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HomeMy WebLinkAboutBLAZE PIZZA 140. '' City of Arcadia, CA Permit Na TI-18 1741' y.+ Development Services Department { 1) 1 1 f v_Ir'*" .,(-1,�"�` Permit Type:Tenant Improvement 3 240 West Huntington Drive,Post Office Box 60021 ! r r F) `- i i c a i L I+ 1 Work Classification:Tenant-improvement Arcadia,CA 91066-6021 �") ',s..s'9.?�...'.,..t+J �..> (626)574-5416 - , - *`IS - Permit Status:„Issued ARCADIA = IssueDate:06/06/2019 Expiration: ^ Addr NO. Dir Prefix Street Name Street Suffix Unit City,State,Zip Parcel Number {, 815 W NAOMI AVE C&D ARCADIA,CA 91007 5383035034 y Contacts 1 BALDWIN ARCADIA CENTER LP Owner MATT CLARK Applicant 815 W NAOMI AVE A,Arcadia,CA 91007 (714)928-1166 JOE E TEDDY Contractor 800$PACIFIC COAST HWY 8211,REDONDO BEACH,CA 90277 (310)918-5809 304626 Description:INTERIOR TI FOR BLAZE PIZZA.WITH EMP Valuation: $ 270,000.00 Tenant BLAZE PIZZA Total Sq Feet: 0.00 Plan Check#18-1741 Plan#53 Fees Amount Payments Amount Paid Accessibility Plan Check $233.71 Total Fees $6,576.90 Accessiblity Building Permit $239.70 Cash/Receipt#REC-01455-19 $4,149.93 Building Issuing Fee $47.01 Cash/Receipt#REC-002375-2018 $2,426.97 Building Permit Fees $2,397.00 Building Plan Review Fee $1,558.05 Amount Due: $0.00 Cal Green Plan Check $155.81 ' Commercial T.I.Fire Plan $280.00 Commercial service 20010 to SOOOamps $124.26 1�� COMPLEIIIILSNQL `Z-'3"fElecrgicPl Permit Iwuance Fee 479.40t /Energy Plan Review Fee $479.40I��V.'pEvaporative Cooler(Not portable) $37.48 FOR INSPECTIONS Floor Drain Fee $37.38 Request for inspection by telephone at 626-574-5450. Leave a message Floor Sink $74.76 requesting the address,timeframe and what inspection item is needed. Furnace or Burner>100,000 BTU $46.98 Green Building Standard $11.00 Hood Serviced by Mechanical Exhaust $14.11 This permit/plan review expires by time limitation and becomes null and Kitchen Sink $24.92 void if the work authorized by the permit is not commenced within 180 days Lavatories $62.30 from the date of issuance or if the permit is not obtained within 180 days Light Fixtures $91.80 from the date of plan submittal.This permit expires and becomes null and Mechanical 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 Misc.Plumbing Fixtures $49.84 Arcadia building inspector for a period of 180 consecutive days. Total: $6,576.90 OCC) June 06, 2019 Issued By: Date June 06,2019 Page 1 of 1 n4 -* PERMIT/PLAN REVIEW APPLICATION . mitt. f-`* t13T Development Services Department,240 West Huntington Drive,Post Office Box 60021 a ,. Arcadia, CA 91066-6021, (626) 574-5416,Fax (626) 447-9173 City of Arcadia LICENSED CONTRACTOR'S DECLARATION WORKERS'COMPENSATION DECLARATION 0 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 Cod and my license is in full force and effect. ❑ I have and will maintain a certificate of consent to self-insure for workers' 1 License ClassLicense No3O � Met 301 9 compensation, as provided for by Section 3700 of the Labor Code, for the C fGrA-CJI-` performance of the work for which this permit is issued. Signature of Contractor r OWNER-BUILDER DE ARATION 0 I have and will maintain workers'compensation insurance,as required by Section ❑ I hereby affirm under penalty o perjury that I am exempt from the ontmctors 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 AN it demolish,or repair any structure,prior to its issuance,also required the applicant „))}CCCf//// iL for such permit to file a signed statement that he or she is licensed pursuant to the Policy Number /l 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 S/ exempt there from and the basis for the alleged exemption.Any violation of `certify that in the performance of the work for which this pennit is issued,I shall Section 7031.5 by any applicant for a permit subjects the applicant to a civil not employ any person in any manner so as to become subject to the workers' penalty of not more than five hundred dollars($500)): compensation Laws