HomeMy WebLinkAboutUntitled (2) City of Arcadia, CA r�..n }. Permit NO TI 18 0879
` ; Development Services Department ' s�lPermit Type Tenant Improvement
i 240 West Huntington Drive,Post Office Box 60021
Work Classification:Tenant Improvement,
Arcadia,CA 91066-6021 a k' ,.dal.
,.r "'Work - `
(626)574-5416 r" Permit Status:.Issued'
ARCADIA ::--- - Issue Date;10/15/2018 Expiration: 04/13/2019
Addr NO. Dir Prefix Street Name Street Suffix Unit City,State,Zip Parcel Number
311 E Live Oak AVE Arcadia,CA 5790028033
Contacts
SABATELLA,VERA A TR SABATELLA Owner TODD NGUYEN Applicant
FAMILY TRUST I
311 E LIVE OAK AVE (714)499-4459
DESIGN CONCEPT AND CONSTRUCTION' General Contractor(8)
14371 STARSIA ST,WESTMINSTER,CA 92683
(714)499-4459
Description:T.I.ARCADIA SMILE DENTAL.WITH EMP,HVAC PER Valuation: S 120.000.00 Tenant ARCADIA,SMILE DENTAL
APPROVED PLANS Total Sq Feet: 0.00 Plan Check#18-0879 Plan t7 32610
Fees Amount Payments Amount Paid
Accessibility Plan Check $132.80 Total Fees $4,009.04
Accessiblity Building Permit $136.20 Cash/Receipt U REC-002601-2018 $2,350.01
Building Issuing Fee $44.35 Cash/Receipt#REC-001278-2018 $1,659.03
Building Permit Fees $1,362.00
Building Plan Review Fee $885.30 Amount Due: $0.00
Cal Green Plan Check $88.53
Commercial T.I.Fire Plan Chk. $280.00
Compressor 3-5 Ton(3 to 15 hp) $137.16 M
ElctPanel $44.30i C 0 �
Electrical Permit Issuance Fee $44.35
Energy Plan Review Fee $272.40 ft INSPECTIONS
Floor Drain Fee $24.92 Request for inspection by telephone at 626-574-5450. Leave a message
Floor Sink $12.46 requesting the address,timeframe and what inspection item is needed.
Furnace or Burner a 100,000 BTU $74.96
Green Building Standard $5.00
Kitchen Sink $149.52 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
Light Fixtures $70.80 from the date of issuance or if the permit is not obtained within 180 days
Mechanical Permit Issuance Fee $44.35 from the date of plan submittal.This permit expires and becomes null and
Outlets-Receptacles&Switches $75.80 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 $44.35 Arcadia building inspector for a period of 180 consecutive days.
Total: $4,009.04
1
'/ October 15, 2018
Issued By: j Date
October 15,2018 Page 1 of 1
fi on" 1; PERMIT/PLAN REVIEW APPLICATION
o 4lj, 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 uncle,penalty of perjury that I am licensed under provisions of I hereby affirm under penalty of perjury one of the following:
Chapter 9(commerting with Section 7000,of Division 3 of the Business and
Professions Code, nd my license is in 11 force and effect. ❑ I have and will maintain a certificate of consent to self-insure for workers'
icense Class i 'cense No. •L�b9te xp. DatPI .2o compensation, as provided for by Section 3700 of the Labor Code, for the
Co
Signature of affirm and r
performance of the work for which this permit is issued.
�,,ii
OWNER-BUILDER DECLA,- ❑ I have and will maintain workers'compensation insurance,as required by Section
I hereby under penalty of. pury that I am exempt from the Contractors 3700 of the Labor Code,for the performance of the work for which this permit
License Law for the following mason(Section 7031.5,Business and Professions is issued.My workrs'compensation— insurance carrier and policy numbers are:
Code.Any city or county which requires a permit to construct,alter,improve, Carrier 'tE&e.Rj 1sR.b....)Cr.
demolish,or repair any structure,prior to its issuance,also required the applicant
Policy Number '[tkb-O0 IC*
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 them from and the basis for the alleged exemption. Any violation of ❑ I certify that in the perf'ommance 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 mom than five hundred dollars($500)): compensation Laws of California,and agree that if I should become subject to the
workers'compensation provisions of Section 3700 of the Labor Code,I shall
❑I, as owner of the property, forthwith comply with those p . ' '•I s.
or my employees with wages as their sole
compensation,will do the work,and the structure is not intended or offered for 1/�
sale(Section 7044,Business and Professions Code:The Contractors License
\Dateko.I . 1 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). damages as provided for in Section 3706 of the Labor Code, interest, and
attorney's fees.
