HomeMy WebLinkAboutUntitled (2) 4$ City of Arcadia, CA Permit rvo TI 19-1888,
Development Services Department t , -s-�tr'h�'-`s-^ Permit Type.Tenant Improvement
240 West Huntington Drive,Post Office Box 60021 1j A r I` C
-��..f'G��...��++°•;}} Arcadia,CA 91066-6021 Lr. + j aLi (I.L work ciossification:Tenant Improvement
W i (626)574-5416 - ,leo. r Permit Status:,Issued
ARCADIA IssuCbate:10/04/2019- Expiration:
1
Addr NO. Dir Prefix Street Name Street Suffix Unit City,State,Zip Parcel Number
488 E Santa Clara ST 302 Arcadia, CA 5773009081
Contacts
FIFTH AVENUE GROUP LLC Owner THE HALE CORPORATION Contractor
488 E SANTA CLARA ST 513 S MYRTLE AVE,MONROVIA,91016
(626)358-4523 538125
-
Description:T.I.SUITE 302 Valuation: $ 47,175.00 Tenant
Total Sq Feet: 70.00 Plan Check#19-1888 Plan ft /57
Fees Amount Payments Amount Paid
Accessibility Plan Check $76.15 Total Fees $2,562.86
Accessiblity Building Permit $78.10 Cash/Receipt#REC-02706-19 $2,562.86
Add/Alter Ducts $178.92
Amount Due: $0.00
Building Issuing Fee $47.01
Building Permit Fees $781.00
Building Plan Review Fee $507.65
Cal Green Plan Check $50.77 fl COMPLETED
Commercial T.I.Fire Plan Chk. $280.00
Electrical Permit Issuance Fee $47.01
Energy Plan Review Fee $156.20
Fire Final Occupancy Fee $200.00 CALLS FOR INSPECTIONS
Green Building Standard $2.00 Request for inspection by telephone at 626-574-5450. Leave a message
Light Fixtures $37.90 requesting the address,timeframe and what inspection item is needed.
Mechanical Permit Issuance Fee $47.01
Outlets-Receptacles&Switches $51.68
Solid waste Management Fee $6.25 This permit/plan review expires by time limitation and becomes null and
Solid Waste Management Fee 2 $1.00 void if the work authorized by the permit is not commenced within 180 days
Solid Waste Management Fee 2 $1.00 from the date of issuance or if the permit is not obtained within 180 days
Strong Motion Inst.Program Corn $13.21 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
Total: $2,562.86 consecutive days or if no progressive work has been verified by a City of
Arcadia building inspector for a period of 180 consecutive days.
Na t_ II•IS•19
October 04, 2019
Issued By: Date
October 04,2019 Page 1 of 1
, A.
JUroa3/4 :
Shan '
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PERMIT/PLAN REVIEW APPLICATION
t@ :*' 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
1 i LICENSED CONTRACTOR'S DECLARATION WORKERS'COMPENSATION DECLARATION
I hereby affirm under penalty of perjury that I am licensed under provisions of I t}ereby affirm under penalty of perjury one of the following:
graChapter 9(commencing with Section 7000,of Division 3 of the Business and
Professions Code,and my license is in full force% 41- t. QI have and will maintain a certificate of consent to self-insure for workers'
1J License Class License No.53� Exp. Datcompensation, as provided for by Section 3700 of the Labor Code, for the
lir
tDerformance of the work for which this permit is issued.
•S Signature of Contractor is — ( • �+",
l
0�I have and will maintain workers'compensation insurance,as required by Section
[0 OWNER-BUILDER DECLARATION it 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 vcis 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, iCarrier N
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 '(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 t 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 unot employ any person in any manner so as to become subject to the workers'
penalty of not more than five hundred dollars($500)): k
ppcompensation Laws of California,and agree that if I should become subject to the
workers'compensation provisions of Section 3700 of th 'bor Code,I shall
I, as owner of the property, or my employees with wages as their sole
forthwith comply with those provisions.
r--�
compensation,will do the work,and the structure is not intended or offered for Dare \c I311 Signature K—
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 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 thecost 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
I 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.
te`
tame rCA C V1 A 20 k4 A UC Title & (ZE3 1 O,--iPRINT'NAME
f
Fcertify 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 ordinanc•v and State Laws relating to building construction. I hereby authorize representatives of the City of
Arcadia to enter upon the above-menti, ed p i perty for inspection purposes.