of California,and agree that if I should become subject to the workers'compensation provisions of Section 3700 of the Labor Code,I shall ❑I, as owner of the property, forthwith comply with those provisions. e work,and employees with wages as their sole compensation,will do the the structure is not intended or offered for �/�7 sale(Section 7044,Business and Professions Code:The Contractors License \Date t[/+/�I// �/ Signature �FiC 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 C i 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 finesup 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 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 i. 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. 1 p\Nne— _-'Cv e E ed cH PRINT NAME 111 Title �/� (2)in —6 - — 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. \Date /`_\inature ll ,cEt- � `� — / 9 ) 0/5- A AG/WI 7c zta NOTES Building Inspections Date Insp. Plumbing Inspections I Date I Insp. 100. Setbacks 210. Under fn./bldg.drain p 101. Rough grade 211. Copper underslab 6-t2-19 FRc-tvWif 1.1•vrALC. 102. Figs.&forms 12. Rough plumbing • _ w5 Cr 103. Pre-slab (31-69 213. Rough gas 104. Floor joists 214. Shower pan 6!..,60 r 105. Steel 215. Water heater 6-1-t91 a,�•L, t/,44- sicesir 106. Grout lift 216. Roof drains 107. Shear nailin• 217. Buildin•sewer P,trT2(ibiM 5 "� 108. Diaph nailing 218. Water service 109. Roof nailing 19. Final gas 110. Framing ��Q 220. Fixtures S-1-1 et �'�A/^/ /6resf-ENA40 111. OcoiArea Sed.Wall 221. Final.lumbin• i/ !"ct� 59t6c /•yam 112. Sound walls 222. Sewer cap/demo. 1111. 113. T-bar-bar•rid 1 tt�� qq l ,/ 114. Insulation-Fir. _- Pool Inspections Date . Insp. $.j).�/ arosch Hunt / a.u7u r /44 115. Insulation-Wall --240. Excavation/steel 116. Insulation-Cell. 41. Rough plumbing l uC !h• CE "Y'S I'T/ ,',�.1'lb✓ 1. '� 117. D all nailins •iM 242. Li•ht shelWondins -- 8.39.19 /4701-( Mood /eT cae 2'!• 118. Interior lath P•243: round conduit -trap ■■_ 119. Exterior lath 244. Underground 120. Finish!rade 45. Gas line&test l �c7c�L1�/ � 9-�- y Z,l� /rrEOHAs;ax 121. Anal Buildin• Ir_r _____ 246. Fence,sates&Si.ns // 122. Final demo/lot clear 247. Pool heater �� CYOD Dues- 248. Final electric ■■ Electrical Inspections Date Insp, 249. Final •lumbin• 150. Power pole ■■250. Pool cover ■■ 151. l Sales lot lighting 251. Pool final 152. Under•round conduit 153. Underslab conduit -- Reroef Inspections I Date I Insp. 154. UFER ground 270. Pre-reroof insp. 155. Water ground 71. Root framing 156. Rough electrical $./3-i 272. Sheathing nailing 157. Fixtures T6AL_ 8.21•/4 273. Final reroof 158. G.F-C.I. 159. Es st.bondin• � Sign Inspections I Date I Insp. 160. Service panel (5444 � � 80. Setback/overhang ■■ 161. Final electric /./}-�9 281. Footing 282. Conduit/wirinr Mechanical Inspections Date Insp.' 283. Disconnect 180. Furnace/A.C. '- -�284. Final sign 181. -- - ---- 182. Rouch HVAC aLifilri7=2 Miscellaneous Insp. I Date I Insp. 183. Fire dampers 290. Fire alarm 184. Furnace compartment 291. Underground supply 185. Combustion air 292. Fire sprinklers 186. Smoke detectors 293. Monitor system 187- Metal F.P.rough 294. Hood dry chem. 188. Compressor setback 295. Final 189. Commercial hood 190. Duct shaft -Mr Sewers&Offsite Insp. I Date I Insp. • 191. Final mechanical 300. Lateral(main to PI) ■■ - - 301. Saddle/Y Block Wall Inspections Date Insp. 302. Cesssool tilled 200. Footings 303. Sidewalk - -201. SteeVrebar 304. Driveway 202. Grout lift 305. Curb replacement 203. Final wall 306. Trash bin ,p{.� a?, ., wd" n ,.ale,. v • t " e AI�t•:,. -a'. r �G, ,,,a,,,ae. ,f� .xa„ w �' .c+"a R �#f. -'�. of _ `��+ W 1,. ',, , ,fiEAI .c3" +"�3 L(111a,3' °e: . s x _r. �r: �s p'j�` At .444545b. �a��{Yw xy. -aq .Y" X rfl{I, �•M+9°w ��/�. { �`a^cv`"�.n�� �� xnansT' Y;.,`� AtZ Y"�`.+s x-'wN � ,^awsg '�T' p��� waox �r a % A.7�� � F .\ !/,c1 •a\\C`'TTbv l \ i:4 r tI i ' v1 i 4 1\\a4�,�.C 'I it �( ;\y. \.