HomeMy WebLinkAboutUntitled otaiiiCity of Arcadia, CA Permit NO MEP-19-1686
e Development Services Department f ~° * �, ;� Permit Type:MEP
{ 240 West Huntington Drive,Post Office Box 60021 1 `'' i i '3
2rcadia,CA 91066-6021 cll m t n t t rt/✓ork Classification: -Commercial
F (626)574-5416 - �. .. . Permit Status:Issued
ARCADIA • Issue bate,08/23/2019' Expiration:
Addr NO. Dir Prefix Street Name Street Suffix Unit City,State,Zip Parcel Number
150 N Santa Anita AVE Arcadia, CA 5773006036
Contacts
POSITIVE INVESTMENTS Owner WALT CONSTRUCTION CORPORATION* General Contractor(B)
610 SANTA ANITA AVE,ARCADIA,91006 6641 SANTA SUSANA PASS RD,SIMI VALLEY,CA 93063
(805)432-2600 310770
Description:CAFE KIOSK- PLUMBING/ELECTRICAL,PLUMBING Valuation: $ 0.00 Tenant
FOR BATHROOMS LOBBY
Total Sq Feet: 0.00 Plan Check a Plan if ..
Fees Amount Payments _ _ • Amount Paid
220-240 Volt Outlet $6.60 Total Fees $167.17
Electrical Permit Issuance Fee $47.01 Cash/Receipt#REC-02250-19 $167.17
Kitchen Sink $13.21
' Amount Due: $0.00
Lavatories $26.42
Plumbing Permit Issuance Fee $47.01
Solid Waste Management Fee 2 $1.00
Solid Waste Management Fee 2 $1.00
Water Closet $24.92
Total: $167.17
CALLS FOR INSPECTIONS
Request for inspection by telephone at 626-574-5450. Leave a message
- //.27-/ Y 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.
August 23, 2019
Issued By: Date
August 23,2019 Page 1 of 1
,FAR
`,y,FURV.,.%. -
• I PERMIT/PLAN REVIEW APPLICATION
..�:::lll r,
Ettr Development Services Department, 240 West Huntington Drive,Post Office Box 60021
`mm=m,rcove. 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, f Division 3 of the Business and
Professions Code,land my license i fu orce and effect. ❑ I have and will maintain a certificate of consent to self-insure for workers'
License Class A-1 5,
Lic e .3 D O Exp. Dateld'3(I°� 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 erfPc-« hi tJ C)
demolish,or repair any structure,prior to its issuance,also required the applicant
Policy Number _I��.L spy 7g 2.0
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 ❑ 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 sho,ld become subject to the
workers'compensation provisions of Section ]Itta the Labor Code,I shall
0 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 0/ - (
Signature .e .L i i -
Law does not apply to an owner of property who builds or improves thereon, Y' ,•
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 costof 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. \Title
rrrarae cdzLOSi fe-T P ttJ ,c. ���
0
PRINT NAME I
I certify that I have read th' a y ication 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 f y ordinances and State Laws relating to building construction. I hereby authorize representatives of the City of
Arcadia to enter upon a r r ve-mentioned property for inspection purposes. (,.,y/
ignature / r -- )
Date o I 73/lel
P:' 0:x.
City of Arcadia, CA
, "%-.,: Permirlyo Tl 181273'
Development Services Department jJ r' '-,^ -vitt c's Permit Type Tenant'Improveittent,
240 West Huntington Drive,Post Office Box 60021 { 1u u.r C e Cl t i r F ',...2,4,--,,,C.-..- -
+ ,,; Arcadia,CA 91066-6021 1 T , ".7r::'<,.:'‘'''''',
c ,'L.h r'� j iWork Classification Tenant Improvement_
(626)574-5416 ` ° t .�; r." ,x- Permit Status:Iss'u"ed=.
