
2197
321 E Huntington DR
Arcadia, CA 91006
Point of Contact
Sergio 720-275-7378
Permit Notes:
PC# 18-2197
Permit Form.` 4°
Form: Commercial Building Occupancy Final
Description: Commercial Building Occupancy Final
Permit Topics:
Plan Check Submittal
Application Date
Date
Status:
Notes:
Plan Check#
pc#
Status:
Notes:
Contractor Information
Information
Status:
Notes:
Job Description
Description
Status:
Notes:
Printed_on_9/30/19..at 10:21:13 Y — Page 1 of 4i
Job Valuation
Valuation ,
Status:
Notes:
Plan Review Status
Approved/Not Approved
Status:
Notes:
Exit Signage
Pass
Pass
Status: Approved
Notes:
Fail
Fail
Status:
Notes:
N/A
N/A
Status:
Notes:
Exit Doors
Pass
Pass
Status:Approved
Notes:
Fail
Fail
Status:
Notes:The gates need to swing in the direction of travel and have either panic or lever type hardware.
Exit Locking Devices
Pass
Pass
Status: Approved
Notes:
Fail
Fail
Status: Approved
Notes:
Emergency Lighting
Pass
Pass
Status: Approved
Notes:
Fail
Fail
Status:
Notes:
[P_rinted.on 9/30/1_9 at 10:21:13� '� i Page,2 of 41
N/A
N/A
Status:
Notes:
Fire Extinguishers .. " :""
Pass
Comments
Status:Approved
Notes:
Fail
Comments
Status: Approved
Notes: Replace broken extinguisher by guest laundry
'T.. • n..:d' '4 :. w ti
Address/Suite Number :�,_ ,,•., .n. , . �� - :-tea ,
x. .
Pass
Comments
Status: Approved
Notes:
Fail
Comments
Status:
Notes:
Fire Resistive Assemblies
Pass
Pass
Status: Approved
Notes:
Fail
Fail
Status:
Notes:
N/A
N/A
Status:
Notes:
Fire Lane °a
Pass • :� . _ a: .- . . .. - _.
Pass
Status:
Notes:
Fail
Fail
Status:
Notes:
N/A
N/A
Status: Approved
Notes:
moo _ �, -
lP_rioted_ona9/.3t!/19,at 10:2J 13. u�° , _._ rY Page 3_of 4;
Knox Box
Pass
Pass
Status:Approved
Notes:
Fail
Fail
Status:
Notes:
N/A
N/A
Status: Approved
Notes:
Other
Fail
Fail
Status: Approved
Notes: Mark the exit path from the rear dining exit to the sidewalk as indicated on the plans.
N/A
N/A
Status:
Notes:
Pass
Pass
Status:
Notes:
Closing Notes:
Issued By:
Name: Huang, Lili
Rank: Fire Prevention Aide
Email(s): Ihuang@arcadiaca.gov
Signature Date
'Ranted on 9/30/19,.at 10:21:13 _ Page 4 of 4;
•
=DCIMIR
E n G I n E E R S
g Washington
Oregon
ho
$ California
c
xas
-`m aka 5/16/2019
as
5 Colorado Project:Residence Inn,Arcadia
Montana 321 East Huntington Drive
Arcadia,CA 91006
Dear To Whom It May Concern:
For the Residence Inn,Arcadia project,sheet 52.01,it's structurally acceptable to use a CBSQ66 in lieu of an
HDU8 for the 6x6 post closest to the business center.
Sincerely,
DCI Engineers
Mathew Picardal, PE
Q%QFESS/�
OSP BI06L
(thg
I-1 No. 54:' 2
Ve • p. ,
LPe9 s'T/i'UCTOtr �Q
OF CAVAL
2600 Michelson Drive,Suite 930 Irvine,CA 92612(949)692-4950
Service Innovation Value
AREA
STRUCTURAL INSPECTION
AND TESTING INC.
