HomeMy WebLinkAboutUntitled .}4441.°3? City of Arcadia, CA Permit No.TI-19=1046/
\ -
7/; Development Services Department j ', Hi Permit Type:Tenant Improvement .
{F/ 240 West Huntington Drive,Post Office Box 60021 �, L.- JI. ''' I l f.I f !i t
"' 1 Arcadia,CA 91066-6021 I ., '--•1 " ' I work Classification:Tenant Improvement
(626)574-5416 Permit Status:In'Review
ARCADIAissue Date: I Expiration: 12/01/2019
Addr NO. Dir Prefix Street Name Street Suffix Unit City,State,Zip Parcel Number
250 W Colorado BLVD 250 Arcadia,CA 5775011030
Contacts
FOOTHILL CREDIT UNION Owner INTEGRATED BUILDERS GROUP INC* Contractor
250 W COLORADO BLVD 5137 GOLDEN FOOTHILL PKWY 140,EL DORADO HILLS,CA 95762
(925)787-1776 884455
Description:REMODEL OFFICE SPACE.INCLUDES NEW Valuation: $ 198,000.00 Tenant FOOTHILL FEDERAL CREDIT UNIO
PARTITIONS,DOORS,ACOUSTICAL CEILING GRID AND
FINISHES.NEW RESTROOMS.WITH EMP(FOOTHILL FEDERAL Total Sq Feet: 0.00 Plan Check#19-1046 Plan#75
CREDIT UNION)
Fees Amount Payments Amount Paid
Accessibility Plan Check $185.27 Total Fees $5,470.05
Accessiblity Building Permit $190.02 Cash/Receipt#REC-01747-19 $3,266.09
Add/Alter Ducts $308.14 Cash/Receipt#REC-01410-19 $2,203.96
Air Handling Units a 10,000 cu ft per min. $59.84
Building Issuing Fee $47.01
Amount Due: $0.00
Building Permit Fees $1,900.20
Building Plan Review Fee $1,235.13 COAfP1E
Cal Green Plan Check $123.52 ifif
Commercial T.I.Fire Plan Chk. $280.00
Distribution Panel $32.96
Electrical Permit Issuance Fee $47.01 CALLS FOR INSPE 1S
Energy Plan Review Fee $380.04 Request for inspection by telephone at 626-574-5450. Leave a message
Fire Final Occupancy Fee $200.00 requesting the address,timeframe and what inspection item is needed.
Garbage Disposal Fee $13.21
Green Building Standard $8.00
Kitchen Sink $13.21 This permit/plan review expires by time limitation and becomes null and
Lavatories $13.21 void if the work authorized by the permit is not commenced within 180 days
Light Fixtures $77.12 from the date of issuance or if the permit is not obtained within 180 days
Mechanical Permit Issuance Fee $47.01 from the date of plan submittal.This permit expires and becomes null and
Motors,Generators<1 hp $56.49 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
Outlets-Receptacles&Switches $67.58 Arcadia building inspector for a period of 180 consecutive days.
Total: $5,470.05
Ce44
Issued By: Date
July 08,2019 Page 1 of 1
OF R
;r, L PERMIT/PLAN REVIEW APPLICATION
r Development Services Department, 240 West Huntington Drive,Post Office Box 60021
0m••h"C.`m Arcadia, CA 91066-6021, (626) 574-5416, Fax (626) 447-9173
City of
Arcadia
ENSED 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,a d my license is in full 'me and effect. ❑ I have and will maintain a certificate of consent to self-insure for workers'
License Class �L No. i r IA Exp. Date?d compensation, as provided for by Section 3700 of the Labor Code, for the
'' performance of the work for which this permit is issued.
%gnature of Contract•ars.,—_, 7,_ . /491, Al
OWNER-BUILDER DE ARATIO ❑ Ihave and will maintain workers'compensation insurance,as required by Section
❑ I hereby affirm under penalty of perjury that I am exempt from the Contractors 3100 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 lis 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 I 1
for such permit to file a signed statement that he or she is licensed pursuant to the Policy Number
provisions of the Contractors License Law(Chapter 9(commencing with Section
(this section need not be completed if the permit is for one hundred dollars or less)
7000)of Division 3 of the Business and Professions Code)or that he or she is
exempt them from and the basis for the alleged exemption. Any violation of 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 hot 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.
or my employees with wages as their sole p
compensation,will do the work,and the structure is not intended or offered for I / ,mu,: , / / /
sale(Section 7044,Business and Professions Code:The Contractors License Dgate 7/t /9 :. ._ L �:
e.