ARCADIA IssueiDate 1o/o1/2018 Expiration: 03/30/2019
Addr NO. Dir Prefix Street Name Street Suffix Unit City,State,Zip Parcel Number
150 N Santa Anita AVE Arcadia,CA 5773006036 ,
•
Contacts
PI Properties No. 111,LLC Owner CORY GROSSER Applicant b
610 N SANTA AMITA AVE,ARCADIA,91006 500 S RAYMOND AVE 5,PASADENA,CA 91105
(626)321-4800 (323)344-6009 LUIS@CORYGROSSER.COM
WALT CONSTRUCTION CORPORATION General Contractor(B)
6641 SANTA SUSANA PASS RD,SIMI VALLEY,CA 93063
Description:INTERIOR TI OF EXISTING GROUND FLOOR LOBBY a Valuation: 5 260.000.00 Tenant LOBBY
AREA. •REMODEL BATHROOMS Total Sq Feet: 0.00 Plan Check#18-1273 plan#32598 !
Fees Amount Payments Amount Paid
Accessibility Plan Check $226.98 Total Fees - $5,332.30
Accessiblity Building Permit $232.80 Cash/Receipt#REC-001770-2018 $2,637.10
Building Issuing Fee $44.35 Cash/Receipt#REC-002437-2018 $2,695.20
Building Permit Fees $2,328.00
Building Plan Review Fee $1,513.20 Amount Due: $0.00
Cal Green Plan Check $151.32
Commercial T.I.Fire Plan Chk. $280.00
Energy Plan Review Fee $465.60
Green Building Standard $11.00
Solid Waste Management Fee $6.25
Strong Motion Inst.Program Corn $72.80 CALLS FOR INSPECTIONS -
Request for inspection by telephone at 626-574-5450. Leave a message
Total: $5,332.30 requesting the address,timeframe and what inspection item is needed.
elev lin ufi 5—
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.
LS COMPLETED
October 01,2018
Issued By: Date
October 01,2018 Page 1 of 1
•FAR
u.0vogpn.•
a ay
.r•4 h PERMIT/PLAN REVIEW APPLICATION
in it.EQ� ii j� 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 full ., cc and effect. ❑ I have and will maintain a certificate of consent to self-insure for workers'
License Class Al Si E'fG.Li -.e >'o 0 0 0 Exp. Date 0.3 •
compensation, as provided for by Section 3700 of the Labor Code, for the
Signature of Contractor / r s performance of the work for which this permit is issued.
/ I have and will maintain workers'compensation insurance,as required by Section
OWNER-BUILDER 1 LARATION 3700 of the Labor Code,for the performance of the work for which this permit
❑ I hereby affirm under penalty of perjury that I am exempt from the Contractors is issued.My workers'compensation insurance carrier and policy numbers are:
License Law for the following reason(Section 7031.5,Business and Professions
Code.Any city or county which requires a permit to construct,alter,improve, Carrier STATE FWD
demolish,or repair any structure,prior to its issuance,also required the applicant
Policy Number `f11f 59]8 - 20 17
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 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 s'.uld become subject to the
workers'compensation provisions of Section 37;4 of - Labor Code,I shall
❑I, as owner of the property, or my employees with wages as their sole forthwith comply with hose 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 /0-/'/g Signature i /
rr
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 3706of 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.
Name G740,05 17F42c2Sg.0 isle ,j f
PRINT NAME
f
I certify that I have read this application and state that the above information is cor ect and that I am the owner or duly authorized agent of the owner.
- agree to comply with City ordinances and State Laws relating to building construction. I hereby authorize representatives of the City of
Arcadia to enter on above-mentioned property for inspection purposes.
signature - - jlate /0-/-a
i /
( - I. L2t73
0
NOTES n
Building Inspections Date Insp. Plumbing Inspections Date Insp. /St, $4OM ANI-74 • -lr-r-LS 1)
100. Setbacks 210. Under flr./bldg.drain i2•t&/!g �- .
101. Rough grade 211. Copper underslab
102. Figs.&forms 212. Rough plumbing 12•r3•/b'r` tyfl'& tia FPrr Jap.-44-LA- NC/9 0--
103.