�A rz�k 74"y # .va ..x, vin .,., ib ; 7 ::: rY ®,tom ::Th. ff • r w r,eg rim 4Pg i. Y. Certificate of Occupancy y A. .;� ern#% City of Arcadia '4 o Development Services Department—Building Division '''•.? k. 5 This certificate issued pursuant to the requirements of the 'f'l� *� ��A, California Building Code certifying that at the time of issuance this structure was in Ng compliance with the various ordinances of the City regulating building construction or use. x � Permit No. TI-18-1741 1 Building Address: 815 W. NAOMI AVE C & D ARCADIA, CA 91007 :, Permit Type: TENANT IMPROVEMENT Effective CBC: 2016 C.B.C. 4 ..' `"1:1 Occupancy Code: B Zone Code: C-G ' ^e 24..i‘ g Gs Final Date: 12-3- • Type of Construction: TYPE V SPRINKLERED 7�-� owner: BALDWIN ARCADIA19 CENTER LP x k/ . Tenant:BLAZE PIZZA 4-4 ��; e:::'snE( , /. Kenneth Fiel uild' fficial 7 , ,,x� A s ,FPost in Conspicuous Place 'I c .tv ,,viki ,tae sj,. \ � -, ' Rr ho ° '�'$ .t- 3' e �'9- cc '� '7�,` ,�'k, e � sr 4 o _ .. Y ��1 J\j,.q'`l 4 ,•,Gaf ff \1.v: i0) . SOE \\^'` v ,,r 11 A r P' i) 4,4-.0 At y ' of A 0 e y' : A < ,vArr,Aii� Ft, *u x/'11 (y� ,..k: A w m,. = }`.v -s vNi C . bMI A `^ ' , `I 1 ,%. *Iia .ted { , 1.',i/ �ax'Y• �S 4•�y,. 4t'r r{"y N + • yY ,.;,,e ,!,,,f. .��y."��nxwv:L t at. .w; r'tT-1' Rey -xwy w 'ti W �a. �1 or 1O}4 COUNTY OF LOS ANGELES• DEPARTMENT OF PUBLIC HEALTH t :e� ENVIRONMENTAL HEALTHcr( t tlr - + t -A a, R I + SPECIALIZED SURVEILLANCE AND ENFORCEMENT BRANCH +© + PLAN CHECK PROGRAM-BALDWIN PARK a+ [Duma Los nwwvr +`CIMIN"{ 5050 COMMERCE DR,BALDWIN PARK,CA 91706 Public Health PHONE:(626)430-5560 e.PU BLI CHEALTH.LACOUNTY.GOV/EH PLAN CHECK OFFICIAL INSPECTION REPORT DATE 11/27/2019 EHS ASHLEY DUONG PLAN CHECK NUMBER SR0159971 PROGRAM ELEMENT 1703-RESTAURANT(2,000-3,999 SF) OWNER/REQUESTER JOE E TEDDY, CONTRACTOR DBA BLAZE PIZZA ADDRESS 815 W NAOMI AVE,ARCADIA, CA 91007 FINAL REINSPECTION STATUS: APPROVED i e, Wi d. "',. , , . — r '1a . . i CORRECTIONS COMP TED s* � R£ -c d�Y ' `S�� �.'^+d2.I14'.E�'i'J7�P -.Y. I_. .f. EY.Iii :FS:s^r.l.b` F`cTiSBaiYLaV. CORRECTION CATEGORY DATE IDENTIFIED DATE CORRECTED WATER SUPPLY 11/27/2019 11/27/2019 SCOPE OF OPERATION APPROVED TO STOCK PREPACKAGED/NON-POTENTIALLY HAZARDOUS FOODS APPROVED TO STOCK PERISHABLE/POTENTIALLY HAZARDOUS FOODS APPROVED FOR FOOD PREPARATION ADDITIONAL REQUIREMENTS NONE COMMENTS FINAL INSPECTION CONDUCTED AND APPROVED FOR OPERATION. OBTAIN A VALID BUSINESS LICENSE FROM LOCAL CITY PRIOR OPERATING THIS FOOD BUSINESS. Help us serve you better by completing a short survey.Visit our website at www publichealh.lacountv.gov/eh. -4_.V Operator Signature Page 1 of 2 • PLAN CHECK OFFICIAL INSPECTION REPORT DATE 11/27/2019_ EHS ASHLEY DUONG • PLAN CHECK NUMBER 5R0159971 PROGRAM ELEMENT 1703=RESTAURANT(2,000-3,999 SF) OWNER!REQUESTER JOE E TEDDY,CONTRACTOR DBA BLAZE PIZZA • ADDRESS 815 W NAOMI AVE,ARCADIA,CA 91007 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 feels 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 lilted in Los Angeles County Code,Title 8,Section 8.04.720. State and Local Ucenses 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,pr 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 goy/eh. .v . Operator Signature Page2of2 . . ritleR5raropv;flitrArrrnoPER Pi:: -r Vily '-,MANG Ir11C2 k ,,--- - .. • II; 0, ,--; • -- :: /-eci Ar*S4Nurie 11;,,i M 28.7.5,WAP t..., .45ts.. ani. li. . arlfile Ap .. A.,...181%01 aft_ , COACIICRS ATTENR05.'v"H PLAN _.c&IRO .1 h •i, iillit.H.411111,. el 1-r ' 4"--- 3.' 0 . A rnr,"••■ftesis I MIMI 1 i‘ 3.. fl rh 41 - \agi I —7 . I d_ kb° ,\I i 1 1 _co COOKING / AIN 3..:• I_ ,00 ypirEi ins I ass I-I . me 1 Fi as. . , ,_ : .':E‘IF AIII '' {W"" • ISX I/ \\ , • .. .r.; THIS ,4s_—_1 .• 7 • .r...I uR HE SER en MIN la" , ,S2:.IFTION OF ALCOHOLIC Hi .. , 1 n . , I 1 • 1 if I li-,, 1 VI :DE=PREP g ,iii le AREA I_ / 0 ASV UIEN1/- -- - dig01561 q I 1. sl 12 8 .2 ,s.\\{ )=2 1111 -1::: 6:110: • • , 15 --- a , Au1101,0. 11 I AsvOl 0 P ARV ire \Arab.. _ _ l \ L.$ .7 1 . 