Signature a� Date ( o of 3) Zt c
NOTES
Building Inspections Date Insp. Plumbing Inspections Date Insp. i[Q8- E Q�.R.,t , •�
100. Setbacks 210. Under flr.rbldg.drain -p's+ � !/t ,.
101. Rough grade 211. Copper underslab
102. Figs.&forms 212. Rough plumbing to-4-IQ
103. Pre-slab 213. Rou.h".as �
104. Floor'oisis 214. Shower ren r D 11-V4•
_
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 10.14-1! i by 220. Fixtures
111. Occ./Nea Sept.Wall 221. Final plumbing
112. Sound walls 222. Sewer cap/demo.
113. T-bar grid . !o•7-3•(4 ct-
114. Insulation-Fir. Peal Inspections Date . Insp.,
115, Insulation-Wall 240. Excavation/steel
116, Insulation-Cell. 241, Rough plumbing
117. Drywall nailing (0-8•I9 242. Light shellbonding
118. Interior lath 243. Underground conduit
119. Exterior lath 244. P-trap
120. Finish grade 245. Gas line&test
121. Final building t.1 f•(9 46. Fence,gates&signs
122. Final demo/ot clear 247. Pool heater
_ 248. Final electric
!ethical •• t • s I a - Insp- 249. Final plumbing
150. Power pole 250. Pool cover
-
151. Sales lot lighting 251. Pool final
152. Underground conduit
153. Underslab conduit 'Befog Inspections .Date I Insp.
154. UFER ground 270. Pre-reroof Insp.
155. Water ground 271. Roof framing
156. Rough electrical 272. Sheathing nailing
157. Fixtures (0.23.19 r7- 273. Final reroof
158. G.F.C.I.
159. E..L bondin. Sign Inspections' I Date I Insp.
160. Service panel_ 280. Setback/overhang ■
161. Final electric (LIS•15 � 281. Footing
282. Conduithvirin.
Mechanibal Inspections Date Insp. 283. Disconnect
180. Venting/nue 284. Final sign
181. Furnace/A.C.
182. Rouch HVAC _ -11.n•• li • I '.t' n •
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. Flood dry diem.
188. Compressor setback 295. Final
189. Commercial hood
190. Duct shaft Sewers sia nsp. 'I rale I Insp.,
191. Anal mechanical 300. Lateral(main to PI)
301. Saddle/Y
Block Wall Inspections .. Date ' Insp. "302. Cesspool filled
200. Footings 303. Sidewalk
201. SteeVrebar 304. Driveway
202. Grout lift 305. Curb replacement
203. Anal wall 306. Trash bin
trAl
City of Arcadia, CA
Permit NO FIRE 19 2201
`3 '� " Development Services DepartmentC\Aisy�ri,{ Permit Type:Fire
240 West Huntington Drive,Post Office Box 60021 T
�.. Work.C7hon:Fire glarm.
Arcadia,CA 91066-6021 gssi ca .-
rTirl (626)574-5416 - `,--- _ - ';'4 „ PermitStotus:Issued.
ARcADIA ' ' Issue Date:11/06/2019 I Expiration:
Addr NO. Dir Prefix Street Name Street Suffix Unit City,State,Zip Parcel Number
488 E SANTA CLARA ST 302 Arcadia,CA 91006-7229 5773009081
ContactsFIFTH AVENUE GROUP LLC Owner EXECUTIVE SURVEILLANCE INC* Contractor
488 E SANTA CLARA ST P 0 BOX 8245,LA CRESCENTA,CA 912240245
(818)541-1091
Description:FIRE ALARMS FOR UNIT#302 4 DEVICES Valuation: $450.00 Tenant
Total Sq Feet: 0.00 Plan Check#19-2201 Plan#
Fees Amount Payments Amount Paid
Fire Alarm Plan Check $280.00 Total Fees $368.66
Fire Issuance $47.01 Cash/Receipt#REC-03010-19 $88.66
Fire Permit Fees $40.65 Cash/Receipt#REC-02943-19 $280.00
Solid Waste Management Fee 2 $1.00
Amount Due: $0.00
Total: $368.66
ceppiETED
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.