"103. Pre-slab 213. Rough gas
104. Floor joists 214. Shower pan
105. Steel 215. Water heater
106. Grout lift 216. Roof drains
107. Shear nailing 217. Building sewer
108. Diaph nailing 218. Water service
109. Roof nailing 219. Final gas
110. Framing 1243-/6 ?•-- 220. Fixtures
111. Occ✓Area Sept.Wall 221. Final plumbing I I•I Z•I cJ -.-
112. Sound walls 222. Sewer cap/demo.
113. T-bar.rid
114. Insulation-Flc Pool Inspections Date Insp.
115. Insulation-Wall 240. Excavation/steel
116. Insulation-Ceil. 241. Rough plumbing
117. Drywall nailing l•f•f9 242. Light shelVbonding
118. Interior lath 243. Underground conduit
119. Exterior lath 244. P-trap
120. Finish grade 245. Gas line&lest
121. Anal building I1-17.11 C"•'� 246. Fence,gates&signs
122. Anal demo/lot clear 247. Pool heater
248. Final electric
Electrical Inspections Date Insp. 249. Final•lumbin•
150. Power pole 250. Pool cover
151. Sales lot lighting 251. Pool final
152. Under.round conduit
153. Underslab conduit Reroot Inspections Date I Insp.
154. UFER ground 270. Pre-reroof insp.
155. Water ground 271. Roof framing
156. Rough electrical (Z•r31 cr.__ 272. Sheathing nailing
157. Fixtures 273. Anal reroof
158. G.F.C.I.
159. E..t.bondin. Sign Inspections Date Insp.
160. Service panel 280. Setback/overhang
161. Final electric 1I.1Z•19 �� 281. Footing
282. Conduit/wirin•
Mechanical Inspections Dale Insp. 283. Disconnect
180. Venting/flue 284. Anal sign
181. Furnace/A.C.
182. Rauch HVAC Miscellaneous Insp. Date Insp.
183. Fire dampers 290. Are alarm
184. Furnace compartment 291. Underground supply
185. Combustion air 292. Are sprinklers
186. Smoke detectors 293. Monitor system
187. Metal F.P.rough 294. Hood dry chem.
188. Compressor setback 295. Anal
189. Commercial hood
190. Duct shaft „ Sewers&Offsite Insp. Date Insp.
191. Final mechanical I I•f 1.(1 300. Lateral(main to P/L)
301. Saddle/V
Block Wall Inspections ' Date Insp. 302. Cess..el filled
200. Footings 303. Sidewalk
201. Steel/rebar 304. Driveway
202. Grout lift 305. Curb replacement
203. Final wall 306. Trash bin
rd OF LOS• , COUNTY OF LOS ANGELES• DEPARTMENT OF PUBLIC HEALTH
4 %;. ENVIRONMENTAL HEALTHcl(-
+a a ill + SPECIALIZED SURVEILLANCE AND ENFORCEMENT BRANCH
< * PLAN CHECK PROGRAM-BALDWIN PARK
h‘044,,. ..„-40.-x
4 �. Comm,OF LOS ANGELES
o4uo�N". 5050 COMMERCE DR, BALDWIN PARK, CA91706 Public Health
PHONE: (626)430-5560
VWNN.PUBLI CH EALT H.LACO U NTY.G OV/E H
PLAN CHECK OFFICIAL INSPECTION REPORT
DATE 11/26/2019 EHS JESS BARRIOS
PLAN CHECK NUMBER SR0179620
PROGRAM ELEMENT 1701 - RESTAURANT(0 -500 SF)
OWNER/REQUESTER MIKE LEE, EXPEDITER
DBA TAZA
ADDRESS 150 N SANTAANITA AVE, ARCADIA, CA 91006
FINAL REINSPECTION STATUS: APPROVED
CORRECTIONS COMPLETED
CORRECTION CATEGORY DATE IDENTIFIED. DATE CORRECTED
PLAN SUBMITTAL/REMODEL 08/06/2019 08/13/2019
PLAN SUBMITTAUREMODEL 08/13/2019 " 11/26/2019
SCOPE OF OPERATION
APPROVED TO STOCK PREPACKAGED I NON-POTENTIALLY HAZARDOUS FOODS
APPROVED TO STOCK PERISHABLE/POTENTIALLY HAZARDOUS FOODS •
APPROVED FOR FOOD PREPARATION- NO COOKING PERMITTED
APPROVED TO USE MULTISERVICE UTENSILS •
• ADDITIONAL REQUIREMENTS
APPROVED.
COMMENTS
APPROVED.