1215 North Dominion Avenue • Pasadena, California 91104 • (626) 487-1488 •Area4lnc@aol.com
JOB NO: DATE: 9- 4 - 19 PERMIT NO: / a/ ? 7
PROJECT: IItroczfe-R.c. -arm c2 -0 &,j ❑CONCRETE ❑ POST TENSION El MASONRY El OTHER
ADDRESS: 32 /3,._11,1:24,4„,,Aitieeotha, GEN. CONTRACTOR:
OWNER: SUB CONTRACTOR:
ARCHITECT: CONCRETE SUPPLIER:
ENGINEER: pC 7. i tapnicpV REINFORCEMENT SUPPLIER:
REINFORCEMENT INSPE ED BY: DATE INSPECTED:
Locations of Work Inspected, Work Rejected, Problems, Progress, Remarks Etc: &riot t �n 012
c
S�/��3T.� '' nAP di tttn--Ai azneucii Add .9uvn Hyl.rdi.a-,r,/Le�Gal.onto , yr..ca6-
,�/n.l'E/IG11 ��.tlineleU[ 7 fI'/YI .Gtc di-ru- a/LQGY LAYiGa 7 4. "*Due�CJ I
�I deem, nf.n(� d °AZ 't ti F Ate,53, I � .rk d ao - - i
o� 06 � 4 ./ZPio ii h r /.tm-,a ,.n i of rk S-y aLGm ,Ato(o
LOCATION SAMPLED
DESIGN STRENGTH
MIX DESIGN
CEMENT TYPE
TICKET NO.
SLUMP
AGE TO BE TESTED: @ 7 DAYS, @28 DAYS, @ DAYS, OTHER:
INSPECTOR'S NAME: rn-ei {ran? $©/nt 7 SIGNATURE: AlLee(d
TERMSOO DAYS.ALL REPORTS WILL GEHELD UNIX ALCO(WT IS MUD IN FILL SEAWCES BILLED AT AND B HOUR MWIMLAAS,WITH A 4 HOUR CHARGE FOR CAN SAND
TWE AND A HALF FOR SAR/RDAYS SHOULD AREA,INC BE REQUIRED ID INSTITUTE LEGAL ACTION FOR THE COLLEC CN OFA DEBT INCURRED AS A RESULTYOUR ACCEP.
LACE OF THIS REPORT;AREA 1 LNG WILL BE ENTITLED TOARORNEY FEES AND COSTS INCURRED IN SAID SLUE THIS RSD REPORTPRESFMS A SUMMARY OF OBSERVATKWS AND
TE NG BY AREA 4 WG PERSLNWEL DIM WORK DOES NOT INCLUDE SUPERVISION OR DIRECTION OF TNEACTUAL hQQK OF THE COIGRACLOR HIS EMPLOYEES.OR AGENTS THE
CONTRACTOR SHOULD BE INFORMED THAT NETHER THE PRESENCE OF OUR FIELD REPRESENLARVE NOR THE OBSERVATION AND TESTING BY OUR FIRM SHALL IXCUSE HIM W ANY
WAY FOR DEFECTS DISCOVERED IN HIS WORK ITIS UNDERSTOOD THAT OUR RAM WILL NOT BE RESPONSIBLE FOR JOG OR SITE SAFETY ON THIS PROJECT.
NO. OF HOURS REGULAR: OVERTIME: AUTHORIZED BY:
AREA
STRUCTURAL INSPECTION
AND TESTING INC.