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). 7 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.01
[
Dame Pte.1+14Q0 t215-re L Title J t e.,J'
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.
agree to comply with all City ordinances and State Laws relating to building construction. I hereby authorize representatives of the City of
Arcadia to ente4ai
above-mentioned pCA7
for inspection purposes. / c C,
SignaturC Date 7/ 0/ //
r
f.7OTEp, / - 0!( /
Building Inspections Date Insp. Plumbing Inspections Date Insp. 2% C06/714
/
100. Setbacks 210. Under fir./bldg.drain (J
101. Rough grade 211. Copperunderslab
102. Figs.&forms 212. Rough plumbing 9-c/1 &7 e4 it
103. Pre-stab 213. Rough gas C/ `
104. Floor joists 214. Shower pan
105. Steel 215. Water heater
106. Grout lift 216. Roof drains
107. Shear nailing 217. Building sewer
108. Diaph nailing 218. Water service
109. Roof nailing 219. Anal gas
110. Framing 220. Fixtures
111. Ocelkea Sept.Wall 221. Anal plumbing
112. Sound walls (y 222. Sewer cap/demo.
�p,/J
113. T-bar grid T/ / / ( �
114. Insulation-Ar. Pool Inspections I Date Insp.
115. Insulation-Wall 240. Excavation/steel
116. Insulation-Cell. 241. Rough plumbing
117. Drywall nailing 777Z/? / 242. Light shell/bonding118. Interior lath r� 243. Underground conduit
119. Exterior lath 244. P-trap
120. Finish grade 245. Gas line&test
121. Anal building frn'fir/7 246. Fence,gates&signs
122. Final demo/lot dear 247. Pool heater
248. Final electric
Electrical Inspections Date Insp. 249. Final.lumbin.
150. Power pole 250. Pool cover
151. Sales lot lighting 251. Pool final
152. Underground conduit
153. Underslab conduit Reran'Inspections Date pap.
154. UFER ground 270. Pre-reroof insp.
155. Water ground 271. Roof framing
156. Rough electrical 272. Sheathing nailing
157. Fixtures 273. Anal reroof
158. G.F.C.I.
159. E..t.bondin. Sign Inspections Date I Insp.
160. Service panel 280. Setback/overhang ■
161.
Anal electric 91,.1 772811. Footing
282. Conduit vidn.
Mechanical Inspections Date Insp. 283. Disconnect IIIII-
180. Venting/hue 284. Anal sign
181. Furnace/A.C.
182. Rauch HVAC ofht1 Y' ' Miscellaneous Insp. Date Insp.
183. Are dampers 290. Are alarm
184. Furnace compartment 291. Underground supply
185. Combustion air 292. Are sprinklers -
186. Smoke detectors 293. Monitor system _
187. Metal F.P.rough - 294. Hood dry chem.
188. Compressor setback 295. Anal
189. Commercial hood
190. Duct shaft _ Sewers&Offsite Insp. I Date I Insp.
191. Final mechanical Rr ' 300. Lateral(main to P/L) ■
. 301. Saddle/Y
Block Wall Inspections Date Insp. 302. Gess...1 filled
200. Footings 303. Sidewalk - -
201. Steet/rebar 304. Driveway
202. Grout lift 305. Curb replacement
203. Anal wall 306. Trash bin - -- -
k �'A1P f,1 a 1,740.1.—a----s.
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Certificate of Occupancy , _'
5 City of Arcadia SW
,.� y . Development Services Department—Building Division .
pi g
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This certificate issued pursuant to the requirements of the • " .'
aj�,t� California Building Code certifying that at the time of issuance this structure was in p
br
compliance with the various ordinances of the City regulating building construction or use. -.a,
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sAntt' , % 4 a• ,
Permit No. TI-19 1046
Building Address: 250 W COLORADO BLVD #250 ARCADIA CA 91007
. �I
1 a Permit Type: TENANT IMPROVEMENT Effective CBC: 2016 C.B.C. IV
a it
Ftt 4�°1 Occupancy Code: B Zone Code: CO
G
LI(
Final Date: 9-18-19 Type of Construction: TYPE V-A SPRINKLERED II ,•
0Owner: FOOTHILL FEDERAL CREDIT UNION
/f___// • ,,, e,..- $..
s.