11 : \ lip I \ 35 WALkIN 1 ,.., IllaEu ;RIOUP:Olptit:CvEDOENYME:AS2:2:111.::1:11::::C/1:11:1:71;10:1,21(41::: IS '211 M_ 0 —1: _ iaralr 1, ill -rua.:E:A.Eorvvp:ED,oxNs..ini.Dom:T:rytu tma Si = 33 II 14. " I 35 b 0 2 : r , --- :0 1 ‘N, % ct e- _J I ‘=' -. ev.rdeeiu ro=0nox 9 4 GARBAGE CAN ' t L ' 423 r pFF.RaS ea _ ..., 10 1 CAN CART WITH 57 d- g� '1V !" 11 1 UTENSIL RACK F iFX,I1T6 19e191 �.�oaN _ T. 12 2 MAWETIC KNIFE 1 i d sgWry .. ^ \ 1 13 1 TEA BREWER � ' �� - ,.. 14 2 TEA DISPENSER .. 'a i Pa'L marecTinN ANO APPRG,AL 15 1 COKE&ICE DIS ®� 1f IAF: - 3npg 16 2 BEVERAGE DISPE ��' 1,1,M._ `0 k' A 6e1 rr Onr�nOvpO PLAN -:=B10g nolleto&mange 17 ' 1 UD DISPENSER 0 CHEGEC F TTE Rim f Lnelf inspection. Lan. © &` 8ng6NLP5 hTTExiIOx vOOq Pia" IB 5 STRAW HOLDER ®_ - -_I yl ' . .-. _..-.- I 19 1 UNDER CHUTE 0 M M 20 1 UNDER COUNTER ' 21 3 DRINK SLEEVES © - 22 2 SPEED RAIL - 23 2 BOTTLE CAP CAI 1\ / LOS ANGELES COUNTY 24 1 PRODUCE WASH COoIONG / DEPAgTMENT OF PUBLIC HEALTH 25 1 DOUGH ROUNDER AREA \ / PLAN CHECK PROGRAM 1 ' '® • 71 .....•,,,,,.-.. 6050 COMMERCE DRIVE 26 I FOOD MIXER )) BALDWIN PARK,CA 61700 / 7.2 ) 'll` '�P: n •. 1F ADEQUATE 626-430-5550 I ; 26.1 1 SERVICE FAUCET \ "...1`5.THIS • / \ I;. _ L' FACILITY / 1 HAND MAU -'y .:`rJ,1PTIGN'CF ALCOHOLICfBEVERAGES 27 Ti 1 WALL HOOK FOR 1 HOT WATER DISPI 28 1 HOT WATER DISPI v f 6ll _ 29 2 DOUGH TOLE CAR 1--�1 _©_ J1 o- -... � 30 1 NAPKIN DISPENSE ABV�,®,`sem/� „punav ue Cua MU31.Y3o cn,l'MEN'1'UFPURLLCHF.'111ftl ©�' = 514VIR0>=.72'4TALIiEALTH 31 I WATER FILTER PI.ANC2ECRPROGRAM LATTONIS 31.1 1 MODULAR SCALE 45 '� d- .T19EPROPOSED CONST'RUCiICRTEOF)1PawNT INSTAL a If APPROVED.EgCvLTAS HOTLD RELOW FOA: 32 1 ICE MAKER ABV ar �AaN�1��'� 32.1 0 ICE BIN ABVQ+ ``tl TY't::LS@a919ALLUELENT � _ r• LA ontsuu‘ 34 2 BULK CO2 TANK iN_ TLLE APPROVALOw UTTItt Ott rJ3CULf1'LON TION OFAPR' w`/ V �� 35 5 PIZZA TOTE RACK 1` _: COQFf. a2.71/ l9 BY:� APPROVED: t,a.couxry fnai, �� 40 1 WORK TABLE- W, 35^. . - PATe - NO SPLASH W, WORK TABLE- W, 40.I 1 - NO SPLASH W, '337 . �F.N PLAN Cq^.RECP[ON•°non 1p7TA:''•ED)- WORK TABLE- W, 35 ®11 c w 40.2 2 .Te.II l,le - NO TABLET W, 35 l •":�,� 40.3 0 WORK TABLE- W, _-i - NO SPLASH WI -6, 'It -WORKNO TABLE- W, 40,4 2 NO SPLASH W7 Iii/ 47 ALL LCORRECTIDIOS IN 't'.4) W.E.RE fJMccc o / y 10.5 1 WORK TABLE- W7 MA'I'L CI neg.g.. PET1T D, Z.}WC.F OF 'MC Ona WO UNDER SHELF 40.6 1 WORK TABLE- W/ u ' WOKN TAB SHELF I/ 40.7 1 WORK TABLE-W/ ?I t/ III ����' POUNDER SHELF A ll i/V 40,6 1 PREP SINK- 16'%: 41 2 %IRE SHELVES,6' 0 , I=ivIfi l- 2_124411°1HEIGHT POSTS- W \ 41.1 4 WIRE SHELVES,6 i 42.1 )) ' 1 \11 NOTE: HEIGHT POSTS- W ( 40i L 1. ARE EXTINGUISHERS MUST HAVE A MINIMUM OF'2A1OBC° WIRE SHELSNG,6 1 r. l I RATING AND CLASS K SHALL BE WITHIN A 30'-0• TRAVEL 41.2 4 HEIGHT POSTS- W DISTANCE OF ALL COOKING SURFACES PER NEPA 10, SEC, CIEAREA iMeNG I\ I 5.7 2002 ED. WIRE SHELVING,6 1 2. FINAL LOCATION &QUANTITY OF FIRE EXTINGUISHERS SHALL 41'3 I HEIGHT POSTS- W, 7 I 106 I Sal BE AS OIRECIEO BY FIRE MARSHAL WIRE SHELVING,6 1 mOa ' I 3. INSTALL NEW TYPE'K°WALL MOUNTED ARE EXTINGUISHER. 4L4 0 HEIGHT POSTS-W u �I PROTRUSION INTO PATH a CIRCULATION 4MAX , i 4. INSTALL NEW WALL MOUNTED ARE EXTINGUISHER(MIN. - r • ., a i WIRE SHELVING,6 Ti OFFICE TYPE 2A 40BC.)PROTRUSION INTO PATH OF CIRCULATIONE m. 4L5 2 HEIGHT POSTS- W, 166 I 41/A%. i fill 57 lai ^ 0 41.6 1 WIRE T Q 6 TI 111 97 o HEIGHT POSTS-W7 96 41 7 1 WIRE SHELVES, 3 TI 1164 HEIGLE POSTS © 41.8 2 SINGLE SHELF SEGUE 41.9 5 SINGLE SHELF SEQUF 41.1 42 0 WALL SHELVING ,, 41.8 421 4 WALL SHELVING \ 42.2 0 WALL SHELVING • 42.3 3 WALL SHELVING FIRE EXTINGUISHER DETAIL 42.4 2 WALL SHELVING Scale:1/4'=1'-0' I 42.5 0 WALL SHELVING N.T.S. 42.6 1 TICKET HOLDER / I I . AIN. �aoFt°s-ay COUNTY OF LOS ANGELES • DEPARTMENT OF PUBLIC HEAL�PH rigs, Nt. * ' t EN�VIRON►IIENTAL HEALTH t _ ciC } a !F + SPECIALIZED SURVEILLANCE AND ENFORCEMENT BRANCH t f PLAN CHECK PROGRAM -BALDWIN PARK 9 �r cONRY OF Los Mona x,..4' ax _ 5050 COMMERCE DR, BALDWIN PARK, CA91706 Public Health PHONE: (626)430-5560 S COp� O��ERNMNV.PUBLICHEALTH.LA000NTY,GOV/EH • • OFFICIAL PLAN REVIEW•REPORT DATE 02/26/2019 EHS VIVIAN TAN PLAN CHECK NUMBER SR0159971 PROGRAM ELEMENT 1703- RESTAURANT(2,000-3,999 SF) OWNER/REQUESTER JOE E TEDDY, CONTRACTOR ' DBA BLAZE PIZZA ADDRESS 815 W NAOMI AVE,ARCADIA,CA 91007 • REVISED PLAN REVIEW STATUS: APPROVED CORRECTIONS COMPLETED CORRECTION CATEGORY DATE IDENTIFIED DATE CORRECTED TOILET FACILITIES 10/09/2018 02/26/2019 WATER SUPPLY 10/09/2018 02/26/2019 BACKFLOW/BACK-SIPHONAGE 10/09/2018 . 