1215 North Dominion Avenue • Pasadena, California 91104 • (626) 487-1488 •Area4lnc@aol.com
JOB NO: DATE: S Y 19 PERMIT NO: / $-a/97
PROJECT: /2/14.4-671.a ,4mot aveocao /:t CONCRETE ❑ POST T NSION El MASONRY ❑OTHER
ADDRESS: lgj E, Jute GEN. CONTRACTOR: . £ 7 &E cnttfrn
OWNER: SUB CONTRACTOR:
ARCHITECT: CONCRETE SUPPLIER:
ENGINEER: D C / 4O REINFORCEMENT SUPPLIER:
REINFORCEMENT INSPE ED BY: ateno1 r CcC,( nzrtr... n, DATE INSPECTED: 5 / 7 - 19
Locations of Work Inspected, Work Rejected Problems, Progress, Remarks Etc: p,tscaniam,' off
(�2 P 4n ilio "Ma/ Oetc(Iur tofX(0
I Aledi Oil 'nee pan
China ° .p/P./ s 3 ,! 6n, it 4 AwAtivutVAnrnrl
•
•
LOCATION SAMPLED iUmti oficittten
DESIGN STRENGTH 90m, U
MIX DESIGN k-.5- c.) P 1/22
CEMENT TYPE
TICKET NO. 390
SLUMP I'
AGE TO BE TESTED: @ 7 DAYS, .3 @28 DAYS, @ DAYS, OTHER:
INSPECTOR'S NAME: �}�K if n n7 ,46-0/667 SIGNATURE: t7t
TEULS,DY DAYS.ALL REPORTS WLLL BE HELD UNTIL ACCOUNT IS KO IN FULL SERVICES BILLED AT AND 8 HOUR MLWIMOMS,WITH A.HOURE FOR CAN OMS AND
TIME AND A HALF FOR SATURDAYS SHOULD AREA 4 INC BE REWIRED 70I TIME LEGAL ACTION FOR THE COLLECT!.OFA DEBT INCURRED AS A RESULT OF ACCEP-
TANCEOFTHIS REPORT!AREA 4 INC MU BE ENTITLED 7O ATTORNEY FEES AND COSTS INCURRED IN SAID suit YMS FIELD REPORT PRESENTS A SUMMARY OF OBSERVATIONS AND
TESTING By AREA YAG PERSONNEL OUR WORK DOES NOT INCLIDE SLPERWSIOV OW DIRECTION OFUEACT[H(WORK OF THE CONTRACTOR HIS EMPLOYEES OR AGENTS THE
COIIRACTDR SHOULD SE INIORLLED MAT NEITHER THE PRESENCE OF OUR FIELD REPRESENTATIVE AYR THE OBSERVATION AND TESTING BY OUR FIRM SHALL SOUSE HIM IN ANY
WAY FOR DEFECTS LKSCOVFAID IN HIS WORK RIS UNDERSTOOD THAT OUR FIRM WILL war SE RESPONSIBLE FOR;JOB OR SITE SAFETY ON TMS PROJECT:
NO. OF HOURS REGULAR: OVERTIME: AUTHORIZED BY:
, i
,
„. •,„
AREA
STRUCTURAL INSPECTION
AND TESTING INC.
1215 North Dominion Avenue • Pasadena, California 91104 • (626) 487-1488 •.Area4lnc@aol.com
JOB NO: ,.1 DATE:; 6 t-/ 7 PERMIT NO: /4 - /9 7
PROJECT: hotehPvt�cQ.'IM9t ie.4,eq IRCONCRETE
CONCRETE ❑ POSTTENSION❑MASONRY ❑OTHER
ADDRESS: ) zglintreirjedy GEN. CONTRACTOR: .-eti,d ge
OWNER: SUB CONTRACTOR:
ARCHITECT: CONCRETE SUPPLIER: _ ua-./vmtc °I&q4,
ENGINEER: 4.i,(vi 0/2441 REINFORCEMENT SUPPLIER: 0
REINFORCEMENT INSPECTED BY: /lAceasei O e6% DATE INSPECTED:
Locations of Work Inspected, Work Rejected, Problems, Progress, Remarks Etc: j0 .caayen/
Can ew.6 t se, tm (/ /.ai dad 10 of o h S S c, r
.24 " 140,-, �,Q
LOCATION SAMPLED
DESIGN STRENGTH (1 z-/E)
MIX DESIGN
CEMENT TYPE "
TICKET NO.