Help us serve you better by completing a short survey.Visit our website at www.oublichealth.lacountv.aov/eh.
CA
EHS Signature Page 1 oft
PLAN CHECK OFFICIAL INSPECTION REPORT
DATE 11/26/2019 • EHS JESS BARRIOS
PLAN CHECK NUMBER SR0179620
PROGRAM ELEMENT 1701 -RESTAURANT(0 -.500 SF) •
OWNER/REQUESTER MIKE LEE, EXPEDITER
DBA 'TAZA
ADDRESS. 150 N SANTAANITAAVE,ARCADIA, CA91006 •
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 issued by the Plan Check Program.
•
Help us serve you better by completing a short survey.Visit our website at www.publichealth.lacounty.gov/eh.
I-►
EHS Signature page 2 of 2
City of Arcadia, CA �� 'Permit NO. 19 0784
_ n
'tit/
!t Development Services Department _i J�."\_ -1.1 ,--•-"� r Permit Type Commercial
240 West Huntington Drive,Past Office Box 60021 fi . ��� ) el 1 S' t work Uossifiication:Commercial-Add/Alt
1}' Arcadia,CA 91066-6021 • j A ,� j�� -l�
j (626)574-5416 ..„ a Permit Status:Issued..
ARCADIA - Issue.Date 05/21/2019'1 Expiration:
Addr NO. Dir Prefix Street Name Street Suffix Unit City,State,Zip Parcel Number
150 N Santa Anita AVE Arcadia,CA 5773006036
Contacts • _ _ _.->u a.___ e .
PI Properties No.111,LLC Owner CARLOS PEREZBRAIN Applicant
610 N SANTA ANITA AVE,ARCADIA,91006
(626)321-4800 (805)432-2602 carlos.perezbrain@industrialcorp.co
m
WALT CONSTRUCTION CORPORATION' Contractor
6641 SANTA SUSANA PASS RD,SIMI VALLEY,CA 93063
(805)432-2600 310770Des {{rr
SPACE AND RESTRIPPINGOPARTIAL PARKING LOT FOR ADA Valuation: $ 12,000.00 Tenant • «���
SPACE AND ACCESS TO BUILDING.REPAIR ASPHALT AND
CURBS. Total Sq Feet: 0.00 Plan Check#19-784 Plan#42
Fees Amount Payments Amount Paid
Accessibility Plan Check $26.39 Total Fees $629.39
Accessiblity Building Permit $27.07 Cash/Receipt#REC-01053-19 $274.05
Building Issuing Fee $47.01 Cash/Receipt#REC-01283-19 $355.34
Building Permit Fees $270.65
Building Plan Review Fee $175.93 Amount Due: $0.00
Cal Green Plan Check $17.60
Energy Plan Review Fee $54.13
Green Building Standard $1.00
Solid Waste Management Fee $6.25
Strong Motion Inst.Program Corn $3.36
CALLS FOR INSPECTIONS
Total: $629.39 Request for inspection by telephone at 626-574-5450. Leave a message
requesting the address,timeframe and what inspection item is needed.
E1/4 roar.-- UI• i2•i9 - T3------
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
F--e � y p
1 ,.Afrom the date of issuance or if the permit is notobtainedwithin 180 days
{ t;u�I9a y9�] 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.
9
May 21,2019
Issued By: Date
May 21,2019 Page 1 of 1
•
1 PERMIT/PLAN REVIEW APPLICATION
o�@3jo, Development Services Department,240 West Huntington Drive,Post Office Box 60021
4144111.1
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 7 00,oivision 3 of the Business and
Professions Code,and my license is' ull ice and effect ❑ I have and will maintain a certificate of consent to self-insure for workers'
License Class Lice 01 n Exp. Date/t7 j3�13a 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 CLARATION ❑ I have and will maintain workers'compensation insurance,as required by Section
❑ I hereby affirm under penalty of perjury that I am exempt from the Contractors 3700 of the Labor Code,for the performance of the work for which this permit
License Law for the following reason(Section 7031.5,Business and Professions is issued.My workers'compensation insurance carrier and policy numbers are:
Code.Any city or county which requires a permit to construct,alter,improve, Carrier
demolish,or repair any structure,prior to its issuance,also required the applicant
for such permit to file a signed statement that he or she is licensed pursuant to the Policy Number
provisions of the Contractors License Law(Chapter 9(commencing with Section (This section need not be completed if the permit is for one hundred dollars or less)
7000)of Division 3 of the Business and Professions Code)or that he or she is
exempt there from and the basis for the alleged exemption. Any violation of el 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 tharould •ecome subject to the
workers'compensation provisions of Section 3 4' ozf to Labor Code,I shall
❑I, as owner of the property, forthwith comply withns.