November 06, 2019
Issued By: Date
November 06,2019 Page 1 of 1
i A.
e."rogy4`•
•
aim 1 PERMIT/PLAN REVIEW APPLICATION
oil `s !-�
\4./ 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 hefeby 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
Signature of Contractor License No. Exp. Date �Icompensation, as provided for by Section 3700 of the Labor Code, for the
�: erformance 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 r700 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 it 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 's 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 ? 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 0
Section 7031.5 by any applicant for a permit subjects the applicant to a civil - of 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
. liworkers'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 orthwith 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 Signature
Law does not apply to an owner of property who builds or improves thereon,
or who does such work himself or herself or through his or her own ..
employees,provided that such improvements are not intended or offered for WARNING: Failure-to secure Workers'Compensation coverage is unlawful,
sale.If,however,the building or improvement is sold within one(1)year of and shall subject an employer to criminal penalties and civil fines up to one
completion,the owner-builder will have the burden of proving that he or she hundred thousand dollars($100,000),in addition to the cost of compensation,
did not build or improve for the purpose of sale). damages as provided for in Section 3706 of the Labor Code, interest, and
attorney's fees.
0 I, as owner of the property, am exclusively contracting with licensed
contractors to construct the project(Section 7044,Business and Professions
Code:The Contractors License Law does not apply to an owner of property CONSTRUCTION LENDING AGENCY
who builds or improves thereon,and who contracts for such projects with a I hereby affirm under penalty of perjury that there is a construction lending agency
contractor(s)licensed pursuant to the Contractors License Law). for the performance of the work for which this permit is issued (Section 3097,
Civil Code).
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.
ppA
Ate i i -4L III I Title
J)
) 'RINT NAME
b4ertify 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.
,tagree to comply with all City ordinances and State Laws relating to building construction. I hereby authorize representatives of the City of
Arcadia to ante upon thea mentioned property for inspection purposes. //
•
fi i /gnature _� Date / �/ & Ai
111
<4°4 City of Arcadia, CA r Perm;rrto. FIRE-19,2071
Development Services Department r l l /9 -, ��1- L - Permit Type:Fire
j// 240 West Huntington Drive,Post Office Box 60021 1 4 I --� `� (! I ; I C
f Arcadia,CA 91066-6021 Lr { Li lit' I t Work Classification:on:Fire Alarm
(626)574-5416 i-- J -t_: a�s �l
- - i Permit Status:Issued
•
ARCADIA Issueoate:10/22/20191 Expiration: 04/11/2020
Addr NO. Dir Prefix Street Name Street Suffix Unit City,State,Zip Parcel Number
488 E SANTA CLARA ST 302 Arcadia,CA 91006-7229 5773009081
Contacts
FIFTH AVENUE GROUP LLC Owner SINGLETON FIRE PROTECTION INC' Contractor
488 E SANTA CLARA ST 12990 BRANDFORD ST G,ARLETA,CA 91331
(818)252-5744 667001
Description:FIRE PRINKS FOR TI,UNIT 302.17 HEADS Valuation: $ 1,700.00 Tenant
Total Sq Feet: 0.00 Plan Check#19-2071 Plan H
Fees Amount Payments Amount Paid
Fire Issuance $47.01 1 Total Fees $839.06
Fire Permit Fees $91.05 i Cash/Receipt it REC-02856-19 $139.06
Solid Waste Management Fee 2 $1.00 Cash/Receipt N REC-02774-19 $700.00
Sprinkler Heads $700.00 - - -- -
Amount Due: $0.00
Total: $839.06
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.
a toilgt..
7,
October 22,2019
Issued By: Date
October 22,2019 Page 1 of 1
• AR
1 ;V• I PERMIT/PLAN REVIEW APPLICATION
E41*' 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 effectli
❑ I have and will maintain a certificate of consent to self-insure for workers'
License Class C--(to License No. __ .e/ Exp. Date /('3 compensation, as provided for by Section 3700 of the Labor Code, for the
performance of the work for which this permit is issued.
Signature of Contractor !/_. aLi'�i —
OWNER-BUII.DER DECLARATIONI 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:
Gorier t=—V'�2 I
Code.Any city or county which requires a permit to construct,alter,improve, T
demolish,or repair any structure,prior to its issuance,also required the applicant �-e
for such permit to file a signed statement that he or she is licensed pursuant to the Policy Number �� I.�S `�
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 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 119 22'l 1 ogee-"'
sale(Section 7044,Business and Professions Code:The Contractors License Date Signature_ tN7 Q�"�
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 am 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:
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. /�
[NameA1-1,0"A. ' 4'^^-- jTitle Off-A �.,'''t- (
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.
V
'Signature a c (Date MO-LZ 4 9