02/26/2019 EQUIPMENT/STORAGE 10/09/2018 ' 02/26/2019 FOOD PROTECTION/FOOD STORAGE 10/09/2018 02/26/2019 VENTILATION 10/09/2018 02/26/2019 VERMIN EXCLUSION/ENCLOSURE 10/09/2018 02/26/2019 PLAN SUBMITTAUREMODEL 10/09/2018 02/26/2019 Help us serve you better by completing a short survey.Visit our website at www.publichealth.lacountv.gov/eh. EHS Signature Page 1 of 3 OFFICIAL PLAN REVIEW REPORT tro �-t f• DATE 02/26/2019 EHS VIVIAN TAN - PLAN CHECK NUMBER SR0159971 PROGRAM ELEMENT 1703- RESTAURANT(2,000-3,999 SF) OWNER/REQUESTER JOE E TEDDY, CONTRACTOR DBA BLAZE-PIZZA Yv 1F.> "fit°'Q • ADDRESS 815 W NAOMI AVE,ARCADIA, CA 91007 ADDITIONAL REQUIREMENTS THE REVISED PLANS ARE APPROVED, SUBJECT TO ON-SITE INSPECTION PRIOR TO OPERATION OR STOCKING • FOOD ON THE PREMISES. APPROVAL IS CONTINGENT UPON THE FOLLOWING: 1) OBTAIN LOCAL BUILDING DEPARTMENT PERMITS AND APPROVALS. 2)SUBJECT TO ON-SITE INSPECTION AND APPROVAL. ALL EQUIPMENTS MUST BE CERTIFIED OR CLASSIFIED FOR SANITATION BY AN AMERICAN NATIONAL STANDARDS INSTITUTE.(ANSI)ACCREDITED CERTIFICATION PROGRAM OR AN ACCREDITED TESTING AGENCY. 3)ALL USED AND/OR EXISTING EQUIPMENT AND FINISHES SHALL BE IN GOOD REPAIR AND ARE SUBJECT TO ON-SITE INSPECTION AND APPROVAL. 4) ENSURE THAT THE COMMERCIAL HOOD AND MECHANICAL EXHAUST AND MAKE UP AIR SYSTEMS MEET THE UNIFORM MECHANICAL CODE. 5) READ AND COMPLY WITH THE FOLLOWING ATTACHMENTS REGARDING: A) FINAL INSPECTION NOTICE • B) PLAN APPROVAL CHECK LIST C) CERTIFIED FOOD HANDLERS CERTIFICATE 6) HEALTH DEPT. APPROVED SET OF PLANS SHALL BE MADE AVAILABLE-SITE AT THE TIME OF FINAL INSPECTION. 7) PROVIDE THE ANSI CERTIFICATION FOR THE WALK-IN REFRIGERATOR/FREEZER(KOLPAK). 8) ALL FLOORS, WALLS, CEILING SHALL BE SMOOTH, WASHABLE AND DURABLE (EXCEPT IN THE DINING AREA). THE BASE COVING SHALL BE 4" HIGH WITH A MINIMUM 3/8" RADIUS. 9) THE INSTALLATION OF THE SNEEZE GUARD IS SUBJECT TO ON-SITE INSPECTION WHICH SHALL BE 60" IN HEIGHT MEASURED FROM THE FINISHED FLOOR WITH 18"SIDE RETURN. CONTACT VIVIAN TAN AT 626 430-5546NTAN@PH.LA000NTY.GOV TO SCHEDULE A FINAL INSPECTION. PROVIDE AT LEAST 3 WORKING DAYS PRIOR NOTICE FOR A FINAL INSPECTION. A FINAL-INSPECTION SHALL BE CONDUCTED AND A PUBLIC HEALTH PERMIT SHALL BE OBTAINED PRIOR TO OPENING AND OPERATING THIS FOOD ESTABLISHMENT. COMMENTS . NONE • • • ' Help us serve you better by completing a short survey.Visit our website at www.publichealth.lacounty.gov/eh. EHS Signature Page 2 of 3 OFFICIAL PLAN REVIEW REPORT `. .; . DATE. 02/26/2019 EHS VIVIAN TAN PLAN CHECK NUMBER SR0159971 PROGRAM ELEMENT 1703-•RESTAURANT(2,000=3,999 SF) OWNER/REQUESTER JOE E TEDDY, CONTRACTOR DBA • BLAZE PIZZA • ADDRESS 815 W NAOMI AVE,ARCADIA, CA 91007 DISCLOSURES Prior to construction and approval from the Los Angeles County Department of Public.Health Environmental Health Division (DPH-EH) Plan Check Program, final inspections must be obtained from Building and Safety (mechanical, plumbing, electrical) and all other enforcement.agencies. Failure to obtain a Public Health Permit/ License prior to operation of the facility/establishment is a misdemeanor violation: Construction of the food facility/establishment must be completed and approved within twelve.