p petty, or my employees with wages as their sole compensation,will do the work,and the structure is not intended or offered forsale(Section 7044,Business and Professions Code:The Contractors License
\Date *1b0øt I OF _
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 tocriminal 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. Ln�,�p //�
\N
arae MMS p6 t 2 flh Title __
PRINT NAME
I certify that I have rea his 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 ity ordinances and State Laws relating to building construction. I hereby authorize representatives of the City of
rcadia to enter up bove-mentioned property for inspection purposes.
çnature — ✓
I
ate fr/1q
PermtNo. MEP 18 2122-
a• `City of Arcadia, CA (]
Development Services Department El s"-• f�'"'d • `* r�,, 3 Permit Type:MEP
240 West Huntington Drive,Post Office Box 60021 1. a) �t -y q { `-, i~. z 1
f C- ( I ti ( { L. I t Work classic icaton:MEP Commercial
Arcadia,CA 91066-6021 s x '
(626)574-5416 - Permit Status:.Issued
ARCADIA ,. Issue Date 11/13/2018 Expiration: 05/12/2019
Addr NO. Dir Prefix Street Name Street Suffix Unit City,State,Zip Parcel Number
150 N Santa Anita AVE Arcadia,CA v 5773006036„_41
Contacts
POSITIVE INVESTMENTS Owner WALT CONSTRUCTION CORPORATION` General Contractor(B)
610 SANTA ANITA AVE,ARCADIA,91006 6641 SANTA SUSANA PASS RD,SIMI VALLEY,CA 93063
(805)432-2600
Description:150 AMP SUBPANEL AND REPLACE LIGHTING FOR j Valuation: $ 0.00 Tenant
LOBBY AREA.ELECTRICAL AND PLUMBING y
AMENDED 11-13-19 ADDING MECHANICAL Total Sq Feet: 0.00 Plan Check# Plan ft
Fees Amount payments Amount Paid
Add/Alter Ducts $140.70 Total Fees $478.00
Distribution Panel $15.55 Cash/Receipt#REC-002883-2018 $186.05
Electrical Permit Issuance Fee 544.35 Cash/Receipt#REC-002881-2018 $291.95
Floor Drain Fee $12.46
Floor Sink $12.46
Amount Due: $0.00
Garbage Disposal Fee $12.46
Kitchen Sink $12.46
Light Fixtures $38.80
Mechanical Permit Issuance Fee $44.35
Motors,Generators 1-10 hp $15.55
Outlets-Receptacles&Switches $34.80 CALLS FOR INSPECTIONS
Plumbing Permit Issuance Fee $44.35 Request for inspection by telephone at 626-574-5450. Leave a message
Sewer Connection on Property $31.16 requesting the address,timeframe and what inspection item is needed.
Solid Waste Management Fee 2 $1.00
Solid Waste Management Fee 2 $1.00
Solid Waste Management Fee 2 $1.00 This permit/plan review expires by time limitation and becomes null and
Water Heater and/or Vent $15.55 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
Total: $478.00 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
-el r-+kL. jt'!2 •11 Arcadia building inspector for a period of 180 consecutive days.
November 13, 2018
Issued By: Date
November 13,2018 Page 1 of 1
,AR
0,.....„.4
. ..,.
1 Pan 1 PERMIT/PLAN REVIEW APPLICATION
a ? ii..... .
Oka IS ept,
in't Development Services Department,240 West Huntington Drive, Post Office Box 60021
s ...q. . „4,,
Arcadia, CA 91066-6021, (626) 574-5416,Fax (626) 447-9173
City of
Arcadia
LICENSED CONTRACTOR'S DECLARATION WORKERS'COMPENSATION DECLARATION
El 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 i /full force and effect.