❑I, as owner of the property, am exclusively contracting with licensed
contractors to construct the project(Section 7044,Business and Professions
Code:The Contractors License Law does not apply to an owner of property CONSTRUCTION LENDING AGENCY
who builds or improves thereon,and who contracts for such projects with a I hereby affirm under penalty of perjury that there is a construction lending agency
contractor(s)licensed pursuant to the Contractors License Law). for the performance of the work for which this permit is issued (Section 3097,
Civil Code).
❑ I am exempt under Section 7044,Business and Professions Code,for this reason:
Lender's Name
Date Signature Lender's Address
IMPORTANT: APPLICATION IS HEREBY MADE TO THE BUILDING OFFICIAL FOR A PERMIT SUBJECT TO THE CONDITIONS AND
RESTRICTIONS SET FORTH ON THIS APPLICATION AND THE FOLLOWING:
1. The City's approved plans and permit inspection card must remain on the job site for use by City inspection personnel.
2. Final inspection of the work authorized by this permit is required.A Certificate of Occupancy must be obtained prior to use and occupancy of new buildings
and structures.
3. Per South Coast Air Quality Management District(AQMD)regulations,renovation and remodeling work that results in the removal,stripping,or altering
of asbestos containing materials requires an asbestos survey and removal prior to disturbing the asbestos.Please contact AQMD at(909) 396-2000 for
further information/fin ��/ /� (� w I A�
arae �v Y� �"'t` ' I isle i�C' l O'" 1 o�
PRINT NAME
I
certify that I have read this application and state that the above information is co ct and that I am the owner or duly authorized agent of the owner.
I agree to cora ly with all City ordinances and State - aws relating to building construction. I hereby authorize representatives of the City of
Arcadia to enterp: ' he above-mentioned property r inspection purposes.
rin
ignature kite
III
06NOTEr2"1
S
Building Inspections Date Insp. Plumbing Inspections Date Insp. 311 C • L WET a A(2-_
100. Setbacks 210. Under flrlbldg.drain' 1 •'T/S c _.
101. Rough grade 211. Copper underslab 1
102. Figs.&fors 212. Rough plumbing 12-24--f' 1l•h-16 O/F Yeec.uu``t f„/A'ItVL a aSIC
103. Pre-slab 213. Roush•as •
104. Floor joists 214. Shower•an I- art- ;_' -.16D- Demi 70 1-$ igi.ttt_ g
105. Steel 215. Water heater Ab Iia-at 9-4,6 .
106. Grout lift 216. Roof drains
101 Shear nailing 217. Building vicer
108. Diaph nailing 218. Water servicej-214
j-Z 14£ b Yt/l EXCerr idtglialtr
100. Roof nailing .r 219. Final
xtu es Aye, � I„i 1 1
110. Framing Z^� 1 I l 220. Fixtures pp c-rirS Lr1UAY GI \
111. OcciArea Sept.Wall 221. Final plumbing (H0-19' 414
112. Sound walls (iv 4 222. Sewer cap/demo.
113. T-bar grid 443-11
114. Insulation-Flr. Pool Inspections Date Insp.
115. Insulation-Wall 240. Excavation/steel
116. Insulation-Cell. 241. Rough plumbing
117. Drywall nailing 2-1q-+' tA 242. Light shelWonding
118. Interior lath 243. Underground conduit
119. Exterior lath 244. P-trap
120. Finish grade 245. Gas line&test
121. Final building (1-1k-it Q v_`Y 246. Fence,gates&signs
122. Final demo/lot clear 247. Pool heater
248. Final electric
Electrical Inspections Date Insp. 249. Anal •lumbin•
150. Power pole 250. Pool cover
151. Sales lot lighting 251. Pool final
152. Under•round conduit
153. Underslab conduit II.r).10 Reroof Inspections I Date Insp.
154. UFER ground 270. Pre-reroof insp.
155. Water ground 271. Roof framing
156. Rough electrical 12-24-1 714-1 l�� 272. Sheathing nailing
157. Fixtures 443-4 Y V V 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 t!I I g-tet 281. Footing
1 282. ConduMvirin•
Mechanical Inspections Date Insp. 283. Disconnect
180. Venting/flue 284. Anal sign
181. Furnace/A.C.
182. Rouch HVAC Miscellaneous Insp. I Date Insp.
183. Fire dampers 290. Fire alarm
184. Furnace compartment 291. Underground supply
185. Combustion air 292. Fire sprinklers
186. Smoke detectors 293. Monitor system
187. Metal F.P.rough 294. Hood dry chem.
188. Compressor setback 295. Final
189. Commerdal hood
190. Duct shaftJ Sewers&Offsite Insp. I Date Insp.
191. Anal mechanical 1 -I t4' I"1\ 300. Lateral(main to P/L) -- --
301. Saddled'
Block Wall Inspections - Date Insp. 302. Cess••.1 filled
200. Footings 303. Sidewalk
201. Steeurebar 304. Driveway
202. Grout lift 305. Curb replacement
203. Anal wall 306. Trash bin
'94011 •91 -2— /
a o N pnh1 OF ARCa)epd _
1 lm etti Services Department ..