(12).months from the date of approval to avoid submitting new plans. A copy of the approved plans must be available at the time of the field construction review. All utilities must be on and operational at the time of the field construction review. Please contact your plan check inspector at least 3 days prior to the field construction review. • Two field inspections will be covered under the Plan Check fees assessed upon plan submission. A charge will be assessed for each subsequent field construction review. • • • • • Help us serve you better by completing a short survey.Visit our website at www.publichealth.lacountv.aov/eh. EHS Signature Page 3 of 3 PermitNO SIGN=19-1255 ,' City of Arcadia, CA Development Services Department D - f I, ,mm - PermitType:Sign 11J!i 240 West Huntington Drive,Post Office Box 60021 I t"`�` _' I �"` F Arcadia,CA9106fi-6021 =r- t-y Wor'k Ciassigcotion Sign Illuminated Li J u r_'L- (626)574-5416 ' - Permit Status:Issued ARCADIA IssueDate:07/01/2019'I Expiration: 12/28/2019 Addr NO. Dir Prefix Street Name Street Suffix Unit City,State,Zip Parcel Number 815 NAOMI ARCADIA, CA 91006 5383035034 Contacts BALDWIN ARCADIA CENTER LP Owner MP SIGN SERVICES* Contractor 815 W NAOMI AVE A,Arcadia,CA 91007 2008 E 92ND ST,LOS ANGELES,CA 90002 (323)942-3484 1029649 Description:SIGN FOR BLAZE PIZZA ; Valuation: $ 6,800.00 ' Tenant BLAZE PIZZA Total Sq Feet: 0.00 Plan Check# Plan Si Fees Amount Payments Amount Paid Building Issuing Fee $47.01 Total Fees $464.34 Building Permit Fees $187.15 Cash/Receipt#REC-01701-19 $464.34 Electrical Permit Issuance Fee $47.01 Amount Due: $0.00 Sign and Branch Circuit $65.86 Sign Connection $16.48 Sign Plan Review $93.58 Solid Waste Management Fee $6.25 q Solid Waste Management Fee 2 $1.00 alt1P1 17,464c, D�3.4Total: I 34( 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. July 01, 2019 Issued By: Date July 01,2019 Page 1 of 1. ,„.,,,won,y^ , LON h PERMIT/PLAN REVIEW APPLICATION 0 ,t,f,- Ittie47:;;te 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 VII 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. r ❑ I have and will maintain a certificate of consent to self-insure for workers' License Class al 5 ignature of Contractor License 0r�glp�'1 ,` Exp. Date r.�h9 compensation, as provided for by Section 3700 of the Labor Code, for the performance of the work for which this permit is issued. WNER-BUILDER DECLARATION ❑ I have and will maintain workers'compensation insurance,as required by Section ❑ I hereby affirm under penalty of perjury that I am exempt from the Contractors 3700 of the Labor Code,for 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 Policy Number 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 EsidI 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 0 I, as owner of the property, forthwith comply with those provisions. or my employees with wages as their sole 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 7J�/�7 Signature —lin' 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 thousanddollars($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 them 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 1 further information.� name MI4f I`tiW{Yhivn 'tle ?/ l 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. // \ natur &t *Le Date i/'//'9 FACE Et HAL( CHANNEL LI 11/4" ' 14'-6" PAINTED14'-3 3/8" RETAINER�F'1' 3'-8" ►� r 3'-2 3/4" h 1'-8 1/2" ►1 h 3'-10 3/8"- 1 iV T F"A S T N "mgLALE PIZZA 6 FIRE 1 ! 4_ FACE & HALO LIT FABRICATED ALUMINUM FACE AND HALO LIT CI CHANNEL LETTERS - HALO-ILLUMINATED OPAQUE BACKGROUND SIGN Frontage =29.00 Ft. Proposed Square Footage=37.41 Measurements Scale 1/2" — - 29' I • _.. • . B'-9" BLAZE PIM©FAST i ,F 4 - u1 - L FIRE D II%' � I « ' ti t.? ? cf, Q 'A'Z'� a ireij tl drY ' r I' .. +/- 12'-11" I ,il, s i �.�.+�J ' nI -0 �W EA - `X� 'YL'fV`4t' Elevation Scale 1/8 , T-1-19 PM sign Services Project Name: 149 N. Commonwealth Ave #106 Blaze Pizza Los Angeles, Ca 90004 is State Lic. #1029649 Project Address: bi 323-703-4511 815 W. Naomi Ave, suite C Arcadia, CA 91007 +�11 bcsigns149@gmail..com _. .__-- - 6 1/47" 6 1/4" JEL LOGO ROUTING Date gnu ACT�Ott. E ^ Initials e` 0 cctQ�� >). 'Seel Check:n! PFS C3-' Q Cr e Notes Planning fu . on Sheet;;J Ens. ;-'j- -1—I'{4— • - - i .-i- _ ''—.