License Class Cri 0
D. 2°2°
I ' 0 I have and will maintain a certificate of consent to self-insure for workers'
compensation, as provided for by Section 3700 of the Labor Code, for the
) Signature of Contractor 310110 Exp. Date I31'
performance of the work for which this permit is issued.
OWNER-BUILDER DE ' TION
0 have and will maintain workers'compensation insurance,as required by Section
• •
700 of the Labor Code,for the performance of the work for which this permit
0 I hereby affirm under penalty of perjury that I am exempt from the Contractors
issued.My workers'compensation insurance carrier and policy numbers are:
License Law for the following reason(Section 7031.5,Business and Professions
Code.Any city or county which requires a permit to construct,alter,improve, arrier CtAct FthAD
demolish,or repair any structure,prior to its issuance,also required the applicant
o
for such permit to file a signed statement that he or she is licensed pursuant to the licy Number 6714.5970-9.017
(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
0 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
not employ any person in any manner so as to become subject to the workers'
Section 7031.5 by any applicant for a permit subjects the applicant to a civil .
‘
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
0 I, as owner of the property, or my employees with wages as their sole forthwith comply with those provisions.
compensation,will do the work,and the structure is not intended or offered for Date 11-1a-(2,
Signature
sale(Section 7044,Business and Professions Code:The Contractors License a .
Law does not apply to an owner of property who builds or improves thereon,
or who does such work himself or herself or through his or her own
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 have4he burden of proving that he or she hundred thousand dollars($100,000),in addition to the cost of compensation,
did not build or improve for the purpose of sale). damages as provided for in Section 3706 of the Labor Code,,interest, and
attorney's fees.
0 I, as owner of the property, am exclusively contracting with licensed
contractors to construct the project(Section 7044,Business and Professions
Code:The Contractors License Law does not apply to an owner of property CONSTRUCTION LENDING AGENCY
who builds or improves thereon,and who contracts for such projects with a I hereby affirm under penalty of perjury that there is a construction lending agency
contractor(s)licensed pursuant to the Contractors License Law). for the performance of the work for which this permit is issued (Section 3097,
Civil Code).
0 I am exempt under Section 7044,Business and Professions Code,for this reason:
Lender's Name
Date Signature Lender's Address
IMPORTANT: APPLICATION IS HEREBY MADE TO THE BUILDING OFFICIAL FOR A PERMIT SUBJECT TO THE CONDITIONS AND
RESTRICTIONS SET FORTH ON THIS APPLICATION AND THE FOLLOWING:
1. The City's approved plans and permit inspection card must remain on the job site for use by City inspection personnel.
2. Final inspection of the work authorized by this permit is required.A Certificate of Occupancy must be obtained prior to use and occupancy of new buildings
and structures.
3. Per South Coast Air Quality Management District(AQMD)regulations,renovation and remodeling work that results in the removal,stripping,or altering
of asbestos containing materials requires an asbestos survey and removal prior t disturbing the asbestos.Please contact AQMD at(909)396-2000 for
\ further information.
/4e vvii-ou. psc.:2.--- PRINT NAME Title rear D5+-Ir '
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 fit ordinances and State Laws relating to building 1 onstruction. I hereby Authorize representatives of the City of
ii
Arca a to enter upon
Signat - ,,} • mentioned property for inspection purposes.