NW:..�� �i rtrQ�S��,n
This se o dans a ul specifications must be kept
y op the job at au tin n 10 J no changes or alterations
' shall be made except by the Building Division.
The Stamping ol'this plan and specification shall not
` be held to permit or to he an approval of the violation
of any provisions of am city ordinance or state law y
'ANISt-iO
aim
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DONALD J. INMAN & ASSOCIATES
REGISTERED CIVIL ENGINEERS
5131 FOX HILLS AVENUE
BUENA PARK, CALIFORNIA 90621-1408
(714) 521-0554
February 1, 2019
1 �
City of Arcadia
Department of Building and Safety
Arcadia, CA
Subject: 311 E Live Oak Avenue
I have inspected the three new openings in the building at the subject address as shown by Detail
8/A-D in the approved plans and I have approved the construction as shown. It meets the
requrementsof the Lsg Angeles County Building Code.
If there are further questions,please let me know.
Sincerely,
tares $9,PLD OFESS/pJ, / ,
nald J. han, P.E. h 0 �',`cfj
6-1
co O
ce C-11888 m
* Exp. 12/3 ii20
OF 9,,
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a imc. i-,.
MEMORANDUM
Fire Department
DATE: September 17, 2019
TO: BUILDING DEPARTMENT
INSPECTOR Jeff Wang
FROM: FIRE DEPARTMENT
SUBJECT: FIELD INSPECTION
ADDRESS: 311 E. Live Oak Avenue
THE FOLLOWING ITEMS WERE CHECKED FOR CONFORMANCE WITH APPLICABLE FIRE
DEPARTMENT REQUIREMENTS:
TYPE OF INSPECTION DATE / INITIAL
FINAL INSPECTION
FIRE SPRINKLERS
FIRE ALARMS
TANKS
• HOOD & DUCT
KNOX BOX
OCCUPANCY 9-16-2019 Jill Perumean
COMMENTS:
Emailed Bldg. Dept. 9-17-2019 Rita
%�� tin City of Arcadia, CA �`�
Permit Na Elec 19-0860
Development Services Department "' ! t �ic
Box 60021 III11 rI L. fit Classification�Electrical Commerciale
- l (626)574-5416 - - Permit status:Issued
ARCADIA Issue Date:05/07/20197 Expiration:
Addr NO. Dir Prefix Street Name Street Suffix Unit City,State,Zip Parcel Number
311 E Live Oak AVE Arcadia,CA 5790028033
Contacts
HUY VINH CHUNG Owner
(626)551-7412
Description:TWO GATE MOTORS PER APPROVED PLANS. Valuation: $ 0.00 Tenant
a+ Total Sq Feet: 0.00 Plan Check N Plan#
Fees Amount Payments Amount Paid
Electrical Permit Issuance Fee $47.01 Total Fees $64.15
Motors,Generators<1 hp $16.14 Cash/Receipt#REC-01154-19 $64.15
Solid Waste Management Fee 2 $1.00
Amount Due: $0.00 I
Total: $64.15
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.
May 07, 2019
Issued By: Date
May 07,2019 Page 1 of 1
wer II PERMIT/PLAN REVIEW APPLICATION
„7i :%old F,
4:51. 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 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 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 �r Policy Number
for such permit to file a signed statement that he or she is licensed pursuant to the 11 (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
exempt there from and the basis for the alleged exemption. Any violation of L Pa I certify that in the performance of the work for which this permit is issued,I shall
Section 7031.5 by any applicant fof a permit subjects the applicant to a civil l not employ any person in any manner so as to become subject to the workers'
penalty of not more than five hundred dollars($500)): 1 compensation Laws of California,and agree that if I should become subject to the
workers'compensation provisions of Section 3700 of the Labor Code,I shall
❑I, as owner of the property, forthwith comply with those provisions.
or my employees with wages as their solef7/i
compensation,will do the work,and the structure is not intended or offered for Signaturesale(Section 7044,Business and Professions Code:The Contractors LicenseDate
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 criminalpenaltiesand 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 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
ntractor(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 �/7/ SignatureLender's Address
IMPORTANT: APPLICATION IS HE Y 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 WS. , A i • Title
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 construction. I hereby authorize representatives of the City of
Arcadia to enter upon • above-mentioned property for inspection purposes.
i
Signature AtAa Date
Permit NO SIGN19 1619
City of Arcadia, CA
j Development Services Department LI) ; ^, 3.--.or—v,"5,--sr , if J �'"�-, - Permit Type:Sign..