----- t t. BuildinT �� Fire _mat _ - - n—+-� � eej�n PWS-Water I-I-- -- - ' .- i COLOR KEY WELD 1 �.1- i - /4 Cit .: Trees i I -- -_ - - T_ ■ PMS 173 i -- -- -- - ---- -- -- ---- I ■ PMS 425C DUNN EDWARDS "CRISP MUSLIN" DE-6212 THIS SIGN IS INTENDED TO BE INSTALLED IN ACCORDANCE WITH THE REQUIREMENTS OF ARTICLE 600 OF THE NATIONAL ELECTRICAL CODE AND/OR OTHER APPLICABLE LOCAL WHITE CODES.THIS INCLUDES PROPER GROUNDING AND BONDING OF SIGN. NIGHT VIEW •p_. F .� �aT - LALE p lib\ .6, FIRE ' ® li kl Fr I ab City of Arcadia,CA Permit NO FIRE-18-2373 l _ / Development Services Department 1t1 li Permit Type:Fire 240 West Huntington Drive,Post Office Box 60021 t e . t ' . i . , Workaassih'catigmFireSprinkier Arcadia,CA 91066-6021 �; cr •. (626)574-5416 ,_. ,. _' Permit Status:.Issued ARCADIA Issue_Date 12/20/20181 Expiration: 06/18/2019 Addr NO. Dir Prefix Street Name Street Suffix Unit City,State,Zip Parcel Number 745 W Naomi AVE C Arcadia,CA 5383035019 Contacts BALDWIN ARCADIA CENTER LP Owner Ruben Luna Fire Contractor(C-16) 815 W NAOMI AVE A,Arcadia,CA 91007 154-A W Foothill#234,Upland,CA 91786 (909)982-8877 838473 Description:FIRE PRINKS FOR BLAZE PIZZA Valuation: $2,000.00 Tenant BLAZE PIZZA Total Sq Feet: 0.0D Plan Check# Plan# 1 Fees Amount Payments Amount Paid Fire Issuance $44.35 Total Fees $849.00 Fire Permit Fees $103.65 Cash/Receipt#REC-003212-2018 $849.00 Solid Waste Management Fee 2 $1.00 Sprinkler Heads $700.00 Amount Due: $0.00 Total: $849.00 /�/ ( �pt��� y,�nILD LTJ IFJJ. Yf�'fs„Ihl CALLS FOR INSPECTIONS Request for inspection by telephone at 626-574-5450. Leave a message requesting the address,timeframe and what inspection item is needed. This permit/plan review expires by time limitation and becomes null and void if the work authorized by the permit is not commenced within 180 days from the date of issuance or if the permit is not obtained within 180 days from the date of plan submittal.This permit expires and becomes null and void if any work authorized by this permit is suspended or abandoned for 180 consecutive days or if no progressive work has been verified by a City of Arcadia building inspector for a period of 180 consecutive days. December 20,2018 Issued By: Date December 20,2018 Page 1 of 1 ,F A; o,Y,FO$k�4, �,,. i PERMIT/PLAN REVIEW APPLICATION Q. "tin' Development Services Department, 240 West Huntington Drive,Post Office Box 60021 " Arcadia, CA 91066-6021, (626) 574-5416,Fax (626) 447-9173 City of , Arcadia ICENSED CONTRACTOR'S DECLARATION WORKERS'COMPENSATION DECLARATION I hereby affirm under penalty of perjury that I am licensed under provisions of I hereby affirm under penalty of perjury one of the following: -ttj 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 C' b License No. 3921 7-3 Exp. DatelO/3J( ! compensation, as provided for by Section 3700 of the Labor Code, for the /J performance of the work for which thi ermit is issued. Signature of Contractor � � - OWNER-BUILDER DECLARATION LI 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 /7 demolish,or repair any structure,prior to its issuance,also required the applicantIl for such permit to file a signed statement that he or she is licensed pursuant to the Policy Number \1 L provisions of the Contractors License Law(Chapter 9(commencing with Section (This section need not be co pleted 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 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 ate �2-1 20i 1 y 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). o 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. arae L (/✓! o-- Title V( Ce 7 C C S t C�-2 n-F- PRINT NAME 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 above-mentioned property for inspection purposes. S :.nature a Date ( 2- / '2- ° / / '. a' i City of Arcadia, CA Permit No. FIRE-19-1533 . A. Development Services Department 'V"1f`"✓�.