iure
f Li Date //q3—It
City of Arcadia, CA
Permi t NO:.F I R E=1&1905
i -
1 Development Services Department I F i i j '� . �. Permrt Type:"Fire..
240 West Huntington Drive,Post Office Box 60021 ` ` ' t y I f �-1 i , Work Classification:Fire Sprinkler
I i Arcadia,CA 91066-6021 I i. w _
(626)574-5416 - Permit Status:Issued
ARCADIA IssueDate. 11/05/2018 Expiration: 05/04/2019
Addr NO. Dir Prefix Street Name Street Suffix Unit City,State,Zip Parcel Number
150 N Santa Anita AVE Arcadia,CA 5773006036
Contacts
PI Properties No.111,LLC Owner ROUTE 66 FIRE PROTECTION INC* Fire Contractor(C-16)
610 N SANTA AMITA AVE,ARCADIA,91006 P 0 BOX 7997,LA VERNE,CA 91750
(626)321-4800 (909)816-5504
Description:RELOCATING 25 HEADS Valuation: " S 4,500.00 Tenant
Total Sq Feet: 0.00 . Plan Check#18-1905 Plan#
Fees Amount Payments Amount Paid
Fire Issuance $44.35 Total Fees $899.10
Fire Permit Fees $153.75 Cash/Receipt#REC-002602-2018 $700.00
Solid Waste Management Fee 2 $1.00 Cash/Receipt it REC-002797-2018 $199.10
Sprinkler Heads $700.00 Amount Due: $0.00
Total: $899.10
CALLS FOR INSPECTIONS
Request for inspection by telephone at 626-574-5450. Leave a message
4 requesting the address,timeframe and what inspection item is needed.
•
CO1WPcTr
11 This permit/plan review expires by time limitation and becomes null and
s 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.
November 05,2018
Issued By: Date
November 05,2018 Page 1 of 1
OFA•
0� ,� 1: PERMIT/PLAN REVIEW APPLICATION -
ft,
o It j, 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— Io icens�RO1\ S Exp. Date Z'tA 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.
•
❑ I have and will maintain workers'compensation insurance,as required by Section
OWNER-BUILDER DECLARATION
❑ 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.M'�y/work1ers'compensation�^ insurance carrier and policy numbers are:Code.Any city or county which requires a permit to construct,alter,improve, I Carrier �..-t c r"'G..
demolish,or repair any structure,prior to its issuance,also required the applicant e O
for such permit to file a signed statement that he or she is licensed pursuant to the Policy Number _t O
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 theapplicant 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 hose provisions.
compensation,will do the work,and the structure is not intended or offered for I ,(�f
sale(Section 7044,Business and Professions Code:The Contractors License ate l/—•••S 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). damagesas 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
\Name
further information.
.�44.. / S p ft rjTitle l e...� -f PRINT'ANAME
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 �/ coate //'yr
—iS
- City of Arcadia,CA
Permit.No.FIRE-18-2175
I Development Services Department - Permit Type:Fire
240 West Huntington Drive,Port Office Box 60021 , _ i f
Arcadia,CA 91066-6021 ( j t i {J _, :t , Work Classification:F. Alarm
'
(626)574-5416 �Permit Status:Issued
ARCADIA . Issue Date:12/03/2018' Expiration: 06/01/2019
Addr NO. Dir Prefix Street Name Street Suffix Unit City,State,Zip Parcel Number
150 N Santa Anita AVE Arcadia,CA 5773006036II
Contacts
PI Properties No.111,LLC Owner H C I SYSTEMS INC Fire Contractor(C-16)
610 N SANTA AMITA AVE,ARCADIA,91006 1354 5 PARKSIDE PL PL,ONTARIO,CA 91761
(626)321-4800 (818)751-4075 ENGS@HCISYSTEMS.NET
Description:FIRE ALARM SYSTEM FOR T.I. Valuation: S 3,800.00 - Tenant
Total Sq Feet: 0.00 Plan Check#18-2175 Plan H
Fees Amount a Payments Amount Paid
Fire Alarm Plan Check $840.00 Total Fees $1,022.40
Fire Issuance $44.35 Cash/Receipt p REC-002957-2018 $840.00
Fire Permit Fees $137.05 Cash/Receipt k REC-003037-2018 $182.40
Solid Waste Management Fee 2 $1.00
Amount Due: $0.00
Total: $1,022.40 k
to 1 1. 11 •11 S-----.....
CALLS FOR INSPECTIONS
tegRequest for inspection by telephone at 626-574-5450. Leave a message
isifF��®requesting the address,timeframe and what inspection item is needed.
This permit/plan review expires by time limitation and becomes null and
void If the work authorized by the permit is not commenced within 180 days
from the date of issuance or if the permit is not obtained within 180 days
from the date of plan submittal.This permit expires and becomes null and
void if any work authorized by this permit is suspended or abandoned for 180
consecutive days or if no progressive work has been verified by a City of
Arcadia building inspector for a period of 180 consecutive days.