SLUMP S "
AGE TO BE TESTED: @ 7 DAYS, 3 @28 DAYS, @ DAYS, OTHER:
INSPECTOR'S NAME: (Tre99 Fan7 .l CIO&7 SIGNATURE:
TERMS:30 DAYS.ALL REPORTS WILL BE REID UNTIL ACCOWT IS RAID IN FULL SERVICES BILLED ATI AND B HOUR MWWUMS.WITH A 4 HOUR E FOR C-ANCSaNS AND
TWE AND A HALF FOR SATURDAYS.SHOULD AREA 4 INC BE REONRED TO INSTITUTE LEGAL ACTION FORME COLLECTION OFA DEBT WCURREDAS A RESULT OF YOUR ACCEP.
LANCE OFTNIS REPORT.AREA 4 INC MU.BE ENTITLED TVATTPRNEY FEES AND CTSS INCURRED IN SAID SUR.THIS FIELD REPORT PRESENTS A SUMMARY OF 005ERVATCNS AND
TESTING BY AREA 4 WC PERSO.WIEL OUR WORK DOES NOT INCLUDE SUPERVISION OR DIRECTION OF THE ACTUAL WORK OPINE OONTRAC)UR HIS EMPLOYEES.OR AGENTS THE
CONTRACTOR SHOULD BE W ORMED.T THAT NEMER THE PRESENCE OF OUR FIELD REPRESENTATNE NOR THE OBSFR✓ATKIN AND TESTING BY OUR FIRM SHALL EXCUSE HIM IN ANY
WAY FOR DEFECTS DISCOVERED IN HIS WORK IT IS UNDERSTOOD THAT OUR FIRM WILD.NOT SE RESPONSIBLE FOR.KIS OR SITE SAFETY ONN TICS PROJECT
NO. OF HOURS REGULAR: OVERTIME: AUTHORIZED BY:
•
A R EA
STRUCTURAL INSPECTION
AND TESTING INC.
1215 North Dominion Avenue • Pasadena, California 91104 • (626) 487-1488 •Area4lnc@aol.com
•
JOB NO: DATE: 7-/0-/9 PERMIT NO:
PROJECT: 97ln4AAf'# t,,,r,.la-4. e .Q17.4Y1 ❑CONCRETE ❑ POST TE Sf� ION ❑MASONRY El OTHER
ADDRESS: 302 I L ,dc,As7i nnZVrT ,,Qttt4 GEN. CONTRACTOR:
OWNER: 1(j/ SUB CONTRACTOR:
ARCHITECT: CONCRETE SUPPLIER:
ENGINEER: gedirQ/,T„t ,8carin*e1 REINFORCEMENT SUPPLIER:
REINFORCEMENT INSPECTED BY:+ DATE INSPECTED:
Locations of Work Inspected, Work Rejected, Problems, Progress, Remarks Etc:
Si : Ni _' ,: 4A al�.•.A !i� __. .l � :.. jiz_a �L_i.�. �• d. !JI
L< . .. � LC.
JL A . %>.�.� .:_+. iL .s-. . .11i .✓/t .RA• I � -' Y•ylAl .
t l I •
4 A...� i .. .! i .J._v ami /_. . wiI-' i_ .
.
•
LOCATION SAMPLED
DESIGN STRENGTH
MIX DESIGN
CEMENT TYPE
TICKET NO.
SLUMP
AGE TO BE TESTED: @ 7 DAYS, @28 DAYS, @ DAYS, OTHER:
INSPECTOR'S NAME: Crrr icVIL3al9 .tTF 0 1 O(07 SIGNATURE: dree
TETRMS:30 DAYS ALL REPORTS WILL BE HELD UMILACCOWJT LS RAO IN PULL SERNCESBI(LED AT AND HOUR MWIMWCS,WITH A 4 HOUR E FOR CANE SAND
WE NO A HALF FOR SATURDAYS SHOULD AREA 4 INC BE REaRRFD TO INSTITUTE LEGAL ACTION FOR THE COLLECTION OFA DEBT INCURRED AS A RESULT OF AOCEP.