^ �fi� Permit'Type:'Fire 240 West Huntington Drive,Post Office Box 60021 /yrd-J,a a 5 1 y���y work{lassificatlon:Fire Suppression Arcadia,CA 91066-6021 (626)574-5416 Permit Status:Issued ARCADIA - issue'Date:08/ 21/2019,1 Expiration: 02/02/2020 Addr NO. Dir Prefix Street Name Street Suffix Unit City,State,Zip Parcel Number 815 W NAOMI ARCADIA,91007 5383035034 Contacts BALDWIN ARCADIA CENTER LP Owner V M B FIRE PROTECTION CO Contractor 0 c/o CANDET Properties,Inc.PO Box 870,Alhambra,CA 91802 9774 IRON WOOD AVE,BLOOMINGTON,CA 92316 (626)281-9338 (909)983-6700 835439 Description:2 NOZZLES FOR BLAZE PIZZA Valuation: $ 3,850.00 Tenant BLAZE PIZZA Total Sq Feet: 0.00 Plan Check#19-1533 Plan It Fees Amount Payments Amount Paid Fire Extinguishing System Plan Check $280.00 Total Fees $465.06 Fire Issuance $47.01 Cash/Receipt#REC-02198-19 $185.06 Fire Permit Fees $137.05 Cash/Receipt it REC-02036-19 $280.00 Solid Waste Management Fee 2 $1.00 Amount Due: $0.00 Total: $465.06 O CALLS FOR INSPECT a Request for inspection by telephone at 626-574-5450. Leave a e%sage 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 21,2019 Issued By: Date August 21,2019 Page 1 of 1 ,F A• 1 ; 1 PERMIT/PLAN REVIEW APPLICATION 20a'iv a Development Services Department,240 West Huntington Drive,Post Office Box 60021 mm„ . ° Arcadia, CA 91066-6021, (626) 574-5416,Fax (626) 447-9173 City of Arcadia LICENSED CONTRACTOR'S DECLARATION WORKERS'COMPENSATION DECLARATION 0 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'• /6, Li r e Exp. Date y-�7 compensation, as provided for by Section 3700 of the Labor Code, for the Signature 1 jy ���� performance of the work for which this permit is issued. of Contractor 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 permitclto construct,alter,improve, Carrier " v-ITY 7- //./-/� l%d A demolish,or repair any structure,prior to its issuance,also required the applicant e-1/97% r�� for such permit to file a signed statement that he or she is licensed pursuant to the Policy Number 5/�f provisions of the Contractors License Law(Chapter 9(commencing with Section (This section need not be completed if the permit is for one hundred dollars or less) 7000) of Division 3 of the Business and Professions Code)or that he or she is exempt there from and the basis for the alleged exemption. Any violation of ❑ I certify that in the performance of the work for which this permit is issued,I shall Section 7031.5 by any applicant for a permit subjects the applicant to a civil not employ any person in any manner so as to become subject to the workers' penalty of not more than five hundred dollars($500)): compensation Laws of California,and agree that if I should become subject to the workers'compensation provisions of Section 00 of the Labor Code,I shall ❑I, as owner of the property, forthwith comply with those provisions. / or my employees with wages as their sole c q // compensation,will do the work,and the structure is not intended or offered for %Datep ,-f- // Signature/ � 017,9 sale(Section 7044,Business and Professions Code:The Contractors License Law does not apply to an owner of property who builds or improves thereon, or who does such work himself or herself or through his or her own employees,provided that such improvements are not intended or offered for i 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. `1 (Name..n.,_, ..__. -/___/.2#4.-/CWt A t'4 r---J [Title /cdn./109 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 1n Arcadia to enter upo a above-mentioned property for inspection purposes. 16ignature,#,i ,1j1J e j \Date 3---°-/— •"14:52,7 4 Of ro RC o sins_ y -41 ��Onity of MEMORANDUM Fire Department DATE: December 2, 2019 TO: BUILDING DEPARTMENT INSPECTOR Henry Kemich FROM: FIRE DEPARTMENT SUBJECT: FIELD INSPECTION ADDRESS: 815 W. Naomi Avenue (Blaze Pizza) THE FOLLOWING ITEMS WERE CHECKED FOR CONFORMANCE WITH APPLICABLE FIRE DEPARTMENT REQUIREMENTS: TYPE OF INSPECTION DATE / INITIAL FINAL INSPECTION FIRE SPRINKLERS 9-5-2019 Jill Perumean FIRE ALARMS HOOD & DUCT 11-27-2019 Jill Perumean KNOX BOX I OCCUPANCY 11-27-2019 Jill Perumean COMMENTS: Emailed Bldg. Dept. 11-27-2019 Rita