•
December 03, 2018
Issued By: Date
December 03,2018 Page 1 of 1
if An
00.1eoR,>"♦
•
'--4 1: PERMIT/PLAN REVIEW APPLICATION
‘te:;;;OF
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
`CI
t I hereby affirm under penalty of perjurythat I am licensed under provisions of I hereby affirm under penaltyof perjury one of the following:
Q' Chapter 9(commencing with Section 7000,of Division 3 of the Business and ,
Professions Code,and my license is in full forceandeffect. 0 I have and will maintain a certificate of consent to self-insure for workers'
License Classtir 0 'cense No 2;4 t3 Exp. Date j2 compensation, as provided for by Section 3700 of the Labor Code, for the
Signature of Contracto � performance of the work for which this permit is issued.
OWNER-BUILDER DECLARATION 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 .91 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 (i9çis issued.My workers'compensation insuranee,�c"arrier and policy numbers are:
Code.Any city or county which requires a permit to construct,alter,improve, arver -"- • ' " " 1175, c�mdemolish,or repair any structure,prior to its issuance,also required the applicantI. A7,M e/ �l
for such permit to file a signed statement that he or she is licensed pursuant to the
Policy Number ``CC✓✓V't 8
provisions of the Contractors License Law(Chapter 9(commencing with Section I q�..liThis 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 is41,11
exempt there from and the basis for the alleged exemption. Any violation of �0,I;cenify that in the performance of the work for which this permit is issued,!shall
Section 7031.5 by any applicant for a permit subjects the applicant to a civil L hot 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
.l+BVorkers'compensation provisions of Section 3700 of the Labor Code,I shall
❑I, as owner of the roe ' ififorihwith comply with those provisions.
property,rty, or my employees with wages as their sole ,�.tt, ii
compensation,will do the work,and the structure is not intended or offered for ^+ :�V1
sale(Section 7044,Business and Professions Code:The Contractors License 4; Date (Z.077•z��� SignatureQ
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 am 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).
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. �A� A n..1-r
' Name t /n Nl•A MA1ZTi 1•MZ_ Title S 4 G. Pt�JI4TF04'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.
�.',T.agree to comply with all City ordinances and State Laws relating to building construction. I hereby authorize representatives of the City of
ia
f!klrcadia to ent upon the above-mentioned property for inspection purposes.
_al; 1
Signature Q Date PEC (P1 t 2191
LS
.17t
^Si I t wn"` °� iS `.ry u..,%;�x s•.'»' .,�.aw.�aw r .rcu+ .a.111
jflF+Y,¢Y.r�'SResee m�irtvakaYvacwuvera'4'�c M1wfiSwwYmoas.an ..--,...;-,..-40
wn ? �
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A.
41
i IP�1 ®,viri z•0 ......•
Sr
H
iw�..
'.�1 ice.
AA.
..\;q1„„4,.,4_, Certificate of Occupancy ; ;; .
City of Arcadia t jaI
Development Services Department—Building Division f
(si
0 This certificate issued pursuant to the requirements of the
California Building Code certifying that at the time of issuance this structure was in
compliance with the various ordinances of the City regulating building construction or use. pPermit No. TI-18-1273Building Address: 150 N SANTA ANITA AVE ARCADIA, CA 91006 a
`- Permit Type: TENANT IMPROVEMENT Effective CBC: 2016 C.B.C.
i4 Vt Occupancy Code. B Zone Code: DMU
ti F
r
Final Date: 11-27-19 Type of Constructon: TYPE I-B SPRINKLERED
ol
C.' E Owner: POSITIVE INVESTMENTS
Z-4_011/41 YKennetthFieldslcial ' Db.'..1Y-‘1''
?
P.
,-5-V
in Conspicuous Place
e Ham. ro ,...g{�i,, x �cavx. ..e .a Post
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1Fa. ;u ,,.rest,.....„-t.>pt m^,,, 4‘..-4.‘c,,� as=,va t o q 'h q n ✓ ga I { ice} 'v
. '�1. /� p ' r�r�,., '(f 1 ^. 1Z ., t„. , �� l rco , TAY -,....d. ,
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4 - 4 R q F f '