S# • p
Kenneth Fields,B ildin Official /
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Post in Conspicuous Place larltrc
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,
:f'rr�t'` W� v ,: ,�aic�'w$'--, — � ,y y R.a.,. 't 'g'k'� ,.,\, ,,.„
� i6 d' $3 u ' 'wiW +, 12+A . a.d
ufy'
cs5•r, City of Arcadia, CA
1 Permit NOT1-19-1056
,vA Development Services Department i1.--ND r ""u^"- r Permit Type:'Tenant ltllp�OVemEnt
240 West Huntington Drive,Post Office Box 60021 (JT,,'.'.�-t� S' E j `
9 Arcadia,CA 91066-fi021 � ^^'t ( wiork Classnccahon•TI-Interior-Demolition
r-D
(626)574-5416 4; - -- Permit Status Issued
ARCADIA IssueDate:06/04/2019-1 Expiration:
Addr NO. Dir Prefix Street Name Street Suffix Unit City,State,Zip Parcel Number
250 W Colorado BLVD 250 Arcadia,CA 5775011030
Contacts
FOOTHILL CREDIT UNION Owner INTEGRATED BUILDERS GROUP INC' Contractor
250 W COLORADO BLVD 5137 GOLDEN FOOTHILL PKWY 140,EL DORADO HILLS,CA 95762
(925)787-1776 884455
Description:INTERIOR DEMO ONLY FOR FOOTHILL CREDIT Valuation: $ 500.00 Tenant
UNION
Total Sq Feet: 0.00 Plan Check# Plan#
Fees Amount Payments Amount Paid
Accessibility Plan Check $3.97 Total Fees $140.66
Accessiblity Building Permit $4.07 Cash/Receipt#REC-01421-19 $140.66
Building Issuing Fee $47.01
Amount Due: $0.00
Building Permit Fees $40.65 ,
Building Plan Review Fee $26.43
Cal Green Plan Check $2.65
Energy Plan Review Fee 58.13 •
Green Building Standard $1.00
Solid Waste Management Fee $6.25
Strong Motion Inst.Program Corn $0.50
CALLS FOR INSPECTIONS
Total: $140.66 Request for inspection by telephone at 626-574-5450. Leave a message
requesting the address,timeframe and what inspection item is needed.
?e/91,F/1410 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.
Sir
*8
02June 04, 2019
Issued By: Date
June 04,2019 Page 1 of 1
4. ,PAR
-• i PERMIT/PLAN REVIEW APPLICATION
0+ INESali
`E * 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 Coded rpy license is in fill foo d effect ❑ I have and will maintain a certificate of consent to self-insure for workers'
License Class /
Signature of Con.. -No. b' Exp. Date
/La/ /1-2trs E _ compensation, as provided for by Section 3700 of the Labor Code, for the
�/ performance of the work for which this permit is issued.
OWNER-BUILDER DEC ,ARATION 0 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 mason(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 in
��
demolish,or repair any structure,prior to its issuance,also required the applicant
Policy Number b'” K—
for such permit to file a signed statement that he or she is licensed pursuant to the
(This section need not be cora a 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 ❑ I certify that in the performance of the work for which this permit is issued,I shall
exempt there from and the basis for the alleged exemption. Any violation of
Section 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 theforthwith mpl with those provisions.
property, or my employees with wages as their sole
compensation,will do the work,and the structure is not intended or offered for !, /r
sale(Section 7044,Business and Professions Code:The Contractors License Date 4 Ci Sigrra rr �. .� /i
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 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
further information.
arae L@tttar2n RNAME R \'ritie
[.34hvw
PRINTLtitAit
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, the above-mentioned p perty for inspection purposes.
a` ' -Yit.
S'gnature Ct.-W' -4. \a[e tol q i 1 I
Cityof Arcadia, CA or Permit NOFIRE-19-1175
ct,4 •ii I— r
� 240 West Hut t ng!ons Department it t "-`"1I I u `} Permit Type:: Fire
240 West A 9106 -6 Drive,Post Office Box 60021 1 _ / c- -I f 1, i-I I , 1 11 t-
I i -! ,- - ! II I j•- :Work Classi 'codon:Fire Sprinkler
� Arcadia,CA 91066-6021 ;i �, ,.� %_,i_, L,_, � P
(626)574-5416 Permit Status:Issued
ARCADIAIssue;oate:07/10/2019:1 Expiration: 12/17/2019
Addr NO. Dir Prefix Street Name Street Suffix Unit City,State,Zip Parcel Number
250 W Colorado BLVD 250 Arcadia,CA 5775011030
Contacts
FOOTHILL CREDIT UNION Owner CODE 4 FIRE INC' Contractor
250 W COLORADO BLVD 187 W Orangethorpe,Placentia,CA 92870
(949)439-1979 905117
Description:FIRE SPRINKS FOR FOOTHILL FEDERAL CREDIT Valuation: $ 3,710.00 Tenant FOOTHILL FEDERAL CREDIT UNIO
UNION T.I.
Total Sq Feet: 0.00 Plan Check#19-1175 Plan#
Fees Amount Payments Amount Paid
Fire Issuance $47.01 Total Fees $885.06
Fire Permit Fees $137.05 Cash/Receipt k REC-01782-19 $185.06
Solid Waste Management Fee 2 $1.00 Cash/Receipt tt REC-01597-19 $700.00
Sprinkler Heads $700.00
Amount Due: $0.00
Total: $885.06
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.
* t8/,'tf1Fi
July 10,2019
I ued y: Date
July 10,2019 Page 1 of 1
OFA'
c,''pro%y.
,U111011111111 PERMIT/PLAN REVIEW APPLICATION
IPA
141*' Development Services Department,240 West Huntington Drive,Post Office Box 60021
'4,4•0„en" 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'
\ )(O q�S II �0/3//lq compensation, asprovided for bySection 3700 of the Labor Code, for the
License Class G License o. Exp. Date P
performance of the work for which this permit is issued.
Signature of Contractor
OWNER-BUILDER DECLARATION Q'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 mason(Section 7031.5,Business and Professions is issued.My worrkerrs'compensationiinns'urance carrier and policy numbers are:
Code.Any city or county which requires a permit to construct,alter,improve, Carrier `von`5 tO t Spected y 1 nsu((mob Com t;o+i
demolish,or repair any structure,prior to its issuance,also required the applicant
for such permit to file a signed statement that he or she is licensed pursuant to the Policy Number COW C 034?)0
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 D. I certify that in the performance of the work for which this permit is issued,I shall
Section 70315 by any applicant for a permit subjects the applicant to a civil not employ any person in any manner so as to become subject to the workers'
penalty of not more than five hundred dollars($500)): compensation Laws of California,and agree that if I should become subject to the
workers'compensation provisions of Section 3700 of the Labor C.de,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 Date -7//19/)q Signature /�; r�
sale(Section 7044,Business and Professions Code:The Contractors License 111 -
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 Ornait CYJUSlj
(Title
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. p
�� I / /,-f
,Signature �� sne Date _ 0
4; of ARQ
C7 �o�y \�
1! rirr
ajc..f.tl
p°0\y of MEMORANDUM
MEMORANDUM
Are Department
DATE: September 17, 2019
TO: BUILDING DEPARTMENT
INSPECTOR John Zurick
FROM: FIRE DEPARTMENT
SUBJECT: FIELD INSPECTION
ADDRESS: 250 W. Colorado, #250
THE FOLLOWING ITEMS WERE CHECKED FOR CONFORMANCE WITH APPLICABLE FIRE
DEPARTMENT REQUIREMENTS:
TYPE OF INSPECTION DATE / INITIAL
FINAL INSPECTION
FIRE SPRINKLERS 8-20-2019 Jill Perumean
FIRE ALARMS
TANKS
HOOD 8 DUCT
KNOX BOX
OCCUPANCY 8-20-2019 Jill Perumean
COMMENTS:
Emailed Bldg. Dept. 8-20-2019 Jill