11 1 L..i 5" ^I 1
9 240 West Huntington Drive,Post Office Bax 60021 I r..r E L P; k ; Work Classification:Sign-Illuminated
I Arcadia,CA 91066-6021 �- \ _sm .. ., - _ -�
(626)5745416 _ - - - - Permit tcitus:Issued.
ARCADIA Issuepate:08/19/20191 Expiration: 02/15/2020
Addr NO. Dir Prefix Street Name Street Suffix Unit City,State,Zip Parcel Number
311 E Live Oak AVE Arcadia,CA 5790028033
Contacts
HUY VINH CHUNG Owner NEW SIGN SOLUTION INC" . Contractor
311 E LIVE OAK AVE,Arcadia,CA 91006 9468 Garvey,South El Monte,CA 91733
(626)551-7412 (626)443-9288 995307
Description:LED ILLUMINATED SIGN FOR MEDI DENTAL Valuation: $ 2,500.00 Tenant MEDI DENTAL GROUP
GROUP Total Sq Feet: 0.00 Plan Check N Plan 4
Fees Amount Payments Amount Paid
Building Issuing Fee $47.01 Total Fees $364.14
Building Permit Fees $120.35 Cash/Receipt N REC-02161-19 $364.14
Electrical Permit Issuance Fee $47.01
Amount Due: $0.00
Sign and Branch Circuit $65.86
Sign Connection $16.48
Sign Plan Review $60.18
Solid Waste Management Fee $6.25 COMPLEIEO
Solid Waste Management Fee 2 $1.00
Total: $364.14
I /4 — n CALLS FOR INSPECTIONS
1( Request for inspection by telephone at 626-574-5450. Leave a message
3/4y1 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.
921
August 19, 2019
Issued By: Date
August 19,2019 Page 1 of 1
, k; PERMIT/PLAN REVIEW APPLICATION
t
111" IIEFall all
a�#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
o 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. 0 I have and will maintain a certificate of consent to self-insure for workers'
License Class C Nri:
ignature of Contractor ` 7Licen— _se No. 95 5 2 n 7 Exp. Date OS/17/Li compensation, as provided for by Section 3700 of the Labor Code, for the
�— performance of the work for which this permit is issued.
7 '
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, Carrier St o-He Aa ft- l in S„r a tri c to
demolish,or repair any structure,prior to its issuance,also required the applicant G 1�C /7 5 S�/
for such permit to file a signed statement that he or she is licensed pursuant to the Policy Number 9
provisions of the Contractors License Law(Chapter 9(commencing with Section 4l7ris 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 I Date OR /5 //1 Signature
sale(Section 7044,Business and Professions Code:The Contractors License lI
Law does not apply to an owner of property who builds or improves thereon,
or who does such work himself or herself or through his or her own
-
employees,provided that such improvements are not intended or offered for WARNING: Failure to secure Workers'Compensation coverage is unlawful,
sale.If,however,the building or improvement is sold within one(1)year of and shall-subject an employer to criminal penalties and civil fines up to one
completion,the owner-builder will have the burden of proving that he or she hundred thousand dollars($100,000),in addition to the cost of compensation,
did not build or improve for the purpose of sale). damages as provided for in Section 3706 of the Labor Code, interest, and
attorney's fees.
0 I, as owner of the property, am exclusively contracting with licensed
contractors to construct the project(Section 7044,Business and Professions
Code:The Contractors License Law does not apply to an owner of property CONSTRUCTION LENDING AGENCY
who builds or improves thereon,and who contracts for such projects with a I hereby affirm under penalty of perjury that there is a construction lending agency
contractor(s)licensed pursuant to the Contractors License Law). for the performance of the work for which this permit is issued (Section 3097,
Civil Code).
❑ I 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:
I. 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 �EAry � I _ Title ! np k4r Fe
/ PRAT NAME
I certify that I have read this application and state that the above information is correct and that I am the owner or duly authorized agent of the owner.
: agree to comply with all City ordinances and State Laws relating to building construction. I hereby authorize representatives of the City of
Arcadia to enter upon the above-mentioned property for inspection purposes.
signature T7---- ---- ------------=------ ) Date 08'//S /(5
250" Proposing: LED Reversed channel letter sign.
` Letter/Logo Face: 1/8"thk white Plexiglas to be Rohm&Hass Co.
m Arcadia
B9)11 y ) S c uUF :ci, Letter/Logo Trim Cap:3/4• wide black trim cap.
Letter/LogReturns:5• deep .040 aluminum black acrylic enamel finish
Lighting:by LED,front&back lit.
32" Backer: .080 Aluminum baker with painted black finish.
21$' Sign Area: 38sf. - —
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Channel Letter Installation Diagram U:L LISTED.
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ROUTING ACTION •
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Planning
Eng. 5�b4�
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Fire 1 IV/rviC/ >s�ec7�n
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