MACE OF THIS REPORT:AREA 4 INC WILL BE ENTITLEDID ATTORNEY FEES AND COSTS INCURRED IN SAID SUM THIS RBD REPOT/TEE-CENTS A SUMMARY OF OBSERVATIONS MO
TESTING BY AREA•wa PERS WNEL OUR WDRKDOES NOT INCUOE SUPERVISION OR DIRECTION OF THE ACTAL WORK OF THE COMRACTOR HIS EMPLOYEES.OR AGENTS THE
CONTRACTOR SHOULD BE WARMED THAT NEITHER THE PRESENCE OF OUR FIELD REPRESENTATIVE NOR THE OBSERVAT ON AND TESTING BY OUR FIRM SHALL EXCUSE MM W ANY
WAY FOR DEFECTS DISCOVERED IN HIS WORK IT IS UNDERSTOOD THAT OUR FIRM WILL NOT BE RESPONSIBLE FOR JOB OR SITE SAFETY ON MS PROJECT, .
NO. OF HOURS REGULAR: OVERTIME: AUTHORIZED BY:
A R EA
STRUCTURAL INSPECTION
AND TESTING INC.
1215 North Dominion Avenue • Pasadena, California 91104 • (626) 487-1488 •Area4lnc@aol.com
JOB NO: DATE: 4 -41'I9 PERMIT NO: /8 o 117
PROJECT: vie(an o J?.rn+ pCONCRETE El POST TE SION ❑MASONRY El OTHER
ADDRESS: 14,1 / E ontzarifem 9&urtio GEN. CONTRACTOR: 1,4249
OWNER: SUB CONTRACTOR:
ARCHITECT: 4%o-r3 ciean-itti CONCRETE SUPPLIER: fethvbradyfry 61.44244-
ENGINEER: REINFORCEMENT SUPPLIER:
dln�,.r&
REINFORCEMENT INSPECTED BY: c,L j it/H/fge.I/T, DATE INSPECTED: (o-j l • J
Locations/�,,�,��of��rWork�� /�IIns,p�e./cted,/Work Rejected,ec- Problems,AIProgress, Remarks Etc:
(vnc4a4 757 •A C' 61A -(7)%e 9 ,Qt? Oat 4'L[ela and .-Aoc /Lerr7si
•
•
LOCATION SAMPLED " / /Lanni t /246 — � ,(D
DESIGN STRENGTH $O a _
MIX DESIGN 6,5-0 Et A/ 3D1SCP
CEMENT TYPE
TICKET NO. 4(541 3 f g
SLUMP 5"
AGE TO BE TESTED: @ 7 DAYS, 3 @28 DAYS, @ DAYS, OTHER:
INSPECTOR'S NAME: C-n-e760,17 *f-CI067 SIGNATURE:
TELiKS:XDAYS.ALL REPORTS WML BEHELD LIMR ACCOUNT 15 FWD IN FULL SERVICES BILLED ATI AND 8 HOUR MINRR.W$WITH A 4 HOUR OMAFGE FOR ELLATPOHS AND
DUE AND A HALF FOR SATURDAYS.SICCED AREA 4 INC SE REWIRED 70 INSTOLTE LEGAL ACTION FOR PC COLLECTION OFA DEBT INCURRED AS A�KWR ACCEP•
WCE OF Pits REPORT;AREA 4 INC WILL BEBNMLED7DAfl0'.4NEY FEES AND COSTS INCURRED INSAID SRC THIS FIELD REPORT PRESENTS A SUMMARY OF OBSERVATIONS AND
TESRNO BY AREA INC PERSONNEL OUR NORM DOES NOT INCLUDE SUPERVISION OR DIRECTION OF THE ACTUAL WORK OF THE CONTRACTOR HTS ESIPLOYEES.OR AGENTS THE
CCWTRACJDR SHOULD BE INFORMED THAT NETHER THE PRESENCE OF OUR FIELD REPRESENTATIVE NOR THE OBSERVATION AND TESTING BY OUR RSM SHALL EXCUSE Him W ANY
WAY FOR DEFECTS DISCOVERED IN HIS WORK R IS UNDERSTOOD THAT OUR FIRM WILL NOT BE RESPONSIBLE FOR.KIS OR SITE SAFETY ON MMS PROJECT.
NO. OF HOURS REGULAR: OVERTIME: AUTHORIZED BY: